Nursing Anne Simulator

Completely wireless and self-contained
Internal electrical and pneumatic power
Supplemental wired connectivity and power
Wirelessly integrates with existing computer networks

Articulation / Range of Motion

• Full articulation for realistic patient handling procedures
• Head can be flexed into chin to chest position and remain flexed until repositioned
• Legs dock to pelvis so that mechanical, electrical and pneumatic connections are made simultaneously with attachment
• Sits unassisted and bends at waist to tripod position

Palpable Anatomy

Palpable anatomy for assessment and site location, including clavicle, sternum, spine, ribs (front and sides), xiphoid process, scapula, anterior superior iliac crest, pubic symphysis, and greater trochanter

Patient Care & Assessment

• Wig for hair care procedures
• Blinking eyes with adjustable blink rate and ability to open, close or partially closed
• Interchangeable pupils (normal, dilated, constricted)
• Ear canal for practice of irrigation and cleaning
• Nasal packing
• Removable upper denture for oral and denture care
• Toes spread for bandaging

Airway

• 带有紫外线，上皮，声带和食道的真实气道
• Head tilt/Chin lift
• Jaw thrust w/articulated jaw
• Sellick’s Maneuver
• Suctioning (Oral & Nasopharyngeal)
• 各种氧气递送方法，可见胸部上升，包括鼻套管，口罩，trach项圈/面具，CPAP设备
• Bag-mask ventilation
• Orotracheal intubation
• 鼻气管插管

• Supraglottic airway placement

• Endotracheal tube intubation

NG Tube

• Insertion of NG Tube
• Accurate anatomical landmarks for tube measurement (nose to earlobe to xiphoid process)
• 灌洗和填喂法
• Internal stomach reservoir with 500mL fluid capacity, external quick fill port, and optional external bag for large volume infusions

Tracheostomy

• Concealed port in neck for insertion of tracheostomy tube
• Trach护理和
• Reservoir for practice of tracheal suctioning with fluid
• Ventilations with chest rise

Chest compression

• Chest compressions with maximum compression depth of 70mm

Injections

IV

• Bilateral pre-ported IV arms with capability for fluid administration when attached to a fluid bag

• Optional female multi-venous IV training arm with capability of IV placement, fluid administration, and venipuncture

Intramuscular

• Bilateral deltoid, ventral gluteal, dorsal gluteal and thigh injection sites
• Papable anatomy to aid in site selection includes anterior superior iliac crest, pubic symphysis, and greater trochanter

Subcutaneous Abdominal Injection

• Abdominal module with an injectable region centered around the umbilicus with a 5” radius

中央线

• Invisible port below the clavicle for pre-placement of central line catheter for site care, dressing change, flushing lines, and continuous or intermittent infusion
• Internal central line reservoir with 500mL fluid capacity, with option to use an external reservoir bag for large volume infusions

Gastrostomy

• Invisible port in upper left abdomen for pre-placement of a PEG or G tube for feeding
• Internal reservoir with 500mL fluid capacity, with option to use an external reservoir bag for large volume infusions

Ostomy

• Colostomy stoma with through hole connects to fluid reservoir for irrigation procedure
• Three interchangeable stomas include normal, dusky (non-perfusing), and infected
• Area around stoma will accept an ostomy pouch consisting of a skin barrier and connecting pouch

Genitalia

• Female genitalia with lifelike feel and realistic anatomy, includes labia majora, labia minora, urethral opening, clitoris, and vagina
• 拉比亚·米诺拉（Labia Minora

Perineal Care

• Patient simulator shall allow manipulation into dorsal recumbent position for perineal care
• Genitalia shall accept perineal care with a washcloth and warm water, including separation of the labia for cleansing

Urinary Catheterization

• Manipulation into supine position with knees flexed is possible
• Genitalia accepts straight or indwelling catheters
• Genitalia attaches to an internal system including an internal urinary reservoir for urinary catheterization with ability to pressurize reservoir for proper fluid return
• Urinary reservoir has external quick access port for ease in filling
• Genitalia can be cleaned with betadine or chlorhexidine products and is compatible with glycerin/water-based lubricants typically found in a Foley kit

Vaginal Suppositories / Medications

• Vaginal canal allows for insertion of vaginal suppositories or medications

Enema

• Manipulation into Sims’ position for enema administration possible
• Genitalia attaches to external reservoir bag for enema administration

Rectal Suppositories

• Anal opening will accept real and simulated rectal suppositories

SimPad +, SimPad经典或LLEAP系统是required for operation of the Nursing Anne Simulator. The SimPad PLUS and LLEAP systems are sold separately. See the SimPad PLUS System or LLEAP pages for more information.

Breathing

• Spontaneous breathing synchronized with selected breath rate (0-60 bpm)
• Bilateral or unilateral chest rise
• Right main stem intubation with right side unilateral chest rise

Pulses

• Palpable pulses synchronized with ECG and adjustable in strength (weak, normal and strong)
• Bilateral carotid pulses ( the same pulse left and right)
• Brachial and radial pulses in the right and left arm, with right and left independent control
• Brachial pulse disabled and turned off if the pressure in the cuff is larger than 20 mmHg
• Radial pulse turned off when the pressure in the BP cuff is larger or equal to the set systolic BP
• Bilateral femoral pulses ( the same pulse left and right)
• Bilateral pedal pulses with right and left independent control

ECG

• ECG monitoring capabilities when used with SimPad PLUS, SimPad Classic or LLEAP, and ShockLink™

Defibrillation / Pacing

• Defibrillation, cardioversion, and pacing when used with ShockLink (training pads – apex and sternum)

Sounds

• Audible vocal sounds, as well as heart, lung and bowel sounds may be auscultated with real stethoscope when used with SimPad PLUS, SimPad Classic, or LLEAP

Vocal Sounds

Pre-recorded single vocal sounds can be either played at a controllable volume, as a single occurrence or continuously repeated, including:

• Cough
• Moan
• Vomit
• SOB Breathing (continuous sound)
• Scream
• “Yes”
• “No”
• Ability to download vocal sounds to the remote and play them during simulation
• Optional wireless headset/ microphone allows user to talk through simulator
• Vocal sounds can be assigned to certain state themes

Lung Sounds

Anterior and posterior lung sounds synchronized with the set breathing rate (0-60 bpm) and chest rise on the manikin

• Normal
• Coarse crackles
• Fine crackles
• Pleural rub
• Pneumonia
• Rhonchi
• Stridor
• Wheezes
• No Sound

Lung sound and sound volume may be set individually for each lung – left and right, upper and lower

Eight anterior and six posterior lung sound auscultation sites

Heart Sounds

Heart sounds synchronized with the ECG (QRS)

• Normal
• Aortic stenosis
• Austin Flint Murmur
• Friction Rub
• Mitral Valve Prolapse
• Systolic Murmur
• Diastolic Murmur
• [email protected]/ Open Snap MS

Non-perfusing rhythms will not generate heart sounds

Bowel Sounds

Four independently controlled auscultation areas for bowel sounds, centered around the umbilicus

Volume control in each quadrant

Bowel sounds are continuous repetitive sounds repeated infinitely

• Normal
• Hyperactive
• Borborygmus
• Hypoactive
• No Sound

Auscultation of fetal heart tones, instead of bowel sounds, are available for auscultation from the abdomen

• Fetal Normal 140bpm
• Fetal Tachycardia 200bpm
• Fetal Bradycardia 100bpm

Non-Invasive Blood Pressure

• 与Simpad Plus，Simpad Classic或LLEAP一起使用时，双边测量非侵入性血压（听觉或触诊）
• Korotkoff声音与可编程的ECG同步，并在双臂中提供10个步骤（0-9）的声音量控制
• Auscultatory gap on/ off feature
• Pressure range of 0-300mmHg

Optional Accessories

• ShockLink™
• Zoll Defibrillator Connector (ShockLink)
• Physio Control® Quick Combo™ Connector (ShockLink)
• Multi-Venous IV Training Arm
• Tablet PC Instructor – Patient Monitor
• Rugged Table Instructor PC – Patient Monitor
• Laptop LLEAP Instructor PC – Patient Monitor
• All-in-One Panel PC Instructor-Patient Monitor
• Wireless Headset

Simulated Patient Monitor

An optional, configurable, touchscreen Patient Monitor is available

When used with the handheld remote, parameters include:

• HR
• BP
• ECG
• SpO2
• Respiratory Rate
• Temperature

When used with the PC to operate the simulator, parameters include:

• ECG (2 traces)
• SpO2
• CO2
• ABP
• CVP
• PAP
• PCWP
• NICP
• TOF
• Cardiac Output
• Temperature (core and peripheral)
• AGT (labeled)
• awRR
• N2O
• ICP
• O2
• pH
• Patient Information Display
• X-Ray Display
• Blood Gases Display
• 12 Lead ECG Display

The PC operated version will permit:

• Multi-media images to be inserted into simulations via the touchscreen patient monitor
• Pre-recorded multi-media videos to be inserted into simulations via the touch screen patient monitor
• Lab values to be inserted into simulations via the touchscreen patient monitor
• X射线将通过触摸屏患者显示器插入模拟中

Scenarios and Debriefing

操作系统能够通过自动模式（预编程的方案）和手动模式（“即时”实时修改场景参数）操作。

Operating system can integrate with debriefing software, which combines synchronized student log, patient monitor display, live audio and video feed in a single debriefing file

System may be used with a web camera

Operating system can connect to an online store that sells pre-programmed scenarios and scenario aids that can be imported to the instructor remote or PC

Compatibility

Nursing Anne Simulator is compatible with the following systems/software:

• LLEAP – Laerdal Learning Application
• SimPad® PLUS System
• SimPad® Classic System (backward compatible)
• SimStore™
• SimManager™
• SimView™ / SimView™ Mobile
• Session Viewer
• ShockLink™