CHESTER CHEST™ WITH PORT ACCESS ARM

Description

Chester Chest™ has been an industry standard since 1986 for the teaching of central line care. The right chest area features a 9.6Fr tunneled central catheter that is visible up to the clavicle. The Dacron cuff on this catheter is also discernable. The external jugular vein is slightly raised with an opening to attach your own triple lumen catheter and there is also an opening in the upper chest area for placement of a subclavian catheter. These optional catheters are available from VATA, or if you prefer, you can send us the catheters your institution uses and we will install them at no charge.

Included with this PICC training model is a real port that makes it possible to simulate accessing the following IVAD placements: normal, “tipping”, “wandering”, or deeply placed in the left chest area. Successful access is confirmed by a blood return. Fluid can be infused and blood withdrawn from all the lines.

Chester Chest’s™ Port Access Arm has a dual 5Fr PICC exiting the basilic vein from the inner bicep area and a pre-positioned 20g IV catheter in the forearm. Proximal to the PICC insertion site is a recessed area for the placement of a peripheral IVAD (port not included). The base of this recessed area for a peripheral IVAD is made of a soft material that permits the IVAD to “float” when palpated and accessed.

Chester Chest™ is a great tool for port access training, competency testing, skills assessment, fluid infusion, blood withdrawal and dressing change and securement techniques associated with central access devices!

Optional carry case (0401) available.

Shipping Weight: 10lbs (4.5kg)
Shipping Dimensions: 22”x 18” x9” (55.9cm x45.7cm x22.9cm)
Product Weight: 7lbs(3.18kg)
Product Dimensions: 15.6”x 23.5”x 10” (39.69cm x 59.69cm x 25.4cm )

WHAT IS INCLUDED WITH A NEW CHESTER CHEST™?

Chester Chest™ includes a life size torso, with a real Implanted Vascular Access Device (IVAD), tunneled central venous catheter, Outer Tissue Flap, three difficult accessing inserts, a tubing set with a simulated blood reservoir bag, simulated blood, a slightly raised external jugular opening for placement of an external jugular catheter, opening for the placement of a subclavian catheter, a detachable right arm with a 20g IV catheter in place, a dual 5 Fr PICC, a recessed area with palpable tissue flap for a peripheral port (port not included), talc powder and User’s Manual.

IS THERE ANYTHING ELSE I NEED TO GET FOR CHESTER CHEST™?

If you plan to transport your model from one location to another, consider purchasing the 0401 Optional Carrying Case. You can also order a 0410 Triple Lumen Catheter in either the subclavian or external jugular position. Alternatively, you can send us the IVADs and catheters your institution uses and we will install them at no charge with the purchase of a new model.

MY CHESTER CHEST™ DOES NOT LOOK LIKE THE ONE ON THE WEBSITE; MINE DOES NOT HAVE THE SAME ARM AS SHOWN.

Chester Chest™ has remained the same except for a design change of the detachable arm in 2008. The arm is positioned with a greater degree of rotation and extension than the previous arm. This arm has a dual 5Fr PICC exiting the basilic vein from the inner bicep area and a 20g IV catheter in place. Proximal to the PICC insertion site is a recessed area for placement of an optional peripheral IVAD. The recessed area under the IVAD is made of a soft material that permits the IVAD to “float” when palpated.

WE’VE HAD OUR CHESTER CHEST™ FOR MANY YEARS AND IT’S LOOKING TIRED. DO YOU OFFER A REFURBISHING SERVICE?

We know that the purchase of training models is a significant investment. Realizing this, VATA is proud to offer a refurbishing service to new condition, for a “tired” and well–used Chester Chest™, at about half the cost of a new one. Please call for information on returning your Chester Chest™. Once your model is received, it will be evaluated and you will receive an estimate for your approval before any refurbishing is started.

HOW DO I USE THE THREE DIFFICULT ACCESSING INSERTS, 0420, 0430 & 0440 THAT COME WITH CHESTER CHEST™?

The Difficult Accessing Inserts 0420/0421, 0430/0431 & 0440/0441 are used with the port to demonstrate different situations that can be encountered when accessing. The 0420/0421 and 0430/0431 are placed under the port to demonstrate a “wandering” or “tipping” port, respectively. The 0440/0441 is placed over the port with the 0420/0421 under the port to demonstrate a “deeply placed port”. All three of the inserts have the product number embossed on them.

CAN YOU WITHDRAW AND INFUSE FROM THE VASCULAR ACCESS DEVICES ON THE MODEL?

Yes, you can withdraw and infuse fluids from all the devices on the model. When withdrawing, you will get a simulated blood return.

CAN I ORDER CHESTER CHEST™ WITH A TRIPLE LUMEN CATHETER?

VATA has generic Triple Lumen Cathers 0410 available for sale separately. On new orders we can install a 0410 or one that you provide, in either the external jugular or subclavian position, at no additional charge. If you want to be able to infuse and withdraw from all the lumens, a 0418 Universal Catheter Connector for a 5 or 6Fr catheter or a 0454 Universal Catheter Connector for a 7– 9.6Fr catheter will need to be purchased.

THE 0405/0404 OUTER TISSUE FLAP ON OUR CHESTER CHEST™ IS GETTING SMALL TEARS WHERE WE INSERT THE HUBER NEEDLES. WHAT IS CAUSING THIS TO HAPPEN?

There are several things that you can do to minimize tears: 1. Do not palpate the port using the fingernail. 2. Do not “rock” the needle back and forth to confirm that the needle tip has passed through the septum and is against the base of the port. 3. Do not pull the Outer Tissue Flap back while the needle is in the port’s septum to visually confirm the needle placement. These techniques are not used with patients and should not be used on Chester Chest™. In formulating the material for the flap, we had a choice to either make the flap with a softer and more realistic “tissue-like” feel or unrealistically hard and tending to never “wear out”. The more realistic feel was our choice. The Outer Tissue Flap will wear out over time and is replaceable with 0405/0404 Outer Tissue Flap Replacement.

THE OUTER TISSUE FLAP 0405/0404 IS DIRTY AND STICKY. WHAT SHOULD I DO?

When you originally received your model, you also received instructions on the care of the outer tissue flap and a container of cornstarch talc. The instructions advised cleaning the soft outer tissue flap with alcohol and a non-linting cloth, allowing it to air dry. This should be followed by sprinkling the cornstarch talc on the outer tissue flap and lightly wiping off the excess.

CAN I ORDER THE MODEL WITHOUT THE ARM?

Chester Chest™ is not offered without the arm.

WE USE PERIPHERAL PORTS IN OUR INSTITUTION. IS THERE ANY WAY THAT THE CARE OF THESE DEVICES CAN BE DEMONSTRATED ON CHESTER CHEST™?

Yes, the Port Access Arm 2386/2387 has a recessed area for attachment of a Peripheral Port. All care of the peripheral ports can be demonstrated on the Port Access Arm.

CAN I PRACTICE PLACING A PICC LINE IN CHESTER CHEST™?

It is not possible to practice placing a PICC Line in Chester Chest™. You can practice and teach; exit site care, dressings, and infusion and withdrawal of the dual PICC line. If you wish to practice the placement of PICC Lines, you would use 0600 Peter PICC Line™.