Laerdal Nursing Anne (SimPad Capable) - Manual (Page 7)

Nursing Anne 5 Laerdal
Figure 8
Colon Reservoir –
Colon reservoir inserts into pelvic
cavity with narrow end downward
and connector pointing outward .
This connector attaches reservoir
to anal valve on genitalia .
(Photo 8)
Reservoir should be removed from
manikin, inverted, drained and
completely air-dried before storing .
Urinary Catheterization and Enema Simulation –
Catheters should be well lubricated with manikin lubricant or full
strength liquid soap prior to using .
After several uses, catheter may “hang” when water has washed away
lubricant, causing friction and binding . If this occurs, generously
lubricate a catheter and insert into urethra several times .
If catheter hangs during removal, work it with an “in and out” motion .
Use warm water in reservoirs when possible to keep soap from clogging
the catheters . Make sure reservoirs are well drained of all water before
disconnecting valves .
Check List for Valves That May Leak:
a. Do valve connections have an O-ring?
b. Does the white clamp fit firmly against base of valve?
c. Are valves attached correctly?
d . If valves are attached correctly, are they properly connected to
reservoirs and to genitalia?
A size 16 French catheter is suggested for urethral catheterization .
Size 7mm catheter is suggested for enema simulation .
Troubleshooting –
What can I do if my manikin develops a pelvic spread?
Cinch pelvis with a belt and heat with a hair dryer to soften, cinching as
you heat . Insert pin, leaving belt in place until cool .
What do I do if my connectors leak?
Make sure C-clamps are squeezed tightly into place and connectors are
screwed on tightly .
What can I do if I can’t remove my catheter?
Make sure the cuff is deflated .
Attaching Nursing Anne Modules to Manikin:
Fundus Skills Module - Legs, internal components and genitalia must be
removed from pelvis .
Applying baby powder to skin and modules will assist
in attachment and removal .
To remove legs:
1 . Remove abdominal plate by pulling up on its edges .
2 . Remove genitalia and all internal attachments, reservoirs and
pelvic pin . (If using sounds abdominal plate, detach cable .)
3 . Remove thigh injection pad by squeezing skin in center of pad
while pulling .
4 . Locate wing nut on inside of pelvis .
5 . Using screwdriver to hold bolt in place,
twist and remove wing nut .
6 . Remove spring and small washer from bolt .
(Figure 8)
7 . Remove bolt from thigh and pelvis .
To attach Fundus Module:
1 . Apply baby powder to pelvis and inner fundus skin .
2 . Remove silicone straps from cut portion at back of fundus skin .
3 . Slide skin up and over pelvis, with slit and straps positioned
on posterior side of manikin .
4 . Reattach legs . (Legs must be reattached at this point, without
proceeding further with fundus upgrade assembly .) When
reattaching legs, make sure to leave space in between thigh
and skin to allow for leg articulation without rubbing against
fundus skin .
5 . Pull fundus skin partially down pelvis, exposing internal
pelvic area .
6 . Place fundus foam bottom inside pelvis .
7 . Using connectors, connect genitalia to urinary reservoir .
8 . Place genitalia/urinary reservoir inside pelvis . This must be done
from the genitalia area . Go through
the genitalia opening to
place the reservoir and
genitalia . (Photo 9)
9 . Place symphysis pubis
pelvic pin . This replaces
the pelvic pin already
located in the manikin .
(Photo 9)
10 . Pull fundus skin up and
attach three (3)
tabs at back .
11 . Insert “firm” or “boggy”
fundus ball .
Photo 8
Fundus skin Symphysis Pubis Genitalia
Urinary Bladder Connector Fundus Foam Bottom
English
8 . 9 .
Photo 9