S.T.A.B.L.E. - Cardiac Module Courses

Thursday, November 10, 2016

This course is open to anyone interested in learning more about the assessment and stabilization of neonates with severe congenital heart disease. S.T.A.B.L.E. Instructor course attendance is not required. Although this presentation is not specifically intended for instructor preparation, it may be very helpful for future instructors of the Cardiac module. Registration fee Includes continental breakfast, lunch, afternoon snack, a Cardiac Module handbook and handout (as necessary). The second edition Beta Version of the S.T.A.B.L.E. - Cardiac Module will be presented at this course! This program has been approved by the California Board of Registered Nurses, Provider Number 15417, for 9 contact hours of continuing nursing education.

Course description & agenda (PDF)

Register for an Improving Neonatal Outcomes with Education Conference (includes Cardiac Module registration)

Kris A. Karlsen, PhD, NNP-BC
Author, S.T.A.B.L.E. -- Cardiac Module

2016 DatesCourseRegistration feeWho may enroll?
Fall schedule 2016
November 10
S.T.A.B.L.E. - Cardiac Module (PDF)$150Open to any interested participant (instructor course attendance is not required)
November 11-12
S.T.A.B.L.E. - Instructor Course (PDF)$400Participant must meet NICU experience requirements
Discounts for Combined Course RegistrationsCardiac + Instructor Course (save $25)$525

These programs have been approved by the California Board of Registered Nurses, Provider Number 15417, for:
    S.T.A.B.L.E. - Instructor Course - 13.75 contact hours of continuing nursing education. 
    S.T.A.B.L.E. - Cardiac Module - 9 contact hours of continuing nursing education.

Refund/Cancellation Policy

Course location
University Guest House and Conference Center
110 S. Fort Douglas Blvd
Salt Lake City, UT 84113

For hotel information, including maps and local attractions please visit: The University of Utah Guest House and Conference Center.

For reservations call: 1-888-416-4075 - Remember to mention The S.T.A.B.L.E. Program Instructor Course to take advantage of our special room block.

Single/Double $109.00 (plus taxes and fees)
   $10/pp additional for 3rd and 4th occupant

Reserve your room by:
   November Conference: October 10, 2016

S.T.A.B.L.E. – Cardiac Module: Recognition and Stabilization of neonates with severe CHD.

By Kristine A. Karlsen, PhD, NNP-BC with cardiology technical advisor Lloyd Y. Tani MD (2003).

1st place winner in the 2004 American Medical Writers Association Book Competition!

The S.T.A.B.L.E. - Cardiac Module provides general guidelines for the assessment and stabilization of neonates with suspected 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 and divided into three sections. The first section of the module reviews the physical exam of neonates with suspected CHD. The second section details 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 including those that are cyanotic ductal dependent, cyanotic not-ductal dependent, and left outflow tract obstructed ductal dependent lesions. The final section discusses modifications to the six S.T.A.B.L.E. assessment components that are necessary when caring for neonates with suspected or confirmed CHD.

Course Outline


  1. Physical examination and patient assessment for CHD (includes treatment of SVT, assessment of heart sounds and murmurs);
  2. Differential diagnosis for CHD.


  1. Cyanotic CHD - Not ductal dependent
        Tetralogy of Fallot*
        Truncus arteriosus
        Total anomalous pulmonary venous return (TAPVR)
        Ebstein's anomaly*
              *Extreme forms may be ductal dependent
  1. Cyanotic CHD - ductal dependent for pulmonary blood flow
    The ductus arteriosus - right-to-left and left-to-right shunting
    Prostaglandin E1
    - Indications, Dose, Side Effects, Administration Guidelines
        Transposition of the great arteries (TGA)
        Tricuspid atresia
        Pulmonary atresia (w/intact ventricular septum)
        Tetralogy with severe PS or atresia
        Severe Ebstein's
  1. Left Outflow Tract Obstructive Lesions - ductal-dependent for systemic blood flow
        Coarctation of the aorta
        Critical aortic stenosis
        Interrupted aortic arch
        Hypoplastic left heart syndrome

        Sugar - Temperature - Airway – Blood Pressure - Lab Work - Emotional Support
            Mnemonic-based assessment and care of neonates with suspected or confirmed severe

Commonly Asked Questions and Answers

Q: Who should take this module?
A: Any neonatal or pediatric healthcare provider (physicians, nurses, respiratory therapists) who must identify and care for neonates or infants with congenital heart disease.

Q: Should the S.T.A.B.L.E. Learner course be taken first?
A: Although it is recommended that students take the learner course prior to this module, it is not mandatory. We recognize that many pediatric healthcare providers may not have participated in the S.T.A.B.L.E. learner program, yet our expert reviewers felt the Cardiac module would still be very valuable for those caregivers.

Q: How is the module presented?
A: As with the S.T.A.B.L.E. Learner course, it is recommended that an expert in neonatal or pediatric (cardiac) care present this material. An animated CD-ROM guides the instructor through the material, while the 125-page full-color manual serves as the student handbook. Some of the material overlaps with the S.T.A.B.L.E. learner course, therefore, it may be best to wait a few months before teaching the cardiac module. This module is not intended for "same day" presentation with the S.T.A.B.L.E. Learner course. There are no pre or post-tests for the Cardiac Module course.

Q: How long does it take to teach the module?
A: This didactic/interactive module is presented in 4 to 8 hours, depending on the student’s expertise. If given in 4 hours (excluding breaks), allow 1 hour for the Part 1 - Physical Exam; 2 to 2.5 hours for Part 2 - CHD lesions; and 0.5 to 1 hour for Part 3 - S.T.A.B.L.E. modifications. It is strongly recommended that students read the manual prior to the course.

Q: Do I need to attend a S.T.A.B.L.E.-Sponsored Cardiac Module presentation in order to teach this module?
A: No. The most important consideration is that you are an expert in this area. If you are comfortable with teaching concepts of neonatal congenital heart disease, this module should be relatively easy for you to teach. There is no instructor manual for this module.