13
Figure 7
Next, take the trainer to an area with a
sink and open counter space. Using
the red caps supplied, plug off the
right bronchus (the esophagus should
already be plugged). Stabilize the
head on the counter face-up (towels
work well for this) with plugged tubes
hanging over the sink.
(See figure
8.)
Carefully pour warm soapy water
(a mild dish soap works best) into the
mouth until the water level reaches
halfway up the tongue. Tilt the head
back and bring the neck up 3" off the
countertop.
Figure 8
Continue filling until the water level
covers the tongue. At this point, take
a small soft brush and gently scrub
the inside of the mouth (a small tooth-
brush works well for this). Cotton
swabs can be used to scrub inside the
nostrils. When done, pull the plug from
the esophagus and drain the water
into the sink. Now pick the head up to
a vertical position and pull the plugs
from the trachea to completely empty
the system.
(See figure 9.)
Rinsing the Airway:
To rinse the airway, follow the same
procedure using clean, warm tap water.
Repeat this process until all the soap
has been flushed from the system.
Figure 9
Disinfecting the Airway:
To disinfect, repeat the standard
cleaning procedure, but this time use
a bleach solution, as specified by the
Centers for Disease Control, instead
of soapy water. Fill the system with
the solution until it reaches the cor-
ners of the mouth. Remember to start
filling with the head flat and finish with
the neck slightly elevated to ensure
that the solution completely fills all
airway passages. Once completely
filled with the bleach solution, allow
the head to sit for at least 10 minutes.
Drain as described earlier and repeat
the rinsing process to flush out all
of the bleach solution. Set the head
aside and allow it to dry completely.
Using the Combitube
®
:
Thoroughly read and follow the instruc-
tions that come with the Combitube
®
.
The trainer will accept either a full-size
or a small adult tube. As with a live
patient, it may be necessary to back
the tube out slightly if ventilation can-
not be established.
NOTE:
Depending on tube placement,
the large cuff may not accept the rec-
ommended amount of air. In this case,
simply inflate the cuff to its maximum
volume (when the plunger stops) and,
while holding the plunger down, detach
the syringe from the blue pilot balloon,
and proceed.
Supplies/Replacement Parts for
Airway Management Trainer Head:
LF03285U
Replacement Lungs
LF03644U
Nasco Pump Spray
Lubricant
W09919U
REN Cleaner
Procedure A
