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
-         Head with anatomical landmarks, trachea, and esophagus, along with simulated lungs and stomach, allow the practice of many procedures:
-        Irrigation of the eye and ear (simulated)
-         Application/instillation of medications in the eye, ear and nose including nasal packing
-         Mouth and denture care procedures
-         Insertion and suctioning of oropharyngeal and nasopharyngeal airways
-         Insertion, securing, and care of endotracheal tubes
-         Tracheostomy care and tracheal suctioning
-         Various oxygen delivery procedures
-         NG tube insertion, care, medication administration, and removal
-         Gastric lavage and gavage
-         Nasoenteric and esophageal tube insertion, care, and removal
-         Subclavian, jejunostomy and Hickman catheter openings (placement only)
-         Manually generated carotid pulse
-         Deltoid, dorsogluteal, and vastus lateralis IM injections possible
-         Full range of motion for realistic patient handling
-         Interchangeable stomas depict colostomy, ileostomy and suprapubic cystotomy
-         Colostomy may be irrigated and will retain an indwelling catheter
-         Fingers and toes are spread to allow bandaging

Breast Exam Module
-         Facilitates training in the recognition of breast disorders, sizes of nodules and relative locations by simulating multiple abnormalities found during breast examinations
-        Normal anatomy of the female breasts
-         Interchangeable abnormalities such as:
-         Fibroadenoma, cyst, solid lump/mass

Mastectomy Module
-         Normal anatomy of a postoperative left total mastectomy
-         Surgical area skin closed with staples
-         Drain tube placed just under skin

Fundus Skills and Assessment Module
-         Normal anatomy of the status-post or post-partum female abdomen designed for training fundus assessment and massage skills
-         Realistic landmark of the symphysis pubis
-         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
-         Umbilicus
-         Fundus offset secondary to bladder distention
-         Anal hemorrhoids visible
-         2nd degree midline episiotomy
-         Genitalia is elongated with swelling to the clitoral area
-         Vaginal orifice is more visible and opened
-         Labium minus more flapped to expose the vaginal canal

Interchangeable Male and Female Genitalia
-         Complete urinary catheterization
-         Can be attached to urinary and colon reservoirs via connector valves
-         Female genitalia capable of vaginal douching
-         Will retain indwelling or straight catheter
-         Enema procedures may be performed using fluid for realistic return
-         When used with manikin, fluid may be used for realistic return
-         Urinary valves give the natural resistance felt when catheterizing
-         Anal valves simulate the internal anal sphincter

Circulatory Skills and IV Drug Administration
-         Articulating IV training arm with replaceable skin and infusible vein system allows peripheral intravenous therapy and site care
-         Venipuncture possible in the antecubital fossa and dorsum of the hand
-         Accessible veins include median, basilic and cephalic

Wound Assessment & Care
-         Abdominal incision module with painted sutures may be interchanged with blank module in the manikin’s abdomen        
-         Surgical closure simulated
-         Suitable for teaching suture care and dressing
-         Abdominal incision modules with staples and Penrose drain
-         Abdominal incision modules with nylon sutures and Penrose drain
-         Abdominal packing and irrigation module may be interchanged with blank module in the manikin’s abdomen
-         Wound separation exposing a layer of subcutaneous fat
-         Suitable for wet or dry packing and wound irrigation
-         Abdominal subcutaneous heparin and insulin injection module
-         Surgical belly plate with interchangeable stoma sites
-         Infected colostomy stoma may be interchanged with normal stoma in surgical belly plate, irrigation possible          
-         Ventrogluteal and gluteal decubitus ulcer module may be interchanged with ventrogluteal injection pad
-         Reddish and cyanotic blue-gray appearance
-         Break in the skin exposing soft tissue
-         Suitable for pressure ulcer staging, cleaning and dressing
-         Below knee amputation stumps for stump care including wrapping and conditioning
-         Thigh packing and irrigation module may be interchanged with injection pads in manikin’s thigh           
-         Wound separation exposing a layer of subcutaneous fat
-         Suitable for wet or dry packing and wound irrigation
-         Thigh suture and debridement modules may be interchanged with injection pads in manikin’s thigh    
-         Surgical closure made with nylon sutures
-         Suitable for teaching suture care and dressing
-         Varicose vein leg with stasis ulcer
-         Diabetic foot module may be articulated to manikin at the ankle
-         Gangrenous toes
-         Heel decubitus ulcer

Sounds
-         Heart sounds synchronized with programmable ECG
-         Auscultated lung sounds synchronized with breathing rate, 0 - 60 BPM
-         Individual lung or bilateral sound selection
-         Normal or abnormal bowel sounds
-         Vocal sounds – computer-generated sounds, mixed with voice input (via microphone sold separately)

Heart Sounds

Synchronized with programmable ECG
-         Aortic Stenosis
-         Friction Rub
-         Austin Flint Murmur
-         Diastolic Murmur Mi Stenosis
-         Systolic Murmur
-         Mitral Valve Prolapse
-         Normal Heart Sounds – Apex
-         Opening Snap Msec
-         Ventricular Septal Defect
-         Atrial Septal Defect
-         Pulmonary Stenosis
-         Stills Murmur
-         Normal Heart Sounds

Lung Sounds

Synchronized with breathing rate, 0 – 60 bpm

Individual lung or bilateral sound selection
-         Coarse Crackles
-         Fine Crackles
-         Normal Breath Sounds
-         Pneumonia
-         Stridor
-         Wheeze
-         Pleural Rub
-         Rhonchi

Bowel Sounds

Normal and abnormal bowel sounds
-         Borborygmus
-         Fetal Tones
-         Hyperactive Bowel
-         Hypoactive Bowel
-         Normal Bowel

Vocal Sounds

Computer-generated sounds, mixed with voice input (via microphone sold separately)
-         Cough
-         Vomit
-         Moan
-         Scream
-         SOB Breathing
-         Yes
-         No
-         Hiccup (infant)
-         Cry (infant)

Blood Pressure / Pulses
-         Articulating blood pressure arm for auscultated and palpated blood pressure simulation
-         Korotkoff sounds synchronized with ECG
-         Korotkoff sounds volume control in 10 steps, 0-9
-         Systolic and diastolic pressure may be set individually in steps of 2mmHG
-         Systolic 0-300mmHG, Diastolic 0-300 mmHG
-         Auscultative Gap, with on/off feature
-         Pressure accuracy +/- 2mmHG
-         Calibrate function to adjust pressure sensor and cuff gauge
-         Palpated pulse simulator controls brachial and radial pulses
-         Pulses only active when palpated
-         Pulses synchronized with programmable ECG
-         Pulse strengths dependent on Blood Pressure

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