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Using Juno

Airway Management

The manikin’s anatomically realistic upper airway provides for the opportunity to intubate the adult

patient, while various clinical signs (e.g., lung sounds, chest excursion, airway patency) can be

simulated using software commands. Other airway features include:

• Hard and Soft Palate

• Oropharynx

• Nasopharynx

• Laryngopharynx

Intubation

The upper airway of the Juno manikin is designed to allow for intubation.

CAUTION

: Airways can be damaged by improper insertion of an airway adjunct (such as

endotracheal tube). To protect the airway, lubricate the adjunct prior to insertion using the silicone oil
spray provided.

Use ONLY the provided SILICONE OIL to lubricate the adjunct. NEVER use a water-based lubricant.
Using a water-based lubricant can cause residue damage.

Содержание Juno

Страница 1: ...User Guide Your worldwide training partner of choice...

Страница 2: ...include but are not limited to Apollo Ares AresAR Athena BabySIM Caesar CathLabVR EndoVR HPS Human Patient Simulator iStan Juno LapVR Lucina LucinaAR Luna Maestro Muse NeuroVR Orion PediaSIM Vimedix V...

Страница 3: ...rt Information 5 Specifications 7 Size and Weight 7 Ambient Temperature Range 7 Maximum Altitude 7 Rechargable Battery 8 Power 8 Communications 8 System Requirements 9 Software and Hardware 9 CAEMaest...

Страница 4: ...age Kit 25 Geriatric Face Mask 25 Meet Juno 27 Simulator Configurations 28 Setup 31 Unpacking the Manikin 31 Setup Steps 31 Setup Preparation 32 Setup Procedure 32 Step 1 Place Juno in the Work Area 3...

Страница 5: ...Intubation 53 Endotracheal Tube Placement 54 Ventilation 58 Chest Tube 58 Cardiovascular System 59 Cardiovascular System Controls 59 Pulses 60 IV Administration 62 Subclavian Catheter 64 Intramuscula...

Страница 6: ...tion 81 Eye Irrigation 81 Sounds 82 Auscultated Sounds 82 Heart Lung and Bowel Sounds 83 Care and Maintenance 85 General Simulator Care 85 Breakdown 85 Step 1 Clean the Manikin 86 Step 2 Drain and Cle...

Страница 7: ...not operate the manikin in rain Apply water to the manikin only in accordance with the supported clinical procedures explained in this guide Product Use Warnings Manikin Make sure the manikin is set u...

Страница 8: ...equipped with fluid systems Do not modify the reservoirs or any assembly component Always protect your eyes skin and clothing against accidental exposure Battery Manikins and tablets use lithium batt...

Страница 9: ...into a fire Dispose of or recycle batteries responsibly Battery Safety Information For information about battery specifications see the Specifications section of this user guide Important Refer to th...

Страница 10: ...wrong positions Do not solder a battery directly Potential Health Effects Acute short term In the event that the cell or pack ruptures the electrolyte solution contained within the cell will corrode...

Страница 11: ...or more packages of hazardous materials accepted from one shipper at one time and at one address receipted in one lot and moving to one consignee at one destination address Equipment The device or app...

Страница 12: ...atteries Shipped Independent of the Manikin Tablet and Laptop Batteries contained in or packed with the Manikin StethoSym Tablet Laptop and HoloLens UN No 3480N No 33480480 3481 UN Shipping Name Lithi...

Страница 13: ...Manikin Simulator 69 H x 22 W x 15 D 175 cm x 56 cm x 38 cm 48 5 lbs 22 kg Instructor Tablets Galaxy S3 9 34 H x 6 65 W x 0 24 D 2 4 cm x 32 5 cm x 22 7 cm Galaxy S3 15 1 oz 429 g Surface Go 9 65 x 6...

Страница 14: ...VAC 50 60 Hz DC Output 19 VDC Consumption Maximum 60 W charging 25 W charged Typical 13 W Manikin Simulator Internal Batteries Rechargeable Run Time 3 hours typical Tablet Input 5 V Non removable Batt...

Страница 15: ...able identifies the software version associated with the release of this user guide Note There are periodic system updates for Maestro that can be downloaded from any device with an Internet connectio...

Страница 16: ...msung Galaxy Tab S3 SM T820 9 7 in Software Android version 7 0 Chrome version 60 or higher Hardware 2 15 GHz Quad Core 4 GB LPDDR4 RAM 10 GB Hard Drive space available 2048 x 1536 screen resolution U...

Страница 17: ...sories Juno comes with standard equipment for each of the three configurations Full Body Manikin Juno offers a comprehensive realistic solution for emergency care team training and advanced life suppo...

Страница 18: ...2023 CAE 905K600152 v1 4 CAEJuno Articulated Arm The articulated arm comes with a removable deltoid injection pad for IM injections Articulated Arm IV Arm The IV arm comes with a removable IM deltoid...

Страница 19: ...3 Equipment Overview Male and Female Genitalia Chest Skins and Wigs All Juno configurations come with interchangeable male and female genitalia chest skins and wigs Female and Male Genitalia and Chest...

Страница 20: ...ipment Overview 14 2023 CAE 905K600152 v1 4 CAEJuno Tools and Supplies Additional supplies are included with the simulator IO Pad Gown and Arm Sleeves Screwdriver Tape Laryngospasm Assembly and Lubric...

Страница 21: ...table NIBP and Pulse Arm The Live NIBP and Pulse arm allows learners to practice Non Invasive Blood Pressure monitoring and is offered with Live and Complete Juno configurations NIBP and Pulse Arm wi...

Страница 22: ...nfigurations Live Box CAE Maestro Software CAE MaestroTM software allows facilitators to control and monitor CAE patient simulators and is offered with Live and Advanced Complete Juno configurations o...

Страница 23: ...ftware to control the manikin s physiological activity during simulations Surface Go Tablet Tablet Carrying Case The Surface Go tablet carrying case is a way to store and protect the Surface Go tablet...

Страница 24: ...equipment available for purchase Articulated Arm The articulated arm comes with a removable deltoid injection pad for IM injections and can be interchanged with an IO deltoid pad Articulated Arm Opti...

Страница 25: ...gn A standard IV cannulation module is located in the hand space The training module includes One ultrasound IV PICC arm One bottle of blue fluid CAE Blue Phantom Ultrasound IV PICC Arm Use and care i...

Страница 26: ...nation Module The optional Breast Examination module includes Two breasts with configurable nodule inserts Small 10 mm hard with peg 6 Small 10 mm hard with longer peg 2 Medium 15 mm hard 2 Medium 15...

Страница 27: ...tectomy Module This optional module allows for the practice of post mastectomy care Post Mastectomy Wound Kit The kit includes Post operative left total mastectomy incision with staples Opening for dr...

Страница 28: ...wound kit includes four wounds that are interchangeable with the IM injection pads The kit Includes Thigh incision Thigh suture Ventrogluteal decubitus ulcer Dorsogluteal decubitus ulcer Upper Leg Inc...

Страница 29: ...g with varicose veins and stasis ulcer Below knee amputation stump Foot with skin tear Diabetic foot with toe infection and heel ulcer Abdominal incision with staples and penrose drain site Abdominal...

Страница 30: ...utation Wound The upper leg amputation wound can replace the right leg that comes with Juno Below the Knee Amputation Stump Foot Wounds The two 2 foot wounds can replace the foot that comes with Juno...

Страница 31: ...e applied to any anatomical area of the manikin The HRMK includes Wound application and removal supplies Materials to produce up to 12 5 gallons of artificial blood Detailed wound application instruct...

Страница 32: ...Equipment Overview 26 2023 CAE 905K600152 v1 4 CAEJuno THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 33: ...is mobile lightweight easy to use and anatomically accurate for better skills proficiency and clinical assessment Juno configurations come with interchangeable male and female chest skins wigs and gen...

Страница 34: ...nt and suctioning Bilateral chest tube insertion for care and maintenance Unilateral blood pressure measurement by ausculatation and palpation Bilateral carotid pulses manual Unilateral subclavian cat...

Страница 35: ...ght arm with programmable intensities Defibrillation and cardioversion via software 4 lead ECG monitoring with real equipment 12 lead dynamic ECG display CAE Maestro software platform instructor drive...

Страница 36: ...30 2023 CAE 905K600152 v1 4 CAEJuno THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 37: ...cm by 183 cm to store the shipping container before and after use For more information see the Care and Maintenance section of this user guide Read and understand the Cautions and Warnings located in...

Страница 38: ...geable accessories such as StethoSym to a power source using only the power cords provided Use the diagram provided in the Unpacking Your CAE Manikin to identify the designated cords associated with t...

Страница 39: ...e manikin s head and lift it from the torso Note Live and Complete configurations support wireless use of the instructor tablet When working with these configurations ensure a multi plug AC power outl...

Страница 40: ...2 v1 4 CAEJuno b Leave all hoses attached and set abdominal plate aside Remove Abdominal Plate 3 Remove genitalia a Remove genitalia by lifting it straight up b Leave all hoses attached and set genita...

Страница 41: ...rew into the hip joint hole 2 Place a washer on the leg screw followed by one spring and a second washer 3 Fasten the assembly to the torso Use the thumb screw with the knurled portion towards the out...

Страница 42: ...g screws 1 Phillips screwdriver To attach the right articulated arm Note If installing the NIBP arm instead refer to the instructions at Step 5 1 Remove the shoulder IM pad to access the shoulder open...

Страница 43: ...ng screw until it is snug and the arm moves freely Mounting Screw Location 4 Reinsert the IM pad into the arm IM Pad Inserted 5 Repeat the steps for the IV arm on the left side Step 5 Install the NIBP...

Страница 44: ...nd set it aside 2 Unscrew the arm screw and Joint Sphere assembly Place assembly aside 3 Place the right articulated arm aside To install the NIBP arm 1 Remove the IM pad from the NIBP arm Set it asid...

Страница 45: ...but the arm moves freely NIBP Arm Attached and Ready for Pad Installation 6 Reinsert the IM pad into the NIBP arm 7 Connect the electronics tether from the NIBP arm to the arm connection on the maniki...

Страница 46: ...Setup 40 2023 CAE 905K600152 v1 4 CAEJuno NIBP Connections...

Страница 47: ...standard blood pressure cuff 1 Cut the tubing attached to the gauge approximately 9 cm from the cuff 2 Locate the T shaped blood pressure adapter 3 Insert the barbed connectors into the cut ends of t...

Страница 48: ...the Wig below Placing the Wig Adjust the Fit of the Wig 1 Remove the wig from Juno 2 Turn the wig hair side down 3 Locate the adjustment strip 4 Locate the adjustment hooks towards both ends of the a...

Страница 49: ...cological models The manikin allows for the physical assessment of various clinical signs i e heart lung and breath sounds palpable pulses chest excursion airway patency etc that are dynamically coupl...

Страница 50: ...al hygiene Nasal packing can be performed on both nares utilizing ribbon gauze nasal packs or tampons Bilateral chest tubes can be placed for chest tube care and maintenance no fluids The airway accom...

Страница 51: ...range of abnormal cardiac rhythms can be generated A 12 lead ECG can be displayed on the patient monitor The simulated patient can be defibrillated or cardioverted using the simulated functions via th...

Страница 52: ...designed for excretion of urine upon catheterization For more information on changing the genitalia see the Using Juno section of this user guide Medication Administration The Juno manikin features M...

Страница 53: ...faculty educator to execute a learning strategy using simulation Each process tool provides an extensive overview and outline of the learning exercise and requires minimal additional faculty developme...

Страница 54: ...complications Pneumonia Suctioning and tracheostomy care with hypoxia Basic assessment of the hip replacement patient Postoperative care of the patient with a ruptured diverticulum Seizure disorder a...

Страница 55: ...reactions by providing a flexible set of tools that adjust to the instructor s needs Application Software CAE Maestro software is the application that provides the instructor a means to control all fe...

Страница 56: ...Juno Features 50 2023 CAE 905K600152 v1 4 CAEJuno THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 57: ...scenario For further information refer to the Storage section of this user guide Neurologic System The clinical features that can be controlled from the Neurologic view are Blood temperature Body temp...

Страница 58: ...commercially available nasal pack or nasal tampon 2 Insert the nasal packing into the nasal cavity using forceps 3 When the simulation session is complete remove the nasal packing material Temperature...

Страница 59: ...es include Hard and Soft Palate Oropharynx Nasopharynx Laryngopharynx Intubation The upper airway of the Juno manikin is designed to allow for intubation CAUTION Airways can be damaged by improper ins...

Страница 60: ...ment described here has no correlation to real life patient care To protect the manikin s airway endotracheal tubes should be inserted through the tracheostomy site To place an endotracheal tube 1 Wra...

Страница 61: ...2023 CAE 905K600152 v1 4 55 Using Juno 3 Remove the tracheostomy plug Remove Endotracheal Plug 4 Remove the bottom dentures Remove Bottom Dentures...

Страница 62: ...e end of the endotracheal tube with the inflatable cuff through the tracheostomy port Insert the Endotracheal Tube 6 Continue to insert the endotracheal tube until it can be seen at the back of the ma...

Страница 63: ...tal endenters the tracheostomy port Endotracheal Tube Placement 8 Replace the tracheostomy plug 9 Fill the endotracheal cuff and secure the endotracheal tube 10 Replace the bottom dentures Chest Excur...

Страница 64: ...tomy tube Proper ventilation will demonstrate chest rise and fall Manual Bag Valve Mask BVM Ventilation Chest Tube Juno also has bilateral holes approximately in the fifth intercostal space slightly a...

Страница 65: ...al Interventions Patient Monitoring and Scenarios Software Control Manual Control Heart Sounds Normal and abnormal heart sounds are synchronized to the cardiac cycle and audible with a standard stetho...

Страница 66: ...ly yellow tubing and syringe to the carotid pulse port on the left side of the manikin Carotid Pulse Assembly Connection Note The basic manikin configuration s syringe will be attached to the tubing t...

Страница 67: ...se Palpated Managing Radial and Brachial Pulses Juno Live and Complete configurations come with a right NIBP and pulse arm which has radial and brachial pulse locations The pulse is activated when pre...

Страница 68: ...tes on Juno s left arm located on the dorsum of the hand and the antecubital fossa Each IV site has an insert with a loop of tubing The sites are filled and drained through tubing running from the IV...

Страница 69: ...V site for flashback and aspiration identify the ports that prime and drain the IV site on the left side of the manikin One tube will be for priming the other for drainage The yellow tubing is for the...

Страница 70: ...ose the clamp on the drain tubing 8 Perform venipunture and confirm flashback Additional red color fluid can be aspirated back from the IV site if desired 9 Close the clamp on the IV tubing of the pri...

Страница 71: ...2023 CAE 905K600152 v1 4 65 Using Juno Note Juno is not equipped for any subclavian or chest tube fluids Subclavian Catheter Care Site...

Страница 72: ...orsogluteal To administer an IM SQ injection 1 Insert an IM SQ injection pad 2 Deliver the IM SQ injection per protocol The IM SQ Injection Site Intraosseous IO Cannulation Juno also allows for humera...

Страница 73: ...Blood Pressure To manually adjust the systolic and or diastolic blood pressure 1 From the Cardiovascular panel select the parameter of desired blood pressure 2 Set the pressure by moving the blue slid...

Страница 74: ...e blood pressure cuff adapter to either of the NIBP ports on Juno s right side shoulder 2 Ensure the electronics tether from the NIBP arm is connected to the arm connector on Juno s right side Juno s...

Страница 75: ...ervoir should be primed with 150 ml of fluid before performing gastric suction Nasogastric Tube Placement for Gavage To practice gastric gavage you only need to prime or fill the gastric reservoir if...

Страница 76: ...600152 v1 4 CAEJuno 3 Instill no more than 150 ml of fluid into the gastric reservoir Instilling Fluid 4 Replace the cap on the gastric overflow line 5 Spray the NG tube with silicone spray Spray NG T...

Страница 77: ...he stomach To empty the gastric reservoir 1 Attach an empty 140 ml syringe to the gastric reservoir fill drain line on the manikin s right side 2 Aspirate fluid until the reservoir is empty Note To en...

Страница 78: ...To practice ostomy care and irrigation 1 Find the site needed for the simulation and remove the plug 2 Place a stoma insert into the colostomy site and prepare it for the simulation Stoma Insert Fluid...

Страница 79: ...rew the black cap and empty the reservoir c Replace the abdominal plate Enema Procedures You can practice enema procedures with real fluids 1 Fill the enema bag with up to 200 ml distilled water Note...

Страница 80: ...y additional fluid Performing Enema Procedure Genitourinary System Juno may beconfigured with either male or either of which allows for the insertion of a urinary catheter The genitourinary system als...

Страница 81: ...back 5 Gently lift the chest skin off the manikin 6 Remove the abdominal plate and set it aside Abdominal Plate Detached 7 Gently pull the current genital insert upward to remove it 8 Locate the tubin...

Страница 82: ...enitalia to the Pubic Bone 11 Reconnect the urine reservoir connector to the upper port by turning the black connector clockwise 12 Reconnect the urine reservoir connector to the lower port by turning...

Страница 83: ...in tabs to the upper skin anchors Note If converting from male to female place and align the breast foam inserts on the female s chest prior to placing the chest skin Use the breast foam alignment gui...

Страница 84: ...he inside of the breasts Breast Exam Module To use the breast exam module 1 Remove the female skin and breasts 2 Place the nodules in the holes on the underside of the new breasts movable When placing...

Страница 85: ...drainage Fundus Assessment This optional module allows learns to train on fundus assessment and massage skills It allows for the uteri to be placed at different heights from delivery through day thre...

Страница 86: ...ation of medication using various routes of administration can be simulated through the software or by the physical administration of simulated medication Administration via Software Certain medicatio...

Страница 87: ...tion techniques To irrigate ears 1 Use the ear irrigation device filled with distilled water 2 Place a towel under the manikin s head 3 Place the tip of the device at the entrance of the ear canal and...

Страница 88: ...ed through the instructor software and a patient must be running in the software for any sounds to be available To auscultate sounds on the Juno manikin be sure to locate a stethoscope prior to beginn...

Страница 89: ...r Juno User Guide Heart Lung and Bowel Sounds Heart sounds are synchronized with the cardiac cycle and lung sounds are independently synchronized with ventilation of the left and right lungs Sounds ca...

Страница 90: ...Using Juno 84 2023 CAE 905K600152 v1 4 CAEJuno THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 91: ...h silicone spray prior to insertion DO NOT use water based lubricant Prior to using moulage of any kind and to make cleansing the simulator s skin easier lightly apply petroleum jelly to the simulator...

Страница 92: ...uppositories were administered remove them To drain the enema reservoir 1 Cap the overflow port 2 Attach syringe to enema fill drain port on the manikin s right side 3 Aspirate fluids Note To ensure t...

Страница 93: ...ll Drain Tubing 6 Disconnect the syringe and fill the syringe with air 7 Flush the IV prime port with air until air flows from the IV drain tubing 8 Disconnect syringe from IV prime port 9 Disconnect...

Страница 94: ...4 Maintaining IM Injection Site If the simulation included use of IM injection equipment perform the following steps prior to storing the manikin 1 Remove the pad from the injection site 2 Remove the...

Страница 95: ...Power off the Instructor Tablet To power off the Windows Surface GoPro instructor tabletlaptop a Tap the white back arrow at the top left of the Maestro run screen to exit the current simulation sessi...

Страница 96: ...ppears d Press and hold the power button on the side of the tablet until the Power options menu appears e Tap Power Off The confirmation message appears f Tap OK Step 6 Power Off the Manikin Optional...

Страница 97: ...rm storage instructions for additional details Short Term Storage Follow these guidelines for short term storage less than one month Charge the manikin to 60 to 80 to increase shelf life Store the man...

Страница 98: ...Indicator no longer flashes blue every 30 seconds 5 Place equipment into the storage box for safekeeping Store the manikin in the container the simulator arrived in and refer to the Unpack and Repack...

Страница 99: ...ded Clinical Supply Sizes Urinary Catheter 16 Fr Nasogastric Tube Insertion 14 Fr Gastric Lavage Gavage 14 Fr Airway Suction 14 Fr ETT 7 mm Oropharyngeal Airway 100 mm Nasal Pharyngeal Airway 24 Fr Tr...

Страница 100: ...Appendix A Recommended Clinical Supplies 94 2023 CAE 905K600152 v1 4 CAEJuno THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 101: ...8 00 a m to 5 00 p m ET Phone 1 877 223 6273 Email can service cae com Customer Service Europe Middle East and Africa Monday Friday from 8 00 a m to 5 00 p m CET Phone 49 0 6131 4950354 Email interna...

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