Keene Medical Products, Inc....KEENE MEDICAL PRODUCTS, INC. Cylinder Liters per minute Oxygen...
Transcript of Keene Medical Products, Inc....KEENE MEDICAL PRODUCTS, INC. Cylinder Liters per minute Oxygen...
Keene Medical Products, Inc.
The administration of oxygen at concentrations greater than room air with the intent of treating or preventing the symptoms and manifestations of hypoxia
Oxygen therapy can be used short term for people recovering from acute lung disorders (e.g. Pneumonia), or conditions that temporarily benefit from increased oxygen levels
Oxygen therapy is also for long-term use for people with chronic lung disorders such as Chronic Obstructive Pulmonary Disease (COPD) or Emphysema
KEENE MEDICAL PRODUCTS, INC.
The discharge plan is the mechanism that allows for the successful transfer of the respiratory care patient from the health care facility to home, extended care facility or an alternate site of care
The discharge plan details the type of respiratory care and equipment required, length of treatments, established flow rates, aerosol meds and/or treatments for sleep disordered breathing, patient demographics, etc.
KEENE MEDICAL PRODUCTS, INC.
The setup process includes the following:
• Site assessment for environmental limitations, inadequate lighting, poor temperature control, potential fire hazards or other safety hazards, possible physical hazards, unsecured cylinders, ungrounded outlets, poor accessibility to back up systems. Site should be free of fire, health and safety hazards
• Patient and Caregiver training including instruction on the use and care of the equipment and must demonstrate an appropriate level of skill
• Detailed safety and maintenance instruction
• Contact information for supplies or emergency situations
KEENE MEDICAL PRODUCTS, INC.
The patient’s physician has the primary responsibility for monitoring the patient’s condition and success of prescribed therapies
The physician may request the services of the health care provider, respiratory therapist, to perform certain diagnostic tests to monitor the patient’s condition such as oximetry and titration testing to confirm sufficient flow rates under varying conditions in the patient’s environment
KEENE MEDICAL PRODUCTS, INC.
A severe lung disease such as COPD, diffuse interstitial lung disease, whether of known or unknown etiology; cystic fibrosis, bronchiectasis; widespread pulmonary neoplasm
Hypoxia related symptoms or findings that might be expected to improve with oxygen therapy. Examples of these symptoms and findings are pulmonary hypertension, recurring congestive heart failure due to chronic cor-pulmonale, erythrocytosis, impairment of the cognitive process and morning headache
KEENE MEDICAL PRODUCTS, INC.
Coverage may be granted if the patient has a PO2 at or below 55 mm Hg and/or an oxygen saturation at or below 88 percent
These values should be taken at rest, breathing room air. If oxygen therapy is ordered while the patient is in the hospital, these values must be taken within 48 hours of discharge
If prescription is for MORE than 4 LPM, testing must be conducted while patient is on oxygen at 4 LPM. PO2 levels or O2 saturation must be within base criteria guidelines
In the event testing is conducted for situations other than at rest, additional documentation is required. Exercise – Test on room air – Test during exercise – Test during exercise on oxygen
KEENE MEDICAL PRODUCTS, INC.
Coverage may be granted if the patient has a PO2 between 56 and 59 mm Hg and/or an oxygen saturation of 89 percent if there is evidence of any of the following conditions:
• Patients in this category must be retested between the 61st and 90th day of therapy
• Dependent edema suggesting congestive heart failure
• “P” Pulmonale on EKG (P wave greater than 3 mm in standard leads II, III or AVF)
• Erythrocythemia with a hematocrit greater than 56 percent
• Oxygen is rarely considered medically necessary when
PO2 is > 55 mm Hg and/or saturation is > 89 percent
KEENE MEDICAL PRODUCTS, INC.
Coverage of a portable oxygen system
alone or to compliment a stationary
oxygen system may be allowed if the
patient is mobile within the home and
needs to ambulate at least 50 feet
beyond the stationary system
The same base oxygen criteria will apply
to portable oxygen systems
KEENE MEDICAL PRODUCTS, INC.
Primarily used for low liter flow and low volume
Oxygen is compressed into different sized cylinders
Smaller cylinders are used for portability
Cylinders must be exchanged and refilled as necessary
Portable systems average weight 6-8 pounds
Cylinder sizes –
KEENE MEDICAL PRODUCTS, INC.
Cylinder Liters per minute
Oxygen without conserver
Oxygen with pulse dose conserver
Approximate Weight (Pounds)
Capacity (Cubic feet)
Capacity (Liters)
E 2 5.6 Hours 17 Hours 8 24 680
D 2 3.3 Hours 10.5 Hours 5.5 15 425
B (M-6) 2 1.4 Hours 4 Hours 2.5 6 164
Small compressor that extracts oxygen from the air
and stores it for constant use
Always accompanied by a back up system
Runs continuously if properly maintained
Easy to operate and move
Requires electricity
Flow rates from 1-10 LPM
Most commonly used modality
Portable concentrators for traveling clients
Specialty units available for powering respiratory
devices
KEENE MEDICAL PRODUCTS, INC.
Systems includes concentrator, compressor
system with table and 2 portable cylinders
with attached conservation devices
Portables refilled off the concentrator
2 portables allows up to 10 hours on 2 LPM
Portable weight under 5 pounds
Approximately 90 minutes to fill
KEENE MEDICAL PRODUCTS, INC.
Sequal Eclipse
• 17.9 lbs
• AC or DC operation
• Can operate on conservation mode or 3 LPM continuous flow
• Wheeled cart for ease of use
• Extra batteries available
• FAA approved
Airsep FreeStyle
• 4.4 lbs
• AC and DC operation
• Provides three pulse settings equivalent to 1-3 LPM oxygen
• Carrying case available for ease of use
• Optional AirBelt for 3 hours of more battery
• FAA approved
Airsep Focus
• Under 2 lbs
• AC or DC operation
• Provides a 2 pulse setting equivalent to 2 LPM
• Carrying case available for ease of use
• Extra batteries available
• FAA approved
KEENE MEDICAL PRODUCTS, INC.
Airsep FreeStyle Airsep Focus
Sequal Eclipse 3
Excess of portable cylinders or frequent deliveries
Tolerates a portable conservation device (Doctor prescribed)
Ability to handle and fill portables
Active, “on the go” clientele
3 LPM maximum for Home Fill and Eclipse
Conservation mode only for Focus and Freestyle
Improve quality of life
KEENE MEDICAL PRODUCTS, INC.
Nasal cannula delivered by nose only low flow systems
Nasal masks delivered over nose and mouth medium and high flow systems 5 LPM or greater
Extension tubing of various lengths is connected between the delivery system and mask or cannula
Humidification systems as required and prescribed
KEENE MEDICAL PRODUCTS, INC.
Extends the oxygen use time of portable cylinders
Senses inhalation and instantly releases a programmed pulse of oxygen at a predetermined flow rate
Active portable O2 users
Must be prescribed by physician
KEENE MEDICAL PRODUCTS, INC.
Initial Education/Critical Pathway
PIC (Product Information for Customers) Sheets
Infection Control
Proper Changing of Disposable Supplies
KMP Routes and Delivery Cycles
Patient Responsibilities for Maintaining Equipment (Pre-filters, etc.)
Review Client Bill of Rights and HIPAA Privacy Policies
KEENE MEDICAL PRODUCTS, INC.
Demonstrated by Technician
Patient performs return demonstration
KEENE MEDICAL PRODUCTS, INC.
Phone Sticker
Delivery Cycle
Serviced according to MFG guidelines
KEENE MEDICAL PRODUCTS, INC.
Review of PIC Sheet
Oxygen Safety Tips
No Smoking Signs
Storage/Handling
KEENE MEDICAL PRODUCTS, INC.
Prescription from Doctor
Call for Pick-up
KEENE MEDICAL PRODUCTS, INC.
7-10 Day in person follow up to review setup instructions, safety, maintenance, etc.
Review of equipment options for best fit
6-month follow up
RT follow up as required by Physician approved Plan of Treatment
Concentrator Maintenance Schedules
KEENE MEDICAL PRODUCTS, INC.