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Gaumard CODE BLUE III ADULT User Manual

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S300.100.250.PK
CODE BLUE III ADULT
USER GUIDE
The Code Blue III Adult is an interactive educational system developed to assist a
certified instructor. It is not a substitute for a comprehensive understanding of the
subject matter and not intended for clinical decision making.
User Guide 18.6.1
©Gaumard Scientific Company, 2018
All Rights Reserved
www.gaumard.com

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  • Page 1 CODE BLUE III ADULT USER GUIDE User Guide 18.6.1 The Code Blue III Adult is an interactive educational system developed to assist a ©Gaumard Scientific Company, 2018 certified instructor. It is not a substitute for a comprehensive understanding of the All Rights Reserved subject matter and not intended for clinical decision making.

  • Page 3: Table Of Contents

    S300.100.250® | USER GUIDE TABLE OF CONTENTS 1. INTRODUCTION 1.1 SPECIFICATIONS 1.2 CARE AND MAINTENANCE 2. OVERVIEW 2.1 FEATURES 2.2 OMNI® 2 WIRELESS CONTROL INTERFACE 3. INITIAL SET-UP 3.1 UNBOXING CARE AND CAUTIONS 3.2 PACKAGE CONTENTS 3.3 EQUIPMENT SETUP 3.4 BATTERY CHARGER 3.5 CONNECTING TO OMNI 2 3.6 POWERING OFF THE SIMULATOR 4.
  • Page 4 7. APPENDIX 7.1 MAINTENANCE 7.2 TROUBLESHOOTING 7.3 OMNI LINK SETUP NOTIFICATION APPEARS 7.4 PARTS LIST 8. WARRANTY 8.1 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 8.2 EXTENDED WARRANTY 9. CONTACT GAUMARD 9.1 CONTACT TECHNICAL SUPPORT 9.2 GENERAL INFORMATION Table of Contents | iv...
  • Page 5 This is a legal agreement between you, the end user, and Gaumard® Scientific Company, inc. (“Gaumard”). This software is protected by copyright laws and remains the sole property of Gaumard. By installing the OMNI® 2 (the “software”) media, you agree to be bound by the terms of this agreement.

  • Page 6: 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 Distributor Operating Conditions  ...
  • Page 7 Discontinue use of this product and seek medical attention if an allergic reaction occurs. ·  Only use Gaumard's simulated blood provided in the standard package. Any other simulated blood containing sugar or any additive may cause blockage and/or interruption of the veins in the IV arm.
  • Page 8 S300.100.250® | USER GUIDE Electrical Therapy WARNING: Defibrillation is only allowed on the large sternum and apex sites. NEVER deliver a shock to ECG electrode targets on the shoulders or waist. Doing so will not create a fire hazard, nor is there a risk of shock to the provider, but internal damage in the simulator may result.

  • Page 9: Overview

    S300.100.250® | USER GUIDE 2. OVERVIEW 2.1 FEATURES Airway   · Airway sounds and vocal responses   · Supports bag mask ventilation   · Visible vocal cords   · Head tilt-chin lift and jaw thrust   · Oral/Nasal intubation (ET)  ...

  • Page 10: Omni® 2 Wireless Control Interface

    S300.100.250® | USER GUIDE Options   · Bedside virtual monitor   · Mobile virtual monitor   · Snap compatible defib cables   · UNI tablet 2.2 OMNI® 2 WIRELESS CONTROL INTERFACE Intuitive touchscreen interface with built-in wireless connectivity • Make physiological changes on the fly or trend them over time •...

  • Page 11: Initial Set-Up

    3. INITIAL SET-UP 3.1 UNBOXING CARE AND CAUTIONS Code Blue III Adult is shipped partially assembled. Remove the simulator from the box with at least two people. Avoid lifting the simulator by the arms or legs as this may cause damage to the joints.

  • Page 12: Battery Charger

    S300.100.250® | USER GUIDE 2. Align the lower leg with the upper leg 3. Insert the bolt and tighten the hardware with the hexagonal wrench 3.4 BATTERY CHARGER The simulator is shipped with the internal battery disconnected. Connect the battery lead as part of the first install process.
  • Page 13 S300.100.250® | USER GUIDE The Code Blue III Adult is equipped with a built- in rechargeable battery. The simulator has a battery life of up to 2.5 hours. To charge the battery: 1. Plug the charger into a wall outlet and into the simulator 2.

  • Page 14: Connecting To Omni

    S300.100.250® | USER GUIDE 3.5 CONNECTING TO OMNI 2 Turn on the OMNI 2 controller by pressing and holding the power button. Connect the OMNI 2 Link to the wired connection port on the right side of the simulator. Enable the bluetooth connection on the simulator by pressing the ON button on the OMNI 2 Link.

  • Page 15: Powering Off The Simulator

    S300.100.250® | USER GUIDE Follow the tutorial for a brief overview of the features of OMNI 2. Tap " GOT IT" to move on to the next step of the tutorial. Exit the tutorial at any time by selecting "HOME". NOTE: Completing the tutorial one time will avoid it from appearing at start-up in the future.

  • Page 16: Working With The Simulator

    S300.100.250® | USER GUIDE 4. WORKING WITH THE SIMULATOR 4.1 AIRWAY Nasal and Oral Intubation The simulator’s airway has anatomical landmarks and can be intubated orally, nasally, and through the trachea using an endotracheal tube, nasopharyngeal tube, or LMA. Procedure Recommended Device Size Intubation (Blade size) Miller 4 or MAC 3.5...
  • Page 17 S300.100.250® | USER GUIDE Intubation Sensor Once intubated, sensors detect the • depth of the intubation tube. Right main stem intubation is demonstrated • when tubing is inserted too deep. Right main stem intubation results in • disabling the left lung automatically. Once tubing position is corrected, •...
  • Page 18 S300.100.250® | USER GUIDE Draining the Stomach 1. Open the drainage clamp and let all fluids drain into a receptacle. 2. Flush the tubing by inserting a mixture of 70:30 isopropyl alcohol and water. Airway Sounds • The simulator can produce audible airway sounds synchronized with his breathing.

  • Page 19: Breathing

    S300.100.250® | USER GUIDE 4.2 BREATHING Chest Rise The simulator’s exhibits automatic bilateral chest rise. Use the softwre controls to adjust the breathing rate and the inspiratory percentage. Lung Sounds Lung sounds are synchronized • with the respiratory rate. Use the software to control both •...

  • Page 20: Cardiac

    S300.100.250® | USER GUIDE • Ventilations are measured and logged. • Visualize the provider's performance in real time in the CPR tab. • Excessive BVM will result in gastric distension. • Relieve the excess air by pressing on the lower torso. 4.3 CARDIAC Heart Sounds Heart sounds are synchronized...
  • Page 21 S300.100.250® | USER GUIDE ECG Monitoring and Electrical Therapy • Code Blue III accommodates real ECG monitoring. • The 4 conductive skin sites allow for attachment of real electrodes. • Track cardiac rhythms and events with real medical equipment just as you would with a real human patient. •...
  • Page 22 S300.100.250® | USER GUIDE Electrical Therapy • Defibrillation, pacing and cardioversion is supported on the simulator. • Review the Care and Cautions in section 1.2 before shocking the simulator. 1. Power on the simulator and select an EKG rhythm in the OMNI. 2.
  • Page 23 S300.100.250® | USER GUIDE Snap Connectors The chest skin snap connectors and “Snap Adapter Cable” allow providers to deliver electrical therapy at the sternum and apex sites without the use and frequent replacement of pads or patches. The snap connections are only functional when •...
  • Page 24 S300.100.250® | USER GUIDE Gently squeeze the black clip to disconnect the connector from the pacer module. Pull out the Defib Snap Harness. Connect the pacer cable to the Defib Snap Harness. Connect the vest to the other side of the Defib Snap Harness. 24 | Working with the Simulator...
  • Page 25 S300.100.250® | USER GUIDE Tuck the cables into the chest cavity. Insert the chest skin placement pin into the guiding hole located on the Velcro to align the chest skin. Gently press the chest skin back in place. Refer to Section 6.3 for more information on how to use the Defibrillation Snap Cables.

  • Page 26: Circulation

    S300.100.250® | USER GUIDE Compression Perform chest compressions on the • simulator as you would a real patient. Proper chest compressions result • in palpable carotid pulses. Chest compressions are measured and logged in • the OMNI 2 software for debriefing purposes. 4.4 CIRCULATION Palpable Pulses Automatic bilateral carotid and femoral, and...
  • Page 27 S300.100.250® | USER GUIDE Left Radial Bilateral Femoral Programmable Blood Pressure Programmable blood pressure can be read on the left arm using a modified sphygmomanometer. In addition, users can auscultate the Korotkoff sounds programmed by the software. Setup Locate the Luer-Lock port on simulator’s left posterior shoulder and remove the cap enclosing the Luer-Lock port.
  • Page 28 S300.100.250® | USER GUIDE 3. Connect the modified BP cuff to the left shoulder. Calibration Before starting the calibration process, place the blood pressure cuff on the simulator as it would be placed as instructed above. 1. Tap the gear in the upper right corner of the screen and select "Calibration"...
  • Page 29 22 or 23 gauge needles or smaller. Filling the Vasculature WARNING: Do not attempt to fill IV system without the drain hose in place. 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.
  • Page 30 S300.100.250® | USER GUIDE 1. Remove the red caps from the ports on the right side of the simulator. 2. Fill the syringe with fluid. 3. Connect the fill syringe to one red port and connect the drain hose to the other red port and leave the clamp open.
  • Page 31 S300.100.250® | USER GUIDE 5. Clamp the drainage hose for blood collection exercises and unclamp for infusion exercises. Draining the Vasculature It is recommended to drain the vasculature after every simulation. 1. Unclamp the drainage hose. 2. If simulated blood was used, fill the syringe with a 30:70 mix of isopropyl alcohol to water and connect it to the full port.
  • Page 32 S300.100.250® | USER GUIDE 4. Once fluid runs clear, push air through the vasculature Intraosseous Access The right leg tibia has the capacity to simulate an intraosseous access line. 1. Remove the tibia skin cover 2. Gently remove the bone 32 | Working with the Simulator...
  • Page 33 S300.100.250® | USER GUIDE 3. Attach the IO adapter to the syringe. 4. Fill the syringe with fluid. 5. Fill the bone with fluid. 6. Connect the bones together. Working with the Simulator | 33...
  • Page 34 S300.100.250® | USER GUIDE 7. Replace the tibia. 8. Reattach the skin cover. Draining the IO Bone It is recommended to drain the reservoir after every simulation. 1. Lift the skin cover and remove the IO bone. 2. Insert the filling kit and suction the fluid out. 34 | Working with the Simulator...
  • Page 35 S300.100.250® | USER GUIDE Central Cyanosis Code Blue III Adult can display central cyanosis. Activate this feature using OMNI 2. Use the slider or the + and - buttons to adjust the intensity. Intramuscular Injection Sites IM sites are located on both deltoids and quadriceps for placement exercises.
  • Page 36 IM pad. The pad is attached with Velcro. Osat Monitor Placement Detection The Code Blue III Adult can detect the placement of an Osat monitor on the left index finger. Setup 1. Power on the simulator and the oximeter monito.

  • Page 37: Working With Omni

    S300.100.250® | USER GUIDE 5. WORKING WITH OMNI® 2 5.1 MAIN SCREEN OMNI® 2 opens at the Favorites Page upon startup. Battery Indicator There are two battery indicators on the upper right corner of the screen. One is for the OMNI® 2 tablet and another is for the simulator.

  • Page 38: Changing A Vital Sign

    S300.100.250® | USER GUIDE 5.2 CHANGING A VITAL SIGN Vital signs can be quickly changed from the Favorites Page or from the "Vitals" page. Follow the steps below to change one of the parameters: Tap on a vital sign, Adjust the vital sign by using the slider or the +/- buttons.

  • Page 39: Cpr

    S300.100.250® | USER GUIDE 5.3 CPR The CPR Page incorporated in the OMNI® 2 tablet was designed to help teach CPR by monitoring cadence and depth of cardiac compressions and airway ventilations in real time. WARNING: Do not perform mouth to mouth ventilation since the simulator airway can be difficult to clean afterwards and will contaminate the airway.

  • Page 40: Blood Pressure

    S300.100.250® | USER GUIDE Actions Graphics Function Begin and end a CPR session Reset a CPR session Activate an audible tone for training Virtually defibrillate the simulator 5.4 BLOOD PRESSURE The Blood Pressure page has a virtual • manometer gauge that shows the simulator's blood pressure in real time.
  • Page 41 S300.100.250® | USER GUIDE Auscultatory Gap To enable auscultatory gap, tap on the “Vitals” page then select “Auscultatory Gap” and slide the ON/OFF button to ON. To increase or decrease the High Gap and Low Gap, slide the top and bottom bars left or right, or tap the + or –...

  • Page 42: Speech

    S300.100.250® | USER GUIDE 5.5 SPEECH The simulator contains over 80 pre-recorded expressions. Use the OMNI® 2 tablet to activate the speeches. Select the Speech Icon on the upper right corner of the screen. Tap a speech category. Press a speech item to prompt the simulator to speak.

  • Page 43: Scenarios

    S300.100.250® | USER GUIDE 5.6 SCENARIOS Tap the Scenario icon to access the Scenario Page. Use this page to create, load, and run scenarios. Press "New Scenario" to the create a custom scenario. Select "Load Scenario" if there are already programmed scenarios. Press the Menu icon to open the options.
  • Page 44 S300.100.250® | USER GUIDE Graphics Function Add a node Save a scenario Load a scenario Clear a scenario 44 | Working with OMNI® 2...

  • Page 45: Options

    S300.100.250® | USER GUIDE 6. OPTIONS 6.1 UNI TABLET Remove the OMNI LINK from the communication port. Plug the RF module into the USB port of the tablet. Turn on the tablet. Double click the UNI icon to initialize the program. Options | 45...

  • Page 46: Virtual Patient Monitor

    S300.100.250® | USER GUIDE Select the Code Blue III Pediatric and click start. Wait until the simulator establishes communication. NOTE: Refer to the UnI User Guide for more information on using UNI to operate the simulator. 6.2 VIRTUAL PATIENT MONITOR The simulator must be connected to the OMNI®...
  • Page 47 S300.100.250® | USER GUIDE Connect to the desired wireless network. NOTE: The virtual monitor must be connected to the same wifi network that the OMNI 2 tablet is connected to. If the connection isn't established automatically, follow the steps below. Exit the page and tap the menu icon on the main screen to open the "Virtual Monitor"...
  • Page 48 "Network Connectivity" icon on the bottom right corner of the screen. Once its connected to the wifi, open the Gaumard Vitals software. If the connection isn't established automatically, follow the steps below. Tap the WIFI icon on the top left.

  • Page 49: Modified Defibrillation Snap

    They are compatible with most electrical therapy devices including Zoll, Physio (Lifepak), and Philips defibrillators. For more information about snap cables for a • particular defibrillator, please contact Gaumard. Snap Cable Adapter Location Red Adapter Apex Snap...
  • Page 50 S300.100.250® | USER GUIDE Remove the snap connector covers at the apex and sternum sites. Connect the red snap adapter to the apex snap site. Connect the black snap adapter to the sternum snap site. WARNING: The snap adapter cables carry real energy. Use the same cautions as with a real patient. Follow the safety guidelines and operating procedures outlined in the defibrillator's manual.

  • Page 51: Appendix

    S300.100.250® | USER GUIDE 7. APPENDIX 7.1 MAINTENANCE WARNING: Vein tubing contains latex which may cause allergic reactions. Users allergic or sensitive to latex should avoid contact. Discontinue use of this product and seek medical attention if an allergic reaction occurs. Replacing the IV Veins 1.

  • Page 52: Troubleshooting

    S300.100.250® | USER GUIDE 4. Perform steps 2 and 3 on the other end of the vein. 5. Replace the vein and pull up the arm skin. NOTE: Apply lubricant to ease the arm skin back in place. 7.2 TROUBLESHOOTING Communication is not Established Probable Cause Solution...

  • Page 53: Omni Link Setup Notification Appears

    S300.100.250® | USER GUIDE CPR is not Detected Probable Cause Solution Compression are not detected Reset the Compressions sensor in the Calibration Menu. Ventilations are not detected Reset the Ventilations sensor in the Calibration Menu.. 7.3 OMNI LINK SETUP NOTIFICATION APPEARS OMNI®...

  • Page 54: Parts List

    S300.100.250® | USER GUIDE Return to the main screen and tap the gear in the upper right corner. Select "Connect to Simulator". Select the simulator that was just paired and tap "Connect and Save as Default." 7.4 PARTS LIST Product Item Number Lower Right Arm S300.100.023R.L/M/D...

  • Page 55: Warranty

    8.2 EXTENDED WARRANTY In addition to the standard one year of coverage we offer a range of service plans through our Gaumard Cares program. For more information about Gaumard Cares service planes please contact customer service.

  • Page 56: Contact Gaumard

    800-882-6655 INT: 01-305-971-3790 9.2 GENERAL INFORMATION Sales and Customer Service E-mail: sales@gaumard.com USA: 800-882-6655 INT: 01-305-971-3790 Fax: 305-252-0755 Post Gaumard Scientific 14700 SW 136 Street Miami, FL 33196-5691 Office Hours Monday-Friday, 8:30am - 7:30pm EST (GMT-5) 56 | Contact Gaumard...
  • Page 58 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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