
HMTW The S.T.A.B.L.E Program
Staff—especially new team members-- may lack understanding of the impact of thermoregulation, euglycemia, acid-base balance and identify potential infection and treatment early on and their effect on positive neonatal outcomes during the immediate postnatal period.
Target Audience
HM Registered Nurses
Learning Objectives
SUGAR MODULE
Upon completion of this module, the participant will gain an increased understanding of:
• Why it is important to withhold feedings and establish intravenous (IV) access when infants are sick.
• The initial intravenous (IV) fluid therapy to provide to sick infants.
• Preparation for extrauterine life and infants at increased risk for developing hypoglycemia, including preterm and small for gestational age infants, infants of diabetic mothers, and sick, stressed infants.
• The impact of late preterm birth on increased morbidity and mortality.
• Signs of hypoglycemia and how to monitor the blood glucose.
• IV glucose treatment of hypoglycemia and post-treatment reassessment.
• Infants at risk for hypoglycemia and treatment with enteral feedings and dextrose gel.
• Indications for and safe use of umbilical catheters.
TEMPERATURE MODULE
Upon completion of this module, the participant will gain an increased understanding of:
• Infants who are at increased risk for hypothermia.
• The physiologic response to cold stress for term and late preterm infants.
• Mechanisms of heat loss: conduction, convection, evaporation, and radiation.
• The detrimental effects of hypothermia for term and preterm infants.
• Methods to rewarm infants after accidental hypothermia.
LAB WORK MODULE
Upon completion of this module, the participant will gain an increased understanding of:
• Why neonates are more vulnerable to infection than older infants and children.
• The clinical signs of neonatal sepsis.
• Bacterial and viral organisms that may cause infection.
• Perinatal and postnatal risk factors that predispose neonates to infection
• Initial laboratory tests to obtain in the pre-transport / post-resuscitation period.
• White blood cell (WBC) development and how neutrophils respond to an infection.
• The initial antibiotic treatment for neonates with suspected sepsis.
EMOTIONAL SUPPORT MODULE
Upon completion of this module, the participant will gain an increased understanding of:
• The crisis families experience when an infant requires transport to or care in a neonatal intensive care unit (NICU).
• Ways healthcare providers can support parents of sick infants.
• Methods neonatal healthcare providers can use to help reduce parental stress and facilitate parenting in the NICU.
• White blood cell (WBC) development and how neutrophils respond to an infection.
• The initial antibiotic treatment for neonates with suspected sepsis.
QUALITY IMPROVEMENT MODULE
Upon completion of this module, the participant will gain an increased understanding of:
• Methods to enhance patient safety and reduce medical errors and preventable adverse events in the vulnerable neonatal population.
• The importance of effective communication and teamwork to prevent harm and improve patient safety.
• Simulation-based education as a strategy to improve patient safety and self-assessment and post-event debriefing.
Upon completion of this module, the participant will gain an increased understanding of:
• Methods to enhance patient safety and reduce medical errors and preventable adverse events in the vulnerable neonatal population.
• The importance of effective communication and teamwork to prevent harm and improve patient safety.
• Simulation-based education as a strategy to improve patient safety and self-assessment and post-event debriefing.
Course summary
- 8.00 Attendance
- 8.00 Nursing Contact Hours
Houston Methodist is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Houston Methodist will award up to 8.00 nursing professional development contact hours for this activity.
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0800: Introduction to the S.T.A.B.L.E. Program and the S.T.A.B.L.E. A R A R Model of Care (Anticipate, Recognize, Act, Reassess) and begin Sugar Module
0930-0945: Morning break (15 minutes)
0945: Complete Sugar module and give 8-question post-test with review of answers
1015: Temperature Module: Complete Temperature module and give 8-question post-test with review of answers
1120: Airway Module (begin Part 1)
1200-1230: Lunch break (30 minutes)
1230: Airway Module (continues); complete Airway module (Part 2) and give 8-question post-test with review of answers
1415-1430: Afternoon break (15 minutes)
1430: Blood Pressure Module and give 8-question post-test with review of answers
1530: Lab Work Module and give 8-question post-test with review of answers
1630: Emotional Support and Quality Improvement Modules (no test questions)
1700: Complete evaluation (if given), collect test answer sheets, and adjourn
Note:
The 40-question end-of-module post-test answer sheet needs to be fully completed and the student must have 8 or fewer wrong on the post-test. Remediation is available for students who score 9 to 12 wrong. Students who score 13 or more wrong do not pass the course and must repeat the course.
Teresa Smith BSN, RNC-LRN
Christina Hoeffler
APRN, NNP-BC
Houston Methodist is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

To be awarded 5.5 continuing professional development hours, the participant must attend the program in its entirety and complete the evaluation tool.
Available Credit
- 8.00 Attendance
- 8.00 Nursing Contact Hours
Houston Methodist is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Houston Methodist will award up to 8.00 nursing professional development contact hours for this activity.
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