Baywater Healthcare Mini-Neb User manual

A Guide to
Your Nebuliser
Service

About Your Equipment
To be completed by your Healthcare Technician. Please
refer to this page when reordering parts for your nebuliser
or speaking to our Healthcare Helpline.
Nebuliser machine information
Nebuliser
machine type
Serial number
Container information
Container type Standard/Ventstream/Sidestream
(please circle)
Breathing parts
Mouthpiece Adult/child (please circle)
Mask Adult/child (please circle)
Tracheostomy
mask Adult/child (please circle)
Caution
Please remember that you need to change your filter
every month(s)
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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Contents
Safety Information 4
Understanding Nebuliser Medicine 5
Medicine Caution/Side Effects 7
Your Nebuliser Service 8
Privacy Notice 9
Your Machine 14
Types of Nebuliser 16
Nebuliser Pots 18
Using Your Nebuliser Machine 19
Cleaning and Maintaining Your
Nebuliser Machine and Parts 21
Your Questions Answered 22
Troubleshooting 24
Useful Contacts 26
(open 24 hours, 7 days a week for urgent calls only) 3

Safety Information
• Always follow the advice given by your Healthcare
Professional
• Do not place the nebuliser machine in water
• Do not spill any medication or liquids on the nebuliser
machine
• Never block the grills on the side of the machine
• To use the nebuliser machine, place it onto a clean hard
surface such as a table, do not place it on carpets or soft
furniture.
• Always keep electrical leads away from items that get
hot, such as radiators or fireplaces
• Do not use if the plug or electric power cable are
damaged
• Always take the nebuliser machine out of the plug socket
when cleaning and when you are no longer using it
• Store in a clean dust-free room
• Do not remove the covers of the machine
• If the machine is not working, do not try to fix it yourself,
call 0800 1214524
• Only use the nebuliser machine and parts as the
Healthcare Technician has shown you and in the way
your Healthcare Professional has told you
• Store the machine in an area where children cannot
reach it
• Do not let children touch buttons on the machine or play
with parts
• If the nebuliser medicine does not seem to be helping
you, talk to your Healthcare Professional
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
4

Understanding Nebuliser
Medicine
How does a nebuliser machine work?
A nebuliser machine turns liquid medication into a fine
mist of spray. This will allow you to breathe your medicine
straight into your lungs where it will work faster than
inhalers.
The medication used in nebuliser therapy uses a lower
dose of your medicine than if you were to take it in a
tablet, and a higher dose than your ordinary inhalers.
This means that, although side effects are possible, the
chances are less than other medicines.
Why do I need nebuliser?
If you suffer from asthma, Chronic Obstructive Pulmonary
Disease (COPD), cystic fibrosis or other breathing problems,
your Healthcare Professional may prescribe nebuliser
medicine for you.
If you have any questions or concerns about your
medicine you should contact your Healthcare Professional.
(open 24 hours, 7 days a week for urgent calls only) 5

What kind of medicine is used?
The following types of medicines are used:
Relievers or bronchodilators
These help the airways to open up allowing more oxygen
to enter the lungs.
Preventers or anti-inflamatory drugs
These stop your lungs from becoming swollen and
inflamed and allow oxygen to enter the bloodstream.
Antibiotics
These are usually taken to stop an infection within the
lungs.
You should always follow the instructions given to you by
your Healthcare Professional about your medication.
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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Medicine Caution/Side
Effects
Relievers or bronchodilators
Side effects may include shaking of the body,
dryness, chest feeling tight and finding it hard
to breathe. All of which should be reported
to your Healthcare Professional. If you
are feeling it is more difficult to breathe
than normal, and your usual medicine is
not helping in the same way as normal,
contact your Healthcare Professional for
advice or if it is an emergency the Accident
and Emergency department of a hospital.
Preventers or anti-inflammatory drugs
These drugs include steroids. Side
effects may include a dry mouth,
skin rash and bruises.
Antibiotics
Side effects may include
finding it difficult to breathe, an
infection in the mouth and skin
rash.
Before and after every time you
use the nebuliser machine please
rinse your mouth with clean
water, then wash your face
and hands. If you experience
any side effects or problems
please notify your Healthcare
Professional.
(open 24 hours, 7 days a week for urgent calls only) 7

Your Nebuliser Service
The home nebuliser service has been designed to provide
you with all your nebuliser machine needs at home. It
aims to ensure your quality of life by giving you the most
suitable machine and parts for your condition and lifestyle.
Together with telephone, email support, machine care and
repairs in your home. This booklet aims to answer questions
you may have about your home nebuliser service.
If you have further questions, please call us, ask your
Healthcare Technician, email us at healthuk@
baywater.co.uk or post a question on our website:
www.baywater.co.uk
Our patient charter
Baywater Healthcare is committed to providing
a home nebuliser service that puts the needs
of patients first.
1. We strive to provide the most
suitable nebuliser equipment
for your condition and your
lifestyle, as prescribed by your
Healthcare Professional
2. We provide technical
expertise to meet your
nebuliser therapy
requirements
3. We will endeavour to
provide a service of
the highest standard.
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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Privacy Notice
In line with the General Data Protection Regulation (GDPR)
we would like to let you know how we will use your
personal data.
The types of personal information we collect
We collect information about you which is provided to us,
this includes:
• Your name, address and contact details
• Date of birth, contact phone numbers, contact email
address
• Any other information that you choose to provide to us
How we use personal information
We use your information in accordance with the Data
Protection Legal and Regulatory principles and in order to
provide the services which have been prescribed for you:
• We will comply with the Law
• To process orders for your service provision
• To send you services satisfaction questionnaires in order
to provide support and improve the services we offer
• To communicate with you and your Healthcare
Professionals and provide customer support
• To support our financial invoices in order to secure
payment from our customers for the service provision
• To send you system alert messages – for example, we
may inform you of temporary or permanent changes
to our services such as planned outages, new features,
releases, abuse warnings and changes to our Privacy
Policy
(open 24 hours, 7 days a week for urgent calls only) 9

• To send you information and promotional content in
accordance with your marketing preferences
• Your information is stored on a secure record on our
servers, that is only accessible by our dedicated staff
• We will record and monitor telephone conversations
to or from you in order to offer you additional security,
resolve complaints, improve our service standards and
for staff training purposes
• Phone call recordings are retained for legal reasons –
• for financial audit purposes
• to provide any evidence required relating to
complaints or for clarification of your requirements
of service
• to provide any evidence required in any legal
investigation
• We will store your information for the duration of our
service provision to you
• The information will only be retained for as long as
necessary to fulfil the purposes we collected it for
which includes satisfying any legal, accounting or
reporting purposes
• Your information may be archived in order to comply
with legal obligations
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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How we may share and disclose personal information
As a recipient of our service, you will have signed a
consent form and agreed to us sharing your information
with:
• Your hospital care team
• Your GP
• The home care team
• Other teams (eg NHS administration and the fire and
rescue service)
We also have a legal obligation to share your information
with any Government department, public body, or other
third party where we believe in good faith we are legally
obliged to do so.
Safeguarding your privacy rights
Whenever we have contact with you or your
representative by phone we will always ask for the
following information:
• Your postcode
• Your first line of the address
• Your full name
• Your date of birth
It is very important that we make sure that when
accessing our patient records we are certain that we are
looking at the correct file so that we are only discussing
private and personal information with a patient or their
representative who has the right to know.
(open 24 hours, 7 days a week for urgent calls only) 11

Your rights and choices
We want you to be in control of how your personal
information is used by us. You can do this in the following
ways:
• You can request a copy of the information we hold
about you
• You can tell us about any changes to your personal
information which we hold
• You can ask us to amend any of the personal
information we hold about you to ensure it is correct
and accurate
• You can ask us to erase the personal information we
hold about you, although we are legally obliged to
inform your Healthcare Professional of this decision
• You can request changes to the way we use your
information
• Where we process your personal information based
on legitimate interest or the public interest, you have a
right to object at any time to the use of your personal
information
• In the limited circumstances where you may have
provided your consent to the collection, processing
and transfer of your personal information for a specific
purpose, you have the right to withdraw your consent
for that specific processing at any time
• You can withdraw your consent for us to share your
information in the ways described above
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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To withdraw your consent, please contact
BaywaterHealthcare on 0800 1214524 in the first
instance.
Once we have received notification that you have
withdrawn your consent, we will no longer process your
information for the purpose or purposes you originally
agreed to, unless we have another legitimate basis for
doing so in law.
(open 24 hours, 7 days a week for urgent calls only) 13

Your Machine
The following section provides details of the different
nebuliser machines and parts we can supply to patients.
Photographs in the booklet may look different to your
nebuliser machine. You will receive a machine and parts
ordered by your Healthcare Professionals based on your
needs.
Nebuliser machine
This turns your liquid medicine to a mist so that you can
breathe it in through a face mask or a mouth piece that
you hold in your mouth.
Nebuliser pot
The nebuliser pot is where you put your liquid medicine.
There are different types of pot depending on the type of
medicine you are prescribed, for example, some medicines
such as antibiotics require a special type of nebuliser pot -
specific instructions will be provided in these cases.
Tubing
Tubing is used to get air from the machine to the bottom
of the nebuliser pot.
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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Mouthpiece/face mask
A mouthpiece or a face mask can be used to provide
your nebuliser medicine. Your Healthcare Professional will
recommend which is more suitable for you.
Most people prefer a mouthpiece, as it prevents the
medicine from getting into the eyes or causing them to
become sore or itchy. This is connected to the nebuliser
pot and placed between your teeth and sealed by the lips
while inhaling the medicine.
Your Healthcare Professional may tell you to use a
facemask. This is usually used by patients with severe
breathing problems or children. A face mask is placed over
your mouth and nose and kept in place by a head strap.
1. Nebuliser pot
2. Mouthpiece
3. Face mask
4. Tubing
4
3
2
1
(open 24 hours, 7 days a week for urgent calls only) 15

Types of Nebuliser
The type of nebuliser you receive will depend on what
your Healthcare Professional has ordered for you.
Mini-Neb/Mini-Plus
The Apex Mini-Neb and Mini-Plus have been designed to
operate from mains electric plug sockets (120 VAC/60Hz,
230 VAC/50Hz). They should not be used continuously for
more than 30 minutes.
1. Switch On/Off
2. Inlet filter
3. Outlet nozzle
4. Mains lead
Mini-Neb
Mini-Plus
1
3
2
4
1
23
4
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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ECONOneb
The ECONOneb has been designed to operate from mains
electric plug sockets (230 volts ± 10% 50Hz)
These are suitable for patients who need to use them
for longer, to use medicine more often, or for specific
medications. Your Healthcare Professional will order the
most suitable nebuliser machine for your needs.
1. Switch On/Off
2. Inlet filter
3. Outlet nozzle
4. Mains lead
41
3
2
(open 24 hours, 7 days a week for urgent calls only) 17

Nebuliser Pots
The nebuliser pot is where you insert your liquid medicine.
It is in this pot the liquid will be turned into a fine mist for
you to breathe into your lungs.
This pot is suitable for most medicines.
Some medicines such as antibiotics may need a different
type of pot. Your Healthcare Professional will order one of
these if it is needed.
Baffle
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
18

Using Your Nebuliser
Machine
Taking your medicine
1. Unscrew the top of the nebuliser pot.
2. Open your liquid medicine by twisting off the top.
Ensure the baffle is in place.
3. Put the prescribed amount of your medicine into the
nebuliser pot.
The medicine normally comes in individual doses.
4. Screw on the top of the nebuliser pot and attach the
mouthpiece or face mask to the top of the pot.
Your Healthcare Professional may tell
you to increase the amount of your
medicine by adding another liquid to
it. You must follow your Healthcare
Professionals advice and mix it the way
they have told you to do so.
Sometimes on the top of the nebuliser
pot, there may be a dial that can be turned to speed up or
slow down how fast the mist comes out. Start by turning
the dial half way then you can open or close it, to how you
feel comfortable.
Caution
Never use tap or distilled water to mix your medicine.
Not all medicines can be mixed, always check with your
pharmacist before trying to mix them.
Always read
the instructions
provided with
your medication
(open 24 hours, 7 days a week for urgent calls only) 19

Getting your nebuliser machine ready to use
Please refer to the your nebuliser equipment section for a
diagram of your device.
1. Plug the mains lead on the nebuliser machine into the
wall socket.
2. Connect one end of the tubing to the outlet nozzle.
3. Connect the other end of the tubing to the nebuliser pot.
Taking your medicine
1. If you are using a mouth piece, place it between your
lips. If you are using a face mask place it over your
mouth and nose and place the strap over your head.
2. Sit up in a well-supported position. Keep the pot upright.
3. Switch on the power and breathe in the mist at your
normal speed of breathing. Avoid talking while taking
your medicine. If you are using a mouthpiece you may
need to remove it to swallow any fluid in your mouth.
4. Relax when using the nebuliser, perhaps by watching
TV or listening to music. While your nebuliser machine
is in use, small drops of medicine may form on the sides
of the nebuliser pot. This is quite normal. You can knock
these droplets back into the medicine liquid by gently
tapping the nebuliser pot with your finger. A small
amount of liquid may be left in the pot at this stage but
this is also normal.
5. Nebulising your medicine can take up to ten minutes
depending on your machine and the quantity of liquid.
When the liquid in the nebuliser pot starts to spit and
sounds dry, the treatment has finished.
6. Switch off the machine and disconnect the pot from the
tubing.
Helpline: 0800 1214524 I8.00am-5.00pm Monday to Friday
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