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Gaumard CODE BLUE III NEWBORN User Manual

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S300.110.250.PK
CODE BLUE® III NEWBORN
USER GUIDE
The Code Blue® III Newborn Simulator 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 18.5.4
©Gaumard Scientific Company, 2018
All Rights Reserved
www.gaumard.com

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  • Page 1 CODE BLUE® III NEWBORN USER GUIDE User Guide 18.5.4 ©Gaumard Scientific Company, 2018 All Rights Reserved The Code Blue® III Newborn Simulator 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.

  • Page 3: Table Of Contents

    CODE BLUE® III NEWBORN | USER GUIDE TABLE OF CONTENTS 1. INTRODUCTION 1.1 SPECIFICATIONS 1.2 CARE AND MAINTENANCE 1.3 TERMINOLOGY 2. OVERVIEW 2.1 FEATURES 2.2 OMNI® 2 FEATURES 2.3 OPTIONS 3. INITIAL SETUP 3.1 CARE AND CAUTIONS DURING UNBOXING 3.2 PACKAGE CONTENTS 3.3 CHARGE BATTERY 3.4 CONNECTING OMNI®...
  • Page 4 CODE BLUE® III NEWBORN | USER GUIDE 6. OPTIONS 6.1 UNI™ TABLET 6.2 VIRTUAL PATIENT MONITOR 7. TROUBLESHOOTING 7.1 COMMUNICATION WITH THE SIMULATOR CANNOT BE ESTABLISHED 7.2 PAIRING THE SIMULATOR WITH THE OMNI LINK 7.3 CONNECT OMNI® 2 TO THE SIMULATOR 7.4 CPR IS NOT DETECTED 7.5 BLOOD PRESSURE NOT DETECTED 8.
  • 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

    1.2 CARE AND MAINTENANCE 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. •...
  • Page 7 Treat the simulator with the same precautions that would be used with a real patient. • IV Arm Only use Gaumard's provided simulated blood. Any other simulated blood containing sugar • or any additive may cause blockage and/or interruption of the vasculature system.

  • Page 8: Terminology

    CODE BLUE® III NEWBORN | USER GUIDE 1.3 TERMINOLOGY Facilitator: The person conducting the simulation ; an instructor or lab staff member. Provider: A person participating in the simulation as a healthcare provider. 2. OVERVIEW 2.1 FEATURES Wireless communication • Built-in rechargeable battery •...

  • Page 9: Omni® 2 Features

    CODE BLUE® III NEWBORN | USER GUIDE 2.2 OMNI® 2 FEATURES Operate OMNI 2 with a wireless range of up to 30 ft. • The home screen consists of the Favorites page, Vitals page, CPR • page, Blood Pressure, Hypoxia and Scenarios page. Reference the OMNI 2 user guide provided for more details to navigate each page.

  • Page 10: Options

    UNI™ Tablet PC Upgrade Upgrade the simulator's control interface from OMNI® 2 to the powerful UNI Simulator Control Software • Beside Virtual Patient Monitor Touch-Screen All-in-One PC Gaumard Vitals virtual monitor • Mobile Virtual Patient Monitor Tablet PC Vitals virtual patient monitor •...

  • Page 11: Initial Setup

    CODE BLUE® III NEWBORN | USER GUIDE 3. INITIAL SETUP 3.1 CARE AND CAUTIONS DURING UNBOXING Lift the simulator from the box with both hands at the body and remove the clear bag it is shipped in. • Rest the simulator on a bed or clean, flat surface for use. •...

  • Page 12: Charge Battery

    CODE BLUE® III NEWBORN | USER GUIDE 3.3 CHARGE BATTERY The Code Blue III Newborn is equipped with a built - in rechargeable battery. Identify the Code Blue III Newborn's charger. Plug the charger into the charing port located on the right side of the simulator.

  • Page 13: Connecting Omni

    CODE BLUE® III NEWBORN | USER GUIDE 3.4 CONNECTING OMNI® 2 Turn on the OMNI 2 controller by pressing and holding the power button. Connect the OMNI 2 dongle to the ethernet port on the right side of the simulator. Enable the bluetooth connection on the simulator by pressing the power icon on the OMNI 2 dongle as circled in green pictured here.
  • Page 14 CODE BLUE® III NEWBORN | 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 15: Filling The Air Reservoir

    USER GUIDE 3.5 FILLING THE AIR RESERVOIR Code Blue III Newborn's pulses and breathing with chest rise are driven by pressurized air held in the system's • internal reservoir. It is necessary to manually fill the internal reservoir with the provided squeeze bulb.

  • Page 16: Recommended Device Sizes

    Newborn's right shoulder. Squeeze the bulb repeatedly until the air reservoir indicator in the software shows full. Adjust the Code Blue III Newborn to the desired vitals. NOTE: A full air reservoir will last up to 30-45 seconds depending on the vitals that are set for him.

  • Page 17: Working With The Simulator

    CODE BLUE® III NEWBORN | USER GUIDE 4.WORKING WITH THE SIMULATOR 4.1 AIRWAY 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. To intubate, under the "Vitals" tab, click on "Respiratory Rate"...
  • Page 18 CODE BLUE® III NEWBORN | USER GUIDE Intubation Sensor Once intubated, sensors detect the depth • of the intubation tube and the OMNI 2 software will display the action. Right main stem intubation is detected • when tubing is inserted too deep. Right main stem intubation results in disabling •...
  • Page 19 CODE BLUE® III NEWBORN | USER GUIDE Crying The Code Blue III Newborn can produce audible crying sounds. Click the "Vitals" tab. Under the "Airway" section, click "Crying." Select "ON.'" Click "Apply Now." Working with the Simulator | 19...
  • Page 20 CODE BLUE® III NEWBORN | USER GUIDE Throat Sounds The Code Blue III Newborn has multiple throat sounds available. Click the "Vitals" tab. Under the "Airway" section, click "Throat Sound." Select the desired throat sound option. 20 | Working with the Simulator...
  • Page 21 CODE BLUE® III NEWBORN | USER GUIDE Adjust the volume of the throat sound with the slide bar located at the bottom of the pop-up. Click "Apply Now." Working with the Simulator | 21...

  • Page 22: Breathing

    CODE BLUE® III NEWBORN | USER GUIDE 4.2 BREATHING Refer to section "3.5 Filling the Air Reservoir" to manually fill the internal air reservoir to demonstrate pneumatic features. Respiratory Patterns Under the "Vitals" tab, select "Respiratory Pattern." Select the desired option. Click "Apply Now."...
  • Page 23 CODE BLUE® III NEWBORN | USER GUIDE Adjusting the Respiratory Rate Under the "Vitals" tab, select "Respiratory Rate." Adjust the respiratory rate using the slide bar or the '+' and '-' signs. Click "Apply Now." Working with the Simulator | 23...
  • Page 24 CODE BLUE® III NEWBORN | USER GUIDE Lung Sounds The lung sounds of the Code Blue III Newborn are synchronized with • the selected breathing pattern and respiratory rate. To select different lung sounds independently for the left or right lung: •...
  • Page 25 CODE BLUE® III NEWBORN | USER GUIDE Adjust the lung sounds volume with the slide bar. Click "Apply Now." Working with the Simulator | 25...
  • Page 26 CODE BLUE® III NEWBORN | USER GUIDE Ventilations Practice BVM techniques using an • infant sized mask with a good seal. Ventilate via endotracheal tube with • manual or assisted ventilation. Bilateral lung expansion (with proper intubation • if utilizing an ET tube) with realistic chest rise. Assess and evaluate the ventilations delivered •...
  • Page 27 CODE BLUE® III NEWBORN | USER GUIDE Compressions A realistic chest cavity demonstrates • the correct force needed to perform proper chest compressions. Depth of chest compressions are • measured and logged. Proper chest compressions during CPR • result in palpable umbilical pulses. Assess and evaluate chest compressions •...
  • Page 28 CODE BLUE® III NEWBORN | USER GUIDE Compression Calibration It is recommended before first time use to calibration the compressions on the simulator. Click the menu icon in the upper right hand corner of the OMNI screen. Select "Calibration." Tap on "Compression." 28 | Working with the Simulator...
  • Page 29 CODE BLUE® III NEWBORN | USER GUIDE Set the target compression depth and click "Start" on the Compression Calibration pop-up. Perform 5 compressions at the target depth. Click "Save" once finished. Working with the Simulator | 29...

  • Page 30: Cardiac

    CODE BLUE® III NEWBORN | USER GUIDE 4.3 CARDIAC Heart Sounds The Code Blue III Newborn is equipped with realistic heart sounds which are tied to the heart rate and selectable ECG rhythms. To change the heart sounds, select "Heart Sound" in the Vitals tab.
  • Page 31 CODE BLUE® III NEWBORN | USER GUIDE Choose from the available library of Heart Sounds the desired sound. Adjust the volume of the heart sounds with the slide bar located at the bottom. Click "Apply Now" to apply the selected heart sound and volume. Working with the Simulator | 31...
  • Page 32 CODE BLUE® III NEWBORN | USER GUIDE ECG Monitoring The Code Blue III Newborn conductive skin sites allow for the attachment of real ECG electrodes. To change the ECG rhythm, click the "Vitals" tab. Click "Cardiac Rhythm." Select an ECG rhythm and click "Apply Now."...

  • Page 33: Circulation

    Refer to 3.5 Filling the Air Reservoir. Programmable Blood Pressure Programmable blood pressure can be read using a Code Blue III Newborn modified cuff. Locate the Luer lock port on the Newborn's left posterior shoulder. Working with the Simulator | 33...
  • Page 34 CODE BLUE® III NEWBORN | USER GUIDE Connect the modified blood pressure cuff to the port. Place the blood pressure cuff on the Newborn as you would a real patient. On OMNI 2, click the "Vitals" tab. Click on "Blood Pressure." 34 | Working with the Simulator...
  • Page 35 CODE BLUE® III NEWBORN | USER GUIDE Adjust the systolic and diastolic pressures. Click "Apply Now." NOTE: Click the "Blood Pressure" tab to view the virtual sphygmomanometer with the green highlighted blood pressure range. Working with the Simulator | 35...
  • Page 36 CODE BLUE® III NEWBORN | USER GUIDE Blood Pressure Calibration Before starting the calibration process, place the blood pressure cuff on the simulator as you would a real patient. Tap the menu icon in the upper right corner of the OMNI 2 screen. Select "Calibration."...
  • Page 37 CODE BLUE® III NEWBORN | USER GUIDE Click "Start" on the blood pressure calibration pop-up. Set the sphygmomanometer to the indicated pressure and click "Set." NOTE: The calibration of the blood pressure cuff will ask for the sphygmomanometer to be set to 0-100 in increments of 20 200, then 300 mmHg.
  • Page 38 CODE BLUE® III NEWBORN | USER GUIDE Korotkoff Sounds While taking blood pressure in the left arm of the Code Blue III Newborn realistic Korotkoff sounds may be auscultated. To adjust the volume of these sounds, click the "Vitals" tab.
  • Page 39 CODE BLUE® III NEWBORN | USER GUIDE Cyanosis The Code Blue III Newborn has the ability to display central cyanosis through the use of the OMNI 2 software. To adjust the level of cyanosis, click "Cyanosis" in the Vitals tab.
  • Page 40 CODE BLUE® III NEWBORN | USER GUIDE Filling the Right IV Arm Screw in the white luer connection adapters into the ports on the right arm. Connect the drainage hose to one port. Fill a syringe with the desired fluid and connect to the other port.
  • Page 41 WARNING: Do not attempt to fill the IV system without the drain hose in place. Always leave the drain hose connected when injecting fluids into the system. Use only Gaumard's provided simulated blood. Any other simulated blood. Any other simulated blood brand containing sugar or additives may cause blockage within the vasculature system.
  • Page 42 CODE BLUE® III NEWBORN | USER GUIDE Draining the IV Arm Remove a clear stopper from one of the ports. Connect luer lock adapter to the port. Connect the drainage hose. NOTE: If the drainage hose is already in place proceed to step 4. Remove the second clear stopper from the other port and connect the second luer lock adapter.
  • Page 43 CODE BLUE® III NEWBORN | USER GUIDE Connect the fluid syringe filled with air. Push air into the system to expel any remaining fluids. Working with the Simulator | 43...
  • Page 44 CODE BLUE® III NEWBORN | USER GUIDE Flushing the IV Arm After draining the IV arm, disconnect the fluid syringe and fill with a cleaning mixture of a 70:30 ratio of water to isopropyl alcohol. Connect the syringe to the available port. Push the cleaning fluid through the system until the fluid runs clear out of the drainage hose.
  • Page 45 CODE BLUE® III NEWBORN | USER GUIDE Filling the Intraosseous Tibia Bone The Code Blue III Newborn has an intraosseous access site located in his right tibia. Utilize the feature to simulate an intraosseous access line. Remove the right leg skin cover.
  • Page 46 CODE BLUE® III NEWBORN | USER GUIDE Fill the bone with desired fluid and recap the bone when finished. Reinsert the bone back into the leg and replace the right leg skin cover. 46 | Working with the Simulator...
  • Page 47 CODE BLUE® III NEWBORN | USER GUIDE Intramuscular Injection Sites The Code Blue III Newborn has intramuscular injection sites to be used for needle placement on both deltoids and both quadriceps. Bilateral Deltoids Bilateral Quadriceps WARNING: Do not inject fluids into the intramuscular (IM) sites. The IM sites are for needle placement only.
  • Page 48 CODE BLUE® III NEWBORN | USER GUIDE Umbilical Catheterization Remove the umbilical plug to fill the umbilical cord with fluid. Using the fill kit syringe, inject the umbilical vein with 2 mL of fluid. Lubricate an umbilical catheter before catheterizing. Catheterize with the recommended size as suggested in section 3.6.

  • Page 49: Working With Omni

    CODE BLUE® III NEWBORN | 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 50: Changing A Vital Sign

    CODE BLUE® III NEWBORN | 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 51: Cpr

    CODE BLUE® III NEWBORN | 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 52: Blood Pressure

    CODE BLUE® III NEWBORN | 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 •...
  • Page 53 CODE BLUE® III NEWBORN | USER GUIDE Auscultatory Gap Click the "Vitals" tab. Select the "Auscultatory Gap" option. Turn ON the Auscultatory Gap feature. Adjust the auscultatory gap as desired. Working with OMNI 2 | 53...
  • Page 54 CODE BLUE® III NEWBORN | USER GUIDE Click "Apply Now." NOTE: Click the "Blood Pressure" tab to view the virtual sphygmomanometer with the gray highlighted auscultatory gap range. 54 | Working with OMNI 2...

  • Page 55: Hypoxia

    CODE BLUE® III NEWBORN | USER GUIDE 5.5 HYPOXIA In order to simulate a hypoxic event, open • the Hypoxia Page. This model allows users to treat the emergency with he required airway and ventilation exercises. OMNI® 2 will detect ventilations automatically •...

  • Page 56: Scenarios

    CODE BLUE® III NEWBORN | USER GUIDE 3. Tap "START" to begin the session. 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. 56 | Working with OMNI 2...
  • Page 57 CODE BLUE® III NEWBORN | USER GUIDE Select "Load Scenario" if there are already programmed scenarios. Press the menu icon to open the options. NOTE: For more details refer to the OMNI® 2 user guide. Actions Graphics Function Add a node Save a scenario Load a scenario Clear a scenario...

  • Page 58: Options

    CODE BLUE® III NEWBORN | 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.
  • Page 59 CODE BLUE® III NEWBORN | USER GUIDE Select the Code Blue III Newborn and click the '+' to add the correct serial number. Enter the serial number and click 'Set!.' Click "Start." NOTE: Refer to the UNI user guide for further information.

  • Page 60: Virtual Patient Monitor

    CODE BLUE® III NEWBORN | USER GUIDE 6.2 VIRTUAL PATIENT MONITOR The simulator must be connected to the OMNI® 2 tablet in order to establish a connection to the Virtual Monitor. Connecting the OMNI® 2 Tablet to the Network Connect the provided router to the wall.
  • Page 61 CODE BLUE® III NEWBORN | USER GUIDE 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" screen. NOTE: Verify the serial number corresponds to your simulator.
  • Page 62 Select the same wifi network the OMNI 2 tablet is connected to. NOTE: The network may say "No Internet." The network does not need internet to communicate between the software. Open the Gaumard Vitals software. 62 | Options...
  • Page 63 If the virtual monitor connection does not establish automatically once connected to the same wifi, perform the following steps: With the Gaumard Vitals software open, tap the WIFI icon in the top left. Verify the IP address in the "Communication Setup"...
  • Page 64 USER GUIDE NOTE: The virtual monitor will show connected in green and on the OMNI tablet the virtual monitor icon will appear in the upper right corner. NOTE: For further information refer to the Gaumard Vitals user guide. 64 | Options...

  • Page 65: Troubleshooting

    CODE BLUE® III NEWBORN | USER GUIDE 7. TROUBLESHOOTING 7.1 COMMUNICATION WITH THE SIMULATOR CANNOT BE ESTABLISHED Probable Cause Solution Control tablet is too far away from Minimize the distance between the tablet and the simulator. the simulator The distance should not be more than 10 meters (30 ft.) away. Manikin is not paired Follow steps from the section 7.2 and 7.3 to ensure the manikin is paired.
  • Page 66 CODE BLUE® III NEWBORN | USER GUIDE Tap the menu icon, then "Bluetooth Connection Setup." Select the simulator's serial number under "Available Devices." NOTE: The device name will be Gaumard_ SimulatorSerialNumber where the Serial number is the numerical value assigned to your simulator. Wait for the device to pair with the OMNI®2.

  • Page 67: Connect Omni® 2 To The Simulator

    CODE BLUE® III NEWBORN | USER GUIDE 7.3 CONNECT OMNI® 2 TO THE SIMULATOR Make sure the OMNI Link is paired with the simulator. Reference Section 6.1 for instructions. Tap the menu icon on the main screen and select "Select Simulator" (if available). Select the simulator profile you wish to connect to and tap "Done"...

  • Page 68: Cpr Is Not Detected

    CODE BLUE® III NEWBORN | USER GUIDE NOTE: OMNI® 2 can be operated up to 30 ft. from the simulator. The name of the simulator and the serial number will appear at the top of the screen. The green circles indicate the connection strength. 7.4 CPR IS NOT DETECTED Probable Cause Solution...

  • Page 69: Appendix

    CODE BLUE® III NEWBORN | USER GUIDE 8. APPENDIX 8.1 PARTS LIST Product Item Number Contents Lower Right Arm S300.110.023R Consumable Intraosseous Leg Skin Cover S300.110.029 Consumable I/O Bones S300.110.031 Consumable Intramuscular Thigh Injection Site S300.110.043 Consumable Intramuscular Arm Injection Site S300.110.044 Consumable Lower Left Arm Skin Cover...

  • Page 70: Exclusive One-Year Limited Warranty

    8.3 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 71: Contact Technical Support

    USER GUIDE 8.4 CONTACT TECHNICAL SUPPORT Before contacting Technical Support, please make sure to have the following: Your simulator's serial number Access to the simulator for possible troubleshooting as needed Technical Support Email: support@gaumard.com USA: 800-882-6655 INT: 01-305-971-3790 8.5 GENERAL INFORMATION Sales and Customer Service E-mail: sales@gaumard.com...
  • Page 73 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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