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Respiratory Health

Advancing respiratory health through innovative therapies

Hill-Rom® Respiratory Care

Outcomes Monitoring: 5 Day Survey - The Vest® Airway Clearance System

Fill out the form below and a member of the Hill-Rom Respiratory Care team will be in contact with you.

Outcomes Monitoring: 5 Day Survey - The Vest® Airway Clearance System
 
 
 
Usage Information
 
Please type the reading from the total use display in the field below. The display reads to the tenth of the hour. Confirm your device is turned on, at the Normal/Custom screen press the OFF button to obtain the hour meter reading.
 
If you are away from your device, type the number 0 in the hours of use field and check the "Not Available" box.
 
 

 
 
 
The following questions ask about the Vest® Airway Clearance System training session. Please answer the following questions by choosing Yes or No. If your response is No, please feel free to explain or comment on the experience.
 
Did the trainer demonstrate and perform a complete therapy session?*

Did the trainer make sure your garment fit you properly?*

Did the trainer explain the Outcomes Monitoring Program and how to obtain the hour meter reading from The Vest® System Device?*

Did the trainer review trouble shooting and safety instructions regarding The Vest® System usage?*

Did the trainer provide you with our toll free 800 number in case you need to call us?*

Would you recommend this trainer to others?*

Clinical Follow-Up
 
*required