ChaoticKitchen
Sepsis Escape Room (Coastal Manor)
start
Sepsis can be a recipe for disaster if all the correct ingredients are not used, and if they are not used in the correct order... Click the arrow to begin. Look around the kitchen to find a recipe with notes to help you survive sepsis. Once you have the recipe, correctly answer the questions in each step to get the numbers of the code to escape!
Look around the kitchen to find a recipe with the steps to help you survive sepsis.
Your resident seems different today. She is not eating, she is complaining of pain when she urinates, and she seems so confused. Which of the following would be abnormal for the resident and mean a possible infection leading to sepsis?
Heart rate of 75 bpm
Temp of 980 F.
Temp of 950 F.
BP of 149/92
Next
Your same resident seems different today. She is not eating, she is complaining of pain when she urinates, and she seems so confused. Which of the following would also be abnormal for the resident and mean a possible infection leading to sepsis?
Respirations of 25
Heart rate of 89 bpm
Temp of 980 F.
BP of 124/59
Next
True or False?
The techs do not need to monitor for sepsis because nurses are the only ones responsible for knowing the signs & symptoms.
True
False
Next
Recipe to Survive Sepsis
Key #07
Sepsis Identification
3 Hour Sepsis Bundle
6 Hour Sepsis Bundle
Case Study
This means all 4 must be completed within 3 hours of sepsis being identified
Which of the following represent correct 3 Hour Sepsis Bundle Interventions?
Next
Click Here
Click Here
Click Here
Hurry, don't let your pot boil over!
Next
The order that you complete the components of the 3 hour Sepsis bundle do not matter.
False
True
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
6 Hour Sepsis Bundle
Case Study
Select the red button below the group that you think may have the correct 6 hour Sepsis component follow up.
Next
CBC
NS Bolus
Lactic Acid Recheck
Lactic Acid Recheck
EKG
Reassess BP
Reassess BP
EKG
The foodis burning!
Next
Which patient below did not respond well to the fluid bolus?
BP 90/62
MAP<65
Select
Select
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
Key #18
6 Hour Sepsis Bundle
Case Study
You are working night shift, and day shift reports that your resident (Ms. Biotic) has altered mental status. She seems agitated. She had a fall around 1pm. She has not been the same since. This is her most updated information.
Back
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have any SIRS criteria present?
Yes
No
RR 31WBC 14.2K
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have any s/s of organ dysfunction?
No
Yes
Are you sure??
no urine output
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have a known or suspected infection?
No
Yes
Are you sure??
possible UTI
Next
Uncover the cards to find matches that reveal the next steps that should be done immediately because we now suspect SEPSIS
You know your way around the kitchen!
- Notify MD
- Lactic Acid
- Blood Cultures x2
- Antibiotics
Next
Ok Antibiotics are up and running & Labs are back. Lactic Acid=4.2 (high)
You know your way around the kitchen!
Drag the locks to the matching puzzle pieces. The remaining ones will reveal what you are helping your patient to ESCAPE!
When completed click the magnifying glass
Septic Shock (if not caught, this high level could cause death)
Next
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
Key #18
6 Hour Sepsis Bundle
Key #20
Case Study
Next
Enter the keys that you collected for the "Recipe to Survive Sepsis"
Enter the password
Summary & Key Points:
To identify sepsis we must meet this criteria...
- known/suspected infection
- Two or more SIRS criteria in a 6 hr window
- HR>90 bpm
- Temp >100 or <96.6
- White blood cell count <4 or >12
- Respirations >20
Yes, monitor vitals which is important in recognizing sepsis early!
TRY AGAIN!
TRY AGAIN!
umm, no!
Case Study
6 hour Sepsis Bundle
3 hour Sepsis Bundle
Sepsis Identification
Recipe to Survive Sepsis
Next
TRY AGAIN!
TRY AGAIN!
TRY AGAIN!
Review/Key Points:
Now another 3 hours having passed ( for a total of 6) We must follow up: 1. Recheck BP and MAP 2. Recheck Lactic Acid
Meh... They all seem right, but which ones are required to be completed on time?
No, try again...
You gotta be quicker than that!
Try Again
TRY AGAIN!
You Got This. Your Patients are counting on YOU! Try Again!
Moira's Enchilada's Recipe
- Tortilla
- |Chicken
- |Enchilada sauce
- Cheese
- Patience
What does burning smell like?
Wrong Recipe!
- Shred the chicken and place in bowl
- Fold in cheese
- Roll the mixture up in tortillas
- Place in a baking dish
- Cover with sauce and more cheese
- Bake
Try Again
A temperature lower than 96.6 would need to be investigated. This could indicate a possible infection in the resident. We need to remember to look at elevated and low temperatures when looking for sepsis.
I believe in you, Try again!
Review/ Key Points:
After you have identified that your resident may have sepsis, you must act quick! You now have 3 hours to complete 4 very important steps. 1. Start IV fluids if resident has low blood pressure 2. Draw blood cultures before antibiotics (but do do take longer than 30 mins to do this) 3. Start broad spectrum antibiotic 4. Draw Lactic Acid (the IV fluids will also help to correct any increased levels of lactic acid in the body)
Meh... They all seem right, but which ones are required to be completed on time?
Review/Key Points:
We are now another 3 hours in (for a total of 6 hours). We must follow up. 1. Recheck BP/MAP 2. Recheck Lactic Acid *In a hospital setting the patient may need vasopressers (for low bp).
Escape Room Coastal Manor
Sepsis Escape Room
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Transcript
ChaoticKitchen
Sepsis Escape Room (Coastal Manor)
start
Sepsis can be a recipe for disaster if all the correct ingredients are not used, and if they are not used in the correct order... Click the arrow to begin. Look around the kitchen to find a recipe with notes to help you survive sepsis. Once you have the recipe, correctly answer the questions in each step to get the numbers of the code to escape!
Look around the kitchen to find a recipe with the steps to help you survive sepsis.
Your resident seems different today. She is not eating, she is complaining of pain when she urinates, and she seems so confused. Which of the following would be abnormal for the resident and mean a possible infection leading to sepsis?
Heart rate of 75 bpm
Temp of 980 F.
Temp of 950 F.
BP of 149/92
Next
Your same resident seems different today. She is not eating, she is complaining of pain when she urinates, and she seems so confused. Which of the following would also be abnormal for the resident and mean a possible infection leading to sepsis?
Respirations of 25
Heart rate of 89 bpm
Temp of 980 F.
BP of 124/59
Next
True or False?
The techs do not need to monitor for sepsis because nurses are the only ones responsible for knowing the signs & symptoms.
True
False
Next
Recipe to Survive Sepsis
Key #07
Sepsis Identification
3 Hour Sepsis Bundle
6 Hour Sepsis Bundle
Case Study
This means all 4 must be completed within 3 hours of sepsis being identified
Which of the following represent correct 3 Hour Sepsis Bundle Interventions?
Next
Click Here
Click Here
Click Here
Hurry, don't let your pot boil over!
Next
The order that you complete the components of the 3 hour Sepsis bundle do not matter.
False
True
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
6 Hour Sepsis Bundle
Case Study
Select the red button below the group that you think may have the correct 6 hour Sepsis component follow up.
Next
CBC
NS Bolus
Lactic Acid Recheck
Lactic Acid Recheck
EKG
Reassess BP
Reassess BP
EKG
The foodis burning!
Next
Which patient below did not respond well to the fluid bolus?
BP 90/62
MAP<65
Select
Select
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
Key #18
6 Hour Sepsis Bundle
Case Study
You are working night shift, and day shift reports that your resident (Ms. Biotic) has altered mental status. She seems agitated. She had a fall around 1pm. She has not been the same since. This is her most updated information.
Back
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have any SIRS criteria present?
Yes
No
RR 31WBC 14.2K
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have any s/s of organ dysfunction?
No
Yes
Are you sure??
no urine output
Next
2 hours after arriving, Ms. Biotic begins to complain of lower back pain and keeps setting off that bed alarm! She is saying, "I have to urinate," even though she never does when you help her to the bathroom. Actually, she as not voided since you arrived on shift...
Back
Most Recent Vitals
Does the patient have a known or suspected infection?
No
Yes
Are you sure??
possible UTI
Next
Uncover the cards to find matches that reveal the next steps that should be done immediately because we now suspect SEPSIS
You know your way around the kitchen!
Next
Ok Antibiotics are up and running & Labs are back. Lactic Acid=4.2 (high)
You know your way around the kitchen!
Drag the locks to the matching puzzle pieces. The remaining ones will reveal what you are helping your patient to ESCAPE!
When completed click the magnifying glass
Septic Shock (if not caught, this high level could cause death)
Next
Recipe to Survive Sepsis
Key #07
Sepsis Identification
Key #25
3 Hour Sepsis Bundle
Key #18
6 Hour Sepsis Bundle
Key #20
Case Study
Next
Enter the keys that you collected for the "Recipe to Survive Sepsis"
Enter the password
Summary & Key Points:
To identify sepsis we must meet this criteria...
Yes, monitor vitals which is important in recognizing sepsis early!
TRY AGAIN!
TRY AGAIN!
umm, no!
Case Study
6 hour Sepsis Bundle
3 hour Sepsis Bundle
Sepsis Identification
Recipe to Survive Sepsis
Next
TRY AGAIN!
TRY AGAIN!
TRY AGAIN!
Review/Key Points:
Now another 3 hours having passed ( for a total of 6) We must follow up: 1. Recheck BP and MAP 2. Recheck Lactic Acid
Meh... They all seem right, but which ones are required to be completed on time?
No, try again...
You gotta be quicker than that!
Try Again
TRY AGAIN!
You Got This. Your Patients are counting on YOU! Try Again!
Moira's Enchilada's Recipe
What does burning smell like?
Wrong Recipe!
Try Again
A temperature lower than 96.6 would need to be investigated. This could indicate a possible infection in the resident. We need to remember to look at elevated and low temperatures when looking for sepsis.
I believe in you, Try again!
Review/ Key Points:
After you have identified that your resident may have sepsis, you must act quick! You now have 3 hours to complete 4 very important steps. 1. Start IV fluids if resident has low blood pressure 2. Draw blood cultures before antibiotics (but do do take longer than 30 mins to do this) 3. Start broad spectrum antibiotic 4. Draw Lactic Acid (the IV fluids will also help to correct any increased levels of lactic acid in the body)
Meh... They all seem right, but which ones are required to be completed on time?
Review/Key Points:
We are now another 3 hours in (for a total of 6 hours). We must follow up. 1. Recheck BP/MAP 2. Recheck Lactic Acid *In a hospital setting the patient may need vasopressers (for low bp).