1. California WIC Bloodwork Policy 2013 1

2. REVIEW 1 Bloodwork basics: women Test results expire when there is a change of category from: Pregnant to breastfeeding or pregnant to non-breastfeeding 2

3. REVIEW 2 Bloodwork basics: women The results for pregnant women must be dated during pregnancy The results for non-breastfeeding or breastfeeding women must be completed after pregnancy 3

4. REVIEW 3 Bloodwork basics: infant An infant 9 months of age and older shall have a test for anemia 4

5. REVIEW 4 Bloodwork basics: children A child over 12 months of age with a normal result requires a repeat every 12 months 5

6. REVIEW 5 Bloodwork basics: children A below normal result requires a repeat every 6 months, until normal result is documented 6

7. NEW requirement! Request blood early Request bloodwork 2 - 3 months before the bloodwork is required or expired 7

8. NEW requirement! Refer to health care When requesting bloodwork, offer to refer participant to health care if they do not have a medical provider. 8

9. Give a referral form for the next SCHEDULED appointment 9

10. Questions? 10

11. Two other ways to acquire blood  Use of a Maximo PRONTO device for Hemoglobin  Use of a Hemacue device for Hematocrit 11

12. plus one way you cannot! NEVER enter bloodwork data taken verbally from a participant 12

13. How to determine when bloodwork is due LOOK AT THE CAT/EDD H&H FIELD!!! 13

14. The easy way ! 14 Test Result Month/year Test Date 04/12 11 07/11 13

15. For example 15 When is blood due for these children? When are you required to request it?

16. What are the due dates for these children? 16

17. Questions? 17

18. NEW requirement! Missing blood = lab holds Place ‘lab” holds at all appointments and follow up with the participant, until bloodwork is in ISIS. 18

19. NEW requirement! Missing blood = FI restrictions If required blood is missing or expired: Single-issue food instruments 19

20. NEW requirement! Missing blood = FI restrictions Food instruments shall not be double issued, triple issued, or mailed. 20

21. Questions? 21