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UCRH Simulation

Contents Introduction to UCRH Simulation Centres .............................................................................................. 2

About this guide ...................................................................................................................................... 2

Equipment Guide .................................................................................................................................... 3

Quick Reference Guide for Starting Simulation ...................................................................................... 6

1. Starting Manikin ...................................................................................................................... 6

2. Preparing Sim Man .................................................................................................................. 6

3. Setup the Patient PC Monitor ................................................................................................. 6

4. Setup the Instructor PC ........................................................................................................... 6

5. Setup Simview Recording ........................................................................................................ 7

Quick Reference Guide for System Shutdown on Completion of Scenario ............................................ 7

1. Draining the Fluid /Blood ............................................................................................................ 7

2. Cleaning the Blood and Fluid System .......................................................................................... 7

3. Shutting Down the Manikin and Laptops .................................................................................... 7

Filling and Emptying SimMan (Compressor in leg model) ...................................................................... 8

Using SimMan Manikins and SimView Recording. ................................................................................ 11

Using Simpad Controlled Manikins and Simview Recording. ............................................................... 17

SimMan Troubleshooting ...................................................................................................................... 22

1. Simulation Room Start up Flow Diagram .............................................................................. 25

2. Control Room Start up Flow Diagram ................................................................................... 26

3. Power and Network Setup Flow Diagram ............................................................................. 27

Resusci Anne Wireless Skill Reporter .................................................................................................... 28

SimNewB Setup and Use ....................................................................................................................... 34

Using Simview by Laerdal. .................................................................................................................... 36

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Introduction to UCRH Simulation Centres

The UCRH Simulation Centres are located at Lismore, Murwillumbah and Grafton to provide medical training facilities to both the students of UCRH and staff at Northern NSW Local Health Network (NNSWLHN).

Each location is equipped with modern simulation technologies including the ability to record and review simulations to assist in achieving learning outcomes.

Each simulation centre is setup similar to what students and staff can expect to experience working in hospitals as well as specialised equipment for medical simulation including a variety of Laerdal manikins.

Video and audio recording is available at all locations utilising the The Laerdal Simview system. This allows you to record simulations and then stream to other locations for other students or staff to watch and participate or watch the simulation at a later date, (if you plan to do this ensure you save your recording.) Live streaming is also available if required and details are on pages 8-14.

About this guide

This guide contains information to assist you in using the UCRH Simulation Centres. It is broken up into areas to make finding the information you need easier.

The first section Equipment Guide details the different types of equipment used to conduct scenarios including various manikins and control devices.

The next 2 sections contain details about steps required to start a basic scenario and also information on what to do at the completion of the scenario (System Shutdown).

The following 2 sections contain details for using manikins and recording the scenarios using the Laerdal Simview system. Details for utilising the debrief function is also contained in this section of document.

The final section contains troubling shooting information including flow diagrams and contact details for further support if required.

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Equipment Guide

Simpad Accessories

The Simpad Link box is used to connect the simpad, patient monitor and the manikin. It utilises a wireless network which other equipment connects to.

Simpad

The SimPad is a hand held tablet that controls and monitors Laerdal manikins including Mega Code Kelly.

Instructor Application

The Instructor Application is used to control SimMan Manikins. The application is available on desktop PCs in control rooms but is also available on laptops for a more portable setup.

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Patient Monitors

The Patient monitors used in UCRH Simulation Centres are wall mounted all in one PC with touch screens or Lenovo Tablets with touch screens and reversible screens. Patient monitors can be used with both Simpad controlled manikins and Instructor Application controlled manikins.

SimMan Manikins

SimMan manikins are an advanced patient simulation system that facilitates training of Basic and Advanced Life Support. SimMan manikins are controlled from the Laerdal Instructor Application.

SimView Recording and Debrief System

SimView™ is an integrated debriefing solution that captures and records audio and video of simulation and other learning activities. Each simulation action can be recorded, studied, replayed and logged to give you and learners every opportunity to evaluate each learning experience completely.

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SimNewB - Advanced

SimNewB is an interactive simulator with realistic new born traits and clinical feedback. It is controlled from an Instructor Application similar to SimMan

Mega Code Manikins

Full-body manikins designed for the practice of advanced, difficult and obstructed airway scenarios and IV therapy. Mega Code Kelly and Mega Code Kid are available at UCRH Simulation sites. Other manikins include

Network Camera

AXIS P5534 PTZ Dome Network Camera

Audio Recording Unit

Resusci Anne Manikins

The Resusci Anne CPR-D is an adult CPR training manikin focusing on performance and skill in CPR and defibrillation actions during the scenario.

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Quick Reference Guide for Starting Simulation

1. Starting Manikin a. Locate the power panel on the right hip of the manikin plug in the power adaptor and press

the on button to power on the manikin b. Wait approximately two minutes until the manikin is breathing and the chest rise commences

before moving onto next step. c. See troubleshooting guide if problems are encountered

2. Preparing Sim Man a. Connect SpO2 probe b. Put blood pressure cuff on left arm- connect tube to BP (port located left side down from

axilla) c. If fluid or blood is required for the scenario roll the right leg skin down to expose the fill

panel. d. Fluid- Fill the fluid (distilled water only) bottle and tighten cap e. Connect the blue tube from the bottle to the appropriate fluid inlet located on the fill panel

(R leg), and the black tube to the air inlet. f. Push the fill button on the panel. The button will light up and fluid will flow into the manikin. g. When the flow stops disconnect the fluid bottle h. Push the fill button on the panel -the light will go out i. Blood- Fill the blood (distilled water only and 5-10 drops of Laerdal Blood coloured

concentrate) bottle and tighten cap j. Connect the red tube from the bottle to the appropriate fluid inlet located on the fill panel (R

leg), and the black tube to the air inlet. k. Push the fill button on the panel. The button will light up and fluid will flow into the manikin. l. When the flow stops disconnect the fluid bottle m. Push the fill button on the panel -the light will go out

3. Setup the Patient PC Monitor a. Tap screen to start or power on patient monitor PC if required. b. Start Patient Monitor application c. Select the manikin to connect to. If manikin not in list ensure that patient monitor PC is

connected to SimMan wireless network, see SimMan Troubleshooting guide for more details

4. Setup the Instructor PC a. Ensure that headset is plugged in to Instructor Application PC b. Start Instructor Application PC if required. c. Start the Instructor Application software located on the. d. The Voice Conference Application opens automatically. e. In the voice conference application select options and ensure that headphones are selected

as device for speakers and microphones f. Select required Sim man 3G manikin to connect to g. Select either Auto mode or Instructor mode h. Select the required patient case or scenario

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5. Setup Simview Recording a. Prior to commencing session ensure that required cameras and patient monitor are

selected. b. Recording will commence when SimMan is started. c. Select Debrief option when completing session to save recording.

Quick Reference Guide for System Shutdown on Completion of Scenario

1. Draining the Fluid /Blood a. Connect the empty fluid or blood bottle to the air and fluid/blood connectors in the right

leg panel b. Fluid from the internal reservoir will drain into the bottle c. When the flow stops disconnect the fluid and air connectors

2. Cleaning the Blood and Fluid System a. After using the fluid or blood system to prevent the build-up of residue it must be

cleaned. b. Leave any wounds used connected throughout the cleaning process c. Ensure the manikin’s power is on and the internal reservoirs have been drained. d. Fill a bottle with 60% Isopropanol or 70% Ethanol e. Connect the bottle to either the blood or fluid inlet and air inlet f. Push the fill button. The button will light up and fluid will flow into the manikin. g. Starting with the fluid inlet-From the Instructors PC open the Circulation and fluids tab,

check secretions box for urine and then select polyuria. Check the secretions boxes for Sweat, Ears, Eyes and Mouth if applicable.

h. Allow the fluid system to flush with solution until the internal reservoir is empty- then uncheck all of the secretions boxes

i. Blood system- From the instructors PC open the circulation and fluids tab, check the boxes for upper and lower port, then select venous from the drop down menus.

j. Move the sliders to the right to maximise bleeding rates. Allow the bleeding system to flush with the solution until the internal reservoir is empty. The system should be flushed repeatedly until the discharge fluids are clear

k. Remove wounds and uncheck boxes

3. Shutting Down the Manikin and Laptops a. Close Patient Monitor application, leave PC turned on b. Close Instructor Application, leave PC turned on c. Turn manikin off at power button d. Open air tank drain valve.

More filling and emptying details are provided on following pages including pictures.

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Filling and Emptying SimMan (Compressor in leg model)

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Using SimMan Manikins and SimView Recording.

SimMan3G in Lismore and SimMan Essential Bleeding at Grafton and Murwillumbah.

Please allow up to 30 minutes setup time.

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Using SimMan Manikins and SimView Recording.

1. In simulation room power on SimMan manikin (switch located on RHS hip of manikin) and wait for manikin to commence breathing. Once manikin is breathing start up Laerdal Patient Monitor application on Patient Monitor PC and select required manikin. See Fig 1 and 2 below. If manikin does not appear in list refer to troubleshooting guide on Page 19.

Fig 1 Patient Monitor Application Icon.

Fig 2 - Manikin Selection for Patient Monitor

2. In control room ensure that both the Instructors PC and Simview server are turned on and are logged in using the provided credentials. Also ensure that the SimRoom Microphone is turned on. See Fig 3

Fig 3 – Sim Room Microphone

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3. It is possible to live stream scenarios/simulations to another location so other staff can view scenario in real time. - Log on to PC in debrief location and turn on projector if available. - To view Simview server double click on icon on desktop or type in address of Simview

server. - Log in to Simview server with following credential

USERNAME – user

PASSWORD – user1234

- Select View and Setup to watch live simulations - Select Home and locate required recordings to view previously recorded simulations.

4. To start the Simview application double click on the Simview icon located on the desktop on Simview Server in control room, to access the desktop on the Simview Server click on the Desktop rectangle located on lower left of screen. See Fig 4 and log in using following credentials

USERNAME – Admin PASSWORD – Laerdal1

Fig 4 – Simview Server Icon

5. Click on View and Setup from top menu to open up recording options.

6. Select the required cameras from the Equipment Configuration and ensure they are positioned correctly, See Fig 5. The Patient Monitor device also needs to be selected if the Patient Monitor is to be recorded.

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Fig 5 SimMan Camera Selection

7. Start Instructor Application on Instructor PC, See Fig 6.

Fig 6 Instructor Application Icon

8. Select required manikin from list and click OK. See Fig 7 below. If manikin does not appear in list refer to troubleshooting guide on Page 19.

Fig 7 Manikin Selection

9. The SimMam3G profile selection window will open be sure that the selected profile is SimView Recording Profile, if not click on Reselect and select required profile. See fig 8 below. Please note if the SimViewRecordingProfile is not selected, Simview recording will not be available.

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Fig 8 Mode and profile selection

10. Click Start Instructor Mode Scenario, then select Healthy Patient 3G and click OK. The Laerdal Voice Conference Application (located in taskbar) will also open at this point to allow communication with student/s thru the manikin speakers and microphone, See Fig 9 below.

Fig 9 Voice Conference Application

11. To customise Scenario start scenario by clicking Start Session (located on bottom left of Instructors Application) and make changes as required. At this point you can either, pause the scenario or allow scenario to continue.

12. If required, restart scenario by pressing spacebar or Start Session button in bottom left hand corner, recording will commence as soon as scenario is started.

13. Press the spacebar to pause session if required.

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14. At the end of the scenario you are able to perform one of the following points, see Fig 10 below. - Quit – Selecting Quit will close application and session without saving the recording - Start New Session – Selecting Start New Session will close current session without

saving and start new session and will recommence recording. - Debrief – Select debrief to open and save recording, see next point for more details

Fig 10 End Session window.

15. After selecting Debrief you will be asked to Log in to Simview server to complete the process, use following credentials.

USERNAME – Admin PASSWORD – Laerdal1

If you do not log in as requested you will be unable to view the recording and will also effect recording of further scenarios

16. Recording will open and required information can be added. If you would like this recording to be saved click on the white star in bottom left hand corner, the star will turn yellow and the recording is now marked as a favourite and will not be deleted. Be advised all other recordings are deleted every 24hrs.

17. To view recording select Home from menu and locate recording to play.

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Using Simpad Controlled Manikins and Simview Recording.

Mega Code Kelly and Sim Junior in Lismore and Mega Code Kid at Grafton and Murwillumbah.

Please allow up to 30 minutes setup time.

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Using Simpad Controlled Manikins and Simview Recording.

1. Power on Simpad, Simpad linkbox and patient monitor PC in simulation room. See Fig 1

Fig 1 – Power on SimPad and Linkbox

2. Select correct linkbox on Simpad. Start patient monitor application and select correct linkbox if required. If there is only one link box in range this will not be required. See Fig 2.

Fig 2 Patient Monitor Link Box Selection 3. Select Automatic mode and required scenario on Simpad and start scenario. See Fig 3

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Fig 3 SimPad Mode Selection.

If required power on Simview server and log on with following credentials.

USERNAME – Admin PASSWORD – Laerdal1

4. Also ensure that Simroom microphone is turned on to enable audio recording see Fig 4.

Fig 4 Sim Microphone

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5. Double click on the Simview icon located on the desktop (see Fig 5) and log in with same username and password as above. Click on View and Setup from top menu to open up recording options.

Fig 5 Simview Icon available on desktop

6. Select required cameras from the Equipment Configuration and ensure they are positioned

correctly, see Fig 6 below. To record the patient monitor a camera must be positioned to capture the image on the patient monitor screen.

Fig 6 Simview Camera Selection

7. To start recording click red start button and recording of audio and video will commence.

8. To Stop recording click Stop button and then select yes when prompted to stop recording.

9. Once stopped your recording will open in a new window, if you wish to save your recording for future reference click on Save from RHS of screen. If you do not Save your recording it will be deleted.

10. To view recording select Home from menu and locate recording to play. 11. If you require this recording to be saved click on the white star in bottom left hand corner,

the star will turn yellow and the recording is now marked as a favourite and will not be deleted.

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12. It is possible to live stream scenarios/simulations to another location so other staff can view scenario in real time. - Log on to PC in debrief location and turn on projector if available. - To view Simview server double click on icon on desktop or type in address of Simview

server. - Log in to Simview server with following credential

USERNAME – user

PASSWORD – user1234

- Select View and Setup to watch live simulations - Select Home and locate required recordings to view previously recorded simulations.

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SimMan Troubleshooting

1. SimMan Manikin will not turn on. - Check that power cord is plugged in correctly into manikin with flat side

of plug facing up. - Check that the lead is plugged into power supply correctly. - Check that the power lead is plugged into power point correctly and that

power point is turned on. - Check power point is operational by using a known working appliance

e.g. desk lamp or fan. - If all above is ok please contact simulation support staff.

For more detail see Page 24, Power Flow Diagram

2. Manikin turns on but will not start breathing. - Check that a previous scenario\session is still not running on Instructors

PC, if so end scenario\session and start required scenario or restart scenario.

- Contact simulation support staff or Laerdal on 1800331565

3. Unable to see SimMan on Patient Monitor PC or Instructor Application PC

- Check that SimMan is visible in list of networks in PC systray. See pic below.

- If not visible check that SimMan is turned on and breathing, refer to 1. SimMan Manikin will not turn on above.

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- If SimMan wireless network is on list click connect to join network. If prompted for password use SimMan or SimMan3G

- If still not able to see SimMan wireless network on Patient Monitor or Instructor Application restart manikin, Patient monitor PC and Instructor Application PC using the correct procedure. See Quick Start Guide on Page 6 for more details.

- If problem persists Contact simulation support staff or Laerdal on 1800331565

4. Unable to use headset to speak/listen to/from SimMan.

- Check that headset is plugged in correctly on Instructors PC. - Check that Voice Conference Application has started on Instructors PC, if

not start from Start menu or desktop. - Check that sound is not muted. - Check that device connected is the same as the one in the Voice

Conference Application if not select device from drop down list. - Restart Instructors PC and application.

- If problem persists Contact simulation support staff or Laerdal on 1800331565

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5. Unable to located scenario in Instructors application

- If the scenario was purchased from Laerdal look in Auto mode when starting Instructors Application. If still unable to locate contact Laerdal Support on 1800331565

- If custom scenario (written by LBH or UCRH Staff) look in Instructor mode when starting Instructor Application

- If still unable to locate search Instructors PC for scenario and browse to location from Instructors Application.

- If still unable to locate contact simulation support staff

6. If SimMans pupils are not reacting/responding

- Has SimMan had a paralysing agent, if so remove and restart or contact simulation support staff

7. Instructor Application unable to connect to Simview server for debrief.

- Open Simview Extensions Manager on Instructors PC and click Test Connection. If the response is in regards to proxy turn proxy off in Internet Options.

- Restart Simview server and Instructors PC and try again.

- If problem persists Contact simulation support staff or Laerdal on 1800331565

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1. Simulation Room Start up Flow Diagram (See Using SimMan Manikins and Simview Recording, page 7)

Start SimMan and

wait 5 minutes.

(See Quick Reference Guide for

more details)

Is SimMan breathing

Check power plug on SimMan and power supply.

(See Troubleshooting

Document)

NO

Start Patient Monitor

Application (See Quick Reference Guide for more

details)

YES

Was Plug and Power Supply

OK

Contact support staff or Laerdal 1800331565

YES

NO

Is SimMan in list

Connect to SimManYES

Check patient Monitor PC is connected to

SimMan wireless network (See

Troubleshooting document)

NO

Was Patient Monitor PC

connected to SimMan wireless network

Connect to SimMan Wireless

network

YES

Simulation Room Start up Flow

Diagram

Is monitor displaying correctly

NO

YES Proceed to Control Room

START

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2. Control Room Start up Flow Diagram (See Using SimMan Manikins and Simview Recording, page 7)

Check That Simview Server, Instructor

Application PC and Sim room microphone are all

turned on.

Control Room Start Up Flow Diagram

Start Simview from server desktop.

Select View and Setup from top menu to select required cameras and

position each camera as required.

Start Instructor Application.

Is SimMan in list

Connect to SimMan3G.YES

Is SimMan Turned on in Simulation

room

NO

Is Instructor Application PC connected to SimMan Wireless

network.

YES

Restart SimMan and Instructor

Application and retry. If Problem persists contact

support staff

YES

Connect to SimMan wireless network.

NO

Is SimView Recording Profile

selected

Select Simview recording Profile.

NO

Start instructor Mode Scenario.

Select Healthy Patient Mode.

Customise scenario as

required.

Turn on SimMan in control room.

YES

Commence scenario.

START

NO

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3. Power and Network Setup Flow Diagram

SimMan Manikin will NOT start up or shuts down unexpectedly

Simman manikin will not start or

shuts down unexpectedly

Was Powwer supply and

manikin correctly

plugged in

Check that the manikin power

supply is plugged in and that plug on manikin is inserted

correctly

Check that power supply is OK by using different

appliance

Was Powwer supply OK

Start Manikin using correct

procedure

Attempt to restart Manikin if still no

go contact LAERDAL on 1800331565

Contact UCRH IT/Maintenance

NO

YES

NOYES

Unable to Connect Patient Monitor to SimMan Manikin

Is required Simman

Manikin in list

Start Patient Monitor

Application

Turn on SimMan Manikin

Is SimMan Manikin turned

on

Connect to SimMan Manikin

YES

NO

Was Connection Successful

YES Commence Scenario

NO

NO

Is Patient Monitor PC

connected to SimMan wireless network

YES

Connect to SimMan Wireless

network

NO

YES

Check PC IP Address (See details below)

Is PC IP Correct

Contact Laerdal Support

1800331565

YESUse correct IP Address

NO

Small Room Bed No1 SimMan3GWireless IP DetailsIP Address 192.168.169.202Subnet – 255.255.255.0Gateway – 192.168.169.254

Small Room Bed No2 SimPad Manikins or SimNewBWireless IP DetailsIP Address 172.26.48.202Subnet – 255.255.0.0Gateway – 172.26.48.252

Large Room Bed No1 SimMan3GWireless IP DetailsIP Address 192.168.169.202Subnet – 255.255.255.0Gateway – 192.168.169.254

Large Room Bed No2 SimPad Manikins OnlyWireless IP DetailsIP Address 192.168.169.202Subnet – 255.255.255.0Gateway – 192.168.169.254

Murwillumbah Patient Monitor DetailsWireless IP DetailsIP Address 192.168.169.202Subnet – 255.255.255.0Gateway – 192.168.169.254

Grafton Patient Monitor DetailsWireless IP DetailsIP Address 192.168.169.202Subnet – 255.255.255.0Gateway – 192.168.169.254

START

START

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Resusci Anne Wireless Skill Reporter

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RESUSCI ANNE WIRELESS SKILL REPORTER

1. Ensure that the Resusci Anne Skill Reporter manikin is used. 2. The application is run from the Instructors Laptop located on control room shelves. The skill

reporter device is located with the instructors laptop. See Pic 1

Pic 1 – Instructors laptop and Resusci Anne Wireless Skill Reporter

3. The Skill Reporter consists of 2 parts, the USB device with aerial plugs into the instructor’s laptop and the other device plugs into the Resusci Anne Skill Reporter Manikin. See Pic 1 above.

4. Plug the manikin device into the RHS torso of the manikin, (you will need to undo jacket).

The lights will flash and the on\off indicator lights on manikin will light up. (See Pic 2) DO NOT TOUCH THE ON|OFF BUTTONS ON THE MANIKIN. If no red light on manikin device check plug is correctly inserted, if ok manikins batteries may need replacing, please see support staff if this is the case.

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Pic 2 – Manikin device plugged into manikin

5. Start the laptop and log in with Username SimMan3G and Password SimMan3G. Plug the USB device into the instructor’s laptop and check that blue light is on, See Pic 3.

Pic 3 – USB Device plugged into instructor’s laptop

6. Start the Resusci Anne Wireless Skill Reporter application from the desktop by double clicking on icon shown in Pic 4.

Pic 4 – Resusci Anne Wireless Skills Reporter

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7. The application will search for connected manikins. Click on OK once manikin is detected. See Pic 5

Pic 5 – Manikin detected

8. The Resusci Anne Wireless Skill Reporter consists of 3 modes, practise, classroom and competition. The practise mode does not record any results. The classroom mode provides students with results and allows them to see what areas they need to improve on. The competition mode allows students to compete against each other. If 2 students get the same score the winner is determined by the speed of transition between compressions and ventilation. The different modes are selected from within the settings screen. See pic 7

The screen layout is similar in all modes, see pic 6 on next page for more details.

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Pic 6 - Resusci Anne Screen Layout

Settings Button. Access settings window by clicking here. See settings section for more details on settings section.

Compression Depth. This area of the screen indicates compression depth. If the depth is correct the number remains green in colour, if the depth is too much or little the number will turn yellow. Compression depth values can be changed as required in the settings area.

Compression Rate. This area of the screen indicates compression rate. If the rate is correct the number remains green in colour, if the rate is too high or low the number will turn yellow. Compression rate values can be changed as required in the settings area.

Ventilation Volume. This area of the screen indicates the amount of oxygen being administered by the ventilation. Ventilation values can be changed as required in the settings area.

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Pic 7 - Resusci Anne Settings Screen

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9. Results from classroom and competition modes can be exported or printed as required. To export click export and choose the location to export to. Files can be saved as .xls documents od .csv documents, Xcel can open both formats. To print the laptop must be connected to the UCRH network (NOT WIRELESS). Click print results and select the Canon iR ADV C 5045 UFR II XPS. When finished shut down laptop and remove USB device. Unplug the manikin device from the manikin to preserve manikin batteries.

10. Ensure all items are returned to their correct location.

SimNewB Setup and Use

Introduction

SimNewB is an interactive neonatal simulator with realistic newborn traits and lifelike clinical features making it ideal for training staff and students involved in neonatal emergencies.

The SimNewB system consists of the following items

1. SimNewB Manikin 2. Instructors laptop PC with USB mouse 3. Touch screen patient monitor (ELO) 4. Link box and extended cable 5. Compressor and tube to connect to manikin.

Setup

1. Position all components as required. The laptop and monitor need to be close to each other due to the length of the cables provided.

2. Connect mouse and power supply to laptop and turn on. The SimNewB simulator icon will be displayed on the desktop.

3. Connect the video cable from the monitor to the laptop VGA connection 4. Connect the audio cable to the earphone socket on the laptop. 5. Check that the Instructor laptop is setup for extended desktop for the patient monitor. 6. Connect the USB cable between the monitor and the laptop. 7. Connect the network cable from the link box to the laptop. 8. Connect the audio cable (white plug) to the link box microphone socket. 9. Connect power supply to link box (DO NOT TURN ON YET) 10. Connect the 37 pin serial cable to manikin and the link box. An extended cable is supplied if required.

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11. Place blood pressure cuff on manikins left arm and connect clear tubing from cuff to link box. Clear cable is also available on extended cable.

12. Power up the link box 13. Position the compressor in a suitable position, (as far away from manikin as air tubes allow and near a

power point). 14. Connect air tube to manikin and compressor using the supplied connectors. 15. Plug compressor into power point and turn on

Manikin Connections

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Using Simview by Laerdal.

SimView

The us er’s Di recti on f or Us e

Contents 1 Introduction..................................................................................................................................................................... 3

2 Cautions and warnings.................................................................................................................................................. 3

3 Using SimView Server ................................................................................................................................................... 4 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10

The login screen .................................................................................................................................................... 4 The Home screen: ................................................................................................................................................ 4 The View & setup window ................................................................................................................................. 5 Video windows ...................................................................................................................................................... 6 Recording a scenario............................................................................................................................................ 8 Controlling SimView from the Instructor Application................................................................................. 8 Operating the IP cameras ................................................................................................................................... 9 Debriefing ............................................................................................................................................................. 10 Sharing simulations ............................................................................................................................................. 11 Simulation sessions ............................................................................................................................................. 14

4 Troubleshooting ........................................................................................................................................................... 17

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1 Introduction The directions for use include comprehensive step-by-step instructions and illustrations for using SimView. There are three separate DFU’s for SimView; Installation, Administration and this User guide. You can find more information in these DFU’s if needed. This document focuses on the day to day use by instructors and students.

2 Cautions and warnings

• Laerdal® Medical does not condone the use of this system for violating any government, state or local laws or personal rights.

• Laerdal® Medical will not be responsible for loss or stolen property due to the use nor failure of operation of this equipment.

• Read understand, and follow all equipment instructions, safety warning and guidelines before operating the Laerdal® SimView and all associated equipment.

3 Using SimView Server With SimView you can record simulation sessions and annotate the video included in the event log file. You can view the video either as a student or as an administrator. Note! Only the administrator can make annotations in the event log file to aid the student.

3.1 The login screen When SimView Server is started the first thing to do is log in, this is done on the login screen.

Figure 1 Enter your username and password and click Log in. You will then see the home screen, from where you can choose your next step.

If you do not have a login, you should contact your SimView administrator.

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3.2 The Home screen:

Figure 2 The Home screen Select the simulation to watch by clicking on the link below the picture.f you are the administrator, you can edit the simulation by adding comments. These can help make the student aware of errors or things done correctly.

Note! The students, or regular users, cannot edit the simulations.

Tip! The picture shown together with the simulations is a snapshot from the first camera added during initial configuration; i.e. the leftmost enabled camera tab in the “Equipment configuration”.

Besides being able to view the simulation, you also have 3 options if you click the triangle in the bottom right corner:

• Delete the simulation if it is not relevant anymore and for freeing up space on the hard drive. • Add the simulation to favorites. • Export the simulation. • Share the simulation.

3.2.1 For more information on the last two topics see chapter 3.8.1 Printing the event log If you would like to have the “Event log” on paper you can use the “Print” option, use the arrow to get the “save as” and the “print” option

If you not are administrator on SimView the “Save” button is exchanged with a “Print” button as you are not allowed to edit and save simulations.

Figure 16

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The print option give the possibility to make a PDF file of the “Event log”.

Figure 17 The options when doing a “Print”.

Figure 18 Saving the print file.

Figure 19 The print file, showing the “Event log”.

Sharing simulations.

3.3 The View & setup window The options available on the View & Setup screen depend on the user’s role: administrator or user. The View & Setup window also gives administrator the possibility to change the configuration of SimView, more information on setup in SimView, The Administrators Direction for Use. The View & Setup window shows the images captured from the active camera, you will see images from all active cameras if you have more than one active camera.

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Figure 3 The two type of View & Setup screens If you are an admin user you will have the possibilities shown to the left otherwise the window at the right is for the normal user.

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3.4

Video windows

Figure 4 The View window with one active camera

Figure 5 Picture in picture

Figure 6 Three window layout

Figure 7 Three active cameras and a patient monitor window

setup

When you have more than one camera active you can change the layout of the video windows and choose which camera to be show in the main video window by using the buttons in bottom control strip of the video window.

Figure 8 The window layout control

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Figure 9 Alternative four window setup The window top bar gives control over PTZ position, 4:3 or 16:9 format control and expansion of video window. The bar shows up when the mouse cursor is placed inside the window.

Figure 10 Controls on the small video window

Figure 11 Controls on the expanded window The swap window button will swap the window in the Main Video Window with the contents of the Small Video Window. The Expand Window button will expand the window to fill the entire video frame, to only showing this one video stream.

Note! The functions on the control bar depend on the user type that is logged in, only when logged in as the SimView administrator the PTZ controls and the Operator Mode are available.

Tip! The web browser must have its pop-up blocker disabled in order to use the “Operator Mode” for the AXIS cameras.

Note! The layout is optimized for widescreen displays in 16:9 format, things may look different and less optimized when seen on a 4:3 format screen.

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3.5 Recording a scenario The scenario recording is started and stopped from one of the Instructor Application like SimMan or SimMan3G etc. The cameras connected to the server will provide video footage to cover the scenario together with the input from the Patient Monitor and the Instructor Application.

The maximum recording length in SimView is 4 hours, but the Instructor Applications may have other restrictions on the maximum recording length, the shortest will apply.

Note! The Patient Monitor is counted as a camera, and is included in the maximum of 4 cameras that can be used for recording.

3.6 Controlling SimView from the Instructor Application When using the SimView Server together with the Instructor Applications like SimMan3G, there are a few things to observe in order for everything to work as expected. Apart from the setup described in the administrator manual, there are thing to observe when starting and stopping the recording sessions.

Always start sessions from the file menu “Start new session…” then press the “Start session” (see green marking). When stopping the recording session use the “End session”.

In the pop-up window you have 3 choices “Quit”, “Start new session” or “Debrief”, never use the “Save session” as it does not work with SimView Server. To save a simulation session go to Debrief and save it on the SimView page that show up in your web browser.

Figure 12 Tip! Only use the options marked with green boxes.

Figure 13

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3.7 Operating the IP cameras The PTZ (Pan Tilt and Zoom) cameras can be operated from the View & Setup page during watching and recording. Moving the cursor into the picture frame will add the control buttons as well as the top banner with presets and Operator Mode.

Note! The PTZ control in SimView only supports IP cameras not analog cameras.

Note! The built in controls in SimView are mainly to be used for adjusting the position of the cameras, not for real time control during a session.

You can set new fixed position by clicking the star button once you have positioned the camera where you want it. You will be asked to enter a name for the position. You can have up to 5 different positions; they will be shown at the top banner in the video window when you have the cursor placed inside the window. The Operator button is for opening the AXIS control in a new browser window.

Note! You will only have the control buttons if you are logged in as the administrator.

Figure 14 Camera control buttons for PTZ cameras.

3.7.1 Operator Mode The Operator Mode is used for real time control of the PTZ. Use this option if you need to control video in real time during a session.

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3.8 Debriefing When you stop the simulation in the Instructor Application you must go to debrief to save the recorded session. When the debrief is opened you must log in to the SimView server in the browser window that opens on your Instructor PC. You will only have to this once for each day or as long as you are logged in to the Instructor PC. The window you will see after the login is the debrief window:

Figure 15 The debrief window Note! Only users with admin rights can save sessions.

In order to be able to see the recorded session later it is important to save the simulation using the “Save” button. You can add the name of the instructor and the students name(s) to the “Simulation Information” tab before saving.

In the debrief window you can see the simulation. If you are administrator you can also annotate the simulation. A student user you can just watch the recorded session.

If you do any additions or changes to the simulation after the first save you must save again.

Tip! If you forget to save a session or experience a problem causing the simulation to not be saved, you can retrieve this session from the Server Settings section under “View recovered simulations” in the View and Setup screen.

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3.8.1 Printing the event log If you would like to have the “Event log” on paper you can use the “Print” option, use the arrow to get the “save as” and the “print” option

If you not are administrator on SimView the “Save” button is exchanged with a “Print” button as you are not allowed to edit and save simulations.

Figure 16 The print option give the possibility to make a PDF file of the “Event log”.

Figure 17 The options when doing a “Print”.

Figure 18 Saving the print file.

Figure 19 The print file, showing the “Event log”.

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3.9 Sharing simulations There is more than one way to share the simulation recordings with the participants. If the participant has an account on the SimView Server, then the person can just log-in on the SimView server from any PC on the network, using an internet browser i.e. Internet Explorer or similar. If the participant does not have an account on the SimView Server, then you have two ways of sharing the simulation. You can either export the file to a thump drive or send a link to the simulation.

• You can make a private link for sharing the simulation with others without exporting it.

You can then send this link to the person you want to share it with. The person will only be able to see this simulation and nothing else, and will not be able to user other features of SimView The person who gets the link must have access to the SimView server via the local network, but does not need a SimView account to see the simulation. The access via this link will be restricted to only this one simulation.

• Export: o You can save the full session containing all the data for stand-a-lone use with SimViewer or

for backup purposes. o You can also select to just export a video file with audio which can be played in a Media

Player. • Delete the simulation if it is not relevant anymore and for freeing up space on the hard drive.

Figure 20 Export or share a private link to a simulation

Figure 21 Export options The “Simulation Activity File” is an *.ssx file for use with the SimViewer application. It includes the whole scenario with vital signs, event log and video from all cameras and the patient monitor used during the session. It looks as seen on the SimView Server. The video file is a *.mov file for use with a media player application. (Microsoft Media Player or QuickTime), it is the video file from the selected camera or patient monitor including audio if a microphone has been enabled; there is no vital signs or event log.

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Figure 22 Transferring a SimView recording to another person by using the export function.

3.9.1 Exporting a simulation When exporting the simulation you have two options, the whole simulation or just one of the video files. When exporting the whole simulation it will in SimViewer look exactly as in SimView with all video and event log etc. Choosing to export a video file will only show the video from the chosen camera.

When exporting you have the option to save the file on a USB memory stick (thumb drive) for use on other PCs, even stand-alone PCs with no network connection, but you can also save the file on a network attached hard drive for use on the local network. The PC needs to have SimViewer installed in order to show the recordings.

3.9.2 Sharing simulation links Sharing simulation by private links can be done by e-mail. To use the e-mail option you will have either have a Live Mail account or have a mail client with a valid e- mail account installed on the SimView Server, or the PC from where you are doing the export.

Figure 23 Sharing a link to a simulation.

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3.10 Simulation sessions

3.10.1 The timeline The timeline in the bottom of the Viewer Window can be used to search forward and backward in the session. The timeline size can be controlled by clicking the double arrow that shows up in the right top corner of the frame when the cursor is inside the timeline. Clicking inside the timeline will move the video forward or backward, depending on clicking in front or behind the actual play time. Holding the cursor over the vital signs will activate a pop-up with the values of the vital signs at that time.

Figure 24 The different timeline views

3.10.2 Basic and Detailed Views The simulation log can be shown with two different levels of detail in the Event Log. As seen on Figure 25 there are a lot more information in the detailed view, so if you want to just get an overview of the session; use the basic view.

Figure 25 The difference between Basic View and Detailed View You can change between the views by using the pull-down menu in the Event Log view and then select “Basic View, “Detailed View” or “Original View” Note! You cannot edit the event log in the “Original View” .

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3.10.3 Adding comments to the Event Log If you let the cursor hover over the event list a plus sign occurs, and clicking it gives the opportunity to add comments.

In the window that pops up you may now choose which type of comment you want to insert, all the possibilities are show on the picture here:

Figure 26 The different comment windows.

Figure 27Adding a drug or an event. When you have added the comment for the student, you can export the session for use with the SimViewer, and at the same time free the local hard disk space for new simulations by deleting the file. You can now only see the simulation with SimViewer as it will not be visible in the SimView home screen. The exported files can be put anywhere incl. on a USB thumb drive.

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3.10.4 Saving sessions When you have edited a file you have save it. When you have added comment etc. to a previously saved recording you will not be asked to provide a name. If you want to have both the original recording and the one with your additions you must use the “Save as” option and provide a folder and a name for the recording.

Figure 28 The save button.

Figure 29 The save options. Note! You only have the option to save if you are logged in as administrator, otherwise you will only be able to make a print of the “Event log”. See chapter 3.8.1.

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4 Troubleshooting Q: My events and timeline don’t match / Timeline starts in wrong position A: Make sure that all your Instructor PCs, Manikins and SimView Server time and date settings are in synch and in same Time Zone.

Q: I get an error in the Instructor App when starting a recording. A: This can mean a lot of things:

• A recording is already ongoing in SimView, or SimView is in Paused state. • SimView is not running • Instructor App is not setup correctly, please check settings or contact your SimView administrator

Try to log on to SimView and see if a recording is ongoing and SimViewer is running.

Q: SimView Extension tests reveal that Service is not running? A: Check if the Laerdal SimView Extension Service is started; use the “Component Service” to check.

Figure 30

You can find the “Component Service” by typing it into the Start menus search field.

Q: Something went wrong during recording and now I cannot see my recordings? A: The recording may not have been save in the debrief session after the recording was stopped. In the “Server setting” tap you can use the “Unsaved simulations” button to see recordings that have not been save by mistake, you can view the recording and then save it or if you want delete it.

Q: I can see my recordings on the SimView Server PC, but the video is frozen on my Instructor PC? A: If the number of video cameras incl. the patient monitor is more than 2, some older laptops cannot play the video. To solve the problem either reduce the number of cameras or upgrade the Instructor laptop PC.

Q: Windows was upgraded, by the windows auto-upgrade, now my USB cameras don’t work? A: The USB camera driver has been upgraded and you must remove the camera in SimView and the setup the USB camera in SimView again.

Q: I can’t start a recording in the SimView browser, even though I have stopped and went to debrief in the Instructor application. A: In SimView browser click reload or pressF5, then you can start a recording from the SimView browser.

Q: I can see a lot of recording on the “Home” screen, but I cannot view them? A: The recording file may have been moved or deleted without the use of SimView. If the files are moved back, they should play again, if they have been deleted, delete the entries on the “Home” screen, they have been lost. Make sure to discuss with your SimView administrator.

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Q: I sometimes get a “connection timed “out or garbled video for my PTZ cameras. A: This can happen if the room has too little light. Please make sure that there is light enough or change the PTZ camera settings according to the Axis manual. To restore the connection press F5.

Q: The image is very choppy and / or out of synch and / or latency is very high A: This happens if the network cannot handle the traffic properly, i.e. low bandwidth or unstable connection.

• Make sure you are using a wired 100 Mbit network or faster • Cables are in good working order • Network is not congested • Alternatively you can lower the resolution of the cameras to lower bandwidth usage

If the video is played back on a low performance PC it may be the reason for the problems.

Q: I often have “Time out no data received” when I arrive in the morning? A: Some cameras may give this problem when the images don’t change, as in darkness, try to add an overlay with the data and time, this is done in the ASIX camera setup, using the operator mode.

Q: Not all of the USB camera settings work? A: Try a lower frame rate, update the driver. Disabling the manufactures driver, and rely on the Microsoft embedded driver may solve the issue completely.

Q: SimView is not remembering my passwords. A: Remembering passwords is a feature in the browser you are using (such as Internet Explorer or Firefox). If passwords are not being remembered it is most likely because of a user actively selecting not to save the password for this site. To reset this setting, you can try to clear the browser’s cache settings or enquire with your IT whether policies are in place to stop you from remembering passwords. It may also be because you have used another address for the SimView Server, i.e. shifting between name and IP address.

Q: Something went wrong during recording; now the recording is lost. A: Go to the server settings and click on the “View recovered simulations”, now you will get a list of unsaved simulations. More information in the “SimView, The Administrator’s Direction for Use”. Note! Videos shorter than 4 minutes may not be retrieved, and in videos longer than four minutes the timeline and event logs end time shown may be shorter than the actual video recording, and you may not be able to seek in the video that is beyond this maximum time, using the either the timeline or the event log, but you can see the whole recorded sequence.