S.T.A.B.L.E. Basic Overview
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STABLE: An Essential Tool for Nurses
For neonatal, peds, and mother/baby nurses, the acronym STABLE serves as a critical tool in providing quality care and improving patient outcomes for neonates. The acronym STABLE stands for Sugar/Safe Care, Temperature, Airway, Blood pressure, Lab work, and Emotional support. Each component represents a vital aspect of patient monitoring and intervention.
Nurses monitor blood glucose levels (Sugar) regularly to ensure optimal glycemic control. This is extremely important in this patient population because sugar is what essentially “feeds” the brains of newborns. Additionally, assessing and regulating temperature (Temperature) is crucial for patient comfort and preventing complications. Newborns are still trying to acclimate to their new environment such as dry air and changing temperatures. They cannot maintain their temperature and can become hypothermic very quickly, which can be detrimental. They should be carefully monitored and kept at a temperature of 36.5-37.5 C. Maintaining a patent airway (Airway) ensures adequate oxygenation and ventilation, which is important for providing adequate nutrition and oxygen to every part of the body which aids in healing, growing, and more. Monitoring blood pressure (Blood pressure) helps detect and manage circulatory instability. Regularly analyzing lab work (Lab work) aids in identifying and addressing potential imbalances or abnormalities, such as acid-base imbalances, low H&H, risk of infection, and more. Lastly, emotional support (Emotional support) plays a significant role in patient well-being, helping alleviate anxiety and promote recovery for the parents and family of the newborn. By utilizing the STABLE framework, nurses can deliver comprehensive care, promote stability, and contribute to positive patient outcomes. The S.T.A.B.L.E. 8th edition is the textbook that outlines all the procedures, reasonings, interventions, and care for stabilizing newborns. Although much more pricey than the textbook, Nursegrid Learn offers a STABLE program course which can be used to enhance learning and knowledge as well.
In conclusion, the STABLE program is of utmost importance for nurses in delivering safe and effective care to neonates. This comprehensive training course equips nurses with the knowledge and skills necessary for prompt recognition and management of neonatal distress. By understanding the physiological changes and potential complications that can arise in the neonatal period, nurses can quickly intervene and stabilize infants in critical conditions. Investing in STABLE training not only enhances nursing skills, but also promotes a culture of safety, teamwork, and continuous learning within the healthcare setting.