Products by Nasco

SPECIAL NEEDS INFANT LF01193U-LF01196U

INSTRUCTION MANUAL

COPYRIGHT © NASCO 2006 PRINTED IN U.S.A. NP 143-06/RV 3-08

Other Available SimulatorsLF00698U Adult Injectable Arm (White) LF00856U Female Catheterization LF00901U Prostate Examination LF00906U Ostomy Care LF00929U Surgical Bandaging LF00957U Enema Administration LF00958U Pediatric Injectable Arm LF00961U Intramuscular Injection LF00984U Breast Examination LF00995U Arterial Puncture Arm LF00997U Adult Injectable Arm (Black) LF00999U Pediatric Injectable Head LF01008U Intradermal Injection Arm LF01012U Heart Catheterization (TPN) LF01019U Ear Examination LF01020U Supplementary Ear Set LF01025U Male Cath-Ed I LF01026U Female Cath-Ed II LF01027U Peritoneal Dialysis LF01028U Suture Practice Arm LF01036U Spinal Injection LF01037U Hemodialysis Arm LF01062U Pelvic, Normal & Abnormal LF01063U Stump Bandaging, Upper LF01064U Stump Bandaging, Lower LF01069U Cervical Effacement LF01070U Birthing Station LF01082U Cricothyrotomy LF01083U Tracheostomy Care LF01084U Sigmoidoscopic Examination LF01087U Central Venous Cannulation LF01095U Blood Pressure Arm LF01108U Intraosseous Infusion Simulator LF01121U Advanced IV Arm LF01139U Advanced IV Hand LF01142U Auscultation TrainerLF01162U Venatech IV Trainer LF03000U CPARLENE® Series LF03601U Adult Airway Management Trainer LF03602U Adult Airway Management on Manikin LF03603U Adult Airway Management Head Only LF03609U Child Airway Management Trainer

LF03610U Child Airway Management Trainer Head OnlyLF03611U Child Defibrillation Chest SkinLF03612U Child IV ArmLF03613U Child Blood Pressure ArmLF03614U Child Intraosseous Infusion/ Femoral Access Leg OnlyLF03615U Complete Child CRiSis™ Update KitLF03616U Child CRiSis™ ManikinLF03617U Deluxe Child CRiSis™ Manikin with Arrhythmia TutorLF03620U PALS Update KitLF03621U Infant Airway Management Trainer Head OnlyLF03622U Intraosseous Infusion Right LegLF03623U Infant Airway Management TrainerLF03626U Child Femoral Access Injection Pad ReplacementLF03632U Child Intraosseous Infusion/ Femoral Access Leg on a StandLF03633U Child Airway Management Trainer with TorsoLF03693U Basic Buddy CPR ManikinLF03699U “Airway Larry” Airway Management TrainerLF03720U Baby Buddy Infant CPR ManikinLF03953U CRiSis™ ManikinLF03955U Deluxe CRiSis™ ManikinLF03965U Deluxe “Plus” CRiSis™ ManikinLF04001U GERi™ Nursing ManikinLF04020U KERi™ Nursing ManikinLF04021U KERi™ Basic ManikinLF04022U KERi™ Advanced ManikinLF04030U GERi™ Advanced ManikinLF04040U GERi™ Basic ManikinLF06001U CPR Prompt™ Adult/Child ManikinLF06012U CPR Prompt™ Infant ManikinLF06200U CPR Prompt™ Keychain Rescue AidLF06204U CPR Prompt™ Rescue and Practice Aid

901 Janesville Avenue, P.O. Box 901Fort Atkinson, Wisconsin 53538-0901

1-800-558-9595www.eNasco.com • E-mail: lifeform@eNasco.com

Fort Atkinson

NP 143-06.indd 1 3/26/08 10:37:43 AM

About the Simulator…Special needs infants require specific, yet gentle, care which includes the performance of vital medical procedures. This newborn-size infant allows health care facilities and medical staff to teach special procedures and develop a nursing care plan for special needs infants. The simulator was developed for a wide range of educational training, including beginning nursing students. Medical devices that can be used include: tracheostomy tube and suction catheter, gastrostomy tube, nasogastric tube, and ure-thral catheter. Procedures that can be practiced include: • Tracheostomy care (lavage and suctioning) • Gastrostomy care (lavage and gavage) • Nasogastric care (placement, lavage, gavage, and suctioning) • Urethra catheterization (insertion, placement, and care) • Colostomy stomas (basic care purposes only)Includes carry bag. Tracheostomy tube, G-tube, and NG-tube are not included. Three-year warranty.

General Instructions for Use

A. Placing the NG-Tube 1. The trainer is designed to accept a standard 8FR or smaller nasogastric feeding tube.

2. Be sure the NG stomach bag is securely connected to the tubing that comes from the neck (Figure 1). The stomach bag may then be attached to the Velcro® on the body wall. (Allow for the rotation of the luer fitting when connecting the bag to the tube. Do not twist or kink the neck tubing.)

Figure 1

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Figure 2 Figure 3

C. Placing the Urinary Catheter

1. The trainer is designed for use with a standard 8 French latex or silicone intermittent catheter only. The silicone catheter may be easier to use, as it is somewhat stiffer. Do NOT use a Foley catheter. 2. To fill the bladder tube, remove the luer cap and carefully inject water using the squirt bottle provided (Figure 3). Recap the bladder tube tightly until ready to begin actual training. 3. Prop the baby in a semi-reclining position with a diaper or paper towel underneath to catch any leakage that may occur. 4. Lubricate the catheter with water-based lubricant, taking care not to block the drain holes. 5. Loosen the luer cap when ready to begin; water will not flow when the tube is tightly capped. 6. Gently and slowly insert the catheter. Squeezing and releasing the tubing with your thumb and finger as you do so may help to start the flow. Stop insertion as soon as flow begins, and leave the catheter in place until it stops completely. 7. Always remove the catheter immediately after training. Leaving the catheter in place for extended periods, especially it if is the latex type, may permanently damage both the catheter and the trainer. 8. When storing the trainer, allow the bladder tube to air dry by removing the luer cap.

NOTE: The soft material of the trainer’s catheter valve may sometimes fail to return to its fully closed position after catheterization, resulting in some leakage if the bladder tube is refilled immediately. If so, you may wish to begin catheter insertion before opening the luer cap. If leakage persists, remove the bladder tube cap and insert the catheter into the tube from the top. Gently tap the tip against the valve several times.

Available Supplies/Replacement Parts related to Special Needs InfantLF01171U Tracheostomy TubeLF01197U NG-tube Bag ReplacementLF01198U G-tube Bag Replacement

3. Always lubricate the nasal passage before training, by squirting a little water into the nose with the wash bottle provided. 4. Slowly and carefully feed the tube into either nostril, following the manufacturer’s instructions. 5. Do not use formula or other real food products during training; use water only. 6. When training is complete, remove and clear the NG tube. Disconnect the stomach bag, remove from the body, and drain as much water as possible. When storing the baby between training sessions, the bag should be left disconnected to allow any residual moisture to dry.B. Placing the G-Tube 1. The trainer is designed to accept only a 14 French gastrostomy tube. 2. Be sure the gastrostomy stomach bag is securely attached to the interior body wall, and that the two holes line up (Figure 2). 3. Lubricate the G-tube with a water-based lubricant before use. 4. Insert and inflate the tube, following the manufacturer’s instructions. 5. Do not use formula or real food products; use water only. 6. At the completion of training, remove the stomach bag and drain as much of the water as possible. Allow to air dry before storage.

NP 143-06.indd 4 3/26/08 10:37:47 AM

Figure 2 Figure 3

C. Placing the Urinary Catheter

1. The trainer is designed for use with a standard 8 French latex or silicone intermittent catheter only. The silicone catheter may be easier to use, as it is somewhat stiffer. Do NOT use a Foley catheter. 2. To fill the bladder tube, remove the luer cap and carefully inject water using the squirt bottle provided (Figure 3). Recap the bladder tube tightly until ready to begin actual training. 3. Prop the baby in a semi-reclining position with a diaper or paper towel underneath to catch any leakage that may occur. 4. Lubricate the catheter with water-based lubricant, taking care not to block the drain holes. 5. Loosen the luer cap when ready to begin; water will not flow when the tube is tightly capped. 6. Gently and slowly insert the catheter. Squeezing and releasing the tubing with your thumb and finger as you do so may help to start the flow. Stop insertion as soon as flow begins, and leave the catheter in place until it stops completely. 7. Always remove the catheter immediately after training. Leaving the catheter in place for extended periods, especially it if is the latex type, may permanently damage both the catheter and the trainer. 8. When storing the trainer, allow the bladder tube to air dry by removing the luer cap.

NOTE: The soft material of the trainer’s catheter valve may sometimes fail to return to its fully closed position after catheterization, resulting in some leakage if the bladder tube is refilled immediately. If so, you may wish to begin catheter insertion before opening the luer cap. If leakage persists, remove the bladder tube cap and insert the catheter into the tube from the top. Gently tap the tip against the valve several times.

Available Supplies/Replacement Parts related to Special Needs InfantLF01171U Tracheostomy TubeLF01197U NG-tube Bag ReplacementLF01198U G-tube Bag Replacement

3. Always lubricate the nasal passage before training, by squirting a little water into the nose with the wash bottle provided. 4. Slowly and carefully feed the tube into either nostril, following the manufacturer’s instructions. 5. Do not use formula or other real food products during training; use water only. 6. When training is complete, remove and clear the NG tube. Disconnect the stomach bag, remove from the body, and drain as much water as possible. When storing the baby between training sessions, the bag should be left disconnected to allow any residual moisture to dry.B. Placing the G-Tube 1. The trainer is designed to accept only a 14 French gastrostomy tube. 2. Be sure the gastrostomy stomach bag is securely attached to the interior body wall, and that the two holes line up (Figure 2). 3. Lubricate the G-tube with a water-based lubricant before use. 4. Insert and inflate the tube, following the manufacturer’s instructions. 5. Do not use formula or real food products; use water only. 6. At the completion of training, remove the stomach bag and drain as much of the water as possible. Allow to air dry before storage.

NP 143-06.indd 4 3/26/08 10:37:47 AM

Products by Nasco

SPECIAL NEEDS INFANT LF01193U-LF01196U

INSTRUCTION MANUAL

COPYRIGHT © NASCO 2006 PRINTED IN U.S.A. NP 143-06/RV 3-08

Other Available SimulatorsLF00698U Adult Injectable Arm (White) LF00856U Female Catheterization LF00901U Prostate Examination LF00906U Ostomy Care LF00929U Surgical Bandaging LF00957U Enema Administration LF00958U Pediatric Injectable Arm LF00961U Intramuscular Injection LF00984U Breast Examination LF00995U Arterial Puncture Arm LF00997U Adult Injectable Arm (Black) LF00999U Pediatric Injectable Head LF01008U Intradermal Injection Arm LF01012U Heart Catheterization (TPN) LF01019U Ear Examination LF01020U Supplementary Ear Set LF01025U Male Cath-Ed I LF01026U Female Cath-Ed II LF01027U Peritoneal Dialysis LF01028U Suture Practice Arm LF01036U Spinal Injection LF01037U Hemodialysis Arm LF01062U Pelvic, Normal & Abnormal LF01063U Stump Bandaging, Upper LF01064U Stump Bandaging, Lower LF01069U Cervical Effacement LF01070U Birthing Station LF01082U Cricothyrotomy LF01083U Tracheostomy Care LF01084U Sigmoidoscopic Examination LF01087U Central Venous Cannulation LF01095U Blood Pressure Arm LF01108U Intraosseous Infusion Simulator LF01121U Advanced IV Arm LF01139U Advanced IV Hand LF01142U Auscultation TrainerLF01162U Venatech IV Trainer LF03000U CPARLENE® Series LF03601U Adult Airway Management Trainer LF03602U Adult Airway Management on Manikin LF03603U Adult Airway Management Head Only LF03609U Child Airway Management Trainer

LF03610U Child Airway Management Trainer Head OnlyLF03611U Child Defibrillation Chest SkinLF03612U Child IV ArmLF03613U Child Blood Pressure ArmLF03614U Child Intraosseous Infusion/ Femoral Access Leg OnlyLF03615U Complete Child CRiSis™ Update KitLF03616U Child CRiSis™ ManikinLF03617U Deluxe Child CRiSis™ Manikin with Arrhythmia TutorLF03620U PALS Update KitLF03621U Infant Airway Management Trainer Head OnlyLF03622U Intraosseous Infusion Right LegLF03623U Infant Airway Management TrainerLF03626U Child Femoral Access Injection Pad ReplacementLF03632U Child Intraosseous Infusion/ Femoral Access Leg on a StandLF03633U Child Airway Management Trainer with TorsoLF03693U Basic Buddy CPR ManikinLF03699U “Airway Larry” Airway Management TrainerLF03720U Baby Buddy Infant CPR ManikinLF03953U CRiSis™ ManikinLF03955U Deluxe CRiSis™ ManikinLF03965U Deluxe “Plus” CRiSis™ ManikinLF04001U GERi™ Nursing ManikinLF04020U KERi™ Nursing ManikinLF04021U KERi™ Basic ManikinLF04022U KERi™ Advanced ManikinLF04030U GERi™ Advanced ManikinLF04040U GERi™ Basic ManikinLF06001U CPR Prompt™ Adult/Child ManikinLF06012U CPR Prompt™ Infant ManikinLF06200U CPR Prompt™ Keychain Rescue AidLF06204U CPR Prompt™ Rescue and Practice Aid

901 Janesville Avenue, P.O. Box 901Fort Atkinson, Wisconsin 53538-0901

1-800-558-9595www.eNasco.com • E-mail: lifeform@eNasco.com

Fort Atkinson

NP 143-06.indd 1 3/26/08 10:37:43 AM