Teeth; Carotid Pulse; Tracheostomy Plug & Care; Ng Tube Placement - laerdal Nursing Anne VitalSim Gebrauchsanweisung

Nursing Anne VitalSim Advanced is a full-body, lifelike vinyl manikin
designed to teach all skills from basic patient handling to advanced
nursing, including the measurement of noninvasive blood pressure and
the auscultation and recognition of normal and abnormal heart, lung
and bowel sounds and fetal tones.
The manufacturing quality of this simulator should provide many
sessions of training when reasonable care and maintenance are
practiced.
Laerdal Recommends:
IV Injections – 22 gauge needle, or smaller
Tracheostomy Tube – Size 6
NG Tube – Size 16 French
Endotracheal Tube – 7.5 or smaller
Laryngoscope Blade - Size #2 or #3, straight or curved blade
Urethral Catheter – 16 French
Enema Simulation – 7 mm
Teeth –
To remove: Grasp firmly and lift.
Insert and remove bottom teeth first when performing denture care.
To reinsert both sets:
a. Begin on one side and work around, aligning ridges with
corresponding grooves in jaws.
(Dusting with baby powder is helpful.)
b. Press firmly into place.
Carotid Pulse –
To generate a carotid pulse, use the hand held red bulb located on
the right axillary side of manikin. Firmly squeeze bulb while palpating
for pulse at carotid site.
Tracheostomy Plug –
The tracheostomy plug may
be removed by grasping
firmly, then lifting up and
out. To replace, press into
hole. (Photo 1)
Tracheostomy Care –
1. Mix solution of 1/2 cup mild liquid detergent and
1/2 cup water.
2. Remove lungs.
3. Pour mixture into simulated lungs.
4. Fill lungs to a level where suction catheter will pick up mixture.
5. Reattach lungs at connector.
The consistency of the solution approximates the mucus normally
suctioned in a tracheostomy patient.
We recommend a size 6 tracheostomy tube. Opening will
accommodate other sizes, but a size 6 is usually most suitable.
Drain and air-dry lungs immediately after each use.
NG Tube Placement –
This manikin features an esophagus and stomach reservoir for practice
of NG tube insertion and skills such as lavage and gavage.
For best results, lubricate the tube with either silicone spray
or liquid detergent prior to NG or OG tube insertion.
Laerdal
Intubation –
The following equipment is recommended:
a. Endotracheal tube, size 7.5 ID or smaller
b. Manikin Lubricant or liquid soap
c. 10 ml syringe
d. Laryngoscope blade, size #2 or #3 straight or curved.
e. Laryngoscope handle
f. NG Tube, size 16 French
Remove trach plug prior to insertion of intubation tubes.
Intubation tubes and airway passages should be sprayed with
manikin lubricant or lubricated with liquid soap prior to intubation.
Lungs –
Lungs may be removed from bronchial tubes by unscrewing them at
the connector site. To replace, reverse procedure.
Stomach Reservoir –
Stomach reservoir attaches to esophagus with a connector. To fill
reservoir with water, use 100 cc syringe.
Dusting with talcum powder is helpful in replacing belly plates.
Belly Plate with Multi-Sounds –
To remove:
1. Apply pressure to center of plate.
2. Work your fingers under edge of plate while lifting.
3. Disconnect bowel sound speaker connector to release plate.
To insert:
1. Position plate over cavity.
2. Reconnect bowel sound speaker.
3. Work plate edges into groove on pelvis cavity.
Belly Plate with Colostomy Stoma –
To remove:
1. Apply pressure to center
of plate.
2. Work fingers under edge
while lifting.
Photo 1 (Photo 2)
To insert:
1. Attach valve and genitalia.
2. Work plate edges into pelvis cavity.
The belly plate with colostomy also contains the urinary reservoir and
colostomy stoma.
2
Photo 2
Nursing Anne