Laerdal MegaCode Kid Advanced (SimPad Capable) User Manual
Page 5
IV Infusion Skills
Pediatric IV Arm is designed for practicing venipuncture and injection
techniques.
We recommend nothing larger than a 22-gauge needle to extend life of
arm. Spray catheter with manikin lubricant for easier insertion.
Equipment Needed:
• 500cc fluid bag
• Simulated blood or food coloring with water
• Administration Set
• IV catheter
Instructions for Use:
1. Add simulated blood or a few drops of red food coloring mixed with
water to fluid bag.
2. Attach administration set.
3. Attach end of IV Arm tubing to end of administration set.
4. Place other end of IV Arm tubing in a container and allow fluid to flow
through entire tubing until all air bubbles are flushed.
5. Clamp or tie second tubing and remove from container.
6. Insert catheter into vein. There should be a flashback if catheter has
actually entered a vein.
7. Open clamp of administration set.
8. To infuse fluid, second tubing of IV arm must be unclamped and the fluid
allowed to flow.
Before Storing: Drain, clean and dry all material prior to storing. Tubing
can be sanitized by flushing with 50cc of water mixed with household
bleach.
Multi-Venous IV Arm
Multiple Venipuncture Sites:
• Dorsal Veins of Hand (3)
• Antecubital
- Cephalic Vein
- Median Vein
- Basilic Vein
Instructions for Use:
1. Attach IV Bag to IV tubing.
2. Attach IV tubing to either latex vein.
3. Allow fluid to flow through arm and out other latex vein.
4. Clamp off flow of water.
The arm is now ready to practice venipuncture.
Replacing Skin and Veins
When excessive leaking occurs at puncture sites, either a new multi-vein
system or skin should be installed to reduce loss of fluid. We recommend
working at a sink.
To replace skin and veins:
1. Cut off skin. This can be done with a sharp knife or scalpel.
(Figure1)
2. Discard skin.
Figure1
Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it flow down into the
finger area.
2. Begin at top of arm and slowly pull skin down and off of arm. Do not roll,
as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need to be scraped away
to allow removal.
4. Rinse and dry vein grooves well and swab with alcohol. Be sure to
remove any excess glue.
5. Place new veins along grooves, (Figure 2) spot gluing as needed. (We
recommend a fast-drying glue.)
Figure 2
6. Generously lather arm mandrel with liquid soap.
7. Slide hand into skin.
Heat arms skins before replacing on mandrel.
This can be done with a blow-dryer.
8. Work skin over fingers, as with a glove.
9. Work arm skin up, over mandrel. (Figure 3)
Figure 3
Intraosseous (IO) Infusion Skills
Pediatric IO Leg is designed for perfecting skills required in successful
intraosseous infusion. Anatomy of IO Leg includes knee, tibia, tibial
tuberosity site and medial malleolus site. IO Leg is provided with one IV
tubing and one IV bag for use as reservoir during infusion.
Additional equipment needed:
• IV bag
• IV administration set
• Simulated blood concentrate
• 35cc syringe
• Jem Shidi needle
MegaCode Kid
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