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Pressure injury prevention

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Introduction

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missions

© 20XX GENIALLY ESCAPE GAMES

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INTRODUCTION

Worldwide Pressure Injury Prevention Day (WWPIPD) takes place on the third Thursday of November each year, and is dedicated to raising awareness and promoting education around the prevention of pressure injuries. This global initiative encourages healthcare professionals, organizations, and the public to take action toward better prevention practices and improved patient outcomes.

© 20XX GENIALLY ESCAPE GAMES

CHARACTERS

jUVEN

Versette

patient

Foam wedge

A few of the many key players involved in pressure injury prevention!

MISSIONS

Complete the missions to obtain the password

4nUTRITION

3Continence

2COMMUNICATION

1PREVENTION

PASSWORD

LEVEL 1/5

How often should we be repositioning our high risk patients?

Every 2 hours

every 4-6 hours

every 12 hours

LEVEL 2/5

Which tool do we use to offload the heels?

Pillows

HEEL BOOTS

nO NEED TO OFFLOAD THE HEELS THATS USELESS

LEVEL 3/5

What tool can we use to reduce total pressure under the patient both while in bed & in the chair?

Waffle overlay & waffle chair cushion

extra extra layers of incontinence pads & pillows

Donut pillow & Eggo waffles

LEVEL 4/5

Your Continent Patient has area of blanchable redness to the sacrum which intervention is most appropriate?

Moisture barrier paste

Mepilex sacral foam

OPTIVIEW TRANSPARENT GEL SACRAL DRESSING

LEVEL 5/5

Your 300+ pound patient needs to be pulled up in the bed & is unable to help. What should you do?

wAIT UNTIL YOU CAN GRAB 5 OF YOUR COWORKERS TO COME & HELP YOU

USE COMFORTGLIDE AIR + SHEET WITH PUMP

LEAVE PT IN POOR POSITION & SAVE YOUR BACK

CONGRATULATIONS!

THE FIRST PIECE OF THE PASSWORD IS: S

GAME OVER

CONTINUE?

yes

NO

MISSIONS

Complete the missions to obtain thepassword

4NUTRITION

3CONTINENCE

2COMMUNICATION

1PREVENTION

PASSWORD

LEVEL 1/5

A CNA is performing a bath on a patient & notices new area of nonblanchable redness to the heel. What should they do?

NEXT

Ignore it, it's just red no big deal

Apply heel boot & notify the primary nurse asap

place the heel on a pillow & continue your shift

LEVEL 2/5

The nurse taking care of the patient notices a new area of nonblanchable maroon discoloration to the sacrum. What should she do?

NEXT

SLAP A FOAM ON IT, ITS PROBABLY JUST A BRUISE

PHOTOGRAPH, CREATE dtpi lda, INITIATE TREATMENT ORDER SET AND CONSULT WOUND CARE

TELL THE PATIENT NOT TO MOVE & CALL A RAPID RESPONSE

LEVEL 3/5

Your post-op patient is bleeding through their surgical dressing. What should you do?

NEXT

Reinforce & notify surgeon ASAP

Leave the dressing & consult wound care they will handle it

leave it in place because there are no dressing change orders, the surgeon will handle it during rounds

LEVEL 4/5

Your high risk patient has heel offloading boots in place. Family is concerned why he has "space boots" on & states they are going to make him hot. How do you respond?

NEXT

explain they are the latest fashion & he likes them

take them off & place them in the windowsill those things are suffocating & useless

Educate that patient is high risk for pressure injury development & boots are used to offload the heel which is a bony prominence at risk for breakdown

LEVEL 5/5

My patient has lots of pressure injuries. How do I know if they have been seen by wound care & what they recommend?

NEXT

Its a mystery the world may never know

place another consult there is no time to look at the chart

Look for wound care consult note and active orders labeled "wound care routine"

CONGRATULATIONS!

THE SECOND PIECE OF THE PASSWORD IS: k

GAME OVER

CONTINUE?

yes

NO

MISSIONs

Complete the missions to obtain the password

4nurtition

3continence

2communication

1prevention

PASSWORD

LEVEL 1/5

Your patient with a colostomy & indwelling foley is demanding to wear a diaper because they do at home. What should you do?

Educate the patient & provide them with mesh underwear for modesty

allow them to wear their pull ups from home as you don't have the time to argue today

put a versette & bladder pad on top of the 5 incontinence pads under them, gotta protect the sheets at all costs

LEVEL 2/5

Your patient has redness & yeast under their belly & breastfolds. The wound care nurse applied and wrote orders for daily care involving interdry sheets. Which of these actions is appropriate based on these care recommendations?

CLEANSE AREAS DURING HYGEIENE CARE THEN BALL UP THE SHEET & TUCK IT INTO THE FOLD NEVER TO BE SEEN AGAIN

rEMOVE SHEETS DAILY FOR HYGIENE CARE THEN REAPPLY ENSURING THERE IS A 2 INCH TAIL. REUSE SHEET X5 DAYS UNLESS EXCESSIVELY SOILED

STOP INTERDRY & USE BARRIER PASTE WHAT DOES THE WOUND CARE NURSE KNOW

LEVEL 3/5

Your patient's ostomy pouch is leaking. What should you do?

gENTLY REMOVE & CLEANSE PATIENT. assist patient with applying new pouch. Consult ostomy team if new concerns noted or leaks frequently without resolve

TAPE IT DOWN & MESSAGE THE WOUND/ostomy NURSEs THEY CAN HANDLE IT

REMOVE POUCH AND APPLY abd PAD BECAUSE YOU DON'T KNOW HOW TO CHANGE THAT THING

LEVEL 4/5

Your patient with a sacral wound vac is having frequent thin liquid stools disrupting the seal. What is an appropriate intervention?

PLACE 5 INCONTINENCE PADS ON THE BED & TURN OFF THE ALARMING MACHINE. wOUND CARE CAN FIX IT WHEN THEY ROUND IN 4 HOURS

rEQUEST AN ORDER FOR SOME LOMOTIL & SILENCE THE WOUND VAC

rEQUEST AN ORDER FOR FLEXISEAL FROM PROVIDER. INSERT FLEXISEAL. CUT AWAY SOILED DRAPE & PATCH WITH EXTRA DRAPE TO SEAL LEAK.

LEVEL 5/5

You have an incontinent patient and are unsure if they meet criteria for an external catheter. What resources should you use?

it doesn't matter if they qualify you do not have time to change the sheets 50 times today

Have a discussion amongst your peers no such resources exist

Refer to the 3 decisison trees regarding versette criteria along with female & male urinary incontinece provided by your wound care team

CONGRATULATIONS!

THE third piece of the password IS: i

GAME OVER

CONTINUE?

yes

NO

missions

Complete the missions to obtain the password

4nutrition

3continence

2communication

1prevention

PASSWORD

LEVEL 1/3

Your patient with a stage 4 pressure injury has an unopened packet of Juven on their tray. Dietary is in the room collecting the tray. What should you do?

nothing. that little packet is not gonna do anything for that massive wound

put it on the counter by the sink with the other 10 unopened packets from previous meals

Educate the patient on the importance of protein in wound healing while mixing the juven. encourage patient to consume twice a day.

LEVEL 2/3

It is 0930 and you notice when walking into your patient's room that they are unable to reach their breakfast tray. What should you do?

tell them they should eat breakfast before tray is picked up but offer no assistance to reach tray

assist with repositioning for meal. Offer feeding assistance if needed

when they say they would like to eat, tell them you don't have time to feed them & will call the tech (who you know is in another room feeding a patient)

LEVEL 3/3

Your new admit is high risk for pressure injuries and reports they have not been able to eat their meals at home the past 3 days due to dental issues. What should you do?

Tell them we don't have a dentist here & leave it at that

bring them some pudding they can survive off that

consult the dietitian for proper diet consistency and supplements. Ensure patient recieves & consumes ordered supplements

CONGRATULATIONS!

THE final piece of the password is: n

GAME OVER

CONTINUE?

yes

NO

missions

Complete the missions to obtain thepassword

4nutrition

3continence

2communication

1prevention

PASSWORD

Enter the password 👾

Ensure answer is in all caps

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

MIsSIONprevention

ANSWER THE FOLLOWING PRESSURE INJURY PREVENTION QUESTIONS CORRECTLY TO PROTECT YOUR PATIENT.

CONTINUE

Are you sure you want to exit?

You will lose all the progress

NO

yes

MISSIONCOMMUNICATION

ANSWER THE FOLLOWING QUESTIONS REGARDING COMMUNICATION CORRECTLY TO PROTECT YOUR PATIENT.

CONTINUE

MissionCONTINENCE

ANSWER THE FOLLOWING QUESTIONS REGARDING CONTINENCE CORRECTLY TO PROTECT YOUR PATIENT.

CONTINUE

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

MISSIONNUTRITION

ANSWER THE FOLLOWING QUESTIONS REGARDING NUTRITION CORRECTLY TO PROTECT YOUR PATIENT.

CONTINUE

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes

Are you sure you want to exit?

You will lose all the progress

NO

yes