Laerdal Medical Nursing Anne User manual

Nursing Anne
Simulator
User Guide
www.laerdal.com
EN

Intended Use
Nursing Anne Simulator is a realistic, interactive training simulator to educate healthcare
professionals to initiate and maintain care for patients, within the fundamentals of nursing
curricula.
It is tetherless,WiFi operated, with a flexible operating system depending on training
needs.The simulator responds to clinical intervention, instructor control, and pre-
programmed scenarios for effective practice.
Refer to the SimPad User Guide and LLEAP Help Files for more information on
operation and connection.
Read the Important Product Information booklet before use.
Refer to the Laerdal Global Warranty for terms and conditions. For more information
visit www.laerdal.com.

Contents Contents
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Operating Software 8
Laerdal Simulation Home 8
LLEAP 8
SimPad 8
Other Applications 9
Overview - Nursing Anne Simulator 10
Overview - Features 11
Airway and Breathing 11
Assessment 11
Nursing Interventions 11
Realism 11
Resuscitation 11
Overview - Reservoirs 12
Abdominal Plate Overview 12
Reservoirs 12
Preparing for Simulation - Reservoirs 14
Filling Reservoir - Quick Fill 14
Filling Reservoirs - Tap/Faucet Fill 15
Pressurize Urine Reservoir 15
Central Line Reservoir 16
Large Volume Infusions - Bypass System 16
Stoma Placement 17
Preparing for Simulation - Stoma 17
IV Drain Bag 18
Preparing for Simulation - IV Arm 18
Attaching the BP Cuff 19
Calibration of BP 19
Preparing for Simulation - Blood Pressure (BP) Arm 19
Enema 20
Suppository 20
Rectal Suppositories 20
Vaginal Suppositories 20
Preparing for Simulation - Enema and Suppository Administration 20
Preparing for Simulation - Trach Tube Insertion 21
Preparing for Simulation - Eyes 22
Pupil Replacement 22
Preparing for Simulation - Oral and Denture Care 23
Changing the Upper Dentures 23
Preparing for Simulation - Skin 24
Improving the Adhesion of Tapes and Dressings 24
To Prime the Skin Prior to Training 24
Use - Skin 25
To Prime the Skin During Training (applying dressings/tapes) 25
Use - Patient Handling 26
NG Tube Insertion and Care 27
Trach Care and Suction 27
Use - Wet Skills 27
Gastrostomy Tubes (Gastric/Jejunal) 28
Urinary Catherization 28
Central Line 28
Enema Administration 29
Rectal Suppository Insertion 29
Stomas/Ostomy Care 29
Use - Intramuscular (IM) Injections 30
Use - IV Arm 31
Airway 32
Use - Airway Management and Resuscitation 32
Resuscitation 33
Spontaneous Breathing 33
Defibrillation – Nursing Anne Simulator and ShockLink 34
Use - Cardiac Related Skills 34
Heart, Lung, Bowel and Vocal Sounds 35

Contents
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Use - Sounds 35
Use - Pulses 36
Use - Ear 38
Ear Irrigation 38
Use - Recommended Sizes of Clinical Equipment 39
Cleaning - After Each Use 40
General Care 40
External Skin 40
Indwelling Reservoir 41
Blood, Urine and Stomach Reservoirs 41
Genitalia 42
After Enema Administration 42
After Suppository Administration 42
Stomas 43
IM Injection Pads 43
IV Arm 43
Trach Tube 43
Torso Liner 44
Tubing 44
Cleaning - Every Six-Months 44
Wig Care and Upkeep 45
Washing the Wig 45
Cleaning and Maintenance 46
Inspections Checklist 46
Preventative Maintenance 47
Maintenance 48
Inspect Compressor Air Filter 48
Air Filter Color Guide 48
Change Compressor Air Filter 49
Replacing Spontaneous Breathing Bladders 50
Transport and Storage 51

Operating Software
8
Nursing Anne Simulator is operated and controlled by LLEAP - Laerdal Learning
Application and SimPad.
Laerdal Simulation Home
Laerdal Simulation Home is an application where LLEAP and other Laerdal programs
related to patient simulation can be found and started.The help files are also opened
from here. Laerdal Simulation Home is located in the Laerdal Medical folder under the
Windows start menu (Windows 7) and can be launched using the desktop shortcut on
Windows 8.
LLEAP
LLEAP is the instructor’s application from where the simulation session is run, controlled,
and monitored. Installed on a laptop, PC or tablet, LLEAP can be operated in Automatic
or Manual mode. Automatic mode is used for pre-programmed scenarios while Manual
mode allows the instructor full manual control over the simulation session. Running
simulations in Manual mode generally requires some medical expertise to create clinically
sound simulations.
SimPad
SimPad is a wireless customized tablet that controls relevant medical presentations for
simulation training, including debriefing, in various user settings.
There are two ways to control simulations, Automatic Mode and Manual Mode allowing
customized simulations to meet specific needs.
9
Operating Software
Other Applications
The following applications are available in conjunction with the simulation sessions:
• The Patient Monitor application emulates a typical hospital patient monitor. It is the
learner’s console and can be set up and controlled by the instructor, as well as by the
learner, through on-screen touch menus.
• Voice Conference Application (VCA) transmits all vocal sounds used during
simulation. It enables the instructor to communicate through the simulator during the
session.
• Session Viewer, SimView Server and SimView Mobile are applications that record
video and patient monitor screen captured during simulation, in addition to providing
an interface to debrief your session. After a session is ended, log files generated in
LLEAP and on SimPad are transferred and merged with the video files in Session
Viewer, SimView Server and SimView Mobile for the debriefing.
• License Manager for handling program licenses
• Simulator Firmware & Network Wizard for updating the firmware of the simulators
or troubleshooting network problems
• SimDesigner for configuring your own pre-programmed scenarios. It can also be
used to analyze and print out a graphical representation of a scenario. SimDesigner
must be installed to allow conversion of legacy instructor application files to LLEAP
compatible file formats.
• Network Selector in Laerdal Simulation Home helps users connect LLEAP and
Patient monitor to a wireless network and even host a network (Windows Hosted
Network).
• Theme editor allows creation of themes for the SimPad system when operating
using Manual Mode
For a full overview of all applications and their help files, start Laerdal Simulation Home.

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Overview - FeaturesOverview - Nursing Anne Simulator
10 11
Airway and Breathing
• Spontaneous Breathing
• Head Tilt, Chin Lift
• Tracheostomy care and suctioning
• Oxygen delivery via BVM ventilation, Nasal Canula, Non-Rebreather Mask
• Oral and Nasal Intubation
• LMA Placement
Assessment
• Blood Pressure (BP) Palpation and Auscultation
• Bilateral Carotid, Brachial, Radial, Femoral and Pedal Pulses
• Heart, Lung, Bowel and Vocal Sounds
• Palpable Anatomical Landmarks (Anterior, Posterior, Axilla)
• Blinking Eyes and Programable Eyelid Positioning
• Normal, Constricted and Dilated Pupils
• Normal, Dusky and Infected Stoma
Nursing Interventions
• Nasogastric (NG) and Orogastric (OG) Tube insertion To Correct Measurement
• Ostomy Care
• Gastronomy Port
• Central Line Care
• Complete Urinary Catheterization
• Bilateral Pre-Ported IV Arms
• Realistic Intramuscular (IM) Injection Sites
Realism
• Realistic Skin and Hair
• Sits Unassisted
• Fully Articulating Arms and Legs
• Practice of Transfer Techniques
• Anatomically Correct Female Genitalia
Resuscitation
• CPR Capable
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Microphone
Tracheostomy Opening
BP Arm
Gastronomy Port
IV ArmIV Arm
BP Arm
Stoma Port
Main Panel
Central Line Opening
Microphone

Overview - Reservoirs
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Overview - Reservoirs
Urine Reservoir
Indwelling
Reservoir Air Tube
Connection Port G-Tube
Reservoir Cap
Reservoir Cap
Reservoir Cap
Connection Port
Central Line Reservoir Stomach Reservoir
Connection Port
Esophagus Tube
Abdominal Plate Overview
Reservoirs
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1. Central Line Port
2. G-Tube
3. Stomach Reservoir Tubing
4. Urine Reservoir Tubing
5. Air Reservoir Tubing
6. Bypass Tubing Exit
7. Bypass Tubing
8. Bypass Tubing
Urine Port
Air Port
G-Tube Port
Stomach Port

14 15
Preparing for Simulation - ReservoirsPreparing for Simulation - Reservoirs
To prepare for simulation, fill Urine (yellow), Central Line (red) and Stomach (green)
Reservoirs with fluid as required.
Filling Reservoir - Quick Fill
3 4
1 2
Cautions
• Do not perform chest compressions with fluid in the stomach reservoir bag.
• Ensure the Indwelling Reservoir is connected to the genetalia before filling of bladders and
catheterization is being performed.
Notes
• Stomach and Central Line have 500 ml capacity.
• Urine Reservoir has 500 ml capacity for fluids and 300 ml for air.
• Do not introduce biological contents into the reservoir systems.Water with food colouring
is recommended.
Filling Reservoirs - Tap/Faucet Fill
1. Remove reservoir from mounting tabs.
2. Disconnect the luer lock connection from the quick fill port.
3. Remove cap and fill reservoir with water from the tap. Add desired colouring.
4. Replace cap.
5. Replace reservoir onto mounting tabs. Reconnect relevant luer lock connections.
Pressurize Urine Reservoir
1. Locate the quick fill port for air.
2. Connect the luer lock Air Syringe to quick fill port and infuse up to 300 ml air to
pressurize the system.
3. Once the system has enough air infused, the indwelling urinary bladder will fill with fluid.
Notes
• Refill urine during catherization training using the quick fill port. See 'Filling Reservoirs -
Quick Fill' section.
• Air should not be replaced after initial fill for the session.

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Preparing for Simulation - StomaPreparing for Simulation - Reservoirs
Central Line Reservoir
Nursing Anne Simulator features an opening for preplacement of a central line and
a 500 ml reservoir for practice of infusion and dressing change.
1. Unzip both sides of torso skin to access abdominal plate.
2. Remove abdominal plate.
3. Spray catheter with manikin lubricant and insert central line through opening in skin
below clavicle to simulate a previously inserted line.
4. Insert catheter into the white tube/valve opening (on chest plate) a minimum of
50 mm (2 in).The valve is connected to the reservoir bag on inside of torso.
5. Replace skin.
6. Aspirate air out of the central line port until flash of fluid occurs.
Large Volume Infusions - Bypass System
The bypass system allows high volume infusions to be given to the simulator, bypassing
the internal reservoir system. Bypass tubes are located on each side of the simulator.
1. Unzip both sides of torso skin to access abdominal plate.
2. Remove the ventro-gluteal injection pad and locate the bypass tubing.
3. Attach the bypass tubing to the External Reservoir Bag (2000 ml).
4. Lift the abdominal plate.
5. Disconnect the luer lock connector of the desired reservoir (stomach, central line).
6. Connect the desired tubing directly to the bypass (red or blue) which is now attached
to the overflow bag.
7. Replace abdominal plate and ventro-gluteal injection pad.
8. Replace skin.
Note
The bypass system with the provided overflow bag will hold 2000 ml.Any standard urinary
drainage bag can also be used with the bypass system.
Stoma Placement
Unzip torso skin on manikin’s right side. Insert luer lock connection on back of selected
stoma into skin opening on manikin’s right abdomen.
For irrigation exercises:
Note
Connect to Bypass System for large volume infusions. See Large Volume Infusions (Bypass
system) section.
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1

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Preparing for Simulation - Blood Pressure (BP) ArmPreparing for Simulation - IV Arm
Nursing Anne Simulator’s arms provide radial IV access through female luer fittings, and
support training for IV drug or fluid administration.
IV Drain Bag
Connect the IV outlet tube exiting back side of arm (black connector) to standard IV fluid
collection bag (not included).This serves as a collection reservoir for the IV system.
Nursing Anne Simulator features bilateral BP Arms for non-invasive measurement of
blood pressure.The specially adjusted BP Cuff allows measurement of BP manually by
auscultation of Korotkoff sounds or palpation of pulses.
Attaching the BP Cuff
1. Attach the BP Cuff to the arm.
2. Connect the white connector exiting the cuff to the white connector exiting the back
of the simulator upper arm.
Calibration of BP
See the LLEAP/SimPad User Guide for calibration instructions.
Note
See SimPad User Guide or LLEAP Help files for complete blood pressure measurements and
operating information.

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Preparing for Simulation - Enema and Suppository Administration Preparing for Simulation - Trach Tube Insertion
Enema
To prepare for enema administration, connect the enema connector to the bypass
tubing and the external 2000 ml reservoir bag.
1. Unzip torso skin on either side.
2. Lift abdominal plate to access pelvis area. Locate overflow drain connection tube
inside pelvis. Connect overflow drain connection tube to black tube connection
inside manikin at the anal valve.
3. Remove ventral gluteal injection pad and locate overflow drain connection tube.
Attach overflow drain bag to tubing. Replace skin.
4. Administer enema according to local protocol.After use, disconnect overflow drain
bag from tubing. Push tubing back into recess and replace ventral gluteal pad.
5. Lift abdominal plate. Disconnect black connection from overflow drain tube. Replace
skin.
Suppository
Rectal Suppositories
To prepare for administering Rectal Suppositories, remove tubing from the genitalia
connection. Ensure chamber is connected.
Vaginal Suppositories
To prepare for administering Vaginal Suppositories, ensure that the internal vaginal cap is
in place.
A concealed tracheostomy opening in the neck of the simulator allows for the care and
maintenance of a placed Trach Tube.To prepare, remove Trach Plug.
1. Spread trach opening in neck skin to locate opening in trachea.
2. Remove trach plug.
3. Insert standard trach tube into trach opening.

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Preparing for Simulation - Eyes
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Nursing Anne Simulator’s eyes blink automatically with synchronization between left
and right. Eye lid position and blink settings are adjusted and controlled in the instructor
software application. See SimPad or LLEAP User Guide for instructions.
Caution
Do not introduce fluid or objects into the eyes.
Pupil Replacement
Nursing Anne Simulator is supplied with a set of normal pupils mounted in the eyes.
A separate case contains 3 sets of plastic pupil inserts (normal, constricted and dilated
pupils) for use in simulating other conditions.
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Preparing for Simulation - Oral and Denture Care
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To simulate denture care, the upper denture can be removed and cleaned.
Changing the Upper Dentures
Nursing Anne Simulator comes with a set of upper teeth that may be removed for care
and cleaning practice.

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Use - SkinPreparing for Simulation - Skin
Improving the Adhesion of Tapes and Dressings
For poor skin adhesion of dressings and tapes, Laerdal recommend the use of Mastisol
(Eloquest Healthcare®) as an adhesion promoter (primer), applied prior to simulation
activities undertaken on the Nursing Anne Simulator.
To Prime the Skin Prior to Training
• Clean the area as normal and let dry
• Apply the Mastisol as per directions, including liquid to all areas to be covered by
dressing and allow to dry for 30 seconds.
To Prime the Skin During Training (applying dressings/tapes)
• Clean the area gently as per local protocol (eg, Alcohol Wipes)
• Apply dressing
• Gently remove dressing as to not remove too much Mastisol
• Clean area gently as per local protocol (Mastisol will last longer by using less
aggressive solvent wipes)
• Apply dressing
• Repeat until you need to reapply adhesion promoter.

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Use - Patient Handling
Nursing Anne Simulator has articulation for:
• Realistic patient handling procedures
• Protective positioning
• Patient transfer techniques
• Range of motion exercises
• Head can be flexed into chin to chest position and remain flexed until repositioned
• Sitting position and tripod breathing.
Nursing Anne Simulator has a waist lock mechanism to release waist and allow
articulation to present labored (tripod) breathing. The simulator is shipped in the locked
position. Ensure the waist is locked and secure for sitting up, movement and transport.
Cautions
• The simulator is a fall risk. Do not leave simulator alone sitting unassisted or to remain in
sitting position unbalanced.
• Arms should not be rotated in a circular motion.
Use - Wet Skills
NG Tube Insertion and Care
Nursing Anne Simulator features an esophagus and 500 ml stomach reservoir for practice
of NG tube insertion and skills such as lavage and gavage.
An NG tube can be placed while the simulator is sitting upright with head positioned
chin to chest. Anatomical landmarks allow caregiver to determine accurate measurement
of tube length to be inserted using the nose to earlobe to xiphoid process.
The Nursing Anne Simulator allows for:
• Suctioning of simulated gastric contents through the NG tube
• Feeding through an NG feeding tube
• Bolus
• Intermittent bolus
• Continuous Feeding (recommended use of bypass system)
• Removal of an NGTube.
Notes
• Recommended tube sizes: 16Fr Nasogastric Tube, and 12Fr Nasogastric feeding tube.
• The maximum capacity of the stomach reservoir is 500 ml.Take care when training in
NG feeding not to overfill reservoir.
Trach Care and Suction
Simulate care and maintenance of aTrach Tube, including changing of the Trach Tube,
cleaning of the inner cannula, site care and dressing procedures and decannulation.
Cautions
• Wet tracheal suction cannot be performed - simulate only. Only perform dry suctioning
with clinical equipment.
• Do not introduce humidified air when setting up for tracheostomy humidification systems.
Notes
• Tracheal plug should be replaced for ventilation procedures involving a BVM.
• Recommended tube size: Size 8 Shiley Trach Tube, cuffed.

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Use - Wet Skills
Gastrostomy Tubes (Gastric/Jejunal)
Nursing Anne Simulator features an opening and reservoir bag for pre-insertion of
G-and J-Tubes with capability for administering medication and feeding up to 500 ml.The
concealed gastrostomy port is located in the upper left abdomen for pre-insertion of a
staged PEG or G tube for feeding and medication administration.
Notes
• Recommended tube size: 16F gastrostomy feeding tube.
• Connect to Bypass System for large volume infusions. See Large Volume Infusions (Bypass
system) section.
Urinary Catherization
Nursing Anne Simulator is fitted with realistic female genitalia.The pressurized urinary
system allows for insertion of straight or indwelling catheters and intermittent closed
catheter irrigation. Catheterization can be performed to the correct depth.
See Preparing for Simulation – Filling Reservoirs and Pressurize Urine Reservoir sections
to prepare for catheterization.
Cautions
• Only use glycerin or water-based lubricants with the urinary system. Silicone lubricant
should not be used.
• Use of lubricants not approved by Laerdal may reduce functionality and cause damage to
the urinary system.
Notes
• Common skin preparations such as chlorhexidine and povidone iodine-based
products may be used safely without staining the genitalia. See Cleaning section for
recommendations on cleaning.
• Recommended catheter size: 14Fr Urinary catheter.
Central Line
Nursing Anne Simulator features a pre-ported central line opening, and a 500 ml
reservoir for fluid and drug administration. A central line can be placed prior to use,
allowing the user to perform:
• Central Line site care
• Dressing change
• Fluid infusion
• Drug administration
Use - Wet Skills
Enema Administration
Nursing Anne Simulator features realistic genitalia and an external enema reservoir bag
for the practice of enema administration.
1. Administer enema according to local protocol.After use, disconnect overflow drain
bag from tubing. Push tubing back into recess and replace ventral gluteal pad.
2. Lift abdominal plate. Disconnect black connection from overflow drain tube.
Replace skin.
Rectal Suppository Insertion
Nursing Anne Simulator will allow the insertion of real or simulated rectal suppositories.
Note
Only 1 suppositories should be used at any time. To insert additional suppositories, remove
existing ones from the chamber.
Stomas/Ostomy Care
A concealed opening in the right abdominal area allows Practice of Assessment and care
of normal, infected and non-perfusing stomas. Including changing and emptying ostomy
appliances and irrigation. Irrigate stoma as per local protocol.
Notes
Protective skin preparations and stoma adhesives are safe for use on simulator skin.

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Use - Intramuscular (IM) Injections
Simulated medications can be administered via intramuscular injections in several sites.
Clean IM foam pads after each use. See ‘Cleaning’ section.
Notes
• Do not inject fluids into thighs.
• Recommended: use 21G or smaller sharp needles.
• Only inject distilled water.
• Does not support subcutaneous injections.
IM Sites.
Use - IV Arm
Connect syringe or IV tubing (for medical administration and/or infusion) with luer locks
to the pre-ported IV in the arm.
Pre-ported IV Arm

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Use - Airway Management and Resuscitation
Airway
Nursing Anne Simulator accepts a range of airway devices and airway techniques, and is
CPR capable.
The following can be practiced:
• Head tilt/Chin lift
• Jaw thrust
• Cricoid pressure and manipulation (Sellick’s Maneuver)
• Oral and nasal intubation
Oxygen delivery can be achieved using the following methods:
• Nasal cannula (retain O2tubing behind ear)
• Simple, Partial Re-breather, Non-Re-breather, and Venturi Masks
• Bag-Valve-Mask with visible chest rise
• Tracheostomy collar/ mask with visible chest rise
• T-Piece Resuscitator
• CPAP mask
Intubation Type Size
ET Tube 7.5 to 8.5
CombiTube 37Fr and 41Fr
LMA 4
King LT 4 and 5
Mask 4 and 5 4 and 5
Cautions
• The airways are not designed for cleaning or disinfection.
• Do not put biological or other materials in the simulator’s airways.
• Only use Manikin Airway Lubricant. Use of silicone or any other lubricant not approved by
Laerdal may cause damage to the airways.
• Do not introduce humidified air into the system during ventilation.
• Do not provide artificial respiration to the patient simulator using oxygen enriched air or
flammable gases.
• Nursing Anne Simulator is not designed to test the performance, functionality or accuracy
of a mechanical ventilator.
Use - Airway Management and Resuscitation
Notes
• Do not spray lubricant directly into the airway.
• Use of smaller tube-type devices reduces wear of the Patient Simulator’s airways.
• Incorrect positioning will pass air through esophagus, causing distention of the abdomen.
Resuscitation
Nursing Anne Simulator is CPR capable and chest compressions (maximum 65 mm/2.55 in)
can be performed on the simulator.
Cautions
• Do not perform chest compressions with fluid in the stomach reservoir bag.
• Never perform mouth-to-mouth or mouth to-nose ventilation on the patient simulator.
• Do not use automated chest compression machines on the patient simulator.
Spontaneous Breathing
Nursing Anne Simulator has spontaneous breathing (visible chest rise and fall) with
variable breathing rate. Spontaneous breathing is synchronized with the selected
breathing rate (0-60 bpm) when set to active.
Once initiated, the simulator will begin to spontaneously breathe.
Caution
To avoid damaging the spontaneous breathing bladder, do not perform chest compressions
while spontaneous breathing function is activated.
Note
See SimPad User Guide or LLEAP Help Files for complete breathing functionality.
1 2

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Use - Cardiac Related Skills
Nursing Anne Simulator, when used with SimPad, SimPad Patient Monitor or LLEAP,
features an extensive library of ECG variations. See SimPad PLUS User Guide or LLEAP
Help Files for operating instructions.
Defibrillation – Nursing Anne Simulator and ShockLink
Use ShockLink to perform defibrillation and monitoring of basic cardiac rhythms. Refer to
ShockLink User Guide for more information.
Use - Sounds
Heart, Lung, Bowel andVocal Sounds
Nursing Anne Simulator has heart, breath, bowel and vocal sounds which are determined
by the scenario used and controlled by the instructor.
Note
See SimPad User Guide or LLEAP Help files for complete heart, breath and bowel sound
auscultation, speech functionality and operating information.
Speakers

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Use - Pulses
Nursing Anne Simulator has palpable pulses in various locations. Pulses are synchronized
with the ECG and adjustable with three different strengths: weak, normal and strong.
Caution
Pulse sites should not be cannulated.
Notes
• See SimPad User Guide or LLEAP Help files for operating information.
• Use of excessive force when palpating pulses will result in no pulse felt.
• Bilateral carotid pulses have the same pulse on the left and on the right side.
• Brachial and Radial pulses have the same pulse on the left and on the right arm.
• Bilateral femoral pulses will have the same pulse on the left and on the right side.
• Bilateral pedal pulses have the same pulse on the left and on the right side.
• Pulses are inactive when not palpated and turn off after two seconds of no palpation.
• Brachial pulse is disabled and turned off when the pressure in the cuff is larger than
20 mmHg.
• Radial pulse is turned off when the pressure in the BP cuff is larger or equal to the set
systolic BP.
• Pulses on PVCs (Premature Ventricular Complexes) have half the strength of a normal
QRS and a normal QRS following a PVC will have 3/2 the strength of a normal QRS.
Pulse strength on the simulator will relate to the BP setting according to the following chart:
Syst. BP Carotid Femoral Radial
>= 88 Normal Normal Normal
< 88 Normal Normal Weak
< 80 Normal Normal Absent
< 78 Normal Weak Absent
< 70 Weak Absent Absent
< 60 Absent Absent Absent
Use - Pulses
Nursing Anne Simulator features automatic pulses in the carotid (bilateral), radial and
brachial (bilateral), femoral (bilateral), and pedal (bilateral) areas.
Note
See SimPad PLUS User Guide or Help files for complete functionality and operating information.
Pulses

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Use - Ear
Ear Irrigation
Irrigation, cleaning and administration of eardrops can be practised in the ear canal.
Use - Recommended Sizes of Clinical Equipment
Device Recommended Size
Urinary Catheter Size 14Fr
Nasogastric Tube Size 16Fr
Nasogastric Feeding Tube Size 12Fr
Gastrostomy Tube Size 16Fr
Central Line Size 4Fr to 7Fr
IM Injection Needles Size 21G or smaller
Tracheostomy Tube Size 8 Shiley
Endotracheal Tube Size 7.5 to 8.5
LMA Size 4
CombiTube Size 37Fr and 41Fr
King LT Size 4 and 5
Mask Size 4 and 5