Auto-assign 602f age≥40 Risk 602 602 - Breastfeeding complications 602a - Severe Engorgement years. 602b - Recurrent plugged 602c - Mastitis 602d - Flat or inverted nipples 602e - Cracked, bleeding or severely sore nipples 602g - Failure of milk to come in by 4 days postpartum 602h - Tandem nursing (breastfeeding two siblings who are not twins) 1c. How long are you planning to breastfeed your Text box Contents of text box go to Rapport infant? S portion of care plan. Listen, ask, and assess for Returning to work/school Pumping Storage Continuation of BF Anticipated or current separation from infant 1d. Are you currently employed or attending school >10 buttons: Reporting hours/week? Yes No What type of support do you have for breastfeeding? Text box Contents of text box go to Rapport 1e. Listen, ask, and assess for S portion of care plan. Partner/spouse Other family members Work/school environment 1f. Do you need any help or assistance from the WIC Text box (In screen design, this Training user would – program? text box was combined with the click on the BF Listen, ask, and assess for one just previous.) equipment and go to the BF equipment need, current use, type, BF equipment if any is experience using needed from WIC. BF PC CPA Lactation specialist Additional referral
602 - Breastfeeding complications 602a - Severe Engorgement 602b - Recurrent plugged 602c - Mastitis 602d - Flat or inverted nipples 602e - Cracked, bleeding or severely sore nipples 602g - Failure of milk to come in by 4 days postpartum 602h - Tandem nursing (breastfeeding two siblings who are not twins) Auto-assign 602f age≥40 years. Risk 602 1c. How long are you planning to breastfeed your infant? Listen, ask, and assess for Returning to work/school Pumping Storage Continuation of BF Anticipated or current separation from infant Text box Contents of text box go to S portion of care plan. Rapport 1d. Are you currently employed or attending school >10 hours/week? buttons: Yes No Reporting 1e. What type of support do you have for breastfeeding? Listen, ask, and assess for Partner/spouse Other family members Work/school environment Text box Contents of text box go to S portion of care plan. Rapport 1f. Do you need any help or assistance from the WIC program? Listen, ask, and assess for BF equipment need, current use, type, experience using BF PC CPA Lactation specialist Additional referral Text box (In screen design, this text box was combined with the one just previous.) Training – user would click on the BF equipment and go to the BF equipment if any is needed from WIC.
DFDD%20CS%203d%20Assessment%20-%20Interview%20Screens%20-%20Women.docx