B. Preparing the Foot for
Intravenous Infusions
(At this point you will need to supply an
IV set and bag of solution. Hook them up
and have them ready.)
1. To hook up the foot, refer back to
steps 1-5 in section A.
2. Insert the butterfly needle into a vein.
Flashback will indicate proper
insertion.
3. If a flashback is observed, close the
clamp on IV bag A. You are now
ready to set up for the intravenous
infusion.
4. Hang the IV solution bottle and con-
nect the IV set to the butterfly needle
already in the vein. With the clamp
on bag A closed, open the clamp
on bag B. Proof of the proper proce-
dure is evidenced by the flow of the
infusion fluid from the solution bag.
Control the flow from the solution
bag by adjusting the roller clamp on
the tubing of the IV set.
Causes for Failure in Function
A. Forgotten closed clamp.
B. Kinks in tubing of the fluid bags.
C. Tubing pinched shut by constant
pressure of clamps. Lumen remains
pinched occasionally even if the
clamp is loosened. Slide clamp to
new position and with fingers manip-
ulate tubing at pinched site to restore
lumen. In heavy use, slide clamp to
new position on tubing from time
to time to prevent the “permanent
pinch” caused by constant clamp
pressure.
D. If these measures do not unclog the
venous system, try using a large (50
cc) syringe to force fluid through the
tubing.
Care of Simulator
After each class use, close the clamps,
disconnect bags, and return synthetic
blood to storage container. Reconnect
one IV bag to the system. Fill the bag with
tap water and flush the venous system,
allowing the open end to drain into a sink
or basin. When the system runs clean,
close the clamp and remove the IV bag.
Excess water may be removed from the
foot by raising the foot, lowering the leg,
and draining it into a sink or basin. Wash
the outside of the foot with Ivory®liquid
detergent and water. Always remove the
pinch clamps from the tubing and drain
excess water from veins before storing.
Ordinary stains can be removed by wash-
ing the foot with soap and warm water.
Newsprint, similar printed paper, or ink
will permanently stain the simulator if
prolonged contact occurs. Stubborn
stains may be removed with Nasco
Cleaner (LF09919), simply by dispensing
it on the area and wiping with a soft cloth
or paper towel.
General Instructions for Use
The Adult IV Foot comes with all of the
supplies necessary to perform most pro-
cedures. (To perform intravenous infu-
sions the user must supply their own IV
set and bag of solution.)
A. Preparing the Synthetic Blood
1. Add 1 pint of distilled water to the
synthetic blood concentrate (Figure 2).
2. Hang one of the bags (bag A)
approximately 28" above the level
of the foot, making sure the clamp
on the IV tubing is closed. Pour the
blood into the bag.
3. Attach the fitting end of the IV tubing
to one of the foot tubes.
Important Note: Before completing
step 4, bag B must lie at foot level or
below with the cap closed.
4. With the other foot tube attached to
the empty IV bag (bag B), flush the
vascular system with synthetic blood
by opening the clamp of the filled IV
bag (bag A). (Figure 3) Allow some
blood to pass through the system
until the outlet foot tube to bag
B runs free of bubbles. When the
outlet tubing to bag B runs clear of
bubbles, close the clamp on bag B.
5. The venous system is now full of
“blood” and pressurized. Be sure to
leave the clamp on the inlet tubing
(bag A) opened.
6. The foot is now ready to practice
drawing blood. “Blood” can be
drawn anywhere along the pathway
of the vein (see Figure 1). Distilled
water should be used to prepare the
sites. Synthetic blood will actually be
aspirated once the vein is properly
punctured.
7. Small diameter needles (20- to
25-gauge) should be used.
Figure 2
Figure 3
A
B
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