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IV Arms - Reskinning

Last post 06-28-2013, 8:27 by bratliff. 14 replies.
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  •  04-14-2011, 6:43 3433

    IV Arms - Reskinning

    I have two IV Arms that are as follows:

    - single vein - 1990 - MPL - has a upper part for shoulder articulation - has place for deltoid pad
    - multi vein - 1996 - MPL  -  has a upper part for shoulder articulation - has place for deltoid pad

    The replacements skins sent by Laerdal do not fit and they don't have parts that date back as far as my arms.

    The fingers are to small and the wrists area is not wide enough. I have put the veins in to the grooves in the arm and was thinking about slicing the skin and putting it on the arm and either sewing it up or gluing it to the arm.

    Anyone else have an idea?


     
    Victoria Priest, MBA, RN
    Simulation Lab Assistant
    Nursing Education
    Northern NM College
    505.747.5408

     

     

  •  04-15-2011, 5:15 3438 in reply to 3433

    Re: IV Arms - Reskinning

    Hi Victoria,

    Try using dish-washing liquid and get it all over inside the arm skin, (I put my arm into it and make sure that it is everywhere).  The skin will slide on and as the liquid dries, it will hold it in place and suck it down to the arm.  You might try a blow dryer on hot (just keep it moving) over the hand / wrist area if you don't want to do the liquid.  I think the liquid works better though.

    Good luck,

    Dani


    Dani Phillips RN, MSN
    Sim Tech Specialist
    dphillip@samhealth.org
  •  04-15-2011, 6:47 3439 in reply to 3438

    Re: IV Arms - Reskinning

    Dani,

     

    I have tried the soap idea and baby powder and 2 or 3 people to put the skin on. It won't go past the wrist area (can't even get the fingers in). When I compare the skin to the hand area there is a visible (although small) difference between the finger width and length and the width of the wrist area.

    Laerdal only keeps skins for old models available for 5 years after they are discontinued.

    I have glued the veins in and thinking about slicing the arm skin enought to get it on the arm and then gluing it back in place so that I at least get some more milage out of the arm for the students. They are both over 10 years old.

     Other ideas?

    Victoria Priest, MBA, RN

    Simulation Lab Assistant

    Nursing Education

    Northern NM College

  •  04-19-2011, 3:34 3448 in reply to 3439

    Re: IV Arms - Reskinning

    Victoria,

    I don't use the baby powder at all as it seems to clog up in the arm.  Use a hair dryer on hot (but keep it moving) to really warm up the skin at the wrist and hand area.  You might need one other person to be sliding the skin on as you heat and guide.  Our skins are about the same age and I have re-skinned the arms with old and new using these methods. 

    Another thought is to heat the skin with hot water for several minutes and then use the soap (a lot of it) and slide it onto the arm.  To keep the skin warm, you can always put the hand / wrist area back into the water with the arm in it and then get it past the wrist area. 

    I would be hesitant about slicing the skin because it will then move some as the IV's are started and cause student failure.  It also might rip and then you are out of a skin completely.

    Let me know how it goes and I will keep looking at other ideas.

    Thanks,

    Dani


    Dani Phillips RN, MSN
    Sim Tech Specialist
    dphillip@samhealth.org
  •  04-19-2011, 7:23 3449 in reply to 3448

    Re: IV Arms - Reskinning

    Dani,

    Another thought is to heat the skin with hot water for several minutes and then use the soap (a lot of it) and slide it onto the arm.  To keep the skin warm, you can always put the hand / wrist area back into the water with the arm in it and then get it past the wrist area. 

     That sounds like a great solution to the IV arm reskinning, I change ours about every 6 months.  I would think getting the water extremely hot (ie boiling) should be fine and greatly improve the pliability of the plastic for a minute or so to slip it onto the arm.

    I will repost after I try this tomarrow.

     -Dave


    David Cherolis EMT-P EMS-I
    Simulation Tech Wright State University
    937-395-8839
    david.cherolis@wright.edu
  •  07-26-2011, 5:55 3670 in reply to 3449

    Re: IV Arms - Reskinning

    I have to give credit to Dave at Wright State the best I solution I have seen was using vasoline and two people.  I think that Dani problem is not getting the skin on but getting it over the hand.  I just ran into this problem today.  Being new at Ohio State I was changeing out the IV arms and had the problem with the wrist area not fitting.  We removed the had at the wrist and it fit fine.  I was looking at taking some wax and filling the hand portion of the skin and then sliding it onto the arm.

        I will let you know how it works

                      jeff

  •  09-19-2011, 6:05 3795 in reply to 3433

    Re: IV Arms - Reskinning

    I ran into the same problem at our lab - arms too old to fit newly purchased skins. I actually tried all of the things mentioned; blow dryer, soap, 2-3 people, all of it. I was not able to make it happen. Like you, Laerdal no longer makes the style of arms that we had. Our school purchased new arms and extra replacement skins. This way we will be set for awhile. The old ones, once I cut off the old skins, were pretty much useless.

    I don't think that sewing will work because when you put any pressure on it at all you take a chance of it tearing like a perforated paper. If you must try to make it happen, I would suggest cutting it up the back to allow for the least interference with the IV functionality, and using glue to attach it the best you can.

    Good luck.


    Lori Nelson
    Simulation Technician
    Rural Health Sciences Institute
    College of the Siskiyous
    www.lnelson@siskiyous.edu
  •  09-27-2011, 11:23 3819 in reply to 3795

    Re: IV Arms - Reskinning

    Hi Guys,

     You really have to heat up the hand part and using liquid dishwashing soap over the hand and arm and in the arm skin.  This works really slick and we have no problem reskinning our arms.  By the way, this is how the techs at the Laerdal factory do it.

    Dani


    Dani Phillips RN, MSN
    Sim Tech Specialist
    dphillip@samhealth.org
  •  10-27-2011, 7:38 3959 in reply to 3819

    Re: IV Arms - Reskinning

    I've tried this method with little success. I'm not sure about the method to warm up the skin. I used a hair dryer but it never seemed to warm the plastic sufficiently. Do you know if there's any video on line showing how it works?
    Tom Johnson, RN
    559.760.3577
    TFreemanJohnson@gmail.com
  •  12-19-2011, 6:05 4054 in reply to 3959

    Re: IV Arms - Reskinning

    Tom,

    I don't know of a video but I do know that most hair dryers are not that hot.  Try using a crafting heat gun or just a heat gun.  I was really surprised at how well it worked getting the skin over the hand.  I still used the soap for lube.  This is the method that they use in the factory to skin the arms.

    Dani


    Dani Phillips RN, MSN
    Sim Tech Specialist
    dphillip@samhealth.org
  •  12-23-2011, 5:01 4073 in reply to 4054

    Re: IV Arms - Reskinning

    I can't be much use, but only to say we have never had much problem reskinning them if I'm honest.

    Cut off old one - Glue in veins if required - warm arm skinn up for a minute or two with a hair dryer, then spray a bit lube in the arm skin. Then use brute force to push arm in the skin.

    Thats it.

    Jason

  •  02-26-2013, 10:51 4816 in reply to 3433

    Re: IV Arms - Reskinning

    I had the same problem and needed the arm. I sliced open the wrist area - there will be an area that will need Gel Effect fill.

    You could also suture it.

     

    Janet

  •  05-15-2013, 6:18 4918 in reply to 3959

    Re: IV Arms - Reskinning

    Although our arm skins now fit our arms, there is still the matter of getting the glove heated to allow it to stretch.  I found that this can be done easily by putting dish soap into the arm skin and then filling the glove with hot water from a hot pot.  Allow it to sit in the glove for a few minutes to heat the rubber, then begin to slide the mandel into the glove.  It still takes brute force to get past the wrist section, and you have to be careful of the liquid splooshing you as the arm disperses the fluid out the end.  I packed a towel around the end to keep from getting all wet, and used the inside edge of the sink to provide opposing pressure while I pulled the glove on.  It is still a tug-of-war but a lot easier.

     


    Lori Nelson
    Simulation Technician
    Rural Health Sciences Institute
    College of the Siskiyous
    www.lnelson@siskiyous.edu
  •  06-27-2013, 12:24 4979 in reply to 3433

    Re: IV Arms - Reskinning

    Just finished changing out 9 IV arms (new veins and skins) over the last three days.

     The biggest tip I can share is to pour dish soap into the arm skin and add boiling water until about half of the arm skin is full.  Let the heated, soapy water sit in the arm glove for a full 5 minutes before attempting to slide the mandrel in. It help to walk away, otherwise you may not give it enough time to warm the rubber fully.  If the glove is not fully heated the arm mandrel will not go on past the wrist. Have plenty of towels for your work area, as water spillage is an issue. Also, use a small hand towel or washcloth to hold and work with the glove, as it will be hot to the touch. (Using a washcloth also helps give you grip against all of the slick soap.)

    Again, be very careful of the hot water!  It is possible to do this without getting burned, you just have to be aware of the liquid and pour some out as you get more of the arm in so you don't get soaked when it actually slides into place.  When you get to the wrist, set the fingers in the proper place and work the glove down.  Finish by placing the arm so that remaining fluid can drain out.  That's it!  You've done it!


    Lori Nelson
    Simulation Technician
    Rural Health Sciences Institute
    College of the Siskiyous
    www.lnelson@siskiyous.edu
  •  06-28-2013, 8:27 4983 in reply to 4979

    Re: IV Arms - Reskinning

    The fact of the matter is that Laerdal needs to re-design their IV arms with zippers like 3Gs. In lieu of that, we just got done doing surgery on ours. We cut the arm skin at the wrist; since the wrist is entirely too small, then cut the fingers off the arms and put them in separately; then put the arm section of the skin on and finally forced the hand into the now separate hand skin.  We're going to cover the incision with a snug armband and use a surgical stapler if need be.  It should not take us hours and hours and looking up tricks on line to do simple maintenance on basic equipment. From now on though, we will only buy the female arm that have slender hands and fingers.
    Barbara K. Ratliff RN, BSN, MBA
    Baptist Health Montgomery, AL
    Institute for Patient Safety
    and Medical Simulation
    Simulation Specialist
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