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1. “Moulage-Bridging the Gap in Simulation!”
3. “Moulage-Bridging the Gap in Simulation!” Book on CD
Features: “Moulage-Bridging the Gap in Simulation!” Book on CD has over 210 color illustrations. Each section provides easy to follow step-by step instructions on how to achieve the desired effect, regardless if you are just beginning your Moulage endeavors or are looking to master advanced three dimensional (3D) wounds. In addition, the CD provides tips on building your kit, time saving techniques and cost saving measures.
Author: This book on CD is written and produced by Bobbie Merica, Simulation Coordinator/Technologist. Bobbie is best known for her wildly popular “Moulage Mastery” workshop series. Now, all her tips are available in CD format! Let’s Bridge the Gap together!
4. The color of normal NG tube drainage ranges from gold to green. Occasionally, you will note small streaks of blood in the drainage if the tube makes contact with the stomach wall-a condition thats considered normal if the amount of blood isn't excessive. However, bright red bleeding or "coffee ground" drainage is a finding that should be reported immediately.
Normal drainage
1Tbsp. cooked cream of wheat cereal
2 Tbsp. water
˝ tsp. yellow food coloring or
˝ tsp. green food coloring
Coffee Ground drainage
1Tbsp. used coffee grounds
2 Tbsp. water
˝ drop caramel coloring
˝ drop red food coloring
Smell: Swirl rusty nail through coffee ground mixture to create slight “bloody, metallic” smell.
Normal Drainages: Combine cream of wheat and water. Add yellow or green food coloring, stirring until water becomes tainted. Add additional water as necessary to create “slushy” consistency. Prior to inserting NG tube in simulator, push a small amount of colored fluid through NG tube with 20cc syringe. Thoroughly clean end of tubing with paper towel and place in simulator. Add remaining NG contents to suction canister.
Coffee Ground emesis: Combine used coffee grounds and water in emesis basin. Stir approx. 1 minute or until water becomes tainted with coffee ground mixture. Add additional water as necessary to create “slushy” consistency. Stir in caramel and red food coloring.
Environmental Settings:
Apply “soft” barrier around mouth, lips and chin of simulator, to create a moulage surface. Using Q-tip or small paint brush, gently apply small amounts of coffee ground emesis granules to outside lips and chin of simulator. (Do not put inside mouth of simulator). Add small amount of coffee ground vomit to towel/wash cloth and front of patient gown (remove towel/gown from simulator, allow to fully dry before replacing) in addition to emesis basin. Use in conjunction with black tarry stool. See: black tarry stool recipe.
Clean Up:
Using soft rag; wipe emesis and soft barrier from lips and chin. Treated towel/gown and emesis basin (contents dried) can be stored together in Moulage box or bag for future use. Mixture can be reused approx. 20 times.
Time Saving Hint:
Mixture can be made ahead, dried and stored, covered, in the emesis basin. Keeping rusty nail in the emesis basin, allow contents to dry fully at room air. Cover and store. To reconstitute, add 1tbsp. of tap water to emesis basin with nail. Stir and allow mixture to rest for at least 10 minutes. Stir several times. Remove nail before proceeding to simulation.
Copyright Moulage Concepts
5. Nasogastric DrainageCont. Example