An alarm manager identifies responders that are confirmed to be available to receive an alarm notification pertaining to a patient device through one or more computing devices. An alarm of the patient device may be suppressed in response to verifying that responders are available to receive the alarm notification. The alarm notification may be transmitted to the identified responders, and verification of receipt, acceptance, and/or completion of the alarm notification is received. An alarm notification may be retransmitted in response to a failure to verify receipt, acceptance, and/or completion within a time threshold.