Table 1.3 Medium-Fidelity Manikin-Based Simulators: Provide a More Realistic Representation But Lack Sufficient Cues for the Learner to Be Fully Immersed in the Situation (Continued )

Name Manufacturer/ URL Approx. Cost Capabilities Simulator

S108 PREMIE™

Blue Simulator

with SmartSkin™

Technology

Gaumard (http://www.

gaumard.com/premieblue-simulator-withsmartskin-technology

s108/)

$2,100 28-week articulating PREMIE

Realistic airway with tongue, vocal cords, trachea, and

esophagus for airway management exercises

Heart, lungs, airway, and ribs

Simulate “heel stick” maneuver for capillary blood sample

BVM or CPR exercises

Intubation plus suctioning

Bilateral lung expansion with realistic chest rise

View peripheral and central cyanosis as well as healthy skin

tone

Use monitor to select rates of improvement and deterioration

Watch skin color change in response to the efforts of your

student

Pulse umbilicus using squeeze bulb

Practice placement of umbilical lines

Simulate CPR with either two-thumb “encircling” technique or two finger alternate compression method

Practice delicate IO access

Practice injection and IV techniques

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Life/form®

Micro-Preemie

Simulator

Nasco (http://www.enasco.

com/product/

LF01212U)

$250 25-week gestation

• Breathing: Pulse bulb to manually simulate breathing

rate volume.

• Ventilation: Molded-in lung produces a visible chest rise

when ventilated by mouth; trachea and pharynx are not

anatomically correct but will accept a functioning endotracheal tube.

• GI: One nostril will accept a functioning NG tube (tube

passes through the body and liquids will either drain away

from the body or into the diaper); optional stoma can be

plugged into a permanent site on the abdomen.

• Umbilicus: Soft, lifelike umbilicus has a patent vein and

two arteries; umbilical stump functions like a cork, plugging into a small cavity molded into the abdomen (cavity

can be used as a reservoir for blood drawn through a catheter or to receive fluids and the drain exits from the diaper area); a separate umbilicus represents an optional

omphalocele.

• IV access: Several typical sites have embedded tubing

that can accept an IV catheter; one is functional, allowing the administration of fluids, which will drain from the

diaper area.

• Chest tube: A permanent site in the baby’s side accepts a

nonfunctioning chest tube.

• Neural tube defect: An optional structure representing an

open neural tube defect can be inserted into the back.

• Various monitors, sensors, electrodes, etc., can be

attached to the manikin wherever needed.

aNita Newborn does not have intubation capabilities.

BVM, bag-valve-mask; CPR, cardiopulmonary resuscitation; ET, endotracheal; IO, intraosseous; LMA, laryngeal mask airway; NG, nasogastric; NP, nasopharyngeal; OG, orogastric; OP, oropharyngeal; PICC, peripherally inserted

central catheter; UAC, umbilical artery catheter.

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