Peripheral doppler ultrasound training model (15 pages)
Summary of Contents for CAE Juno
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User Guide Your worldwide training partner of choice...
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This document, including the information contained herein, is confidential and/or proprietary to CAE Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.
ARNINGS It is important to read and understand these cautions and warnings before you use the Product. Note: Any cautions about Electrical Safety or Battery-related information do not apply to Juno Basic. Electrical Safety IMPORTANT: Do not use the product in any manner other than specified, as safety features designed for protection may be impaired.
• Do not use the manikin or equipment in locations where children are likely to be present. Fluids System For manikins such as Juno that are equipped with fluid systems: • Do not modify the reservoirs or any assembly component.
Cautions and Warnings Safety Measures Review the precautions for handling before replacing a battery utilizing guidance from CAE. Should exposure to hazardous battery components occur, or in the event of a fire, follow all local first aid measures and safety protocols.
PECIFICATIONS All hardware and software needed for operating the simulator are provided with the shipment. In the event there is a need to extend the instructor tablet to other manikins or computers, contact CAE Healthcare for further instructions. Size and Weight...
CAEJuno Specifications Rechargable Battery Item Description Commercial product name RRC2054 Note: Juno Basic does not contain batteries Additional Information Battery-System: Lithium-ion Nominal Voltage: 14.4 V Nominal Capacity per battery: 3.40 Ah Power Item Description Power Adapter • AC Input: AC 100 – 240 VAC, 50/60 Hz •...
905K600552 v2.2 CAE Maestro v2.9 Juno User Guide 905K600152 v1.4 CAE Maestro v1.3 - 2.9 Note: There are periodic system updates for Maestro that can be downloaded from any device with an Internet connection. The updates are available at: https://www.caehealthcare.com/support/ software-updates/ ®...
Male and Female Wigs Inventory Kit Full Body Manikin Juno offers a comprehensive, realistic solution for emergency care team training and advanced life support training. This simulator is mobile, lightweight, easy-to-use, and anatomically accurate for better skills proficiency and clinical assessment.
CAE patient simulators and is offered with Live and Advanced Complete Juno configurations only. Maestro allows you to run simulations “on the fly” (manually) in both a Manual or Modeled mode, or you can run preconfigured Simulated Clinical Experiences (SCEs).
Go provides the capabilities of a laptop in an ultra-portable tablet. This mobile workstation features a Windows 10 operating system, a 10 in (25.4 cm) touchscreen, and up to 9 hours battery life. The Surface Go tablet comes equipped with pre-installed CAE Maestro instructor software to control the manikin’s physiological activity during simulations.
Optional Equipment To enhance the simulation experience, the Live and Complete configurations offer optional and additional equipment available for purchase. Optional Equipment Articulated Arm CAE Blue Phantom Ultrasound IV-PICC Arm Breast Exam Module Post-Mastectomy Kit Basic Wound Kit Complete Wound Kit...
• One bottle of blue fluid CAE Blue Phantom™ Ultrasound IV-PICC Arm Use and care instructions can be found in the CAE Blue Phantom Ultrasound IV-PICC Arm user guide. Fundus Assessment Module The Juno manikin includes a Fundus Assessment Module kit for postpartum obstetric training. The kit includes a boggy uterus, a firm uterus, postpartum genitalia, and anal and urinary valve clamp sets.
Equipment Overview Complete Wound Kit The complete wound kit for Juno includes the four wounds from the basic wound kit and also the following accessories: • Lower leg with varicose veins and stasis ulcer • Below knee amputation stump • Foot with skin tear •...
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CAEJuno Equipment Overview Upper Leg Amputation Wound The upper leg amputation wound can replace the right leg that comes with Juno. Below the Knee Amputation Stump Foot Wounds The two (2) foot wounds can replace the foot that comes with Juno.
CAE Juno™ offers a comprehensive, realistic solution for emergency care team training and advanced life support training. This simulator is mobile, lightweight, easy to use, and anatomically accurate for better skills proficiency and clinical assessment. Juno configurations come with interchangeable male and female chest skins, wigs and genitalia, giving you two patient simulators in one.
Follow the guidelines below when opening your shipment: • Refer to the Unpacking Your CAE Manikin document provided in the shipping container. • Exercise extreme caution when using sharp objects, such as a box cutter. A damaged container can lead to improper storage of the manikin, potentially damaging skin, body parts, and accessories.
Use the diagram provided in the Unpacking Your CAE Manikin to identify the designated cords associated with this equipment. • Do not power on any components unless instructed to do so in the Setup Procedure section of this guide.
Step 2: Prepare Juno for Legs 1. Detach lower skin. a. Reach under Juno and pull the torso skin away from skin attachment pegs. b. Pull the top tab from each peg and leave the lower tab in place. c. Fold the skin over the upper torso.
Setup Step 3: Attach Juno’s Legs To attach Juno’s legs, use the following provided parts: • 4 washers • 2 springs • 2 knurled nuts Attach Legs 1. Insert the leg screw into the hip joint hole. 2. Place a washer on the leg screw followed by one spring and a second washer.
CAEJuno Setup Step 4: Attach Juno’s Arms You need (included): • 1 Articulated arm (right) • 1 IV arm (left) • 2 mounting screws • 1 Phillips screwdriver To attach the right articulated arm: Note: If installing the NIBP arm instead, refer to the instructions at Step 5.
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• 1 Arm screw (Included) • 1 Joint Sphere (Included) If upgrading to Juno Live or Complete, remove the right articulated arm. 1. Remove the right arm IM pad and set it aside. 2. Unscrew the arm screw and Joint Sphere assembly. Place assembly aside.
Setup Step 6: Modify a Blood Pressure Cuff Juno’s blood pressure can be taken using non-invasive monitoring techniques, but first you must modify a standard blood pressure cuff. You need: • 1 Standard adult blood pressure cuff • Scissors • T-shaped blood pressure adapter (included) •...
Step 7: Place Juno’s Wig 1. Remove the wig from the packaging, and remove all packing materials. 2. Place the wig on Juno’s head. If the wig needs to be adjusted, follow the steps in “Adjust the Fit of the Wig” below.
Juno Features EATURES Uniquely designed to meet clinical competencies, CAE Juno offers true mobility, ease of use and a contemporary look and feel for a fully immersive experience. Juno easily converts from female to male, saving on costs and space while facilitating expanded learning opportunities.
Patient Monitor of the software. Gastrointestinal System The Juno manikin features a realistic Gastrointestinal System for practicing clinical care skills. Base Gastrointestinal System A nasogastric tube can be inserted via either nostril and supports gastric lavage and gavage with fluids, up to 150 ml.
The ears and eyes can be irrigated or medications can be administered. The Juno simulator is a manual-driven, script-controlled system designed to simulate a patient’s physiological condition, clinical signs, symptoms, and responses to certain clinical interventions.
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CAEJuno Juno Features Juno includes ten preconfigured SCEs, or clinical simulations, that cover a range of events and crises • Chronic heart failure exacerbation • Gastrointestinal bleed secondary to esophageal varices • Skills validation • Asthma managment of a patient in the home care setting •...
Instructors may also modify events within a given scenario in real-time to increase or decrease event severity and shorten or prolong the duration of an event at any time during a simulation exercise. For instructions on modifying scenarios and creating new scenarios, refer to the Maestro for Juno User Guide.
Using Juno SING Once the simulator is assembled, the Juno manikin is ready for learners to practice and master new competencies, interventions, and skills during clinical scenarios. To create a fully immersive simulation experience with advanced intervention capabilities and realtime data feedback, the Live and Complete configurations of the Juno simulator utilize instructor- led software with scenario programming capabilities.
• Manage difficult airways • Maintain tracheostomy site Nasal Packing Juno supports nasal packing. Nasal packing can be performed on both nares, utilizing ribbon, gauze, nasal packs, or tampons. To apply nasal packing: 1. Cut a length of ribbon gauze or use commercially available nasal pack or nasal tampon.
• Laryngopharynx Intubation The upper airway of the Juno manikin is designed to allow for intubation. CAUTION: Airways can be damaged by improper insertion of an airway adjunct (such as endotracheal tube). To protect the airway, lubricate the adjunct prior to insertion using the silicone oil spray provided.
Manual Bag-Valve-Mask (BVM) Ventilation Chest Tube Juno also has bilateral holes approximately in the fifth intercostal space slightly anterior to the mid auxiliary line for chest tube insertions. The chest tube can be taped into place and learners can perform chest tube care.
Using Juno Cardiovascular System The Juno manikin includes cardiovascular features that allow learners to practice basic assessment and life support skill sets. With the Juno manikin, learners can: • Palpate pulses • Place IV lines and catheters • Administer IM and SQ injections •...
Depending on the pulse location, pulses are manually operated (carotid) or managed using the software (brachial and radial). The Juno Live and Complete configurations include two brachial and two radial pulse locations. Practicing Carotid Pulse Techniques The manikin has bilateral carotid pulses that are manually operated.
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Carotid Pulse Palpated Managing Radial and Brachial Pulses Juno Live and Complete configurations come with a right NIBP and pulse arm which has radial and brachial pulse locations. The pulse is activated when pressure is applied to the correct location. The pulse intensities can be changed using the Maestro software.
IV Administration There are two IV sites on Juno’s left arm, located on the dorsum of the hand and the antecubital fossa. Each IV site has an insert with a loop of tubing. The sites are filled and drained through tubing running from the IV site up to the left shoulder.
The IM/SQ Injection Site Intraosseous (IO) Cannulation Juno also allows for humeral intraosseous (IO) cannulation. The designated IO site is located on Juno’sleft shoulder and left leg. Note: Replace either of the IM pads with an IO access puck prior to performing IO cannulation.
Using Juno On Juno, a 4-lead ECG signal is emitted from the appropriate positions for display on a standard monitor. To produce ECG signals on a standard patient monitor, connect the ECG leads to the posts. Note: The ECG posts are supplied with the accessories kit and need to be installed at the locations indicated.
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1. Connect the extension from the T-fitting on the blood pressure cuff adapter to either of the NIBP ports on Juno’s right side shoulder. 2. Ensure the electronics tether from the NIBP arm is connected to the arm connector on Juno’s right side.
Using Juno Gastrointestinal System Juno produces realistic bowel sounds. Auscultation of normal and abnormal bowel sounds can be performed with the StethoSym utilizing the RFID tags. For further information, see Using the StethoSym in this user guide. In addition, gastric lavage and gavage can be administered.
Performing Enema Procedure Genitourinary System Juno may beconfigured with either male or either of which allows for the insertion of a urinary catheter.The genitourinary system also provides for the excretion of urine. Changing the Simulator’s Genitalia Juno comes with male and female genitalia.
CAEJuno Using Juno Reproductive System The Juno manikin allows for the learner to practice: • Breast examinations (using the optional Breast Exam Module) Breast Examination The Breast Exam optional module facilitates training in the recognition of breast disorders. These disorders are “movable” with the nodules placed within the openings on the inside of the breasts.
• Normal right breast Post-Mastectomy Wound Kit To use the Post-Mastectomy wound kit: 1. Remove the female skin from Juno. 2. Replace with the post-mastectomy skin. 3. Place the end of a drainage system through the hole and underneath the skin.
Administration via Software Certain medication administration can be simulated using the instructor software. For more information on administering medication in the software only, see the Maestro for Juno User Guide. Intravenous, Intramuscular/Subcutaneous, and Intraosseous Medication Learners can administer medications via IM/SQ injection, IV cannulation or intraosseous injection.
Auscultated Sounds To auscultate sounds on the Juno manikin, be sure to locate a stethoscope and set up the StethoSym prior to beginning a simulation. Note: A patient must be running in the software for any sounds to be available. By default, Normal sounds are selected.
Sounds button on the Run screen in Maestro. When the Sounds panel appears, select one of the tabs: Heart, Lungs, or Bowel. Adjust all areas or isolate by changing the sound type per region, if applicable. Select the sounds from the Type drop-down menu. See the Maestro for Juno User Guide for complete details.
Contact CAE Healthcare Customer Support for any questions and concerns regarding hardware maintenance. CAUTION Do not attempt to open or repair any simulator components without authorization from CAE Customer Support. Doing so may void the warranty. General Simulator Care •...
Gently rub the soiled area with a soft cloth to remove most marks and stains. DO NOT use solvents or abrasive pads. Inspect the manikin for damage or puncture marks. If damage exists, contact CAE Healthcare Customer Service immediately for a repair. Prompt repair prevents expansion of the damaged area.
Tap OK. Step 6: Power Off the Manikin (Optional) Note: This step applies only to Juno Live and Complete configurations. To power off the manikin: a. Press the button located on right side of the simulator and hold it for three seconds. The LED light will start flashing Green.
Storage IMPORTANT: Do not attempt to open or repair any simulator components. Doing so may void the warranty. If damage exists, contact CAE Customer Service immediately for a repair. Prompt repair prevents expansion of the damaged area. Prior to storing the product: •...
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The shipping container is approximately 2 feet (61cm) by 6 feet (183 cm). Juno supports storage up to twelve months. After that period of time, the user will need to charge the simulator again.
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For more information about CAE products, contact your regional sales manager or the CAE distributor in your country, or visit caehealthcare.com. Tel +1 941-377-5562 or 866-233-6384 For customer service, please contact CAE. Customer Service Headquarters - United States Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Phone 1-866-462-7920 Email: srqcustomerservice@cae.com...