Review Dexcom G4 PLATINUM
Professional System Indications for
Use, Cleaning, Disinfection, Safety
Information and Maintenance
Important: The following information will be reviewed
by a Dexcom employee or trained designee, with any
healthcare facility or provider that chooses to train
patients on the Dexcom G4 PLATINUM Professional
CGM System. After the below information has been
reviewed, the site will be considered trained.
Dexcom G4
®
PLATINUM
Receiver
Dexcom G4
®
PLATINUM Professional Site Training Checklist
Dexcom G4 PLATINUM
Sensor and Applicator
Becoming a Dexcom
®
CGM Trained Site
Dexcom G4 PLATINUM
Transmitter
• Review all indications, contraindications,
warnings, and precautions (see the back side
of this training checklist or the Dexcom G4
PLATINUM Professional System User’s Guide)
• Review maintenance guidelines for the Dexcom
G4 PLATINUM Professional System, including
storage, cleaning and disinfection (see the
Dexcom G4 PLATINUM Professional System
User’s Guide)
Review Dexcom G4 PLATINUM Professional System Operations
• Charge receiver
• Proceed through initial Setup Wizard to set up time, date, transmitter ID and low/high glucose alert settings
• Review basic device training for each patient outlined by the Dexcom G4 PLATINUM Professional System
Quick Start Guide
• Demonstrate proper device training Date:____________________________
• Observe site doing device training Date:____________________________
Review Dexcom STUDIO
™
Software
• Install Dexcom STUDIO software
• Customize the Dexcom STUDIO software features and settings based on the HCP needs
(Quick Print, Target Glucose, etc.)
• Review Dexcom blind and unblind feature and obtain unlock code to activate feature
• Review Dexcom CGM data interpretation and Dexcom STUDIO reports
Provide Dexcom G4 PLATINUM Professional System and Dexcom STUDIO
Training Materials
• User’s guide • Quick start guide • Dexcom STUDIO User’s Guide
• Other products training materials as appropriate
Review Site Product Training Documentation
• Dexcom G4 PLATINUM Professional Site Training Verication Form and Checklist to be returned to Dexcom
Review of Dexcom Customer Operations and Technical Support
• Review how to contact Customer Operations at 1.877.339.2664 for patients who would like to purchase a
personal Dexcom G4 PLATINUM CGM System
• Review how to contact Technical Support at 1.877.339.2664 24/7
• Product troubleshooting guidelines can be found in the Dexcom G4 PLATINUM Professional System User’s
Guide
Review CGM Coding and Reimbursement
• Review current coding and reimbursement guidelines
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Step 7
Trained Site Name:
Site Representative Name(s):
Trained By:
Date of Training:
Receiver Serial Number:
a. Acoustic spacer
b. Triangular seal
c. Square seals
d. Receiver shield
a. b.
c. d.
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