Nasco TERi LF04300 Instruction Manual Download Page 32

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Second left

intercostal space

(pulmonic)

Third left

intercostal space

(Erb’s point)
Fourth left

intercostal space

Apex

(lower left

sternum)

Second right

intercostal

space (aortic)

Aortic Second

Right Intercostal

Space

Pulmonic Second

Left Intercostal

Space

Erb’s Point

Third Left

Intercostal

Space

Fourth Left

Intercostal

Space

Lower Left

Sternum

Apex

1. Normal

Normal, S2 Accentuated

Normal, S2

Accentuated

Normal

2. Aortic

Regurgataion

Ejection Sound, Loud

Mid systolic & soft early

diastolic murmur

Ejection sound, mild systolic murmur, early diastolic blowing murmur

Normal

3. Pulmonary

Stenosis

Normal

Moderate 4th sound,

harsh late peaking systolic

murmur, soft late pulmonic

2nd sound

Normal

4. Mitral

Stenosis

Normal

Severe held expira-

tion, tachycardia:

opening snap .03

seconds after loud

2nd sound

Constrictive Pericardi-

tis/ knock. Inspiratory

augmentation indi-

cates a gallop of right

ventricular origin

Normal

Held expiration,

tachycardia: opening

snap, mid diastolic &

presystolic murmurs,

loud 1st sound

5. Holosystolic

Murmur

Normal

Patient has mitral regurgitation & frequent

premature ventricular contractions.

Murmur is crescendo-decresendo with late

peaking. Soft S3 in mid diastole.

6. Midsystolic

Murmur

Normal

Patient with hypertrophic cardiomyopathy

has a murmur that begins after S1 and

ends before S2

7. S3 Gallop

Normal

Patient has a readily heard third heart

sound. S3 occurs later in diastole than the

opening snap.

8. S4 Gallop

Normal

Patient with left ventricular hypertrophy

has a fourth sound (S4) that is not heard

on every cycle. The sound is presystolic

about .1 second before S1.

9. Midsystolic

Click

Normal

Patient has mitral prolapse which

produces a mid systolic click heard during

inspiration.

10. Atrial Septal

Defect

Normal

Respiration: mid systolic

murmur, fixed split 2nd,

soft 3rd, breath sounds

with inspiration

Normal

Respiration: mid

systolic murmur, fixed

split 2nd, mid diastolic

murmur

Normal

11. Patent Ductus

Arteriosus

Normal

Continuous murmur

Normal

Continuous murmur

Normal

12. Ventricular

Septal Defect

Normal

Holosystolic murmur with late crescendo

Normal

Set Up

Anterior Heart Sites

Summary of Contents for TERi LF04300

Page 1: ...TERi Patient Care Trainer LF04300 Patient Skills Trainer LF04301 Patient Simulator LF04302 Patient Simulator Export LF04302EX INSTRUCTION MANUAL 5 Year Warranty ...

Page 2: ...my Care 13 Gastrostomy Care Lavage and Gavage 14 Male Catheterization 15 Foreskin Application Prostate Examination 16 Female Catheterization 17 Enema Administration 18 Female Cervical Exam 18 Suprapubic and Urinary Catheterization 19 Blood Pressure Arm 20 IV and Injection Arm 25 Injectable Arm 26 Auscultation 30 Anterior Heart Sites 32 Anterior Posterior Lung Sites 33 Pressure Injury Wounds 34 Ede...

Page 3: ... is distributed to represent a real patient for lifting and carrying Each version is affordable and durable with upgradable items Geriatric Patient Care Trainer General patient care daily living assistance simulation platform Geriatric Patient Skills Trainer Physical skills practice simulation platform with injection IV catheterization cardiovascular and respiratory support Geriatric Patient Simul...

Page 4: ...es and Female Genitalia LF4301 TERi Geriatric Patient Skills Trainer Normal and Cancerous Moles Stage 1 Sacral Ulcer Reddened Skin Folds Bandaging and Would Dressing Recommended bandages Silicone Adhesive Bandages Patient Positioning fully articulated Clothing Changes Bed Baths Eye Irrigation Optic Drops Dental Care including placement and removal Ear Canal Irrigation Hearing Aid Included intercha...

Page 5: ...with Radial Pulse Injection Sites arms thigh right side buttocks supporting IM and sub cutaneous injections Gastrostomy Procedures lavage gavage tube placement Nasogastric Tube Procedures lavage gavage tube placement feeding suctioning Respiratory Support Tracheostomy Care Airway Trach Suctioning lavage suctioning Urinary Catheterization Suprapubic Catheterization Enema Administration female LF430...

Page 6: ...Nursing Care Pericare Ostomy care Urinary catheter care Stomas Standard arms with injection sites Supportforoxygenadministration Leftbloodpressurearm withradialpulse Option Advanced Skills Injections sites Option Gastrostomy procedures Nasogastric tube procedures Respiratorysupport tracheostomycare airway trach suctioning Urinary catheterization Enema administration female Pap smears female Pelvic...

Page 7: ... Suprapubic LF04334 Simulated Urine Quart PN01037 Carotid Pulse Bulb 100 2028 Syringe 20 cc Auscultation SmartScope with Batteries LF01144 Auscultation Remote with Batteries LF01148 Patient Vital Signs and Monitored Signals Simulation Suite LF04302EX does not include monitors tablets List of Components TERi Geriatric Patient Skills Trainer LF4301 Male Genitalia Foreskins Pack of 3 LF000843 G Pupil...

Page 8: ...y 150 so the feet are near the shoulders and the keyholes are aligned See Figure 2 eyes come installed in the head The eyes can be changed to dilated or constricted by creasing the skin at the outside of each eye and rolling the eye up See Figure 3 Both eyes may be irrigated using water Eye sockets will hold no more than a few drops of liquid at a time Following completion of the exercise follow t...

Page 9: ...the body Any water administered to this site must be suctioned out after completion of the exercise The tracheostomy canal See Figure 8 can hold approximately 20 cc of water Ensure proper lubrication prior to inserting tubes into the stoma site by using the Pump Spray Lubricant included The tracheostomy canal is not connected to the oronasal system and access is provided only through the stoma sit...

Page 10: ... or basin See Figure 10 Note Ensure the manikin s torso remains elevated when the stomach reservoir bag contains water to continue to prevent backflow into the head of the manikin Features included with LF04301 LF04302 and LF04302EX To remove the Stomach Reservoir Bag 1 Remove the head by disconnecting the snaps on the head skin around the neck and pulling the head straight back with the head faci...

Page 11: ...oop Insert the tubes back into the torso of the manikin and replace the head on the torso See Figure 16 2 Lubricate nasogastric devices and supplies being used with the Pump Spray Lubricant provided See Figure 17 NG tubes should be well lubricated and force should not be used when placing the tube through the sinus canal Fig 16 Set Up Lavage Gavage Suctioning Nasogastric 3 Fluids should be drained...

Page 12: ... human See Figure 23 damage can be caused if improper forces and techniques are used It is not recommended to intubate with dentures installed Damaged caused by improper use will void the warranty Note There is no cricoid Laryngoscope Blades Miller Blades Size 3 Macintosh Blades Size 4 BVM Bag Valve Mask Adult Size Oropharyngeal Airway 110 Preferred 100 Smallest acceptable Endotracheal Tube 7 0mm ...

Page 13: ...stoma reservoirs See Figure 24 1 Remove the genitalia and reach through the genital cavity It is recommended to suction the fluid from the bag prior to removal to prevent spillage when removing for cleaning 2 The reservoir bags are attached to the underside of the stomas To remove push in on the L shaped button pull the reservoir fittings down and disconnect from the stomas 3 Pull the reservoir ba...

Page 14: ...the coupler body with bag attached onto the coupler insert part with the black O ring that is protruding from the underside of the gastrostomy inside the upper torso of the manikin You will hear a slight snap when the connection is complete 2 Test the connection by gently pulling on the coupler body to ensure it is locked Note The gastrostomy feature is designed for use with a 16 French Gastrostom...

Page 15: ...ty of leakage Cuff inflation should only be attempted when the catheter is in the proper position inside the bladder The cuff must also be completely deflated before the catheter is removed The catheter should not be left inserted in the simulator for an extended period of time Improper use of a Foley catheter may result in damage to the simulator and void the warranty 5 After completion of the ex...

Page 16: ...1 normal size 2 normal size with hard nodule 3 enlarged on one side 4 enlarged across the midway with hard nodule and 5 enlarged with hard irregular surface See Figure 36 Insert chosen prostate via the backside of the male genitalia in the bottom cavity See Figure 37 Fig 34 Fig 35 2 3 4 1 5 Use included Pump Spray Lubricant to practice prostate examination Following the procedure rinse the rectum ...

Page 17: ...flated before the catheter is removed The catheter should not be left inserted in the simulator for an extended period of time Improper use of a Foley catheter may result in damage to the simulator and void the warranty 5 After completion of the exercise close the clamp on the Fluid Supply Bag tubing and remove the female genital insert by reversing the assembly instructions Disconnect the urinary...

Page 18: ...a The enema reservoir holds up to 200cc of fluid Fig 43 Set Up Enema Administration Female Cervical Examination Features included with LF04301 LF04302 and LF04302EX The female genital insert allows for douching Only water should be used as a douching agent Pap smear procedures and visual inspection of the vagina and cervix may also be demonstrated Seven cervical conditions are included 1 normal 2 ...

Page 19: ...e catheter being used with the Pump Spray Lubricant provided The catheter should be well lubricated and force should not be used when placing the tube After completion of the exercise 1 Close the clamp on the fluid supply bag tubing and remove the suprapubic insert by reversing the assembly instructions 2 Disconnect the fluid supply bag via the quick disconnect on the left side of the simulator 3 ...

Page 20: ... at the top of the electronic control unit marked CUFF See Figure 53 3 Locate the cable that extends from the blood pressure simulator arm and plug into the top of the Electronic Control Unit using the jack labeled ARM See Figure 54 2 Press the power button on the top right of theunit See Figure 52 3 Observe the display and verify that a readable display is present Connecting the Arm Electronic Co...

Page 21: ...he right of the menu button to adjust the diastolic pressure Setting the Heart Rate 1 Press the Menu Key a third time Fig 56 Fig 58 Fig 57 Note The control box has a battery saving feature that will turn the unit off after approximately 8 10 minutes if no keys are used within that period of time 2 Under the display window are three buttons Menu Gap and Calibrate Note The systolic and diastolic pre...

Page 22: ...unds present in the arm 1 From the main menu press the up arrow key to increase the volume 2 Press the down arrow key to decrease the volume The volume levels can be adjusted from level 1 the lowest volume to level 7 the highest volume have been made The palpable pulse is delicate and should be palpated lightly Pressing too hard will damage the pulse feature 1 Press the Menu key a fourth time 2 Th...

Page 23: ...the batteries should be replaced as soon as possible to ensure proper operation of the unit Refer to the section Installing the Batteries for more information Calibration Procedures 1 Follow the setup procedures 2 Apply the cuff to the simulated arm 3 Set the electronic control unit systolic pressure to 150 mmHg and set the diastolic pressure to 70 mmHg 4 Proceed with performing the blood pressure...

Page 24: ...ded with the assembled sphygmomanometer 3 Obtain a new sphygmomanometer 4 Using a scissors carefully cut the tube of the sphygmomanometer about 2 from the gauge See Figure 64 5 Take the T fitting and insert the horizontal ends in between the two ends of the cut tubing of the new sphygmomanometer See Figure 65 6 Assemble the free end of the pressure line tubing still connected to the electronic con...

Page 25: ...tle containing the synthetic blood concentrate with distilled water 2 Close the clamp on the IV tubing and pour the synthetic blood into one of the provided fluid supply bags This will be IV Bag A Fill to 500 cc maximum 3 Hang IV Bag A no more than 18 45 72 cm above the level of the arm Fluid Supply stand shown sold separately 4 Attach the tubing on IV Bag A to one of the shoulder tubes Since this...

Page 26: ...butterfly with the latex connector and open the clamp to IV Bag C See Figure 70 6 IV Bag B when full may be easily switched with A Set Up Injectable Arm 3 With IV Bag B laying on the surface and IV Bag A hanging open the clamps on both bags and the arm tube Allow fluid to flow through the Injectable Training Arm until air bubbles are no longer seen flowing into IV Bag B Close the clamp on IV Bag B...

Page 27: ...procedures and ensure clamps are open on appropriate fluid supply IV bags and or shoulder tubes 2 Look over your equipment prior to use IV tubes will kink at the clamp site with repeated use Routinely move clamps up or down the tube to reduce the probability of kinks When kink occurs slide the clamp to a new position and with fingers massage tubing at pinched site to restore lumen Replacement flui...

Page 28: ...emove the eight screws retaining the shoulder joint to the arm 2 Peel the skin down and remove from arm See Figure 71 3 Apply baby powder to the interior of the replacement skin and pull onto the arm 4 The key feature needs to point to the L or R depending on which leg skin is being replaced See Figure 72 Fig 71 Fig 72 Fig 73 5 Install the eight screws being careful not to over tighten the screws ...

Page 29: ...s to prep the injection site Use distilled water to simulate this procedure Cautions 1 This synthetic blood is specially formulated to be compatible with the self sealing veins and plastics used in manufacturing the injectable training arm 2 NEVER use synthetic blood for intramuscular injection 3 DO NOT use dull or burred needles these will cause leaks in the system Burred needles will cause perma...

Page 30: ...into SmartScope and 2 AAA batteries into the remote control The compartments are marked as to the positions of the batteries or 4 Press the red power button on the remote control This turns on the remote control and sends a signal to activate the SmartScope 5 After the unit is activated the LCD display on the remote control will be in the status mode displaying the current menu settings for the he...

Page 31: ...g the speaker cord into the speaker jack on top of the SmartScope box 3 Plug the amplifier speaker into the 110V or 220V power source 4 When the speaker is connected the SmartScope earpieces will not work sounds will only be amplified through the speaker 5 Select the desired heart and lung sounds following the instructions above 6 Place the diaphragm of the SmartScope over the appropriate sites on...

Page 32: ...stolic presystolicmurmurs loud1stsound 5 Holosystolic Murmur Normal Normal Normal Normal Patienthasmitralregurgitation frequent prematureventricularcontractions Murmuriscrescendo decresendowithlate peaking SoftS3inmiddiastole 6 Midsystolic Murmur Normal Normal Normal Normal Patientwithhypertrophiccardiomyopathy hasamurmurthatbeginsafterS1and endsbeforeS2 7 S3 Gallop Normal Normal Normal Normal Pat...

Page 33: ...onchi Ronchi Ronchi Ronchi 8 Stridor Stridor Stridor StridorLowerVolume StridorLowerVolume 9 Cavernous Cavernous Cavernous Cavernous Cavernous 10 Bronchovesicular Tracheal Bronchovesicular NormalVesicular NormalVesicular 11 Bronchial Bronchial Bronchial NormalVesicular NormalVesicular 12 Pulmonary Edema PulmonaryEdema PulmonaryEdema PulmonaryEdema PulmonaryEdema 13 Infant Infant Infant Infant Infa...

Page 34: ...chosen opening on the foot sleeve See Figure 81 Proper Application Shown See Figure 82 Set Up Pressure Injury Wounds Set Up Edema Edema Features included with LF04301 LF04302 and LF04302EX Edema identification may be performed by using one of the included foot edema sleeves Edema included are Stages 1 4 and non pitting Inserting Edema onto Foot 1 Select edema stage and slide foot sleeve either lef...

Page 35: ... imlab heartisenseinstructor https apps apple com us app cpr add on kit instructor id1203164623 https apps apple com us app cpr add on kit student id1400115591 Powering on CPR Monitoring Feature 1 To power on the CPR monitoring feature access the ON OFF button through the genital opening in the pelvis See Figure 85 2 Press the ON OFF button Fig 86 Changing the Battery The CPR monitoring feature is...

Page 36: ...36 Set Up Consumables 36 55 Basic 62 48 15 56 Basic 18 8 47 1 4 12 Syringe 4 2 36 11 46 52 3 49 29 19 41 42 45 22 21 Arm 28 7 27 37 38 26 32 20 34 30 39 40 51 31 35 53 9 v Battery 13 25 23 Skin 50 ...

Page 37: ...Injury Stages 1 4 and Deep Tissue Wound Light 29 LF04310A Foot Wound Sleeve Light 30 LF04311 Urinary Catheter Bladder Reservoir Set Up Consumables 31 LF04312 Lungs 32 LF04313 Stomach Reservoir 33 LF04314 Enema Reservoir 34 LF04315 Gastrostomy Reservoir 35 LF04316 Enema Bag 36 LF04317A Pupils Normal Set of 2 37 LF04317B Pupils Constricted Set of 2 38 LF04317C Pupils Dilated Set of 2 39 LF04318 Male...

Page 38: ...ture use Cautions Solvents or corrosive materials will damage the simulator Never place the simulator on any kind of printed paper or plastic These materials will transfer indelible stains Ball point pens will also make indelible stains Do not store in direct sunlight Storage In order to prepare TERi for storage perform a normal manikin breakdown procedure by removing all of its limbs and packagin...

Page 39: ...39 LF04326 LF04325 LF04327 LF04311 LF04310 LF01148 LF04333 ...

Page 40: ...Nasco Healthcare 16 Simulaids Drive Saugerties NY 12477 1 833 NASCOHC 627 2642 info nascohealthcare com www nascohealthcare com IM 601006 09 20 2020 Nasco Healthcare ...

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