laerdal Nursing Anne VitalSim Manual

Nursing Anne VitalSim
Nursing Anne
ENGLISH Directions for Use
ESPAÑOL Instrucciones de utilización
ITALIANO Instruzioni per l’Uso
FRANÇAIS Mode d’emploi
DEUTSCH Gebrauchsanweisung
NEDERLANDS Handleiding
NORSK Bruksanvisning
SVENSKA Bruksanvisning
SUOMI Käyttöohje
CHINESE
JAPANESE
KOREAN
www.laerdal.com
© LAERDAL 2004. All rights reserved.
9895 rev Printed in US
ENGLISH Directions for Use
ESPAÑOL Instrucciones de Utilización
ITALIANO Instruzioni per l’Uso
FRANÇAIS Mode d’Emploi
DEUTSCH Gebrauchsanweisung
NEDERLANDS Handleiding
NORSK Bruksanvisning
SVENSKA Bruksanvisning
SUOMI Käyttöohje
CHINESE
JAPANESE
KOREAN
www.laerdal.com
Nursing KellyVitalSim
D
Nursing Kelly
Nursing Kelly
Nursing Kelly VitalSim
© LAERDAL 2004. All rights reserved.
9895 rev Printed in US
ENGLISH Directions for Use
ESPAÑOL Instrucciones de Utilización
ITALIANO Instruzioni per l’Uso
FRANÇAIS Mode d’Emploi
DEUTSCH Gebrauchsanweisung
NEDERLANDS Handleiding
NORSK Bruksanvisning
SVENSKA Bruksanvisning
SUOMI Käyttöohje
CHINESE
JAPANESE
KOREAN
www.laerdal.com
Nursing KellyVitalSim
D
Nursing Kelly

Table of Contents
Items Included........................................................1
Skills Taught..........................................................1
Teeth ..............................................................2
Carotid Pulse ........................................................2
Tracheostomy Plug & Care.............................................2
NG Tube Placement ..................................................2
Intubation ...........................................................2
Lungs ...............................................................2
Stomach Reservoir....................................................2
Belly Plates...........................................................2
Injection Pads ........................................................3
Waist, Knee and Ankle Joints ...........................................3
Arms ...............................................................3
Legs ................................................................3
IV Arm..............................................................3
Replacing Skin & Vein System...........................................3
Blood Pressure Arm ..................................................4
Auscultation of Heart, Breath, Bowel Sounds and Fetal Tones ..............4
Genitalia.............................................................4
Colon Reservoir ......................................................5
Urinary Catheterization and Enema Simulation ............................5
Troubleshooting ......................................................5
Attaching Nursing Anne Modules to Manikin .............................5
VitalSim Connection ..................................................6
Care and Maintenance.................................................6
Replacement Parts ....................................................6
Items Included:
(1) Full-Body Female Manikin
(1) Articulating Blood Pressure Training Arm (Nursing Anne VitalSim)
(1) Articulating Female Multi-Venous IV Training Arm
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) 10 foot Manikin Connector Cable (Nursing Anne VitalSim)
(1) Simulated Blood Concentrate
(1) 100 cc Syringe
(1) Manikin Lubricant
(1) Assembly Tool Kit
Wig pictured on front cover, not included
Optional Accessories
Nursing Anne Modules:
(1) Breast Exam Module, with interchangeable abnormalities
(1) Mastectomy Module with staples and drain
(1) Fundus Module with interchangeable uteri
Wound Care & Assessment Set:
(1) Abdominal Incision Module with Painted Sutures
(1) Abdominal Incision Module with Staples and Penrose Drain
(1) Abdominal Incision Module with Nylon Sutures
and Penrose Drain
(1) Abdominal Subcutaneous Heparin and Insulin Injection Module
(1) Abdominal Packing Module
(1) Infected Colostomy Stoma
(1) Ventro-Gluteal and Gluteal Decubitus Ulcer Modules
(1) Below Knee Amputation Stump
(1) Thigh Packing and Irrigation Module
(1) Thigh Suture Module
(1) Thigh Debridement Module
(1) Varicose Vein Leg with Stasis Ulcer
(1) Diabetic Foot Module
Skills Taught:
• Basicpatienthandling
• Denturecare
• Oralhygiene 
• OralandnasalIntubation 
• Eyeandearirrigation(simulated)  
• NGTubeinsertion,caremedicationadministrationandremoval
• Lavage/Gavage
• Tracheostomycareandsuctioning
• Bloodpressureskills(WhenusedwithVitalSim)
• IVcareandmanagement
• Subcutaneousandintramuscularinjection
• Oxygendeliveryprocedures
• Ostomyirrigationandcare
• Catheterizationskills
• Enemasimulation
• Colonicirrigation
• Woundassessmentandcare
• Bandaginganddressing
• Post-surgicalmastectomy-careprocedures
• Recognitionofbreastdisorders,theirsizesandrelativelocations
• Practiceoffundusmassageskills
• Auscultationandrecognitionofnormalandabnormalheart,
breath and bowel sounds and fetal tones
(When used with VitalSim)
Caution: Latex
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
Please contact Laerdal Customer Service
for more information on Replacement Parts in other skin tones.
English
English
Nursing Anne 1 Laerdal
The product, when carrying the CE-mark, is in
compliance with essential CE requirements and other
relevant provisions of council directive 1999/5/EC.

Nursing Anne VitalSim Advanced is a full-body, lifelike vinyl manikin
designed to teach all skills from basic patient handling to advanced
nursing, including the measurement of noninvasive blood pressure and
the auscultation and recognition of normal and abnormal heart, lung
and bowel sounds and fetal tones.
The manufacturing quality of this simulator should provide many
sessions of training when reasonable care and maintenance are
practiced.
Teeth –
To remove: Grasp firmly and lift.
To reinsert both sets:
a. Begin on one side and work around, aligning ridges with
corresponding grooves in jaws.
(Dusting with baby powder is helpful.)
b. Press firmly into place.
Carotid Pulse –
To generate a carotid pulse, use the hand held red bulb located on
the right axillary side of manikin. Firmly squeeze bulb while palpating
for pulse at carotid site.
Tracheostomy Plug –
The tracheostomy plug may
be removed by grasping
firmly, then lifting up and
out. To replace, press into
hole. (Photo 1)
Tracheostomy Care –
1. Mixsolutionof1/2cupmildliquiddetergentand
 1/2cupwater.
2. Remove lungs.
3. Pour mixture into simulated lungs.
4. Fill lungs to a level where suction catheter will pick up mixture.
5. Reattach lungs at connector.
The consistency of the solution approximates the mucus normally
suctioned in a tracheostomy patient.
Drain and air-dry lungs immediately after each use.
NG Tube Placement –
This manikin features an esophagus and stomach reservoir for practice
of NG tube insertion and skills such as lavage and gavage.
Intubation –
The following equipment is recommended:
a. Endotracheal tube, size 7.5 ID or smaller
b. Manikin Lubricant or liquid soap
c. 10 ml syringe
d. Laryngoscope blade, size #2 or #3 straight or curved.
e. Laryngoscope handle
f. NG Tube, size 16 French
Remove trach plug prior to insertion of intubation tubes.
Lungs –
Lungs may be removed from bronchial tubes by unscrewing them at
the connector site. To replace, reverse procedure.
Stomach Reservoir –
Stomach reservoir attaches to esophagus with a connector. To fill
reservoir with water, use 100 cc syringe.
Belly Plate with Multi-Sounds –
To remove:
1. Apply pressure to center of plate.
2. Work your fingers under edge of plate while lifting.
3. Disconnect bowel sound speaker connector to release plate.
To insert:
1. Position plate over cavity.
2. Reconnect bowel sound speaker.
3. Work plate edges into groove on pelvis cavity.
Belly Plate with Colostomy Stoma –
To remove:
1. Apply pressure to center
of plate.
2. Work fingers under edge
while lifting.
(Photo 2)
To insert:
1. Attach valve and genitalia.
2. Work plate edges into pelvis cavity.
The belly plate with colostomy also contains the urinary reservoir and
colostomy stoma.
Laerdal Recommends:
IV Injections – 22 gauge needle, or smaller
Tracheostomy Tube – Size 6
NG Tube – Size 16 French
Endotracheal Tube – 7.5 or smaller
Laryngoscope Blade - Size #2 or #3, straight or curved blade
Urethral Catheter – 16 French
Enema Simulation – 7 mm
Insert and remove bottom teeth first when performing denture care.
We recommend a size 6 tracheostomy tube. Opening will
accommodate other sizes, but a size 6 is usually most suitable.
For best results, lubricate the tube with either silicone spray
or liquid detergent prior to NG or OG tube insertion.
Intubation tubes and airway passages should be sprayed with
manikin lubricant or lubricated with liquid soap prior to intubation.
Dusting with talcum powder is helpful in replacing belly plates.
Photo 1
Photo 2
Laerdal 2 Nursing Anne

To fill reservoir:
a. Remove colostomy stoma.
b. Fill with fluid.
c. Gently reinsert stoma.
Injection Pads –
a. To remove, squeeze pad with fingers and pull.
b. To replace, squeeze pad and insert in opening.
Injection pads may be injected with water. Foam should be removed
from pads immediately following training. Squeeze out fluid and air dry.
Waist, Knee and Ankle Joints –
These joints are connected with a bolt and lock nut.
To remove, unscrew lock nut and pull bolt from joint.
Segments will now easily disconnect.
Arms –
Arms are attached with
a41/2”longbolt,three
washers, a spring and
a wing nut.
To attach:
1. Unfasten chest skin from shoulders.
2. Pull skin back to expose
chest cavity.
3. Locate hole in shoulder.
4. Remove deltoid injection pad
from arm by squeezing skin in
center of pad while pulling.
5. Slide small washer over bolt.
6. Insert bolt through hole in arm
and hole in manikin’s shoulder.
7. Add large washer, spring, another large washer and wing nut
to bolt inside manikin’s chest. (Figure 1)
8. Use a screwdriver to hold bolt steady while tightening wing nut.
To remove arms, reverse procedure.
Legs –
Legsareattachedwitha6”longbolt,aspring,alargewasher,
a small washer and a wing nut.
To attach:
1. Remove belly plate and colon reservoir from manikin
to locate hole in hip.
2. Remove thigh injection pad from leg by squeezing skin
in center of pad while pulling.
3. Slide spring and small washer over bolt.
4. Insert bolt through hole in thigh.
5. Insert bolt through hole in pelvis.
6. Slide large washer and wing nut over bolt.
7. Use screwdriver to hold bolt while tightening wing nut inside
pelvis. (Figure 2)
To remove legs, reverse procedure.
IV Arm – Multiple Venipuncture sites:
• DorsalVeinsofHand(3)
• Antecubital
- Cephalic Vein
- Median Vein
- Basilic Vein
Directions for Use:
1. Attach IV bag to IV tubing.
2. Attach IV tubing to either vein.
3. Allow fluid to flow through arm and out other vein.
4. Clamp off flow of water from open vein.
The arm is now ready to practice venipuncture.
Replacing Skin and Veins:
1. Remove skin:
If replacing skin and veins, cut off skin. This can be done with a sharp
knife, scalpel or scissors. (Figure 3) When finished, discard skin. (Figure 4)
Make sure genitalia and urinary connectors are in place
prior to filling.
Dusting pads with talcum powder will assist with reinsertion.
A 22 gauge needle or smaller is recommended
to extend the life of the IV Arm.
When using an IV catheter, lubricate with manikin lubricant
for easier insertion.
When excessive leaking occurs at puncture sites, either a new vein
system or skin should be installed to reduce loss of fluid.
We recommend working at a sink when replacing the skin
and vein system.
Attachment hardware is located in envelope inside carton.
Attachment hardware is located
in envelope inside carton.
Figure 1
Figure 3
Figure 4
Figure 2Figure 2
English
Nursing Anne 3 Laerdal

Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it flow down
into the finger area.
2. Begin at top of arm and slowly pull skin down and off of arm.
Do not roll, as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need
to be scraped away to allow removal.
4. Rinse and dry vein grooves well and swab with alcohol.
Be sure to remove any excess glue.
5. Place new veins along grooves, (Figure 5) spot gluing
as needed. (We recommend a fast-drying glue.)
6. Generously lather arm mandrel with liquid soap.
7. Slide hand into skin.
8. Work skin over fingers, as with a glove.
9. Work arm skin up, over mandrel.
Blood Pressure Arm –
1. Place Blood Pressure Cuff
on arm.
2. Attach tubing on cuff
to clear tube,
located underneath
Nursing Anne’s arm.
(Photo 3)
See VitalSim DFU for complete
Blood Pressure operating procedures.
Auscultation of Heart, Breath and Bowel Sounds
and Fetal Tones –
1. Connect Nursing Anne to VitalSim Unit, via cable located
on back of manikin. (Photo 4)
See VitalSim DFU for complete Heart, Breath
and Bowel Sound Auscultation.
Genitalia:
Both male and female genitalia have been provided for urinary
catheterization and enema training procedures.
Tube-like valves, with a screw cap on one end, connect urethra and
anus to corresponding reservoirs. This cap must be connected to
genitalia openings. Soft vinyl end of connector is attached to
urinary and anal reservoirs with a white clamp. (Long valve
connects urinary reservoir; short valve connects anal reservoir.)
Pelvic support pin must be removed
and replaced immediately when
assembling and disassembling
genitalia. (Figure 6)
To disassemble:
1. Lift up on belly plate.
2. Pull upper portion of genitalia back to remove pelvic
support pin.
3. Belly plate, genitalia with connectors, and colon reservoir
may now be removed simultaneously.
To assemble: (Photos 5, 6 & 7)
1. Screw both valves onto genitalia. When attaching valves, be sure
alignment of genitalia, urinary reservoir (belly plate) and colon
reservoir are as illustrated in Figure 7.
2. Lift up on edge of belly plate.
3. Pull down upper portion of genital.
4. Insert into pelvic cavity.
5. Replace the pelvic support pin.
6. Press belly plate into position.
Heat arms skins before replacing on mandrel.
This can be done with a blow-dryer.
Do not insert needles into blood pressure arm.
Long valve connects urinary reservoir;
short valve connects anal reservoir.
Photo 5
Slide tube to meet ridge
on connector.
Photo 6
Area where clamp
is placed.
Figure 7
Pelvic support pin must be replaced.
Failure to replace pin will result in pelvic spread.
If this occurs, the genitalia module will no longer fit
properly in the manikin.
Photo 7
Apply clamp and squeeze
to tighten.
Photo 4
Photo 3
Figure 5
Figure 6
Laerdal 4 Nursing Anne

Colon Reservoir –
Colon reservoir inserts into pelvic
cavity with narrow end downward
and connector pointing outward.
This connector attaches reservoir
to anal valve on genitalia.
(Photo 8)
Reservoir should be removed from
manikin, inverted, drained and
completely air-dried before storing.
Urinary Catheterization and Enema Simulation –
Afterseveraluses,cathetermay“hang”whenwaterhaswashedaway
lubricant, causing friction and binding. If this occurs, generously lubri-
cate a catheter and insert into urethra several times.
Ifcatheterhangsduringremoval,workitwithan“inandout”motion.
Use warm water in reservoirs when possible to keep soap from
clogging the catheters. Make sure reservoirs are well drained of all
water before disconnecting valves.
Check List for Valves That May Leak:
a. DovalveconnectionshaveanO-ring?
b. Doesthewhiteclampfitfirmlyagainstbaseofvalve?
c. Arevalvesattachedcorrectly?
d. If valves are attached correctly, are they properly connected
 toreservoirsandtogenitalia?
Troubleshooting –
What can I do if my manikin develops a pelvic spread?
Cinch pelvis with a belt and heat with a hair dryer to soften,
cinching as you heat. Insert pin, leaving belt in place until cool.
What do I do if my connectors leak?
Make sure C-clamps are squeezed tightly into place and
connectors are screwed on tightly.
What can I do if I can’t remove my catheter?
Make sure the cuff is deflated.
Attaching Nursing Anne Modules to Manikin:
Fundus Skills Module - Legs, internal components and genitalia
must be removed from pelvis.
Catheters should be well lubricated with manikin lubricant or full
strength liquid soap prior to using.
A size 16 French catheter is suggested for urethral catheterization.
Size 7mm catheter is suggested for enema simulation.
Applying baby powder to skin and modules will assist
in attachment and removal.
Photo 8
Figure 8
Fundus skin Symphysis Pubis Genitalia
Urinary Bladder Connector Fundus Foam Bottom
9.8.
Photo 9
To remove legs:
1. Remove abdominal plate by pulling up on its edges.
2. Remove genitalia and all internal attachments, reservoirs and
pelvic pin. (If using sounds abdominal plate, detach cable.)
3. Remove thigh injection pad by squeezing skin in center of pad
while pulling.
4. Locate wing nut on inside of pelvis.
5. Using screwdriver to hold bolt in place,
twist and remove wing nut.
6. Remove spring and small washer from bolt.
(Figure 8)
7. Remove bolt from thigh and pelvis.
To attach Fundus Module:
1. Apply baby powder to pelvis and inner fundus skin.
2. Remove silicone straps from cut portion at back of fundus skin.
3. Slide skin up and over pelvis, with slit and straps positioned
on posterior side of manikin.
4. Reattach legs. (Legs must be reattached at this point, without
proceeding further with fundus upgrade assembly.) When
reattaching legs, make sure to leave space in between thigh
and skin to allow for leg articulation without rubbing against
fundus skin.
5. Pull fundus skin partially down pelvis, exposing internal
pelvic area.
6. Place fundus foam bottom inside pelvis.
7. Using connectors, connect genitalia to urinary reservoir.
8. Placegenitalia/urinaryreservoirinsidepelvis.Thismustbedone
from the genitalia area. Go through
the genitalia opening to
place the reservoir and
genitalia. (Photo 9)
9. Place symphysis pubis
pelvic pin. This replaces
the pelvic pin already
located in the manikin.
(Photo 9)
10. Pull fundus skin up and
attach three (3)
tabs at back.
11.Insert“firm”or“boggy”
fundus ball.
English
Nursing Anne 5 Laerdal

Caution!
Misuse could result in damage to this module.
Mastectomy Module:
1. Remove chest skin from female manikin by detaching
at shoulders and back of torso.
2. Place mastectomy module with single foam breast insert
over torso.
3. Reattach at shoulders and back of torso.
Breast Exam Module:
1. Remove chest skin from female manikin by detaching
at shoulder and along back of torso.
2. Apply powder to back of nodules, back of breasts and inside
tunnels. Nodules with pegs are to be fitted in the chest plate;
nodules with out pegs may be inserted into tunnels on back
of breasts. Do not use sharp instruments to insert
or remove nodules from breasts!
3. Position breasts on plate. Nodules on back of breast will align
with grooves in chest plate when positioned correctly.
4. Reattach chest skin.
VitalSim Connection
See Vital DFU for complete connection and operating procedures.
Care and Maintenance –
1. Clean with mild soap and water; do not submerse manikin or
parts in cleaning fluids or water. Apply a light coat of talcum
powder to the face and chest skin to achieve skin-like feeling.
2. Use only on clean surface. Avoid felt tipped markers, ink pens,
acetone, iodine or other staining products and avoid placing
the manikin on newsprint or inked lines of any kind.
3. To ensure longevity, each manikin should be cleaned after each
training session and a general inspection should be conducted
regularly.
4. Modules and all other parts should be drained and air-dried
thoroughly before storage and disinfected when needed.
After use of injection pads (use water only), accumulated water
should be squeezed out. Do not store wet foam pads in the
skin. To prevent mildew or mold, pads can be soaked in a mild
solution of disinfectant and water or bleach and water.
Squeeze excess solution from pads, allow them to dry, then
store or reinsert in manikin.
5. Articulating parts will benefit from a light application of talcum
powder prior to training sessions.
6. Store properly between teaching sessions.
Replacement Parts:
Product Number: Description:
380471 Plug, Belly plate-Adult
380475 Pin, Pelvis
380600 Leg Assembly, Left Adult
380650 Leg Assembly, Right Adult
381402 Pad Assembly, Deltoid Injection Adult
381403 Stoma, Infected Colostomy
381404 Stump, Left Lower Leg
381410 Foot, Diabetic Right Adult
381411 Pad, Thigh Packing Adult
381412 Pad, Thigh Sutured Adult
381413 Leg, Varicose Lower Right Adult
381417 Pad, Thigh Debridement Adult
300-00150 Pad Assembly, Thigh Injection Adult
300-00450 Valve/ClampSet,AnalAdultHospUrin/AnalCVK
300-00550 Valve/ClampSet,UrinaryHospAdult
300-00650 Lubricant,Manikin-4ozBottleW/Sprayer
300-00750 Blood, Simulated-4 oz Red
300-00850 Plug, Tracheostomy
300-00950 DentureSet,Upper/LowerAdult
300-01850 Teeth, Upper-Adult
300-01950 Teeth, Lower-Adult
300-02050 BellyplateAssembly,Hospw/SpeakersAdult
300-02150 Belly plate Assembly, Hosp 3 Hole Adult
300-02250 Reservoir Assembly, Colon Hosp Adult
300-02950 Thigh, Right Adult
300-03050 Leg, Lower Right Adult
300-03150 Foot, Right Adult
300-03250 Thigh, Left Adult
300-03350 Leg, Lower Left Adult
300-03450 Foot, Left Adult
300-03550 Belly plate, Packing Adult
300-03650 Belly plate Sutured Adult
300-03850 Genitalia Assembly, Adult Male
300-03950 Genitalia Assembly, Adult Female
300-04250 HardwareSet,AdultManikin-Legs/ArmstoBody
300-04350 HardwareSet,AdultManikin-Pelvis/Torso
300-04550 BellyplateAssembly,Suture/DrainHospAdult
300-04850 Gown, Hospital-Back Tie
300-04950 Stoma,SoftStylew/ThruHole
325-00150 Pad Assembly, Ventral Gluteal Injection Adult Female
325-00250 Pad Assembly, Gluteal Injection Adult Female
325-00350 Kit,Skin/VeinAdultFemaleMulti-VenousIVArm
325-00450 Module, Fundus Skills and Assessment-Nursing Anne
325-00550 Wound Set, Care and Assessment Adult Female
325-00650 Module, Mastectomy-Nursing Anne
325-00750 Module, Breast Exam-Nursing Anne
325-00850 Head Assembly, Female-Advanced Intubation Head
325-00950 Lung Assembly, Small-Adult Intubation Head
325-01150 Genitalia, Blank-Adult Female
325-01250 Arm Assembly, Blood Pressure
325-01350 Arm Assembly, Right Plain Adult Female
325-01450 Arm Assembly, Left Plain Adult Female
325-01550 Arm, Upper Left Plain Female
325-01650 Forearm,LeftPlainw/HandFemale
325-01750 Arm, Upper Right Plain Female
325-01850 Forearm,RightPlainw/HandFemale
325-01050 Chest plate Assembly, Hospital Adult Female VitalSim
325-02050 Skin Assembly, Chest-Hospital Adult Female
325-02150 Insert, Breast Foam-Left
325-02250 Insert, Breast Foam-Right
325-02350 Pad, Dorsal Gluteal Ulcer Adult Female
325-02450 Pad, Ventral Gluteal Ulcer Adult Female
325-02550 Torso Assembly, Hospital Adult Female VitalSim
325-02650 Pelvis,Hospitalw/oBridgeAdultFemale
325-02750 Reservoir Assembly, Stomach Hospital Adult Female
375-51001 Arm, Female Multi-Venous IV Training
200-02050 Cuff Assembly, Blood Pressure, VitalSim
325-03650 Chest Skin (No ECG)
325-03450 Chest Skin (Spacer Style)
325-03550 Retrofit Kit (Chest Skin Spacer Style)
Laerdal 6 Nursing Anne

Índice
Artículos incluidos ....................................................1
Habilidades que enseña................................................1
Laerdal recomienda ...................................................2
Dientes .............................................................2
Pulso carotídeo.......................................................2
Tapón y cuidados de traqueostomía.....................................2
Colocación de sonda NG..............................................2
Intubación ...........................................................2
Pulmones............................................................2
Reservorio del estómago ..............................................2
Placas de la tripa......................................................2
Almohadillas de inyección..............................................3
Articulaciones de la cintura, la rodilla y el tobillo...........................3
Brazos ..............................................................3
Piernas ..............................................................3
Brazo IV.............................................................3
Cambiar la piel y el sistema venoso......................................3
Brazo de presión arterial...............................................4
Auscultación de ruidos cardíacos, respiratorios,
intestinales y tonos fetales..............................................4
Genitales ............................................................4
Reservorio colónico...................................................5
Cateterización urinaria y simulación de enema ............................5
Resolución de problemas ..............................................5
Fijación de los módulos de Nursing Anne al maniquí.......................5
Conexión con el VitalSim ..............................................6
Cuidados y mantenimiento.............................................6
Piezas de repuesto....................................................6
Artículos incluidos:
(1) Maniquí femenino de cuerpo entero
(1) Brazo articulado para formación sobre presión arterial (Nursing Anne
VitalSim)
(1) Brazo articulado para formación IV multivenoso
(1) Bata de hospital
(1) Genitales masculinos
(1) Genitales femeninos
(3) Válvulas urinarias
(3) Válvulas anales
(1) Cable conector del maniquí de 10 pies (3 metros) de longitud (Nursing
Anne VitalSim)
(1) Simulado de concentrado de sangre
(1) jeringa de 100 cc
(1) Lubricante del maniquí
(1) Equipo de herramientas de montaje
La peluca mostrada en la portada no está incluida
Accesorios Opcionales
Módulos de Nursing Anne:
(1) Módulo de exploración mamaria, con anormalidades intercambiables
(1) Módulo de mastectomía, con grapas y drenaje
(1) Módulo de fondo uterino, con úteros intercambiables
Equipo de Cuidados y evaluación de heridas:
(1) Módulo de incisión abdominal con suturas pintadas
(1) Módulo de incisión abdominal con grapas y drenaje Penrose
(1) Módulo de incisión abdominal con suturas de nylon y drenaje de Penrose
(1) Módulo de inyección subcutánea abdominal de heparina e insulina
(1) Módulo de taponamiento abdominal
(1) Estoma de colostomía infectado
(1) Módulos de úlcera de decúbito ventro-glútea y glútea
(1) Muñón de amputación por debajo de la rodilla
(1) Módulo de taponamiento e irrigación del muslo
(1) Módulo de sutura de muslo
(1) Módulo de desbridamiento de muslo
(1) Pierna con vena varicosa con úlcera por éstasis
(1) Módulo de pie diabético
Habilidades que enseña:
•Manejobásicodelpaciente
•Cuidadosdeladentadurapostiza
•Higieneoral 
•Intubaciónoralynasal
•Irrigacióndeojosyoídos(simulada)  
•InsercióndesondaNG,administraciónyretiradademedicacióndecuidados
•Lavado/alimentación
•Cuidadosyaspiracióndetraqueostomía
•Habilidadesdepresiónarterial(CuandoseusaconVitalSim™)
•CuidadosyasistenciaIV
•Inyecciónsubcutáneaeintramuscular
•Procedimientosdeadministracióndeoxígeno
•Irrigaciónycuidadosdelaostomía
•Habilidadesdecateterización
•Simulacióndeenema
•Irrigacióncolónica
•Evaluaciónycuidadosdelaherida
•Vendasyvendajes
•Procedimientosdecuidadosposquirúrgicosdelamastectomía
•Reconocimientodetrastornosdelamama,sustamañosysuslocalizaciones
relativas
•Prácticadehabilidadesdemasajeenelfondouterino
•Auscultaciónyreconocimientodelosruidoscardíacos,respiratoriose
intestinales y de los tonos fetales normales y anormales (cuando se usa con
VitalSimTM)
Precaución - Látex
Si desea más información sobre las piezas de repuesto en otros
colores de piel, póngase en contacto con los representantes
de Servicio al Cliente.
Español
Español
Nursing Anne 1 Laerdal
Por el presente documento, Laerdal Medical declara que, al
llevar la marca CE, el producto cumple los requisitos
fundamentales y otras disposiciones relevantes de la Directiva
1999/5/CE.

Nursing Anne VitalSim Advanced es un maniquí de cuerpo entero de
vinilo, con características vitales diseñado para enseñar todas las habili-
dades desde el manejo básico del paciente hasta habilidades de enfer-
mería avanzadas, como la medición no invasiva de la presión arterial
y la auscultación y reconocimiento de ruidos cardíacos, pulmonares e
intestinales y ruidos fetales normales y anormales.
La calidad de fabricación de este simulador debe proporcionar muchas
sesiones de formación si se siguen cuidados y mantenimiento razona-
bles.
Dientes -
Para retirarlos: Agárrelos firmemente y levántelos.
Para reinsertar los dos conjuntos:
a. Comience por un lado y hágalo avanzar por los lados, alineando los
salientes con las ranuras correspondientes en las mandíbulas. (Es
útil espolvorear con polvos de talco.)
b. Colóquelos en su sitio presionando fuertemente.
Pulso carotídeo -
Para generar un pulso carotídeo, use la perilla roja de mano situada en
el lado axilar derecho del maniquí. Apriete firmemente la perilla mien-
tras se palpa el pulso en la carótida.
Tapón de traqueostomía -
El tapón de traqueostomía puede
retirarse agarrándolo con fir-
meza y luego levantándolo. Para
recolocarlo, presiónelo contra el
agujero. (Foto 1)
Cuidados de la traqueostomía -
1.Mezcleunasoluciónde1/2
taza de detergente líquido
suavey1/2tazadeagua.
2. Retire los pulmones.
3. Eche la mezcla en los pulmones simulados.
4. Llene los pulmones hasta un nivel en que el catéter cogerá la mez-
cla.
5. Vuelva a fijar los pulmones al conector.
La consistencia de la solución se aproxima a la del moco que se aspira
normalmente en un paciente con traqueostomía.
Drene y seque al aire los pulmones inmediatamente después de
cada uso.
Colocación de sonda NG -
Este maniquí tiene un esófago y un reservorio gástrico para practicar la
inserción de la sonda NG y habilidades como lavado y alimentación.
Intubación –
Se recomienda el siguiente equipamiento:
a. Tubo endotraqueal, de tamaño 7,5 ID o menor
b. Lubricante del maniquí o jabón líquido
c. Jeringa de 10 ml
d. Hoja de laringoscopio, de tamaño n. ° 2 o n. ° 3 recta o curva.
e. Mango del laringoscopio
f. Sonda NG, tamaño 16 French
Retire el tapón de traqueostomía antes de insertar los tubos de intu-
bación.
Pulmones -
Pueden retirarse los pulmones de los tubos bronquiales desatornil-
lándolos en el lugar del conector. Para recolocarlos, invierta el proce-
dimiento.
Reservorio del estómago -
El reservorio del estómago se fija al esófago con un conector.
Para rellenar el reservorio con agua, use una jeringa de 100 cc.
Placa de la tripa con múltiples sonidos -
Para retirarla:
1. Aplique presión al centro de la placa.
2. Haga avanzar sus dedos por debajo del borde de la placa mientras
la levanta.
3. Desconecte el altavoz de los ruidos intestinales para soltar la placa.
Para insertarla:
1. Coloque la placa sobre la cavidad.
2. Reconecte el altavoz de los ruidos intestinales.
3. Haga avanzar los bordes de la placa hacia la ranura en la cavidad
pélvica.
Placa de la tripa con estoma de colostomía -
Para retirarla:
1. Aplique presión al centro de la placa.
2. Haga avanzar los dedos por debajo del borde mientras la levanta.
(Foto 2)
Para insertarla:
1. Fije la válvula y los genitales.
2. Haga avanzar los bordes de la
placa hacia la cavidad pélvica.
La placa de la tripa con colostomía
también contiene el reservorio urina-
rio y el estoma de colostomía.
Laerdal recomienda:
Inyecciones IV – aguja de calibre 22 o menor
Tubo de traqueostomía – tamaño 6
Sonda NG – tamaño 16 French
Tubo endotraqueal – 7,5 o menor
Hoja de laringoscopio – Tamaño número 2 ó 3, hoja recta o curva
Catéter uretral – 16 French
Simulación de enema – 7 mm
Inserte y retire los dientes inferiores en primer lugar al hacer cuidados
de la dentadura postiza.
Recomendamos un tubo de traqueostomía de tamaño 6. La apertura
permitirá otros tamaños, pero un tamaño de 6, suele ser el más idóneo.
Para obtener los mejores resultados, lubrique el tubo con aerosol de sili-
cona o con detergente líquido antes de la inserción de la sonda NG u OG.
Los tubos de intubación y los conductos de la vía aérea deben
rociarse con lubricante de maniquí o lubricarse con jabón líquido
antes de la intubación.
Es útil espolvorear con talco para recolocar las placas de la tripa.
Foto. 2
Foto 1
Laerdal 2 Nursing Anne