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

• Oral intubation
• Nasal intubation
• Digital intubation
• Oropharyngeal airway insertion
• Nasopharyngeal airway insertion
• Vocal sound identification
Anterior Fontanelle Variables -
The black pulse bulb allows for controlling pressure in fontanelle area to
simulate normal, bulging, and depressed fontanelles.
1. To create normal or bulging fontanelles:
a) Turn silver knob on black pulse bulb clockwise to finger tight.
b) Squeeze black bulb until desired fontanelle state is achieved.
2. To create depressed fontanelles:
a) Turn silver knob on black pulse bulb counter clockwise to loosen.
b) Allow air to release.
Laerdal Recommends
Endotracheal tube size – 3.5 ID
Straight laryngoscope blade – size #1
Tracheostomy tube size – 3.5 PED
Airway Management -
Spray pharynx, nostrils and all intubation devices with a liberal
amount of manikin lubricant. (Liquid soap may be used instead.)
Tracheostomy Plug -
The tracheostomy plug may be removed by grasping firmly, then lifting up
and then out. To replace, press into hole.
Tracheostomy Care & Suctioning -
1. Mix solution of 1/2 cup mild liquid detergent and 1/2 cup water.
2. Move the ribcage with speakers, by flipping it over the manikin’s face.
(Photo 1)
Rib Cage with Speakers
Lungs
Photo 1
3. Remove the white lung bags.
4. Pour the mixture into the simulated lungs, enough for suction catheter
to pick up solution.
5. Reattach lungs to bronchial tubes.
The consistency of the solution approximates the mucus normally
suctioned in a trachesostomy patient.
Drain and air-dry lungs immediately after use. (Photo 2)
Drain Plug
Photo 2
Laerdal Recommends
NG feeding tube – 8 French
NG Tube Insertion -
1. Filling stomach reservoir for NG Tube insertion:
a. Remove chest skin from torso by detaching straps on back of manikin.
b. Place infant in supine position.
c. Remove drain plug from stomach reservoir. (Photo 2)
d. Use a syringe to fill reservoir with approximately 50cc of water.
e. Replace drain plug.
f. Replace chest skin, being sure to secure straps.
2. Emptying stomach after NG Tube insertion:
a. Remove chest skin from torso by detaching straps on back of manikin.
b. Place infant in supine position.
c. Remove drain plug from the stomach reservoir.
d. Allow fluid to drain by tilting infant or aspirate fluid with a syringe.
e. Allow to air dry before reassembly.
Lungs -
Lungs may be detached from the bronchial tubes by removing bands
and pulling them off. To replace, reverse the procedure. Spreading the
bands with forceps and slipping them over the “Y” connector may aid in
reconnecting the lungs.
IV Arm -
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 arm and out other vein.
4. Clamp vein through which fluid is flowing using hemostats or a similar
device. (Figure 1)
5. IV arm is now ready to practice venipuncture.
Fig. 1
Laerdal Recommends
Use nothing larger than a 22-gauge needle for IV or intramuscular
injections. This will extend the life of the skin.
Laerdal 4 Nursing Baby VitalSim™