Orientation to simman the human patient simulator
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Orientation to SimMan ™ the Human Patient Simulator. By Gail Heimburger, M.Ed. Director Clinical Skills Laboratory University of Cincinnati, College of Medicine. FAQ’s for the first-time users. How does the SimMan ™ work? What procedures can I do? How will I be evaluated on my skills?

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Orientation to simman the human patient simulator l.jpg

Orientation to SimMan™ the Human Patient Simulator

By

Gail Heimburger, M.Ed.

Director

Clinical Skills Laboratory

University of Cincinnati, College of Medicine


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FAQ’s for the first-time users

  • How does the SimMan™ work?

  • What procedures can I do?

  • How will I be evaluated on my skills?

  • Oooooooops…….can I break the SimMan™?


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What is the SimMan™?

  • SimMan™ is a fully computer operated total body simulator

  • SimMan™ is totally mobile and can be moved to many different locations


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How does the SimMan™ operate?

SimMan™ can be operated by:

  • using instructor generated cases

  • teaching “on the fly” by the instructor

  • utilizing standard cases from the simulation community

  • individuals engaged in the practice of skills and/or procedures


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What can I do on the SimMan™?

  • Check for radial pulse using the left arm

  • Check for brachial pulse also on the left arm

  • Pulses can demonstrate differences in strength and regularity


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Carotid pulse points

  • Carotid pulses are located on both sides of the neck

  • Carotid pulses only last for about 10 beats before needing reactivation


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Femoral pulse points

  • Bilateral femoral pulses are palpable

  • Do not use the femoral site for cannulation as this is an electronic pulse point only


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Airway management

  • Placement of endotracheal tubes

  • Combitubes

  • Laryngeal mask airways (LMA)

  • Retrograde intubation

  • Fiberoptic procedures

  • Bronchoscopy


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Airway management

  • Bag-Valve-Mask devices

  • Jet ventilation

  • Standard ventilators

  • Oral/nasal pharyngeal airways

  • Light wand intubation


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Tongue edema

Laryngospasms

Posterior pharyngeal swelling

Trismus

Decreased cervical range of motion

Decreased right and/or left lung compliance

Airway complications


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Surgical procedures

  • Needle cricothyroidotomy

  • Surgical cricothyrodotomy

  • Decompression of a tension pneumothorax

  • Chest tube insertion


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Features of the chest

  • Bilateral lung sounds

  • Featured sound include rales, rhonchi, wheezes, and pneumonia

  • The chest rises and falls

  • SimMan™ can exhale CO2


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Cardiac Exam

  • Cardiac auscultation is possible at several listening points

  • Many different auscultatory events are represented


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Blood Pressure

  • Blood pressure can be measured on the left arm with either an aneroid or mercury sphygmomanometer

  • Automated blood pressure is also displayed on the student monitor

  • Korotkoff sounds are available


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Other procedures

  • SimMan™ can be defibrillated at 200J, 300J, and 360J

  • He can receive 3 stacked shocks without damage

  • Be sure to yell “CLEAR” before defibrillation!


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Other procedures

  • SimMan™ can be used for SQ and IM injections

  • Five injections sites are provided on the manikin


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Other procedures

Nasogastric tube placement


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Other procedures

Foley catheter placement


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Drug theorapy

The right arm provides sites for cannulations, IV infusions, phlebotomy and drug administration


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Instructor monitor

All manikin functions are visually displayed


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Student Monitor

All vital signs are visually displayed


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Student evaluation

  • A clinical log is recorded for every student

  • The event log is time dated

  • Instructors can use the log in debriefing sessions

  • Log data can be used for self-reflection and evaluation of skill sets

  • Log data may be used for grading purposes


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Ooops….can I hurt the SimMan™?

  • Things do break under stress

  • Treat the SimMan™ with the same care that you would use with a REAL patient

  • The SimMan™ is quite hardy and will last many years with proper care


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Enjoy using the SimMan™ throughout your medical education experience


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