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Page 1 of 49PS2000 - Health Screening Kiosk Program Manual

Table of ContentsPharmaSmart Intro & Program Biography........................................................................

Getting Started..........................................................................................................................

Product Replacement...............................................................................................................

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............................................................

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French Manual start on Page 31


PharmaSmart Health Screening Program - Introduction and ProgramBiography

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) 781-0323 and selecting Option 3.

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!

iPhone

iPad

Android

PharmaSmart’s Program Offers:

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“I conducted a survey of the seven leading North American manufacturer websitesand found only one of the companies provided clinical validation data on theirwebsite. I then sent a questionnaire, by registered mail, to the Regulatory Directors ofthe seven manufacturers, only one company provided a complete and satisfactory response (PharmaSmart)”

Dr. Bruce Alpert, M.D.Are Kiosks Blood Pressure Readings Trustworthy?November 15, 2012

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Model PS2000

With Connectivity

Clinically ValidatedPeer Reviewed



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Benefits & Advantages of the PharmaSmart Blood Pressure Program

Technology - The PS2000 kiosk is HIPPA/PIPEDA compliant and clinically validated. Thisblood pressure monitor utilizes Smart Card technology, which conveniently tracks the patient’sindividual readings over time. By using the Smart Card, the patient will also be provided adetailed, printed report when they measure their blood pressure on the kiosk. PharmaSmart’scommitment to a one-button operation ensures ease of use, maximizing consumer usage. Connectivity - The PS2000 kiosk utilizes wireless, wired or M2M internet technology, and apatented Smart ID protocol to communicate patient results from the kiosk to our HIPAA(privacy) compliant PS DataSmart server. From the PS DataSmart server, patient data ismade available to patients and their healthcare providers though the PharmaSmart BloodPressure Tracker health portal, providing a comprehensive, historical report from anycomputer or mobile device. In many instances, patient data is made available to thepharmacist or physician directly from within their clinical system. Ask PharmaSmart if yourclinical system vendor is an integrated partner.

Clinical Validation - PharmaSmart kiosk technology meets AAMI /ANSI /ISO standardsand 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, mediumand large arm sizes. Visit our website at www.PharmaSmart.com 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 marketingobjectives, increasing the reach of your brand both inside and outside the pharmacy. PharmaSmart offers retail pharmacies a distinct competitive advantage with the high valuehypertensive patient.

The program focuses on five core areas: Technology, Clinical Validation, Services, Revenue (if applicable) & Branding (if applicable)

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Revenue - PharmaSmart provides the program and tools that create added value for thehypertensive patient, and converts them into a new and recurring revenue opportunity. Byempowering your staff to become “Experts in Hypertension,” the PharmaSmart program willdrive significant and sustainable profits from multiple sources.

Service - Our technical support and Customer Service Advisors are available 24/7 by calling1 (800) 781-0323, Option 3.

AAMI – 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. ANSI – 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. 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. 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.

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Becoming an Expert in Blood Pressure Management

Your kiosk program is equipped with the tools and support necessary to transition your site intoan advanced blood pressure screening and health management resource center. The program willallow 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. Theprogram educates your top prescribing physicians on the unique benefits of the PharmaSmartprogram for critical between visit and out of office blood pressure testing and monitoring. Ourretailer branded detailing program reinforces your position, the pharmacy, as a leader and atrue partner in community blood pressure monitoring. By providing a practical solution formanaging the hypertensive patient, the PharmaSmart program will drive hypertensive anddiabetic patients to your pharmacies for “between visit” hypertension management. Theprogram will help drive new prescription business, and increase your collaborative careopportunities with local physicians.

Workshops (Pharmacy/Worksites sites): Workshops help program participants gain a strongunderstanding of effective blood pressure management, including education on device validity,proper measurement technique, uses of the Smart Card and online portal, and the importanceof a personal, historical record of the blood pressure results. PharmaSmart is qualified to assistwith the preparation and administration of your workshop experience (costs may apply).

Certified Education (Pharmacy/Worksite/Medical Professional): PharmaSmart is buildinga Continuing Education (CE) platform designed to provide the latest advancements in key topicrelated protocol. We are always updating our educational and clinical research anddocumentation. For the latest news and offerings that may impact you directly please visitwww.PharmaSmart.com.

*Model PS2000 Classic and Select customers qualify for upgraded premium support services.Please contact your account representative for details.


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) 781-0323, Option 3 or visit our website at

www.PharmaSmart.com.

Conclusion

Getting Started with PharmaSmart Blood Pressure Management Program

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��,I�DYDLODEOH��watch training VIDEO on DVD or access video by visiting www.PharmaSmart.com.

��,I�SKDUPDF\�RU�ZRUNVLWH��'LVSOD\�DOO�SURYLGHG�HGXFDWLRQDO�DQG�PDUNHWLQJ�PDWHULDOV�LQ�D�YLVLEOH 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) 781-0323, Option 3.

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1. 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 email notification and conduct regular staff trainings.

a. You may be eligible for onsite training. Contact your account representative for details.

��&RPPXQLFDWH�WR�DOO�WKH�PHGLFDO�SURIHVVLRQDOV��SK\VLFLDQV��FDUGLRYDVFXODU�VSHFLDOLVWV��GLDEHWHV 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



PharmaSmart Blood Pressure Machine Product Replenishment & Ordering Information

1. To order by phone: please call 1 (800) 781-0323, Option 3 2. To order by fax: 1 (585) 427-8165. 3. To place an order online: Email 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.


Blood Pressure Kiosk Model PS2000 with Connectivity

Basic Program Details:

1. Key & Storage Compartment (Figure A) ��7KH�VWRUDJH�FRPSDUWPHQW�LV�XQGHUQHDWK�WKH�VHDW�RI�WKH�NLRVN��7KH�NH\�VKRXOG�EH�SODFHG�LQ�D�VDIH��XQLYHUVDOO\�DFFHVVLEOH�SODFH�LQ�WKH�SKDUPDF\��7KLV�ZLOO 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).

��$UH�DFWLYH�LWHPV�DQG�DYDLODEOH�IRU�XVH��,I�UHWDLOHU��WKH�83&�RQ�WKH�EDFNVLGH�RI�ERWK�WKH�FDUG and carrier should register a retail value. If you are experiencing issues please consult your program administrator.

Figure A - PharmaSmart Kiosk Storage and Key

Figure B - PharmaSmart Smart Cards

NOTEStorage Compartment is located underneathseat.

Things to keep in the storage compartmentat all times: all paper, rechargecard/instructions, connectivitycard/instructions, BP logs.

UPC Barcode

Customer UAC

How to Change Paper & Fix a Paper Jam Instructions - PS2000

* Release Lever

Step 3: Load Paper -Insert paper roll. Loadpaper in the designatedarea. Be sure that thepaper is coming underthe roll. Loadingincorrectly will causepaper to print outblank.

Step 5: Fixing Paper Jam/Clear Error - Open Kiosk Head, push the red releaselever back to open metal door. Removeany excess paper that may be causing thepaper jam. To clear any errors, reset thekiosk by unplugging the power. Uponrestart the kiosk will print a startup report.This will ensure printer is working.

Step 4: Close DoorPull out enough paper so when the metaldoor is shut, you will have about one inchof paper showing. Make sure that thepaper is straight before closing metal door.

Step 1: Kiosk Head - Unlock the Kiosk Headwith the same key used forthe storage compartment.Lift the door and pull outgently to lock the door inplace.

Step 2: Release Lever -On the printer, push thered release lever back toopen the metal door.Note: Do NOT Pull on theprinter. This will cause itto be misaligned.

*Release Lever



PharmaSmart Clinical AccuracyPharmaSmart Accuracy Statement

PharmaSmart PS2000 Proven Accuaracy

The PharmaSmart PS2000 blood pressure monitor is designed to measure blood pressure inaccordance with AHA guidelines for general screening: seated, brachial artery measurement atthe level of the heart.

The model PS2000 oscillometric technology and unique cuff design has been clinically evaluatedfor compliance with The Association for the Advancement of Medical Instrumentation’s standard(AAMI) and to a modified British Hypertension Society (BHS) Protocol. The clinical study wasperformed at the University of Tennessee, and the results were published in the technical researchjournal 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 22to 38 cm in circumference. Resting systolic BP ranged from 91 to 252 mmHg, and resting diastolicpressure ranged from 57 to 160 mmHg. There were 44 males, and 41 females. For each subjectthe readings obtained by the PS2000 were compared with auscultatory readings obtained by twoclinicians, blinded to the results of each other and the device. The manual reference measurementswere 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 werevery small (0.07 systolic and –0.3 diastolic). Further, when analyzed in accordance to the BHSevaluation protocol, the PS2000 achieved the highest grade - an 'A'. It is well suited for its roleas a high volume, self-administered BP screening device."

To view the full text of the published clinical study, visit our website at www.PharmaSmart.com.

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Association for the Advancement of Medical Instrumentation, American National standard: Manual, electronic or automated sphygmomanometers. Arlington, Virginia: AAMI; 2002 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 Alpert BS. Validation of the Pharma-Smart PS-2000 public use blood pressure monitor. Blood Pressure Monitoring 2004, 9:19-23

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Patented BP Cuff Technology (US Patent #: 7,166,077)

The PharmaSmart non-invasive cuff incorporates a breakthrough design that enablesaccurate readings for the full range of adult arm sizes, achieving accuracy that wouldtraditionally require small, medium, and large cuff sizes. The cuff uniquely maintains the ideal contact width for different arm circumferences. This eliminates the problemscaused by improper selection or application of the cuff. The PharmaSmart cuff alsoswivels on two planes to provide maximum user comfort, and allow correct posture.

US Patent #: 7,166,077

Clinical Cuff Design

Cross Section Cuff

PharmaSmart Accuracy Q & A

1. PharmaSmart kiosk readings are inconsistent (some high, some low).

Blood Pressure FluctuatesIt is normal for blood pressure (BP) to fluctuate significantly – as much as 15 or morepoints from breath to breath. Many users will misinterpret high or low readings as inaccuratereadings, 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 significantlyby many variables, such as exercise, coffee, smoking, illness, etc. The average of multiplereadings 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 inmeasurements differing by 15 or more points. Also, it is proven that blood pressure will varyeach 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’soffice or at home. BP fluctuates dramatically in response to the body’s demands, even in ahealthy person. Because of the fluctuating nature of BP, an average of readings over a period oftime 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 stethoscopeoften result in measurements differing by 15 or more points. This fact makes it extremelydifficult to validate device readings against manual readings.

Also, a pharmacy and worksite environment includes activity and ambient noise. Thisenvironment is not well-suited for assessing BP with a stethoscope. While manual BP readingsare compromised by such an environment (as studies have shown); it has no detrimental effect onthe PharmaSmart blood pressure kiosk. Even for a trained professional, taking an accuratemeasurement with a stethoscope is difficult due to complicating variables. These include:

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The PharmaSmart Blood Pressure kiosk has been designed to minimize the errors that arecaused by these and many other adverse conditions.



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 stethoscopeoften result in measurements differing by 15 or more points. This fact makes itextremely difficult to “validate” device readings against manual readings.

Also, note that the PharmaSmart Blood Pressure Unit has a number of advantages over homedevices. Most home use devices use a single cuff to measure BP in arms of any size – thiscauses accuracy concerns with large and small arms. The PharmaSmart Blood Pressure Unithas 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 armwith respect to the heart and to support the arm without user effort. Home-use devices do notprovide 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 fordevice 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 onPharmaSmart’s website: www.PharmaSmart.com

B. Proper Usage Technique

For any method of BP measurement (home unit, kiosk, manual, etc), proper technique is veryimportant for accuracy. When using the PharmaSmart BP Kiosk, the patient should rest seatedat the unit for a full minute prior to commencing the test. This will allow them to return to aresting pulse. Also ensure the patient uses the proper arm position. A diagram on theinstruction panel indicates the correct arm position. It is also very important that the patientremains quiet and still for the duration of the test. It is OK to take multiple readings at onesitting, 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 determinetheir average blood pressure from multiple readings taken over a period of time. Clinically, thisinformation provides a more accurate picture of a patient’s true BP, and allows for improvedprofessional consultation and patient management.


Patient: Hello, I just took my Blood Pressure on your Kiosk and it appears to provide meinaccurate 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 www.PharmaSmart.com 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.

PharmaSmart Accuracy ScriptPharmacy/Worksite Member to Patient


Blood Pressure Fluctuates Education

Blood pressure fluctuation can be a very difficult principle for your customers and yourpersonnel to understand. As an aid to explaining this concept to them, we suggest that yourefer them to the chart below.

The chart graphically illustrates just how much blood pressure can fluctuate over the courseof a single day. The information displayed was gathered by a 24 hour ambulatory BP monitorworn 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 thediastolic ranged from 70 to 120. Many factors affect blood pressure, and these types offluctuations should be expected. Please encourage users of the Blood Pressure Kiosk to takethe average of 8 to 10 readings over a period of time. Only then will they have a good indicationof their average blood pressure.

For more information:PharmaSmart Customer ServiceCall: 1 (800) 781-0323, Option 3E-mail: [email protected]


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) 781-0323, Option 3 E-mail: [email protected]


Not Pictured: Buttons = All Pharmacy Personal to wear buttons during promo periodWindow Clingers = Placed at Drive Thru Window or Consultation Window

Pharmacy Services POS Guide

Receiving a Pharmacy Service Package

Pharmacy Services - Field - Setting Up a Pharmacy & Training Rx Staff


1-800-781-0323 www.pharma-smart.com All Rights Reserved.

Marketing Material Placement GuidePharmacy Services POS Execution Model

Poster - Display� Waiting Room� Consultation Area� Pick Up & Drop Off Counter� Pharmacy Area

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 themhow 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! www.pharmasmart.com

TRACK YOUR BLOOD PRESSURE!

Be Smart!

ASK OUR PHARMACIST!

www.pharmasmart.com1-800-781-0323 All Rights Reserved.36,�*(1��0(��


Be Smart!

ASK OURPHARMACIST!

Test yourself on the blood pressurekiosk – simple and easy.

Test Regularly – The card will store 30readings and the ticket will print the averageof your last 10 results and pulse rate.

Share the printed results with ourpharmacist to help manage your health!

ASK OUR

PHARMACIST!

1-800-781-0323 www.pharmasmart.comAll Rights Reserved.

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 www.pharmasmart.com

to track your blood pressure.

Be Smart!TRACK YOUR BLOOD PRESSURE

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��

TRACK YOUR BLOOD

PRESSURE!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!

1-800-781-0323 www.pharmasmart.comAll Rights Reserved.

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ASK OURPHARMACIST!

Be Smart!

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Marketing Material Placement Guide


Marketing Material Program Profile

Ashton [email protected]

800.781.0323 x 333www.PharmaSmart.com

�Clinically validated for all arm sizes� Easy one button operation�Custom bilingual ad panels and

LCD messages

� 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

PP-ASH-6-10

PharmaSmart offers a turnkey solution that positionsyour pharmacy as “Experts in Blood PressureManagement.” Our patented technology andcomprehensive marketing/service programmaximizes your relationship with your hypertensivepatient - improving discovery, adherence, andcustomer loyalty.

The clinically validated Model PS2000 withConnectivity kiosk utilizes Smart Card technologyto conveniently track patient readings over time, andprovide detailed printed reports. Patented Smart Cardtechnology enables long-term recurring revenueopportunities. PharmaSmart’s commitment to onebutton operation ensures ease of use and maximizesconsumer usage.

All elements (software,cards, tickets, signs, online portal) can be fullybranded to support youridentity and marketingobjectives. PharmaSmart’sunique program offerscommunity pharmacies adistinct competitiveadvantage with the highvalue hypertensive patient,which will result in a boostin store traffic and bolstered bottom line.

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�Remote services enabled

Utilizing wireless internet technology, the ModelPS2000 with Connectivity can upload data to ouronline Blood Pressure Tracker , which allows patientaccess from any computer.

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Figure 10

GRASP TOP OF FRAME

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BA

Generic Kit: $49.99 Custom Kit: $84.99*J

(Shelf Talker - 6.5” x 4.625”)

Smart Cards$3.00/cardSets of 50

*Minimum of 50

D

FRM-SA-0010 Rev 4 EU

RecordLogs$7.50

Pkg of 250

M

KioskKeys$9.99Set of 2

OPaperRolls$9.75Set of 5

PaperRolls

$39.00Case of 20

K

L

Create aHealthy Heart!

Poster$21.50 ea.Minimum of 2

E

(Poster - 22” x 28”)

F

(Tent Sign - 18” x 5.5” fold to 6.25” x 5.5”)

G

(Window Clinger - 5” x 7.25”)

ShelfTalker

$1.75 ea.Minimum of 4

H

TentSign

$6.75 ea.Minimum of 2

Button$3.50Set of 4

I

(Button - 3” diameter)

DoctorDetailing

Kit$9.49 ea.

NWindowClinger$11.00

Minimum of 2

C

See Reverse for Ordering Information

Accessory Items & Supplies

*Note: Price may vary on custom design

Marketing Materials

Kiosk Inserts & HeadersProduct Showcase

PS1000LED Inserts PS2000 With Connectivity Inserts

*Top inserts are included & also customizable

Available Genericor Custom

Available Generic or Custom

GenericBag

Stuffers$14.89

CustomBag

Stuffers$28.39

GenericInsert Sets

Only$29.99

(Includes headers)

CustomInsert Sets

Only$30.99

(Includes headers)

Product Showcase and Reordering Form


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Order Form

* Pricing does not include tax ** All pricing is subject to change*** Shipping & Handling charges where applicable

See Reverse for Product Showcasewww.PharmaSmart.com 800.781.0323

For Office Use Only

Received By:Date Received:Date Processed:Date Shipped:

FRM-SA-010 Rev 4 EU

Item

ABCDEFGHIJ

MNO

KL

$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

$9.49

$49.99/$84.99

$39.00

$9.99(Set of 2)

Generic Custom Price TotalQty(Generic/Custom)

PS1000LED Inserts

PS2000 W/Connectivity Inserts

Smart Cards

Bag Stuffers

Buttons

Shelf Talker

Window Clinger

Poster

Tent Sign

$9.75Paper Rolls (5pk)

Paper Rolls (case)

Doctor Detailing Kit

Marketing Kit

Keys

(Increments of 50)

(Increments of 100)

(Minimum order of 2)





Fax this side only to: 585.427.8165Attn: Reorders

Address:

City: State: Zip Code:

Pharmacy Name/Trade Name:Store/Site Number:Contact Name:

Phone Number:

$7.50/pkgRecord Logs (Increments of 250)

PS2000 - Health Screening Kiosk Program Manual Page 24 of 49

How to Relocate the Blood Pressure KioskPlease note that Blood Pressure Kiosk calibration will not be affected if reasonable care istaken when relocating. If the BP Kiosk requires Service it will display an error code otherthan 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)

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.

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.

Figure 1

Figure 2


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)

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)

Figure 4a Figure 4b Figure 4c


The Functionality of the Online Blood Pressure TrackerFor Pharmacy, Patient Training and Worksite/Managed Care Facility Review

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.

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.

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3. Accessing the Glucose Tracker within the Blood Pressure Tracker – Range Select, Glucose Level Indicator and Glucose Chart or Table.

4. Accessing the HbA1c Tracker within the Blood Pressure Tracker – Range Select, Sugar Level Indicator and Sugar Chart or Table.

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5. Accessing the Cholesterol Tracker within the Blood Pressure Tracker – Range Select, Cholesterol Level Indicator and Cholesterol Chart or Table.

6. Accessing the Weight/BMI Tracker within the Blood Pressure Tracker – Range Select, Weight/BMI Indicator and Weight/BMI Chart or Table.

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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 InformationOption

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9. Share the results with the physician - Email or Print all results.

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POUR TOUTE QUESTION :Contactez-nous au :

1.800.781.0323ou visitez-nous à l’adresse suivante :

www.PharmaSmart.comPharmaSmart se fera un plaisir

de répondre à toutes vos questions!

ModèlePS2000 avec Connexion

Votre guide pour devenir un Expert de laGestion de Tension Artérielle


33 et 35

36 et 37

38

39

40 et 41

42

43

44 et 46

47 et 49

Introduction à PharmaSmart et biographie du programme.....................................

Se préparer à commencer..............................................................................................

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 ................................

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....................................

Document Explicatif Du Fonctionnement Du Site Internet ......................................

Tables des matières

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.



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.

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Transformer votre pharmacie en centre d’«Experts en gestion de la pression artérielle»

PharmaSmart offre les outils et le soutien nécessaire pour transformer votrepharmacie en une entreprise ressource libellée «Pharmacist First» (pharmaciensen premier) reconnue pour ses connaissances en tension artérielle, ses informationspertinentes, ses conseils et son soutien thérapeutique. (Voir Exécution des servicesen pharmacie dans ce manuel)

Information destinée aux docteurs : Mis sur pied en 2008, notre forfait de séancesinformatives permet aux physiciens de connaître les bénéfices uniques desanalyses de pression artérielle réalisées entre les visites chez le médecin. Notreprogramme renforce votre position en tant que chef de file et vous permet dedevenir un partenaire indispensable dans la communauté en ce qui a trait à lagestion de la pression artérielle. En vous offrant une solution simple et accessiblepour tester et ainsi prévenir ou contrôler l’hypertension, le programmePharmaSmart entraînera les patients diabétiques et hypertensifs directement dansvotre pharmacie pour des analyses en attendant leur prochaine visite en cliniqueou 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 decarte Smart et aux consultations qui s’y rattachent. PharmaSmart offre les outils etle soutien nécessaires pour transformer votre pharmacie en une entrepriseressource reconnue pour ses connaissances en tension artérielle. Cette positiondistinguera votre pharmacie des autres entreprises et vous offrira une nouvellesource 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 programmerévolutionnaire personnalisé en accord avec vos objectifs d’affaires et votre identité



Se préparer à commencer le programme de gestion de la tensionartérielle 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 : www.PharmaSmart.com).

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 2009.

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.


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 800.781.0323. Pour commander par fax,

composez le 585.427.8165. 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.


Familiariser votre équipe avec le kiosque de tension artériellemodèle 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.

B. Cartes Smart = Elle doit être ACTIVÉE dans votre caisse enregistreuse. En assurer l’accès au comptoir pharmaceutique (comptoir de dépôt et de réception).

Utilisez la clé pour débarrer

Le compartiment pour entreposage estsitué SOUS LE SIÈGE Pour entreposagede papier et de rapports

Scannez le code à barres poureffectuer la vente


Changement et débourrage de papier

Étape 2 : Relâchement dubouton –

Sur l’imprimante, tirez surle levier de commanderouge pour ouvrir lepanneau de métal.

*Relâchement du boutonÉtape 3 : Chargement dupapier –

Insérez le raccordement dupapier dans le rouleau àpapier. Chargez le papierdans la zone désignée.Assurez-vous que le papierpasse bien sous le rouleau.

Étape 5 : Débourrage de papier –

Ouvrez la tête de kiosque et tirez sur lelevier de commande rouge pour ouvrir laporte de métal. Retirez l’excédent depapier qui peut être la cause du bourrage.Suivez les instructions ci-dessus pourinstaller de nouveau le rouleau de papier.Lorsque terminé, fermez la tête de kiosqueet la verrouiller. Assurez-vous que le papierest correctement installé. Pour toutproblème, appelez au 1.800.781.0323

Étape 4 : Fermeture du panneau –

Tirez suffisamment sur le papier pourqu’environ un pouce de papier excèdelorsque le panneau de métal est fermé.Assurez-vous que le papier est droit avantde fermer le panneau de métal. Déchirezl’excédent de papier une fois que lepanneau est fermé. Pour tout problème,appelez au 1.800.781.0323.

Étape 1 : Tête de kiosque –

Déverrouillez la tête dekiosque avec la même cléutilisée pour lecompartiment de rangement.Soulevez le panneau ettirez légèrement pourverrouiller le panneauen place

*Relâchement du bouton

Exactitude clinique de PharmaSmart – Confection des brassards Rapports

d’exactitude, Exactitude : Question et Réponses et


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 t

enue

par le brassa

rd

Largeur idéale t

enue

par le brassa

rd

Pivote

Le brassard maintient une largeur idéale (43% de la circonférence).Le brassard pivote sur 2 axes pour s’ajuster au bras.

Technologie brevetée de brassard pour tension artérielle(Brevet américain: #: 7,166077)

Petit bras Grand bras


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

Figure B - PharmaSmart Smart Cards

NOTEStorage Compartment is located underneathseat.

Things to keep in the storage compartmentat all times: all paper, rechargecard/instructions, connectivitycard/instructions, BP logs.

UPC Barcode

Customer UAC


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 indépendantespubliées. Les recherches ont permis de déterminer que l’équipement PharmaSmart est conforme auxexigences et normes de l’AAMI (US-FDA) et du BHS (UK). Les mesures obtenues par l’appareil sontéquivalentes à celles obtenues par les techniciens qualifiés en tension artérielle. La recherche cliniqueest disponible sur notre site : www.PharmaSmart.com.

Q : Est-ce que les utilisateurs obtiennent des lectures plus élevées avec le système PharmaSmartqu’avec notre ancien système de tension artérielle?Quelques-uns de vos utilisateurs de tensiomètre devront s’ajuster au nouveau système PharmaSmart etpeuvent 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’appareildans la même journée?Plusieurs appareils PharmaSmart font plus de 100 tests par jour. Deux ou trois inquiétudes relatives àl’exactitude représentent un pourcentage très peu élevé. Encore une fois, invitez les patients à noter leurhistorique 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’aideraà maintenir sa tension à un niveau normal. De plus, un diagramme sur le panneau d’instructions démontrela façon correcte de positionner le bras. Le coude devrait passer complètement au travers le brassard etreposer 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’appareilPharmaSmart spécifie que : «La pression artérielle fluctue de façon normale. Des études démontrent queles pressions systolique et diastolique peuvent changer de 10 à 30 points en quelques minutes. La moyennedes mesures btenues fréquemment sur une certaine période de temps est la meilleure indication de votretension artérielle.» De plus, voir le feuillet joint à ce document portant sur la fluctuation. Ce dernier peutêtre remis à titre de pamphlet explicatif.

Encouragez le suivi à l’aide des cartes Smart : Les cartes Smart de suivi permettent aux utilisateurs dedéterminer leur tension moyenne à partir de leurs multiples lectures. Cliniquement, cette information estplus utile qu’une ou deux lectures prises lors d’un même test. Encouragez tous les utilisateurs à faireun suivi grâce aux cartes Smart.

POUR TOUTE AUTRE QUESTION : Appelez PharmaSmart au 800.781.0323


Fluctuation de la tension artérielleLa 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 800.781.0323


Recevoir son équipement de service en pharmacieServices en pharmacie – Mise en service et formation du personnel


Comment relocaliser le kiosque

Veuillez noter que la calibration du kiosque pour la tension artérielle ne sera pas affectée si unsoin raisonnable est pris lors de la relocation. Si le kiosque de tension artérielle nécessite unentretien, 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).

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.

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.

Figure 1

Figure 2


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).

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).

Figure 4a Figure 4b Figure 4c


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