laerdal Nursing Anne Manual

Nursing Anne Basic
325-20001
(FCS-2500)
Directions for Use

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Table of Contents
Laerdal Recommends
5
Items Included
6
Skills Taught 8
Teeth 9
Carotid Pulse
9
Tracheostomy Plug & Care
9
NG Tube Placement
10
Intubation 10
Lungs 10
Stomach Reservoir 10
Belly Plates 11
Injection Pads
11
Waist, Knee and Ankle Joints
11
Arms 12
Legs 13
IV Arm
13

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Replacing Skin & Vein System
14
Genitalia 17
Colon Reservoir 19
Urinary Catheterization and
Enema Simulation 19
Troubleshooting 20
Care and Maintenance 20
Warranty 20
Replacement Parts 22

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Nursing Anne Basic is a full-body, lifelike vinyl manikin
designed to teach all skills from basic patient handling to
advanced nursing.
The manufacturing quality of this simulator should provide
many sessions of training when reasonable care and
maintenance are practiced.
Laerdal
Recommends:
IV Injections–20 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

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Items Included:
(1) Full-Body Female
(1) Articulating Female Multi-Venous IV Training
Arm
(1) Set of Nursing Wound Modules
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Simulated Blood Concentrate
(1) 100 cc Syringe
(1) Manikin Lubricant
(1) Assembly Tool Kit
Wig seen on front cover, not included.
See next page for contents of Wound Care &
Assessment Set.

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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

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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
•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

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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 Tracheostomyplug may
be removed by grasping
firmly, then lifting up and
out. To replace, press into
hole. (Photo 1)
Tracheostomy Care –
1. Mix solutionof ½ cup mild
liquid detergent and ½ cup
water.
2. Remove lungs and trachea.
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.
Laerdal
Recommends:
We recommend a size 6
tracheostomy tube.
Opening will
accommodate other
sizes, but a size 6 is
usually most suitable.
Laerdal Recommends:
Insert and remove bottom teeth first
when performing denture care.
Photo 1

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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. Reservoir opening is located on side of
manikin. To fill reservoir with water, use 100 cc syringe.
Belly Plate with Colostomy Stoma –
To remove:
1. Apply pressure to center of plate.
2. Work fingers under edge while lifting.
(Photo 2)
Laerdal
Recommends:
Dusting with talcum powder is helpful
in replacing belly plates.
Laerdal
Recommends:
For best results, lubricate the
tube with either silicone
spray or liquid detergent
prior to NG or OG tube
insertion.
Laerdal
Recommends:
Intubation tubes and airway passages should be
sprayed with manikin lubricant or lubricated with liquid
soap prior to intubation.
Photo 2

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To insert:
1. Attach valve and genitalia.
2. Work plate edges into pelvis cavity.
The belly plate with colostomy stoma also serves as the
urinary reservoir.
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.
Laerdal
Recommends:
When assembled, talcum
powder should be used in
joints to assist articulation.
Laerdal
Recommends:
Make sure genitalia and
urinary connectors are in place
prior to filling.
Laerdal
Recommends:
Dusting pads with talcum
powder will assist with
reinsertion.

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Arms –
Arms are attached with
a 4 ½” 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 boltinside manikin’s chest. (Figure 1)
8. Use a screwdriver to hold bolt steady while tightening
wing nut.
To remove arms, reverse procedure.
Attachment
hardware is
located in
envelope
inside carton.
.
Fig. 1

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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 plateand 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 from inside
pelvis.
7. Use screwdriver to hold bolt while tightening wing nut.
(Figure 2)
To remove legs, reverse procedure.
IV Arm –
Multiple Venipuncture sites:
•Dorsal Veins of Hand (3)
•Cephalic Vein
•Median Vein
•Basilic Vein
•Antecubital
Directions for Use:
1. Attach IV bag to IV tubing.
2. Attach IV tubing to either latex vein.
3. Allow fluid to flow through arm and out other latex vein.
4. Clamp off flow of water from open vein.
The arm is now ready to practice venipuncture.
Attachment
hardware is
located in
envelope inside
Laerdal
Recommends:
A 20gauge 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.
Fig. 2

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Replacing Skin and Veins:
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)
Laerdal
Recommends:
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.
Fig. 3
Fig. 4

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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. Thumb will detach with skin.
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. (Photo3)
Photo 3
Laerdal
Recommends
Heat arms skins before replacing on
mandrel. This can be done with a blow-
dryer
.
Figure 5

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8. Work skin over fingers, as with a glove. (Photo4)
9. Work arm skin up, over mandrel. (Photos 5& 6)
Photo 4
Photo 5
Photo
6

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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 connectoris 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.
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. 6

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To assemble: (Photos 7, 8& 9)
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.
Fig.
7
Slide tube to meet ridge
on connector.
Area wh
ere clamp is
placed.
Photo 7Photo 8
Photo 9
Long valve connects
urinary reservoir; short
valve connects anal
reservoir.
Apply clamp and
squeeze to tighten.

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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 10)
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
lubricate 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?
Laerdal
Recommends:
Catheters should be
well lubricated with
manikin lubricant or
full strength liquid
soap prior to using.
Laerdal
Recommends:
A size 16 French
catheter is suggested
for urethral
catheterization.
Size 7mm catheter is
suggested for enema
simulation.
Photo 10

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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.
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.
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