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["Self-Evaluation Summary Sheet"]
["Reviews:"," # Satisfactory","# Possible","Percentage"]
["Card signed for",20,20,{"$f":"B3/C3","v":1}]
["Address",20,20,1]
["Flow sheet ",4,20,0.2]
["Mother ID on Infant/Child Record",8,8,1]
["ID Documentation",25,30,0.83333333333333337]
["Residency Documentation",28,30,0.93333333333333335]
["Income Determination",18,20,0.9]
["Income Documentation",16,20,0.8]
["Heights/Weights",17,20,0.85]
["Hemoglobin",10,12,0.83333333333333337]
["Health History - Infant/Child ",12,12,{"$f":"B13/C13","v":1}]
["Health History - Women",8,10,0.8]
["Alcohol, Tobacco, and other Drug (ATOD)",8,10,0.8]
["Midcertifications (infants, children, BF Moms)",4,4,{"$f":"B16/C16","v":1}]
["Risks Identified  ",12,20,0.6]
["Documentation of Risks",14,20,{"$f":"B18/C18","v":0.7}]
["Appropriate Food Package",17,20,{"$f":"B19/C19","v":0.85}]
["High Risk/RD Nutrition Referral",0,5,{"$f":"B20/C20","v":0}]
["Appropriate Appointment Schedule",9,18,{"$f":"PRODUCT(B21/C21)","v":0.5}]
["Mandatory Topics",null,null,{"$f":"(B23+B24+B25+B26)/(C23+C24+C25+C26)","v":1}]
["Substance Abuse (All PG Moms and first certs)",12,12,1]
["Finger Foods                                                         (≥9 month infant receiving fresh FV benefits)",1,1,1]
["Exit counseling (PP and BF Moms)",5,5,1]
["Two BF educations (How To's & Benefits)",4,4,1]
["Nutrition Education"]
["N.E. Contacts (quarterly education)",17,20,{"$f":"B28/C28","v":0.85}]
["Appropriate Nutrition Education Topics",12,17,{"$f":"B29/C29","v":0.70588235294117652}]
["N.E. Handouts Provided when Appropriate",5,10,{"$f":"B30/C30","v":0.5}]
["Appropriate Goals",15,17,0.88235294117647056]
[]
["Rational for percentages less than 100:"]
["Unsatisfactory (percentages less than 80):"]
["Health History - Women:  All mandatory fields were not completed, including number of previous pregnancies, date last pregnancy ended, number of infants and month prenatal care began. "]
["Two N.E. Contacts: One client did not have second nutrition education contact, but had been in the current certification for seven months and had two clinic visits. "]
["Food Package:   Two clients were issued food packages containing regular and lactose free milk for a period longer than one month.  Mixed milk packages should only be issued for a client to try lactose free milk.  After the trial only one milk type should be issued."]
["Unsatisfactory (percentages less than 80):"]
["Flow sheet:  The flow sheet was either incomplete or blank."]
["ATOD:  All fields were left blank for two clients and one client has the smoking question not completed."]
["Documentation of Risks:  Two clients had a risk that required documation, Lack of Sanitation and Rountinely Using Nursing Bottles Improperly, but no documentation was recorded.  The risk Routinely Feeding Sugar Drinks was assigned and the documentation did not include specific amounts of sugar drinks consumed.  Lactose Intolerance was assigned by the documentation did not list symptoms the client experienced when consuming dairy. "]
["Appropriate Nutrition Education Topic:  Four clients had four to seven different topics selected at one nutrition education.  An infant topic was selected for a child.  Topic selected for a client was not related to the client's risks."]
["Risks Identified: All risks were not captured, including Breastfeeding Infant of a Priority _ Mother and Closely Spaced Pregnancies.   The health interview was not completed, so the risk Closely Spaced Pregnancies was not auto-generated.   Date last pregnancy ended, number of previous pregnancies and month prenatal care began was not entered, so all applicable risks may not have been assigned.  Two clients had homeless documented on the demographics tab under address but did not have Homeless added as a risk.  Lactose Intolerance was not assigned as a risk in the current certification, but was documented at a previous certification and the client was issued a food package containing lactose free milk.  Three clients were inappropriatly assigned the risk Failure to Meet Dietary Guidelines.  One client did not meet the age requirement of two years and two clients has other risk assigned.  Failure to Meet Dietary Guidelines can only be assigned if no other risks are found and the client is a woman or children 2 years and older.  "]
["Appropriate Next Appoitment:  Check pickup appointment types are given to clients regardless of the appointment type needed, i.e. recertification, nutrition education or high risk."]
["N.E. Handouts: Four education sessions did not have a handout documented.  One education session had three handouts documented.  Several education sessions had inappropriate handouts.  "]
["Goals:  Goals did not match the nutrition education topic, are limited to one or two words (example breastfeeding and healthy drinks) and are not detailed enough to be a goal, the ways to meet the goal were not specific to aid the client in accomplishing the goal or there were no ways to meet the goal.   "]
["High Risk Nutrition Referral:  No high risk clients found during file reviews had been referred to the RD."]

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