Nursing Anne (SimPad/VitalSim Capable)

• Educationally effective for in-hospital training targeting key skills for in-hospital care including women?s health, obstetrics, postpartum care, wound assessment and care, and general patient care
• Scenarios available from the SimStore library provide standardized training while customizable scenarios and real-time instructor control allows adaptation to meet individual student?s needs
• Economical and educationally efficient skills and scenario based trainer
• Durable, rugged and lifelike; made to withstand years of use
• Flexible manikin platform allows multiple accessory modules to be added including trauma, Nuclear Biological Chemical (NBC) Module, and bleeding control for use in multiple clinical settings

• Head with anatomical landmarks, trachea and esophagus, along with simulated lungs and stomach allow the practice of many procedures, including NG, OG, tracheal care and suctioning
• Normal and abnormal heart, breath, and bowel sounds, and fetal heart tones for auscultation
• Extensive library of rhythm variants for ECG interpretations using standard clinical monitors
• Instructor-controlled blood pressure arm allows for realistic palpation and auscultation. Systolic and diastolic pressures, auscultatory gap, and volume are variable
• Articulating IV arm allows for practice of IV cannulation, medication administration, and site care and maintenance
• Practice medication dose calculations and administration through intramuscular injections at the deltoid, gluteal, ventrogluteal, and thigh sites
• Optional modules can be added for breast examination, post-surgical mastectomy care, fundus massage skills, and assessment and care of wounds and surgical incisions

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

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/li>
• 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

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

• 1 Nursing Anne Manikin
• Hospital Gown
• Airway Lubricant
• Assembly Tool Kit
• Instructions for use