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Transcript

Thermoregulation Escape Room

start

Isolette & Radiant Warmer Set Up

Weaning from Isolette

Rewarming a Hypothermic Infant

Time to Test your Thermoregulation Knowledge!

Complete each test to beat the game: there is no other way to escape!

1/3

Question 1:What is the desired abdominal skin temperature to choose when setting up an isolette or radiant warmer?

36.0C

36.5C

Test 1

36.3C

You're doing great. Next question:Where should the probe be placed on the infant when supine?

2/3

L Axilla

mid--epigastrium

R Axilla

Test 1

You're almost there.What should you do when the abdominal skin temperature reaches the chosen set point?

3/3

Check axillary temperature at that time and then reduce set point if infants temperature is >36.5C

Nothing. You know your temperature was achieved and now continue to monitor as indicated.

Check axillary temperature at that time

Check axillary temperature in 30 minutes to ensure infant's temperature is within normal range

Test 1

Isolette & Radiant Warmer Set up

Weaning from Isolette

Rewarming a Hypothermic Infant

Test 2: Weaning!

Complete each test to beat the game: there is no other way to escape!

1/3

What 4 conditions must be met to begin weaning your infant to open crib? Per OH Policy

- weight of 1,500 grams- 3-5 days of consistent weight gain- No A&Bs for 5 days - stable on air control mode with air setting at 28.5C or less

- weight of 1,600 grams- 5 days of consistent weight gain- medically stable (no respiratory distress and only ocassional apnea)- stable on air control mode with air setting at 32C or less

- weight of 1,600 grams- > 5 days of consistent weight gain- medically stable (no respiratory disress and no apnea)-stable on air control mode with air setting at 32C or less

Test 2

What 3 things should be done when switching an infant to air control mode in the isolette?

2/3

1. Select air control and set temperature control to 28C2. Dress infant in shirt and swaddle with single blanket3. Check infant's temperature in 30 minutes and q1h for 4 hours

1. Select air control and set temperature control to the most recent servo setting2. Dress infant in shirt and swaddle with single blanket. Lay additional blanket over infant3. Check infant's temperature in 30 minutes and q1h for 4 hours

1. Select air control and set temperature control to 28C2. Dress infant in shirt and swaddle with single blanket3. Check infant's temperature in 30 minutes and q3h for 24 hours

Test 2

Once weaned to air control in the isolette, how many hours later can the infant move to open crib?

3/3

12 hours

24 hours

8 hours

Test 2

Isolette & Radiant Warmer Set up

Weaning from Isolette

Rewarming a Hypothermic Infant

Test 3: Rewarming!

Complete the final test to beat the game: there is no other way to escape!

The first step when an infant's temperature drops below 36.5C (97.7F) and the family/caregiver is bedside is to place infant in radiant warmer on servo control at 36.5C

1/3

True

False

Test 3

The first step when an infant's temperature drops below 36.5C (97.7F) and the family/caregiver is bedside is to place the infant skin to skin with a hat and cover with blanket. Then re-check temperature after 1 hour.

2/3

False

True

Test 3

If the infant's temperature is <36.5C after 1 hour of proper skin to skin, place infant in radiant warmer and set servo control to 36.5C. Then check infant's temperature after 30 minutes and then q1h for 4 hours. If temperature has been <36.5C infant remains under radiant warmer. If temperature has been >36.5C dress infant and return to open crib monitoring temperature per protocol.

3/3

False

True

Test 3

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