Inconsistently documents handout, goal Documents topic, handout, goal and ways and ways to meet goal appropriately to meet goal appropriately Comments: Score: _____ Competence Needs Improvement Demonstrates Competence Breastfeeding 0 1 2 Demonstrates adequate Lack of knowledge on current breastfeeding On occasion breastfeeding information Provides breastfeeding information that breastfeeding knowledge recommendations, how to’s and guidelines provided does not coincides with current coincides with current breastfeeding is shown breastfeeding recommendations and recommendation and guidelines according Lack of knowledge to assist a breastfeeding guidelines to ITCA policy woman is shown Inconsistently provides adequate and Provides adequate and appropriate appropriate breastfeeding assistance breastfeeding assistance Comments: _____ Demonstrates Breastfeeding assessment are not Problems or concerns at critical points in the Uses breastfeeding assessment to identify appropriate skills in completed early postpartum period are missed during a and address breastfeeding problems or breastfeeding education Real and perceived barriers and possible breastfeeding assessment concerns at critical points in the early and assessment contraindications to breastfeeding are not Inconsistently assesses real and perceived postpartum period assessed barriers and possible contraindications to Assesses real and perceived barriers and The impact of early formula breastfeeding possible contraindications to breastfeeding supplementation and mother/infant Inconsistently evaluates the impact of Evaluates the impact of early formula separation on milk supply and the mother’s formula supplementation and mother/infant supplementation and mother/infant breastfeeding intention is not evaluated separation on milk supply and the mother’s separation on milk supply and the mother’s Support and encouragement to promote breastfeeding intention breastfeeding intention breastfeeding initiation and to sustain Inconsistently provides support and Provides support and encouragement continued breastfeeding is not provided encouragement to promote breastfeeding including incentive to promote Breastfeeding incentives are not distributed. initiation and to sustain continued breastfeeding initiation and to sustain breastfeeding continued breastfeeding Breastfeeding incentives are not routinely provided Comments: Score: _____
Inconsistently documents handout, goal and ways to meet goal appropriately Documents topic, handout, goal and ways to meet goal appropriately Score: _____ Comments: Breastfeeding Competence 0 Needs Improvement 1 Demonstrates Competence 2 Demonstrates adequate breastfeeding knowledge Lack of knowledge on current breastfeeding recommendations, how to’s and guidelines is shown Lack of knowledge to assist a breastfeeding woman is shown On occasion breastfeeding information provided does not coincides with current breastfeeding recommendations and guidelines Inconsistently provides adequate and appropriate breastfeeding assistance Provides breastfeeding information that coincides with current breastfeeding recommendation and guidelines according to ITCA policy Provides adequate and appropriate breastfeeding assistance _____ Comments: Demonstrates appropriate skills in breastfeeding education and assessment Breastfeeding assessment are not completed Real and perceived barriers and possible contraindications to breastfeeding are not assessed The impact of early formula supplementation and mother/infant separation on milk supply and the mother’s breastfeeding intention is not evaluated Support and encouragement to promote breastfeeding initiation and to sustain continued breastfeeding is not provided Breastfeeding incentives are not distributed. Problems or concerns at critical points in the early postpartum period are missed during a breastfeeding assessment Inconsistently assesses real and perceived barriers and possible contraindications to breastfeeding Inconsistently evaluates the impact of formula supplementation and mother/infant separation on milk supply and the mother’s breastfeeding intention Inconsistently provides support and encouragement to promote breastfeeding initiation and to sustain continued breastfeeding Breastfeeding incentives are not routinely provided Uses breastfeeding assessment to identify and address breastfeeding problems or concerns at critical points in the early postpartum period Assesses real and perceived barriers and possible contraindications to breastfeeding Evaluates the impact of early formula supplementation and mother/infant separation on milk supply and the mother’s breastfeeding intention Provides support and encouragement including incentive to promote breastfeeding initiation and to sustain continued breastfeeding Score: _____ Comments:
ITCA_2015Jan_Chp13.AttC_.WIC-Staff-Competency-Evaluation-Scoring-Sheet.fillable.docx