Simulation Nuts and Bolts: Beginner

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Simulation Nuts and Bolts Beginners Basics HPS
Family

• Presented by
• Dawn M. McCarthy-Hale

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HPS Human Patient SimulatorHigh Fidelity, most
sophisticated lung modeling with oxygen
intake-not portable.

• Sophisticated Lung Model
• Oxygen Consumption
• Exhalation of CO2
• Mix of N2 and O2 in Lungs
• Automatic Reactive Eyes
• Bar-Coded Drug Recognition
• Peripheral Nerve Stimulator/Thumb Twitch
• Uptake and elimination of anesthetic gasses
• Connects to O2, CO2, N2 and Compressed Air
• Available Adult and Pediatric models

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PediaSIM HPS

• Dylan HPS PediaSIM

• 6-8 Year Old Child

• Sophisticated Lung Model
• Oxygen Consumption
• Exhalation of CO2
• Mix of N2 and O2 in Lungs
• Automatic Reactive Eyes
• Bar-Coded Drug Recognition
• Uptake and elimination of anesthetic gasses
• Connects to O2, CO2, N2 and Compressed Air
• Available Adult and Pediatric models

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Standard Equipment

• Adult or Pediatric Mannequin
• Control Rack
• Instructors Workstation (Mac Desktop)
• Choice of Waveform Display Monitor or Full
  Function Monitor Interface
• Wireless Microphone
• Replacement Kit Spare Parts bag.
• METI Transformer Kit (Standard for 010)
• HPS Software V6 HPS Software
• 32 Patient Profiles and 60 Pre-programmed SCEs
  (Simulated Clinical Experiences) along with Drug
  Library

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HPS Things To Plug In

• Things to plug in
• Green O2
• Black N2
• Grey CO2
• Yellow Air Compressor or plumbed air
• Electrical Port
• Umbilical Source for fluid GU and Blood
• Lungs 2-Clear tubes with grey and black
  connectors
• Ethernet Ok for any of three ports
• Fluids R-Right and L-Left-Trauma
• Monitor Plug into Desktop Computer (If using
  ICU monitor, plug into Monitor Interface on rack)
• Bar Code Reader Optional if Purchased

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HPS Fluids GU Fed Through HPS System Rack

• Find GU Pump on back of rack.
• The tube hanging from the left side of pump has a
  plastic quick connect. Connect this to the
  Orange/Red GU source of umbilical. (will be
  labeled)
• Connect IV bag filled with (pre-colored)
  distilled water to tubing coming from right side
  of pump.
• Pump will push fluid from IV bag into GU source
  when rack is turned on.
• This fluid will come out of anatomy of mannequin.
  

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HPS Fluids Trauma and BloodGravity Fed through
IV bag

• Find IV source on umbilical on back of rack.
• If Older HPS model IV fluid source inlet is thin
  clear tube.
• If Newer HPS model IV fluid source inlet is thin
  Blue tube.
• Pericardiocentesis and Chest Tubes fill through
  White Trauma Tube labeled Trauma In located on
  pneumatic connector on the right side.
• Secretions eyes, ears and mouth
• See your sales person regarding the TDCK for more
  secretions and bleeding.

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Removing Fluids From HPS

• GU All simulated urine will come out directly
  from simulator anatomy. Be sure to push clear
  fluids through GU source to empty all colored
  fluid when done.
• Blood IV Blood is removed from Drug Rec Out
  tube located in back of rack on umbilical.
• Trauma Chest Tube and Pericardiocentesis fluids
  are removed from the source of those procedural
  areas, located on the simulator. Use syringe to
  pull excess fluids from source. Then flush clear
  distilled water through Trauma source again to be
  sure any colored fluids have been flushed out,
  again removing fluid through Trauma site. Then
  flush Trauma Source tube with air to ensure
  complete removal of any remaining fluids.

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HPS Proper IV/Fluid Line Care

• Use clear distilled water to flush all tubes
  after a colored fluid has been administered.
  Follow clear fluid flushing with air. This will
  push all remaining fluids out of tubes lessoning
  risks for cracks and build up. For best results
  use 60cc syringe.
• Every 3-4 months flush lines using 1-tsp white
  vinegar to 1 gal of distilled water, followed by
  flushed air to keep all IV lines healthy without
  cracking and build up.

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Powering Up HPSABCs of Getting Started

• Model number (IP address) should appear within
  seconds. Highlight model number (i.e., HPS 976)
• If HPS IP address does not appear, shut down
  system and try again, check all hoses for proper
  connection and re-start system.
• A. Plug in Air
• HPS Plug yellow air hose into back of rack.
• Click the connect button (at bottom of
• connect window on computer.
• NOTE Attaching yellow hose is always the
• last thing to do before connecting patient

• A. Turn on Gasses/Air
• Be sure tanks are chained or secured to the wall
  according to Code. N2, CO2, and O2 should be
  connected to back of rack.
• Turn air compressor on for HPS if plumbed air not
  available. Make sure air NOT connected to back
  of rack.
• All gas/air pressure should be set at 50 PSI
• B. Turn on Rack/Box
• (On/Off Switch located bottom left corner in
  front-do not use feet)
• C. Computer Workstation
• Turn on Computer
• Click on HPS Launcher (password HPS) and open
  patient

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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.

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Products I Can Use With My HPS

• 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 and Alcohol Pads for tough adhesives
• 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
• Foods including soups etc

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Products I Cannot Use With My HPS

• 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
• Find authorized Recipes for disaster tips at
• http//www.meti.com/mymeti_recipe.htm

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HPS Supported Patient Monitoring

• ECG (5 Lead)
• Arterial Blood Pressure (ABP)
• Pulmonary Arterial Pressure (PAP)
• Central Venous Pressure (CVP)
• Intracranial Pressure (ICP)
• Noninvasive Blood Pressure (NIBP)
• Thermodilution Cardiac Output
• Pulse Oximetry
• Temperature (Core and Body)
• Respiratory Gasses

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HPS Connects to Standard Medical Equpment

• Anesthesia Machines
• Patient Monitors
• Ventilators
• Defibrillators
• And more! (contact sales manager and website for
  more info)
• High Fidelity Features
• Capnograh and Spirometry
• Respiratory Suction Machines

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Optional Equipment For My HPS

• Drug Recognition System (included by sales
  manager)
• Gas Accessory Kit (included by sales manager)
• Instructors Wireless Remote Control (Mac Laptop)
• PediaSIM Plug and Play Mannequin
• Tool Kit
• Full-Functioning Monitor Interface and monitor
  interface kit
• Trauma/Disaster Casualty Kit (TDCK), including
  Moulage Kit
• PNCI and other Learning Modules
• Hard copy of manual

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Clinical Supplies For HPSRecommended Sizes
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Tips and Tricks for HPS

• X-Ray
• Load X-rays from thumb drive to desk top and open
  when called for in SCE
• 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
• Cut a hole in the mattress of the bed and tuck
  umbilical through the hole and under bed so it
  cannot be seen by the eye. Make sure the bend
  does not crimp any hoses for fluid and air.
• From mannequin to umbilical is approximately 8ft.
  Umbilical cannot be longer as it decreases
  realism of time by slower transfer of fluids and
  air/gasses.
• Please Visit METI Forum at www.meti.com for more
  information from other users.
• For recipes for disaster and moulage tips visit
  http//www.meti.com/mymeti_recipe.htm

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Wireless Microphone

• Hook Up Information
• Make sure batteries are in hand held portion of
  wireless microphone.
• Turn switch on
• On 2nd shelf inside HPS Rack is Gemini UF Black
  box with on off button as well as channel and
  volume controls.
• Be sure this the box inside the rack is on
• Batteries AA

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HPS Replacement Items

• Right Arm IV Skin
• IV Vein Splice Kit
• 140cc Syringe
• Chest tube
• Chest Tube Foam Insert
• Chest Tube Receptacles
• Chest Tube Priming Hose
• Silicone Lubricant
• 2 Wide Red Airway Tape
• Interchangeable Female/Male Genitalia
• Neck Skins

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More HPS Replacement Items

• Manual Blood Pressure Adapter
• Intraosseous Infusion included in Ped Kit
• 4ft Roll of VHB Tape
• Tension Pneumothorax Cap included in Ped Kit
• Baby Sim Secretions Adapter included in Ped Kit
• Diagnostic Peritoneal Lavage (DPL)
• DPL Abdominal Insert
• Standard Abdominal Insert

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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

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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

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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

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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.

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HPSN

• Free Conference with over 100 workshops to attend
  
• additional training at a fraction of the price.
• www.meti.com.

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Contact Information

• Rush Goodson
• Texas and Oklahoma

• Dave Carlson
• Arizona, Colorado, New Mexico and Utah

• Rush Goodson Divisional Sales Manager
• Cell 941-504-1713
• Email Rgoodson_at_meti.com
• Dawn M. McCarthy-Hale
• Divisional Product Specialist
• Cell 941-504-8876
• Fax [phone]
• Email Dmccarthy_at_meti.com
• Customer Support Office 941-342-5605
• Web
  www.meti.com

• Dave Carlson Divisional Sales Mngr
• Cell 941-504-5508
• Email Dcarlson_at_meti.com
• Stacy Zabel
• Divisional Product Specialist
• Cell 941-504-9192
• Fax [phone]
• Email Szabel_at_meti.com
• Toll Free 866-462-7920 Email
  Support_at_meti.com
• Visit METI Blog Under My METI Tab