SimNewB. User Guide.

Transcription

1 EN SimNewB User Guide

2 Contents Introduction 4 Items Included & Storage 5 System Overview & Setup 6 Features 7 Airway Features 7 Breathing Features 7 Vascular Features 7 Circulation Features 7 Cardiac Features 7 Other Features 7 Power Panel 8 Power Indicator Status 8 Charge 9 Connect 10 Overview Pulses and Sounds 11 Preparing for Simulation - Umbilical Venous Catheterization 12 Large Volume Infusions 13 Preparing for Simulation - IO Leg - Large Volume Infusions 14 Preparing for Simulation - Choose Pupils 15 Preparing for Simulation - Lubrication 16 Lubricate Tools 16 Lubricate SimNewB 16 Use - Intubation 17 Use - Ventilation 18 Use - CPR 19 Use - Unilateral Left Thorasentisis Midaxillary Access 20 2

3 Contents Use - Umbilical Venous Catheterization 21 Use - IO Leg 22 Use - SimPad PLUS & LLEAP 23 Lung Recruitment Settings 23 Care and Cleaning 24 General Care 24 Skin 24 Cleaning IO Leg 25 Cleaning Umbilical Reservoir 26 Changing the IO Leg 28 3

4 Introduction SimNewB is a tetherless newborn simulator designed to help improve neonatal resuscitation and to meet the specific learning objectives of neonatal resuscitation protocols. Focusing on the first 10 minutes of life, SimNewB provides realistic training for critical interventions. Items included may vary in appearance and are subject to change. 4

5 Items Included & Storage SimNewB SimNewB 5

6 System Overview & Setup SimNewB is operated and controlled by LLEAP or SimPad PLUS. LLEAP is the instructor's application found in Laerdal Simulation Home. SimPad PLUS is a wireless tablet. Both can be run in Automatic Mode, with pre-programmed scenarios, or Manual Mode. When using with either LLEAP or SimPad PLUS vital signs can be displayed on the optional patient monitor. LLEAP SimPad PLUS Patient Monitor 6

7 Features Airway Features Anatomically accurate, realistic airway Nasal and oral ET tube insertion LMA and I-Gel insertion Sellick Maneuver Positive pressure ventilation Right mainstem intubation Suctioning Variable lung resistance Gastric tube insertion Stomach distention Breathing Features Spontaneous breathing with variable rate Bilateral and unilateral chest rise and fall with assisted ventilation Normal and abnormal breath sounds Anterior lung sounds Unilateral breath sounds Oxygen saturation Unilateral thoracentisis (midaxillary access) Vascular Features Bilateral IO access Simulated umbilical cord with venous and arterial access Umbilical access with drain for large volume infusion Simulated blood flashback on cannulation Circulation Features Umbilical pulse Bilateral brachial pulse Central cyanosis Cardiac Features Basic CPR training ECG monitoring and library Other Features Normal, blown and constricted pupils Vocal, lung and heart sounds Arm movements Seizures 7

8 Power Panel On/Off Button 1 2 WiFi Indicator 3 Power Indicator 4 Ethernet Port 5 External Power Port Power Indicator Status On Simulator booting Software updating Battery charging Failure updating software 10 seconds - Battery low Service required Battery fully charged 8

9 Charge Fully charge the battery before first use. Battery charging Battery fully charged 10 seconds - Battery low 9

10 Connect Connect to LLEAP or SimPad PLUS with WiFi. WiFi enabled WiFi connected to device No connection - Configure Network with Ethernet cable 10

11 Pulses and sounds are controlled in SimPad PLUS or LLEAP. To activate the pulse press the umbilical cord gently down. Overview Pulses and Sounds Umbilical and Brachial Pulses Vocal, Lung and Heart Sounds 11

12 Preparing for Simulation - Umbilical Venous Catheterization ml

13 Preparing for Simulation - Umbilical Venous Catheterization Large Volume Infusions If scenario requires large volume infusions of fluid (exceeding 10 ml), connect empty drain bag to simulator. 13

14 Preparing for Simulation - IO Leg - Large Volume Infusions Connect empty drain bag to heel to prepare for intraosseous large volume infusion of medication. 14

15 Rotate the eyes to select pupil type. Preparing for Simulation - Choose Pupils 15

16 Preparing for Simulation - Lubrication Lubricate Tools Lubricate laryngoscope blade and tubes prior to insertion into the airway. Sponge can be dampened on first use. Non-lubricated instruments and tubes may cause damage to the airway. Only use Silicone Lubricant provided by Laerdal Medical. Lubricate SimNewB Lubricate the simulator prior to delivery scenarios. Only use the Birthing Lubricant Gel provided by Laerdal Medical. 16

17 Use - Intubation Perform nasal or oral intubation. 17

18 Use - Ventilation Perform ventilations with visual chest rise. Feedback in SimPad PLUS or LLEAP. Correct head tilt opens airway Incorrect head tilt closes airway Stomach distention 18

19 Use - CPR Perform basic CPR. 19

20 Use - Unilateral Left Thorasentisis Midaxillary Access Insert needle between the 4th and 5th intercostal space. Caution Insertion of the needle outside this area may cause damage to the simulator. 20

21 Use - Umbilical Venous Catheterization Simulated umbilical cord with venous and arterial access. Simulated blood flashback on cannulation. For large volume infusions of fluid (exceeding 10 ml), connect empty drain bag to simulator. 21

22 Use - IO Leg Insert needle/drill in highlighted area. 22

23 Lung Recruitment Settings Activate Lung Recruitment in Manual Mode before starting scenario. Use - SimPad PLUS & LLEAP Select ventilation number Press Start 23

24 Care and Cleaning General Care To maintain simulator skins, wash hands before use and place the simulator on a clean surface. Use gloves during simulation scenarios. Avoid using colored plastic gloves, as they may cause discoloration of the simulator skin. If a training session involves the use of fluids in the Umbilical Reservoir and IO Leg, drain the fluid immediately after the training session. Skin Use a lint free cloth to remove dirt and dust. Clean skin with mild soap and water. Do not submerge. To remove birthing lubricant, use lukewarm soapy water. Notes These can discolor the manikin: Pigments from lipstick and pens Latex gloves Using clothes other than what is originally provided with the simulator. 24

25 Care and Cleaning Cleaning IO Leg 25

26 Care and Cleaning Cleaning Umbilical Reservoir 26

27 27 Care and Cleaning

28 Maintenance Changing the IO Leg

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32 2018 Laerdal Medical AS. All rights reserved. Manufacturer: Laerdal Medical AS P.O. Box 377 Tanke Svilandsgate 30, 4002 Stavanger, Norway T: (+47) Printed in Norway Rev B