Abnormal Blood Pressure Settings Follow
Blood Pressure parameters (settings) are located in the Care Team Portal on the Patient Parameters page. The systolic and diastolic upper and lower boundary settings, as well as the abnormal reading configuration are only applicable when a patient is entering a blood pressure reading as part of their pathway. The purpose of this topic is to help you better understand how to use the abnormal blood pressure reading configurations for the RPM/RPM+Video service level.
An abnormal blood pressure reading is a reading that triggers a high alert for systolic and/or diastolic biometrics. For information about the valid value thresholds for each biometric, see Biometric Data Thresholds.
In the image, the settings in the Abnormal Reading Configuration panel means that if the first blood pressure reading is abnormally high/low, the patient is prompted in one minute to retake their blood pressure. If the second reading is normal, the patient is not prompted for another reading. If the second reading is very abnormal, the patient will be prompted to take their blood pressure after a 60-minute delay.
Hover over the screen to display details about the Abnormal Reading Configuration section.
If 0, then no subsequent readings will be taken, even if the value is abnormal.
If >=1, then after the patient confirms the abnormal blood pressure values, a window appears informing the patient they need to take their blood pressure again in X seconds (where X = the value configured in the Time between box).
If >1, then the window will be repeated until the # of readings value has been reached as long as each blood pressure reading is abnormal (causes a high alert based on upper and lower boundaries for systolic and/or diastolic).
After the patient confirms the abnormal blood pressure values, a window appears informing the patient that they need to take their blood pressure again in X seconds, where X = the value configured in the Time between box.
The window will stay in the foreground, with no OK button to dismiss it, with the seconds counting down. Once the Time between value has passed, the window will dismiss and the Please start Blood Pressure Monitor screen appears.
Once the Follow up delay time has passed, the blood pressure icon will now be yellow/orange and the tablet will start dinging every two minutes. Late time is calculated as Follow up delay value divided by two (example: Follow up delay = 60 minutes, Late time (60/2) = 30 minutes), and once this time passes, the blood pressure icon will turn red and the tablet will start dinging every minute.
When the # of readings value has been reached, if the last blood pressure reading is also abnormal, a window appears informing the patient that their blood pressure is abnormal and they will need to retake their blood pressure in Y minutes where Y = the value configured in the Follow up delay box. The window will contain an OK button for the patient to dismiss the window.
If a patient has two or more pathways that contain blood pressure questions, when the patient completes a pathway that contained an abnormal blood pressure reading, if a pathway scheduled for later in the day is already in the start window (default is 2 hours before the due time), the blood pressure icon will be light gray and, if selected, the timer will not appear as the icon is available for taking a reading for the next pathway. The timer is, however, running, so if the patient does not answer the next pathway, when the timer is up the icon turns orange, than after 1/2 the follow-up delay time has passed the icon turns red.
If the next pathway with the blood pressure question is not in the start range yet, the blood pressure icon will have the Done for now orange checkmark and selecting the icon will display the countdown screen counting down the time to the follow-up reading time for the first pathway.
In this scenario, the patient is scheduled to take their blood pressure reading at 9:00 AM.