Nasco TERi LF04300 Bedienungsanleitung

TERi™

Patient Care Trainer LF04300

Patient Skills Trainer LF04301

Patient Simulator LF04302

Patient Simulator, Export LF04302EX

INSTRUCTION MANUAL

5 Year Warranty

Table of Contents

About the Simulator ..........................................3

List of Components ...........................................7

Arms / Joints / Legs / Eyes / Oral Hygiene . . . . . . . . . . . . . . . . . . . . . . . 8

Ear Care / Bath & Washing / Tracheostomy Care.................9

Lavage / Gavage / Suctioning / Nasogastric / Carotid Pulse......10

Lavage / Gavage / Suctioning / Nasogastric ....................11

Intubatable Head ............................................12

Ostomy Care.................................................13

Gastrostomy Care Lavage and Gavage .........................14

Male Catheterization .........................................15

Foreskin Application / Prostate Examination...................16

Female Catheterization.......................................17

Enema Administration .......................................18

Female Cervical Exam ........................................18

Suprapubic and Urinary Catheterization.......................19

Blood Pressure Arm ..........................................20

IV and Injection Arm .........................................25

Injectable Arm...............................................26

Auscultation .................................................30

Anterior Heart Sites ..........................................32

Anterior / Posterior Lung Sites ................................33

Pressure Injury Wounds ......................................34

Edema ......................................................34

CPR Measuring ..............................................35

Consumables ................................................36

Care and Maintenance .......................................38

About the Simulator

Nasco Healthcare TERi™Androgynous Geriatric

Trainer is a comprehensive male/female elderly

patient care trainer for medical simulation. Evolving

from our GERi™/KERi™full-body manikins, it has a

more realistic look and feel accurately representing

the human anatomy. Weight is distributed to

represent a real patient for lifting and carrying.

Each version is affordable and durable with

upgradable items.

• Geriatric Patient Care Trainer – General patient

care, daily living assistance simulation platform.

• Geriatric Patient Skills Trainer – Physical skills

practice simulation platform with injection/IV,

catheterization, cardiovascular and respiratory

support.

• Geriatric Patient Simulator – Comprehensive and

complete simulation platform including patient

monitoring capability.

• Superior Range of Motion

• Enhanced Full Body Aesthetics

• Articulating Jaw

• Lightweight: 50lbs

• Interchangeable Pupils: normal, constricted, dilated

• Male & Female Options (wig included)

• Soft Male (circumcised and uncircumcised features) and

Female Genitalia

• Normal and Cancerous Moles

• Stage 1 Sacral Ulcer

• Reddened Skin Folds

• Bandaging and Would Dressing (Recommended bandages:

Silicone Adhesive Bandages)

• Patient Positioning (fully articulated)

• Clothing Changes

• Bed Baths

• Eye Irrigation & Optic Drops

• Dental Care (including placement and removal)

• Ear Canal Irrigation

• Hearing Aid Included (interchangeable between right and left

ears)

• Hair Care

• Pericare

• Ostomy Care (ileostomy and colostomy care)

• Urinary Catheter Care (external care only; supporting bladders

not included)

• Stomas (colostomy and ileostomy)

• Standard Arms with Injection Sites (IM injection only)

• Injection Sites (thigh, right side buttocks supporting IM and

sub-cutaneous injections)

• Support for Oxygen Administration

LF4300: TERi™Geriatric Patient Care Trainer

About the Simulator

• Superior Range of Motion

• Enhanced Full Body Aesthetics

• Articulating Jaw

• Lightweight: 50lbs

• Interchangeable Pupils: normal, constricted, dilated

• Male & Female Options (wig included)

• Soft Male (circumcised and uncircumcised features) and

Female Genitalia

LF4301: TERi™Geriatric Patient Skills Trainer

• Normal and Cancerous Moles

• Stage 1 Sacral Ulcer

• Reddened Skin Folds

• Bandaging and Would Dressing (Recommended bandages:

• Silicone Adhesive Bandages)

• Patient Positioning (fully articulated)

• Clothing Changes

• Bed Baths

• Eye Irrigation & Optic Drops

• Dental Care (including placement and removal)

• Ear Canal Irrigation

• Hearing Aid Included (interchangeable between right and left

ears)

• Hair Care

• Pericare

• Ostomy Care (ileostomy and colostomy care)

• Urinary Catheter Care (external care only; supporting bladders

not included)

• Stomas (colostomy and ileostomy)

• Support for Oxygen Administration

• Left Blood Pressure Arm with Radial Pulse

• Injection Sites (arms, thigh, right side buttocks supporting IM

and sub-cutaneous injections)

• Gastrostomy Procedures (lavage, gavage, tube placement)

• Nasogastric Tube Procedures (lavage, gavage, tube placement,

feeding, suctioning)

• Respiratory Support:

• Tracheostomy Care, Airway/Trach Suctioning (lavage,

suctioning)

• Urinary Catheterization

• Suprapubic Catheterization

• Enema Administration (female)

• Pap Smears (female)

• Pelvic Examination (female) –

• 3 cervix presentations (healthy/normal, pre-cancerous,

cancerous)

• Prostate Examination (male) –

• 5 prostate presentations (1 normal/healthy, 4 cancerous in

varied sizes)

• Right IV Arm

• Foot Wound Care

• CPR with Quality Performance Metrics (compressions and

ventilation rate & depth; audible and visual feedback)

• Carotid Pulse (manual)

• Intubation

• Ventilation

• Superior Range of Motion

• Enhanced Full Body Aesthetics

• Articulating Jaw

• Lightweight: 50lbs

• Interchangeable Pupils: normal, constricted, dilated

• Male & Female Options (wig included)

• Soft Male (circumcised and uncircumcised features) and

• Female Genitalia

• Normal and Cancerous Moles

• Stage 1 Sacral Ulcer

• Reddened Skin Folds

• Bandaging and Would Dressing (Recommended bandages:

Silicone Adhesive Bandages)

• Patient Positioning (fully articulated)

• Clothing Changes

• Bed Baths

• Eye Irrigation & Optic Drops

• Dental Care (including placement and removal)

• Ear Canal Irrigation

• Hearing Aid Included (interchangeable between right and left

ears)

• Hair Care

• Pericare

• Ostomy Care (ileostomy and colostomy care)

• Urinary Catheter Care (external care only; supporting bladders

not included)

• Stomas (colostomy and ileostomy)

• Support for Oxygen Administration

• Left Blood Pressure Arm with Radial Pulse

• Injection Sites (arms, thigh, right side buttocks supporting IM

and sub-cutaneous injections)

• Gastrostomy Procedures (lavage, gavage, tube placement)

• Nasogastric Tube Procedures (lavage, gavage, tube placement,

feeding, suctioning)

• Respiratory Support:

• Tracheostomy Care, Airway/Trach Suctioning (lavage,

suctioning)

• Urinary Catheterization

• Suprapubic Catheterization

• Enema Administration (female)

LF4302: TERi™Geriatric Patient Simulator (includes

monitors)

LF4302EX: TERi™Geriatric Patient Simulator

Export (excludes monitors)

• Pap Smears (female)

• Pelvic Examination (female) – 3 cervix presentations (healthy/

normal, pre-cancerous, cancerous)

• Prostate Examination (male) – 5 prostate presentations (1

normal/healthy, 4 cancerous in varied sizes)

• Right IV Arm

• Foot Wound Care

• CPR with Quality Performance Metrics (compressions and

ventilation rate & depth; audible and visual feedback)

• Carotid Pulse (manual)

• Intubation

• Ventilation

• Auscultation (heart and lung sounds)

• Patient Vital Signs and Monitored Signals Simulation Suite

(LF04302EX does not include monitors/tablets)

Feature Set Capability Geriatric Patient

Care Trainer Geriatric Patient

Skills Trainer Geriatric Patient

Simulator

General

Superior range of motion ✓✓✓

Enhanced full body aesthetics ✓✓✓

Lightweight: 50 lbs. ✓✓✓

Pupils ✓✓✓

Male and female ✓✓✓

Soft male and female genitalia ✓✓✓

Skin Care

Normal and cancerous moles ✓✓✓

Stage 1 sacral ulcer ✓✓✓

Reddened skin folds ✓✓✓

Bandaging and wound dressing ✓✓✓

Movement Assistance,

Fall Prevention and Care Patient positioning ✓✓✓

Bathing Clothing changes ✓✓✓

Bed baths ✓✓✓

Grooming &

Daily Living

Assistance

Eye irrigation and optic drops ✓✓✓

Dental care ✓✓✓

Ear canal irrigation ✓✓✓

Hearing aid ✓✓✓

Hair care ✓✓✓

Nursing Care

Pericare ✓✓✓

Ostomy care ✓✓✓

Urinary catheter care ✓✓✓

Stomas ✓✓✓

Standard arms with injection sites ✓✓✓

Support for oxygen administration ✓✓✓

Left blood pressure arm (with radial pulse) Option*✓ ✓

Advanced Skills

Injections sites Option*✓ ✓

Gastrostomy procedures ✓ ✓

Nasogastric tube procedures ✓ ✓

Respiratory support: tracheostomy care, airway/trach suctioning ✓ ✓

Urinary catheterization ✓ ✓

Enema administration (female) ✓ ✓

Pap smears (female) ✓ ✓

Pelvic examination (female) ✓ ✓

Prostate examination (male) ✓ ✓

Right IV arm trainer Option*✓ ✓

IV arm circulation pump Option*Option*Option*

Foot wound care ✓ ✓

ACLS/BLS

CPR with quality performance metrics ✓ ✓

Carotid pulse ✓ ✓

Articulating jaw ✓✓✓

Intubation ✓ ✓

Ventilation ✓ ✓

Advanced Nursing ACLS/BLS Auscultation (heart and lung sounds) ✓

Monitoring&Therapeutics Patient vital signs and monitored signals Option1Option2,3 ✓3

TERi™Geriatric Patient Care Trainer LF4300

• Male Genitalia Foreskins, Pack of 3 (LF000843 G)

• Pupils, Constricted, Set of 2 (LF04317 B)

• Pupils, Dilated, Set of 2 (LF04317 C)

• Male Genitalia (LF04318)

• Female Genitalia (LF04319)

• Hearing Aid (LF04325)

• Wig (LF04326)

• Dentures, Upper & Lower (LF04327)

• Hospital Gown (LF04333)

TERi™Geriatric Patient Simulator LF4302 (includes

monitors)

TERi™Geriatric Patient Simulator Export LF4302EX

(excludes monitors)

• Male Genitalia Foreskins, Pack of 3 (LF000843 G)

• Pupils, Constricted, Set of 2 (LF04317 B)

• Pupils, Dilated, Set of 2 (LF04317 C)

• Male Genitalia (LF04318)

• Female Genitalia (LF04319)

• Hearing Aid (LF04325)

• Wig (LF04326)

• Dentures, Upper & Lower (LF04327)

• Hospital Gown (LF04333)

• Simulated Blood, Pint

• Blood Pressure Cuff with Sphygmomanometer

(LF01073)

• Electronic Blood Pressure Control Unit with

Batteries (LF01096)

• Fluid Supply Bag, 500 ml, with Pinch Clamp

(LF01130)

• Cervix Kit, Set of 7 (LF01230 C)

• Pump Spray Lubricant (LF03644)

• Foot Wounds, Pressure Injury Stages 1-4 (LF04310)

• Foot Wound Sleeve (LF04310 A)

• Deep Tissue Wound (LF04328)

• Enema Bag (LF04316)

• Edema, Set of 5, Stages 1-4 & Non-Pitting

(LF04329)

• Prostate Kit, Set of 5 (LF04332)

• External Bladder Bag, Urinary & Suprapubic

(LF04334)

• Simulated Urine, Quart (PN01037)

• Carotid Pulse Bulb (100-2028)

• Syringe, 20 cc

• Auscultation SmartScope™ with Batteries

(LF01144)

• Auscultation Remote with Batteries (LF01148)

• Patient Vital Signs and Monitored Signals

Simulation Suite (LF04302EX does not include

monitors/tablets)

List of Components

TERi™Geriatric Patient Skills Trainer LF4301

• Male Genitalia Foreskins, Pack of 3 (LF000843 G)

• Pupils, Constricted, Set of 2 (LF04317 B)

• Pupils, Dilated, Set of 2 (LF04317 C)

• Male Genitalia (LF04318)

• Female Genitalia (LF04319)

• Hearing Aid (LF04325)

• Wig (LF04326)

• Dentures, Upper & Lower (LF04327)

• Hospital Gown (LF04333)

• Simulated Blood, Pint

• Blood Pressure Cuff with Sphygmomanometer

(LF01073)

• Electronic Blood Pressure Control Unit with

Batteries (LF01096)

• Fluid Supply Bag, 500 ml, with Pinch Clamp

(LF01130)

• Cervix Kit, Set of 7 (LF01230 C)

• Pump Spray Lubricant (LF03644)

• Foot Wounds, Pressure Injury Stages 1-4 (LF04310)

• Foot Wound Sleeve (LF04310 A)

• Deep Tissue Wound (LF04328)

• Enema Bag (LF04316)

• Edema, Set of 5, Stages 1-4 & Non-Pitting (LF04329)

• Prostate Kit, Set of 5 (LF04332)

• External Bladder Bag, Urinary & Suprapubic

(LF04334)

• Simulated Urine, Quart (PN01037)

• Carotid Pulse Bulb (100-2028)

• Syringe, 20 cc

TERi™comes packaged with the normal pupils,

dentures, female genitalia, lungs, stomach, and

other internal reservoir bags installed (features

included with LF04301, LF04302, and LF04302EX).

Eyes

All versions of TERi™

come with 3 sets of

brown eyes. 1 set of

normal pupil brown

eyes, 1 set of constricted

pupil brown eyes and

1 set of dilated pupil

brown eyes. The normal

Arms / Joints

TERi™is packaged

with arms and female

genitalia attached and

legs unattached to

prevent damage during

shipping. Refer to the

following sections for

assembly instructions

(See Figure 1).

Note: All Versions of TERi™come packaged with

the normal eyes, dentures, and female genitalia

installed. Geriatric Patient Skills Trainer and

Simulator (LF04301, LF04302, LF04302EX) come

with lungs, stomach, and other internal reservoir

bags installed.

Set Up

Arms / Joints / Legs / Eyes / Oral Hygiene

Fig 2. Fig 4.

Fig 3.

Fig 1.

Leg Assembly

The legs attach to

the body at the

hips by rotating

the legs backward

approximately 150°

so the feet are near

the shoulders and the

keyholes are aligned.

(See Figure 2).

eyes come installed in the head. The eyes can be

changed to dilated or constricted by creasing the

skin at the outside of each eye and rolling the eye

up. (See Figure 3.) Both eyes may be irrigated using

water. Eye sockets will hold no more than a few

drops of liquid at a time. Following completion

of the exercise, follow the above instructions for

removing the eye, dry the sockets completely with

a soft cloth, and replace the eyes.

Oral Hygiene

Tooth brushing should be simulated without water

or any cleaning agents to avoid leaking into the

head of the manikin and to simplify cleanup. Teeth

cannot be ﬂossed. Denture removal is accomplished

by grasping the dentures and pulling forward and

then down for the upper plate and forward then up

for the lower plate. (See Figure 4). Dental adhesive

may be used.

Note: To clean adhesive,

use mild soap, warm

water, and a soft cloth.

Allow to dry completely

before storing.

Set Up

Ear Care / Bath & Washing / Tracheostomy Care

Ear Care

Both ears may be

irrigated. Using water to

perform ear irrigation is

recommended. The ear

canal will hold up to

1 mL of water.

To drain, tilt the head

sideways and empty into

the basin or absorbent

cloth. (See Figure 5 & 6).

Cotton swabs may

be used gently in the

ear as you would with

a real patient. The

manikin includes a

simulated hearing aid for

placement practice. (See

Figure 7). The hearing

aid is interchangeable

between both ears.

Bed Baths and

Hair Washing

To simplify cleanup,

dry bed baths and

shampoos are

recommended to

eliminate the chance

Tracheostomy Care

Suctioning, dressing changes, tracheostomy tube

placement, and cuff inﬂation may be practiced

on the simulator. The tracheostomy canal is not

removable from the body. Any water administered

to this site must be suctioned out after completion

of the exercise. The tracheostomy canal (See Figure

8) can hold approximately 20 cc of water.

Ensure proper lubrication prior to inserting tubes

into the stoma site by using the Pump Spray

Lubricant included. The tracheostomy canal

is not connected to the oronasal system, and

access is provided only through the stoma site.

Recommended tracheostomy tube size is 6.0 mm.

Fig 5.

Fig 6.

Fig 7.

of water entering the inside of the manikin. A soft

cloth and water can be used for bathing exercises,

and a mild shampoo and cool water can be used for

hair washing. Avoid scrubbing any painted areas of

the manikin. To dry the wig, blot with a soft towel

and air dry. Do not brush the hair when wet, and

never use a hair dryer or blow dryer on the wig.

Note: Does not support

ventalation of lungs

through tracheostomy.

Supports lavage and

saline treatment.

Features included with

LF04301, LF04302, and

LF04302EX.

Fig 8.

Oral and Nasal Lavage,

Gavage, and Suctioning

Access to the stomach

is provided through the

mouth and both nostrils.

The internal stomach

reservoir bag has a 200 cc

capacity. The head

should be connected to

the stomach reservoir bag green) and NOT the

intubation air bladder bag yellow). (See Figure 9).

Lubricate feeding tubes generously prior to

inserting through mouth, nose, or nostrils by using

the Pump Spray Lubricant included. Only water

Fig 9.

Set Up

Lavage / Gavage / Suctioning / Nasogastric / Carotid Pulse

Fig 11.

Fig 13.

Fig 12.

should be used in tube

feeding exercises. Ensure

the upper torso of the

manikin is slightly

elevated to prevent

water backﬂow into the

head of the manikin.

Introduce water only

using standard facility

procedures and

materials.

Following the procedure, empty the stomach. Water

may be removed by suctioning or removing the

stomach reservoir bag by disconnecting 2 velcro

straps and white diconnect and then draining it

into a sink or basin. (See Figure 10).

Note: Ensure the manikin’s torso remains elevated

when the stomach reservoir bag contains water to

continue to prevent backﬂow into the head of the

manikin. Features included with LF04301, LF04302,

and LF04302EX.

To remove the Stomach

Reservoir Bag:

1. Remove the head by

disconnecting the

snaps on the head

skin, around the

neck, and pulling the

head straight back

with the head facing

forward. (See Figure 11).

Following completion of the procedures,

completely drain the stomach reservoir and allow

drying prior to reattaching and storing inside the

manikin. Wipe any residual lubricant with warm

water and a soft cloth.

2. Gently pull up head

to expose four tubes

with the stomach

reservoir bag

connected at the end.

(See Figure 12).

3. Unfasten the strap

that holds the

Stomach Reservoir

Bag and esophagus

tube together and

depress button on

the quick disconnect

feature of the bag.

(See Figure 13).

Carotid Pulse

Attach pump bulb to Carotid tube exiting the rear

neck. (See Figure 14). Pump bulb to simulate pulse

at the pulse points of the Carotid (See Figure 15).

Pulse points are present on both sides.

Fig 14. Fig 15.

Fig 10.

Disconnect

Velcro

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