All headers in the table of contents are clickable. Additional links are indicated by a double underline.

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2 For any questions regarding your Genesis Touch: Customer Service Scan to Visit the Website: Visit us on the Web Browse the Getting Started Guide service/genesis touch manuals/ Watch Training Presentations and Video services/clinical support/ Using Links in This Document All headers in the table of contents are clickable. Additional links are indicated by a double underline. When hovering over clickable text a cursor ( ) icon may appear. This means the text may be clicked. An additional dialog box may appear, displaying the URL of your destination. Not every link goes to a web site and some may direct you to another spot in this document, such as a section heading. When clicking a link, your computer may display a message asking if you would like to visit an external site. Press accept, and this document may take you to a trusted site or our own at: Using QR Codes Quick reference codes are used in this document for your convenience while viewing a printed copy of this user manual. To learn how to use these codes with your cellular phone, visit You must have a phone capable of transferring data and browsing the Web in order to scan them. Access the app store on your phone and download a QR reader. Check with your cellular provider to see if data transfer charges will be incurred. The following links will help you navigate to a QR reader online. Once you download one, follow the on-screen instructions of your software to start scanning: For Apple (ios) products: For Android products: http: //play.google.com/store 2014 Honeywell HomMed. All rights reserved.

3 Warnings/Cautions Indications for Use The Honeywell HomMed Genesis Touch System is designed to retrospectively monitor vital signs. Vital signs include noninvasive blood pressure, pulse oximetry, pulse rate, weight and manually entered temperature. The Genesis Touch system collects, displays and transmits vital signs measurements captured from commercially available wireless medical devices designed for home use. Collected measurement data from the Genesis Touch System may be transmitted via a communication module to a central viewing station where the data can be viewed and analyzed by a healthcare professional. The Genesis Touch System is intended for home use by adult and pediatric patients over twelve years of age or in a healthcare related environment by healthcare providers. Contra Indications The Genesis Touch monitor is not an emergency medical response device. The monitor does not have auditory or visual alarms for out-of-limit parameters. The Genesis Touch monitor does not provide real-time, critical-care monitoring of patient vital signs. All data is transmitted to your monitoring platform (LifeStream ) and examined retrospectively by qualified health professionals. Safety Information Read and observe all the safety information in this document before you install or use the Genesis Touch to prevent injury to yourself or damage to any equipment. Consult the manufacturer s user manual for information on approved Honeywell peripherals. The Genesis Touch is a pre-configured medical device. DO NOT MAKE UNAUTHORIZED CHANGES TO THE DEVICE SETTINGS as it may result in damage to the functionality of the medical device. Warning Risk of ELECTRICAL SHOCK DO NOT spray cleaners on or into the unit. DO NOT immerse in water or other liquid. DO NOT use with wet hands. DO NOT turn on if wet, if on, turn off and dry the device with a towel. DO NOT disassemble DO NOT expose to dust, dirt, or sand. DO NOT use around or store with flammable liquids, gases, or explosive materials DO NOT put in an oven, microwave or dryer DO NOT drop, knock, or shake the unit EXPLOSION HAZARD Unit is powered with electricity and could ignite highly flammable gases. The Genesis Touch monitor contains a battery and should not be placed in or near a heat source. Excessive heating can damage the monitor or the battery and could cause the monitor or the battery to explode. NOT A BABY UNIT The Genesis Touch is not a toy. Caregiver supervision should practiced when the device is being used by children. IMPLANTABLE MEDICAL DEVICES When the unit is turned on, a minimum separation of six (6) inches should be maintained between the monitor and an implantable medical device, such as a pacemaker or implantable cardioverter-defibrillator, to avoid potential interference with the unit. TURN OFF the unit if there is any reason to suspect interference. PHYSICAL HAZARD Exercise care in the routing of external cables, wires and hoses to avoid creating a tripping hazard. USE ONLY HOMMED AUTHORIZED MEDICAL EQUIPMENT Attaching unauthorized equipment to the Genesis Touch may cause damage or equipment failure. DO NOT use any AC adaptor other than the one that came with the Genesis Touch monitor. TOUCH SCREEN DAMAGE DO NOT use sharp, pointed or metallic instruments, as they may permanently damage the monitor s screen. DO NOT operate on your lap. Use with a firm grip and use a monitor stand for added stability. DO NOT use if monitor screen is broken or cracked Honeywell HomMed. All rights reserved.

4 Table of Contents Table of Contents Preface Who Should Use These Documents... Preface-1 Purpose of These Documents... Preface-1 Contents of These Documents... Preface-1 Getting Started Monitor Overview The Genesis Touch Monitor Communications Cellular Network Wireless Internet (Wi-Fi) Video Conferencing Other System Equipment Scales Non-invasive Blood Pressure (NIBP) Pulse Oximeter (SpO2) Understanding the Monitor Turning the Monitor On/Off Using Monitor Keys Monitor Screens /16/14 P4820EN Honeywell HomMed. All rights reserved. ToC - 1

5 Table of Contents Configuring Monitors for Patients Viewing Hardware and Software Versions, License Agreements and Determining One-Touch Video Set Up Setting Brightness and Volume Setting General Features Getting to the General Settings Screen Scheduling Vital Signs Acquisition Setting Up Questions Understanding the Edit Question Screen Selecting Questions Editing a Schedule Understanding the Edit Schedule Screen Setting a Schedule for Questions Deleting a Question Setting Up Reminders Understanding the Reminder Screens Selecting Reminders Editing a Schedule Understanding the Edit Schedule Screen Setting a Schedule for Reminders Deleting a Reminder Setting Up Peripherals Setting Up Language and Units Selecting the Monitor s Language Selecting Units Enabling Device Capabilities Setting the Scale Type Setting the Vitals Collection Notification Volume Enabling Exit During Vitals Collection Downloading Firmware Upgrades Communicating With LifeStream Verifying Communication ToC Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

6 Table of Contents Retrieving a Configuration Sending a Configuration Sending Test Vital Signs Setting Advanced Features Getting to the Advanced Settings Screen Verifying Communication Settings Enabling and Disabling Video Connecting to a Wi-Fi Network Disabling a Network Connection Setting Date and Time Enabling/Disabling All Education Troubleshooting Turning the Monitor Off PIN Number Common Questions Peripheral Medical Devices Safety information Maintenance Routine Maintenance Inspecting Equipment Cleaning Monitors Acceptable Not Acceptable Cleaning Peripherals Facilitating Equipment Repairs Shipping Equipment to Honeywell HomMed Customer Service and Support /16/14 P4820EN Honeywell HomMed. All rights reserved. ToC - 3

7 Table of Contents Appendix A Subjective Questions... A-1 Questions / Education... A-3 Reminders... A-6 Non-Alerting Messages... A-7 Multi-Level Questions... A-8 Appendix B Taking Vital Signs...B-1 Understanding Questions and Reminders...B-1 Taking Blood Oxygen...B-2 Preparing to Take Blood Pressure...B-4 Placing the Blood Pressure Cuff...B-4 Taking Your Blood Pressure Reading...B-5 Collecting Weight...B-6 Using the HomMed Scale...B-7 Using the A&D Scale...B-9 Recording Your Temperature...B-10 Education...B-11 Transmitting Data...B-11 Taking Vital Signs Manually...B-12 ToC Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

8 Preface Read this preface to familiarize yourself with these documents. This preface covers the following topics: Who should use these documents Purpose of these documents Contents of these documents Customer service and support Common techniques used in these documents Who Should Use These Documents This document is a reference for the clinician to help in the understanding and proficient use of Honeywell HomMed Genesis Touch monitors. Use this manual to understand operational concepts of the unit and if you are responsible for: Setting up Genesis Touch monitor. Maintaining the Genesis Touch monitor. Purpose of These Documents This manual contains information about: Understanding the monitor. Setting up the monitor for patient use. Maintaining the monitor. Contents of These Documents Section Before you Begin Getting Started Configuring the Genesis Touch Troubleshooting Peripheral Medical Devices Maintenance Appendix A Appendix B Content What you should know before you begin to use the Genesis Touch monitor. The basics of the Genesis Touch monitor. How to set up your monitor for patient use. Basic troubleshooting information. Information related to peripheral medical devices that can be used with the Genesis family of monitors. How to maintain your monitor. A list of the questions and reminders that can be programmed for use in the monitor. Additional details for taking vital signs. 4/16/ Honeywell HomMed. All rights reserved. P4820EN.04 Preface - 1

9 Getting Started This section provides important information about the Honeywell HomMed Genesis Touch monitor. This information supports software versions 2.0 and later. When you receive your shipment from Honeywell HomMed, carefully remove each piece of equipment from the box. Save the carton and packing materials in case you need to return any of the contents. As you inventory the contents of the box, check each piece of equipment for damage. If anything is damaged or missing, contact Customer Service immediately. Your package may include the following: Genesis Touch monitor Tablet AC power supply cable USB cable Scale (optional) Scale AC power supply cable (optional) Blood pressure unit (optional) Oximeter (SpO2) finger sensor (optional) Oximeter AC power supply cable (optional) Power strip Tablet stand Note: Kits may include slightly different pieces depending on the model and/or patient need. In addition to the battery used to power the device, the Genesis Touch monitors have a battery that maintains the memory, clock and configuration for approximately five years. Do not attempt to replace the battery. If the battery fails, contact Customer Service to have it replaced. Communications The Genesis Touch System provides two options for communicating with LifeStream: Cellular Network (3G and 4G) Wireless Internet (Wi-Fi) Cellular Network The Genesis Touch comes with a cellular network already enabled and ready to be used. The cellular network works in the same way as it does for a cellular phone utilizing 3G and 4G network speeds. Wireless Internet (Wi Fi) The Genesis Touch allows you the option to connect to a Wi-Fi network for communications. A Wi-Fi network is a wireless internet access point in a home, business, or public area that allows the transmission of data over the internet. The Genesis Touch is designed to connect to any available Wi-Fi network within range and can use this access point to transmit vital sign data to LifeStream without using a cellular network. The patient s Wi-Fi password is required to connect to a wireless network in their home. It is the patient s responsibility to provide their network s password to enable access. If their network is not password protected, no password is needed to connect. 4/16/ Honeywell HomMed. All rights reserved. P4820EN

10 Getting Started Note: The Video Conferencing feature requires a Wi-Fi communications network. Refer to Connecting to a Wi-Fi Network in the Configuring Monitors for Patients chapter for more information. Video Conferencing Fuze Meeting, developed by FuzeBox, Inc. enables seamless high-definition online collaboration between mobile and desktop users. The basic application, which provides video conferencing capability, is available on the Genesis Touch monitor. It enables users to experience high-definition video and audio conferencing, online media storage, integrated presence and secure, persistent chat - all in one easy-to-use web application. You must have a Fuzebox license to host a video conference, however the basic application, which is installed on the Genesis Touch, allows you to attend video conferences hosted by others. Refer to for licensing information and manufacturer s instructions on video conferencing. Refer to Enabling Video Conferencing in the Configuring Monitors for Patients chapter for information on how to enable this feature. Other System Equipment In addition to the monitor, other equipment can include a wireless scale, SpO2 finger sensor, blood pressure unit and power accessories. These are all optional accessories. The following pages provide a general overview of each piece of equipment. For detailed specifications, refer to the manufacturer s documentation. Contact information and web locations have been provided here for your convenience. The Genesis Touch device is configured to work with only Honeywell HomMed-approved peripherals. When purchasing these approved peripheral devices, ensure you are purchasing a peripheral that the manufacturer has prepared to work with a Genesis Touch. This helps provide proprietary Honeywell pairing capability, for a secure Bluetooth connection. If you have any questions on purchasing these peripherals, please contact HomMed at or at Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

11 Other System Equipment Scales The following optional scales are available for use with the Genesis Touch monitor: If the scale is a: It looks like this: Manufacturer Information: HomMed scale Contact HomMed at or at A&D scale Contact HomMed at or at More information at: NCI HRS 305 Accuro Scale Scale Details The HomMed and A&D scales have a capacity of 500 lb (227 Kg) and collect weight using four load cells, one in each corner of the scale. The accuracy of the weight measurement is +/- 0.5 lb (0.2 Kg). Wireless scales are powered by batteries or an external AC battery power supply. On the A&D scale, units are displayed according to the switch setting on the bottom of the scale. Verify that the switch is set to the units (lbs or kg) required before deploying to a patient. The NCI HRS 305 Accuro scale has a capacity of 1000 lb (454 Kg). The accuracy of the weight measurement is +/- 0.1 lb (0.05 Kg). This Bluetooth scale features an aluminum platform with a medical grade RoHs compliant anti-slip mat and handrails. Two-inch wheels assist in storage of the unit. Refer to the manufacturer s safety instructions, user instructions, and specifications for more information. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 2-3

12 Getting Started Non invasive Blood Pressure (NIBP) The NIBP monitor is an optional accessory that measures systolic pressure and diastolic pressure. Refer to the manufacturer s safety instructions, user instructions, and specifications for more information. Cuffs are available in the following sizes: Size Small Medium Large Fits limb size cm ( inches) cm ( inches) cm ( inches) Note: Proper cuff size affects the accuracy of NIBP measurements. To order a different sized cuff, contact Customer Service (888) Pulse Oximeter (SpO2) The SpO2 finger sensor is an optional accessory. Refer to the manufacturer s safety instructions, user instructions, and specifications for more information. If the Sp02 device is a: It looks like this: Manufacturer Information: Contec CMS 50E Pulse Oximeter Nonin Onyx II 9560 Pulse Oximeter ChoiceMed MD300C318T Pulse Oximeter Note: See the Troubleshooting section of this user manual for additional spo2 information Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

13 Other System Equipment Turning the Monitor On and Off Turning the Monitor On To turn the Genesis Touch monitor on, press and hold the power button on the top side of the monitor until you see the logo. The monitor cycles through initialization images and sounds. When it is ready, a Vitals Now/Home screen similar to the following appears: Turning the Monitor Off To eliminate the possibility of a patient accidentally turning off the monitor, you must be within a password protected area to turn it off. Once a password has been entered, to turn the monitor off: 1. Press and hold the power button on the top side of the monitor. A window similar to the following appears: 2. Select Power off. The monitor turns off. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 2-5

14 Getting Started Understanding the Monitor Using Monitor Keys Button Power Volume Function Allows you to turn the monitor s power on or off or wake up the monitor. If you have entered a password protected area, this button also allows you to turn off the monitor. Allows you to adjust the monitor s volume while taking vital signs. To select icons on the Genesis Touch screen, simply touch the icon with your finger tip.: Key Icon Function Vitals Begins manual vitals acquisition process. Now Forward Allows you to move forward to the next screen in the workflow. Back Home Settings Video Education Return Allows you to back out of screens. Brings you back to the Vitals Now/Home screen. Allows you to change the brightness of the screen and volume of the monitor. Allows this monitor to have the ability to join a video conference. If this doesn t appear on your home screen, your clinician has not set your monitor up for video. Allows this monitor to provide education to patients as scheduled, or as a list of self-guided general health questions to review on demand. If this doesn t appear on the home screen, a clinician has not set the monitor up for education and has disabled all questions from being viewed via the Advanced Settings menu. Allows you to return to the previous screen. Appears periodically (e.g., if you touch the black bar at the bottom of the screen or if you are on a setup screen) Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

15 Understanding the Monitor Screens Because of the nature of the tablet, if you inadvertently touch certain parts of the screen, you may have some items appear randomly on your screen. These items are described below and information is provided to allow you to remove them so that you can continue to use the Genesis Touch for its intended purpose. If a menu bar similar to the following appears on the bottom of the screen, simply touch the colored part of the screen to remove it. If a menu bar showing applications similar to the following appears on the bottom of the screen, touch the down arrow icon ( Touch screen:. )in the bottom right corner of the screen to remove it and go back to the Genesis If you touch an item on this menu bar, a window similar to the following opens for that application: Touch the X in the upper right corner of the application window to close the application. Touch the return key ( )to go back to the Genesis Touch screen. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 2-7

16 Configuring Monitors for Patients Before your patients use the Genesis Touch monitor, it must be customized to their specific needs. For each patient, you need to configure the precise vital signs that will be monitored, how frequently they will be monitored, and what results will trigger which responses. Questions and reminders can be configured from LifeStream. This document assumes that you ve already set up your peripherals. Refer to the Genesis Touch Getting Started document for more information. Refer to the Genesis Touch Patient Instructions for instructions for using the Genesis Touch Monitor. This document covers the following: Viewing hardware and software version and license agreements Setting brightness and volume Setting general features Setting advanced features Viewing Hardware and Software Versions, License Agreements and Determining One Touch Video Set Up Within the About area of the Settings screen, you can: View the version of your software View the version of your tablet View the Honeywell HomMed license View the Open Source licenses Determine whether one-touch video is set up for this monitor 1. From the Vitals Now/Home screen, select the settings icon ( ).The Settings screen appears: 4/16/ Honeywell HomMed. All rights reserved. P4820EN

17 Configuring Monitors for Patients 2. Select About. A screen similar to the following appears showing software and hardware versions and icons for the licenses: 3. To see the license agreements, select the link for the license you want to view. The license agreement appears. If One-Touch Video is enabled for this monitor, a message appears on this screen. 4. Select back to return to the Settings screen. Setting Brightness and Volume You have the ability to adjust the brightness of the monitor to the preference of the patient. To set the brightness and volume of the monitor: 1. From the Vitals Now/Home screen, select the settings icon ( ).The Settings screen appears: 2. Select Brightness & Volume. A screen similar to the following appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

18 Setting General Features 3. Place your finger on the light bulb icon ( ) and slide it to the left or right to get the brightness you want. 4. To set the volume of the monitor, place your finger on the speaker icon ( ) and slide it to the left or right to get the volume you want. 5. Press back to return to the Settings screen. Setting General Features Topics accessible from the General option include: Scheduling vital signs acquisition Setting up questions Setting up peripherals Setting up reminders Communicating with LifeStream Setting date and time Enabling device capabilities Downloading firmware All of these settings are accessed through the General Settings screen. The Genesis Touch can be configured for patient use from LifeStream (recommended) as well as from the monitor. If you configure monitor directly at the monitor, you will always be asked if you want to sync the configuration with LifeStream. If you answer Yes to this question, the configuration done at the monitor will override the monitor configuration provided by or pending from LifeStream. If you do not want the configuration from the monitor to override the LifeStream configuration, you must answer No to this question. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-3

19 Configuring Monitors for Patients Getting to the General Settings Screen To get to the General Settings screen: 1. From the Vitals Now/Home screen, select the settings icon ( ).The Settings screen appears: 2. Select General. The Enter Password screen appears: 3. Type 4237 and select forward. The General Settings screen appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

20 Setting General Features 4. To: Go to: Schedule vitals acquisition Scheduling in the Getting Started manual (4810EN) Set up questions or reminders for the patient Setting Up Questions and Reminders. Enable peripherals Setting Up Peripherals. Set the language and units used Setting Up Language and Units. Enable device capabilities Enabling Device Capabilities. Download firmware upgrades Downloading Firmware. Communicate with LifeStream Communicating With LifeStream Scheduling Vital Signs Acquisition We recommend that care providers schedule vitals acquisition from LifeStream, however, schedules can also be set from the monitor. Refer to Scheduling in the Getting Started manual for instructions. Setting Up Questions Genesis Touch limits the number of questions and/or reminders you can set for a patient to up to 10 at one time. Understanding the Edit Question Screen To get to the Edit Questions screen: From the General Settings screen, select Questions. If there are currently no questions selected, a screen similar to the following appears: Note: If questions are already set up, the screen will appear with questions on it already. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-5

21 Configuring Monitors for Patients Key for Edit Questions screen: This icon: Is called: Does this: Up Moves the highlighted question/reminder up in the list. Down Trash Calendar Add Back Moves the highlighted question/reminder down in the list. Removes the highlighted question/reminder from the list. Allows you to view/edit the schedule for questions/reminders. Allows you to select the questions/reminders you want to set up for a patient. Backs out to the previous screen. Selecting Questions For each patient, you need to select questions and assign the days and number of times per day that they will be asked. To select questions: 1. From the Questions screen, select the Add icon. A screen similar to the following appears showing all of the categories of questions: You can slide your finger up and down on the screen to scroll the list to see all of the categories that are available. At the bottom of the list, there is an option called Numeric Listing, which, when selected, allows you to view all of the questions by their number Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

22 Setting General Features 2. Select the category of the questions you want to view or, at bottom of the list, select Numeric Listing. A screen appears showing the questions available in that category or by number 3. Select the check box next to the questions you want to configure for a patient. A check mark appears in the check box to indicate that the question is enabled. 4. When you have selected all of the questions you want to configure for the patient from their respective screens, select back. The Select Category screen appears. 5. Select back. A screen similar to the following appears: 6. Select the question you want to edit. The question is highlighted 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-7

23 Configuring Monitors for Patients 7. To: Select: Move the highlighted question up in the list Up ( ) until the question is where you want it to be. Move the highlighted question down in the list Down ( ) until the question is where you want it to be. Delete the highlighted question Trash ( ). The question disappears from the list. Schedule the days and times for the highlighted question 1. Select the Schedule icon. A screen similar to the following appears: Editing a Schedule The Edit Schedule screen functions the same way for both questions and reminders. Understanding the Edit Schedule Screen 2. Go to Editing a Schedule. The Edit Schedule screen shows: The question or reminder for which you are scheduling time. The days of the week for which you can schedule the question. A key (on the left) that shows what the day icons indicate (see table below): Empty bars means that this question is not scheduled on that day. An orange bar on top followed by two empty bars indicates that this question will only occur only the first time vitals are scheduled for that day. Three orange bars means that question will be asked every time vitals are scheduled on that day. By touching the icon multiple times, you will scroll through the number of questions for that day Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

24 Setting General Features For example, if you press the Sun icon, it will scroll through the following: This icon: Means: This question is not scheduled for this day (Sun). This question is schedule only for the first reading scheduled for this day (Sun). This question is scheduled every time a reading is scheduled for this day (Sun). Setting a Schedule for Questions From the Edit Questions screen: 1. Select the question for which you want to schedule readings. The question is highlighted. Note: If you want education to be provided for a question, you must select the question that has the education associated with it. 2. Set the number of readings for each day. Refer to Understanding the Edit Questions Screen for more information. 3. When the days are set the way you want them, select back. An Edit Questions screen similar to the following appears showing your schedule for that question along with the other questions you have selected: Note: To schedule education related to the question for the patient, select from questions numbered 51 and higher. 4. Repeat this for all questions you have selected. 5. When you have scheduled all of your questions, select back. The General Settings screen appears. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-9

25 Configuring Monitors for Patients Deleting a Question If you no longer want a question that is set up, you can delete it from the monitor. To delete a question: 1. From the General Settings screen, select Questions. If questions are already selected, a screen similar to the following appears: 2. Select the question that you want to delete. The question is highlighted: 3. Select the trash icon. The question disappears from the screen: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

26 Setting General Features Setting Up Reminders Genesis Touch limits the number of questions and/or reminders you can set for a patient at one time to ten. Understanding the Reminder Screens To get to the Edit Reminders screen: From the General Settings screen, select Reminders. If there are currently no reminders selected, a screen similar to the following appears: Note: If questions are already set up, the screen will appear with reminders on it already. Key for Edit Reminders screen: This icon: Is called: Does this: Up Moves the highlighted reminder up in the list. Down Trash Calendar Add Back Moves the highlighted reminder down in the list. Removes the highlighted reminder from the list. Allows you to view/edit the schedule for reminders. Allows you to select the reminders you want to set up for a patient. Backs out to the previous screen. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-11

27 Configuring Monitors for Patients Selecting Reminders For each patient, you need to select reminders and assign the days and number of times per day that they will appear. To select reminders: 1. From the Reminders screen, select the Add icon. A screen similar to the following appears showing all of the categories of reminders: You can slide your finger up and down on the screen to scroll the list to see all of the categories that are available. At the bottom of the list, there is an option called Numeric Listing, which, when selected, allows you to view all of the reminders by their number. 2. Select the category of the reminders you want to view or, at bottom of the list, select Numeric Listing. A screen appears showing the reminders available in that category or by number 3. Select the check box next to the reminders you want to configure for a patient. A check mark appears in the check box to indicate that the reminder is enabled. 4. When you have selected all of the reminders you want to configure for the patient, select back. The Select Category screen appears Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

28 Setting General Features 5. Select back. A screen similar to the following appears: 6. Select the reminder you want to edit. The reminder is highlighted 7. To: Select: Move the highlighted reminder up in the list Up ( ) until the reminder is where you want it to be. Move the highlighted reminder down in the list Down ( ) until the reminder is where you want it to be. Delete the highlighted reminder Trash ( ). The reminder disappears from the list. Schedule the days and times for the highlighted reminder 1. Select the Schedule icon. A screen similar to the following appears: 2. Go to Editing a Schedule. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-13

29 Configuring Monitors for Patients Editing a Schedule The Edit Schedule screen functions the same way for both questions and reminders. Understanding the Edit Schedule Screen The Edit Schedule screen shows: The reminder for which you are scheduling time. The days of the week for which you can schedule the reminder. A key (on the left) that shows what the day icons indicate (see table below): Empty bars means that this reminder is not scheduled on that day. An orange bar on top followed by two empty bars indicates that this reminder will only occur only the first time vitals are scheduled for that day. Three orange bars means that reminder will be asked every time vitals are scheduled on that day. By touching the icon multiple times, you will scroll through the number of reminders schedules for that day. For example, if you press the Sun icon, it will scroll through the following: This icon: Means: This reminder is not scheduled for this day (Sun). This reminder is schedule only for the first reading scheduled for this day (Sun). This reminder is scheduled every time a reading is scheduled for this day (Sun). Setting a Schedule for Reminders From the or Edit Reminders screen: 1. Select the reminder for which you want to schedule readings. The reminder is highlighted. 2. Set the number of readings for each day. Refer to Understanding the Edit Reminders Screen for more information. 3. When the days are set the way you want them, select back. An Edit Reminders screen similar to the following appears showing your schedule for that question along with the other questions you have selected: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

30 Setting General Features 4. Repeat this for all reminders you have selected. 5. When you have scheduled all of your reminders, select back. The General Settings screen appears. Deleting a Reminder If you no longer want a reminder that is set up, you can delete it from the monitor. To delete a reminder: 1. From the General Settings screen, select Reminders. If reminders are already selected, a screen similar to the following appears: 2. Select the or reminder that you want to delete. The question or reminder is highlighted: 3. Select the trash icon. The reminder disappears from the screen: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-15

31 Configuring Monitors for Patients Setting Up Peripherals For information on setting up peripherals, including how to pair peripherals, refer to the Genesis Touch Getting Started (P4810). Setting Up Language and Units Currently the Genesis Touch system can be programmed to speak in U.S. English, U.K. English or Spanish. Additionally, the monitor can be configured to use either American Standard units or Metric units. Selecting the Monitor s Language This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: To set the monitor s language: 1. From the General Setting screen, select Locale. A screen similar to the following appears: 2. Select the check box next to the language that you want the monitor to use. A check mark appears in that box to indicate that it has been selected. 3. Select back. The General Settings screen appears. Selecting Units The monitor defaults to American Standard units, but you have the ability to set units to metric. To set the monitor s units to metric: 1. From the General Setting screen, select Locale. A screen similar to the following appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

32 Setting General Features 2. Select the check box next to Use Metric. A check mark appears in that box to indicate that it has been selected: 3. Select back. The General Setting screen appears. Enabling Device Capabilities Genesis provides the following device capabilities: Spoken Vitals Scale Type IMPORTANT: Whenever you see a black configuration screen, you have the ability to inadvertently negatively affect the Genesis Touch application by touching keys on the bottom of the Setting the Scale Type screen. The only button that should be used from that area is the return key ( ), which allows you to return to the previous screen. The Genesis Touch allows you to use either the HomMed/NCI Technologies or A&D scale. After you have determined which scale will be used for a patient, you must select that scale type to enable it. This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: To enable the monitor to use the appropriate scale: 1. From the General Setting screen, select Device. A screen similar to the following appears: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-17

33 Configuring Monitors for Patients 2. Select Scale Type. A window similar to the following appears:. 3. Select the type of scale you are assigning to this monitor. The window disappears and the previous screen appears with the scale type you selected listed under the Scale Type option. Note: For the A&D scale, units are displayed according to the switch setting on the bottom of the scale. Verify that the switch is set to the units (lbs or kg) required before deploying to a patient. 4. Press the return key ( ) to return to the General Settings screen. Setting the Vitals Collection Notification Volume The Genesis Touch allows you to set the volume for the spoken vital collection notification. This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. To set the volume for vitals collection notification: 1. From the General Setting screen, select Device. A screen similar to the following appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

34 Setting General Features 2. Select Vitals Collection Notification Volume. A window similar to the following appears: 3. Select the volume that you want for vitals collection notification. The window disappears and the previous screen appears. A sample of the volume is spoken. 4. Press the return key ( ) to return to the General Settings screen. Enabling Exit During Vitals Collection Genesis Touch provides the capability to allow or restrict exit from a vital signs collection session. This enables the patient or care provider to hold down the return key ( ) for five seconds during vital signs collection to exit and return to the Home screen. This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. To enable exit during vital signs collection: 1. From the General Setting screen, select Device. A screen similar to the following appears: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-19

35 Configuring Monitors for Patients 2. Select the check box next to Allow exit during vital signs collection. A screen similar to the following appears with a check mark in the box to indicate that allow exit during vital signs collection is enabled: 3. Press the return key ( ) to return to the General Settings screen. Downloading Firmware Upgrades Periodically, firmware upgrades will be available for Genesis Touch monitors. Customers will be advised as to when upgrades are available for download. This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: To initiate a firmware download: 1. From the General Setting screen, select Download. A screen similar to the following appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

36 Setting General Features 2. Select Download. Since there are currently no updates for the monitor, a screen similar to the following appears: Note: Detailed instructions will be provided when an update is needed on your Genesis Touch. Communicating With LifeStream This screen allows you to: Verify that communication is available Retrieve a configuration for a particular patient from LifeStream Upload the configuration you programmed at the monitor to LifeStream. Send a vital signs test packet to LifeStream IMPORTANT: The Genesis Touch can be configured for patient use from LifeStream (recommended) as well as from the monitor. If you make configuration changes at the monitor, you will be asked if you want to sync the configuration with LifeStream. If you answer Yes to this question, the updated configuration will be sent to LifeStream immediately. If you answer No, the updated configuration will be sent to LifeStream along with the next vitals packet. In either case, the updated configuration will override the configuration originally provided by, or pending from, LifeStream If you made configurations changes at the monitor and do not want the configuration from the monitor to override the LifeStream configuration, you must answer No to this question, send a new configuration from LifeStream, and retrieve that configuration by selecting Retrieve Configuration on the monitor s LifeStream screen. This will cause the configuration downloaded from LifeStream to override the configuration changes you made at the monitor. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-21

37 Configuring Monitors for Patients Verifying Communication This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: To verify that communications with LifeStream are enabled and available: 1. From the General Setting screen, select LifeStream. The LifeStream screen appears: 2. Select Check Communications. Messages similar to the following appear in the window telling you the status of communications: A screen similar to the following appears indicating that the monitor and Lifestream are communicating: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

38 Setting General Features Retrieving a Configuration This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: You have the ability to retrieve any configuration changes (including scheduling, questions, timing, etc.) made at LifeStream for this patient. To retrieve a configuration from LifeStream for this monitor: 1. From the General Setting screen, select LifeStream. The LifeStream screen appears: 2. Select Retrieve Configuration. Messages similar to the following appear in the window telling you the status of communications: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-23

39 Configuring Monitors for Patients Sending a Configuration This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. The password you will need is: You have the ability to configure changes (including scheduling, questions, timing, etc.) for this patient at the monitor and upload them to LifeStream. These changes will overwrite the configuration that currently exists in LifeStream for this monitor. To send the configuration you have set up in the monitor to LifeStream: 1. From the General Setting screen, select LifeStream. The LifeStream screen appears: 2. Select Send Configuration. Messages similar to the following appear in the window telling you the status of communications: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

40 Setting General Features Sending Test Vital Signs Once you ve set up your transmit options, send a test vital signs packet to verify that your monitor is transmitting properly. This test message shows up as an empty packet in LifeStream and confirms communications. This section assumes that you are at the General Settings screen. Refer to Getting to the General Settings Screen for more information. To send a test message: 1. From the General Setting screen, select LifeStream. The LifeStream screen appears: 2. Select Send Test Vitals. Messages similar to the following appear in the window telling you the status of communications: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-25

41 Configuring Monitors for Patients Setting Advanced Features The options available on Advanced screen enable you to: Verify Communications Enable/disable Video Enable/disable Wi-Fi Settings View/Set date and time settings Enable/Disable All Education Getting to the Advanced Settings Screen 1. From the Vitals Now/Home screen, select the settings icon ( ).The Settings screen appears: 2. Select Advanced. The Enter Password screen appears: 3. Type 4237 and press the forward icon. An Advanced Setting screen similar to the following appears: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

42 Setting Advanced Features Verifying Communication Settings Your organization has been assigned a unique 7-digit PIN number that identifies your mailbox within LifeStream. Each deployed Genesis Touch monitor transmits its patient data to this mailbox and LifeStream checks this address to retrieve the data. Note: PIN numbers are provided during in-service training. If you do not have your PIN number, contact Customer Service. To verify your PIN number, from the Advanced Settings screen, select Communications. A screen appears showing your information. Enabling and Disabling Video The basic Fuze Meeting application, which provides video conferencing capability, is available on the Genesis Touch monitor. Care providers must have a Fuzebox license to host a video conference, however the basic application, which is installed on the Genesis Touch, allows users to attend video conferences hosted by a license holder. Refer to Setting Up Video in the Getting Started manual for instructions for setting up one-touch video and to Fuzebox s instructions on video conferencing. To enable the monitor to use video: 1. From the Advanced Setting, select Video. A screen similar to the following appears: 2. Select Display Video Button. A check mark appears in the box to indicate that the video is enabled: 3. Press the return key ( ) to return to the Advanced Settings screen. 4. Press the return key ( ) to return to the Settings screen. Connecting to a Wi Fi Network The Genesis Touch is set to cellular communications when it is shipped from the factory. If the patient for whom you are assigning the monitor will use the internet (Wi-Fi) for their communications, you must enable Wi-Fi and connect to their network. Wi-Fi is also required for video conferencing. You will need the patient s internet password to connect to a wireless network (Wi-Fi) in their home. It is the patient s responsibility to provide their network s password to enable access. If their network is not password protected, no password is needed to connect. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-27

43 Configuring Monitors for Patients Note: The Video Conferencing feature requires a Wi-Fi communications network. To connect to a Wi-Fi network: 1. From the Advanced Setting screen, select Wi-Fi Settings. If Wi-Fi is not turned on, a screen similar to the following appears: 2. Select the Wi-Fi button. The button turns green and available networks appear under Wi-Fi Networks and one may indicate that it is connected: 3. Select the Wi-Fi option to which you want to connect. A screen similar to the following appears: 4. If requested, type the password, as well as other requirements. Note: This password is determined by the network owner (e.g., the patient). Touch the screen anywhere within the field. A keyboard appears to allow you to enter data. Select SYM to display the numeric keypad Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

44 Setting Advanced Features 5. Select Connect. A connecting message appears while it is authenticating, then a screen similar to the following appears showing the connection: 6. Press the return key ( ). The black configuration screen appears. 7. Press the return key ( ) again. The Settings screen appears. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-29

45 Configuring Monitors for Patients Disabling a Network Connection You must be out of range of the network to be able to remove it. To remove an existing network connection: 1. From the Advanced Setting screen, select Wi-Fi Settings. A screen similar to the following appears and networks that have been used in the past are listed under Detected Networks: 2. Select the network that you want to clear. If a network is out of range, a window similar to the following appears: 3. Select Delete. The window disappears and the Wi-Fi Settings screen no longer has the network listed under Wi-Fi settings. 4. Press the return key ( ) to back out of this screen. 5. Press the return key ( ) again. The Settings screen appears Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

46 Setting Advanced Features Setting Date and Time The Genesis Touch monitor automatically syncs for date and time and we recommend that you use the Automatic feature for date and time. However, there may be situations for which the monitor may need to be adjusted. Note: Although the format of the date and time can be set through this process, they are overridden by the Genesis Touch application s format. The format will remain the same even if you adjust it on this screen. To set the time: 1. From the Vitals Now/Home screen, select the settings icon ( ).The Settings screen appears: 2. Select Advanced. When the Enter Password screen appears, enter 4237 and then select Date & Time Settings. The following screen appears: Although there is a check box for it, the Genesis Touch does not use 24 hour format. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-31

47 Configuring Monitors for Patients To: Use networkprovided values Set the date Do this: Select the check box next to Automatic date and time. A check mark appears to indicate that this option is selected. Note: The Genesis Touch monitor comes with this option set and we recommend that you use this setting. If the check mark already appears, you need to do nothing. 1. If the Set date option is grayed out, select the check box (un-check) next to the Automatic date and time option. The Set date option should become available. 2. Select Set date. A screen similar to the following appears: 3. Use the up and down arrow keys to scroll to the month, day and year that you want to set the monitor to. 4. When the date you want to set the monitor to appears, select Set. A screen similar to the following appears and the date you set appears under the Set date option: 5. Select the check box next to Automatic date and time to allow it to be automatically updated when a service is available. A check mark appears to indicate that this option is selected Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

48 Setting Advanced Features Set the time 1. If the Set time option is grayed out, select the check box (un-check) next to the Automatic date and time option. The Set date option should become available. 2. Select Set time. A screen similar to the following appears: 3. Use the up and down arrow keys to scroll to the hours and minutes of the time that you want to set the monitor to. 4. When the time you want to set the monitor to appears, select Set. The time you set appears under the Set time option: 5. Select the check box next to Automatic date and time to allow it to be automatically updated when a service is available. A check mark appears to indicate that this option is selected. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-33

49 Configuring Monitors for Patients 6. Select the time zone 1. If the Select time zone option is grayed out, select the check box (un-check) next to the Automatic time zone option. The Set time zone option should become available. 2. Select Select time zone. A screen similar to the following appears: 3. Slide your finger tip to scroll up or down to the time zone that you want to set the monitor to. The time zone you selected appears under the Select time zone option: 4. Select the check box next to Automatic date and time to allow it to be automatically updated when a service is available. A check mark appears to indicate that this option is selected Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

50 Setting Advanced Features Select date format 1. Select Select date format. A screen similar to the following appears: 2. Select the format that you prefer. The screen similar to the following appears showing your selection: 3. When you have finished with your date and time settings, select the return key. A screen similar to the following appears: 4. Select the return key. The Settings screen appears. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 3-35

51 Configuring Monitors for Patients Enable/Disable All Education The Genesis Touch may be configured to replay programmed educational questions on demand, in addition to selected education sets during a scheduled monitoring time. When All Education is enabled, a patient may access self-guided questions from the Vitals Now / Home Screen. These questions cover topics like pain management, diet, diabetes, cardiac care and more. To enable this feature, go back to the Advanced Settings menu: Then choose All Education by touching the check box (to disable this feature simply uncheck the box): Now go back to the Vitals Now / Home Screen by continually selecting the return key: Select the Education button ( ) and you will see a screen similar to the following: Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

52 Troubleshooting For technical support, contact HomMed Customer Service at: U.S. and Canada Toll-free: U.K.: Turning the Monitor Off The ability to power off the monitor is restricted so that end users cannot accidentally turn it off. You have to be within a password protected area, such as the General or Advanced areas under Settings to be able to power the monitor off. To turn off the monitor: 1. Press and hold the power button on the top side of the monitor. A window similar to the following appears: 2. Select Power off. The monitor turns off. Note: Refer to the manufacturer s instructions for information on the other options on this menu. 3. Press and hold the power button to restart the monitor. PIN Number The PIN number is in the Transmit Menu, Pin Number sub-menu and requires a password to view. The PIN number identifies your organization s mailbox on the network. You must make sure that this number is correct. Check the number against the one you received during your in-service. Refer to Confirming the PIN Number in the Configuration document. To make the PIN number visible the Clinician password must be entered. For your reference, copy the correct mailbox PIN number here: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 4-1

53 Troubleshooting Common Questions Question I press and hold down the power button and the monitor doesn t turn off or it turns off and then back on again. Why won t it turn off or stay off? I inadvertently pressed the Power button and the monitor went to sleep. How can I get the screens to reappear? The sound is too loud or too quiet when the patient is taking vital signs. How can I adjust this? My scale keeps coming up with the wrong units even after I set them on the monitor. How can I fix that? The Education and/or Video button do not appear on the Vital Signs/Home screen. Why is that? Where do I find questions that have education associated with them? If the monitor is set up to transmit via Wi- Fi, why does it transmit vitals data over the cellular data plan (GPRS)? How do I exit the menu screen of my Contec sp02 peripheral? My Contec sp02 peripheral will not turn off, what do I do? How do I pair my peripheral with my Genesis Touch device? Suggestion The Genesis Touch is designed so that the patient can t inadvertently turn the monitor off. To accomplish this, the ability to turn the monitor off was prohibited unless a password has been entered. To turn the monitor off, you must be in a password protected area, such as the General or Advanced settings area, then press and hold down the power button. In rare cases, the power button may be inadvertently pressed for longer than 15 seconds, causing the unit to turn off when on battery power. Simply press the Power button again to turn the unit back on. Press and release the Power button.the Vitals Now/Home screen appears. There is a Volume button next to the Power button on the monitor. Use this button to adjust volume while taking vital signs. For the A&D scale, units are displayed according to the switch setting on the bottom of the scale. Verify that the switch is set to the units required before deploying to a patient. If the care provider has not chosen questions with educational information for the patient, the Education button will not appear on the screen.the same is true for video. If the care provider has not set up video for the patient, The Video button will not appear on the screen. Questions that provide education are numbers You can enable the All Education feature so that questions containing education are presented and viewed by the user under the education section in the Vitals Now/Home Screen. If the monitor is set up to transmit over Wi-Fi but either loses or cannot establish a connection with Wi-Fi, the monitor will transmit vitals over the GPRS radio. Please press the button to move the menu selector to the Exit selection. When Exit is selected, hold down the single button for approximately 1-2 seconds until the Contec device returns to the reading screen and turns off if no finger is placed in the device. Please refer to the Genesis Touch Getting Started document that shipped with your Genesis Touch Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

54 Common Questions The quality of my video conference is not as clear as I would like. Why is that? Communication performance depends on several factors, including, but not limited to, local communication providers systems, infrastructure and/or the volume of traffic (number of users) on the communication network. For wireless communication, factors, such as proximity to a communication tower, obstructions, such as buildings, local weather conditions, trees, or a dead zone, where little or no coverage is possible, can cause diminished performance. Often the performance (bandwidth) of the communication system is diminished when wireless signal strength falls below certain levels. This can occur in both urban and rural areas. The Fuzebox video application employs adaptive bandwidth management in situations where the performance of the communication system is unpredictable and/or below minimum required levels for optimal video conferencing. During a video meeting, priority is set in this order: 1. VoIP traffic (participant s audio). 2. Screen share/document share (presentation materials). 3. Video conferencing (video of participants). When the application detects increased delays (latencies) from a participant s network, it gives priority only to what a user is watching. If the video application detects a slow communication connection from a video participant, the application may degrade the video stream's resolution as well as quality (frames per second) to cope with the reduced bandwidth to deliver consistent video images. Fuzebox s recommended minimum bandwidth requirement for Fuze Meeting video conferencing is: Each participant should have 2 Mbps upload and 2 Mbps download of available internet bandwidth to participate in a video conference. There should be a latency (delay) of no more than 50 Milliseconds. For more information, go to support and select Fuze diagnostic to assess the bandwidth and latency of your system. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 4-3

55 Maintenance It is important that you maintain your equipment for optimal performance. This section includes maintenance recommendations for the following: Genesis Touch Tablet Monitor Peripherals It also includes information regarding: Facilitating equipment repair Shipping Routine Maintenance This section provides instructions for routine maintenance. Follow the instructions and safety information carefully. Failure to do so may void your warranty. Honeywell HomMed offers preventative maintenance services at the fees and terms stipulated in your contract. If you wish Honeywell HomMed to perform any services, contact Customer Service. Refer to Customer Service and Support in this document for more information. Inspecting Equipment Any time you visit a patient, inspect the monitor and accessories. Check the following: Power cord is not frayed or connected to unauthorized equipment. Cables are properly attached and in good condition. Monitor is not standing in or near water. Monitor has not been moved to an unsuitable location. If there is a frayed power cord, unplug the unit and replace the cord. If a monitor has been dropped or damaged, call Customer Service. Qualified service personnel must inspect any dropped or damaged units before they are assigned for use. Cleaning Monitors WARNING: Risk of Electrical Shock. Electrical components contain sufficient voltage to cause death or serious injury. DO NOT disassemble. DO NOT autoclave. DO NOT sterilize with ethylene oxide. DO NOT immerse in water or any other liquid. DO NOT spray cleaners on or into the unit. UNPLUG before cleaning, disinfecting, or performing any maintenance. For service, call Honeywell HomMed Customer Service. According to the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008, patient monitoring equipment is considered a non-critical device. A non-critical device is that whose surfaces only contact intact skin and do not penetrate it. Therefore, it is acceptable to use intermediate or low-level disinfection for non-critical devices depending on the nature and extent of contamination. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 5-1

56 Maintenance Devices in contact with intact patient skin can usually be effectively prepared for safe reuse by cleaning and low level disinfection. It is always best to consult each manufacturer s documentation and product instructions for precise cleaning and disinfection instructions. It is also important to follow your institution s policies and guidelines for infection prevention and control. The outer case of the Genesis Touch Tablet is made of polycarbonate. This is a durable plastic commonly used in medical equipment. It is compatible with a variety of cleaners and disinfectants; however there are some chemicals that should not be used. The following is a summary of expected chemical compatibilities. It is based on Honeywell HomMed s testing and information verification. Manufacturers of cleaning and disinfecting products may change their chemical formulations at any time. The Genesis Touch Tablet should never be immersed, sprayed or soaked in any liquid. Cleaning/ disinfecting should be done with dampened cloth, preferably lint-free. Acceptable Chemical Name Common Names or Example Brands Acetic Acid 20% Vinegar (commercial 5%) Alcohols:Isopropyl 60 70% Ammonium Chlorides Formula 409 Antibacterial Citric Acid 10% Detergents (alkylbenzenesulfonates) Formaldehyde % Ethanol Hydrogen Peroxide Oils:Citric (not orange) Oils:Olive Oils:Pine Soap Solutions Sodium bicarbonate Baking Soda Sodium Borate Borax Water Silver (Elemental) Steriplex SD Peroxyacetic Acid o-phenylphenol 0.28% Certol ProSpray Wipes o-benzyl-pchlorophenol 0.03% Diisobutylphenoxyethyl dimethyl benzyl Metrex Caviwipes Towelettes ammonium chloride Hydrogen peroxide Benzyl alchohol Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant Wipes Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

57 Facilitating Equipment Repairs Not Acceptable Chemical Name Acetone Ammonia Calcium Hypochlorite Ketones (including Methyl Ethyl Ketone) Sodium Hydroxide (50%) Turpentine Acetaldehyde (including glutaraldehyde) Mineral Spirits Oils: Orange Phenols Sodium Hypochlorite Iodine Common Names or Example Brands Caustic Soap Cidex, Sporicidin Vesphenell SE, LpH bleach Wescodyne, Betadine Cleaning Peripherals Refer to manufacturer s instructions for maintenance of peripherals used with Honeywell HomMed products. Facilitating Equipment Repairs All repairs to the monitor and accessories must be made by an authorized repair center. Any unauthorized repairs will invalidate your warranty. For product warranty information please contact Customer Service. If your equipment is not functioning correctly, contact a Customer Service Representative to determine the appropriate action. Be prepared to identify the equipment (monitor, scale, or accessory) and describe the problem in detail. For monitors, scales, pulse oximeters, or GPRS devices, you will be asked to provide the model and serial number. On this device Monitor Scale Peripheral medical devices The model and serial number is located: On the bottom of the monitor. On the side or bottom of the scale. Contact the device s manual or the manufacturer for location. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. 5-3

58 Maintenance Shipping Equipment to Honeywell HomMed If Customer Service authorizes you to ship equipment to Honeywell HomMed, please follow the directions below. 1. Obtain a Return Material Authorization (RMA) number from Customer Service. 2. Carefully pack the equipment in a sturdy box (the original box if possible) with at least one-inch clearance around the equipment for protective packing materials. 3. Ship to the following address: RMA # Customer Service Department Repairs Honeywell HomMed 3825 Ohio Ave. St. Charles, IL Note: If your equipment is still under warranty, Customer Service will send you a UPS label. Customer Service and Support The goal of Customer Service is to support your agency and clinical staff in meeting the needs of your patients. We are available 24/7/365, and we will work quickly to resolve issues with you as they arise. We will walk you through various troubleshooting techniques to assist you in identifying causes and resolutions. Honeywell HomMed Customer service: U.S. and Canada Toll Free: U.K. Phone: A Customer Service Representative will make every attempt to resolve the issue over the phone. To assist with service, have your monitor s model and serial number (on the bottom of the monitor) available before you call. However, if equipment must be sent back, we will issue a Return Material Authorization (RMA). For shipping instructions, please refer to Shipping Equipment to Honeywell HomMed in this document for instructions Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

59 Appendix A Questions Subjective Questions LifeStream provides a variety of questions that you can ask patients to help understand their condition. # Question/Text/Audio 1 Are you experiencing more difficulty breathing today compared to a normal day? 2 Are you more tired today compared to a normal day? 3 Have you been using your inhalers more than usual? 4 Did you need extra pillows to sleep comfortably last night? 5 Have you had to limit your activities more than usual? 6 Do you need your clinician to contact you today? 7 Are you out of any of your medications? 8 Are you having difficulty taking any of your medications? 9 Are you having difficulty following your diet plan? 10 Are you having any nausea today? 11 Are you having trouble controlling your blood sugar? 12 Are you having any pain? 13 Have you been having any chest pain? 14 Are you having any headaches? 15 Have your ankles been swollen more than usual? 16 Are you having any difficulty standing or walking? 17 Have you been having any new numbness or tingling? 18 Are you having any dizziness? 19 Have you noticed any bleeding today? 20 Have you noticed any new bruising today? 21 Are you having any problems with urination? 22 Are you having and problems with your bowel movements? 23 Has your wound changed in size or color? 24 Have you noticed a change in odor from your wound? 25 Have you noticed a change in the drainage from your wound? 26 Have you had to use your nitroglycerin in the last day? 27 Have you had to use your oxygen in the last day? 28 Have you developed a cough? 29 Have you noticed a decrease in your appetite? 4/16/14 P4820EN Honeywell HomMed. All rights reserved. A - 1

60 Appendix A 30 Are you having difficulty swallowing? 31 Have you had a fall in the last day? 32 Are you having difficulty taking care of your wound? 33 Have your hands or face been more swollen in the last day? 34 Has there been any protein in your urine in the last day? 35 Do you have severe heartburn today? 36 Have you noticed a decrease in your baby s movement today? 37 Have you had any blurred vision today? 38 Have there been any changes in the medication you are taking? 39 Are you having difficulty following your weight loss plan? 40 Are you having difficulty following your exercise plan? 41 Do you feel more anxious or upset today? 42 Has you been more depressed this week compared to a normal week? 43 Are you having difficulty managing stress this week compared to a normal week? 44 Are you having difficulty following your smoking cessation plan? 45 Are you having difficulty following your alcohol reduction plan? 46 Are you having difficulty understanding your diagnosis? 47 Have you had 2 plus or greater protein in your urine today? 48 Have you been to the emergency room this week? 49 Were you admitted to the hospital any time this week? 50 Has your doctor added, deleted, or changed any of your medications this week? 51 Did you have an unexpected visit to your physician this week? A Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

61 Questions / Education Questions / Education # Question/Text/Audio Education 52 Are you experiencing more difficulty breathing today compared to a normal day? 53 Have you had to limit your activities more than usual? 54 Are you having difficulty taking any of your medications? 55 Are you having trouble controlling your blood sugar? 56 Are you having any headaches? 57 Have you ankles been swollen more than usual? 58 Are you having any difficulty standing or walking? 59 Are you having any dizziness? Increased difficulty breathing may commonly be caused by strenuous activity, anxiety, or not following recommendations made by your health care provider. Be sure to remain compliant with your medications, your oxygen, or other respiratory treatment as prescribed. If your breathing difficulty progresses, you suddenly develop a new cough, or have to severely limit your usual activity, it may signal a serious change in your medical condition, which should be discussed with your health care provider. Limiting your activities may be a signal of a change in your medical condition. If you re unable to resume normal activities, have difficulty breathing, or suddenly develop a new cough, contact your health care provider. Difficulty taking medications, taking medications at irregular times or not taking medications consistently may affect your medical condition and in some cases may make your symptoms worse. Some medications have serious side effects if taken incorrectly or if stopped abruptly. Contact your health care provider if you re having difficulty taking your medications or have questions. Blood sugar control may be affected by diet, weight, medications, physical activity, illness and infections. Uncontrolled blood sugar, over time, may lead to medical complications. If you ve taken your medications as prescribed and followed your diet, adjustments to your medication may be needed. Always report any symptoms of high or low blood sugar to your health care provider. There are many reasons people develop a headache. Sometime, headaches may be related to elevations in blood pressure, also known as hypertension. Diet, weight control, exercise, and medications are used to treat high blood pressure. If you experience a headache that is persistent, contact your health care provider. Swollen ankles may occur with heart and lung conditions. Increased swelling may be related to changes in diet, medications, or activities. Limiting your salt intake and elevating your feet may be helpful. If swelling continues to increase, your breathing becomes more difficult, or you develop a cough, contact your health care provider. Difficulty walking or standing may be caused by medications, weakness, and/or physical pain. Difficulty standing or walking could also be due to a change in your medical condition and may increase your risk for falls. Dizziness can be caused by many medical conditions. Sudden changes in blood pressure, heart rate or blood sugar can cause dizziness as can side effects from certain medications. Dizziness, when accompanied by headache or blurred vision may indicate a more serious condition, which should be discussed with your health care provider. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. A - 3

62 Appendix A 60 Have you developed a cough? 61 Have you had a fall in the last day? 62 Have you experienced any problems with your balance in the last day? 63 Have you almost fallen in the last day? 64 Did you skip your prescribed diabetes medication today? 65 Did you adjust your medications based on your blood glucose results in the past day? 66 Have you not been able to take your blood sugar readings as prescribed? 67 Are you feeling stressed about having or managing your diabetes? 68 Did you have difficulty eating healthy in the past 24 hours? 69 Did you have difficulty meeting your activity or exercise goals in the past 24 hours? 70 Have you had to limit your daily activities or movement due to pain in the past 24 hours? 71 Have you noticed a new rash in the past 24 hours? 72 Has your rash gotten worse in the past 24 hours? 73 Have you used any over-thecounter medications in addition to those prescribed for you in the past 24 hours? A newly developed cough may signal a change in your medical condition. If prescribed medication doesn t relieve your cough or if you develop difficulty breathing contact your health care provider. Falls can be a major cause of injury and can lead to serious complications. Falls may be caused by medications, pain, weakness or changes in heart rate or blood pressure. Report any falls to your health care provider even if it seems like you didn t injure yourself. A Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

63 Questions / Education 74 Have you noticed any increases in thirst in the past 24 hours? 75 Have you had any recent fever or chills? 76 Do you feel worse since starting your new medications? 77 Are you running low on any medical supplies? 78 Is your temperature higher than 38 C? 79 Is your temperature higher than 100 F? 80 Is your Zoe Fluid Monitor reading under 18? 81 Is your Zoe Fluid Monitor reading over 30? 82 Is your PiKo-6 FEV1/FEV6 ratio under 70%? 83 Do you have any new or increased sputum, mucus or phlegm? 84 Is you sputum, mucus or phlegm thicker today? 85 Do you feel that you may have a chest infection? 86 Did you monitor your vitals without your oxygen? 87 Did you have blood work drawn today? 88 Did you go to the doctor this past week? 89 Are you taking any prescribed or over-thecounter blood thinning medications? 90 Do you feel dizzy or light headed today? 91 Do you have increased sputum, mucus or phlegm? 4/16/14 P4820EN Honeywell HomMed. All rights reserved. A - 5

64 Appendix A 92 Is your sputum, mucus or phlegm a different color today? 93 Are you experiencing any burning with urination or increased frequency? 94 Was your most recent blood sugar lower than usual? 95 Did you seek medical treatment? 96 Has your doctor added, deleted, or changed any of your medications this week? Reminders LifeStream provides the ability to set reminders for patients. # Reminder 101 You have an appointment with your doctor today. Write down any questions you may have and bring them to your appointment. 102 You have an appointment with your health care provider this week. Write down any questions you may have and bring them to your appointment. 103 You have an appointment with your health care provider today. Write down any questions you may have and bring them to your appointment. 104 Please write down any questions you may have and bring them to your appointment. 105 You are scheduled to have a visit from our home care nurse today. 106 You are scheduled to have a visit from your nursing assistant today. 107 You are scheduled to have a visit from your respiratory therapist today. 108 You are scheduled to have a visit from your physical therapist today. 109 Check your medications to see if you need any refills. 110 Remember you have an event with your family this week. 111 Remember your social club is having a meeting this week. 112 Remember your grandchildren are coming over this week. Have fun! 113 Remember to change your dressing today. 114 Remember to keep your feet and legs elevated while sitting. 115 Remember to eat foods low in sodium. 116 Remember to wear your oxygen as prescribed. 117 Remember to use your nebulizer as prescribed. 118 Remember to do your exercises as prescribed. 119 Remember to take your pain medications as needed and as prescribed. 120 It s flu season. Avoid large crowds or close contact and wash your hands often. A Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

65 Non-Alerting Messages 121 Make sure your immunizations are up to date. 122 Be sure you get a pneumonia vaccine if you doctor has advised you to. 123 Happy Birthday! 124 Happy Anniversary! 125 Every prescription comes from the pharmacy with information attached. Every medication label has instructions. Read these and keep them for reference. You can also ask the pharmacist for additional information. 126 Be sure you know your symptoms of low blood sugar. 127 Be sure you know your symptoms of high blood sugar. 128 It s time to schedule a mammogram. 129 It s time to schedule your annual physical. 130 Congratulations! You ve been following your diet. Keep up the good work! 131 Well done! You ve been controlling your blood sugar. 132 Nice job. You re keeping your blood pressure under control. 133 Having to use oxygen can make people feel embarrassed, but you re really making progress. For many people, it s worth it to breathe more comfortably, feel more alert, and be able to do more of what they want. 134 Remember to maintain your oxygen equipment as instructed. 135 You are scheduled to have a video visit with your health care provider today. 136 You are scheduled to have a video visit with your health care provider tomorrow. Non Alerting Messages Non- alerting message are messages used for informational purposes only. They will not trigger an alert in LifeStream. 300 Has your care provider talked with you about all the prescription and over-the-counter medications you were taking? 301 Have you take any new prescription medications or changed your prescription medications? 302 Has your care provider explained the purpose of taking your new or changed medications? 303 Has your care provider explained what the side effects of your medications could be? 304 Has your care provider explained when you need to take your medications? 305 When you started getting home health care from this agency, did someone from the agency ask to see all the prescriptions and over-the-counter medications you were taking? 306 Have you and a home health provider from this agency talk about pain? 307 When you first started getting home health care from this agency, did someone from the agency tell you what care and services you would get? 308 When you first started getting home health care from this agency, did someone form the agency talk with you about how to set up your home so you can move around safely? 4/16/14 P4820EN Honeywell HomMed. All rights reserved. A - 7

66 Appendix A Multi Level Questions Multi-Level questions are questions for which a YES response will trigger additional questions. Level 1 Question/Text/Audio Yes responses trigger the following: 309 Are you having any problems with urination? 311 Are you having trouble controlling your blood sugar? 313 Are you having any dizziness? 315 Have you almost fallen in the last day? 319 Has your doctor added, deleted, or changed any of your medication this week? 322 Have you developed a cough? Are you experiencing any burning with urination or increased frequency? Did you skip your prescribed diabetes medication today? Was your most recent blood sugar lower than usual? Are you having any difficulty walking or standing? Are you having any dizziness or light headedness today? Did you seek medical treatment for your dizziness or light headedness? Do you feel worse since starting your new medication? Is your cough productive? Is your sputum, mucus, or phlegm thicker today? Is your sputum, mucus, or phlegm a different color today? Do you feel that you may have a chest infection? A Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

67 Appendix B Taking Vital Signs This appendix provides additional detail, beyond what is provided in the Patient Telemonitoring Instructions, for taking vital signs. The Genesis Touch provides two options for taking vital signs. Vitals can be scheduled so that you are prompted at the appropriate time to take your vital signs, or you can initiate collection of your vital signs manually. Your care provider has most likely scheduled your monitor to acquire your vitals at specific times on specific days. Before you take the first set of vital signs, ensure that you know how to use each piece of equipment. If you have any questions about how to take your vital signs, contact your care provider. If you want to take your vital signs manually, go to Taking Vital Signs Manually. Understanding Questions and Reminders Your care provider may schedule important healthcare questions and/or reminders to gather more information on your health status. When questions have been configured as part of your vitals acquisition, a screen similar to the following appears with questions that were configured specifically for you: Select either Yes or No in response to the question. If more questions are configured, the next question appears. When the questions are completed, the monitor continues to the next vitals acquisition. Refer to the section related to the appropriate vitals acquisition for more information: For: Go to: Blood oxygen Taking Blood Oxygen. Blood pressure Preparing to Take Blood Pressure. Weight Collecting Weight. Temperature Recording Your Temperature.

68 Appendix B Taking Blood Oxygen Refer to manufacturer s documentation for more information on peripheral devices. 1. If you have selected Blood Oxygen from the Select Vitals/Home screen, the monitor prompts you to take your reading: 2. Press the power button on the top of the oximeter. 3. Place the oximeter on your middle finger with the display on top. A screen similar to the following appears: Note: Open the finger sensor by gently squeezing it the same way you would open a clothespin. As the oximeter is searching for a reading, a screen similar to the following appears: B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

69 Taking Vital Signs When the reading has been attained, a screen similar to the following appears: Note: Dark finger nail polish or false nails may interfere with the reading. If you cannot get a reading, remove finger nail polish and try again. 4. Remove the pulse oximeter. 5. If you have: This happens: Selected another vital Finished your vitals acquisition Do this: The monitor prompts you for the next vitals reading. Go to the section for that vital reading in this document. The Reading Summary screen similar to the following appears: If you choose, you can record your readings in the back of this document. Touch the screen or press the back key. The Vitals Now/Home screen appears. If you selected Yes when prompted to send vitals to your care provider, your vitals are transmitted to LifeStream. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-3

70 Appendix B Preparing to Take Blood Pressure The blood pressure cuff can be used on either arm. Follow your health care provider s instructions for which arm you use. We recommend that you use the same arm consistently. Rest your arm so it is at or below heart level to obtain the most accurate reading. If you are using an oximeter, place the cuff on the arm opposite the oximeter. The position of your arm can significantly affect the readings. A consistent position should be used for each reading to increase the accuracy of the data. While taking blood pressure, the cuff inflation pressure appears in the systolic (top) area. When the reading is complete, both the systolic (top) and diastolic (bottom) results appear. Your position, movement, talking, physiological conditions and other factors can have an impact on blood pressure measurement. IMPORTANT: Make sure that the blood pressure hoses are not kinked, compressed or restricted. CAUTION: Personal Injury Hazard Prolonged inflation can result in impairment of circulation. Stop inflation at any time by pressing the Start key. To restart inflation, press the Start key. Refer to manufacturer s documentation for more information on peripheral devices. Placing the Blood Pressure Cuff To properly place the blood pressure cuff: 1. Hold the cuff so that once on your arm, the cord points toward your hand. 2. With the palm of your hand up, slip your hand through the cuff. 3. Position the cuff tube off-center, toward the inner side of the arm so that it is in line with your little finger. 4. Slide the cuff up your arm over your elbow. There should be about a two-finger space between the bend in your elbow and the cuff. 5. Do not make the cuff too tight. You should be able to slide a finger between the cuff and your arm. 6. Wrap the cuff end under and around your arm and fasten it to the velcro. B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

71 Taking Vital Signs 7. Confirm that the index arrow points within the proper cuff fit range. Taking Your Blood Pressure Reading To take your blood pressure: 1. If you have selected Blood Pressure from the Select Vitals/Home screen, the monitor prompts you to take your reading: 2. Put the blood pressure cuff on your arm as described. 3. Press the START button on the blood pressure unit. The blood pressure unit lights up, the cuff begins to inflate, and a screen similar to the following appears: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-5

72 Appendix B When it has attained a blood pressure reading, the cuff deflates and a screen similar to the following appears: 4. Remove the blood pressure cuff. 5. If you have: This happens: Do this: Selected another vital Finished your vitals acquisition The monitor prompts you for the next vital The Report Summary screen similar to the following appears: Go to the section for that vital in this document. If you choose, you can record your readings in the back of this document. Touch the screen or press the back key. The Vitals Now screen appears. Collecting Weight If you selected Yes when prompted to send vitals to your care provider, your vitals are transmitted to LifeStream. Refer to manufacturer s documentation for more information on peripheral devices. Two different scales can be used with the Genesis Touch System: HomMed or NCI Technologies Scale A&D scale Depending on which one you have, the prompts are different. B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

73 Taking Vital Signs Using the HomMed or NCI Technologies Scale 1. When the monitor prompts you to step on the scale, a screen similar to the following appears: 2. When the monitor has connected to the device, a screen similar to the following appears: 3. Step on the middle of the scale and stand as still as possible so that the scale can get a reading. A screen similar to the following appears: Note: You must be able to stand on a scale without support for the time it takes the monitor to collect your weight -- approximately seconds without movement. CAUTION: Personal Injury Hazard Weight placed on the edge of the scale may cause the scale to tip and cause you to fall. Do NOT step onto or attempt to stand on the edge of the scale. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-7

74 Appendix B 4. When the scale has acquired a weight, a screen similar to the following appears: 5. Step off the scale. 6. If you have: This happens: Do this: Selected another vital Finished your vitals acquisition The monitor prompts you for the next vital. The Reading Summary screen similar to the following appears: Go to the section for that vital in this document. If you choose, you can record your readings in the back of this document. Touch the screen or press the back key. The Vitals Now screen appears. If you selected Yes when prompted to send vitals to your care provider, your vitals are transmitted to LifeStream. B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

75 Taking Vital Signs Using the A&D Scale 1. When the monitor begins the process of acquiring your weight, a screen similar to the following appears: 2. Push the power button on the front of the scale. A screen similar to the following appears: 3. When 0.0 appears on the scale, step on it per the instructions. When the monitor acquires a reading, a screen similar to the following appears: 4. Step off the scale. 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-9

76 Appendix B 5. If you have: This happens: Do this: Selected another vital Finished your vitals acquisition The monitor prompts you for the next vital The Reading Summary screen similar to the following appears: Go to the section for that vital in this document. Touch the screen or press the back key. The Vitals Now/Home screen appears. Recording Your Temperature If you selected Yes when prompted to send vitals to your care provider, your vitals are transmitted to LifeStream. Take your temperature with a common thermometer. Refer to manufacturer s documentation for more information on peripheral devices. When you are prompted to enter your temperature the following screen appears: 1. Type the temperature reading from your thermometer and press the forward icon. B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

77 Taking Vital Signs 2. If you have: This happens: Do this: Selected another vital Finished your vitals acquisition The monitor prompts you for the next vital The Report Summary similar to the following appears: Go to the section for that vital in this document. If you choose, you can record your readings in the back of this document. Touch the screen or press the back key. The Vitals Now/Home screen appears. Education If you see an Education button on your monitor, the care provider has provided you with information related to your condition that will be provided to you depending on your response to questions. You can also press the Education button at any time to review the education material at your convenience. Transmitting Data If you selected Yes when prompted to send vitals to your care provider, your vitals are transmitted to LifeStream. When all tests are complete, a screen similar to the following appears: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-11

78 Appendix B The following screen appears letting you know that you have completed your vitals: A screen similar to the following appears with a Transmission Successful message at the bottom after the transmission has been made: Touch the screen or press the back button. The Vitals Now screen appears. Taking Vital Signs Manually You can send vitals to your health care provider at any time. You do not have to wait for a scheduled report time. You would normally use this feature if the monitoring care provider requests that you repeat a test. Remember that vitals may only be reviewed during the day, so if you send a reading in the middle of the night, your health care provider may not look at the reading until much later. This is not an emergency response device. Before you take the first set of vital signs, ensure that you know how to use each piece of equipment. If you have any questions about how to take your vital signs, contact your healthcare provider. B Honeywell HomMed. All rights reserved. P4820EN.04 4/16/14

79 Taking Vital Signs 1. To take vital signs manually, touch the screen. The Vitals Now screen similar to the following appears: 2. Select Vitals Now. A screen similar to the following appears: 4/16/14 P4820EN Honeywell HomMed. All rights reserved. B-13