CAE Healthcare WVL WIRELESS VOICE LINK User Manual 1
CAE Healthcare, Inc. WIRELESS VOICE LINK 1
Contents
- 1. User Manual 2
- 2. User Manual 1
User Manual 1
METIman ® User Guide License/Copyright CAE Healthcare METIman® Simulator Software and Users Guide© THIS IS A LEGAL AGREEMENT. PLEASE READ THIS DOCUMENT CAREFULLY. The software you are about to access is provided to you pursuant to the purchase of the Product by the legal entity which employs you, or which you represent (the “Licensee” or You”), from CAE Healthcare. This purchase of the Product is subject to CAE Healthcare’s Healthcare Education Products General Terms and Conditions (the “HEPGTC”) and this End-User License agreement (“License”). This License governs the grant of licenses for the software, in object code only, embedded in or bundled with the Product or required to operate the Product, as the case may be (“Software”), as well as all related Product documentation and information (“Data”) supplied by CAE Healthcare either with or separately from the Product, which items as indicated in the HEPGTC are not sold but licensed. Acceptance of these terms and conditions must be without modification of any of the terms, conditions and notices contained herein. Consequently, please be sure to read the terms of this License carefully. If You agree to these terms, conditions and other provisions in their entirety, then click the “ACCEPT” button below. If You do not accept these terms, conditions and other provisions in their entirety, without modification of any sort, then click the “DECLINE” button below and your access to the Software and Data is prohibited. 1. DEFINITIONS AND INTERPRETATION 1.1 The preamble forms an integral part of this License. 1.2 Terms with a capital letter defined in the Preamble have the meaning indicated in the Preamble. Whenever used in this License, the following terms have the meaning set out below: (a) “Confidential Information” means any and all scientific and technical information which is in the possession of, or belonging to, CAE Healthcare and relating to the Product, including without limitation, all Data, Software, trade secrets, know-how, processes, methodologies, samples, components, analyses, compilations, guides and other information or documents prepared by CAE Healthcare, its subsidiaries and affiliates and/or their officers, servants, agents, representatives, employees or advisers which contain or are otherwise generated from or reflect any CAE Healthcare proprietary information, whether or not covered by intellectual property rights or explicitly designated as confidential or proprietary, which is disclosed by any means in written, oral, electronic, or any other form. (b) “Purpose” means the use of the Software and the Data solely for the operation and maintenance of the Product, and the use of the Product solely as an educational tool. 2. LICENSE 2.1 In consideration of Licensee’s agreement and compliance with the terms and conditions contained in the HEPGTC and in this License, CAE Healthcare grants to Licensee, and Licensee accepts, a personal, non-exclusive, non-transferable license to use the Software and Data exclusively with the Product, and with the computer on which this License appears. 2.2 Except for the License granted herein, CAE Healthcare grants no express or implied right under any patent, copyright, mask work right, trademark, know how or other intellectual property rights. Without limiting the foregoing, the Licensee shall not obtain any rights to CAE Healthcare’s property, or any part thereof, by implication, estoppel or otherwise. Title to and full ownership of any trade secrets and other intellectual property rights related to the Product and components thereof shall remain with CAE Healthcare and, if applicable, its suppliers. For clarification, Licensee agrees that the source code for the Software is a trade secret of CAE Healthcare and only CAE Healthcare shall have the right to alter, maintain, enhance or otherwise modify the Software. License/Copyright 2.3 Without limiting the foregoing or any other terms in this License, Licensee shall, and shall ensure that any person authorized to access the Product, which are limited to Licensee’s employees, agents, representatives, medical staff and students (“Authorized Users”): (a) not copy (save and except for normal back up and disaster recovery purposes provided such copy shall include CAE Healthcare’s copyright and any other proprietary notices indicated on the Software and Data), ghost, export or produce any derivative works from the Product, or any part thereof, not network the Product without CAE Healthcare’s prior written approval, or make it available for concurrent use; (b) not sell, attempt to sell or transfer (unless in compliance with the HEPGTC), sublicense, encumber the Software or Data; (c) not modify the Product in any way, combine with other programs, or reverse engineer, screen scratch, decompile or disassemble any Software nor otherwise attempt to create or derive the source code related thereto; (d) not deface or remove any copyright or proprietary notices; (e) not use the Product without the Key, if provided with the Product, or attempt to develop or develop any means or technology which would enable Licensee to bypass the use of the Key to operate the Product; (f ) prevent anyone other than Authorized Users from accessing or using the Product; (g) not incorporate the Product, in whole or in part, to any product or service that Licensee would make available to a third party, on a commercial basis or not. 2.4 Notwithstanding anything else contained in this License, in no event shall Licensee use the Product and/or Confidential Information to enable, support, or otherwise aid Licensee or a third party to develop any product, software or service competitive with any of CAE Healthcare’s products. 2.5 Licensee agrees to grant CAE Healthcare, its agents and representatives, at any time during Licensee’s normal business hours and upon reasonable prior notice, the right to access to Licensee’s premises, to ensure that the use of the Product is done at all times in compliance with the terms and conditions of this License. 2.6 CAE Healthcare reserves the right to embed a software security mechanism within the Product to monitor usage of the Product to verify Licensee’s compliance with this Agreement, as well as to control access to the Software through use of: a) a hardware lock device and/or b) a license administration software and/or c) a license authorization key (collectively, the “Key”). 2.7 Some Products may provide Licensee with the option of saving and reproducing the images created by such Products (“Work”) during their use. In this regard, Licensee hereby recognizes that the entire rights, title and interests in and to such Work remain the exclusive property of CAE Healthcare. Licensee shall not modify such Work in any way whatsoever and shall not remove or alter any CAE Healthcare notices. However, Licensee is permitted to produce and reproduce such Work only for non-commercial educational purposes. 3. FEEDBACK Licensee agrees to provide CAE Healthcare, from time to time, with comments, suggestions, data, information or feedback (“Feedback”) on the Product. Licensee acknowledges and agrees that such Feedback may be freely used by CAE Healthcare, at its sole discretion, for the design, development, improvement, marketing and commercialization of its products and services, without any restrictions based on confidentiality or intellectual property rights. ii License/Copyright 4. TERM AND TERMINATION 4.1 This License shall become effective as of the date of Your execution of this License and shall remain in effect until terminated as provided hereafter. 4.2 This License terminates immediately upon termination of the HEPGTC. 4.3 CAE Healthcare may terminate this License immediately, upon written notice, should Licensee: (a) fail to comply with any of the terms and conditions of this License; (b) terminate or suspend its business; make an assignment for the benefit of creditors, or any proceedings are instituted by any party or against it seeking to declare it bankrupt or insolvent, or seeking liquidation, winding-up, reorganization, arrangement, adjustment, protection, relief or composition of its debts under any law relating to bankruptcy, insolvency, reorganization or relief of debtors, or seeking the entry of an order for relief or the appointment of a receiver, trustee or other similar official for it or for any substantial part of its property; 4.4 Upon termination of this License, Licensee agrees to immediately discontinue use of the Confidential Information and the Product, and to return same to CAE Healthcare as well as any copies, summaries or extracts thereof, with any associated CD ROM(s), DVD, keys, dongles or other devices as may be directed by CAE Healthcare. At CAE Healthcare’s request, Licensee shall promptly provide a written certificate signed by an officer of Licensee confirming that such items have been returned to CAE Healthcare or destroyed as so directed by CAE Healthcare. 4.5 The following shall survive and continue in full force and effect notwithstanding any termination of this License: the obligations of Licensee under Sections 2 (License), 5 (Non-Disclosure); as well as any other clauses which by their nature and context are intended to survive. 5. NON-DISCLOSURE 5.1 Licensee agrees to keep this License and all Confidential Information obtained hereunder in strict confidence, and shall only disclose same a) to Authorized Users solely for the Purpose and provided such access to the Product conforms, at all times, to the terms and conditions governing the use of the Product contained herein, or b) if required to be disclosed by law, and only to the extent of such disclosure and limited to the purpose requested, with prior notice to CAE Healthcare to permit it to seek an appropriate remedy to prevent the disclosure, or alternatively to agree to the terms of such disclosure. 5.2 The obligations of confidentiality, use and non-disclosure referred to in this Section 5 shall not apply to information which: (i) is or becomes publicly available through no fault of Licensee; (ii) was already in the rightful possession of Licensee prior to its receipt from CAE Healthcare; (iii) is independently developed by Licensee, provided it is not, in whole or in part, related to the Product; and (iv) is obtained by Licensee in good faith and on a non-confidential basis and without a use restriction from a third party who lawfully obtained and disclosed such information. However, Confidential Information does not come within the foregoing exceptions merely because features of it may be found separately or within a general disclosure in the public domain. 5.3 Licensee agrees to be responsible for enforcing the terms of this Section 5 and to take such action, legal or otherwise, to the extent necessary to cause anyone having access to the Confidential Information to comply with the terms and conditions set forth herein (including all actions that Licensee would take to protect its own trade secrets and confidential information but with not less than reasonable care). Licensee shall be responsible and indemnify, defend and hold harmless CAE Healthcare for any default caused by any such persons. iii License/Copyright 6. IRREPARABLE HARM 6.1 Licensee acknowledges that the Software and Data constitute a special, irreplaceable asset of great value to CAE Healthcare, and that a breach, in any way, of any of Licensee’s obligations under Sections 2 (License), and 5 (Non-Disclosure) hereof would cause serious and irreparable harm to CAE Healthcare which may not be adequately compensated for in damages. If the Licensee breaches any of such provisions, Licensee consents to an injunction being issued against it restraining it from any further breach of such provision, without derogation from any other remedy which CAE Healthcare may have in the event of such a breach. 7. WARRANTY, LIMITATION OF LIABILITY 7.1 THE SOLE WARRANTIES PROVIDED BY CAE HEALTHCARE ARE LIMITED TO THE WARRANTIES PROVIDED IN THE HEPGTC. ANY WARRANTIES PROVIDED ARE PERSONAL AND NOT TRANSFERABLE. 7.2 CAE HEALTHCARE’S LIABILITY SHALL IN NO CIRCUMSTANCES EXCEED THE LIMITATION OF LIABILITY INDICATED IN THE HEPGTC. LIABILITY, IF ANY, SHALL BE SOLELY FOR DIRECT DAMAGES, NOT TO EXCEED ON A CUMULATIVE BASIS THE AMOUNT PAID BY LICENSEE FOR THE PRODUCT. 8. GOVERNING LAW 8.1 This Agreement shall be governed by, subject to, and interpreted according to the laws of the State of Florida, U. S. A., without regard to its conflict of law rules. In all cases, the Parties expressly exclude and waive the application of the United Nations Convention on Commercial Agreements for the International Sale of Goods (1980) (Vienna Sales Convention) as amended. 8.2 The exclusive forum for the resolution of any and all disputes arising out of or in connection with this Agreement shall be a court of appropriate jurisdiction located in the State of Florida, U.S.A. Each Party hereby waives any right that it might otherwise have to object to such venue or seek dismissal of the action on the basis of forum non-conveniens. EACH PARTY HERETO IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT. 8.3 Notwithstanding the foregoing, if a party seeks injunctive proceedings to preserve confidentiality obligations or intellectual property rights, then it is entitled to seek relief before the competent court/body of any jurisdiction. 9. MISCELLANEOUS 9.1 United States Government Customer: If Licensee is the United States Government (“U.S. Government”) or a unit or agency of the U.S. Government, the Software and Data are deemed to be “commercial computer software” and “commercial computer software documentation”, respectively, pursuant to DFAR Section 227.7202 and FAR Section 12.212 b) as applicable. Any use, modification, reproduction, release, performance, display, or disclosure of the Software and/or Data by the U. S. Government, or any of its units or agencies shall be governed solely by the terms of this License and the HEPGTC. Any technical data provided by CAE Healthcare with the Product that is not covered by the above provisions is deemed to be “technical data-commercial items” pursuant to DFAR Section 252.227.7015(a). 9.2 Amendment. This License may only be amended by the duly authorized representatives of CAE Healthcare. 9.3 No Waiver: The failure of CAE Healthcare to enforce at any time any of the provisions of this License, or to require at any time the performance by Licensee of any of the provisions hereof, shall not be construed to be a waiver of such provisions, nor in any way affect the validity of this License or any part thereof, or the right of CAE Healthcare thereafter to enforce any such provision. 9.4 No third-party beneficiaries. Nothing in this Agreement shall be construed as creating or giving rise to any rights for any third parties or any persons other than the parties to this Agreement. 9.5 Notices: Notices or communications pertaining to this Agreement must be given in writing and delivered to the addressee as indicated in the HEPGTC. iv METIman Specifications 9.6 Preamble/Headings. The preamble forms an integral part of this Agreement. The division of this Agreement into Clauses, Articles, sections, subsections and other subdivisions and the insertion of headings are for convenience of reference only and will not affect the construction or interpretation of this Agreement. 9.7 Severability. If any one or more of the provisions of this License shall be held to be invalid, illegal or unenforceable, the validity, legality or enforceability of the remaining provisions of this Agreement shall not in any way be affected or impaired thereby. 9.8 Assignment and Succession. Licensee may not assign or delegate this Agreement in whole or in part, expressly or by operation of law, without CAE Healthcare’s prior written consent. CAE Healthcare may assign this Agreement, in whole or in part, and/or its rights and obligations, in CAE Healthcare’s sole discretion, to any party. This Agreement shall be binding upon and enure to the benefit of the parties hereto and their permitted successors and assigns. Any assignment of this Agreement, or any license granted herein, in violation of the provisions of this Section shall be void. 9.9 Entire Agreement. This License constitutes the complete agreement of the parties with respect to the subject matter referred to herein, and supersede any other agreements, written or oral, concerning the subject matter hereof. 9.10 Language. The parties declare that they have requested and hereby confirm their express wish that this License, and related agreements and documents be drawn up in the English language and that any notification, letter or any other communication from a party to the other pertaining thereto shall be solely in the English language. End of License METIman Specifications METIman Specifications Size Mannequin/Simulator 74” H x 26” W x 11” D (188cm x 66cm x 28cm) Weight Mannequin/Simulator 100 lbs (45.36 kg) Environmental Requirements Ambient Temperature Range Mannequin/Simulator Operation: 40°F to 104°F (4°C to 40°C) Storage: 40°F to 122°F (4°C to 50°C) Relative Humidity: 0% to 90% non-condensing Power Mannequin/Simulator AC Input: AC 90 – 240VAC, 50/60Hz Consumption: 70W nominal Internal Batteries: 18.5V lithium-ion, rechargeable Run Time: 4 hours (Typical) Communications Simulator Network Wired: 10/100 Ethernet or Wireless: IEEE 802.11g Wireless Voice 537 MHz to 819MHz (Country Specific) Electrotherapy vi Defibrillation: 20 to 360 joules (Monophasic, Biphasic) Pacing: 20mA to 180mA Cautions and Warnings Cautions/Warnings Please read and understand these cautions and warnings before you begin using the METIman system. USE OF THIS EQUIPMENT IN AN UNSPECIFIED MANNER MAY IMPAIR DESIGNED PROTECTION. Your safety is in your hands. Be sure to follow the instructions on the proper setup, breakdown and use of the METIman system. SHOCK HAZARD Electrical Safety • This product must be connected to an electrical outlet that is properly grounded. Precautions should be taken so that grounding or polarization is not defeated. • Do not place defibrillator paddles on or adjacent to the ECG patient electrodes. Contact between defibrillator paddles and the electrodes may cause injury to the user and damage to the equipment. • Always use the supplied power cords. Do not substitute. • Always use the supplied power adapter to run the simulator from AC. • Operate the system from a power source with the following rating: - 115VAC, 50/60 hertz (cycles per second) (e.g., North America, Japan) - 230VAC, 50/60 hertz (cycles per second) (e.g., Europe) • Do not allow excess fluids to flow on or into electronic parts. • Do not attempt to disassemble the simulator or service any of the electrical components other than the resetting of circuit breakers. vii Cautions and Warnings General Use Warnings Electrical System • Operate the system from a power source with the following rating: 115VAC, 50/60 hertz (cycles per second) (e.g. North America, Japan), and 230VAC, 50/60 hertz (cycles per second) (e.g. Europe) • Do not operate the METIman system in rain. Apply water to the mannequin only in accordance with the supported clinical procedures identified in this User Guide. • Do not allow excess fluids to flow on or into electronic parts. CO2 Production System • Care must always be taken when using high-pressure equipment. • Do not disassemble or alter regulator. • Store CO2 canisters in dry location between 32° and 104° F. (0 to 40°C). Do not expose CO2 canister to heat above 140° F as rupture may occur. • Never point CO2 canister towards your face or someone nearby. • Use only CAE Healthcare specified CO2 canisters. • Wear protective gloves and eye protection when removing canister from regulator assembly. Bleeding and Secretion System • • • • DO NOT modify the tank or any assembly component. ALWAYS protect eyes, skin and clothing against accidental exposure. NEVER exceed 35 strokes while pressurizing the tank. ALWAYS read and follow instructions for creating trauma fluids (e.g. blood). NEVER fill the tank with more than 6 liters (1.6 gallons) of fluid. • After use, ALWAYS release pressure and clean the tank. DO NOT store liquids in the tank. • ALWAYS release tank pressure before servicing. NEVER transport or ship in a pressurized and/or full state or leave a pressurized tank unattended. viii Cautions and Warnings Mannequin • Do not disassemble factory-assembled parts of the mannequin. • Do not clean the mannequin with chemical solvents. Use water and a light soap solution only. • Make sure that mannequin is set up on a stable, sturdy work surface to avoid collapsing and causing injury to users. • METIman should be operated in ambient temperatures below 104° F (40° C). • Do not introduce foreign substances into the airway - with the exception of small amounts of approved lubricant. Only perform invasive procedures supported by the system as described in the applicable sections of the User Guide. • Do not pick the mannequin up by the limbs — support head and leverage weight with torso. It may be necessary to have the help of a second person to lift and move METIman. Latex Warning CAE Healthcare simulators incorporate latex into their design. When performing certain maintenance procedures, the latex can become exposed. Users with latex sensitivity should take necessary precautions when handling the simulator while performing those procedures. ix Cautions and Warnings Battery General Warnings METIman uses Li-ion batteries. Li-ion batteries have special requirements during handling to avoid hazardous situations. • The Polymer Li-ion Battery pack should be stored indoors and be kept far from fire and high temperatures. • Do not store batteries with hairpins, coins, screws or other similar objects. • Do not heat the battery. • Do not throw the battery into a fire. • Do not use or leave the battery close to heat or flame. • Do not use the battery inside of a car where temperature may exceed 80˚C (176˚F). Also do not charge/discharge the battery in such conditions. • Do not short-circuit the positive (+) and negative (-) terminals with other metals. • Do not place the battery in a device with the positive (+) and negative (-) terminals in the incorrect positions. • Do not strike the battery with force. • Do not step on, throw or drop or drop the battery to cause strong shock. • Do not disassemble or modify the battery. • Do not solder a battery directly. • Do not use a battery that has been damaged or deformed. Cautions and Warnings Additional Warnings • Stop charging the battery if the battery has not completed charging within the specified time. • When leakage or foul odor is detected, do not use and keep away from heat or flame. • Immediately wash thoroughly with fresh water if liquid leaks onto your skin or clothes. • If liquid leaking from the battery gets into your eyes, do not rub your eyes. Immediately wash eyes completely with clean water and seek medical attention. • If the amount of time the battery is able power the equipment diminishes significantly, the battery life is at an end. Replace the battery with a new battery of the exact same make and model. • Immediately remove a battery whose life cycle has expired from the equipment. • When the battery is thrown away, apply vinyl tape to the positive (+) and negative (-) terminals to avoid short circuits. • When not using battery for an extended period, remove it from the equipment and store it in a place with low humidity and temperature. • In all instances, keep the battery away from objects or materials with static electric charges. • The battery can be used within the following temperature range. Do not exceed this range: Charge temperature range: 0˚C (32˚F) to 45˚C (113˚F) xi Müse Software Specifications System Requirements If you are not using a TouchPro computer provided by CAE Healthcare, please be sure to utilize a computer with wireless capability. When operating the TouchPro software, a computer with a Macintosh® or Microsoft Windows® operating system may be used. To run the TouchPro software, the computer used must meet the following minimum requirements: Macintosh® Operating System • Mac OS X 10.5.8 (minimum) • Safari® 5.x.x or Firefox® 10 ESR (minimum) • Adobe Flash Player® 10.1.x.x (minimum) • Adobe Reader 9.x (or higher) Windows® Operating System • XP Service Pack 2, Vista or Windows 7 • Firefox® 10 ESR, Internet Explorer® 8 or Safari 5.x.x (minimum) • Adobe Flash Player® 10.1.x.x (minimum) • Adobe Reader 9.x (or higher) Hardware (Windows and Macintosh) • Intel Core Duo, 2.0 GHz (minimum) • 2 GB DDR3 RAM (minimum) • 8 GB Hard Drive space available • 1024x768 screen resolution (minimum) • USB 2.0 • Wireless 802.11b/g/n Ethernet card • 100BASE-T Ethernet Adapter Macintosh, Quicktime and Safari are registered trademarks of Apple Inc. Windows Media and Internet Explorer are registered trademarks of the Microsoft Corporation in the United States and/or other countries. Firefox is a registered trademark of the Mozilla Foundation. Adobe® Flash Player is a trademark of Adobe Systems Inc. xii Table of Contents Table Table of Contents License/Copyright�������������������������������������������������������������������������������������������������������� i METIman Specifications.............................................................................................. vi Cautions/Warnings .....�����������������������������������������������������������������������������������������������vii System Requirements.....�������������������������������������������������������������������������������������������xii Introduction��������������������������������������������������������������������������������������������������������������� 1 METIman ..........................................�������������������������������������������������������������������������������������� 1 Equipment Overview ............................................................................................................... 2 Standard Components Inventory............................................................................................................. 2 Optional Components Inventory..............................................................................................................3 METIman Standard Equipment ................................................................................................. 4 Full-Body Wireless Simulator................................................................................................................... 4 Battery Charger and External Power Supply............................................................................................. 4 Instructor Workstation (Laptop or Tablet) ............................................................................................... 4 CO2 Canisters (Prehospital Only)............................................................................................................... 4 Inventory Kit ........................................................................................................................................... 5 Wireless Microphone . ............................................................................................................................. 6 Wireless Voice Link................................................................................................................................... 6 Trauma Fill Tank....................................................................................................................................... 7 xiii Table of Contents Optional Equipment for METIman.............................................................................................. 7 METIman Replacement Lithium Battery ................................................................................................. 7 External Compressed Air Kit .................................................................................................................... 7 External CO2 Kit ....................................................................................................................................... 8 Air Compressor......................................................................................................................................... 8 Hands-Free Training Cables ..................................................................................................................... 9 METIman Learning Applications and Training Courses ........................................................................... 10 METIman Learning Applications ..................................................................................................................... 10 METIman Training Courses .............................................................................................................................. 10 Tool Kit................................................................................................................................................... 10 METIVision............................................................................................................................................. 11 METI FX.................................................................................................................................................. 11 Moulage Kit........................................................................................................................................... 12 METIman Setup......................................................................................................... 13 Before Beginning Setup.......................................................................................................... 14 Step 1: Place METIman in the Work Area................................................................................... 15 Step 2: Connect the Lower Legs to METIman............................................................................. 16 Step 3: Power On METIman...................................................................................................... 18 Step 4: Power On the Instructor Workstation............................................................................ 19 Step5:ConnecttotheMETImanNetwork–LaptopInstructorWorkstation(Macintosh) Option............................... 20 Step 5: Connect to the METIman Network – Tablet Instructor Workstation (MicrosoftWindows) Option........ 22 Optional: Connect the SpO2 Probe............................................................................................ 23 Optional: Connect External Air................................................................................................ 24 xiv Table of Contents Optional: Insert the CO2 Canister (Prehospital Only).................................................................. 25 Use of CO2 Canisters................................................................................................................................ 25 Assembly of the CO2 Regulator............................................................................................................... 25 Insertion of the CO2 Canister (Prehospital Only)..................................................................................... 26 Optional: Detach the Arms...................................................................................................... 28 Optional: Prepare the Bleeding System.................................................................................... 30 Using the Trauma Fill Tank.................................................................................................................................. 30 Attaching the Overflow Bottle to the Trauma Fill Tank Assembly.................................................................. 31 Operating the Trauma Fill Tank............................................................................................................... 31 Step 1: Pour the Fluid into the Trauma Fill Tank................................................................................................ 31 Step 2: Connect the Trauma Fill Tank Connector to the Simulator...................................................................... 32 Step 3: PressurizetheTraumaFillTankandFilltheOn-BoardBloodReservoir.........................................................................................................32 Step 4: Release Pressure from the Trauma Fill Tank.......................................................................................... 33 Step 5: Disconnect the Trauma Fill Tank Umbilical from the Simulator.............................................................. 33 Preparing for Storage............................................................................................................................. 33 Step 1: Clean the Simulator and Fluid System.................................................................................................. 33 Step 2: Clean the Trauma Fill Tank................................................................................................................... 33 Step 3: Store the Trauma Fill Tank.................................................................................................................... 33 Optional: Connect a TouchPro™ Computer to the Wireless Network............................................. 34 Step 1: Set Up METIman......................................................................................................................... 34 Step 2: Obtain METIman’s IP Address..................................................................................................... 34 Step 3: Configure the TouchPro Computer’s Network Settings................................................................ 35 Step 4 - Option 1: Join the METIman Network Using a Macintosh Operating System.................................... 36 Step 4 - Option 2: Join the METIman Network Using a Windows Operating System...................................... 38 Step 5: Access the Software from the TouchPro Computer...................................................................... 40 xv Table of Contents Using the Software.................................................................................................... 41 Starting the Application......................................................................................................... 41 The Home Page...................................................................................................................... 44 The SCE Selection Panel.......................................................................................................... 45 The SCE Library....................................................................................................................... 46 Printing SCEs.......................................................................................................................... 47 The Run Screen....................................................................................................................... 48 Using the Patient Status Display............................................................................................................ 49 The Event Logs....................................................................................................................................... 50 Adding a Scenario to an SCE................................................................................................................... 51 Physiological Views................................................................................................................................ 51 Setting Parameters................................................................................................................................ 53 Using the Conditions Palette to Set Parameters................................................................................................ 53 Using the Physiological Views to Set Parameters.............................................................................................. 55 Performing Interventions...................................................................................................................... 56 Using the Medications Palette......................................................................................................................... 56 Using the Interventions Palette........................................................................................................................ 58 Changing Scenario States...................................................................................................................... 60 Changing Scenario States from the Scenario Screen......................................................................................... 60 Changing Scenario States from the Run Screen................................................................................................ 62 SCE Time................................................................................................................................................ 63 Exiting the SCE....................................................................................................................................... 63 Stopping the SCE.................................................................................................................................... 63 Saving a Patient..................................................................................................................................... 64 Resetting a Patient................................................................................................................................ 66 Medication Monitor............................................................................................................................... 67 xvi Table of Contents Creating and Editing SCEs........................................................................................................ 68 Creating an SCE...................................................................................................................................... 68 Creating a Patient’s Profile and Baseline................................................................................................ 70 Content Management............................................................................................................................ 71 SCE Configuration . ................................................................................................................................ 72 Condition Setup Screen and Creating Quick Links............................................................................................. 72 TouchPro Setup............................................................................................................................................... 73 Patient Status Display..................................................................................................................................... 74 The Scenario Designer............................................................................................................ 75 The Scenario Button............................................................................................................................... 76 Scenario Designer Views ....................................................................................................................... 77 Creating a New Scenario........................................................................................................................ 79 Modifying Scenario States............................................................................................................................... 79 Adding Parameters and Interventions............................................................................................................. 80 Adding Transitions.......................................................................................................................................... 82 ELSE Statements.............................................................................................................................................. 84 Deleting Scenario States.................................................................................................................................. 85 Deleting Parameters and Transitions............................................................................................................... 86 Emptying the Trash......................................................................................................................................... 87 Saving the Scenario......................................................................................................................................... 88 Saving States to the State Library.................................................................................................................... 89 xvii Table of Contents Administrative Tools.................................................................................................. 90 History.................................................................................................................................. 90 System Administration........................................................................................................... 91 Content Management............................................................................................................................ 91 Learning Applications...................................................................................................................................... 92 SCEs................................................................................................................................................................ 93 Base Patients.................................................................................................................................................. 94 Scenarios......................................................................................................................................................... 95 User Accounts........................................................................................................................................ 96 Creating a User................................................................................................................................................ 97 Editing a User.................................................................................................................................................. 98 Deleting a User................................................................................................................................................ 98 Groups................................................................................................................................................... 99 Privilege System..............................................................................................................................100 Creating a New Group................................................................................................................................... 101 Deleting a Group........................................................................................................................................... 101 Maintenance........................................................................................................................................ 102 System Settings................................................................................................................................... 103 System Configuration.................................................................................................................................... 103 Data Management........................................................................................................................................ 103 Product Licensing.......................................................................................................................................... 104 Error Log....................................................................................................................................................... 104 Localization................................................................................................................................................... 104 xviii Table of Contents Account Profile .....................................................................................................................105 Profile Information.............................................................................................................................. 105 Favorite SCEs........................................................................................................................................ 106 Medication Preferences........................................................................................................................ 107 Profile Preferences............................................................................................................................... 108 Using TouchPro........................................................................................................ 109 Accessing the TouchPro Software............................................................................................109 Modifying the TouchPro Display.............................................................................................111 Changing the Layout............................................................................................................................ 111 Selecting a Preconfigured Layout.....................................................................................................112 Changing a Waveform or Numeric Display.......................................................................................113 Adding a Waveform Display............................................................................................................114 Adding a Numeric Display...............................................................................................................115 Moving a Waveform or Numeric Display..........................................................................................116 Saving a Layout..............................................................................................................................117 Sounds.................................................................................................................................118 12-Lead ECG..........................................................................................................................119 NIMB Cycling and Manual NIBP...............................................................................................120 Patients................................................................................................................................122 Configuring the TouchPro Software........................................................................................123 Changing the Language of the TouchPro Software...................................................................124 Exiting the TouchPro Software...............................................................................................124 xix Table of Contents Using METIman........................................................................................................ 125 Neurological.........................................................................................................................126 Eyes..................................................................................................................................................... 127 Convulsions ......................................................................................................................................... 127 Neuromuscular Blockade..................................................................................................................... 127 Body Temperature................................................................................................................................ 127 Blood Temperature.............................................................................................................................. 127 Head Secretions (Prehospital Only)...................................................................................................... 128 Respiratory...........................................................................................................................129 Airway................................................................................................................................................. 130 Swollen Tongue............................................................................................................................................. 132 Posterior Pharynx Swelling (Prehospital Only)............................................................................................... 132 Realistic Upper Airway (Prehospital Only)..................................................................................................... 133 Laryngospasm (Prehosptial Only).................................................................................................................. 134 Teeth with Breakaway Incisors (Prehosptial Only)......................................................................................... 134 Airway Secretions (Nursing Only).................................................................................................................. 135 Cricothyrotomy.............................................................................................................................................. 136 Replacing the Cricothyrotomy Tape................................................................................................................ 136 Resealing the Membrane After a Puncture..................................................................................................... 137 Pulmonary........................................................................................................................................... 138 Needle Decompression (Prehospital Only).............................................................................................................. 139 Bronchial Occlusion (Prehospital Only).......................................................................................................... 140 Respiratory Rate............................................................................................................................................ 140 Pulse Oximetry.............................................................................................................................................. 140 CO2 Exhalation (Prehospital Only).................................................................................................................. 140 Positive Pressure Ventilation.......................................................................................................................... 141 Gastric Distention (Prehospital Only)............................................................................................................. 141 xx Table of Contents Chest Tube: METIman Prehospital.................................................................................................................. 141 Chest Tube: METIman Nursing....................................................................................................................... 143 Cardiovascular......................................................................................................................144 Pulses: METIman Prehospital............................................................................................................... 146 Pulses: METIman Nursing . .................................................................................................................. 147 Blood Pressure..................................................................................................................................... 148 Systolic and Diastolic Blood Pressure............................................................................................................. 148 Non-Invasive Blood Pressure Measurement................................................................................................... 148 Heart Rate............................................................................................................................................ 152 Five-Lead ECG...................................................................................................................................... 152 Cardiovascular Interventions/Therapy.................................................................................................. 153 Chest Compressions....................................................................................................................................... 154 Defibrillation and Cardioversion.................................................................................................................... 154 Pacing........................................................................................................................................................... 155 Subclavian Catheter (Nursing Only)..................................................................................................... 156 Intramuscular Injection........................................................................................................................ 156 IV Cannulation..................................................................................................................................... 156 Fluids................................................................................................................................................... 158 Hemorrhage Setup........................................................................................................................................ 159 Hemorrhage Control...................................................................................................................................... 159 Tourniquet Application.................................................................................................................................. 160 Fluid Loss Blood............................................................................................................................................. 160 Fluid Loss Plasma.......................................................................................................................................... 160 xxi Table of Contents Gastrointestinal ...................................................................................................................161 Gastrointestinal Gavage, Lavage and Suction (Nursing Only)............................................................... 161 Gavage (Nursing Only).................................................................................................................................. 161 Lavage (Nursing Only)................................................................................................................................... 161 Gastric Suction (Nursing Only)....................................................................................................................... 162 Genitourinary System............................................................................................................163 Urinary Catheterization........................................................................................................................ 163 Simulating Urine Output...................................................................................................................... 164 Changing the Simulator’s Genitalia...................................................................................................... 165 Sounds.................................................................................................................................166 Speech................................................................................................................................................. 166 Vocal Sounds................................................................................................................................................. 166 Speech Sounds.............................................................................................................................................. 168 Wireless Voice Capability............................................................................................................................... 170 Wireless Voice Link........................................................................................................................................ 170 Throat Sounds...................................................................................................................................... 171 Breath Sounds..................................................................................................................................... 172 Heart Sounds....................................................................................................................................... 173 Bowel Sounds...................................................................................................................................... 174 xxii Care and Maintenance............................................................................................. 175 METIman Warranty Programs.................................................................................................176 General Information............................................................................................................................ 176 Units Out of Agreement....................................................................................................................... 176 How to Contact Customer Service........................................................................................................ 177 Contract Period.................................................................................................................................... 178 Limitations of Agreement.................................................................................................................... 178 Return Materials Authorization (RMA)................................................................................................. 178 System Software Upgrade Support.........................................................................................179 Pricing Structure...................................................................................................................179 Time and Materials.............................................................................................................................. 179 Breakdown...........................................................................................................................180 Step 1: Stop All Running SCEs.............................................................................................................. 180 Step 2: Clean the Simulator and the Fluid System................................................................................ 180 Step 3: Shut Down the Software.......................................................................................................... 180 Step 4: Power off the Simulator........................................................................................................... 181 Maintenance Advice..............................................................................................................181 General Simulator Care........................................................................................................................ 181 Storage................................................................................................................................................ 181 Care of Electronic Equipment............................................................................................................... 182 Airway Inspection................................................................................................................................ 182 Replacing the Battery.......................................................................................................................... 182 Recharging the Battery........................................................................................................................ 184 Draining Condensation from the Simulator.......................................................................................... 185 xxiii Cleaning the Simulator and the On-Board Bleeding System......................................................186 Cleaning the Trauma Fill Tank ................................................................................................187 Cleaning the In-Line Filter................................................................................................................... 188 Troubleshooting the Trauma Fill Tank................................................................................................... 189 Emptying and Flushing the Chest Tube Reservoir................................................................................. 190 Flushing the IV Lines............................................................................................................................ 190 Emptying the Genitourinary Reservoir................................................................................................. 190 Emptying the Head Secretions Lines (Prehospital Only)....................................................................... 190 Emptying the Airway Secretions Reservoir (Nursing Only)................................................................... 190 Flushing the Subclavian Catheter (Nursing Only)................................................................................. 190 Handling CO2 Canisters ..........................................................................................................191 Removing CO2 Canisters from the Regulator......................................................................................... 191 Important Canister Information........................................................................................................... 192 Related CAUTIONS/WARNINGS............................................................................................................. 192 CO2 Canister...................................................................................................................................................192 CO2 Regulator Assembly................................................................................................................................192 Use of Equipment..........................................................................................................................................192 Condition Guidelines for Programming METIman....................................................... 193 Appendix A –Müse Parameters Descriptions............................................................... A-1 Appendix B - Wireless Voice Link................................................................................B-1 xxiv Introduction Introduction METIman Nursing and Prehospital simulators give you all the power of CAE Healthcare’s cutting edge simulation technology with more of what you want. METIman Nursing was created by nurses to teach the fundamentals of nursing practice, and METIman Prehospital was built for medics by medics. Both simulators are less expensive than other simulators, are easy to use and have everything you need with nothing you don’t. METIman METIman is fully wireless with on-board fluid, pneumatic and electrical systems and is built tough to withstand a wide variety of real-life, indoor and outdoor learning environments. METiman comes with extensive clinical features and capabilities designed specifically for emergency medical personnel and nurses. The simulator can be placed on standard operating room tables, on an ICU bed, on the ground or even in a vehicle (in the case of a simulated accident). METIman can also be seated in an upright position. In addition, METIman has the assessment, cardiovascular, genitourinary and trauma features familiar to CAE Healthcare customers plus an SpO2 finger probe, fluids on board, bilateral noninvasive blood pressure and IV access. Wireless and tetherless, METIman takes simulation education to a new and exciting level of realism. Introduction Equipment Overview METIman has been designed to be used in any learning environment. METIman’s standard features are easily integrated into a laboratory setting or remote locations. Standard Components Inventory METIman comes with all the necessary equipment for establishing an educational simulation center. Standard Equipment METIman Simulator Battery Charger and External Power Supply Instructor Workstation (Laptop or Tablet) CO2 Canisters (Prehospital Only) Inventory Kit Wireless Microphone or Wireless Voice Link Trauma Fill Tank NOTE: As you would with any shipment, cross-check this inventory with your CAE Healthcare packing invoice to verify that all components have been received. Introduction Optional Components Inventory Optional equipment is available to accommodate special customer requirements. For example, options like an air compressor, METIVision and METI FX enable instructors to create real-life scenarios at authentic locations. Optional Equipment METIman Replacement Lithium Battery External Compressed Air Kit External CO2 Kit Air Compressor Hands-Free Training Cables METIman Learning Applications and Training Courses Tool Kit METIVision METI METIFX FX Moulage Kit Contact CAE Healthcare Customer Service at 866-462-7920 if there are any questions or if optional equipment is needed. Introduction METIman Standard Equipment METIman comes with standard equipment that allows students and instructors the ability to create an endless number of possible clinical situations. The following equipment is provided with your METIman simulator. Full-Body Wireless Simulator All patient assessments and clinical interventions are played out on the METIman mannequin, which represents a human patient. At six feet, two inches (188 cm) in height and weighing 100 pounds (45.36 kg), METIman is fully operational in the supine, lateral, prone and seated positions. The simulator offers features like arm pronation and supination; breath, heart and bowel sounds; palpable pulses; patient voice; and genitourinary features. Battery Charger and External Power Supply The simulator is rechargeable using the Battery Charger provided. Instructor Workstation (Laptop or Tablet) The Instructor Workstation is a computer that utilizes Müse Software to operate as the main simulation control center. Instructors control the simulation session from the Workstation by using SCEs that meet their learning objectives. The standard METIman configuration includes a choice of Laptop Instructor Workstation or a ruggedized Tablet Instructor Workstation. CO2 Canisters (Prehospital Only) Four CO2 canisters are included with METIman to supply the on-board CO2 exhalation feature. Introduction Inventory Kit iStan comes with a number of accessories and replacement components. Included in the Inventory Kit are: • iStan Start-Up Kit (Quick Start Chart and Setup Map) • iStan Logo Accessories • Priming syringe • Roll (4 ft) of VHB tape and roll of 2-inch-wide red tape (for cricothyrotomy) • Cricothyrotomy skin • BP adapter kit • Silicone lubricant • Chest tube priming tube • ECG posts • Pacing/Defibrillation disks • Condensation drain • Wound umbilicals • SpO2 probe • Female genitalia • VGA mini adapter Introduction Wireless Microphone The wireless receiver enables the user to communicate through the simulator using a microphone. The clip-on microphone is attached to a transmitter that may be attached to a belt or waistband. Wireless Microphone The microphone is battery-operated and has a power switch on the top to turn it on and off. Wireless Voice Link The wireless voice link replaces the wireless microphone feature in some METIman simulators and comes packaged separately. For more information about this feature, see Appendix B -Wireless Voice Link on page B-1. Introduction Trauma Fill Tank Fluids are supplied to the simulator using a trauma fill tank. One tank is supplied and can be used for distilled water mixed with red food coloring to create simulated blood. Disassembled Trauma Fill Tank Trauma Fill Tank (Disassembled and Assembled) Assembled Trauma Fill Tank This tank should be cleaned after each use. Optional Equipment for METIman Additional components enable the METIman system to be customized to fit the specific needs of a wide variety of education environments. METIman Replacement Lithium Battery Under normal usage, a battery pack should last up to two years. External Compressed Air Kit The External Compressed Air Kit gives the user the ability to connect METIman to a CAE Healthcare compressor, tank or wall air using the kit’s hose and fittings. When connecting to wall air, the kit attaches to the customer’s wall adapter. Introduction External Compressed Air Kit The internal pump turns off automatically when external compressed air is sensed. The External Compressed Air Kit includes a flexible 30 ft (9 m) hose attached to a preset air regulator, a fitting for air compressors and adapters for wall or tank air. External CO2 Kit The External CO2 Kit gives the user the ability to connect METIman to an external source of CO2 (30-120 psi). The External CO2 Kit includes a flexible 30 ft (9 m) hose attached to a preset air regulator and an adapter for wall or tank fittings. Air Compressor An air compressor (product #AIR-003) designed for quiet operation is available for same-room use, and an alternative air compressor (product #AIR-002) is available for situations where the compressor resides in a location, such as a storage room, set apart from the simulator. Both Air Compressors are AC powered and include a regulator and an air hose with the appropriate connector fitting. A 220VAC/50 Hz version of the Quiet In-Room Air Compressor (product #AIR-004) is also available. Introduction Hands-Free Training Cables Hands-Free Training Cables connect to most popular defibrillators and cardiac pacing units and take the place of non-reusable electrode pads. Three different cable designs are available to support the most popular defibrillation and pacing equipment. Each cable kit includes posts that attach to the defibrillator or pace locations on METIman. Physio-Control (Medtronic, Inc.) (product #ACC-005) Zoll (Zoll Medical Corporation) (product #ACC-006) Philips (Koninklijke Philips Electronics, N.V.) (product #ACC-007) Introduction METIman Learning Applications and Training Courses METIman Learning Applications CAE Healthcare Learning Applications enhance the use of the simulator by providing preprogrammed scenarios and corresponding support documentation (i.e., course objectives, instructor’s notes) that can be readily integrated into a lesson plan, a specific curriculum or an educational program. EMS Learning Application 1 (EDU-047) Adult Nursing Learning Apllication (EDU-071) METIman Training Courses METIman Basic and Advanced courses offer learners at all levels in-depth instruction in the setup, operation, development of scenarios and maintenance related to the use of METIman. The METIman Basic course provides learners with an overview of the system and its components, as well as an introduction to patient creation and scenario design. METIman Basic - two days at CAE Healthcare facility (TRN-018) METIman Basic On-Site - two days at learner-defined facility (TRN-020) The METIman Advanced course builds upon the concepts introduced in the prerequisite Basic course. After a quick review of the Basic course, Advanced instruction spends the majority of the two days providing learners with the ability to design patients and scenarios that can be used immediately upon completion of the course. METIman Advanced - two days at CAE Healthcare facility (TRN-019) METIman Advanced On-Site - two days at learner-defined facility (TRN-021) Tool Kit To simplify common adjustments and periodic repairs, CAE Healthcare has put together a kit containing tools selected for use with the simulator (product #TOL-001). Tool Kit 10 Introduction METIVision METIVision is a fully integrated, digital audio-visual management system that is datasynchronized in real-time for use with CAE Healthcare simulators. METIVision is the only solution available with the capability not only to capture and store simulation data, but to broadcast and review any medical simulation exercise using CAE Healthcare simulators. Complete with physiologic data logs, event logs, pharmacology logs and patient monitoring data, METIVision offers the capability to provide a complete record of your simulation exercise for debriefing, assessment and evaluation (product #MTV-001). METIVision Console METI FX CAE Healthcare takes realism to the next level with METI FX: a realistic set of advanced moulage wound simulation and special effects. METI FX includes incredibly lifelike wounds that accurately replicate muscle, tissue and subcutaneous fat and reflect the true physical nature of a wound and its treatment. And, METI FX comes complete with CAE Healthcare’s own educational learning tools – a set of how-to treatment cards explaining procedures and learning objectives for both civilian and military patient scenarios (product #MFX-100). METI FX Simulation 11 Introduction Moulage Kit The kit provides the materials needed to create wounds on METIman (product #MODS-999). Moulage Kit The Moulage Kit may also be ordered separately. 12 Setup METIman Setup The following pages will guide you through assembling and configuring METIman. Below is a list of steps required to prepare METIman for operation. Place METIman in the Work Area Connect the Lower Legs to METIman Power On METIman Power On the Instructor Workstation Connect to the METIman Network Connect the SpO2 Probe (Optional) Connect the External Air (Optional) Insert the CO2 Canister (Optional, Prehospital Only) Detach the Arms (Optional) Prepare the Bleeding System (Optional) Connect the TouchPro (Optional) 13 Setup Before Beginning Setup Proper operation of the METIman simulation unit requires correct configuration. Before setting up the system, keep in mind these basic guidelines: Understand the Cautions and Warnings information located in the Introduction section of this User Guide. • Follow the sequence of steps carefully. • Complete all steps in order. • Do not power on any components until instructed in the text. • KEEP all original shipping materials, including BOXES — warranty and repair items must be return shipped to CAE Healthcare in their original packaging. When unpacking METIman for the first time, careful use of a box cutter protects both the packaging and the product. A Setup Map, included with the unit, covers these same steps in abbreviated fashion. 14 Setup Step 1: Place METIman in the Work Area Select a work area with enough room for all equipment, providing ample space for easy access to the simulator. At a least 10’ x 12’ (3 meter x 4 meter) work area is recommended for movement and positioning of components around the simulator. Positioning METIman METIman and the Laptop or Tablet Instructor Workstation can be operated from their batteries, allowing for wireless use. In a lab environment, make sure a multi-plug AC power outlet exists within the workspace to recharge the simulator’s battery and its powered components. Before placing the simulator on a surface, be certain the surface can easily support 200 pounds. NEVER lift the simulator by the LIMBS. When lifting, be sure to support the torso and head of the simulator while lifting. 15 Setup Step 2: Connect the Lower Legs to METIman NOTE: Use extreme care when handling the sensor cables and pulse tubes. NEVER let a leg hang off a surface without the locking pin securely in place. Doing so can seriously damage the sensor cables and pulse tubes. a. On each leg, at the knee, remove the locking pin from its position. Removing the Locking Pin b. Place lower limbs in their correct positions, leaving enough room to manipulate connectors. c. On each leg, match and connect the color-coded tubing to the three white tubing connectors. Connecting Tubing 16 Setup d. Match and connect the color-coded tubing to the three black electrical connectors. Connecting Electrical e. Carefully place tubes and cables in the hole on the lower leg. f. Align holes on the knees and insert the locking pin. g. Screw the nut on the locking pin, holding it in place. Affixing the Locking Pin 17 Setup Step 3: Power On METIman a. Locate the ON/OFF button beneath the skin covering METIman’s left hip. The ON/OFF Button METIman’s ON/OFF Button b. Press and hold the ON/OFF button for one second. The power light blinks, indicating the system is busy. In approximately one minute, the light stops blinking and remains solid, indicating the simulator is now ready. NOTE: METIman can be operated continuously for approximately four hours without recharging the battery. 18 Setup Step 4: Power On the Instructor Workstation a. Place the Laptop or Tablet Instructor Workstation near METIman in a convenient location. b. Ensure the Instructor Workstation battery is fully charged, or connect the AC adapter to the workstation and a surge-protected power outlet. c. Power on the Instructor Workstation. 19 Setup Step 5: Connect to the METIman Network – Laptop Instructor Workstation (Macintosh) Option a. Click the AirPort icon located in the top-right-hand corner of the screen. Clicking the AirPort Icon b. If the AirPort is not on, select Turn AirPort On. Activating the AirPort Card c. Select the network (e.g., MMPXXX or MMNXXX, where XXX is the simulator’s unit number). Selecting the Network 20 Setup The AirPort dialog box appears. The AirPort Dialog Box d. Enter the password metiadmin into the Password field. e. Click OK. Connecting to the METIman Network The Müse software can now be launched. 21 Setup Step 5: Connect to the METIman Network – Tablet Instructor Workstation (Microsoft Windows) Option Once METIman and the Instructor Workstation are both powered on, they automatically establish a wireless connection and, when the Internet Explorer browser is opened, the Müse software launches. If the auto-connect does not occur, perform the following steps: 1. Tap on the Wireless Network icon in the task bar. 2. Select the METIman wireless network (e.g., MMPXXX or MMNXXX, where XXXX is the serial number for the unit). The network password is metiadmin and the password is case-sensitive. 3. Click the Connect button. The wireless connection is established. The Müse software can now be launched using Internet Explorer. 22 Setup Optional: Connect the SpO2 Probe Connect and attach the SpO2 probe to METIman. a. Locate the SPO2 port on METIman’s left hip. b. Connect the SpO2 probe to the SPO2 port. c. Place the SpO2 probe on METIman. Attached SpO2 probe Attached SpO2 Probe The probe must be connected to view pulse oximetry data on the TouchPro software. 23 Setup Optional: Connect External Air Using the External Air kit allows METIman to be run by an external air source rather than the internal compressor. The air hose can be connected to or disconnected from METIman at any time. When the external air pressure is sensed, the pump internal to METIman turns off automatically. When you want to make METIman mobile again, simply disconnect the hose. The optional External Compressed Air Kit consists of a flexible 30 ft (9 m) hose attached to a preset air regulator and a fitting for air compressors and adapters for wall or tank air. To connect the air hose: 1. Connect the External Compressed Air Kit to a CAE Healthcare compressor using the Quick Coupler attached to the regulator. (Other compressed air sources have their own adapters. Locate the adapter for your compressed air source.) 2. Connect the other end of the External Compressed Air Kit to the EXTERNAL AIR port on the left shoulder. The EXTERNAL AIR port METIman Prehospital’s Left Shoulder The EXTERNAL AIR port METIman Nursing’s Left Shoulder 24 Setup Optional: Insert the CO2 Canister (Prehospital Only) Some SCEs include the simulation of CO2 exhalation. The following instructions show how to safely connect the CO2 canister to the simulator. WARNING: Careful handling, including the use of eye protection, is required when using CO2 canisters. Please read and understand all the important cautions and warnings on removing canisters as well as safety steps that must be used when handling CO2 canisters. Use of CO2 Canisters • Store the CO2 canisters in a dry location between 32° and 104° F. (0° to 40°C) • Do not expose the CO2 canister to heat above 140° F, as rupture may occur. • Never point the CO2 canister toward your face or someone nearby. • Use only CAE Healthcare specified CO2 canisters. • Do not remove the canister from the regulator base until empty. The canister end is punctured when screwed into the regulator base. • Never ship the CO2 canister attached to the regulator assembly. Assembly of the CO2 Regulator • Care must always be taken when using high-pressure equipment. • Do not disassemble or alter the regulator. • Dry completely if the regulator becomes wet. • Discontinue use of this equipment if leakage or visible damage is evident. 25 Setup Insertion of the CO2 Canister (Prehospital Only) To insert the CO2 canister: a. Lift the chest skin at the waist and lift the abdominal insert. b. From the simulator’s right midsection, remove the pull pin and disconnect the blue CO2 hose. Remove the pull pin Remove the Pull Pin c. Remove the regulator from the simulator. d. While holding the regulator firmly, carefully twist the CO2 canister into the regulator as far as it will go. The final turns puncture the CO2 canister, which is necessary for correct operation. Insert the CO2 canister into the regulator Connecting the CO2 Canister CAUTION: Do not loosen the canister once it has been inserted into the regulator assembly until the contents are exhausted and pressure relieved. CAUTION: Removing the canister before it is empty results in the sudden release of all highpressure gas with a possibility of liquid CO2 spray. Unprotected skin could receive freezing burns. 26 Setup e. Place the CO2 canister, regulator and hoses inside the simulator. Use the pull pin to secure this assembly to the tray. A properly installed assembly will have the CO2 canister pointed down toward the rear of the simulator. Place the canister, regulator and hoses inside the simulator Placing the Canister, Regulator and Hoses f. Attach the blue CO2 hose to the connection on the regulator. g. Carefully reposition the abdominal insert and pull the skin back over the simulator to its original location. Once the canister and regulator assembly are in place, CO2 is measurable with a disposable ETCO2 detector during positive pressure ventilation. Based on the training environment, a CO2 canister may last from 10 minutes (rapid ventilation) to 25 minutes. See important Cautions and Instructions for removing, transporting and disposing of the CO2 canisters in the Care and Maintenance section. 27 Setup Optional: Detach the Arms METIman’s arms may be removed for use with trauma scenarios. To detach METIman’s arms: 1. Unscrew and remove the locking pin at the elbow. Removing the Locking Pin 2. Carefully separate the lower arm from the upper arm. 3. Twist to disconnect the four tubing connectors (white). Disconnecting the Tubing 28 Setup 4. Squeeze to disconnect the three electrical connectors (black). Disconnecting the Electrical Connectors 5. Place the loose connectors carefully within the upper arm. NOTE: When replacing arms, ensure tubing and electrical connectors are matched using the color-coding. 29 Setup Optional: Prepare the Bleeding System ONLY distilled water or distilled water containing food coloring should be used with the secretion system. A mixture of no more than 29 mL (1 oz) red food coloring with 3.8 liters (1 gallon) of distilled water should be used to create simulated blood. The blood mixture should be created in advance in a separate distilled water container. NOTE: The higher the ratio of food coloring, the greater the possibility of staining. Using the Trauma Fill Tank The Trauma Fill Tank is used to fill the on-board blood reservoir. CAUTIONS and WARNINGS Carefully follow all instructions for using the Trauma Fill Tank. Pay particular attention to the following cautions and warnings: • ALWAYS read and follow instructions for creating trauma fluids (e.g. blood). • ALWAYS protect eyes, skin and clothing against accidental exposure. • After use, ALWAYS release pressure and clean the tank. • ALWAYS release tank pressure before servicing. • DO NOT modify the tank or any assembly component. • DO NOT store liquids in the tank. • NEVER transport or ship in a pressurized and/or full state. • NEVER leave a pressurized tank unattended. • NEVER fill the tank with more than 6 liters (1.6 gallons) of fluid. • NEVER exceed 35 strokes while pressurizing the tank. 30 Setup Attaching the Overflow Bottle to the Trauma Fill Tank Assembly The overflow bottle is used to collect overflow when the METIman on-board tank is filled. To attach the Overflow Bottle to the Trauma Fill Tank: 1. Connect the clear trauma fill tank hose to the bottle lid fitting. Connect the clear hose to the bottle lid fitting Connecting the Trauma Fill Tank Umbilical to the Overflow Bottle 2. Clip the bottle to the tank using the attached carabiner mechanism. The carabiner The Carabiner Operating the Trauma Fill Tank Be careful to complete the following steps correctly to ensure proper use and maintenance of the METIman and its peripherals. Step 1: Pour the Fluid into the Trauma Fill Tank Pour the desired amount of fluid into the Trauma Fill Tank, being careful to NOT to exceed 6 liters (1.6 gallons) of fluid. NOTE: The right thigh tank holds 1.5 liters and is used for blood. Three (3) liters of simulated blood provides enough fluid to fill the right thigh reservoir twice. The amount of blood used in a training session varies with the patient, the wounds simulated and the learner’s experience. 31 Setup Step 2: Connect the Trauma Fill Tank Connector to the Simulator a. Locate the tan FILL port and white VENT port. b. Connect the FILL (with the tan label) and VENT (with the white label) hoses of the Trauma Fill Tank to the corresponding ports on the simulator Both connections must be made for correct operation. Step 3: Pressurize the Trauma Fill Tank and Fill the On-Board Blood Reservoir An integrated hand pump is used to create the pressure for the Trauma Fill Tank. WARNING: To prevent ejected pump assembly and/or solution from striking and injuring you, NEVER stand with your face or body directly over the top of the tank when pumping or loosening the pump. To operate the pump and fill the reservoir: a. Unlock the pump handle by turning counter-clockwise. (Be careful not to loosen the pump from the tank.) b. Stroke the pump handle up and down from 25 to 35 times to transport 2 liters of simulated blood to the on-board blood reservoir. NEVER exceed 35 strokes while pressurizing the tank. c. Lock the pump handle back into the pump assembly by turning clockwise. d. Watch the Overflow Bottle located on the tank assembly. When liquid begins to appear in this bottle, the on-board blood reservoir is full. (Filling the on-board blood reservoir takes approximately 3 to 5 minutes.) 32 Setup Step 4: Release Pressure from the Trauma Fill Tank Immediately release pressure from the tank by turning and holding the yellow pressure relief knob clockwise until all air pressure is gone. If pressure will not release using the relief knob: a. Place a rag over the top of the tank and pump handle. b. While firmly pushing down on the pump handle, slowly turn the handle counterclockwise. NEVER leave a pressurized tank unattended. Step 5: Disconnect the Trauma Fill Tank Umbilical from the Simulator Disconnect the Trauma Fill Tank Umbilical from the simulator and store the assembly out of the way for later use. After use, ALWAYS release pressure and clean the tank. Preparing for Storage After filling and using the Trauma Fill Tank and the simulator’s blood reservoir, both must be cleaned for storage. Step 1: Clean the Simulator and Fluid System When the simulation is completed and the Trauma Fill Tank has been disconnected, remove the fluids and clean the simulator (see Cleaning the Simulator and the On Board Bleeding System in the Care and Maintenance section of this User Guide). Step 2: Clean the Trauma Fill Tank Before storing the Trauma Fill Tank, make sure the equipment is clean (see Cleaning the Trauma Fill Tank in the Care and Maintenance section of this User Guide.) Step 3: Store the Trauma Fill Tank After cleaning, the Trauma Fill Tank assembly should be stored securely for future use. a. Allow the interior of the tank to dry by loosening the pump assembly. Do NOT leave the pump assembly out of bottle, however, because dust contaminates the system. b. Loosely wrap the Trauma Tank Umbilical around the neck of the tank to protect it. c. Store all components in a clean, dry area. 33 Setup Optional: Connecting a TouchPro Computer to the Wireless Network The CAE Healthcare TouchPro computer is pre-configured for use with METIman. If you wish to supply your own TouchPro computer, use the following instructions to connect the computer to the METIman network. Up to two additional computers may be used to run the TouchPro software. The additional computers must meet the TouchPro Software Specifications mapped out in the Muse and TouchPro Specifications section of this User Guide on page xii. Follow the steps below to use the TouchPro software on a TouchPro computer. Step 1: Set Up METIman The METIman simulator must be set up and powered on, and the Instructor Workstation must be powered on and connected to the METIman network. If you have followed the complete setup procedure, you may proceed to Step 2. Step 2: Obtain METIman’s IP Address METIman’s IP address is the same as the IP address used to access the Müse software on the Instructor Workstation. It can be found in the Address field of the web browser on the Müse Start screen. METIman’s IP address The Müse Start Screen IMPORTANT: The IP address is different for each simulator. NOTE: If the Address field does not appear, check the view settings of your browser. In Safari, access the View menu and select Show Toolbar. 34 Setup Step 3: Configure the TouchPro Computer’s Network Settings Access the Networking screens (the TCP/IP settings screens) for your operating system. If you are unfamiliar with these screens, contact your Network Administrator or CAE Healthcare Customer Service (1-866-462-7920) for help with this step. TCP/IP Network Screen – Macintosh Internet Protocol Version 4 (TCP/IPv4) Properties Screen – Windows Enter a unique IP address in the IP address or IPv4 Address field and a subnet mask in the Subnet Mask field. The unique IP address must match the IP address obtained in Step 2 except for the number after the third and final period. This number can be any number between 2 and 254 BUT must be different from the final number of the IP address obtained in Step 2 (METIman’s IP address) and the IP address of the Instructor Workstation and any other computers on the network. No two IP addresses can be the same, including the Instructor Workstation’s IP address. Unique IP Address: 192.168.XXX.XXX Subnet Mask: 255.255.255.0 Router/Gateway: (Leave Blank) Example: If the IP address of your METIman is 192.168.206.5, and the IP address of your Instructor Workstation for your METIman is 192.168.206.10, you could assign the TouchPro computer the IP address 192.168.206.20. 35 Setup Step 4 – Option 1: Join the METIman Network Using a Macintosh Operating System a. Click the AirPort icon located in the top-right-hand corner of the screen. Clicking the AirPort Icon b. If the AirPort is not on, select Turn AirPort On. Selecting Turn AirPort On 36 Setup c. Select the network - e.g., for METIman Prehospital, MMPXXX (where XXX is the simulator’s unit number). Select a network Selecting METIman’s Network The AirPort dialog box appears. The AirPort Dialog Box d. Enter the password metiadmin into the Password field. e. Click OK. Click OK Connecting to METIman’s Network The computer has joined the METIman network. You can now proceed to Step 5. 37 Setup Step 4 – Option 2: Join the METIman Network Using a Windows Operating System a. Click the Wireless Network icon located in the bottom-right-hand corner of the screen. Clicking the Wireless Network Icon b. Click Connect to a Network. Clicking Connect to a Network The Connect to a network dialog box appears. 38 Setup c. Select the network, i.e., METIman Prehospital MMPXXX (XXX is the simulator’s unit number). Select a network Selecting METIman’s Network d. If prompted for a password, enter metiadmin into the available field e. Click Connect. Click Connect Connecting to METIman’s Network The computer has joined the METIman network. You can now proceed to Step 5. 39 Setup Step 5: Access the Software from the TouchPro Computer a. On the TouchPro computer, launch the web browser (e.g., Safari®). b. Enter the IP address obtained in Step 2 into the browser’s address field. The Müse Start screen appears. The Müse Start Screen The TouchPro software can now be launched. OPTIONAL: From your web browser, a bookmark can be created on the TouchPro computer for ease of access to the Müse or TouchPro software. Please consult your web browser’s help menu for aid in creating a bookmark. I MPORTANT: The Instructor Workstation MUST remain on and connected to the METIman network for the TouchPro computer to be able to operate. 40 Using the Software Using the Software The Müse software used with the METIman simulator is a web-based application that can communicate directly with the simulator. With the software, users can run SCEs, create scenarios and SCEs, import and export data and perform administrative functions. NOTE: For optimal Müse performance, no other software programs should be open while Müse is running. IMPORTANT: Only one Müse application window and/or tab can be used per Instructor Workstation, per simulator at a time. IMPORTANT: Do NOT use any of the browser’s navigational tools while operating Müse. Starting the Application Once the METIman simulator is powered on and the Instructor Workstation is connected to the METIman network, the Müse software can now be launched. To launch the software: 1. Using the Laptop or Tablet Instructor Workstation, launch the web browser (e.g., Safari, Internet Explorer). NOTE: If using a computer other than the one supplied, the computer will have to be configured to the METIman network. (The directions for using a different computer are the same as the directions for Connecting a TouchPro Computer to the Wireless Network, found on page 34.) The Müse Start Screen appears. The Müse icon The Müse Start Screen 41 Using the Software 2. Select Müse. The Login Screen appears. The Login Screen NOTE: The METIman User Guide (English version) is available for download by clicking the User Guide link in the bottom, left-hand corner of the screen. To access the User Guide in other languages, please visit www.caehealthcare.com and click the Support link. Click the globe-shaped Language icon in the bottom left corner to change the language of the Müse software. 42 Using the Software 3. Enter the Username admin and the Password admin in the appropriate fields to access the software. Enter the admin and the admin in the appropriate fields Entering the Username and Password The software opens to the Home page by default. 43 Using the Software The Home Page From the Home page, users can run, create, search for and edit SCEs. The Home page can be accessed by clicking the Home button in the top, right-hand corner of any screen in the Müse software. The Print SCE and Add to Favorites buttons The Home Button The SCE Summary Panel The SCE Selection Panel A selected SCE Open Library and New SCE buttons Run button Review button The Home Page 44 Using the Software The SCE Selection Panel Simulated Clinical Experiences, or SCEs, are process tools that enable the faculty/educator to execute a learning strategy using simulation. Each process tool provides an extensive overview and outline of the learning exercise and requires minimal additional faculty development time for use. Each SCE is comprised of a patient and can include up to four (4) scenarios. Available SCEs appear in the SCE Selection panel. Click any SCE to select it. Search field Running Now SCE Locked SCEs Base SCEs The SCE Selection Panel The SCE Selection panel has four tabs that access SCEs: Running Now, Recent, Favorites and All. • Running Now — lists the SCEs that are currently running and is only available when at least one SCE is running • Recent — lists all the recently run or edited SCEs • Favorites — lists all SCEs that have been selected as favorites. To add a favorite SCE to your profile, click the Add to Favorites button at the top of any SCE on the Home screen. Managing favorites is achieved in the Account Profile portion of the software. • All — lists all available SCEs from all available Learning Applications Click the arrow buttons to view more installed SCEs. Once selected, the SCE appears in the SCE Summary panel. 45 Using the Software To search for an installed SCE, enter part of the name of an SCE in the Search field and click the Search button. Click Run to execute the SCE. The SCE Library Access more SCEs from your library by clicking the Open Library button at the bottom of the SCE Selection panel. The SCE Library appears, listing all available Learning Applications. Click the desired Learning Application name to access the SCEs for that Learning Application. The SCEs for that Learning Application appear. Click the name of the SCE you want to open. Click the SCEs icon to view all user-created SCEs. Click Close Library to exit the SCE Library. User-created SCEs The SCE Library 46 Using the Software Printing SCEs To print an SCE: 1. From the Home page, select the SCE to print. The SCE summary panel appears. 2. From the SCE summary panel, click the Print SCE button. A PDF of the selected SCE appears in a new browser window. 3. Save the PDF to a CD or flash drive for printing from another computer, OR To print from the Instructor Workstation, consult your network administrator for assistance connecting to a printer. If the Instructor Workstation is connected to a wireless printer, the Instructor Workstation will need to be disconnected from the simulator network and connected to the network on which the printer resides before printing. After printing, the Instructor Workstation will need to be disconnected from the printer’s network and reconnected to the simulator network. When finished saving or printing the PDF, close the browser window containing the PDF to return to Müse. 47 Using the Software The Run Screen The Run screen is available when users are running an SCE. From the Run screen, users can manage the SCE, view physiological status and events and perform overrides and interventions. From the Home screen, click Run to access the Run screen. Clicking the Run Button The Run Screen appears. SCE Name Patient Physiological Display widgets Conditions, Medications and Interventions palettes Scenario Events Physiological View The Run Screen 48 Using the Software Using the Patient Status Display On the Run screen, there are widgets that display the patient’s physiological status. The Patient Status Display widgets can be changed to reflect the user’s needs. There are six available display panels for the widgets. Waveform widgets utilize two display panels. The Patient Status Display Widgets 49 Using the Software To change a Patient Status Display widget, click the widget you would like to change. A list of available parameters appears. Click any widget to access a menu to change the display Changing a Patient Status Display Widget Choose the desired parameter from the list, and the widget changes to reflect the new selection. The Event Log During an SCE, all software operations sensed by the simulator or entered manually (e.g., virtual defibrillation), are recorded by an event entry that appears on the screen. The event entry notes what occurred and the time it happened. Events Logs can also be exported. The Event Logs 50 Using the Software Adding a Scenario to an SCE SCEs incorporate scenarios that contain preprogrammed physiology. Additional scenarios can be added to SCEs to enhance the current scenario’s physiology. Click the Add Scenario button on the Run screen to add a scenario to an SCE that is running. The Add Scenario Button Click the Add Scenario button to add a scenario to an SCE The Select a Scenario Dialog Box Physiological Views From the Run screen, users can select from five different views representative of various body systems and features: Neurological Respiratory Cardiovascular Fluids Sounds 51 Using the Software To access each view, click the appropriate organ, icon or button. • For Speech Sounds, click the speech balloon • For Neurological, click the brain. • For Respiratory, click the lung • For Cardiovascular, click the heart. • For Fluids, click the blood droplet. • For Sounds, click the Sounds button. Speech balloon Brain Heart Lung Blood droplet Sounds button Physiological Views From each view, various parameters can be determined and managed. 52 Using the Software Setting Parameters Parameter settings may be established or changed while an SCE is running in two ways: from the Conditions palette or by selecting a parameter from one of the physiological views on the Run screen. Using the Conditions Palette to Set Parameters There are two ways to apply conditions using the Conditions palette: using a Quick Link or using the complete Conditions menu. Quick Links are preconfigured conditions that are made accessible in the Conditions palette for quick application. Quick Links can also be created for the Medications and Interventions palettes. To set parameters using the Quick Links in the Conditions palette, click a Quick Link. The condition is applied and is reflected in the patient’s physiology. Conditions button Quick Links The Conditions Menu NOTE: Quick Links must be added while creating or editing the SCE. 53 Using the Software Or, to apply a condition that is not preconfigured in the Conditions palette, click the Conditions button. Conditions are organized by system, or all available conditions can be listed by choosing ALL CONDITIONS. Conditions Menu Navigate through the menus, and once the condition has been located, click the condition’s name from the list. Selecting a Condition The condition is applied and appears in the patient’s physiology. NOTE: Not all conditions affect the patient’s physiology. 54 Using the Software Using the Physiological Views to Set Parameters From the appropriate physiological view, locate the desired parameter. Select the parameter and set the new value. The parameter is changed and is reflected in the patient’s physiology. Parameters have varying controls, such as sliders, switches and menus. In the image below, the Heart Rate parameter is shown. Within the Heart Rate parameter, there are switches that toggle between Modeled and Override and Seconds and Minutes, a slider that sets the beats per minute and a field where the beats per minute value can be keyed in. Toggle the switch from Override to Modeled to return to its original state Drag the slider to set the value Setting a Parameter from a Physiological View Once the parameter has been set, it is reflected in the patient’s physiology. 55 Using the Software Performing Interventions An intervention in the Müse software is the application of a medication or medical intervention occurring while an SCE is running. Interventions are applied using the Medications and Interventions palettes or by interacting with the simulator. Using the Medications Palette There are two ways to administer medications using the Medications palette: using a Quick Link or using the Medications menu. Quick Links are preconfigured medications that are made accessible in the Medications palette for quick application. Quick Links can also be created for the Conditions and Interventions palettes. To set parameters using the Quick Links in the Medications palette, click a Quick Link. The medication is applied and is reflected in the patient’s physiology, if applicable. NOTE: Not all medications affect the patient’s physiology, but all are logged. Medications button Quick Links The Medications Palette NOTE: Quick Links must be added while creating or editing the SCE. 56 Using the Software Or, to apply a medication that is not preconfigured in the Medications palette, click the Medications button. Medications are organized by type, or all available medications are listed under ALL MEDICATIONS. The Medications Menu Navigate through the menus, and once the medication has been located, click the medication’s name from the list. Selecting a Medication The medication is applied and is reflected in the patient’s physiology, if applicable. NOTE: Not all medications affect the patient’s physiology, but all are logged. 57 Using the Software Using the Interventions Palette There are two ways to perform and/or administer interventions using the Interventions palette: using a Quick Link or using the complete Interventions menu. Quick Links are preconfigured interventions that are made accessible in the Interventions palette for quick application. Quick Links can also be created for the Conditions and Medications palettes. To apply an intervention using the Quick Links in the Intervention palette, click a Quick Link. The intervention is applied and is reflected in the patient’s physiology. The Interventions button Quick Links The Interventions Palette NOTE: Quick Links must be added while creating or editing the SCE. 58 Using the Software Or, to apply an intervention that is not preconfigured in the Interventions palette, click Interventions button. Interventions are organized by type, or all available interventions can be listed by choosing ALL INTERVENTIONS. Interventions Menu Navigate through the menus, and once the intervention has been located, click the intervention’s name from the list. Selecting an Intervention The intervention is applied and is reflected in the patient’s physiology. 59 Using the Software Changing Scenario States From the Run screen, users can advance scenario states as desired. A scenario state can be changed from the Scenario screen or from the Run screen. Changing Scenario States from the Scenario Screen To change a scenario state from the Scenario screen: 1. From the Run screen, click the desired loaded scenario. The Scenario Management pop-up menu appears. The Scenario Management Pop-Up Menu 2. Select Show Scenario from the Scenario pop-up menu. 60 Using the Software The Scenario screen appears displaying the scenario. Jump to State button A selected state Click a scenario and select Show Scenario to access the Scenario screen States The Scenario Screen At the top of this screen, the Scenario Time and State Time are visible. Additionally, users can also pause and continue playing the scenario by clicking the Pause and Play buttons on the Scenario Management pop-up menu, which can still be accessed from the left side of the screen. NOTE: Pausing a scenario does NOT pause the SCE. 3. Click the Jump to State button. Click the Jump to State button The Jump to State Button The Jump to State menu appears, displaying the available states. 4. Select the desired state. The scenario transitions to the selected state and the state is highlighted. NOTE: Double-click a state to expand to the full view. Click the Close Window button to return to the Run screen. The Close Window Button 61 Using the Software Changing Scenario States from the Run Screen The scenario state can also be changed from the Run screen. To change the scenario state from the Run screen: 1. Click the desired scenario. The Scenario Management pop-up menu appears, and all available states are listed. States in the scenario The Scenario Management Pop-Up Menu Pause or continue the scenario by selecting the Pause and Play options from the menu. 2. Select the desired state. The scenario proceeds to the selected state. 62 Using the Software SCE Time The Timeline bar along with the Play, Pause, Fast-Forward and Reset buttons are located at the top of the Run screen. Timeline Bar The Play button starts the SCE time if it has been paused. The Pause button pauses the SCE time. The Fast-Forward button accelerates the SCE time. The Timeline bar shows the amount of time that has elapsed and shows bookmarks that have been created. Bookmarks are used to create a point in the SCE timeline to which users may easily return. To create a bookmark, click Bookmark. The Bookmark button Bookmarks Bookmarks Exiting the SCE To exit the SCE and return to the Home page, click the Return button. The Return Button Stopping the SCE To stop the simulation, exit the SCE and return to the Home page, click Stop. The Stop Button IMPORTANT: Another SCE cannot be run until the current SCE has been stopped. 63 Using the Software Saving a Patient Save a Patient when an additional patient with different physiology is needed for repeated use. To save a Patient: 1. From the Home screen, run an SCE that has a Patient with the same gender as the Patient to be created. 2. From the Run screen, apply the desired conditions and set the necessary parameters. 3. Once complete, click Patient at the bottom of the Run screen. Clicking Patient The Patient pop-up menu appears. 4. Click Save. Clicking Save from the Patient Pop-Up Menu The Save a copy of the Patient dialog box appears. The Save a Copy of the Patient Dialog Box 64 Using the Software 5. Enter a name for the new Patient in the Enter the new patient name field of the Save a copy of the Patient dialog box. Entering a Name for the Patient 6. Click Save. The new Patient is now available in the Patients Palette. The Patient in the Patients Palette 65 Using the Software Resetting a Patient Resetting a Patient brings the Patient back to its original physiological state at the start of the SCE. However, the SCE time is unaffected. Additionally, the reset appears in the Events Log. NOTE: If patient baseline physiology settings have been selected, they are removed when the Patient is reset. To reset a Patient: 1. While running an SCE, click Patient at the bottom of the Run screen. Clicking Patient The Patient pop-up menu appears. 2. Click Reset. Clicking Reset from the Patient Pop-Up Menu The Reset the Patient warning box appears stating that the patient’s physiology will be reset to its state at the load time and all running scenarios will be paused. The Reset the Patient Dialog Box 3. Click Reset. The Patient returns to its original physiological state at the start of the SCE. 66 Using the Software Medication Monitor The Medication Monitor tracks the infusion of medication administered. To activate the Medication Monitor, from the Run screen, click Medication Monitor at the bottom, right-hand portion of the screen. Select Medication Monitor The Medication Monitor appears as a movable box on the Run screen. The Medication Monitor The number shown on the Medication Monitor next to each medication listing is the normalized effector site concentration. When a medication is reset from the Medication Monitor by clicking the Reset button, the reset clears the medication from the physiological model and from the Medication Monitor. With continuous infusions, the amount infused goes back to zero, but the infusion continues. If you want the infusion to completely stop, the infusion must be stopped via the Medications Library. 67 Using the Software Creating and Editing SCEs Creating and editing SCEs is a similar process. Once the SCE is created, the steps for editing are the same. Use the New SCE button to create a new SCE. New SCE Button Use the Review button to edit an existing SCE. Review Button The minimal requirements for creating a new SCE include selecting a Patient, naming the SCE and saving the SCE. Once the new SCE is created, you can continue with the SCE creation or use the Review button to edit later. To edit an existing SCE, click Review. Creating an SCE Creating an SCE begins with naming the SCE and determining the Patient Profile. To name a new SCE: 1. From the Home screen, click New SCE. New SCE Button The Patients Palette appears. 2. Select a Patient from the palette and click Create. Click the Create button to begin creating an SCE Selecting a Patient 68 Using the Software The SCE Editor appears, showing the Enter a name for the SCE dialog box. The Enter a name for the SCE dialog box The SCE Editor Screen 3. Enter the name for the SCE. IMPORTANT: When naming the SCE, the name of the SCE may NOT exceed 80 characters. Additionally, SCE file names CANNOT contain any special characters, such as / \ : * ? < > % ‘ | " 4. Click Save. Once the SCE is saved, it is stored and can be edited and reviewed at any time, including while creating a Patient Profile and content, determining settings and programming scenarios. 69 Using the Software Creating a Patient’s Profile and Baseline To create the Patient Profile: 1. From the SCE Editor, in the Profile field, click Edit. 2. Set the Patient’s name, age, gender and weight by filling in the appropriate fields. Setting the Patient’s Name, Gender and Weight and Changing the Patient’s Picture 3. Click the Change Picture button if you wish to change the patient’s picture. 4. Click Save. IMPORTANT: No aspect of the patient’s profile can contain any special characters, such as / \ : * ? < > % ‘ | " To set the Patient’s Baseline: 1. From the SCE Editor, click Baseline. The Patient Baseline screen appears. The Patient Baseline Screen 2. Set the Patient’s baseline by setting parameters. 3. Click Save. When the SCE begins, the Patient presents with these settings. Once the SCE is named and the Patient Profile determined, the SCE content can be entered and set up using the SCE Editor. 70 Using the Software Content Management SCE Content is entered by clicking the Overview, Background, Preparation and Notes buttons under the Content Management heading in the SCE Editor. The Content Management Buttons Each screen allows users to enter different information. Click the Edit button of each section on the SCE Editor to access a rich-text editor that enables data entry. IMPORTANT: Text can be copied and pasted into the fields from TextEdit or Notepad programs only. The Rich-Text Editor Click Save when all data for the field has been entered. 71 Using the Software SCE Configuration Conditions, the TouchPro software and the Patient Status Display can be configured by clicking the buttons under the SCE Configuration heading in the SCE Editor. SCE Configuration Buttons Condition Setup Screen and Creating Quick Links Click Condition Setup to access the Condition Setup screen. From the Conditions Setup screen, conditions, medications and interventions can be preconfigured for the SCE creating Quick Links. On the Condition Setup screen, Conditions, Medications and Interventions buttons are available. Click the Conditions, Medications and Interventions buttons to navigate through the available conditions and interventions. Condition Setup Screen To create a Quick Link, drag and drop the desired choice(s) to the list of Quick Links to add them to the SCE. 72 Using the Software TouchPro Setup TouchPro software is an additional feature of the Müse software. To preconfigure the TouchPro for use with the Müse software, click TouchPro Setup under the SCE Configuration heading on the SCE Editor. The TouchPro Pre-selected Layout screen appears. The TouchPro Setup Screen From the TouchPro Pre-selected Layout screen, the following predefined layouts can be made available in the TouchPro software for a particular SCE: Saturation-Pulse ICU-OR No CVP ICU-OR ICU-Arterial Line Only EMS-ED-Telemetry Switch On to activate a desired layout. Switch Off to deactivate a layout. Any number of the layouts may be selected. 73 Using the Software Patient Status Display To configure the Patient Status Display shown on the Run screen, click Patient Status Display under the SCE Configuration heading on the SCE Editor. The Patient Status Display screen appears. Patient Status Display Screen To preconfigure the Patient Status Display for an SCE, drag and drop the desired waveform, numeric or volume widgets on the Patient Status Display screen to an available display panel. Drag and drop the waveform into an available display panel Assigning a Waveform NOTE: Waveforms occupy two display panels. Once placed, click the widget to assign a particular physiologic parameter. 74 Using the Software Scenario Designer The Scenario Designer allows users to create or edit new scenarios. To access the Scenario Designer from the SCE Editor screen, click the Add Scenario button under the Preloaded Scenarios heading. Click the Add Scenario button Clicking the Add Scenario Button The Choose Scenario dialog box appears. The Choose Scenario Dialog Box To choose a saved scenario from the list, select the scenario and click Add. The scenario appears beneath the Preloaded Scenarios heading. Click the scenario to open it in the Scenario Designer. Enter a keyword in the Search field to search for a scenario. To create a scenario from scratch, click New. The Scenario Designer appears. IMPORTANT: When naming a new Scenario, the scenario name may NOT exceed 128 characters. Additionally, scenario file names CANNOT contain any special characters, such as / \ : * ? < > %‘ |“ 75 Using the Software Once the choice has been made, the Scenario Designer appears. Scenario button View buttons Conditions Canvas The Scenario Designer The Scenario Button Clicking the Scenario button accesses the Scenario drop-down menu, which allows users to save scenarios, add blank states and rename and delete selected states. The Scenario Drop-Down Menu IMPORTANT: When naming a new Scenario, the scenario name may NOT exceed 128 characters. When naming a Scenario State, the state name may NOT exceed 127 characters. Additionally, scenario file and state names CANNOT contain any special characters, such as such as / \ : * ? < > % ‘ | " 76 Using the Software Scenario Designer Views The Scenario Designer has two views: The Graphical View and the Line Item view. The Graphical View allows users to branch out scenario states. The Line Item view places the states into a linear format. Click the Graphical View button to utilize the Graphical View. Double-click on any state to expand and view it with all its components as shown in the example below. Graphical View button The Graphical View 77 Using the Software Click the Line Item View icon to utilize the Line Item view. Double-click on any state to expand and view all its components as shown in the example below. Line Item View button Line Item View 78 Using the Software Creating a New Scenario When beginning to create a new scenario, the canvas is blank. Scenario states can be created by dragging and dropping conditions, medications and interventions from their respective menus on the right side of the Scenario Designer to the canvas. Drag and drop a Condition to the canvas to create a State Dragging-and-Dropping a Condition to the Canvas Or, a new, empty state can be added by clicking the Scenario button. Once clicked, the Scenario drop-down menu appears. Click New State, and a new state appears on the canvas. NOTE: When naming a Scenario State, the state name may NOT exceed 127 characters. Additionally, scenario file and state names CANNOT contain any special characters, such as such as / \ : * ? < > % ‘ | “ Modifying Scenario States Once a scenario state has been placed on the canvas, it can be modified. Additional parameters, transitions and notes can be added. Each state can contain multiple parameters and transitions. Click the state name to rename the state. Collapse State button A State Click the Collapse State button to minimize the state. Double-click the collapsed state to expand. 79 Using the Software Adding Parameters and Interventions Additional parameters and interventions can be set in two ways. Users can drag and drop additional parameters from the Conditions menu to the canvas or to states. Drag a Condition to a state Adding a Condition Or, click the Parameters button within the state to be modified. The Parameters button The Parameters Button 80 Using the Software The Patient Control screen appears. The Patient Control Screen Click the various organs to change the views, and select the desired parameter. Once a parameter has been selected, it appears in the Patient Control panel. Add as many parameters as needed. Added parameters appear consecutively within the state. Drag and drop to reorder as needed. Click Complete to save and exit the Patient Control screen, or click Cancel to exit without saving. NOTE: If the physiology of any of the parameters conflicts, the Müse software reflects the physiology of the last parameter entered. 81 Using the Software Adding Transitions To add a transition, you must have both an original state and a state that results from the transition. To add a transition: 1. Click the Create button in the original state. Creating a Transition A menu appears with all available transition variables. Transitions Menu 2. Select the desired variable from the menu. For example, if a medication is desired, select Medications, and select the desired medication from the list. Once the medication is selected a dialog box appears, asking for the proper dose and the variable. Setting a Medication Dosage and Variable 3. Once the dose and variable have been selected, click Accept. 82 Using the Software 4. Click the GOTO arrow to connect the transition. A menu listing all the available states appears. Select the resulting state from the menu. Select a State from the menu to transition to GOTO arrow Transition Menu An orange connector line appears linking the transition to the state. The orange connector line indicates a connected transition A Connected Transition 5. Follow the same steps to add multiple transitions to the state. 83 Using the Software ELSE Statements An ELSE statement is used to transition to a state automatically when none of the other programmed transitions occur. Before specifying an ELSE statement, at least one other state must be created first. To add an ELSE statement, click ELSE in the original state. A menu appears with all the available states listed. Select a State from the ELSE menu ELSE Menu Click the desired state. A black connector line appears linking the ELSE statement to the state. The black connector line indicates a connected ELSE statement A Connected ELSE Statement 84 Using the Software Deleting Scenario States To delete a state, in the Graphical view, drag and drop the state into the trash. Drag and drop the state in the trash Deleting a State in the Graphic View In the Line Item view, drag and drop the state into the trash. Drag and drop the state in the trash Deleting a State in the Line Item View Deleted states remain in the trash can until you log out of the software or the trash is cleared. 85 Using the Software Deleting Parameters and Transitions From an active state, drag and drop the desired parameter or transition into the trash. Drag and drop the parameter in the trash Deleting a Parameter 86 Using the Software Emptying the Trash From the Scenario Designer screen, click the Trash Can. All items placed in the trash are listed. Trash Can Contents Click Empty Trash to empty the trash. If you do not wish to delete the items listed, they can be dragged back into the scenario, at which time they are removed from the trash. Logging out of the software automatically empties the trash. NOTE: Items emptied from the trash cannot be retrieved. 87 Using the Software Saving the Scenario At any time during scenario creation or modification, the scenario can be saved. To save scenarios, click the Scenario button to access the Scenario drop-down menu. To save on the most recent version of a modified scenario, click Save. To save a new scenario, click Save As. Or, when Save is clicked when saving a new scenario, users receive the same prompts. To save a modified scenario as a new scenario, click Save As. The Scenario Drop-Down Menu When Save As is clicked, the Save Scenario dialog box appears. Enter a name for the scenario in the Enter scenario name field. The Save Scenario Dialog Box Enter the name for the scenario in the Enter scenario name field and click Save. IMPORTANT: When naming a new scenario, the scenario name may NOT exceed 128 characters. Additionally, scenario file names CANNOT contain any special characters, such as / \ : * ? < > %‘ | " 88 Using the Software Saving States to the State Library Users can save states in the State Library for later use. To save a state, drag and drop the state to the State Library button. Drag and drop states to the State Libary button to save them A Saved State The state is stored in the library and appears in the State Library panel. A saved state A Saved State Click Conditions Library to Exit the State Library. 89 Using the Software Administrative Tools The Müse software has administrative tools that allow users to manage logs, stored content, users and system settings. The administrative tools are accessed via the Administrative Tools buttons, located on the Home screen. System Administration button History button Account Profile button Administrative Tools Buttons Click the History button to view and manage Simulation Session Logs. Click the System Administration button to manage stored content, user accounts, groups and system settings. Click the Account Profile button to manage and determine preferences for the active account. History From the History screen, users can view and export the Simulation Session Logs of performed SCEs. Each Simulation Session lists the Start Time, the title of the SCE and the Patient’s name. In addition, the Physiological Data and Simulation Events Logs are available for review and download. The History Screen By clicking the Simulation Events link of a Simulation Session, users can view the entire log of the simulation and all the events that occurred during the SCE. When the Physiological Data link of a Simulation Session is clicked, users can view all the physiological data that occurred during the SCE. On both the Simulation Events and Physiological Data screens, there is an Export button that, when clicked, exports the data to a CSV file that can be stored on an external device. 90 Using the Software System Administration From the System Administration screen, users can control and access Content Management, User Accounts, Groups and System Settings. To access the System Administration screen, click the System Administration button from the Home screen. The System Administration Button Content Management From the Content Management screen, users can manage Learning Applications, SCEs, Patients, Scenarios and Conditions. To access the Content Management screen, from the System Administration screen, click Content Management. The Content Management Button 91 Using the Software Learning Applications From the Content Management screen, click Learning Modules to access the Learning Applications screen. Click Learning Modules to access the Learning Applications screen Install Learning Module button The Learning Applications Screen The Learning Applications screen appears, listing all available CAE Healthcare Learning Applications and their accompanying SCEs. Additionally, Learning Applications can be installed from this screen. To install a Learning Application: 1. Click Install Learning Module. The Select file to upload dialog box appears. 2. Locate the correct Learning Application file on the Learning Application CD. The file extension is sce. 3. Select the file and click Select. 4. Refresh the screen by clicking the Home button in the Müse software and then follow the steps above for accessing the Learning Applications screen. The Learning Application appears on the Learning Applications screen and is available for use. 92 Using the Software SCEs From the Content Management screen, click SCEs to access the SCEs screen. All user-created SCEs appear in the SCEs panel. Click SCEs to access the SCEs screen Import SCE button The SCEs Screen On the SCEs screen, users can import and export the SCEs they have created. NOTE: SCEs purchased from CAE Healthcare CANNOT be exported. Click Import SCE to import an SCE from an external device as an sce file. Click Export to export an SCE to an external device. 93 Using the Software Base Patients From the Content Management screen, click Base Patients to access the Base Patients screen. All Patients appear in the Patients panel. Click Base Patients to access the Base Patients screen Import Patient button The Base Patients Screen On the Base Patients screen, users can rename, review, delete, import and export Patients they have created by clicking the respective buttons within each Patient. Locked Patients can only be reviewed from this screen. Click Import Patient to import a Patient file from an external device. Click Export to export a Patient file to an external device, such as the Instructor Workstation’s hard drive or a USB portable device. 94 Using the Software Scenarios From the Content Management screen, click Scenarios to access the Scenarios screen. All Scenarios appear in the Scenarios panel. Click Scenarios to access the Scenarios screen Create New Scenario button Import Scenario button The Scenarios Screen On the Scenarios screen, users can rename, review, delete, import and export Scenarios they have created. Locked Scenarios can only be reviewed from this screen. Users can also create new scenarios from the Scenarios screen by clicking the Create New Scenario button. User-created scenarios can be renamed, reviewed and deleted from the Scenarios screen by clicking the respective buttons within each scenario. Click Import to import a scenario file from an external device. Click Export to export a scenario file to an external device. 95 Using the Software User Accounts From the User Accounts screen, users can create, edit and delete users. To access the User Accounts features, on the System Administration screen, click User Accounts. Click User Accounts to access the User Accounts screen The User Accounts Screen 96 Using the Software Creating a User To create a new user: 1. Click the New button in the Users panel. The User Data panel appears on the screen and requests information about the user. Creating a New User 2. Enter the user’s personal data. First Name Last Name Email Password – The password should be one that is not easily guessed Confirm Password NOTE: A suggested User ID is generated automatically when the user’s first and last names are entered; however, an alternate User ID can be entered. 3. Assign the user to a Group by clicking on the group name in the Groups panel. New groups can be created as well. Users may be assigned to only one group. 4. Click Create. 97 Using the Software Editing a User Edit a user when changes are needed to the user account. To edit a user’s information or privileges: 1. From the Users panel, select the user to edit. 2. Click Edit. The user’s details appear in the User Data panel. 3. Make the desired changes and click Save. Deleting a User Delete a user when the user is no longer needed. To permanently delete a user: 1. From the Users panel, select the user to be deleted. 2. Click Delete. 3. The User Deletion Warning box appears stating any content created by this user will be reassigned to your account and asks if you are sure you want to delete the user. The User Deletion Warning Box 4. Click Yes. The user and his corresponding data are deleted. However, any SCEs, scenarios or Patients created default to the user who deleted him. 98 Using the Software Groups Users are assigned to groups to define access privileges. To access the Groups screen, from the System Administration screen, click Groups. Click Groups to access the Groups screen The Groups Screen From the Groups screen, users can create new groups, delete groups and assign privileges to groups. In the Groups panel, three groups appear by default. Administrators Educators Deactivated Users Each default group has privileges assigned. 99 Using the Software Privilege System The Müse software has three different privileges: System Management User Management Content Management User Management and Content Management can be assigned independently or combined. The System Management privilege contains all privileges. System Management Users with the System Management privilege have access to all features of the Müse software, including the benefits of the User Management and Content Management privileges, listed below. Users with the System Management privilege can also view system settings, back up and restore data and apply software updates. User Management Users with the User Management privilege can manage all users and groups. Content Management Users with the Content Management privilege can create and manage all SCEs. IMPORTANT: Users with the System Management or User Management privilege can DELETE other users, including the default meti admin account. Once deleted, this account cannot be recovered. Please ensure users with the System Management or User Management privilege take care not to delete the default meti admin account. 100 Using the Software Creating a New Group Create a new Group to have an alternative to the preconfigured Groups. To create a new Group: 1. From the Groups screen, click New. The Group Name field appears. 2. Enter the name of the Group in the Group Name field. 3. Click Create Group. The group appears in the Groups panel on the Groups screen. Privileges can now be selected. 4. Select the privilege(s) to be assigned to the Group. 5. Click Save. Deleting a Group Delete a group when it is no longer needed. Once a Group is deleted, all users who were affiliated with the Group default to the Deactivated Users Group. To permanently delete a Group: 1. From the Groups screen, click the group to be deleted. 2. Click Delete. The Group Deletion warning box appears asking if you want to continue. 3. Click Yes. The Group is deleted. 101 Using the Software Maintenance From the Maintenance screen, users can flush the fluids from their METIman simulators. For more instructions on how to flush the simulator, see the Care and Maintenance section. Click Maintenance to access the Maintenance screen The Maintenance Screen 102 Using the Software System Settings From the System Settings screen, users can view system information, back up and restore data, manage product licensing, view the error log and change the language of the Müse software. To access the System Settings screen, from the System Administration screen, click System Settings. Click System Settings to access the System Settings screen The System Settings Screen System Configuration Under System Configuration, Disk Space and System Time are displayed. Data Management The Data Management feature allows users to back up data to an external device. Users can also restore the backup data. Backing Up Data Back up data to protect and store content and user data. To back up data: 1. On the System Settings screen, click the Back Up Data button. A Save dialog box appears. 2. Select a location to save the backed up data. 3. Click Save. 103 Using the Software Restoring Data Restore data when the backed up data needs to be replaced on the software. Restoring data only restores the last backup and does NOT merge the backup data with the current data. To restore backup data: 1. On the System Settings screen, click Restore Data. 2. The System Restore warning box appears stating that restoring data erases all current data and asks if you want to continue. 3. Click Yes. A select file dialog box appears. 4. Locate the appropriate file to restore the data. 5. Click Select. The data is restored. Product Licensing To view product licensing information for your simulator or to enter a license key to activate your software, click Product Licensing. Error Log The Error Log is available for technicians and is used when diagnosing the Müse software. Localization To change the language of the Müse software, click Change Language, select a language and click OK or Accept. NOTE: Only the English version of the User Guide is available via the software, regardless of the Müse language selection. To access the User Guide in other languages, please visit www.caehealthcare.com and click the Support link. 104 Using the Software Account Profile From the Account Profile screen, users can view, update and reset personal profile information. From the Account Profile screen, users can also view and add favorite SCEs. Click the Account Profile button to access the Account Profile features. The Account Profile Button Profile Information From the Account Profile screen, click Profile Information to access the Profile Information screen. From this screen, users can change their profile information and reset their passwords. Click Profile Information to access the Profile Information screen The Profile Information Screen To change profile information, enter the new information in the appropriate field and click Update Profile when finished. To reset a password, enter the new password in the New Password field and re-enter the new password in the Confirm Password field. Click Change Password when finished. 105 Using the Software Favorite SCEs To access the Favorite SCEs screen, click Favorite SCEs from the Account Profile screen. All of the logged-in user’s favorite SCEs appear in the Favorite SCEs panel. Click Favorite SCEs to access the Favorite SCEs screen Add Favorites button The Favorite SCEs Screen To add SCEs to the Favorite SCEs panel, click Add Favorites. The SCE Library appears. Select the desired SCE, and it automatically appears in the Favorite SCEs panel. 106 Using the Software Medication Preferences From the Medication Preferences screen, found under Account Profile, users can import customized medication response files created in the Pharmacology Editor software. Click Medication Preferences to access the Medication Preferences screen The Medication Preferences Screen 107 Using the Software Profile Preferences Profile preferences allow users to change the font size. Click Profile Preferences to access the Profile Preferences screen The Profile Preferences Screen 108 Using the Software Using TouchPro The TouchPro software enables users to view the patient’s physiology. The software can be used from the Instructor Workstation or on another computer provided that computer has joined METIman’s wireless network. Accessing the TouchPro Software Like the Müse software, the TouchPro software is compatible with computers that have touchscreen capabilities. To run the TouchPro software, the Instructor Workstation must be connected to the METIman network. An SCE must be running on the Müse software for any physiological data to be displayed on the TouchPro software. The TouchPro software can only show one Patient at a time. 1. Using the Instructor Workstation, with the Müse software running, open a new tab in the web browser and go to the Home page of the web browser. The Müse Start Screen appears. The Müse Start Screen 2. Select the TouchPro icon. 109 Using the Software When TouchPro opens, the simulated patient monitor appears. The TouchPro Display NOTE: If using TouchPro on a separate computer other than the Instructor Workstation, the additional computer must be on METIman’s network. For instructions on how to join the TouchPro computer to the METIman configuration, please refer to page 34. 110 Using the Software Modifying the TouchPro Display The layout of the waveforms and numeric data shown on the TouchPro software can be customized. Changing the Layout The TouchPro software can show up to six waveforms plus an additional four numeric readouts. There are five preconfigured layouts: EMS-ED-Telemetry - preconfigured with a waveform and numeric readout for ECG Lead II and numeric readouts for SpO2 and noninvasive blood pressure (NIBP). ICU-OR Arterial Line Only - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, Pleth and a numeric readout for Body Temperature. ICU-OR No CVP - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, PAP and Pleth, and numeric readouts for NIBP, Thermodilution C.O., Blood Temperature and Body Temperature. ICU-OR - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, PAP, CVP and Pleth, and numeric readouts for NIBP, Thermodilution C.O., Blood Temperature and Body Temperature. Saturation-Pulse - preconfigured with numeric readouts for SpO2 and pulse. 111 Using the Software Selecting a Preconfigured Layout To select a preconfigured layout, click Settings, select the layout from the Layouts panel and click the Close Settings button. Close Settings button Select a layout from the Layouts panel Settings Menu NOTE: Preconfigured layouts must be enabled in the Müse TouchPro Setup for the currently running SCE to be accessible in the Layouts panel. For more information, see TouchPro Setup on page 73. 112 Using the Software Changing a Waveform or Numeric Display Waveforms and numeric displays can be changed to suit the user’s needs. To change a waveform or numeric display: 1. Click the waveform or numeric to be changed. The Wave Vital Selection menu or the Numeric Vital Selection menu appears, displaying all the available waveforms or numerics. Wave Vital Selection Menu 2. Select the desired waveform or numeric. The new waveform or numeric is reflected on the screen. From the Wave Vital Selection menu, the alarm, color and scale can be set for the waveform using the Set Alarm, Set Color and Set Scale buttons. From the Numeric Vital Selection menu, the color and alarm for the numeric can also be established using the Set Color and Set Alarm buttons. 113 Using the Software Adding a Waveform The TouchPro software supports up to six waveforms. To add a waveform: 1. Click the Settings button in the bottom right corner of the TouchPro display. The Settings Button The Settings menu opens and the Add Waveform and Remove Waveform buttons appear. 2. Click the plus button in the location above which you want the empty waveform to appear. An empty waveform field appears. Add or Remove Waveform buttons An empty waveform field Adding an Empty Waveform Field 114 Using the Software 3. Click the empty waveform field. The Wave Vital Selection menu appears. The Wave Vital Selection Menu 4. Select the desired waveform from the Wave Vital Selection menu. The new waveform or numeric is reflected on the screen. Adding a Numeric Display The TouchPro software contains four numeric display fields. All four numeric display fields are located on one row beneath the waveform displays. When fewer than four numeric readouts are being displayed, the remaining fields are blank. To add a numeric to a blank display field: 1. Click a blank numeric display field. Click a blank numeric display field Clicking a Blank Numeric Display Field 115 Using the Software The Numeric Vital Selection menu appears. The Numeric Vital Selection Menu 2. Select the desired numeric. The new numeric vital display is reflected on the screen. Moving a Waveform or Numeric Display Waveforms and numerics can be moved on the screen to suit the user’s needs. To move a waveform or numeric, click the desired waveform or numeric, and drag and drop the display to a desired location. Drag and drop a waveform to a desired location Moving a Waveform 116 Using the Software Saving a Layout Once a desired layout has been configured, it can be saved and reused. To save a layout: 1. Ensure the correct waveforms and numerics are in place. 2. Click Settings. The Settings menu appears. 3. Click Save As. The Save Layout window appears. 4. In the Save Layout window, in the Layout Name field, enter a name for the layout. Enter the name for the layout in the Layout Name field Entering a Layout Name 5. Click Save. 6. Click the Close button to exit the Settings menu. Saved layouts can be deleted from the Settings menu by dragging and dropping them in the Trash. NOTE: When a layout is saved, it is available for use only with the current SCE. To enable the layout for use with any other SCE, enable the layout from the TouchPro Setup panel for the desired SCE. See TouchPro Setup on page 73 for more information. 117 Using the Software Sounds All sounds can be silenced by clicking Mute. The Mute Button To set up the audio for the TouchPro, from the Settings menu, click Audio Setup. The Audio Setup Menu From the Audio Setup window, select a waveform to set it as the pulse sound. Once a waveform is selected, the Audio Setup window automatically closes. Clicking the Mute button from the Audio Setup window mutes all alarms. Click the Mute button again to return the alarms to their original state. 118 Using the Software 12-Lead ECG To view a 12-lead ECG report, click the 12-Lead ECG button at the bottom of the TouchPro screen. The 12-Lead ECG Button The report appears. A 12-Lead ECG Report The report can be printed or saved by clicking the Print button in the bottom right corner of the 12lead ECG report.. To close the report, click the Close button. IMPORTANT: Prior to saving the report as a PDF or printing to a network printer, the print presets must be adjusted. The page oritentation must be set to Landscape and the margins must be set to .25 inches on all sides. These settings vary in location depending on the operating system (i.e., Macinstoh, Windows). To save the report to a PDF file on a Macintosh Instructor Workstation: 1. From the 12-lead ECG report screen, click the Print button located in the bottom right corner of the 12-lead ECG report. 2. Select the Save As PDF option. 3. The report saves as a PDF on the Macintosh Instructor Workstation. To save the report to a PDF file on a Windows Instructor Workstation: 1. From the 12-lead ECG report screen, click the Print button located in the bottom right corner of the 12-lead ECG report. 2. The Print dialog box appears. 3. From the drop-down menu, select Microsoft XPS Document Writer. 4. The report saves on the Windows Instructor Workstation. To print a report: 1. From the 12-lead ECG report screen, click the Print button located in the bottom right corner of the 12-lead ECG report. 2. Select the appropriate network printer. NOTE: A network printer must be configured in order to appear as an option. 3. Click the Print button. 4. The report prints to the designated network printer. 119 Using the Software NIBP Cycling and Manual NIBP When non-invasive blood pressure (NIBP) is displayed, the patient’s NIBP can be updated at specified intervals using NIBP Cycling, or the current NIBP can be displayed immediately using the Manual NIBP button. To set the patient’s NIBP to be updated at regular intervals, from the Settings menu, click NIBP Cycling. The NIBP Cycling menu appears. From the NIBP Cycling menu, select the desired interval for the cycling and click Start. The NIBP Cycling Menu Custom cycling is also available. 120 Using the Software To display the patient’s current NIBP, click the Manual NIBP button. The Manual NIBP button The Manual NIBP Button The current NIBP is displayed. NOTE: Manual NIBP can be used at any time during cycling. However, this turns off autocycling. 121 Using the Software Patients To view the available Patients, click the Settings button in the bottom, right-hand corner of the TouchPro screen to access the Settings menu. From the Settings menu, click Patients to view the current Patient. Available Patients NOTE: When connected to the simulator, the TouchPro only displays the active Patient. 122 Using the Software Configuring the TouchPro Software Configure the background color, alarm suspension time and language selection of the TouchPro from the Configure panel. To access the Configure panel: 1. Click the Settings button in the bottom, right-hand corner of the TouchPro screen. 2. Click the Configure button from the Settings menu. 3. From the Configure panel, set the background color and alarm suspension time. Exit button The Configure Panel 4. Click the Exit button to exit the Configure panel when finished. 123 Using the Software Changing the Language of the TouchPro Software To change the language of the TouchPro software: 1. Click the Settings button in the bottom, right-hand corner of the TouchPro screen. 2. Click the Language Selection button from the Settings menu. 3. From the Language Selection panel, select a language. The Language Selection Panel Click Accept. Exiting the TouchPro Software To exit the TouchPro Software, 1. Click the Settings button from the bottom, right-hand corner of the TouchPro screen. 2. From the Settings menu, click Shutdown. A warning box appears asking if you want to exit. 3. Click Shutdown. 124
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