Nursing Anne

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
• 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

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

SimPad® Capabilities (sold separately)

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 palpatedPulses synchronized with programmable ECG
• Pulse strengths dependent on Blood Pressure

Breast Exam Module (Optional)

• 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 (Optional)

• 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 (Optional)

• 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

Wound Assessment & Care Modules (Optional)

• 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 condition
• 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