Proof of proper procedure will be evidenced by the
flow of fluid from IV Bag A. Control flow rate with
the clamp on IV Bag A. A third IV Bag (not supplied)
can be used for the infusion of 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 the but-
terfly into the lumen of the vein, use the following
procedure, C.
C. Recommended Procedure for Simultaneous
IV Infusions and Drawing Blood
1.
Follow the procedure for setting up your IV
Arm to draw blood, Procedure A, and using IV
Bag B as the drain bag.
2.
Once the arm is pressurized and full of blood,
open the clamps on IV Bags A and B.
3.
Obtain a third IV Bag (not supplied), IV Bag
C, and ensure the clamp is closed and fill with
distilled water. Hang IV Bag C according to
your desired flow rate.
4.
Cleanse the IV site with distilled water and insert
IV needle or butterfly. A realistic blood flash-
back will be evidenced with proper insertion.
5.
Connect IV Bag C to the IV needle or butterfly
with the latex connector and open the clamp
to IV Bag C.
(See Figure 22.)
6.
IV Bag B, when full, may be easily switched
with A.
USER HELP GUIDE FOR THE INJECTABLE
TRAINING ARM
1.
Follow 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 fluid bags
are available. Removing clamps prior to stor-
age is recommended.
3.
Check to ensure hanging bags are hung to
the appropriate height. Hanging the supply
bags slightly higher for bags not producing
enough pressure can create just enough grav-
itational force on the fluid to facilitate flow.
4.
If a venous system clog is suspected, try using
a large 50 cc syringe to force distilled water
through the tubing.
5.
Check the venous system tubing for kinks. First,
lubricate the outside of the arm skin generously
with Ivory
®
liquid dishwashing detergent. Peel
the skin back to the knuckles, being careful NOT
to remove the skin from the fingers. Examine all
the tubing for possible kinks. Replace the skin
and infiltrate the system again.
CARE AND MAINTENANCE
After each use of the Injectable Training Arm,
follow these procedures:
1.
Disconnect IV bags, remove infusion needles,
and flush the venous system using distilled
water and 12 cc syringe.
2.
Simulated blood can be returned to its bottle
and reused.
3.
Rinse IV bag containing simulated blood with
distilled water, flushing through tubing into a
sink or basin.
4.
Remove pinch clamps from IV bags and inject-
able training arm shoulder tubing.
5.
Wash the outside of the injectable training
arm with mild liquid detergent, such as Ivory
®
dishwashing soap. Stubborn stains may be
washed with Nasco cleaner. Dispense Nasco
cleaner on clean, soft, dry cloth and gently
wipe soiled area.
6.
Remove excess water from the venous system
by raising the hand, lowering the shoulder,
and draining it into a sink or basin.
7.
Allow the arm to dry completely before storing.
To prevent causing harm to the Injectable Training
Arm, use the following recommendations:
1.
Use distilled water rather than alcohol,
Betadine
®
, or other skin preparing substances
to simulate preparing the puncture site.
2.
Small diameter needles, 20-gauge to
25-gauge, should be used to extend the life of
the skin and veins.
3.
Synthetic blood will stain the soft skin of the
injectable training arm, clothes, most soft
surfaces, and some hard surfaces. Please use
caution.
4.
Ink and newsprint will cause an indelible stain
to the injectable training arm. DO NOT place
the injectable training arm on printed surfaces
or plastic.
5.
Follow Care and Maintenance instructions
carefully.
Figure 22
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