Gaumard S230.7, Руководство пользователя

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| Working with the Simulator | User Guide |
11
Simulator Features
BLADDER CATHETERIZATION
One of the most important elements of nursing
care is bladder catheterization, i.e. the removal
of urine from the bladder by the introduction of a
catheter. The S230.7 was designed with realistic
features that permit bladder catheterization
training. The simulator allows catheterization
in the seated or recumbent position. Internal
mechanisms of the simulator permit the
instructor to:
• Teach catheterization techniques.
• Familiarize trainees with male external
anatomy.
• Feel resistance during insertion of catheter.
• Feel simulated bladder contraction.
The figure below shows a simulated male
bladder catheterization with the use of a urinary
catheter.
DIRECTIONS FOR USE
When practicing catheterization, the penis must
be manipulated to permit the passage of the 18
Fr urinary catheter.
1. Collect items required for procedure, and
move simulator to desired position and
location.
2. Position a urine “catch-basin” below the
penis. The drain end of the catheter will lead
to here.
3. Please refer to “Filling the Sacs” in Chapter 3
“Equipment Set Up” to prepare the simulator
for use.
4. Apply lubricant to catheter.
5. Continue procedure following aseptic
technique.
Always lubricate the catheter using
silicone lubricant. Failure to lubricate
the catheter will damage the internal
valves and cause leakage.
SIMULATING BLADDER CONTRACTION
Bladder catheterization exercises may also be
carried out with the aid of an auxiliary tank placed
upon a stand near the simulator, to simulate
bladder contraction. Fill the tank with water,
apply the clamp and attach to the suprapubic
stoma of the simulator. The elevation of the tank
and loosening of the clamp provides gravity
feed of the fluid to simulate bladder contractions
when catheter is inserted.
When you get a good feel for increasing the
urinary outflow with the squeeze bulb, you may
also utilize it for simulating contractions.
INCREASING URINARY OUTFLOW
Bladder catheterization exercises may also
be carried out with the aid of the airbag and
squeeze bulb located in the anterior of the
manikin. Squeezing the bulb with the air valve
closed will cause the internal airbag to inflate
and press upon the internal bladder tank,
simulating contraction.