Secret Agent Escape

Secret Agent

start.

Newborn Hypoglycemia Escape Room

map/missions

Mission 01Risk Factors & S/S

Instructions:

• Read the instructions on each page carefully to complete the task
• Have a pen, paper and cell phone available before you begin
• Once you start, you must finish or you will need to start back from the beginning

Open the card

You're caring for Jameson, a 36-week, 2100 gram newborn. His mother, Angela, is a 45-year-old G3P2 who received good prenatal care. She was induced for preeclampsia. Angela also had gestational diabetes that was controlled with diet. Jameson required 2 minutes of CPAP in the delivery but has since been weaned to room air. He continued to be intermittently tachypneic. Jameson is now 6-hours old and Angela is holding him skin-to-skin and attempting to breastfeed. You have just performed a quick assessment and VS are as follows: Temp 97.3F, HR 178, RR 74

It's My Birthday!

How many risk factors for hypoglycemia does Jameson have? Click the arrow below when you have the number.

Enter the number of risk factors Jameson has (number, not word)

Click the "x" button to go back

You're off to a great start! Now you know about me, I want to say "Hi!" - Come on over, don't be shy! Upon assessment, you notice Jameson is exhibiting several signs of hypoglycemia, but be careful, some of these symptoms are there to distract you. Choose the correct number of hypoglycemia symptoms to move on in the mission.

Continue

Hypothermia

Lethargy

Apnea

Tachycardia

Tremors

Hypertonia

Enter the number of s/s Jameson is showing for hypoglycemia (number)

Click the "x" to go back

Secret Agent Escape Room

map/missions

Mission 02Check that baby!

Congratulations!you have successfully completed mission 1. don't lose the code you've just discovered!

Watchin closely

Continue

What is this device? Once you know the answer, continue on to the next page.

What is the name of this device?

Hint: Do not use any capital letters

Correct

Congratulations! You've got your second secret number to open the briefcase. Be sure to write this down for the future.

Continue

New number obtained

SECRET AGENTESCAPE ROOM

map/misSiONS

Congratulations!you have successfully completed mission 2. YOU'RE VERY CLOSE TO OPENING THE CASE!

Mission 03Take Action!

POC Glucose: 36 mg/dL

Case Study

You're caring for Jameson, a 36-week, 2100 gram newborn. His mother, Angela, is a 45-year-old G3P2 who received good prenatal care. She was induced for preeclampsia. Angela also had gestational diabetes that was controlled with diet. Jameson required 2 minutes of CPAP in the delivery but has since been weaned to room air. He continued to be intermittently tachypneic. Jameson is now 6-hours old and Angela is holding him skin-to-skin and attempting to breastfeed. You have just performed a quick assessment and VS are as follows: Temp 97.3F, HR 178, RR 74

Here are the results, what would you do?Drag the letters in this space to answer the question. Then, write down the numbers that go with each letter in order to get your secret code. When you are ready to proceed, click the continue button.

Continue

Enter the code to continue

Hint: The answer is a four letter word

Fill in the blanks with the correct answers. Then write down the number sequence found in red.

Contact OB Provider (8)

Glucose 25-35 (6)

Check Glucose in 1 hour (1)

Glucose < 35 (3)

Contact NICU (7)

Glucose <30 (3)

Check Glucose in 2 hours (1)

Glucose 35-44 (3)

Glucose >/= 45 (6)

Glucose 30-45 (0)

Glucose >/= 44 (9)

Glucose >/= 35 (2)

Give OGG (8)

Contact Primary Physician (5)

Glucose < 25 (4)

Enter the code from the previous page

Enter the password

Answer the question

First question

Which of the following infants is screened for 24 hours?

A <37 weeks

B LGA

C Infant of a diabetic mother

again!

Sorry - wrong answer. Try again!

Choose

How often should infants be fed?

Every 1-2 hours

Every 2-3 hours

Every 3-4 hours

Again!

Sorry - wrong answer! Try again!

????????

Glucose screening is recommended for infants in the following categories: (Write down the letters)

A.Maternal HTN

B.37 week infant

C.5 min Apgar <8

D.Cord pH < 7.20

E.No maternal glucose test

F. Infant temp: 97.9 F

G.Substance use 5 years ago

H.No prenatal care

Choose

What secret code was formed?

ADEH

ABDH

ACFH

Again!

Sorry - Wrong answer!Try again!

Choose

Which of the following steps of Oral Glucose Gel Administration is NOT correct?

Pull from pyxis

Scan into eMAR

Calculate dose: 200mg/kg = 0.5ml/kg

Rub onto infant cheek - repeat on other cheek

save syringe for next dose

Document amount given

Again!

Sorry - wrong answer! Try again!

Correct

Congratulations! You've got your last secret number to open the briefcase.

Continue

New number obtained

secret agentescape room

map/misions

you've almost made it, The end is just within reach...

Final Mission

Password?

What is the key?

Enter the correct numbers

Mission accomplished!

secret agent

S.P.Y

Name: Awesome

Date: Today

Congratulations - YOU WIN!Click the arrow below to receive your certificate of completion. Print this off, sign & date, and hand in to Sara or Mariesa. You will then be checked off in the Avera Learning Center.

Are you giving up?

If you leave you will have to start all over againAre you sure you want to leave?

Continue

Exit