9
5. If none of these measures work, peel
back the skin (soap up arm and skin
generously with Ivory® liquid deter-
gent) of the arm to the knuckles (do
not remove from fingers), and exam-
ine all tubing for possible kinks.
Soap up arm and skin generously
with Ivory® liquid detergent, and
return skin over arm.
Care of Simulator:
After each class use, disconnect “blood”
and flush the venous system. Return syn-
thetic blood to the storage bottle.
Remove pinch clamps and IV sets from
arm. Use tap water to flush the venous
system and wash the outside of the arm
with Ivory
®
liquid detergent and water.
Excess water may be removed from the
arm by raising the hand, lowering the
shoulder, and draining it into a sink or
basin. Always remove the pinch clamps
from shoulder tubing and drain excess
water from veins before storing.
Cautions:
1. This synthetic blood is specially for-
mulated to be compatible with the
self-sealing veins and plastics used
in manufacturing the arm.
2. NEVER use synthetic blood for intra-
muscular injection.
3. DO NOT use dull or burred needles
as these will cause leaks in the sys-
tem. Burred needles will cause per-
manent damage. Use smaller nee-
dles (20- to 25-gauge).
4. DO NOT allow “blood” to dry on
the simulator — it may stain the
skin.
5. Use only 500cc of infusion fluid, as
a larger amount will also increase
the pressure of the venous system,
resulting in leaks.
6. DO NOT clean the simulator with
solvents or corrosive material as they
will damage it.
7. DO NOT use for subcutaneous
injection. NASCO’s Intradermal
Injection Simulator (LF01008U) is
specially designed for intradermal
injection training and practice.
8. NASCO Vein Tubing Sealant Kit
(LF01099U) will extend the life of
the tubing.
Supplies/Replacement Parts for
Injectable Training Arm:
LF00845U
Life/form
®
Venous Blood,
1 quart
LF00846U
Life/form
®
Venous Blood,
1 gallon
LF01099U
Vein Tubing Sealant Kit
LF03215U
Skin and Vein
Replacement Kit
W09199U
REN Cleaner
8
Figure 6
8. Attach latex needle adapter to IV
needle and IV tubing (Figure 6).
Proof of proper procedure will then
be evidenced by the flow of infusion
fluid from the IV bag B. Control flow
rate with clamp on IV set B. This
fluid can be used over. If more real-
istic experience is desired with
“blood flashback” instead of water
when inserting butterfly into lumen
of vein, use next procedure C.
Figure 7
C. Recommended Procedure
for Simultaneous IV Infusions
and Drawing Blood
Using two IV bag kits, hook up and
install (Figure 7) with IV bag A and IV
bag B. Remove air vent from bag B.
1. Begin with synthetic blood in IV bag
A. Open clamp on both A and B to
pressurize system. “Flush” system by
allowing “blood” to flow into con-
tainer B until bubbles in tubing disap-
pear, then regulate blood flow from
bag A (using 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 butter-
fly into lumen of vein. Proof of cor-
rect insertion is evidenced by flash-
back of “blood.” Insert end of IV
tubing into butterfly. Adjust flow to
desirable rate with clamp. With this
arrangement the IV bag B, when full,
may be easily switched with A.
NOTE: always regulate flow of “blood”
from the raised bag, and open the other
clamp.
D. Intramuscular Injections
The procedure for administering intra-
muscular injections can be practiced in
the area of the deltoid. Prep the site with
distilled water only. These injections can
be done utilizing the appropriate needle
and syringe.
1
/
2
cc of distilled water may
be injected, however, we recommend uti-
lizing air as injectant since the distilled
water cannot be drained, but must evap-
orate from the arm. Synthetic blood must
NEVER be used for injections.
Troubleshooting:
If ”blood” cannot be aspirated during
the blood drawing procedure:
1. The clamp is not opened.
2. There are kinks in the tubing of IV
sets.
3. Tubing has been pinched shut by
constant pressure of pinch clamps.
Lumen remains pinched occasionally
even if pinch clamps are loosened.
Slide clamp to new position and with
fingers manipulate tubing at pinched
site to restore lumen. In heavy use,
slide clamp to new position on tub-
ing from time to time to prevent the
“permanent pinch” caused by con-
stant clamp pressure. Replace IV kit.
4. If these measures do not unclog the
venous system, try using a large
50cc syringe to force fluid through
the tubing.
A
B
