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Mednet Healthcare 
Technologies 
ECAT & HTW 
Training
Introduction: 
Cardiac arrhythmias are events such as fast, slow, and irregular 
rhythms. Symptoms that may lead a physician to suspect 
arrhythmias include fainting, lightheadedness, palpitations, and 
fatigue among others. 
Our Heartrak wireless monitor’s provide continuous cardiac 
monitoring over an extended period of time in an effort to capture 
and record cardiac episodes. After the monitor records the events 
it then sends the data to a communicator, which then wirelessly 
transmits to Heartcare’s 24 hour monitoring center. There, the 
results are analyzed, measured, interpreted, and relayed to the 
physician. The physician will review the data and will consider it 
along with other factors to determine a diagnosis and treatment. 
What is the Heartrak Monitoring System? 
A prescription for up to 30 days to use all of the equipment 
included in the kit and Heartcare’s 24 hour attended Call 
Monitoring Service Center. 
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How does the patient receive the Heartrak 
monitoring system? 
There are two ways the patient could obtain the monitor. 
The patient could receive their monitoring device directly from the 
physician’s office. The physician’s employees use our software 
Mednet Access, to enroll patients within our system and 
activate their devices. At the same time they are also attached to 
the wireless device, given basic instructions, and sent on their 
way. Within 24 hours a Heartcare technician will call the patient 
for a Follow-up. During the follow-up, the patient will be asked to 
provide our technician with information regarding the equipment. 
The tech will also explain all of the important upkeep to ensure 
the devices are operating properly. 
Additionally, the monitoring device could be delivered by Fed-ex. 
This means that the doctor’s office doesn’t carry the equipment 
within their facility. After we receive the prescription, the 
information is processed and the equipment is sent. Within 1-3 
days a Heartcare technician will contact the patient to do a Hook-up. 
A hookup includes the process of setting up and activating 
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the equipment. 
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4 
Equipment 
Communicators 
Contents Cellular in device patient kit 
features 
Table of 
Cardiostation 
Software 
Monitors 
Event recorders 
Hookups and Follow ups 
Steps and upkeep 
Support 
Troubleshooting, equipment 
and returns
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Materials & Equipment 
The patient should save the container and pre-paid return 
envelope, if one was provided, to return equipment and any 
unused materials. 
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Communicators Features 
The Communicator sends ECG data to the Monitoring Center. The 
Communicator also displays system status messages and is used for 
communication with the Monitoring Center. The monitor is 
activated with one of five different types of Communicators. 
Communicator 
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Communicator Features 
Communicator 
2 ECAT 
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Communicators Features 
Communicator 
2 HTW 
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9 
Communicators Features 
Communicator 
Verizon 
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Communicators Features 
Communicator 
Android 1 
Touch screen 
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Communicators Features 
Communicator 
Android 2 Touch screen 
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Communicators Features 
Communicator 
Medtel UMX Touch screen 
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Communicators Features 
Touch screen 
Communicator 
Casio Commando 
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Monitor Features and Recording Types 
Each Heartrak monitor is uniquely paired with a communicator, which transmits results to the monitoring 
center. The monitor records and stores every heartbeat for up to 30 days. LED status indicator lights for 
monitoring, battery, and communication help patients easily use and maintain the monitor. The left side of the 
monitor slides down to contain the battery cartridge, and a 6 digit serial number is found on the back for 
identification. Lead wires plug into the top right side, which faces upward towards the heart and attaches to 
the body. 
The Heartrak ECAT monitor has all the abilities above and has the capability to take a trend recording. 
This type of recording is automatically taken every ten minutes for 30 seconds and sent over at the end of 
every hour. After midnight all of the preliminary trends are automatically grouped together to make one 
large trend. The serial number found on this device starts with digits 99. 
When feeling a symptom the patient has quick access to the record button on the top to take a patient 
activated recording. The Heartrak Smart Wireless also has the ability to take auto trigger recordings. This means 
the monitor is designed to take its own recording when it detects irregularities. Settings are arranged by the 
physicians criteria. The amount of automatic recordings should not be discussed with the patient to avoid 
alarming the patient. The serial number found on this device starts with digits 101. 
The ECAT2 is designed and referred to as Heartcare's 2-1 monitor. This monitor has the capabilities to function 
as either an ECAT or Heartrak Wireless monitor. ECAT2’s configuration and convenience allows the patient to 
leave the facility with the monitor on as a telemetry unit. If during the insurance authorization process we find 
the patients insurance unable to cover the telemetry unit our enrollment department can internally change 
their device to function as an event monitor. The serial number found on this device starts with digits 85. 
Finally, the NEXUS is designed and referred to as Heartcare's 3-1 monitor. This monitor has the 
capabilities to function first as a Holter Monitor then after the physician evaluates the study can be 
converted to either an ECAT or Heartrak Wireless monitor. The NEXUS’s configuration and convenience 
allows the facility to perform two types of monitoring with just one device. The functionality makes this both 
convenient to the patient, the facility, as well as our company. The serial number found on this device 
starts with digits 87. 
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Blinking GREEN Monitoring 
light confirms monitor is 
actively monitoring. 
Blinking RED Battery light 
indicates low battery. 
BLUE Communication light on the 
monitor: 
1) Slowly blinking, confirms 
monitor has ECG data to send to 
the Communicator; 
2) Rapidly blinking, confirms 
monitor is actively sending 
data to the Communicator. 
Monitor LED Indicator Lights 
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Cardiostation 
Premier 
HCA 
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The screen should 
appear like this. 
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The Cardiostation tool bar contains many different 
icons, only some will be used during your daily work. 
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The clock icon is used to access the schedule. 
The schedule is a way of searching for patients 
that need to be hooked up or followed up with. 
The binoculars icon is used to find the patient in cardiostation. 
When clicking on the binoculars you have ability to try different 
search methods. 
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To find a patient in Cardiostation start by searching by the date 
of birth. If you cannot find the patient by that method try a phone 
number or last name. 
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1) Click the circle of your desired option 
2) Type in the information 
3) Click Find 
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After clicking find, your search results will display. For patient privacy the 
date of birth, phone number and address have been removed from this 
picture. However, if your searching by date of birth, your results will all 
display the same date of birth. The color of the heart to the left of the 
patients name signifies prescription/study information. 
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If the patients heart is Green, it means they have a current and 
active prescription. If the heart is red, your patient’s study has 
ended. A half green and white heart maybe located at the bottom 
of your search results. This signifies that the patient is partially 
enrolled, enrollment will contact the patient if needed. Lastly, a 
white heart represents a terminated chart. Please look through 
your results again for an active study. If needed contact the 
enrollment department at x758. 
To ensure proper care verify the first and last name of 
your patient while searching. 
Once you have located your patient, double click on the name or 
click once on the name and click ok. This will take you to the 
patient’s main screen. 
If you click once on the patients name and hit lookup you have the 
ability to quickly look into their chart. 
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Patient Screen 
Recording Screen 
Folders Comment Screen 
Schedule Screen 
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Chart Tabs: 
To open a patient’s information chart, double click on the patient’s name 
under your folder section. The chart will automatically default to the 
General tab. This tab contains all of the patient’s personal information, 
such as date of birth, name, and address. This tab also contains a patient 
ID or Code. This code is created during the enrollment. An ID could be 
made up of numbers and letters and is a helpful search method used 
within the company. 
The Doctors tab shows the prescribing physician and facility. This can be 
discussed with the patient if asked. 
The Diagnoses tab shows a description of what has been determined or 
maybe determined by examination and testing. This should not be 
discussed with the patient. 
The Transmitter tab shows the Wireless communicator’s serial number 
and study duration. The section at the bottom displays equipment and 
activation requests. 
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The Transmitter tab shows the Wireless communicator’s serial number 
and study duration. The section at the bottom displays equipment and 
activation requests. 
The Devices tab, is the area where the monitor will be activated. This 
area also displays the serial number, and Transmission Dates. 
The Comments tab contains important notes that need to be viewed 
immediately after opening the patient’s chart. You will usually see 
prescription notes left by enrollment and Pacemaker/ICD updates from the 
technical services department. See page 36 for steps on how to leave a 
comment. 
The Notification tab is a log used to document daily interaction with the 
patient. Anything left in the notification tab can be read company wide, 
and cannot be deleted or edited. When leaving a note time, date and 
technician’s name are automatically documented. See page 34 on steps 
for how to leave a notification. 
The Equipment tab is used to track pending shipments, however only 
the trouble shooting department will use this tab to send equipment 
requests. See the trouble shooting section on how to track a kit. 
The Billing, Insurance, Schedule, Programming, 
Attachments, and ProTime tabs are used only by the enrollment 
department. 
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Getting Started 
Open Cardiostation, and click the Tools tab at the top of the tool 
Bar. Scroll down and click Options. An options window will 
pop up, allowing you to adjust the setting for your schedule. Find 
and click on the Schedule tab. Scroll down throughout all of the 
Different departments. Heartrak Wireless and ECAT should be 
the only options checked. Uncheck any other options that may 
already be selected. 
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Getting Started 
Now that you have the correct settings, close out and click on the 
Clock icon. In the recording area, a list will display with every 
patient in need of a hookup or follow up. The list also gives detail 
about the type of monitor. Under the Note column you will find the 
time zones, Heartcare technicians can call patients between the hours of 
9:00am and 9:00 pm. Because of this procedure always start with 
the Eastern standard time zone patients (EST). Then once that 
time zone is completed move on to CST, MST and PST. 
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To select the patient you would like to call, double click on their 
name. Once the appointment Properties window will appears, 
place your initials in the Tech area and click OK. The patients 
name will automatically add itself under your Patient’s folder on the 
left hand side. Click once on their name to look at the patient 
screen. Click twice on their name to look into their information 
Chart, and check the notification tab for any important information. 
Now you are ready to call the patient. From your tool bar click 
once on the phone Dial button. This will call the first number listed 
in the patient’s chart. When you see the number appear in the 
window of your telephone pick up quickly. When the patient 
answers follow the Hook up Steps. 
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Hook up Steps 
1. Verify contents of kit and Monitor Serial Number. 
2. Slide down the battery door on the left side of the monitor, and 
place in one AA battery. If the battery is in correctly one beep will 
emit from the monitor. It is helpful to mention that the flat side of the 
battery touches the spring in the monitor. 
3. Remove three electrodes from the white bag and snap onto the 
colored ends of the lead wires. 
4. Attach the electrodes to the body. Make sure the electrodes are 
placed on bare skin and without lotions, oils or fragrance in the 
areas. 
5. Plug lead wires into the upper right side on the monitor. A beep will 
emit from the monitor and a monitoring light will start blinking green. 
This represents that it is now monitoring the heart. 
White- 3 finger widths below the collar bone on the 
right side of the chest. 
Black- 3 finger widths below the collar bone on the left 
side of the chest. 
Red- On the left side Straight down from left nipple to 
wear the rib cage ends. 
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Hook up Steps 
6. Verify the communicator type ( This information is unavailable to the 
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tech before calling). Ask the following questions by using the chart 
below to determine the correct communicator. 
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Hook up Steps 
7. Power communicator on (screens will load, Samsung, Rethink 
possible, and Heartrak ECAT/ Wireless). 
8. While phone is powering on, go over maintenance listed below. 
• Replace battery every 2 days in monitor. Do not wait for battery light 
to appear. Turn communicator off when replacing the double AA 
battery in the monitor. After battery is replaced, power comm back 
on. 
• Change electrodes daily. Use warm soapy water ( remember to 
always remove electrodes from lead wires before wetting). 
• Monitor and Communicator need to be within 10 feet at all times. 
• Recharge the communicator every night at bedside keep within 10 
ft. range. 
• Call the monitoring center if the monitor will be off for more than 2 
hours. 
9. Ask if the screen of the communicator still on? If not, it is now in 
sleep mode. Explain that the sleep mode is when the screen 
darkens to preserves battery life. To awake the device quickly press 
and release the power button. 
10. Send Activation. Go to the Devices tab, click on the plus sign next 
to the Universal Medical label and click the Activate button. 
Please click Yes for the first window and Ok for the second. 
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Hook up Steps 
11. At the next window your screen will change to a red x. The patient 
will get the green check, then ask them to hold the monitor in their 
hand and take a recording. Be sure to go over the lights of the 
monitor and explain how to use the symptoms screen. Select 
“Baseline / No Activity.” 
12. Exit out of the “Inactive Screen” and await the recording. The 
activation should only take a couple of moments, if the device 
doesn’t activate please escalate the situation to the trouble shooting 
department. 
When the patient presses record they will hear a beep from the monitor. 
The 
green blinking light will now turn solid. This means it is now recording the 
heart rhythm. When the recording is finished, another beep will emit and the 
blue communication light will start fluttering. Now the recording is sending 
to 
the communicator, and the monitoring light will start to blink green again as 
it is back to monitoring the heart. 
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Computer Screen Patient’s Communicator screen
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Hook up Steps 
13. At this point we are waiting for a symptoms screen to appear on the 
patients communicator. The symptoms screen allows the patient to 
wirelessly input and send their symptoms and activity using the 
communicator. 
If the patient has a #1 communicator, they will press the top and bottom of the 
circular scroll key to highlight the correct option. To select the option they 
should press the small circular button in the center of the dial, this will 
leave a check mark next to the option. Once the symptoms are selected 
press the next key (the dash button located to the left of the scroll key). 
This will take the patient to the Activity screen, select one activity using the 
same process. When finished press the done key (dash) to return to the 
green check. 
If the patient has a #2 or Verizon communicator follow the steps above, the 
only difference is that the scroll key has a rectangular shape with arrows. 
If the patient has a Touch Screen communicator ( Android #1 & 2, Casio, 
UMX), the patient will use their finger to touch the options they would like. 
Once they have selected an option it will light up green. After they have 
selected an activity, press done, and return to the green check. 
*If at any time the screen does not return to the green check one of the 
previous steps has been left out. Please try it again. The symptoms 
screen is designed to last for up to 3 minutes, many symptoms can be 
selected using this software. If the symptoms are not listed or patient 
doesn’t feel comfortable using this screen they can report their symptoms 
to the monitoring center. 
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Hook up Steps 
14. Wait on the line with the patient until the recording has come 
through. When it arrives, place the patient on hold and check for 
clarity. Double click on the first patient activated recording ( most 
recent recordings will be at the top of the recordings screen). Click 
on the ECG strips tab and double click on the original strip. Using 
the blue scroll key at the bottom slide side to side for clarity. 
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15. Select any clear QRS complex, use the vertical calipers to measure 
from the top to the bottom of your complex. When you release your 
calipers a measurement will display next to the QRS complex. This 
measurement should be over .5. If it is not, please advise the 
patient to readjust their electrodes and take another recording. The 
measurement must be taken from Channel 1. If Channel 1 has 
larger QRS, switch the red and black leads. 
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Hook up Steps 
34 
Q 
R 
S 
Q 
R 
S
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16. Explain the need for troubleshooting. 
If the patient sees a constant blinking blue light or a Red X on the 
screen of their communicator advise them to call the monitoring 
center for troubleshooting. 
17. Make the patient aware of their End of Study (EOS). Go to the 
transmitter tab, because the devices programming ends at midnight 
we advise the patient to take off the morning after their ending date. 
The monitor should be returned via Fed-Ex within 1-2 business days 
after the EOS. 
The patient 
will take the 
device off the 
morning of the 
22nd. 
Hook up Steps 
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Hook up Steps 
18. Ask the patient if they have anything implanted in their chest such as a 
pacemaker or an ICD. The hookup is now complete. Disconnect with the 
patient. 
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19. Place a note of completion in the notification log. Click on the 
notification 
tab, click Add, change reason to General and under notification type select 
other. Leave note and click Ok. 
*Only two attempts are made to contact 
the patient. If you do not succeed in the 
hookup place a note in notifications. 
Remove your initials from the schedule 
and label as 2nd ATTEMPT. Also leave 
another note before the coast saying 2nd 
ATTEMPT, then email support of the 
situation. 
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Hook up Steps 
20. Skip the patient from the schedule. 
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Hook up Steps 
21. Update thr Comments screen with Comm., software and 
Pacemaker/ICD info. Go to Comments tab, and type updates under PRN 
info. See example below. Close and move on to another 
patient. 
22. If the hookup was not completed: 
Delete your initials from the schedule, 
reschedule for the following day by 
clicking the next day on the calendar. 
Make a brief explanation in the Note 
section and leave a note in notifications. 
The note section is used for brief notes 
and 2nd attempts. 
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Follow up Steps 
Use the same steps and procedures to set up Cardiostation. 
1. Locate PT in hook up schedule. Check chart to see that all dates are current 
(blue) and that the patient has a recording in the chart. If all is good skip PT 
from schedule and put a note in the chart stating: “PT UTD, skipped from 
schedule, recordings in chart.” 
2. If patient is 6+ hours behind call the PT to troubleshoot and do follow up. 
Steps listed below. 
3. Verify what type of communicator the patient has using the same chart on 
page . 
4. Go over maintenance. 
5. Update Pacer information. 
6. Look into chart for a baseline. Take a recording if a baseline is needed and 
explain the lights on the monitor. The record button is there to press whenever 
they feel anything abnormal. 
7. Walk the patient through the symptom screen using appropriate steps for their 
type of communicator. 
8. Wait for recording to come through, check for clarity and measure QRS 
complex. 
9. Explain the need for trouble shooting. 
10. Inform the patient of their EOS, when and how to return. 
11. When completed, skip from the schedule and leave a note in notifications. 
If the Follow up was not completed: 
Place a note in notifications. If there is no baseline, place in comments and 
notifications and skip from schedule. 
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Symptom Calling 
If the patient doesn’t feel comfortable using the new software we 
recommend that they call into our call center to report symptoms. If a 
recording arrives without symptoms, the Symptom caller must wait 
5 minutes before calling if the symptoms are not imputed. 
Inbound Calls: 
If you are connected with a patient who wants to report their symptoms 
search for them in cardiostation. Look for their most recent recording, open 
and place your initials under the operator space. Check for symptoms under 
the evaluation tab, if blank enter symptoms with Capital letters. Any 
symptoms that are lower case represent that they were sent by new 
software. Symptoms and activity are separated by a slashes, example 
below. 
Example: 
FLUTTERING/ PALPITATIONS/ LYING DOWN 
After entering symptoms go to the general tab and place a $ sign after your 
initials. The dollar symbol lets a cardiac specialist know they can start to edit the 
recording. If the patient ever reports any verbal symptoms, place the patient on hold and 
contact ECAT or Arrhythmia QA. 
Verbal Symptoms: 
1.Severe chest pain 
2. Syncope (fainting) 
3. Seizures 
4. Numbness (Face and/or Left Arm) 
5. Dysphasia (trouble speaking & understanding) 
6. Pacemaker failure or ICD discharge 
7. Any symptoms that may be related to neurological compromise. 
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Caller Scripts 
Hookup: 
Caller Script 
Technician Hello this is _______ calling from Heartcare. May I please speak with 
__________. 
(response) 
Technician Hello Ma’am/Sir, my name is ______ and I am calling from Heartcare. I am 
calling to assist with the process of hooking up to the monitor, is this a good 
time? 
If the patient doesn’t answer you need to leave a voicemail. 
Voicemail Script 
Technician Hello this message is for _________. This is Heartcare calling on behalf of 
your doctors office. We are calling to assist you with the package which you 
should have received via FedEx. Please give us a call back at your earliest 
convenience, our number is 1-888-324-3228. Technicians are available 24 hrs a 
day 7 days a week, Thank you. 
Follow Up: 
Caller Script 
Technician Hello this is _______ calling from Heartcare. May I please speak with 
__________. 
(response) 
Technician Hello Ma’am/Sir, my name is ______ and I am calling from Heartcare just as 
a follow up to go over some important information and answer any questions you 
may have. Is this a good time? 
If the patient doesn’t answer you need to leave a voicemail. 
Voicemail Script 
Technician Hello this message is for _________. This is Heartcare calling as a courtesy 
to go over a few reminders and answer any questions you may have. Please 
give us a call back at your earliest convenience, our number is 1-888-324-3228. 
Technicians are available 24 hrs a day 7 days a week, Thank you. 
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Phone Numbers, Extensions, Emails and team members: 
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Heartcare: 1-800-222-2842 
ECAT/ HTW line: 1-888-324-3228 
Fed Ex: 1-800-463-3339 
Account number: 0527032 (Needed for FedEx billing purposes) 
Extensions: 
ECAT x769 
Enrollment x758 
Troubleshooting x409 
ECAT QA x408 
Arrhythmia QA x407 
Email Address: ECATSupport 
Meet the Technical Services Staff: 
• QA: Quality and Assurance team members are trained and 
certified individuals who specialize in finalizing the 
interpretation and relaying information to the physician. 
• Cardiac Specialist: Trained to interpret and measure heart 
rhythm. You can find cardiac specialist’s doing many duties on 
the floor. 
• Cardiac Customer Service Technician: Assists with patient calls 
regarding all needs. Technicians can be trained in many 
departments including arrhythmia, pacemaker and ECAT. 
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ECAT Support 
Our ECAT support team members all play a vital role at Heartcare by 
assisting with any abnormal situations. 
If you need immediate assistance, call the trouble shooting queue at x409. If 
the situation is not urgent, please collect all of the patients information and 
explain that a support team member will contact them within a 24 hr 
time period to resolve their issue. When emailing the Support group you must 
always place the patient’s first and last name along with their ID in the subject 
line. 
Reasons to contact Support: 
N/C (non compliant): Patient refuses to wear equipment. 
Early EOS: Patient is taking the device off more than 2 days before their end of study. Email 
support and give a reason as to why. 
2nd attempt: Patient was called for a hookup twice, email support and follow steps on page 34. 
Incorrect study dates: After activation check the transmitter tab, if dates are not 
appropriately adjust, email support. 
Equipment Requests: Patient needs more or different equipment. Verify the patients 
address, physician and EOS. Email support. (see page 45) 
Issues: Any abnormal issue. Examples: If the Patient doesn’t want to be called for any 
reason, doesn’t want to wear monitor at night, Patient will be taking monitor off at the 
same time everyday, tracking a package, or incorrect information. Contact your 
support team. 
*WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT IN THE NOTIFICATION 
TAB. 
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Trouble Shooting 
Sometimes the patient may experience technical problems with our 
equipment. All basic trouble shooting methods should be attempted by 
the technician before seeking help from a troubleshooter. 
Issues that would require trouble shooting: 
Red X 
Constant blinking blue light 
Power issues 
Activation issues 
Ramdump mode (android communicators) 
Any other error on communicator screen 
Software issues 
Basic forms of trouble shooting: 
Power Cycle Phone: Power phone off and on 
Power Cycle (PC): Remove battery from the monitor and power the 
communicator off. Place the battery back into the monitor and power 
the communicator back on. 
Hard Power Cycle (HPC): Remove battery from the monitor and remove 
the battery from the communicator while still powered on. Wipe the 
Gold connectors and battery cartridge area. Place the battery back into 
the monitor, and then back into the communicator. Power the 
communicator back on. 
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Trouble Shooting 
Resolving a Red X: 
• Ask when the battery was changed last, if more than 2 days ago replace 
with a new battery. 
• PC & take a test recoding. 
• If the PC doesn’t fix the issue, try a HPC. 
• If the HPC doesn’t fix the issue, contact Support. 
Resolving a Slow constant blinking blue communication light: 
• Make sure the communicator is within a 10 foot range with the monitor. 
Ask the patient to awake the screen. Is there a green check? If yes, 
attempt a PC. If not try a HPC. If the needed contact support. 
• If the screen doesn’t light up, try to power on, then do a PC. If that doesn’t 
resolve the issue try a HPC. If needed contact Support. 
Communicator will not power on: 
• Ask when the device was last charged. If needed, plug in and power on. 
• If the communicator doesn’t power on, try a HPC. 
• If needed escalate to Support. 
No lights on monitor: 
• Ask when the devices battery was changed last, if more than 2 days ago 
replace with a new battery. 
• If no lights appear, remove the lead wires from the monitor and place back 
in. 
• If needed escalate to Support. 
*WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT 
IN THE NOTIFICATION TAB. 
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Trouble Shooting 
Device will not activate: 
• Try a PC 
• If the activation doesn’t go through attempt a HPC, contact support after if 
needed. 
RAMDUMP mode (Android only): 
• PC communicator 
• Patient was holding down the volume and power at the same time. 
• Try a HPC. Contact support after if needed. 
Lost/ Found Devices: 
• Contact Support. 
*WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT IN 
THE NOTIFICATION TAB. 
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Equipment 
If your patient requests any additional supplies, verify the 
patient’s address, physician and EOS date. If there is less 
than 3 days left within the study, Heartcare is unable to send 
equipment. Heart Smart and New Jersey Cardio. Assoc. use their own 
Equipment. We do not send equipment for patients related to these 
accounts. 
What can I send? 
Electrodes ( types seen on page 46 & 47) 
Belt clips 
Batteries 
FedEx Box & Label ( Prepaid return/ PRP) 
Monitors and Lead wires are sent by the support team only. 
This is so we can properly determine the equipment is 
dysfunctional. 
Equipment Requests: 
Send an email to the ECATSupport group, In the subject line 
include the patient’s first name, last name and ID. In the body of 
the message include what is needed, the EOS dates and a 
note stating you verified the address. Remember to check the EOS and 
physician before you commit to sending the equipment. 
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Electrodes 
Kendall H59P Cloth Electrodes: 
• Comes in small packaged sheets of 3 (30 in each bag) 
• Bag labeled as Repositionable Conductive Adhesive Hydrogel 
• All white electrode, latex free 
• Known as the Pediatric electrode 
• Standard electrodes given with our wireless monitors. 
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Electrodes 
Kendall 230 Foam Electrodes: 
• 3 sheets of 10 (30 in each bag) 
• Bag labeled as Conductive Adhesive Hydrogel 
• White electrode with blue lettering saying Medtrace. 
NOTE: ** More electrodes are available. These are most commonly used. *** 
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Equipment Returns 
At the End of the study the patient’s communicator screen will display 
that the study has ended. 
All equipment should be returned within 1-2 business days after the 
end of study date. Please include any unopened or unused equipment. 
If given, equipment should be returned in a pre paid postage 
labeled Fed-ex bag. If a pre paid postage bag was not included, contact 
your healthcare provider for return options. 
For any Billing inquiry please contact: 
Rob Logovinsky x641, advise your patient to leave a voice mail if the 
line is not available. 
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FAQS: 
What do you see on my EKG? 
Unfortunately I am unable to discuss any results, you will have to 
contact your doctor. If there was anything life threatening I would 
advise you to seek medical attention. 
What do I do when my study is over? 
Take the battery out of the monitor and power off the communicator. 
Package the materials back into the box, slide into the PRP bag and 
call FedEx for the free pick up. 
My skin is irritated from the electrodes, what can I do? 
Make sure you are removing the pads with warm soapy water. Do not 
pull or tug at the skin. Rotate the electrodes in a small circular pattern. 
(Technician should offer pediatric electrodes) 
Why does my monitor randomly beep when I didn’t press the record 
Button? 
The Monitor is designed to take its own recordings. This is normal and you 
shouldn’t be alarmed. 
When should I take recordings? 
Press record whenever you feel anything abnormal or irregular. 
51
51 
FAQS: 
Do I sleep wearing this monitor? 
Yes, you should be wearing the monitor at all times except during bathing. 
Unless instructed otherwise by your physician. 
What should I do with the monitor and communicator at night? 
We recommend clipping the monitor onto your pants. Charge the 
communicator at a bedside table within 10 feet. 
How will I know when my study is over? 
The communicator screen will display “monitoring complete, please return 
equipment.” 
When does my doctor receive my results? 
Because your results are transmitted wirelessly they are analyzed within minutes. 
any abnormal results are sent to the doctor immediately. Some doctors have the 
ability to look at results online through our software. 
52

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Ecat htw nexus pp

  • 1. 1 Mednet Healthcare Technologies ECAT & HTW Training
  • 2. Introduction: Cardiac arrhythmias are events such as fast, slow, and irregular rhythms. Symptoms that may lead a physician to suspect arrhythmias include fainting, lightheadedness, palpitations, and fatigue among others. Our Heartrak wireless monitor’s provide continuous cardiac monitoring over an extended period of time in an effort to capture and record cardiac episodes. After the monitor records the events it then sends the data to a communicator, which then wirelessly transmits to Heartcare’s 24 hour monitoring center. There, the results are analyzed, measured, interpreted, and relayed to the physician. The physician will review the data and will consider it along with other factors to determine a diagnosis and treatment. What is the Heartrak Monitoring System? A prescription for up to 30 days to use all of the equipment included in the kit and Heartcare’s 24 hour attended Call Monitoring Service Center. 2 1
  • 3. How does the patient receive the Heartrak monitoring system? There are two ways the patient could obtain the monitor. The patient could receive their monitoring device directly from the physician’s office. The physician’s employees use our software Mednet Access, to enroll patients within our system and activate their devices. At the same time they are also attached to the wireless device, given basic instructions, and sent on their way. Within 24 hours a Heartcare technician will call the patient for a Follow-up. During the follow-up, the patient will be asked to provide our technician with information regarding the equipment. The tech will also explain all of the important upkeep to ensure the devices are operating properly. Additionally, the monitoring device could be delivered by Fed-ex. This means that the doctor’s office doesn’t carry the equipment within their facility. After we receive the prescription, the information is processed and the equipment is sent. Within 1-3 days a Heartcare technician will contact the patient to do a Hook-up. A hookup includes the process of setting up and activating 3 the equipment. 2
  • 4. 4 Equipment Communicators Contents Cellular in device patient kit features Table of Cardiostation Software Monitors Event recorders Hookups and Follow ups Steps and upkeep Support Troubleshooting, equipment and returns
  • 5. 5 Materials & Equipment The patient should save the container and pre-paid return envelope, if one was provided, to return equipment and any unused materials. 4
  • 6. 6 Communicators Features The Communicator sends ECG data to the Monitoring Center. The Communicator also displays system status messages and is used for communication with the Monitoring Center. The monitor is activated with one of five different types of Communicators. Communicator 1 5
  • 7. 7 Communicator Features Communicator 2 ECAT 6
  • 8. 8 Communicators Features Communicator 2 HTW 7
  • 9. 9 Communicators Features Communicator Verizon 8
  • 10. 10 Communicators Features Communicator Android 1 Touch screen 9
  • 11. 11 Communicators Features Communicator Android 2 Touch screen 10
  • 12. 12 Communicators Features Communicator Medtel UMX Touch screen 11
  • 13. 13 Communicators Features Touch screen Communicator Casio Commando 12
  • 14. 14 Monitor Features and Recording Types Each Heartrak monitor is uniquely paired with a communicator, which transmits results to the monitoring center. The monitor records and stores every heartbeat for up to 30 days. LED status indicator lights for monitoring, battery, and communication help patients easily use and maintain the monitor. The left side of the monitor slides down to contain the battery cartridge, and a 6 digit serial number is found on the back for identification. Lead wires plug into the top right side, which faces upward towards the heart and attaches to the body. The Heartrak ECAT monitor has all the abilities above and has the capability to take a trend recording. This type of recording is automatically taken every ten minutes for 30 seconds and sent over at the end of every hour. After midnight all of the preliminary trends are automatically grouped together to make one large trend. The serial number found on this device starts with digits 99. When feeling a symptom the patient has quick access to the record button on the top to take a patient activated recording. The Heartrak Smart Wireless also has the ability to take auto trigger recordings. This means the monitor is designed to take its own recording when it detects irregularities. Settings are arranged by the physicians criteria. The amount of automatic recordings should not be discussed with the patient to avoid alarming the patient. The serial number found on this device starts with digits 101. The ECAT2 is designed and referred to as Heartcare's 2-1 monitor. This monitor has the capabilities to function as either an ECAT or Heartrak Wireless monitor. ECAT2’s configuration and convenience allows the patient to leave the facility with the monitor on as a telemetry unit. If during the insurance authorization process we find the patients insurance unable to cover the telemetry unit our enrollment department can internally change their device to function as an event monitor. The serial number found on this device starts with digits 85. Finally, the NEXUS is designed and referred to as Heartcare's 3-1 monitor. This monitor has the capabilities to function first as a Holter Monitor then after the physician evaluates the study can be converted to either an ECAT or Heartrak Wireless monitor. The NEXUS’s configuration and convenience allows the facility to perform two types of monitoring with just one device. The functionality makes this both convenient to the patient, the facility, as well as our company. The serial number found on this device starts with digits 87. 13
  • 15. 15 Blinking GREEN Monitoring light confirms monitor is actively monitoring. Blinking RED Battery light indicates low battery. BLUE Communication light on the monitor: 1) Slowly blinking, confirms monitor has ECG data to send to the Communicator; 2) Rapidly blinking, confirms monitor is actively sending data to the Communicator. Monitor LED Indicator Lights 14
  • 17. 17 The screen should appear like this. 18
  • 18. The Cardiostation tool bar contains many different icons, only some will be used during your daily work. 18 The clock icon is used to access the schedule. The schedule is a way of searching for patients that need to be hooked up or followed up with. The binoculars icon is used to find the patient in cardiostation. When clicking on the binoculars you have ability to try different search methods. 19
  • 19. To find a patient in Cardiostation start by searching by the date of birth. If you cannot find the patient by that method try a phone number or last name. 19 1) Click the circle of your desired option 2) Type in the information 3) Click Find 20
  • 20. After clicking find, your search results will display. For patient privacy the date of birth, phone number and address have been removed from this picture. However, if your searching by date of birth, your results will all display the same date of birth. The color of the heart to the left of the patients name signifies prescription/study information. 20 21
  • 21. If the patients heart is Green, it means they have a current and active prescription. If the heart is red, your patient’s study has ended. A half green and white heart maybe located at the bottom of your search results. This signifies that the patient is partially enrolled, enrollment will contact the patient if needed. Lastly, a white heart represents a terminated chart. Please look through your results again for an active study. If needed contact the enrollment department at x758. To ensure proper care verify the first and last name of your patient while searching. Once you have located your patient, double click on the name or click once on the name and click ok. This will take you to the patient’s main screen. If you click once on the patients name and hit lookup you have the ability to quickly look into their chart. 21 22
  • 22. 22 Patient Screen Recording Screen Folders Comment Screen Schedule Screen 23
  • 23. Chart Tabs: To open a patient’s information chart, double click on the patient’s name under your folder section. The chart will automatically default to the General tab. This tab contains all of the patient’s personal information, such as date of birth, name, and address. This tab also contains a patient ID or Code. This code is created during the enrollment. An ID could be made up of numbers and letters and is a helpful search method used within the company. The Doctors tab shows the prescribing physician and facility. This can be discussed with the patient if asked. The Diagnoses tab shows a description of what has been determined or maybe determined by examination and testing. This should not be discussed with the patient. The Transmitter tab shows the Wireless communicator’s serial number and study duration. The section at the bottom displays equipment and activation requests. 23 24
  • 24. The Transmitter tab shows the Wireless communicator’s serial number and study duration. The section at the bottom displays equipment and activation requests. The Devices tab, is the area where the monitor will be activated. This area also displays the serial number, and Transmission Dates. The Comments tab contains important notes that need to be viewed immediately after opening the patient’s chart. You will usually see prescription notes left by enrollment and Pacemaker/ICD updates from the technical services department. See page 36 for steps on how to leave a comment. The Notification tab is a log used to document daily interaction with the patient. Anything left in the notification tab can be read company wide, and cannot be deleted or edited. When leaving a note time, date and technician’s name are automatically documented. See page 34 on steps for how to leave a notification. The Equipment tab is used to track pending shipments, however only the trouble shooting department will use this tab to send equipment requests. See the trouble shooting section on how to track a kit. The Billing, Insurance, Schedule, Programming, Attachments, and ProTime tabs are used only by the enrollment department. 24 25
  • 25. 25 Getting Started Open Cardiostation, and click the Tools tab at the top of the tool Bar. Scroll down and click Options. An options window will pop up, allowing you to adjust the setting for your schedule. Find and click on the Schedule tab. Scroll down throughout all of the Different departments. Heartrak Wireless and ECAT should be the only options checked. Uncheck any other options that may already be selected. 26
  • 26. Getting Started Now that you have the correct settings, close out and click on the Clock icon. In the recording area, a list will display with every patient in need of a hookup or follow up. The list also gives detail about the type of monitor. Under the Note column you will find the time zones, Heartcare technicians can call patients between the hours of 9:00am and 9:00 pm. Because of this procedure always start with the Eastern standard time zone patients (EST). Then once that time zone is completed move on to CST, MST and PST. 26 To select the patient you would like to call, double click on their name. Once the appointment Properties window will appears, place your initials in the Tech area and click OK. The patients name will automatically add itself under your Patient’s folder on the left hand side. Click once on their name to look at the patient screen. Click twice on their name to look into their information Chart, and check the notification tab for any important information. Now you are ready to call the patient. From your tool bar click once on the phone Dial button. This will call the first number listed in the patient’s chart. When you see the number appear in the window of your telephone pick up quickly. When the patient answers follow the Hook up Steps. 27
  • 27. 27 Hook up Steps 1. Verify contents of kit and Monitor Serial Number. 2. Slide down the battery door on the left side of the monitor, and place in one AA battery. If the battery is in correctly one beep will emit from the monitor. It is helpful to mention that the flat side of the battery touches the spring in the monitor. 3. Remove three electrodes from the white bag and snap onto the colored ends of the lead wires. 4. Attach the electrodes to the body. Make sure the electrodes are placed on bare skin and without lotions, oils or fragrance in the areas. 5. Plug lead wires into the upper right side on the monitor. A beep will emit from the monitor and a monitoring light will start blinking green. This represents that it is now monitoring the heart. White- 3 finger widths below the collar bone on the right side of the chest. Black- 3 finger widths below the collar bone on the left side of the chest. Red- On the left side Straight down from left nipple to wear the rib cage ends. 28
  • 28. Hook up Steps 6. Verify the communicator type ( This information is unavailable to the 28 tech before calling). Ask the following questions by using the chart below to determine the correct communicator. 29
  • 29. 29 Hook up Steps 7. Power communicator on (screens will load, Samsung, Rethink possible, and Heartrak ECAT/ Wireless). 8. While phone is powering on, go over maintenance listed below. • Replace battery every 2 days in monitor. Do not wait for battery light to appear. Turn communicator off when replacing the double AA battery in the monitor. After battery is replaced, power comm back on. • Change electrodes daily. Use warm soapy water ( remember to always remove electrodes from lead wires before wetting). • Monitor and Communicator need to be within 10 feet at all times. • Recharge the communicator every night at bedside keep within 10 ft. range. • Call the monitoring center if the monitor will be off for more than 2 hours. 9. Ask if the screen of the communicator still on? If not, it is now in sleep mode. Explain that the sleep mode is when the screen darkens to preserves battery life. To awake the device quickly press and release the power button. 10. Send Activation. Go to the Devices tab, click on the plus sign next to the Universal Medical label and click the Activate button. Please click Yes for the first window and Ok for the second. 30
  • 30. 30 Hook up Steps 11. At the next window your screen will change to a red x. The patient will get the green check, then ask them to hold the monitor in their hand and take a recording. Be sure to go over the lights of the monitor and explain how to use the symptoms screen. Select “Baseline / No Activity.” 12. Exit out of the “Inactive Screen” and await the recording. The activation should only take a couple of moments, if the device doesn’t activate please escalate the situation to the trouble shooting department. When the patient presses record they will hear a beep from the monitor. The green blinking light will now turn solid. This means it is now recording the heart rhythm. When the recording is finished, another beep will emit and the blue communication light will start fluttering. Now the recording is sending to the communicator, and the monitoring light will start to blink green again as it is back to monitoring the heart. 31 Computer Screen Patient’s Communicator screen
  • 31. 31 Hook up Steps 13. At this point we are waiting for a symptoms screen to appear on the patients communicator. The symptoms screen allows the patient to wirelessly input and send their symptoms and activity using the communicator. If the patient has a #1 communicator, they will press the top and bottom of the circular scroll key to highlight the correct option. To select the option they should press the small circular button in the center of the dial, this will leave a check mark next to the option. Once the symptoms are selected press the next key (the dash button located to the left of the scroll key). This will take the patient to the Activity screen, select one activity using the same process. When finished press the done key (dash) to return to the green check. If the patient has a #2 or Verizon communicator follow the steps above, the only difference is that the scroll key has a rectangular shape with arrows. If the patient has a Touch Screen communicator ( Android #1 & 2, Casio, UMX), the patient will use their finger to touch the options they would like. Once they have selected an option it will light up green. After they have selected an activity, press done, and return to the green check. *If at any time the screen does not return to the green check one of the previous steps has been left out. Please try it again. The symptoms screen is designed to last for up to 3 minutes, many symptoms can be selected using this software. If the symptoms are not listed or patient doesn’t feel comfortable using this screen they can report their symptoms to the monitoring center. 32
  • 32. 32 Hook up Steps 14. Wait on the line with the patient until the recording has come through. When it arrives, place the patient on hold and check for clarity. Double click on the first patient activated recording ( most recent recordings will be at the top of the recordings screen). Click on the ECG strips tab and double click on the original strip. Using the blue scroll key at the bottom slide side to side for clarity. 33
  • 33. 15. Select any clear QRS complex, use the vertical calipers to measure from the top to the bottom of your complex. When you release your calipers a measurement will display next to the QRS complex. This measurement should be over .5. If it is not, please advise the patient to readjust their electrodes and take another recording. The measurement must be taken from Channel 1. If Channel 1 has larger QRS, switch the red and black leads. 33 Hook up Steps 34 Q R S Q R S
  • 34. 34 16. Explain the need for troubleshooting. If the patient sees a constant blinking blue light or a Red X on the screen of their communicator advise them to call the monitoring center for troubleshooting. 17. Make the patient aware of their End of Study (EOS). Go to the transmitter tab, because the devices programming ends at midnight we advise the patient to take off the morning after their ending date. The monitor should be returned via Fed-Ex within 1-2 business days after the EOS. The patient will take the device off the morning of the 22nd. Hook up Steps 35
  • 35. Hook up Steps 18. Ask the patient if they have anything implanted in their chest such as a pacemaker or an ICD. The hookup is now complete. Disconnect with the patient. 35 19. Place a note of completion in the notification log. Click on the notification tab, click Add, change reason to General and under notification type select other. Leave note and click Ok. *Only two attempts are made to contact the patient. If you do not succeed in the hookup place a note in notifications. Remove your initials from the schedule and label as 2nd ATTEMPT. Also leave another note before the coast saying 2nd ATTEMPT, then email support of the situation. 36
  • 36. 36 Hook up Steps 20. Skip the patient from the schedule. 37
  • 37. 37 Hook up Steps 21. Update thr Comments screen with Comm., software and Pacemaker/ICD info. Go to Comments tab, and type updates under PRN info. See example below. Close and move on to another patient. 22. If the hookup was not completed: Delete your initials from the schedule, reschedule for the following day by clicking the next day on the calendar. Make a brief explanation in the Note section and leave a note in notifications. The note section is used for brief notes and 2nd attempts. 38
  • 38. 38 Follow up Steps Use the same steps and procedures to set up Cardiostation. 1. Locate PT in hook up schedule. Check chart to see that all dates are current (blue) and that the patient has a recording in the chart. If all is good skip PT from schedule and put a note in the chart stating: “PT UTD, skipped from schedule, recordings in chart.” 2. If patient is 6+ hours behind call the PT to troubleshoot and do follow up. Steps listed below. 3. Verify what type of communicator the patient has using the same chart on page . 4. Go over maintenance. 5. Update Pacer information. 6. Look into chart for a baseline. Take a recording if a baseline is needed and explain the lights on the monitor. The record button is there to press whenever they feel anything abnormal. 7. Walk the patient through the symptom screen using appropriate steps for their type of communicator. 8. Wait for recording to come through, check for clarity and measure QRS complex. 9. Explain the need for trouble shooting. 10. Inform the patient of their EOS, when and how to return. 11. When completed, skip from the schedule and leave a note in notifications. If the Follow up was not completed: Place a note in notifications. If there is no baseline, place in comments and notifications and skip from schedule. 39
  • 39. 39 Symptom Calling If the patient doesn’t feel comfortable using the new software we recommend that they call into our call center to report symptoms. If a recording arrives without symptoms, the Symptom caller must wait 5 minutes before calling if the symptoms are not imputed. Inbound Calls: If you are connected with a patient who wants to report their symptoms search for them in cardiostation. Look for their most recent recording, open and place your initials under the operator space. Check for symptoms under the evaluation tab, if blank enter symptoms with Capital letters. Any symptoms that are lower case represent that they were sent by new software. Symptoms and activity are separated by a slashes, example below. Example: FLUTTERING/ PALPITATIONS/ LYING DOWN After entering symptoms go to the general tab and place a $ sign after your initials. The dollar symbol lets a cardiac specialist know they can start to edit the recording. If the patient ever reports any verbal symptoms, place the patient on hold and contact ECAT or Arrhythmia QA. Verbal Symptoms: 1.Severe chest pain 2. Syncope (fainting) 3. Seizures 4. Numbness (Face and/or Left Arm) 5. Dysphasia (trouble speaking & understanding) 6. Pacemaker failure or ICD discharge 7. Any symptoms that may be related to neurological compromise. 40
  • 40. 40 Caller Scripts Hookup: Caller Script Technician Hello this is _______ calling from Heartcare. May I please speak with __________. (response) Technician Hello Ma’am/Sir, my name is ______ and I am calling from Heartcare. I am calling to assist with the process of hooking up to the monitor, is this a good time? If the patient doesn’t answer you need to leave a voicemail. Voicemail Script Technician Hello this message is for _________. This is Heartcare calling on behalf of your doctors office. We are calling to assist you with the package which you should have received via FedEx. Please give us a call back at your earliest convenience, our number is 1-888-324-3228. Technicians are available 24 hrs a day 7 days a week, Thank you. Follow Up: Caller Script Technician Hello this is _______ calling from Heartcare. May I please speak with __________. (response) Technician Hello Ma’am/Sir, my name is ______ and I am calling from Heartcare just as a follow up to go over some important information and answer any questions you may have. Is this a good time? If the patient doesn’t answer you need to leave a voicemail. Voicemail Script Technician Hello this message is for _________. This is Heartcare calling as a courtesy to go over a few reminders and answer any questions you may have. Please give us a call back at your earliest convenience, our number is 1-888-324-3228. Technicians are available 24 hrs a day 7 days a week, Thank you. 41
  • 41. Phone Numbers, Extensions, Emails and team members: 41 Heartcare: 1-800-222-2842 ECAT/ HTW line: 1-888-324-3228 Fed Ex: 1-800-463-3339 Account number: 0527032 (Needed for FedEx billing purposes) Extensions: ECAT x769 Enrollment x758 Troubleshooting x409 ECAT QA x408 Arrhythmia QA x407 Email Address: ECATSupport Meet the Technical Services Staff: • QA: Quality and Assurance team members are trained and certified individuals who specialize in finalizing the interpretation and relaying information to the physician. • Cardiac Specialist: Trained to interpret and measure heart rhythm. You can find cardiac specialist’s doing many duties on the floor. • Cardiac Customer Service Technician: Assists with patient calls regarding all needs. Technicians can be trained in many departments including arrhythmia, pacemaker and ECAT. 42
  • 42. 42 ECAT Support Our ECAT support team members all play a vital role at Heartcare by assisting with any abnormal situations. If you need immediate assistance, call the trouble shooting queue at x409. If the situation is not urgent, please collect all of the patients information and explain that a support team member will contact them within a 24 hr time period to resolve their issue. When emailing the Support group you must always place the patient’s first and last name along with their ID in the subject line. Reasons to contact Support: N/C (non compliant): Patient refuses to wear equipment. Early EOS: Patient is taking the device off more than 2 days before their end of study. Email support and give a reason as to why. 2nd attempt: Patient was called for a hookup twice, email support and follow steps on page 34. Incorrect study dates: After activation check the transmitter tab, if dates are not appropriately adjust, email support. Equipment Requests: Patient needs more or different equipment. Verify the patients address, physician and EOS. Email support. (see page 45) Issues: Any abnormal issue. Examples: If the Patient doesn’t want to be called for any reason, doesn’t want to wear monitor at night, Patient will be taking monitor off at the same time everyday, tracking a package, or incorrect information. Contact your support team. *WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT IN THE NOTIFICATION TAB. 43
  • 43. 43 Trouble Shooting Sometimes the patient may experience technical problems with our equipment. All basic trouble shooting methods should be attempted by the technician before seeking help from a troubleshooter. Issues that would require trouble shooting: Red X Constant blinking blue light Power issues Activation issues Ramdump mode (android communicators) Any other error on communicator screen Software issues Basic forms of trouble shooting: Power Cycle Phone: Power phone off and on Power Cycle (PC): Remove battery from the monitor and power the communicator off. Place the battery back into the monitor and power the communicator back on. Hard Power Cycle (HPC): Remove battery from the monitor and remove the battery from the communicator while still powered on. Wipe the Gold connectors and battery cartridge area. Place the battery back into the monitor, and then back into the communicator. Power the communicator back on. 44
  • 44. 44 Trouble Shooting Resolving a Red X: • Ask when the battery was changed last, if more than 2 days ago replace with a new battery. • PC & take a test recoding. • If the PC doesn’t fix the issue, try a HPC. • If the HPC doesn’t fix the issue, contact Support. Resolving a Slow constant blinking blue communication light: • Make sure the communicator is within a 10 foot range with the monitor. Ask the patient to awake the screen. Is there a green check? If yes, attempt a PC. If not try a HPC. If the needed contact support. • If the screen doesn’t light up, try to power on, then do a PC. If that doesn’t resolve the issue try a HPC. If needed contact Support. Communicator will not power on: • Ask when the device was last charged. If needed, plug in and power on. • If the communicator doesn’t power on, try a HPC. • If needed escalate to Support. No lights on monitor: • Ask when the devices battery was changed last, if more than 2 days ago replace with a new battery. • If no lights appear, remove the lead wires from the monitor and place back in. • If needed escalate to Support. *WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT IN THE NOTIFICATION TAB. 45
  • 45. 45 Trouble Shooting Device will not activate: • Try a PC • If the activation doesn’t go through attempt a HPC, contact support after if needed. RAMDUMP mode (Android only): • PC communicator • Patient was holding down the volume and power at the same time. • Try a HPC. Contact support after if needed. Lost/ Found Devices: • Contact Support. *WITH ANY ISSUE A NOTE MUST ALWAYS BE LEFT IN THE NOTIFICATION TAB. 46
  • 46. 46 Equipment If your patient requests any additional supplies, verify the patient’s address, physician and EOS date. If there is less than 3 days left within the study, Heartcare is unable to send equipment. Heart Smart and New Jersey Cardio. Assoc. use their own Equipment. We do not send equipment for patients related to these accounts. What can I send? Electrodes ( types seen on page 46 & 47) Belt clips Batteries FedEx Box & Label ( Prepaid return/ PRP) Monitors and Lead wires are sent by the support team only. This is so we can properly determine the equipment is dysfunctional. Equipment Requests: Send an email to the ECATSupport group, In the subject line include the patient’s first name, last name and ID. In the body of the message include what is needed, the EOS dates and a note stating you verified the address. Remember to check the EOS and physician before you commit to sending the equipment. 47
  • 47. 47 Electrodes Kendall H59P Cloth Electrodes: • Comes in small packaged sheets of 3 (30 in each bag) • Bag labeled as Repositionable Conductive Adhesive Hydrogel • All white electrode, latex free • Known as the Pediatric electrode • Standard electrodes given with our wireless monitors. 48
  • 48. 48 Electrodes Kendall 230 Foam Electrodes: • 3 sheets of 10 (30 in each bag) • Bag labeled as Conductive Adhesive Hydrogel • White electrode with blue lettering saying Medtrace. NOTE: ** More electrodes are available. These are most commonly used. *** 49
  • 49. 49 Equipment Returns At the End of the study the patient’s communicator screen will display that the study has ended. All equipment should be returned within 1-2 business days after the end of study date. Please include any unopened or unused equipment. If given, equipment should be returned in a pre paid postage labeled Fed-ex bag. If a pre paid postage bag was not included, contact your healthcare provider for return options. For any Billing inquiry please contact: Rob Logovinsky x641, advise your patient to leave a voice mail if the line is not available. 50
  • 50. 50 FAQS: What do you see on my EKG? Unfortunately I am unable to discuss any results, you will have to contact your doctor. If there was anything life threatening I would advise you to seek medical attention. What do I do when my study is over? Take the battery out of the monitor and power off the communicator. Package the materials back into the box, slide into the PRP bag and call FedEx for the free pick up. My skin is irritated from the electrodes, what can I do? Make sure you are removing the pads with warm soapy water. Do not pull or tug at the skin. Rotate the electrodes in a small circular pattern. (Technician should offer pediatric electrodes) Why does my monitor randomly beep when I didn’t press the record Button? The Monitor is designed to take its own recordings. This is normal and you shouldn’t be alarmed. When should I take recordings? Press record whenever you feel anything abnormal or irregular. 51
  • 51. 51 FAQS: Do I sleep wearing this monitor? Yes, you should be wearing the monitor at all times except during bathing. Unless instructed otherwise by your physician. What should I do with the monitor and communicator at night? We recommend clipping the monitor onto your pants. Charge the communicator at a bedside table within 10 feet. How will I know when my study is over? The communicator screen will display “monitoring complete, please return equipment.” When does my doctor receive my results? Because your results are transmitted wirelessly they are analyzed within minutes. any abnormal results are sent to the doctor immediately. Some doctors have the ability to look at results online through our software. 52