Best workflow:
Missed Transmissions, Disconnected Monitors, Scheduling
We do this so we can have an accurate amount of "snoozed patients" with the gray disconnect symbol on the Missed Transmission List. This ensures we are catching wireless patients who do not stay remotely connected, and require reminder calls when to send in their transmission as they are due based on the PML schedule.
List the steps to export a transmission in Latitude.
Describe the Merlin Disabled Monitoring feature and how we use it.
Where can you find old transmissions in a patient Biotronik chart?
Recordings Tab
What type of search can you use in CareLink to find if a patient was discontinued in CareLink?
Advanced Search, Clinic Transactions, Patient Transaction Search
Where is the location of the Latitude User ID and Security Questions?
The User ID is listed in the “User ID and Password” section. This will be different for each clinic.
Provide the difference between the Transmission tab and All Transmissions in the Merlin patient chart.
Biotronik patients whose devices are disconnected for ---, will automatically be sent to a Deactivated list.
>90 days
List the steps to follow when you get a Notice of Device Replacement.
Select “Remind Me Later”
Open the patient’s PML chart
Document this note - “There is a notice of device replacement for this device. Please go to Carelink and either accept or edit the new device information.” as a pending “PaceMate Request” note
Snooze the patient off the disconnect list/Acknowledge the patient off the missed f/u list. We will not contact the patient regarding the old device currently showing on the account
Provide the steps to addressing a patient with a transferred status.
-Click into the patient’s chart by clicking on their name to open their chart.
-Pull the patient up in PML, mark them as transferred, and put them in your emails to the clinic. If the patient does not have a PML account, add to your emails only (be sure to do this before you unenroll).
List the Merlin.net Unenrollment steps.
Verify clear instruction from the clinic/customer to unenroll patient from Merlin.net.
Release patient from Merlin – select “Remove from Merlin.net”
Disable “Direct Alerts” in Merlin.net
Paste this note into Merlin.net Connectivity Note box and Save: Patient has been unenrolled from Merlin.net per clinic request on [date]. Alert checks and wireless schedule have been deactivated per protocol.
Disable wireless schedule in Merlin.net
Repeat same note into a pinned PaceMate Request note in PaceMate LIVE
Turn Do Not Call slider on in PML
Name 3 devices that are affected by Sleep Mode.
acemakers:
Defibrillators: Rarely seen as they are older models
All loop recorders
A patient has a Cobalt implanted. The patient does have a DX code for Heart Failure and the clinic does dual billing. Give the correct schedule interval for a Cobalt.
31 days
Provide the steps to follow for a Disabled Monitoring alert in a Latitude patient chart.
Do NOT send a call to the patient for either disconnection or transmission request.
What secondary worklist do Merlin inductive monitors show up on when a transmission is missed?
PaceMate LIVE Missed F/U
Provide the difference between the last medical message and last technical message under the transmitter tab.
Last medical message – this is the last time the monitor connected to the patient’s device
Last technical message -- this is the last time the monitor connected to the network/Biotronik.net
Give the written SharePoint explanation of the LINQ symptom activator.
The Reveal Patient Assistant is a hand-held, battery-operated device about the size of a deck of cards. When placed over the Reveal LINQ device and the button pressed, it triggers the device to store the previous 7.5-15 minutes of your heart rhythm and mark the place on the heart record when patients are fainting, or other symptoms occurred. If successful, a green light illuminates to confirm.
The monitor cannot find a tower or open line
Provide the most EFFICIENT steps to accomplish Merlin scheduling.
True or False: Biotronik devices can connect with a patient during the day
False: Biotronik transmissions (when automated/scheduled) are device driven; meaning that transmissions are initiated by the device looking to make contact with the monitor at specific times. Biotronik bedside monitors must be kept next to the patient's sleeping area because the device will only make contact with the monitor overnight.