Page 1 VICTORIA ® S2200 User Guide...
Page 3: Table Of Contents
2.4 initializing simulator 2.5 Birthing Baby Setup 2.6 Turning ON Victoria® via OMNI®Link Wireless Adapter Set 2.7 Turning ON VICTORIA® via RF Communications 2.8 Gaumard Vitals 2.9 Turning ON VICTORIA® VIA TCP/IP 2.10 Speech Features 3. Working with VICTORIA 3.1 Neurological 3.1.1.
Page 4 3.3 Ocular 3.3.1. Blinking 3.3.2. Tracking Eyes 3.3.3. Eye Movements 3.3.4. Strabismus 3.3.5. Blepharospasm 3.3.6. Ptosis Severity 3.3.7. Pupil Dilatation Automatic Eyes Calibration 3.4 Airway 3.4.1. Nasal and Oral Intubation 3.4.2. Intubating Incorrectly 3.4.3. Airway Complications 3.5 Breathing 3.5.1. Respiratory Patterns 3.5.2.
Page 5 3.7.7. Oxygen Saturation 3.7.8. Oxygen Saturation Calibration 3.7.9. Intramuscular Injection Sites 3.8 Bowel 3.8.1. Bowel Sounds 3.8.2. Urinary Catheterization 3.9 Fetus - Birthing Baby 3.9.1. Range of Motion 3.9.2. Auscultation 3.9.3. Crying 3.9.4. Cyanosis 3.10 Obstetrics 3.10.1. Pelvis with Anatomic Landmarks 3.10.2.
Page 6 Fetus Position Controls 3.11.12. Placenta Delivery 3.11.13. Resetting the Delivery Mechanism 3.11.14. Vacuum-Assisted Delivery 3.11.15. Shoulder Dystocia 3.11.16. Prolapse of the Umbilical Cord 3.11.17. Placenta Previa 3.11.18. Breech Delivery 3.11.19. Cesarean Delivery 3.11.20. C-Section Cover (revision C) 3.12 POSTPARTUM ACTIVITY 3.12.1.
Page 7 6.1 Communication/Power Issues 6.2 Miscellaneous Issues 6.3 Streaming Audio Issues 6.4 Victoria Specific Issues 7. Appendix 7.1 Gaumard Sales Terms and Conditions 7.2 End user License Agreement 7.3 Exclusive one-year limited warranty Extended Warranty 7.4 Contact technical Support Technical Support 7.5 General Information...
Page 8: Introduction
The lubricants and other accessories provided Drain Fluid Reservoir: 30 mL. are for use with the accompanying patient • Wired connectivity: Gaumard USB simulator only. The lubricants and other Communication Module (RJ45) accessories are not suitable for human use or •...
Page 9: Operating Conditions
• Treat the simulator with the same precautions that from Gaumard Scientific or from your Distributor. would be used with a real patient. • Only use Gaumard’s provided simulated blood. Any VICTORIA shipping support item is provided other simulated blood containing sugar or any additive...
Page 10 This is considered improper use and conductive skin sites and the internal electronics. covered by the simulator's warranty. The system will require repair at a Gaumard facility. • Discontinue use if any wires are found exposed with damaged insulation.
Page 11 • Do not write on the insert • The use of needles larger than 18 gauge will reduce the lifetime of the insert. • Clean the insert with a cloth dampened with diluted liquid dish washing. Gaumard.com...
Page 12: Terminology
Postpartum Hemorrhage System Scenario Item A clinical state item that is part of a scenario. Scenario • Use only simulated blood provided by Gaumard. Items may also represent a fixed delay period such Any other simulated blood brand containing as "Wait" or a pause such as "Wait Indefinitely."...
Page 13: Device Sizes
Helpful Hints Intubation Blade Size Miller 4 or MAC 3.5 Intubation (LMA) Size 4 Lubricate using Gaumard lubricant. Oral Intubation ETT 7.0 or 7.5 no cuff Must inflate cuff and lubricate the device. Nasal Intubation 8 Fr catheter Lubricate using Gaumard lubricant.
Page 14: Initial Setup
Neck brace Wireless Router Save ALL boxes and shipping materials that Hospital Gown VICTORIA S2200 is shipped with in the event Diaper she may need to be sent in for repair. Baby Head Cap Baby Receiving Blanket •...
Page 15 Victoria Quickstart Guide Wireless Tablet PC with Stylus Control Bump Case for Tablet PC RF Communications Module 15 Foot RJ45 Cable Victoria User Guide VICTORIA® Labor and Delivery - Simulation Learning Experiences - Facilitator's Guide, 2019 OMNI LINK Wireless Adapter Kit Gaumard.com...
Page 16: Battery
VICTORIA® S2200 — User Guide | Initial Setup 2.3 BATTERY Avoid Battery Idleness Battery Cycling Do not leave the simulator idle for extended periods of time (i.e., months, years). The The battery is an integral part of your simulator battery's capacity for charge will deteriorate and requires appropriate care to if there is no cycling in the level of charge.
Page 17: Charging The Battery
4. After the charger indicator light turns green, disconnect the charger. The simulator is ready for use. The charger CAN be used during simulation so as to extend Victoria's battery life. This can be helpful for extended simulation sessions. Gaumard.com...
Page 18: Initializing Simulator
VICTORIA® S2200 — User Guide | Initial Setup 2.4 INITIALIZING SIMULATOR 2.4.1. Simulator Placement Prepare the simulation area prior to unboxing the simulator. The simulator's designated area should have ample space for multiple participants to move about freely. Since VICTORIA is fully functional in transit, have sufficient room that allows for her to be moved easily between simulation areas.
Page 19: Leg Assembly
2. Remove the fixed bolts from the knee joints using a hexagonal wrench. 3. Gently roll back the skin to uncover the knee joint. 4. Insert the lower legs into the recess of the upper leg and insert the bolts. Gaumard.com...
Page 20 VICTORIA® S2200 — User Guide | Initial Setup 5. Use two hexagonal wrenches provided to secure the knee bolts. Do not overtighten. 6. Gently roll the skin back into position. 7. Align the plastic snaps located on the leg and the skin and secure each snap. 20 | Toll-Free USA &...
Page 21 2. Gently push the white frame into position so that it is held firm by the two soft flanges. 3. The urethral extension, attached to the birth canal, passes through the opening located at the top of the cervix wall. Gaumard.com...
Page 22 VICTORIA® S2200 — User Guide | Initial Setup 4. Ensure that the cervix is also aligned with the forked extension sitting in the bottom center of the pelvic opening. 5. Gently push the rest of cervix in place. 6. Connect the urethral extension to the urinary fill port.
Page 23 2. Gently push the white frame into position so that it is held firm by the two soft flanges. 3. Pass the urethral extension through the opening at the top of the cervix. Gaumard.com...
Page 24 VICTORIA® S2200 — User Guide | Initial Setup 4. Ensure that the cervix is also aligned with the forked extension sitting in the bottom center of the pelvic opening. 5. Gently push the rest of the cervix in place. 6. Connect the urethral extension to the urinary fill port.
Page 25 VICTORIA® S2200 — User Guide | Initial Setup 7. Hook the urethral extension into the holder at the top. 8. Gently accommodate the birth canal as shown in the picture. 9. Connect the clear lubrication hose located on VICTORIA's right side. Gaumard.com...
Page 26 VICTORIA® S2200 — User Guide | Initial Setup 10. Connect the green bleeding hose located on VICTORIA's left side. 11. To secure the birth canal, gently move the six snaps counterclockwise to fasten them to the metal frame. 26 | Toll-Free USA & Canada 1.800.882.6655 | Worldwide 305.971.3790...
Page 27: Power Supply
60 days when not in use. Otherwise, permanent loss of battery capacity may occur. Once the battery is fully charged, VICTORIA can be operated on battery power for approximately 8 hours. The battery level is displayed on the UNI status panel. Gaumard.com...
Page 28: Birthing Baby Setup
VICTORIA® S2200 — User Guide | Initial Setup 2.5 BIRTHING BABY SETUP 2.5.1 Power Supply 1. Remove the power input port cover from the left foot. 2. Connect the power adapter labeled Birthing Baby Power Supply to the power input port located on the baby's left foot. 3.
Page 29: Turning On Victoria® Via Omni®Link Wireless Adapter Set
VICTORIA using the USB RF module. To initialize VICTORIA via a Bluetooth connection using the OMNI Link: 1. After reading the manufacturer's care and caution information, press the power button to turn on the Tablet PC. 2. Remove the OMNI Link from its package. Gaumard.com...
Page 30 VICTORIA® S2200 — User Guide | Initial Setup 3. Locate and plug the OMNI Link into the RJ45 port on the side of the simulator. 4. Press the power button on the OMNI Link to enable Bluetooth. It will flash green when ready. 5.
Page 31 9. Click Connect Connect at the bottom. VICTORIA will establish communication within one minute. Once the Bluetooth connection is successfully established and VICTORIA is on, a signal icon appears at the bottom left of the UNI 3 interface. Gaumard.com...
Page 32: Turning On Victoria® Via Rf Communications
VICTORIA® S2200 — User Guide | Initial Setup 2.7 TURNING ON VICTORIA® VIA RF COMMUNICATIONS Wireless RF Communications requires the Gaumard provided RF Communications Module to be plugged into the simulator's tablet/PC. 1. After reading the manufacturer's care and caution information, press the power button to turn on the Tablet PC.
Page 33 5. Select Radio under the Connection drop-down. 6. Click Connect Connect at the bottom. VICTORIA will establish communication within one minute. Once the Radio connection is successfully established and VICTORIA is on, a signal icon appears at the bottom left of the UNI 3 interface. Gaumard.com...
Page 34 VICTORIA® S2200 — User Guide | Initial Setup Communication via Wired RF Module is also able to be connected by way of an VICTORIA ethernet connected RF module. The RF module, as seen in the image, has an ethernet port. 1.
Page 35 When selecting the appropriate profile, be sure that the correct serial number from your simulator is entered into the profile and click. Connect Connect. The serial number will be located on the metal frame of VICTORIA's abdominal cavity. Gaumard.com...
Page 36 VICTORIA® S2200 — User Guide | Initial Setup 8. Select Radio under the Connection drop-down. 9. Click Connect Connect at the bottom. VICTORIA will establish communication within one minute. Once the Radio connection is successfully established and VICTORIA is on, a signal icon appears at the bottom left of the UNI 3 interface.
Page 37: Gaumard Vitals
VICTORIA® S2200 — User Guide | Initial Setup 2.8 GAUMARD VITALS The Gaumard Vitals software simulates vital signs in real-time. A wireless connection between the facilitator's tablet/PC and the Gaumard Vitals Bedside Patient Monitor synchronizes the vital signs, providing participants the versatility of a bedside patient monitor.
Page 38 In this example, the resulting Ethernet IP address is 192.168.0.100. This IP address number is what will be plugged into the communication setup on Gaumard Vitals so the software can communicate with each other. The Port number would only need to be...
Page 39 VICTORIA® S2200 — User Guide | Initial Setup 7. Enter into Gaumard Vitals the Controller IP, the IP from the Adapter field on UNI 3. 8. Check that the Port numbers are the same on UNI 3 and Gaumard Vitals.
Page 40 VICTORIA® S2200 — User Guide | Initial Setup 10. The Gaumard Vitals software is now ready to receive the vital signs information generated by the UNI 3 control software. 40 | Toll-Free USA & Canada 1.800.882.6655 | Worldwide 305.971.3790...
Page 41: Turning On Victoria® Via Tcp/Ip
2. Plug the RF Communications Module into an available USB port on the Bedside Virtual Monitor. 3. Ensure that the RF Module Drivers are downloaded on the Bedside Virtual Monitor. If the RF Drivers are not installed, go to: https:// www.gaumard.com/gaumard-software to download and install them. Gaumard.com...
Page 42 VICTORIA® S2200 — User Guide | Initial Setup 4. Verify that the Bedside Virtual Monitor and the UNI tablet/PC are connected to the same Wi-Fi network. 5. The UNI software is preloaded on the tablet which is used to initialize the simulator and control vital signs.
Page 43 Monitor will search and connect to the available RF. 3. Once the RF is ready, click Connect on the bottom right of the Sim Connection Via Vitals Monitor window. The UNI 3 and Gaumard Vitals are now connected via TCP/IP and the simulator is ON. Gaumard.com...
Page 44: Speech Features
VICTORIA® S2200 — User Guide | Initial Setup 2.10 SPEECH FEATURES Be the voice of VICTORIA and listen to participants respond in real-time. 1. Connect the provided headset to the tablet. The provided headset allows the facilitator to speak through the simulator and listen to the simulation's participants' reply.
Page 45: Working With Victoria
As the skull will not stretch like skin, it may become full and pressure will increase on the brain tissue. As such, UNI and Gaumard Vitals will recognize this simulation virtually with numerical vitals. 1. Under Neurological, click Intracranial Pressure.
Page 46: Seizures
VICTORIA® S2200 — User Guide | Neurological 3. Check on Change by percentage to affect the intracranial pressure by percentage as opposed to mmHg. The value in units of mmHg will display the numeric value of ICP and Autoregulation percentage will affect the intensity of the ICP waveform.
Page 47: Cephalic
Cephalic section in UNI. 2. Select the emotional state for VICTORIA exhibit. 3. Once the customizations are made, click Apply or Add To Queue to make changes. 4. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 48: Ocular
VICTORIA® S2200 — User Guide | Ocular 3.3 OCULAR 3.3.1. Blinking 's blinking has variable rates and states that VICTORIA can be selected by the user. To activate blinking feature and manipulate VICTORIA her blink rate: 1. Select Blink State in the Ocular section to open the menu for the varied blinking options.
Page 49: Tracking Eyes
Ensure that VICTORIA's hair, or any other objects, are cleared from her eyes and forehead when activating the Automatic Tracking feature. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 50 VICTORIA® S2200 — User Guide | Ocular 4. Stand in front of VICTORIA 5. Place either a pen or finger 6 inches (15.2 cm) from VICTORIA 's face. Place the finger or pen to the center of VICTORIA's eyes to make them cross-eyed. 6.
Page 51: Eye Movements
To choose these positions on UNI: 1. Select Eye Movement in the Ocular section. Static eye positions include: None, Left, Right, Up, and Down. Eye Movements will stay active until "None" is selected by the provider/facilitator. Gaumard.com...
Page 52: Strabismus
VICTORIA® S2200 — User Guide | Ocular 3.3.4. Strabismus has the ability to mimic Strabismus which is VICTORIA a condition that involves the state of having crossed eyes. Patients who have strabismus have issues involving not being able to keep a regular ocular alignment.
Page 53: Blepharospasm
1. Select Blepharospasm within the Ocular section. 2. Check Spontaneous to cause twitching to occur at random intervals. Blepharospasm can operate simultaneously with any other eye states. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 54: Ptosis Severity
VICTORIA® S2200 — User Guide | Ocular 3.3.6. Ptosis Severity has the ability to mimic Ptosis. In a real VICTORIA clinic, a patient may have the condition where their upper eyelid droops over the eye. It may be severe enough to completely block their normal vision. Some people may be born with ptosis, or it can occur later in life if the muscles/ligaments that raise the eyelid are weakened, whether that occurs by age or injury.
Page 55: Pupil Dilatation
Turning off the Consensual Reaction To Light will make the pupils react independently. To activate: 1. Select Consensual Reaction to Light. in the Ocular section. 2. Switch to Off. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 56 VICTORIA® S2200 — User Guide | Ocular To activate and change the pupil dilation per pupil on VICTORIA 1. Select Pupil Dilation in the Ocular section. 2. Increase or decrease the size of the pupil by adjusting the slider to the desired dilation. Use SYNC to adjust the sliders for each pupil simultaneously.
Page 57 1. Select Pupil Reaction in the Ocular section. 2. Turn pupil reaction on and off by adjusting the slider to On or Off on both the Left and Right pupils. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 58: Automatic Eyes Calibration
VICTORIA® S2200 — User Guide | Ocular Automatic Eyes Calibration 's eyes are calibrated from the factory. VICTORIA However, a calibration can be performed if needed. If there is a difference of speed with the eyes, do the following. 1. Click the Settings icon in the UNI software. 2.
Page 59 4. Select the desired setting within the Eye Calibration options, be it Eye Movement Speed or Pupil Sensitivity. When calibrating the Eye Movement Speed, a popup will be prompted upon clicking Calibrate which awaits the facilitator's confirmation on the UNI screen. Gaumard.com...
Page 60: Airway
VICTORIA® S2200 — User Guide | Airway 3.4 AIRWAY 3.4.1. Nasal and Oral Intubation Airway management techniques can be practiced on Procedure Device Size the VICTORIA including BVM, nasal/oral intubation, and Intubation (Blade Size) Miller 4 or MAC 3.5 suctioning. Endotracheal tubes, NG tubes and LMA's can Size 4 be used.
Page 61 VICTORIA® S2200 — User Guide | Airway 4. Lubricate the adjunct with mineral oil. 5. Intubate the simulator. Gaumard.com...
Page 62: Intubating Incorrectly
VICTORIA® S2200 — User Guide | Airway 3.4.2. Intubating Incorrectly In UNI, click the CPR tab to view the visual graphic of VICTORIA's airway and intubation sensor that detects endotracheal tube placement. Lubricate the endotracheal tube using mineral oil before intubation. Do NOT introduce liquids into the airway or spray mineral oil into the airway.
Page 63: Airway Complications
2. Select the ON option to enable either or both features. Activating an airway complication will stop chest rise. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 64 VICTORIA® S2200 — User Guide | Airway 3.4.4. Throat Sounds VICTORIA can produce throat sounds to mimic patients with breathing issues. VICTORIA has normal and abnormal throat sounds that include different types of stridor that can be selected to give auditory clues for assessments, To select throat sounds and adjust their volume: 1.
Page 65: Breathing
Kussmaul's, Cheyne-Stokes, Blot's, Apneustic, Apnea, and Normal. To activate VICTORIA's respiratory rate and pattern: 1. Select Respiratory Pattern in the Breathing section. 2. Select the desired respiratory pattern. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 66 VICTORIA® S2200 — User Guide | Breathing To activate and change ’s respiratory rate: VICTORIA 1. Select Respiratory Rate in the Breathing section. 2. Adjust the slider to select the desired amount of breaths per minute. Check on Change by Percentage in order to adjust the rate by percentage value.
Page 67: Lung Sounds
3.5.3. Chest Rise VICTORIA's bilateral chest rise and fall is automatic. When starting UNI, pre-programmed profiles will load VICTORIA with a healthy respiratory pattern and normal chest rise. Use the software controls to adjust the breathing rate and the inspiratory percentage. Gaumard.com...
Page 68: Ventilation
VICTORIA® S2200 — User Guide | Breathing 3.5.4. Ventilation VICTORIA's airway contains nominal landmarks permitting either BVM or intubation exercises, including the use of a LMA. The trachea extends to the bronchi and lungs. Ventilations volume and duration are measured and logged with the new effective CPR (eCPR) evaluator Before practing ventilation techniques on VICTORIA, follow the steps below:...
Page 69: Chest Compressions
Monitor the depth and frequency of chest compressions from the CPR trainer window. Before using the chest compression feature for the first time, please calibrate the chest compression feature. Proper chest compressions result in palpable carotid pulses. Gaumard.com...
Page 70: Compression Calibration
VICTORIA® S2200 — User Guide | Breathing 3.5.5. Compression Calibration The compressions sensor is factory calibrated prior to shipment. To customize the parameters for chest compressions, please follow the procedure outlined in the compression calibration procedure. The compression calibration wizard records the performance average of five compressions as the benchmark for a correct compression.
Page 71 VICTORIA® S2200 — User Guide | Breathing 3. On the Calibration Hub select Compression. 4. Perform 5 correct compressions and follow each cue from the calibration wizard until complete. To reset and start from the beginning, click RESET. Gaumard.com...
Page 72: Real Co₂ Exhalation (Optional)
VICTORIA® S2200 — User Guide | Breathing 3.5.6. Real CO₂ Exhalation (Optional) VICTORIA can exhale real CO₂ via a CO₂ cartridge. Once a CO₂ cartridge is installed, use the software controls to adjust volume of CO₂ exhaled. VICTORIA can also be operated without a CO₂...
Page 73: Installing The Cartridge
Once you have started screwing in the cartridge, do not stop or attempt to unscrew the cartridge. The casing will puncture the cartridge seal during the tightening process. Hand tighten only. Do not overtighten. Gaumard.com...
Page 74 VICTORIA® S2200 — User Guide | Breathing 6. Once the cartridge is properly connected, place the top of the cartridge's protective case back into position and twist it back on firmly. 74 | Toll-Free USA & Canada 1.800.882.6655 | Worldwide 305.971.3790...
Page 75: Connecting The Cartridge
Velcro is included to conveniently secure the cartridge protective case. Optional: If you wish to place the cartridge in a location further away from the manikin, please use the 24" white extension tube. Gaumard.com...
Page 76: Removing The Cartridge
VICTORIA® S2200 — User Guide | Breathing 3.5.9. Removing the Cartridge 1. Before replacing the cartridge, ensure that you have exhausted the content of the cartridge. 2. To exhaust contents of the CO₂ cartridge, please turn the feature on and allow it to run until no more CO₂...
Page 77: Adjusting Co₂
Breathing section to increase or decrease the volume of exhaled CO₂. To increase the amount of CO₂ exhaled, adjust the range higher (maximum 10). To decrease the amount of CO₂ exhaled, adjust the range lower (minimum 0). Gaumard.com...
Page 78: Cardiac
VICTORIA® S2200 — User Guide | Cardiac 3.6 CARDIAC 3.6.1. Heart Sounds VICTORIA comes equipped with a range of authentic heart sounds that seamlessly synchronize with the user- defined heart rate and cardiac rhythm. The heart sounds available include: normal, none, distant, systolic murmur, S3, S4, aortic regurgitation, aortic stenosis, mitral valve prolapse, mitral stenosis, mitral regurgitation, physiological S2 split.
Page 79: Heart Rate
To change VICTORIA’s heart rate on UNI: 1. Locate Heart Rate in the Cardiac section. 2. Adjust the slider to pick the desired heart beats per minute on VICTORIA. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 80: Ecg Monitoring And Electrical Therapy
VICTORIA® S2200 — User Guide | Cardiac 3.6.3. ECG Monitoring and Electrical Therapy VICTORIA is equipped with ECG snap connectors that allow the attachment of real ECG lead wires. This feature permits the user to track cardiac rhythms and events with their own equipment just like with a human patient.
Page 81 ECG rhythm library. TO perform ECG on VICTORIA: 1. Open the ECG snap connector covers. 2. Connect the ECG lead wires to VICTORIA's ECG snap connectors. 3. Connect the ECG lead wires to the ECG monitor and turn it on. Gaumard.com...
Page 82: Defibrillation Snap Connectors
VICTORIA® S2200 — User Guide | Cardiac 3.6.4. Defibrillation Snap Connectors The defibrillation snap connectors and Defibrillation Procedure Device Size Snap Cable allows providers to deliver electrical therapy Defibrillation 360 Joules at the sternum (right shoulder) and apex (left upper lateral) sites.
Page 83: Using The Defibrillation Snap Connectors (Optional)
The snaps are color coded to Black Connector Sternum Snap identify the apex and sternum placement. Gaumard manufactures a variety of simulator ready defibrillation snap cables compatible with most electrical therapy devices. For more information about simulator ready snap cables for a particular defibrillator, please contact Gaumard customer service.
Page 84 VICTORIA® S2200 — User Guide | Cardiac 2. Connect the Defibrillation Snap Cable to the defibrillator. 3. Connect the red snap connector to the apex connector. 4. Connect the black snap connector to the sternum connector. The simulator ready defibrillation snap cables carry real energy.
Page 85: Circulation
VICTORIA's palpable pulses (bilateral carotid, radial, brachial) are dependent on blood pressure. Use the software controls to disable distal pulses and simulate severe hypotension. VICTORIA's pulses are dependent on blood pressure, heart rate, and cardiac rhythm. Carotid Radial Gaumard.com...
Page 86: Manual Blood Pressure
VICTORIA® S2200 — User Guide | Circulation 3.7.2. Manual Blood Pressure Programmable blood pressure can be measured using any standard sphygmomanometer. Korotkoff sounds are heard between systolic and diastolic pressure readings. To use the blood pressure cuff on VICTORIA: 1. Place the cuff around the simulator's upper left arm with the cuff mark at the medial site of the bicep brachii, about an inch (two cm) above the anterior elbow.
Page 87: Manual Blood Pressure Calibration
To use the blood pressure cuff on VICTORIA: 1. Click the Settings icon in the UNI software. 2. Then locate the Calibration setup that is found in the Current Simulator section. Gaumard.com...
Page 88 VICTORIA® S2200 — User Guide | Circulation 3. On the Calibration Hub, select Left Blood Pressure. 4. Click Ok on the Calibration Wizard once the pressure on the cuff is being held to that value. Calibrate at each of the given values, which include 0, 20, 40, 60, 80, 100.
Page 89: Non-Invasive Blood Pressure
Feature Size NIBP Cuff Adult Regular (26cm-36cm) To enable the NIBP feature: 1. Click the Settings icon in the UNI software. 2. Then locate Options that is found in the Current Simulator section. Gaumard.com...
Page 90: Non-Invasive Blood Pressure Calibration
VICTORIA® S2200 — User Guide | Circulation 3. Select the Add Ons tab and check on Automatic NIBP Kit to enable. Enabling the automatic NIBP function disables the manual blood pressure method feature. 3.7.5. Non-Invasive Blood Pressure Calibration Locate the NIBP Calibration KIT and follow the steps below to connect the kit bulb to the NIBP cuff line.
Page 91 Leave cuff on the arm and calibrate by: 1. Click the Settings icon in the UNI software. 2. Then locate the Calibration setup that is found in the Current Simulator section. Gaumard.com...
Page 92 VICTORIA® S2200 — User Guide | Circulation 3. On the Calibration Hub, select Left Blood Pressure. 4. Click Ok on the Calibration Wizard once the pressure on the cuff is being held to that value. Calibrate at each of the given values, which include 0, 20, 40, 60, 80, 100.
Page 93: Drug Recognition
1. Locate the Drug Recognition Fill Kit and attach the drain hose to the black output port. Place the end of the drain tube inside a container lower than the arm in order to siphon the fluids in the next steps. Gaumard.com...
Page 94 VICTORIA® S2200 — User Guide | Circulation 2. Next, attach a filled syringe with clean water to the white port. 3. Insert water in the system until fluids flow through the drainage hose into the container. The fluid drained must flow in a downward direction. You must always have water in the IV vasculature for the drug recognition module to work.
Page 95 5. Then locate the Calibration setup that is found in the Calibration section. 6. On the Calibration Hub, select IV Medication Infusion. 7. Follow the calibration steps by injecting 20 mL of fluids into the right forearm IV region. Gaumard.com...
Page 96: Programming The Drug Recognition Syringes
VICTORIA® S2200 — User Guide | Circulation Programming the Drug Recognition Syringes To program a Drug Recognition Syringe: Ensure that the simulator is turned on and connected to UNI. 1. Attach the syringe programming holder to the right wrist of VICTORIA as shown. 2.
Page 97 VICTORIA® S2200 — User Guide | Circulation 4. Click the Edit icon on the Medication that will be assigned to the drug recognition syringe. 5. Click + New Concentration/Syringe. Gaumard.com...
Page 98 VICTORIA® S2200 — User Guide | Circulation 6. Place a drug recognition syringe perpendicular to the forearm. While the syringe is in the Syringe Programming Holder, this orients the syringe perpendicular to the drug recognition arm. Once the drug recognition syringe is perpendicular to the wrist, UNI receives this feedback and allows the user to program a Medication name to the syringe.
Page 99 Medication, the information line will update to display a Syringe icon. 9. Click Save. In the main Medications list, all drug recognition syringes that are programmed to a Medication will have a Syringe icon displayed next to the Medication name. Gaumard.com...
Page 100: Arm
Always leave the drain port 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.
Page 101 IV sites, connect only the syringe. Pull the plunger to create suction; this action will collapse the veins. Disconnect the syringe tube from the port while maintaining suction. The port will seal and the veins will remain collapsed. Gaumard.com...
Page 102: Oxygen Saturation
VICTORIA® S2200 — User Guide | Circulation 3.7.7. Oxygen Saturation Use commercially available monitors to read oxygen saturation from the left index finger. Before using the oxygen saturation feature for the first time, calibrate the simulator to work Oxygen saturation monitors that detect carbon monoxide and/or methemoglobin are not supported.
Page 103: Oxygen Saturation Calibration
To calibrate the oxygen saturation, follow the steps below: 1. Assure that the oximeter is off and place the oximeter sensor all the way 2. Click the Settings icon in the UNI software. 3. Then locate the Calibration setup that is found in the Calibration section. Gaumard.com...
Page 104: Intramuscular Injection Sites
VICTORIA® S2200 — User Guide | Circulation 4. On the Calibration Hub, select Left Oxygen Saturation. 5. Use the arrows on the calibration wizard to increase/decrease the oxygen saturation. 3.7.9. Intramuscular Injection Sites Do NOT inject fluids into the intramuscular sites.
Page 105: Bowel
Auscultate the bowel sounds using a real stethoscope. 1. To turn bowel sounds On or Off independently, locate Bowel Sound in the Bowel section. 2. Select the desired bowel sound between the following options: • None • Normal • Hyperactive • Borborygmus Gaumard.com...
Page 106: Urinary Catheterization
VICTORIA® S2200 — User Guide | Bowel 3. To turn on or off a particular quadrant, select the On/Off buttons. To change the volume for the left and right quadrants, adjust the sliders. Feature will not work unless the Bowel Sound is changed from None.
Page 107 3. Locate the urinary bladder fill kit. 4, Connect the syringe with the filling tube to the white port labeled as urine and fill the bladder with fluid up to 200 mL. Gaumard.com...
Page 108 VICTORIA® S2200 — User Guide | Bowel 5. Reconnect the urethral opening to the urinary bladder fill port. 6. Locate the urethra opening on the upper section of the birth canal. 7. Use urinary catheter size 16 Fr to drain the urinary fluids.
Page 109: Fetus - Birthing Baby
• Head flexes as it moves through the birth canal • Baby vital signs after delivery Gaumard.com...
Page 110: Auscultation
VICTORIA® S2200 — User Guide | Fetus - Birthing Baby 3.9.2. Auscultation Auscultate heart and lung sounds with a real stethoscope after delivery. Use the control software to program the heart and lung sounds. To change the fetus' heart sounds: 1.
Page 111 1. Select Baby Lung Sound within the Fetus section on UNI. 2. Select the desired lung sound from a variety of options. Adjust the slider to the desired volume level. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 112: Crying
VICTORIA® S2200 — User Guide | Fetus - Birthing Baby 3.9.3. Crying Use the control software to activate fetal crying. The baby will begin crying 10 seconds after being separated from the mother and will continue to cry for the first minute after being delivered.
Page 113: Cyanosis
1. On the Fetus section, click the Baby Cyanosis vital. 2. Adjust the slider to increase or decrease the intensity of cyanosis seen circumorally on the birthing baby. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 114: Obstetrics
VICTORIA® S2200 — User Guide | Obstetrics 3.10 OBSTETRICS 3.10.1. Pelvis with Anatomic Landmarks VICTORIA has a realistic pelvis with anatomic landmarks. This includes ischial spines, the coccyx, and pubic bone. Ischial Spines: • Train on identifying the location of the ischial spines. •...
Page 115: Articulation And Movement
• Supports needle insertion between vertebrae with lifelike needle resistance • Simulated the resistance and pressure change felt when traversing the ligamentum flavum and entering the epidural space • Needle depth detection and software logging • Realistic tactile feedback Gaumard.com...
Page 116: Injection Detection With Dural Space
VICTORIA® S2200 — User Guide | Obstetrics 3.10.4. Injection Detection with Dural Space The epidural injection site is equipped with a depth sensor that informs the instructor, via the software log, when the needle is positioned within the dural space. If the needle is inserted too far, traversing the dural space and touching the spinal dura, the software logs Insertion too deep.
Page 117 Do not grasp the skin layer directly as applying force in this area will damage the skin and possibly the underlying layers. Using the Release Tab to remove the insert will extend the life of the insert. Gaumard.com...
Page 118: Abdominal Covers
VICTORIA® S2200 — User Guide | Obstetrics 3.10.5. Abdominal Covers The VICTORIA package includes four interchangeable abdominal covers with seamless attachments. The modular abdominal covers include a concealed seam between cover and torso endoskeleton. Each cover has unique features that enhance the realism of several labor and delivery simulation exercises.
Page 119: Contraction Abdominal Cover
This cover includes an integrated palpable uterus, adjustable uterine firmness, and uterine and vaginal hemorrhage. For more details on how to use, refer to the Labor and Delivery section. Gaumard.com...
Page 120: Realistic Birth Canal With Dilating Cervix
Ball point pens, ink, and markers permanently stain the birth canal insert. • Do not wrap this or any other Gaumard product in newsprint. • The birth canal insert can be cleaned by wiping with a mild solution or soap and water.
Page 121: Labor And Delivery
1. Vertex Delivery Rod - Stabilizes the fetus during vertex deliveries. 2. Breech Delivery Rod - Stabilizes the fetus during breech delivery. 3. Baby Delivery Ring - Assists in maintaining the proper position of the baby during internal and external rotations throughout the delivery. Gaumard.com...
Page 122 VICTORIA® S2200 — User Guide | Labor and Delivery To prepare for delivery, place the baby on the birthing mechanism: 1. Place the fetus on the cradle. 2. Remove the plug in the baby's perineum for vertex delivery. Removing the plug reveals the vertex delivery port.
Page 123: Preparing For A Vertex Delivery
3.11.2. Preparing for a Vertex Delivery 1. Thoroughly lubricate the fetal head and shoulders, as well as the birth canal insert and cervix, using the mineral oil provided. Birth Canal Cervix Fetal head Gaumard.com...
Page 124: Self-Lubrication
VICTORIA® S2200 — User Guide | Labor and Delivery 2. Lubricate the placenta. Always lubricate the fetus and the birth canal before every delivery with the mineral oil provided. Failure to do so will result in damage to the birthing mechanism and the birth canal. 3.11.3.
Page 125 The reservoir capacity is 10 mL. This lubrication will last for approximately five deliveries. 5. To refill the lubrication reservoir, first apply suction with the empty syringe to remove any remaining lubricant from the reservoir. 6. Repeat filling procesure from step 4. Gaumard.com...
Page 126: Amniotic Fluid/Cephalic Delivery Bleeding
4. Repeat the filling procedure to transfer up to 200 mL of fluid into the amniotic/blood reservoir. Use only Gaumard's provided simulated blood. Any other simulated blood brand may contain sugar or other additives that may cause blockages and interrupt the bleeding system.
Page 127 6. Click the slider On to turn activate the bleeding. 7. Click Apply Now or Add to Queue once selections are made. 8. Once the delivery is completed, use the black drain port labeled as Drain to drain all remaining fluids with the drain syringe. Gaumard.com...
Page 128: Connecting The Birthing Baby
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.5. Connecting the Birthing Baby 1. Attach the umbilical cord to the baby. 2. Route the cord so it does not bind in the mechanism. 3. Connect the baby delivery ring to the holder. Nuchal cord and prolapse of the cord presentations are acceptable preparations for the delivery or scenario being practiced.
Page 129: Contraction Cover
6. Place the delivery ring into position as shown. Notice that the ring should be placed just below the fetus knee joints. 3.11.6. Contraction Cover To install the contraction cover: 1. Place the placenta inside the contraction abdominal cover. Gaumard.com...
Page 130 VICTORIA® S2200 — User Guide | Labor and Delivery 2. Connect the contraction cover power connection to the power port located on the right middle side of the abdominal cavity. Both the connector and the port are marked in green. 3.
Page 131 3. Gently rest the contraction cover to the right side of VICTORIA and disconnect the power connector from the power port. 4. Remove the contraction cover completely. Gaumard.com...
Page 132: Maternal Monitor
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.7. Maternal Monitor To connect a real Fetal Monitor: 1. Connect the transducer wires to the maternal Monitor. 2. Apply ultrasound gel to the Fetal Heart Tone transducer. 3. Place the Fetal Heart Tone transducer slightly below the umbilicus or navel.
Page 133 1. Place the contractions transducer as instructed above. 2. In the Fetal Monitor section, adjust the following vitals to calibrate to the real fetal monitor: • Select Contraction Frequency and adjust to 2 minutes. • Select Contraction Duration and adjust to 40 seconds. Gaumard.com...
Page 134 VICTORIA® S2200 — User Guide | Labor and Delivery • Select Contraction Intensity and adjust to 55 mmHg. 3. Wait for the contraction to be relaxed (TOCO: 7-8) on the Fetal Monitor tab. 4. Click the Auto Zero button in the physical fetal monitor (not to be confused with the fetal monitor tab on UNI).
Page 135: Labor Scenarios
To load a labor scenario: 1. Click the Scenario tab on UNI. 2. Select the desired scenario and click Load to open. Under the left-hand side menu, different kinds of scenarios can be filtered so as to locate one faster. Gaumard.com...
Page 136: Access/Edit/Clone A Scenario
VICTORIA® S2200 — User Guide | Labor and Delivery 3. To begin/pause the scenario, click the Play/Pause buttons. To restart the scenario, click the Restart button. To fast forward to the following node in the scenario, click the Fast Forward button. Access/Edit/Clone a Scenario 1.
Page 137 Clone, Edit, or Delete a scenario. Details Clone Edit Delete Base scenarios cannot be edited or deleted, however, once a clone/copy is made, that clone can be edited, saved, and deleted. 5. To create an entirely new scenario, click + New Scenario. Gaumard.com...
Page 138: Editing Scenarios
VICTORIA® S2200 — User Guide | Labor and Delivery Editing Scenarios When the provider is in the scenario editing page, they are presented with the node paths of the chosen scenario, the labor curve—seen on the left hand side of UNI—as well as the Scenario Information panel, which can be seen on the right-hand side of UNI.
Page 139: Editing Scenario Nodes
The facilitator can edit the Item Sections: As seen on the images below, depending on the details the facilitator adds to the Item, a symbol for Clinical State, Audio, and/or Vital Audio Baby Descent Clinical State will be added. Gaumard.com...
Page 140 VICTORIA® S2200 — User Guide | Labor and Delivery • Add/Update icons: Click the Add or Update icons to include a new detailed item to the particular node on the scenario. Some options when selecting or Details Update Delete editing an item include clinical states, baby descent percentage, files, sensors, audio, and lab reports.
Page 141: Editing Scenario Paths
If the arrow is selected, the right-hand side will open up the Path Information screen. An alternative way to access the Path Information section is by clicking the Details icon on the Path section. Gaumard.com...
Page 142: Editing Scenario Conditions
VICTORIA® S2200 — User Guide | Labor and Delivery Editing Scenario Conditions The Condition section can be manipulated by the facilitator: A Condition refers to the particular requirements set by the scenario facilitator to be met by the provider in simulation. The Type in Condition Details refers to the chosen virtual category and procedure for the provider to accomplish.
Page 143: Completing A Delivery
The provider or facilitator may help the fetal head and shoulders through the vulva just as in real life. The fetus will release automatically when the vertical progress bar reaches the end of the timeline on the graphic display. Gaumard.com...
Page 144: Fetal Monitor Window
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.11. Fetal Monitor Window The Fetal Monitor window on UNI displays feedback data recorded by the precision delivery mechanism sensors. The window provides feedback on pull force, heart rate changes, uterine contractions, torque on the baby (twisting force) and shoulder position.
Page 145: On Demand Panel
When UNI starts up, contraction responses will be off as a default. Click contraction sync to switch it on—or switch on any of the other two options to sync and add their respective simulation features—to be in accordance with the Rate of Descent. Gaumard.com...
Page 146: Fetal Monitor Options
VICTORIA® S2200 — User Guide | Labor and Delivery Fetal Monitor Options • History - Use this slider to adjust the fetal monitor to display the parameters from the desired moment from the elapsed time. • Fetal Monitor Speed - Use the slider to adjust the labor speed without affecting the simulated labor duration.
Page 147: Fetus Position Controls
Each initial position is preprogrammed with an internal rotation and the external rotation routine. The red curves illustrates the rotation of the fetus within the abdomen. The internal rotation is marked as 1 and the external rotation marked as 2. Gaumard.com...
Page 148 VICTORIA® S2200 — User Guide | Labor and Delivery To accelerate or decelerate the contraction intensity, (when prompted upon by the provider on the On Demand tab): 1. Click Accel/Decel Intensity within the Fetal Monitor section on UNI. 2. Select whether the desired intensity should be subtle, average, or dramatic.
Page 149: Placenta Delivery
Ensure that the birthing mechanism is half way retracted before allowing the provider to retrieve the placenta. Do not attempt to retrieve the placenta or placenta fragments while the birthing mechanism is moving. Gaumard.com...
Page 150: Resetting The Delivery Mechanism
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.13. Resetting the Delivery Mechanism 1. After the placenta delivery is complete, remove the contraction cover as instructed in section 3.11.6. 2. Remove the delivery ring. Do not turn off the VICTORIA until the birthing mechanism has fully retracted to its initial position.
Page 151: Vacuum-Assisted Delivery
3.11.15. Shoulder Dystocia To make use and/or edit the shoulder dystocia features prior to simulation: 1. Click the Settings icon in the UNI software. 2. Then locate the Scenarios button that is found in the Simulator Model section. Gaumard.com...
Page 152 VICTORIA® S2200 — User Guide | Labor and Delivery 3. Select the Clone icon on the pre-made Shoulder Dystocia (Candice) scenario on Candice to access and edit the dystocia options. The shoulder dystocia feature can be implemented into any desired scenario. The provided example is used on the Candice scenario as it is preset with the proper simulated vitals and values.
Page 153 Since VICTORIA is tetherless, the elbow-knee (Gaskin maneuver) position is easily attainable. This is a unique feature of tetherless simulators since there are no cables or wires to impede rolling or turning the patient. Gaumard.com...
Page 154: Prolapse Of The Umbilical Cord
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.16. Prolapse of the Umbilical Cord Prolapse of the umbilical cord is a dangerous complication which may clamp the cord cutting off oxygen to the fetus. It involves the presence of the umbilical cord in the birth canal in front of the presenting fetal part.
Page 155 VICTORIA® S2200 — User Guide | Labor and Delivery 4. Start a labor scenario. Gaumard.com...
Page 156: Placenta Previa
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.17. Placenta Previa Placenta previa is a condition in which the placenta is in the lower half of the uterus, located near to or covering the cervical os. VICTORIA is capable of simulating a placenta previa complication at various grades.
Page 157: Breech Delivery
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.18. Breech Delivery VICTORIA is capable of simulating several types of breech presentations. To simulate breech presentations: 1. Place the baby in the cradle provided. 2. Remove plug in fetal head for breech delivery. Gaumard.com...
Page 158 VICTORIA® S2200 — User Guide | Labor and Delivery 3. Flex the baby's head to reveal its breech port. 4. Insert the breech delivery rod into the breech port. Note that the breech delivery rod is longer than the vertex delivery rod. 5.
Page 159 VICTORIA® S2200 — User Guide | Labor and Delivery 8. Load or program a breech delivery scenario. 9. Place the contraction cover into position as instructed in the Normal Labor and Delivery section. 10. Start the labor scenario. Gaumard.com...
Page 160: Cesarean Delivery
VICTORIA® S2200 — User Guide | Labor and Delivery 3.11.19. Cesarean Delivery For Cesarean deliveries, VICTORIA features a removable abdominal cover that snaps onto VICTORIA's abdomen. It includes a disposable surgical insert with appropriate layers for dissection and suturing exercises. The disposable surgical insert includes the anatomic layers seen in real patients such as skin, subcutaneous tissue, fascia, muscle, and peritoneum.
Page 161 To filter scenarios, check off the desired scenario type—in this instance the Cesarean Delivery will be checked—on the left hand side of the Quick Start Scenario menu. 3. Remove the contraction cover. Refer to section "3.11.6. Contraction Cover" on page 129. Gaumard.com...
Page 162 VICTORIA® S2200 — User Guide | Labor and Delivery 4. Release the Birthing Baby from the motor arm and reset the birthing mechanism. 5. Attach a baby head or breech assembly to the end of the abdominal cover to perform the Zavanello maneuver. 6.
Page 163 VICTORIA abdominal cover. 8. Lubricate the Cesarean section baby and placenta as instructed for the Birthing Baby. It is not recommended to add any fluids in the Cesarean section cover. 9. Place the cesarean baby and placenta inside the abdominal cavity. Gaumard.com...
Page 164 VICTORIA® S2200 — User Guide | Labor and Delivery 10. Align the uterine layers and pull the holes over the metal snaps. 11. Verify that the uterine layer is secured. 12. Apply mineral oil to the holes of the surgical insert to reduce friction. 164 | Toll-Free USA &...
Page 165 VICTORIA® S2200 — User Guide | Labor and Delivery 13. Fit the surgical insert into the metal snaps. 14. Follow the insert until all the holes snap in place. 15. Apply mineral oil to the surface of the abdominal insert to reduce friction during the surgical incision. Gaumard.com...
Page 166: Postpartum Activity
VICTORIA® S2200 — User Guide | Postpartum Activity 16. Begin the Cesarean section surgical exercise. 3.12 POSTPARTUM ACTIVITY 3.12.1. Postpartum Hemorrhage VICTORIA can hemorrhage simulated blood from Names Item Count the uterus and birth canal. In addition, the uterine PPH Reservoir 1000 mL pressure can be adjusted using the software Urinary Reservoir...
Page 167 2. Locate the PPH syringe with filling tube. 3. In a separate container, mix a solution of Gaumard simulated blood colorant and water. 4. Fill the syringe with the simulated blood solution. 5. Connect the syringe with filling tube to the PPH fill port and inject the fluid into the reservoir.
Page 168 VICTORIA® S2200 — User Guide | Postpartum Activity To fill the urinary reservoir follow these instructions: 1. Locate the urinary fill port (white) on the postpartum cover, circled in green. 2. Locate the urinary bladder fill kit and connect the syringe with the filling tube to the white port. 3.
Page 169: Replacing The Birth Canal And The Cervix
3. Disconnect the cervix from the flanges located on both sides of the upper pelvic cavity as shown in the picture. 4. Remove the cervix completely. The urethral extension, attached to the birth canal, passes through an opening in the cervix wall. Gaumard.com...
Page 170 VICTORIA® S2200 — User Guide | Postpartum Activity 5. To detach the birth canal, gently move the six snaps counterclockwise to disconnect them from the metal frame. 6. Disconnect the green bleeding hose located on VICTORIA's left side. 7. Disconnect the clear lubrication hose located on VICTORIA's right side.
Page 171 VICTORIA® S2200 — User Guide | Postpartum Activity 8. Locate the division on the white frame of the birth canal and use it to pull the birth canal out into the abdominal cavity. To install a new birth canal and cervix, reverse the instructions. Gaumard.com...
Page 172: Postpartum System Assembly
VICTORIA® S2200 — User Guide | Postpartum Activity 3.12.3. Postpartum System Assembly The postpartum system includes the postpartum cover and the perineum. This system needs to be assembled prior to installing it in VICTORIA's abdominal cavity. 1. Verify that the urinary and PPH reservoirs are filled before inserting assembly into VICTORIA.
Page 173 VICTORIA® S2200 — User Guide | Postpartum Activity 4. Connect the hose with the white connector to its corresponding port on the right side of the PPH unit. The perineum is interchangeable with the 4th degree episiotomy repair insert. 5. Interchange the modules as needed. Gaumard.com...
Page 174 VICTORIA® S2200 — User Guide | Postpartum Activity 6. Hold the postpartum system with both hands and insert the perineum as shown. 7. Insert the perineum as shown in the picture. 8. Connect the postpartum power connector to the power port. 9.
Page 175 To enable vaginal and/or uterine bleeding and start blood flow, set the vaginal bleeding and/ or uterine hemorrhage controls on. To activate Hemorrhage on UNI: 1. Select Hemorrhage or Uterine Hemorrhage within the Uterine section on UNI. Gaumard.com...
Page 176 VICTORIA® S2200 — User Guide | Postpartum Activity 2. Check either slider to On so that hemorrhaging fluid will bleed. 3. Click Apply Now or Add to Queue once selections are made. To stop the hemorrhaging, set both controls to Off.
Page 177: After A Postpartum Scenario
Then, power down the manikin. 1. Click Hemorrhage Rate in the Uterus section. 2. Adjust the Hemorrhage Rate slider to 0 to relieve pressure on VICTORIA. 3. Click Apply Now or Add to Queue once selections are made. Gaumard.com...
Page 178: Episiotomy Repair
VICTORIA® S2200 — User Guide | Postpartum Activity 3.12.5. Episiotomy Repair VICTORIA includes three replaceable episiotomy modules which feature a midline episiotomy with peri- urethral tears, a mediolateral episiotomy with tears to the labia minora and a multi-layer fourth degree episiotomy with hemorrhaging vaginal sidewall tears and cervical lacerations.
Page 179: Rectal Suppository
VICTORIA® S2200 — User Guide | Postpartum Activity 3.12.6. Rectal Suppository VICTORIA contains a rectal suppository receptacle with automatic electronic recognition. This feature is located on the perineum of the postpartum system. 1. Apply mineral oil to suppository. 2. Insert the suppository in the rectum. Gaumard.com...
Page 180: Care In Motion Tm Go
VICTORIA® S2200 — User Guide | Options 4. Options 4.1 CARE IN MOTION Care in Motion GO! is only available at initial time of purchase. Care in Motion GO! is a video recording and playback platform designed to maximize learning through video-assisted debriefing. The Care in Motion GO! package consists of: •...
Page 181: Working With Uni
The simulation technician or facilitator carrying out the simulation operates the UNI software. The UNI control elements and scenario programming procedures are consistent throughout the Gaumard family of advanced fidelity simulators. Some software controls and features covered in this guide may be hidden depending on the simulator's hardware configuration and optional upgrade.
Page 182: Power/Stand-By Button
VICTORIA® S2200 — User Guide | UNI 3 5.1.3. Power/Stand-by Button The standby button is located on the bottom right corner of the UNI software. Use the stand-by feature to conserve battery. 5.1.4. Session Clock The session timer allows the facilitator to maintain a chronological record of individual simulation sessions.
Page 183: Systems List View
Neurological Cephalic Ocular Airway Breathing Cardiac Circulation Bowel Uterus Perinatal Fetus 5.1.6. Changing Vital Signs 1. To adjust numerical values (e.g. heart rate, blood pressure, respiratory rate, etc.), click a vital and drag the slider control. Gaumard.com...
Page 184 VICTORIA® S2200 — User Guide | UNI 3 2. The facilitator may also use their keyboard for manual entry and click the green Apply Now to confirm the change. 3. To change patterns, sounds, and rhythms, click on the specific control to display the library (e.g.
Page 185: Applying Changes
On the left-hand side of the slider is a box to check on seconds or minutes for when the conditions can be applied. The maximum amount of time for seconds is 2 minutes. The maximum amount of times for minutes is 59 minutes. Gaumard.com...
Page 186: Creating Clinical State Items
VICTORIA® S2200 — User Guide | UNI 3 5.1.8. Creating Clinical State Items A clinical state item stores one or more vital sign settings into a single loadable object. Use a clinical state item to update a set of vital signs quickly. For example, one clinical state item can be created to update all the cardiac parameters to a healthy state.
Page 187: Scenarios
To create a simple, linear scenario: 1. In UNI, click on the Settings icon in the upper right corner. 2. Under Simulator Model, click Scenarios. 3. Click + New Scenario. Gaumard.com...
Page 188 VICTORIA® S2200 — User Guide | UNI 3 4. Give your scenario a Name, Description, and assign it a Condition. 5. Click on Node 1 to add information. Nodes contain Checklists, Items, Paths, and Conditions. 6. Click on the Add Checklist + icon to add a checklist to the Node.
Page 189 Node. A Path refers to the trajectory from one node to another after the last Item in a node plays. In this example, Paths can be used to tell Node 1 to go to the End. Gaumard.com...
Page 190 VICTORIA® S2200 — User Guide | UNI 3 9. Click on a Path that has been added, then click the Add Condition icon to add a condition to the Node. A Condition refers to the additional actions participants need to address before a Node finishes.
Page 191: How To Play A Scenario
2. Select the desired scenario. 3. Click Load. Select a System: On the left-hand side, the kinds of scenarios are categorized by physiological systems to the left of the Quick Launch page; i.e. respiratory, cardiovascular, etc. 4. Click Play. Gaumard.com...
Page 192: Cardiopulmonary Resuscitation (Cpr)
VICTORIA® S2200 — User Guide | UNI 3 5.3 CARDIOPULMONARY RESUSCITATION (CPR) Cardiopulmonary Resuscitation (CPR) is an emergency lifesaving procedure performed when the heart stops. According to the American Heart Association, immediate CPR can double or triple chances of survival after cardiac arrest by keeping the blood flow active - even partially.
Page 193 Compression Depth Simultaneous Ventilation & Compression Compression to Ventilation Ratio Compression Provider Total CPR Cycles Switch Providers Total CPR Time Ventilation Provider Ventilation PIP Coach Ventilation Duration Record Graphical Representation of Compressions and Ventilations Compression Rate Airway System View Gaumard.com...
Page 194: Cpr Settings
VICTORIA® S2200 — User Guide | UNI 3 5.3.1. CPR Settings UNI 3's CPR settings are customizable to suit your simulation needs. Access the CPR settings to adjust: Compression per Ventilation Ratio • Compression Rate • Compression Depth • Ventilation Rate •...
Page 195: Providers, Coach, Record, & Report
5.3.2. Providers, Coach, Record, & Report Designate Providers In order to designate providers for delivering compressions and ventilations, the names of your Providers need to be created to UNI 3. To create Providers: Click on the Providers/Actions icon from the right toolbar. Gaumard.com...
Page 196 VICTORIA® S2200 — User Guide | UNI 3 Click Settings. Click + New Provider. Click Save. Click on the Providers/Actions icon from the right toolbar and switch Active ON. 196 | Toll-Free USA & Canada 1.800.882.6655 | Worldwide 305.971.3790...
Page 197: Coach A Cpr Session
CPR settings. For example, if the Compressions to Ventilation ratio is set to 30 compressions to 2 ventilations, the Coach mode will start with 30 short beeps to signal the compressions followed by 2 long beeps to signal the ventilations. Gaumard.com...
Page 198 VICTORIA® S2200 — User Guide | UNI 3 Coach mode also enables audible commands when the detected chest compressions meet the following criteria: If the detected chest compressions per minute • are below the programmed CPR settings, the audible command will play FASTER. If the detected chest compressions per minute •...
Page 199: Record A Cpr Session & Generate A Report
To stop a recording, click the Record button again. Once a CPR session has been recorded, all of the data will be collected and will automatically generate a CPR Report. To access the CPR Reports: On the CPR window, click the Reports button. Gaumard.com...
Page 200: Victoria Specifics
VICTORIA® S2200 — User Guide | Routine Maintenance 5.4 VICTORIA SPECIFICS 5.4.1. Fetal Monitor Key 1. Scenario History For more information, refer to section"3.11.11. Fetal Monitor Window" on page 144 2. Rate of Descent 3. Labor Speed 4. Initial Fetal Position 5.
Page 201: Scenario - Editing Key
1. Save Labor Scenario 2. Labor Scenario Information 3. Descent Curve 4. Open Node Information - Select any Node 5. Node Information Tab 6. Items - refer 7. Paths - refer 8. Expected Participant Actions- refer 9. Save Scenario Node Gaumard.com...
Page 202: Scenario - Labor Curve Key
VICTORIA® S2200 — User Guide | Routine Maintenance Scenario - Labor Curve Key 1. Labor Scenario Information 2. Labor Node Information 3. Node Items 4. Node Paths 5. Expected Participant Actions 6. Descent Curve 7. x-axis: Node Count y-axis: Current Descent % 8.
Page 203: Calibration Menu
This is completely normal and the simulator is designed to work this way. 1. In UNI, click on the Settings icon in the upper right corner. 2. Select Calibration within the Current Simulator section. Gaumard.com...
Page 204: Factory Settings
VICTORIA® S2200 — User Guide | Routine Maintenance 5.4.3. Factory Settings Factory Settings is a very useful tool to consider when recalibrating. It restores the sensors to factory settings overriding any calibrations performed by users. To reset all the sensors related to VICTORIA specifics and the Birthing Baby: 1.
Page 205: Silicone Repair Kit
To troubleshoot issues with the birthing mechanism, click Reset Labor Motor. 5.4.4. Silicone Repair Kit The silicone repair kit is intended to fix small tears on the silicone skin of either VICTORIA or the Birthing Baby. 1. Locate the silicone repair kit. Gaumard.com...
Page 206 VICTORIA® S2200 — User Guide | Routine Maintenance 2. Remove the white cap on the syringe preloaded with the silicone adhesive. Use gloves to perform this simulation procedure. Clean the damaged area of the skin with alcohol wipes. 3. Gently apply the silicone adhesive over the damaged area.
Page 207: Replacing Iv Veins
2. Remove drainage tube after the arm has been purged. 3. Use the Allen key provided to unscrew the lower arm as shown. Gaumard.com...
Page 208 VICTORIA® S2200 — User Guide | Routine Maintenance 4. Partially separate the lower arm from the upper arm to reveal the connections. 5. Disconnect the blue pulse line and the OSAT cable if repairing the left arm. 6. Disconnect the blue pulse line and the drug recognition system (black and white hoses and a wire connector) if repairing the right arm.
Page 209 7. The lower arm is now disconnected from the upper arm. 8. Gently pull back the skin from the lower arm and remove it completely. 9. Notice that when removing the left arm skin, the OSAT cable will remain attached to the skin. Gaumard.com...
Page 210 VICTORIA® S2200 — User Guide | Routine Maintenance 10. To replace the veins, gently pull to separate them from the white elbow connectors as shown in the picture. 11. Remove the tape holding the veins. 12. Disconnect the vein tubing from the arm. 210 | Toll-Free USA &...
Page 211 15. Measure and cut the new vein to be installed. 16. Place the black rings on the replacement vein. 17. Position the replacement vein in the lower arm as shown in the pictures. 18. Use new tape to hold the vein tubing as previously. Gaumard.com...
Page 212 VICTORIA® S2200 — User Guide | Routine Maintenance 19. Insert the replacement vein tubing to each white connector, and secure them with the black rings. 20. Apply talcum powder inside the lower skin to aid with the placement. 21. Reinsert the OSAT cable into the lower arm if working with the left arm.
Page 213 22. Place the skin over the hand and pull the skin all the way up. 23. Once the skin is in place use a hemostat or a similar tool to grab the OSAT cable from the inside of the left lower arm. Gaumard.com...
Page 214: Troubleshooting
VICTORIA® S2200 — User Guide | Troubleshooting 6. Troubleshooting 6.1 COMMUNICATION/POWER ISSUES Issue Probable Cause Solution Communication with the simulator Battery is cannot be discharged or Plug in the charger and if communication is established then charge established or damaged battery as per procedure explained in the manual.
Page 215 USB port. (wired connectivity connected. only) Wrong serial Click the + button on the top hot bar on UNI in order to reselect number entered in the simulator and input the correct/different serial number. the options menu Gaumard.com...
Page 216: Miscellaneous Issues
VICTORIA® S2200 — User Guide | Troubleshooting Power supply is Connect the power supply to the simulator and restart the UNI. disconnected When plugging in the charger, make sure the LED indicator goes Simulator does Battery does not through the complete charging sequence described in the charger not run on Internal run on Internal label.
Page 217 Volume Injected Drug recognition Refer to the digital UNI user guide by clicking the Settings icon, then is not accurately arm requires selecting Instruction Manual within the General section, registered by UNI calibration Gaumard.com...
Page 218 VICTORIA® S2200 — User Guide | Troubleshooting Fluid is being Inject fluid into the arm slowly. Use a 22 g needle to control the rate injected too fast and maximize the life of the arm materials. The maximum injection rate is 1 L/hr. Not reading the The tagged syringe is too far from the arm sensor.
Page 219: Streaming Audio Issues
Issue Probable Cause Solution Streaming audio Noisy channel or quality is poor or another Gaumard Select a different channel. When more than one simulator is the there are echoes tetherless simulator vicinity, allow one channel between them. is nearby Respiration and...
Page 220: Victoria Specific Issues
VICTORIA® S2200 — User Guide | Troubleshooting 6.4 VICTORIA SPECIFIC ISSUES Issue Probable Cause Solution Fetus does Delivery progress not release line has not reached The fetus is locked onto the birthing arm until the progress line automatically the end of the labor reaches the end of the delivery scenario Birthing Baby...
Page 221 VICTORIA® S2200 — User Guide | Troubleshooting Birthing Baby Birthing Baby's sensors are sensors need Reset the sensors on the fetus by clicking the Settings icon, then reporting incorrect calibration selecting Calibration within the Current Simulator section, values Gaumard.com...
Page 222: Appendix
Customer or Gaumard with respect to this Agreement, the Products, or any interest thereon. Gaumard reserves the right to increase prices on thirty (30) days written notice to Customer.
Page 223 Gaumard or Gaumard’s supplier or authorized agent. Customer is responsible for shipping charges and for the cost of insurance paid to cover any losses from Gaumard’s shipment point to Customer’s receipt. Gaumard will assist Customer in processing any loss claims. Gaumard shall use reasonable efforts to meet the specified delivery dates.
Page 224 Product part or component that is in breach of the above limited warranties. Alternatively, Gaumard may elect to repay or credit to Customer an amount equal to the purchase price of the defective Product. Items replaced shall become Gaumard property. All claims shall be initiated by contacting Gaumard within the applicable Warranty Period and within thirty (30) days after discovery of the non- conformity.
Page 225 (including reasonable attorneys’ fees and expenses) by reason of any claims or actions by third parties against Gaumard for (1) bodily injury or death or damage, loss or destruction of any real or tangible personal property, which third party claims arise out of or relate to Customer’s gross negligence or willful misconduct;...
Page 226 Gaumard to disclose certain aspects of this arrangement. Fraud and Abuse. Gaumard hereby certifies that it is not currently a listed vendor in the: (a) Federal General Services Administration’s “List of Parties Excluded from Federal Procurement or Nonprocurement Programs” in accordance with Presidential Executive Orders 12549 and 12689 “Debarment and Suspension;”...
Page 227: End User License Agreement
(a) computer programs embedded in firmware in the Gaumard Equipment; (b) computer programs embedded in a separate medium (such as a CD or flash drive) for use in conjunction with the Gaumard Equipment; (c) computer programs downloaded or received from Gaumard; (d) computer programs used on servers storing or processing data related to the Gaumard Products;...
Page 228 User’s compliance with the restrictions and obligations in this EULA. Such requests will not occur more frequently than once per calendar year. If End User has used the Gaumard Software in violation of this EULA, End User shall, in addition to any other remedies Gaumard may have, pay Gaumard additional fees for the excess use according to Gaumard’s then-current price list and policies, plus a late payment charge of one percent (1.0%) per month (or the...
Page 229 Gaumard irreparable harm and Gaumard may obtain injunctive relief without the requirement to post a bond as well as seek all other remedies available to Gaumard in law and in equity in the event of breach or threatened breach of such provisions.
Page 230 End User a refund for the associated Gaumard Products (depreciated over three years) and accept their return. Gaumard shall not have any liability if the alleged infringement is based upon: (a) the use or sale of the Gaumard Software in combination with other products or devices not furnished by Gaumard; (b) the use of the Gaumard Software in a manner for which they were not designed as described by the Gaumard Documentation;...
Page 231 (c) when received, if sent by certified or registered mail, postage prepaid, return receipt requested. Any such notice given to a Party shall be sent to the addresses on the attached Gaumard Purchase Order. By giving to the other Party written notice thereof, the Parties and their respective permitted successors and assigns will have the right from time to time to change by written notice their respective addressee or address for notices.
Page 232: Exclusive One-Year Limited Warranty
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 233: Contact Technical Support
7.4 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 7.5 GENERAL INFORMATION Sales and Customer Service E-mail: sales@gaumard.com...

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