Secret Agent Escape

start.

Secret Agent

Newborn Hypoglycemia Escape Room

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

map/missions

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

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

It's My Birthday!

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

Click the "x" button to go back

Continue

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.

Lethargy

Tachycardia

Hypertonia

Tremors

Apnea

Hypothermia

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

Click the "x" to go back

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

map/missions

Secret Agent Escape Room

Mission 02Check that baby!

Continue

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

Watchin closely

What is the name of this device?

Hint: Do not use any capital letters

New number obtained

Continue

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

Correct

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

SECRET AGENTESCAPE ROOM

map/misSiONS

Mission 03Take Action!

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

Case Study

Continue

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.

POC Glucose: 36 mg/dL

Enter the code to continue

Hint: The answer is a four letter word

Contact NICU (7)

Contact OB Provider (8)

Glucose 25-35 (6)

Glucose < 25 (4)

Glucose 35-44 (3)

Check Glucose in 1 hour (1)

Contact Primary Physician (5)

Glucose < 35 (3)

Glucose >/= 45 (6)

Give OGG (8)

Glucose >/= 35 (2)

Check Glucose in 2 hours (1)

Glucose <30 (3)

Glucose >/= 44 (9)

Glucose 30-45 (0)

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

Enter the code from the previous page

Enter the password

Answer the question

First question

C Infant of a diabetic mother

B LGA

A <37 weeks

Which of the following infants is screened for 24 hours?

Sorry - wrong answer. Try again!

again!

Every 1-2 hours

Every 2-3 hours

Every 3-4 hours

How often should infants be fed?

Choose

Sorry - wrong answer! Try again!

Again!

F. Infant temp: 97.9 F

E.No maternal glucose test

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

????????

D.Cord pH < 7.20

G.Substance use 5 years ago

C.5 min Apgar <8

H.No prenatal care

B.37 week infant

A.Maternal HTN

ADEH

ABDH

ACFH

Choose

What secret code was formed?

Sorry - Wrong answer!Try again!

Again!

Pull from pyxis

save syringe for next dose

Rub onto infant cheek - repeat on other cheek

Scan into eMAR

Document amount given

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

Choose

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

Sorry - wrong answer! Try again!

Again!

New number obtained

Continue

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

Correct

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

secret agentescape room

map/misions

Final Mission

Password?

What is the key?

Enter the correct numbers

Congratulations - YOU WIN!Take a picture of this screen and send to Sara. She will mark you complete!

Date: Today

Name: Awesome

S.P.Y

secret agent

Mission accomplished!

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

Exit

Continue

Are you giving up?