Nasco Healthcare DANi LF04500 User manual

DANi
Patient Care Trainer LF04500/LF04500M
Patient Skills Trainer LF04502/LF04502M
Patient Simulator LF04504/LF04504M
Patient Simulator, Export LF04504EX/LF04504MEX
INSTRUCTION MANUAL

Table of Contents
About the Simulator ..........................................3
List of Components ...........................................7
Arms / Joints / Legs / Eyes / Oral Hygiene . . . . . . . . . . . . . . . . . . . . . . . 8
Ear Care / Bath & Washing / Tracheostomy Care.................9
Lavage / Gavage / Suctioning / Carotid Pulse...................10
Nasogastric / Lung Bag and Stomach Bag .....................11
Intubatable Head ............................................12
Ostomy Care.................................................13
Gastrostomy Care Lavage and Gavage .........................14
Male Catheterization .........................................15
Foreskin Application / Prostate Examination...................16
Female Catheterization.......................................17
Enema Administration .......................................18
Female Cervical Exam ........................................18
Suprapubic and Urinary Catheterization.......................19
Blood Pressure Arm ..........................................20
IV and Injection Arm .........................................25
Injectable Arm...............................................26
Auscultation .................................................30
Anterior Heart Sites ..........................................32
Anterior / Posterior Lung Sites ................................33
Pressure Injury Wounds ......................................34
Edema ......................................................34
CPR Measuring ..............................................35
Identifying Parts and Consumables ...........................36
Care and Maintenance .......................................38
2

About the Simulator
Nasco Healthcare DANi Teen & Young Adult is a
comprehensive male/female patient care trainer for
medical simulation. Evolving from our KERi™full-
body manikins, it has a more realistic look and feel
accurately representing the human anatomy. Weight
is distributed to represent a real patient for lifting and
carrying.
Each version is affordable and durable with
upgradable items.
• DANi Teen & Young Adult Patient Care Trainer –
General patient care, daily living assistance
simulation platform.
• DANi Teen & Young Adult Patient Skills Trainer –
Physical skills practice simulation platform with
injection/IV, catheterization, cardiovascular and
respiratory support.
• DANi Teen & Young Adult Patient Simulator –
Comprehensive and complete simulation platform
including patient monitoring capability.
3

LF04500/LF04500M: DANi Teen & Young Adult
Patient Care Trainer
• Superior Range of Motion
• Enhanced Full Body Aesthetics
• Articulating Jaw
• Lightweight: 50 lbs.
• Interchangeable Pupils: normal, constricted, dilated
• Male & Female Options (wigs included)
• Soft Male and Female Genitalia
• Normal and Cancerous Moles
• Stage 1 Sacral Ulcer
• Bandaging and Wound Dressing (Recommended bandages:
Silicone Adhesive Bandages)
• Patient Positioning (fully articulated)
• Clothing Changes
• Bed Baths
• Eye Irrigation & Optic Drops
• Dental Care
• Ear Canal Irrigation
• Hair Care
• Pericare
• Ostomy Care (ileostomy and colostomy care)
• Urinary Catheter Care (external care only; supporting bladders
not included)
• Stomas (colostomy and ileostomy)
• Standard Arms with Injection Sites (IM injection only)
• Injection Sites (thigh, right side buttocks supporting IM and
sub-cutaneous injections)
• Support for Oxygen Administration
LF04502/LF04502M: DANi Teen & Young Adult
Patient Skills Trainer
• Superior Range of Motion
• Enhanced Full Body Aesthetics
• Articulating Jaw
• Lightweight: 50 lbs.
• Interchangeable Pupils: normal, constricted, dilated
• Male & Female Options (wigs included)
• Soft Male and Female Genitalia
• Normal and Cancerous Moles
• Stage 1 Sacral Ulcer
• Bandaging and Wound Dressing (Recommended bandages:
Silicone Adhesive Bandages)
• Patient Positioning (fully articulated)
About the Simulator
• Clothing Changes
• Bed Baths
• Eye Irrigation & Optic Drops
• Dental Care
• Ear Canal Irrigation
• Hair Care
• Pericare
• Ostomy Care (ileostomy and colostomy care)
• Urinary Catheter Care
• Stomas (colostomy and ileostomy)
• Support for Oxygen Administration
• Left Blood Pressure Arm with Radial Pulse
• Injection Sites (arms, thigh, right side buttocks supporting IM
and sub-cutaneous injections)
• Gastrostomy Procedures (lavage, gavage, tube placement)
• Nasogastric Tube Procedures (lavage, gavage, tube placement,
feeding, suctioning)
• Respiratory Support – Tracheostomy Care, Airway/Trach
Suctioning (lavage, suctioning)
• Urinary Catheterization
• Suprapubic Catheterization
• Enema Administration (female)
• Pap Smears (female)
• Pelvic Examination (female) – 7 cervix presentations
(normal, pregancy, dysplasia, polyp, early cancer, late cancer,
inflammation)
• Prostate Examination (male) – 5 prostate presentations
(1 normal/healthy, 4 cancerous in varied sizes)
• Right IV Arm
• Foot Wound Care
• CPR with Quality Performance Metrics (compressions and
ventilation rate & depth; audible and visual feedback)
• Carotid Pulse (manual)
• Intubation
• Ventilation
4

LF04504/LF04504M: DANi Teen & Young Adult
Patient Simulator (includes monitors)
LF04504EX/LF04504MEX: DANi Teen & Young Adult
Patient Simulator, Export (excludes monitors)
• Superior Range of Motion
• Enhanced Full Body Aesthetics
• Articulating Jaw
• Lightweight: 50 lbs.
• Interchangeable Pupils: normal, constricted, dilated
• Male & Female Options (wigs included)
• Soft Male and Female Genitalia
• Normal and Cancerous Moles
• Stage 1 Sacral Ulcer
• Bandaging and Wound Dressing (Recommended bandages:
Silicone Adhesive Bandages)
• Patient Positioning (fully articulated)
• Clothing Changes
• Bed Baths
• Eye Irrigation & Optic Drops
• Dental Care
• Ear Canal Irrigation
• Hair Care
• Pericare
• Ostomy Care (ileostomy and colostomy care)
• Urinary Catheter Care
• Stomas (colostomy and ileostomy)
• Support for Oxygen Administration
• Left Blood Pressure Arm with Radial Pulse
• Injection Sites (arms, thigh, right side buttocks supporting IM
and sub-cutaneous injections)
• Gastrostomy Procedures (lavage, gavage, tube placement)
• Nasogastric Tube Procedures (lavage, gavage, tube placement,
feeding, suctioning)
• Respiratory Support – Tracheostomy Care, Airway/Trach
Suctioning (lavage, suctioning)
• Urinary Catheterization
• Suprapubic Catheterization
• Enema Administration (female)
• Pap Smears (female)
• Pelvic Examination (female) – 7 cervix presentations
(normal, pregancy, dysplasia, polyp, early cancer, late cancer,
inflammation)
• Prostate Examination (male) – 5 prostate presentations
(1 normal/healthy, 4 cancerous in varied sizes)
• Right IV Arm
• Foot Wound Care
• CPR with Quality Performance Metrics (compressions and
ventilation rate & depth; audible and visual feedback)
• Carotid Pulse (manual)
• Intubation
• Ventilation
• Auscultation (heart and lung sounds)
• Patient Simulation Suite (LF04504EX/LF04504MEX does not
include monitors/tablets)
5

DANi Teen & Young Adult Training Solution
LF04500 / LF04500M LF04502 / LF04502M LF04504/EX
LF04504M / LF04504MX
Model
Feature Set Capability
Advanced Patient Care Trainer Advanced Patient Skills Trainer Advanced Patient Simulator
General
Superior Range of Motion ✔ ✔ ✔
Enhanced Aesthetics ✔ ✔ ✔
Multiple Skin Tones ✔ ✔ ✔
Lightweight: 50lbs ✔ ✔ ✔
Pupils ✔ ✔ ✔
Acne ✔ ✔ ✔
Gender ✔ ✔ ✔
Soft Female & Male Genitalia ✔ ✔ ✔
Skin Care
Normal and Cancerous Moles ✔ ✔ ✔
Stage 1 Sacral Ulcer ✔ ✔ ✔
Bandaging and Wound Dressing ✔ ✔ ✔
Movement Assistance, Fall Prevention and Care
Patient Positioning ✔ ✔ ✔
Bathing
Clothing Changes ✔ ✔ ✔
Bed Baths ✔ ✔ ✔
Grooming & Daily Living Assistance
Eye Irrigation & Optic Drops ✔ ✔ ✔
Dental Care ✔ ✔ ✔
Ear Canal Irrigation ✔ ✔ ✔
Hair Care ✔ ✔ ✔
Nursing Care
Pericare ✔ ✔ ✔
Ostomy Care ✔ ✔ ✔
Urinary Catheter Care ✔ No aux equipment ✔ ✔
Stomas ✔ ✔ ✔
Standard Arms with Injection Sites ✔ ✔ ✔
Support for Oxygen Administration ✔ ✔ ✔
Left Blood Pressure Arm Option ✔ ✔
Advanced Skills
Injections Sites ✔ ✔
Gastrostomy Procedures ✔ ✔
Nasogastric Tube Procedures ✔ ✔
Respiratory Support: Tracheostomy Care, Airway/Trach Suctioning ✔ ✔
Urinary Catheterization ✔ ✔
Enema Administration (Female) ✔ ✔
Pap Smears (Female) ✔ ✔
Pelvic Examination (Female) ✔ ✔
Prostate Examination (Male) ✔ ✔
Right IV Arm Trainer Option ✔ ✔
Vaginal Sexual Assault Evidence Collection ✔ ✔ ✔
Foot Wound Care ✔ ✔
ACLS/BLS
CPR with Quality Performance Metrics ✔ ✔
Carotid Pulse ✔ ✔
Articulating jaw ✔ ✔ ✔
Intubation ✔ ✔
Advanced Nursing ACLS/BLS
Auscultation (Heart & Lung Sounds) ✔
Monitoring & Therapeutics
Patient Vital Signs & Monitored Signals ✔
Accessories
Sexual Assault Female Genitalia ✔ No aux equipment ✔ ✔
Short Black Wig/Long Brown Wig ✔ ✔ ✔
Dyed Hair Wig ✔ ✔ ✔
Drug Use Moulage ✔ ✔ ✔
Self Harm Moulage ✔ ✔ ✔
Piercings ✔ ✔ ✔
Tattoo Sleeve ✔ ✔ ✔
6

DANi Teen & Young Adult Patient Care Trainer
LF04500/LF04500M
• Male Genitalia Foreskins, Pack of 3 (LF000843 G, Light/
LF00842 G, Medium)
• Pupils, Constricted, Set of 2 (LF04317 B)
• Pupils, Dilated, Set of 2 (LF04317 C)
• Male Genitalia (LF04318, Light/LF04318M, Medium)
• Female Genitalia (LF04319, Light/LF04319M, Medium)
• Wigs, Set of 3 (LF04522, Multicolored/LF04525, Brown/LF04523, Black)
• Hospital Gown (LF04333)
• Tattoo Sleeve
• Wounds: Cutting/Self-Harm (LF04527), Bruising/Drug Use (LF04526)
• Female Genitalia, SANE (LF04514, Light/LF04514M, Medium)
DANi Teen & Young Adult Patient Skills Trainer
LF04502/LF04502M
• Male Genitalia Foreskins, Pack of 3 (LF000843 G, Light/
LF00842 G, Medium)
• Pupils, Constricted, Set of 2 (LF04317 B)
• Pupils, Dilated, Set of 2 (LF04317 C)
• Male Genitalia (LF04318, Light/LF04318M, Medium)
• Female Genitalia (LF04319, Light/LF04319M, Medium)
• Wigs, Set of 3 (LF04522, Multicolored/LF04525, Brown/LF04523, Black)
• Hospital Gown (LF04333)
• Simulated Blood, Pint
• Blood Pressure Cuff with Sphygmomanometer (LF01073)
• Electronic Blood Pressure Control Unit with Batteries (LF01096)
• Fluid Supply Bag, 500 ml, with Pinch Clamp (LF01130)
• Cervix Kit, Set of 7 (LF01230 C)
• Pump Spray Lubricant (LF03644)
• Foot Wounds, Pressure Injury Stages 1-4 (LF04310, Light/
LF04310M, Medium)
• Foot Wound Sleeve (LF04513, Light/LF04513M, Medium)
• Deep Tissue Wound (LF04328)
• Enema Bag (LF04316)
• Edema, Set of 5, Stages 1-4 & Non-Pitting (LF04528, Light/
LF04525M, Medium)
• Prostate Kit, Set of 5 (LF04332)
• External Bladder Bag, Urinary & Suprapubic (LF04334)
• Simulated Urine, Quart (PN01037)
• Carotid Pulse Bulb (100-2028)
• Syringe, 20 cc
• Tattoo Sleeve
• Wounds: Cutting/Self-Harm (LF04527), Bruising/Drug Use (LF04526)
List of Components
• Female Genitalia, SANE (LF04514, Light/LF04514M, Medium)
DANi Teen & Young Adult Patient Simulator
LF04504/LF04504M (includes monitors)
DANi Teen & Young Adult Patient Simulator, Export
LF04504EX/LF04504MEX (excludes monitors)
• Male Genitalia Foreskins, Pack of 3 (LF000843 G, Light/
LF00842 G, Medium)
• Pupils, Constricted, Set of 2 (LF04317 B)
• Pupils, Dilated, Set of 2 (LF04317 C)
• Male Genitalia (LF04318, Light/LF04318M, Medium)
• Female Genitalia (LF04319, Light/LF04319M, Medium)
• Wigs, Set of 3 (LF04522, Multicolored/LF04525, Brown/LF04523, Black)
• Hospital Gown (LF04333)
• Simulated Blood, Pint
• Blood Pressure Cuff with Sphygmomanometer (LF01073)
• Electronic Blood Pressure Control Unit with Batteries (LF01096)
• Fluid Supply Bag, 500 ml, with Pinch Clamp (LF01130)
• Cervix Kit, Set of 7 (LF01230 C)
• Pump Spray Lubricant (LF03644)
• Foot Wounds, Pressure Injury Stages 1-4 (LF04310, Light/
LF04310M, Medium)
• Foot Wound Sleeve (LF04513, Light/LF04513M, Medium)
• Deep Tissue Wound (LF04328)
• Enema Bag (LF04316)
• Edema, Set of 5, Stages 1-4 & Non-Pitting (LF04528, Light/
LF04525M, Medium)
• Prostate Kit, Set of 5 (LF04332)
• External Bladder Bag, Urinary & Suprapubic (LF04334)
• Simulated Urine, Quart (PN01037)
• Carotid Pulse Bulb (100-2028)
• Syringe, 20 cc
• Auscultation SmartScope™with Batteries (LF01144)
• Auscultation Remote with Batteries (LF01148)
• Patient Monitoring Simulation Bundle (LF04504EX &
LF04504MEX does not include monitors/tablets)
• Tattoo Sleeve
• Wounds: Cutting/Self-Harm (LF04527), Bruising/Drug Use (LF04526)
• Female Genitalia, SANE (LF04514, Light/LF04514M, Medium)
DANi comes packaged with the normal pupils, teeth, female
genitalia, lungs, stomach, and other internal reservoir bags
installed (features included with LF04502/LF04502M, LF04504/
LF04504M, and LF04504EX/LF04504MEX).
7

Eyes
All versions of DANi
come with 3 sets of
brown eyes. 1 set of
normal pupil brown eyes,
1 set of constricted pupil
brown eyes and 1 set of
dilated pupil brown eyes.
The normal eyes come
installed in the head. The
eyes can be changed to dilated or constricted by
creasing the skin at the outside of each eye and
rolling the eye up. (See Figure 3.) Both eyes may
be irrigated using water. Eye sockets will hold no
more than a few drops of liquid at a time. Following
completion of the exercise, follow the above
instructions for removing the eye, dry the sockets
completely with a soft cloth, and replace the eyes.
Oral Hygiene
Tooth brushing should be simulated without water
or any cleaning agents to avoid leaking into the
head of the manikin and to simplify cleanup. Teeth
cannot be flossed.
Note: All Versions of DANi come packaged with
the normal eyes, and female genitalia installed.
The Patient Skills Trainer and Simulator come with
lungs, stomach, and other internal reservoir bags
installed.
Arms / Joints
DANi is packaged with
arms and female genitalia
attached and legs
unattached to prevent
damage during shipping.
Refer to the following
sections for assembly
instructions (See Figure 1).
Leg Assembly
The legs attach to
the body at the hips
by rotating the legs
backward approximately
150° so the feet are near
the shoulders and the
keyholes are aligned.
(See Figure 2).
Set Up
Arms / Joints / Legs / Eyes / Oral Hygiene
Fig 1.
Fig 2.
Fig 3.
8

Tracheostomy Care
Suctioning, dressing changes, tracheostomy tube
placement, and cuff inflation may be practiced
on the simulator. The tracheostomy canal is not
removable from the body. Any water administered
to this site must be suctioned out after completion
of the exercise. The tracheostomy canal (See Figure
6) can hold approximately 20 cc of water.
Ensure proper lubrication prior to inserting tubes
into the stoma site by using the Pump Spray
Lubricant included. The tracheostomy canal
is not connected to the oronasal system, and
access is provided only through the stoma site.
Recommended tracheostomy tube size is 6.0 mm.
Note: Does not support
ventilation of lungs
through tracheostomy.
Supports lavage and
saline treatment.
Features included with
LF04502/LF04502M,
LF04504/LF04504M, and
LF04504EX/LF04504MEX.
Fig 6.
Set Up
Ear Care / Bath & Washing / Tracheostomy Care
Ear Care
Both ears may be
irrigated. Using water to
perform ear irrigation is
recommended. The ear
canal will hold up to
1 mL of water.
To drain, tilt the head
sideways and empty into
the basin or absorbent
cloth. (See Figure 4 & 5).
Cotton swabs may be
used gently in the ear
as you would with a real
patient.
Bed Baths and
Hair Washing
To simplify cleanup, dry bed baths and shampoos
are recommended to eliminate the chance of water
entering the inside of the manikin. A soft cloth
and water can be used for bathing exercises, and a
mild shampoo and cool water can be used for hair
washing. Avoid scrubbing any painted areas of the
manikin. To dry the wigs, blot with a soft towel and
air dry. Do not brush the hair when wet, and never
use a hair dryer or blow dryer on the wigs.
Fig 4.
Fig 5.
9

Oral and Nasal Lavage,
Gavage, and Suctioning
Access to the stomach
is provided through the
mouth and both nostrils.
The internal stomach
reservoir bag has a 200 cc
capacity. The head
should be connected to
the stomach reservoir bag green) and NOT the
intubation air bladder bag yellow). (See Figure 7).
Lubricate feeding tubes generously prior to
inserting through mouth, nose, or nostrils by using
the Pump Spray Lubricant included. Only water
should be used in tube feeding exercises. Ensure
the upper torso of the manikin is slightly elevated
to prevent water backflow into the head of the
manikin. Introduce water only using standard
facility procedures and materials.
Following the procedure,
empty the stomach.
Water may be removed
by suctioning or removing
the stomach reservoir
bag by disconnecting 2
VELCRO®straps and white
disconnect and then
draining it into a sink or
basin. (See Figure 8).
Note: Ensure the manikin’s torso remains elevated
when the stomach reservoir bag contains water
to continue to prevent backflow into the head
of the manikin. Features included with LF04502/
LF04502M, LF04504/LF04504M, and LF04504EX/
LF04504MEX.
Fig 7.
Set Up
Lavage / Gavage / Suctioning / Nasogastric / Carotid Pulse
Fig 9.
Fig 11.
Fig 10.
To remove the Stomach
Reservoir Bag:
1. Remove the head by
disconnecting the
snaps on the head
skin, around the neck,
rotating the head 45
degrees, and aligning
the head with the
notch on the neck ring
and pulling the head
up (See Figure 9).
2. Gently pull up head to
expose four tubes with
the stomach reservoir
bag connected at the
end. (See Figure 10).
3. Unfasten the strap that holds the Stomach
Reservoir Bag and esophagus tube together and
depress button on the quick disconnect feature
of the bag. (See Figure 11).
Following completion of the procedures,
completely drain the stomach reservoir and allow
drying prior to reattaching and storing inside the
manikin. Wipe any residual lubricant with warm
water and a soft cloth.
Carotid Pulse
Attach pump bulb to Carotid tube exiting the rear
neck. (See Figure 12). Pump bulb to simulate pulse
at the pulse points of the Carotid (See Figure 13).
Pulse points are present on both sides.
Fig 12. Fig 13.
Fig 8.
Disconnect
Velcro
Velcro
10