PatientOrientation Handbook Serving You Better! www.norco-inc.com Klamath Falls 97603 3310 Washburn Way (541) 885-2996 (800) 574-9480 La Grande 97850 3102 Island Ave LOCATIONS (541) 963-8494 Corporate Office (800) 313-8494 La Pine 97739 Boise 83705 1125 W Amity Rd 51538 Hwy 97 Sp 1 (541) 647-7047 (208) 336-1643 www.norco-inc.com Ontario 97914 400 SE 10th St † Industrial Branch (541) 889-9327 (cylinder exchanges only) (800) 454-1369 † Spokane 99212 Twin Falls Medical 83301 † Pendleton Industrial 97701 6102 E Trent Ave 330 N. Haven Dr. 502 NE HWY 11 (509)535-9808 (208) 734-9330 (541) 276-2066 Spokane 99207 (800) 246-9330 Portland 97212 520 E North Foothills Dr † Twin Falls Industrial 83301 1877 NE 7th Ave (509) 822-6897 Idaho 203 S Park Ave West (503) 288-8174 (877) 290-5410 Boise Medical 83702 (208) 733-8171 Tacoma 98402 400 Main St Prineville 97754 Montana 807 NW Warehouse Way D1 1902 Tacoma Ave S. (208) 344-0299 (253) 474-1774 † Billings 59101 (541) 447-0427 Blackfoot 83221 899 Parkway Lane Redmond 97756 † Walla Walla Industrial 99362 1350 Parkway Dr.#26 (406) 252-5339 420 W Main 3039 S Highway 97 (208) 782-0456 (509) 522-2012 Butte 59701 (541) 548-1044 Burley 83318 1911 Meadowlark, Ste A (877) 702-9020 Walla Walla 99362 198 N Overland (406) 494-1349 nd Redmond 97756 329 S. 2 Ave (208) 678-8558 (877) 702-9019 (509) 525-1066 655 NW Jackpine Ave (800) 454-1298 Hamilton 59840 (541) 526-3609 Wenatchee 98801 Caldwell 83605 1001 N 1st St 1842 N Wenatchee Ave 1906 Fairview Ave #120 (406) 363-1800 Salem 97301 2685 Commercial St. NE (509) 664-0529 (208) 402-0100 (888) 306-6726 (866) 219-0423 (503) 378-1756 Chubbuck 83202 Kalispell 59901 The Dalles 97058 Vancouver 98661 4639 Yellowstone Hwy 2555 Hwy #2 E 1720 NE Andresen Rd (208) 478-9100 (406) 752-4804 333 Cherry Heights (541) 296-6131 (360) 859-4018 (877) 306-6726 (800) 458-0095 (800) 272-2348 Wyoming Grangeville 83530 Libby 59923 Utah † Casper 82601 329 W Main St Norco Medical Stockpoint 3333 W. Yellowstone Hwy (208) 983-0390 (406) 293-6631 † Ogden Industrial 84401 1784 W 2900 S (307) 234-9374 Idaho Falls Medical 83404 Missoula 59802 (801) 399-4444 † Cheyenne 82007 3908 Washington Pkwy 2850 Stockyard Rd † Salt Lake City Ind 84104 100 S. Greeley Hwy. (208) 552-3113 (406) 549-2321 (307) 433-9353 (800) 552-3113 (800) 824-0533 3750 W 2100 South (801) 467-7378 † Cody 82414 † Idaho Falls Industrial 83401 Nevada th † Vernal 84078 501 16 St. 165 Stanley St Elko Medical 89801 (307) 527-9353 (208) 523-2041 440 30th St 994 South 1500 East (775) 738-1314 (435) 789-5323 † Douglas 82633 Lewiston 83501 117 E. Clay St. (866) 738-1314 Washington 863 Main St (307) 358-4333 (208) 743-8384 † Winnemucca Industrial 89445 Bellingham 98226 (800) 944-4632 740 Fairgrounds Rd 101 E. Stuart Rd † Evanston 82930 (775) 623-2200 (360) 746-0826 95 Independence Dr. McCall 83638 (307) 789-5830 163 Thula St Oregon Everett 98201 (208) 634-2523 Baker City 97814 3030 Hoyt Ave † Gillette 82718 3370 10th St Ste F (425) 949-4552 811 Edwards St. Meridian 83646 (541) 523-2002 (307) 682-8250 Longview 98632 2882 N. Eagle Rd (208) 898-0202 Bend 97701 925 Vandercook Way † Rawlins 82301 (877) 667-2648 63024 Sherman Rd (360) 636-3120 1802 E. Daley St. (541) 388-2273 (307) 324-6469 Moscow 83843 Moses Lake 98837 (800) 388-8227 820 E Broadway † Riverton 82501 223 W 3rd St (208) 882-3571 Bend 97701 (509) 766-2494 709 W. Main St. (866) 829-5185 2042 Williamson Ct (866) 766-2494 (307) 856-3399 (541) 383-9071 † Othello Industrial 99344 † Rock Springs 82901 Mountain Home 83647 1405 American Legion Blvd Burns 97720 25 E Main St 1315 Elk St. (208) 587-1177 191 S Broadway Ave (509) 488-3376 (307) 352-2975 (877) 316-6726 (541) 573-2934 † Pasco Industrial 99301 † Sheridan 82801 Nampa 83687 Eugene 97401 420 N Oregon Ave 2639 Coffeen Ave 150 Shannon Dr 1280 Charnelton St (509) 543-2022 (307) 672-9754 (208) 467-3070 (541) 343-0304 Seattle 98103 † Worland 82401 (877) 256-6726 th † Hermiston Industrial 97838 4135 Stoneway North 110 S. 5 St. Rexburg 83440 80361 Hwy 395 N (206) 547-2200 (307) 672-9754 nd 146 North 2 St (541) 567-2425 Revised 04/19/17 (208) 356-7913 John Day 97845 Norco Medical Stockpoint (541) 575-0372 Breathe better, live better ResMed is committed to educating physicians and the public about the serious health risks of untreated sleep-disordered breathing and other respiratory conditions. With innovative products and solutions that deliver the best therapy on the market, we’re helping people live well and breathe better every day. ResMed.com RESMHBK15 Discover the Freedom to Sleep Anywhere with Transcend mini CPAP.™ Do what you love and travel with Transcend miniCPAP. Small and lightweight, Transcend miniCPAP even has portable battery options so you can sleep anywhere. Save $25 on your purchase with pro code: TRAHBK15 Contact your local Norco branch to order ® Transcend miniCPAP. Sleep Apnea Therapy SYSTEM PRIHBK15 Save$100 On Any Scooter Purchase Please mention this code for $100 discount, NOR1HBK15. Not valid on rentals or for scooters covered by insurance. May not be combined with any other offer. “Serving You Better” GOLHBK15 A Norco representative has provided me with this Patient Orientation Handbook and has given training on the equipment and/or service being provided at this time. ______________________________ _____________________ Patient Name Account # ______________________________ _____/_____/__________ Patient/Caregiver Date ______________________________ _____/_____/__________ Norco Employee Date A# __________ To: Date: ________________ It has come to our attention that you have experienced, or may be at risk of a fire due to: Smoking while using Norco oxygen services, this includes patient and people who smoke around the patient Circle all that apply: Candles, Fireplace, Woodstove, Oven, and/or BBQ This is a very serious concern as your personal well-being and safety are of the utmost importance to us. The purpose of this letter is to stress how important it is to follow Norco’s well-defined safety precautions. The Norco Patient Orientation Handbook refers to Fire Safety, and Oxygen Specific Fire Precautions. Oxygen GREATLY enhances combustion therefore, it is critical that you observe these basic precautions. The major safety issues are: 1. Never smoke while using home oxygen delivery system or any source of high-concentration oxygen. 2. Never allow open flames such as candles, smoking materials, BBQ, or spark-producing agents within 5 feet of the oxygen source. 3. Also, never use the oxygen system while cooking or working with very hot surfaces 4. Electronic cigarettes should not be used while a patient is undergoing oxygen therapy. Additionally, batteries of electronic cigarettes should not be charged in the vicinity of a patient undergoing oxygen therapy or the oxygen source itself. Norco’s responsibility is to make sure our patients are educated annually and comprehend the fire dangers associated with oxygen usage. Your responsibility is to ask questions and follow these recommendations to use your oxygen safely. Norco will be in contact with your physician to alert him/her of reported non-compliance with safety issues. Please always follow your physician’s guidelines to ensure your safety. Your signature below acknowledges you have reviewed, and fully understand Norco’s oxygen safety policies and recommendations. Your signature below also indicates you will follow the recommendations mentioned above or specifically noted on the form and that failure to do so in the future may lead Norco to discontinue oxygen services due to safety concerns. Additional Recommendations: _____________________________________________________________________________________ _____________________________________________________________________________________ Patient Signature Date Norco Representative Date TABLE OF CONTENTS Who We Are ............................................................................................................................. 1 Scope of Service ........................................................................................................................ 2 Equipment and Services ............................................................................................................ 3 Patient Bill of Rights ................................................................................................................. 4 Patient Responsibilities ............................................................................................................. 5 Billing Information .................................................................................................................... 5 Statement ................................................................................................................................... 7 Medicare Supplier Standards .................................................................................................... 9 Notice of Privacy Practices ..................................................................................................... 10 Safety Precautions ................................................................................................................... 15 Smoking & Oxygen Use ......................................................................................................... 22 Equipment Checklists .............................................................................................................. 24 Alternating Pressure Pad and Pump .......................................................................................