HuBERT Structured Exercises Change Food Package CRITERIA: Breastfeeding w oman w ith an infant less than 6 months old in current certification (Certification End Date > today’s date) Mom has discontinued breastfeeding. Create Non-Breastfeeding Postpartum default food package. Mom w ould like 4 pounds of tofu in place of some of the fluid milk. I nfant is fully formula fed. Mom presents medical documentation for pow der Nutramigen (12.6 oz pwd). Prescription expires 4 months from today’s date. How to change food packages for mom and infant: I n Mom’s Participant Folder: o Change WI C category to Non-breastfeeding. o Click another tab o Fill out information in Mother’s WI C category change dialogue Date BF ended Reason Stopped Date Supplemental Feeding began (if blank) o Click OK o Click Food Prescription Edit default food package. Highlight milk, select Edit Food I tem Decrease milk quantity from 13 quarts to 9 quarts. Add Food I tem. Select Milk from Food Category. Select tofu from Food Entry List I tem. (Default is 4 pound, the maximum for postpartum w omen w ithout medical documentation.) Click Ok button. I n I nfant’s Participant Folder: o Click Health Information Select Requires Food Package III check box. o Click Food Prescription Add a food package Select Nutramigen (12.6 oz pwd) Complete Special Prescription I tem box • End date = 4 months from today’s date • Reason = Medical Documentation • Physician’s Name = Dr. Smith • Click OK button Note: Future packages w ill update w ith special formula if w ithin the prescription date range. o Click OK
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