Division of Community Nutrition

Subject: Supplemental Nursing System (SNS) Policy: BF 04.4 Reference: N /A Effective: March 14, 2022 Supersedes: August 12, 2013

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I. Policy:

The Supplemental Nursing System (SNS) shall be offered to participants who have an inadequate milk supply and do not wish to offer supplemental feeding through bottles, syringes, cups, etc.

II. Procedure(s):

A. Participants issued an SNS shall be referred to the local agency Breastfeeding Coordinator, Designated Breastfeeding Expert (DBE), or a community IBCLC for close follow up.

B. The local agency Breastfeeding Coordinator/DBE shall:

1) Offer the SNS based on the following priority:

a. Priority 1: Failure to thrive or slow weight gain infant

b. Priority 2: Special needs infant

c. Priority 3: Suck dysfunction

d. Priority 4: Relacation

2) Breastfeeding Coordinator or DBE shall inform the participant’s health care provider when SNS is provided.

3) Monitor the infant’s weight gain while on the SNS. For high risk follow-up instructions, refer to NEd 02.3.

4) Provide follow up within one week to participants who receive SNS and document in the family care plan

C. The health care provider shall determine the type of milk supplement the infant shall receive through SNS.

D. SNS shall not be reused due to cross-contamination.