Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it flow down
into the finger area.
2. Begin at top of arm and slowly pull skin down and off of arm.
Do not roll, as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need
to be scraped away to allow removal.
4. Rinse and dry vein grooves well and swab with alcohol.
Be sure to remove any excess glue.
5. Place new veins along grooves, (Figure 5) spot gluing
as needed. (We recommend a fast-drying glue.)
6. Generously lather arm mandrel with liquid soap.
7. Slide hand into skin.
8. Work skin over fingers, as with a glove.
9. Work arm skin up, over mandrel.
Blood Pressure Arm –
1. Place Blood Pressure Cuff
on arm.
2. Attach tubing on cuff
to clear tube,
located underneath
Nursing Anne’s arm.
(Photo 3)
See VitalSim DFU for complete
Blood Pressure operating procedures.
Auscultation of Heart, Breath and Bowel Sounds
and Fetal Tones –
1. Connect Nursing Anne to VitalSim Unit, via cable located
on back of manikin. (Photo 4)
See VitalSim DFU for complete Heart, Breath
and Bowel Sound Auscultation.
Genitalia:
Both male and female genitalia have been provided for urinary
catheterization and enema training procedures.
Tube-like valves, with a screw cap on one end, connect urethra and
anus to corresponding reservoirs. This cap must be connected to
genitalia openings. Soft vinyl end of connector is attached to
urinary and anal reservoirs with a white clamp. (Long valve
connects urinary reservoir; short valve connects anal reservoir.)
Pelvic support pin must be removed
and replaced immediately when
assembling and disassembling
genitalia. (Figure 6)
To disassemble:
1. Lift up on belly plate.
2. Pull upper portion of genitalia back to remove pelvic
support pin.
3. Belly plate, genitalia with connectors, and colon reservoir
may now be removed simultaneously.
To assemble:
(Photos 5, 6 & 7)
1. Screw both valves onto genitalia. When attaching valves, be sure
alignment of genitalia, urinary reservoir (belly plate) and colon
reservoir are as illustrated in Figure 7.
2. Lift up on edge of belly plate.
3. Pull down upper portion of genital.
4. Insert into pelvic cavity.
5. Replace the pelvic support pin.
6. Press belly plate into position.
Heat arms skins before replacing on mandrel.
This can be done with a blow-dryer.
Do not insert needles into blood pressure arm.
Long valve connects urinary reservoir;
short valve connects anal reservoir.
Photo 5
Slide tube to meet ridge
on connector.
Photo 6
Area where clamp
is placed.
Figure 7
Pelvic support pin must be replaced.
Failure to replace pin will result in pelvic spread.
If this occurs, the genitalia module will no longer fit
properly in the manikin.
Photo 7
Apply clamp and squeeze
to tighten.
Photo 4
Photo 3
Figure 5
Figure 6
Laerdal
4
Nursing Anne
Summary of Contents for Nursing Anne VitalSim
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