Audio Guide

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  • Originally contributed to Behind the Sim Curtain by Karen Palka RN BSN) : I recorded this on my sim laptop and imported it as a vocal sound in the sim software. I play this for the students on their first visit to the sim lab. While it is playing I turn the trismus on and off as well as the decreased cervical ROM and pharyngeal obstruction. I change the heart rate and rythmn when appropriate. I hope you find this helpful.
    • Welcome to (name your institution) simulation lab. I hope you find your time here both profitable and fun. I am a high fidelity simulation manikin. Many people refer to me as Sim man but depending on the scenario my name changes.
    • First, let me explain some things about myself so you will feel more comfortable while taking care of me.
    • I’m sure you can see that I am breathing. I actually have 8 different lung sounds. You can hear them in the front of my chest. Let me turn the volume up so you can hear an abnormal lung sound. This is called stridor. During a scenario the volume is not set this high. You will need your stethoscope to hear the lung sounds. In some advanced scenarios I may need to have a tube put down my throat to help me breath. I can make this difficult. Watch my jaw. Did you see me clench my teeth? Also, my tongue can swell and I can stiffen my neck so viewing my throat for tube placement is not so easy.
    • If you look up at the monitor you will see a complex screen. The EKG and heart rate are the top wave followed by the pulse ox, arterial blood pressure, pulmonary artery pressure,co2waveform. Non-invasive bp #, resp rate and a few other # that might be present in an advanced scenario. The monitor configuration will reflect the level of the scenario you are working on, so don’t get upset if you don’t understand the screen that is up there now. In simulation you can change many things.
    • Now, let me tell you about my cardio vascular system. I have 8 different heart sounds and my EKG rhythm has over 100 changes. I can flat line, go into v-fib and be defibrillated or shocked and brought back to life. You can feel for my pulses as well. I have bilateral carotid, left brachial and radial, bilateral femoral, bilateral dorsalis pedas and bilateral posterior tibialas. You can take my blood pressure in my Left arm but not over my brachial pulse. I suspect a design flaw there. Also I have no pulses on my right arm.
    • My right arm is my IV arm. As you can see I do have an IV running. You can run and draw blood from my arm as well.
    • If you put a stethoscope on my abdomen you can hear 14 different bowel sounds. My skins can be changed to reflect recent surgeries or injuries. I can also have a naso gastric tube inserted as well as a urinary catheter.
    • While you are working on me I ask that you wear gloves and leave your pens outside. Even though I am high tech my skin gets dirty easily and pen will permanently stain my skin.
    • I hope you will enjoy taking care of me. Treat me just like a patient you would encounter in the hospital. Introduce yourself, check my ID band, and wash your hands. Observe, assess, examine, intervene and treat. Learn on me so when you go to the clinical setting you will feel better prepared. That is what simulation is all about.