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Sun, 11 Jan 2009 12:56:40 -0500 |
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I took the S.T.A.B.L.E. course five years ago when working in a small
hospital. My understanding was that it was focused on "sick" newborns who
were being prepared for transport to a tertiary facility. I quote from the 2001
edition of the Student Manual: "Purpose of the S.T.A.B.L.E Program: This
program is designed to help health care providers organize care during the
post-resuscitation /pre-transport stabilization period." In the section on
SUGAR (page 6) under general guidelines the first principle states: "Any baby
sick enough to need transport is generally too sick to tolerate oral feedings."
Additionally, on page 9 where hypoglycemia is defined there is a quote from
Cornblath and Schwartz's 1993 study of "Hypoglycemia in the Neonate" which
states "...in healthy newborns slightly lower levels are usually accepted in the
first 24 hours- to as low as 40 mg/dL (2.2 mmol/L)."
While I realize this is "older" material and there may be updates with newer
information it seems that somewhere the info from the course was translated
as appropriate for all newborns, not just "sick" ones.
Betsy Cornwall, RN, BS, CCCE, IBCLC
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