Chapter Nineteen Breastfeeding Education and Support Chapter Nineteen – Breastfeeding Education and Support Contents Chapter Nineteen Breastfeeding Education and Support .................................................................... 19-1 Overview .............................................................................................................................................. 19-6 Introduction ..................................................................................................................................... 19-6 In This Chapter ................................................................................................................................. 19-6 Section A Breastfeeding Promotion ..................................................................................................... 19-7 Staffing ............................................................................................................................................. 19-7 Funding ............................................................................................................................................ 19-7 WIC Breastfeeding Committee ........................................................................................................ 19-7 Clinic Environment ........................................................................................................................... 19-7 Breastfeeding Messages and Resources .......................................................................................... 19-7 Allowable Breastfeeding Aids .......................................................................................................... 19-8 Allowable-Conditional Aids .............................................................................................................. 19-8 Unallowable Breastfeeding Aids ...................................................................................................... 19-8 Allowable Activities .......................................................................................................................... 19-8 Management Evaluations ................................................................................................................ 19-9 Breastfeeding Referral: Peer Counselor Program ............................................................................ 19-9 Breastfeeding Hotline ...................................................................................................................... 19-9 Breastfeeding Assessment ............................................................................................................. 19-10 Breastfeeding Category Change and/or Partially Nursing Infant Food Package Benefits ............. 19-10 Tailored Food Packages for Partially Nursing Infants .................................................................... 19-11 Mid-Month Category Change ........................................................................................................ 19-11 Section B Breastfeeding Education and Support Training – Staff ...................................................... 19-12 Purpose .......................................................................................................................................... 19-12 Local Agency Breastfeeding Designations ..................................................................................... 19-12 New Staff – Orientation ................................................................................................................. 19-12 New Staff – Level 1 Training: Prerequisite: Introduction to Breastfeeding Course ....................... 19-12 Level 1 Breastfeeding Services Defined For Certifying Staff: ......................................................... 19-13 Level 1 Breastfeeding Services Defined For Non-Certifying Staff: ................................................. 19-13 New Staff: Level 2 Training: Prerequisite: Introduction to Breastfeeding and WIC Breastfeeding Basic Courses ................................................................................................................................. 19-13 Level 2 Breastfeeding Services Defined ......................................................................................... 19-14 Designated Breastfeeding Expert Skills Application ...................................................................... 19-14 Level 3 Breastfeeding Services: Suggested Prerequisite: Breastfeeding Course, WIC Breastfeeding Basic, WIC Breastfeeding Boot Camp ............................................................................................ 19-14 Arizona WIC Program Original: March 1997 Policy and Procedure Manual 19-2 Revision: February 2021 Chapter Nineteen – Breastfeeding Education and Support Level 3 Breastfeeding Services Defined: ........................................................................................ 19-14 Staff – Annual Continuing Education ............................................................................................. 19-15 Staff – Level 2 Breastfeeding Services ........................................................................................... 19-15 Documentation of Staff Breastfeeding Education ......................................................................... 19-15 Section C Breastfeeding Education/Support – Participant ................................................................ 19-16 Purpose .......................................................................................................................................... 19-16 Documentation: Individual Participant Breastfeeding Education ................................................. 19-16 Breastfeeding Education ................................................................................................................ 19-16 Documentation: Group Breastfeeding Classes .............................................................................. 19-16 Breastfeeding – “Keep It Simple” Book .......................................................................................... 19-17 Breastfeeding Bookmarks .............................................................................................................. 19-17 Medication/Herbal Supplements ................................................................................................... 19-17 Emergency Breastfeeding Services: General ................................................................................. 19-17 Chapter 19 Section D Breast Pump Distribution and Recovery Guidelines ....................................... 19-18 Policy .............................................................................................................................................. 19-18 Purpose .......................................................................................................................................... 19-18 Administrative Costs ...................................................................................................................... 19-18 Breast Pump Coordinator .............................................................................................................. 19-18 Managing Pump Inventory ............................................................................................................. 19-18 Ordering Process and Available Breastfeeding Supplies ............................................................... 19-19 Inventory Documentation .............................................................................................................. 19-19 State ID Tag .................................................................................................................................... 19-19 Issuer .............................................................................................................................................. 19-19 Active Certification ......................................................................................................................... 19-19 Pregnancy ....................................................................................................................................... 19-20 Breastfeeding Assessment – Pumps .............................................................................................. 19-20 Common Circumstances ................................................................................................................ 19-20 Multiple User Electric Breast Pump ............................................................................................... 19-21 Process of Issuance: Multiple User Breast Pump........................................................................... 19-21 Length of Issuance: Multiple User Breast Pump ............................................................................ 19-21 Process of Return: Multiple User Pump ......................................................................................... 19-22 Single User Breast Pump ................................................................................................................ 19-22 Issuance: Single User Breast Pump ................................................................................................ 19-23 Process of Issuance: Single User Breast Pump ............................................................................... 19-23 Pump Denial 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