Class Descriptions

ZOOM; all classes are taught by Zoom.

You will log into our virtual classroom from the comfort of your home.   Must be logged in for the entire class and be present at your computer/laptop for the entire class.  More than one student can share the INTERNET connection if using same computer.  Cell phones are not suitable for this presentation, iPads or Chrome books may be used.

REQUIREMENTS: 

• Must have a computer with webcam and audio.

• Must be sitting upright at a table or desk, no lounging in a bed or sofa.

• Must have  textbook and course materials for the class.

• No Internet surfing, texting, checking email, reviewing charts or use of cell phone during the presentation or otherwise multi-tasking.

• You will participate in all aspects of the program.

• Any testing material sent to you will be destroyed at the conclusion of class and not shared with others.

• Distractions such as a barking dog need to be dealt with prior to class.

• Please arrange childcare, your full attention and participation is required.

• Please electronically sign the ATTESTATION FORM  (see link above in Navigation bar) and email to me with your class registration.  

• Attestation form is needed only for STABLE classes and are not required for Electronic Fetal Monitoring.

S.T.A.B.L.E. Sugar & Safe Care-Temperature-Airway-Blood Pressure-Lab work & Emotional Support

This one-day 8 hour Learner's Course is designed to assist the healthcare professional with organization and recall of information of care in the pre-transport, transfer, and/or post resuscitation period of the newborn infant. The S.T.A.B.L.E. class is presented in an organized format designed for knowledge retention which will enhance the health care professional performance in caring for the sick newborn or premature infant.   10 CE's.

CLASS OBJECTIVES

Upon completion of this section, the participant will:

SUGAR AND SAFE CARE

1.  Be able to initiate IV fluid therapy in sick newborns

2.  Be able to identify the neonate at risk for developing hypoglycemia and the symptoms of hypoglycemia

3.  Gain an understanding of the potential neurologic impact of severe or prolonged hypoglycemia

4.  Understand intravenous treatment of hypoglycemia and the post-treatment evaluation of hypoglycemia

5.  Be able to identify candidates for placement of an umbilical catheter and the principles for safe use of umbilical venous and arterial catheters

TEMPERATURE

1.  Understand the detrimental effects of cold stress

2.  Be able to identify infants at higher risk for becoming hypothermic

3.  Understand ways infants lose body heat and be more knowledgeable about protecting the infant against cooling

4.  Understand how a severely hypothermic infant may develop pulmonary vasoconstriction and right to left shunting at the ductus arteriosis and foramen ovale

5.  Understand the process for warming severely hypothermic infants

AIRWAY

1.  Understand basic evaluation of neonatal respiratory distress

2.  Understand indications for positive pressure ventilation with bag and mask or endotracheal intubation

3.  Understand the role of the assistant during intubation and how to provide support to the person performing intubation

4.  Know how to correctly secure and oral endotracheal tube

5.  Know how to calculate the correct placement of endotracheal tubes and identify correctly and incorrectly placed endotracheal tubes on x-ray

6.  Be able to identify a blood gas as normal, respiratory, metabolic or mixed acidosis and whether compensation has occurred

7.  Know how to identify a pneumothorax and how to emergently evacuate a pneumothorax

BLOOD PRESSURE

1.  Gain an understanding of the causes and presentation of hypovolemic, cardiogenic and septic shock in the neonate

2.  Identify physical exam components and laboratory tests that will help recognize and evaluate signs of shock in the neonate

3.  Understand the basic treatment of hypovolemic, cardiogenic and septic shock

4.  Understand how to safely and accurately mix and administer Dopamine

LABS

1.  Know five risk factors that predispose an infant to infection

2.  Be able to list six clinical signs of neonatal sepsis

3.  Understand basic white blood cell development

4.  Be able to calculate the ANC and I/T ration

5.  Be able to interpret the ANC and I/T ratio and know the potential implications of abnormal results

6.  Understand the relationship of thrombocytopenia to possible sepsis

EMOTIONAL SUPPORT

1.  Understand the crisis that families face when confronted with their infant’s need for neonatal transport

2.  Understand ways community hospital caregivers can support parents of sick newborns

Cards are valid for 2 years.  10 contact hours

Pre-requisites:  Pre-study, textbook purchase and completed pretest.  

Book purchase:  www.TheSTABLEProgram.org or Amazon.com;  there is also an electronic version from Amazon-Kindle.

S.T.A.B.L.E. RENEWAL-Not available until January 1, 2027

This class is a 5-hour program designed for the current S.T.A.B.L.E. card holder (card cannot be expired more than 6 months); includes components in the full length S.T.A.B.L.E.  in a  review version.

Cards are valid for 2 years.  6 contact hours

Prerequisites:  Pre-study, textbook purchase and completed pretest.

Books purchase:   www.The STABLEProgram.com or Amazon.com; there is also an electronic version from Amazon-Kindle.

CARDIAC STABLE

The S.T.A.B.L.E. - Cardiac Module provides general guidelines for the assessment and stabilization of neonates with suspected, severe forms of congenital heart disease (CHD).  Prompt, effective, and appropriate care of neonates with severe CHD can reduce secondary organ damage, improve short and long-term outcomes, and reduce morbidity and mortality.  This information is presented in a highly visual format using an animated PowerPoint slide presentation, and is divided into three main sections: 

Part 1: Physical exam of neonates with suspected CHD and the differential diagnosis.

Part 2: Review of the anatomic features, clinical presentation and initial stabilization of neonates with CHD, and emphasizes differentiation of cardiac from pulmonary disease. Specific heart lesions are covered in detail. 

Prerequisites:  Book purchase required.  5 nursing contact hours

AWHONN Fetal Heart Monitoring-ADVANCED

AWHONN’s advanced fetal heart monitoring course is designed for perinatal clinicians who previously completed the AWHONN Intermediate Fetal Monitoring Course, a comparable fetal monitoring educational program and/or who hold certification or added credentials in fetal heart monitoring; or 6 months recent clinical experience in Labor and Delivery taking care of laboring patients. 

This 1-day in-person instructor led course expands on the knowledge and physiological principals presented in the AWHONN Intermediate Fetal Monitoring Course and covers more complex concepts. This course uses a case scenario approach focusing on analyzing complicated FHM patterns and characteristics with related case information. Participants must attend the instructor-led portion of the course.  And optional online knowledge integration test with a score of 80% or better. The course emphasizes maternal-fetal physiology related to complex FHR tracings, interpretation, intervention, verbal and written communication techniques, and perinatal risk-management techniques.

Course components include: 

• Complex case studies that include electronic fetal monitor tracings with recommended interventions; 

• Communicating with colleagues; 

• Advanced principles of maternal-fetal physiology.

• Optional, online knowledge integration test.

CLASS OBJECTIVES:

1) Describe physiological principles and fetal oxygen transfer and acid-base balance.

2) Identify physiologic principles underlying fetal heart monitoring.

3) Describe concepts in antenatal testing including analysis and interpretation of biophysical profiles and complex antenatal fetal heart monitoring tracings.

4) Relate physiologic principals to the goals and intervention of antenatal testing.

5) Evaluate interventions for patients undergoing antenatal testing.

6) Analyze fetal cardiac arrhythmia patterns and describe outcomes associated with these patterns.

7) Analyze complex fetal heart monitoring patterns utilizing current NICHD/ACOG FHM terminology and categories.

8) Apply perinatal risk management principals, communication techniques and documentation strategies related to complex and challenging patient care scenarios.

INTENDED AUDIENCE: This course is designed for clinicians who previously completed the AWHONN Intermediate Fetal Monitoring Course, a comparable fetal monitoring educational program and/or who hold certification or added credentials in fetal heart monitoring.   OR 6 months recent experience in L & D.

PREREQUISITES:  Pre-study, textbook purchase, must have completed the INT EFM course or have 6 months active L & D experience.

TEXTBOOK: There are 2 books for this class; Fetal Heart Monitoring Principals and Practice, 6th edition. and 7th edition Advanced Student Workbook.   Book purchase: Kendall Hunt 800-338-8290. 

CE'S:  7.0 continuing nursing education hours provided by AWHONN.  The Association of Women’s Health, Obstetric and Neonatal Nurses is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Accredited status does not imply endorsement by AWHONN or ANCC of any commercial products discussed/displayed in conjunction with the educational activity.  AWHONN is approved by the California Board of Registered Nursing, Provider #CEP580.