5. Lift and push the bottom of the genital insert
into the genital opening in the body. Push the
top of the genital insert down and in to secure
the system.
The natural restrictions of the male urinary tract
have been designed into the male genital insert.
Proper manipulation of the penis is required to
achieve catheterization.
1. Thoroughly lubricate the 16 French Foley cath-
eter supplied with your manikin prior to insertion.
2. The mucosal fold is approximately 2" into
the urethra. Withdrawing the catheter and
stretching the penis slightly will enable the
catheter to advance past the first restriction.
3. The bulbous urethra is approximately an addi-
tional 2" past the mucosal fold. Elevating the
penis 60° will enable the catheter to advance
past the second restriction.
4. The final restriction represents the sphincter
muscle where the urethra joins the bladder.
Gently advance the catheter past this point
until you feel a “pop” as you enter the bladder.
Water will now flow through the catheter.
5. After completion of the exercise, remove the
male genital insert by reversing the assembly
instructions. Disconnect the bladder reservoir
bag with pressure sleeve from the insert piece.
Drain the reservoir thoroughly. Rinse reservoir
and the outside of the penis to remove any
residual lubricant.
Note: Special care should be taken when using a Foley
catheter. Nasco recommends use of 16 French Foley
catheters. One will be supplied with your manikin, and
use of this size will avoid the possibility of leakage. Cuff
inflation should only be attempted when the catheter
is in the proper position inside the bladder. The cuff
must also be completely deflated before the catheter
is removed. The catheter should not be left insert-
ed in the simulator for an extended period of time.
Improper use of a Foley catheter may result in dam-
age to the simulator and void the warranty.
Prostate Examination
(Available with Complete, Advanced, Auscultation,
and Advanced Auscultation
GERi
™
/
KERi
™
)
The male genital insert also includes the capability for
digital rectal prostate palpation. (See Figure 9.)
The prostate gland represents stage B progres-
sion of prostatic cancer. A discrete hard nodule is
palpable in the upper right quadrant, simulating
a beginning state of carcinoma.
To Perform a Prostate Examination
1. Position the manikin following your facility’s
procedures.
2. Generously lubricate examination finger.
3. Insert lubricated finger into the rectum to
perform examination.
4. Following the procedure, remove the male
genital insert from the manikin.
5. Rinse the rectum with warm water and allow
drying.
Note: The male genital insert does not have the capac-
ity for enema administration.
Female Catheterization
(Available with Complete, Advanced, Auscultation, and
Advanced Auscultation
GERi
™
/
KERi
™
)
To prepare for catheterization exercises,
1. Ensure the simulated bladder reservoir bag
and fitting are attached to the urethra on the
backside of the genital insert. (See Figure 10.)
2. Ensure the cloth pressure sleeve is in place over
the bladder reservoir and the hook-and-loop
fastener on the pressure sleeve is attached
to the hook-and-loop fastener on the genital
track.
3. Fill the 140 cc syringe supplied with water.
Lubricate the end of the syringe’s adminis-
tration tube and insert though the urethra at
least 7"-8".
4. Depress the plunger of the syringe to fill the
bladder bag. The bladder reservoir will hold
approximately 375 cc.
5. Gently slide the genital insert back into the
body. Lift and push the bottom of the genital
insert into the genital opening in the body.
Push the top of the genital insert down and in
to secure the system.
Simulated
Prostate
Figure 9
Figure 10
10
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