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Orientation to SimMan ™ the Human Patient Simulator

Orientation to SimMan ™ the Human Patient Simulator. By Gail Heimburger, M.Ed. Director Clinical Skills Laboratory University of Cincinnati, College of Medicine. FAQ’s for the first-time users. How does the SimMan ™ work? What procedures can I do? How will I be evaluated on my skills?

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Orientation to SimMan ™ the Human Patient Simulator

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  1. Orientation to SimMan™ the Human Patient Simulator By Gail Heimburger, M.Ed. Director Clinical Skills Laboratory University of Cincinnati, College of Medicine

  2. FAQ’s for the first-time users • How does the SimMan™ work? • What procedures can I do? • How will I be evaluated on my skills? • Oooooooops…….can I break the SimMan™?

  3. What is the SimMan™? • SimMan™ is a fully computer operated total body simulator • SimMan™ is totally mobile and can be moved to many different locations

  4. How does the SimMan™ operate? SimMan™ can be operated by: • using instructor generated cases • teaching “on the fly” by the instructor • utilizing standard cases from the simulation community • individuals engaged in the practice of skills and/or procedures

  5. What can I do on the SimMan™? • Check for radial pulse using the left arm • Check for brachial pulse also on the left arm • Pulses can demonstrate differences in strength and regularity

  6. Carotid pulse points • Carotid pulses are located on both sides of the neck • Carotid pulses only last for about 10 beats before needing reactivation

  7. Femoral pulse points • Bilateral femoral pulses are palpable • Do not use the femoral site for cannulation as this is an electronic pulse point only

  8. Airway management • Placement of endotracheal tubes • Combitubes • Laryngeal mask airways (LMA) • Retrograde intubation • Fiberoptic procedures • Bronchoscopy

  9. Airway management • Bag-Valve-Mask devices • Jet ventilation • Standard ventilators • Oral/nasal pharyngeal airways • Light wand intubation

  10. Tongue edema Laryngospasms Posterior pharyngeal swelling Trismus Decreased cervical range of motion Decreased right and/or left lung compliance Airway complications

  11. Surgical procedures • Needle cricothyroidotomy • Surgical cricothyrodotomy • Decompression of a tension pneumothorax • Chest tube insertion

  12. Features of the chest • Bilateral lung sounds • Featured sound include rales, rhonchi, wheezes, and pneumonia • The chest rises and falls • SimMan™ can exhale CO2

  13. Cardiac Exam • Cardiac auscultation is possible at several listening points • Many different auscultatory events are represented

  14. Blood Pressure • Blood pressure can be measured on the left arm with either an aneroid or mercury sphygmomanometer • Automated blood pressure is also displayed on the student monitor • Korotkoff sounds are available

  15. Other procedures • SimMan™ can be defibrillated at 200J, 300J, and 360J • He can receive 3 stacked shocks without damage • Be sure to yell “CLEAR” before defibrillation!

  16. Other procedures • SimMan™ can be used for SQ and IM injections • Five injections sites are provided on the manikin

  17. Other procedures Nasogastric tube placement

  18. Other procedures Foley catheter placement

  19. Drug theorapy The right arm provides sites for cannulations, IV infusions, phlebotomy and drug administration

  20. Instructor monitor All manikin functions are visually displayed

  21. Student Monitor All vital signs are visually displayed

  22. Student evaluation • A clinical log is recorded for every student • The event log is time dated • Instructors can use the log in debriefing sessions • Log data can be used for self-reflection and evaluation of skill sets • Log data may be used for grading purposes

  23. Ooops….can I hurt the SimMan™? • Things do break under stress • Treat the SimMan™ with the same care that you would use with a REAL patient • The SimMan™ is quite hardy and will last many years with proper care

  24. Enjoy using the SimMan™ throughout your medical education experience

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