Registering and getting started with your mobile ECG devices This slide set is provided by the Eastern Academic Health Science Network Standard title slide – Eastern AHSN Blue

Background At least 422,600 people are undiagnosed in England with the most common type of irregular heart rhythm, Atrial Fibrillation (AF), which can cause a stroke. Together with NHS England, the Academic Health Science Network is distributing 6,000 devices including mobile ECG units to help detect people with AF in England. This slide set is designed for NHS employees using the AliveCor Kardia Mobile device and app as part of the national roll-out. The AliveCor Kardia Mobile device generates a single lead ECG trace and uses built-in AF detection algorithms. Standard content slide with text and additional content. Click on an icon to add content.

Learning outcomes This slide set contains all the weblinks for you to start using your mobile ECG device. At the end of the slides you will have: Configured your phone or tablet to your nhs.net mail account Registered as a user of an AliveCor Kardia Mobile device with the Eastern AHSN Watched the 1 minute film on how to record an ECG Taken your first ECG using the device Read the guidance on using the device. Standard empty slide

Do you have a phone or tablet ready? You need your smartphone or tablet to complete this training The Kardia Mobile ECG device is compatible with a range of devices. Please see the full list of compatible devices here https://www.alivecor.com/support/#compatibility There is no limit to the number of NHS employees that can use each device All users must have an nhs.net email address and must be registered to use the device Standard table examples. Tables will automatically appear in Eastern AHSN colours

First: Go to the ECG on-Demand® website Go to www.ecgod.co.uk/AHSN and follow the instructions to configure your device Follow the links to configure your iPhone http://servicedesk.necsu.nhs.uk/how-to-setup-nhsmail-on-your-iphone/ Follow the links to configure your android phone http://servicedesk.necsu.nhs.uk/setting-up-nhs-mail-on-an-android-mobile-device/ Standard charts examples. Charts will automatically appear in Eastern AHSN colours

Next: Complete all steps on ECG on-Demand® Complete all steps on the www.ecgod.co.uk/AHSN website This involves: Downloading the Kardia App from the Apple App Store or Google Play Store Creating a Kardia account using your NHS.net email address Registering the device with your AHSN Network (Eastern AHSN) Watching the one minute video to ensure high quality ECG recording Recording your first ECG. Standard charts examples. Charts will automatically appear in Eastern AHSN colours

Understanding the possible outcomes: Normal No referral required Update patient notes accordingly SmartArt will automatically appear in Eastern AHSN colours. To choose a mix of colours or another brand colour: 1.) click on the SmartArt you have put in the slide 2.) then click on ‘Design’ tab at the top. 3.) then click on ‘Change Colour’ from the top. 4.) then choose ‘Colourful’

Unclassified / Unreadable Repeat the ECG once Ensuring the following: Limit background noise Apply gentle finger tip pressure, do not squeeze If heart rate (HR) is >100 or <50, traces will be unclassified so allow time for HR to stabilise Use an alcohol spray/wipe on the device and ensure there is sufficient moisture on fingers If 2nd ECG is unclassified or unreadable refer patient

Possible AF Send the ECG for referral by clicking the email EKG icon at the bottom of the trace Send the ECG using an NHS.net account to a recipient NHS.net account Email immediately so not to lose the ECG when the device is next used Add the ECG to patient record Patient Identifiable Data should be written in the body of the email DO NOT add any patient identifiable data into the app DO NOT use the “add note” function in the app

Information Governance Log out at the end of each session to ensure no ECG traces are stored on the device Read the Eastern AHSN Guidance Document that includes a section on Information Governance http://bit.ly/2mVHlqC Ensure the Privacy Notice about the AliveCor Kardia mobile devices is available for patients if they request further details

Do’s and Don’ts Do’s Don’ts Read the manufacturer’s guidance Use the basic app in the guest mode Understand the Information Governance (IG) associated with using the devices Clean the device between each patient using a sterile wipe Don’ts Who not to test… known AF, pacemaker, pregnancy Don’t enter any Personal Identifiable Data in the app Don’t use the premium function of the app as part of this roll-out Don’t attach the device to your phone or tablet as then others can’t use it

Final points for using the devices Aim to have multiple staff members using each device Aim to use the devices as much as possible e.g. 7 days per week, after hours clinics Aim to use the devices with at least 25 people per week Ensure that mobile ECG device use is embedded in your local clinical pathways

Technical support from AliveCor Please see the user manual and frequently asked questions For Technical support from AliveCor please email uksupport@alivecor.com or call 0333 301 0433

Thank you For further details about the Eastern AHSN Atrial Fibrillation Programme please contact Dr Amanda Buttery amanda.buttery@eahsn.org Standard title slide – Eastern AHSN Purple