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 .
Page 4
About the Simulator LF4300: TERi Geriatric Patient Care Trainer ™ • Normal and Cancerous Moles • Stage 1 Sacral Ulcer • Superior Range of Motion • Reddened Skin Folds • Enhanced Full Body Aesthetics • Bandaging and Wound Dressing (Recommended bandages: Silicone Adhesive Bandages) •...
Page 6
Geriatric Patient Geriatric Patient Geriatric Patient Feature Set Capability Care Trainer Skills Trainer Simulator Superior range of motion ✓ ✓ ✓ Enhanced full body aesthetics ✓ ✓ ✓ Lightweight: 50 lbs. ✓ ✓ ✓ General Pupils ✓ ✓ ✓ Male and female ✓...
List of Components TERi Geriatric Patient Care Trainer LF4300 TERi Geriatric Patient Simulator LF4302 (includes ™ ™ monitors) • Male Genitalia Foreskins, Pack of 3 (LF000843 G) TERi Geriatric Patient Simulator Export LF4302EX ™ • Pupils, Constricted, Set of 2 (LF04317 B) (excludes monitors) •...
Set Up Arms / Joints / Legs / Eyes / Oral Hygiene Note: All Versions of TERi come packaged with Eyes ™ the normal eyes, dentures, and female genitalia installed . Geriatric Patient Skills Trainer and All versions of TERi ™...
Set Up Ear Care / Bath & Washing / Tracheostomy Care Ear Care Tracheostomy Care Both ears may be Suctioning, dressing changes, tracheostomy tube irrigated . Using water to placement, and cuff inflation may be practiced perform ear irrigation is on the simulator .
Set Up Lavage / Gavage / Suctioning / Nasogastric / Carotid Pulse Oral and Nasal Lavage, To remove the Stomach Gavage, and Suctioning Reservoir Bag: Access to the stomach 1 . Remove the head by is provided through the disconnecting the mouth and both nostrils .
. Pump Spray Lubricant provided (See Figure Note: Use Nasco Healthcare’s Pump Spray Lubricant 17) . NG tubes should to lubricate airway devices before use . be well lubricated and force should not be...
Preferred bag . Each bag will cause visual chest rise in the correct anatomical location to indicate effective Note: Use Nasco Healthcare’s Pump Spray Lubricant and ineffective intubation styles . Jaw thrust is to lubricate airway devices before use .
Set Up Ostomy Care Ostomy Care Colostomy and ileostomy care can be practiced on all TERI models, including stoma dilation, cleaning, and ™ ostomy bag changing procedures . Irrigation can be practiced . Irrigation tubes should be well lubricated prior to insertion . After completion of the exercises, the stomas can be rinsed with warm water to remove any residual lubricant .
Set Up Gastrostomy Care Lavage and Gavage Gastrostomy Care Lavage and Gavage To attach the bag: 1 . Push the coupler body (with bag attached) A flanged hole simulating onto the coupler insert (part with the black an abdominal incision O-ring) that is protruding from the underside of for the insertion of a the gastrostomy inside the upper torso of the...
Set Up Male Catheterization Male Catheterization Note: The Fluid Supply & Prostate Examination Stand is not included . Features included with Use distilled water or LF04301, LF04302, and follow instructions on LF04302EX . the Simulated Urine . The male genital 4 .
Set Up Foreskin Application / Prostate Examination Foreskin Application Prostate Examination Place the foreskin over the gland by lubricating the There are five prostates gland with baby powder and placing the foreskin included with your over the gland . The placement of the foreskin can simulator .
Set Up Female Catheterization Female Catheterization, 4 . Lubricate the catheter Enema Insertion & being used with the Pump Spray Lubricant Cervical Examination provided (See Figure 42) . Features included with The catheter should LF04301, LF04302, and be well lubricated and LF04302EX .
Set Up Set Up Enema Administration Female Cervical Exam Enema Administration Female Cervical Examination Features included with LF04301, LF04302, and Features included with LF04301, LF04302, and LF04302EX . LF04302EX . Enema Administration can only be practiced on the The female genital insert allows for douching . Only female genital insert .
Set Up Suprapubic and Urinary Catheterization Suprapubic Catheterization Note: Use distilled water or follow instructions on Features included with LF04301, LF04302, and the Simulated Urine . LF04302EX . 7 . Lubricate the catheter being used with the To prepare the simulator for suprapubic Pump Spray Lubricant provided .
Set Up Blood Pressure Arm Blood Pressure Arm 2 . Attach this end of the Features included with LF04301, pressure line to the LF04302, and LF04302EX . female luer fitting assembled at the top of the electronic control Installing the Batteries unit marked CUFF .
Page 21
Set Up Blood Pressure Arm Setting Systolic and Diastolic Pressure Setting the Heart Rate 1 . Press the Menu Key once . 1 . Press the Menu Key a third time . 2 . The “Set SYSTOLIC” 2 . The “Set HEARTRATE” pressure menu will menu will display in display in the Electronic...
Page 22
Set Up Blood Pressure Arm Setting the Palpable Pulse Setting the Auscultatory Gap This function is included to simulate the gap that The palpable pulse is sometimes present between phases 1 and 2 in is found at the radial which no audible sound is noted . location .
Page 23
Set Up Blood Pressure Arm Performing a Blood Pressure Calibration Procedures 1 . Verify the pressure line tubing from the 1 . Follow the setup procedures . sphygmomanometer and the audio line from the arm are properly connected to the electronic 2 .
Page 24
Set Up Blood Pressure Arm Preparing Your Sphygmomanometer for Use with Blood Pressure Simulator In the event the supplied sphygmomanometer would cease to operate, any standard sphygmomanometer can be adapted for use with the blood pressure simulator . It is recommended that a child size cuff continue to be used .
Set Up IV and Injection Arm IV and Injection Arm 2 . Close the clamp on the IV tubing and pour the Features included with LF04301, LF04302, and synthetic blood into one of the provided fluid LF04302EX . supply bags . This will be IV Bag A . Fill to 500 cc maximum .
Set Up Injectable Arm Preparing the Arm for Intravenous Infusions Proof of proper procedure will be evidenced by the flow of fluid from IV Bag A . Control flow rate with the clamp on IV Bag A . A third IV Bag (not supplied) 1 .
Page 27
Set Up Injectable Arm User Help Guide for the Injectable Training Arm Care and Maintenance 1 . Follow procedures and ensure clamps are open After each use of the Injectable Training Arm, follow on appropriate fluid supply/IV bags and/or these procedures: shoulder tubes .
Page 28
Set Up Injectable Arm To prevent causing harm to the Injectable Leg Skin Replacement Training Arm: 1 . Remove the eight screws retaining the hip joint 1 . Use distilled water rather than alcohol, Betadine to the leg . (See Figure 73) . ®...
Page 29
Set Up Injectable Arm Intramuscular Injections Cautions Intramuscular injections may be performed in 1 . This synthetic blood is specially formulated to inserts at the left hip, right thigh, at both deltoids of be compatible with the self-sealing veins and the standard arms, and left deltoid of the injectable plastics used in manufacturing the injectable training arm .
Set Up Auscultation Auscultation 2 “AAA” batteries into the remote control . The Features included with LF04302, and LF04302EX . compartments are marked as to the positions of the batteries “+” or “-” . The auscultation feature duplicates heart and lung 4 .
Page 31
Set Up Auscultation Listening to Selected Heart and Lung Sounds Using the Amplified Speaker (purchased separately LF01189U) 1 . Follow the instructions above to activate remote control, SmartScope , and select desired sounds . 1 . Locate the SmartScope and speaker cord ™...
Set Up Anterior Heart Sites Second left intercostal space Second right (pulmonic) intercostal space (aortic) Third left intercostal space (Erb’s point) (lower left Fourth left sternum) intercostal space Apex Erb’s Point Aortic Second Pulmonic Second Fourth Left Third Left Lower Left Right Intercostal Left Intercostal Intercostal...
Set Up Anterior / Posterior Lung Sites First right intercostal Tracheal Site space First left intercostal Lower space anterior Upper posterior Lower posterior Midaxillary Midaxillary Lower Posterior Lung Sites First Left & Right Upper Posterior Tracheal Site Two Midaxillary Sites Intercostal Sites Lung Sites 2 Lower Anterior Sites...
Set Up Set Up Pressure Injury Wounds Edema Pressure Injury Wounds Edema Features included with LF04301, LF04302, and Features included with LF04301, LF04302, and LF04302EX . LF04302EX . Pressure wound identification and care may be performed by using the included foot wound sleeve . Five wounds are included: Stages 1-4 and a deep Edema identification may be performed by using tissue wound .
Set Up CPR Measuring CPR Measuring Powering on CPR Monitoring Feature Features included with LF04301, LF04302, and LF04302EX . 1 . To power on the CPR monitoring feature, Apple or Android device access the “ON/OFF” button through the The CPR Plus application enables accurate and genital opening in the effective training using CPR Add-on Student or pelvis (See Figure 85) .
Page 37
Set Up Consumables Consumables LF04314 Enema Reservoir LF04315 Gastrostomy Reservoir 100-2028 Carotid Pulse Bulb LF04316 Enema Bag HC53411 Release Compound for Urinary Cath LF04317 A Pupils, Normal, Set of 2 LF00843 G Male Genitalia Foreskins, Pack of 3, Light LF04317 B Pupils, Constricted, Set of 2 LF00845 Simulated Blood, Quart LF04317 C Pupils, Dilated, Set of 2...
Set Up Care and Maintenance Overall Care and Maintenance General Care Storage 1 . Most cleaning can be done with a soft cloth, mild In order to prepare TERi for storage perform a soap, and warm water . Avoid over washing the normal manikin breakdown procedure by removing painted areas on the manikin .