STABLE Learner Certification

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STABLE is a certification program intended for individuals caring for and transporting critically ill neonates.

Course Description

  • Based on a mnemonic to optimize learning, retention and recall of information, S.T.A.B.L.E. stands for the six assessment and care modules in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support. A seventh module, Quality Improvement stresses the professional responsibility of improving and evaluating care provided to sick infants. The S.T.A.B.L.E. Program was developed to meet the educational needs of health care providers who must deliver this important stabilization care. S.T.A.B.L.E. education is critical to the mission to reduce infant mortality and morbidity and to improve the future health of children and their families.

Course Content

  • Sugar & Safe Care:
    1. Issues of patient safety and error reduction in the delivery of health care to infants.
    2. Infants at increased risk for developing hypoglycemia, including preterm and small for gestational age infants, infants of diabetic mothers, and sick, stressed infants.
    3. The impact of late-preterm birth on increased morbidity and mortality.
    4. Screening recommendations for gestational diabetes.
    5. The physiologic basis of aerobic and anaerobic metabolism.
    6. The initial intravenous fluid therapy to provide to sick infants.
    7. Recommendations for monitoring the blood glucose.
    8. Signs of hypoglycemia, IV glucose treatment of hypoglycemia and post-treatment reassessment.
    9. Indications for placement of umbilical catheters.
    10. The principles for safe use of umbilical catheters.
    11. Surgical and medical abdominal conditions that present as bowel obstruction
  • Temperature:
    1. Infants at increased risk for hypothermia.
    2. The normal physiologic response to cold stress for term infants.
    3. Mechanisms of heat gain and loss.
    4. The physiologic response to hypothermia for term and preterm infants.
    5. Candidates for therapeutic neuroprotective hypothermia.
    6. Methods to rewarm hypothermic infants and how to monitor hypothermic infants during rewarming.
  • Airway:
    1. Labs and tests to obtain during the post-resuscitation / pre-transport period.
    2. Signs of neonatal respiratory distress and how to distinguish between mild, moderate, and severe distress.
    3. Blood gas interpretation and treatment of respiratory and metabolic acidosis.
    4. Signs of respiratory failure.
    5. Principles of assisted ventilation, including candidates for continuous positive airway pressure (CPAP), bag and mask or T-piece resuscitator positive pressure ventilation (PPV), assisting with endotracheal (ET) intubation, securing the ET tube, chest x-ray evaluation for ET tube position, and initial ventilatory support.
    6. Respiratory illnesses and airway challenges that present in the neonatal period.
    7. Identification and treatment of pneumothorax.
    8. How to safely use analgesics to treat pain.
  • Blood Pressure:
    1. The difference between compensated and uncompensated shock.
    2. The principles of cardiac output and heart rate as they relate to shock and factors that can impair cardiac output.
    3. The physical examination to evaluate for shock.
    4. The causes and initial treatment of the three major types of shock seen in infants: hypovolemic, cardiogenic, and septic shock.
  • Lab Work:
    1. Perinatal and postnatal risk factors that predispose infants to infection.
    2. The clinical signs of neonatal sepsis.
    3. Bacterial and viral organisms that may cause infection.
    4. Laboratory tests to obtain in the pre-transport / post-resuscitation period.
    5. White blood cell (WBC) development, how to calculate and interpret the absolute neutrophil count and immature to total ratio.
    6. The initial antibiotic treatment of an infant with suspected sepsis.
  • Emotional Support:
    1. The crisis families experience when an infant requires transport to, or care in, a neonatal intensive care unit.
    2. Ways healthcare providers can support parents of sick infants.
    3. Methods neonatal healthcare providers can use to facilitate parenting in the NICU.
  • Quality Improvement:
    1. Concerns regarding patient safety and methods to reduce medical errors and preventable adverse events in this vulnerable population.
    2. The importance of effective communication and teamwork to prevent harm and to improve patient safety.
    3. Simulation-based education as a strategy to improve patient safety.
    4. The importance of self-assessment and debriefing to evaluate care provided in the postresuscitation/pre-transport stabilization period.

Intended Audience

  • The S.T.A.B.L.E. Program Vision is that every person involved with neonatal care will take the S.T.A.B.L.E. Program – from midwives delivering babies in the home to the highest level tertiary center staff who deliver thousands of babies each year and who care for the most critically ill infants. Our mission is to provide this high-level, practical, accessible, and effective education to help reduce infant morbidity and mortality, improve neonatal outcomes and most importantly, improve the quality of life for infants and their families.

Course Duration

  • 8 hours

Course Completion

Z

STABLE Certification Card

Z

Certificate of Continuing Education approved by the BRN and BVNPT

Class Price

$120

Location

Schedules & Registration

All below dates are available. Please register by clicking your preferred date below:

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  • Swati U. AvatarSwati U.

    Their customer service was excellent & efficient . Dealt with mike through email. Will look forward to booking in the future ! - 6/24/2019 

  • Matthew S. AvatarMatthew S.

    David was a Great Instructor!Cal-Med training center is fantastic!!! - 11/24/2018 

  • scott s. Avatarscott s.

    Great place to take a class. Low stress atmosphere and great teaching staff. Mike knows his stuff and makes the class relatable. - 10/24/2018 

  • tabby e. Avatartabby e.

    Both Margie and Mike are Very knowledgeable and friendly. - 10/24/2018 

  • Samuel C. AvatarSamuel C.

    David Nava is an excellent Instructor highly recommend. - 4/24/2019 

  • Ann AvatarAnn

    I recommend this awesome school for all certifications in health field. Great methodical teachers, organized and not to mention awesome prices!!!!!! Been going here many years for AHA bls/CPR card😊 - 10/24/2018 

  • Gabriela I. AvatarGabriela I.

    Loved how straight to the point the class was, the instructor was very helpful. Will definitely be coming back once I need to renew my cpr certification. - 9/24/2019 

  • Karmen L. AvatarKarmen L.

    I couldn’t ask for more. Very credible staff and thorough instruction. - 2/24/2019 

  • Anmol C. AvatarAnmol C.

    Mike is a great instructor. He is so knowledgeable and intelligent. Done ACLS and NRP with him and i am thinking to do other courses from his institution as well. - 5/24/2019 

  • A. T. AvatarA. T.

    Best place for AHA certification classes hands down! - 10/24/2018 

  • Tania K. AvatarTania K.

    I am a new RN and I took my ACLS, PALS, ECG, 12 LEAD, ECG Tech certification, and IV refresher course here. ALL OF THEM WERE TAUGHT AND GUIDED BY AMAZING INSTRUCTORS! Highly recommend!!!! - 10/24/2018 

  • julen a. Avatarjulen a.

    Great class and teachers, with a lot sense of humor! - 4/24/2019 

  • A K. AvatarA K.

    Needed NRP fast, I live in Santa Barbara and there wasn't anything available, It was very easy to sign up, super reasonable price, and low stress environment. It was worth the drive, I'll go there again!!! Highly recommend. - 2/24/2019 

  • Fermin A. AvatarFermin A.

    Venue and class size is very conducive for learning. Excellent materials for audio-visual and book learners. High professionalism of instructors. I just did my IV therapy and Blood Withdrawal Training with them and I am coming back on January 2019 for ACLS Training and certification. More power to my instructor and thank you! - 11/24/2018 

  • Gabi G. AvatarGabi G.

    Very friendly staff, clean classrooms and working equipment. Originally I was only looking for PALS and ACLS classes but ended up adding a basic ECG class cause their deal packages made it worth it. - 10/24/2018 

  • George A. AvatarGeorge A.

    I just finish my ECG tech, OMG!!! these 2 good looking guy, Sage F. and MIke. @ thumbs up..Good job.I pass my exam. - 10/24/2018 

  • Winston G. AvatarWinston G.

    Been going to Mike for years. Always the best prices and the best experience. - 10/24/2018 

  • Natalia K. AvatarNatalia K.

    good prices, good trainings. I took 3 or 4 - 6/24/2019 

  • Daniel B. AvatarDaniel B.

    Great learning experiences at California Medical Training Center. - 10/24/2018 

  • Dennis K. AvatarDennis K.

    I've been going here for years. This is definitely the lowest stress BLS, ACLS, and PALS that I've ever taken. I highly recommend them. Even if you are the only person scheduled for a class, they will still have it for you. They offer all the classes you need. Check out their website. - 12/24/2018 

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