Gaumard Clinical Chloe S222, User Manual

Page 1: ...st a certified instructor It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making User Guide 22 04 02 Gaumard Scientific Company 20...

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Page 3: ...N OMNI 2 S222 250 15 4 WORKING WITH CHLOE 17 4 1 SYSTEMIC 17 4 2 AIRWAY 19 4 3 CIRCULATION 26 4 4 INTRAVENOUS IV ARM S222 100 28 4 5 REPLACING THE IV ARM SKIN S222 100 35 4 6 BREAST EXAMINATION 37 4 7...

Page 4: ...I IS NOT TURNING ON 75 9 2 CONNECTIVITY TO THE SIMULATOR CANNOT BE ESTABLISHED OR IS LOST 75 9 3 OMNI OR OMNI 2 IS NOT DETECTING ANY COMPRESSIONS OR VENTILATIONS 76 9 4 OMNI 2 TAKES TOO LONG TO BOOT U...

Page 5: ...nosis and should never be used for such purposes CAUTION Damage caused by misuse may void the manufacturer s warranty Failure to comply with the following guidelines could result in damage to the equi...

Page 6: ...bate without lubricating the airway adjunct with mineral oil lubricant Failure to lubricate the device will make intubation very difficult and is likely to result in damage to the simulator When simul...

Page 7: ...lifetime of the arm skin and veins Always purge with clean water then drain the vein reservoirs at the end of each simulation session Doing so will retard the formation of mold and prevent clogging of...

Page 8: ...ottis vocal chords and esophagus Trachea bronchi and lungs enable assessment of airway management skills Oral and nasal intubation Nasogastric and oral gastric feeding Tracheostomy placement and care...

Page 9: ...rated foot GYN TRAINING Bi manual pelvic examination Palpation of normal and pregnant uteri Vagninal examination including insertion of speculum Visual recognition of normal and abnormal cervices Uter...

Page 10: ...surface capable of supporting the weight of a real adult patient NOTE Remove the legs when transporting the simulator inside the protective case 1 Upper Body Assembly 2 Lower Body Assembly 3 Right and...

Page 11: ...y twisting it counterclockwise 2 Pull the rod out and set it aside 3 Connect the hose from the upper torso to the lower torso 4 Carefully place the lower torso into the upper torso and align the holes...

Page 12: ...5 Replace the waist knob and twist it clockwise to lock it in place S222 S222 250 S222 100 USER GUIDE 12 Initial Setup...

Page 13: ...ach leg and slide the leg into the hip joint by inserting the bolt through the orifice in the leg 3 Assemble the fasteners onto the hip bolt in this order washer spring washer and wing nut 4 Reach thr...

Page 14: ...y to the power jack 2 Connect the blue communication cable to Chloe s left side NOTE Always operate Clinical Chloe with the power supply connected 3 Connect the other end of the blue communication cab...

Page 15: ...6 POWERING ON OMNI 2 S222 250 OMNI 2 controls Chloe s responses with the touch of a button The tablet operates Chloe wirelessly Chloe can be operated using a wired connection Please refer to the OMNI...

Page 16: ...complete the tutorial once or it will continue to appear at start up After the tutorial OMNI 2 will automatically proceed to the Favorites page and establish a connection to Clinical Chloe WARNING Do...

Page 17: ...ze teeth and tongue The upper and lower dentures are removable and the tongue can be moved side by side 1 To remove the teeth insert one finger into the upper or lower jaw and pull it out gently 2 To...

Page 18: ...tomach reservoir The nostrils can be pinched for CPR simulations A gastric reservoir capacity 750 ml is provided with an opening connected to the throat CAUTION Always use the mineral oil lubricant pr...

Page 19: ...tion S222 S222 250 S222 100 USER GUIDE Working with Chloe 19 Range of Simulated Movement The joints are strong and their movements are lifelike and realistic The simulator bends at the neck waist knee...

Page 20: ...tracheostomy opening Pierce the replaceable trachea and insert a tracheostomy tube Reseal the trachea with the tape provided after each exercise Surgical Trachea Repair 1 Gently lift the chest skin o...

Page 21: ...S222 S222 250 S222 100 USER GUIDE Working with Chloe 21 Artificial Ventilations Use a normal size adult BVM which will seal around the mouth and nose The ribs have normal anatomic landmarks and the l...

Page 22: ...that reads CALIB 2 Select V CAL 3 Press START 4 When OMNI is ready to calibrate it will display VENTILATE 5 Follow the cues on the screen to perform one ventilation at a time until finished S222 S222...

Page 23: ...s are measured and logged showing the instructor exactly how facilitators are performing It is recommended to calibrate the compressions before performing compressions Chest Compression Calibration OM...

Page 24: ...brate it will display COMPRESS 5 Follow the cues on the screen to perform one compress at a time until finished 6 Perform a total of 5 compressions 7 Press SAVE to store the calibration S222 S222 250...

Page 25: ...re your simulator is connected to OMNI 2 2 Tap the gear icon on the upper right corner of the screen 3 Select Calibration 4 Select Compression 5 Press START and complete 5 chest compressions S222 S222...

Page 26: ...IRCULATION Connecting the Pulse Line 1 Connect the pulse line by unscrewing the red cap 2 Twist the pulse line with the squeeze bulb attachment onto the pulse line port Generating Pulses The simulator...

Page 27: ...or placement practice only Do not inject fluids into the IM sites when simulating intramuscular and subcutaneous injections Both deltoids Both quadriceps Left upper buttock The IM site is a consumable...

Page 28: ...nd of every simulation CAUTION Use only Gaumard s provided simulated blood Any other simulated blood brand containing sugar or any additive may cause blockage and or interruption of the vasculature IV...

Page 29: ...on the shoulder and connect the fill tube and drainage tube to the shoulder 3 Connect the drainge tube 5 Close the clamp on the drain tube 4 Connect the fill tubing S222 S222 250 S222 100 USER GUIDE W...

Page 30: ...blood dispensing bag using the funnel provided or the large syringe 8 Unclamp the tube connected to the bottom of the blood dispensing bag to allow fluid to flow through the system and into the drain...

Page 31: ...veins To simulate a clenched fist or bulging veins clamp the drainage tube and apply pressure using the squeeze bulb To simulate collapsed veins release the air pressure by loosening the squeeze bulb...

Page 32: ...e fill kit syringe S222 S222 250 S222 100 USER GUIDE 32 Working with Chloe 1 Unscrew the caps from the shoulder 2 Connect the drainage tube to the shoulder port and leave it unclamped 3 Fill the fill...

Page 33: ...air bubbles no longer appear in the drainage tube then clamp the tube Draining the Venous System Through the Dispensing Bag If the use of the blood dispensing bag was used for an IV arm exercise foll...

Page 34: ...ove the squeeze bulb Using the funnel fill the dispensing bag with a 70 30 mix of water to Isopropyl alcohol in order to flush the fluid system 5 Replace the funnel with the squeeze bulb and squeeze t...

Page 35: ...the fill kit syringe follow the steps below to drain the system 1 Fill the syringe with a 70 30 mix of water to isopropyl alcohol and connect to the shoulder port 2 Make sure the drainage tube is open...

Page 36: ...f talcum powder or mineral oil to the arm 3 Slide the new arm skin onto the arm S222 S222 250 S222 100 USER GUIDE 36 Working with Chloe TB Screening Sites There are 2 TB sites on the arm that may be u...

Page 37: ...orking with Chloe 37 4 6 BREAST EXAMINATION Chloe is provided with a set of male and female breast inserts One of the female breast will have a simulated lump for palpation exercises Perform the TB te...

Page 38: ...ngeable Breasts Breast 1 Demonstrate and practice the movement of the mammary gland on the surface of the pectoralis major muscle Breast 2 Seven discreet nodes on one side a somewhat larger node on th...

Page 39: ...he brassiere Breast 5 The breast here shows a comparatively rare but easily palpable tumor a giant sarcoma or giant mammary myxoma of which the wildly growing masses the largest one shown in ulcerated...

Page 40: ...which breast tumors metastasize The auxiliary pathway subclavian pathway and internal mammary pathway are shown and are easily palpable Changing Breasts for Palpation Exercises 1 Place the simulator...

Page 41: ...gastrostomy left port located near the waist connects directly to the stomach tank Gastric Feeding and Suctioning 1 To fill the stomach reservoir for gastric feeding and suctioning attach the funnel t...

Page 42: ...prapubic cystostomy Practice skin preparation stoma hygiene treat conditions around the site and apply disposable or permanent ostomy bags to the openings Stomas To fill the ileostomy reservoir use th...

Page 43: ...g Urinary Flow 1 Use the squeeze bulb located on the right side of the lower torso to inflate the internal cushion This will lift the bladder and will increase bladder pressure and which intensifies t...

Page 44: ...ra passage 3 Lubricate the catheter with provided mineral oil 4 Insert the catheter Male Catheterization 1 To attach the male genitalia remove the red adapter connected to the urethra passage and set...

Page 45: ...an upright recumbent position Catheters smaller than 18 Fr may cause leakage Draining the Bladder Reservoir There are several ways to empty the bladder reservoir Sit the simulator over a bedpan with...

Page 46: ...enema reservoir with up to 1500 mL A non return valve is built into the anal canal to prevent fluid from escaping 4 10 ULCERS Two types of decubitus ulcers are provided with the simulator 1 Initial s...

Page 47: ...cervix GYN TRAINING S222 100 Bimanual pelvic examination including palpation of the normal and abnormal uteri Vaginal speculum examination Visual recognition of normal and abnormal cervical disorders...

Page 48: ...tump remove the lower leg by unscrewing the bolts at the knee joint using the hexagonal wrenches provided 2 Attach the amputation stump by inserting it over the knee joint S222 S222 250 S222 100 USER...

Page 49: ...s removable identification dots located where each of the heart and lung sounds are normally heard These colored dots can be removed at any time to find the auscultation sites on the front and the bac...

Page 50: ...nosis Friction Rub Patient has uremic pericarditis which leads to rubbing of roughened visceral and parietal pericardial surfaces against one another The 3 component rub exists during deep inspiration...

Page 51: ...piration Wheezing in asthmatics is often present in either one or both phases of respiration Pleural Friction This sound originates from the friction of inflamed pleural surfaces moving against one an...

Page 52: ...systolic and diastolic pressures Depending on the selected heart rate and the rate of cuff deflation the Korotkoff sounds will adjust automatically The sounds are silenced automatically if the auscul...

Page 53: ...ssure Calibration with OMNI It is recommended to calibrate the blood pressure arm before use 1 On the OMNI device select BP ARM 2 To calibrate select CALIB 3 Press NEXT to continue NOTE OMNI will prom...

Page 54: ...and display the reading on the sphygmomanometer NOTE Refer to the section Working with OMNI Code Blue and BP Arm for more information on using OMNI BP Arm OMNI Menus Use the BP Arm menu to gain acces...

Page 55: ...ated on the right side of the controller Each menu has additional submenus Use the submenus to decrease increase accept or cancel values Set BP Use this menu to set the blood pressure in the simulator...

Page 56: ...enus to set the limits of the auscultatory gap Adjust the limits of the auscultatory gap using the And buttons Press OK to save the changes and return to previous screen The default upper and lower li...

Page 57: ...1 Follow the instructions in Section 7 1 BP Arm Setup and connect the OMNI 2 tablet 2 Tap the Menu icon then select Calibration 3 The Calibration screen will appear Select Left Blood Pressure to begi...

Page 58: ...pressure from 0 to 300 mmHG 6 Tap SAVE at the end of the calibration process NOTE It is not necessary to recalibrate the BP Arm for each training session The OMNI 2 controller will remember the calibr...

Page 59: ...tatory Gap 1 To turn on auscultatory gap tap on the Vitals page then select Auscultatory Gap and slide the ON OFF button to ON 3 Tap APPLY NOW to apply it instantly 2 To increase or decrease the High...

Page 60: ...S222 S222 250 S222 100 USER GUIDE 60 Working with Chloe 4 The auscultatory gap will appear in gray on the manometer in the Blood Pressure page...

Page 61: ...e wig Clinical Chloe has been built with her standard wig attached using Velcro to be compatible with this Geriatric Face Skin option starting at the following serial numbers S222 CPR 22607910 S222 10...

Page 62: ...e Face Skin 6 Fit the elderly wig to the head of the simulator if using it If you would like to simulate an elderly male patient simply forgo the wig 3 Flip the Geriatric Face Skin inside out and begi...

Page 63: ...on a PC This software aims to provide additional testing and teaching tools for CPR using an interface to display a waveform graph of the compressions and ventilations For instructions on how to use...

Page 64: ...IGATION SUBMENU MODE This submenu is for the CPR operational mode Switch between TEST and COACH mode The COACH mode generates audible tones to coach CPR ratio A high pitched beep signals the care prov...

Page 65: ...is to calibrate the pressure sensor in the simulator Press CALIB to access additional calibration menu selections See section 4 2 for instructions to calibrate ventilations and section 4 3 to calibrat...

Page 66: ...s the backlight will turn off To increase the backlight duration adjust the backlight timer with the plus or minus sign Press OK to accept the changes HELP The help window provides access to global se...

Page 67: ...es page Vitals page CPR page and Blood Pressure page Reference the OMNI 2 user guide provided for more details to navigate each page The session time will run automatically once the tablet is on Reset...

Page 68: ...e and depth and ventilation duration and PIP Use the metronome on this page to coach the provider eCPR To begin and end a CPR session tap on the CPR icon and the START STOP button To reset a CPR sessi...

Page 69: ...log MANAGE PROVIDERS This tab allows the facilitator the ability to add record and evaluate provider actions during a session Add a group of providers to track actions of each individually This featur...

Page 70: ...0 USER GUIDE 70 Working with The OMNI 2 Tablet 7 3 TURNING OFF THE SIMULATOR 1 Disconnect the power supply from the simulator and hold the power button on the tablet 2 Select Power Off 3 Tap on OK to...

Page 71: ...FLUSHING THE FLUID RESERVOIRS It is good practice to flush the fluid reservoirs periodically to prevent mold from forming 1 To reach the reservoirs loosen the waist knobs and remove the waist rod 3 Re...

Page 72: ...aside 5 Remove the foam insert from the lower abdomen 6 After flushing the reservoirs replace the foam insert connect the waist tube and reattach the upper and lower torso as directed in section 3 3 L...

Page 73: ...he ileostomy port and the ileostomy site clips to release the bag 2 Inject a 30 70 mix of isopropyl alcohol to water and squeeze the bag over a container or sink 3 Insert the clips to the ports to rea...

Page 74: ...container or sink 3 Insert the clips to the ports to reattach the bag Colostomy Reservoir 1 Gently disconnect the rectal port and the transverse colostomy site clips to release the bag 2 Inject a 30...

Page 75: ...ting after a few seconds OMNI s data cable is not connected Ensure the Ethernet cable is plugged into OMNI and the simulator Verify the power cable is connected to the simulator OMNI 2 tablet is too f...

Page 76: ...n tap on Reset Ventilations Sensor 9 5 CPR IS NOT DETECTED IN OMNI 2 Review the OMNI 2 user guide for the most common trouble shooting topics regarding the OMNI 2 tablet 9 4 OMNI 2 TAKES TOO LONG TO B...

Page 77: ...rcises Upper and lower dentures for oral hygiene Soft realistic face skin hands feet fingers and toes Simulated ear canal for otic drops and irrigation Colostomy and ileostomy stomas to practice irrig...

Page 78: ...a bronchi and lungs enable assessment of airway management skills Tongue epiglottis vocal cords and esophagus look and feel real Nasal and oral tube placement Nasal and oral intubation NG and OG tube...

Page 79: ...r to take possession or otherwise dispose of Products for which payment is overdue 4 Product Shipment and Risk of Loss Unless otherwise agreed to in writing by Gaumard all Products will be shipped F O...

Page 80: ...e exchange permit or the like Licenses even if applied for by Gaumard on Customer s beHAL f If any authorization is delayed denied revoked restricted or not renewed Gaumard sHAL l not be liable and Cu...

Page 81: ...ions arise 1 the other Party becomes insolvent or is unable to pay debts as they become due 2 a voluntary or involuntary bankruptcy proceeding is instituted by or against a Party hereto or 3 an appoin...

Page 82: ...f the Gaumard Software 2 7No Source Code End User acknowledges and agrees that its rights under this EULA do not include rights to source code In its exercise of the rights granted under this EULA End...

Page 83: ...y written notice required by this EULA will be deemed made a when delivered by personal service b one 1 business day after being sent by recognized international overnight courier service such as FedE...

Page 84: ...and produced by Gaumard This limited warranty does not apply to any products provided along with the Gaumard product that are manufactured by third parties For example third party products such as co...

Page 85: ...ess to the simulator for possible troubleshooting as needed Technical Support Email support gaumard com USA 800 882 6655 INT 01 305 971 3790 10 7 GENERAL INFORMATION Sales and Customer Service E mail...

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Page 87: ...Susie Krash Kids Premie UNI Omni Omni 2 SmartSkin are trademarks of Gaumard Scientific Company Always dispose of this product and its components in compliance with local laws and regulations www gaum...