LinkforInstructionalVideohttps://youtu.be/ytBmzRFGcQ8

What’sIncluded1. Avtrach:wearabletechnologyforuse

withstandardizedpatients.

2. Size6commercialgradeTracheostomytubewithnon-disposableinnercannula

3. Foamtrachtie

4. DrainSponge

5. SimulatedMucus-2green,2yellow,2clearsyringes(colorsmaybedarkerthanexpectedduetohighconcentrationofmucus)

6. Flexiblecatheterwithluerlokendtobeattachedtoluerloksyringeusedforinsertionofmucus

7. Replacementfingercotsformucuschamber

8. MicroUSBcharger

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GettingStartedWatchtheinstructionalVideoalongwithyourstandardizedpatient!

Downloadthe“Avkin”or“Avtrach”ApponyourAppleorAndroiddevice

TurnonBluetoothonyourappleorandroiddevice

TurnontheAvtrachusingtheswitchonthebackofthedevice(picturedonpage3)

OpentheAvkinApp,ifyouareusingandroid,typeyourAvtrachserialnumber(locatedinsidethebackplate)intotheApp

PuttheAvtrachonthestandardizedpatient(asseenonpage3)

LoadtheAvtrachwithmucus(see“SimulatedMucus”onpage6)

Runyoursimulation!

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HowtoTurnonDeviceandAdjustforComfort

Turnonswitch

GOODEXAMPLE–nottoohighonchest,whensittingfallsbackonthebreastbone

BADEXAMPLE–toohighonthechest,whensittingfallsonthroat

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AvtrachFeaturesLungSounds-theleft,rightupperandlowerlungsoundscanbecontrolledthroughtheAvkinApp

SimulatedMucus-mucuscanbeinserteddirectlyintothetracheaforsimulationsrequiringtrachealsuctioning

SensoryFeedback-Standardizedpatientsarecuedthroughalightvibrationontheshouldertoprovideapatientresponsewhen(1)deepsuctioning(2)faceplatepressure/manipulation.Learnersreceiverealtimefeedbackabouttheircare

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LungSoundsAvtrachisequippedwith4speakerstoplaylungsounds.

1. Normal2. FineCrackles(rales)3. CoarseCrackles(ronchi)4. Wheeze

EachcanbesetusingtheAvkinapp(picturedbelow).Theappallowsyoutocontrolvolumeofthetopandbottomlungsectionsindividually,allowingyoutocreateamultitudeofpatientscenariosincludedabsentordiminishedlungsounds.

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SimulatedMucusThereare2luerloksyringesofyellow,clear,andgreensimulatedmucusprovided.Itisrecommendedthatyouattachthecathetertothesyringetoinsertmucusintothedevice.

AdditionalsimulatedmucusisavailableforpurchasefromAvkin.

SimulatedmucusIngredientList:

HandSanitizer(activeingredients:EthylAlcohol(70%);inactiveingredients:Water,Glycerin,Acrylates/C10-30,AlkylAcrylateCrossPolymer,Fragrance,AminomethylProponal,IsopropylAlcohol,IsopropylMyristate,CaprylylGlycol,Phenoxyethanol,Benzophenone-4,TocopherylAcetate)

AquaGel(Glycerin(1-5%),LubricatingJelly,Hydrocarbons)

100%VegetableGlycerin(Uniqueselectionofbutters,oils,surfactants,meltandpoursoapsandmore)

DistilledWaterPaint(WaterColourAquarelle)

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Attachcatheter(provided)toendofmucussyringe.Insertdirectlyintothetracheostomy,progressingthecatheteruntilithitsthebottomofthemucuschamber.Injectupto5mlsofmucusthefirsttime,3mlsofmucusforrefills.

HowtoInsertMucus

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CareandMaintenanceOnlyuseadamplint-freeclothtocleanoffthesiliconechest.Oncedry,dustwithbabypowdertoremovetackiness

Wipedownblackplasticbackingwithslightlymoistdisinfectantwipes

Aftereachdayofuse,removemucuschamberandcleanwithbristlebrush

Every3months,unscrewclamponmucuschamberandreplacefingercot

STOREWITHCHESTFACEUPATALLTIMES

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Warning:AirdrycompletelybeforeinsertingmucuschamberbackintoAvtrach.

HowtoCleanMucusChamberRemoveclearplasticcoverandtwistoffmucuschamber.Cleanwithbristlebrushandwater.

HowtoReplaceFingerCot

Removescrewsofclampholdingthemucuschamber.Removetopandbottompartofclampfrommucuschamber.Removefingercot.Replacewithnewfingercotmakingsureitispulledasfaroverthemucuschamberaspossible.Placeclampbackonmucuschamberaspicturedhere.

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ChargingWhenthelightonthebackofAvtrachturnsred,thedeviceneedstobecharged.TheAvtrachbatterylastsupto2fullsimulationdays(16hourstotal).Thebatteryrequiresupto8hourstofullycharge.

PlugthechargerprovidedinthebackoftheAvtrach(picturedbelow)

Thelightwillturnyellowwhenchargingandgreenwhenchargeiscomplete

TroubleshootingPleaserefertotheAvkinwebsitefortroubleshootingFAQ.

Ifyouhaveanyadditionalquestionspleasecallourtechnicalsupportat302-562-2040.

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TrainingStandardizedPatientsAvkinoffersconsultationforprogramsneedingfurthereducationonstartingasimulationprogramattheirinstitution,establishingalowcoststandardizedpatientprogram,oreducatingstandardizedpatients.

ProgramswithanestablishstandardizedpatientprogramswillstillneedtoensurethestandardizedpatientsselectedforsimulationsinvolvingAvtrachhavebeenproperlytrainedonthesimulationexperience.Thiseducationcanbeindividuallytailoredbytrainertospecificsimulationexperience.

Tracheostomypatient–respond,inmostcases,usingonlynon-verbalcommunicationcues.Bodylanguageandfacialexpressionsaretheonlyformsofinteractionbecausetracheostomypatientscannotspeakwithoutaspeechvalve(passy-murvalve).

Vibrationfeltontheleftshoulder-respondasiftheyarefeelingtoomuchpressureontheirtracheaortheoutercannulaisnotbeingstabilizedwithintheirtrachea,ex.coughing(mouthopenwithnosound,shouldersandtorsoliftfrombedabout30%,eyecontactwiththecareproviderindicatingdispleasure).

Vibrationfeltontherightshoulder-respondinpain,quickmovementofshoulderandtorsooffthebed(45-60⁰),wateringeyes(ifstandardizedpatientisabletodooncommand),coughingmotion,nonverbalreactionofpain.

Shortnessofbreathduringsuctioning–standardizedpatientshouldtakenoteofthelengthoftimeittakesforthelearnertocompleteapasswiththesuctioncatheter.Ifthelearneristakinglongerthan30secondsthepatientshouldbegintobreathmorerapidlyandusenonverbalbehaviorstoindicatetheyarefeelingshortofbreath(facialexpressions,rapidbreathing,reachingforthetrachcollar).

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Avtrachisprovidedby:

www.avkin.com