Gaumard CODE BLUE S303 User manual

The Code Blue® Multipurpose Simulator is an interactive educational system developed
to assist a certified instructor. It is not a substitute for a comprehensive understanding
of the subject matter and not intended for clinical decision making.
User Guide 22.04.1
©Gaumard Scientific Company, 2022
All Rights Reserved
www.gaumard.com
S303 / S303.250
CODE BLUE® MULTIPURPOSE
SIMULATOR WITH
INTUBATABLE AIRWAY
USER GUIDE

TABLE OF CONTENTS
1. INTRODUCTION 5
1.1 SPECIFICATIONS 5
1.2 TERMINOLOGY 5
1.3 CARE AND MAINTENANCE 5
2. OVERVIEW 7
2.1 FEATURES 7
2.2 PROCEDURES 7
2.3 OPTIONS 8
3. INITIAL SETUP 8
3.1 CARE AND CAUTIONS DURING UNBOXING 8
3.2 PACKAGE CONTENTS 8
3.3 LOWER BODY ASSEMBLY 9
3.4 LEG ASSEMBLY 11
3.5 POWERING ON 12
3.6 CONNECTING THE PULSE LINE 12
3.7 CONNECTING THE OMNI® CONTROLLER TO THE S303 13
3.8 CONNECTING THE OMNI® 2 TABLET TO THE S303.250 14
4. WORKING WITH THE SIMULATOR 16
4.1 OPTHALMOLOGIC EXERCISES 16
4.2 AIRWAY 16
4.3 INTERNAL RESERVOIR CAPACITY 21
4.4 CHEST COMPRESSION CALIBRATION WITH OMNI® 21
4.5 CHEST COMPRESSION CALIBRATION WITH OMNI® 2 22
4.6 CATHETERIZATION 31
4.7 GYNECOLOGIC 35
4.8 GASTROINTESTINAL 39
4.9 NURSING PROCEDURES 41
CODE BLUE® MULTIPURPOSE | User Guide
ii | Table of Contents

5. WORKING WITH THE OMNI® CONTROLLER 44
5.1 OMNI® CONTROLLER FEATURES 44
5.2 NAVIGATION SUBMENU 45
6. WORKING WITH THE OMNI®2 TABLET 48
6.1 OMNI®2 TABLET FEATURES 48
6.2 BATTERY USAGE 51
6.3 TURNING OFF THE SIMULATOR 51
7. OPTIONS 52
7.1 BLOOD PRESSURE LEFT ARM WITH OMNI® CODE BLUE PACK FOR
THE S303 ONLY 52
7.2 BLOOD PRESSURE LEFT ARM WITH OMNI®2 TABLET FOR THE
S303.250 ONLY 57
7.3 ULCERATED FOOT 60
7.4 GERIATRIC FACE SKIN 62
8. ROUTINE MAINTENANCE 64
8.1 REPLACING THE ARM SKIN 64
8.2 CHECKING FOR VEIN BLOCKAGE 65
8.3 FLUSHING THE FLUID RESERVOIRS 66
9. TROUBLESHOOTING 70
9.1 OMNI® IS NOT TURNING ON 70
9.2 CONNECTIVITY TO THE SIMULATOR CANNOT BE ESTABLISHED
OR IS LOST 70
9.3 OMNI® OR OMNI®2 IS NOT DETECTING ANY COMPRESSIONS OR
VENTILATIONS 71
9.4 OMNI®2 TAKES TOO LONG TO BOOT UP 71
9.5 CPR IS NOT DETECTED IN OMNI®2 71
CODE BLUE® MULTIPURPOSE | User Guide
Table of Contents | iii

10. APPENDIX 72
10.1 CONSUMABLE PARTS LIST 72
10.2 GAUMARD SALES TERMS AND CONDITIONS 73
10.3 END USER LICENSE AGREEMENT 75
10.4 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 78
10.5 CONTACT GAUMARD 79
10.6 GENERAL INFORMATION 79
CODE BLUE® MULTIPURPOSE | User Guide
iv | Table of Contents

CODE BLUE® MULTIPURPOSE | User Guide
Introduction | 5
1.1 SPECIFICATIONS
• 60 lbs
• 43x20x16
Code Blue® S303 Multipurpose Care and CPR life support simulator provides the perfect
combination between nursing care and BLS / ALS features all in one manikin
1.2 TERMINOLOGY
Facilitator: The person conducting the simulation; an instructor or lab sta member
Provider: A person participating in the simulation as a healthcare provider
Fill Kit: Syringe and tubes used to fill urinary and hemorrhage reservoir
1.3 CARE AND MAINTENANCE
The lubricant and other accessories provided are for use with the accompanying patient
simulator only. The lubricant and other accessories are not suitable for human use or
medical treatment/ diagnosis and should never be used for such purposes.
CAUTION: Damage caused by misuse may void the manufacturer’s warranty Failure to
comply with the following guidelines could result in damage to the equipment.
General
• Do not wrap this or any other Gaumard product in newsprint.
• Marks made with ballpoint pens, ink or marker cannot be removed.
• Replacement parts are available from Gaumard or from your distributor.
• Only use simulated blood provided by Gaumard. Other simulated blood containing
sugars and other additive may cause blockage of the fluid system.
Operating Conditions
• Operating the simulator outside these ranges may aect performance:
• Operating temperature: 50°- 95° F (10°- 35° C).
• Humidity: 5%-95% (non-condensing).
Cautions
• Treat the simulator with the same precautions used with a real patient.
• Do not attempt to intubate without lubricating the airway adjunct with mineral oil lubricant. Failure to
lubricate the device will make intubation very dicult and is likely to result in damage to the simulator.
• Mouth to mouth resuscitation without a barrier device is not recommended as it may contaminate the airway.
• Do not use povidone iodine on the simulator.
1. INTRODUCTION

CODE BLUE® MULTIPURPOSE | User Guide
6 | Introduction
CAUTION: The tubing simulating veins is made of latex which may cause allergic
reactions. Users allergic or sensitive to latex should avoid direct contact with
the tubing. Seek medical attention if an allergic reaction occurs.
Storage
• Store the simulator in a cool, dry place. Extended storage should be between 32 - 85° F (0 -
29° C). Storage above 85° F (29°C) will cause the simulator to soften and slowly warp.
• Humidity: 40%-60% (non-condensing)
• Do not stack or store heavy materials on top of the box.
• Please store and ship in the case provided.
Cleaning
• Remove all traces of lubricant at the end of each simulation session.
• Remove the fluid using the fill kit provided.
• Drain all the fluid from the dispensing bag and IV Arm by unclamping the drainage
tube and pumping the squeeze bulb attached to the dispensing bag.
• Flush the fluid reservoirs and venous system with a 30:70 mix of isopropyl alcohol to water after each
day of simulation then suction all fluid out. You may also fill the dispensing bag with this mixture.
• The simulator is “splash-proof” but not water proof. Do not submerge in water.
• The simulator should be cleaned with a cloth dampened with diluted
liquid dishwashing soap. Do not clean with harsh abrasives.
• Dry thoroughly after every cleaning.
Stoma Care:
• Do not clean with alcohol or aggressive solvents.
• Clean the stomas using a mild solution of soap and water.
• Apply baby powder to return the surface to a skin-like feel and appearance. Reapply as needed.
• Always remove the stomas when preparing for transport.

CODE BLUE® MULTIPURPOSE | User Guide
Overview | 7
2. OVERVIEW
2.1 FEATURES
• Soft, lifelike face skin and dilated left pupil
• Dully articulated neck and jaw with removable upper and lower dentures
• Surgical site for tracheotomy
• Bilateral carotid and right radial pulse
• BVM with realistic chest rise Jointed elbows, wrists, knees, and ankles
• Bilateral IM sites in deltoids, quadriceps, and left buttock
• Intravenous training arm and hand with intramuscular and subcutaneous injection sites
• Interchangeable male and female breasts; left female breast has malignancy
• Breast palpation capability with brassiere attachment and 7 abnormal breasts inserts
• Set of two decubitus ulcers depicting initial stage of ulceration and deeply infected stage
• Sculpted stomas for transverse colostomy, ileostomy, and suprapubic
stoma, each connected to an internal, removable tank
• Amputation stump
2.2 PROCEDURES
• Oral, nasal, otic, tracheotomy, and gastrostomy openings for instruction in nasogastric lavage and gavage
• Anatomically accurate airway with trachea, bronchi, and lungs to perform intubation, ventilation, and suction
• Mouth to mouth and mouth to nose resuscitation
• Practice regular or Counterpulsation CPR. Chest compressions and
airway ventilations are measured and logged
• Practice intravenous, intramuscular, and subcutaneous injection techniques
• Take blood pressure readings on the left arm using a modified cu (optional)
• Male and female genitalia to perform catheterization. Realistic vulva
permits instruction in asepsis and disinfection.
• Perform vaginal douching, bimanual exams, and pap smear exercises with realistic vagina and cervix
• Prostatic palpation and massage
• Enema administration

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8 | Initial Setup
2.3 OPTIONS
Blood Pressure Left Arm with OMNI® Code Blue Pack
The Blood Pressure Training System consists of a full size adult left arm. This is a
versatile training tool developed to assist health professionals teach the processes and
skills required to perform blood pressure auscultation procedures and techniques.
Ulcerated Foot
Interchangeable patient foot depicting 3 ulcers. Evaluate and
practice care of decubitus ulcer and ulcers on the foot.
3. INITIAL SETUP
3.1 CARE AND CAUTIONS DURING UNBOXING
• Remove the simulator from the box with at least two people. Hold and
lift it out of the protective case from both sides of the torso.
• The simulator comes partially assembled. Avoid lifting the simulator
by the arms as this may cause damage to the joints.
• Rest the simulator on a bed or clean, flat surface capable
of supporting the weight of a real adult patient.
NOTE: Remove the legs when transporting the simulator inside the protective case.
3.2 PACKAGE CONTENTS
1. Upper body
2. Lower body
3. Breast module
4.IV arm kit
5. OMNI® Controller or
OMNI®2 tablet
6.Trachea tape replacement
7. Blood dispensing bag
8. Artificial blood
concentrate
9. Baby powder
10.Mineral oil

CODE BLUE® MULTIPURPOSE | User Guide
Initial Setup | 9
3.3 LOWER BODY ASSEMBLY
1. Remove the insert that supports the lower torso.
2. Unscrew one knob at the end of the
rod that passes through the midsection
by twisting it counterclockwise.
3. Pull the rod out and set it aside.
4.Connect the hose from the upper
torso to the lower torso

CODE BLUE® MULTIPURPOSE | User Guide
10 | Initial Setup
5. Place the support back into the lower torso.
6.Carefully insert the lower torso
into the upper torso.
7. Align the holes on each side of the
waist to insert the waist rod.
8. Replace the waist knob and twist it
clockwise to lock it in place.

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Initial Setup | 11
3.4 LEG ASSEMBLY
1. To attach the legs, remove the wing nuts,
washer, and springs from the bolts on the hips.
2. Remove the IM pad from each leg and
slide the lig into the hip joint by inserting
the bolt through the orifice in the leg.
3. Assemble the fasteners onto the hip bolt in this
order: washer, spring, washer, and wing nut.
4.Tighten the wing nut until the
spring is compressed slightly.

CODE BLUE® MULTIPURPOSE | User Guide
12 | Initial Setup
5. Place the IM pad back on the leg.
3.5 POWERING ON
3.6 CONNECTING THE PULSE LINE
Connect the power supply to the power input
located on the simulator’s left side, then
connect the power supply to the wall outlet.
Connect the pulse line by unscrewing the
red cap and twisting on the pulse line tube
with the squeeze bulb attachment.

CODE BLUE® MULTIPURPOSE | User Guide
Initial Setup | 13
2. A startup screen is shown while the OMNI®
controller detects the simulator's features.
3. After the startup screen, the OMNI® controller
will automatically proceed to the main screen.
3.7 CONNECTING THE OMNI® CONTROLLER TO THE S303
1. Connect the controller's communication cable
to the port on the side of the simulator.
WARNING: Do not connect the simulator or OMNI® to a computer, LAN
network or unauthorized diagnostic equipment using the communication cable
(Ethernet cable). Doing so will cause serious damage to the equipment.

CODE BLUE® MULTIPURPOSE | User Guide
14 | Initial Setup
2. Select “Allow” for turning on the
tablet’s Bluetooth. The simulator will
connect automatically to the tablet
3.8 CONNECTING THE OMNI® 2 TABLET TO THE
S303.250
1. Turn on the OMNI 2 controller by
pressing and holding the ON button
on the right side of the tablet.
NOTE: A startup screen is shown while OMNI 2 is
detecting the simulator’s features.
3. Follow the tutorial for a brief overview of
the features of OMNI 2. Tap “GOT IT” to
move on to the next steps of the tutorial.

CODE BLUE® MULTIPURPOSE | User Guide
Initial Setup | 15
5. After the tutorial, OMNI 2 will proceed
automatically to the “Favorites” page and
establish a connection to the simulator.
WARNING: Do not connect the simulator
or OMNI 2 to a computer, LAN network, or
unauthorized diagnostic equipment. Doing so
will cause serious damage to the equipment.
4.Exit the tutorial at any time by selecting “HOME.”
NOTE: Completing the tutorial one time will
avoid it from appearing at start-up in the
future. To view the tutorial again, tap on the
Menu icon and select “Show Tutorial.”

CODE BLUE® MULTIPURPOSE | User Guide
16 | Working with the Simulator
4. WORKING WITH THE SIMULATOR
4.1 OPTHALMOLOGIC EXERCISES
The head has eyes that open and close
permitting the following exercises:
• Administration of orbital medicines
into the conjunctival sac
• Removal of foreign bodies
• Eye irrigation
Intubation
• The simulator's airway can be intubated through
the left nasal opening, the trachea and the
mouth using LMA or endotracheal tubes.
4.2 AIRWAY
Procedure Recommended Device Size
Intubation (Blade size) Miller4 or MAC 3.5
LMA Size 4
Nasal Intubation 8 mm outer diameter max
Oral Intubation ETT 7.0 or 7.5 (no cu)
• Lubricate the tools used in these
exercises to ensure easy insertion and
avoid damage to the simulator.

CODE BLUE® MULTIPURPOSE | User Guide
Working with the Simulator | 17
Tracheostomy Care
The simulator is supplied with a tracheostomy
opening. This allows for the trachea to
be pierced during a simulation with a
real device to observe chest rise.
Replacing the Trachea Skin
1. Gently lift the chest skin of the simulator
to reveal the chest cavity.
2. Remove the used trachea tape
from around the trachea.
3. Replace the pierced trachea tape with a
new strip of tape by wrapping it around
the tracheal opening. Replacement tape
is provided with your simulator.

CODE BLUE® MULTIPURPOSE | User Guide
18 | Working with the Simulator
4.Lay the chest skin over the torso and gently
press down the Velcro to secure it in place.
NOTE: Air leaks in the airway will result
in poor chest rise during ventilation
and false intubation readings.
Calibrating Ventilations with OMNI®
2. Select V CAL on the OMNI. Press START
to begin the calibration procedure.
3. When OMNI® is ready to calibrate, it will display
VENTILATE. Follow the cues on the screen to
perform one ventilation at a time, until finished.
Through this menu, set the standard against which
ventilation will be evaluated during the exercise.
1. Press CALIB.

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Working with the Simulator | 19
4.Perform a ventilation.
5. Follow the cues on the screen to perform the
remaining four ventilations. When the calibration
is complete, OMNI® will display DONE.
6.Press SAVE to complete the
calibration procedure.

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20 | Working with the Simulator
Ventilations
• Ventilate using a BVM and obtain
realistic, dual chest rise.
• Use a fitted mask to limit air leakage
and to provide a visible chest rise.
Ear, Nose, and Throat
• Left ear: the interior of the ear contains
a simulated ear canal with a capacity of
5 mL to practice syringing exercises.
CAUTION: Always use lubricant prior to the introduction
of a Levin tube or any other invasive device.
• Nasal/oral openings are both connected
to the stomach reservoir.
• The nostrils can be pinched for CPR simulations.
• The gastric reservoir (capacity: 850 mL) has
an opening for multiple gastric exercises.