Nasco LF03636U User manual

Infant IV Leg
LF03636U
Instruction Manual
Products by Nasco
Infant IV Leg

About the Simulator
The Life/form® Infant IV Leg Simulator
is an exciting training aid for practic-
ing and demonstrating intravenous
puncture of the newborn. Visual,
as well
as tactile, realism has been
designed
into this training aid to pro-
vide students with the most realistic
training possible in developing skills
for infant venipuncture. A special,
ex
tremely thin synthetic skin is paired
with rubber tubing with a small lumen
and thin walls to make the Life/form®
IV Leg Simulator the most realistic
means of training medical personnel
available.
With proper care, this Life/form®
Simulator will provide years of reliable
service. Please read the instructions
carefully.
List of Components
 • Life/form® Infant IV Leg
 • 3ccSyringe
 • Life/form® Venous Blood —
1 Pint
 • 2IVBagsw/Clamps
 • PinchClamp
 • WingedInfusionSet
 • 22-gaugeneedle
 • 2Towels
Internal Structure
The figures on this page show
the
position of the tubing embedded within
the leg to simulate veins. (See figures
1 & 2.) The tubing is superficial in
its full length, offering a selection of
injectionsites.Carefulpalpationwill
allow the student to locate the veins.
Set Up
The Life/form® Infant IV Leg has been
designed to replace the standard leg
on the Resusci®Baby*CPRmanikins.
1
*RESUSCI®BABY IS A TRADEMARK OF LAERDAL MEDICAL CORPORATION.
Great
Saphenous
Vein
Body
Dorsal
Venous
Arch
Medial
Malleolus
Great
Saphenous
Vein
Dorsal
Venous
Arch
Medial
Malleolus
Figure 1
Figure 2

2
Figure 3
General Instructions for Use
A. Preparing the Synthetic Blood
Concentratedbloodcolorantis
provided. Fill the 16-oz. con tainer
with tap water for the proper dilution.
(See figure 3.)
Figure 4
B. Filling the IV Supply Bag
Be certain the clamp on the IV bag
is closed before filling. Pour the
diluted Life/form®blood into the
IV bag. (See figure 4.) Hang the
bag at an 18" height.
C. Attaching the Leg to the Body
Place the Resusci®Baby* on a flat
surface, such as a tabletop. Remove
the baby’s clothing and unhook the
body skin at the three points along
the torso. Roll the skin back over
the chest. Now lift up on the inner
cover just enough to get in and snap
out the standard leg. (See figures
5 & 6.) When this is done, simply
snap the venipuncture right leg
into place. Drop the inner cover
and replace the skin and clothing.
Figure 5
Figure 6
Figure 7
D. Connecting the Leg to the
IV Supply Bag
The leg is supplied with a special
connector that fits the leg tubing
and IV tubing. Insert the IV tubing
into the tubing coming from the leg
as shown. (See figure 7.)
*RESUSCI®BABY IS A TRADEMARK OF LAERDAL MEDICAL CORPORATION.

3
Figure 8
E. Filling the Venous System
1.
Slide the pinch clamp over the
free tubing end and place the
tubing end over a container.
 2.OpentheIVbagclampand
allow Life/form® blood to flow
through the system until a
steady stream exits without
bubbles through the open
tubing end. (See figure 8.)
 3.Closethepinchclamponthe
open tubing end.
Figure 9
F. Performing Venipuncture
The Life/form® Infant IV Leg Simulator
is now pressurized and ready for
venipuncture practice. (See figure
9.) Venous pressure is altered by
varying the height of the IV bag. A
height of 18" is a good starting
point. Excessive height may cause
leakage through previous puncture
sites. Needle sizes should be kept as
small as possible to minimize damage
to the leg skin and tubing. Refer to
page 1 for identification of vein sites.
G. Preparing the Leg for
Intravenous Infusions
Figure 10
1. Hang both IV bags (not more
than 18" high) and close the
clamps at the ends of both IV
bags. Fill bag A with synthetic
blood and bag B with distilled
water (infusion). (See figure 10.)
 2.Appropriateintravenousinfusion
needles (or butterflies) should be
used.
 3.Theself-sealingsimulatedveins
lend themselves very well to the
practice of starting IV infusions,
and IVs can be started where
indicated. (See figures 1 & 2.)
  Cleansethesiteswithdistilled
water only.
4. Attach the adapter end of the
bag A IV tubing into the leg
tubing connector.
5. Place the other leg tubing end
in a basin or jar, and “flush” the
vascular system by opening the
clamp. Allow the infusion to
pass through the system until
air bubbles are eliminated.
Shut off the flow at the leg
tubing with a pinch clamp.
AB

6. Insert an IV needle (or butterfly)
into the vein. “Flashback” will indi-
cate a proper insertion.
7. ClosetheclamponIVbagAand
remove the pinch clamp from leg
tubing at the basin.
Figure 11
8. Attach the latex needle adapter
to the IV needle (or butterfly) and
bagBIVtubing.Opentheclamp
on bag B. (See figure 11. This
figure shows only the correct
attachment of the latex needle
adapter. During the actual proce-
dure, the butterfly needle would
have already been inserted into
the vein at this point.) Proof of
proper procedure will then be
evidenced by the flow of infusion
fluidfromIVbagB.Controlthe
flow rate with the clamp on IV
bag B. This fluid can be reused.
H. Recommended Procedures for
Simultaneous “Blood”
Drawing
and IV Infusions
Use two IV bag kits. Hook up and
install IV bag A as shown. (See
figure 12.)
1. Drawing “Blood” — Begin with
synthetic blood (or distilled
water) in bag A. Do not hang bag
A more than 18" over the level of
the simulator. “Flush” the system
by allowing fluid to flow into a col-
lection dish until all the bubbles
in the
tubingaregone.Close the
mini clamp on the tubing running
to the dish. The system is now
full of “blood” and pressurized.
“Blood” can now be drawn any-
where along the pathway of the
vein.
2. IntravenousInfusion—Insert
the butterfly into the lumen of
the vein. Proof of a correct inser-
tion is evidenced by a flashback
of “blood.” Now close the clamp
on bag A, remove it, and reattach
it to the butterfly using the2"latex
adapter. Take bag B (empty),
attach it where bag A had been
connected, and lay it by the simu-
lator, making sure the mini clamp
is closed.
4
A
B
A
Figure 12
Figure 13

Now, open both bag clamps and
adjust the infusion rate with the
clamp on bag A. Should bag B
fill, simply close the clamps on
both bags, unhook them (be
aware of some leakage), and
switch each to the other’s posi-
tion. (See figure 13.) Hook them
up and open both clamps. Bag
B is now the supply bag. This
switch can be done as often as
desired. Note: Always regulate
the flow of “blood” from the bag
on the stand, and open the other
bag clamp . To draw “blood” again,
simply close the clamp on the
bag that is lying down.
Causes for Failure in Function
During the procedure of drawing “blood,”
if “blood” cannot be aspirated:
A. The clamp on the IV tubing of
the infusion bag may not be
opened.
B. Air could be trapped in the
venous system. Simply flush
the system slowly, draining
some “blood” or distilled water,
whichever you are using, until
all air bubbles are eliminated.
 C. If these measures do not unclog
the venous system, try using a
large (50 cc) syringe to force
fluid through the tubing.
D. If none of these measures
work, peel off the skin to the
ankle.DONOTREMOVEIT
  FROM THETOES.Examineall
the tubing for possible kinks.
Generously cover the inside of
the leg with baby powder and
pull the skin back over the leg
core.
Care of the Simulator
This training simulator has been
designed to provide the greatest
possible durability and lowest main-
tenance while not compromising
the realism of use. The following
are some suggestions for helping
you yield the maximum life from this
unique simulator.
A. Before Storing the Leg
1. Disconnect the IV bag and
pour the fluid back into the
container.
 2.RinsetheIVbag.
 3.Draintheleg.Openthepinch
clamp and tip the leg up until
the fluid is removed. Flush the
leg with water. Rinse off the
exterior of the leg and dry.
Return the leg to storage.
B. Needles
Hypodermic needles are actually
small cutting tools. Puncturing the
skin and vein with needles results
in small cuts or slits, which will
eventually lead to deterioration.
The larger the needles, the larger
the cuts made in the skin, and the
shorter the life of the simulator. It
isrecommendedthat22-gaugeor
smaller needles be used. Always
use sharp needles. Dull or bent
needles cause excessive tearing.
C. Distribution of Punctures
The vein is in contact with the skin
from the point it enters the leg to
the point of exit. If the injections
are distributed along the length
of the vein, without deviation from
acceptable practice, the product
will last longer.
D. Tubing Sealant
A Vein Tubing Sealant Kit (LF01099U)
has been developed for use with
Life/form® Injectable Simulators. It
will effectively seal punctures in the
tubing.
5

E. Skin Replacement
After prolonged use for injections,
the skin and veins on your training
leg will show track marks
and need
replacing with the Infant
IV Leg
ReplacementSkin/Veins.
Supplies/Replacement Parts for the
Infant IV Leg
LF00845U Life/form® Venous
Blood — 1 Quart
LF00846U Life/form® Venous
Blood — 1 Gallon
LF01022U Fluid Supply Stand
LF01130U Fluid Supply Bag
LF03639U Infant IV Leg Replacement
 Skin/Veins
LF03640U Infant IV Leg Replacement
Veins
LF01099U Vein Tubing Sealant Kit
LF09919U NascoCleaner
6

COPYRIGHT © NASCO 1996 PRINTED IN U.S.A. NP 097-96/RV 8-12
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901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538-0901
1-800-558-9595
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