© Simavita Pty Ltd, 2011. All Rights Reserved SKinsella@simavita.
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.
Table of Contents Copyright Information ............................................................................................................................... 2 Table of Contents ............................................................................................................................................... 3 Preface ...............................................................................................................................................................
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 ......................................
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.
This Page is Intentionally Blank SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 2
SECTION 1 SAFETY INFORMATION SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 3
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.
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.
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.
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.
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.
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 7000-2493 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.
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.
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.
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.
1.6 STANDARDS AND COMPLIANCE AND IEC CLASSIFICATION The SIM™ system was developed in accordance with pertinent North American and International standards.
SECTION 2 OVERVIEW SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 15
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.
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 5 Sample of the Bladder and Assessment Chart SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 18
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.
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.
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™ 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.
SECTION 3 GETTING STARTED WITH COMPONENTS – Hardware OMPONENTS SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 23
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.
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.
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.
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.
SECTION 4 SIM™ MANAGER SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 28
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.
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.
This Page is Intentionally Blank SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 31
SECTION 5 SIM™ MANAGER – for the Administrator SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 32
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. Click the SIM™ icon on your computer desktop and enter the Administrator user name and password. For example Step 1 Username Password Step 2 Click Sally TGO001 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.
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.
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%.
button. When you are finished, click the Save button. The Cancel button will reset all the sections to their previous values. 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.
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.
Step 3 User initial login Log out of the SIM™ manager and ask the new user to login with their username. Ask the User to enter their username and the temporary password shown in the Administration tab, in the Facility Settings section Step 4 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.
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.
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.
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.
Step 2 – Add Continence Aid Fill in the fields and click Save.
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. Import products to your Local Catalogue by clicking on the arrow to move the product across. Note: Click the check box on the far left side to flag products to include them in the SIM™ continence product recommendation process.
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 There are 15 notifications that can be sent, divided between ‘Observation Notifications’ (11 items) and ‘SIM™ pod status notifications’.
Step 2 Click the boxes to determine where you want to send the alert. To uncheck, click the box again. Select the Resend time (minutes interval between resends) from the dropdown list. Note: Notifications sent to SIM™ manager will be visible to staff in the Assessments tab in the Notifications box. SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 Repeat for all other alerts and click Save.
DEVICES Click the components in use. button from the left column in the Administration tab to display the SIM™ hardware 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.
SECTION 6 SIM™ MANAGER – Assessment Coordination SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 47
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.
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™ 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.
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.
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.
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.
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.
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.
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 previously selected. to remove Toileting Toileting assistance level. Cognitive Skill and ability to understand Choose degree of cognitive impairment by clicking the arrow from the drop down menu.
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.
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.
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.
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.
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.
6.4.04 PRINT/EXTEND/ABORT ASSESSMENT The SIM™ assessment currently running will display three key icons; assessment in a report format Assessment Report: opens the 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.
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.
SECTION 7 SIM™ Data Collection SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 64
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.
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.
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.
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 notification(s) touch the resident’s name. mark next to the resident’s photo. To open the 7.6 CLEARING NOTIFICATIONS OR MESSAGES When a notification has been read and related actions completed, the message is cleared from the screen.
7.7 RECORDING RESIDENT OBSERVATIONS Step 1 To enter a resident observation, tap the resident’s name. Step 2 The resident observations page opens.
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.
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.
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.
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.
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.
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.
SECTION 8 SIM™ CONTINENCE CARE PLAN SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 76
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.
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.
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.
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.
Add Product Change Click A Product Change time drops down near the word Product Change Repeat for more product change times. Note: You can drag the product change time box to a new time or select X to remove. 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.
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 selfperformance level: SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 - Transfer Assistance – e.g. Supervision Toilet Use – e.g. Independent - Cognitive Skill – e.g. Severely impaired - Ability to Understand – e.g.
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 .
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.
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.
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.
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.
4. RELATED DIAGNOSIS Related Diagnosis, Click Select the statements related to the resident’s incontinence diagnosis. Click cancel all the fields selected. to save or 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.
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.
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.
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.
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.
SECTION 9 REPORTS SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 93
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.
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.
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.
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.
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.
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.
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.
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.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 102
This Page is Intentionally Blank SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 103
SECTION 10 SIM™ CLEANING INSTRUCTIONS SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 104
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.
SECTION 11 SIM™ INSTALLATION, MAINTENANCE AND DISPOSAL INSTRUCTIONS SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 106
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.
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.
Internet Explorer 10 ☐ Microsoft Silverlight browser plug-in (Version 5.1.x and is available from http://www.microsoft.
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.
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.
f. The following screen will appear. Click Install to proceed.
g. The following screens will appear and disappear in sequence. No intervention is required. The process may take several minutes to complete.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 114
h. Several DOS screens similar to the one below will appear and disappear. No intervention is required.
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.
Accept all the default prompts for the Matlab installation. Click Finish to continue.
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.
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.
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”.
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.
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.
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.
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.
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.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 126
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 127
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.
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.
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.
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.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 132
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.
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.
c. The following screen will appear. Click ‘Next’ to proceed. d. In the following screen, select Remove and click ‘Next’ to proceed.
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.
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.
i. The SIM™ Setup program also completes. Click Finish to exit.
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.
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.
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.
SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 142
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.
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.
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.
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.
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.
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.
Install Note 1.3 Select “Web Server (IIS)” in the check box list, and click the “Next” button; Install Note 1.
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”.
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”.
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.
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”.
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”.
Install Note 3.5 Please make sure the Named instance is “SIMserverDV3”. Click “Next”. Install Note 3.6 Click “Next” on the following screen.
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”.
Install Note 3.9 Click “Next” on the following screen. Install Note 3.10 The product is successfully installed.
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”.
Install Note 4.3 Execute the downloaded file and click “Run”. Install Note 4.4 Click “Next”.
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.
Install Note 4.7 Click “Next” in the following screen. Install Note 4.8 Click “Next” in the following screen.
Install Note 4.9 Click “Install”. Install Note 4.10 The product is successfully installed.
SECTION 12 SIM™ CONTACT AND SUPPORT SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 163
12.
TROUBLESHOOTING GUIDE SIM™ manager Symptom 1. Internet explorer cannot open SIM™ manager 2. Silverlight Errors 3. SIM™ pod status on SIM™ manager is orange 4. The assessment status is stuck on ‘pending’ 5. The assessment status is stuck on ‘retrieving’ SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 Corrective Action Open another website (e.g. Google) in your browser. If website does not open contact your IT support officer to check internet connections.
SIM™ manager Symptom 6. No wetness events shown Corrective Action 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).
SIM™ manager Symptom 19. SIM™ manager is not showing the correct time after the computer has been corrected for time zones. 20. No recommendations for continence aids in the SIM™ Continence care plan. Corrective Action Allocate a different pod Restart Internet Explorer IT actions recommended: Clear browser cache IT to re-boot the server after the correction of the local clock Check local continence aid catalogue, update all product information such as working capacities, sizes etc.
SIM™ assist Symptom Corrective Action 27. SIM™ assist not synchronising with the SIM™ manager 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).
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.
SIM™ pod Symptom Corrective Action 38. SIM™ pod is flashing service. Refer to the Indicator Light flashing codes 39. Pod is damaged or lost Contact SIM™ customer service SIM™ Set up and Configuration Symptom 40. During SIM™ pod configuration, the required SIM™ pod libraries cannot be downloaded Corrective Action 41. During SIM™ pod configuration, the firmware upgrade on the SIM™ pod failed 42. During SIM™ pod configuration, the SIM™ pod configuration failed 43.
SIM™ Set up and Configuration Symptom Corrective Action 44. Upon completing SIM™ pod configuration, SIM™ pods configured are not listed in the Admin/Devices list in SIM™ manager. select “Run as Administrator”) Use an alternative USB port Check Windows Services for a running and automatically starting “SIMpodLib” service.
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.
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.
Appendix A SIM™ SPECIFICATIONS SIM™ User Manual | Ref Code: SUM | GEN4_0024| Version: 8 174
APPENDIX A SIM™ PHYSICAL SPECIFICATIONS Description SIM™ pod SIM™ dock Power supply for SIM™ dock Length (mm) Width (mm) Height (mm) Weight (g) 48.5 69.5 17.5 48 49.5 70.5 43 90 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.
SIM™ User Manual 5.0 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™ User Manual 5.0 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 10% to 95% RH 50 kPa to 106 kPa -152 m to 3964 m (8.7 psi to 16.0 psi) (-500 ft to 13,000 ft) (32 °F to +113 °F) The environmental conditions for transport for all SIM™ devices are as follows.
SIM™ PATIENT ENVIRONMENT The SIM™ system medical electrical system is comprised of a combination of medical electrical equipment, information technology electrical equipment.
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.
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 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.
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) ± 6 kV contact ± 6 kV contact ± 8 kV air ± 8 kV air Floors should be wood, concrete or ceramic tile.
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.
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.
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.
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.
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 Se
MADE IN AUSTRALIA by Simavita Pty Ltd., L6 56 Berry Street, North Sydney, NSW 2060, Australia. See www.simavita.com for more information.