Commonly used scripts for Respiratory Devices
When submitting equipment requests for Nocturnal (Bilevel) Ventilation, Continuous Ventilation and Mechanical In-exsufflation, a complete prescription is required with the request to ensure the application can be reviewed and set-up by the supplier (when approved). Incomplete applications with missing settings may delay the outcome for your patients.
Below are commonly used scripts that should be sent with the relevant Home Respiratory Program Equipment Request Forms. If the required script is not available below, please attach an alternative script with complete settings or consult your nominated supplier for the right script.
Philips
- Dreamstation BIPAP AVAPS (dynamic form) (PDF File) - 236.3 KB
- BIPAP A40 Pro (PDF File) - 186.3 KB
- BIPAP A40 (PDF File) - 187.5 KB
- Dreamstation BIPAP AutoSV (PDF File) - 176.1 KB
- Philips Trilogy Evo (PDF File) - 291.3 KB
- Philips Trilogy 100 (PDF File) - 335.6 KB
- Philips E70 (Cough Assist) (PDF File) - 337.2 KB
ResMed
- Lumis 100 S - Spontaneous mode (PDF File) - 206.0 KB
- Lumis 150 ST - Spontaneous-timed mode (PDF File) - 217.8 KB
- Lumis 150 STA – Spontaneous and Spontaneous-timed modes (PDF File) - 238.8 KB
- Lumis 150 ST - Spontaneous-timed: iVAPS mode (PDF File) - 202.9 KB
- Lumis 150 STA - Spontaneous-timed: iVAPS mode (PDF File) - 247.4 KB
- Aircurve 10 CS Pacewave - ASV (PDF File) - 96.2 KB
- Stellar 150 (PDF File) - 287.3 KB
- ResMed Astral 150 (PDF File) - 175.4 KB