laerdal Nursing Baby VitalSim User manual

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Table of Contents
Warranty 4
LaerdalRecommends 5
ItemsIncluded 6
Skills Taught 6
Anterior Fontanelle Variables 7
Airway Management 7
Tracheostomy Plug 7
Tracheostomy Care & Suctioning 7
NG Tube Insertion 8
Lungs 8
IVArm 9
IV Arm Skin & Replacement 9
IV Leg 10
Skin and Vein Replacement 10
Intraosseous Leg 10
IO Leg Puncture 11
IO Leg Infusion 11
Instructions for IO Infusion 11
IO Leg Replacement 11
Vocal Sounds and Auscultation of
Heart, Breath and Bowel Sounds 12
Genitalia 12
Urinary Catheterization and
Suppository Insertion 13
Troubleshooting 13
Care and Maintenance 14
Replacement Parts 15
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Warranty
Laerdal Medical warrants to the purchaser that its products
are free from defects in material and workmanship for a
period of one (1) year from the date of purchase by the
original user. During the designated one (1) year period,
Laerdal Medical will, upon receipt of a product found to be
defective due to materials or workmanship from the
purchaser and notification in writing of the defect, at its
option repair or replace any parts found to be defective or
the entire product. Warranty period does not renew with
replacement or repair of original product.
Products found to be defective and notification of defects
may also be sent to the authorized Laerdal Medical dealer
from whom the product was purchased. All postage,
shipping or handling charges shall be the sole responsibility
of the purchaser.
Laerdal Medical is responsible for the effects of safety,
reliability and performance of its product(s) only if:
– service, repair, readjustment or modification is carried
out by Laerdal Medical or persons authorized by Laerdal
Medical.
– the electrical installation of the room where the product
is used complies with pertinent equipment requirements.
– the product is used in the proper manner in strict
compliance with its Directions for Use.
Laerdal Medical shall not be liable under this warranty for
incidental or consequential damages, or in the event any
unauthorized repairs or modifications have been made or
attempted, or when the product, or any part thereof, has
been damaged by accident, misuse or abuse. This warranty
does not cover batteries, fuses, normal wear and tear,
excessive use, staining, discoloration or other cosmetic
irregularity which does not impede or degrade product
performance.
Some states in the USA do not allow the exclusion or
limitation of incidental or consequential damages, so those
limitations or exclusions may not apply to you.
There are no other express or implied warranties, whether
of merchantability, fitness or purpose, or otherwise, on the
product, its parts and accessories.
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The Nursing Baby VitalSim™ is a full-size infant manikin that
realistically simulates a 6-month old patient. It is specifically
designed for training professionals in the practice of basic
and advanced nursing techniques.
The manufacturing quality of this simulator should provide
many sessions of training when reasonable care and
maintenance are practiced.
Laerdal Recommends:
Endotracheal intubation – 3.5 ID
Intubation - straight laryngoscope blade - #1
Tracheostomy tube – 3.5 PED
Nasogastric tube/feeding tube – 8 French
IV Injections – 22 Gauge or smaller
Nasal and oral suctioning – 8 French
Urinary catheterization – 8 French Foley
catheter
Intraosseous infusion - Jamshidi®needle – 16
gauge
Gastrostomy feeding tube – 18 French
Ileostomy bag – vendor specific
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Items Included:
(1) Full Body Infant Manikin
(1) VitalSim Control Unit
(1) Male Genitalia
(1) Female Genitalia
(1) Baby Pants
(3) Simulated Rectal Suppositories
(1) Manikin Lubricant
(1) Tool Kit
(1) Carrying Case
(1) Baby Pants
(1) Connector Cable
(Simulated blood concentrate is available for purchase.)
Skills Taught:
xGeneral infant
assessment
xBag/Valve Mask
xTrach care and
suctioning
xOral/Nasal
suctioning
xNG tube insertion
xOG tube insertion
xLavage/Gavage
xIntraosseous
puncture and
infusion
xIntramuscular
injection site
identification
xUrinary
catheterization
xRectal suppository
insertion
xOstomy care
xGastrostomy tube
care and feeding
xAuscultation of
normal and abnormal
heart, breath and
bowel sounds
xOral intubation
xNasal intubation
xDigital intubation
xOropharyngeal
airway insertion
xNasopharyngeal
airway insertion
xVocal sound
identification
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Anterior Fontanelle Variables -
The black pulse bulb allows for controlling pressure in
fontanelle area to simulate normal, bulging, and depressed
fontanelles.
1. To create normal or bulging fontanelles:
a) Turn silver knob on black pulse bulb clockwise to
finger tight.
b) Squeeze black bulb until desired fontanelle state is
achieved.
2. To create depressed fontanelles:
a) Turn silver knob on black pulse bulb counter
clockwise to loosen.
b) Allow air to release.
Laerdal
Recommends:
Endotracheal tube
size – 3.5 ID
Straight laryngoscope
blade – size #1
Tracheostomy tube
size – 3.5 PED
Airway Management -
Spray pharynx, nostrils and all
intubation devices with a liberal
amount of manikin lubricant.
(Liquid soap may be used instead.)
Tracheostomy Plug -
The tracheostomy plug may be removed
by grasping firmly, then lifting up and then
out. To replace, press into hole.
Tracheostomy Care & Suctioning -
1. Mix solution of 1/2 cup mild liquid
detergent and 1/2 cup water.
2. Move the ribcage with speakers, by flipping it over the
manikin’s face. (Photo 1)
Photo 1
Rig Cage with
Speakers
Lungs
3. Remove the white lung bags.
4. Pour the mixture into the simulated lungs, enough for
suction catheter to pick up solution.
5. Reattach lungs to bronchial tubes.
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The consistency of the solution approximates the mucus
normally suctioned in a trachesostomy patient.
Drain and air-dry lungs immediately after use.
Photo 2
Drain Plug
Laerdal
Recommends:
NG feeding tube – 8
French
NG Tube Insertion -
1. Filling stomach reservoir for
NG Tube insertion:
a. Remove chest skin from torso by
detaching straps on back of
manikin.
b. Place infant in supine position.
c. Remove drain plug from stomach
reservoir. (Photo 2)
d. Use a syringe to fill reservoir with approximately 50cc
of water.
e. Replace drain plug.
f. Replace chest skin, being sure to secure straps.
2. Emptying stomach after NG Tube insertion -
a. Remove chest skin from torso by detaching straps on
back of manikin.
b. Place infant in supine position.
c. Remove drain plug from the stomach reservoir.
d. Allow fluid to drain by tilting infant or aspirate fluid
with a syringe.
e. Allow to air dry before reassembly.
Lungs -
Lungs may be detached from the bronchial tubes by removing
bands and pulling them off. To replace, reverse the procedure.
Spreading the bands with forceps and slipping them over the
“Y” connector may aid in reconnecting the lungs.
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IV Arm -
1. Fill a 12cc syringe with colored fluid.
2. Attach fluid filled syringe to one of the veins.
3. Slowly inject fluid, allowing it to flow through arm and out
other vein.
4. Clamp vein through which fluid is flowing using hemostats
or a similar device. (Figure 1)
5. IV arm is now ready to practice venipuncture.
Laerdal
Recommends:
Use nothing larger
than a 22-gauge
needle for IV or
intramuscular
injections. This will
extend the life of the
skin.
Fig. 1
IV Arm Skin and Vein Replacement -
1. Unscrew IV arm from torso.
2. Slide used skin off arm mandrel.
3. Remove tubing from track in mandrel.
4. Rinse and dry vein grooves well and swab with alcohol. Be
sure to remove any excess glue.
5. Place new veins along grooves, spot gluing as needed. We
recommend a fast-drying glue.
6. Insert tubing through holes in new skin.
7. Slide new arm skin onto mandrel. Dusting mandrel with
talcum powder will aid in this.
8. Reattach arm to torso.
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IV Leg -
1. Fill a 12cc syringe with colored fluid.
2. Attach fluid filled syringe to one of the veins.
3. Slowly inject fluid, allowing it to flow through leg and out
other vein.
4. Clamp the vein through which fluid is flowing using
hemostats or a similar device.
The IV leg is now ready to practice venipuncture.
Skin and Vein Replacement -
1. Unscrew IV leg from torso. (Figure 2)
2. Slide used skin off leg mandrel.
3. Remove tubing from track in mandrel.
4. Rinse and dry vein grooves well and swab with alcohol.
Remove any excess glue.
5. Place new veins along grooves, spot gluing as needed. A
fast-drying glue is recommended.
6. Insert tubing through holes in new skin.
Fig. 2
7. Slide new leg skin onto mandrel. Dusting mandrel with
talcum powder will aid in this.
8. Turn foot using a clockwise motion onto upper leg until
desired position is achieved.
9. Reattach leg.
Intraosseous Leg –
The Infant IO Leg is designed for perfecting skills required for
successful intraosseous puncture and infusion. Anatomy of the
IO leg includes anatomical landmarks at the tibial tuberosity
and medial malleolus.
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IO Leg Puncture -
Fig. 3
1. Unplug drain in heel of right
foot. (Figure 3)
2. Using a syringe, fill leg with
approximately 300cc’s of fluid.
(Simulated blood is available
for purchase).
3. Reinsert plug.
The IO Leg is now ready to
practice intraosseous puncture.
IO Leg Infusion -
Equipment needed for IO infusion:
xIV bag
xIV administration set
xSimulated blood concentrate (not included)
x35cc syringe
Laerdal
Recommends
Use Jamshidi®needle
– 16 gauge for IO
infusions.
xJamshidi Needle
Instructions for IO Infusion -
1. Attach tubing connector to IV bag.
2. Turn leg upside down.
3. Remove plug from heel. (Figure 3)
4. With a syringe, fill the bone with approximately 120 cc of
simulated blood.
5. Attach tubing and reservoir bag.
6. Close of tubing that runs into reservoir bag so simulated
blood will remain in the bone for aspiration. (Use valve to
open or close line as needed in order to relieve pressure
build up as fluids are being infused).
7. When reservoir bag is filled, discontinue infusion and
replace with empty bag. (This will help decrease the
amount of fluid in the leg and minimize leakage.
IO Leg Replacement -
1. Remove lower leg and foot by unscrewing bolts at the
knee.
2. Replace used ID mandrel with new mandrel
3. Slide new IO skin onto mandrel (applying talcum powder
will aid in this).
4. Reattach using the existing bolts.
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Vocal Sounds and Auscultation of heart,
breath and bowel sounds:
Connect Nursing Baby to VitalSim Unit, via cable located on
right side of manikin. (Photo 3)
See VitalSim DFU for complete Heart, Breath
and Bowel Sound Auscultation
Photo 3
Genitalia-
Both male and female genitalia have been provided for urinary
catheterization and enema training procedures.
To Assemble
1. Remove chest skin from torso by detaching straps on
back of manikin.
2. Remove pelvic pin (Photo 4) to release urinary
reservoir. NOTE: Pelvic Pin must be replaced.
Urinary Reservoir
Plug
Urinary Reservoir
Pelvic Pin
Photo 4
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3. Attach genitalia by sliding clear tube on genitalia into
flesh colored tube attached to the reservoir.
4. Replace connected reservoir and genitalia into
abdomen, making sure genitalia is sliding properly into
track.
5. Replace pelvic pin.
6. Replace chest skin, reattaching straps at back of
manikin.
Pelvic Support Pin must be replaced.
Failure to replace will result in pelvic spread.
If this occurs, the genitalia will no longer
fit properly in manikin.
Urinary Catheterization and Suppository
Insertion -
1. To fill urinary reservoir, remove chest skin from torso by
detaching straps on back of manikin.
2. Remove urinary reservoir (Photo 4) and genitalia from
torso.
3. Using a syringe, fill reservoir to capacity and replace plug.
4. Replace chest skin, being sure to secure straps.
Laerdal
Recommends
Lubricate catheter
and suppository with
manikin lubricant or
full strength liquid
soap for easier
insertion.
Laerdal
Recommends
A size 8 French Foley
catheter is suggested
for urethral
catheterization.
The anal opening is for suppository insertion only.
Troubleshooting:
What to do if there is difficulty in inserting urinary
catheter?
For best results, catheters should be well lubricated with
manikin lubricant or full strength liquid soap prior to using.
After several uses, the catheter may tend to “hang” when the
water has washed away the lubricant, causing friction and
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binding. If this occurs, generously lubricate a hard catheter and
insert it into the urethra several times.
What to do if there is difficulty in removing urinary
catheter?
If catheter hangs somewhat during removal, work it with an “in
and out” motion for a moment. Use warm water in reservoir
when possible to keep manikin lubricant or soap from clogging
catheters. Make sure reservoir is well drained of all water
before disconnecting valve.
Care and Maintenance:
1. Do not submerse manikin parts in cleaning fluids.
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.
5. Articulating parts will benefit from a light application of
talcum powder prior to training sessions.
6. Store properly between teaching sessions.
Cautions and Warnings
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
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