14
7
4.
Attach fitting end of tubing from bag A to the shoulder tubing that has the pinch clamp. Attach the
fitting end of bag B to the remaining shoulder tube.
5.
With bag A hanging and bag B laying on the surface, open clamps on both bags and the arm tube
clamp. Allow fluid to flow until air bubbles are gone. The venous system is now pressurized. Close
the clamp on bag B.
6.
Insert IV needle (or butterfly) in vein. “Flashback” will indicate proper insertion.
7.
Close the clamp on bag A and the clamp on the arm tube. Disconnect bag A from the shoulder
tubing. You may now use bag A as the infusion supply.
8.
Attach the needle or butterfly to bag A using the latex adapter.
(See figure 3.)
9.
To start the IV flow, open the clamps on both bags A and B.
Proof of proper procedure will be evidenced by the flow of fluid from bag A. Control flow rate with the
clamp on bag A. This fluid can be reused. A user-supplied IV bag may also be used for the infusion fluid.
This will enable bags A and B to remain attached to the arm. If a more realistic experience is desired with
“blood flashback” instead of water when inserting butterfly into lumen of vein, use procedure C.
C. Recommended Procedure for Simultaneous IV Infusions and Drawing “Blood”
Use two IV Bag Kits. Hook up and install with IV bag A and IV bag B.
(See figure 2.)
1.
Begin with synthetic blood in IV bag A. Open the clamps on both A and B to pressurize the system.
“Flush” system by allowing “blood” to flow into container B until bubbles in tubing disappear, then
regulate blood flow from bag A (using the clamp). System is now full of “blood” and pressurized.
“Blood” can now be drawn anywhere along the pathway of the vein.
2.
Intravenous infusion — Insert the butterfly needle into the lumen of the vein: A flashback of “blood”
is proof the needle was inserted correctly. Close the clamp on the bag A tubing and disconnect it at
the shoulder. Use the extra pinch clamp supplied to clamp off the loose shoulder tubing. Connect
the IV tubing from bag A to the butterfly needle using the special connector supplied. Open the
clamp on the bag A tubing and adjust it as desired. To keep the process going, when bag B fills,
simply switch the positions of bags A and B and their IV lines.
Note:
Always regulate the flow of “blood” from the bag on the stand, and be sure the clamp on the
other bag is open.
Causes for Failure in Function
A.
Forgetting to open a clamp.
B.
Kinks in tubing of IV sets.
C.
Is the supply hung at the appropriate height according to the instruction manual? Hanging the
supply bags “slightly” higher for the bags that are not producing enough pressure can create just
enough gravity on the fluid to facilitate flow.
D.
Tubing pinched shut by constant pressure of clamps. Lumen remains pinched occasionally, even if
clamp is loosened. Slide clamp to new position and manipulate tubing with fingers at pinched site
to restore lumen. In heavy use, slide clamp to new position on tubing from time to time to prevent
the “permanent pinch” caused by constant clamp pressure. Replace IV kit.
ABOUT THE SIMULATOR
The
Life
/
form
®
Child Defibrillation Chest Skin has been designed for the Child
CR
i
S
is
™
manikin to
enable you, the customer, to safely practice defibrillation. The Child Defibrillation Chest Skin has been
designed to absorb a maximum of 360 joules of energy*. Although capable of absorbing 360 joules, we
recommend that the smallest energy level possible be used while training with the skin.
The Child Defibrillation Chest Skin will enable you to practice defibrillation using manual, semiautomatic,
and automatic external defibrillators (AEDs). When using any one of these types of defibrillators in train-
ing, always follow the recommended operating procedures for that particular defibrillator.
LIST OF COMPONENTS
•
Defibrillation Chest Skin with Load Box and Four Lead Snap Cable Connector.
(See figure 1.)
*Note:
360 joules is the maximum energy level that Nasco recommends administering to the defibril-
lation chest skin. Energy levels in excess of 360 joules may cause irreparable damage to the chest skin,
circuitry, and patient simulator being used — thus voiding Nasco’s warranty and endangering your
equipment. Nasco assumes no liability for damage or injury that may be caused by the use and/or misuse
of this equipment. All normal safety precautions for defibrillation training should be followed, and energy
levels should be minimized. Nasco did not design nor intend this defibrillation chest skin to be used as
anything other than a training apparatus for defibrillation.
CONNECTING YOUR PATIENT SIMULATOR
Connect the four lead snap cable to your patient simulator.
Nasco has designed the Child
CR
i
S
is
™
System to be compatible with a variety of patient simulators.
This is possible via the standard four lead snap cable.
(See figure 2.)
If your patient simulator has only two
output posts, the red and black leads must be connected to the patient simulator.
If you want to connect the manikin to the simulator that came with your defibrillator, it is necessary to
purchase the corresponding adapters from Nasco separately, if the patient simulator doesn’t have the
standard snap connectors. (Please see accessories at the end of this section).
THE DEFIBRILLATION CHEST SKIN
Figure 1
Figure 3
Figure 2
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