APRIA SLP-4385 Booklet React-3B-Medical Luna-II User Guide

Your Apria Sleep Therapy
React Health Luna® II
Formerly known as 3B Medical, Inc.
User Guide

SLP-4385 Booklet React-3B-Medical Luna-II

Thank You for Choosing Apria As Your Home Medical Equipment Provider

You are receiving this because your doctor has diagnosed you with sleep apnea and prescribed a Positive Airway Pressure device for you to use while sleeping. Positive Airway Pressure therapy — also known as PAP therapy or sleep therapy — helps millions of users feel more energized and refreshed by increasing the quality of their sleep.
We are excited to accompany you on your journey to a better night’s sleep!

Ready to Get Started?
Choose What Works Best for You **| Self-Directed Care
Use the simple and intuitive user guides and online support to set up your new PAP device and self-fit the mask. You can start therapy the night your equipment is delivered!
---|---
**| Virtual Care
Initiate therapy and training through a telehealth appointment with an Apria Respiratory Therapist.
**| In-Person Care
** If you prefer in-person training, you can make an appointment at your local Apria branch to participate in a training session with an Apria Respiratory Therapist.

Having trouble? Stop and get help from an Apria Sleep Coach.
Get one-on-one sleep support and education to get your therapy progress off to a good start. Call an Apria Sleep Coach at 877.265.2426.

Overview

Your doctor has prescribed PAP therapy because you have been diagnosed with sleep apnea. Sleep apnea occurs when a person repeatedly stops breathing for 10 or more seconds at a time while sleeping. These events may occur hundreds of times throughout the night, causing oxygen levels in the blood to drop, and putting stress on the heart. If left untreated, sleep apnea is linked to many other serious conditions like high blood pressure, diabetes, heart disease, and stroke.
This guide contains easy step-by-step instructions for using your PAP equipment and is designed to help you benefit from therapy as soon as your equipment arrives. Please visit Apria.com/Sleep for all of this information and more.
You can also scan this code with your smartphone:

https://hubs.ly/Q01fGZs40

Your Device and Settings
Your CPAP machine has already been programmed with the settings your physician prescribed.

Get Started

Start your therapy tonight so you can feel refreshed in the morning.

To set up the device:

1. Place the device on a firm, flat surface.

2. Install the filter cap into the device. (To see filter cleaning and replacement instructions, go to page 21.)

3. Insert the plug of the power adapter into the DC inlet on the back of the device.
   Connect the power cord to the power adapter. Plug the other end of the power cord into the power outlet.

4. Connect one end of the tube to the air outlet of the device. Connect the other end of the tube to the mask, according to the user manual for the mask.

5. Open the water chamber cap and fill the water chamber with approximately 360 mL of water. Make sure the water does not exceed the maximum water level line.
   WARNING!
   · Change the water before every use and do not surpass the MAX fill line. CAUTION!
   · The water chamber should not be used without water in the chamber. Do not heat up an empty water chamber.
   · Distilled water is recommended.
   · Empty the water chamber when the heated humidifier is not in use.

6. Close the cap after the water is filled and return it to the device.
   IMPORTANT!
   · If the water chamber device is not in place, the CPAP machine will not turn on or operate. The water chamber must be in place for device operation.

7. Insert the SD card into the SD card slot.
   A. If the SD card is inserted correctly, a symbol indicating the correct insertion will appear in the main interface on the screen of the device.
   B. If the SD card is inserted incorrectly, a symbol indicating the incorrect insertion will appear in the main interface on the screen of the device.

CAUTION!

• If the SD card is not inserted, there will not be a symbol in the main interface on the screen of the device.
• To avoid data loss or any damage to the SD card, the SD card can only be removed after the device stops delivering air.

Get Familiar With Your PAP Equipment

If your doctor prescribed a specific mask and size, follow the fitting instructions provided by the manufacturer, then proceed to Step 3. If you received a mask with cushions of multiple sizes, follow the instructions below and on the next page.
There is a mask cushion currently attached to the frame of your mask. This size fits most patients. Once you begin therapy, if your mask is leaking or feels uncomfortable, try removing the existing cushion and replacing it with a different size cushion. If you are between sizes, it is best to use the larger cushion. Use the fitting template (for nasal mask and full-face mask) and/or the manufacturer’s instructions included with your mask for help.

Nasal Mask

1. Release the lower strap from the frame of the mask. Make sure the logo on the headgear is facing outward. While holding the mask against your face, pull the headgear over your head.

2. Position the lower straps so they both sit below the ears and adjust so they are snug.

3. Adjust the fastening tabs on the upper straps until the mask feels even and stable.
   Do not over-tighten. Reattach the fastening tabs.

4. Repeat Step 3 with the lower straps. Reattach the fastening tabs.

5. Connect the hose to the front of the mask. Ensure that the nasal mask fits securely over your nose. It is normal to feel some air escaping through the small air vents on the elbow of the hose.

Please refer to the manufacturer’s instructions for additional information on topics, such as:

• How to properly remove your mask.
• How to remove and change the mask cushion.
• How to adjust the length of the mask straps.

Nasal Pillow Mask

1. Hold the pillows away from your nose with the left (L) and right (R) indicators correctly facing toward you.
2. Guide the nasal pillows into your nostrils.
3. Pull the headgear over your head by holding the bottom strap and stretching it around the back of your head.
4. Adjust the top and bottom straps. The top strap should fit comfortably on the top of your head.
5. Ensure that the nasal pillows fit securely into your nostrils, with both pillows positioned upright. If not, move the mask away from your face and then place it back again.
6. To achieve a comfortable fit, adjust the straps. Spread the straps apart to loosen, or draw them closer together to tighten them.
7. If the headgear comes with a buckle, adjust the headgear by pulling the headgear through the buckle to fix mask leaks. Adjust only enough for a comfortable seal and do not over-tighten. The headgear may need to be adjusted as it can stretch over time.

Full-Face Mask

1. Twist and pull both magnetic clips away from the frame. With the logo on the headgear facing outward, hold the mask against your face and pull the headgear over your head.
2. Bring the lower straps below your ears and attach the magnetic clip to the frame.
3. Undo the fastening tabs on the upper headgear straps. Pull the straps evenly until the mask is stable and positioned as shown in the illustrations. Reattach the fastening tabs.
4. Undo the fastening tabs on the lower headgear straps. Pull the straps evenly until the mask sits firmly on the chin and reattach the fastening tabs.
5. Connect the air tubing from your device to the elbow. Attach the elbow to the mask by pressing the side buttons and pushing the elbow into the mask.
6. To achieve a comfortable fit, readjust the straps. Evenly apply only enough tension so that a seal is achieved.

Please refer to the manufacturer’s instructions for additional information on topics, such as:

• How to properly remove your mask.
• How to remove and change the mask cushion.
• How to adjust the length of the mask straps.

How to Attach Oxygen to Your PAP Machine
If you are using non-heated tubing, and you are also using prescribed oxygen, follow these instructions.

Attach the oxygen tee adapter that was included in the box to your PAP machine.
Next, attach the large-bore PAP tubing to the oxygen tee adapter. Finally, connect the small-bore oxygen tubing to the oxygen tee adapter.
For detailed instructions on oxygen use, you should also review the PAP and oxygen manufacturer’s user guides included in your package.
IMPORTANT SAFETY NOTE: If you are using prescribed oxygen with your PAP device, be sure to observe all the fire and safety rules associated with the use of oxygen. Follow this sequence of steps when turning your oxygen on and off.

1. Always turn your PAP machine ON before turning ON the oxygen flow from your oxygen source.
2. Always turn OFF the oxygen flow from your oxygen source before turning OFF the PAP machine.

Setting Up the Device and Tubing

1. Connect the power cord, power adapter, and tube.
2. Connect the mask and headgear according to the user manual for the mask.
3. Lie down on your bed and adjust the tube so it is free to move if you turn during sleep. Adjust your mask and headgear until you have a comfortable fit and there are no airflow leaks around the mask.
4. Turn the knob to turn on the airflow. The screen will display the treatment pressure.

CAUTION!

• Before each use, examine the tube for any damage or debris. If necessary, clean the tube to remove the debris. Replace the tube if it is damaged. Make sure that your mask does not leak air.

Start Your PAP Machine

To start therapy:

1. Power on the PAP device. Ensure that your prescribed settings are visible on the bottom portion of the screen.
2. Fit your mask and put it on.
3. Connect the tubing to the mask.
4. Lie down and take four deep breaths. Your machine may have an auto-on feature enabled. If so, the machine will automatically start when you put on the mask and start breathing. Check for air leaks. Small leaks are acceptable. If large leaks occur, try the following:
   · Grasp the mask frame and lift it away from your face. The cushions should also lift off your face. Lightly place the mask back on your face.
   · If large leaks still exist, adjust the headgear. If the headgear is either too tight or too loose, it can cause leaks.
   · Additional tips for managing mask leaks are provided on the next page. You should also review the manufacturer’s user guides provided in your package.

Helpful Tips
For Nasal and Full-Face Masks

• To resolve leaks at the upper part of the mask, adjust the upper headgear straps.
• For leaks at the lower part, adjust the lower headgear straps.
• When adjusting straps, loosen or tighten both the left and right straps so that adjustments are made evenly.
• Adjust only enough for a comfortable seal.
• The upper strap adjustment is the key to seal and comfort.
• Do not overtighten the lower straps. They mainly serve to keep the cushion in position.

For Nasal Pillow Masks

• Position the pillow cushion tips into your nostrils so they sit comfortably under your nose without any gaps. Pull the mask away from your face, then place it back to get a comfortable fit.
• Adjust the side straps evenly by pulling downward; the mask should feel secure and comfortable against your face. Do not over-tighten.
• If leaks persist, try the next larger set of cushions.
• If the pillow is not staying in place in your nostrils, try the next smaller cushion size.

Handwashing Technique
Thorough handwashing must be done prior to all procedures. Contaminated, dirty hands are one of the most common sources of infection.

1. Wet your hands thoroughly with warm water.

2. Use soap.

3. Scrub hands for 20 seconds using a rotary motion and friction. Wash:
   · Back and palm of each hand
   · Between all fingers
   · Fingernails
   Need a timer? Hum the “Happy Birthday” song from beginning to end twice.

4. Rinse your hands under the running water.

5. Dry on clean towel or with a paper towel.

For additional good health habits, visit our patient education section on Apria.com.

Get Comfortable With Your Therapy

Use your PAP therapy during all hours of sleep, including during naps.
Some people may need up to one or two weeks to adjust to PAP therapy, but the benefits are well worth it.
Ways to help you adjust:

• Try watching TV or reading while wearing your mask and headgear.
• Turn on the PAP device for short periods of time while wearing your mask to get used to the pressure.
• Use your equipment every night.
• Keep the device turned on for as long as you can tolerate, building up each night until you have reached at least 4 hours per night.
• Keep practicing until you are using PAP therapy during all hours of sleep, including during naps.

Track Your Progress

Consistency in the Use of Your Device for the Best Sleep Therapy Results
The next step in getting a restful night’s sleep is to focus on using your new CPAP device consistently for the best sleep therapy results. Adjusting to using your CPAP device regularly can be di¨cult. The 3B Luna II CPAP device provides numerous ways to track your device usage, making compliance a little less challenging. Your Apria Care Team will also need to track your usage so we can provide feedback to your referring physician and insurance.
3B Luna II Provides Four Ways to Obtain the Usage Information on Your Device
SD Card
Simply remove the SD card from your sleep therapy device and take it to your local Apria branch o¨ce. After this usage information is provided to your Apria Care Team, Apria will upload the data into the iCodeConnect® software and provide you feedback on how you are adjusting to therapy. Put your Compliance Data in the Palm of Your Hand.
iCodeConnect Software
To submit the usage information via telephone using iCodeConnect technology, contact Apria at 877.265.2426 and choose option 4, where an agent will be available to receive your iCodeConnect information.
How to Retrieve iCodeConnect Information from Device

1. Make sure the device is plugged in and turned on.
2. Enter the patient menu. Press and hold the “Ramp Button” for 3 seconds, and then you will see “Heater” shown on the screen.
3. Press “+” until you see “iCode”; make sure it is “Enable.” If not, press “Ramp Button” and then press “+” to change it to “Enable.”
4. Press “+” when you see “Save” on the screen, then press the “Ramp Button” to save the settings.
5. After that, press the “Heated Humidifier Button” once, then get “iCode 1.”
6. Repeat it, until the “iCode 365” is displayed and read the iCode Strings.

3B Luna QR App

1. On your Luna II device (CPAP LG2000, Auto- PAP LG2A00), while in the STAND-BY MODE, briefly press the ALARM SILENCE button located to the left of the selector knob.
2. You will now see the iCode, iCode QR, and iCode QR+ screens. Select “iCode QR+” by turning the selector knob clockwise or counterclockwise. Once selected, the corresponding QR+ code will appear in the display window. Using your smartphone or smart device, open the 3B Luna QR app. Once opened, select the iCode QR+ option.
3. Center the QR code within the square on your smart device. Your device will now begin to scan for the QR code.
4. Once scanned, you will see a summary of the scanned data and have an option to review the detail. If applicable, the sleep data will also be automatically transmitted and uploaded into your file associated with your patient serial number and PIN.
5. To exit from the iCode QR+ screen on the Luna II, turn the selector knob and choose BACK, and then press the knob.

Note: This app only supports the QR+ option.
Wi-Fi Module

The Wi-Fi Module is an optional feature. Check to see if this module has been included with your device.

1. While in the STAND-BY MODE, press and hold the Ramp button for three seconds.
   The cursor is now on the “Settings” icon and the screen displays the Initial Set-Up Menu. Press the knob and the first option on the initial set-up menu (“Humidifier”) turns blue.

2. Turn the knob, scrolling down until the blue cursor highlights the Wi-Fi option. Press the knob and the available list of Wi-Fi Networks will appear.

3. The Wi-Fi set-up menu displays a certain number of available Wi-Fi networks in random order. Note: The user can turn the knob to the right to see additional networks. If the desired Wi-Fi network is not listed, disconnect the main power cord to the Luna and reconnect. Repeat steps 1 and 2. Note: If no Wi-Fi networks are found, the Wi-Fi menu will display “No Available Wi-Fi.”

4. After the desired network is found, turn the knob to select this Wi-Fi network. Press the knob to access the Wi-Fi Password menu. The password can be entered using the letters and numbers on the password grid. Upper and lower case letters can be toggled by using the Arrow key in the upper left corner of the grid. After the password is entered, turn the knob until the cursor highlights the “Return/Enter” key in the lower right corner. Press the knob to connect to the Wi-Fi network. It may take up to 15 seconds to connect to the network.

5. If the Wi-Fi network is connected successfully, the screen will return to the Wi-Fi set-up menu displaying “Connected” to the Wi-Fi network name, and the Wi-Fi symbol will appear at the top of the status bar at the top of the display screen.
   The indicator light on the Wi-Fi module will also illuminate.

6. To switch from one Wi-Fi connection to another, simply select the new desired network and repeat step 4.

7. If the desired network does not require a password, simply select the “Confirmation/Enter” key to connect.

8. If the wireless router supports WPS, turn the knob in the Wi-Fi set-up menu until the cursor highlights the WPS Option. Press the knob, the display will now show the WPS set-up menu. Follow Step 1 instructions to press the WPS button on the wireless router. Then follow Step 2 instructions to press the WPS button on the Luna Wi-Fi module to connect to the Wi-Fi network. Note: Connection may take up to 15 seconds.

Get Support

If you are having difficulties getting used to therapy, try using your machine’s “comfort features” to help.

Do you have a dry nose or throat, or a runny nose?****

– Increase the humidity level.

Are there droplets of water or condensation inside your nose, mask, or tubing?****

– Decrease the humidity level.

Is the air pressure making it difficult for you to fall asleep?****

– Turn on the Auto Ramp or increase the Ramp Time.

Do you feel bloated?****

– You may be swallowing air. Turn on the Auto Ramp or increase the Ramp Time.

Do you feel like you are not getting enough air?****

– Turn the Ramp Time to “off.”

Do you have sore or dry eyes?****

– Adjust your mask or headgear. It may need to be repositioned. Refer to the instructions provided in the manufacturer’s user guide for your mask. Also, review Steps 2 and 3 in this guide.

Are you experiencing redness on your face where the mask touches the skin?****

– Your mask may be too tight. Try adjusting your headgear. If redness persists, contact Apria.

Do you have nasal, sinus, or ear pain?****

– You may have a sinus or ear infection. Stop using your machine and contact your doctor.

This information is intended for your general knowledge only and is not a substitute for medical advice or treatment for a specific medical condition. Should you have any healthcare-related questions, please consult your doctor.

Cleaning Your PAP Equipment

The following instructions are for home cleaning. Instructions for reprocessing devices intended for multi-patient re-use can be found in the clinical guide.
You should clean the device, water chamber, air tubing, and outlet connector as described.
Daily:

• Empty the water chamber and wipe it thoroughly with a clean disposable cloth. Allow it to dry, out of direct sunlight.
• Refill the water chamber with distilled water just before using it.

Weekly:

• Wash the water chamber, air tubing, and outlet connector in warm water using a household dishwashing liquid that is mild, unscented, and non-moisturizing. Components should not be washed in temperatures higher than 149°F (65°C).
• Rinse each component thoroughly in water.
• Allow drying, out of direct sunlight or heat.
• Wipe the exterior of the device with a dry cloth.

NOTES:

• The water chamber may be washed in a dishwasher on the delicate cycle (top shelf only).
• Do not wash the heated air tubing in a dishwasher or washing machine.
• The black air filter is washable and reusable. Disposable filters (white) are available. See page 21 for more information about filters.

For cleaning your mask, refer to the mask user guide for detailed instructions.

Replace Supplies Regularly

Replace your sleep supplies regularly. This helps to ensure a good mask seal and reduce the buildup of bacteria, viruses, and allergens.¹ Ordering fresh, clean supplies to replace our old items helps improve the comfort of your mask and maintains the overall effectiveness of your therapy. Recommended Replacement Schedule

Twice Monthly

• Nasal mask cushions and nasal pillows
• Disposable filters| Once Monthly
• Full-face mask cushions
  **** Every 3 Months
• Mask frame
• Tubing (standard or heated) | **** Every 6 Months
• Headgear and chin straps
• Humidifier water chamber
• Non-disposable filters

Please note that the frequency of resupply and your insurance’s coverage of supplies will be governed by your insurance plan and may differ from the schedule provided above.
Source:
1. Horowitz A, Horowitz S, Chun C. CPAP Masks are Sources of Microbial Contamination. SleepHealth Centers, Div. of Sleep Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston. APSS Poster; 2009.

Air Filters

Usage, Cleaning, and Replacement of Reusable and Disposable Filters
Please read this important information on device air filter use and scheduling to replace filters to maintain cleanliness and keep your device working properly.
The Luna II can be used with either reusable or disposable air filters:

• A black air filter is a reusable filter. Clean the filter with water and dishwashing liquid that is mild, unscented, and non-moisturizing. Then air dry. The reusable filter should be replaced every 6 months or sooner if the filter is starting to wear down.
• A white air filter is a disposable filter. Do not clean this filter. Discard and replace the disposable filter every 2 weeks or sooner if the filter is starting to wear down.

How to Insert Filters into the Device

1. Insert 1 air filter (reusable OR disposable) into the filter cap.
2. Install the filter cap containing the air filter into the device.

Convenient Ordering Options

When ordering fresh supplies through Apria, shipping is always free, and we verify and bill your insurance for you.
Enroll in Supplies on Schedule
Get the right supplies, right on time. Save time and eliminate the hassle of placing orders with our PAP supplies subscription program. Enroll once at Apria.com/SOS or with a sleep supplies specialist at 877.265.2426. Then rest easy.
Order Online
Apria.com/PAPresupply — Register for the PAP Patient Portal with your Apria Patient ID and place an order when you need new supplies.
ApriaDirect.com — Order supplies anytime on the retail (non-insurance) website.
Call Our Automated System
Dial 800.436.5657 to use Apria’s automated phone system, available 24/7, to place your order.
Speak With an Apria Specialist
Dial 877.265.2426 to order supplies with an Apria sleep supplies specialist.
Monday through Friday: 7 a.m. – 8 p.m. CT or Saturday: 7 a.m. – 6 p.m. CT.
NOTE:
If you decide not to participate in Supplies on Schedule, you will receive convenient, automated calls from Apria to remind you that it is time to order replacement sleep supplies.
*Patients with certain payors, such as Medicare, Medicaid, Managed Medicaid, or TRICARE, are not eligible for Supplies on Schedule.

APRIL’S PREMIUM CARE SLEEP™ PROGRAM

Our Sleep Coache Is Here for You!
As part of Apria’s Premium Care Sleep program, you have access to our Sleep Coaches. They’ll work to motivate and coach you by providing personalized care as you acclimate to CPAP therapy.
It’s not uncommon to experience discomfort for the first several days, but you can rest assured you will receive the support you need to achieve a better night’s sleep and minimize the impact of your sleep apnea.
Our Sleep Coaches can:

• Coach you on obstructive sleep apnea.
• Motivate you to continue CPAP usage.
• Provide education on your device and mask.
• Offer additional support when needed.

An Apria Sleep Coach is available to keep an eye on your therapy usage and contact you if they see any issues.

• A Sleep Coach will call or text you to follow up on your experience with your new CPAP device and mask.
• Your caller ID will display 877.265-2426 or Apria Healthcare.

Remember to use your PAP therapy anytime you sleep, including during naps.
Compliant use is often defined as at least 4 hours per night for at least 70% of a given time period.
Contact Apria’s Sleep Specialists with any questions about your PAP device, mask, or therapy at 877.265.2426.
We also encourage you to take an active role in managing your sleep therapy. You can download the manufacturer’s mobile app to track usage, set personal goals, watch informational videos, and stay motivated to incorporate CPAP into your sleep routine.

SAFETY GUIDELINES

Surviving a Fire in Your Home
Take the time now to prepare — it can save lives!
An Ounce of Protection…
Smoke Alarms

• Install a smoke alarm outside of each sleeping area and on each additional level of your home.
• Install smoke alarms INSIDE sleeping areas if people sleep with their doors closed.
• Test smoke alarms once a month by pressing test buttons.
• If an alarm fails the test or starts making beeping noises replace the batteries immediately.
• Replace ALL smoke alarm batteries at least once a year.

Fire Extinguishers

• Consider purchasing one or more fire extinguishers to keep in your home.
• Read the instructions to understand how your fire extinguisher works, and make sure all family members understand how to use it.
• Read the instructions to find out how to check if your extinguisher is in working order, and how frequently it needs to be checked.

Escape Ladders

• Consider installing escape ladders for upstairs rooms.
• Learn how to use your escape ladder.
• Store ladders close to windows.

Flashlights

• Keep flashlights throughout your house and make sure everyone knows where they are located.
• Check batteries regularly.

Planning Can Prevent Panic
Escape Routes

• Figure out at least two ways for escaping for every room in your home.
• Everyone living in your home should be familiar with these escape routes.

Practice

• At least twice a year, practice using your escape plans.
• Practice crawling because you may need to escape by crawling under smoke, where the freshest air will be.

Meeting Place

• Decide on a location where everyone will meet outside your home after escaping from a fire.
• A meeting place is important so that you can quickly see if everyone has escaped.

If a Fire Occurs…
Making Your Escape

• If there is smoke or fire in one escape route, use another route.
• If there is no way to avoid smoke, remember to stay low and crawl under the smoke, where the freshest air will be.
• If you want to escape by opening a closed door, FIRST check to see if the door feels warm before opening it. If it is warm, do NOT open the door. Instead, use another route.

Blocked Escape Routes
If all of your escape routes are blocked by smoke, heat, or flames:

• Stay in the room and keep any doors closed.
• Keep out smoke by piling rugs, blankets, or pillows along the bottom of any doors.
• If there is a phone in the room, call 911 and tell them where you are.
• Signal out a window for help using a brightly colored cloth, sheet, towel, or flashlight.
• Stay as close to the floor as possible, near a window or door.

After Escaping

• Go to a neighbor’s house and call 911 as soon as possible.
• NEVER go back inside a burning house. Once you’re outside, stay outside!
• When firefighters arrive, tell them if you think anyone is still inside.

SAFETY GUIDELINES
Tips to Avoid Falling
Reduce your chances of falling by making home improvements and changing some habits.
Look Around Your Home
Floors

• Keep the areas where you walk free from clutter, electrical and telephone cords, and other small objects that might be easily overlooked.
• Secure loose rugs and mats with carpet tape or attach non-slip backing.
• For tile or wooden floors, avoid wax or use nonskid wax.
• Stairs should have flat surfaces. Repair holes or tears in carpeting and make sure it is well attached.
• Eliminate raised thresholds if possible or make them highly visible.

Lighting

• Make sure it’s easy to turn on a light BEFORE entering every room in your home.
• Keep night lights turned on in hallways, bedrooms, and bathrooms.
• Make sure you can easily turn on a light while in bed, before getting up.
• Place flashlights in convenient locations throughout your home, and check their batteries regularly.
• Light switches should be available at both the top and bottom of all stairs.
• Stairway lighting should be bright enough to clearly see all steps.

Bathrooms

• Tub and shower floors should have non-skid surfaces (strips or mats).
• Consider installing grab bars inside the bath or shower areas and next to the toilet.
• Consider installing a raised toilet seat.

Kitchen

• Frequently used items should be kept on lower shelves or other places that are easy to reach.
• You should have a sturdy step stool that is easy to use, preferably with a handrail. Do NOT stand on a chair to reach anything.

Stairs

• Sturdy handrails should be installed in all stairways and kept in good repair.

Outside Your Home

• Steps should have flat surfaces and be kept in good repair.
• All steps should have handrails, preferably on both sides of the steps.
• For better traction, steps can be painted with a mixture of sand and paint.
• During the winter, keep all entrances and sidewalks clear of snow and ice.
• All entrances should be well-lit.
• Consider installing ramps (with handrails).

Reconsider Personal Habits

• When walking, stay alert to unexpected obstacles — cords, furniture, pets, toys, etc.
• Avoid rushing to answer phones or the door.
• Take time to make sure your balance is steady before sitting up or standing.
• Wear shoes that are supportive and snug fitting, with low heels and non-slippery soles.
• Don’t walk around with only socks on your feet.
• If carrying packages, make sure your view isn’t blocked and that you have a hand free for opening doors, holding onto railings, or steadying your balance.
• Keep alert for uneven, broken, or slippery pavement, sidewalks, and ramps.
• Don’t rush to cross streets, especially if wet or icy.
• Consider using a cane or walker.
• Find out if your medications might make you feel dizzy, drowsy, or unsteady.
• If you live alone, keep in regular contact with friends, family, or neighbors.

For Emergencies

• Keep emergency phone numbers posted where they can be easily seen. Consider whether they will be visible if you fall.
• Make sure you can easily reach a phone when in bed.

If You Fall

1. Call 911 and other emergency contacts.
2. Stay warm by covering up with a blanket, coat, towel, rug, or whatever you can reach.
3. Consult a doctor even if you don’t think you’ve been seriously hurt. Falling may indicate problems with medications or be a symptom of illness or a condition that needs treatment.

Patient’s Rights and Responsibilities
Patient/Client Bill of Rights
As a patient/client of Apria Healthcare, you have the rights which include, but are not limited to, the following:

1. Be given information about your rights for receiving homecare services.
2. Receive a timely response from Apria Healthcare regarding your request for homecare services.
3. Be given information about Apria Healthcare policies, procedures, and charges for services.
4. Choose your homecare providers.
5. Be given appropriate and professional quality homecare services without discrimination against your race, color, creed, religion, sex, national origin, sexual preference, handicap, or age.
6. Be treated with courtesy and respect by all who provide homecare services to you.
7. Be free from physical and mental abuse and/or neglect.
8. Be given proper identification by name and title of everyone who provides homecare services to you.
9. Be given the necessary information regarding treatment and choices concerning rental or purchase options for durable medical equipment so you will be able to give informed consent for your service prior to the start of any service.
10. Be given complete and current information concerning your diagnosis, treatment, alternatives, risks, and prognosis as required by your physician’s legal duty to disclose in terms and language you can reasonably be expected to understand.
11. A plan of service that will be developed to meet your unique service needs.
12. Participate in the development of your plan of care/service.
13. Be given an assessment and update on your developed plan of care/service.
14. Be given data privacy and confidentiality.
15. Review your clinical record at your request.
16. Be given information regarding the anticipated transfer of your homecare to another healthcare facility and/or termination of homecare service to you.
17. Voice grievance with and/or suggest a change in homecare services and/or staff without being threatened, restrained, and discriminated against.
18. Refuse treatment within the confines of the law.
19. Be given information concerning the consequences of refusing treatment.
20. Have an advance directive for medical care, such as a living will or the designation of a surrogate decision maker, respected to the extent provided by law.
21. Participate in the consideration of ethical issues that arise in your care.

The Patient’s Responsibilities
Apria Healthcare and its personnel have the right to expect from you, our patient, your relatives, and friends, reasonable behavior that takes into consideration the nature of your illness or predicament. These responsibilities include, but are not limited to, the following:

1. Give accurate and complete health information concerning your past illnesses, hospitalization, medications, allergies, and other pertinent items.
2. Assist in developing and maintaining a safe environment.
3. Inform Apria Healthcare when you will not be able to keep a homecare visit.
4. Participate in the development and update of your homecare plan of service/treatment.
5. Adhere to your developed/updated homecare plan of service/treatment.
6. Request further information concerning anything you do not understand.
7. Contact your doctor whenever you notice any unusual feelings or sensations during your plan of service/treatment.
8. Contact your doctor whenever you notice any change in your condition.
9. Contact Apria Healthcare whenever your insurance company or plan changes.
10. Contact Apria Healthcare whenever you have an equipment problem.
11. Contact Apria Healthcare whenever you have received a change in your homecare prescriptions.
12. Contact Apria Healthcare whenever you are to be hospitalized.
13. Give information regarding concerns and problems you have to an Apria Healthcare staff member.
14. Contact Apria Healthcare prior to any change of address.
15. Contact Apria Healthcare if you acquire an infectious disease during the time you are receiving services and/or care from Apria Healthcare, except where exempted by law.

Medicare DMEPOS Beneficiary Statement
DMEPOS suppliers have the option to disclose the following statement to satisfy the requirement outlined in Supplier Standard 16 in lieu of providing a copy of the standards to the beneficiary.
The products and/or services provided to you by (supplier legal business name or DBA) are subject to the supplier standards contained in the Federal regulations shown at 42 Code of Federal Regulations Section 424.57(c). These standards concern business professional and operational matters (e.g., honoring warranties and hours of operation). The full text of these standards can be obtained at http://www.ecfr.gov. Select Title 42: Public Health in the drop-down box. Then browse Parts 414–429, Part 424, Subpart 424.57(c).
Upon request, we will furnish you with a written copy of the standards.
Important Notice for Medicare Beneficiaries
Help ensure your positive airway pressure (PAP) or bi-level positive airway pressure device is covered by Medicare. For information, visit Apria.com /Medicare-PAP-Letter.
Interpretation Service Available
English translation: Point to your language. An interpreter will be called. The interpreter is provided at no cost to you.

FOR PATIENTS RESIDING IN FLORIDA
The Florida Healthcare Administration requires patients to be provided with the following information:

• To report a complaint regarding the services you have received, please contact the Florida Healthcare Administration Home Health Care Hotline by calling 888.419.3456.
• To report abuse, neglect, or exploitation, please call 800.962.2873.
• To report suspected Medicaid fraud, please call 866.762.2237.

FOR PATIENTS RESIDING IN MARYLAND
The Maryland Department of Health and Mental Hygiene requires patients to be provided with the following information:

• Apria may be contacted 24 hours per day, 7 days per week by calling 888.492.7742.
• Concerns may be directed to Apria by calling 800.260.8808.
• To report a complaint regarding the services you have received, please contact the Maryland Department of Health Hotline by calling 800.492.6005.

FOR PATIENTS RESIDING IN NORTH CAROLINA
The North Carolina Division of Health Service Regulation requires patients to be provided with the following information:

• To report a complaint regarding the services you have received, please contact the Division of Health Service Regulation Complaint Hotline by calling 800.624.3004 (toll-free within North Carolina) or 919.855.4500.

FOR PATIENTS RESIDING IN WASHINGTON
The Washington State Department of Health requires patients to be provided with the following information:

• To report a complaint regarding the services you have received, please contact the Washington State Department of Health Complaint Hotline by calling 360.236.2620 or by visiting their website at www.doh.wa.gov.
• To access a list of licensed providers, visit the Washington State Department of Health website at www.doh.wa.gov.
• To report a suspected abuse of children or vulnerable adults, call 866-END-HARM (866.363.4276).

If you have any questions or need help setting up your device and getting started, please call an Apria Sleep Coach. 877.265.2426
Apria is committed to safe, quality patient care. We encourage you to report any concerns to your local Apria branch. If your concern is not resolved, please contact the Patient Satisfaction team at: 800.260.8808

https://hubs.ly/Q01fGZs40
©2022 Apria Healthcare Group LLC SLP-4385 09/22_v6
Chart provided by Language Line Services © 2007

References

• Apria.com/Medicare-PAP-Letter
• Apria Patient Community
• Apria Sleep Care
• ApriaDirect.com
• Sleep, Oxygen and Ventilation Solutions | React Health
• eCFR :: Home

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