Welcome to the S310 and S311. CPR Simon Basic Life Support. Instruction Manual

Transcription

1 Welcome to the S310 and S311 CPR Simon Basic Life Support Instruction Manual The simulator is to be used as part of an approved educational program for healthcare. It is not a substitute for traditional learning methods and should not be used for clinical decision-making Instruction Manual for Gaumard S310 and S311 Revised March Gaumard Scientific Company, Inc. All Rights Reserved

2 PLEASE READ THE FOLLOWING INSTRUCTIONS PRIOR TO COMMENCING TRAINING EXERCISES ON YOUR NEW SIMULATOR. HANDLE YOUR SIMULATOR IN THE SAME MANNER AS YOU WOULD HANDLE YOUR PATIENT WITH CARE AND CONSIDERATION. SHOULD YOU HAVE ANY QUESTIONS AFTER READING THIS INSTRUCTION MANUAL, CALL OR OUR CUSTOMER SERVICE DEPARTMENT USA Toll Free Worldwide Fax 2 Copyright 2010 by Gaumard Scientific. All rights reserved.

3 Contents Contents... 3 I. Outline of Features and Capabilities... 4 A. Description... 4 B. Inventory... 6 II. CPR Cardiopulmonary Resuscitation... 7 A. Respiratory and Cardiovascular System... 7 B. Code Blue I Life Monitoring System (OPTIONAL for S310, included in S311)... 8 Outline of Features and Capabilities... 8 Inventory... 8 Instructions for Use... 9 Assembly... 9 Tones... 9 The Coach/Reset Switch Using the unit in Coach Mode Adult Lung Ventilation & Compression Child Lung Ventilation & Compression Infant Lung Ventilation & Compression Training: NOTES: C. CPRLink (OPTIONAL for both S310 and S311) D. Chest Cavity Access E. CPR Training III. Arteries, Veins and Injection Sites A. Arteries B. Veins C. Intramuscular Injection Sites IV. Advanced Intravenous Training Arm (FACTORY OPTION for both S310 and S311) A. Description V. Blood Pressure Arm with Programmable BP Auscultation (FACTORY OPTION for both S310 and S311) A. Description VI. Patient Care A. Bandaging B. Eyes/Ophthalmologic Exercises C. Teeth and Tongue D. Hygienic Care E. Range of Movement VII. Replacement of Disposable Airway VIII. Disassembly IX. Caution, Care and Maintenance X. Consumables and Spare Parts XI. Contact Us Copyright 2010 by Gaumard Scientific. All rights reserved. 3

4 I. Outline of Features and Capabilities A. Description The size of both these models (S310 and S311) is designed to simulate an adult. It may be an effective training tool for CPR. It is to be used only as part of an approved training program for emergency and trauma care. The simulator features the following: Full size adult simulator with realistic landmarks. Cardiopulmonary Resuscitation Natural obstruction blocks air passage when head is tilted forward Easily accessible chest cavity with ribcage, lungs, and heart for realism and practice of CPR techniques Realistic chest rise A soft chest cover may be detached to view correct placement of internal organs Optional for S310, included in S311 Code Blue I Life monitoring System (S180) Optional for both S310 and S311 CPRLink (S181) Arteries, Veins and Intramuscular Sites Left and Right carotid arteries. Right Femoral Artery and Vein Intramuscular (IM) Injection Sites (right and left deltoid, right vastus lateralis and left gluteus medius) Factory Option for S310 and S311- Advanced Intravenous Training Arm (S ) Factory Option for S310 and S311- Blood Pressure Arm with Programmable BP Auscultation (S270) Patient Care and Anatomical Features Head tilt, chin lift, jaw thrust, and neck extension into the sniffing position Eyes open and close; left pupil is dilated Jointed elbows, wrists, knees, and ankles 10 Totally disposable airways for hygiene, eliminates the need for face pieces or internal valves Head, upper torso, and lower torso may be easily disassembled for easy storage Instruction manual Carrying bag 4 Copyright 2010 by Gaumard Scientific. All rights reserved.

5 The S308 and S309 Simon BLS Torso, and S310 and S311 CPR Simon BLS Full Body contain the following features: System Feature S308 Torso S309 Torso S310 Full Body S311 Full Body CPR Disposable Airway Carotid Sites Femoral Site Intramuscular Sites Code Blue I Monitoring System Copyright 2010 by Gaumard Scientific. All rights reserved. 5

6 B. Inventory Your S310 CPR Simon BLS Simulator includes the following: Item # Quantity Description 1 1 S310 CPR Simon Basic Life Support 2 7 Tie Wraps 3 10 Disposable Airways 4 1 Introducer 5 6 Alcohol Pads 6 1 American Heart Association Learn and Live Manual 7 1 Instruction Manual 8 1 Carrying Bag Your S311 CPR Simon BLS Simulator includes the following: Item # Quantity Description 1 1 S310 CPR Simon Basic Life Support 2 7 Tie Wraps 3 10 Disposable Airways 4 1 Introducer 5 6 Alcohol Pads 6 1 American Heart Association Learn and Live Manual 7 1 Instruction Manual 8 1 Carrying Bag 9 1 Code Blue I Life Monitoring System Copyright 2010 by Gaumard Scientific. All rights reserved.

7 II. CPR Cardiopulmonary Resuscitation A. Respiratory and Cardiovascular System The upper torso of the CPR Simon contains a realistic chest cavity, which includes the following: Ribcage Heart Left and Right Lung Left and right carotid arteries A Replaceable disposable airway Stomach And Liver It is possible for the emergency care student to simulate mouth to mouth resuscitation, while changing the airway for each student. The use of a positive pressure ventilation device such as an AMBU Bag may also be practiced. CPR Simon blocks air passage when head is tilted forward. The degree of pulmonary ventilation and cardiac compression achieved by the trainee can be judged by connecting the Code Blue I Life Monitoring System (OPTIONAL for S310 included in S311). Attach the blue tube from the opening near the waist to the Ventilation port on the back of the monitor. Attach the red tube from the heart (located near the waist) to the Compression port of the monitor. Copyright 2010 by Gaumard Scientific. All rights reserved. 7

8 B. Code Blue I Life Monitoring System (OPTIONAL for S310, included in S311) Outline of Features and Capabilities The Code Blue I Life Monitoring System is to be used with selected Gaumard CPR/Patient Care Simulators only. It was designed to help teach CPR simply and effectively by coaching the students through the training. It monitors cadence and depth of cardiac compression and airway ventilation The Code Blue I Life Monitoring System is provided in three models: Adult Child Infant A manual from the American Heart Association is provided by Gaumard with your CPR simulator. This system is to be used as a part of an approved CPR training program. Inventory Your S180 Code Blue I Life Monitoring System includes the following: Item # Quantity Description 1 1 Code Blue I Life Monitoring System Volt Battery 3 1 Instruction Manual 8 Copyright 2010 by Gaumard Scientific. All rights reserved.

9 Instructions for Use Assembly 1. Connect the color-coded red and blue tubes provided with your simulator to the compression and ventilation ports on the rear of the monitor. 2. Insert Battery into the back of the monitor Tones The pitched tones and lights are synchronized. The low tones indicate timing of lung ventilations. The higher tones indicate the timing of chest compressions. Copyright 2010 by Gaumard Scientific. All rights reserved. 9

10 The Coach/Reset Switch Coach: Provides tone and light option to guide the student during training. Reset: Removes the tone allowing the student to practice proper ventilation and/or chest compression by monitoring progress only the bar graph. UP o DOWN o To monitor Ventilation position the switch located on the back of the monitor labeled Adult, Child or Infant (depending on your model) to the up position o To monitor compression position the switch located on the back of the monitor labeled Adult, Child or Infant (depending on your model) to the down position. Using the unit in Coach Mode When initiating the unit in Coach Mode, the monitor will provide two low tone beeps followed by the corresponding compression. On the second and following cycles, the monitor will provide the correct ventilation tone or tones, followed by the correct compression tones. The initial two tones are and indication that the monitor has registered the set parameters. Adult Lung Ventilation & Compression The monitor is designed to perform cycles: as two (2) ventilations followed by thirty (30) compressions. Note: The Adult switch provides the same amount of ventilations and compressions per cycle, whether in the toggle up or down position. When initiating the unit in Coach Mode, the monitor will provide two low tone beeps followed by the corresponding compression. On the second and following cycles, the monitor will provide the correct ventilation tone or tones, followed by the correct compression tones 10 Copyright 2010 by Gaumard Scientific. All rights reserved.

11 Child Lung Ventilation & Compression The monitor is designed to perform as follows: When the Child switch is toggled up on the Child Lay position the ventilation cycles are two (2) ventilations followed by thirty (30) compressions. When the Child switch is toggle down on the Child Expert position the ventilation cycles are two (2) ventilations followed by fifteen (15) compressions. Note: When switching from Child Lay to Child Expert or vice-versa you need to switch the Coach-Reset switch from Coach to Reset and back to Coach. Changes will not be effective unless this action is performed When initiating the unit in Coach Mode, the monitor will provide two low tone beeps followed by the corresponding compression. On the second and following cycles, the monitor will provide the correct ventilation tone or tones, followed by the correct compression tones Infant Lung Ventilation & Compression The monitor is designed to perform cycles as: one (1) ventilation followed by five (5) compressions. The Infant switch provides the same amount of ventilations and compressions per cycle, whether in the toggle up or down position. Note: The Infant switch provides the same amount of ventilations and compressions per cycle, whether in the toggle up or down position. When initiating the unit in Coach Mode, the monitor will provide two low tone beeps followed by the corresponding compression. On the second and following cycles, the monitor will provide the correct ventilation tone or tones, followed by the correct compression tones Training: Select the Coach/Reset switch to Coach, and turn on the monitor. The student will immediately see coaching lights and hear pitched tones. Once the student is familiar with the CPR sequence, the instructor should teach the proper amount of lung inflation and chest compression. Ask the student to ventilate the lungs. Now, ask the student to compress the chest. Copyright 2010 by Gaumard Scientific. All rights reserved. 11

12 NOTES: 1. The Code Blue I Life Monitoring System available with the simulator is programmed to be used with Adult, Child or Infant simulators. Newborns use the Infant model. 2. Both the cycle and the timing of CPR for Adult, Child and Infant model are different. 3. When changing modes, always switch from Coach to Reset and back to Coach. This resets the electronics and starts the timing sequence. 4. While teaching the correct amount of lung inflation or chest compression, the instructor may elect to turn off the Tone and Light Option by switching to Reset. In this mode, the student can practice proper ventilation or chest compression by monitoring progress on the bar graph. Remember to stay in the green range. 5. Insufficient chest compression will cause the bar graph to illuminate only in the yellow range. Too much compression will register in the red range, and may damage the patient s ribs. Stay in the green range for both ventilations and compressions. 6. The Code Blue Life Monitoring System is powered by a conventional 9-volt battery. Note that the Low Battery indicator is next to the Power Switch. Remember to turn power off when monitor not in use. 12 Copyright 2010 by Gaumard Scientific. All rights reserved.

13 C. CPRLink (OPTIONAL for both S310 and S311) CPRLink provides teaching and testing stations designed for use by either the individual student or an entire group. Teach CPR for adults, children and neonates Monitors the compression and ventilation waveforms produced by your students Show the waveform results to your students Save as many results as you wish on your computer Print only those results you need CPRLink connects between any Gaumard CPR simulator and any computer having a WIN 98/XP operating System. It includes: CPRLink module linking simulator with your computer Interactive software featuring color graphics, teaching and testing stations BLS manual published by the American Heart Association Cable connection from CPRLink to your computer Carrying bag D. Chest Cavity Access To view the ribs, heart, lungs, stomach and liver, release the Velcro strips and lift the skin over the head. The ribs are easily removed, revealing the disposable airway. The heart and lungs are attached to tubes which carry a pressure to the Code Blue I Life Monitoring System (Optional for S310, included in S311). The stomach and liver are nonfunctioning. Copyright 2010 by Gaumard Scientific. All rights reserved. 13

14 E. CPR Training For Adult CPR, please follow the recommendations and instructions from the American Heart Association detailed in the American Heart Association Learn and Live Manual 2006, 2009, provided with this Gaumard product. 14 Copyright 2010 by Gaumard Scientific. All rights reserved.

15 III. Arteries, Veins and Injection Sites A. Arteries The S310 and S311 CPR Simon include left and right carotid arteries as well as right femoral artery. Carotid Pulse: The carotid arteries supply blood to the head and neck. You can feel the pulse of the common carotid artery by taking two fingers, preferably the 2 nd and 3 rd finger, and running them alongside the outer edge of your trachea. Femoral Pulse: The femoral artery carries blood to parts of the leg. Aside from the carotid artery, it is another common site to check for a pulse in an emergency situation. Think of an imaginary line running from your hip to the groin. The approximate superficial location of the femoral artery is 2/3 of the way in from the hip. B. Veins The S310 and S311 CPR Simon include a right femoral vein, located near the right femoral artery to assist students in location of artery vs. vein exercises C. Intramuscular Injection Sites When selecting and intramuscular site, you must determine if the area is free of pain, infection, necrosis, bruising, and abrasions. Also consider the location of underlying bones, nerves and major blood vessels and the volume of medication to be given. The S310 and S311provides: Deltoid intramuscular Injection sites on both right and left upper arm. Vastus Lateralis muscle Injection site on the right upper thigh. Left gluteus medius muscle, which is also known as the ventrogluteal site. Injection should be administered on the upper, outer quadrant of the buttock. Copyright 2010 by Gaumard Scientific. All rights reserved. 15

16 IV. Advanced Intravenous Training Arm (FACTORY OPTION for both S310 and S311) A. Description The Gaumard S Advance Multipurpose Venous Training Arm is an effective training tool for infusion, blood collection, intravenous injections, Intramuscular injections, and subcutaneous injection techniques. It connects to selected Gaumard adult simulators. It is to be used only as part of an approved program for patient care. This training arm simulator features the following: 1. Blood collection exercises with simulated blood. 2. Administration of medication by intravenous bolus 3. Simulation of Infusion techniques 4. Intramuscular injection site in the deltoid area 5. Intradermal injection areas on the inside of the forearm and the left posterior upper arm. 6. Subcutaneous injection areas on the volar side of the forearm and the lateral side of the upper arm. 7. TB Test site. 8. Prominent venous network including Cephalic, Basilic, Antecubital, Radial, and Ulnar veins 9. Three veins in the dorsum of the hand for additional intravenous training techniques. 10. Easily replaceable skin and veins. Applying pressure via the squeeze bulb permits the veins to stand out, simulating a clenched fist or tourniquet situation. Release of pressure simulates collapsed veins. Use of the squeeze bulb permits the palpability of the veins to be varied, as seen in routine hospital or emergency situations. Our simulator provides a realistic pop fell as needle enters arteries and veins. It is designed with resealing arteries, veins, and skin that allows for multiple punctures. The arm and hand contain anatomically located venous grooves, which are fitted with soft tubes that closely simulate the consistency of the veins. An opaque, pliable skin, which is removable and washable, is stretched over the venous structure, simulating the normal adult arm. Training simulator can be ordered as a Left or Right Arm. 16 Copyright 2010 by Gaumard Scientific. All rights reserved.

17 V. Blood Pressure Arm with Programmable BP Auscultation (FACTORY OPTION for both S310 and S311) A. Description The Gaumard S270 Blood Pressure Arm includes a full-size adult left arm. This is a versatile training tool developed to assist health professionals teach the processes and skills required to perform blood pressure auscultation procedures and techniques. The Blood Pressure Training System features the following: 1. Blood Pressure Arm attaches to selected Gaumard manikins. 2. Programmable, palpable radial pulse when cuff pressure is less than the selected systolic blood pressure 3. Korotkoff sounds K1 through K4 (K5 is silence) audible between systolic and diastolic pressures. 4. Korotkoff sounds are automatically silenced if auscultation gap is selected 5. Korotkoff sounds are automatically adjusted depending upon selected heart rate and the rate of cuff deflation. 6. Conventional stethoscope to Auscultate Korotkoff sounds in the antecubital area 7. Conventional sphygmomanometer with tubing assembly. 8. Programmable Blood Pressure Auscultation Tutor a. Adjustable systolic and diastolic pressures b. Adjustable auscultation gap c. Adjustable pulse rate d. Display tracks cuff pressure e. Three point calibration control (000/128/256) 9. Power supply 100 to 240 VAC 10. Soft carrying bag 11. Instruction Manual. Copyright 2010 by Gaumard Scientific. All rights reserved. 17

18 VI. Patient Care A. Bandaging The fingers and toes of this simulator are separated to permit bandaging exercises. The surface of the manikin is smooth and resistant to water, oil, and liniments. B. Eyes/Ophthalmologic Exercises The head has separately inset eyes, permitting the following exercises: Administration of orbital medicines, including instillation of drops or ointment into the conjunctival sac. Removal of foreign bodies. Eye irrigation. C. Teeth and Tongue The simulator is supplied with upper and lower teeth and a tongue. D. Hygienic Care The head has molded hair for cleanliness. The manikin surface is water resistant so that bathing exercises may be practiced. E. Range of Movement The arms and legs are soft and rotate within the torso body. The joins are strong, and their movements are lifelike and realistic. The manikin bends 30 degrees at the waist. 18 Copyright 2010 by Gaumard Scientific. All rights reserved.

19 VII. Replacement of Disposable Airway CAUTION: Always use disposable airways provided by Gaumard Scientific Company. Products manufactured by other suppliers may have a different compliance and/or volume, and are not compatible with the Gaumard Code Blue I Life Monitoring System or any Gaumard manikin. Additional airways may be purchased: Ten (10) one-piece disposable airways Option is available. One Hundred (100) one-piece disposable airways Option is available. Note: Pictures depict our Pediatric manikin. Also applicable to our Adult manikin. 1. Release the Velcro strip and lift the chest skin to expose the chest cavity. Remove the ribcage. 2. Carefully remove the disposable airway by grasping and pulling it away from simulator. Each student should have an airway 3. Thread the Introducer through the disposable airway. Copyright 2010 by Gaumard Scientific. All rights reserved. 19

20 4. With the head tilted back, ease the introducer up through the neck using an upward curving motion. 5. Ease the introducer through the mouth, and straighten the disposable airway within the chest cavity and airway. 6. Remove the introducer, and straighten the disposable airway. This will allow simulation of realistic chest rise. 7. Replace the ribcage on top of the disposable airway, and reattach the chest skin. NOTE: As an alternative you may elect to secure the top of the new airway to the bottom of the old airway. Use the holes at the top and bottom of each airway and any available baggie tie. Pull the old airway out of the mouth, which pulls the new airway into place. 20 Copyright 2010 by Gaumard Scientific. All rights reserved.

21 VIII. Disassembly To open the simulator (i.e. separate the upper torso from the lower torso), unscrew the knob at waist level on each side of the simulator. Remove the threaded rom. The upper and lower torso may now be gently ease apart. To remove the skull, open the skin covering the back of the simulator and remove. Pull either the pin at the base of the neck or the base of the skull. Copyright 2010 by Gaumard Scientific. All rights reserved. 21

22 IX. Caution, Care and Maintenance The simulator is to be used as part of an approved educational program for healthcare. It is not a substitute for traditional learning methods and should not be used for clinical decision-making. This simulator is constructed of material that approximates skin texture. Therefore, in handling the model, use the same gently techniques as you would in working with a patient. Clean the skin after every training session. The skin of the manikin may be cleaned with a mild detergent, or with soap and water. Do not clean with harsh abrasives. After cleaning and drying, lightly dust it with talcum powder. This will keep the simulator supple and easy to use. Do not use alcohol, acetone, Betadine or any other antiseptic which contains iodine in this or any Gaumard simulator. These products could damage or stain the skin of the simulator Do not write on the skin with any type of marker or pen. Ball point pens, ink and markers will permanently stain the skin. Do not wrap the manikin or any Gaumard product in newsprint as it will permanently stain the skin. Do not stack or keep heavy materials on top of the box and/or bag. Improper storage may damage the manikin keep it stored in the box and/or bag provided. Store the unit in a cool, dry place. 22 Copyright 2010 by Gaumard Scientific. All rights reserved.

23 X. Consumables and Spare Parts Contact Gaumard Scientific for prices. Disposable Airways ( ) ( ) Set of Ten Eyes, Right Normal - Left Dilated ( ) ( ) Set of Two Face and Torso Skin ( ) ( ) One Carrying Bag ( ) ( ) One Left Leg Assembly ( ) ( ) One Consumables Spare Parts Disposable Airways ( ) ( ) Set of One Hundred Dentures ( ) ( ) One Face and Airway Assembly ( ) ( ) One Waist Rod and Knobs ( ) ( ) One Right Leg Assembly ( ) ( ) One Copyright 2010 by Gaumard Scientific. All rights reserved. 23

24 XI. Contact Us If you have read this Instruction Manual and still require assistance, it's easy to reach us. Online catalog at Phone toll-free in the USA: worldwide: fax Note: Before contacting Gaumard you must: 1. Have the manikin s Serial Number if applicable and/or model number 2. Be next to the simulator if troubleshooting is needed. Fax (305) Post Gaumard Scientific SW 136 Street Miami, FL USA Office hours Monday-Friday, 8:30-4:30 EST (GMT-5) 24 Copyright 2010 by Gaumard Scientific. All rights reserved.