Nasco Life/form LF00958U User manual

Pediatric Injection
Training Arm
Simulator — LF00958U
Instruction Manual
Products by Nasco
DO NOT REMOVE FILM FROM TUBING!
THIS PRODUCT CONTAINS DRY NATURAL RUBBER!
Pediatric Injection

About the Simulator
The Life/form®Pediatric Injectable Training
Arm Simulator is a dramatic and exciting
training aid for practicing and demonstrating
intramuscular and intravenous puncture of
young children. Visual as well as tactile real-
ism have been designed into this training aid
to provide students with the most realistic
training possible in developing skills for pedi-
atric IM and venipuncture. A special, extremely
thin synthetic skin is paired with rubber tub-
ing with small lumen and thin walls to make
the Life/form®Pediatric Injectable Training
Arm 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®Arm with White Skin
• BloodDonorSet
• 3ccSyringe
• Life/form®VenousBlood—1Pint
• IVBag
1
VEIN SITES
VEIN SITES
INJECTION SITES
Internal Structure
The photos on the lower left show
the position of tubing embed-
ded within the arm to simulate
veins. The tubing is superficial
in its full length, offering a wide
selection of injection sites.
Careful palpation should allow
the student to locate the veins.
General Instructions for Use
A. Prepare Synthetic Blood
Concentrated blood colorant
 isprovided.Fillthe16-oz.
container with water for
proper dilution.
B. Fill and Prepare IV
Supply Bag
Pour diluted Life/form®
blood into IV container.

C. IV Bag
 Hangbagat18"height.Becertain
clamp on administration set is
closed before hanging.
D. Connect to Arm
The arm is supplied with a special
connector that fits arm tubing and
IV tubing. Insert connector from
IV tubing into tubing coming from
arm as shown.
E. Fill Venous System
 1. Hold open end of shoulder tubing
over container.
2. Open clamp and allow Life/form®
 Bloodtoflowthroughsystem
until steady stream exits without
bubbles through the open tubing
end.
 3. Place pinch clamp on open
tubing en d.
CLAMP OPEN
CLAMP
CLOSED
CONNECT
FIRMLY
OPEN CLAMP
Procedures That Can Be Performed
on This Simulator
A. Venipuncture
The Life/form® Pediatric Injectable Training
ArmSimulatorisnowpressurized
and ready for venipuncture practice.
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armskinand
tubing.Refertopg.1foridentification
of vein sites.
B. Intramuscular Injections
The Life/form® Pediatric Injectable
Training Arm Simulator has been
designed to include a soft foam area
in the shoulder to simulate the deltoid
muscle and allow practice for intra-
muscular injections. The injection area
can be easily located by palpation.
Although fluids may be used for IM
injections in this arm, it is recom-
mended that air be used when pos-
sible to prevent build-up of fluids in
the arm. If fluid is to be used, distilled
water is recommended, and the arm
should be allowed to drain before storing.
2

Causes for Failure in Function
A. IV infusion may not flow if there is
air in the venous system. Simply
flush the system slowly with more
synthetic blood or distilled water,
whicheveryouareusing.Besure
to check the IV bag clamp; it might
have been overlooked and not
opened.
B. Duringprocedureofdrawingblood,
if blood cannot be aspirated:
1. TheclampontheIVtubingof
the synthetic blood might not be
opened.
2. 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.
3. Ifbloodflowisweak,thepres-
sure can be increased by raising
the supply bag to a higher level.
Only raise the bag enough to
achieve desired flow.
4. If these measures do not unclog
the venous system, try using a
large (50 cc) syringe to force
fluid through the tubing.
5. If none of these measures work,
peel off the skin to the knuckles.
DONOTREMOVEFROM
FINGERS.Examinealltubingfor
possible kinks that occasionally
occur during assembly. Soap up
outside of arm core generously
with Ivory
®
liquid detergent and
pull skin over arm core.
Care of Simulator
This training simulator has been de-
signed to provide the greatest possible
durability and lowest maintenance
while not compromising the realism of
use. Following are some suggestions
for helping you yield the maximum life
from this unique simulator.
A. Before Storing Arm
 1.DisconnectIVbagandpour
fluid back into container.
2. Rinse IV bag.
 3.Drainarm.Openpinchclamp
and tip hand up until fluid is
removed. Flush arm with water.
Rinse off exterior of arm, dry,
and return arm to storage bag.
4. Return all components to case.
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 24-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 arm
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
 TubingSealing(LF01099U) has
been developed for use with
Life/form®Injectable Simulators.
It will effectively seal punctures in
tubing.
3

4
E. Skin Replacement
After prolonged use for injections,
the skin on your training arm will
show track marks and need
replacing with Replacement Skin
 andVeinKit(LF00986U).
1. Removeusedskinfromarm.
  a. Untielaceatshoulder.
b. Lubricate exterior of skin
with Ivory®liquid detergent.
c. Peel skin off by turning
inside out.
d. Remove old tubing.
2. Install new tubing.
Place new section of tubing in
  channelofarmcore.Becertain
equal portions of tubing protrude
at shoulder.
3. Lubricateskin.
Pour contents of the bottle of
Life/form®Simulator Lubricant
provided inside arm skin and
swish around to coat all inside
surfaces.
4. Install new skin.
a. Slide shoulder of skin over
  headofcore.Becertainto
align palm of core and skin.
b. Grasp the skin with both hands
and slide over core until fingers
of core approach finger holes
of skin.
CAUTION: The thin Life/form®Skin
used to provide realism is tender and
care must be taken not to stretch or
tear the material when installing.
c. Check tubing location. If tubing
has moved from channel, try to
work into place by palpating
through skin. If unsuccessful,
peel skin back (invert) until tubing
can be replaced properly, then
roll skin over core.
d. Work fingers into place.
 e. Drawskinsnuglyintoplace.
CHECK TUBING POSITION

5. Install lace.
Thread lace through eyelets in
alternating pattern, as illustrated,
andtiesnugly.Becertaintubing
is protruding and not pinched by
blowing through tubing.
6. Rinse.
Wash excess lubricant from exte-
rior of arm skin. The Life/form®
Pediatric Injectable Training Arm
Simulator is now fully recondi-
tioned and ready to train hun-
dreds of new medical personnel.
Supplies/Replacement Parts for
Life/form® Pediatric Injectable
Training Arm Simulator
LF00986U Replacement Skin and
Vein Kit
LF01099U Tubing Sealant
LF00845U Life/form®VenousBlood
   —1Quart
LF00846U Life/form®VenousBlood
   —1Gallon
LF09919U Nasco Cleaner
5

COPYRIGHT © NASCO 1990 PRINTED IN U.S.A.‑NP 039‑82/RV 2‑12
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901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538‑0901
1‑800‑558‑9595
eNasco.com • E-mail: [email protected]
Fort Atkinson