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S U SI E ® S 1001
P re hos pi ta l a n d N u r s i n g C a re
User Guide
SUSIE
S1001 is an interactive educational system
User Guide 19.9.1
®
developed to assist a certified instructor. It is not a substitute
© Gaumard Scientific Company, 2019
All Rights Reserved
for a comprehensive understanding of the subject matter
www.Gaumard.com
and not intended for clinical decision making.
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Table of Contents
Related Manuals for Gaumard SUSIE S1001
Summary of Contents for Gaumard SUSIE S1001
- Page 1 S1001 is an interactive educational system User Guide 19.9.1 ® developed to assist a certified instructor. It is not a substitute © Gaumard Scientific Company, 2019 All Rights Reserved for a comprehensive understanding of the subject matter www.Gaumard.com and not intended for clinical decision making.
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Page 3: Table Of Contents
SUSIE® S1001 | User Guide Contents End User License Agreement 1. Introduction 1.1 Specifications 1.2 Care and Maintenance General Operating Conditions Storage Conditions IV Arm Nasogastric Feeding Procedures Cleaning Stoma and Breast Examination Insert Guidelines, Warnings, and Maintenance Electrical Therapy Warnings 2.1 Features Airway Spontaneous Breathing... - Page 4 SUSIE® S1001 | User Guide 4. Using SUSIE® S1001 4.1 Airway Nasal and Oral Intubation Airway Complication Airway Sounds Tracheostomy Care 4.2 Breathing Chest Rise Breathing Patterns Lung Sounds Ventilation 4.3 Circulation Heart Sounds Compression Electrical Therapy Palpable Pulses Programmable Blood Pressure Intravenous Extremities 4.4 Systemic Interchangeable Breast Examination Package...
- Page 5 Thinking In Terms of Palette Items Smart Scenarios 7. Wireless Network Configure the Vital Signs Broadcast 8. Warranty 8.1 Exclusive One-Year Limited Warranty 8.2 Extended Warranty 9. Contact Gaumard 9.1 Contacting Technical Support 9.2 General Information End User License Agreement...
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Page 6: End User License Agreement
(including damages for loss of business profits, business interruption, loss of business information, and the like) arising out of the use or inability to use such product or related to this agreement even if Gaumard has been advised of the possibility of such damages. -
Page 7: Introduction
General · Ball point pens, ink, and markers permanently stain the skin. · Do not wrap this or any other Gaumard product in newsprint. · Marks made with ballpoint pens, ink or marker cannot be removed. · Replacement parts are available from Gaumard Scientific or from your... -
Page 8: Arm
· Do not exceed a feeding rate of 1 mL/second. · SUSIE S1001 must be powered on for fluids to be extracted through the stomach/ intestine fluid access port. Failure to do so can permanently damage the system. -
Page 9: Cleaning
SUSIE® S1001 | User Guide · Mouth to mouth resuscitation without a barrier device is not recommended, as it will contaminate the airway. · Treat the simulator with the same precautions that would be used with real patient. Cleaning · The simulator should be cleaned with a cloth dampened with diluted liquid dish washing soap. -
Page 10: Electrical Therapy Warnings
· Electrode gel on the skin between any two electrode targets can become a pathway for electrical current, just as in real life. If this occurs, Susie S1001’s skin can be burned. · Should dark traces appear on the conductive patches due to gel residue or previous arcing, use a pencil eraser to remove the traces and then clean with alcohol. -
Page 11: Features
SUSIE® S1001 | User Guide 2. Overview 2.1 Features The SUSIE® S1001 is a prehospital and nursing care simulator is equipped with the following features: Airway · Oral and nasal intubation · Tongue edema and laryngospasm · Sensors detect depth of intubation ... -
Page 12: Systemic
SUSIE® S1001 | User Guide Systemic · Programmable bowl sounds · Decubitus ulcers · Colostomy and ileostomy exercises · Perform female/male catheterization and irrigation · Enema exercises BSE Techniques · Silicone breast inserts · Left breast includes six discreet nodes representing (in a slightly exaggerated form) various stages of fibrocystic disease (chronic mastitis). -
Page 13: Equipment Setup
SUSIE® S1001 | User Guide 3. Equipment Setup Unboxing Remove the simulator from the blue case with the assistance of at least two persons. Avoid lifting the simulator by the arms as it could damage the shoulder joints. Rest the simulator on a patient table capable of supporting the weight of a real adult patient. -
Page 14: Breast Examination Inserts
Secure the knee bolts without over tightening. Breast Examination Inserts SUSIE S1001’s breast examination inserts are shipped in a protective case. The package includes (1) normal right breast labeled (R1) and (1) abnormal left breast labeled (L1). For detailed information on pathology of each breast, go to page 32. - Page 15 SUSIE® S1001 | User Guide Unfasten the skin from the VELCRO attachment located on both shoulders. WARNING: Do not pull the skin’s ECG lead connection located on the left side of the chest cavity. Damage to this connection will require repair not covered under warranty.
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Page 16: Battery
SUSIE® S1001 | User Guide Battery SUSIE S1001 is shipped with the internal battery disconnected. Connect the battery lead as part of the first install process. Locate the white connectors on Susie’s right side 2. Connect the internal battery leads by clipping the white connectors together. -
Page 17: Battery Life
SUSIE® S1001 | User Guide Plug the charger into the port and let her charge. Battery Life Once the battery is fully charged, the simulator can be operated on battery power for up to hours. To display the battery level, the UNI® software must first establish a connection with the simulator. - Page 18 SUSIE® S1001 | User Guide 2. Double-click on the UNI icon 3. Select Susie S1001 and click “START” Susie S1001 will establish communication within 1 minute. 12 | Using SUSIE® S1001...
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Page 19: Using Susie® S1001
SUSIE® S1001 | User Guide 4. Using SUSIE® S1001 4.1 Airway Nasal and Oral Intubation SUSIE S1001’s airway can be left intubated through the nasal opening and orally using LMA or endotracheal tubes. The airway has anatomical landmarks and can be intubated orally or nasally. -
Page 20: Airway Complication
SUSIE can display tongue edema and laryngospasm. Airway Sounds SUSIE S1001 can produce audible airway sounds synchronized with her breathing. Use the software controls to change the sound type and adjust the volume. Auscultate using a standard stethoscope. -
Page 21: Tracheostomy Care
SUSIE® S1001 | User Guide Tracheostomy Care The simulator is supplied with a tracheostomy opening that allows the trachea to be pierced during a simulation with a real device to observe chest rise. Lubricate the tracheostomy tube before inserting. To replace the tracheostomy tape that has be punctured, follow the steps below: Gently lift the chest skin from the shoulder... -
Page 22: Breathing
SUSIE® S1001 | User Guide 4.2 Breathing Chest Rise Bilateral chest rise and fall is automatic. Use the software controls to adjust the breathing rate and the inspiratory percentage. Breathing Patterns Control the respiratory rate, pattern, and inspiration percentage using the software controls. -
Page 23: Circulation
The airway itself cannot be sanitized or cleaned. 4.3 Circulation Heart Sounds SUSIE S1001 is equipped with several realistic heart sounds that are tied to a user-defined heart rate and selectable rhythms. Compression Set the heart rhythm to asystole before performing chest compressions. -
Page 24: Electrical Therapy
NOT covered by the simulator’s warranty. The system will require repair at our facility. SUSIE S1001 can be shocked or paced with real energy for cardioversion, defibrillation and pacing drills. AED will display SUSIE S1001’s ECG, analyze his cardiac rhythm and advise action. - Page 25 SUSIE® S1001 | User Guide To defibrillate, select a shockable rhythms and click the green check Defibrillation is only allowed on the large sternum and apex sites. Deliver up to 360 Joule of real energy to the patches. SUSIE detects when a shock has been delivered.
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Page 26: Palpable Pulses
SUSIE® S1001 | User Guide Palpable Pulses Automatic bilateral carotid, femoral, pedal and radial pulses can be palpated. Users can also independently disable radial and pedal pulses to simulate severe hypotension. Proper chest compressions result in palpable carotid pulses. The simulator’s pulses are dependent on blood pressure, heart rate, and rhythm. - Page 27 SUSIE® S1001 | User Guide Locate the Luer-Lock port on simulator’s left posterior shoulder Connect the Luer-Lock fitting on the end of the modified BP cuff extra branch to the Luer-Lock port on her left shoulder. Calibrate the BP cuff before measuring blood pressure. Blood Pressure Calibration Before starting the calibration process, place the blood pressure cuff on the simulator as it would be placed as instructed above.
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Page 28: Intravenous Extremities
Always leave the drain hose connected when injecting fluids into the system. Use only Gaumard’s provided simulated blood. Any other simulated blood brand containing sugar or any additive may cause blockage and/ or interruption of the vasculature system. 22 | Using SUSIE® S1001... - Page 29 SUSIE® S1001 | User Guide Instructions for Use First, locate the fill syringe with tubing and the drain tube with pinch-clamp. 2. Connect the drainage hose to the IV arm Leave the drain clamp open. 3. Fill the syringe with fluid 4.
- Page 30 SUSIE® S1001 | User Guide To simulate a patient with no accessible peripheral IV sites, connect only the syringe. Pull the plunger to create suction, which will collapse the veins. Disconnect the syringe tube from the arm port while maintaining suction.
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Page 31: Systemic
SUSIE® S1001 | User Guide 4.4 Systemic Interchangeable Breast Examination Package The SUSIE S1001 includes 2 proprietary silicone breast inserts developed to assist health professionals in teaching the processes and skills required to perform both breast self-examinations and clinical identification of pathologic conditions. -
Page 32: Colostomy And Ileostomy
Colostomy and Ileostomy Perform colostomy and ileostomy exercises using the ports on SUSIE S1001’s abdomen. SUSIE S1001 includes replaceable stomas for care exercises. When removing the stomas, gently separate the stoma flange from the torso, and do not apply force directly to the stoma tissue itself. - Page 33 SUSIE® S1001 | User Guide Insert the tube Wait until the software logs the tube placement 5. Inject fluid at a rate slower than 1 mL/second WARNING: Inserting fluids before the software logs the tube placement will void the warranty and can permanently damage the simulator.
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Page 34: Intestinal Access
Review the section “Cleaning the Internal Reservoirs” for the proper cleaning procedures. Intestinal Access SUSIE S1001 features a rectal opening with a reservoir for administering enemas and removing intestinal fluids introduced by way of nasogastric feeding. Cleaning the Internal Reservoirs... -
Page 35: Ob/Gyn Examination Package
Replace the reservoir in the abdominal cavity 8. Secure the abdominal cover back in place OB/GYN Examination Package SUSIE S1001 includes a gynecologic package that allows the practice the following gynecologic procedures: · Vaginal douching · Speculum insertion · Pap smear ... - Page 36 SUSIE® S1001 | User Guide · Palpation of normal and 20-week-pregnant uteri · Inspection of normal and abnormal cervices The gynecology package includes the following items: Item Anteverted Uterus Retroverted Uterus IUD Uterus (Installed) 6-8 Week Pregnant Uterus 10-12 Week Pregnant Uterus 20 Week Pregnant Uterus 6-8 Week Pregnant Uterus with short ligaments...
- Page 37 SUSIE® S1001 | User Guide Instructions for Use To interchange the uterus and/or the cervix insert: Gently lift the abdominal skin cover 2. Unhook the round ligaments from both sides of the uterus Gently twist the uterus counter-clockwise to unfasten it from the cervix Remove the cervix through the vagina...
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Page 38: Urinary Catheterization
SUSIE® S1001 | User Guide 5. Insert a new cervix through the vagina and align the 4 white connectors 6. Insert the uterus and gently twist clock-wise Hook the round ligaments to the torso 8. Velcro the lower torso skin back in place Urinary Catheterization SUSIE features an internal bladder used for catheterization exercises. - Page 39 SUSIE® S1001 | User Guide Interchangeable Genitalia The simulator features interchangeable male and female genitalia. To install the male genitalia: Remove the female catheter adapter. Set the female catheter adapter aside and save for female catheterization procedures. Insert the male genitalia urethra tube into the catheter port.
- Page 40 SUSIE® S1001 | User Guide Instructions for Use Lubricate the catheter 2. Insert a 16 Fr catheter in the female or male genitalia Install the female genitalia adapter to prevent leaks around the catheter when performing a female catheterization. WARNING: Remove all fluids after each use. Draining the Bladder Drain the contents of the bladder through the catheter...
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Page 41: Decubitus Ulcers
User Guide 3. Catheterize and drain the contents again Decubitus Ulcers SUSIE S1001 has decubitus ulcers. Intramuscular Injection Sites IM sites are located on both deltoids and quadriceps for placement and technique exercises. WARNING: Do not inject fluids into the intramuscular sites. -
Page 42: Options
The feature allows participants to practice finger stick technique and collect simulated blood samples. WARNING: Use only Gaumard’s provided simulated blood to fill the internal reservoirs. Any other simulated blood brand containing sugar or any additive may cause blockage and/or interruption of the vasculature system. - Page 43 SUSIE® S1001 | User Guide 2. Locate the black port on the simulator’s left arm 3. Connect the finger stick fill syringe to the black port 4. Inject up to 2 cc’s of simulated blood or fluid 5. Remove the fill syringe 6.
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Page 44: Uteri With Externally Palpable Abnormal Pathologies
SUSIE® S1001 | User Guide Uteri with Externally Palpable Abnormal Pathologies This optional package includes: · Uterus with moderate retroversion · Myomatous uterus · Uterus with left side salpingitis · Uterus with right side salpingitis · Severely anteverted - anteflexed uterus ... -
Page 45: Working With Uni
5.1 UNI Interface The UNI components and programming procedures are consistent throughout the Gaumard family of high fidelity simulators. Some software controls and features covered in this guide may be hidden depending on the simulator’s hardware configuration and optional upgrades. -
Page 46: Power/Stand By
SUSIE® S1001 | User Guide Power/Stand By The power button is located at the bottom right corner of the UNI software. Toggle the power button to set the sim- ulator to stand-by mode and then again to resume. 5.2 Quick Launch The UNI interface opens up showing the quick launch page for the scenarios. -
Page 47: Selecting The Scenario
SUSIE® S1001 | User Guide Notice that one or more scenario types can be selected at the same time and the list of scenarios on the right will display only the scenarios included in the selected categories. Selecting the Scenario Click on one of the scenarios listed to highlight it and the scenario can either, be started immediately or loaded. -
Page 48: Favorites
SUSIE® S1001 | User Guide Click on the drop down arrow to the right to read a scenario description. Clicking “Start Scenario” loads the appropriate scenario and starts it automatically. Favorites The “Favorites” feature allows users to reduce the number of scenarios highlighted to those within the categories that will be used most frequently. -
Page 49: Status/Details Controls
SUSIE® S1001 | User Guide 5.3 Status/Details Controls The Status/Details panel is used to monitor and control the simulator’s vital signs. The individual parameter controls displayed on the details tab provide the simplest method for controlling the simula- tor’s vital signs, sounds, and features. -
Page 50: Changing Vital Signs
SUSIE® S1001 | User Guide Changing Vital Signs To adjust numerical values click the slider control. (e.g. heart rate, blood pressure, respiratory rate, etc.). Alternatively, use the keyboard for manual entry and click the green checkmark to confirm the change. To change patterns, sounds, and rhythms, click on the specific control to display the... -
Page 51: Applying Changes
SUSIE® S1001 | User Guide Click the slider control below the sound library to adjust the volume of the sounds. Applying Changes No changes will be made to the simulator’s condition until the new settings are submit- ted using the “Apply” panel. After the list of changes is created, click “NOW”... -
Page 52: Creating Palette Items
SUSIE® S1001 | User Guide Enable the “instant apply” option and click the control to change the vital sign to a new value without the need to use “Apply” panel. Vital signs undergoing change blink yellow. Creating Palette Items A palette item stores one or more vital sign settings into a single loadable object. - Page 53 SUSIE® S1001 | User Guide Select the palette item from the “Load Palette Item” menu and click “Load”. Click the apply option to submit the changes. Working with UNI® | 47...
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Page 54: Streaming Audio
SUSIE® S1001 | User Guide 5.4 Streaming Audio Use the feature to speak as the simulator’s voice and listen to the participant’s reply. Connect the headset to the PC. In UNI, locate the streaming icons in the lower right of the screen. Select the microphone icon to talk as the simulator’s voice. -
Page 55: Appendix
SUSIE® S1001 | User Guide 6. Appendix 6.1 Troubleshooting Communication/Power Issues Communication with the simulator cannot be established Controlling computer is too far Minimize the distance between simulator away from simulator and the tablet. Should not be over 100 feet away Power supply is not connected Ensure that the power supply is connected... -
Page 56: Scenarios
SUSIE® S1001 | User Guide 6.2 Scenarios SCENARIO Description An in-hospital patient is diagnosed with Bradycardia and requires immediate attention . Note: for this Bradycardia scenario to function as intended the instructor should enable automatic pac- ing capture in the ‘Setup - >... - Page 57 SUSIE® S1001 | User Guide SVT with pulses. Note: this scenario can progress directly to the Pulseless Tachycardia – pulse Arrest scenario. To do so, load “Pulseless Arrest” after stopping this scenario while on Node 2. Mrs. Jones is 63 years old. Her son brought her to the ER because she is STEMI complaining about chest pain.
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Page 58: More About Scenarios
SUSIE® S1001 | User Guide 6.3 More about Scenarios Thinking In Terms of Palette Items As described previously, palette items represent complete or partial groups of settings that have been stored as a single item. Applying partial states will hold constant all settings that are left unspecified. Not only does it take time to customize the palette, but a very large palette becomes difficult to navigate. - Page 59 SUSIE® S1001 | User Guide Most people’s first inclination is to set the lung sounds to “none.” This is incorrect, despite apnea. Obviously, no lung sounds should be heard during apnea, but since you have already set respiratory rate to zero, none will be.
- Page 60 SUSIE® S1001 | User Guide control by the facilitator via either the Palette or Status/Details panel. 4. Choose auto-response settings based on the scenario content and the objectives. As seen, auto-responses can be used to free the facilitators’ attention. They also enhance realism by presenting instant reactions to the care providers.
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Page 61: Wireless Network
SUSIE® S1001 | User Guide 7. Wireless Network If you received the Gaumard Monitor computer with the router already attached, please proceed to step number 4: Add Velcro® to TPLink router and VM. Connect Router to USB pow- er supply (Computer can be packaged with router con- nected). -
Page 62: Configure The Vital Signs Broadcast
Verify that the IP Type is set to automatic. Write down the “IP Address” and “Port number”. Click “Connect” to broadcast an outgoing connection. Start the Gaumard Monitors software on the virtual monitor PC. 10. Click the “V” menu near the top left corner, and then se- lect “Comm Setup”. - Page 63 SUSIE® S1001 | User Guide 12. Click “Connect” to accept the incoming connection. Wireless Network | 57...
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Page 64: Warranty
Gaumard at 14700 SW 136 Street, Miami, FL, 33196-5691 USA. If the necessary repairs to the Gaumard product are covered by this limited warranty, then the first purchaser will pay only the incidental expenses associated with the repair, including any shipping, handling, and related costs for sending the product to Gaumard and for sending the product back to the first purchaser. -
Page 65: Contact Gaumard
SUSIE® S1001 | User Guide 9. Contact Gaumard 9.1 Contacting Technical Support Before contacting Technical Support you must: Have the simulator’s serial number 2. Have access to the simulator for possible troubleshooting as needed Technical Support: Email: support@gaumard.com USA: 800-882-6655... - Page 66 Gaumard®, ZOE®, Michelle®, Mike®, PEDI®, Susie Simon®, Susie®, Simon® Code Blue®, SIMA Models®, SIMA GYN/AID®, Virtual Instruments®, Codemaker®, Code Blue®, NOELLE®, Simulation Made Easy™, HAL®, eCPR™, Zack™, RITA™, Chloe™, Seatbelt Susie™, Krash Kids™, Premie™, UNI™, Omni®, Omni® 2, SmartSkin™ are trademarks of Gaumard Scientific Company.
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