Redpine Signals RS9110N1122 User Manual

© Simavita Pty Ltd, 2011. All Rights Reserved [e-mail] Page 1 of 191

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COPYRIGHT INFORMATION

Copyright 2013 Simavita Pty Ltd. All rights reserved.

SIM™ and SIM™ with logo are trademarks of Simavita Pty Ltd. The information contained in this User Guide is

the sole property of Simavita and may not be duplicated without permission. This User Guide manual may be

revised or replaced by Simavita Pty Ltd at any time and without notice. You should ensure that you have the

most current applicable version of this manual; if in doubt contact Simavita Technical Support Department.

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Table of Contents

Copyright Information ............................................................................................................................... 2

Table of Contents ............................................................................................................................................... 3

Preface ............................................................................................................................................................... 1

Purpose of this manual .............................................................................................................................. 1

Qualification of Personel ........................................................................................................................... 1

Warranty .................................................................................................................................................... 1

1.0 Safety Information ....................................................................................................................................... 4

1.1 Definitions ............................................................................................................................................ 4

1.2 Warnings .............................................................................................................................................. 5

1.3 Cautions ............................................................................................................................................... 7

1.4 Symbols and Markings ......................................................................................................................... 9

1.5 Labels ................................................................................................................................................. 13

1.6 Standards and Compliance and IEC Classification ............................................................................. 14

2.0 Overview .................................................................................................................................................... 16

2.1 What is the SIM™ system .................................................................................................................. 16

2.2 Indications for Use ............................................................................................................................. 19

2.3 Contraindications ............................................................................................................................... 19

2.5 The SIM™ technology components ................................................................................................... 20

3.0 Getting Started with Components – Hardware .......................................................................................... 24

3.1 Charge the SIM™ pod ........................................................................................................................ 24

3.2 Connect SIM™ pod to SIM™ sensor ................................................................................................... 25

3.3 Disconnect the SIM™ pod from the SIM™ sensor ............................................................................. 26

3.4 Apply the SIM™ sensor and pants to the resident ............................................................................. 27

4.0 Getting Started with Components - Software ............................................................................................ 29

4.1 Overview of Tab Menu ...................................................................................................................... 29

4.2 User Levels and Access ...................................................................................................................... 30

4.3 Logging out and contact support ....................................................................................................... 30

4.4 The server software version and time zone ...................................................................................... 30

5.0 SIM™ manager – for the Administrator ..................................................................................................... 33

5.1 Administrator login ............................................................................................................................ 33

5.2 Administrator set-up activities .......................................................................................................... 34

6.0 SIM™ Manager – Assessment Coordination .............................................................................................. 48

6.1 Login to SIM™ manager ..................................................................................................................... 48

6.2 Dashboard Tab ................................................................................................................................... 49

6.3 Resident Tab ...................................................................................................................................... 51

6.4 Assessment Tab ................................................................................................................................. 56

7.0 SIM™ Data Collection ................................................................................................................................. 65

7.1 Overview ............................................................................................................................................ 65

7.2 Login to SIM™ assist ........................................................................................................................... 65

7.3 Main Screen – resident List ................................................................................................................ 66

7.4 SIM™ assist screen navigation ........................................................................................................... 67

7.5 SIM™ assist notifications ................................................................................................................... 68

7.6 Clearing notifications or Messages .................................................................................................... 68

7.7 Recording resident Observations....................................................................................................... 69

7.8 Observation Icons .............................................................................................................................. 70

7.9 Observation History ........................................................................................................................... 74

8.0 SIM™ Continence Care Plan ....................................................................................................................... 77

8.1 SIM™ continence care ....................................................................................................................... 77

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8.2 Create a continence care plan ........................................................................................................... 78

8.3 Under Evaluation ............................................................................................................................... 89

8.4 Continence care plan In Use .............................................................................................................. 91

8.5 Draft continence care plan ................................................................................................................ 91

8.6 Continence care plan History box ...................................................................................................... 92

9.0 Reports ....................................................................................................................................................... 94

9.1 SIM™ reports overview ...................................................................................................................... 94

9.2 Assessment Reports ........................................................................................................................... 95

9.3 Continence care plan reports ............................................................................................................ 98

10.0 SIM™ cleaning instructions .................................................................................................................... 105

10.1 SIM™ cleaning guide ...................................................................................................................... 105

10.2 Recommended cleaning solution and precautions ....................................................................... 105

10.3 SIM™ pod cleaning and inspection ................................................................................................ 105

11.0 SIM™ Installation, Maintenance and Disposal ....................................................................................... 107

Installation ............................................................................................................................................. 107

IT Fact Sheet – IT requirements to support SIM™ ................................................................................. 108

Instructions For Disposal ....................................................................................................................... 147

Install Note 1: Instructions to install IIS7 and all Application Development Services............................ 148

Install Note 2: Instructions to install Microsoft .NET Framework .......................................................... 151

install Note 3: Instructions to install Microsoft SQL Server 2008 R2 Sp1 EXPRESS edition ................... 153

install Note 4: Instructions to install Report Builder 3.0 ........................................................................ 158

12.0 SIM™ Contact and Support .................................................................................................................... 164

Troubleshooting Index ........................................................................................................................... 164

Troubleshooting Guide .......................................................................................................................... 165

Accessories ............................................................................................................................................ 172

Contact and Support .............................................................................................................................. 173

Your Organisation Contact and Support ................................................................................................ 173

APPENDIX A .................................................................................................................................................... 175

SIM™ physical specifications ................................................................................................................. 175

SIM™ electrical specifications ................................................................................................................ 175

SIM™ pod wireless specifications .......................................................................................................... 176

SIM™ pod Indicator Light Colours .......................................................................................................... 176

SIM™ environmental conditions ............................................................................................................ 177

SIM™ patient Environment .................................................................................................................... 178

SIM™ manufacturers declaration .......................................................................................................... 179

I.T. Fact Sheet – IT requirements to support SIM™ ............................................................................... 184

GLOSSARY ....................................................................................................................................................... 186

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Preface

PURPOSE OF THIS MANUAL

This manual contains important information regarding the safe operation of your SIM™ system. Your SIM™
system contains electrical components that can provide years of useful service with the proper care, as
described in this manual.

Ensure that you read and understand the instructions contained in this manual before operating any
component of the system.

Further training on SIM™ system is available at the SIM™ training website.

http://www.simavita.com/training

The word resident is defined as the patient or the person been cared for.

WARNING

Before operating the SIM™ system, read, understand, and strictly follow the information contained in

Chapter 1, “Safety Information”.

QUALIFICATION OF PERSONEL

Installation and maintenance of the SIM™ system must be made by authorized and trained personnel using
original components and respecting the quality assurance and traceability rules approved by Simavita.

WARRANTY

Information regarding your product warranty is available from your sales representative or Simavita.

© Simavita Pty Ltd, 2011. All Rights Reserved [e-mail] Page 1 of 191

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This Page is Intentionally Blank

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SECTION 1

SAFETY
INFORMATION

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1.0 Safety Information

1.1 DEFINITIONS

This manual uses three indicators to highlight critical information: Warning, Caution and Note. They are
defined as follows:

WARNING

A WARNING indicates a condition that can endanger the resident or the SIM™ system operator.

CAUTION

A CAUTION indicates a condition that can damage the equipment.

Note:

A Note indicates points of particular emphasis that make the operation of the SIM™ system more efficient or
convenient.

In order to use the system correctly and efficiently, and to help prevent incidents please pay particular
attention to sections 1.2 “Warnings” , 1.3 “Cautions”, as well as all warnings and cautions contained
throughout this manual.

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1.2 WARNINGS

General Warnings Related to Use of the SIM™ system

WARNING

 The SIM™ system must be used according to its intended use. Refer to section 2.2 Indications for Use.
 A resident in a Long Term Care facility is highly vulnerable to the risks of infection. Dirty or

contaminated equipment is a potential source of infection. Clean the SIM™ pod and SIM™ dock
regularly and systematically, before and after each use. Follow all internal procedures to your
organization, as well as any maintenance procedures, to reduce the risks of infection.

 To reduce the risk of infection, facility standard operating procedures for cleaning, disinfection and

hygiene must be followed at all times. At a minimum you should wash your hands thoroughly before
and after handling any part of the SIM™ system.

 SIM™ is not a substitute for standard care practices. A resident undergoing a continence assessment

should always be monitored by trained and competent personnel. Ensure the resident’s carer is able
and prepared to take suitable action in the event that any part of the SIM™ system experiences a
problem.

 If there is leakage, as there may be with any continence product, there may be a risk of rash, sores

and/or compromise of skin integrity requiring medical intervention during a continence assessment.
The resident’s carer should continually monitor and interact with the resident.

 The SIM™ sensor should not be applied to a resident who has a known pre-existing skin condition,

such as a rash, sores and/or a compromise of skin integrity.

 Some residents may be sensitive to materials used in the SIM™ components. It is important that the

resident’s carer continually monitors and interacts with the resident. If the resident is sensitive to the
materials used in the SIM™ components, discontinue use and contact Simavita.

 If a resident develops a skin irritation as a result of wearing the SIM™ sensor, discontinue use and the

resident’s carer should continually monitor and interact with the resident, and refer to 12.0 SIM™
Contact and Support for contact details.

 The SIM™ pants and SIM™ sensors could potentially pose a biohazard risk after an assessment. The

SIM™ pants and SIM™ sensors should be disposed of, as per standard operating procedures for your

facility.

 The Indicator Lights on the SIM™ pod indicate different events and functions. This User Manual should

be consulted for Indicator Light definitions before determining the relevant user action.

 Ensure SIM™ system components are stored and transported according to SIM™ environmental

conditions as defined in Appendix A.

 The SIM™ pod shall only be charged with the adapter model defined in Electrical Specifications in

Appendix A.

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General Warnings Related to System Installation

WARNING

 The SIM™ system must be installed as per the instructions in section 11.0 SIM™ Installation,

Maintenance and Disposal of this user manual.

 The SIM™ system must not be installed in an environment that limits or prohibits RF transmitting

devices.

 Do not connect items which are not specified as part of the SIM™ system.
 The SIM™ pod, SIM™ dock and SIM™ sensor most not be stored or placed close to radiant heat

sources, such as a lit fireplace.

 The SIM™ pod, SIM™ dock and SIM™ sensor must not be stored or placed close to sources of steam,

such as steam kettles.

 The SIM™ pod, SIM™ dock and SIM™ sensor must not be stored or placed close to microwave ovens.
 Do not make changes to the SIM™ system database (stored on the server used for SIM™) as these may

render the system inoperable.

Warnings Regarding Maintenance

WARNING

 The SIM™ pod should be inspected for damage to the case and clip after every assessment and not

less frequently than every 12 weeks.

 Never use any component or accessory of the SIM™ system that appears to be damaged or not

functioning correctly. If any signs of damage or malfunction are evident, discontinue use and contact
Simavita.

 If you cannot determine the cause of the problem with any component or accessory of the SIM™

system, contact Simavita. Do not use the SIM™ system until the problem has been corrected.

 Do not attempt to repair, modify or service any component or accessory of the SIM™ system. The

system does not contain any user serviceable parts. Doing so might cause damage and/or void your
warranty. Only qualified service personnel should attempt to repair the SIM™ system.

 Only clean SIM™ components with cleaning agents specified in this manual. Read and follow the

cleaning instructions and additional instructions (section 10.0 SIM™ cleaning instructions) on the
cleaning agents, to clean the SIM™ components.

 The SIM™ sensor and SIM™ pants are intended for single use. Use these only as per Simavita’s

instruction and do not attempt to wash or reuse these components.

 Only perform upgrades to any software components of the SIM™ system by following instructions

provided by Simavita and using official software installation packages or as directed by an authorized
Simavita representative.

 The SIM™ pod safety circuit may be triggered during the cleaning process. The SIM™ pod should

always be placed on a powered SIM™ dock for a few moments after cleaning to reset the safety circuit.

 Never use accessories, detachable parts or materials that are not described in this User Manual. To

order new accessories contact Simavita.

 The SIM™ pod must not be serviced or maintained when in use on a Resident

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Warnings Regarding Oxygen

WARNING

 The SIM™ system is NOT suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE

WITH AIR or with OXYGEN or NITROUS OXIDE.

1.3 CAUTIONS

General Precautions for Use

CAUTION

 The SIM™ pod and SIM™ dock may be damaged by excessive force being applied during cleaning. The

cleaning procedures specified in this User Manual must be adhered to prevent damage.

 The components of the SIM™ system may be damaged through the use of harsh cleaning products.

The cleaning procedures specified in this User Manual must be adhered to, to prevent damage.

 Precautions should be taken when handling the SIM™ pod as touching the pins may trigger a SIM™

sensor connection event.

Precautions regarding Electromagnetic Interference

CAUTION

 The SIM™ system requires special precautions for electromagnetic compatibility and should be

installed and started in accordance with the recommendations found in Section 3.0. In particular, the
use of nearby mobile and portable communications equipment using radio frequencies exceeding the
levels set in the IEC 60601-1-2 standard may affect operation.

 The use of any accessory other than those specified may lead to an increase in electromagnetic

emissions or a decrease in the equipment protection against electromagnetic emissions.

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General Precautions Related to the incorporation into the IT-network

CAUTION

 The connection of SIM™ pod to an IT network that includes other equipment could result in previously

unidentified risks to resident, operators or third parties. The IT administrator should identify, analyse,
evaluate and control these risks before connecting the SIM™ pod to the network. IEC 80001-1:2010
provides guidance for the IT administrator to address these risks.

 Changes to the IT network including but not limited to changes in the IT network configuration,

connection of additional items to the IT network, disconnection of items from the IT network, the
update of equipment connected to the IT network and upgrade of equipment connected to the IT
network, could affect the operation of SIM™. The IT administrator should assess the risks to the SIM™
system before implementing any of these changes.

 The details provided in the I.T. Fact Sheet – IT requirements to support SIM™ defines the requirements

of the IT-network infrastructure for the operation of SIM™ as intended by Simavita. The failure of the
IT network to meet these requirements may result in the SIM™ system, the IT network or other
devices connected to the IT-network, operating in an unintended manner.

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1.4 SYMBOLS AND MARKINGS

Symbol

Description

IEC 60417-5333 Type BF Applied Part

This symbol appears on the SIM™ pod

IEC 60417-5031 Direct Current

This symbol appears on the SIM™ dock.

ISO 7000-1051 Single Use, Do not Reuse

This symbol appears on the SIM™ sensor and SIM™ pants
packaging.

ISO 7010-W001 General Warning sign.

This symbol accompanies WARNING in Simavita product
literature.

IEC 60417-5140 (2003-04) Equipment includes an RF
transmitter.

This symbol appears on the SIM™ pod.

ISO 7000-3082 Device manufacturer.

This symbol appears on all SIM™ components.

ISO 7000-2497 The date when the medical device was
manufactured.

This symbol appears on all SIM™ components.

The date will be adjacent to the symbol in the YYYY-MM
format.

ISO 7000-2607 The date after which the medical device is
not to be used.

This symbol appears on all SIM™ sensor packaging and
packaging label.

The date will be adjacent to the symbol in the YYYY-MM
format.

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ISO 7000-2493 Manufacturers Catalogue number

This symbol appears on all SIM™ components.

ISO 7000-2498 Serial Number

This symbol appears on all SIM™ components.

ISO 7000-2492 Batch Code

This symbol appears on the SIM™ sensor.

WEEE (Waste Electrical and Electronic Equipment)

This means the product must not be disposed of as
household waste. Observe local ordinances for proper
disposal.

This symbol appears on all SIM™ devices. Refer to section 11
for information and instructions for disposal.

RCM

Compliance with Electrical Equipment Safety System (EESS)
of Australian Communications and Media Authority (ACMA)
Regulation.

This symbol appears on all SIM™ devices.

CE Marking. Declares that the product conforms to the
essential requirements of the applicable EC directives.

This symbol appears on all SIM™ pod and SIM™ dock, and all
accompanying documentation and packaging.

United States FCC

This SIM™ pod complies with Part 15 of the Federal
Communications Commission (FCC) Rules.

The FCC ID for SIM™ pod is XF6-RS9110N1122.

Operation is subject to the following two conditions: (1) this
device may not cause harmful interference, and (2) this
device must accept any interference received, including
interference that may cause undesired operation.

This symbol appears in the package insert for SIM™
pod/dock kit.

ISO 7000-1641 Operating Instructions.

This symbol appears on package inserts that are shipped
with SIM™ devices. It is used to convey that the User Manual
should be consulted before using the SIM™ devices.

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E365191

Medical Equipment

This symbol appears on the SIM™ pod to signify that the
product is certified to UL standards for Medical Equipment
WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND
MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH
ANSI/AAMI ES60601-1 (2005+C1+A2), CSA C22.2 No 60601.1
(2008), IEC/EN 60601-1 (2005/2006+C1+C2), 60601-1-6
Usability (2010), 60601-1-11 (2010).

The UL control number for the SIM™ pod is E365191.

USB trident logo.

This symbol appears on the SIM™ dock to mark the location

of the USB connector.

Polarity Symbol.

This symbol appears on the SIM™ dock to mark the location

and the polarity of the DC connector.

This symbol appears on SIM™ pod to mark the location of

the power Indicator Light.

Refer Appendix A for SIM™ pod Indicator Light indication
colours

This symbol appears on SIM™ pod to mark the location of

the network Indicator Light.

Refer Appendix A for SIM™ pod Indicator Light indication
colours

This symbol appears on the SIM™ pod to mark the location
of the memory Indicator Light.

Refer Appendix A for SIM™ pod Indicator Light indication
colours

IP67

IP rating code of SIM pod, which classifies the protection
against intrusion from dust and water.

This symbol appears on the SIM™ pod.

The first digit indicates the level of protection that the
enclosure provides against access to hazardous parts; The
number 6 indicates that the enclosure is dust tight.

The second digit indicates the level of protection that the
enclosure provides against harmful ingress of water. The

Number 7 on SIM™ pod indicates that SIM™ pod can be

immersed in water up to 1 meter for a maximum of 30
minutes.

Keep away from Direct Sunlight.

This symbol appears on the SIM™ pod-dock packaging and
the SIM™ sensor packaging.

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Keep Dry.

This symbol appears on the SIM™ pod-dock packaging and
the SIM™ sensor packaging

Indicates the acceptable temperature range for transport
and storage.

This symbol appear son the SIM™ pod-dock packaging and
the SIM™ sensor packaging

Indicates the acceptable humidity range for transport and
storage.

This symbol appears on the SIM™ pod-dock packaging and
the SIM™ sensor packaging

Indicates that the packaging should be recycled.

This symbol appears on the SIM™ pod-dock packaging and
the SIM™ sensor packaging

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1.5 LABELS

Label

Description

Location

SIM™ pod label

SIM™ dock

identification
label
(Bottom of
Dock)

Various labels and specific markings are affixed to the SIM™ system components that describe precautions and
contribute to traceability of the product. The labels are identified in the table below with illustrations of their
location.

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1.6 STANDARDS AND COMPLIANCE AND IEC CLASSIFICATION

Description

Specification

Model Number

6019

Mode of Operation

Continuous Operation

Protection against ingress of water

IP67

Applied Part

Type BF

Use in presence of flammable
anaesthetic mixtures

No

Suitable for Sterilisation

No

The SIM™ system was developed in accordance with pertinent North American and International standards.

The SIM™ pod with SIM™ sensor IEC 60601-1/EN 60601-1 classification is as follows:

GENERAL STANDARDS – SIM™ POD AND SIM™ SENSOR

 Medical Electrical Equipment – Part 1: General requirements for basic safety and essential performance,

IEC/EN 60601-1 (2005/2006+C1+C2)

 Medical Electrical Equipment – Part 1: General Requirements for Safety, CSA C22.2 No 60601.1 (2008)
 Medical Electrical Equipment – Part 1: General Requirements for Safety, ANSI/AAMI ES60601-1

(2005+C1+A2)

 ISO 10993-1:2009 Biological evaluation of medical devices Part 1: Evaluation and testing in the risk

management process

COLLATERAL STANDARDS – SIM™ POD AND SIM™ SENSOR

 Medical Electrical Equipment – Part 1: General requirements for Safety - Collateral standard Electro-

Magnetic Compatibility requirements and tests IEC 60601-1-2 2010

 Medical electrical equipment – Part 1-6: General requirements for basic safety and essential performance

– Collateral standard: Usability, IEC 60601-1-6:2010

 Medical Electrical Equipment – Part 1-11: General requirements for basic safety and essential performance

– Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used

in the home healthcare environment, IEC 60601-1-11:2010

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SECTION 2

OVERVIEW

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2.0 Overview

2.1 WHAT IS THE SIM™ SYSTEM

SIM™ stands for Smart Incontinence Management.

SIM™ is used by carers in resident aged care facilities during an incontinence assessment to gather relevant

information and record events which are automatically displayed on a bladder diary. This process helps create
an accurate incontinence record.

Direct physiological urinary incontinence data is detected by a sensor strip embedded in an absorbent
incontinence product (SIM™ sensor Figure 1) worn by the resident during the assessment period. All
incontinence events are detected and transmitted by a small pod (SIM™ pod) attached to the front of the
SIM™ sensor pad worn by the resident during the assessment.

Figure 1 SIM™ sensor

The SIM™ pod (Figure 2) has been designed to operate continuously over the entire assessment period and
utilises Wi-Fi capabilities to send event data back to a server based software application (SIM™ manager) for
processing into useful data for clinicians to review. In addition to the direct urinary incontinence data
feedback, carers collect data using an intuitive point of care application called ‘SIM™ assist’. The SIM™ dock
(Figure 2) is used to charge battery of the SIM™ pod in between assessments.

Figure 2 SIM™ pod and dock

SIM™ assist application (Figure 3) operates on smart phone devices such as Android phones or tablets. The
portability of a device containing the SIM™ assist allows the carer to record relevant data about the resident

under assessment at the time of each event. Data events include: food and fluid intake; successful and
unsuccessful toileting; sensor changes; behaviours; and other therapy activities related to urinary incontinence
care.

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Figure 3 SIM™ assist application

When a SIM™ assessment has been completed, data can be viewed in a comprehensive bladder diary. The
SIM™ manager software provides a structured decision support process to guide the development of effective

individualised continence care plans for each assessed resident. This assessment process is depicted in the

cycle shown in Figure 4.

Figure 4 Overview of the SIM™ assessment process

The SIM™ manager software produces real time bladder information combined with a carer’s observations, a

sample of which is shown in Figure 5.

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Figure 5 Sample of the Bladder and Assessment Chart

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2.2 INDICATIONS FOR USE

SIM™ (Smart Incontinence Management) is indicated for use by healthcare professionals to collect, transmit
and report medical information from multiple residents (patients) within a clinical setting (e.g. hospitals,
skilled nursing facilities, residential care facilities) to establish effective management plans for continence care.

INTENDED USE

SIM™ (Smart Incontinence Management) is a remote monitoring system intended to provide monitoring
services of resident continence data by remote transmission. It is intended for use by trained healthcare
professionals to remotely detect, record and report incontinence events for individual resident (patient) in
long term care facilities, skilled nursing facilities, rehabilitation facilities and hospitals.

2.3 CONTRAINDICATIONS

There are no known contraindications.

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2.5 THE SIM™ TECHNOLOGY COMPONENTS

SIM™ components

Component

Description

User interaction

SIM™ sensor

Disposable single-patient-use incontinence pad (diaper), with
integrated wetness sensor, used during an assessment.

The SIM™ sensor consists of a standard continence pad (diaper) with

an embedded electronic circuit. The electronic circuit provides for 6
sensing electrodes and a means to distinguish a new sensor from a re­applied sensor. The SIM™ sensor is a Type BF applied part.

Care staff, resident

SIM™ pants

Disposable single-patient-use standard over-pants used in conjunction

with the SIM™ sensor to keep the sensor in place. The SIM™ pants

have a pocket sewn inside the front top part of the pants to
accommodate the SIM™ pod during assessments.

Care staff, resident

SIM™ pod

A portable, reusable, rechargeable sensor data transceiver that is
connected to the SIM™ sensor and worn by the resident during an
assessment.

The SIM™ pod is a small and lightweight data logging device. The pod
has been designed to an IP67 rating, allowing it to be submerged under
water for ease of cleaning. The SIM™ pod contains a rechargeable Li-

Care staff, facility IT
staff (during setup)

SIM™ operates over a Wi-Fi network, but does not require continuous connection. The SIM™ pod is capable of
completing an entire assessment without connection to a network via Wi-Fi, but requires such a connection in
order to upload all collected information. Figure 6 illustrates the SIM™ network.

Figure 6 SIM™ network

SIM™ consists of a number of components to enable the system to function. These components are stated
and described in the table below.

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Ion battery and an electronic circuit board containing Wi-Fi radio
module, micro-controller, and memory and charging circuitry. SIM™
pod is equipped with a safety circuit that limits the electrical energy

available when a SIM™ sensor is connected.
SIM™ pods must be configured to use the facility’s Wi-Fi network prior

to use; configuration can be done using a client PC connected to the

server and the SIM™ pod via a USB cable and is only required once,

unless Wi-Fi network changes are made.

SIM™ dock

Recharging station for the SIM™ pod. The SIM™ dock includes a low
voltage supply connected to mains electricity.

The SIM™ dock provides an electrical and mechanical means to

connect a 5V power supply and a USB cable (for configuration). The
dock does not contain any additional electronics.

Note:

Only the low voltage power supplies specified in this User
Manual are approved for use with SIM™.

Care staff, facility IT
staff (during setup)

SIM™ assist

A software application (app) operating on an Android phone or tablet
used for recording resident observations, such as successful toileting or

fluid intake; also used to provide SIM™ assessment messages to users.

Recorded observations are uploaded via Wi-Fi to the server side SIM™
software.

The SIM™ assist app is currently supported for Android OS3.2
(Honeycomb) or later.

Care staff

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SIM™ manager

An element of the SIM™ system software which provides a user
interface through a web browser. SIM™ manager allows for resident
and staff profiles to be managed and assessments and continence care
plans to be created, monitored and reported.

SIM™ manager utilises Microsoft Silverlight to support the operation of
the graphical user interface; it is available through the server’s IP

address.

Care staff

Client
computers

Facility supplied computers able to connect to the server running the
SIM™ system software; used for running SIM™ manager in the client
side browser.

Please refer to the minimum system requirements on the IT Fact Sheet.

Care staff, facility IT
staff

Server
computer

A facility supplied workstation computer running the SIM™ software
services.

Please refer to the minimum system requirements and pre-installation
requirements on the IT Fact Sheet.

Facility IT staff

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SECTION 3

GETTING STARTED
WITH COMPONENTS
– Hardware

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3.0 Getting Started with Components – Hardware

Step 1

Step 2

The SIM™ dock recharges the SIM™ pod, so it will be ready
for the next assessment. Place the SIM™ pod into the
SIM™ dock with both blue logos facing forward.

The battery indicator light will flash green when the SIM™
pod is charging. Once the pod is fully charged the indicator
light will turn solid green.

The Wi-Fi indicator light initially flashes orange and will
turn solid green when connected to the Wi-Fi network.

The synchronising indicator light initially flashes orange
and will turn solid green once all assessment data is
uploaded.

The SIM™ pod is ready to be used for an assessment when

all three indicator lights are solid green.

The SIM™ pod indicator lights summary.

SIM™ pod

Symbols

Indicator Light

Indicator Light

Battery

GREEN (flashing)

Recharging

GREEN (solid)

Fully charged

Wi-Fi

Orange (flashing)

Connecting

GREEN (solid)

Connected

Synchronising

Orange (flashing)

Data uploading

GREEN (solid)

completed

All Symbols

If any indicator light turns solid RED,

refer to APPENDIX A and the

Troubleshooting Guide in 12.0 SIM™
Contact and Support.

3.1 CHARGE THE SIM™ POD

The SIM™ pod must be charged before you start an assessment to ensure it can be used continuously for the
entire 72-hour (3 days) continence assessment period.

It takes about 2-3 hours to fully charge a depleted SIM™ pod.

Note:

A SIM™ pod that has been in storage without charging for a period of six months or more may require more
than 3 hours to fully charge. Simavita recommends that when a SIM™ pod is not in use it should be placed on
the SIM™ dock and/or fully charged at least once every three months.

Follow these steps to charge the SIM™ pod.

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3.2 Connect SIM™ pod to SIM™ sensor

Step 1

Check that the pod number on the back of the SIM™ pod
matches the number allocated for that SIM™ assessment.

Step 2

Remove the SIM™ sensor from its sealed bag by tearing

the top of the bag at the pre-cut notch.

Step 3

Connect the SIM™ pod to the SIM™ sensor; match the
window in the sensor clip to the raised shape on the SIM™

pod, then hook the clip over the pod.

Step 4

Press firmly down on the end of the clip, until a click is
heard. Green lights will flash briefly across all three

indicator symbols to confirm the SIM™ pod is connected

successfully.

Note:

 If the SIM™ pod connection is unsuccessful the lights

flash green then turn orange briefly across all three
indicator symbols. You will need to repeat the
connection process.

 If the battery is low the battery indicator light will flash

orange indicating the pod needs to be recharged.

 If the SIM™ pod memory is almost full, the

synchronising indicator light flashes orange and must

be returned to the SIM™ dock.

To connect the SIM™ pod to the SIM™ sensor, follow these steps:

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Step 1

Disconnect the SIM™ sensor from the SIM™ pod by

hooking your index finger behind the clip while placing
your thumb firmly on the front of the clip.

Step 2

Pull your index finger forward, until the clip is released.

SIM™ pod disconnection is confirmed by three orange

lights flashing briefly across all three indicator symbols

3.3 DISCONNECT THE SIM™ POD FROM THE SIM™ SENSOR

To disconnect the SIM™ pod from the SIM™ sensor, follow these steps:

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3.4 APPLY THE SIM™ SENSOR AND PANTS TO THE RESIDENT

Step 1

Apply the SIM™ pants to the wearer with the pocket at the

front on the inside and pull the pants up just below the groin

area so the SIM™ sensor can be easily inserted between the

legs.

Step 2

Fold the SIM™ sensor lengthways to raise the pad cuffs and
create a channel shape. Then insert the SIM™ sensor

between the legs.

Fan the back of the pad out and pull up the back half of the
SIM™ pants to support the sensor.

Step 3

Adjust the SIM™ sensor at the front to fit snugly into the
groin area and pull up the SIM™ pants.

Step 4

Place the SIM™ pod firmly into the SIM™ pants pocket inside
the SIM™ pants.

Follow these steps to apply the SIM™ sensor and pants to the resident.

WARNING

 The SIM™ sensor is not recommended for use with residents that have a pre-existing skin condition

including but not limited to a rash, sores and/or compromise of skin integrity.

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SECTION 4

SIM™ MANAGER

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4.0 Getting Started with Components - Software

4.1 OVERVIEW OF TAB MENU

The SIM™ manager software stores and displays the data collected from the SIM™ hardware components. It
is stored in database format so that the user can view, analyse and report upon the data.

The software uses a tab structure that reflects the workflow of the assessment process, from data collection
and analysis to continence care planning and reporting. It also provides functionality for the administrator to
manage resources via the Administration tab.

Dashboard Tab
Provides a snapshot of the status of critical areas during an assessment activity. At any time you can glimpse
the working status of critical components and the number of residents in current assessment. It also has a
message board where you can post important daily reminders.

Resident Tab
Stores general information about a resident and their continence condition including background information
that may assist with continence care planning.

Assessment Tab

Stores the assessment history of a resident. The observations section records additional findings that may
assist with the continence care plan creation.

Care Plan Tab

Stores the continence care plan history of a resident. The current continence care plan is displayed by shift. It
is also linked to the assessment from which the continence care plan is derived.

Reports Tab

Contains the base set of reports including overview and details on assessments and continence care plans.

Administration Tab

A range of essential system elements must be setup. These include details of the facility which will run SIM™
manager, a list of users who will use the system (including the SIM™ assist device), shift schedules for resident
care and a continence products list for selection in the continence care plan phase. Each of these elements are
managed from this tab.

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4.2 USER LEVELS AND ACCESS

There are two types of user in the SIM™ system, Administrator and User.

The administrator is the only user that has access to the Administration tab.

All other tabs are visible to the general user and are used to record data and observations during an
assessment period, to draft a continence care plan and run reports.

The Administrator also adds users and assigns usernames. See the topic Administrator Setup Activities –

Users.

4.3 LOGGING OUT AND CONTACT SUPPORT

At the top right hand side of every SIM™ manager screen are three icons.

SIM™ Support information and contact details.

Log Out of SIM™.

Exit SIM™ without logging out.

4.4 THE SERVER SOFTWARE VERSION AND TIME ZONE

The information above the tab provides the users with the date and time the SIM™ manager server is
operating under and the version number of the SIM™ software.

SIM™ manager server time

SIM™ manager version number

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SECTION 5

SIM™ MANAGER –
for the Administrator

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5.0 SIM™ manager – for the Administrator

Step 1

Click the SIM™ icon on your computer desktop and enter
the Administrator user name and password. For example

Username Sally
Password TGO001

Step 2 Click tab from the horizontal row of tabs.

To the left of the screen, there are vertical tabs that give access to the
administration features of the SIM™ manager.

Facilities – information about your Long Term Care facility , including

the buildings and wings and staff temporary password (updated daily)

Users – setup staff login details, permission levels and passwords

Residents – resident list (resident ID, location and admission status

such as current, discharged, deceased or opt out)

Shifts – enter continence shift times

Aids – list of continence products and details such as capacity, price per

piece, product code or style. Create a list of items in your local
catalogue tailored to your facility.

Notifications – Select types and frequency of notifications. Alerts can
be received on the SIM™ manager and/or through the SIM™ assist

application. Notifications may be relating to pod status or observations
missed by staff.

Devices – list of all hardware devices, version of software, serial

numbers etc.

5.1 ADMINISTRATOR LOGIN

The Administration tab in SIM™ manager can only be accessed by a supervisor given administration
authority.

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5.2 ADMINISTRATOR SET-UP ACTIVITIES

Step 1 – Address

Note:

To add a logo or a photo of your Facility, click the button.
This opens an Open File box where you can choose a folder that
contains your image.

Identify Long Term Care Facility

Enter facility Name and
select Facility Type from the
drop down list by clicking the
 in the drop down box.
Repeat this step with State
and Country.

Enter information in the free
text fields.

Message board is used to
alert staff of changes,
assessments starting or
ending and other relevant
information.

Step 2 – Facility Report ‘Rules’ Settings

The system uses ‘Leakage Prevention Factor’, ‘Fluid Output
Calculation Type’ and ‘Continence Aid Capacity Type’ to enable the

system to automatically recommend a product type (continence
product) in the care plan. Default values are entered; however
alterations to each setting can be made as required.

Set ‘rules’ for reporting
continence product absorbency
measurements.

All these fields are free-hand
except those with drop-down
 arrows.

The temporary password is
displayed in this section and
is the default password
required for new user’s initial
login. The password is
renewed every 24 hours.

FACILITIES

Click the button from the left column in the Administration tab.

There are three sections visible: address, facility settings and facility buildings/wings/room details.

The long term care facility should be identified in the system from the software setup process however details
of the buildings, wings and rooms can be entered. Other data such as messages (dashboard announcements),
site logo/picture and facility assessment parameters can also be entered.

Click the button to allow facility data to be updated.

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Fluid Output Calculation Type –is used by the SIM™ manager to determine the recommended

continence product capacity and applies different safety factors to the shift volume. It takes into
consideration preferences to prescribe continence products based on maximum, weighted or
average urine output at different times of the day. The default value entered is the maximum
output plus a buffer of 10%.

For example, assume that the total net weight of wetness events in each shift (in a 3-day assessment) was
200mL, 500mL and 300mL.

- If “average” is selected, the volume needed in a pad will be 333mL and this is used to compare against

the Product (Aid) Capacity for recommendations.

- If “maximum” is selected, the maximum volume of any one of the three shift volumes is used (500mL)

- If “weighted” is selected, then 75% of max and 25% of average is used (375 + 333/3 = 458.25mL)

- If “max + 10%” is selected, then max (as above) + 10% is used (550mL) (This is the default)

Continence Aid Capacity Type - normally ISO Rothwell or working capacities which are available
from continence product manufacturers.

Step 3 – Facility’s Wings and Rooms

Click the button to allow
building, wing or room data to be
updated.

Identify buildings, wings and
rooms

To add a building, click the add
building button. Click on the blue line

twice to change the default building
name.

To add a wing, click the add wing
button. Click on the blue line twice to
change the default wing name.

To add a room, click on the wing from
the wings box and then click add room

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Note:

Input information in ‘top to bottom’ order, starting with
building, then wing and then room. If not, the box below will
be locked out.

button.

When you are finished, click the Save
button.

The Cancel button will reset all the
sections to their previous values.

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USERS

Step 1 - Users Administration

Add New Users

In the Users Administration section,

click the button.

Step 2

Complete staff details (those denoted
with * are mandatory fields).

Now check the boxes, Active, Use

Default Password and Create new
login.

Enter a username and click Save.

The user will now appear on the Users
list.

NOTE: Return to the facility settings

section and take note of the temporary
password to provide the user to allow
them to login for the first time and set
up their own password.

Users are created under this tab including details such as usernames are confirmed.

Click the button from the left column in the Administration tab.

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Step 3

Log out of the SIM™ manager and ask the

new user to login with their username.

User initial login

Ask the User to enter their username and the
temporary password shown in the

Administration tab, in the Facility Settings
section

Step 4

Step 5

The facility can import a user data base

The new User will be prompted to enter a New
Password and then to re-type the password in
the second text box.

Click on Change Password.

The user is now able to login to the SIM™
manager and the SIM™ assist app with their
username and the new password they have
created.

Click the button and an ‘Import Users’
screen will appear. Select the ‘Choose a File for
import’ button to upload the data base. If a
sample of the data base import file is required,

select ‘Download a sample import format’

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RESIDENTS

Step 1 – Residents Administration

Change Resident’s status

In the Residents Administration section, click on the row of the resident to be updated.

Step 2

Click the drop-down list in the Status column.

Select the status.

Click the Save button at the bottom right of the
screen.

‘OptOut ‘option is for residents who choose not
to participate in the SIM™ assessment process.

Step 3

The facility can import a resident data base

Click the button and an ‘Import

Residents’ screen will appear. Select the ‘Choose
a File for import’ button to upload the data base.

If a sample of the data base import file is
required, select ‘Download a sample import
format’

Click the button from the left column in the Administration tab.

The Residents tab is used to update the status of residents.

To alphabetically sort the data in ascending or descending order, simply click the column heading.

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SHIFTS

Step 1 Shifts

Add shifts

Click inside the Shift Name box to type shift name.

Click Start Time – enter hours (End Time and shift duration fields automatically calculate).

Note:

Click the icon to select from half hourly increments or alternatively click on the numbers, AM or PM and

then click on the to change (up or down).

To enter additional shifts, click the button (bottom right of screen).

A new line appears, enter the shift name.

To delete shifts, click the button (end of each time period).

The existing time line will disappear.

Use the Shifts tab to setup ’Shifts’ and ‘No Intervention Periods’.

Shifts: represents the time period the resident wears a continence product. The shift period has a start time,
which is when the care staff apply the continence product to the resident and an end time when they remove
the continence product. During this time period the continence product worn by the resident will have enough
product capacity to ensure the resident is kept dry if incontinence voids occur into the continence product.

No Intervention Periods: the time period that may impact on the toileting program and continence product
changes. For example; staff changeover times, resident sleep times or meal times. The user can nominate
specific time periods like breakfast, lunch and dinner, where toileting and product changes are not suitable or
if supervision and physical assistance is required.

Click the button from the left column in the Administration tab.

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Step 2 – No Intervention Periods

Enter the time values for Start Time and End Time. Select Activity type and add any Notes.

To add more periods, click button. Click the Save button.

Step 1 – Main Catalogue

To add products to the main
catalogue, click the

button.

(See the below for
explanation of the table
fields)

CONTINENCE AIDS

For the SIM™ assessment and continence care planning, continence products will be selected that meet the
resident’s individual needs. As the administrator, you will need to setup the product choices that are available
at your facility.

Click the button from the left column in the Administration tab and the Continence Aids

Administration section will appear.

Main Catalogue

This is a product list of available products. If this list is empty to start, a list can be imported or added
manually.

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Step 2 – Add Continence Aid

Fill in the fields and click

Save.

Continence Aids – table fields

Table Field

Meaning

Manufacturer

Manufacturer of product

Code

Unique product identifier number

Name

Product name as appears on packaging

Description

Product information regarding style or shape or color

Category

Groups the product into ‘styles’ to assist in Continence care plan continence
aid selection

ISO Capacity

Industry standard - represents peak capacity of product

Working Capacity

Maximum capacity of product before it needs replacement

Waist Size

Size of product relating to small, medium, large etc

Cost Per Piece

Cost of the continence aid per piece

Catalogue table fields explained:

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Local Catalogue

Note:

Click the check box on the far left side to flag products to include
them in the SIM™ continence product recommendation process.

Import products to your Local

Catalogue by clicking on the

arrow to move the product across.

Step 3 – Import Continence Aid

The Facility can import a Continence Products data base

Click the button and an
‘Import Continence Aids’ screen will
appear. Select the ‘Choose a File for

import’ button to upload the data base.

If a sample of the data base import file
is required, select ‘Download a sample
import format’

This is a product list for the facility from which product recommendations can be made. After finding or adding
products to the Main Catalogue, import them into the Local Catalogue.

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NOTIFICATIONS

Step 1 – Notifications

Click to expand or shrink the list in each category

There are 15 notifications that
can be sent, divided between

‘Observation Notifications’ (11

items) and ‘SIM™ pod status
notifications’.

Send a Notification alert

Select the row that contains
the notification to be sent.
An explanation for each
notification is stated.

The Notifications tab allows selection of the types and frequency of notifications to the SIM™ assist
application (hand held device) or to the SIM™ manager. Notifications may relate to pod status or observations
associated with the SIM™ assessment.

Click the button from the left column in the Administration tab.

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Step 2

Note:

Notifications sent to SIM™ manager will be visible to staff in the
Assessments tab in the Notifications box.

Click the boxes to
determine where you want
to send the alert. To un­check, click the box again.

Select the Resend time
(minutes interval between
resends) from the drop­down list.

Repeat for all other alerts
and click Save.

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DEVICES

Click the button from the left column in the Administration tab to display the SIM™ hardware
components in use.

This is a list of hardware devices, the version of software for each, serial numbers and which resident the
devices are allocated to during an assessment.

SIM™ Devices Administration

To sort the data in ascending or descending order, simply click the column heading.

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SECTION 6

SIM™ MANAGER –
Assessment
Coordination

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6.0 SIM™ Manager – Assessment Coordination

Login to SIM™ manager

Enter individual username and
password previously specified and
select Login.

6.1 LOGIN TO SIM™ MANAGER

Click the SIM™ manager icon displayed on the computer desktop.

The SIM™ manager horizontal tabs:

 Dashboard: Overview of assessment activity in progress
 Residents: Set up and stored resident details
 Assessment: Assessments set up, collation and monitoring
 Continence care plan: Creation and review of continence care plans
 Reports: Review of relevant reports

The Administration tab is only available for the users with assigned admin privileges. For more details see
section SIM™ manager – for the Administrator.

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6.2 DASHBOARD TAB

Dashboard

The Dashboard has the following sections:

SIM™ Status – SIM™ pod, SIM™ assist and SIM™ services statuses.

Residents – number of residents currently being assessed.

Site Overview – facility details.

Message Board – notes and alerts.

SIM™ Status and Residents contain data which comes into view as ‘hover text’ when leaving the
mouse cursor over the words.

SIM™ pod Status - hover text

Check SIM™ pod status

Move the mouse cursor over the

and wait a few

seconds.

The hover text appears showing a
summary of information about the

state of SIM™ pods in use and not

in use.

The Dashboard tab provides overview of the status of key SIM™ assessment elements.

Select from the horizontal row.

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SIM™ assist Status - hover text

Check SIM™ assist status

Move the mouse cursor over the

and wait a few

seconds.

The hover text appears showing
information about the state of
SIM™ assist.

SIM™ services Status - hover text

Check SIM™ services status

Move the mouse cursor over the

and wait a few

seconds.

The hover text appears showing
information of running services.

Resident summary

Risk-of-Leakage Measure

This indicates when a SIM™ sensor

reaches full capacity.

Colours indicate the following:

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6.3 RESIDENT TAB

Residents sort list

Add a new resident

Click below the list of residents names.

A blank resident information page will open with five tabs for data entry.

First tab General Information: The minimum information required is marked with a red asterisk*. First Name;
Last Name, Date of Birth, Gender and Waist Size are mandatory entries. Resident’s room details are also
entered on this tab.

This tab allows new residents to be added, and resident’s details to be captured and displayed.

Select from the horizontal row.

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ADLs/Cognition: Information on the resident’s mobility, cognitive skills, ability to understand and required
support level can be collected here.

Questions and Observations: A preliminary background on a resident’s continence status can be obtained by
a set of questions.

Skin Condition: Provides for recording of the resident’s current skin condition and risk of skin breakdown due
to the continence condition.

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Medication/Notes: Provides for recording of any medication that is relevant to the resident’s continence
status. Other clinical information can be documented in the notes field.

Resident photo can be added by clicking at the bottom right of the screen.

To save all the information added, click Save, or Cancel to discard.

After saving the details of a new resident, a header is generated displaying a summary of the resident’s general
information relevant to the continence care. It will appear in the Assessment and Continence care planning
tabs for the selected resident.

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Find/sort residents by name

In the Filter in the top left of the screen, enter the
first letters of the resident’s name.

Click OR

Find the Resident name under the list along the far
left side of the SIM™ manager screen which is divided
into residents ‘Under Assessment’ or ‘Inactive’.

Residents currently ‘Under Assessment’ are tagged
with a green square.

Residents not currently under assessment are
‘Inactive’ and tagged with a blue square.

Residents who have not yet had a SIM™ assessment
are highlighted in red font.

Select the resident’s name or alternatively type the
name into the ‘Filter’ search box to find their name.

Edit or Update residents details

Header of resident

The header provides an overview of the resident’s room location, identifying the assistance level of mobility;
transfer; toilet use and cognitive level.

To edit or update residents details select the Residents tab and click on the bottom
right of the screen.

After completing the updates click Save, or Cancel to discard.

In the top left corner of this section, click to expand or collapse the header.

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Change resident’s photo

Form Field

Meaning

General Information

First Name

Resident’s first name

Last Name

Resident’s last name

Facility ID Number

Resident’s ID

Date of Birth

Click the calendar icon to select a date. Use the left and right arrows

to go forward/backward by month/year. Alternatively type in the

following format .

Gender

Click the check box that applies .

Weight

Type resident’s weight in kilograms or select the black arrows to change

.

It will automatically update the amount in lbs.

Waist size

Select from the drop down menu.

Location

Building; Wing; Room are selected by clicking the down arrow to

select from drop down menu. Press to remove previously selected.

A resident’s photo can be added by clicking at the bottom right of the screen. Select a photo
from your computer folder. The photo format must be .jpg or .png. Locate the photo you require and select by
double clicking.

Click Save, or Cancel to discard.

Resident Profile

.

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Form Field

Meaning

ADLs/ Cognition

Mobility

There are six mobility categories: Bed Mobility; Transfer; Walk in Room;

Walk in Corridor; Locomotion on unit and Locomotion off unit. Click the

down arrow to select from drop down menu or press to remove
previously selected.

Toileting

Toileting assistance level.

Cognitive Skill and
ability to understand

Choose degree of cognitive impairment by clicking the arrow to select
from the drop down menu.

Questions and
Observations

Set of yes and no questions to obtain a preliminary background on a
resident’s continence status. Select person completing the questionaire

by selecting from the drop down menu

Skin Condition

Enter details on the resident’s current skin condition and if they are at risk
of skin breakdown due to their continence status.

Medication/Notes

Any medication that is relevant to their continence status. A notes field is
also available for other clinical information.

6.4 ASSESSMENT TAB

The Assessment tab is used to start a new resident assessment and review information relating to current or
past assessments:

6.4.01 Start a new assessment.

6.4.02 Record/edit/discard observations

6.4.03 General assessment information

6.4.04 Print/Extend/Abort Assessment

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6.4.01 START A NEW ASSESSMENT

Enter the residents name in the filter search box or
select a resident from the list. The list is divided into:

1. Under Assessment: Residents currently under

assessment are tagged with a green square.

2. Inactive: Residents not currently under

assessment are tagged with a blue square.

Residents who have not yet had a SIM™ assessment
are shown in a red font.

The list can be collapsed by clicking and click

again to expand the list

Step 1

Select the resident that requires an assessment

The header section now appears with the Resident’s name. The Assessment section underneath will show
previous SIM™ assessments conducted.

Step 2

Click on the button and the ‘Create a Continence Assessment’ window appears.

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Choose the Assessment Type - check which type of
assessment you are undertaking.

Confirm the Assessment time, by selecting the ‘Start’

and ‘End’ date. The date will automatically default to

80 hours from the start date. This can be modified
manually by changing the date and time using these

icons and .

Select the staff member Responsible for the
assessment from the drop-down list.

Notes can also be added relating to the assessment
setup.

Allocate and de-allocate a SIM™ pod to the
assessment

Click the  arrow in the SIM™ pod Allocated drop-

down menu and select a SIM™ pod number. Only the
SIM™ pod numbers that are presently available will

be shown.

Note:

When the SIM™ assessment is completed, SIM™

manager will automatically de-allocate the SIM™ pod.

If there is an issue with the allocated SIM™ pod,

reallocate another SIM™ pod by selecting another pod

number from the drop down list.

After setting up a new assessment click the save
button at the bottom right of the screen or click

cancel to discard.

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Record an Observation

Click on the Assessment tab and select the resident.

In the Observation History section, click on .

Select the staff member name from the drop down menu; the date by clicking on the calendar and time by
clicking on the clock icon.

Click on the relevant observation and select data fields.

Click Save or Cancel to discard.

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Editing an Observation

Click on the Assessment tab and select the resident. Select the Observation that needs to be edited by clicking

on .

The observation box opens and displays the item in full and relevant data fields can be amended.

Click Save.

Note:

The user will only be able to edit observations they have entered unless they have Admin privileges.

Remove an Observation

Select the observations required in the Observation History section and click Edit.

The Observation box opens, click the button on the bottom left corner of the box.

Click OK and the observation has now been discarded.

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The SIM™ pod status provides general information
about the SIM™ pod during an assessment.

Notifications: Provides a list of the various
notifications sent during the assessment

Activity Logs: Provides a list of all the observations
recorded and system activities that occurred during
the assessment.

Last Status: Provides an update on the saturation of

the SIM™ sensor stating the potential status of the

sensor leaking during the assessment. This
information is only updated when the SIM pod is
connected to the WiFi network

Fluid Balance: Provides an update on the amount of
fluid the resident has consumed versus the amount of
fluid voided.

6.4.03 GENERAL ASSESSMENT INFORMATION

The Assessment tab also provides general information on the SIM™ pod status, Notifications, Activity log,
activities graph and fluid balance chart.

The actives graph provides an overview of the observations recorded in the last 5 hours.

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6.4.04 PRINT/EXTEND/ABORT ASSESSMENT

The SIM™ assessment currently running will display three key icons; Assessment Report: opens the
assessment in a report format

Edit Assessment: opens the edit assessment setup page

Abort Assessment: permanently stops the assessment

Assessment report

Click the assessment report icon

The initial message box will allow the user to select the observations to be shown on the assessment report.

After the selections have been made, press View report and the SIM™ assessment report will be displayed.

The following icon will be displayed at the top of the report page allowing refreshing,
printing, exporting and saving.

Selecting Close will return back to the report tab .

Editing an assessment

Edit an assessment while it is running by clicking the Edit button. Assessment time, responsible, notes and

SIM™ pod allocation can be changed here.

Assessment time can be extended in intervals of 15 minute time slots.

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Click the green symbol to extend the assessment or click the red to cancel.

Note:

It is not possible to change the start time of an assessment once the assessment has already commenced.

Click to Save, or Cancel to discard.

Note:

It is recommended that the assessment is extended if it is discovered that the SIM™ pod has been disconnected
from the resident.

Aborting an assessment

If there is a reason to abort an assessment, this can be done as follows.

From the Assessments section, select the assessment to abort. The row is highlighted grey. Click the Abort

Button to abort the assessment .

A confirmation box appears. To abort the assessment, click OK.

The system will prompt to record the reason for aborting the assessment. This is important for resident
documentation and any future assessment reviews.

The State of the assessment will change from Running to Aborted.

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SECTION 7

SIM™ Data Collection

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Step 1

Touch the SIM™ assist icon displayed on the screen of your

tablet or phone.

The SIM™ assist software will load and display the login
screen.

7.0 SIM™ Data Collection

7.1 OVERVIEW

During a SIM™ assessment the carer must record real-time observations using the SIM™ Assist application.

SIM™ assist is a software application (app) that can be downloaded onto a range of tablet/phone devices to
enable care staff to log observations during an assessment about the resident’s care.

The information recorded in the SIM™ assist app during the assessment is sent via the Wi-Fi network to the
SIM™ manager software. This information is graphically displayed along with continence data. Care staff use

this information to develop an individualised continence care plan.

The SIM™ assist app on the device does not need to be in a Wi-Fi network to function. Information that is
recorded while outside the network is stored and then is transferred automatically via Wi-Fi when the device
comes back into range.

It is recommended:

 The hand held device (with SIM™ assist application installed), should be carried by care staff at all times

during their shift

 All notifications sent from the SIM™ assist must be actioned by care staff
 Do not shut down, log off, reboot or place tablet/phone into sleep mode during the assessment, to ensure

continuous transmission of data to the SIM™ manager

 The tablet/phone must be charged each night when in use

Note:

All observations are to be entered in real time. If an observation is not entered into the tablet/phone at the
time the activity occurred, enter observation directly into the SIM™ manager in retrospect.

7.2 LOGIN TO SIM™ ASSIST

To switch on the hand held tablet device, refer to the hardware device user guide.

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Step 2

Enter a username and password than select ‘Login’.

.

SIM™ assist should stay on during a shift to allow continuous
transmission of data to SIM™ manager.

After logging in, the screen will display
all the residents currently undergoing a
SIM™ assessment.

The information for each resident will
include, photo identification, resident’s
name, wing name, room number and
SIM™ pod number.

When setting up for the first assessment

check that the SIM™ pod number

allocated to the resident on the SIM™
assist screen, is the same number

appearing on the back of the SIM™ pod

you are using. If this number is not the
same, notify your supervisor.

When there are more residents under
assessment than can be seen on the
screen, these can be viewed by brushing
a finger up the screen to scroll.

7.3 MAIN SCREEN – RESIDENT LIST

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7.4 SIM™ ASSIST SCREEN NAVIGATION

SCREEN NAVIGATION

To record a resident observation, touch the
observation icon and enter the data from left to
right.

A grey scroll bar will display if there are many
items to choose from. Brush a finger up and
down the screen to display additional items.

To un-select an item, touch the item a second
time and the selection will disappear.

After making all the selections for an
observation, touch the green tick to save the
data and transmit it to the SIM™ manager.

A message will appear stating the observation
was recorded and the app will return back to the
observations page.

At times there may be a need to discard an
observation before completing it. To discard the
observation without saving, touch the ‘back
arrow’ icon, instead of the green tick.

A message will appear to confirm the wish to
discard this observation. By selecting the green
tick the observation will be discarded and the
app will return to the previous screen. If you
decide you wish to keep the observation, select
the red X and you will return back to the
observation input screen.

Press to confirm

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7.5 SIM™ ASSIST NOTIFICATIONS

The screen will now display the
notification messages for that resident.

After reading the notifications, click the

return arrow icon and you will return
back to the main screen.

This step removes the red notification.

The SIM™ assist app will send notifications during the assessment which require attention regarding the
resident or the assessment.

The notification icon will appear as a red exclamation mark next to the resident’s photo. To open the
notification(s) touch the resident’s name.

7.6 CLEARING NOTIFICATIONS OR MESSAGES

When a notification has been read and related actions completed, the message is cleared from the screen.

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7.7 RECORDING RESIDENT OBSERVATIONS

Step 1

To enter a resident observation, tap the
resident’s name.

Step 2

The resident observations page opens.

The top row of icons show all the observations
required for a urinary or bowel assessment:

• Food Intake

• Fluid Intake

• Sensor check

• Successful toileting

• Unsuccessful toileting

• Sensor removal

The bottom row of icons show the other
observations available

• Behavioural

• Sleeping

• Medication assistance

• Repositioning assistance

• Therapeutic massage

There is a comments field in the right/bottom
corner for additional information to be recorded
that may not have been covered under other
icons.

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OBSERVATION ICONS

This section defines each icon and provides
guidance on how to enter observations.

FOOD INTAKE

This observation records the total % of food
consumed during a meal and the type of food
items eaten.

Touch the icon ‘Food Intake’

Touch and select the % of food eaten.

Select all the food items eaten. To view more
food items, scroll down by brushing a finger up
the screen.

All milk consumed such as milk with porridge or
cereal should be recorded under fluid intake.

After making all the selections for this
observation, touch the green tick to save

Note:

The information recorded under this icon will
assist in completing a bowel assessment.

7.8 OBSERVATION ICONS

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FLUID INTAKE

This observation records the volume and type of
fluids consumed and assists in understanding
the resident’s fluid balance/hydration. The
information for the fluid balance chart is used to
develop the resident’s continence care plan.

Touch the icon ‘Fluid Intake’

Touch the volume icon and select the quantity of
fluid consumed (for example 250mls).

Then select the type of fluid consumed.

E.g. cup of tea

After making all the selections for this
observation touch the green tick to save the
data.

SENSOR CHECK

This observation records the status of a
resident’s SIM™ sensor in relation to capacity
filled and if any leakage has occurred (onto
clothing or bed linen).

Select the ‘Sensor Check’ icon.

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Select the % of the SIM™ sensor that has been
used.

Select ‘Yes or No’ if any leakage was observed.

After making all the selections for this
observation touch the green tick to save the
data.

SUCCESSFUL TOILETING

This observation records the amount of urine
voided into the toilet (in a Specipan/hat) and to
record the type and size of bowel movements.
This information is used to determine the
effectiveness of toileting and any bowel
activities.

Select the icon ‘Successful Toileting’

Select the amount closest to the volume of urine
collected in the specipan/hat.

Select ‘Yes or No’ if faeces present.

If yes, select the type and size from the Bristol
stool chart.

After making all the selections for this
observation touch the green tick to save the
data

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UNSUCCESSFUL TOILETING

This observation records when toileting activities
are unsuccessful. This is demonstrated by nil
urine being voided or no bowel movements.

Select the icon ‘Unsuccessful Toileting’ and

confirm by selecting the green tick if toileting
was unsuccessful.

If this observation is unintentionally selected,
then select the red X to discard the entry.

SENSOR REMOVAL

This observation records the removal and

weighing of the SIM™ sensor.

Select the icon ‘Sensor Removal’ and select the
type of SIM™ sensor removed from the

resident (three types).

Light: Light capacity SIM™ sensor

Moderate: Moderate capacity SIM™ sensor

Heavy: Heavy capacity SIM™ sensor

Note:

Scales must be used to weigh the SIM™ sensor.

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Record the weight by selecting the ‘Sensor
weight?’ icon.

Select a weight that closely matches the reading
shown on the scales.

Select ‘Yes or No’ if there was any leakage.

Select ‘Yes or No’ if faeces present - if 'Yes'

select the type and size of stool from the
Bristol stool chart.

After making all the selections for this
observation, touch the green tick to save the
data.

Step 1

Select the resident from the main screen

7.9 OBSERVATION HISTORY

The Observation History within the SIM™ assist app shows a record of assessment observations recorded and

messages sent by the SIM™ manager.

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Step 2

The resident observation screen will

open, click on the ‘History’ icon

Step 3

The history screen displays observations
entered over the assessment period.

To view messages sent by the SIM™
manager during the assessment you can

click a second time on the
message history icon.

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SECTION 8

SIM™ CONTINENCE
CARE PLAN

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8.0 SIM™ Continence Care Plan

8.1 SIM™ CONTINENCE CARE

The continence care plan is development in 3 stages:

1- 8.2 Create a continence care plan

2- 8.3 Continence care plan Under-Evaluation

3- 8.4 Continence care plan In-Use

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8.2 CREATE A CONTINENCE CARE PLAN

Get started

Step 1

Select a resident from the left section

and click the horizontal
tab.

SIM™ manager displays a continence
care plan template by default.

Step 2

Step 3:

Click to display the edit care plan page.

The user needs to complete six main segments to develop a continence care plan

1. SIM™ assessment
a. SIM™ chart
b. Fluid output table

2. Continence care plan schedule
a. Toileting Times
b. Product Change times
c. Continence Product type
d. Skin Care selection

3. Incontinence Type/Evidence
a. Type
b. Toileting Program
c. Bladder Pattern

4. Related Diagnosis

5. Other Plans

6. Possible Nursing intervention

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1. SIM™ ASSESSMENT

a) SIM™ Chart

Select the SIM™ assessment from the drop down menu to be used in developing the resident’s

care plan. The assessment selected will be highlighted in light blue.

Select observations from the SIM™ assessment to be shown in the SIM™ chart.

SIM™ chart shows all the observations recorded during the assessment. The chart can be

modified by clicking Show Observation Filters to select or unselect certain observation symbols.
The symbols selected will be shown on the SIM™ chart.

Click and select or unselect the observations.

b) Fluid Output table

To display the fluid output table.

Click

Fluid Output Table: The table displays per continence product shift (Morning/Afternoon/Night),
the fluid output that was recorded per day from the measured weight of the SIM™ sensor and
the voided volume measured by the specipan/hat during a toileting event.

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2. CONTINENCE CARE PLAN SCHEDULE

In this segment the user may add activities to the care plan schedule.

Click on the following buttons to add these activities to the care plan schedule.

Activity Button

Function

Add Toileting

Setup the number of toileting times for the resident

Add Product Change

Setup the times to remove and apply continence products to the
resident

Add Product Type

Select the continence product type and other continence products
the resident requires during different periods of the day

Add Skin Care

Product
Recommendation

Select the skin care product and times the resident requires skin
care.

The system generates a continence product recommendation per
continence shift based on the SIM™ assessment. The
recommendation can be modified.

Add Toileting

Note:

You can drag the toileting time box to a new time or
select X to remove it.

Click

A toileting time drops down near the
word Toileting

Repeat for more toileting times.

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Add Product Change

Note:

You can drag the product change time box to a new
time or select X to remove.

Click

A Product Change time drops down near
the word Product Change

Repeat for more product change times.

Product Type

The SIM™ system will automatically recommend a continence Product type based on certain data
fields. The user can decide to use these recommendations or modify to another continence
product type.

Product Type: Automatically Recommended

SIM™ will automatically recommend a product type for each shift, based on certain inputs from

the resident tab, the local product catalogue range, and a completed SIM™ assessment. The
principle of the product recommendation is to select the most suitable product from the local
product catalogue that meets the resident individual care needs determined from the
assessment. If any of the input data fields are incomplete, then no recommendation will be
made.

The input data fields that need to be completed are in the

a) Resident Tab
b) Administration Tab
c) Assessment data recorded in the Fluid Output table

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a) Resident Tab

The waist size selected enables the system to
only select product types with that waist size
from the local catalogue.

To match the product type to the resident’s
mobility and cognitive level the following
fields need to be selected under the self­performance level:

- Transfer Assistance – e.g. Supervision

- Toilet Use – e.g. Independent

- Cognitive Skill – e.g. Severely impaired

- Ability to Understand – e.g.

understands

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b) Administration Tab

Click the Main and Local
Catalogue will be displayed.

A range of absorbent continence products
(e.g. ’Pull-up’ ) can be select from the local
catalogue. Select flag checked to ‘Include in
recommendation’.

Click to view the following
fields that are included.

These fields are a defaulted setting by the
system, however they can be modified. (refer
to SIM™ manager - For Administrator).

c) SIM™ assessment information

Click to expand table and click to close .

The assessment information recorded on the SIM™ sensor removal volume is summarised in
this table. The system also uses this information to make a continence aid recommendation
that matches the continence product capacity need for the resident per shift ( a shift
calculates the total recorded void volumes over the specified time range)

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Product Type: Modifying Recommendation

Click

A Product type time range drops down
near the word Product Type

Repeat for more times.

Note:

You can drag the product type to a new time or
extend it to a longer time range or select X to remove
it.

Select product type

To select Product type click

A drop down box will list all the product types the user can select.

Select the Product type Click

Product selected is displayed in
on the continence care plan
chart.

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Add Skin Care

Click

A Skin Care time box drops down near
the word Skin Care

Repeat for more skin care times.

Note:

You can drag the Skin Care box to a new time or select X to remove.

Select Skin Care product type

A drop down box lists a range of skin care product types

Select product type and duration, either ongoing or select a date to stop using the product

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Click

The Skin Care box will display the time the skin care
product is to be used, duration and products

Product Recommendation

Click . This will make (or reinstate) a continence product

recommendation or reinstate the product recommendation previously made by the SIM™

system.

A text box will appear stating the existing continence products will be reinstated by clicking Yes.
To not proceed with the change click No.

3. INCONTINENCE TYPE/EVIDENCE

These fields provide additional information to assist the user in determining the type of
continence management the resident needs.

Incontinence Type/Evidence, Click

Select the Incontinence Type: e.g. functional.

A drop down box will list a number of Evidence

statements to support the user’s selection. This

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evidence list will vary depending on the
incontinence type selected.

Select the toileting program

Drop down box will list the toileting programs
the user can select.

Select if there is Bowel incontinence

Additional items are added to the original
evidence list.

Select the Bladder Pattern Identifiable

Based on a review of the Assessment chart,
determine if the resident has an identifiable
bladder pattern. This helps to determine if the
resident will benefit from a habit or prompt
toileting assistance program.

Click to save or
cancel all the fields selected.

A summary box is displayed showing all the
items selected.

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4. RELATED DIAGNOSIS

Related Diagnosis, Click

Select the statements related to the resident’s
incontinence diagnosis.

Click to save or
cancel all the fields selected.

A summary box is displayed showing all the
items the user selected.

5. OTHER PLANS

Other Plans, Click

The user can select outcome(s) for the resident to be achieved in the continence care plan
including a target date and description.

A summary box is displayed showing all the
items the user selected

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6. POSSIBLE NURSE INTERVENTIONS

Possible Nurse Interventions, Click

A drop list is displayed showing a number of
nursing interventions that can be selected to
support the continence care plan goals.

A summary box is displayed showing all the
items the user selected.

8.3 UNDER EVALUATION

Click to save the continence care plan to be evaluated. The Continence care plan header
will now state Under Evaluation.

The continence care plan under evaluation allows the care staff to evaluate if the continence care plan is
achieving the desired outcomes. During this process the Under Evaluation continence care plan can be edited
and saved.

Click

The following buttons will appear under the Under Evaluation Continence care plan at the bottom right corner.
The user can edit the continence care plan and save changes as needed.

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Approved Continence care plan

Click and ‘Approve Continence

care plan’ box is displayed.

Both the ‘Toileting’ and ‘Continence

Products’ need to be selected. This
indicates they have been implemented
or reviewed.

Click OK.

The Continence care plan status changes
to ‘In Use’.

Click . Reject Continence care

plan box is displayed. Type in the reason
the continence care plan has been
rejected.

Click OK.

The Continence care plan status reverts
back to the previous ‘In Use’ continence
care plan if one exists.

Step 1

Reject Continence care plan

Step 2

Step 3

If the user decide to not proceed with any changes Click .

The Continence care plan will revert back to previous status.

A notes area allows the user to record the date when the continence care plan will be next reviewed to
evaluate if goals were achieved and nursing interventions were effective.

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8.4 CONTINENCE CARE PLAN IN USE

The continence care plan ‘In Use’ states the date and time, the plan was implemented

The plan shows the toileting times, the times the product is changed, the product types over a 24 hour period,
plus the supplier name and brand. The skin care times and product required is also displayed in the completed
plan.

The second part of the continence care plan shows what goals and nursing intervention have been determined
based on the resident’s SIM™ assessment and continence type.

If the existing continence care plan needs to be reviewed, select .

This enables any field to be updated. The continence care plan ‘In-Use’ then is saved and placed back into
‘Under Evaluation’. After the evaluation period the continence care plan needs to be approved or rejected
before it again becomes an In-Use continence care plan.

8.5 DRAFT CONTINENCE CARE PLAN

In the process of creating a new continence care plan, the continence care plan can be saved and reopened as
a draft

Step 1

Click to save the continence care plan as draft. The Continence care plan header will now state
Draft.

To edit the Draft Continence care plan click .

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8.6 CONTINENCE CARE PLAN HISTORY BOX

Click the ‘Continence care plan
History’ box to select from the drop

down list

The recent continence care plan is
displayed first.

Select the continence care plan that
needs to be edited then click the Edit
button.

The Continence care plan History box keeps a record of all Continence care plan stages and changes.

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SECTION 9

REPORTS

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9.0 Reports

Refresh the page

Send report to printer

Click the disk icon to display the export options.

Select the type of format you wish to export the
data to and then confirm where you want to
save the report.

Click the drop-down box to select the desired
size of the report you wish to display on screen.
You can alternatively click and drag the bar to
customize size or manually type in the window.

To exit a report click on the close button on the
bottom right.

9.1 SIM™ REPORTS OVERVIEW

Reports are available in the reports tab and there are two report groups:

 Assessment Reports (2 reports)
 Continence care plan Reports (3 reports)

Click on view to generate a report

Report Screen Navigation

Once the report is open the following navigation icons will be available:

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9.2 ASSESSMENT REPORTS

Step 1

Scroll down the list to find the wing of
the facility that you require and click

View.

Step 2

SIM™ assessment status Report

The Status Report provides a summary of what residents have completed an assessment, what residents are
presently undergoing an assessments and the number of residents that have not been assessed.

Select this report from the Assessment Reports category

Click on to generate the report

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SIM™ assessment Report

This report shows assessment information recorded and analysed by the SIM™ manager providing an accurate

continence profile for each resident and can be used to develop an individualised continence care plan.

Three charts are included in this report:

• SIM™ assessment chart

• Fluid balance table

• Events log

Select this report from the Assessment Reports category

From the reports list, scroll down and select the row containing the resident Name and assessment

start date you require and click .

The user can first select what observations they prefer to be displayed (i.e. continence assessment items) on

the report and then click

SIM™ assessment chart

The SIM™ assessment chart shows the resident’s bladder (wetness), bowel pattern (bowel open), successful or
unsuccessful toileting, SIM™ sensor removals and behaviour during the assessment period. This report assists

in identifying if the resident has a recognisable bladder control pattern. An example would be a two hour
period between a successful toileting episode and the next void. Data such as this can inform the clinician on
how to decide if the resident will benefit from a ‘habit’ or ‘prompted’ toileting assistance program. It also
helps in the selection of continence products.

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