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Nursing Kelly
Directions for Use
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www.laerdal.com
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Items Included:
(1) Full-Body Female Manikin
(1) Articulating Blood Pressure Training Arm (Nursing Anne SimPad)
(1) Articulating Female Multi-Venous IV Training Arm
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Simulated Blood Concentrate
(1) 100 cc Syringe
(1) Manikin Lubricant
(1)
Assembly Tool Kit
Wig pictured on front cover, not included
Optional Accessories
Nursing Anne Modules:
(1) Breast Exam Module, with interchangeable abnormalities
(1) Mastectomy Module with staples and drain
(1) Fundus Module with interchangeable uteri
Wound Care & Assessment Set:
(1) Abdominal Incision Module with Painted Sutures
(1) Abdominal Incision Module with Staples and Penrose Drain
(1) Abdominal Incision Module with Nylon Sutures
and Penrose Drain
(1) Abdominal Subcutaneous Heparin and Insulin Injection Module
(1) Abdominal Packing Module
(1) Infected Colostomy Stoma
(1) Ventro-Gluteal and Gluteal Decubitus Ulcer Modules
(1) Below Knee Amputation Stump
(1) Thigh Packing and Irrigation Module
(1) Thigh Suture Module
(1) Thigh Debridement Module
Caution: Latex
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Table of Contents
Items Included..................................................... . . . 1
Skills Taught....................................................... . . . 1
Teeth ........................................................... . . . 2
Carotid Pulse ..................................................... . . . 2
Tracheostomy Plug & Care .......................................... . . . 2
NG Tube Placement ............................................... . . . 2
Intubation ........................................................ . . . 2
Lungs ............................................................ . . . 2
Stomach Reservoir ................................................. . . . 2
Belly Plates........................................................ . . . 2
Injection Pads ..................................................... . . . 3
Waist, Knee and Ankle Joints ........................................ . . . 3
Arms ............................................................ . . . 3
Legs ............................................................. . . . 3
IV Arm ........................................................... . . . 3
Replacing Skin & Vein System........................................ . . . 3
Blood Pressure Arm ............................................... . . . 4
Auscultation of Heart, Breath, Bowel Sounds and Fetal Tones ........... . . . 4
Genitalia.......................................................... . . . 4
Colon Reservoir ................................................... . . . 5
Urinary Catheterization and Enema Simulation ......................... . . . 5
Troubleshooting ................................................... . . . 5
Attaching Nursing Anne Modules to Manikin .......................... . . . 5
SimPad Connection. ............................................... . . . 4
Care and Maintenance.............................................. . . . 6
Replacement Parts ................................................. . . . 6
Items Included:
(1) Full-Body Female Manikin
(1) Articulating Blood Pressure Training Arm (Nursing Anne SimPad)
(1) Articulating Female Multi-Venous IV Training Arm
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Simulated Blood Concentrate
(1) 100 cc Syringe
(1) Manikin Lubricant
(1)
Assembly Tool Kit
Wig pictured on front cover, not included
Optional Accessories
Nursing Anne Modules:
(1) Breast Exam Module, with interchangeable abnormalities
(1) Mastectomy Module with staples and drain
(1) Fundus Module with interchangeable uteri
Wound Care & Assessment Set:
(1) Abdominal Incision Module with Painted Sutures
(1) Abdominal Incision Module with Staples and Penrose Drain
(1) Abdominal Incision Module with Nylon Sutures
and Penrose Drain
(1) Abdominal Subcutaneous Heparin and Insulin Injection Module
(1) Abdominal Packing Module
(1) Infected Colostomy Stoma
(1) Ventro-Gluteal and Gluteal Decubitus Ulcer Modules
(1) Below Knee Amputation Stump
(1) Thigh Packing and Irrigation Module
(1) Thigh Suture Module
(1) Thigh Debridement Module
(1) Varicose Vein Leg with Stasis Ulcer
(1) Diabetic Foot Module
Skills Taught:
• Basic patient handling
• Denture
care
• Oral hygiene
•
• Eye
andear irrigation (simulated)
• NG Tube insertion, care medication administration and removal
• Tracheostomy care and suctioning
• Blood pressure skills (When used with SimPad)
• IV
care and management
Caution: Latex
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
Please contact Laerdal Customer Service
for more information on Replacement Parts in other skin tones.
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The product, when carrying the CE-mark, is in
compliance with essential CE requirements and other
relevant provisions of council directive 1999/5/EC.
• Lavage/Gavage
Oral and nasal Intubation
.
Table of Contents
Items Included ...................................................1
Skills Taught ......................................................1
Introduction .....................................................2
Laerdal Recommends .............................................2
Teeth ...........................................................2
Carotid Pulse ....................................................2
Tracheostomy Plug ...............................................2
Tracheostomy Care ...............................................2
NG Tube Placement ..............................................2
Intubation .......................................................2
Chest Plate ......................................................2
Lungs ...........................................................2
Stomach Reservoir ...............................................2
Belly Plate with Sounds ............................................2
Belly Plate with Colostomy Stoma ..................................3
Injection Pads ....................................................3
Waist, Knee and Ankle Joints ......................................3
Arms ...........................................................3
Legs ............................................................3
IV Arm ..........................................................4
Replacing Skin and Veins ...........................................4
SimPad Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Blood Pressure Arm ..............................................5
Genitalia .........................................................5
Colon Reservoir ..................................................5
Urinary Catheterization and Enema Simulation ......................6
Troubleshooting ..................................................6
Care and Maintenance ............................................6
Replacement Parts ...............................................6
Caution: Latex
This product contains Natural Rubber latex which may cause allergic
reactions when in contact with humans.
Warning!
Use only on clean surface. Avoid felt tipped markers, ink pens,
acetone, iodine, or other staining products and avoid placing the
manikin on newsprint or inked lines of any kind.
The product, when carrying the CE-mark, is in
compliance with essential CE requirements and other
relevant provisions of council directive 1999/5/EC.
Nursing Kelly 1 Laerdal
Items Included
(1) Full-Body Manikin
(1) Blood Pressure Training Arm (Nursing Kelly SimPad)
(1) Multi-Venous IV Training Arm
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Red Simulated Blood
(1) Manikin Lubricant Spray
(1) Assembly Tool Kit
(1) Laerdal Global Warranty Booklet
Optional Accessories
Wound Care & Assessment Set:
(1) Lacerated Hand with Forearm Surgical Incision and Painted Sutures
(1) Chest Surgical Incision Module
(1) Abdominal Packing Module
(1) Abdominal Incision Module with Painted Sutures
(1) Abdominal Incision Modules with Penrose Drain; Staples and Nylon
Sutures (One each)
(1) Abdominal Subcutaneous Heparin and Insulin Injection Module
(1) Thigh Packing and Irrigation Module
(1) Thigh Suture Module with Nylon Sutures
(1) Thigh Debridement Module
(1) Infected Colostomy Stoma
(1) Dorsal Gluteal and Ventral Gluteal Decubitus Ulcer Modules
(One each)
(1) Below Knee Amputation Stump
(1) Below Elbow Amputation Stump
(1) Diabetic Foot with Gangrenous Toes and Heel Decubitus Ulcer
(1) Varicose Vein Leg with Stasis Ulcer
Skills Taught
• Basic patient handling
• Denture care
• Oral hygiene
• Oral and nasal Intubation
• Eye and ear irrigation (simulated)
• NG Tube insertion, care medication administration and removal
• Lavage/Gavage
• Tracheostomy care and suctioning
• Blood pressure skills (When used with SimPad)
• IV care and management
• Subcutaneous and intramuscular injection
• Oxygen delivery procedures
• Ostomy and irrigation care
• Catheterization skills
• Enema simulation
• Colonic irrigation
• Wound assessment and care (When used with optional Wound Set)
• Bandaging and dressing
• Auscultation and recognition of normal and abnormal heart, breath and
bowel sounds (When used with SimPad)
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Introduction
Nursing Kelly is a full-body, lifelike manikin designed to teach skills from
basic patient handling to advanced nursing, including the measurement of
noninvasive blood pressure and the auscultation and recognition of normal and
abnormal heart, lung and bowel sounds when used with the SimPad System.
The consistency of the solution approximates the mucus normally
suctioned in a tracheostomy patient.
We recommend a size 6 tracheostomy tube. Opening will
accommodate other sizes, but a size 6 is usually most suitable.
The manufacturing quality of this simulator should provide many sessions of
training when reasonable care and maintenance are practiced.
Laerdal Recommends
IV Injections – 22 gauge needle, or smaller
Tracheostomy Tube – Size 6
NG Tube – Size 16 French
Endotracheal Tube – 7.5 or smaller
Laryngoscope Blade - Size #4, straight or curved
Urethral Catheter – 16 French
Enema Simulation – 7 mm
Teeth
To remove: Grasp firmly and lift.
Insert and remove bottom teeth first when performing denture care.
To reinsert both sets:
a. Begin on one side and work around, aligning ridges with corresponding
grooves in jaws. (Dusting with baby powder is helpful.) (Photo 1)
b. Press firmly into place.
Drain, rinse, and air-dry lungs immediately after each use.
Be careful not to introduce fluids into speaker ports or near electronics in
manikin’s chest.
NG Tube Placement
This manikin features an esophagus and stomach reservoir for practice of
NG tube insertion and skills such as Lavage and Gavage.
For best results, lubricate the tube with manikin lubricant
prior to NG or OG tube insertion.
Intubation
The following equipment is recommended:
a. Endotracheal tube, size 7.5 ID or smaller
b. Manikin Lubricant spray
c. 10 ml syringe
d. Laryngoscope blade, size #4 straight or curved
e. Laryngoscope handle
f. NG Tube, size 16 French
Remove trach plug prior to insertion of intubation tubes.
Intubation tubes and airway passages should be sprayed with
manikin lubricant spray prior to intubation.
Photo 1
Carotid Pulse
To generate a carotid pulse, use the hand held bulb located on the right
axillary side of manikin. Firmly squeeze bulb while palpating for pulse at
carotid site.
Tracheostomy Plug
The Tracheostomy plug may be removed by grasping firmly, then lifting up
and out. To replace, press into trach opening.
Tracheostomy Care
1. Mix solution of 1/2 cup mild liquid detergent and 1/2 cup water.
2. Remove lungs.
3. Pour mixture into simulated lungs.
4. Fill lungs to a level where suction catheter will pick up mixture.
5. Reattach lungs at connector.
Chest Plate
To remove:
1. Apply pressure to center of plate.
2. Work your fingers under edge of plate while lifting.
To insert:
1. Position plate over cavity.
2. Work plate edges into groove on torso cavity.
Lungs
Lungs may be removed from bronchial tubes by unscrewing them at the
connector site. To replace, reverse procedure.
Stomach Reservoir
The stomach reservoir attaches to esophagus with a connector. Unscrew
reservoir from esophagus to fill or drain.
Belly Plate with Sounds
To remove:
1. Apply pressure to center of plate.
2. Work your fingers under edge of plate while lifting.
3. Disconnect bowel sound speaker connector to release plate.
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Dusting with talcum powder is helpful when replacing belly plates.
To remove:
1. Position plate over cavity.
2. Reconnect bowel sound speaker.
3. Work plate edges into groove on pelvis cavity.
Belly Plate with Colostomy Stoma
To remove:
1. Apply pressure to center of plate.
2. Work fingers under edge while lifting. (Photo 2)
Photo 2
Arms
Manikin is shipped with arms attached. The attachment comprises of a washer,
spring, and additional washer on the 4.5 inch bolt in that order. The bolt is then
placed through the hole in the shoulder and into the chest cavity. A washer,
then wing nut are placed on the bolt within the chest cavity. Tighten the
wing nut.
To remove:
1. Remove chest plate from manikin to locate hole in the shoulder.
2. Remove deltoid injection pad from arm by squeezing skin in center of pad
while pulling.
3. Use a screwdriver to hold bolt steady while removing the wing nut.
4. Remove the washers and spring, then the bolt can be removed.
Figure 1
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To insert:
1. Attach valve and genitalia (see Genitalia, page 5).
2. Work plate edges into pelvis cavity.
The belly plate with colostomy also contains the urinary reservoir and
colostomy stoma.
To insert:
a. Remove colostomy stoma.
b. Fill with fluid.
c. Gently reinsert stoma.
Make sure genitalia and urinary connectors are in place prior to filling.
Injection Pads
a. To remove, squeeze center of pad with fingers and pull.
b. To replace, squeeze pad and insert in opening.
Dusting pads with talcum powder will assist with reinsertion.
Injection pads may be injected with water. Foam should be removed from
pads immediately following training. Squeeze out fluid and air dry.
To prevent mildew or mold, pads can be soaked in a mild solution of disinfectant and water or bleach and water. Squeeze excess solution from pads,
allow them to dry, then store or reinsert in manikin.
Legs
Legs are attached with a 6” long bolt, a spring, a large washer, a small washer
and a wing nut.
Attachment hardware is located in envelope inside carton.
To attach legs:
1. Remove belly plate from the manikin to locate hole in hip.
2. Remove thigh injection pad from leg by squeezing skin in center of pad
while pulling.
3. Place spring and small washer over bolt.
4. Insert bolt through leg hole and then to pelvis.
5. Slide large washer and wing nut over bolt inside pelvis.
6. Use a screwdriver to drive a bolt into wing nut and tighten.
7. To remove legs, reverse procedure.
Figure 2
Waist, Knee and Ankle Joints
These joints are connected with a bolt and lock nut. To remove, unscrew lock
nut and pull bolt from joint. Segments will now easily disconnect.
Articulating parts will benefit from a light application of talcum
powder prior to training sessions.
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IV Arm
Multiple Venipuncture sites:
Multiple Venipuncture sites:
•DorsalVeinsofHand(3)
•Antecubital
- Cephalic Vein
- Median Vein
- Basilic Vein
A 22 gauge needle or smaller is recommended to extend
the life of the IV Arm.
Replacing skin:
1. Add thumb insert to new arm skin. Use a generous amount of talcum
powder on arm mandrel and on inside of arm skin to aid in the insertion
of the mandrel into the skin.
2. Slide hand into skin. (Photo 3)
When using an IV catheter, lubricate with manikin lubricant
for easier insertion.
Directions for Use:
1. Attach IV bag to IV tubing.
2. Attach IV tubing to either latex vein.
3. Allow fluid to flow through arm and out other latex vein.
4. Clamp o flow of water from open vein.
The arm is now ready to practice venipuncture.
When excessive leaking occurs at puncture sites, a new skin and vein
system should be installed to reduce loss of fluid.
We recommend working at a sink when replacing
the skin and vein system.
Replacing Skin and Veins
Remove skin:
Cut o skin. This can be done with a sharp knife, scalpel or scissors.
(Figure3)
When finished, discard skin, but keep thumb insert.
Photo 3
3. Work skin over fingers, as with a glove. (Photo 4)
Photo 4
4. Work arm skin up, over mandrel. (Photos 5 & 6)
Photo 5
Figure 3
Replacing veins:
1. Remove tubing from track in mandrel.
2. Rinse and dry vein grooves well and swab with alcohol. Remove any
excess glue.
3. Place new veins along grooves, (Figure 4) spot gluing as needed.
(We recommend a fast-drying glue.)
Figure 4
SimPad Connection
1. Connect Nursing Kelly to Link Box via cable located on back of manikin
(Photo 7). For some manikins the adapter cable supplied with SimPad
System may have to be used.
2. Connect clear tubing exiting the manikin together with the cable.
Photo 6
Photo 7
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Blood Pressure Arm
1. Place Blood Pressure Cu on arm.
2. Attach tubing on cu to clear tube, located underneath Nursing Kelly’s
arm. (Photo 8)
Photo 8
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Figure 6
2. Lift up on edge of belly plate.
3. Pull down upper portion of genitalia.
4. Insert into pelvic cavity.
5. Replace the pelvic support pin.
6. Press belly plate into position.
See SimPad DFU for complete Blood Pressure operating
procedures.
Do not insert needles into blood pressure arm.
See SimPad DFU for complete Heart, Breath and Bowel
Sound Auscultation.
Genitalia
Both male and female genitalia have been provided for urinary
catheterization and enema training procedures.
Tube-like valves, with a screw cap on one end, connect urethra and anus to
corresponding reservoirs. This cap must be connected to genitalia openings.
Soft vinyl end of valve is attached to urinary reservoir with a black clamp
and anal reservoir with a white clamp. (White valve connects urinary
reservoir; flesh tone valve connects anal reservoir.)
Pelvic support pin must be removed and replaced immediately when
assembling and disassembling genitalia. (Figure 5).
Figure 5
White valve connects urinary reservoir; flesh tone valve connects
anal reservoir.
Photo 9
Install white valve on the black connector of the urinary reservoir.
Photo 10
Insert white valve until it is flush with the urinary reservoir and secure the
black clamp as shown.
Pelvic support pin must be replaced.
Failure to replace pin will result in pelvic spread.
Should this occur, see Troubleshooting, page 6.
If this occurs, the genitalia module will no longer fit properly
in the manikin.
To disassemble:
1. Lift up on belly plate.
2. Pull upper portion of genitalia back to remove pelvic support pin.
3. Belly plate, genitalia with valves, and colon reservoir may now be
removed simultaneously.
To assemble: (Photos 9 & 10)
1. Screw both valves onto genitalia. When attaching valves, be sure
alignment of genitalia, urinary reservoir (belly plate) and colon reservoir
are as illustrated in Figure 6.
Colon Reservoir
Colon reservoir inserts into pelvic cavity with narrow end downward and
connector pointing outward. This connector attaches reservoir to anal valve
on genitalia. (Photo 11)
Photo 11
Reservoir should be removed from manikin, inverted, drained and
completely air-dried before storing.
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Urinary Catheterization and Enema Simulation
Catheters should be well lubricated with manikin lubricant or full
strength liquid soap prior to using.
After several uses, catheter may “hang” when water has washed away
lubricant, causing friction and binding. If this occurs, generously lubricate a
catheter and insert into urethra several times.
If catheter hangs during removal, work it with an “in and out” motion.
Use warm water in reservoirs when possible to keep soap from clogging
the catheters. Make sure reservoirs are well drained of all water before
disconnecting valves.
Check List for Valves That May Leak:
a. Do valve connections have an O-ring?
b. Does the clamp fit firmly against base of valve?
c. Are valves attached correctly?
d. If valves are attached correctly, are they properly connected to reservoirs
and to genitalia?
A size 16 French catheter is suggested for urethral catheterization.
Size 7mm catheter is suggested for enema simulation.
Troubleshooting
What can I do if my manikin develops a pelvic spread?
Cinch pelvis with a belt and heat with a hair dryer to soften pelvis, cinching
as you heat. Insert pin, leaving belt in place until pelvis cools.
What do I do if my connectors leak?
Make sure C-clamps are squeezed tightly into place and connectors are
screwed on tightly.
What can I do if I can’t remove my catheter?
Make sure the cu is deflated.
Replacement Parts
Product Number: Description:
200-00550 ..........Blood Pressure Cu
250-21050 ..........Manikin Lubricant 45mL
300-00150 ..........Thigh Pad
300-00250 ..........Ventral Gluteal Pad
300-00350 ..........Dorsal Gluteal Pad
300-00450 ..........Anal Valve/Clamp Set
300-00550 ..........Urinary Valve/Clamp Set
300-00750 ..........Red Simulated Blood
300-00850 ..........Tracheostomy Plug
300-00950 ..........Denture Set
300-01050 ..........Wound Care & Assessment Set
300-01150 ..........HeadwithTrachPlugandLungs
300-01350 ..........Stomach Reservoir
300-01550 ..........Lung Bag (1)
300-01650 ..........Chest Plate with Speakers
300-02050 ..........Abdominal Plate with Speakers
300-02150 ..........AbdominalPlatewith3Holes
300-02250 ..........Colon Reservoir
300-02450 ..........Forearm Pad, Right
300-02850 ..........Forearm Pad, Left
300-03550 ..........Abdominal Plate with Packing Wound
300-03850 ..........Male Genitalia
300-03950 ..........Female Genitalia
300-04050 ..........IV Forearm Pad, Right
300-04150 ..........IV Forearm Pad, Left
300-04250 ..........HardwareSet,Extremities
300-04350 ..........HardwareSet,Waist
300-04450 ..........Arm Deltoid Plug
300-04950 ..........StomawithThroughHole
300-05150 ..........Right Arm, Plain
300-10250 ..........Chest Plate, Plain
312029 .............Replacement Skin and Multi-Vein System
380200 .............Blood Pressure Training Arm, Left
380460 .............Blank Genitalia
380471 .............Blank Abdominal Plug
380475 .............Pelvic Pin
380600 .............Left Leg, Plain
380650 .............Right Leg, Plain
380700 .............Multi-Venous IV Training Arm, Right
380800 .............Left Arm, Plain
381402 .............Deltoid Pad
Care and Maintenance
1. Clean with mild soap and water; do not submerse manikin or parts in
cleaning fluids or water. Apply a light coat of talcum powder to the face
and chest skin to achieve skin-like feeling.
2. To ensure longevity, each manikin should be cleaned after each training
session and a general inspection should be conducted regularly.
3. Modules and all other parts should be drained and air-dried thoroughly
before storage and disinfected when needed.
4. Store properly between teaching sessions.
Laerdal 6 Nursing Kelly
Please contact Laerdal Customer Service for more information
on Replacement Parts in other skin tones.
Page 9
© Laerdal 2014. All rights reserved.
20-05823 rev C Printed in US
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