Page 446

NUTRITION ASSESSMENT and DOCUMENTATION GUIDANCE 7

3) Nutrition Education/Counseling and Recommendations (including breastfeeding contacts) provided. This includes the Delivery Method, Topic, Reinforcements provided (handout, website reference, etc) and SNE (secondary nutrition education) No-shows. 4) Food package prescribed including changes/tailoring or special formula prescribed (including medical documentation). 5) Referrals made (including type and location) and follow-up on previous referrals, as appropriate. 6) Creation of an individual care plan, including High Risk, and plans for follow-up, including goal setting. 7) Follow-up visit information, including a participant’s progress towards behavior change and goals. 8) Author of documentation – automatically stamped in Crossroads MIS.

Good quality documentation allows the WIC staff to start discussions at subsequent appointments with the participant after only a minimal review of the previous nutrition assessment(s).

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Page 446

Official source

NUTRITION ASSESSMENT and DOCUMENTATION GUIDANCE 7

3) Nutrition Education/Counseling and Recommendations (including breastfeeding contacts) provided. This includes the Delivery Method, Topic, Reinforcements provided (handout, website reference, etc) and SNE (secondary nutrition education) No-shows. 4) Food package prescribed including changes/tailoring or special formula prescribed (including medical documentation). 5) Referrals made (including type and location) and follow-up on previous referrals, as appropriate. 6) Creation of an individual care plan, including High Risk, and plans for follow-up, including goal setting. 7) Follow-up visit information, including a participant’s progress towards behavior change and goals. 8) Author of documentation – automatically stamped in Crossroads MIS.

Good quality documentation allows the WIC staff to start discussions at subsequent appointments with the participant after only a minimal review of the previous nutrition assessment(s).