Periodically we need to exchange test questions and this is usually because of valuable feedback from our Instructors. Therefore, when preparing for your Learner course, please check Communications for notifications that a test was replaced.
The following 7th edition tests were replaced on October 4, 2024.
Pretest A was replaced because of changes to questions 2, 16, and 21.
Sugar Module
Post Test B – changed questions 3 and 4
Post Test C – changed question 3 to spell out “room air” instead of “RA”
Post Test C – changed question 2
Temperature Module
Post Test A – changed questions 4 and 7
Airway Module
Post Test D – changed question 4
These test exchanges do not affect any of the answer keys. If you have printed any of these tests before October 4, please discard those tests and use the new ones.
We have received questions about whether you can still teach the 6th edition once you have completed the Bridge to the 7th edition training and the answer is YES. Here is a summary of a few important items pertaining to the Bridge training and teaching the 6th edition:
Please be sure to enter your S.T.A.B.L.E. Instructor number when signing up for the Bridge training. This will expedite your access to the 7th edition material.
You will still have access to the 6th edition material after you complete the Bridge training. You will have access to the 6th edition material and may teach 6th edition courses until March 31, 2025. On April 1, 2025, all access to the 6th edition material will be disabled. You will still be able to submit rosters for courses taught prior to April 1, through June 30, 2025.
The new S.T.A.B.L.E. Foundations module IS included as the first part of the Bridge training. If you take Foundations outside of the Bridge training, you will need to repeat Foundations again when you take the Bridge training.
Please follow the link below to purchase the Bridge training from our online partner, HealthStream.
Allow 24 hours after you complete the Bridge (if you have entered your S.T.A.B.L.E. Instructor number) to receive a reply email from S.T.A.B.L.E. that you now have access to the 7th edition curriculum.
Information about the Bridge to the 7th Edition Training
The Bridge to the 7th Edition training will orient registered Instructors to the new S.T.A.B.L.E. Foundations requirement for your classroom attendees as well as introduce you to changes in the 7th edition curriculum and testing process.
The course fee is $199 per person. Once you complete the Bridge training, we will activate your access to your Instructor Portal for the 7th Edition which will contain the new 7th edition course slides, tests, and resource center. In most cases, you will have access to S.T.A.B.L.E. Foundations for 2 years once you start the Bridge training. If your facility purchases a license for the Bridge training for you and you leave that Facility, you will lose the ability to login to Foundations. If you purchase the Bridge training on your own, then you will continue to have access to S.T.A.B.L.E. Foundations for 2 years from when you started the training.
Note: The new S.T.A.B.L.E. Foundations module IS included as the first part of the Bridge training. If you take Foundations outside of the Bridge training, you will need to repeat Foundations again when you take the Bridge training.
Rules for Learner Course Roster Submission
Only instructors who have completed the Bridge to the 7th edition training or who have attended an instructor course in 2024 or later can be added to a 7th edition course roster.
All students who attend an instructor-led class must complete S.T.A.B.L.E. Foundations prior to the Learner course. Visit our shop at stableprogram.org to find links to send to your students to purchase Foundations or reach out to a HealthStream rep for a license quote.
A Foundations course completion number must be entered when you submit the student roster. The student will need to provide the completion number, which is located on their S.T.A.B.L.E. Foundations completion card. The student will have access to the CEU certificate and the STABLE Foundations completion card. The completion card will have the number on it.
All students must have the 7th edition Learner Manual for use during the course. Please take this opportunity to purchase manuals for your students. Books may be purchased from S.T.A.B.L.E., the American Academy of Pediatrics, or Amazon. An eBook is not currently available. Students must pass the end of module tests with a score of 80% or higher.
Secondary Email Address: The next time you login to the Instructor portal, take note that a Secondary Email box has been added to your Account information. Please take the time to add a second email address. Providing a secondary email address will increase the likelihood that our communications will reach you. S.T.A.B.L.E. does not provide our Instructor’s emails to any outside source.
Instructor Manual: An Instructor Manual is in development and will be available for purchase in the late fall or early winter. When the manual is ready for purchase, registered Instructors will find more information by logging into the Instructor Portal.
Thank you for your patience as we transition to the new 7th Edition.
Community hospital, Department of Pediatrics (honorary member)
Munster, Indiana
ABOUT THIS MISSION TRIP
I was traveling on behalf of what organization or humanitarian group:
Thai Physician Association of America (TPAA)
Thai Physician Association of America Foundation
All Thai physicians in the US belong to these two organizations. Medical missions are being done through TPAA by medical education and donation of medical equipment. TPAAF is a nonprofit organization and people can donate to their school education fund through TPAAF. TPAAF provides operation funds to TPAA and Red Cross.
The goal of this trip was to provide medical education for nurses and doctors in Thailand by teaching S.T.A.B.L.E. classes including the new cardiac S.T.A.B.L.E. as well as donations of much needed medical equipment to the hospital and enable many TPAA members to share their experience with the medical staff of various departments in the hospital.
Medical equipment donations received by Maharat Nakhon Ratchasima Hospital –
Transport incubator TR200, Masimo pulse oximeter, Syringe pumps, NST, and Infusion pumps.
TPAA Goals
Provide medical education for nurses and doctors in Thailand.
Donation of medical equipment to the hospitals in Thailand.
Donation for scholarship fund for master’s degree at Harvard school of Public Health for Thai students.
Donation for education scholarship fund for poor students in Thailand.
Disaster relief fund for earthquake, flood victims in US, and anywhere in the world.
People are often interested in knowing more about the region you visited. Please describe the community where S.T.A.B.L.E. was taught.
Maharat Nakhon Ratchasima Hospital is located in the southeast of Thailand 261 km from Bangkok population 2.7 million. It is the largest regional hospital in Thailand providing medical education for medical students, interns, and residents as well as patient care in all specialties. 5000 births annually, three neonatologists covering the 40 bed NICU with the ability to perform therapeutic hypothermia for HIE. It has a total of 1387 hospital beds.
How many students attended your course and what were their credentials?
There were 205 attendees – 51 RNs, 154 physicians.
Describe some of the nursing and medical challenges being faced by the S.T.A.B.L.E. course attendees with regard to provision of day-to-day neonatal care:
Nurses may have some difficulty in English language, so the class was taught as much as possible in the Thai language. The transport incubator received with this trip was just in time as the one on site had just gone out of commission even after repeated repair.
How do you envision The S.T.A.B.L.E. Program will help the health care providers you taught?
The S.T.A.B.L.E. Program provides an excellent review for common neonatal problems with reminders so the provider does not miss the diagnoses that could lead to serious consequence by providing consistent ways to use the mnemonic enhancing memory and recall. This provides confidence in stabilizing the sick babies before transport. The cardiac module was very useful for all staff including physicians as a learning tool for understanding the anatomy of CHD as well as diagnosing and managing CHD correctly and safely.
How others can help with your humanitarian efforts
We welcome any donation to TPAAF, our non-profit organization. https://tpaaf.us/
Kris Karlsen (STABLE Program Author) is very kind, very generous and very supportive. She gave us a good discount for the manuals to help our medical mission in Thailand, we are very thankful and very appreciative.
In summary, I and our team cherished the whole experience and found that all the students were very excited, attentive, and very happy.
Thank you very much very much Kris, Beth, Mason, and S.T.A.B.L.E program for the creation of this wonderful neonatal education program.
Materials donated from The S.T.A.B.L.E. Program for your course:
6th Edition Learner Manuals
2nd Edition Cardiac books.
6th Edition Learner Course slides on USB.
2nd Edition Cardiac slide program subscription
Before the class
STABLE Maharat
Class completed
Equipment Donation
Dr Pichaya Thanomsingh – Course Organizer (2nd from the left)
1. Location where S.T.A.B.L.E. Learner Course was taught
Tamale, Ghana
2. Report Submitted by:
Geralyn Sue Prullage DNP, APN, NNP-BC
Tamale Teaching Hospital
3. COURSE INFORMATION
S.T.A.B.L.E. Learner Course: May 30 and 31st, 2023
Tamale Teaching Hospital
S.T.A.B.L.E. Instructor: Geralyn Sue Prullage, DNP, APN, NNP-BC
Board Member of Council of International Neonatal Nurses
Clinical Educator of Community of Neonatal Nursing Practice
Who attended the Learner Course?
4 BSc Neonatal Nurse Specialists and 9 General Nurses
Materials donated from S.T.A.B.L.E. for your course:
S.T.A.B.L.E. Learner Course Slides
Physical Exam and Gestational Age Assessment Slide Program
4. ABOUT THIS TRIP
I was traveling on behalf of the Council of International Neonatal Nursing [COINN] (coinnurses.org). This is an organization that has brought together over 5000 neonatal nurses across the world. The purpose of the trip was to train nurses to be experts in the field and to be preceptors.
People are often interested in knowing more about the region you visited. Please describe the community where S.T.A.B.L.E. was taught.
Tamale is in Northern Ghana. It is the largest city in the Northern region of Ghana. Tamale Teaching Hospital (TTH) has a busy neonatal unit that has doctors, pediatricians, advanced practice nurses, medical officers, and house officers. The unit has a well-run kangaroo mother care unit. TTH is the referral center for the northern region.
Describe some of the nursing and medical challenges being faced by the S.T.A.B.L.E. course attendees with regard to the provision of day-to-day neonatal care.
The unit had several actual CPAP machines, but they did not function well due to poor oxygen outlets and no oxygen tanks available. So, most of the babies that needed CPAP were placed on the “traditional” homemade CPAP. There were not enough incubators or overhead warmers for each admission to have their own incubator or overhead warmer. There is no actual transport system. Parents must pay for any transport needed and finances are difficult. So, often babies arrive on the back of motorcycles or the tricycle (a motorized golf cart adapted with seating). Every piece of equipment needed must be paid for by the family.
How do you envision The S.T.A.B.L.E. Program will help the healthcare providers you taught?
The participants are to be the preceptors for new employees and students. The understanding of hypoglycemia and thermoregulation is paramount. I envision that they have a better understanding of the identification and treatment of the things we talked about in the STABLE course. We actually admitted a baby with a subgaleal hemorrhage, and the participants were able to understand what was going on and were eager to provide appropriate care.
This is the group who graduated from the course at TTH. Photo taken on the last day of the STABLE course.
Students taking the STABLE mixed module (end of course) quiz
During the month of April and early May 2023, the Advance Practice Neonatal Nursing students at the University of Zambia received a series of respiratory pathophysiology and assessment lectures given by Wakako Eklund who has been a S.T.A.B.L.E. instructor for many years.
The school year began in March 2023, and we have students from Zambia but also from Rwanda and Botswana this year. The students from Botswana are supported by their Health Ministry to improve the newborn outcomes.
Given that not everyone in the class is well-familiar with the level 3 NICU and common procedural practices related to management of respiratory care, I utilized the procedure slide decks (Chest Tube insertion, Positive Pressure Ventilation, Needle aspiration, and Intubation) and zoom-recorded the lecture to demonstrate how these procedures are completed.
The images and the contents that these slide sets cannot be easily replicated, and I appreciate the quality of the slide decks that are highly valued by the students and also by us, the volunteer faculty team. We appreciate the immense generosity that is extended by S.T.A.B.L.E. to make this possible for these students who are often without textbooks and other resources that we in high resource countries take for granted. The students are looking forward to taking the full S.T.A.B.L.E. course later this summer.
Location where S.T.A.B.L.E. Learner Course was taught
Dar es Salaam,Tanzania
Report Submitted by
Louise Sabbagh, MSN, RN
S.T.A.B.L.E. Lead Instructor
Walter Reed National Military Medical Centre
Bethesda, MD
COURSE INFORMATION
S.T.A.B.L.E. Class date(s): May 8, 2023 & May 9, 2023
Course Instructor: Louise Sabbagh RN, MSN
Shree Hindu Mandal Hospital
Pediatric and Child Health Department
Dar es Salam, Tanzania
ABOUT THIS MISSION TRIP
This mission trip was a planned and personal contribution to enhance care given to babies requiring Intensive Neonatal Care. I would like to thank the STABLE program for the generous donations of STABLE products. I would also like to express my gratitude to family and friends who supported me in this journey – from stationery products to hospitality, I have been surrounded with kindness for which I am eternally grateful.
The purpose of this trip:
Having lived in Tanzania for many years, I feel the need to return to my place of birth.I wanted to share knowledge that is systematic, and evidence based.Bringing S.T.A.B.L.E to Tanzania, I want to improve outcomes for babies needing specialized treatment. In presenting this program, I believe that I enhance the care that nurses and doctors provide and will positively influence statistics like Retinopathy of Prematurity and negative effects of cold stress.
People are often interested in knowing more about the region you visited. Please describe the community where S.T.A.B.L.E. was taught.
I taught S.T.A.B.L.E in Dar es Salaam, Tanzania.Tanzania is in East Africa and is the thirteenth largest country in Africa. Situated just south of the equator, Tanzania is home to Mount Kilimanjaro which is the highest mountain in Africa.Taking a Safari to Ngorongoro Crater or Serengeti National Park is an unforgettable experience especially when you catch sight of elephants, lions, leopards, buffalo and rhinos.
I taught S.T.A.B.L.E in a level 1-2 Hospital situated in the center of Dar es Salaam.Shree Hindu Mandal Hospital has 50-60 deliveries per month.I conducted 8-hour full day classes on two separate days.The classes were attended by nurses, physicians, and midwives. A total of 19 staff attended the classes.
The nearest tertiary hospital is Muhimbili hospital, which is not far away, but traffic makes navigating the one-lane roads extremely challenging.
The biggest difference was that the transport of a sick baby was done by the hospital that requested the transport not the tertiary center.The staff of the referring hospital had to prepare and transport the sick baby to the tertiary center.
Describe some of the nursing and medical challenges being faced by the S.T.A.B.L.E. course attendees with regard to provision of day-to-day neonatal care
In speaking with the staff, I learned that staffing was a challenge.Hiring and retaining staff was an ongoing effort. Another challenge was obtaining equipment like blended oxygen.This was available only in certain bed spaces which made oxygen administration somewhat challenging.
How do you envision The S.T.A.B.L.E. Program will help the health care providers you taught?
The S.T.A.B.L.E. Program was well received, and I had many interesting discussions especially about future Quality Improvement projects. The Head of the Nursing Department was very interested in future classes and ways that the Nurse Practice Council could start implementing various projects using principles from the S.T.A.B.L.E course.
How many students attended your course and what were their credentials?
RNs: 12
Midwives: 2
Physicians: 4
If you collected information regarding student’s impressions of the S.T.A.B.L.E. course, please provide that information here:
They found the program very informative with a lot on information. They thought that there was a lot covered in a short amount of time.
The videos were a great review and presented in a easy to understand way.
HOW OTHERS CAN HELP WITH YOUR EFFORTS
I plan to visit again and would really like to provide more educational materials to promote safe care for all babies.I would also like to assist the hospital in obtaining equipment like breast pumps, incubators, and cardiorespiratory/O2 saturation monitors.
MATERIALS DONATED FROM THE S.T.A.B.L.E. PROGRAM FOR YOUR COURSE:
Blood Gas Nomograms
S.T.A.B.L.E. Learner Course Slides (USB)
Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania
Physicians, nurses, and midwives attending S.T.A.B.L.E in Tanzania
Physicians, nurses, and midwives attending S.T.A.B.L.E in Tanzania
Physicians, nurses, and midwives attending S.T.A.B.L.E in Tanzania
S.T.A.B.L.E. Learner Course, January 10 to 11, 2023
Course location
Sakon Nakhon hospital
1041 Charoen Mueang Road, That Choeng Chum
Mueang Sakon Nakhon District,
Sakon Nakhon 47000, Thailand
Teaching Team: WichestBoonyapredee, MD, FAAP
S.T.A.B.L.E. Learner Course, January 19 – 20, 2023
Course location
Somdet Phra Sangkarat19th hospital
978/1Moo3 SangchutoRoad, Tha Muang,
Tha Muang district, Kanchanaburi Province , Thailand
Teaching Team:
WichestBoonyapredee, MD, FAAP
Chutima Kannasoot MD, Neonatologist
Department of Pediatrics
Paholphonpayuhasena Hospital, Meung District
Kanchanaburi
ABOUT THIS MISSION TRIP
I was traveling on behalf of the TPAA medical mission (Thai Physician Association of America)
TPAA received funding from donations to TPAAF (Thai Physician Association of America Foundation), a nonprofit organization .
The goal of TPAA:
Provide medical education for nurses and doctors in Thailand.
Donation of medical equipment to the hospitals in Thailand
Donation for scholarship fund for master’s degree at Harvard school of Public
health for Thai students
Donation for education scholarship fund for poor students in Thailand
Disaster relief fund for earthquake, flood victims in US and anywhere in the
world.
People are often interested in knowing more about the region you visited. Please describe the community where S.T.A.B.L.E. was taught.
A. Kanchanaburi province is in the central region of Thailand, many interesting site seeing, River Kwai bridge WWII, Cemetery for Unknown soldiers, beautiful Arawan waterfall, Oottamanusorn bridge the longest wooden bridge in Thailand.
Somdet Phra Sungkarat 19th is one of the largest community hospitals with 120 beds and 1000 deliveries per year, second highest in Kanchanaburi province and in the process of setting up 4 beds NICU where TPAA members donated 4 sets of high flow nasal cannula with a few sets of bubble CPAP and one set of Masimo pulse oximeter radical 97.
The class was very successful!
There were 6 members on the team, one Ob-Gyn, one Family practice, one internist and two nurses. The hospital Administrator and staff were very happy, took care us very well, sponsored hotel for three nights and three dinners as well as karaoke Farewell party.
Sakon Nakhon province
This province is located in the northeast of Thailand. There are many beautiful temples where the very well respected monk used to stay, Wat Tham Pha Daen, Wat Phra That Choeng Chum Worawihan Temple. We also visited Ban Tharae Catholic Community, Phra Archan Man Phurithatto Museum, and beautiful Nong Han ChaloemPhra Kiat Park. We visited the famous Kram Sakon Indigo dyeing shop for clothes, cotton .
Sakon Nakhon hospital is the largest hospital in Sakon Nakhon province with 800 patient beds and 3500 deliveries per yearwith 12 beds NICU and one neonatologist.
Sixteen TPAA members met at Don Mueang and flew to Sakon Nakhon airport where we received a very warm welcome from the members of red cross and enjoyed a delicious reception dinner. All together 19 TPAA members participated in this medical mission.
The class was very successful! Here TPAA members donated one set of transport incubator with Neopuff resuscitator, four syringe pumps, three infusion pumps, andtwo Masimo pulse oximeter radical 97 to the Department of Pediatrics, Sakon Nakhon hospital.
How many students attended your course and what were their credentials?
Class 1: There were 47 students with 40 nurses and 7 physicians.
Class 2: 147 students from 37 hospitals attended the class (139 nurses and 8 MDs)
Describe some of the nursing and medical challenges being faced by the S.T.A.B.L.E. course attendees with regard to provision of day to day neonatal care:
TheNursing and medical challenges in Thailand are:
Medical equipment shortage
The patients overload especially nurses and doctors who have to work very hard
Some patients live so far from the hospital
Some language barriers. For example, I spoke Thai during the class because most of the books are in the Thai Language.
How do you envision The S.T.A.B.L.E. Program will help the health care providers you taught?
I always think that S.T.A.B.L.E classes are a very valuable, in addition to NRP, providing excellent information for the care of sick neonates and should be a must for all neonatal providers.
If you collected information regarding student’s impressions of the S.T.A.B.L.E. course, please provide that information here:
HOW OTHERS CAN HELP WITH YOUR HUMANITARIAN EFFORTS:
We plan to do this medical mission every year, and you all are truly welcome to help support this medical mission by donating to TPAAF Save Babies Life project.
Kris Karlsen (STABLE Program Author) is very kind, very generous and very supportive. She had donated a large amount of S.T.A.B.L.E manuals previously and gave us a good discount for the manuals to help our medical mission in Thailand, we are very thankful and very appreciative.
In summary, I and our team cherished the whole experience and found that all the students were very excited, attentive, and very happy.
Thank you very much very much Kris, Beth, Mason, and S.T.A.B.L.E program for the creation of this wonderful neonatal education program.
MATERIALS DONATED FROM THE S.T.A.B.L.E. PROGRAM FOR YOUR COURSE:
6th Edition Learner/Provider Manuals
6th Edition Instructor Manuals
2nd Edition Cardiac Module books
Class at Somdet Phra Sungkarat 19th hospital
Dr Boonyapredee teaching S.T.A.B.L.E class at Somdet Phra Sungkarat 19th hospital
Reception dinner sponsored by Somdet Phra Sungkarat 19th hospital
Medical equipment donation for Pediatric department Sakon Nakhon hospital
S.T.A.B.L.E. Learner Course: November 15 and November 21, 2022
University of Zambia, Lusaka, Zambia, Africa
NNP Students attending a S.T.A.B.L.E. Learner Course taught by Dr. Sue Prullage
Course Instructor: Geralyn Sue Prullage, DNP, APN, NNP-BC, University of Zambia and University Teaching Hospital
ABOUT THIS EDUCATIONAL OFFERING:
I am the director of neonatal education for the Council of International Neonatal Nurses (COINN; https://www.coinnurses.org/) and I always travel within their name. But I was asked by Dr. Kunda and the University of Zambia to come and mentor NNP students.
The purpose of this trip:
Provide mentorship to the 1st and 2nd year NNP students. This is a brand-new program, and they have no developed mentorship program. I was to help develop the mentorship program and felt that STABLE should be part of what they needed to know. Several of the students had heard of STABLE and they were excited to have the content available to them.
STABLE: Our Instructors are often interested in knowing more about the region you visited. Please describe the community where S.T.A.B.L.E. was taught.
Lusaka Zambia is the capital of the country. Millions of people live in Zambia. The country has a neonatal mortality rate that has risen over the last few years to 27 deaths per 1000 live births. The University of Zambia trains doctors and nurses. They created a NNP program in 2020 which started with 7 nurses. It is the only program on the African continent that is training at the Advanced Practice Nurse (APN) levels. I worked with those nurses and six 1st years (now 2nd years). They currently have six new 1st years from Botswana, Malawi and Zambia. We are helping the University teach these students. S.T.A.B.L.E. Lead Instructor Wakako M. Eklund DNP, APRN, NNP-BC, FAANP, FAAN and I will offer STABLE via live Zoom to those students so that they too can be certified in the S.T.A.B.L.E. Learner course.
STABLE: Describe some of the nursing and medical challenges being faced by the S.T.A.B.L.E. course attendees with regard to provision of day-to-day neonatal care
The University Teaching Hospital (UTC) has several struggles.
No working CPAP machines they are using “homemade” CPAP.
Four ventilators and at any given time only one or two were working.
Ability to do lab but dependent on parents paying before the labs were drawn.
No transport mechanism. Each district hospital transferred with a staff from that hospital in a general ambulance. From the L&D unit the neonate was generally transported by a midwife or student
STABLE: How do you envision The S.T.A.B.L.E. Program will help the health care providers you taught?
The students were very excited to learn about labs especially gases. From the first day I got there it was something they asked for repeatedly. The course helped solidify their learning.
STABLE: How many students attended your course and what were their credentials?
We started with 14 students and 9 finished. They had trouble with work schedules and attending both days.
MATERIALS DONATED FROM THE S.T.A.B.L.E. PROGRAM FOR YOUR COURSE:
S.T.A.B.L.E. Learner Course Slides
Physical Exam and Gestational Age Assessment Slide Program
Dear Kris Karlsen and Everyone at The S.T.A.B.L.E. Program:
The team at Wax and Gold would like to take this opportunity to thank Kris karlsen and everyone at the S.T.A.B.L.E. Program for your support and donations as we introduced the S.T.A.B.L.E program at the St. Paul Hospital Millennium Medical College in Addis Ababa, Ethiopia.
We have just certified the third group of nurses and St. Paul Hospital now has a total of 32 S.T.A.B.L.E. providers. We initially incorporated S.T.A.B.L.E. in the Neonatal Advanced Life Support training program, specifically for providers in the delivery room and now have started giving the course to the NICU nurses. The third group of students just certified were 11 of the forty NICU nurses.
This training has made a significant impact for neonates at St. Paul hospital. Neonatal hypothermia is one of the major causes of morbidity and mortality and because of the introduction of this training, and because of the awareness of the detrimental effect of hypothermia, the practice has changed. The rate of admission to the NICU with the diagnosis of hypothermia has decreased by over 90%.
We hope to continue training more individuals and introduce the course to other facilities in the country.
