Preparing for Simulation
Arm
Articulated Arm
Note
To tell if your arm is an Articulated Arm or Drug Recognition arm, flex the arm at the elbow. If it flexes, that is an Articulated Arm, if it doesn't that is a Drug Recognition Arm.
Intrasmuscular (IM) injection
Intramuscular injections can be simulated in both the arms and upper hip areas as shown.
NOTES
The Arm IM pads absorbs up to 10 ml of fluid.
To dry or replace the pad(s) refer to Maintaining IM Pads & Sheets.
Setting up an Intravenous (IV)
IV cannulation can be performed.
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NOTE
Only use purified water (distilled) to simulate IV drugs. This prevents clogging of the system.
Connecting a drain bag
The IV fluid system is an open system. IV fluids are drained as they are administered.
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Connect an IV overflow tube and reservoir bag to the IV fluid drain port under the Patient Simulator’s arm.
Excess fluid will drain into the reservoir bag during the simulation.
NOTE
The smaller drain port is for the IV drain bag and the larger drain port is for the IO drain bag.
Preparing an IV with a silicone dressing base
For better adhesion of the IV dressings, position the silicone dressing base onto the arm skin.
Place the dressing.
Insert the IV cannula.
Connect the tubes (luer lock) to the cannula and drain bag.
Secure the IV area with tape.
NOTES
The silicone dressing base can be used multiple times, and does not need to be replaced after each use.
An IV drip can be set up to administer fluids into the cannula.
Automatic NIBP monitoring
SimMan CC enables bilateral, automatic NIBP monitoring with a clinical monitor.
Locate correct connector (supplied) to connect BP cuff to Patient Monitor.
Attach connector to BP cuff (use a Y-connector if the patient monitor uses a dual tube).
Connect short tube with angled connector to BP port and longer tube to the Patient Monitor.
The NIBP system delivers simulated blood pressures with an accuracy of ≤ 10 mmHg (at 15-25 °C, 15-85% RH).
NIBP system range | |
|---|---|
Diastolic blood pressure | 40-130 mmHg |
Systolic blood pressure | 60-200 mmHg |
NOTE
Only use the Blood Pressure cuff supplied with SimMan CC.
Refer to LLEAP Help Files for complete blood pressure measurements and operating information.
Intraosseous (IO) injection
IO simulation with needle insertion is possible through the humeral bone.
Recommended Device Sizes | |
|---|---|
BIG Automatic Intraosseous Device | 15 G |
EZ-IO, 15 G x 1” | 1.8 x 25 or 45 mm |
CAUTIONS
Incorrect use of larger devices can damage the IO bone and/or internal components. The smaller size is recommended.
Do not inject fluids into the pads unless approved IO modules with fluid outlets are in place.
NOTES
Ensure that the IO bone has not already been pierced or used.
To repair and replace the IO bone refer to Replacing the arm IO bone.
SpO2 monitoring
The SimMan CC SpO2 finger contains a light diode and light sensor. When the beam between the diode and sensor is broken, the Patient Monitor Application registers that the SpO2 probe is connected.
Ensure that the index finger skin is correctly aligned with the (translucent) window area.
Clip the probe on to the finger ensuring that it is firmly positioned over the SpO2 window area.
If positioned incorrectly a reading may not be recorded on the monitor.
SpO2 System | |
|---|---|
SpO2 values range (minimum): | 70-100% SpO2 |
SpO2 values accuracy of ≤ 5%: | 70-89% SpO2 |
SpO2 values accuracy of ≤ 2%: | 90-100% SpO2 |
Drug Recognition Arm
Note
To tell if your arm is an Articulated Arm or Drug Recognition arm, flex the arm at the elbow. If it flexes, that is an Articulated Arm, if it doesn't that is a Drug Recognition Arm.
IV catheters
The right IV arm comes with a US catheter type as default. This can be replaced with an international catheter type (commonly used in Europe) with an extra flush port.
NOTE
Remove arm skin before changing the catheter. Use caution when handling the Patient Simulator skins.
Charging IV Catheters
Unzip and fold down the IV arm skin to expose the IV catheter module.
Using a #4 Phillips screwdriver; unscrew the two screws of the module and pull the IV module out of the arm.
Disconnect the two fluid tubes from the IV module.
Insert the new IV module into the IV arm.
Fasten the two screws and zip the skin back into place.
Identifying IV Catheter Sizes
The IV modules come with colored IV caps for US and International IV modules. This simulates different catheter sizes.
US IV Catheter Setup
Setup for drug administration
To administer simulated drugs using the RFID system, the SimMan CC US IV catheter comes with one inlet for drug administration.
Setup for IV drip and drug administration
To simulate an IV drip, connect the international catheter and tube setup as shown.
NOTE
Only purified water should be used in the drip and injection port.
For more information on connecting the US IV drip catheter, contact your local Laerdal service center.
Administering IV fluids
To prevent clogging of the IV system, use only purified water to simulate IV drugs with SimMan CC.
Acceptable Types of Purified Water:
Distilled water
De-ionized water
Do not apply force when administering drugs to the IV arm.
Priming the IV Arm System
It is essential to prime the IV arm before first session each day. Before administering any simulated drugs and to prevent backflow, inject purified water in a continuous stream into the IV system.
Major movement/transportation of the Patient Simulator can result in air pockets being introduced into the IV system and may require additional priming.
Draining Excess IV fluid
The IV fluid system is an open system. IV fluids are drained as they are administered.
Before Each Session
Attach the IV overflow tube to the fluid drain under the Patient Simulator’s right arm.
Allow excess fluid to drain into a container during the simulation.
Calibrating the IV Arm Flowmeter in LLEAP
To calibrate the flow meter in the IV arm:
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Select Tools, Simulator Setup menu in LLEAP, then select Calibrate IV Flow Meter.
Follow the on-screen instructions in the Flowmeter calibration wizard.
A confirmation message will appear if the calibration was successful.
NOTE
Check the LLEAP help files for more information.
Using RFID Tags
See the Instructor Mode help file for more information on how drugs and drug concentrations can be registered manually by the instructor.
RFID Tag use for Airway Devices
For reliable RFID recognition in the mouth region, ensure that the RFID tagged device is brought within range of the antenna. The range of the mouth antenna is approximately 10 cm.
IV Setup for RFID Recognition
You can use your own equipment to set IV extension tubing. Keep in mind that the point of insertion must be within range of the antenna located around the IV port. If the point of insertion is out of range, drugs will not be registered.
See the correct and incorrect IV setup for US catheter below:
Correct | Incorrect |
|---|---|
In range of antenna | Out of range of antenna |
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It may take some seconds before the RFID tag is registered.
Connecting the blood pressure cuff
The Patient Simulator is delivered with a specially adjusted blood pressure cuff. Connect the tube to the white BP connector at the side of the Patient Simulator before use.
Calibrating the Blood Pressure Cuff using LLEAP
Select <Tools> <Simulator Setup> and choose <Calibrate blood pressure...>
Follow the onscreen wizard instructions to perform the calibration.
SpO2 monitoring
The SimMan CC SpO2 probe is made up of a light diode and light sensor. When the beam between the diode and sensor is broken, the Patient Monitor Application registers that the SpO2 probe is connected.
Connect the probe’s USB plug to the Patient Monitor PC.
The probe can be placed on any suitable area on the Patient Simulator, Ensure that the probe is always firmly fixed in position.