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© 2025 Competency Game by LRSYou will need to screenshot the final screen. Job aid on how to take a screenshot can be found in the resource folder.

Story

Start game

dungeon

dragon

's

The

Pressure Injury prevention

Start game

Legend says that a faraway kingdom forged a sword that together with the power of the Pressure Injury Prevention Gems (comfort, continence, circulation, and communication) could defeat any evil. Gather the gems to assemble the ultimate weapon and defeat the dragon hiding in the dungeon.

X

Thank goodness you’ve come! We need your help! You need to find and earn the 4 Pressure Injury Prevention Gems so that the sword has enough power and then defeat the fearsome dragon that is terrorizing our people…

No thank you, I’ll pass

Of course!

X

Help us, only a person like you can do it!

Just kidding. Ahem, of course I’ll help you

X

Ouch! I thought you were sent to save us... What will become of us!

X

I knew you would not fail me! Thanks a lot! Here is the holy sword. Now gather the Elemental Gems to complete it and defeat the dragon.

X

Start level

Watch out, a wandering skeleton is in your way! Get the Comfort Gem by answering the questions to prove you know how to utilize comfort to prevent pressure injuries...

Comfort GEM

LEVEL 1 - EARTH GEM

X

Where do you think you’re going, mortal?! You won’t be worthy of the Comfort Gem until you answer my questions. Do you dare to try?

At least every 2 hours

Every Shift

1

X

The most common reason patient's develop pressure injuries is from not moving. That's why the best way to ensure patients stay safe and comfortable is by helping to reposition them. How often should you reposition patients?

True

False

2

X

Proper offloading tools you can use to redistrubute pressure for a patient include... AirTAP LC, Prevelon boots, waffle cushion

True

False

3

X

When using the AirTAP LC Repositioning System, the anchor wedge should be under the sacrum and the torso wedge above that.

4

X

Lastly, specialty beds are another tool you can utilize to help keep patients comfortable. It is important to note that not all patients require a specialty bed. These beds are based on the patient's size, care conditions, or treatment requrirements.

I don't have time to fool with that

OK, I can do that

5

X

Prior to turning or repositioning a patient, one should ensure that the necessary tools are available and report any missing equipment immediately.

X

Congratulations!! Here is your reward, the Comfort Gem. You've earned it

Oh, oops, give me another chance?

x

X

Hahahaha, what did you say? ...

Give me another chance!

x

X

Hahahaha, what did you say? The sacrum should be offloaded, so the anchor wedge should go under the patient's thighs.

X

Start level

Oh no! There's nothing worse than moisture to increase a patient's risk for pressure injuries. Complete the next lesson to recieve your next gem!

Continenece GEM

LEVEL 2 - AIR GEM

True

False

X

Incontinence in patients can lead to moisture associated skin damage and increases the risk for pressure injuries.

X

Which is better for maintaining skin integrity when cleaning incontinent patients?

X

Evidence shows, using a skin cleanser is the best for maintaining skin integrity when cleaning incontinent patients.

X

Which cream/ointment is best for open skin areas?

For any areas of CLOSED Skin

For OPEN Skin with risk of stool contamination

For OPEN Skin areas

X

When should you use PREVENT Silicone Cream?

X

Correct! PREVENT Silicone Cream is a great moisturizer and barrier with silicone, so it is breathable! You earned the Continence Gem!

X

Try Again

Wrong...

X

Try Again

Wrong...

Soap and water can disrupt a patient's normal pH, dry out the skin, and increase risk for injury

X

Start level

Fill in the blanks in the sentences by dragging the light around to find the correct answer

Circulation GEM

LEVEL 3 - WATER GEM

Practice: Click and drag the spotlight around the room to find the correct answer!

Correct Answer

Getting warmer

Keep looking

X

Tissue damage from pressure injuries are caused by a lack of ________ which leads to decreased circulation and oxygenation to that area

Blood Flow

Sunlight

Keep looking

X

It is important to reduce pressure around _______ __________

Bony Prominences

Monday and Tuesday

Guitars

X

Examples of bony prominences which are susceptible to pressure injuries include heels, elbows, shoulders, hips, knees, and ______

Sacrum

Toes

Stomach

X

Devices, tubes, and lines

Holidays

Fat

X

In addition to bony prominences, pressure injuries can also occur around ________

To reduce pressure, heels should be ________ using pillows or Prevalon Boots

Floated

Palpated

Covered

X

If my patient has poor sensation in their extremities but are "walkie-talkies" I don't need to float their heels while in bed/chair.

True

False

X

Nonblanchable reddness occurs in stage ____ pressure ulcers, indicating that microcirculartory damage has occurred.

Stage 1

Stage 2

Stage 3

X

And now look for the gem! Hurry up!

X

X

WOW! You earned the Circulation Gem!

X

Try Again

GAME OVER

X

Try Again

GAME OVER

Actually, even if a patient can walk, they may still be at risk for PI if they have poor sensation in their extremities. while in the bed for an extended period of time, float their heels off of the mattress surface.

X

Start level

Escape the inferno by answering the following questions about how communication can help prevent pressure injuries and earn the Communication Gem!

Communication GEM

LEVEL 4 - FIRE GEM

True

False

Carepartners never look at patients' skin

X

Communication is important in preventing pressure injuries. Carepartners should communicate with nurses if they notice any changes in the patient's skin.

Carepartners do not need to know if a patient is high risk

True

False

X

Nurses should communicate with carepartners if a patient is at high risk for pressure injury and assist with prevenative measures.

True

Patients and families do not need to know about these risks

False

X

Communicating with patients and families is also important in keeping them informed about their care, educated on risks associated with immobility, incontinence, and participatroty in pressure injury prevention.

2

4

skin assessment isn't done on admission

X

Assessment of skin should be done by ___ licensed providers (RN or higher license) on admission or transfer.

Password

Telephone Number

Wound Consult

X

Discovery of a Pressure Related Injury on admission or transfer should prompt you to enter a ___________

X

You earned the Communication Gem!

X

Try Again

GAME OVER

X

Defeat the dragon!

FINAL LEVEL - DRAGON

X

How dare you bother me, you fool!

X

Defeat the dragon by clicking on spots highlighted by the red circles!

X

X

X

X

X

You defeated the dragon. The unit is at peace again.And you’ve become became a pressure injury prevention legend!

THE END

© 2025 Competency Game by LRS Take a screenshot of this page to submit for your competency.Job aid for taking screenshots can be found in the resource folder.

Exit

Stay

SURE YOU WANTTO GO OUT?

What will become of us!