Let’s Step Into INEP

Objectives Explain why we are changing the way we document in the ISIS INEP Review the sections of the ISIS INEP Practice documenting in the ISIS INEP

STAR State Technical Assistance Review

Prenatal Counseling Session

Scenario 1 Add picture here of role play – Screen shot of what this PPT’s previous note look likes (example of bad note)

Documenting in the ISIS INEP

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Putting it together

EATING DELI MEATS. PPT NOT ABLE TO TOLERATE MILK BUT OK WITH CHEESE AND YOGURT. COMPLAINS OF HEARTBURN. DISC. FOOD SAFETY. LIMIT SPICY AND FRIED FOODS GP CLASS NEXT APPT. AT NEXT INDIVIDUAL APPT, CHECK WT GAIN STATUS AND FOOD SAFETY PRACTICES.

How might following these new guidelines benefit both staff and participants?

Scenario Topics Scenario 1: Two week old normal birth weight infant at infant enrollment. Exclusively breastfeeding. Scenario 2: 18 month old boy at mid-certification appointment. Bottle use. Scenario 3: 2 year old girl at recertification appointment. Picky eater. Scenario 4: 3 year old boy at recertification appointment. Food Allergies. Scenario 5: Postpartum recertification. Non- breastfeeding mom on a low carb diet.

Scenario 1

YYYYYYY 2 WK OLD COMBO FEEDING INFANT BORN AT 36 WKS. RECENTLY REGAINED TO BIRTH WT. MOM WANTS TO CONT. BF BUT IS NOT FEELING CONFIDENT WITH INFANT’S LATCH. STATES MD CONCERNED WITH INFANT’S WT. DISC BF CONCERNS AND REVIEWED INFANT’S WT. CONTINUE TO COMBO FEED INDIVIDUAL APPT. NEXT MO TO F/U ON BF PROGRESS AND INFANT’S WT GAIN. Y

Scenario 2

Y BOTTLE USE/HIGH INTAKE SUGARY BEVERAGES. PREVIOUS GOAL, LIMIT SUGARY BEVERAGES, NOT MEET. NOT EATING MANY SOLIDS. DISC. WEANING TIPS AND DENTAL CARE. REPLACE JC IN NIGHT BOTTLE WITH WATER. BRUSH TEETH BEFORE BED. CLASS NEXT APPT. CHECK BOTTLE USE, SOLIDS AND WT AT SR APPT

Scenario 3

Y BOTTLE USE. MOM SUBSTITUTED SUGARY DRINKS WITH MILK SINCE LAST APPT. MOM DECLINED INFO ABOUT WEANING. CONCERNED ABOUT PICKY EATING. CHILD DRINKS MILK ALL DAY LONG. OFFER H2O FOR THIRST. LIMIT MILK TO MEALS/SNACKS. CLASS NEXT APPT. CHECK BOTTLE USE AT SM APPT. PROVIDED PICKY EATING HO AND TIPS.

Scenario 4

Y NO NUTS OR LEGUMES. RECENTLY HOSPITALIZED FOR REACTION TO PEANUTS. PREVIOUS GOAL TO REDUCE JUICE INTAKE, MEET. HAS NOT F/U WITH MD SINCE DISCHARGED FROM THE HOSPITAL. REQUESTS TO SEE WIC RD. FOLLOW UP WITH MD ABOUT FOOD ALLERGY. AVOID PEANUTS. WITH RD NEXT MONTH TO F/U ON FOOD ALLERGY STATUS.

Scenario 5

YyYy SR: LOW CHO DIET. PREVIOUS GOAL, OF WALKING 3X/WEEK, MEET. CONCERNED ABOUT WT. NON BREASTFEEDING MOTHER. DISC. GRAINS CONSIDER EATING WHOLE GRAINS. PARK ½ MILK FROM OFFICE ON WORK DAYS TO INCREASE HER WALKING. CLASS NEXT APPT.

How confident do you feel using these new guidelines? ?

Every INEP is a self-portrait of the person who wrote it. Autograph yours with excellence. Adapted from Jessica Guidobuno’s Pinnacle Performance Quote.