Laerdal Nursing Baby (SimPad Capable) - Manual (Page 4)

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IV Arm Skin and Vein Replacement -
1. Unscrew IV arm from torso.
2. Slide used skin off arm mandrel.
3. Remove tubing from track in mandrel.
4. Rinse and dry vein grooves well and swab with alcohol. Be sure to
remove any excess glue.
5. Place new veins along grooves, spot gluing as needed. We recommend a
fast-drying glue.
6. Insert tubing through holes in new skin.
7. Slide new arm skin onto mandrel. Dusting mandrel with talcum powder
will aid in this.
8. Reattach arm to torso.
IV Leg -
1. Fill a 12cc syringe with colored fluid.
2. Attach fluid filled syringe to one of the veins.
3. Slowly inject fluid, allowing it to flow through leg and out other vein.
4. Clamp the vein through which fluid is flowing using hemostats or a
similar device.
The IV leg is now ready to practice venipuncture.
Skin and Vein Replacement -
1. Unscrew IV leg from torso. (Figure 2)
2. Slide used skin off leg mandrel.
Fig. 2
3. Remove tubing from track in mandrel.
4. Rinse and dry vein grooves well and swab with alcohol. Remove any
excess glue.
5. Place new veins along grooves, spot gluing as needed. A fast-drying glue is
recommended.
6. Insert tubing through holes in new skin.
7. Slide new leg skin onto mandrel. Dusting mandrel with talcum powder
will aid in this.
8. Turn foot using a clockwise motion onto upper leg until desired position
is achieved.
9. Reattach leg.
Intraosseous Leg -
The Infant IO Leg is designed for perfecting skills required for successful
intraosseous puncture and infusion. Anatomy of the IO leg includes
anatomical landmarks at the tibial tuberosity and medial malleolus.
IO Leg Puncture -
1. Unplug drain in heel of right foot. (Figure 3)
2. Using a syringe, fill leg with approximately 300cc’s of fluid.
(Simulated blood is available for purchase).
3. Reinsert plug.
The IO Leg is now ready to practice intraosseous puncture.
Fig. 3
IO Leg Infusion -
Laerdal Recommends
Use Jamshidi ® needle – 16 gauge for IO infusions.
Equipment needed for IO infusion:
• IV bag
• IV administration set
• Simulated blood concentrate (not included)
• 35cc syringe
• Jamshidi Needle
Instructions for IO Infusion -
1. Attach tubing connector to IV bag.
2. Turn leg upside down.
3. Remove plug from heel. (Figure 3)
4. With a syringe, fill the bone with approximately 120cc of simulated blood.
5. Attach tubing and reservoir bag.
6. Close of tubing that runs into reservoir bag so simulated blood will
remain in the bone for aspiration. (Use valve to open or close line as
needed in order to relieve pressure build up as fluids are being infused).
7. When reservoir bag is filled, discontinue infusion and replace with empty
bag. (This will help decrease the amount of fluid in the leg and minimize
leakage.)
IO Leg Replacement -
1. Remove lower leg and foot by unscrewing bolts at the knee.
2. Replace used ID mandrel with new mandrel.
3. Slide new IO skin onto mandrel (applying talcum powder will aid in this).
4. Reattach using the existing bolts.
Vocal Sounds and Auscultation of heart, breath and bowel sounds:
Connect Nursing Baby to Link Box, via cable located on right side of
manikin (Photo 3). For some manikins the cable adapter supplied with
See SimPad DFU for complete Heart, Breath and Bowel Sound
Auscultation
Photo 3
Nursing Baby 5 Laerdal
SimPad System may have to be used.