laerdal Patient Kelly Manual

Patient Kelly
Directions for Use

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Table of Contents
LaerdalRecommends 4
ItemsIncluded 5
Skills Taught 5
Head 6
Tracheostomy Plug & Care 6
NG Tube Placement 6
Stomach Reservoir 6
ChestPlate 6
BellyPlate 6
InjectionPads 7
Joints 7
Arms&Legs 7
ColonReservoir 8
Genitalia 9
Urinary Catheterization &
Enema Simulation 10
Care and Maintenance 11
Replacement Parts 12
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The Patient Kelly is a lifelike manikin, which realistically
simulates a 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:
Tracheostomy tube – Size 6
Syringe – 10 ml
Urethral catheterization – Size 16 French
catheter
Manikin Lubricant or liquid soap
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Items included:
(1) Deluxe Texas Doll
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Hospital Gown
(1) Manikin Lubricant Spray
(1) Tool Kit
(1) Laerdal Global Warranty Booklet
(1) Directions for Use
Skills Taught:
•Ostomy irrigation
•Catheterization
•Colonic irrigation
•Enema simulation
•Ear irrigation
•Subclavian, Hickman,
Jejunostomy care
•Lavage/Gavage
•NG tube insertion
•OG tube insertion
•Tracheotomy care
•Subcutaneous and
intramuscular injection
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Head:
Head is connected to torso with a long bolt at base of neck,
secured with a lock nut.
To add or remove:
Lift esophagus out of way, detach stomach reservoir and
remove lock nut; the head will now slip out of the torso.
Tracheostomy Plug and Care:
To remove tracheostomy plug, grasp firmly, lifting it up and
out. To replace, press it into the opening.
Laerdal Recommends:
Use a size 6-tracheostomy tube. Opening will
accommodate other sizes, but a size 6 is usually most
suitable.
NG Tube Placement:
This manikin features an esophagus and stomach reservoir
for the practice of NG tube insertion and skills such as
Gavage and Lavage.
Lubricate tube with either silicone spray or liquid detergent
prior to NG tube insertion.
Stomach Reservoir:
Stomach reservoir attaches to esophagus with a black
connector. To fill reservoir with water, you must unscrew
from esophagus.
Chest Plate:
Chest plate fits into torso by a ledge on plate and
corresponding groove on torso cavity.
To remove:
1. Pull out plate by applying pressure to center of plate.
2. Work fingers under edge of plate and lifting out.
To insert:
1. Position plate over cavity.
2. Work edges into groove on torso cavity.
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Belly Plate:
Belly plate fits into lower torso by a ledge on plate and
corresponding groove on torso cavity.
To remove:
1. Pull out plate by applying pressure to center of plate.
2. Work fingers under edge of plate and lift out.
To insert:
1. Position plate over cavity.
2. Work edges into groove on torso cavity.
Laerdal Recommends:
Belly plate also contains urinary reservoir and
colostomy stoma. To fill reservoir, remove colostomy
stoma and fill, then reinsert stoma.
Injection Pads:
Squeeze pad together with fingers and pull out to remove.
To replace, reverse the procedure.
Waist, Elbow, Knee and Ankle Joints:
These joints are connected by a bolt and lock nut.
To remove, unscrew lock nut.
Laerdal Recommends:
When assembled, talcum
powder should be used in
joints to assist articulation.
Pull bolt out of joint. Segments
will now easily disconnect.
Arms and Legs:
The arms are attached using a bolt,
three washers, a spring and a wing
nut.
To attach arm:
1. Remove chest plate from manikin to locate hole in
shoulder.
2. Remove deltoid injection pad from arm.
3. Unscrew wing nut from bolt in arm.
4. Remove wing nut, two washers and spring.
5. Insert bolt through hole in shoulder.
6. Slide one washer, spring and second washer back
over bolt.
7. Use a screwdriver to hold bolt steady while
tightening wing nut. (Figure 1)
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To remove arms, reverse procedure.
Fig. 1
To attach leg:
1. Remove belly plate from manikin to locate hole in hip.
2. Remove thigh injection pad from leg. Remove wing
nut and washer from bolt already inserted in leg
(leave the spring assembly in the thigh of the leg).
3. Insert bolt through hole in pelvis.
4. Slide washer and wing nut back over bolt.
5. Use a screwdriver to drive bolt into the wing nut.
(Figure 2)
Fig. 2
To remove legs, reverse procedure.
Colon Reservoir:
Colon reservoir inserts into pelvic cavity with narrow end
downward and connector pointing out. This connector
attaches reservoir to rectal valve on genitalia. Reservoir
should be removed from manikin, inverted and drained
completely before storage.
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Genitalia –
Both male and female genitalia have been provided for
urinary catheterization and enema training procedures.
Valve tubes, with a screw cap on
one end, will 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 C-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. (Figure3).
To assemble:
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 4.
2. Lift up on edge of belly plate.
Laerdal
Recommends:
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.
Fig. 3
Fig. 4
3. Pull down upper portion of genital.
4. Insert into pelvic cavity.
5. Replace the pelvic support pin.
6. Press belly plate into position.
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To disassemble:
1. Lift up on belly plate.
2. Pull upper portion of genitalia back to remove pelvic
support pin.
Belly plate, genitalia with connectors and colon reservoir
may now be removed simultaneously.
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 lubricate a
catheter and insert into
urethra several times.
Laerdal
Recommends:
Catheters should be
well lubricated with
manikin lubricant or full
strength liquid soap
prior to using.
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
Laerdal
Recommends:
A size 16 French
catheter is suggested for
urethral catheterization.
Size 7mm catheter is
suggested for enema
simulation.
That May Leak:
A. Do valve connections
have an O-ring?
B. Does the white C-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?
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Care and Maintenance:
1. Clean with mild soap and water; do not submerse
manikin or parts in cleaning fluids or water.
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.
Cautions and Warnings
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
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Replacement Parts
Product Number: Description:
301-00001 Patient Kelly
380460 Genitalia, Blank-Adult Male
380471 Plug, Belly plate-Adult
380475 Pin, Pelvis
380600 Leg Assembly, Left Adult
380650 Leg Assembly, Right Adult
380800 Arm Assembly, Left Plain
Adult
380801 Hand, Left Adult Male
381401 Arm, Upper Right Adult Male
381402 Pad Assembly, Deltoid
Injection Adult
300-00150 Pad Assembly, Thigh Injection
Adult
300-00250 Pad Assembly, Ventral Gluteal
Injection Adult Male
300-00350 Pad Assembly, Gluteal
Injection Adult Male
300-00450 Valve/Clamp Set, Anal Hosp
Adult
300-00550 Valve/Clamp Set, Urinary
Hosp Adult
300-00650 Lubricant, Manikin-4 oz Bottle
W/Sprayer
300-00850 Plug, Tracheostomy
300-01350 Reservoir Assembly, Stomach-
Hosp Adult Male
300-02150 Belly plate Assembly, Hosp 3
Hole Adult
300-02250 Reservoir Assembly, Colon
Hosp Adult
300-02350 Forearm, Right Adult Male
300-02450 Pad, Forearm Right Non-
Injection Adult Male
300-02550 Hand, Right Adult Male
300-02650 Arm, Upper Left Adult Male
300-02750 Forearm, Left Adult Male
300-02850 Pad, Forearm Left Non-
Injection Adult Male
300-02950 Thigh, Right Adult
300-03050 Leg, Lower Right Adult
300-03150 Foot, Right Adult
300-03250 Thigh, Left Adult
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300-03350 Leg, Lower Left Adult
300-03450 Foot, Left Adult
300-03850 Genitalia Assembly, Adult Male
300-03950 Genitalia Assembly, Adult
Female
300-04050 Pad Assembly, Right Forearm
IV
300-04150 Pad Assembly, Left Forearm IV
300-04250 Hardware Set, Adult Manikin-
Legs/Arms to Body
300-04350 Hardware Set, Adult Manikin-
Pelvis/Torso
300-04850 Gown, Hospital-Back Tie
300-04950 Stoma, Soft Style W/Thru
Hole
300-05150 Arm Assembly, Left Plain
Adult
300-10250 Chest plate, Hospital Plain
Adult Male
301-00150 Head Assembly, Hard
w/Trach Opening Adult Male
Please contact Customer Service Representatives for more
information on Replacement Parts in other skin tones.
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©Laerdal, Medical, Gatesville TX. All rights reserved.
1005394 rev. B
August 30, 2006
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