Simulation Nuts and Bolts: Beginners Basics iStan

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Simulation Nuts and Bolts: Beginners Basics iStan

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... (Red tinted distilled water) through this tube. Abdomen R-Side. Red Wound ... Chest Tubes: 26 Fr for old iStan and 36 for new (be sure to check with Customer ... – PowerPoint PPT presentation

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Title: Simulation Nuts and Bolts: Beginners Basics iStan

1
Simulation Nuts and Bolts Beginners Basics
iStan

Presented by
Dawn M. McCarthy-Hale

2
iStanPortable and Completely Tetherless

Trismus
Intracranial Pressure Monitoring
Jugular Vein Distension
SPO2 Finger Probe Monitoring
Convulsions
Sternal and Tibial Inerossious Sites
Pre-Programmed Voices
Capillary Refill
Cyanosis

Realistic Skeletal Structure
Human-Like Skin
Built in Fluids System (Trauma GU)
Diaphoresis
True Articulated Motion (Mandible, Neck, Arms
Legs)
Cervical Motion Monitoring (Recorded in Log)
Flail Chest

3
Standard Equipment For iStan

Adult Mannequin
Instructor Workstation Laptop (Mac Book)
Power Cord (Recharger)
HPS6 iStan Edition Software
Waveform Display Software
5 Preconfigured Patient Profiles

14 Preconfigured Scenarios
Set of CO2 Canisters (4) Shipped Separately
Wireless Microphone
Trauma Fill Tanks
iStan Computer Bag

4
Things to Plug In iStan

Workstation/Laptop for recharging (Battery lasts
approximately 2-3 hours) to remedy can purchase
extra battery for back up
Power cord (When recharging Stan)
Connection to Waveform when using
Battery and Power Info
AC/DC Power (110/240 V AC, 12-24 V DC)
Internal rechargeable batteries (Extra Batteries
(4-pk) available as option)
Battery run time 6-8 Hours (iStan may start to
convulse without programming
when battery is low)
To find how much charge is left in iStans
batteries simply open the program software. At
the very
top of the screen is a tab menu with these tabs
Patient, Window and so on. Click on Window
when drop down box appears choose Show Battery
Monitor.

5
iStan Fluids Trauma and Blood

Abdomen L-Side

Abdomen R-Side

Red Wound Tube Leg Blood exit
Yellow Vent Overflow to canister when tank is
filled (up to 700ml).
Blue Fill Fill Clear, Blood or Urine from this
side. Can only use one color at a time
(Diaphoresis, tears, nose, mouth and ear
secretions are filled here).
Yellow with Gray Cap External hookup for air
compressor also serves as pressure release/drain
for compressor overfill and moisture.
Clear Tube IV Drain Drains IV, Trauma and
Secretion sites from simulator.

Red Wound Tube Leg Blood exit
Red Wound Tube Abdomen blood exit
Yellow Vent Overflow to canister when tank is
filled (up to 2000 ml)
Blue Fill Fill Blood (Red tinted distilled
water) through this tube

6
iStan Fluids

GU Source
Since there are only two fluid tanks in iStan
drop yellow food coloring into catheter bag.
When clear fluid hits fluid will turn yellow.
ICP
Find Grey and Orange Connectors and tubing in
inventory Kit
Push Clear fluid though Syringe
60-100 cc
Do not fill past 100cc as bladder will stretch
and could burst

IV Priming Source
IV Priming Tube Left side of neck-fills IV Flash
Bladder.
Fill up to 150ml of distilled water.
When resistance is noted stop filling as not
to stretch venous bladder.
When full bladder will give up to 50ml flash.

7
Removing Fluids From iStan

Connect Drain Bottle to Yellow Vent Tube
on side iStan
Pump sprayer until distilled water flows through
Blue Fill tube.
Repeat process until all colored water is removed
from simulator.
Remove excess fluid from Garden Sprayer or use
dry Garden Sprayer and pump air through lines to
remove excess moisture and lessen chances of mold
and blockages.

ICP and IV Flash Bladder
Use syringe to extract fluids from ICP and IV
Flash bladder.
Flush with Distilled water using syringe to pump
clear distilled water back into these sites.
Use syringe to extract fluids.
Continue until all fluids have been removed,
leaving the bladders as dry as possible.

8
iStan Power Information

CO2 Cartridge
Cartridge lasts only 24 minutes.
Only use for first response strip to show
that it is present.
Using cartridge for full scenario is not
beneficial.
To get more CO2 hook-up time, hook
Stan up to wall CO2

Turning on iStan

Find Power Switch Left side just inside abdomen
Lever moves Down for ON and Up for Off
Turn on Mac Book and Connect to Simulator
Recharging iStan
Find power hookup near Power Switch in Left side
abdomen of simulator
Plug in Power Cord.
Takes approximately four hours. (Best to charge
iStan fully before use)

9
I Cant Get Used To This Mac

Double clicking Simply move the cursor to the
object and click the rectangular button located
below the scroll pad (Looks like smaller space
bar).
Move cursor to blue apple in top left corner of
desktop (and click). Click on System
Preferences. Go to Hardware and click on
Keyboard and Mouse. Click on Trackpad box in
task bar. Click on small box below labeled
Clicking then click small box labeled Tap
Trackpad using two fingers for secondary Click.
HPS Workstation comes with white mac mouse.
Right Click On the Mac, simply click the ctrl
(Control) button and hold down while also
clicking on the rectangular button located below
the scroll-pad.
The Apple Button (on newer systems called Command
button) has replaced the CTRL button for the
regular PC keyboard. Example Copy is now Apple
ButtonC and Paste is now Apple ButtonV.
Scroll You can use both fingers on Track pad,
one to grab the page and the other to scroll the
page up or down.

10
Tips and Tricks for iStan

Latex The IV and refill tubing is made of
latex
Weight 125-130lbs
Chest Tubes 26 Fr for old iStan and 36 for new
(be sure to check with Customer Support-they can
tell by the model )
Voices Male and Female. Wave filed can be
loaded through jump drive. Students/faculty
fluent in other languages can use wireless
microphone to give ethnic voices from around the
world.
Positions Istan can sit in a wheelchair and be
pushed down the hall while running. He can lay
and has an articulated skeleton that enables
posing positions.
Making my simulation real Use your
imagination and use costumes, wigs, make-up,
shoes, clothes, toys cards, flowers,
magazines, remote control and TV, food tray,
Phone
etc
Wireless Can walk up to 100ft away from
iStan and behind wall with iStan still accepting
wireless commands from system.

11
More Tips and Tricks for iStan

Fluid Linked Physiology When iStan bleeds his
blood losses will affect physiology like a human.
If more than one site is used at a time his
numbers will dramatically change.
Tourniquet application is recognized in the
system when done correctly.
Portability Can be transported by air, on
stretcher or lie in bed. Sits up in vehicle and
chair.
X-rays X-rays can be loaded onto jump drive and
dropped onto desktop of Instructor Workstation.
Simply open to simulate.
Compressor METI is in the process of replacing
older compressors. If your compressor runs
continuously call METI Customer Support. In the
meantime there are options to prevent this 1.
Hook up until to air compressor. Be sure to make
Customer Support aware so they can send the
proper conversion kit. 2. Lowering the
respiratory rate or blinking speed will take less
air. Refrain from pushing fluids from multiple
places at once. These steps will keep compressor
for running so often.
IV System Does not support Mass Casualty
Find authorized Recipes for disaster tips at
http//www.meti.com/mymeti_recipe.htm

12
Defibrillation Can Dos for iStan

Can Dos
Use pads Directly on Skin
Hands free cables found through Phillips, Zoll
and Lifepack.
Base time between defibrillation on ACLS Protocol
as iStan can get hot and is only a machine.
Monophasic and biphasic will be to calibrate your
unit to METIs with updated software (check with
customer support to see if you have updated
version)

13
Defibrillation Cannot Dos for iStan

Cannot Do
If Pads are left directly on skin they will stick
and cause skin deterioration or may tear skin.
(remove as quickly as possible)
Can use Hands-Free however cannot use gel and
recommend not using sticky pads. They can ruin
skin. Hands-Free attachments (compatible with
iStan) available through METI sales rep and
customer support.

Not recommended to use more than 3 times during 3
minutes (pads will dry out. Using a dry pad can
cause severe damage to internal components or
melt the skin

14
Products I Can Use With iStan

Glue
Loctite 401 or Loctite 48/51-Medical Grade Glue.
If cannot find these glues please call Customer
Support as they can send glue to you.
Tape
3M Coban Self Adherent Wrap and Cloth Tape Use
instead of tapes that leave residue on skin
Ace Wrap
Cellophane (Plastic Wrap)
Cleaning Products
Orange Action products, including wipes and
sprays
Mild Soaps and water (to avoid rubbing friction
use soap dispenser brush)
Goo Gone or Alcohol pads for tough adhesives and
sticky residues
Moulage Products
Vaseline or cold cream. Apply to skin prior to
using disaster materials, make up and other
recipes.
Morticians Wax included in Moulage Kit from TDCK
(apply before moulage)
Food Coloring for secretions and blood
Foods including soups etc..

15
Products I Cannot Use With iStan

Glue
Superglue
Tape
Adhesive Tapes leave residue that is difficult to
remove from skin of simulators
Cleaning Products
Anything other than Orange Citrus Cleaning
Products
Bleach as exterior cleaning product
Moulage Products
Iodine/Betadine
No gelatin in IV lines or anything that
coagulates
No Pens/Pencils/Markers/Newspapers etc
Fabrics
Do not use polyester fabric with iStan it can
create static which causes shortages
Find authorized Recipes for disaster tips at
http//www.meti.com/mymeti_recipe.htm

16
Cleaning iStan

Mild Soap and Water
To avoid rubbing friction use regular soap
dispenser brush (tool that allows liquid soap in
one end with brush at the other endbrush helps
to remove dirt and make-up from pores)
Remove residue with wash cloth, removing as much
as possible
For residual soaps and dirt use Orange Cleaning
products for best results.

17
Using External Monitors

NIBP
ICP Capability Ability to hook up to an ICP
monitor for a simulated value.
EKG hookup and printout.
Capnography Will receive a numeric value on the
waveform display reflecting pulmonary
ventilation/perfusion. If using CO2 can achieve
appropriate desired result of color change in the
colorimetric device indicating the presence of
carbon dioxide.
Compressed Air Can be connected to outside
compressor or air with conversion kit from METI.

18
Optional Equipment for iStan

Waveform Display
Wireless Remote Control
Additional Battery Pack
Mannequin Carrying Case
Additional CO2 Canisters
Mannequin Tool Kit
PNCI and other Learning Modules

19
Clinical Supplies For iStanRecommended Sizes
20
Inventory Kit-Replacement Items for iStan

Body Bag
iStan Start-Up Kit
iStan Logo Accessories
Red food coloring
Roll (4ft) of VHB tape and roll (2in) red tape
for cricothyrotomy
iStan replacement skins (right arm, left arm and
2 cricothyrotomy skins)
Adult BP Cuff/sphygmomanometer with adaptor

Silicone lubricant
IO replacements for let and chest
IV vein splice kit
iStan ECG posts
Pacing/Defibrillation disks
ICP interface cable
ICP drainage catheters
SpO2 Finger Probe
60 cc Syringe

21
Cost to Run My Simulator Per DayNOTE These are
ONLY examples of rates given by other simulation
users.These rates may/may not compare to your
specific region

Nursing Lab Fees Per Day
Mileage if applicable
43 hour for Faculty Time
20 hour for Supplies
15 hour per each student in group
3.50 for each CEU offered
User Providing Education to MDs
100-500 per attendee per course depending on
region
Industry Courses
Five day courses- run from 4000

Mobile Simulation Lab Fees Per Day
Mileage if applicable
25 hour Instructor Time
15 hour Medical Gasses including
materials/supplies/disposables
3.50 for CEU offered
First Responder Users
Depending on region charges can vary
10-20 per attendee in some smaller regions
Up to 75 per attendee in some larger regions

22
Estimated Costs to Rent a Simulation Facility
Approximate Training Room Pricing for Grants and
Non-University Students

Complete training-includes all equipment and
instructors
Medical Student Training- 75 per hour per
student Class size 4-8
Simulator Operator Training- 200 per hour 600
for 4 hours 1000 per day. Class size 1 or 2
Space and equipment only- user must supply
medical instructors and handout materials
Training Space, Equip, Tech- 40 per hour per
student. Class size 4 to 8
Training Space, Equip-25 per hour per student.
Class size 4 to 8

Classroom Pricing
Classroom 1 Up to 40 people 100/hr
Classroom 2 Up to 8 people 40/hr
Classroom 3 Up to 20 people 60/hr
Classroom 4 Up to 10 computers 10/hr
Classroom 5 Up to 80 people 200/hr
Related Costs
Data duplication TBD
Food At Cost
Recommendations by University of Florida
Gainesville

23
Human Patient Simulator User Fees

Basic-Minimum set up
No scenario or dressing/makeup of mannequin
Instructor Time Cost/Hour 47.50
Set up Time Cost/Hour 40.00
One Hour 40.00
Intermediate set up
Simple scenario and clothing/makeup for mannequin
Instructor Time Cost/Hour 47.50
Set up Time Cost/Hour 40.00
Four Hours 160.00

Advanced-Complex set up
Complex scenario, multiple scenarios, trauma kit
setup, moulage for mannequin
Instructor Time Cost/Hour 47.50
Set up Time Cost/Hour 40.00
Eight Hours 320.00
CEU Fees According to regional scale
Administrative Fees 10
Recommendations by BryanLGH College of Health
Sciences

24
What kind of Warranty is Best for MeAll
warranties are 1-yr unless additional years have
been purchased

Extended Warranty Program
This warranty does not include preventative
maintenance
Customer must pay to ship product back to METI
site for repairs and METI will pay to ship back
to customer in same fashion received.
Premier Warranty Program
METI will pay to ship product to and from METI
for repairs.
Preventative maintenance at customer site 1 time
per year from METI Customer Support
On site repair for HPS models
Discounts on new modules/upgrades and
enhancements

Premier Plus Warranty Program
Customers with three or more simulators.
This warranty includes all Premier Warranty
features at discounted rate.
Preventative maintenance at customer site 1 time
per year from METI Customer Support
Discounts may be given for multiple year
warranties purchased at one time. Please see
your regional sales manager for more details.
If warranty coverage is declined service and
repairs will be charged per the time and
materials service plan described in METI Customer
Support Catalog.

25
HPSN