Premie HAL User`s Guide
Contents
1. After calibration the pointer should be displayed directly beneath the stylus tip Significant changes to viewing angle should be followed by calibration for best performance Communication Module Connect the RF communication module to an available USB port on the tablet s PRO left side Secure the RF communication module to the tablet or PRO computer using the Velcro patch The tablet is now ready to communicate with simulator Warning Never disconnect the communications module while the Premie HAL software is running Doing so can seriously damage the module Premie HAL Battery Premie HAL S N p6009067 or higher includes two separate power adapters labeled Premie HAL Charger and Premie HAL Power Supply Before using the simulator for the first time reference the use for each adapter below To charge the battery connect the adapter labeled Premie HAL Charger to the battery port and charge Premie HAL for 2 3 hours or until the charger displays a green light The charger indicator light will show red during the charge period and green once the process IS complete The simulator s battery charges only when the control software is disabled Avoid using the simulator while the battery charger is connected If the simulator is in use while the charger HIGHER is connected the battery will not charge To charge the battery you must 1 If connecte2. splash proof but not water proof Do not submerge or allow a large volume of fluid to enter the interior of the simulator Do not expose the tablet computer to water or excessive dust unless it is protected by a rugged case available separately Mouth to mouth resuscitation without a barrier device is not recommended as it will contaminate the airway Treat Premie HAL with the same precautions that would be used with a real patient The use of needles larger than 22 gauge will reduce the lifetime of the lower arms skin and veins When the arm veins require replacement contact Gaumard to arrange for a lower arm exchange Refer to the Consumables and Replacement Parts section of this guide and contact customer service for more information Do not inject fluids into the intramuscular sites Intramuscular sites are for placement exercises only Do not remove or replace the umbilical cord while Premie HAL is in operation Doing so will cause damage to the system Premie HAL User Guide 9 Do not pull or carry the simulator by the limbs Handle Premie HAL with the same care as a human patient Conductive Sites Premie HAL s conductive skin sites allow the attachment of real EKG electrodes This feature permits the user to track cardiac rhythms with their own equipment just like with a human patient A few special concerns are described below Premie HAL does not accept real electrical therapy Do not pace
3. 12 LEAD ECG DYNAMIC AIRWAY AND LUNG COMPLIANCE v START The wireless link between UNI and the simulator is established within 1 minute MODES After the startup screen the profile and operating mode selection menu is displayed OPERATING MODE New Profile Rename IT Delete C Program Files en fue at EE Ale 1020 c The UNI control software has two modes of operation Manual and Automatic Each mode includes a Quick Start profile with preprogrammed scenarios exercises created in conjunction with experienced healthcare instructors and working medical professionals Continue to the next section to learn more about the each operating mode and the profiles included After selecting an operating mode and profile click Load to continue MANUAL MODE Teure facilitator fully controls the vital signs and physiologic responses H AL Profiles LI OPERATING MODE DESCRIPTIO factory preset scenarios PROFILES Default Profile The Manual mode includes the following profiles Default Profile includes one palette with healthy vital signs Quick Start Newborn HAL includes basic preprogrammed scenarios facilitator by automatically adjusting vital signs in response to caregiver participation pharmacologic intervention and manual input For example when facilitator increases the heart rate the Auto mode will calculate the response and adju
4. A C Virtual Monitor A A C Powered 17 Touch Screen monitor and desktop S3009 002 D C Virtual Monitor A D C Powered 12 Touch Screen Mobile Monitor with stylus S3009 010 Battery C Rechargeable battery S3009 011 Battery Charger R 100 240 V AC battery charger with label S3009 020 Umbilical Cord Kit C Set of 3 S3009 023L M Lower Left Arm C Lower left IV arm medium color S3009 023R M Lower Right Arm C Lower IV right arm medium color S3009 026L D Lower Left Leg Skin Cover C S3009 026L L Lower Left Leg Skin Cover C S3009 027L L Lower Left Leg R S3009 029R L I O Leg Skin Cover C C S3009 031 I O Tibia Bones I O Tibia bones S3009 048 Neonatal Filling Kit R Fluid dispensing syringe for Premie HAL 53009 060 Simulator Transport Case R Soft storage and transport case 53009 081 Silicone Oil C Oil based silicone lubricant S3009 200 Audio amp Video Recording A System S3009 204 Tablet PC R Wireless tablet PC with stylus control S3009 205 Bump Case R Bump case for tablet PC S3009 206 RF Module R Radio Frequency Module with USB Premie HAL User Guide 65 connector 53009 EXW Two Year Extended Warranty Extended warranty for years Two AND Three 53009 INST In Service Training A Day of in service training and installation Warranty EXCLUSIVE ONE YEAR LIMITED WARRANTY Gaumard warrants that if the accompanying Gaumard product proves to be defective in material or workmanship within one year from the date on which the product is ship
5. BVM and mechanical support Unilateral chest rise cc Conductive skin regions allow for ECG monitoring with real equipment Multiple heart rhythms rates and complications Heart sounds include a normal heart as well as atrial and ventricular septal defects Chest compressions are measured and logged Palpable fontanelle brachial femoral and umbilical pulse sites Pulse strengths vary with blood pressure and pulses are synchronized with ECG FT lt Internal rechargeable NiMH battery Venous access Bilateral IV training arms Patent umbilicus Intraosseous access at tibia Wireless tablet PC with stylus control Communication modules are FCC and CE Compliant Communications module can be used simultaneously with the tablet computer s integrated wireless IEEE 802 11b networking device 100 240 VAC Charger Power supply adapter Battery Charger Instructions Carrying case One year limited warranty extended warranty to three years option Installation and training services available Premie HAL User Guide 13 Terminology It is wise to spend a moment familiarizing yourself with some of the terminology that will be used to discuss simulation with the Premie HAL system Automatic Mode In this mode vital signs respond automatically to caregiver participation instructor specifications and pharmacologic intervention The model used in this operating mode was developed based on physiologic princi
6. Pedi is pink with adequate oxygenation e Mild Cyanosis Pedi is slightly blue and the vital signs are starting to deteriorate e Severe Cyanosis Pedi is blue apneic and vital signs are rapidly worsening 32 User Guide Premie HAL The modeled therapy menu provides additional intervention options e Improve Gain Adjust the slider to increase or decrease the cyanotic response to ventilations e Oxygen Adjust the slider to administer oxygen to the fetus in liters per minute e Epinephrine Administer epinephrine to the model Set the epinephrine dose and then click add Administering epinephrine increases the heart rate e Reset Click Reset to clear the oxygen flow and the epinephrine dose onboard Premie HAL User Guide 33 Working with Premie HAL 34 User Guide Premie HAL Disclaimer The content of this table are subject to change without prior notice Please contact Gaumard Scientific for the most current information Category Simulator Feature Nasal Intubation Airway Oral Intubation Breathing Airway Sounds Suction exercises Breathing Automatic Chest Rise Independent chest rise Lung Sounds Heart Sounds ECG generated in real Cardiac 4 patches time Chest compressions sensor Bilateral IV Circulation Bukse Fontanel Brachial Umbilical Femoral Cyanosis Pedal Vein left Systemic Frog legs position Intraosseous access Temperature sensor Physiologic Model O
7. Signs Montor OPON een 41 FOO 41 Al sie En e gt RE NE ER 42 More about SES ae 43 Factory Preset Scenarios E 43 M re DTS 53 TOUDE NOOU TR 56 WIrSIESS NEWOIK P eege 61 MEDIACEMENL GC 65 VA ES ES EO ENE ON eos 66 4 User Guide Premie HAL End User License Agreement This is a legal agreement between you the end user and Gaumard Scientific Company Inc Gaumard This software is protected by copyright laws and remains the sole property of Gaumard By installing the UNI the Software media you agree to be bound by the terms of this agreement If you do not agree to the terms of this agreement prompily return the uninstalled media and accompanying items to Gaumard at the address indicated below 1 Grant of License Gaumard hereby grants to you an individual or institution the right to install and activate the Software on one computer for use with one Interactive patient simulator system The software may also be installed on any number of other computers at the same institution so that students may access the learning resources One copy of the software may be made for backup purposes You may not network this Software or allow multiple users unless you purchased a multi user workstation license Sharing this Software with other individuals or allowing other individuals to view the contents of this Software is in violation of this license 2 Copyright The Software is owned by Gaumard and protected by United States cop
8. a mini bolus 2ml kg of D10W at 1 ml min followed by an infusion by peripheral IV Wait indefinitely for actions Correct Action Begin Calcium Gluconate IV to treat hypocalcemia Incorrect Action Failure to treat hypocalcemia Check Serum Calcium 44 User Guide Premie HAL Premie HAL Gaumard Ductal Dependant Heart Lesion ET Ne M C Hypoplastic Left Heart Syndrome 32 week premie remains cyanotic despite breathing 100 Oxygen Premie HAL User Guide 45 C Premie HAL simulator for Health Care Education Group B Sepsis and Secondary Apnea A mother with no prenatal care delivers a premature baby with foul smelling amniotic fluid in the emergency room The baby is being bagged with O2 Incorrect Actions Continue BVM and chest compressions Correct Actions Immediate intubation with O2 Perform Actions Place UAC to monitor ABG BP and deliver a fluid bolus No UAC peripheral IV only Secondary Actions Administer Pressor Wait indefinitely for action 46 User Guide Premie HAL y Premie HAL Gaumard Simulators tor Health Care Education Hyal I ne Mem brane Disease A teenage mother with no prenatal care delivers a 13009 Infant in L D Administer supplemental oxygen and transfer baby to the NICU Wait indefinite
9. infant to be approximately 32 weeks She received two doses of antenatal steroids her membranes are intact and the baby s Lecithin Sphingomyelin L S ratio is 1 9 1 She continues to labor and the baby s scalp pH is 7 5 Despite attempts to delay delivery she delivers a 13009 infant After suctioning and gentle stimulation the baby begins to cry Correct Action Supply O2 by blow by Che 50 User Guide Premie HAL Perform Actions Incorrect Action Prolonged suctioning of posterior pharynx mm Transfer to NICU Wait Time 20 sec Start peripheral IV with D10W and monitor pulse oximetry Wait indefinitely for actions Gaumard Simulators for Health Care Education Premie HAL Patent Ductus Arteriosus On the second day of life a premie who has had a good response to surfactant and ventilation develops deteriorating vital signs Improvement after 24 hours Increase PEEP Restrict fluids Begin Indomethacin IV up to 3 doses No improvement after 24 hours Premie HAL User Guide 51 6 Gaumand Premie HAL Simulators for Health Care Education Pneu mothorax This 32 week infant had no respiratory effort at birth and required intubation is now on a ventilator with a setting of 40 The mother had good prenatal care and received two doses of antenatal stero
10. leg Use a flashlight to detect veins Warning Use only Gaumard s provided simulated blood Any other simulated blood brand containing sugar or any additive may cause blockage and or interruption of the vasculature system For simulation of high volume infusions it is necessary to Follow the steps below to fill the IV leave the drain tube attached vasculature for drawing fluids and run it to a suitable outlet or container 1 Fillthe modified syringe with water or diluted Gaumard KE simulated blood INTRAOSSEOUS ACGESS Establish intraosseous Infusions access to administer fluids and medications To use this feature follow these simple steps 2 Connect the syringe into the fill port and the drain connector to the drain port as shown 1 Remove the skin from the leg to access tibia bone insert 3 Slowly push the fluid into the IV circuit until it begins to flow out of the drain connector 2 Lift the tibia insert out of the holder 4 Remove the fill syringe and drain connector The self sealing ports 38 User Guide Premie HAL 3 Hold the tibia bone vertically and inject 2cc of fluid through the rubber stopper Air and excess fluid are purged through the vent port near the top of the bone 4 Insert the fluid filed bone back into the holder 5 Replace the skin and palpate tibial tuberosity 6 Insert the IO device into the tibia bone to perform an exercise Notice th
11. library to adjust the volume of the sounds APPLYING CHANGES No changes wil be made to the simulators condition until the new settings are submitted using the Apply panel After the list of changes is created click NOW to update the vital signs instantly Alternatively click a trending timer to update numerical vital sign parameters e g heart rate blood pressure gradually Breathing Respiration Rate 50 bpm Inspiration Percentage 46 O2 sat EKG Atrial fibrillation skip R s 10 min Heart Sound distant Circulation Left K Sounds 4 10sec s0sec 1 min E 5 min 10m Lad Pa pr g A amp IND Ell LI 5 ewe Fo ln 14882 sl mm Vital sign parameters can be edited or removed using the edit and remove parameter tabs Enable the instant apply option and click the control to change the vital Premie HAL User Guide 29 sign to a new value without the need to use Apply panel Vital signs undergoing change blink yellow CEPHALIC Throat Sound Vol BREATHING Resp Pattern normal mn sign settings into a single loadable object Use a palette item to update a set of vital signs quickly For example one palette item can be created to update all the cardiac parameters to a healthy state To create a new palette item set the values for the desired vital signs parameters using the details controls and click Save S EE S
12. oe displays the status of the radio link between the tablets USB RF module and the simulator Full bars indicate excellent communication CN Ca eh i e normal operation When the battery icon is depleted all all all all the simulator is setto STAND BY mode automatically to protect some GEN es components The battery indicator displays the battery charge information An 26 User Guide Premie HAL Simulator will not initialize until connected to the charger or the battery is replaced with a fully charged spare WARNING Turn Simulator OFF before replacing the battery Failure to do so could result in serious damage to the system Internal Battery Approx 3 hours SESSION CLOCK The session timer displays the duration of the current session Click the timer to reset the clock or to start a new session Event entries in the text log are synchronized with the session timer L Leg Bleed New Session bottom right corner of the UNI software Toggle the power button to set the simulator to stand by mode and then again to resume E os For more information about the UNI software refer to the digital User Guide under Menu Help Instruction Manual Premie HAL User Guide 27 Status Details Controls The Status Details panel is used to monitor and control the simulator s vital signs The individual parameter controls displayed on the details tab provide the
13. simplest method for controlling the simulator s vital signs sounds and features The Status Details tab displays the vital signs controls in a list format STATUS DETAILS CEPHALIC Cyanosis Lung Sounds Vol Right The Status Details panel is used to monitor and control the simulator s vital signs The individual parameter 28 User Guide Premie HAL controls displayed on the details tab provide the simplest method for controlling the simulator s vital signs sounds and features STATUS DETAILS BREATHING Resp Pattern e normal Be IRR 13 bpm Inspire 33 02 sat 98 EtCO2 40 mmHg Lung Sounds Vol a Right normal 2 Lett normal 2 To adjust numerical values click the slider control e g heart rate blood pressure respiratory rate etc o 1 A A Alternatively use the keyboard for manual entry and click the green checkmark to confirm the change To change patterns sounds and rhythms click on the specific control to display the library e g EKG rhythms heart and lung sounds respiratory patterns etc ws s Ss Options Hea m ve sinus pause N E w PAC w PIC E Atrial flutter LElw PVC uni Atrial fibrillation w PVC multi K Sour Junctional w couplets Supraventricular tachycardia 7 Temp ist deg AVB 2nd deg AVB Type I Dnd don am Tien IT Click the slider control below the sound
14. simulator off by clicking on File Exit on the UNI software or set the manikin on STAND BY mode Replacement of cords should also be done while the manikin is turned off or set on STAND BY mode The temperature reading on the vital signs monitor is displayed when a temperature probe is placed on the lower right quadrant of the abdominal area To enable the temperature sensor detection feature go to Setup gt Options gt Neonate features Tab Checkmark Use temp sensor and click OK to save The log panel detects the placement of the sensor Other The Gaumard Monitors touchscreen display simulates the functionality of a patient vital signs monitor Users can customize the type of waveforms and scalars displayed set alarms and display lab reports x rays and other files for the provider to access during simulation The Gaumard Monitors vital signs system is available in a mobile and desktop solution 10 25 08 For information on how to setup Gaumard Monitors with GUI please refer to the help File included with the Gaumard Monitors software The Pro system is an all in one session recording and simulator control solution for facilitators in a lab or mobile environment The built in UNI software allows the facilitator to control Premie HAL while recording care provider interaction and event logs The upgrade replaces the standard tablet with a convertible touchscreen laptop loaded with the Pro en
15. AL AND WORKMANSHIP ELECTRONIC TRANSMISSION IS WARRANTED TO BE FREE FROM DEFECTS AT THE MOMENT OF TRANSMISSION YOUR SOLE AND EXCLUSIVE REMEDY AND GAUMARD S SOLE LIABILITY IS TO REPLACE THE DEFECTIVE MEDIA OR TO REPEAT THE ELECTRONIC TRANSMISSION PROVIDED THAT YOU NOTIFY GAUMARD IN WRITING OF SUCH DEFECT OR DEFECTIVE TRANSMISSION AND RETURN THE DEFECTIVE MEDIA IF ANY DURING THE 30 DAY WARRANTY PERIOD B EXCEPT AND TO THE EXTENT EXPRESSLY PROVIDED IN PARAGRAPH A THE SOFTWARE AND ACCOMPANYING WRITTEN MATERIALS ARE PROVIDED ON AN AS IS BASIS WITHOUT ANY WARRANTIES OF ANY KIND INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY GAUMARD ITS DEALERS DISTRIBUTORS AGENTS OR EMPLOYEES SHALL CREATE A WARRANTY OR IN ANY WAY INCREASE THE SCOPE OF THIS WARRANT Y AND YOU MAY NOT RELY ON ANY SUCH INFORMATION OR ADVICE GAUMARD DOES NOT WARRANT GUARANTEE OR MAKE ANY REPRESENTATIONS REGARDING THE USE OR THE RESULTS OF USE OF THE SOFTWARE OR WRITTEN MATERIALS IN TERMS OF CORRECTNESS ACCURACY RELIABILITY CURRENTNESS OR OTHERWISE AND THE ENTIRE RISK AS TO THE RESULTS AND PERFORMANCE OF THE SOFTWARE IS ASSUMED BY YOU IF THE SOFTWARE OR WRITTEN MATERIALS ARE DEFECTIVE YOU AND NOT GAUMARD OR ITS DEALERS DISTRIBUTORS AGENTS OR EMPLOYEES ASSUME THE ENTIRE COST OF ALL NECESSARY SERVICING REPAIR OR CORRECTION OTHER THAN EXPRESSLY DESCR
16. Do not turn on the UNI software until the charging process is complete The adapter labeled Power Supply does not recharge the battery Connect the RF module to any USB port Close the software and disconnect the RF module for at least five seconds then plug it back in and restart the software See solution above in section making reference to blinking com munication indicator is consistently yellow detected at all Is the respiratory rate Set respiration rate to zero set to 0 min Chest compressions are only detected when the respiratory rate is set to 0 per minute 0 min Otherwise they are ighored All others See Calibration Wizard section inside User s Manual Artificial Is the communication See solution above in section ventilations are indicator panel making reference to blinking com not properly consistently yellow munication indicator is consistently detected or not yellow detected at all All others See Calibration Wizard section inside User s Manual Simulator s Simulator not running In some simulators the trachea is chest does not disconnected from the lungs when rise with artificial they are not on ventilation e g BVM Disable lung s Enable the lungs from Status Detail panel on the UNI software Low chest rise Wrong settings or Make sure lungs are enabled and or no chest rise disabled lungs both respiration rate and inspiration at all while
17. IBED ABOVE C NEITHER GAUMARD NOR ANYONE ELSE WHO HAS BEEN INVOLVED IN THE CREATION PRODUCTION OR DELIVERY OF THIS PRODUCT SHALL BE LIABLE FOR ANY DIRECT INDIRECT CONSEQUENTIAL OR INCIDENTAL DAMAGES INCLUDING DAMAGES FOR LOSS OF BUSINESS PROFITS BUSINESS INTERRUPTION LOSS OF BUSINESS INFORMATION AND THE LIKE ARISING OUT OF THE USE OR INABILITY TO USE SUCH PRODUCT OR RELATED TO THIS AGREEMENT EVEN IF GAUMARD HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES GAUMARD SHALL NOT BE LIABLE TO YOU FOR ANY INDIRECT SPECIAL INCIDENTAL OR CONSEQUENTIAL DAMAGES OR LOST PROFITS ARISING OUT OF OR RELATED TO THIS AGREEMENT OR YOUR USE OF THE SOFTWARE AND OR THE RELATED DOCUMENTATION EVEN IF GAUMARD HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES IN NO EVENT SHALL GAUMARD S LIABILITY HERE UNDER IF ANY EXCEED THE PURCHASE PRICE PAID BY YOU FOR THE SOFTWARE 6 User Guide Premie HAL ALL RIGHTS NOT EXPRESSLY GRANTED IN THIS LICENSE AGREEMENT ARE RESERVED BY GAUMARD BY INSTALLATION OF THIS SOFTWARE YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE FORE GOING AND THAT YOU AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS YOU ALSO AGREE THAT THIS AGREEMENT IS THE COMPLETE AND EXCLUSIVE STATEMENT OF AGREEMENT BETWEEN THE PARTIES AND SUPERSEDES ALL PROPOSED OR PRIOR AGREEMENTS ORAL OR WRITTEN AND ANY OTHER COMMUNICATIONS BETWEEN THE PARTIES RELATING TO THE LICENSE DESCRIBED HEREIN Premie HAL User Guide 7 Care and Cauti
18. Local Disk C Assign a name to the folder and click OK The new profile folder location will show up Then proceed to create a new profile see instructions detailed below Use the Home icon to reset to default profiles folder ETC n m PROFILE NNNM E Profiles store palette scenario and Lastly click Create to save the new option settings independently profile changes made to one profile have no effect on the others Below are Click Rename or Delete to some examples on how profiles are change the name of delete this new used profile e Assign one profile to each user of your Gaumard simulator New Profile EEE Delete T CC Ja e Use profiles to organize and protect palettes and scenarios LOAD EM VM e Create a profile dedicated to a specific academic course taught For more information about the UNI by multiple instructors software refer to the digital User e Devote an entire profile to one Guide under Menu Help Instruction particular subject area or even Manual one particular scenario To create a new profile click New Profile C Program Files x86 Gaumard Scientific UNT profiles Enter a name for the new profile followed by a description Create New Profile Enable PIM Profile Description security OB Simulation Re Enter FIN Include contents of Default Profile Include con
19. Premie HAL Premature Neonatal Simulator 53009 Gaumard Simulators for Health Care Education Premie HAL is an interactive educational system developed to assist a certified instructor It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making User Guide 14 5 1 Gaumard Scientific Company 2014 All Rights Reserved www Gaumard com 2 User Guide Premie HAL Contents ENN 3 End User License Agreement 5 Care and Cautions nase 8 Jerall Warning ko E 9 eg e ier 10 Getting Started er E uses 11 Scu ME 12 Em OO N re ne ee 14 EQUIPMENT E ET E 15 Coro EDEN 16 Communication Module ae 16 Premie HAL IIIA anne ale leien 17 vitua MONOT va 18 Bedas 19 Working vm U NI nennen 20 mMitalzno Mhe SITO LOT oak edi RA edebat a nee 22 Bel EUIS NE LU UE 26 SA PAROS 28 Modeling INGVMDOM PENE RE 32 Working with Premie HAL 34 MVA en 36 Oral and Nasalintubatlon re 36 Premie HAL User Guide 3 AMS eee 36 SUS 36 BEING een 36 Respiratory FAEN D 36 LEUNG SOUNds EE 36 Bilateral LIES E 36 PUNGEN VENN Lave 36 rell 37 Hear Sounds var reden 37 EGG Monitoring and Electrical Therapy misent 37 Gheest COMPrESSION EE 37 KSE a T A N 37 PEDER 37 Intravenoals ee 37 Jade ere Ee EE 38 NSG 39 EIE ENE NE ES EN AA E 39 Cebe 40 Temperature Probe He 40 ig p SM 41 Vital
20. aumard Monitors icon to start the vital signs software 2 Click the V menu near the top left corner and select Create Ad Hoc Network 62 User Guide Premie HAL Remote Access Via Network Check for Updates Help About Exit The Virtual Monitor Create ad hoc Wireless Network window Is displayed 3 Select Wireless Network Adapter If the wireless adapter is not listed first enable the adapter using the Windows network menu and then return to this window Clear previous network settings Clear 1 Select Wireless Network Adapter 2 Wireless Network Name GaumardNet Apply Wireless Network Settings Set Dynamic IP am Enter a wireless network name case sensitive Use the same name entered in the controller computer GaumardNet is the required name for Windows 7 computers 2 Wireless Network Name H GaumardNet Apply Wireless Network Settings 5 Click Set Dynamic IP to set the wireless network dynamic Set Wireless Network Dynamic r M 6 Click Apply Wireless Network Settings to save the settings Apply the new network settings and create the ad hoc wireless netw 7 Restart the computer CONFIGURE THE VITAL SIGNS BROADCAST After the wireless ad hoc link is established between both computers complete next steps to configure the transmission of the vital signs information 1 Verify that both com
21. aumard product are covered by this limited warranty then the first purchaser will pay only the incidental expenses associated with the repair including any shipping handling and related costs for sending the product to Gaumard and for sending the product back to the first purchaser However if the repairs are not covered by this limited warranty then the first purchaser will be liable for all repair costs in addition to costs of shipping and handling EXTENDED WARRANTY In addition to the standard one year of coverage the following support plans are available Two Year Extension covers second and third years Call for pricing USA only Premie HAL User Guide 67 Gaumard Simulators for Health Care Education Contact Us E mail Technical Support support Qgaumard com E mail Sales and Customer Service sales gaumard com Phone Toll free in the USA 800 882 6655 Worldwide 01 305 971 3790 Fax 305 667 6085 Before contacting Tech Support you must 1 Have the simulator s Serial Number located in the left leg under the IM site 2 Access to the simulator and the control computer if troubleshooting is needed Post Gaumard Scientific 14700 SW 136 Street Miami FL 33196 5691 USA Office hours Monday Friday 8 30am 4 30pm EST GMT 4 Summer Time Gaumard Premie H and HAL are trademarks of Gaumard Scientific Company Inc Gaumard Scientific Company 2014 All rights reserved All righ
22. cenario can be allowed to continue Naturally preparation must be made for what might happen to the simulator when providers deviate from expectations The consequences of such deviations can sometimes be included in the scenario punctuated by Wait Indefinitely items In other cases the simulation will require more direct control by the facilitator via either the Palette or Status Details panel 4 Choose auto response settings based on the scenario content and the objectives As seen auto responses can be used to free the facilitators attention They also enhance realism by presenting instant reactions to the care providers On the other hand sometimes it is not possible or desirable to determine the responses before the simulation begins Different environments and applications call for different settings 54 User Guide Premie HAL Some teaching practices are best done with the auto response settings in Prompt mode Responses must be triggered by a vigilant facilitator Though it is slower and requires more attention the benefit of Prompt over other modes is that the simulation can be allowed to go in any direction and it will be possible to choose the response on a case by case basis Other learning exercises require a higher degree of automation For such applications most facilitators choose Auto mode for the auto response settings The key issue is standardized timing of symptom presentation consistent repeatable si
23. d unplug the charger adapter from the simulator and the wall outlet 2 Turn off the simulator by closing the UNI control software 3 Re connect the charger adapter to the wall outlet and the simulator s battery port 4 Leave the simulator charging for 2 3 hours with the UNI control software disabled Premie HAL has a maximum battery runtime of approximately 2 hrs Total runtime is dependent on factors such as breathing rate and sounds The battery status is displayed on the software status panel after the connection with the simulator is established For more information about the battery indicator refer to Working with UNI section Warning If the simulator will not be used for an extended period re charge the battery at least once every 60 days to prevent damage to the internal battery SYSTEM S N p6009067 OR The power supply adapter allows the simulator to operate through long simulations sessions by drawing Premie HAL User Guide 17 power from the wall outlet and not battery reserve Use the power supply for simulation sessions lasting 2 hours or more If simulation sessions are shorter than 2 hours use the simulator s battery reserve The power supply adapter will NOT re charge the battery Avoid using the power supply adapter when the simulator s battery is completely depleted To use the power supply adapter 1 Fully charge the simulator s battery using the Charger adap
24. e decrease in needle resistance as It passes into the bone marrow cavity Remove stylet aspirate bone marrow and infuse fluids Following the procedures aspirate infused fluids using an empty syringe through the rubber stoppers To extend the life of each bone insert seal puncture marks with cement glue and leave to dry before re inserting them into the holder Systemic Control and program the visible cyanosis on the simulator Use the Model tab to automate the change in cyanosis as the provider performs CPR intervention For more information on the Model feature go to Modeling section Premie HAL User Guide 39 Catheterize or inject the umbilical cord To fill the umbilical cord with fluid inject any of the three blood vessels with 2 mL of water using the syringe For catheterization exercises use a 6 Fr urethral round tip catheter lubricated with silicon Oil The replaceable umbilical cord can be trimmed or cut Before removing or replacing the umbilical cord after an exercise turn off the simulator by exiting the software File gt Exit or set the simulator on STAND BY mode After the simulator is powered down the umbilical cord can be safely unplugged For information about ordering replacement umbilical cords go to the Appendix 40 User Guide Premie HAL Warning Do not remove umbilical cord while Premie HAL is in operation To remove the umbilical cord first turn the
25. ect the Wireless Network Adapter If the wireless adapter is not listed first enable the adapter using the Windows network menu and then return to this window Clear previous network settings Create Ad Hoc Wireless Network 1 Select Wireless Network Adapter H 2 Wireless Network Name H GaumardNet Apply Wireless Network Settings Set Wireless Network Dynamic Set Dynamic IP 3 Enter a wireless network name case sensitive Use the same wireless network name to configure the Gaumard Monitors PC GaumardNet is the required name for Windows 7 computers 2 Wireless Network Name H GaumardNet Apply Wireless Network Settings 4 Click Set Dynamic IP to set the wireless network dynamic Set Wireless Network Dynamic Set Dynamic IP N 000022222222 5 Click Apply Wireless Network Settings to save the settings Set Wireless Network Dynamic Set Dynamic IP N ed Premie HAL User Guide 61 6 Restart the computer 1 Select Wireless Network Adapter 2 Wireless Network Name GaumardNet EI Apply the new network settings and create the ad hoc wireless network SEL KVI CICS INCLWUIN yae Set Dynamic IP GAUMARD MONITORS NETWORK CONFIGURATION After the UNI control computer is configured complete the next steps using the Create an ad hoc network tool included in Gaumard Monitors software 1 Onthe virtual monitor computer click the G
26. ent Set up section of this guide for more information on working with the stylus Equipment Set up Premie HAL User Guide 15 Control Tablet Computer The touchscreen tablet computer serves as the simulator s control center Startup and control commands are sent from the Gaumard control software UNI to the simulator wirelessly using the RF communication module shown in the next section Please refer to the computer s documentation for important user and safety information before powering on the tablet computer for the first time The stylus operates very much like a mouse You will notice that the pointer moves when the stylus is held near but without touching the screen Tapping the screen with the Stylus tip is like clicking the primary usually left mouse button Holding the stylus button while tapping the screen is like clicking the secondary usually right mouse button CALIBRATING THE STYLUS For working with the Gaumard control software and many other applications the stylus input is far superior to a mouse in both speed and comfort An additional advantage is it can be easily calibrated for your personal comfort The calibration utility found in the control panel will present the user with crosshair targets at each of the 16 User Guide Premie HAL four corners of the screen Position yourself and the tablet as if you are working and carefully touch the exact center of each of the targets
27. ess Network Connection 2 Conrected hel GaumardNet gaumard d Other Network Open Network and Sharing Center OE HRS ET Gaumard Monitors After the ad hoc connection is established double click or tap the Gaumard Virtual Monitors icon located on the virtual monitor s home screen LE E an Gaumard Monitors The Gaumard Virtual Monitor software is now ready to receive vital sign information To learn more about the Gaumard Monitors features and functionality click then V menu and select Help to open a digital copy of the Gaumard Virtual Monitor User Guide Premie HAL User Guide 19 Working with UNI 20 User Guide Premie HAL Premie HAL User Guide 21 Initializing the Simulator After reading the manufacturer s care and caution information press the power button to turn on the Tablet PC The UNI software initializes the simulator Double click the UNI icon on the tablet s home screen to start pu t ap k GE Gaumard Ul UNIZ R Gaumard Monitors 22 User Guide Premie HAL The simulator selection menu is shown Select Newborn HAL and click Start Gaumard Simulators for Health Care Education Please select one simulator NEWBORN HAL 554 555 NEWBORN HAL 51010 fs PREMIE HAL ee CODE BLUE III ADULT CODE BLUE III PEDIATRIC oa CODE BLUE III NEONATE p
28. he Gaumard Monitors software Currently connected to gaumard com Internet access Wireless Network Connectian 2 simcenter Connected GaumardNet Gaumard GuestNet Other Network Open Network and Sharing Center 4 Repeat the same steps listed above to connect the UNI software to the Gaumard Monitors software Virtual Monitor Setup Configure and broadcast the simulator s vital signs over a wireless network Select the number of Gaumard Monitor computers that display this simulator s vital signs Also enter a name and description for each 1 monitor connection instance Monitors 1 meet All sensors always ON Network Status connected Network Name simcenter Controller Name GMRDOO3 PC IP Type automatic Adapter Wireless Network Connection 2 lt ref eh 2 IP 92 168 55 145 800 find ava D Connected to Gaumard_Trainin 192 168 55 128 Wireless Communication Setup P the communication has not been estabished please enter the name or IP address and port number selected on the controling computer Noelle Network Status Connected connected Network Name IP Type Automatic Port 8001 EQ Controller Name IGMRDOO 3 PC Show IP Replacement Parts Contact Gaumard Scientific for a complete list of consumables and replacement parts and their prices C Consumables R Replacements A Accessories U Upgrades M Factory Repair ONLY S3009 001
29. ibe this condition Make sure that this first step in the scenario is a complete state That is indicate some selection for each available setting on the Status Details panel Remember that only the settings you specify will cause a change in the simulator and all other settings will remain constant Therefore by starting with a complete state the simulator s condition will always be the same when the scenario starts regardless of what she was doing previously Likewise the transition duration of the first step in the scenario should be zero indicating that changes are applied immediately There is one point that can cause confusion and warrants further explanation It UNIis an extension of the above discussion of partial states The issue is best illustrated through the following example Suppose that you are creating a Palette Item to start your scenario In this case you have decided that the patient will be apneic The question is How should the lung sounds be set Most people s first inclination is to set the lung sounds to none This is incorrect despite apnea Obviously no lung sounds should be heard during apnea but Premie HAL User Guide 53 since you have already set respiratory rate to zero none will be Sounds are synchronized to the breathing cycle What you are really setting here when you choose a lung sound is the condition of the lungs given respiratory drive That is if the patient s respiratory ra
30. ids prior to delivery Withdraw the ET tube slightly Wait indefinitely for action Perform emergency needle decompression followed by chest tube placement Wait indefinitely for actions 52 User Guide Premie HAL More about scenarios As described previously palette items represent complete or partial groups of settings that have been stored as a single item Applying partial states will hold constant all settings that are left unspecified Not only does it take time to customize the palette but a very large palette becomes difficult to navigate So it is desirable to minimize the number of Palette Items in each Profile To accomplish this an experienced facilitator tries to create items that are as generally applicable as possible and can therefore be applied to a wide range of scenarios The key is to include only in your palette items the settings that are directly related to the physiological event represented by that palette item SMART SCENARIOS After reading the Details Palette and Scenarios sections of this guide it should be clear how to build a scenario You may have already tried building your own or modifying some of the factory presets The following four guidelines will refine your ability to build the best possible scenarios 1 How will the scenario begin The first thing to consider is the initial condition of the patient Create a Palette Item to descr
31. inus Cardiac EKG Heart Rate 74 bpm Heart Sound normal Heart Sound Volume 3 Enter a name for the palette a description and choose color code Click Save to create the new palette Item Palette items are stored in the active profile 30 User Guide Premie HAL Save as Palette Item Palette Item Name Healthy Heart Palette Item Description Sinus 74 bpm Heart Sound Normal Color e Healthy O Care Required When the palette is needed click the Load button to select the palette from the library Respiration Rate 50 bpm Inspiration Percentage 46 02 sat Select the palette item from the Load Palette Item menu and click Load Load Palette Item Palette Item iini sate Sinus 74 bpm heart t sound Healthy Heart EUER HR drop HR spike Click the apply option to submit the changes asystole Airway p 6 Upper Airway Sound none Breathing Respiratory Pattern normal Respiration Rate 0 bpm Inspiration Percentage 33 O2 sat 50 Lung Sounds Upper Right none Lung Sounds Cardiac EKG Asystole Heart Rate 0 bpm Sinus Arrhythmia Off Heart Sound normal Circulation o Blood Pressure 0 0 mmHg NOW On Apply Clear and Close Details Window Premie HAL User Guide 31 Modeling Newborn Premie Use the Hypoxia tab to evaluate the effectiveness of provider interventio
32. ly for actions Intubate and administer surfactant Wait indefinitely for actions Premie HAL User Guide 47 Premie HAL Gaumard f pes Sisters dac Heal Cave Gaston Meconium Aspiration and Pneumonia A thirty one week infant is delivered with thick meconium stained amniotic fluid Perform endotracheal intubation Suction meconium from below the cords Gentle stimulation and warming Wait indefinitely for actions Mild Severe Meconium Aspiration Mild Severe 48 User Guide Premie HAL Premie HAL Gaumard n Simulators for Health Care Education Necrotizi ng Enterocolitis A two week old premature infant began enteral feeds a week ago He required some resuscitation at birth for perinatal asphyxia and received antibiotics for possible sepsis His nurse reports increasing gastric residuals and a few episodes of apnea and increasing abdominal girths Correct Actions Stop feeding by mouth Start TPN and begin antibiotics BE Incorrect Actions Decrease enteral feeding and delay physical exam and X Ray Perform actions Premie HAL User Guide 49 Gaumard Simulators for Health Care Education Premie HAL Normal mother is admitted to the hospital for preterm labor She has had good prenatal care and her dates show the
33. mulation is essential for fair assessment of that care provider in relation to others and for the broader interpretation of results in the context of training validation studies When in doubt it is best to choose Prompt mode in which the facilitator will be given direct control of the responses as events are detected Premie HAL User Guide 55 Troubleshooting Use the following table to find causes and solutions to a number of possible problems Possible Cause Communication Battery is discharged never gets established or is lost blinking com munication indi cator is con sistently red Computer is too far away from simulator RF module is not connected Trying to communicate with a different simulator Multiple simulators are on at the same time 56 User Guide Premie HAL Turn off the software and plug charger adapter to the simulator The charger s LED will turn green when the simulator is completely charged Do not turn on the UNI software until the charging process is complete The adapter labeled Power Supply does not recharge the battery Disconnect the Power Supply and follow the charging procedure explained above Get simulator closer to computer Close the UNI software and connect the USB RF module to the tablet computer After clicking the UNI icon select the name of the applicable simulator and click Start On the menu bar go to Setup gt O
34. n and receive feedback on the CPR window Cardiac Use the Detail tab parameter controls to change the audible heart tones on the simulator Heart sounds are synchronized with the heart rate and selectable cardiac rhythms ECG MONITORING AND ELECTRICAL THERAPY Conductive skin sites allow the attachment of real EKG electrodes This feature permits the provider to track cardiac rhythms with real medical equipment just like with a human patient Use the virtual shock panel to simulate the administration of electrical therapy via software To enable the virtual shock panel feature go to the digital UNI User Guide under software Menu Help Instructional Manual Warning Do not physically pace or defibrillate Premie HAL with real medical equipment Doing so will damage the electrical components From the CPR trainer window monitor the cadence and force of chest compressions applied by the provider For more information on the CPR trainer go to digital UNI User Guide under Menu Help Instruction Manual Circulation an yr umbilical and femoral are dependent on blood pressure INTRAVENOUS ACCESS Bilateral IV training arms allow for intravenous infusions as well as drawing fluids Use a flashlight to detect veins in the dorsum of the hand Premie HAL User Guide 37 will keep the fluid inside the veins 5 Repeat the procedure to fill the IV vasculature on the lower
35. n on an apneic patient The model adjusts the cardiac oxygen saturation and cyanosis dynamically in response to effective ventilations The model also responds to the administration of epinephrine and oxygen UNI Premie HAL p0000001 QUICK START PREMIE HYPOXIA X At i d Improve Gain il IMPROVE adequate oxygen perfusion breathing n OF 9 0 U min DETERIORATE compromised oxygen perfusion apnea E Epinephrine mg Add E dose onboard 0 mg kg Model rate BE IX d Healthy 1 d Mild Cyanosis i k Severe Cyanosis Ree eset h 4 Effective Ventilation Min 30 T f Max 65 Rate TEE PEKERE EE EE Lung Sounds Vol Right Left CARDIAC x M G M M E x WM TR c o e VIRTUAL MONITOR PALETTE SCENARIO BRANCHSCENARIO HYPOXIA LAB CPR PROVIDER ACTIONS Heart Sound Vol LOG A e DR x j CRT dn Omen o The hypoxia model options improve or deteriorate the cardiac and respiratory vital signs gradually e Pause Model will pause at the current state e Improve Trend the vital signs to a healthy state e Deteriorate Trend the vital signs to a severe cyanotic state Ventilations are detected when the respiratory rate is at O CYANOSIS LEVELS Select the cyanosis level to move to any of the following states immediately e Healthy
36. nd select to any command communicating with a FIXED Then enter the simulator s even that blin different simulator serial number in the text box king communica Finally restart the software tion indicator is consistently green Premie HAL User Guide 57 Get simulator closer to computer or move away from obstructions Distance between computer and simulator is reaching its limit Commands are taking longer than usual to take effect or simulator is not reporting every action blinking communication indicator is con sistently yellow Or there are too many obstructions between walls etc There s too much RF interference either from another Gaumard tetherless simulator in the vicinity or an RF radiator UNI has set the power mode to STAND BY automatically The battery on the simulator is depleted RF module not connected RF module not found message is displayed when UNI is started RF module not identified by the computer Chest compressions are not properly detected or not Is the communication indicator panel consistently yellow 58 User Guide Premie HAL Try changing the RF channel by going to the menu for Setup gt Options gt Environment Select Auto change to channel f number from 1 11 Turn off the software and plug charger adapter to the simulator The charger s LED will turn green when the simulator is completely charged
37. ons 8 User Guide Premie HAL Overall Warnings Remember that damage caused by misuse is not covered by your warranty It is critical to understand and comply with the following guidelines Additional warnings are found throughout the documentation If the simulator will not be used for an extended period re charge the battery at least once every 60 days to prevent damage Do not attempt to intubate without lubricating the airway adjunct with a silicone oil lubricant provided Failure to do so will make intubation very difficult and is likely to result in damage NEVER disconnect the communications module while the UNI software is running The software will halt and the module may be damaged When simulating drug administration via endotracheal tube providers must use an empty syringe Passing liquids into the trachea or esophagus may cause internal damage Premie HAL should be cleaned with a cloth dampened with diluted liquid dishwashing soap If medical adhesives remain on the skin clean with alcohol wipes DO NOT USE GOO GONE as the citric acid in the formula will cause pitting of the various materials comprising your simulator Store Premie HAL in a cool dry place Extended storage above 85 degrees Fahrenheit 29 Celsius will cause the simulator to soften and slowly warp It is acceptable to operate Premie HAL at an ambient temperature of 95 degrees Fahrenheit 35 Celsius Premie HAL is
38. or defibrillate Premie HAL with real electrical equipment The Gaumard User Interface features a virtual electrical therapy function to simulate defibrillation or pacing 10 User Guide Premie HAL Getting Started Premie HAL User Guide 11 Overview ce c Tetherless and fully responsive even while being transported Powered from an internal rechargeable battery or wall outlet using power adapter Battery capable of 300 recharges and Simulator receives commands from a wireless tablet PC and operate at distances up to 150 feet Option to operate automatically using Automatic mode or manually by the Instructor Training Guide with both basic and advanced interactive scenarios Use pre programmed scenarios modify them or create your own quickly and easily Installation and training worldwide Simulation Made Easy AIRWAY Oral and nasal intubation Use an ET tube or LMA Unilateral chest rise with right main stem intubation Multiple upper airway sounds synchronized with breathing ESS Color responds to hypoxic events and interventions healthy mild cyanosis severe cyanosis 12 User Guide Premie HAL ae Control rate and depth of respiration and observe chest rise Ventilation is measured and logged Select independent left and right lung sounds Chest rise and lung sounds are synchronized with selectable breathing patterns Accommodates assisted ventilation including
39. ped from Gaumard to the customer Gaumard will at Gaumard s option repair or replace the Gaumard product This limited warranty covers all defects in material and workmanship in the Gaumard product except Damage resulting from accident misuse abuse neglect or unintended use of the Gaumard product Damage resulting from failure to properly maintain the Gaumard product in accordance with Gaumard product instructions including failure to property clean the Gaumard product and Damage resulting from a repair or attempted repair of the Gaumard product by anyone other than Gaumard or a Gaumard representative This one year limited warranty is the sole and exclusive warranty provided by Gaumard for the accompanying Gaumard product and Gaumard hereby explicitly disclaims the implied warranties of merchantability satisfactory quality and fitness for a particular purpose Except for the limited obligations specifically set forth in this one year limited warranty Gaumard will not be liable for any direct indirect special incidental or consequential damages whether based on contract tort or any other legal theory regardless of whether Gaumard has been advised of the possibilities of such damages Some jurisdictions do not allow disclaimers of implied warranties or the exclusion or limitation of consequential damages so the above disclaimers and exclusions may not apply and the first purchaser may have other legal rights This limited wa
40. percent are different than O Try breathing changing the respiration rate to a different value and if still nothing happens try turning the restart the simulator Premie HAL User Guide 59 scenarios don t show up A sound is Volume not set to absent or is not user s criterion heard at desired volume level 60 User Guide Premie HAL when starting the software Should user forget to do so there s no need to shut down the software and open it again in order to load the pre built scenarios Go to File Profile menu and then select Modeled Scenarios Every sound has a volume control Play with the volume control to get it to the desired level Wireless Network UNI generates the vital signs information displayed on the virtual monitor PC The information is transmitted through a wireless ad hoc connection between the two computers in real time The wireless settings are configured at the factory so no additional configuration is required Use the Create an ad hoc Wireless network tool to configure the wireless ad hoc link between the two computers Then configure the connection between UNI and the Gaumard Monitors software Complete the next steps using the Controller Create Ad Hoc Wireless Network tool built in to UNI software 1 From the menu bar go to Help Create ad hoc Wireless Network The Controller Create Ad hoc Wireless Network window is displayed 2 Sel
41. ples Features unique to this mode include a comprehensive list of drugs for easy administration a drug profile editor for adding new drugs or editing existing ones among other things Facilitator the person conducting the simulation an instructor or lab staff member GUI the Gaumard User Interface is the software application used to control the simulator and evaluate care providers Palette a collection of Palette Items Each profile has its own palette Palette Item Any full or partial set of physiological parameters that have been grouped and saved together under a single name Profile a unique Premie HAL software configuration including custom Palette Scenarios and options Each Profile acts as a separate program in that changes 14 User Guide Premie HAL made to one profile have no effect on the others Provider a person participating in the simulation as a healthcare provider Scenario a saved sequence of physiological states like a playlist Scenarios provide a level of automation that unburdens the facilitator and allows standardized presentation of symptoms Scenario Item a Palette Item that is part of a scenario Scenario Items may also represent a fixed delay period Wait or a pause Wait Indefinitely Stylus a special pointing device for the tablet computer The stylus is the fastest and easiest means of controlling the Premie HAL software See the Equipm
42. ptional Other ETC Pro Optional Audio Video recording and debriefing Gaumard Virtual Monitor Optional Premie HAL User Guide 35 Airway Premie HAL s airway can be intubated orally using LMA or endotracheal tubes Intubate nasally using a nasogastric tube for placement exercises Recommended Procedure i Device Size Intubation Miller 0 Blade size LMA Size 1 Nasal 8 Fr catheter Intubation Oral ETT 2 5 no cuff 6 Intubation Fr suction catheter Warning Always lubricate tubing airway and nasal opening prior to performing any nasal or oral intubation Failure to do so will make intubation very difficult and is likely to result in damage Do not insert liquids or spray Silicone oil into the mouth and airway Use the Detail tab parameter controls to change the upper airway sounds on the simulator 36 User Guide Premie HAL Simulate suction technique Breathing Use the Detail tab parameter controls to change the simulator s respiratory pattern LUNG SOUNDS Use the Detail tab parameter controls to change the audible respiratory sounds on the simulator BILATERAL CHEST RISE Set the respiratory rate higher than zero to enable automatic bilateral chest rise and fall Disable the right or left lung individually Ventilate the simulator using a bag valve mask or a mechanical ventilator Set the respiratory rate to 0 to display chest rise during ventilatio
43. ptions gt Environment and select FIXED Then enter the simulator s serial number in the text box Finally restart the software Select different channels for each of the simulators and then turn them on one at a time meaning Wait until a link has been established between the tablet and the simulator the yellow window goes away Only after that start running the UNI software in the second tablet and so on for the rest of the simulators To do so go to menu Setup gt Options gt Environment Select Auto change to channel ft number from 1 11 All others Close the UNI software and unplug the RF module for at least 5 seconds then plug it back in Restart the software and wait for initialization On the menu bar go to Setup gt Options gt Environment and select FIXED Then enter the simulator s serial number in the text box Finally restart the software Simulator Battery not charged Turn off the software and unplug doesn t run for charger requires reset charger adapter from the wall and the time the simulator for 1 minute specified on the Reconnect the charger to the wall manual and the simulator Unplug the charger when the chargers LED turns green indicating that the simulator is completely charged Do not turn on the UNI software until the charging process is complete Simulator The computer is On the menu bar go to Setup gt doesn t respond properly Options Environment a
44. puters are connected to the GaumardNet network using Windows wireless connection menu If the computers are not connected select the GaumardNet network and click Connect manually Currently connected to M Identifying GaumardNet No Internet access Wireless Network Connection 2 GaumardNet simcenter Gaumard GuestNet 2WIREL159 Santex Other Network Open Network and Sharing Center 2 Start the UNI control software 3 On the UNI menu bar click Monitors Configuration The HAL Virtual Monitor Setup window is displayed on the UNI menu bar click X Monitors Configuration The HAL Virtual Monitor Setup window is displayed Virtual Monitor Setup Configure and broadcast the simulator s vital signs over a wireless network Select the number of Gaumard Monitor computers that display this simulator s vital signs Also enter a name and description for each 1 Bl monitor connection instance i C All sensors always ON Network Status connected Network Name GaumardNet Controller Name GMRDOO3 PC IP Type automatic Adapter Wireless Network Connection 2 refesh IP 192 168 55 145 v Port 8001 lt find avail Connect Connected to 4 Set the adapter to Wireless network connection 5 Verify the network status and network name then click Connect to begin Premie HAL User Guide 63 transmit
45. rranty applies only to the first purchaser of the product and is not transferable Any subsequent purchasers or users of the product acquire the product as is and this limited warranty does not apply This limited warranty applies only to the products manufactured and produced by Gaumard This limited warranty does not apply to any products provided along with the Gaumard product that are manufactured by third parties For example third party products such as computers desktop laptop tablet or handheld and monitors standard or touch screen are not covered 66 User Guide Premie HAL by this limited warranty Gaumard does not provide any warranty express or implied with respect to any third party products Defects in third party products are covered exclusively by the warranty if any provided by the third party Any waiver or amendment of this warranty must be in writing and signed by an officer of Gaumard In the event of a perceived defect in material or workmanship of the Gaumard product the first purchaser must Contact Gaumard and request authorization to return the Gaumard product Do NOT return the Gaumard product to Gaumard without prior authorization Upon receiving authorization from Gaumard send the Gaumard product along with copies of 1 the original bill of sale or receipt and 2 this limited warranty document to Gaumard at 14700 SW 136 Street Miami FL 33196 5691 USA If the necessary repairs to the G
46. st the blood pressure automatically To activate the operating mode as an upgrade option go to the digital UNI user guide OPERATING MODE Automatic DESCRIPTION Default Modeling Scenarios PROFILES Meds Profile Quick Start Hal Modeling New Profile Rename Delete h C Program Files HALG Scientific UNI profiles Se Premie HAL User Guide 23 The Automatic mode includes the following built in profiles Default Modeling includes one palette with healthy vital signs Meds Profile This profile contains a library of pre programmed drugs to be used on simulations Quick Start Newborn Hal Modeling includes a library of scenarios configured for the Automatic operating mode Use the Manage Profile Menu to create a new profile and edit this profile In addition the profile folder location wil be shown below the New Profile icon C Program Files x86 Gaumard Scentific UNT profiles Use the Map Profiles folder icon to select the location of the new profile to be created on the server 24 User Guide Premie HAL Noelle 57X 100 Profiles 4 amp Local Disk C gt di dell A Drivers b A Hotfix p A Intel gt NVIDIA A PerfLogs b A Program Files P Program Files x86 SimFact m Select the server location and click Make New Folder to create the profile folder Noelle 57X 100 Profiles 4 amp
47. te were changed from zero what sound would be heard Assuming that the lungs themselves are normal in this scenario you would choose normal for the lung sound setting Then as the scenario progresses if the patient starts breathing there will be no need to set the lung sound again It will already be set The same principle applies to the heart sound and other settings 2 Include notes to guide the facilitator during the simulation It is common for scenario designers especially those who act as facilitators to neglect the importance of notes in the scenario They think that they will remember the learning objectives patient history and other details at the time they are ready to conduct the simulation They usually do not especially when revisiting a scenario months after creating it When you add Wait and Wait Indefinitely steps to a scenario you have an opportunity to edit the item description Use this description field to hold notes to the facilitator Typically scenario designers write notes in that space to indicate what the provider s or facilitator should be doing at that point Further when saving the scenario you may edit the scenario description This is the best place to put patient history and any other longer notes and instructions 3 Assume that providers will do the right thing Usually a scenario should be created with the assumption that the providers will perform correctly As long as they do the s
48. tents CR e current of Quick Start Noelle 57X 100 Enable the PIN protection to prevent unauthorized users from accessing Premie HAL User Guide 25 UNI Interface The UNI software is used control the simulator monitor the vital signs and evaluate the provider s performance The simulation technician or instructor carrying out the simulation operates the UNI software The UNI control elements and scenario programming procedures are consistent throughout the Gaumard family of high fidelity simulators Some software controls and features covered in this guide may be hidden depending on the simulator s hardware configuration and optional upgrades UNI Premie HAL p0000001 QUICK START PREMIE 3 VIRTUAL MONITOR s CEPHALIC Cyanosis 0 WAY 1 Throat Sound Vol Bud Crying off x O BREATHING Chest Rise L on Resp Pattern normal RR 55 bpm x Insp 96 20 x EtCO2 35 mmHg Lung Sounds Vol Right normal 2 Left normal 2 NR EKG Sinus 5 09 2014 HR 160 bpm VIRTUAL MONITOR PALETTE SCENARIO BRANCHSCENARIO HYPOXIA LAB CPR PROVIDER ACTIONS Heart Sound Vol lli normal 2 x gt CIRCULATION Temp 36 8 C Blood Glucose 70 mg dL CRT 2 sec L m H ig Auto E BOO dl M oo 00 34 b E there is no communication with the simulator and battery information cannot be retrieved B
49. ter 2 Disconnect the Charger and connect the Power Supply adapter 3 Activate the UNI software 4 The UNI battery icon will display a lightning icon when the power supply is connected Please contact Gaumard for information on the power supply upgrade for earlier Premie HAL models 18 User Guide Premie HAL Virtual Monitor The optional virtual patient vital sign monitor system works with UNI to receive and display the simulator s vital sign information The system includes an all in one touchscreen computer and the Gaumard Virtual Monitor software Please refer to the documentation included with the all in one computer for important safety installation and start up information Secure all the system s connection and power on the touchscreen computer as indicated by the product s documentation WIRELESS AD HOC CONNECTIVITY The tablet and virtual monitor computer automatically establish an ad hoc computer to computer wireless connection at startup The wireless connection between both systems allows UNI to update the vital signs information displayed on the Gaumard Monitors program To verify the connection between the computers click on the wireless icon located on the task tray of both the tablet and virtual monitor For troubleshooting information on the ad hoc connectivity navigate to the Appendix Currently connected to gt Unidentified network No Internet access Wirel
50. ting the vital signs information 6 Write down the Controller Name and Port number 7 Start the Gaumard Monitors software on the virtual monitor PC 8 Click the V menu near the top left corner and then select Comm Setup The TCP Comm Setup window is displayed Wireless Communication Setup If the communication has not been established please enter the name or IP address and port number selected on the controlling computer Noelle Network Status Connected rame Network Name Controller Name peer 9 Click Connect to accept the incoming connection Wireless Communication Setup If the communication has not been established please enter the name or IP address and port number selected on the controling computer Noelle Network Status Connected connected Network Name IP Type Automatic Port 8001 E Controller Name IGMRDOO 3 PC Show IP To connect both computers using a local internet network follow the steps below 1 Verify that both computers have applied Set Wireless Network Dynamic Refer to UNI and Gaumard Monitors network configuration sections for instructions 2 Disconnect both computers to the GaumardNet network and connect them to the local network manually using Windows wireless connection menu 3 Repeat the same steps listed above to connect the UNI 64 User Guide Premie HAL software to t
51. ts reserved C 68 User Guide Premie HAL
52. vironment and UNI 2 WIFI enabled cameras 1 motorized 180 view USB camera and carrying case For more information on using the Pro system refer to the documentation included with the upgrade option Premie HAL User Guide 41 Appendix 42 User Guide Premie HAL More about Scenarios Factory Preset Scenarios Scenario Title Name Scenario Operating Type mode 1 Diabetic Mother Diabetic Mother Branching Manual 2 Ductal Dependant Heart HLHS Linear Manual Lesion 3 Group B Sepsis and Group B Sepsis Branching Manual Secondary Apnea 4 Hyaline Membrane HMD Linear Manual Disease 5 Meconium Aspiration Meconium Branching Manual and Pneumonia Aspiration 6 Necrotizing Enterocolitis NEC Branching Manual 7 Normal Normal Branching Manual 8 Patent Ductus PDA Branching Manual Arteriosus 9 Pneumothorax Pneumothorax Linear Manual 1 Adenosine OD Adenosine OD Linear Automatic 2 Adenosine SD Adenosine SD Linear Automatic 3 Adenosine UD Adenosine UD Linear Automatic Premie HAL User Guide 43 Gaumard Premie HAL rar EE Diabetic Mother thirty two week infant is born to a 23 year old insulin dependant mother who was diagnosed at age 21 She is classified as Type B and has been followed in the high risk clinic Suction and stimulation have already been applied Begin BVM with O2 Wait indefinitely for action Transfer to NICU Treat for RDS Give
53. yright laws and international treaty provisions Therefore you must treat this Software like any other copyrighted material You may not make this Software or copies thereof available in any manner or form or use copy or transfer the Software in whole or in part except as provided herein 3 Other Restrictions You may not rent or lease this Software to any other party You may not alter merge modify adapt reverse engineer decompile or disassemble the software or disclose the contents of this Software to any other party 4 Electronic Transmission of Software If you received the Software by electronic transmission or by Internet delivery by installation of the Software you acknowledge that you have read and understand this license agreement and agree to be bound by its terms and conditions 5 Term of Agreement The term of this Agreement and the license granted to you pursuant hereto shall commence upon installation of this Software This Agreement and the license granted herein may otherwise be terminated by Gaumard in the event that you are in breach of any provision of this Agreement In the event of termination you agree to immediately return this Software accompanying items and any copies thereof to Gaumard 6 LIMITED WARRANTY A THE CD ROM MEDIA THE MEDIA WHICH CONTAINS THIS SOFTWARE IS WARRANTED FOR A PERIOD OF 30 DAYS FROM THE DATE Premie HAL User Guide 5 OF PURCHASE TO BE FREE FROM DEFECTS IN MATERI
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