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Laerdal
Vital Sim Nursing Anne
The following information is provided by
Laerdal, Inc.
The
Nursing Anne VitalSim Advanced is a full-body, lifelike manikin designed
to teach all skills from basic patient handling to advanced nursing, including
the measur
em
ent of noninvasive blood pressure and the
auscultation and recognition of normal and abnormal heart, lung and bowel
sounds.
Features:
Patient Care
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Head with anatomical
landmarks, trachea, and esophagus, along with simulated lungs and stomach, allow
the practice of many procedures:
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Irrigation of the
eye and ear (simulated)
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Application/instillation
of medications in the eye, ear and nose including nasal packing
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Mouth and denture
care procedures
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Insertion and
suctioning of oropharyngeal and nasopharyngeal airways
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Insertion, securing,
and care of endotracheal tubes
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Tracheostomy care
and tracheal suctioning
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Various oxygen
delivery procedures
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NG tube insertion,
care, medication administration, and removal
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Gastric lavage and
gavage
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Nasoenteric and
esophageal tube insertion, care, and removal
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Subclavian,
jejunostomy and Hickman catheter openings (placement only)
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Manually generated
carotid pulse
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Deltoid,
dorsogluteal, and vastus lateralis IM injections possible
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Full range of motion
for realistic patient handling
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Interchangeable stomas depict
colostomy, ileostomy and suprapubic cystotomy
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Colostomy may be irrigated and
will retain an indwelling catheter
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Fingers and toes are spread to
allow bandaging
Breast Exam
Module
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Facilitates training
in the recognition of breast disorders, sizes of nodules and relative locations
by simulating multiple abnormalities found during breast examinations
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Normal anatomy of the
female breasts
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Interchangeable
abnormalities such as:
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Fibroadenoma, cyst,
solid lump/mass
Mastectomy
Module
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Normal anatomy of a
postoperative left total mastectomy
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Surgical area skin
closed with staples
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Drain tube placed
just under skin
Fundus
Skills and Assessment Module
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Normal anatomy of
the status-post or post-partum female abdomen designed for training fundus
assessment and massage skills
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Realistic landmark
of the symphysis pubis
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Interchangeable
uteri: Approximately a 3” diameter ball to simulate a firm well contracted
uterus and a softer 4” ball to simulate a “boggy” uterus that is not
contracted
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Umbilicus
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Fundus offset
secondary to bladder distention
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Anal hemorrhoids
visible
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2nd
degree midline episiotomy
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Genitalia is
elongated with swelling to the clitoral area
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Vaginal orifice is
more visible and opened
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Labium minus more
flapped to expose the vaginal canal
Interchangeable
Male and Female Genitalia
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Complete urinary
catheterization
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Can be
attached to urinary and colon reservoirs via connector valves
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Female genitalia
capable of vaginal douching
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Will retain
indwelling or straight catheter
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Enema procedures may
be performed using fluid for realistic return
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When used with
manikin, fluid may be used for realistic return
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Urinary valves give the natural
resistance felt when catheterizing
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Anal valves simulate the
internal anal sphincter
Circulatory
Skills and IV Drug Administration
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Articulating IV training arm
with replaceable skin and infusible vein system allows peripheral intravenous
therapy and site care
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Venipuncture possible in the
antecubital fossa and dorsum of the hand
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Accessible veins include median,
basilic and cephalic
Wound
Assessment & Care
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Abdominal incision module with
painted sutures may be interchanged with blank module in the manikin’s abdomen
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Surgical closure simulated
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Suitable for teaching suture
care and dressing
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Abdominal incision modules with
staples and Penrose drain
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Abdominal incision modules with
nylon sutures and Penrose drain
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Abdominal packing and irrigation
module may be interchanged with blank module in the manikin’s abdomen
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Wound separation exposing a
layer of subcutaneous fat
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Suitable for wet or dry packing
and wound irrigation
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Abdominal subcutaneous heparin
and insulin injection module
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Surgical belly plate with
interchangeable stoma sites
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Infected colostomy stoma may be
interchanged with normal stoma in surgical belly plate, irrigation possible
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Ventrogluteal and gluteal
decubitus ulcer module may be interchanged with ventrogluteal injection pad
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Reddish and cyanotic blue-gray
appearance
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Break in the skin exposing soft
tissue
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Suitable for pressure ulcer
staging, cleaning and dressing
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Below knee amputation stumps for
stump care including wrapping and conditioning
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Thigh packing and irrigation
module may be interchanged with injection pads in manikin’s thigh
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Wound separation exposing a
layer of subcutaneous fat
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Suitable for wet or dry packing
and wound irrigation
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Thigh suture and debridement
modules may be interchanged with injection pads in manikin’s thigh
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Surgical closure made with nylon
sutures
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Suitable for teaching suture
care and dressing
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Varicose vein leg with stasis
ulcer
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Diabetic foot module
may be articulated to manikin at
the ankle
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Gangrenous toes
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Heel decubitus ulcer
Sounds
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Heart sounds synchronized with
programmable ECG
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Auscultated lung sounds
synchronized with breathing rate, 0 - 60 BPM
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Individual lung or bilateral
sound selection
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Normal or abnormal bowel sounds
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Vocal sounds –
computer-generated sounds, mixed with voice input (via microphone sold
separately)
Heart
Sounds
Synchronized with programmable ECG
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Aortic Stenosis
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Friction Rub
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Austin Flint Murmur
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Diastolic Murmur Mi
Stenosis
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Systolic Murmur
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Mitral Valve
Prolapse
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Normal Heart Sounds
– Apex
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Opening Snap Msec
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Ventricular Septal
Defect
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Atrial Septal Defect
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Pulmonary Stenosis
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Stills Murmur
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Normal Heart Sounds
Lung Sounds
Synchronized with breathing rate, 0 – 60 bpm
Individual lung or bilateral sound selection
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Coarse Crackles
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Fine Crackles
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Normal Breath Sounds
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Pneumonia
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Stridor
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Wheeze
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Pleural Rub
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Rhonchi
Bowel
Sounds
Normal and abnormal bowel sounds
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Borborygmus
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Fetal Tones
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Hyperactive Bowel
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Hypoactive Bowel
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Normal Bowel
Vocal
Sounds
Computer-generated sounds, mixed with voice input
(via microphone sold separately)
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Cough
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Vomit
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Moan
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Scream
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SOB Breathing
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Yes
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No
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Hiccup (infant)
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Cry (infant)
Blood Pressure / Pulses
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Articulating blood pressure arm for auscultated and palpated blood
pressure simulation
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Korotkoff sounds synchronized with ECG
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Korotkoff sounds volume control in 10 steps, 0-9
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Systolic and diastolic pressure may be set individually in steps
of 2mmHG
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Systolic 0-300mmHG, Diastolic 0-300 mmHG
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Auscultative Gap, with on/off feature
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Pressure accuracy +/- 2mmHG
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Calibrate function to adjust pressure sensor and cuff gauge
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Palpated pulse simulator controls brachial and radial pulses
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Pulses only active when palpated
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Pulses synchronized with programmable ECG
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Pulse strengths dependent on Blood Pressure
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