Table of Contents. French Manual start on Page 31. PS Health Screening Kiosk Program Manual

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2 Table of Contents PharmaSmart Intro & Program Biography Getting Started... 8 Product Replacement... 9 Kiosk Functionality Storage and Smart Card How to Change Paper Clinical Accuracy Clinical Accuracy Statement Blood Pressure Cuff Accuracy Q & A Accuracy Skit (Staff Member to Patient) Frequently Asked Questions Blood Pressure Fluctuates Pharmacy Services POS Placement Order Replenishment/Reorder How to Relocate Kiosk Special Instructions (Signs) Blood Pressure Tracker How to Use Online Blood Pressure Tracker French Manual start on Page 31 Page 1 of 49

3 PharmaSmart Health Screening Program - Introduction and Program Biography PharmaSmart is proud to introduce a full service, out of office health management blood pressure program. It is designed as an easy-to-use clinical screening solution for employees, patients and customers. PharmaSmart is committed to developing progressive patient care programs supported by clinical accuracy, accreditation and premium service. For over 20 years our service program has delivered excellence by maintaining a focus on efficiency, integrity and simplicity for all customers. This booklet was designed to familiarize you and your staff with your new blood pressure screening program. References throughout this training manual may vary based on the equipment type that you have either leased or purchased. PharmaSmart blood pressure programs and equipment types vary in description and functionality. If you are unsure about the equipment type that you have received, please contact your account representative with any questions. *Please keep this training manual in a safe and secure area so that any onsite representative from your site can review all of the important facts and information provided. Our customer support center is always available 24/7 by calling 1 (800) and selecting Option 3. Page 2 of 49

4 Health IT is changing the face of Pharmacy. Don t wait to provide your patients with an accurate, automated biometric blood pressure screening tool. Contact PharmaSmart today! PharmaSmart s Program Offers: Interoperability MTM Health IT & Data Analytics Valid and Accurate Alert Notification PharmaSmart 43 Co 5 tor 1 33 Com t 5 2 Com t tor 3 33 I conducted a survey of the seven leading North American manufacturer websites and found only one of the companies provided clinical validation data on their website. I then sent a questionnaire, by registered mail, to the Regulatory Directors of the seven manufacturers, only one company provided a complete and satisfactory response (PharmaSmart) Clinically Validated Peer Reviewed Model PS2000 With Connectivity Dr. Bruce Alpert, M.D. Are Kiosks Blood Pressure Readings Trustworthy? November 15, 2012 Android ipad iphone BPT Mobile Powered by BPT One Page 3 of 49

5 Benefits & Advantages of the PharmaSmart Blood Pressure Program The program focuses on five core areas: Technology, Clinical Validation, Services, Revenue (if applicable) & Branding (if applicable) Technology - The PS2000 kiosk is HIPPA/PIPEDA compliant and clinically validated. This blood pressure monitor utilizes Smart Card technology, which conveniently tracks the patient s individual readings over time. By using the Smart Card, the patient will also be provided a detailed, printed report when they measure their blood pressure on the kiosk. PharmaSmart s commitment to a one-button operation ensures ease of use, maximizing consumer usage. Connectivity - The PS2000 kiosk utilizes wireless, wired or M2M internet technology, and a patented Smart ID protocol to communicate patient results from the kiosk to our HIPAA TM TM (privacy) compliant PS DataSmart server. From the PS DataSmart server, patient data is made available to patients and their healthcare providers though the PharmaSmart Blood TM Pressure Tracker health portal, providing a comprehensive, historical report from any computer or mobile device. In many instances, patient data is made available to the pharmacist or physician directly from within their clinical system. Ask PharmaSmart if your clinical system vendor is an integrated partner Clinical Validation - PharmaSmart kiosk technology meets AAMI /ANSI /ISO standards 4 and it has achieved an A rating for accuracy per the BHS device standard. Additionally, the kiosk s patented cuff design fits 97% of all arm circumferences including small, medium and large arm sizes. Visit our website at and view all accreditations, news and articles validating the PharmaSmart model PS2000 technology. Branding - All elements (software, Blood Pressure Management Smart Cards, printed tickets, signs, online portal, etc.) can be fully branded to support your brand identity and marketing objectives, increasing the reach of your brand both inside and outside the pharmacy. PharmaSmart offers retail pharmacies a distinct competitive advantage with the high value hypertensive patient. Page 4 of 49

6 Revenue - PharmaSmart provides the program and tools that create added value for the hypertensive patient, and converts them into a new and recurring revenue opportunity. By empowering your staff to become Experts in Hypertension, the PharmaSmart program will drive significant and sustainable profits from multiple sources. Service - Our technical support and Customer Service Advisors are available 24/7 by calling 1 (800) , Option 3. 1AAMI Association for the Advancement of Medical Instrumentation a non-profit organization that is a primary source of consensus in the development,management and use of safe and effective medical instrumentation and technology. 2ANSI American National Standards Institute a private non-profit organization that oversees the creation, dissemination and use of guidelines impacting businesses of every sector. The organization is active in accrediting programs that assess conformance to standards. 3 International Standards Organization - ISO (International Organization for Standardization) is the world s largest developer of voluntary International Standards. International Standards give state of the art specifications for products, services and good practice, helping to make industry more efficient and effective. 4 BHS British Hypertension Society a forum comprising of medical professionals working in the hypertension and cardiovascular disease fields, specializing in the delivery of care and research. Page 5 of 49

7 Becoming an Expert in Blood Pressure Management Your kiosk program is equipped with the tools and support necessary to transition your site into an advanced blood pressure screening and health management resource center. The program will allow you to place emphasis on critical blood pressure management screening, information, advice, and therapeutic support. *PharmaSmart offers a diverse set of services designed to support your blood pressurprogram, which are outlined below. Doctor Detailing (Pharmacy site only): Doctor detailing is available to retail pharmacy. The program educates your top prescribing physicians on the unique benefits of the PharmaSmart program for critical between visit and out of office blood pressure testing and monitoring. Our retailer branded detailing program reinforces your position, the pharmacy, as a leader and a true partner in community blood pressure monitoring. By providing a practical solution for managing the hypertensive patient, the PharmaSmart program will drive hypertensive and diabetic patients to your pharmacies for between visit hypertension management. The program will help drive new prescription business, and increase your collaborative care opportunities with local physicians. Workshops (Pharmacy/Worksites sites): Workshops help program participants gain a strong understanding of effective blood pressure management, including education on device validity, proper measurement technique, uses of the Smart Card and online portal, and the importance of a personal, historical record of the blood pressure results. PharmaSmart is qualified to assist with the preparation and administration of your workshop experience (costs may apply). Certified Education (Pharmacy/Worksite/Medical Professional): PharmaSmart is building a Continuing Education (CE) platform designed to provide the latest advancements in key topic related protocol. We are always updating our educational and clinical research and documentation. For the latest news and offerings that may impact you directly please visit *Model PS2000 Classic and Select customers qualify for upgraded premium support services. Please contact your account representative for details. Page 6 of 49

8 Conclusion Hypertension is the leading cause of death and disability worldwide. Studies have shown that 1 in 4 people worldwide have hypertension (including 1 in 3 Americans), and 9 out of 10 people will become hypertensive at some point in their life. PharmaSmart is committed to help reduce the impacts of high blood pressure. With your PharmaSmart program in place, you can encourage every hypertensive, pre-hypertensive, and diabetic patient, employee and/or customer at your site to measure their blood pressure, track it over time, and share their results with their healthcare provider. PharmaSmart provides the tools and support to position your site as a front line resource in the effective management of hypertension, providing a lasting impact to your staff, patients, customers and/or employees. The program can also serve as a new source of revenue. Our experienced team knows that every program implementation is unique and important. We look forward to working with you to develop a turnkey, customized program that supports your existing corporate priorities and brand identity. If you have questions or concerns, please contact PharmaSmart at 1 (800) , Option 3 or visit our website at Page 7 of 49

9 Getting Started with PharmaSmart Blood Pressure Management Program watch training VIDEO on DVD or access video by visiting area throughout the primary kiosk region. 1. Staff and participants must be able to see the signs in order for them to know this service is available. Place signage throughout common areas or if a pharmacy, reference your Rx Services POS placement guide that is part of your introductory package. a. Lost your Rx Services POS Placement Guide? For a new one, contact our Customer Service Department at 1 (800) , Option All store personnel should tell patients and customers about the new blood pressure management program and service available at the site. If you are a pharmacy or worksite offering the Smart Card program, then offer the option to enroll in the Smart Card program to each person who brings in a prescription for a hypertension and/or diabetes related medication. a. Please note this is a tracking tool for all blood pressure readings and can be made available to anyone who is interested in this option. 2. Place the bag stuffers (if applicable) inside all patient, customer and employee bags and/or mailboxes. You can also circulate an notification and conduct regular staff trainings. a. You may be eligible for onsite training. Contact your account representative for details. specialists and family physicians in your area, as well as potential employees, customers and patients. Inform them about this new and innovative blood pressure monitoring service you are offering. Getting the word out will build awareness for the types of hands on services and out of office services offered at your site Page 8 of 49

10 PharmaSmart Blood Pressure Machine Product Replenishment & Ordering Information 1. To order by phone: please call 1 (800) , Option 3 2. To order by fax: 1 (585) To place an order online: us at: [email protected] * Prior to ordering, please consult with your program administrator as some sites may be subject to special ordering instructions, or you may contact PharmaSmart directly for further information. **There is no minimum order required. All orders received before 2:00pm (EST) will be shipped that day. All orders received after 2:00pm (EST) will be shipped the next day. If an order is needed by the next day, we will gladly ship it overnight. All costs associated with sending a package will be included on the invoice. Shipping/handling charges may apply. Page 9 of 49

11 Blood Pressure Kiosk Model PS2000 with Connectivity Basic Program Details: 1. Key & Storage Compartment (Figure A) keep the key from getting lost. a. The key will unlock both the head of the unit and the storage compartment. 2. Smart Cards (Figure B). and carrier should register a retail value. If you are experiencing issues please consult your program administrator. Figure A - PharmaSmart Kiosk Storage and Key NOTE Storage Compartment is located underneath seat. Things to keep in the storage compartment at all times: all paper, recharge card/instructions, connectivity card/instructions, BP logs. Figure B - PharmaSmart Smart Cards UPC Barcode Customer UAC Page 10 of 49

12 How to Change Paper & Fix a Paper Jam Instructions - PS2000 * Release Lever Step 1: Kiosk Head - Unlock the Kiosk Head with the same key used for the storage compartment. Lift the door and pull out gently to lock the door in place. Step 2: Release Lever - On the printer, push the red release lever back to open the metal door. Note: Do NOT Pull on the printer. This will cause it to be misaligned. Step 3: Load Paper - Insert paper roll. Load paper in the designated area. Be sure that the paper is coming under the roll. Loading incorrectly will cause paper to print out blank. Step 4: Close Door Pull out enough paper so when the metal door is shut, you will have about one inch of paper showing. Make sure that the paper is straight before closing metal door. *Release Lever Step 5: Fixing Paper Jam/Clear Error - Open Kiosk Head, push the red release lever back to open metal door. Remove any excess paper that may be causing the paper jam. To clear any errors, reset the kiosk by unplugging the power. Upon restart the kiosk will print a startup report. This will ensure printer is working. Page 11 of 49

13 PharmaSmart Clinical Accuracy PharmaSmart Accuracy Statement PharmaSmart PS2000 Proven Accuaracy The PharmaSmart PS2000 blood pressure monitor is designed to measure blood pressure in 5 accordance with AHA guidelines for general screening: seated, brachial artery measurement at the level of the heart. The model PS2000 oscillometric technology and unique cuff design has been clinically evaluated for compliance with The Association for the Advancement of Medical Instrumentation s standard 6 (AAMI) and to a modified British Hypertension Society (BHS) Protocol. The clinical study was performed at the University of Tennessee, and the results were published in the technical research journal Blood Pressure Monitoring (vol 9, no 1). Subjects tested ranged in age from 18 to 74, with the average age of 40. Arm size ranged from 22 to 38 cm in circumference. Resting systolic BP ranged from 91 to 252 mmhg, and resting diastolic pressure ranged from 57 to 160 mmhg. There were 44 males, and 41 females. For each subject the readings obtained by the PS2000 were compared with auscultatory readings obtained by two clinicians, blinded to the results of each other and the device. The manual reference measurements were alternated with the readings obtained by the device. The study concluded: "The PharmaSmart PS2000 met the AAMI (FDA) requirements for accuracy Most notably, the mean difference between well-trained clinicians and the device readings were very small (0.07 systolic and 0.3 diastolic). Further, when analyzed in accordance to the BHS evaluation protocol, the PS2000 achieved the highest grade - an 'A'. It is well suited for its role 7 as a high volume, self-administered BP screening device." To view the full text of the published clinical study, visit our website at 5Association for the Advancement of Medical Instrumentation, American National standard: Manual, electronic or automated sphygmomanometers. Arlington, Virginia: AAMI; O Brien E, Petrie J, Littler WA, DeSwiet M, Padfield PL, Altman D, et al. The British Hypertension Society protocol for the evaluation of blood pressure measuring devices. J Hypertens 1993;11(suppl 2):S43-S63 7Alpert BS. Validation of the Pharma-Smart PS-2000 public use blood pressure monitor. Blood Pressure Monitoring 2004, 9:19-23 Page 12 of 49

14 Clinical Cuff Design Patented BP Cuff Technology (US Patent #: 7,166,077) The PharmaSmart non-invasive cuff incorporates a breakthrough design that enables accurate readings for the full range of adult arm sizes, achieving accuracy that would traditionally require small, medium, and large cuff sizes. The cuff uniquely maintains the ideal contact width for different arm circumferences. This eliminates the problems caused by improper selection or application of the cuff. The PharmaSmart cuff also swivels on two planes to provide maximum user comfort, and allow correct posture. Cross Section Cuff US Patent #: 7,166,077 Page 13 of 49

15 PharmaSmart Accuracy Q & A 1. PharmaSmart kiosk readings are inconsistent (some high, some low). Blood Pressure Fluctuates It is normal for blood pressure (BP) to fluctuate significantly as much as 15 or more points from breath to breath. Many users will misinterpret high or low readings as inaccurate readings, when in fact they are seeing normal fluctuations in their BP. Some patients will see wide fluctuations in their BP, while others will be more consistent. BP is affected significantly by many variables, such as exercise, coffee, smoking, illness, etc. The average of multiple readings over a period of time is the best indication of a patient s BP. 2. PharmaSmart kiosk readings taken sequentially vary too much. Even sequential measurements made by a doctor using a stethoscope often result in measurements differing by 15 or more points. Also, it is proven that blood pressure will vary each second, from breath to breath. 3. PharmaSmart kiosk readings are higher/lower than clinic, or home readings. It is expected that a patient s BP will be different in the store/worksite than it is in the doctor s office or at home. BP fluctuates dramatically in response to the body s demands, even in a healthy person. Because of the fluctuating nature of BP, an average of readings over a period of time is the best indication of a patient s true BP. 4. PharmaSmart Kiosk readings are higher/lower than manual (nurse readings taken in the store. Keep in mind that even sequential measurements made by a trained clinician using a stethoscope often result in measurements differing by 15 or more points. This fact makes it extremely difficult to validate device readings against manual readings. Also, a pharmacy and worksite environment includes activity and ambient noise. This environment is not well-suited for assessing BP with a stethoscope. While manual BP readings are compromised by such an environment (as studies have shown); it has no detrimental effect on the PharmaSmart blood pressure kiosk. Even for a trained professional, taking an accurate measurement with a stethoscope is difficult due to complicating variables. These include: The PharmaSmart Blood Pressure kiosk has been designed to minimize the errors that are caused by these and many other adverse conditions. Page 14 of 49

16 5. PharmaSmart kiosk readings are higher/lower than other BP Device readings taken in the store. Keep in mind that even sequential measurements made by a doctor using a stethoscope often result in measurements differing by 15 or more points. This fact makes it extremely difficult to validate device readings against manual readings. Also, note that the PharmaSmart Blood Pressure Unit has a number of advantages over home devices. Most home use devices use a single cuff to measure BP in arms of any size this causes accuracy concerns with large and small arms. The PharmaSmart Blood Pressure Unit has a self-adapting cuff to allow accurate measurement on arms of differing sizes. In addition, the PharmaSmart Blood Pressure Unit is designed to provide consistent elevation of the arm with respect to the heart and to support the arm without user effort. Home-use devices do not provide this consistency. Essential Information: A. PharmaSmart Accuracy PharmaSmart technology has been validated through independent, published clinical trials. Research has determined that PharmaSmart equipment conforms to leading standards for device accuracy. This means that readings taken on the PharmaSmart machine are equivalent to those obtained by a well-trained blood pressure technician. Clinical research is available on PharmaSmart s website: B. Proper Usage Technique For any method of BP measurement (home unit, kiosk, manual, etc), proper technique is very important for accuracy. When using the PharmaSmart BP Kiosk, the patient should rest seated at the unit for a full minute prior to commencing the test. This will allow them to return to a resting pulse. Also ensure the patient uses the proper arm position. A diagram on the instruction panel indicates the correct arm position. It is also very important that the patient remains quiet and still for the duration of the test. It is OK to take multiple readings at one sitting, and it is normal for sequential readings to differ, even significantly. C. Encourage Blood Pressure Management Smart Card Tracking The Blood Pressure Management Smart Card allows patients and their pharmacists to determine their average blood pressure from multiple readings taken over a period of time. Clinically, this information provides a more accurate picture of a patient s true BP, and allows for improved professional consultation and patient management. Page 15 of 49

17 PharmaSmart Accuracy Script Pharmacy/Worksite Member to Patient Patient: Hello, I just took my Blood Pressure on your Kiosk and it appears to provide me inaccurate results. Is your blood pressure kiosk accurate? Pharmacy/Worksite Staff Member Answer: Thanks for letting us know about your concern. Yes, it is accurate. May I ask you a few questions? 1. What makes you question the accuracy of your readings? 2. Did you remove all heavy layers of clothing (coat/sweater)? 3. Did you use the proper arm position (per the diagram on the machine)? 4. Were you careful to remain still and not talk during the test? 5. Did you take three tests at least one minute apart? Here are some important facts about blood pressure, and blood pressure kiosk: 1. It is normal for your blood pressure to fluctuate as much as 15 or more points from minute to minute. Blood pressure is affected by many things, such as coffee, smoking, illness, medication, or food. Some people also suffer from white coat effect, which means their blood pressure is higher in a doctor s office or perhaps even at the pharmacy. 2. The blood pressure kiosk meets world leading standards for equipment accuracy This means that the PharmaSmart kiosk readings are equivalent to those obtained by a well-trained blood pressure clinician (nurse, doctor, and pharmacist). 3. If you would like to learn more about the accuracy of the PharmaSmart kiosk, please visit and click the Clinical Validation hot button. PharmaSmart is the only blood pressure kiosk manufacturer that can provide published clinical validation. 4. The best indication of your blood pressure is an average of readings taken over a period of time. The Smart Card helps track your readings and helps us counsel you better. Page 16 of 49

18 Blood Pressure Fluctuates Education Blood pressure fluctuation can be a very difficult principle for your customers and your personnel to understand. As an aid to explaining this concept to them, we suggest that you refer them to the chart below. The chart graphically illustrates just how much blood pressure can fluctuate over the course of a single day. The information displayed was gathered by a 24 hour ambulatory BP monitor worn by a single person for one entire day. This person s average BP is about 144/87, but the systolic varied from 118 to 184, and the diastolic ranged from 70 to 120. Many factors affect blood pressure, and these types of fluctuations should be expected. Please encourage users of the Blood Pressure Kiosk to take the average of 8 to 10 readings over a period of time. Only then will they have a good indication of their average blood pressure. For more information: PharmaSmart Customer Service Call: 1 (800) , Option 3 [email protected] Page 17 of 49

19 Frequently Asked Questions for Smart Cards (FAQ) Q: How does the smart card work? A: Insert the card into the blood pressure kiosk with the chip facing down. Press start within 10 seconds of inserting card. The card should remain in the machine for the duration of the test. Q: How do I know if the smart card recorded my BP reading? A: The printed receipt will show up to the last 10 BP readings and pulse, as well as an average. The card must stay in the machine during the entire test in order for a reading to be recorded. Q: A patient s card is reading expired. Is there a way to recharge the card or do they need to purchase a new card? A: Smart cards can be recharged by using a PharmaSmart Recharge Card. This card will allow the pharmacy staff to recharge a patient s card for an additional 365 days. The recharge card is located in a packet underneath the seat of the kiosk, in an envelope attached to the door. If unable to locate, call PharmaSmart customer service. Q: Why is a smart card reading invalid or obsolete? A: If this is happening for one patient, ensure the card is being inserted correctly. If this is happening for multiple cards, reset the machine by unplugging the power cord for 30 seconds. If the problem persists, contact PharmaSmart customer service. Q: Why are my readings not displaying on the internet? A: Not all kiosks are connected to the internet. If you know that your kiosk has connectivity, it may require a reset (unplug power for 30 seconds then plug in), this may restore connection. For questions about connectivity, call PharmaSmart customer service. Q: How can I print all of the readings that are stored on the smart card? A: Locate the recharge card, typically stored underneath the seat of the kiosk, and insert this into the unit. Follow the onscreen directions to navigate to Print Card Readings. Q: Why is my patient receiving Unauthorized Access when trying to log in to the Blood Pressure Tracker? A: This error is most commonly seen when a birth date being entered differs from the one used to originally log in. If the error continues, contact PharmaSmart customer service. Customer service will need the Unique Access Code (back of the card) and the patient s birth date. Q: What if a patient loses his or her smart card? A: All data collected on smart cards or through our blood pressure tracker is anonymous. Therefore, the only way data can be transferred from one card to another is if both the old and new Unique Access Codes are available. To have this performed contact PharmaSmart customer service. PharmaSmart Customer Service Call: 1 (800) , Option 3 [email protected] Page 18 of 49

20 Pharmacy Services POS Guide Receiving a Pharmacy Service Package Pharmacy Services - Field - Setting Up a Pharmacy & Training Rx Staff Not Pictured: Buttons = All Pharmacy Personal to wear buttons during promo period Window Clingers = Placed at Drive Thru Window or Consultation Window Page 19 of 49

21 Marketing Material Placement Guide Marketing Material Placement Guide Pharmacy Services POS Execution Model Be Smart! TRACK YOUR BLOOD PRESSURE ASK OUR PHARMACIST! Test yourself on the blood pressure kiosk simple and easy. Test Regularly The card will store 30 readings and the ticket will print the average of your last 10 results and pulse rate. Share the printed results with our pharmacist to help manage your health! Go online at to track your blood pressure All Rights Reserved. Poster - Display Waiting Room Consultation Area Pick Up & Drop Off Counter Pharmacy Area Be Smart! TRACK YOUR BLOOD PRESSURE! ASK OUR PHARMACIST! All Rights Reserved All Rights Reserved. TRACK YOUR BLOOD PRESSURE! Be Smart! TRACK YOUR BLOOD PRESSURE! ASK OUR PHARMACIST! Test yourself on the blood pressure kiosk simple and easy. Test Regularly The card will store 30 readings and the ticket will print the average of your last 10 results and pulse rate. Share the printed results with our pharmacist to help manage your health! Be Smart! ASK OUR PHARMACIST! Test yourself on the blood pressure kiosk simple and easy. Test Regularly The card will store 30 readings and the ticket will print the average of your last 10 results and pulse rate. Share the printed results with our pharmacist to help manage your health! All Rights Reserved. Be Smart! TRACK YOUR BLOOD PRESSURE! ASK OUR PHARMACIST! Shelf Talker - Display OTC Aisles - i.e. Hypertension and cardio medications Heart - Hypertension - Glucose Healthy Food Aisles Place them at or below eye level in the above mentioned areas Communicate to store manager Tent Sign - Display Pick up & Drop Off Counter Consultation area Waiting Room Table Visit your local highest prescribing hypertension and diabetes specialists or general practitioners/family doctors and tell them how you can better manage patient blood pressure Window Clinger - Display Drive Thru Window Front-end Store Entrance Pharmacy Area - window separation between pharmacy & patient Coat Button - Display Pharmacist White Coat Tech White Coat Front-end or Rx Clerk shirt or coat Be Smart! TRACK YOUR BLOOD PRESSURE! Page 20 of 49

22 Marketing Material Program Profile TM Clinically validated for all arm sizes Easy one button operation Custom bilingual ad panels and LCD messages Remote services enabled PharmaSmart offers a turnkey solution that positions your pharmacy as Experts in Blood Pressure Management. Our patented technology and comprehensive marketing/service program maximizes your relationship with your hypertensive patient - improving discovery, adherence, and customer loyalty. The clinically validated Model PS2000 with Connectivity kiosk utilizes Smart Card technology to conveniently track patient readings over time, and provide detailed printed reports. Patented Smart Card technology enables long-term recurring revenue opportunities. PharmaSmart s commitment to one button operation ensures ease of use and maximizes consumer usage. Utilizing wireless internet technology, the Model PS2000 with Connectivity can upload data to our TM online Blood Pressure Tracker, which allows patient access from any computer. All elements (software, cards, tickets, signs, online portal) can be fully branded to support your identity and marketing objectives. PharmaSmart s unique program offers community pharmacies a distinct competitive advantage with the high value hypertensive patient, which will result in a boost in store traffic and bolstered bottom line. Patient blood pressure tracking solution Drives hypertension discovery and compliance Custom branded card drives loyalty Recurring revenue opportunity Kiosk prints readings with dates and averages Provides patient consultation opportunity Provides patient action step to share blood pressure with healthcare provider HIPAA/PIPEDA Compliant Wireless upload from kiosk to secure server Custom branding / website integration Enables compatibility with EMR (Electronic Medical Records), PHR (Patient Health Records), MTM (Medication Therapy Management) partners Technical support with guaranteed response time Doctor Detailing Tools Pharmacy Training Tools Point of sale marketing Continuing education Ashton Maaraba [email protected] x PP-ASH-6-10 Page 21 of 49

23 Product Showcase and Reordering Form TM Product Showcase Kiosk Inserts & Headers PS1000LED Inserts A Generic Insert Sets Only $29.99 PS2000 With Connectivity Inserts B (Includes headers) Custom Insert Sets Only $30.99 *Top inserts are included & also customizable (Includes headers) Marketing Materials Figure 10 J Generic Kit: $49.99 C E Smart Cards $3.00/card Sets of 50 Custom Kit: $84.99* F Poster $21.50 ea. Minimum of 2 *Minimum of 50 Tent Sign $6.75 ea. I Button $3.50 HealCreate a thy Hear Minimum of 2 t! Set of 4 Available Generic or Custom (Button - 3 diameter) (Tent Sign - 18 x 5.5 fold to 6.25 x 5.5 ) G D Generic Bag Stuffers $14.89 Window Clinger $11.00 Minimum of 2 N Doctor Detailing GRASP TOP OF FRAME Kit $9.49 ea. (Poster - 22 x 28 ) Custom Bag Stuffers $28.39 H Shelf Talker $1.75 ea. Minimum of 4 Available Generic or Custom (Window Clinger - 5 x 7.25 ) (Shelf Talker x ) *Note: Price may vary on custom design Accessory Items & Supplies K M Paper Rolls $9.75 Record Logs $7.50 Pkg of 250 O Set of 5 Kiosk Keys $9.99 Paper Rolls $39.00 Set of 2 Case of 20 L See Reverse for Ordering Information FRM-SA-0010 Rev 4 EU Page 22 of 49

24 TM Pharmacy Name/Trade Name: Store/Site Number: Contact Name: Address: Order Form City: State: Zip Code: Phone Number: A B C D E F G H I J K L M N O Item PS1000LED Inserts PS2000 W/Connectivity Inserts Smart Cards Bag Stuffers Poster Tent Sign Window Clinger Shelf Talker Buttons Marketing Kit Paper Rolls (5pk) Paper Rolls (case) Doctor Detailing Kit Keys (Increments of 50) (Increments of 100) (Minimum order of 2) (Minimum order of 2) (Minimum order of 2) (Minimum order of 4) (Minimum order of 4) Record Logs (Increments of 250) (Set of 2) Qty Generic Custom Price Total (Generic/Custom) $29.99/49.99 $29.99/49.99 $3.00/card $14.89/28.39 $21.50 $6.75 $11.00 $1.75 $3.00/set $49.99/$84.99 $9.75 $39.00 $7.50/pkg $9.49 $9.99 Fax this side only to: Attn: Reorders For Office Use Only Received By: Date Received: Date Processed: Date Shipped: See Reverse for Product Showcase * Pricing does not include tax ** All pricing is subject to change *** Shipping & Handling charges where applicable FRM-SA-010 Rev 4 EU Page 23 of 49

25 How to Relocate the Blood Pressure Kiosk Please note that Blood Pressure Kiosk calibration will not be affected if reasonable care is taken when relocating. If the BP Kiosk requires Service it will display an error code other than 00 when powered up. 1. Unplug the Blood Pressure Kiosk and the Ethernet Cable or Linksys (if applicable) and ensure they are secured by wrapping the cord(s) around the cuff assembly. This will prevent the cord(s) from becoming entangled during movement. (Figure 1) Figure 1 2. Position the handcart/dolly on the back of the BP Kiosk (Figure 2). Be careful that the power cord does not rub on the cart wheels and that the BP Kiosk is balanced to prevent it from falling over on one side. Figure 2 3. Tip the handcart/dolly back and allow the BP Kiosk to rest on the cart rails and the foot base. 4. Relocate the BP Kiosk to the new location, adjusting the feet as required so that the BP Kiosk is stable. Verify the paper is properly installed and test the kiosk. 5. Plug the power cord into a grounded outlet and (if applicable) the Ethernet Cable or Linksys cord. Once the BP Kiosk is powered up, test the Kiosk by taking a couple of readings. Page 24 of 49

26 Special Instructions 1. If the BP Kiosk is being moved by truck (or other Vehicle) do not place the kiosk on its back or side. 2. Remove the plastic sleeves, which hold the window posters and the sign header, from the sign and put them in a safe place until they can be re-inserted into the sign at the new location. (Figure 3a and 3b) Figure 3a Figure 3b 3. Remove the signpost and plastic sign using the Allen Key to remove the two (2) hex screws attaching the sign assembly to the kiosk. Transport the kiosk in upright position and place the signage in a safe and secure manner to prevent damage. (Figure 4a and 4b) Figure 4a Figure 4b Figure 4c 4. Once the BP Kiosk has been relocated, reinsert the sign, securing the two (2) hex screws that were previously removed in Step 3, and insert the window posters. (Figure 4c) Page 25 of 49

27 The Functionality of the Online Blood Pressure Tracker For Pharmacy, Patient Training and Worksite/Managed Care Facility Review TM TM 1. Accessing the PharmaSmart Blood Pressure Tracker through the PharmaSmart or pharmacy website. To Log In: a. Enter the Unique Access Code (UAC) found the back of the Smart Card in the Unique Access Code field on the tracker. b. Enter the patient s birth month and birth year and select the Log In! button. i. Note: When logging in as a first time user, a pop screen will appear to confirm that the birth month and birth year that was added is accurate. TM 2. Viewing the blood pressure results in the Blood Pressure Tracker Range Selector, Average Blood Pressure Reference (value and stage), Historical Blood Pressure Chart or Table. Page 26 of 49

28 The Functionality of the Online Blood Pressure Tracker For Pharmacy, Patient Training and Worksite/Managed Care Facility Review TM TM 3. Accessing the Glucose Tracker within the Blood Pressure Tracker Range Select, Glucose Level Indicator and Glucose Chart or Table. TM 4. Accessing the HbA1c Tracker within the Blood Pressure Tracker Range Select, Sugar Level Indicator and Sugar Chart or Table. Page 27 of 49

29 The Functionality of the Online Blood Pressure Tracker For Pharmacy, Patient Training and Worksite/Managed Care Facility Review TM TM 5. Accessing the Cholesterol Tracker within the Blood Pressure Tracker Range Select, Cholesterol Level Indicator and Cholesterol Chart or Table. TM 6. Accessing the Weight/BMI Tracker within the Blood Pressure Tracker Range Select, Weight/BMI Indicator and Weight/BMI Chart or Table. Page 28 of 49

30 The Functionality of the Online Blood Pressure Tracker For Pharmacy, Patient Training and Worksite/Managed Care Facility Review TM 7. Accessing the HHS Million Hearts Risk Assessment Risk Check Results with the Risk Rating and Risk Rating for Age Chart and Explanation. (US Customers Only) 8. Setting up the patient account information Your Preferences, Display, Notifications. Account Information Option Page 29 of 49

31 The Functionality of the Online Blood Pressure Tracker For Pharmacy, Patient Training and Worksite/Managed Care Facility Review TM 9. Share the results with the physician - or Print all results. Page 30 of 49

32 Modèle PS2000 avec Connexion Votre guide pour devenir un Expert de la Gestion de Tension Artérielle POUR TOUTE QUESTION : Contactez-nous au : ou visitez-nous à l adresse suivante : PharmaSmart se fera un plaisir de répondre à toutes vos questions!

33 Tables des matières Introduction à PharmaSmart et biographie du programme et 35 Se préparer à commencer et 37 Services en pharmacie (fonctionnement du kiosque) Services en pharmacie (entreposage, changement de carte ou de papier) Brassard de tensiomètre et exactitude des données du kiosque et 41 Exactitude du programme de tension artérielle Questions et réponses Apprentissage du phénomène de fluctuation de la pression artérielle Services en pharmacie Mise en service des points de vente et 46 Document Explicatif Du Fonctionnement Du Site Internet et 49 Page 32 of 49

34 PharmaSmart Inc. Introduction et biographie du programme PharmaSmart est fier d introduire un service en pharmacie complet qui révolutionnera la vente de systèmes d analyse de tension artérielle. Notre compagnie est à l avant-garde des programmes de soins de santé, c est pourquoi nous avons créé ce guide offrant un bref aperçu de notre technologie et de notre mission. «Les experts en gestion de tension artérielle» Le programme PharmaSmart a été mis sur pied dans le but de transformer votre pharmacie en un centre d «Experts en gestion de tension artérielle». Nous offrons une technologie brevetée et un programme accessible de mise en marché et de mise en service. Le but de ce programme est d optimiser les relations entre vos pharmaciens et leurs patients souffrant d hypertension, d améliorer leurs connaissances, d assurer la conformité des soins prodigués et de vous permettre d offrir un service de qualité supérieure. Avantages et bénéfices pour les patients ayant recours au programme de gestion de la tension artérielle de PharmaSmart Le programme PharmaSmart se distingue des programmes existants, et ce, dans cinq domaines essentiels : la technologie, la connectabilité, l image de marque, les services en pharmacie et la création de nouveaux revenus. La technologie : Le PS2000C répond aux normes de l HIPPA et est approuvé en clinique. Le tensiomètre utilise la technologie «Smart Card» qui permet de faire le suivi des résultats obtenus par les patients lors des prises de tension et permet également d obtenir un rapport détaillé imprimé. PharmaSmart s engage à offrir une technologie à «un seul bouton», ce qui assure une grande facilité d utilisation et un usage optimal par le client. Page 33 of 49

35 La connectabilité : En utilisant une technologie sans fil et un protocole «Smart ID» breveté, le PS2000C peut télécharger des données dans notre système Internet de traqueur de tension artérielle en ligne permettant ainsi aux pharmaciens et aux patients d y avoir accès en tout temps à partir de n importe quel ordinateur. L image de marque : Tous les éléments (logiciels, cartes Smart, billets, enseignes, portail en ligne) peuvent être marqués du nom de votre pharmacie afin de promouvoir et soutenir vos objectifs d affaires et offrir crédibilité à votre entreprise. Vous pouvez ainsi faire connaître votre marque à l intérieur et à l extérieur de votre pharmacie. PharmaSmart offre aux pharmacies détaillantes un pouvoir compétitif et un avantage distinct qui sauront plaire à vos clients souffrant d hypertension. Les services en pharmacie : Le programme offre à votre pharmacie un forfait accessible qui permet d offrir à la clientèle un service de haute qualité. La création de nouveaux revenus : PharmaSmart offre un produit et un service qui permettent non seulement d offrir un service de haute qualité aux patients souffrant d hypertension, l entreprise transforme également ce service en une possibilité de revenus nouveaux. En encourageant votre équipe de pharmaciens à devenir des «Experts en hypertension», le programme PharmaSmart engendrera d importants profits via la vente de cartes Smart. Page 34 of 49

36 Transformer votre pharmacie en centre d «Experts en gestion de la pression artérielle» PharmaSmart offre les outils et le soutien nécessaire pour transformer votre pharmacie en une entreprise ressource libellée «Pharmacist First» (pharmaciens en premier) reconnue pour ses connaissances en tension artérielle, ses informations pertinentes, ses conseils et son soutien thérapeutique. (Voir Exécution des services en pharmacie dans ce manuel) Information destinée aux docteurs : Mis sur pied en 2008, notre forfait de séances informatives permet aux physiciens de connaître les bénéfices uniques des analyses de pression artérielle réalisées entre les visites chez le médecin. Notre programme renforce votre position en tant que chef de file et vous permet de TM devenir un partenaire indispensable dans la communauté en ce qui a trait à la gestion de la pression artérielle. En vous offrant une solution simple et accessible pour tester et ainsi prévenir ou contrôler l hypertension, le programme PharmaSmart entraînera les patients diabétiques et hypertensifs directement dans votre pharmacie pour des analyses en attendant leur prochaine visite en clinique ou à l hôpital. Conclusion L hypertension est la maladie incontrôlable numéro 1 aux États-Unis et au Canada. Tout patient diabétique, hypertensif et hypertensif labile est un candidat à l offre de carte Smart et aux consultations qui s y rattachent. PharmaSmart offre les outils et le soutien nécessaires pour transformer votre pharmacie en une entreprise ressource reconnue pour ses connaissances en tension artérielle. Cette position distinguera votre pharmacie des autres entreprises et vous offrira une nouvelle source de revenus. Notre équipe expérimentée sait que la mise en œuvre de chaque détaillant est unique. Nous avons bien hâte de travailler avec vous afin de développer un programme révolutionnaire personnalisé en accord avec vos objectifs d affaires et votre identité Page 35 of 49

37 Se préparer à commencer le programme de gestion de la tension artérielle PharmaSmart Idées d affaires pour optimiser votre succès à l aide de méthodes simples LISEZ VOTRE MÉMO CORPORATIF. REGARDEZ la VIDÉO de formation sur CD-Rom À VENIR (si vous avez débuté avant cette étape, veuillez nous contacter et nous vous enverrons la dernière vidéo de formation cette vidéo sera également disponible via notre site : PRENEZ NOTRE formation continue accréditée par l ACPE (Accreditation Council for Pharmacy Education) GRATUITE SUR LA GESTION DE LA TENSION ARTÉRIELLE ET LES CONSULTATIONS disponible au début Veillez à ce que toutes les enseignes et tous les menus soient visibles. Les consommateurs doivent être en mesure de lire les enseignes et menus concernant le service offert. Placez des enseignes là où les consommateurs pourront les voir. Utilisez des bavards sur les tablettes où sont placés les médicaments pour le cœur et les produits en vente libre. Il est très important de communiquer avec les patients/consommateurs. o Tous les membres du personnel doivent informer les patients/consommateurs du service offert et demander à chaque personne avec une prescription pour hypertension ou diabète s il ou elle aimerait profiter du nouvel outil de gestion de la tension artérielle, soit la carte Smart. o Informez tout le monde du nouveau programme de gestion de tension artérielle et de son fonctionnement. Placez des feuillets promotionnels dans les sacs des clients. Ne visez pas uniquement les gens hypertensifs ou diabétiques, toute personne peut être intéressée à obtenir un suivi de sa tension artérielle et à gérer plus adéquatement sa santé cardiaque. Vous seriez surpris de constater que vos patients n obtiennent pas nécessairement toute leur médication dans votre pharmacie. Toute personne devient donc sujette à votre promotion de service. Page 36 of 49

38 N oubliez pas d entrer en contact avec les physiciens de votre région. o Informez tous les fournisseurs de produits médicaux de votre région du service innovateur que vous offrez. Divulguer cette information aidera les patients à mieux gérer leur tension artérielle et à assurer la conformité de leur médication. Les physiciens locaux incluent les spécialistes en maladies cardiovasculaires et en diabète. Envoyez votre information par courrier aux physiciens de votre région. o Envoyez votre information par courrier dans un rayon de 35 kilomètres. o Envoyez un fax promotionnel informant les docteurs de votre service en pharmacie. Vous pouvez envoyer ce fax à tous les docteurs de votre région. o N oubliez pas d utiliser l enseigne de bureau du docteur ciblé. o Lorsque vous offrez de l information à un docteur, demandez-lui si vous pouvez placer une affiche dans son bureau. Pendant leur temps d attente, les patients pourront prendre connaissance de votre affiche et ainsi mesurer leur intérêt face à la gestion de leur tension artérielle. o Ces affiches devraient être placées dans des bureaux prescrivant un nombre important de médications liquides. o Des affiches additionnelles peuvent être achetées au coût de 10,95 $ o Donnez également au docteur vos cartes professionnelles à distribuer à ses patients. Information relative aux commandes o Référez-vous à votre mémo corporatif ou à votre gestionnaire de chaîne de demande pour connaître les procédures de commande pour votre pharmacie. o Pour commander par téléphone, appelez au Pour commander par fax, composez le Pour passer une commande en ligne, envoyez un courriel à l adresse suivante : [email protected]. o Il n y a pas de minimum de commande. Toutes les commandes reçues avant 14 h, heure normale de l Est, seront envoyées la même journée. Toutes les commandes reçue après 14 h, heure normale de l Est, seront envoyées le lendemain. Tous les coûts associés à l envoi seront inclus dans la facture. Page 37 of 49

39 Familiariser votre équipe avec le kiosque de tension artérielle modèle PS 2000 Étapes faciles de fonctionnement 1. Clé et compartiment d entreposage : La clé est placée sous le siège. Elle doit être laissée à la pharmacie et accessible à tous les membres de l équipe 2. Cartes Smart : Ces dernières sont des éléments activés dans votre caisse enregistreuse, elles doivent être admissibles et accessibles à la mise en vente à votre comptoir pharmaceutique. 3. Changer le papier d impression : Cinq étapes faciles pour les pharmaciens, les techniciens et les commis au comptoir pharmaceutique A. Kiosque Compartiment d entreposage Clé : PLACÉE SOUS LE SIÈGE ET ACCESSIBLE EN TOUT TEMPS. Utilisez la clé pour débarrer Le compartiment pour entreposage est situé SOUS LE SIÈGE Pour entreposage de papier et de rapports B. Cartes Smart = Elle doit être ACTIVÉE dans votre caisse enregistreuse. En assurer l accès au comptoir pharmaceutique (comptoir de dépôt et de réception). Scannez le code à barres pour effectuer la vente Page 38 of 49

40 Changement et débourrage de papier Étape 1 : Tête de kiosque Déverrouillez la tête de kiosque avec la même clé utilisée pour le compartiment de rangement. Soulevez le panneau et tirez légèrement pour verrouiller le panneau en place *Relâchement du bouton Étape 2 : Relâchement du bouton Sur l imprimante, tirez sur le levier de commande rouge pour ouvrir le panneau de métal. Étape 3 : Chargement du papier Insérez le raccordement du papier dans le rouleau à papier. Chargez le papier dans la zone désignée. Assurez-vous que le papier passe bien sous le rouleau. Étape 4 : Fermeture du panneau Tirez suffisamment sur le papier pour qu environ un pouce de papier excède lorsque le panneau de métal est fermé. Assurez-vous que le papier est droit avant de fermer le panneau de métal. Déchirez l excédent de papier une fois que le panneau est fermé. Pour tout problème, appelez au *Relâchement du bouton Étape 5 : Débourrage de papier Ouvrez la tête de kiosque et tirez sur le levier de commande rouge pour ouvrir la porte de métal. Retirez l excédent de papier qui peut être la cause du bourrage. Suivez les instructions ci-dessus pour installer de nouveau le rouleau de papier. Lorsque terminé, fermez la tête de kiosque et la verrouiller. Assurez-vous que le papier est correctement installé. Pour tout problème, appelez au Page 39 of 49

41 Exactitude clinique de PharmaSmart Confection des brassards Rapports d exactitude, Exactitude : Question et Réponses et Technologie brevetée de brassard pour tension artérielle (Brevet américain: #: 7,166077) La conception technologique du brassard itératif de PharmaSmart permet une lecture précise de tous les types de bras d adultes, atteignant la même précision que les petits, les moyens et les grands brassards. Le brassard maintient uniquement une largeur idéale pour toutes les circonférences de bras. On élimine ainsi le problème que cause un mauvais choix de brassard ou une mauvaise utilisation. En plus, le brassard PharmaSmart pivote sue deux axes pour offrir un confort maximal À L'utilisateur et pour permettre une posture convenable. Pivote Largeur idéale tenue par le brassard Largeur idéale tenue par le brassard Pivote Petit bras Grand bras Le brassard maintient une largeur idéale (43% de la circonférence). Le brassard pivote sur 2 axes pour s ajuster au bras. Page 40 of 49

42 Blood Pressure Kiosk Model PS2000 with Connectivity Basic Program Details: 1. Key & Storage Compartment (Figure A) The storage compartment is underneath the seat of the kiosk. The key should be placed in a safe, universally accessible place in the pharmacy. This will keep the key from getting lost. a. The key will unlock both the head of the unit and the storage compartment. 2. Smart Cards (Figure B). Are active items and available for use. If retailer, the UPC on the backside of both the card and carrier should register a retail value. If you are experiencing issues please consult your program administrator. Figure A - PharmaSmart Kiosk Storage and Key NOTE Storage Compartment is located underneath seat. Things to keep in the storage compartment at all times: all paper, recharge card/instructions, connectivity card/instructions, BP logs. Figure B - PharmaSmart Smart Cards UPC Barcode Customer UAC Page 10 of 30

43 EXACTITUDE DU MONITEUR DE TENSION ARTÉRIELLE QUESTIONS ET RÉPONSES Q : Est-ce que le système PharmaSmart est exact? Oui. La technologie PharmaSmart a été entièrement validée à l aide d études cliniques indépendantes publiées. Les recherches ont permis de déterminer que l équipement PharmaSmart est conforme aux exigences et normes de l AAMI (US-FDA) et du BHS (UK). Les mesures obtenues par l appareil sont équivalentes à celles obtenues par les techniciens qualifiés en tension artérielle. La recherche clinique est disponible sur notre site : Q : Est-ce que les utilisateurs obtiennent des lectures plus élevées avec le système PharmaSmart qu avec notre ancien système de tension artérielle? Quelques-uns de vos utilisateurs de tensiomètre devront s ajuster au nouveau système PharmaSmart et peuvent avoir l impression que leur lecture est plus élevée ou plus basse qu à l habitude. Les raisons de es divergences peuvent être les suivantes : 1) Hypertension réactionnelle : Des études prouvent que près de 20 % des patients avec une légère hypertension sont sujets à l hypertension réactionnelle, soit une pression vasculaire accrue résultant de l exposition à une étude clinique. Les patients peuvent expérimenter une hausse significative due à l utilisation d un appareil auquel ils ne sont pas familiers. 2) Fluctuation normale : Il est normal que la tension artérielle fluctue de façon significative. Plusieurs utilisateurs interpréteront les lectures hautes ou basses comme des lectures inexactes, lorsqu en réalité il ne s agit là que de fluctuations normales. Encouragez les patients à prendre en note leurs lectures afin d évaluer leur «moyenne». La carte Smart est conçue spécialement pour ce suivi. Q : Que faire si plusieurs personnes expriment leur inquiétude face à l exactitude de l appareil dans la même journée? Plusieurs appareils PharmaSmart font plus de 100 tests par jour. Deux ou trois inquiétudes relatives à l exactitude représentent un pourcentage très peu élevé. Encore une fois, invitez les patients à noter leur historique de lecture afin de déterminer leur «moyenne». Q : Que dois-je répondre à un client qui est incertain face à sa lecture? Assurer une utilisation adéquate : L utilisateur devrait être au repos en position assise. Ceci l aidera à maintenir sa tension à un niveau normal. De plus, un diagramme sur le panneau d instructions démontre la façon correcte de positionner le bras. Le coude devrait passer complètement au travers le brassard et reposer sur la surface de la «tablette». Les patients ne doivent pas parler ou bouger pendant le test. Informez les patients à propos fluctuations de tension artérielle : L information sur l appareil PharmaSmart spécifie que : «La pression artérielle fluctue de façon normale. Des études démontrent que les pressions systolique et diastolique peuvent changer de 10 à 30 points en quelques minutes. La moyenne des mesures btenues fréquemment sur une certaine période de temps est la meilleure indication de votre tension artérielle.» De plus, voir le feuillet joint à ce document portant sur la fluctuation. Ce dernier peut être remis à titre de pamphlet explicatif. Encouragez le suivi à l aide des cartes Smart : Les cartes Smart de suivi permettent aux utilisateurs de déterminer leur tension moyenne à partir de leurs multiples lectures. Cliniquement, cette information est plus utile qu une ou deux lectures prises lors d un même test. Encouragez tous les utilisateurs à faire un suivi grâce aux cartes Smart. POUR TOUTE AUTRE QUESTION : Appelez PharmaSmart au Page 42 of 49

44 Fluctuation de la tension artérielle La tension artérielle fluctue La fluctuation de la tension artérielle peut être un phénomène difficile à comprendre pour vos patients et pour les membres de votre équipe. Afin de vous aider à leur expliquer ce concept, nous vous invitons à vous référer au tableau plus bas. Le tableau illustre graphiquement à quel point la tension artérielle peut fluctuer dans une même journée. Le tableau a été conçu à l aide de données obtenues par un moniteur de tension artérielle ambulatoire porté pendant 24 heures consécutives par une seule personne. La tension moyenne de cette personne est d environ 144/87, mais la tension systolique a varié entre 118 et 184, et la tension diastolique a varié entre 70 et 120. Plusieurs facteurs influencent la pression sanguine et ces fluctuations devraient être considérées normales. Encouragez les utilisateurs du kiosque de prise de tension artérielle à prendre de 8 à 10 lectures sur une certaine période de temps. Ils pourront ainsi avoir une indication plus juste de leur tension artérielle moyenne. Pour plus d information, contactez PharmaSmart au Page 43 of 49

45 Recevoir son équipement de service en pharmacie Services en pharmacie Mise en service et formation du personnel Page 44 of 49

46 Comment relocaliser le kiosque Veuillez noter que la calibration du kiosque pour la tension artérielle ne sera pas affectée si un soin raisonnable est pris lors de la relocation. Si le kiosque de tension artérielle nécessite un entretien, il affichera un code d'erreur autre que 00 au démarrage 1. Débranchez le kiosque et le câble Ethernet ou Linksys (si applicable) et assurez-vous que ces derniers sont en sécurité en les entourant autour du brassard ou de la tablette. Ceci évitera l enchevêtrement des fils pendant le déplacement (image 1). Figure 1 2. Positionnez le socle roulant derrière le kiosque (image 2). Veillez à ce que le cordon d alimentation ne frotte pas sur les roues du socle roulant et assurez-vous que le kiosque soit bien balancé afin que ce dernier ne tombe pas. Figure 2 3. Penchez le socle et déposer le kiosque sur les parois. 4. Relocalisez le kiosque à son nouvel emplacement en prenant soin d ajuster les pieds pour assurer sa stabilité. Vérifiez le chargement de papier et tester ensuite le kiosque. 5. Branchez le cordon d alimentation dans une prise au sol (si applicable), l Ethernet et le fil Linksys. Une fois le kiosque branché, testez le kiosque en effectuant quelques lectures. Page 45 of 49

47 Instruction spéciales 1. Si le kiosque de tension artérielle est déplacé par camion (ou autre véhicule), ne couchez pas le kiosque sur le dos ou sur le côté. 2. Retirez les enveloppes de plastique, qui tiennent l affiche et l enseigne, et placez-les dans un endroit sécuritaire jusqu à ce qu elles soient réinsérées dans le nouvel emplacement (images 3a et 3b). Figure 3a Figure 3b 3. Enlevez le panneau indicateur et l enseigne en plastique en utilisant la clé hexagonale pour retirer les deux (2) vis. Transportez-les en les tenant en position debout et placez le panneau et l enseigne endroit sécuritaire pour prévenir les dommages (images 4a et 4b). Figure 4a Figure 4b Figure 4c 4. Une fois le kiosque relocalisé, réinsérez l enseigne, en vissant les deux (2) vis retirées préalablement (étape 3) et insérez l affiche (image 4c). Page 46 of 49

48 DOCUMENT EXPLICATIF DU FONCTIONNEMENT DU SITE INTERNET À L'INTENTION DES PATIENTS Page 47 of 49

49 Entrez votre code d'accès unique 2 fois. Cliquez sur "Ouvrir une session". Exemple d'un tableau et d'un graphique Page 48 of 49

50 Pour envoyer les lecturesà un médecin ou toute autre personne Historique des lectures Page 49 of 49

51 Page 30 of 30