Laerdal SimJunior Manuel D'instructions page 11

Preparing for Simulations
After the SimJunior Simulator is prepared and all applicable interactive
devices (SimPad or Instructor PC and Patient Monitor) are configured
and made ready for use, final preparations may need to be performed
before SimJunior is ready to run simulations.
Final simulation preparations include the following activities:
• Preparing the IO leg
• Administering IV Fluids
• Draining Excess IV Fluid
• Cleaning the IV Arm
• Connecting Defibrillation Adapter Plates
• Connecting the Blood Pressure Cuff
• Changing the Pupils
• Connecting an External Compressor
• Changing Settings for the Internal Compressor
Preparing the IO Leg
The Simulator's right leg is designed for practicing intraosseous infusion
skills. Anatomy of the right leg includes knee, tibia, tibial tuberosity site,
and medial malleolus site. The right leg comes with IV tubing and one
IV bag for use as a reservoir during infusion.
Additional equipment needed:
• IV bag and administration set
• Simulated blood concentrate
• 35cc syringe and 16-gauge intraosseous needle
To fill the IO Leg and prepare it for use:
1. Raise the leg vertically.
Simulator Setup
2. Open the plug at the heel.
3. With a syringe, fill the bone with approximately 240 to 250 cc of
simulated blood.
4. Attach tubing connected to an IV reservoir bag. (Use roller
clamp to open or close the line as needed in order to relieve
pressure build-up.)
5. Close off tubing that runs into the reservoir bag so that
simulated blood will remain in the bone for aspiration.
6. When the reservoir bag is filled, discontinue infusion and replace
with empty bag.
Before storing the Simulator:
– Detach the IV line and reservoir from the foot
– Allow all fluid to drain
– Store leg unplugged to allow it to air dry
Note: Do not use saline solution. It may cause deterioration of
the leg. Use distilled or de-ionized water to avoid buildup of
minerals.
Administering IV Fluids
The right IV Arm supports training for IV drug administration,
IV insertion, infusion, and bolus into peripheral veins of forearm,
antecubital fossa, and dorsum of the hand.
Use 20 to 22 gauge needle for IV simulation. To prevent clogging of
the IV system, use only distilled or de-ionized water to simulate IV
drugs.
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