OPTIONAL CLASS
Book and Materials:
Attendee is responsible for book and materials. Cost of book may be reimbursed via Ed Fund or HPMC HR.
For Ed Fund reimbursement, CLICK HERE
- The STABLE Program (7th edition)
- ISBN-13: 978-1-93796-720-8
Contact Hours: Approved for 8 contact hours by California Board of Registered Nursing. The entire course must be attended to receive a certificate
Education Approval Form (EAF): Not required as this is an optional class
Program Description:
The S.T.A.B.L.E. Program is designed for the period following resuscitation of the newborn or neonate until care is transferred to the neonatal transport team or members of the neonatal or pediatric ICU team. The Program is also useful for maternal/child healthcare providers who care for well newborns or newborns who may become ill.
This mnemonic based tool focuses on the post-resuscitation care of sick neonates including physical assessment, problem recognition and patient management. The S.T.A.B.L.E. Program is a concise, directive tool to assist healthcare providers to organize the myriad of details and interventions necessary to provide care to a sick and/or premature infant. The program has also evolved to serve as an orientation tool for the neonatal ICU and neonatal transport teams.
S.T.A.B.L.E. Program Goals:
This program is designed to provide important information about neonatal stabilization for maternal/infant healthcare providers in all settings – from community hospitals and birth centers, to emergency rooms and more complex hospital environments, including level 4 neonatal intensive care units.
Goal 1: Organize this information using a mnemonic to assist with retention and recall of stabilization activities that are important for the post-resuscitation / pre-transport stabilization care of sick infants.
Goal 2: Improve patient care and safety for vulnerable neonates by (a) standardizing processes and approach to care, (b) encouraging teamwork, (c) identifying areas where medical errors can and do occur, and (d) reducing and eliminating preventable adverse events.
S.T.A.B.L.E. Course Objectives, Outline & Agendas for the Full-length and the Short-Renewal Courses
As evidenced by completion of all module quiz questions and a passing score on the mixed module post-test, the participant has demonstrated the ability to:
Sugar – Identify neonates at risk to become hypoglycemic; and initial steps to treat hypoglycemia (i.e., with IV fluids, initial IV therapy and safe use of umbilical lines).
Temperature – Describe the normal response to cold stress and at least one of the detrimental effects of hypothermia; list at least one technique to prevent hypothermia; identify appropriate candidates for therapeutic/neuroprotective hypothermia.
Airway – Recognize at least one sign and one cause of neonatal respiratory distress and/or respiratory failure; list the supplies required to assist with endotracheal intubation and securing an ET tube; interpret blood gases and identify at least one appropriate treatment option for an abnormal blood gas.
Blood pressure – List one cause and one treatment for each of the following - hypovolemic, cardiogenic and septic shock; describe at least one abnormal feature of the physical exam that may be indicative of shock.
Lab work – List at least one bacterial and/or viral pathogen that may infect the neonate, describe two or more signs of neonatal sepsis, discuss one significant finding on a complete blood count (CBC) for an infant suspected of sepsis; and list at least one antibiotic therapy that could be used to treat a suspected neonatal infection.
Emotional support – Identify potential emotions that parents might experience when their newborn requires intensive care or transport; and list at least one intervention to support parents during a crisis.
Quality improvement – Identify at least two elements of effective “SBARR” communication; describe one or more ways that simulation training can help to create expert teams; describe how to use the PSSAT (pre-transport stabilization self-assessment tool).
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