259 - Escaping the Norm...using an Escape Room Design for Perioperative Education
Description: Escape rooms have become a popular form of entertainment. Escape rooms are designed for a group of participants to work together to problem solve and complete tasks in a limited amount of time. The perioperative setting is an area of nursing where all team members must work together, communicate, and problem solve to successfully manage the care of the surgical patient. The Perioperative Educator at CHRISTUS Trinity Mother Frances in Tyler, Texas, wanted to incorporate the escape room style learning for participants at the annual facility Skills Fair and the Periop 101 RN Residency (Residency). In preparation, for the annual facility Skills Fair all RNs were to be educated about Malignant Hyperthermia (MH). In the Skills Fair setting, participants need to receive information quickly. Often, this setting is not conductive for retention of information due to distractions in the environment around them. The educator designed a mini escape room scenario, where the participants were to become active learners. They were to answer questions correctly about MH, in order to figure out the combination to a lock to get inside a box. Participants could work as a team to answer the questions. A reward was in the box for successfully decoding the combination. Positive feedback was received from the participants on the creative hands on learning. The RNs enrolled in the Residency receive lots of new information that can be overwhelming and challenging to execute. After the success of the MH Skills Fair station, the periop educator designed an OR escape room for the Residents. An OR suite was utilized, and clues were given to be solved to detect lock combinations. Multiple types of combination locks were used to add variety. All clues were related to the perioperative arena. Topics included: suture, using OneSource Docs & SDS, stapling devices, emergency supplies, SSI follow up date, counting, supplies needed to convert to an open procedure from laparoscopic. The Residents were encouraged to work as a team to solve clues. Communication was key for this scenario. Participants were given 1 hour to get inside in locked box, for their reward. Instructions for only 2 clues would be given should they need it to proceed. During the 1-hour time, participants had to use communication skills, employee the Two-Challenge Rule for the others to acknowledge them, redirect thinking, and lead the others in tasks. The participants did not meet the time requirement but completed with an additional 2 minutes. This challenge allowed them to utilize skills and knowledge they had attained throughout the Residency. It also, reinforced the need for communication and utilizing the skills of team members for problem solving. In conclusion, this type of nontraditional learning allows for the learner to become an active participant and utilizes attained knowledge in a controlled environment. Having a time constraint reiterates the importance of fast thinking in the periop area.