CAE Healthcare Adult Patient Simulator: iStan
iStan is a high fidelity (interpret “as real as it gets”) adult manikin that is manipulated by instructors at a distance. This feature enables faculty to control the simulation from a remote location which fosters student independence and confidence while encouraging students to utilize available resources (equipment, manuals, peers, etc.).
Students can perform physical examinations on iStan to assess his condition, recognize deterioration, or monitor his improvement. A complete physical examination includes the assessment of the patient’s vital signs (heart rate, respiratory rate, and blood pressure) and an assessment of the patient’s head, neck, abdomen, limbs, heart, and lungs. Instructors can manipulate all of these parameters and provide students the opportunity to hear, see, feel, and thus learn the differences between different conditions and disease states.
In addition, the manikin is equipped with a wireless microphone and programmed with select sounds and phrases enabling him to communicate with students. He can also produce life-like breath sounds, heart sounds, and lung sounds. He has palpable pulses, visual capillary refill, and pupillary response.
A unique feature of iStan is his ability to secrete fluids. Clear fluid can be secreted from the eyes, ears, nose, mouth, crown of the head, and urethra while stimulated blood can be secreted from the chest and six other wound sites. The “patient’s” vital signs and symptoms will respond to blood loss and model that of a hemorrhaging individual.
To complement what the students hear, feel, and see, the software provides monitor displays of physiologically appropriate vital signs for students to view and interpret. The physiologically modeled data can provide ECG output, respiratory rate, blood pressure, oxygen saturation, heart rate, and temperature.
This integrated software also comes with factory developed scenarios. Examples include healthy adult, anaphylaxis, pneumothorax, angina with cardiac arrest, anterior myocardial infarction, and COPD exacerbation. Upon request, simulation specialists will create scenarios for personalized learning experiences. Currently, the simulation specialists are programming iStan with the advanced cardiovascular life support (ACLS) megacode scenarios developed by the American Heart Association.
iStan provides invaluable experiences by exposing students to simulated life-threatening situations and invasive procedures in a safe and friendly environment.
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CAE Healthcare Birthing Simulator: Lucina
Lucina, one of the newest additions to our growing family of simulators, has user-friendly software that is similar to that of our adult manikin. Lucina’s most unique feature is her ability to replicate realistic labor and childbirth experiences as well as common complications that occur before, during and after birth.
Lucina is as lifelike as it gets. Like iStan, she has physiologic modeling, heart sounds, breath sounds, palpable pulses, pupillary response, the ability to secrete fluids and, of course, the ability to speak! Lucina is different from iStan in many ways, however. She has multiple cervices that allow students to practice realistic pelvic exams. The simulator has articulating joints and pelvic tilt, allowing a variety of delivery positions and childbirth maneuvers. We can even position her in a squatting position for delivery! Lucina also has a realistic, flexible airway that allows for emergency procedures and a respiratory system that allows for mechanical ventilation.
Lucina is primarily a birthing simulator and can be used to simulate a variety of scenarios including normal vaginal delivery, shoulder dystocia and breech delivery. Other scenarios include pre-eclampsia with seizures and post-partum hemorrhage. A simulated full-term fetus can be inserted into Lucina’s abdominal cavity where it will descend and rotate through the birth canal. The baby has a realistic feeling umbilical cord that is attached to a simulated placenta. The baby, who weighs about 5.5 pounds, is flexible and has hip articulation, palpable landmarks, the ability to cry, and a mouth and nose that can be suctioned, all of which add to the realism of the experience. After delivery, the technology provides one- and five-minute APGAR scores based on how well participants manage the delivery.
Both Lucina and her baby can be controlled from the bedside or at a distance, creating a safe learning environment where learners can gain confidence and independence. Lucina has sensors that can detect maneuvers performed by learners, records and integrates this information with software that shows improvements or deterioration in Lucina’s and the baby’s condition. An emulated maternal-fetal monitor displays maternal and fetal physiological data on a screen in the simulation lab for viewing by learners in real-time or later via video recording. Debriefing and coaching by faculty helps participants gain insight into their clinical decision making.
This state-of-the-science, maternal-fetal simulator provides invaluable experiences to learners by exposing them to common complications and life-threatening and rare situations in a safe and friendly environment.
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Gaumard Pediatric Simulator: Hal S3005
The addition of Pediatric Hal to our growing “family” of simulators was made possible through a gift from the Maryland Clinical Simulation Resource Consortium (MCSRC), a statewide funding initiative, which is part of the Health Services Cost Review Commission (HSCRC) Nurse Support Program II (NSP II).
This wireless and tetherless high-fidelity five year old pediatric simulator HAL® S3005, manufactured by Gaumard, significantly improves the participant’s simulation experience by eliminating the need for the large controller box that had been required with our previous pediatric manikin. The simulator, itself, has many new capabilities
The software that runs this simulator allows instructors and simulation specialists to manipulate the manikin’s physiologic states and conditions from a distant control room. Learners are able to see the changes simultaneously in the manikin and on the vital signs monitor that is mounted in the room while the simulation unfolds. A unique feature of Gaumard simulators is the ability to file share images, lab results, or multimedia presentations to the monitor in the room. The manikin comes preprogrammed with many scenarios, but simulation specialists also have the ability to create their own.
Additionally, students will have the ability to orally or nasally intubate the manikin and the manikin can simulate right mainstem intubation or gastric inflation if performed incorrectly. He has sounds in his upper airways, lungs, heart, and bowels. The simulator has carotid, brachial, and radial pulses. His pupils will respond to light, just as a real patient’s would. He also has injection sites on his shoulders and thighs and intraosseous access at the tibia. The simulator is also able to simulate central cyanosis, or lack of oxygen in the blood, by turning his cheeks blue. This pediatric manikin can also “talk” through pre-recorded vocal sound clips or wirelessly through an instructor headset.
This manikin has the ability for use not only in nursing and respiratory therapy simulations, but also in teaching CPR. Learners will be able to simulate chest compressions on the manikin, and the software will evaluate the quality of their efforts. He has lung compliance refined to deliver chest rise when ventilating at 20 cm H2O with ventilations measured and logged. The simulator allows defibrillation, cardioversion, and pacing with real energy.
This state-of-the-science, pediatric simulator will provide invaluable learner experiences of common complications, and life-threatening and rare situations in a safe and friendly environment. Please contact the staff of the Sim Center for more information about the simulators capabilities or to reserve time with our new child.
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Gaumard Newborn Simulator: Hal S3010
Baby Hal is wirelessly compatible with the newest version of the Gaumard software making him an ideal component in an interactive educational system. The Gaumard software has a wireless tablet that enables instructors to control the simulation from a remote location. The Gaumard software monitor displays live vital signs for students to view and analyze next to their patient. The display can show EKG waves, respiratory rate, blood pressure, oxygen saturation, and heart rate.
This software also comes with Factory Preset Scenarios such as healthy baby, asphyxia, pneumothorax, transient tachypnea, meconium aspiration syndrome, and mild respiratory distress syndrome. Instructors and simulation specialists also have the ability to create and save unique scenarios for personalized learning experiences.
Baby Hal has a very extensive list of features. He has independent chest rise with lung, breathing, and airway sounds. He can be orally or nasally intubated. Additionally, Baby Hal has heart sounds and palpable pulses. He has the ability to become cyanotic and visibly shake.
Another one of his unique features is the ability to insert intraosseous access in the tibia for the infusion of fluids, blood, or drugs. Baby Hal is housed in the NICU and is ready to show you all that he can do.
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INGMAR Medical Lung Simulator: ASL 5000
With INGMAR Medical’s ASL 5000 Breathing Simulator, the simulation center now has the ability to develop respiratory scenarios for patients (neonatal through adult) with a variety of disease states to enhance the simulated experiences offered to SU’s respiratory therapy students.
The ASL 5000 provides mechanical ventilator training and ventilation management with sophisticated ventilators and settings. Through its use, students can adjust ventilator settings and respond to patient parameters in real time to understand effective ventilator therapy. This simulator also has the potential to provide students with hands-on experiences handling rare, catastrophic events, all while being in a safe environment, allowing students to develop the confidence and competence necessary to respond adequately as healthcare professionals.
There are several unique features that this simulator has to offer. The first is the ability to program parameter changes into the simulator software facilitating the development of standardized scenarios to be used across all students. The interactive control panel, however, facilitates breath by breath control with the capability to make on-the-fly changes in patient parameters. More than 90 patient parameters are recorded during simulation for data analysis and debriefing purposes. This allows students to evaluate the performance of the ventilator, evaluate the performance of respiratory therapy devices (e.g. CPAP, aerosol drug delivery devices), and evaluate their mode of ventilation selection.
The ASL 5000 can breathe spontaneously while being simultaneously mechanically ventilated. This simulator is the only neonatal spontaneously breathing simulator worldwide and it is available for your use right here at SU!
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