Silicon Labs RS9110N1122 Smart Incontinence Management Device User Manual SIM V14 0

Redpine Signals Inc Smart Incontinence Management Device SIM V14 0

User Manual

© Simavita Pty Ltd, 2011. All Rights Reserved SKinsella@simavita.com Page 1 of 191
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 2 COPYRIGHT INFORMATION Copyright 2013 Simavita Pty Ltd. All rights reserved. SIM™ and SIM™ with logo are trademarks of Simavita Pty Ltd. The information contained in this User Guide is the sole property of Simavita and may not be duplicated without permission. This User Guide manual may be revised or replaced by Simavita Pty Ltd at any time and without notice. You should ensure that you have the most current applicable version of this manual; if in doubt contact Simavita Technical Support Department.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 3 Table of Contents Copyright Information ............................................................................................................................... 2 Table of Contents ............................................................................................................................................... 3 Preface ............................................................................................................................................................... 1 Purpose of this manual .............................................................................................................................. 1 Qualification of Personel ........................................................................................................................... 1 Warranty .................................................................................................................................................... 1 1.0 Safety Information ....................................................................................................................................... 4 1.1 Definitions ............................................................................................................................................ 4 1.2 Warnings .............................................................................................................................................. 5 1.3 Cautions ............................................................................................................................................... 7 1.4 Symbols and Markings ......................................................................................................................... 9 1.5 Labels ................................................................................................................................................. 13 1.6 Standards and Compliance and IEC Classification ............................................................................. 14 2.0 Overview .................................................................................................................................................... 16 2.1 What is the SIM™ system .................................................................................................................. 16 2.2 Indications for Use ............................................................................................................................. 19 2.3 Contraindications ............................................................................................................................... 19 2.5 The SIM™ technology components ................................................................................................... 20 3.0 Getting Started with Components – Hardware .......................................................................................... 24 3.1 Charge the SIM™ pod ........................................................................................................................ 24 3.2 Connect SIM™ pod to SIM™ sensor ................................................................................................... 25 3.3 Disconnect the SIM™ pod from the SIM™ sensor ............................................................................. 26 3.4 Apply the SIM™ sensor and pants to the resident ............................................................................. 27 4.0 Getting Started with Components - Software ............................................................................................ 29 4.1 Overview of Tab Menu ...................................................................................................................... 29 4.2 User Levels and Access ...................................................................................................................... 30 4.3 Logging out and contact support ....................................................................................................... 30 4.4 The server software version and time zone ...................................................................................... 30 5.0 SIM™ manager – for the Administrator ..................................................................................................... 33 5.1 Administrator login ............................................................................................................................ 33 5.2 Administrator set-up activities .......................................................................................................... 34 6.0 SIM™ Manager – Assessment Coordination .............................................................................................. 48 6.1 Login to SIM™ manager ..................................................................................................................... 48 6.2 Dashboard Tab ................................................................................................................................... 49 6.3 Resident Tab ...................................................................................................................................... 51 6.4 Assessment Tab ................................................................................................................................. 56 7.0 SIM™ Data Collection ................................................................................................................................. 65 7.1 Overview ............................................................................................................................................ 65 7.2 Login to SIM™ assist ........................................................................................................................... 65 7.3 Main Screen – resident List ................................................................................................................ 66 7.4 SIM™ assist screen navigation ........................................................................................................... 67 7.5 SIM™ assist notifications ................................................................................................................... 68 7.6 Clearing notifications or Messages .................................................................................................... 68 7.7 Recording resident Observations....................................................................................................... 69 7.8 Observation Icons .............................................................................................................................. 70 7.9 Observation History ........................................................................................................................... 74 8.0 SIM™ Continence Care Plan ....................................................................................................................... 77 8.1 SIM™ continence care ....................................................................................................................... 77
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 4 8.2 Create a continence care plan ........................................................................................................... 78 8.3 Under Evaluation ............................................................................................................................... 89 8.4 Continence care plan In Use .............................................................................................................. 91 8.5 Draft continence care plan ................................................................................................................ 91 8.6 Continence care plan History box ...................................................................................................... 92 9.0 Reports ....................................................................................................................................................... 94 9.1 SIM™ reports overview ...................................................................................................................... 94 9.2 Assessment Reports ........................................................................................................................... 95 9.3 Continence care plan reports ............................................................................................................ 98 10.0 SIM™ cleaning instructions .................................................................................................................... 105 10.1 SIM™ cleaning guide ...................................................................................................................... 105 10.2 Recommended cleaning solution and precautions ....................................................................... 105 10.3 SIM™ pod cleaning and inspection ................................................................................................ 105 11.0 SIM™ Installation, Maintenance and Disposal ....................................................................................... 107 Installation ............................................................................................................................................. 107 IT Fact Sheet – IT requirements to support SIM™ ................................................................................. 108 Instructions For Disposal ....................................................................................................................... 147 Install Note 1: Instructions to install IIS7 and all Application Development Services............................ 148 Install Note 2: Instructions to install Microsoft .NET Framework .......................................................... 151 install Note 3: Instructions to install Microsoft SQL Server 2008 R2 Sp1 EXPRESS edition ................... 153 install Note 4: Instructions to install Report Builder 3.0 ........................................................................ 158 12.0 SIM™ Contact and Support .................................................................................................................... 164 Troubleshooting Index ........................................................................................................................... 164 Troubleshooting Guide .......................................................................................................................... 165 Accessories ............................................................................................................................................ 172 Contact and Support .............................................................................................................................. 173 Your Organisation Contact and Support ................................................................................................ 173 APPENDIX A .................................................................................................................................................... 175 SIM™ physical specifications ................................................................................................................. 175 SIM™ electrical specifications ................................................................................................................ 175 SIM™ pod wireless specifications .......................................................................................................... 176 SIM™ pod Indicator Light Colours .......................................................................................................... 176 SIM™ environmental conditions ............................................................................................................ 177 SIM™ patient Environment .................................................................................................................... 178 SIM™ manufacturers declaration .......................................................................................................... 179 I.T. Fact Sheet – IT requirements to support SIM™ ............................................................................... 184 GLOSSARY ....................................................................................................................................................... 186
© Simavita Pty Ltd, 2011. All Rights Reserved SKinsella@simavita.com Page 1 of 191 Preface PURPOSE OF THIS MANUAL This manual contains important information regarding the safe operation of your SIM™ system. Your SIM™ system contains electrical components that can provide years of useful service with the proper care, as described in this manual. Ensure that you read and understand the instructions contained in this manual before operating any component of the system. Further training on SIM™ system is available at the SIM™ training website. http://www.simavita.com/training The word resident is defined as the patient or the person been cared for. WARNING Before operating the SIM™ system, read, understand, and strictly follow the information contained in Chapter 1, “Safety Information”. QUALIFICATION OF PERSONEL Installation and maintenance of the SIM™ system must be made by authorized and trained personnel using original components and respecting the quality assurance and traceability rules approved by Simavita. WARRANTY Information regarding your product warranty is available from your sales representative or Simavita.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 2 This Page is Intentionally Blank
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 3 SECTION 1 SAFETY INFORMATION
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 4 1.0 Safety Information 1.1 DEFINITIONS This manual uses three indicators to highlight critical information: Warning, Caution and Note. They are defined as follows: WARNING A WARNING indicates a condition that can endanger the resident or the SIM™ system operator. CAUTION A CAUTION indicates a condition that can damage the equipment. Note: A Note indicates points of particular emphasis that make the operation of the SIM™ system more efficient or convenient. In order to use the system correctly and efficiently, and to help prevent incidents please pay particular attention to sections 1.2 “Warnings” , 1.3 “Cautions”, as well as all warnings and cautions contained throughout this manual.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 5 1.2 WARNINGS General Warnings Related to Use of the SIM™ system WARNING  The SIM™ system must be used according to its intended use. Refer to section 2.2 Indications for Use.  A resident in a Long Term Care facility is highly vulnerable to the risks of infection. Dirty or contaminated equipment is a potential source of infection. Clean the SIM™ pod and SIM™ dock regularly and systematically, before and after each use. Follow all internal procedures to your organization, as well as any maintenance procedures, to reduce the risks of infection.  To reduce the risk of infection, facility standard operating procedures for cleaning, disinfection and hygiene must be followed at all times. At a minimum you should wash your hands thoroughly before and after handling any part of the SIM™ system.  SIM™ is not a substitute for standard care practices. A resident undergoing a continence assessment should always be monitored by trained and competent personnel. Ensure the resident’s carer is able and prepared to take suitable action in the event that any part of the SIM™ system experiences a problem.  If there is leakage, as there may be with any continence product, there may be a risk of rash, sores and/or compromise of skin integrity requiring medical intervention during a continence assessment. The resident’s carer should continually monitor and interact with the resident.  The SIM™ sensor should not be applied to a resident who has a known pre-existing skin condition, such as a rash, sores and/or a compromise of skin integrity.  Some residents may be sensitive to materials used in the SIM™ components. It is important that the resident’s carer continually monitors and interacts with the resident. If the resident is sensitive to the materials used in the SIM™ components, discontinue use and contact Simavita.  If a resident develops a skin irritation as a result of wearing the SIM™ sensor, discontinue use and the resident’s carer should continually monitor and interact with the resident, and refer to 12.0 SIM™ Contact and Support for contact details.  The SIM™ pants and SIM™ sensors could potentially pose a biohazard risk after an assessment. The SIM™ pants and SIM™ sensors should be disposed of, as per standard operating procedures for your facility.  The Indicator Lights on the SIM™ pod indicate different events and functions. This User Manual should be consulted for Indicator Light definitions before determining the relevant user action.  Ensure SIM™ system components are stored and transported according to SIM™ environmental conditions as defined in Appendix A.  The SIM™ pod shall only be charged with the adapter model defined in Electrical Specifications in Appendix A.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 6 General Warnings Related to System Installation WARNING  The SIM™ system must be installed as per the instructions in section 11.0 SIM™ Installation, Maintenance and Disposal of this user manual.  The SIM™ system must not be installed in an environment that limits or prohibits RF transmitting devices.  Do not connect items which are not specified as part of the SIM™ system.  The SIM™ pod, SIM™ dock and SIM™ sensor most not be stored or placed close to radiant heat sources, such as a lit fireplace.  The SIM™ pod, SIM™ dock and SIM™ sensor must not be stored or placed close to sources of steam, such as steam kettles.  The SIM™ pod, SIM™ dock and SIM™ sensor must not be stored or placed close to microwave ovens.  Do not make changes to the SIM™ system database (stored on the server used for SIM™) as these may render the system inoperable. Warnings Regarding Maintenance WARNING  The SIM™ pod should be inspected for damage to the case and clip after every assessment and not less frequently than every 12 weeks.  Never use any component or accessory of the SIM™ system that appears to be damaged or not functioning correctly. If any signs of damage or malfunction are evident, discontinue use and contact Simavita.  If you cannot determine the cause of the problem with any component or accessory of the SIM™ system, contact Simavita. Do not use the SIM™ system until the problem has been corrected.  Do not attempt to repair, modify or service any component or accessory of the SIM™ system. The system does not contain any user serviceable parts. Doing so might cause damage and/or void your warranty. Only qualified service personnel should attempt to repair the SIM™ system.  Only clean SIM™ components with cleaning agents specified in this manual. Read and follow the cleaning instructions and additional instructions (section 10.0 SIM™ cleaning instructions) on the cleaning agents, to clean the SIM™ components.  The SIM™ sensor and SIM™ pants are intended for single use. Use these only as per Simavita’s instruction and do not attempt to wash or reuse these components.  Only perform upgrades to any software components of the SIM™ system by following instructions provided by Simavita and using official software installation packages or as directed by an authorized Simavita representative.  The SIM™ pod safety circuit may be triggered during the cleaning process. The SIM™ pod should always be placed on a powered SIM™ dock for a few moments after cleaning to reset the safety circuit.  Never use accessories, detachable parts or materials that are not described in this User Manual. To order new accessories contact Simavita.  The SIM™ pod must not be serviced or maintained when in use on a Resident
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 7 Warnings Regarding Oxygen WARNING  The SIM™ system is NOT suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or with OXYGEN or NITROUS OXIDE. 1.3 CAUTIONS General Precautions for Use CAUTION  The SIM™ pod and SIM™ dock may be damaged by excessive force being applied during cleaning. The cleaning procedures specified in this User Manual must be adhered to prevent damage.  The components of the SIM™ system may be damaged through the use of harsh cleaning products. The cleaning procedures specified in this User Manual must be adhered to, to prevent damage.  Precautions should be taken when handling the SIM™ pod as touching the pins may trigger a SIM™ sensor connection event. Precautions regarding Electromagnetic Interference CAUTION  The SIM™ system requires special precautions for electromagnetic compatibility and should be installed and started in accordance with the recommendations found in Section 3.0. In particular, the use of nearby mobile and portable communications equipment using radio frequencies exceeding the levels set in the IEC 60601-1-2 standard may affect operation.  The use of any accessory other than those specified may lead to an increase in electromagnetic emissions or a decrease in the equipment protection against electromagnetic emissions.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 8 General Precautions Related to the incorporation into the IT-network CAUTION  The connection of SIM™ pod to an IT network that includes other equipment could result in previously unidentified risks to resident, operators or third parties. The IT administrator should identify, analyse, evaluate and control these risks before connecting the SIM™ pod to the network. IEC 80001-1:2010 provides guidance for the IT administrator to address these risks.  Changes to the IT network including but not limited to changes in the IT network configuration, connection of additional items to the IT network, disconnection of items from the IT network, the update of equipment connected to the IT network and upgrade of equipment connected to the IT network, could affect the operation of SIM™. The IT administrator should assess the risks to the SIM™ system before implementing any of these changes.  The details provided in the I.T. Fact Sheet – IT requirements to support SIM™ defines the requirements of the IT-network infrastructure for the operation of SIM™ as intended by Simavita. The failure of the IT network to meet these requirements may result in the SIM™ system, the IT network or other devices connected to the IT-network, operating in an unintended manner.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 9 1.4 SYMBOLS AND MARKINGS Symbol Description IEC 60417-5333 Type BF Applied Part This symbol appears on the SIM™ pod IEC 60417-5031 Direct Current This symbol appears on the SIM™ dock. ISO 7000-1051 Single Use, Do not Reuse This symbol appears on the SIM™ sensor and SIM™ pants packaging. ISO 7010-W001 General Warning sign. This symbol accompanies WARNING in Simavita product literature. IEC 60417-5140 (2003-04) Equipment includes an RF transmitter. This symbol appears on the SIM™ pod. ISO 7000-3082 Device manufacturer. This symbol appears on all SIM™ components. ISO 7000-2497 The date when the medical device was manufactured. This symbol appears on all SIM™ components. The date will be adjacent to the symbol in the YYYY-MM format. ISO 7000-2607 The date after which the medical device is not to be used. This symbol appears on all SIM™ sensor packaging and packaging label. The date will be adjacent to the symbol in the YYYY-MM format.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 10 ISO 7000-2493 Manufacturers Catalogue number This symbol appears on all SIM™ components. ISO 7000-2498 Serial Number This symbol appears on all SIM™ components. ISO 7000-2492 Batch Code This symbol appears on the SIM™ sensor. WEEE (Waste Electrical and Electronic Equipment) This means the product must not be disposed of as household waste. Observe local ordinances for proper disposal. This symbol appears on all SIM™ devices. Refer to section 11 for information and instructions for disposal. RCM Compliance with Electrical Equipment Safety System (EESS) of Australian Communications and Media Authority (ACMA) Regulation. This symbol appears on all SIM™ devices. CE Marking. Declares that the product conforms to the essential requirements of the applicable EC directives. This symbol appears on all SIM™ pod and SIM™ dock, and all accompanying documentation and packaging. United States FCC This SIM™ pod complies with Part 15 of the Federal Communications Commission (FCC) Rules. The FCC ID for SIM™ pod is XF6-RS9110N1122. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. This symbol appears in the package insert for SIM™ pod/dock kit. ISO 7000-1641 Operating Instructions. This symbol appears on package inserts that are shipped with SIM™ devices. It is used to convey that the User Manual should be consulted before using the SIM™ devices.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 11 E365191 Medical Equipment This symbol appears on the SIM™ pod to signify that the product is certified to UL standards for Medical Equipment WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH ANSI/AAMI ES60601-1 (2005+C1+A2), CSA C22.2 No 60601.1 (2008), IEC/EN 60601-1 (2005/2006+C1+C2), 60601-1-6 Usability (2010), 60601-1-11 (2010). The UL control number for the SIM™ pod is E365191. USB trident logo. This symbol appears on the SIM™ dock to mark the location of the USB connector. Polarity Symbol. This symbol appears on the SIM™ dock to mark the location and the polarity of the DC connector. This symbol appears on SIM™ pod to mark the location of the power Indicator Light. Refer Appendix A for SIM™ pod Indicator Light indication colours This symbol appears on SIM™ pod to mark the location of the network Indicator Light. Refer Appendix A for SIM™ pod Indicator Light indication colours This symbol appears on the SIM™ pod to mark the location of the memory Indicator Light. Refer Appendix A for SIM™ pod Indicator Light indication colours IP67 IP rating code of SIM pod, which classifies the protection against intrusion from dust and water. This symbol appears on the SIM™ pod. The first digit indicates the level of protection that the enclosure provides against access to hazardous parts; The number 6 indicates that the enclosure is dust tight. The second digit indicates the level of protection that the enclosure provides against harmful ingress of water. The Number 7 on SIM™ pod indicates that SIM™ pod can be immersed in water up to 1 meter for a maximum of 30 minutes. Keep away from Direct Sunlight. This symbol appears on the SIM™ pod-dock packaging and the SIM™ sensor packaging.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 12 Keep Dry. This symbol appears on the SIM™ pod-dock packaging and the SIM™ sensor packaging Indicates the acceptable temperature range for transport and storage. This symbol appear son the SIM™ pod-dock packaging and the SIM™ sensor packaging Indicates the acceptable humidity range for transport and storage. This symbol appears on the SIM™ pod-dock packaging and the SIM™ sensor packaging Indicates that the packaging should be recycled. This symbol appears on the SIM™ pod-dock packaging and the SIM™ sensor packaging
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 13 1.5 LABELS Various labels and specific markings are affixed to the SIM™ system components that describe precautions and contribute to traceability of the product. The labels are identified in the table below with illustrations of their location. Label Description Location SIM™ pod label SIM™ dock identification label (Bottom of Dock)
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 14 1.6 STANDARDS AND COMPLIANCE AND IEC CLASSIFICATION The SIM™ system was developed in accordance with pertinent North American and International standards. The SIM™ pod with SIM™ sensor IEC 60601-1/EN 60601-1 classification is as follows: Description Specification Model Number 6019 Mode of Operation Continuous Operation Protection against ingress of water IP67 Applied Part Type BF Use in presence of flammable anaesthetic mixtures No Suitable for Sterilisation No GENERAL STANDARDS – SIM™ POD AND SIM™ SENSOR  Medical Electrical Equipment – Part 1: General requirements for basic safety and essential performance, IEC/EN 60601-1 (2005/2006+C1+C2)  Medical Electrical Equipment – Part 1: General Requirements for Safety, CSA C22.2 No 60601.1 (2008)  Medical Electrical Equipment – Part 1: General Requirements for Safety, ANSI/AAMI ES60601-1 (2005+C1+A2)  ISO 10993-1:2009 Biological evaluation of medical devices Part 1: Evaluation and testing in the risk management process COLLATERAL STANDARDS – SIM™ POD AND SIM™ SENSOR  Medical Electrical Equipment – Part 1: General requirements for Safety - Collateral standard Electro-Magnetic Compatibility requirements and tests IEC 60601-1-2 2010  Medical electrical equipment – Part 1-6: General requirements for basic safety and essential performance – Collateral standard: Usability, IEC 60601-1-6:2010  Medical Electrical Equipment – Part 1-11: General requirements for basic safety and essential performance – Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment, IEC 60601-1-11:2010
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 15 SECTION 2 OVERVIEW
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 16 2.0 Overview 2.1 WHAT IS THE SIM™ SYSTEM SIM™ stands for Smart Incontinence Management. SIM™ is used by carers in resident aged care facilities during an incontinence assessment to gather relevant information and record events which are automatically displayed on a bladder diary. This process helps create an accurate incontinence record. Direct physiological urinary incontinence data is detected by a sensor strip embedded in an absorbent incontinence product (SIM™ sensor Figure 1) worn by the resident during the assessment period. All incontinence events are detected and transmitted by a small pod (SIM™ pod) attached to the front of the SIM™ sensor pad worn by the resident during the assessment. Figure 1 SIM™ sensor The SIM™ pod (Figure 2) has been designed to operate continuously over the entire assessment period and utilises Wi-Fi capabilities to send event data back to a server based software application (SIM™ manager) for processing into useful data for clinicians to review. In addition to the direct urinary incontinence data feedback, carers collect data using an intuitive point of care application called ‘SIM™ assist’. The SIM™ dock (Figure 2) is used to charge battery of the SIM™ pod in between assessments. Figure 2 SIM™ pod and dock SIM™ assist application (Figure 3) operates on smart phone devices such as Android phones or tablets. The portability of a device containing the SIM™ assist allows the carer to record relevant data about the resident under assessment at the time of each event. Data events include: food and fluid intake; successful and unsuccessful toileting; sensor changes; behaviours; and other therapy activities related to urinary incontinence care.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 17 Figure 3 SIM™ assist application When a SIM™ assessment has been completed, data can be viewed in a comprehensive bladder diary. The SIM™ manager software provides a structured decision support process to guide the development of effective individualised continence care plans for each assessed resident. This assessment process is depicted in the cycle shown in Figure 4. Figure 4 Overview of the SIM™ assessment process The SIM™ manager software produces real time bladder information combined with a carer’s observations, a sample of which is shown in Figure 5.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 18 Figure 5 Sample of the Bladder and Assessment Chart
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 19 2.2 INDICATIONS FOR USE SIM™ (Smart Incontinence Management) is indicated for use by healthcare professionals to collect, transmit and report medical information from multiple residents (patients) within a clinical setting (e.g. hospitals, skilled nursing facilities, residential care facilities) to establish effective management plans for continence care. INTENDED USE SIM™ (Smart Incontinence Management) is a remote monitoring system intended to provide monitoring services of resident continence data by remote transmission. It is intended for use by trained healthcare professionals to remotely detect, record and report incontinence events for individual resident (patient) in long term care facilities, skilled nursing facilities, rehabilitation facilities and hospitals. 2.3 CONTRAINDICATIONS There are no known contraindications.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 20 2.5 THE SIM™ TECHNOLOGY COMPONENTS SIM™ operates over a Wi-Fi network, but does not require continuous connection. The SIM™ pod is capable of completing an entire assessment without connection to a network via Wi-Fi, but requires such a connection in order to upload all collected information. Figure 6 illustrates the SIM™ network. Figure 6 SIM™ network SIM™ consists of a number of components to enable the system to function. These components are stated and described in the table below. SIM™ components Component Description User interaction SIM™ sensor Disposable single-patient-use incontinence pad (diaper), with integrated wetness sensor, used during an assessment. The SIM™ sensor consists of a standard continence pad (diaper) with an embedded electronic circuit. The electronic circuit provides for 6 sensing electrodes and a means to distinguish a new sensor from a re-applied sensor. The SIM™ sensor is a Type BF applied part. Care staff, resident SIM™ pants Disposable single-patient-use standard over-pants used in conjunction with the SIM™ sensor to keep the sensor in place. The SIM™ pants have a pocket sewn inside the front top part of the pants to accommodate the SIM™ pod during assessments. Care staff, resident SIM™ pod A portable, reusable, rechargeable sensor data transceiver that is connected to the SIM™ sensor and worn by the resident during an assessment. The SIM™ pod is a small and lightweight data logging device. The pod has been designed to an IP67 rating, allowing it to be submerged under water for ease of cleaning. The SIM™ pod contains a rechargeable Li-Care staff, facility IT staff (during setup)
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 21 Ion battery and an electronic circuit board containing Wi-Fi radio module, micro-controller, and memory and charging circuitry. SIM™ pod is equipped with a safety circuit that limits the electrical energy available when a SIM™ sensor is connected. SIM™ pods must be configured to use the facility’s Wi-Fi network prior to use; configuration can be done using a client PC connected to the server and the SIM™ pod via a USB cable and is only required once, unless Wi-Fi network changes are made. SIM™ dock Recharging station for the SIM™ pod. The SIM™ dock includes a low voltage supply connected to mains electricity. The SIM™ dock provides an electrical and mechanical means to connect a 5V power supply and a USB cable (for configuration). The dock does not contain any additional electronics. Note: Only the low voltage power supplies specified in this User Manual are approved for use with SIM™. Care staff, facility IT staff (during setup) SIM™ assist A software application (app) operating on an Android phone or tablet used for recording resident observations, such as successful toileting or fluid intake; also used to provide SIM™ assessment messages to users. Recorded observations are uploaded via Wi-Fi to the server side SIM™ software. The SIM™ assist app is currently supported for Android OS3.2 (Honeycomb) or later. Care staff
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 22 SIM™ manager An element of the SIM™ system software which provides a user interface through a web browser. SIM™ manager allows for resident and staff profiles to be managed and assessments and continence care plans to be created, monitored and reported. SIM™ manager utilises Microsoft Silverlight to support the operation of the graphical user interface; it is available through the server’s IP address. Care staff Client computers Facility supplied computers able to connect to the server running the SIM™ system software; used for running SIM™ manager in the client side browser. Please refer to the minimum system requirements on the IT Fact Sheet. Care staff, facility IT staff Server computer A facility supplied workstation computer running the SIM™ software services. Please refer to the minimum system requirements and pre-installation requirements on the IT Fact Sheet. Facility IT staff
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 23 SECTION 3 GETTING STARTED WITH COMPONENTS – Hardware OMPONENTS
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 24 3.0 Getting Started with Components – Hardware 3.1 CHARGE THE SIM™ POD The SIM™ pod must be charged before you start an assessment to ensure it can be used continuously for the entire 72-hour (3 days) continence assessment period. It takes about 2-3 hours to fully charge a depleted SIM™ pod. Note: A SIM™ pod that has been in storage without charging for a period of six months or more may require more than 3 hours to fully charge. Simavita recommends that when a SIM™ pod is not in use it should be placed on the SIM™ dock and/or fully charged at least once every three months. Follow these steps to charge the SIM™ pod. Step 1 Step 2 The SIM™ dock recharges the SIM™ pod, so it will be ready for the next assessment. Place the SIM™ pod into the SIM™ dock with both blue logos facing forward. The battery indicator light will flash green when the SIM™ pod is charging. Once the pod is fully charged the indicator light will turn solid green. The Wi-Fi indicator light initially flashes orange and will turn solid green when connected to the Wi-Fi network. The synchronising indicator light initially flashes orange and will turn solid green once all assessment data is uploaded. The SIM™ pod is ready to be used for an assessment when all three indicator lights are solid green. The SIM™ pod indicator lights summary. SIM™ pod Symbols Indicator Light Indicator Light Battery GREEN (flashing) Recharging GREEN (solid) Fully charged Wi-Fi Orange (flashing) Connecting GREEN (solid) Connected Synchronising Orange (flashing) Data uploading GREEN (solid) completed All Symbols If any indicator light turns solid RED, refer to APPENDIX A and the Troubleshooting Guide in 12.0 SIM™ Contact and Support.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 25 3.2 Connect SIM™ pod to SIM™ sensor To connect the SIM™ pod to the SIM™ sensor, follow these steps: Step 1 Check that the pod number on the back of the SIM™ pod matches the number allocated for that SIM™ assessment. Step 2 Remove the SIM™ sensor from its sealed bag by tearing the top of the bag at the pre-cut notch. Step 3 Connect the SIM™ pod to the SIM™ sensor; match the window in the sensor clip to the raised shape on the SIM™ pod, then hook the clip over the pod. Step 4 Press firmly down on the end of the clip, until a click is heard. Green lights will flash briefly across all three indicator symbols to confirm the SIM™ pod is connected successfully. Note:  If the SIM™ pod connection is unsuccessful the lights flash green then turn orange briefly across all three indicator symbols. You will need to repeat the connection process.  If the battery is low the battery indicator light will flash orange indicating the pod needs to be recharged.  If the SIM™ pod memory is almost full, the synchronising indicator light flashes orange and must be returned to the SIM™ dock.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 26 3.3 DISCONNECT THE SIM™ POD FROM THE SIM™ SENSOR To disconnect the SIM™ pod from the SIM™ sensor, follow these steps: Step 1 Disconnect the SIM™ sensor from the SIM™ pod by hooking your index finger behind the clip while placing your thumb firmly on the front of the clip. Step 2 Pull your index finger forward, until the clip is released. SIM™ pod disconnection is confirmed by three orange lights flashing briefly across all three indicator symbols
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 27 3.4 APPLY THE SIM™ SENSOR AND PANTS TO THE RESIDENT Follow these steps to apply the SIM™ sensor and pants to the resident. WARNING  The SIM™ sensor is not recommended for use with residents that have a pre-existing skin condition including but not limited to a rash, sores and/or compromise of skin integrity. Step 1 Apply the SIM™ pants to the wearer with the pocket at the front on the inside and pull the pants up just below the groin area so the SIM™ sensor can be easily inserted between the legs. Step 2 Fold the SIM™ sensor lengthways to raise the pad cuffs and create a channel shape. Then insert the SIM™ sensor between the legs. Fan the back of the pad out and pull up the back half of the SIM™ pants to support the sensor. Step 3 Adjust the SIM™ sensor at the front to fit snugly into the groin area and pull up the SIM™ pants. Step 4 Place the SIM™ pod firmly into the SIM™ pants pocket inside the SIM™ pants.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 28 SECTION 4 SIM™ MANAGER
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 29 4.0 Getting Started with Components - Software 4.1 OVERVIEW OF TAB MENU The SIM™ manager software stores and displays the data collected from the SIM™ hardware components. It is stored in database format so that the user can view, analyse and report upon the data. The software uses a tab structure that reflects the workflow of the assessment process, from data collection and analysis to continence care planning and reporting. It also provides functionality for the administrator to manage resources via the Administration tab. Dashboard Tab Provides a snapshot of the status of critical areas during an assessment activity. At any time you can glimpse the working status of critical components and the number of residents in current assessment. It also has a message board where you can post important daily reminders. Resident Tab Stores general information about a resident and their continence condition including background information that may assist with continence care planning. Assessment Tab Stores the assessment history of a resident. The observations section records additional findings that may assist with the continence care plan creation. Care Plan Tab Stores the continence care plan history of a resident. The current continence care plan is displayed by shift. It is also linked to the assessment from which the continence care plan is derived. Reports Tab Contains the base set of reports including overview and details on assessments and continence care plans. Administration Tab A range of essential system elements must be setup. These include details of the facility which will run SIM™ manager, a list of users who will use the system (including the SIM™ assist device), shift schedules for resident care and a continence products list for selection in the continence care plan phase. Each of these elements are managed from this tab.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 30 4.2 USER LEVELS AND ACCESS There are two types of user in the SIM™ system, Administrator and User. The administrator is the only user that has access to the Administration tab. All other tabs are visible to the general user and are used to record data and observations during an assessment period, to draft a continence care plan and run reports. The Administrator also adds users and assigns usernames. See the topic Administrator Setup Activities – Users. 4.3 LOGGING OUT AND CONTACT SUPPORT At the top right hand side of every SIM™ manager screen are three icons. SIM™ Support information and contact details. Log Out of SIM™. Exit SIM™ without logging out. 4.4 THE SERVER SOFTWARE VERSION AND TIME ZONE The information above the tab provides the users with the date and time the SIM™ manager server is operating under and the version number of the SIM™ software. SIM™ manager server time SIM™ manager version number
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 31 This Page is Intentionally Blank
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 32 SECTION 5 SIM™ MANAGER – for the Administrator
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 33 5.0 SIM™ manager – for the Administrator 5.1 ADMINISTRATOR LOGIN The Administration tab in SIM™ manager can only be accessed by a supervisor given administration authority. Step 1 Click the SIM™ icon on your computer desktop and enter the Administrator user name and password. For example Username Sally Password TGO001 Step 2 Click tab from the horizontal row of tabs. To the left of the screen, there are vertical tabs that give access to the administration features of the SIM™ manager. Facilities – information about your Long Term Care facility , including the buildings and wings and staff temporary password (updated daily) Users – setup staff login details, permission levels and passwords Residents – resident list (resident ID, location and admission status such as current, discharged, deceased or opt out) Shifts – enter continence shift times Aids – list of continence products and details such as capacity, price per piece, product code or style. Create a list of items in your local catalogue tailored to your facility. Notifications – Select types and frequency of notifications. Alerts can be received on the SIM™ manager and/or through the SIM™ assist application. Notifications may be relating to pod status or observations missed by staff. Devices – list of all hardware devices, version of software, serial numbers etc.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 34 5.2 ADMINISTRATOR SET-UP ACTIVITIES FACILITIES Click the button from the left column in the Administration tab. There are three sections visible: address, facility settings and facility buildings/wings/room details. The long term care facility should be identified in the system from the software setup process however details of the buildings, wings and rooms can be entered. Other data such as messages (dashboard announcements), site logo/picture and facility assessment parameters can also be entered. Click the button to allow facility data to be updated. Step 1 – Address Note: To add a logo or a photo of your Facility, click the button. This opens an Open File box where you can choose a folder that contains your image. Identify Long Term Care Facility Enter facility Name and select Facility Type from the drop down list by clicking the  in the drop down box. Repeat this step with State and Country. Enter information in the free text fields. Message board is used to alert staff of changes, assessments starting or ending and other relevant information. Step 2 – Facility Report ‘Rules’ Settings The system uses ‘Leakage Prevention Factor’, ‘Fluid Output Calculation Type’ and ‘Continence Aid Capacity Type’ to enable the system to automatically recommend a product type (continence product) in the care plan. Default values are entered; however alterations to each setting can be made as required. Set ‘rules’ for reporting continence product absorbency measurements. All these fields are free-hand except those with drop-down  arrows. The temporary password is displayed in this section and is the default password required for new user’s initial login. The password is renewed every 24 hours.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 35 Fluid Output Calculation Type –is used by the SIM™ manager to determine the recommended continence product capacity and applies different safety factors to the shift volume. It takes into consideration preferences to prescribe continence products based on maximum, weighted or average urine output at different times of the day. The default value entered is the maximum output plus a buffer of 10%. For example, assume that the total net weight of wetness events in each shift (in a 3-day assessment) was 200mL, 500mL and 300mL. - If “average” is selected, the volume needed in a pad will be 333mL and this is used to compare against the Product (Aid) Capacity for recommendations. - If “maximum” is selected, the maximum volume of any one of the three shift volumes is used (500mL) - If “weighted” is selected, then 75% of max and 25% of average is used (375 + 333/3 = 458.25mL) - If “max + 10%” is selected, then max (as above) + 10% is used (550mL) (This is the default) Continence Aid Capacity Type - normally ISO Rothwell or working capacities which are available from continence product manufacturers. Step 3 – Facility’s Wings and Rooms Click the button to allow building, wing or room data to be updated. Identify buildings, wings and rooms To add a building, click the add building button. Click on the blue line twice to change the default building name. To add a wing, click the add wing button. Click on the blue line twice to change the default wing name. To add a room, click on the wing from the wings box and then click add room
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 36 Note: Input information in ‘top to bottom’ order, starting with building, then wing and then room. If not, the box below will be locked out. button. When you are finished, click the Save button. The Cancel button will reset all the sections to their previous values.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 37 USERS Users are created under this tab including details such as usernames are confirmed. Click the button from the left column in the Administration tab. Step 1 - Users Administration Add New Users In the Users Administration section, click the button. Step 2 Complete staff details (those denoted with * are mandatory fields). Now check the boxes, Active, Use Default Password and Create new login. Enter a username and click Save. The user will now appear on the Users list. NOTE: Return to the facility settings section and take note of the temporary password to provide the user to allow them to login for the first time and set up their own password.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 38 Step 3 Log out of the SIM™ manager and ask the new user to login with their username. User initial login Ask the User to enter their username and the temporary password shown in the Administration tab, in the Facility Settings section Step 4 Step 5 The facility can import a user data base The new User will be prompted to enter a New Password and then to re-type the password in the second text box. Click on Change Password. The user is now able to login to the SIM™ manager and the SIM™ assist app with their username and the new password they have created. Click the button and an ‘Import Users’ screen will appear. Select the ‘Choose a File for import’ button to upload the data base. If a sample of the data base import file is required, select ‘Download a sample import format’
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 39 RESIDENTS Click the button from the left column in the Administration tab. The Residents tab is used to update the status of residents. To alphabetically sort the data in ascending or descending order, simply click the column heading. Step 1 – Residents Administration Change Resident’s status In the Residents Administration section, click on the row of the resident to be updated. Step 2 Click the drop-down list in the Status column. Select the status. Click the Save button at the bottom right of the screen. ‘OptOut ‘option is for residents who choose not to participate in the SIM™ assessment process. Step 3 The facility can import a resident data base Click the button and an ‘Import Residents’ screen will appear. Select the ‘Choose a File for import’ button to upload the data base. If a sample of the data base import file is required, select ‘Download a sample import format’
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 40 SHIFTS Use the Shifts tab to setup ’Shifts’ and ‘No Intervention Periods’. Shifts: represents the time period the resident wears a continence product. The shift period has a start time, which is when the care staff apply the continence product to the resident and an end time when they remove the continence product. During this time period the continence product worn by the resident will have enough product capacity to ensure the resident is kept dry if incontinence voids occur into the continence product. No Intervention Periods: the time period that may impact on the toileting program and continence product changes. For example; staff changeover times, resident sleep times or meal times. The user can nominate specific time periods like breakfast, lunch and dinner, where toileting and product changes are not suitable or if supervision and physical assistance is required. Click the button from the left column in the Administration tab. Step 1 Shifts Add shifts Click inside the Shift Name box to type shift name. Click Start Time – enter hours (End Time and shift duration fields automatically calculate). Note: Click the icon to select from half hourly increments or alternatively click on the numbers, AM or PM and then click on the to change (up or down). To enter additional shifts, click the button (bottom right of screen). A new line appears, enter the shift name. To delete shifts, click the button (end of each time period). The existing time line will disappear.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 41 Step 2 – No Intervention Periods Enter the time values for Start Time and End Time. Select Activity type and add any Notes. To add more periods, click button. Click the Save button. CONTINENCE AIDS For the SIM™ assessment and continence care planning, continence products will be selected that meet the resident’s individual needs. As the administrator, you will need to setup the product choices that are available at your facility. Click the button from the left column in the Administration tab and the Continence Aids Administration section will appear. Main Catalogue This is a product list of available products. If this list is empty to start, a list can be imported or added manually. Step 1 – Main Catalogue To add products to the main catalogue, click the button. (See the below for explanation of the table fields)
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 42 Step 2 – Add Continence Aid Fill in the fields and click Save. Catalogue table fields explained: Continence Aids – table fields Table Field Meaning Manufacturer Manufacturer of product Code Unique product identifier number Name Product name as appears on packaging Description Product information regarding style or shape or color Category Groups the product into ‘styles’ to assist in Continence care plan continence aid selection ISO Capacity Industry standard - represents peak capacity of product Working Capacity Maximum capacity of product before it needs replacement Waist Size Size of product relating to small, medium, large etc Cost Per Piece Cost of the continence aid per piece
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 43 Local Catalogue This is a product list for the facility from which product recommendations can be made. After finding or adding products to the Main Catalogue, import them into the Local Catalogue. Note: Click the check box on the far left side to flag products to include them in the SIM™ continence product recommendation process. Import products to your Local Catalogue by clicking on the arrow to move the product across. Step 3 – Import Continence Aid The Facility can import a Continence Products data base Click the button and an ‘Import Continence Aids’ screen will appear. Select the ‘Choose a File for import’ button to upload the data base. If a sample of the data base import file is required, select ‘Download a sample import format’
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 44 NOTIFICATIONS The Notifications tab allows selection of the types and frequency of notifications to the SIM™ assist application (hand held device) or to the SIM™ manager. Notifications may relate to pod status or observations associated with the SIM™ assessment. Click the button from the left column in the Administration tab. Step 1 – Notifications Click to expand or shrink the list in each category There are 15 notifications that can be sent, divided between ‘Observation Notifications’ (11 items) and ‘SIM™ pod status notifications’. Send a Notification alert Select the row that contains the notification to be sent. An explanation for each notification is stated.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 45 Step 2 Note: Notifications sent to SIM™ manager will be visible to staff in the Assessments tab in the Notifications box. Click the boxes to determine where you want to send the alert. To un-check, click the box again. Select the Resend time (minutes interval between resends) from the drop-down list. Repeat for all other alerts and click Save.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 46 DEVICES Click the button from the left column in the Administration tab to display the SIM™ hardware components in use. This is a list of hardware devices, the version of software for each, serial numbers and which resident the devices are allocated to during an assessment. SIM™ Devices Administration To sort the data in ascending or descending order, simply click the column heading.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 47 SECTION 6 SIM™ MANAGER – Assessment Coordination
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 48 6.0 SIM™ Manager – Assessment Coordination 6.1 LOGIN TO SIM™ MANAGER Click the SIM™ manager icon displayed on the computer desktop. Login to SIM™ manager Enter individual username and password previously specified and select Login. The SIM™ manager horizontal tabs:  Dashboard: Overview of assessment activity in progress  Residents: Set up and stored resident details  Assessment: Assessments set up, collation and monitoring  Continence care plan: Creation and review of continence care plans  Reports: Review of relevant reports The Administration tab is only available for the users with assigned admin privileges. For more details see section SIM™ manager – for the Administrator.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 49 6.2 DASHBOARD TAB The Dashboard tab provides overview of the status of key SIM™ assessment elements. Select from the horizontal row. Dashboard The Dashboard has the following sections: SIM™ Status – SIM™ pod, SIM™ assist and SIM™ services statuses. Residents – number of residents currently being assessed. Site Overview – facility details. Message Board – notes and alerts. SIM™ Status and Residents contain data which comes into view as ‘hover text’ when leaving the mouse cursor over the words. SIM™ pod Status - hover text Check SIM™ pod status Move the mouse cursor over the and wait a few seconds. The hover text appears showing a summary of information about the state of SIM™ pods in use and not in use.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 50 SIM™ assist Status - hover text Check SIM™ assist status Move the mouse cursor over the and wait a few seconds. The hover text appears showing information about the state of SIM™ assist. SIM™ services Status - hover text Check SIM™ services status Move the mouse cursor over the and wait a few seconds. The hover text appears showing information of running services. Resident summary Risk-of-Leakage Measure This indicates when a SIM™ sensor reaches full capacity. Colours indicate the following:
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 51 6.3 RESIDENT TAB This tab allows new residents to be added, and resident’s details to be captured and displayed. Select from the horizontal row. Residents sort list Add a new resident Click below the list of residents names. A blank resident information page will open with five tabs for data entry. First tab General Information: The minimum information required is marked with a red asterisk*. First Name; Last Name, Date of Birth, Gender and Waist Size are mandatory entries. Resident’s room details are also entered on this tab.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 52 ADLs/Cognition: Information on the resident’s mobility, cognitive skills, ability to understand and required support level can be collected here. Questions and Observations: A preliminary background on a resident’s continence status can be obtained by a set of questions. Skin Condition: Provides for recording of the resident’s current skin condition and risk of skin breakdown due to the continence condition.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 53 Medication/Notes: Provides for recording of any medication that is relevant to the resident’s continence status. Other clinical information can be documented in the notes field. Resident photo can be added by clicking at the bottom right of the screen. To save all the information added, click Save, or Cancel to discard. After saving the details of a new resident, a header is generated displaying a summary of the resident’s general information relevant to the continence care. It will appear in the Assessment and Continence care planning tabs for the selected resident.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 54 Find/sort residents by name In the Filter in the top left of the screen, enter the first letters of the resident’s name. Click OR Find the Resident name under the list along the far left side of the SIM™ manager screen which is divided into residents ‘Under Assessment’ or ‘Inactive’. Residents currently ‘Under Assessment’ are tagged with a green square. Residents not currently under assessment are ‘Inactive’ and tagged with a blue square. Residents who have not yet had a SIM™ assessment are highlighted in red font. Select the resident’s name or alternatively type the name into the ‘Filter’ search box to find their name. Edit or Update residents details Header of resident The header provides an overview of the resident’s room location, identifying the assistance level of mobility; transfer; toilet use and cognitive level. To edit or update residents details select the Residents tab and click on the bottom right of the screen. After completing the updates click Save, or Cancel to discard. In the top left corner of this section, click to expand or collapse the header.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 55 Change resident’s photo A resident’s photo can be added by clicking at the bottom right of the screen. Select a photo from your computer folder. The photo format must be .jpg or .png. Locate the photo you require and select by double clicking. Click Save, or Cancel to discard. Resident Profile . Form Field Meaning General Information First Name Resident’s first name Last Name Resident’s last name Facility ID Number Resident’s ID Date of Birth Click the calendar icon to select a date. Use the left and right arrows to go forward/backward by month/year. Alternatively type in the following format . Gender Click the check box that applies . Weight Type resident’s weight in kilograms or select the black arrows to change. It will automatically update the amount in lbs. Waist size Select from the drop down menu. Location Building; Wing; Room are selected by clicking the down arrow to select from drop down menu. Press to remove previously selected.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 56 Form Field Meaning ADLs/ Cognition Mobility There are six mobility categories: Bed Mobility; Transfer; Walk in Room; Walk in Corridor; Locomotion on unit and Locomotion off unit. Click the down arrow to select from drop down menu or press to remove previously selected. Toileting Toileting assistance level. Cognitive Skill and ability to understand Choose degree of cognitive impairment by clicking the arrow to select from the drop down menu. Questions and Observations Set of yes and no questions to obtain a preliminary background on a resident’s continence status. Select person completing the questionaire by selecting from the drop down menu Skin Condition Enter details on the resident’s current skin condition and if they are at risk of skin breakdown due to their continence status. Medication/Notes Any medication that is relevant to their continence status. A notes field is also available for other clinical information. 6.4 ASSESSMENT TAB The Assessment tab is used to start a new resident assessment and review information relating to current or past assessments: 6.4.01 Start a new assessment. 6.4.02 Record/edit/discard observations 6.4.03 General assessment information 6.4.04 Print/Extend/Abort Assessment
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 57 6.4.01 START A NEW ASSESSMENT Step 1 Select the resident that requires an assessment Enter the residents name in the filter search box or select a resident from the list. The list is divided into: 1. Under Assessment: Residents currently under assessment are tagged with a green square. 2. Inactive: Residents not currently under assessment are tagged with a blue square. Residents who have not yet had a SIM™ assessment are shown in a red font. The list can be collapsed by clicking and click again to expand the list The header section now appears with the Resident’s name. The Assessment section underneath will show previous SIM™ assessments conducted. Step 2 Click on the button and the ‘Create a Continence Assessment’ window appears.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 58 Choose the Assessment Type - check which type of assessment you are undertaking. Confirm the Assessment time, by selecting the ‘Start’ and ‘End’ date. The date will automatically default to 80 hours from the start date. This can be modified manually by changing the date and time using these icons and . Select the staff member Responsible for the assessment from the drop-down list. Notes can also be added relating to the assessment setup. Allocate and de-allocate a SIM™ pod to the assessment Click the  arrow in the SIM™ pod Allocated drop-down menu and select a SIM™ pod number. Only the SIM™ pod numbers that are presently available will be shown. Note: When the SIM™ assessment is completed, SIM™ manager will automatically de-allocate the SIM™ pod. If there is an issue with the allocated SIM™ pod, reallocate another SIM™ pod by selecting another pod number from the drop down list. After setting up a new assessment click the save button at the bottom right of the screen or click cancel to discard.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 59 Record an Observation Click on the Assessment tab and select the resident. In the Observation History section, click on . Select the staff member name from the drop down menu; the date by clicking on the calendar and time by clicking on the clock icon. Click on the relevant observation and select data fields. Click Save or Cancel to discard.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 60 Editing an Observation Click on the Assessment tab and select the resident. Select the Observation that needs to be edited by clicking on . The observation box opens and displays the item in full and relevant data fields can be amended. Click Save. Note: The user will only be able to edit observations they have entered unless they have Admin privileges. Remove an Observation Select the observations required in the Observation History section and click Edit. The Observation box opens, click the button on the bottom left corner of the box. Click OK and the observation has now been discarded.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 61 6.4.03 GENERAL ASSESSMENT INFORMATION The Assessment tab also provides general information on the SIM™ pod status, Notifications, Activity log, activities graph and fluid balance chart. The SIM™ pod status provides general information about the SIM™ pod during an assessment. Notifications: Provides a list of the various notifications sent during the assessment Activity Logs: Provides a list of all the observations recorded and system activities that occurred during the assessment. Last Status: Provides an update on the saturation of the SIM™ sensor stating the potential status of the sensor leaking during the assessment. This information is only updated when the SIM pod is connected to the WiFi network Fluid Balance: Provides an update on the amount of fluid the resident has consumed versus the amount of fluid voided. The actives graph provides an overview of the observations recorded in the last 5 hours.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 62 6.4.04 PRINT/EXTEND/ABORT ASSESSMENT The SIM™ assessment currently running will display three key icons; Assessment Report: opens the assessment in a report format Edit Assessment: opens the edit assessment setup page Abort Assessment: permanently stops the assessment Assessment report Click the assessment report icon The initial message box will allow the user to select the observations to be shown on the assessment report. After the selections have been made, press View report and the SIM™ assessment report will be displayed. The following icon will be displayed at the top of the report page allowing refreshing, printing, exporting and saving. Selecting Close will return back to the report tab . Editing an assessment Edit an assessment while it is running by clicking the Edit button. Assessment time, responsible, notes and SIM™ pod allocation can be changed here. Assessment time can be extended in intervals of 15 minute time slots.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 63 Click the green symbol to extend the assessment or click the red to cancel. Note: It is not possible to change the start time of an assessment once the assessment has already commenced. Click to Save, or Cancel to discard. Note: It is recommended that the assessment is extended if it is discovered that the SIM™ pod has been disconnected from the resident. Aborting an assessment If there is a reason to abort an assessment, this can be done as follows. From the Assessments section, select the assessment to abort. The row is highlighted grey. Click the Abort Button to abort the assessment . A confirmation box appears. To abort the assessment, click OK. The system will prompt to record the reason for aborting the assessment. This is important for resident documentation and any future assessment reviews. The State of the assessment will change from Running to Aborted.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 64 SECTION 7 SIM™ Data Collection
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 65 7.0 SIM™ Data Collection 7.1 OVERVIEW During a SIM™ assessment the carer must record real-time observations using the SIM™ Assist application. SIM™ assist is a software application (app) that can be downloaded onto a range of tablet/phone devices to enable care staff to log observations during an assessment about the resident’s care. The information recorded in the SIM™ assist app during the assessment is sent via the Wi-Fi network to the SIM™ manager software. This information is graphically displayed along with continence data. Care staff use this information to develop an individualised continence care plan. The SIM™ assist app on the device does not need to be in a Wi-Fi network to function. Information that is recorded while outside the network is stored and then is transferred automatically via Wi-Fi when the device comes back into range. It is recommended:  The hand held device (with SIM™ assist application installed), should be carried by care staff at all times during their shift  All notifications sent from the SIM™ assist must be actioned by care staff  Do not shut down, log off, reboot or place tablet/phone into sleep mode during the assessment, to ensure continuous transmission of data to the SIM™ manager  The tablet/phone must be charged each night when in use Note: All observations are to be entered in real time. If an observation is not entered into the tablet/phone at the time the activity occurred, enter observation directly into the SIM™ manager in retrospect. 7.2 LOGIN TO SIM™ ASSIST To switch on the hand held tablet device, refer to the hardware device user guide. Step 1 Touch the SIM™ assist icon displayed on the screen of your tablet or phone. The SIM™ assist software will load and display the login screen.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 66 Step 2 Enter a username and password than select ‘Login’. . SIM™ assist should stay on during a shift to allow continuous transmission of data to SIM™ manager. 7.3 MAIN SCREEN – RESIDENT LIST After logging in, the screen will display all the residents currently undergoing a SIM™ assessment. The information for each resident will include, photo identification, resident’s name, wing name, room number and SIM™ pod number. When setting up for the first assessment check that the SIM™ pod number allocated to the resident on the SIM™ assist screen, is the same number appearing on the back of the SIM™ pod you are using. If this number is not the same, notify your supervisor. When there are more residents under assessment than can be seen on the screen, these can be viewed by brushing a finger up the screen to scroll.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 67 7.4 SIM™ ASSIST SCREEN NAVIGATION SCREEN NAVIGATION To record a resident observation, touch the observation icon and enter the data from left to right. A grey scroll bar will display if there are many items to choose from. Brush a finger up and down the screen to display additional items. To un-select an item, touch the item a second time and the selection will disappear. After making all the selections for an observation, touch the green tick to save the data and transmit it to the SIM™ manager. A message will appear stating the observation was recorded and the app will return back to the observations page. At times there may be a need to discard an observation before completing it. To discard the observation without saving, touch the ‘back arrow’ icon, instead of the green tick. A message will appear to confirm the wish to discard this observation. By selecting the green tick the observation will be discarded and the app will return to the previous screen. If you decide you wish to keep the observation, select the red X and you will return back to the observation input screen. Press to confirm
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 68 7.5 SIM™ ASSIST NOTIFICATIONS The SIM™ assist app will send notifications during the assessment which require attention regarding the resident or the assessment. The notification icon will appear as a red exclamation mark next to the resident’s photo. To open the notification(s) touch the resident’s name. 7.6 CLEARING NOTIFICATIONS OR MESSAGES When a notification has been read and related actions completed, the message is cleared from the screen. The screen will now display the notification messages for that resident. After reading the notifications, click the return arrow icon and you will return back to the main screen. This step removes the red notification.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 69 7.7 RECORDING RESIDENT OBSERVATIONS Step 1 To enter a resident observation, tap the resident’s name. Step 2 The resident observations page opens. The top row of icons show all the observations required for a urinary or bowel assessment: • Food Intake • Fluid Intake • Sensor check • Successful toileting • Unsuccessful toileting • Sensor removal The bottom row of icons show the other observations available • Behavioural • Sleeping • Medication assistance • Repositioning assistance • Therapeutic massage There is a comments field in the right/bottom corner for additional information to be recorded that may not have been covered under other icons.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 70 7.8 OBSERVATION ICONS OBSERVATION ICONS This section defines each icon and provides guidance on how to enter observations. FOOD INTAKE This observation records the total % of food consumed during a meal and the type of food items eaten. Touch the icon ‘Food Intake’ Touch and select the % of food eaten. Select all the food items eaten. To view more food items, scroll down by brushing a finger up the screen. All milk consumed such as milk with porridge or cereal should be recorded under fluid intake. After making all the selections for this observation, touch the green tick to save Note: The information recorded under this icon will assist in completing a bowel assessment.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 71 FLUID INTAKE This observation records the volume and type of fluids consumed and assists in understanding the resident’s fluid balance/hydration. The information for the fluid balance chart is used to develop the resident’s continence care plan. Touch the icon ‘Fluid Intake’ Touch the volume icon and select the quantity of fluid consumed (for example 250mls). Then select the type of fluid consumed. E.g. cup of tea After making all the selections for this observation touch the green tick to save the data. SENSOR CHECK This observation records the status of a resident’s SIM™ sensor in relation to capacity filled and if any leakage has occurred (onto clothing or bed linen). Select the ‘Sensor Check’ icon.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 72 Select the % of the SIM™ sensor that has been used. Select ‘Yes or No’ if any leakage was observed. After making all the selections for this observation touch the green tick to save the data. SUCCESSFUL TOILETING This observation records the amount of urine voided into the toilet (in a Specipan/hat) and to record the type and size of bowel movements. This information is used to determine the effectiveness of toileting and any bowel activities. Select the icon ‘Successful Toileting’ Select the amount closest to the volume of urine collected in the specipan/hat. Select ‘Yes or No’ if faeces present. If yes, select the type and size from the Bristol stool chart. After making all the selections for this observation touch the green tick to save the data
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 73 UNSUCCESSFUL TOILETING This observation records when toileting activities are unsuccessful. This is demonstrated by nil urine being voided or no bowel movements. Select the icon ‘Unsuccessful Toileting’ and confirm by selecting the green tick if toileting was unsuccessful. If this observation is unintentionally selected, then select the red X to discard the entry. SENSOR REMOVAL This observation records the removal and weighing of the SIM™ sensor. Select the icon ‘Sensor Removal’ and select the type of SIM™ sensor removed from the resident (three types). Light: Light capacity SIM™ sensor Moderate: Moderate capacity SIM™ sensor Heavy: Heavy capacity SIM™ sensor Note: Scales must be used to weigh the SIM™ sensor.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 74 Record the weight by selecting the ‘Sensor weight?’ icon. Select a weight that closely matches the reading shown on the scales. Select ‘Yes or No’ if there was any leakage. Select ‘Yes or No’ if faeces present - if 'Yes' select the type and size of stool from the Bristol stool chart. After making all the selections for this observation, touch the green tick to save the data. 7.9 OBSERVATION HISTORY The Observation History within the SIM™ assist app shows a record of assessment observations recorded and messages sent by the SIM™ manager. Step 1 Select the resident from the main screen
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 75 Step 2 The resident observation screen will open, click on the ‘History’ icon Step 3 The history screen displays observations entered over the assessment period. To view messages sent by the SIM™ manager during the assessment you can click a second time on the message history icon.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 76 SECTION 8 SIM™ CONTINENCE CARE PLAN
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 77 8.0 SIM™ Continence Care Plan 8.1 SIM™ CONTINENCE CARE The continence care plan is development in 3 stages: 1- 8.2 Create a continence care plan 2- 8.3 Continence care plan Under-Evaluation 3- 8.4 Continence care plan In-Use
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 78 8.2 CREATE A CONTINENCE CARE PLAN The user needs to complete six main segments to develop a continence care plan 1. SIM™ assessment a. SIM™ chart b. Fluid output table 2. Continence care plan schedule a. Toileting Times b. Product Change times c. Continence Product type d. Skin Care selection 3. Incontinence Type/Evidence a. Type b. Toileting Program c. Bladder Pattern 4. Related Diagnosis 5. Other Plans 6. Possible Nursing intervention Get started Step 1 Select a resident from the left section and click the horizontal tab. SIM™ manager displays a continence care plan template by default. Step 2 Step 3: Click to display the edit care plan page.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 79 1. SIM™ ASSESSMENT a) SIM™ Chart Select the SIM™ assessment from the drop down menu to be used in developing the resident’s care plan. The assessment selected will be highlighted in light blue. Select observations from the SIM™ assessment to be shown in the SIM™ chart. SIM™ chart shows all the observations recorded during the assessment. The chart can be modified by clicking Show Observation Filters to select or unselect certain observation symbols. The symbols selected will be shown on the SIM™ chart. Click and select or unselect the observations. b) Fluid Output table To display the fluid output table. Click Fluid Output Table: The table displays per continence product shift (Morning/Afternoon/Night), the fluid output that was recorded per day from the measured weight of the SIM™ sensor and the voided volume measured by the specipan/hat during a toileting event.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 80 2. CONTINENCE CARE PLAN SCHEDULE In this segment the user may add activities to the care plan schedule. Click on the following buttons to add these activities to the care plan schedule. Activity Button Function Add Toileting Setup the number of toileting times for the resident Add Product Change Setup the times to remove and apply continence products to the resident Add Product Type Select the continence product type and other continence products the resident requires during different periods of the day Add Skin Care Product Recommendation Select the skin care product and times the resident requires skin care. The system generates a continence product recommendation per continence shift based on the SIM™ assessment. The recommendation can be modified. Add Toileting Note: You can drag the toileting time box to a new time or select X to remove it. Click A toileting time drops down near the word Toileting Repeat for more toileting times.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 81 Add Product Change Note: You can drag the product change time box to a new time or select X to remove. Click A Product Change time drops down near the word Product Change Repeat for more product change times. Product Type The SIM™ system will automatically recommend a continence Product type based on certain data fields. The user can decide to use these recommendations or modify to another continence product type. Product Type: Automatically Recommended SIM™ will automatically recommend a product type for each shift, based on certain inputs from the resident tab, the local product catalogue range, and a completed SIM™ assessment. The principle of the product recommendation is to select the most suitable product from the local product catalogue that meets the resident individual care needs determined from the assessment. If any of the input data fields are incomplete, then no recommendation will be made. The input data fields that need to be completed are in the a) Resident Tab b) Administration Tab c) Assessment data recorded in the Fluid Output table
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 82 a) Resident Tab The waist size selected enables the system to only select product types with that waist size from the local catalogue. To match the product type to the resident’s mobility and cognitive level the following fields need to be selected under the self-performance level: - Transfer Assistance – e.g. Supervision - Toilet Use – e.g. Independent - Cognitive Skill – e.g. Severely impaired - Ability to Understand – e.g. understands
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 83 b) Administration Tab Click the Main and Local Catalogue will be displayed. A range of absorbent continence products (e.g. ’Pull-up’ ) can be select from the local catalogue. Select flag checked to ‘Include in recommendation’. Click to view the following fields that are included. These fields are a defaulted setting by the system, however they can be modified. (refer to SIM™ manager - For Administrator). c) SIM™ assessment information Click to expand table and click to close . The assessment information recorded on the SIM™ sensor removal volume is summarised in this table. The system also uses this information to make a continence aid recommendation that matches the continence product capacity need for the resident per shift ( a shift calculates the total recorded void volumes over the specified time range)
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 84 Product Type: Modifying Recommendation Click A Product type time range drops down near the word Product Type Repeat for more times. Note: You can drag the product type to a new time or extend it to a longer time range or select X to remove it. Select product type To select Product type click A drop down box will list all the product types the user can select. Select the Product type Click Product selected is displayed in on the continence care plan chart.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 85 Add Skin Care Click A Skin Care time box drops down near the word Skin Care Repeat for more skin care times. Note: You can drag the Skin Care box to a new time or select X to remove. Select Skin Care product type A drop down box lists a range of skin care product types Select product type and duration, either ongoing or select a date to stop using the product
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 86 Click The Skin Care box will display the time the skin care product is to be used, duration and products Product Recommendation Click . This will make (or reinstate) a continence product recommendation or reinstate the product recommendation previously made by the SIM™ system. A text box will appear stating the existing continence products will be reinstated by clicking Yes. To not proceed with the change click No. 3. INCONTINENCE TYPE/EVIDENCE These fields provide additional information to assist the user in determining the type of continence management the resident needs. Incontinence Type/Evidence, Click Select the Incontinence Type: e.g. functional. A drop down box will list a number of Evidence statements to support the user’s selection. This
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 87 evidence list will vary depending on the incontinence type selected. Select the toileting program Drop down box will list the toileting programs the user can select. Select if there is Bowel incontinence Additional items are added to the original evidence list. Select the Bladder Pattern Identifiable Based on a review of the Assessment chart, determine if the resident has an identifiable bladder pattern. This helps to determine if the resident will benefit from a habit or prompt toileting assistance program. Click to save or cancel all the fields selected. A summary box is displayed showing all the items selected.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 88 4. RELATED DIAGNOSIS Related Diagnosis, Click Select the statements related to the resident’s incontinence diagnosis. Click to save or cancel all the fields selected. A summary box is displayed showing all the items the user selected. 5. OTHER PLANS Other Plans, Click The user can select outcome(s) for the resident to be achieved in the continence care plan including a target date and description. A summary box is displayed showing all the items the user selected
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 89 6. POSSIBLE NURSE INTERVENTIONS Possible Nurse Interventions, Click A drop list is displayed showing a number of nursing interventions that can be selected to support the continence care plan goals. A summary box is displayed showing all the items the user selected. 8.3 UNDER EVALUATION Click to save the continence care plan to be evaluated. The Continence care plan header will now state Under Evaluation. The continence care plan under evaluation allows the care staff to evaluate if the continence care plan is achieving the desired outcomes. During this process the Under Evaluation continence care plan can be edited and saved. Click The following buttons will appear under the Under Evaluation Continence care plan at the bottom right corner. The user can edit the continence care plan and save changes as needed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 90 Approved Continence care plan Step 1 Click and ‘Approve Continence care plan’ box is displayed. Both the ‘Toileting’ and ‘Continence Products’ need to be selected. This indicates they have been implemented or reviewed. Click OK. The Continence care plan status changes to ‘In Use’. Reject Continence care plan Step 2 Click . Reject Continence care plan box is displayed. Type in the reason the continence care plan has been rejected. Click OK. The Continence care plan status reverts back to the previous ‘In Use’ continence care plan if one exists. Step 3 If the user decide to not proceed with any changes Click . The Continence care plan will revert back to previous status. A notes area allows the user to record the date when the continence care plan will be next reviewed to evaluate if goals were achieved and nursing interventions were effective.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 91 8.4 CONTINENCE CARE PLAN IN USE The continence care plan ‘In Use’ states the date and time, the plan was implemented The plan shows the toileting times, the times the product is changed, the product types over a 24 hour period, plus the supplier name and brand. The skin care times and product required is also displayed in the completed plan. The second part of the continence care plan shows what goals and nursing intervention have been determined based on the resident’s SIM™ assessment and continence type. If the existing continence care plan needs to be reviewed, select . This enables any field to be updated. The continence care plan ‘In-Use’ then is saved and placed back into ‘Under Evaluation’. After the evaluation period the continence care plan needs to be approved or rejected before it again becomes an In-Use continence care plan. 8.5 DRAFT CONTINENCE CARE PLAN In the process of creating a new continence care plan, the continence care plan can be saved and reopened as a draft Step 1 Click to save the continence care plan as draft. The Continence care plan header will now state Draft. To edit the Draft Continence care plan click .
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 92 8.6 CONTINENCE CARE PLAN HISTORY BOX The Continence care plan History box keeps a record of all Continence care plan stages and changes. Click the ‘Continence care plan History’ box to select from the drop down list The recent continence care plan is displayed first. Select the continence care plan that needs to be edited then click the Edit button.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 93 SECTION 9 REPORTS
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 94 9.0 Reports 9.1 SIM™ REPORTS OVERVIEW Reports are available in the reports tab and there are two report groups:  Assessment Reports (2 reports)  Continence care plan Reports (3 reports) Click on view to generate a report Report Screen Navigation Once the report is open the following navigation icons will be available: Refresh the page Send report to printer Click the disk icon to display the export options. Select the type of format you wish to export the data to and then confirm where you want to save the report. Click the drop-down box to select the desired size of the report you wish to display on screen. You can alternatively click and drag the bar to customize size or manually type in the window. To exit a report click on the close button on the bottom right.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 95 9.2 ASSESSMENT REPORTS SIM™ assessment status Report The Status Report provides a summary of what residents have completed an assessment, what residents are presently undergoing an assessments and the number of residents that have not been assessed. Select this report from the Assessment Reports category Click on to generate the report Step 1 Scroll down the list to find the wing of the facility that you require and click View. Step 2
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 96 SIM™ assessment Report This report shows assessment information recorded and analysed by the SIM™ manager providing an accurate continence profile for each resident and can be used to develop an individualised continence care plan. Three charts are included in this report: • SIM™ assessment chart • Fluid balance table • Events log Select this report from the Assessment Reports category From the reports list, scroll down and select the row containing the resident Name and assessment start date you require and click . The user can first select what observations they prefer to be displayed (i.e. continence assessment items) on the report and then click SIM™ assessment chart The SIM™ assessment chart shows the resident’s bladder (wetness), bowel pattern (bowel open), successful or unsuccessful toileting, SIM™ sensor removals and behaviour during the assessment period. This report assists in identifying if the resident has a recognisable bladder control pattern. An example would be a two hour period between a successful toileting episode and the next void. Data such as this can inform the clinician on how to decide if the resident will benefit from a ‘habit’ or ‘prompted’ toileting assistance program. It also helps in the selection of continence products.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 97 SIM™ assessment chart Fluid Balance Chart Below the pictorial SIM™ assessment chart is the fluid balance chart. This used to review the overall hydration of the resident and giving important feedback on volumes of input and output at different times of the day. SIM™ fluid balance chart Events Log The Events log displayed under the fluid balance chart shows the observation history for the resident during the SIM™ assessment period. This information along with free text comments assists the development of the continence care plan by highlighting potential causes, current continence status and interventions recorded by staff. SIM™ Events Log
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 98 9.3 CONTINENCE CARE PLAN REPORTS SIM™ plan In-Use report This report provides an overview of the resident’s continence care plan, including a summary of the resident’s profile and assistance level for mobility and toileting. It shows the recommended toileting program, continence care plan goal and SIM™ assessment details. This report is able to be saved or printed for documentation requirements. Select this report from the Continence care plan Reports category From the reports list, scroll down and select the row containing the resident Name and assessment Start date you require and click . The user can first select what observations they prefer to be displayed (i.e. continence assessment items) on the report and then click The Continence care plan In-Use has a banner at the top of the report, which provides general information on the of the residents mobility, required assistance level and cognitive status
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 99 The plan shows the toileting times, the times the product type is changed, the time periods the resident wears the product type, plus the supplier name and brand. The skin care times and product required is also displayed in the completed plan Included in the report is detail of the resident’s incontinence type, incontinence evidence, related diagnosis, other plans and possible nursing intervention. The report also includes the assessment report information data to validate the continence care plan. SIM™ assessment chart
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 100 Fluid Balance Chart Events Log Resident Toileting Schedule Report The resident toileting schedule report shows each resident’s toileting and continence product change times including any assistance required. Select this report from the Continence care plan Reports category. From the reports list, scroll down and select the row containing the resident Name and assessment Start date you require and click view.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 101 Wing Toileting Schedule Report The wing toileting schedule lists the toileting schedule times for each resident in each wing, including type of assistance required. This report directs staff to toilet and provides continence care to residents, at the times based on the SIM™ Continence care plan. Select this report from the Continence care plan Reports category. From the reports list, scroll down and select the row containing the resident Name and assessment Start date you require and click view. If the resident is highlighted in red the resident has not yet completed a SIM™ assessment Note. The toileting time are not based on a SIM™ assessment
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SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 104 SECTION 10 SIM™ CLEANING INSTRUCTIONS
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 105 10.0 SIM™ cleaning instructions 10.1 SIM™ CLEANING GUIDE Simavita recognizes that cleaning and disinfection practices vary among Long Term Care Facilities. It is not possible for Simavita to be responsible for the effectiveness of cleaning the SIM™ system devices and components. SIM™ components that come in contact with Residents need to be disinfected after each assessment. Otherwise transmission of infectious agents to Residents may occur through direct contact with contaminated equipment. The level of cleaning required depends on the objects involved and the risk of contamination e.g. Surfaces that are likely to be contaminated with infectious agents (e.g. shared clinical equipment) require cleaning between each use. SIM™ components can tolerate up to 300 cleaning cycles. 10.2 RECOMMENDED CLEANING SOLUTION AND PRECAUTIONS Simavita products are classified as non-critical items (NHMRC 2010) and can be cleaned with a pH neutral (mild) detergent solution designed for general purpose cleaning. Detergent impregnated wipes may be used to clean single pieces of equipment such as Simavita products with small surface areas. CAUTION  To prevent disease transmission, use disposable water-proof surgical gloves when handling contaminated SIM™ devices.  Do not leave the SIM™ pod soaking in water. 10.3 SIM™ POD CLEANING AND INSPECTION Clean and inspect the SIM™ pod as follows: 1. The SIM™ pod is completely water proof and safe to get wet. 2. Clean the SIM™ pod by washing with water and detergent according to your infection control protocol. The water temperature must not exceed 40°C or 104°F. 3. The SIM™ pod indicator lights will flash orange when placed in water, which is a normal safety function of the SIM™ pod. The orange flashing will only occur if sufficient battery charge remains. 4. Dry the SIM™ pod thoroughly using an absorbent cloth especially around the gold pins. Return the dry SIM™ pod to the SIM™ dock. The indicator lights will resume their normal function and when all lights turn solid green, the SIM™ pod is ready for the next assessment.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 106 SECTION 11 SIM™ INSTALLATION, MAINTENANCE AND DISPOSAL INSTRUCTIONS
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 107 11.0 SIM™ Installation, Maintenance and Disposal This chapter details the installation and maintenance of the SIM™ system; the details outlined in Chapter 2.5 The SIM™ technology components describes in detail the operation of SIM™, including its incorporation to the IT-network and information flow between the SIM™ pod and the server on the IT-network. CAUTION  SIM™ is intended to be incorporated into an IT-network that is not validated by Simavita, the details in this section describe the steps required to install SIM™ as intended by Simavita. Please refer to Chapter 1.3 Cautions for General Precautions Related to the incorporation into the IT-network.  The server should be installed in an appropriate location to prevent users from inadvertently making changes, shutting it down or disconnecting power. INSTALLATION SIM™ system installation and configuration To complete SIM™ installation there are number of key steps that must be completed. These are summarised in the diagram below and the details are described in the relevant sections of this chapter. Section A Server hardware preparation and server software pre-installation Section B SIM™ system software installation Section C Configuring SIM™ for first use •Section C1 (optional) SIM™ pod library installation on client machines
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 108 SECTION A – SERVER HARDWARE PREPARATION AND SERVER SOFTWARE PRE-INSTALLATION To prepare the server hardware prior installing the SIM™ software, please follow the IT Fact Sheet below and ensure the checklist is completed before proceeding to subsequent installation procedures. IT FACT SHEET – IT REQUIREMENTS TO SUPPORT SIM™ MINIMUM SERVER REQUIREMENTS COMPLETED CPU: Quad Core x64 3.0 GHz ☐ RAM: 8GB ☐ Available Disk Space: 100GB (for SIM™ and database) ☐ PDF Reader (Adobe or similar) ☐ 100Mb/s network port ☐ Firewall: Inbound connections on port 80, 8080, 8888 and 10001 ☐ OTHER SERVER REQUIREMENTS COMPLETED Microsoft Windows Web Server 2008 R2 (SP1), including: IIS7 and all Application Development Services (See Install Note 1) MS SQL Server Native Client ☐ Microsoft .NET Framework 4.0 (See Install Note 2) ☐ Microsoft SQL Server 2008 R2 SP1 Express Edition (See Install Note 3) Name of server instance must be “SIMserverDV3” ☐ Report Builder 3.0 for Microsoft SQL Server 2008 R2 (See Install Note 4) ☐ PHP for IIS extension (Version 5.3 and is available from http://php.iis.net) ☐
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 109 Internet Explorer 10 ☐ Microsoft Silverlight browser plug-in (Version 5.1.x and is available from http://www.microsoft.com/getsilverlight) ☐ A dedicated server with a static IP address that can be accessed via a WiFi network (See WiFi Network) ☐ RECOMMENDED SERVER REQUIREMENTS COMPLETED UPS linked to Windows shutdown and capable of 10 minutes or more of supply ☐ Teamviewer Host or equivalent to allow for remote support services (See Remote Access) ☐ REQUIREMENTS FOR CLIENT COMPUTER COMPLETED CPU: Dual Core 2.0GHz (or higher) ☐ RAM: 4GB (or higher) ☐ Available Disk Space: 1GB (or more) ☐ Microsoft Windows 7 (SP1) ☐ Internet Explorer 10 ☐ Microsoft Silverlight browser plug-in (Version 5.1.x and is available from http://www.microsoft.com/getsilverlight) ☐ Screen Resolution: 1280 x 800 (or higher) ☐ PDF Reader (Adobe or similar) ☐
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 110 SECTION B – SIM™ SYSTEM SOFTWARE INSTALLATION 1. Transfer the “SIMSetup.exe” file to the server and execute the file. 2. New installations a. Run the “SIMSetup.exe” file from where it resides. In this example, the file resides on the desktop. b. The following screen will appear. Wait until it finishes loading.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 111 c. The following screen will appear. Click Next to proceed. d. The following screen will appear. Reading and accepting the full license agreement will enable the Next button. Click Next to proceed. e. The following screen will appear. Check that each of the server requirements is satisfied by checking each check box to enable the Next button. Click Next to proceed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 112 f. The following screen will appear. Click Install to proceed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 113 g. The following screens will appear and disappear in sequence. No intervention is required. The process may take several minutes to complete.
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SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 115 h. Several DOS screens similar to the one below will appear and disappear. No intervention is required.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 116 i. The following screen will appear. Clicking Next to continue. j. The Matlab Compiler Runtime executable will unzip and install. Follow the on screen prompts to install the package. Note: This WinZip window may remain visible after the unzip step is complete. DO NOT CANCEL. You can move the window as needed. Select Yes to accept the Microsoft Visual C++2005 Runtime Libraries license agreement.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 117 Accept all the default prompts for the Matlab installation. Click Finish to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 118 k. If desired, the SIM™ software can be configured by entering the facility data and creating a new account with administration privileges. Notice that this step is optional and configuration can be performed after installation by running SIM™ Configuration (refer to Section C Configuring SIM™ for first use). Fill in all the required data and click Next to proceed, or simply skip this step by clicking Skip. Note: The SIM™ software is not operational until configuration is performed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 119 l. The following screen will appear. Check the “Launch SIM™ Configuration now” checkbox if SIM™ Configuration is desired to be run after this screen. Click Finish to continue. m. If “Launch SIM™ Configuration now” was selected in the previous screen, the Internet Explorer browser will be launched to access SIM™ Configuration. Otherwise, the next screen will be shown.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 120 n. To complete the installation the server will need to be rebooted. Click ‘Yes’ to reboot the server. However, if SIM™ Configuration is running, do not restart until the SIM™ Configuration is complete! o. After installation, new SIM™ software related shortcuts created in a folder called “SIM” will be found on the desktop, along with a new folder called “External Report Templates”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 121 p. Start Internet Explorer. The SIM™ manager login screen will appear (unless Internet Explorer is started for the first time). To configure SIM™ manager, SIM™ pods and SIM™ assists for use, refer to Section C Configuring SIM™ for first use. Unless you completed the user and facility setup in Step k as above you will not be able to login to SIM™ manager at this time.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 122 3. Repair an installation (re-installation) a. Run the “SIMSetup.exe” file from where it resides. In this example, the file resides on the desktop. b. The following screen will appear. Wait until it finishes loading.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 123 c. The following screen will appear. Click Next to proceed. d. The following screen will appear. Select the “Repair” option and click "Next" to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 124 e. The following screen will appear. Click Install to continue. f. The following screen will appear. Select the “Automatically close and attempt to restart applications” option and click OK to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 125 g. The following screen will appear. Wait until it finishes loading. h. The following screens will appear and disappear in sequence. No intervention is required. The process may take several minutes to complete.
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SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 127
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 128 i. Several DOS screens similar to the one below will appear and disappear. No intervention is required. j. The following screen will appear. Clicking Next to continue. k. The Matlab Compiler Runtime executable will unzip and install. Follow the on screen prompts to install the package. Note: This WinZip window may remain visible after the unzip step is complete. DO NOT CANCEL. You can move the window as needed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 129 Select Yes to accept the Microsoft Visual C++2005 Runtime Libraries license agreement. Accept all the default prompts for the Matlab installation. Click Finish to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 130 l. If the SIM™ software has never been configured before, facility data and new administration account details can be entered at this screen. Notice that this step is optional and configuration can be performed after re-installation by running SIM™ Configuration (refer to Section C Configuring SIM™ for first use). Fill in all the required data and click Next to proceed, or simply skip this step by clicking Skip. Note: The SIM™ software is not operational until configuration is performed. m. The following screen will appear. Check the “Launch SIM™ Configuration now” checkbox if SIM™ Configuration is desired to be run after this screen. Click Finish to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 131 n. If “Launch SIM™ Configuration now” was selected in the previous screen, the Internet Explorer browser will be launched to access SIM™ Configuration. Otherwise, the screen in the next step will be shown. o. To complete the re-installation the server will need to be rebooted. Click ‘Yes’ to reboot the server. However, if SIM™ Configuration is running, do not restart until the SIM™ Configuration is complete!
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SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 133 p. After re-installation, new SIM™ software related shortcuts created in a folder called “SIM” will be found on the desktop, along with a new folder called “External Report Templates”. q. Start Internet Explorer. The SIM™ manager login screen will appear (unless Internet Explorer is started for the first time). To configure SIM™ manager, SIM™ pods and SIM™ assists for use, refer to Section C Configuring SIM™ for first use. Unless you completed the user and facility setup in Step k as above you will not be able to login to SIM™ manager at this time.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 134 4. Uninstallations a. Run the “SIM Setup.exe” file from where it resides. In this example, the file resides on the desktop. b. The following screen will appear. Wait until it finishes loading.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 135 c. The following screen will appear. Click ‘Next’ to proceed. d. In the following screen, select Remove and click ‘Next’ to proceed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 136 e. The following screen will appear. Click Remove to continue. f. If files to be removed are in use by the server, the following screen will appear. Select “Automatically close and attempt to restart applications” and click OK to continue.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 137 g. The following screen will appear. Wait until it finishes. h. Several DOS screens similar to the one below will appear and disappear. No intervention is required.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 138 i. The SIM™ Setup program also completes. Click Finish to exit.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 139 j. The SIM™ software related shortcuts will be removed from the desktop. 5. Database backup a. It is recommended that the SIM™ databases (SIMdb30 and SIMdb30Audit) are backed up at least weekly. b. The SIM™ databases are backed up (if they exist) at each execution of the SIM™ Setup Install, Re-install or Remove operation. The location of the backup files is C:\Databasebackup.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 140 SECTION C – CONFIGURING SIM™ FOR FIRST USE 1. The SIM™ configuration tool is a set of web pages installed as part of SIM™ setup. 2. The tool should be accessed from a client machine which resides on the same subnet as the server. 3. The configuration tool is tested and supported on Internet Explorer 10 as it has specific HTML5 requirements. 4. In the browser window, type in the following URL corresponding to the server running the SIM™ software. For example, use http://192.168.0.18:8080 to access the SIM™ configuration tool (change to your IP address as required). Specifying the port number is important. If SIM™ configuration is run from the server, then use http://localhost:8080. 5. The following screen will appear. SECTION C1 (OPTIONAL) SIM™ POD LIBRARY INSTALLATION This is required only if SIM™ pods need to be configured or programmed.  From the link provided on the screen (as highlighted in the figure above), download the SIM™ pod libraries installation file and save it (you may need to choose the “Save as” option). Note, This file is only required if you are configuring SIM™ pods. If you are not configuring SIM™ pods, the download and installation of the SIM™ pod libraries can be skipped.  Install the SIM™ pod libraries by right-clicking on the downloaded .exe file and selecting ‘Run as Administrator’ (note that this is the default even if the file is double-clicked on). Follow the on-screen prompts to complete the installation. Note: The SIM™ pod libraries only need to be installed on the client computer used to configure the SIM™ pod hardware and is not required to install this software component if SIM™ pods are not being configured.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 141  SIM™ pod libraries will operate in the background, no further action is required. 6. On the screen shown in step 5 above, click ‘Start’ or ‘Login’. If no SIM™ manager Administration accounts have previously been setup, both the Username and Password fields will be disabled and the user will be given full access to the SIM™ configuration tool. When at least one SIM™ manager Administration account has been setup, the user will require login access to use the SIM™ configuration tool. 7. Follow the on-screen instructions to complete the configuration. The instructions below provide additional information that may be useful during the installation process. 8. If SIM™ pod configuration is required; follow these steps to connect the SIM™ pod to the computer being used for configuration. a. Plug the small plug on the cord of the provided power supply to the back of the SIM™ dock b. Connect the power supply to a power outlet c. Connect the provided USB cable between the SIM™ dock and a spare USB port on the computer being used for configuration d. Insert the SIM™ pod into the SIM™ dock. Windows will recognise the SIM™ pod as a HID device and install relevant drivers automatically. No further interaction is required. 9. On the Facility Data page enter the details of your facility. The server IP address is populated automatically; change this only if explicitly required. If you are configuring SIM™ pods, you must enter Wi-Fi network details as these will be uploaded to the SIM™ pods during configuration. Note: If the SIM™ pods and the SIM™ assist tablets are to be used in a different Wi-Fi coverage area than the area used during setup, you will first need to configure the pods for the available Wi-Fi network, verify that the system is operational and then re-configure the pods and tablets for the Wi-Fi network where the system will be used. Similarly, if the server’s IP address changes depending on pod and tablet location and corresponding Wi-Fi network, these settings will also need to be updated. CAUTION  Refer to cautions and warnings at the beginning of this chapter regarding network setup and configuration. 10. Click “Save and Proceed” 11. On the SIM™ pod configuration screen, you will be prompted to change two browser settings (this is described in more detail below and on the screen as already illustrated in step 5. This is only necessary when configuring SIM™ pods. These changes can be reset back to default values after configuring the SIM™ pods.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 142
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 143 a. Under Internet Options/Security Tab/Custom Level/Miscellaneous, select “Access data sources across domains” Enable. b. Under Internet Options/General Tab/Browsing History Settings, select “Check for newer versions of stored pages” Every time I visit the webpage.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 144 12. Follow the instructions provided and click on “Detect pods”. Depending on DNS settings this may require a second attempt to detect pods successfully. If USB connected pods do not appear in the list, refer to the troubleshooting section for further help. 13. When configuring SIM™ pods for the first time, you will need to attach SIM™ pod numbered identifying labels to the individual pods and assign them a number in the configuration screen. Please refer to the diagrams below and the instructions in the SIM™ configuration tool. a. Identify the MAC address on the SIM™ pod. b. Match the SIM™ pod’s MAC address to the MAC address to the list of detected devices. c. Note the SIM™ pod’s number, e.g. “Pod6”. This is pod number 6. d. Affix the SIM™ pod’s number label to the back of the pod as shown below. e. Click “Configure” to upload configuration information to the SIM™ pods. Note: when multiple SIM™ pods are detected by the system, all pods will be configured with the same configuration information.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 145 14. When a new firmware is required to be uploaded to the SIM™ pods, please refer to the diagram below and the instructions in the SIM™ configuration tool. a. Select a firmware from the firmware list. This will enable the “Program” button. b. Click on “Detect pods” to ensure at least one pod is detected. c. Click “Program” to upload the selected firmware to the SIM™ pods. Note: when multiple SIM™ pods are detected by the system, all pods will be programmed with the same firmware. d. The SIM™ pods will need to be configured after firmware programming. Please follow instruction in the step above to perform pods configuration. 15. To continue the setup process, click on “SIM™ manager” at the top of the screen (or select ‘No’ to configuring more pods when asked). 16. On the “SIM™ manager” page, create the first Admin User account. This will be a user with administrative privileges in the SIM™ system. Typically this will include nursing staff that will conduct SIM™ system user account management. It may be useful to have an account for IT support staff. When all account information has been entered, click “Create”, this may take a few moments to complete. 17. To facilitate easy access for nursing and care staff, a shortcut download link is provided. The downloaded shortcut should be placed on client machine desktops allowing easy access to SIM™ manager. The screenshot below illustrates this step.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 146 18. If additional data is to be imported into SIM™ manager such as facility information (wings, buildings, rooms), staff information and/or resident information, select ‘yes’ to import such information from .csv files. Example formats of the .csv files can be downloaded from the links provided. Note that such information can also be set up or imported from within SIM™ manager. 19. To complete the “SIM™ manager” setup, click on “SIM™ assists” at the top of the screen. 20. Set up SIM™ assist applications on table devices as described on the “SIM™ assist” screen. To set up a tablet, a link is provided to be accessed directly from the tablet device. This provides a means to download the installation file for the tablet. The following table details the minimum hardware requirements for tablet devices. MINIMUM REQUIREMENTS FOR TABLET DEVICES Android OS3.2 (Honeycomb) Screen resolution 800 x 480 Processor: 1Ghz Cortex A9 (or equivalent) 10MB free storage memory 21. To complete the setup process, click on “System Test” at the top of the screen or “Next” and follow on-screen prompts to check that the system is operational. Note: You can return to any setup page by selecting the appropriate section at the top of the screen .
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 147 INSTRUCTIONS FOR DISPOSAL The SIM™ Sensor is a medical device that may pose a biohazard risk after usage. If this is the case, the SIM™ Sensor should be disposed of in accordance with standard operating procedures at your facility for bio hazardous waste. The SIM™ pants may pose a biohazard risk after usage. The SIM™ pants should be disposed of in accordance with standard operating procedures at your facility for bio hazardous waste. The SIM™ pod and SIM™ dock contain electronic parts and Li-Polymer batteries. These should not be disposed of in standard waste. The SIM™ pod has a useful service life of three (3) years, the SIM™ dock has a useful service life of three (3) years and the SIM™ sensor has a useful shelf life of five (5) years. WEEE 2002/96/EC is a European Directive that requires the proper disposal of electrical and electronic equipment. These devices should be disposed of separately, not as unsorted municipal waste. To dispose of your device, you should use appropriate collection, reuse and recycling systems available in your region. The use of these collection, reuse and recycling systems is designed to reduce pressure on natural resources and prevent hazardous substances from damaging the environment. If you need information on these disposal systems, please contact your local waste administration. The crossed-bin symbol invites you to use these disposal systems. If you require information on collection and disposal of your Simavita device please contact Simavita via the contact information supplied
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 148 INSTALL NOTE 1: INSTRUCTIONS TO INSTALL IIS7 AND ALL APPLICATION DEVELOPMENT SERVICES Disclaimer notice: The following screenshots were taken from a typical installation run at Simavita Pty Ltd. Actual screenshots may vary. Install Note 1.1 Go to “Server Manager” and click “Add Roles”; Install Note 1.2 Click “Next”;
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 149 Install Note 1.3 Select “Web Server (IIS)” in the check box list, and click the “Next” button; Install Note 1.4 Click “Next”;
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 150 Install Note 1.5 Make sure you check all selections in “Common HTTP Features” & “Application Development”. Then click “Next”. Install Note 1.6 Click “Install”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 151 Install Note 1.7 Click “Close”. INSTALL NOTE 2: INSTRUCTIONS TO INSTALL MICROSOFT .NET FRAMEWORK Disclaimer notice: The following screenshots were taken from a typical installation run at Simavita Pty Ltd. Actual screenshots may vary. Install Note 2.1 Execute the .net Framework setup file. Click “Run”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 152 Install Note 2.2 Check the box “I have read and accept the license terms”. Then click “Install”. Install Note 2.3 The product is successfully installed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 153 INSTALL NOTE 3: INSTRUCTIONS TO INSTALL MICROSOFT SQL SERVER 2008 R2 SP1 EXPRESS EDITION Disclaimer notice: The following screenshots were taken from a typical installation run at Simavita Pty Ltd. Actual screenshots may vary. Install Note 3.1 Go to the Microsoft site to download the following SQL Server setup file. Install Note 3.2 Run the SQL Server setup file and choose “New installation or add features to an existing installation”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 154 Install Note 3.3 Choose “I accept the license terms”. Then click “Next”. Install Note 3.4 Select all “Instance Features” and “Shared Features”. Then click “Next”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 155 Install Note 3.5 Please make sure the Named instance is “SIMserverDV3”. Click “Next”. Install Note 3.6 Click “Next” on the following screen.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 156 Install Note 3.7 Click “Next” on the following screen. Install Note 3.8 Choose “Install the native mode default configuration” and then click “Next”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 157 Install Note 3.9 Click “Next” on the following screen. Install Note 3.10 The product is successfully installed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 158 INSTALL NOTE 4: INSTRUCTIONS TO INSTALL REPORT BUILDER 3.0 Disclaimer notice: The following screenshots were taken from a typical installation run at Simavita Pty Ltd. Actual screenshots may vary. Install Note 4.1 Go to the Microsoft site to download SQL server 2008 R2 Report Builder 3.0. Install Note 4.2 Select the msi file, and then click “Next”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 159 Install Note 4.3 Execute the downloaded file and click “Run”. Install Note 4.4 Click “Next”.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 160 Install Note 4.5 Choose “I accept the terms in the license agreement”, and then click “Next”. Install Note 4.6 Click “Next” in the following screen.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 161 Install Note 4.7 Click “Next” in the following screen. Install Note 4.8 Click “Next” in the following screen.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 162 Install Note 4.9 Click “Install”. Install Note 4.10 The product is successfully installed.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 163 SECTION 12 SIM™ CONTACT AND SUPPORT
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 164 12.0 SIM™ Contact and Support TROUBLESHOOTING INDEX SIM™ manager Internet explorer cannot open SIM™ manager Silverlight Errors SIM™ pod status on SIM™ manager is orange The assessment status is stuck on ‘pending’ The assessment status is stuck on ‘retrieving’ No wetness events shown No wetness events recorded, however SIM™ sensor is wet Resident or facility pictures cannot be uploaded How can I access the online User Manual User is unable to log into SIM™ manager or SIM™ assist Forgotten SIM™ user name Forgotten SIM™ password Parts of the SIM™ manager window are not showing on the screen. Unable to save/load/display assessment report as a PDF Cannot find a resident in the SIM™ manager. Unable to view past assessments or resident not showing up in reports e.g. Wing toileting report. Unable to allocate SIM™™ pods to start an assessment (unable to see available SIM™ pods in set up screen) SIM™ manager is not showing the correct time after the computer has been corrected for time zones. No recommendations for continence aids in the SIM™ Continence care plan. SIM™ assist SIM™ assist tablet is not turning on SIM™ assist application is not opening SIM™ assist application does not adjust orientation when rotating the tablet Time lag / lead error on SIM™ assist SIM™ assist application is not connected even though the tablet is connected to Wi-Fi. If the SIM™ assist is not updating observations during the assessment SIM™ assist not synchronising with the SIM™ manager SIM™ assist is still displaying a resident whose assessment has finished. Observation not synchronised from SIM™ assist to SIM™ manager Assessment and observation not synchronised from SIM™ manager to SIM™ assist User cannot log in to SIM™ assist Not receiving notifications / messages on SIM™ assist There are assessments/residents on the SIM™ assist that I do not recognize. SIM™ pod SIM™ pod battery depletes before assessment is complete All the lights on the SIM™ pod are flashing orange. SIM™ pod’s network Indicator Light (middle light) is flashing: SIM™ pod’s battery Indicator Light (top right light) is: SIM™ pod is flashing Pod is damaged or lost SIM™ Set up and Configuration During SIM™ pod configuration, the required SIM™ pod libraries cannot be downloaded During SIM™ pod configuration, the firmware upgrade on the SIM™ pod failed During SIM™ pod configuration, the SIM™ pod configuration failed Upon completing SIM™ pod configuration, SIM™ pods configured are not listed in the Admin/Devices list in SIM™ manager. General Resident does not tolerate the sensor
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 165 TROUBLESHOOTING GUIDE SIM™ manager Symptom Corrective Action 1. Internet explorer cannot open SIM™ manager  Open another website (e.g. Google) in your browser. If website does not open contact your IT support officer to check internet connections. IT actions recommended:  Determine if the server is accessible from the client computer  Clear browser history (cache) and try opening internet browser  Check if IE10 or above is being used.  If internet connection is working and SIM™ Manager is still not opening, contact SIM™ Customer Service 2. Silverlight Errors Silverlight is a Microsoft browser extension, required to access SIM™ manager.  Enter detail of how the error was produced; click “send error report” on the error window. Close browser and re-login to SIM™ manager.  Check that Silverlight version 5.1.20513.0 or higher is installed.  If Silverlight errors still occur, contact your IT support officer 3. SIM™ pod status on SIM™ manager is orange  See corrective actions for SIM™ pod status indicating red  Check if the SIM™ pod is in Wi-Fi range  Check if the last activity is within the assessment period  If assessment period is still running contact SIM™ customer service however if assessment period is finished – remove SIM™ pod from resident and clean/return pod to the SIM™ dock. 4. The assessment status is stuck on ‘pending’  Check the assessment start/end date and time are set correctly  Click on edit button and correct the time and date  If possible, abort the assessment, call the IT support officer and request the server to be restarted. After restart, create the assessment again and report the issue to the customer service. 5. The assessment status is stuck on ‘retrieving’  Call your IT support officer to restart the server and report to SIM™ customer service.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 166 SIM™ manager Symptom Corrective Action 6. No wetness events shown  Check that the SIM™ sensor is connected to the SIM™ pod (check green flashing lights on the SIM™ pod when connecting the SIM™ sensor).  Check that the SIM™ pod is charged.  Check that the SIM™ pod has been assigned to the resident on assessment  Check that the SIM™ pod is connected to the Wi-Fi network and server (network connection Indicator Light on SIM™ pod is green when on the resident or when in the SIM™ dock).  Check that the SIM™ pod is within Wi-Fi range. 7. No wetness events recorded, however SIM™ sensor is wet  Refer to “no wetness events shown” above 8. Resident or facility pictures cannot be uploaded  Ensure picture is in .png or .jpg format 9. Resident photo appears and then disappears  When picture is uploaded, ensure you click on ‘Save’ 10. How can I access the online User Manual  Within SIM™ manager (top right hand corner) click on the “?” symbol 11. User is unable to log into SIM™ manager or SIM™ assist  Your SIM™ supervisor / administrator is able to check whether the user account is set up within SIM™ manager by logging into SIM™ Manager to create a new user account or alternatively reset the user password. 12. Forgotten SIM™ user name  The SIM™ system supervisor or administrator must check your user name in the SIM™ manager 13. Forgotten SIM™ password  The SIM™ system supervisor or administrator must reset your password in the SIM™ manager 14. Parts of the SIM™ manager window are not showing on the screen.  Ask your IT support officer to check the screen resolution against the minimum system requirements. 15. Unable to save/load/display assessment report as a PDF  Check if correct version of pdf reader is installed (e.g. Adobe Reader) 16. Cannot find a resident in the SIM™ manager.  Check if resident has been added to the SIM™ manager and add new resident if needed. 17. Unable to view past assessments or resident not showing up in reports e.g. Wing toileting report.  Under the administration tab - check the resident status (It should be Current Resident, Deceased, Discharged or opt out)  Archive option should only be used after 7 years as per the requirement for record keeping. 18. Unable to allocate SIM™™ pods to start an assessment (unable to see available SIM™ pods in set up screen)  Check if pod is still allocated to another resident  Check if there is a current assessment running with that pod allocated
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 167 SIM™ manager Symptom Corrective Action  Allocate a different pod 19. SIM™ manager is not showing the correct time after the computer has been corrected for time zones.  Restart Internet Explorer IT actions recommended:  Clear browser cache  IT to re-boot the server after the correction of the local clock 20. No recommendations for continence aids in the SIM™ Continence care plan.  Check local continence aid catalogue, update all product information such as working capacities, sizes etc.  Refer to Section 8.2 CREATE A CONTINENCE CARE PLAN on data required for successfully pad recommendations SIM™ assist Symptom Corrective Action 21. SIM™ assist tablet is not turning on  Check if tablet is charged by viewing battery status  Check SIM™ assist is plugged in correctly to the power source  Check staff are using the correct charger  Refer to the tablet’s User Manual for additional troubleshooting tips 22. SIM™ assist application is not opening  Re-install SIM™ assist app  If it still doesn’t work contact your IT personal 23. SIM™ assist application does not adjust orientation when rotating the tablet  SIM™ assist is only supported in landscape mode 24. Time lag / lead error on SIM™ assist  The tablet is set with a time other than the server time. Set the tablet time (and time zone) to match the server.  If the SIM™ assist application still shows the error message, ask your IT support officer to set the server time to the correct time zone. 25. SIM™ assist application is not connected even though the tablet is connected to Wi-Fi. IT actions recommended:  Check the server IP address and port number are set correctly  On the tablet, go to Settings/Applications/SIM assist and clear the application data (SIM assist will re-synchronise). CAUTION: If there are unsynchronised observations on the SIM assist, these will be lost. 26. If the SIM™ assist is not updating observations during the assessment  Check that the Wi-Fi is switched on (see Wi-Fi settings in tablet).  Check that the tablet is connected to the Wi-Fi network.  Check that you have clicked on “connection” within the SIM™ assist app.  Check that the SIM™ assist is synchronising in
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 168 SIM™ assist Symptom Corrective Action the top left corner of the screen (status code should be 40 or 41).  Wait until SIM™ assist is synchronised (status should be code 45). 27. SIM™ assist not synchronising with the SIM™ manager  Check that the tablet is within Wi-Fi range  Check that the tablet is correctly connected to the Wi-Fi network (you may be able to use the tablet’s browser to check connectivity)  Turn OFF the Wi-Fi network on the tablet  Open the SIM™ assist application and attempt to login. Log out, and turn tablet Wi-Fi back on. Re-open the application and allow it to re-connect and download data (status code should read 40 to 41 and then when completed 45)  On the tablet, go to Settings/Applications/SIM assist and clear the application data (SIM assist will re-synchronise). CAUTION: If there are unsynchronised observations on the SIM assist, these will be lost.  If the data has not synchronised on the tablet, please call SIM™ customer service 28. SIM™ assist is still displaying a resident whose assessment has finished.  See SIM™ assist not synchronising (in 27 above) 29. Observation not synchronised from SIM™ assist to SIM™ manager  See SIM™ assist not synchronising (in 27 above) 30. Assessment and observation not synchronised from SIM™ manager to SIM™ assist  See SIM™ assist not synchronising (in 27 above) 31. User cannot log in to SIM™ assist  See SIM™ assist not synchronising (in 27 above) 32. Not receiving notifications / messages on SIM™ assist  Supervisor to check notifications are enabled in SIM™ manager(administrative privileges are required to make these changes)  See SIM™ assist not synchronising 33. There are assessments/residents on the SIM™ assist that I do not recognize.  The SIM™ assist application is pre-installed with “demonstration resident data”. This data will clear as soon as the SIM™ assist application connects to your server. Please connect the SIM™ assist to the server.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 169 SIM™ pod Symptom Corrective Action 34. SIM™ pod battery depletes before assessment is complete  Ensure SIM™ pod is fully charged before using (solid green light)  If SIM™ pod has been in storage for a period of 6 months or more without being charged, the capacity of your SIM™ pod battery may have dropped. Discharging and recharging the pod may improve the pod’s battery life. If not, the battery may have reached the end of its working life.  If SIM™ pod is fully charged, and the discharge time does not increase after each charge, your SIM™ pod’s battery may have reached the end of its life, contact SIM™ customer service 35. All the lights on the SIM™ pod are flashing orange.  The SIM™ pod’s safety circuit has ‘tripped’. This usually happens when the pod becomes completely wet (e.g. when cleaning). This is normal  Wash and dry the pod and return it to the SIM™ dock. The safety circuit will reset 36. SIM™ pod’s network Indicator Light (middle light) is flashing: Orange  The SIM™ pod is attempting to reconnect to the Wi-Fi network, check Wi- Fi network is available. Turquoise  The SIM™ pod is attempting to connect to the server, check that the server is accessible from the Wi- Fi network Red  The SIM™ pod has failed to connect to the Wi-Fi network or the server  Check that the Wi-Fi network is available IT actions recommended:  Check that the Wi-Fi network is broadcasting its SSID (SIM™ pods will not connect to networks with hidden SSID’s)  Check that the server is accessible from the Wi-Fi network.  Check that the Wi-Fi settings are correct (re-configure the SIM™ pod if necessary  Some Wireless Access Points fail to correctly negotiate the Wi-Fi protocol (b, g or n) with the SIM™ pod. Set your Wireless Access Point to use b, g or b/g only 37. SIM™ pod’s battery Indicator Light (top right light) is: Red  There has been a charging fault, remove pod from the dock and then re-dock. The pod may need to cool down for a few minutes.  Ensure that the pod is being charged in an environment less than 30 degrees Celsius or 86 degrees Fahrenheit.  If problem persists, contact SIM™ customer
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 170 SIM™ pod Symptom Corrective Action service. 38. SIM™ pod is flashing  Refer to the Indicator Light flashing codes 39. Pod is damaged or lost  Contact SIM™ customer service SIM™ Set up and Configuration Symptom Corrective Action 40. During SIM™ pod configuration, the required SIM™ pod libraries cannot be downloaded  The SIM™ pod libraries are required for SIM™ pod configuration. An .exe file is downloaded from the server during configuration.  Firewall or anti-virus software may be blocking the download of .exe files.  Temporarily disable firewall and anti-virus software. 41. During SIM™ pod configuration, the firmware upgrade on the SIM™ pod failed  If a SIM™ pod firmware upgrade failed, the pod may become unresponsive  Apply a magnet (flat fridge magnets are not strong enough) to the outside of the pod as shown. This causes the pod to fully reset and a firmware upgrade can then be repeated 42. During SIM™ pod configuration, the SIM™ pod configuration failed  Remove the SIM™ pod from the dock  Confirm that your computer recognises the USB connected pod (in Windows Device Manager the pod is listed as a HID compliant device)  Confirm that SIM™ pod libraries were installed as Administrator (right-click the .exe file and select “Run as Administrator”)  Use an alternative USB port  Attempt to configure only one pod at any one time 43. During SIM™ configuration, the SIM™ pod is not visible after clicking ‘Detect’.  Remove the SIM™ pod from the dock  Confirm that your computer recognises the USB connected pod (in Windows Device Manager the pod is listed as a HID compliant device).  Confirm that SIM™ pod libraries were installed as Administrator (right-click the .exe file and
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 171 SIM™ Set up and Configuration Symptom Corrective Action select “Run as Administrator”)  Use an alternative USB port  Check Windows Services for a running and automatically starting “SIMpodLib” service. 44. Upon completing SIM™ pod configuration, SIM™ pods configured are not listed in the Admin/Devices list in SIM™ manager.  Repeat SIM™ pod configuration  Ensure your Wi-Fi network is available and within range of the SIM™ pod  Ensure the SIM™ pod’s network Indicator Light (middle indicator light) is green General Symptom Corrective Action 45. Resident does not tolerate the sensor  Encourage the resident to wear the SIM™ sensor. If unsuccessful, the resident can wear their own continence aid during the SIM™ assessment.  Enter resident response under comments. Weight should be recorded in observations as normal. Discuss with family and request help in communicating the need for a SIM™ assessment.  Apply the SIM™ sensor back-to-front. The SIM™ sensor should only be applied back-to-front if the resident is mobile. SIM™ pods worn at the back could cause significant discomfort when sitting or lying down.  Ensure the SIM™ pod is placed into the pocket of the SIM™ pants as this is less noticeable to the resident.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 172 ACCESSORIES To order new SIM™ components or accessories, please contact your sales representative or Simavita with the model number information defined below. Country specific orders will be processed internally at Simavita. Model Number Description 6019 SIM™ pod 6020 SIM™ dock FRA012-S05-I SIM™ dock power supply 6015 SIM™ sensor light 6016 SIM™ sensor moderate 6017 SIM™ sensor heavy
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 173 CONTACT AND SUPPORT Please contact Simavita or your authorised distributor. via the contact information provided for assistance, if needed, in setting up, using or maintaining the SIM™ system or to report unexpected operation or events. Customer Service Contact - Australia Inside Australia Phone 1300 SIM sensor (1300 746 736) Outside Australia Phone: +61 (2) 8405 6335 Email customerservice@simavita.com Website www.simavita.com YOUR ORGANISATION CONTACT AND SUPPORT CONTACT DETAILS Phone Email
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 174 Appendix A SIM™ SPECIFICATIONS
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 175 APPENDIX A SIM™ PHYSICAL SPECIFICATIONS Description Length (mm) Width (mm) Height (mm) Weight (g) SIM™ pod 48.5 69.5 17.5 48 SIM™ dock 49.5 70.5 43 90 Power supply for SIM™ dock 90 40 40 135 SIM™ ELECTRICAL SPECIFICATIONS SIM™ POD INTERNAL BATTERY Description Specification Chemistry Lithium-Polymer Voltage 3.7 Vdc Ampere Hour Rating 870 mAh Charging Current 620 mA(duration < 3 hours) Minimum operating time at 25°C (± 5°C) with a fully charged battery is 72 hours. The SIM™ pod must be recharged in between assessments Note: The minimum operating time for a SIM™ pod that has been in storage without charging for a period of six months or more may be less than 72 hours. Simavita recommends that SIM™ pod is charged every three months. SIM™ SYSTEM APPROVED POWER SUPPLIES Only use the following power supply when operating SIM™ dock. Description Specification Manufacturer Franmar International Inc. Adaptor Model FRA012-S05-I AC Input Voltage/Frequency 100V – 240 V/50Hz – 60Hz DC Output Voltage 5V ± 5% Maximum Current 2 A
SIM™ User Manual 5.0 176 SIM™ POD WIRELESS SPECIFICATIONS The Wireless specifications are as follows; Description Specification Frequency Band 2.400 – 2.500 GHz (2.4 GHz ISM band) Modulation OFDM with BPSK, QPSK, 16-QAM, and 64-QAM 802.11b with CCK and DSSS Typical Transmit Power (± 2 dBm) 13 dBm for 802.11b DSSS 13 dBm for 802.11b CCK 13 dBm for 802.11g/n OFDM WARNING The SIM™ pod may be interfered with by other equipment, even if that other equipment complies with CISPR EMISSION requirements. SIM™ POD INDICATOR LIGHT COLOURS Pod Condition Power Indicator Light Network Indicator Light Memory Indicator Light Timing Sensor has been correctly inserted Green Green Green Chase for ~ 3 seconds Sensor has not been correctly inserted Orange Orange Orange Flash 3 times Sensor disconnected Orange Orange Orange Chase for ~ 3 seconds During assessment and no faults detected Off Off Off Off During assessment and battery is low Orange N/A N/A Flash ~ 5 seconds During assessment and memory space is full N/A N/A Orange Flash ~ 5 seconds During assessment and memory space failed N/A N/A Red Flash ~ 5 seconds Docked and charging Green N/A N/A Flash ~ 1 second Docked and fully charged Green N/A N/A Constantly ON Docked and problem in charging Red N/A N/A Flash ~ 1 second Docked and the pod is joining the Wi-Fi network N/A Orange N/A Flash ~ 1 second Docked and connection to Wi-Fi is OK and contacting Server N/A Turquoise N/A Flash ~ 1 second Docked and connection to Wi-Fi and Server are OK N/A Green N/A Constantly ON Docked and connection to Wi-Fi failed N/A Red N/A Constantly ON Docked and sensor data memory space is empty N/A N/A Green Constantly ON Docked and sensor data memory space is not empty N/A N/A Orange Constantly ON Docked and sensor data memory space is being accessed N/A N/A Orange Flash ~ 1 second Docked and sensor data memory space failed (read/write fail) N/A N/A Red Flash ~ 1 second Every time the pod is docked and if the firmware is running Green Green Green Chase ~ 2 seconds Every time after a pod reset and if the firmware is running Blue Blue Blue Chase ~ 2 seconds Firmware update in progress Blue Blue Blue Flash ~ 1 second Power-on Self-Test Failed Red Red Red Constantly ON Safety Circuit Tripped Red Red Red Flash ~ 1 second
SIM™ User Manual 5.0 177 SIM™ ENVIRONMENTAL CONDITIONS The environmental conditions for storage all SIM™ devices are as follows. Temperature Humidity 0 °C to +45 °C (-32 °F to +113°F) Atmospheric Pressure Altitude 0 °C to +45 °C (32 °F to +113 °F) 10% to 95% RH 50 kPa to 106 kPa (8.7 psi to 16.0 psi) -152 m to 3964 m (-500 ft to 13,000 ft) The environmental conditions for transport for all SIM™ devices are as follows. Temperature Humidity -20 °C to +45 °C (-4 °F to +113 °F) Atmospheric Pressure Altitude -20 °C to +45 °C (-4 °F to +113 °F) 10% to 95% RH 50 kPa to 106 kPa (8.7 psi to 16.0 psi) -152 m to 3964 m (-500 ft to 13,000 ft) The environmental conditions for operation of the SIM™ pod are as follows. Temperature Humidity +5 °C to +40 °C (-41 °F to +104°F) Atmospheric Pressure Altitude +5 °C to +40 °C (-41 °F to +104 °F) 10% to 95% RH 50 kPa to 106 kPa (8.7 psi to 16.0 psi) -152 m to 3964 m (-500 ft to 13,000 ft) The environmental conditions for the charging of the SIM™ pod are as follows. Temperature Humidity +5 °C to +40 °C (-41 °F to +104°F) Atmospheric Pressure Altitude +5 °C to +30 °C (-41 °F to +86 °F) 10% to 95% RH 50 kPa to 106 kPa (8.7 psi to 16.0 psi) -152 m to 3964 m (-500 ft to 13,000 ft)
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 178 SIM™ PATIENT ENVIRONMENT The SIM™ system medical electrical system is comprised of a combination of medical electrical equipment, information technology electrical equipment. Simavita has tested, certified and classified the SIM™ pod and SIM™ Sensor as medical electrical equipment and has tested, certified and classified the SIM™ dock as information technology equipment WARNING  In order to ensure that patient safety is maintained at all times the SIM™ dock or other electrical equipment must not be placed within the patient environment as defined and illustrated below.  In case of emergency, disconnect the equipment from power supply mains.  In order to ensure that patient safety is maintained at all times, the operator must not touch the Resident at the same time if the patient is connected to the SIM™ pod and SIM™ sensor.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 179 SIM™ MANUFACTURERS DECLARATION The following tables contain the manufacturer’s declarations for the SIM™ system electromagnetic emissions, electromagnetic immunity, and recommended separation distances between the SIM™ system and portable and mobile RF communications equipment as well as a list of compliant cables. FCC COMPLIANCE STATEMENT This device complies with Part 15 of the Federal Communications Commission (FCC) Rules. The FCC ID for this device is XF6-RS9110N1122. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. CAUTION: Changes or modifications to this unit not expressly approved by the party responsible for compliance could void the user’s authority to operate this equipment. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the manufacturer’s instructions, may cause interference harmful to radio communications. There is no guarantee, however, that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: (1) reorient or relocate the receiving antenna, (2) increase the separation between the equipment and receiver, (3) connect the equipment to an outlet on a circuit different from that to which the receiver is connected, and (4) consult the dealer or an experienced radio or TV technician for help. The SIM™ pod with FCC ID XF6-RS9110N1122 is subject to Part 15 Subpart C. This transmitter must not be co-located or operated in conjunction with any other antenna or transmitter. The available scientific evidence does not show that any health problems are associated with using low power wireless devices. There is no proof, however, that these low power wireless devices are absolutely safe. Low power Wireless devices emit low levels of radio frequency energy (RF) in the microwave range while being used. Whereas high levels of RF can produce health effects (by heating tissue), exposure of low-level RF that does not produce heating effects causes no known adverse health effects. Many studies of low-level RF exposures have not found any biological effects. Some studies have suggested that some biological effects might occur, but such findings have not been confirmed by additional research. [SIM™ pod] has been tested and found to comply with FCC radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency (RF) Exposure Guidelines in Supplement C to OET65.Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. WARNING Portable and mobile RF communications equipment can affect the performance of the SIM™ system. Install and use the system according to the information contained in this manual.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 180 The SIM™ system is intended for use in the electromagnetic environment specified below. The customer or user of the system should assure that it is used in such an environment Title and Relevant Standard Classification Comment RF emissions CISPR 11 Group 2 The SIM™ pod and SIM™ sensor must emit electromagnetic energy in order to perform its intended function. Nearby electronic equipment may be affected. RF emissions CISPR 11 Class B The SIM™ pod and SIM™ sensor are suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes Harmonic Emissions IEC 61000-3-2 Class A Voltage fluctuations/flicker emissions IEC 61000-3-3 Complies
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 181 Guidance and manufacturer’s declaration – electromagnetic immunity The SIM™ system is intended for use in the electromagnetic environment specified below. The customer or the user of the SIM™ system should assure that it is used in such an environment. IMMUNITY TEST IEC 60601 TEST LEVEL Compliance Level Electromagnetic environment - guidance Electrostatic Discharge (ESD) IEC 61000-4-2 ± 6 kV contact ± 8 kV air ± 6 kV contact ± 8 kV air Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Electrical fast transient/burst IEC 61000-4-4 ± 2 kV for power supply lines ± 1 kV for input/output lines ± 2 kV for power supply lines ± 1 kV for input/output lines Mains power quality should be that of a typical commercial or hospital environment. Surge IEC 61000-4-5 ± 1 kV line(s) to line(s) ± 2 kV line(s) to earth ± 1 kV line(s) to line(s) ± 2 kV line(s) to earth Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 <5%  (>95% dip in ) for 0,5 cycle 40%  (60% dip in ) for 5 cycles 70%  (30% dip in ) for 25 cycle <5%  (>95% dip in ) for 5 s <5%  (>95% dip in ) for 0,5 cycle 40%  (60% dip in ) for 5 cycles 70%  (30% dip in ) for 25 cycle <5%  (>95% dip in ) for 5 s Mains power quality should be that of a typical commercial or hospital environment. If the user of the SIM™ system requires continued operation during power mains interruptions, it is recommended that the SIM™ system be powered from an uninterruptible power supply or a battery. Power Frequency (50/60Hz) magnetic field IEC 61000-4-8 3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. NOTE  is the a.c. mains voltage prior to application of the test level.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 182 Guidance and manufacturer’s declaration – electromagnetic immunity The SIM™ system is intended for use in the electromagnetic environment specified below. The customer or the user of the SIM™ system should assure that it is used in such an environment. IMMUNITY TEST IEC 60601 TEST LEVEL Compliance Level Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the SIM™ system, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6 3 Vrms 150 kHz to 80 MHz 3 Vrms   Radiated RF IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m   80MHz to 800 MHz   800 MHz to 2.3 GHz Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey1 should be less than the compliance level in each frequency range.2 Interference may occur in the vicinity of equipment marked with the following symbol. NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 1Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the SIM™ system is used exceeds the applicable RF compliance level above, the SIM™ system should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orientating or relocating the SIM™ system devices. 2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 183 Recommended separation distances between portable and mobile RF communications equipment and the SIM™ system devices The SIM™ system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the SIM™ system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the SIM™ devices as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter (W) Separation distance according to frequency of transmitter (m) 150kHz to 80MHz   80MHz to 800MHz   800MHz to 2.5GHz   0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power and not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 184 I.T. FACT SHEET – IT REQUIREMENTS TO SUPPORT SIM™ I.T. REQUIREMENTS FOR MOBILE DEVICE SERVER AND CLIENT COMPUTERS Mobile device for SIM™ assist Android OS3.2 (Honeycomb) or later Minimum resolution 800 x 480 Processor: 1Ghz Cortex A9 or better (or equivalent) 10MB free storage memory Server CPU: Quad Core x64 3.0 GHz (or higher) RAM: 8GB (or higher) Available Disk Space: 100GB or more (for SIM and database) Microsoft Windows Web Server 2008 R2 (SP1), including: - IIS7 and all Application Development Services - MS SQL Server Native Client Microsoft SQL Server 2008 R2 (SP1 Express Edition) - name of server instance must be “SIMserverDV3” PHP for IIS extension (php.iis.net) Microsoft SQL Server 2008 R2 (Report Builder 3.0) Internet Explorer 10 Microsoft Silverlight browser plug-in (Version 5.1.x) PDF Reader (Adobe or similar) 100Mb/s network port (or faster) A dedicated server is required Server Optional UPS linked to Windows shutdown and capable of 10 minutes or more of supply Teamviewer Host Client Computers CPU: Dual Core 2.0GHz (or higher) RAM: 4GB (or higher) Available Disk Space: 1GB Microsoft Windows 7 (SP1) Internet Explorer 10 Microsoft Silverlight browser plug-in (Version 5.1.x) Screen Resolution: 1280 x 800 or higher PDF Reader (Adobe or similar) REMOTE ACCESS For support purposes (clinical support, maintenance, and software updates), Simavita requires a reliable method of remote access to the server. Simavita uses Teamviewer (default port 80). Note: Teamviewer is a highly secure remote access and support tool. Refer to their security statement: http://www.teamviewer.com/images/pdf/TeamViewer_SecurityStatement.pdF
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 185 WIFI NETWORK Some components of SIM™ require access to a Wi-Fi network through which these connect to the server. Wi-Fi specifications  IEEE 802.11 b/g/n compatible wireless network – 2.4GHz (5GHz not supported)  Security: WEP 64-bit, WEP 128-bit, WPA, WPA2 encryption (Open networks without WiFi password are not supported)  SSID and passkey will be required during system setup and configuration The Wi-Fi network must have access to and be accessible from the server for multiple devices (SIM™ pods and mobile devices running the SIM™ assist application) DNS, ROUTER AND FIREWALL SERVER CONFIGURATION To facilitate SIM™ pod, SIM™ assist, client and remote access: - The server must allow inbound connections on port 80, 8080, 8888 and 10001 - It may be useful to set up shortcuts on client machines to facilitate easy access to the server MICROSOFT SILVERLIGHT Microsoft Silverlight is available from http://www.microsoft.com/getsilverlight
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 186 GLOSSARY ADL: Activities of Daily Living CE: Conformité Européenne DoS Disk Operating System FCC: Federal Communications Commission ID Identification IEC: International Electrotechnical Commission IIS Internet Information Services ISO: International Organisation for Standardisation IT: Information Technology MAC Address Media Access Control Address RCM: Regulatory Compliance Mark RF Radio Frequency SIM: Smart Incontinence Management SQL Structured Query Language URL Uniform Resource Locator USB Universal Serial Bus WEEE Waste Electrical and Electronic Equipment
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 187 MADE IN AUSTRALIA by Simavita Pty Ltd., L6 56 Berry Street, North Sydney, NSW 2060, Australia. See www.simavita.com for more information.

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