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<strong>Ben</strong> <strong>Hartley</strong> <strong>MS</strong>, <strong>RD</strong><br />

<strong>New</strong> <strong>Employee</strong> <strong>Training</strong> <strong>Lead</strong><br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


<strong>Arizona</strong> WIC<br />

<strong>New</strong> <strong>Employee</strong> <strong>Training</strong> Plan FY 2013<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


“Tell me what this planet says to you about the<br />

hopes you have for your staff.”<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


“Tell me what you’re doing today to make your<br />

hopes and dreams for <strong>Arizona</strong> WIC come true.”<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


What’s Better About <strong>Training</strong><br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

in FY2013?<br />

• Added Conversational Assessment <strong>Training</strong><br />

• Timeline and sequence of activities<br />

• Competence Achievement Checklists<br />

• Better Continuity<br />

• It makes USDA happy!


What’s Better in FY2013?<br />

• The base layers = same foundation.<br />

• The icing = sequence of activities and planned<br />

interaction<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Familiar Friends<br />

L<strong>MS</strong> courses:<br />

WIC 101<br />

AIM 101*<br />

Civil Rights<br />

Anthropometrics<br />

Hematology<br />

Basic Nutr.<br />

Breastfeeding<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

Prenatal Nutr.<br />

Child Nutr.<br />

Infant Nutr.<br />

Postpartum<br />

Nutr.<br />

WIC Listens<br />

PCE course


More Old Friends<br />

• <strong>New</strong> <strong>Employee</strong> Orientation<br />

– HR paperwork etc.<br />

– Computer login/email<br />

– Answering telephones<br />

– Clinic procedures<br />

– Other clinic procedure information<br />

• Food Package training<br />

• Nutrition Education/Health Check training<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


• Blended<br />

Learning<br />

Guidebooks<br />

<strong>New</strong> Friends!<br />

1. Anthropometrics<br />

2. Hematology<br />

3. Basic Nutrition<br />

4. Breastfeeding<br />

5. Prenatal Nutrition<br />

6. Child Nutrition<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

7. Infant Nutrition<br />

8. Postpartum<br />

Nutrition<br />

9. WIC Listens PCE<br />

(Western Region)


More <strong>New</strong> Friends<br />

• ABCDE Assessment Workbook<br />

• ABCDE Assessment Website<br />

• GTHM <strong>Training</strong> (quarterly)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


GTHM <strong>Training</strong>s<br />

(Wed/Thurs 2 day training)<br />

• November 28-29, 2012<br />

• February 6-7, 2013<br />

• May 1-2, 2013<br />

• August 28-29, 2013<br />

• *ABCDE Assessment training must be<br />

completed prior to GTHM training and before<br />

6 th month of employment<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Help for Trainers<br />

• A guidebook has been put together for the<br />

LA Trainers<br />

• Explains each part of the training plan with<br />

places for notes and checklists for tasks<br />

• Overview:<br />

– Phase One: 8 Week Timeline<br />

– Phase Two: Monthly observations, chart<br />

reviews, final comprehensive evaluation (6th month)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Who are “Trainers”?<br />

• Designated by LA Director or Nutrition<br />

Coordinator to provide new employee<br />

training<br />

• More than one Trainer<br />

may be involved in<br />

training a new<br />

employee<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Learning Agreement<br />

• Trainer and <strong>New</strong> <strong>Employee</strong>s (called<br />

“Nutrition Educators”) will read and initial a<br />

Learning Agreement. (week one)<br />

• The Learning Agreement establishes the<br />

necessary courses and activities to<br />

complete training, as well as the<br />

responsibilities of the Trainer and Nutrition<br />

Educators.<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Phase One: 8 Week Timeline<br />

• <strong>Training</strong> activities have a specific order<br />

and suggested time frames<br />

• Periodic discussions and hands-on<br />

practice with the Trainer is required before<br />

moving on to new activities<br />

• Timeline activities may be completed more<br />

quickly than 8 weeks<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Phase One: 8 Weeks<br />

• All required courses and activities which are<br />

required to perform the job functions of a WIC<br />

CPA<br />

• Specific sequence of activities not to be<br />

changed<br />

• Chart Reviews of all certifications by Trainer<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


6 Months of <strong>Training</strong><br />

• Phase One = 8 weeks<br />

– All required courses, activities completed<br />

• Phase Two = Monthly Monitoring (4 mos)<br />

– Observations<br />

– Chart reviews<br />

• Final Comprehensive Evaluation (6 th<br />

month)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Phase Two: Monthly Tasks<br />

• Nutrition Educators work independently<br />

• Trainers observe 7 certifications monthly<br />

(2 infants, 2 child, 1 PG, 1P, 1EN/PN)<br />

• Trainers review 15 charts each month (5<br />

infants, 5 women, 5 children)<br />

•(6th month) Nutrition Educators pass<br />

comprehensive evaluations for each<br />

category<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Chapter 7 and 8 Week Timeline<br />

• Chapter 7 in the P&P lists the activities<br />

that would be completed by the end of<br />

each week of training<br />

• The Trainer’s Instructional Guidebook<br />

includes weekly activities listed from<br />

Chapter 7 in the weekly checklists (p.12-<br />

19)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


8 Week <strong>Training</strong> Timeline in Ch. 7<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


• Tasks listed daily at<br />

top to show<br />

example of how<br />

they might break<br />

down<br />

• List of all weekly<br />

task below to sign<br />

off as completed<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

What if…<br />

• Trainer gets behind on 8 week timeline?<br />

• Trainer gets ahead of 8 week timeline?<br />

• Trainer changes order of timeline<br />

activities?


8 Week <strong>Training</strong> Timeline<br />

WIC 101 AIM 101* Civil Rights<br />

L<strong>MS</strong>, No Guidebooks<br />

Anthropometry Hematology Basic Nutr. Breastfeeding<br />

Prenatal Nutr. Child Nutr. Infant Nutr. Postpartum Nutr. WIC Listens<br />

9 L<strong>MS</strong> Courses with Blended Learning<br />

Guidebooks<br />

Nutrition Assess.<br />

(WB/website)<br />

Food Pkg.<br />

Med/High<br />

Risk Referrals<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

Nutr. Ed,<br />

Health Chk<br />

Chart<br />

Reviews


Blended Learning Guidebooks<br />

• 2 versions: Trainer version, Nutrition<br />

Educator version<br />

• Part self-paced, part interactive<br />

(discussion or demonstration)<br />

• Reflect L<strong>MS</strong> content<br />

• Competency Achievement Checklist in<br />

each Guidebook (signed by Trainer) to<br />

keep on file<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Guidebook Activity (Basic Nutrition)<br />

Think It Through:<br />

• The parents of a WIC child ask you about physical<br />

activity. What recommendations for children can you<br />

share based on the Dietary Guidelines? (Module 1, Slide<br />

18)<br />

• How would you assist a participant asking for resources<br />

that discuss physical activity?<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Rocked it for 8 weeks.<br />

Now what?<br />

• After the 8 week timeline is complete, the<br />

Nutrition Educator works independently.<br />

• Trainer observes 7 certifications/month (2<br />

infant, 2 child, 1 PG, 1 BF, 1 P)<br />

• BF = EN or PN<br />

• Trainer performs chart reviews for a<br />

sample of the infants, children and women<br />

participants (5 each category)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Monthly Tasks:<br />

Observations<br />

Chart Audits<br />

6th month only:<br />

Comprehensive<br />

Evaluations<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

Monthly Observations:<br />

2 Infant, 2 Child, 1 Pregnant, 1<br />

Postpartum, 1 Breastfeeding<br />

5 Infant, 5 Child, 5 Women<br />

Chart Reviews per Month<br />

Comprehensive Evaluations:<br />

Infant, Child, Preg. Breastfeeding,<br />

Postpartum


Comprehensive Evaluations<br />

• Sixth month of employment<br />

• Observe start to finish certification for each<br />

WIC category (infant, child, pregnant,<br />

breastfeeding, postpartum)<br />

• ME Tools for Certification Observation,<br />

Scale Rubric for <strong>Arizona</strong> WIC<br />

Appointments used (p.25-30 and at<br />

azwic.gov)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Trainer Instruction manual<br />

p. 3 Forms to be<br />

submitted<br />

p. 4-7 Intro,<br />

Overview of<br />

<strong>Training</strong> Plan<br />

p. 8-11 Learning<br />

Agreement<br />

p. 12-19 Weekly<br />

Activities<br />

(8 WeekTimeline)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

p. 20-24 Monthly<br />

chart review,<br />

observations<br />

p. 25-30 ME Tools<br />

for Comprehensive<br />

Evaluations<br />

p.31-34 Checklists<br />

for Trainer to sign


Available Upon Request<br />

• Detailed Daily Schedule for 8 Week<br />

<strong>Training</strong> Timeline<br />

• Supplement to evaluating Nutrition<br />

Assessment Conversations (ABCDE)<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


I’ve got a new hire. Help!<br />

Nutrition Services<br />

• Carrie Pfab<br />

• Tasha Foster<br />

• Terri Green<br />

• Heather Liddell<br />

• Maggie Mack<br />

<strong>Training</strong> Team<br />

– <strong>Ben</strong> <strong>Hartley</strong>, <strong>New</strong> <strong>Employee</strong> <strong>Training</strong> <strong>Lead</strong><br />

<strong>Ben</strong>jamin.<strong>Hartley</strong>@azdhs.gov<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Learning<br />

Agreement<br />

8 Week<br />

Timeline<br />

Checklist<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

Monthly<br />

Tasks<br />

Checklist<br />

Comprehensive<br />

Evaluation<br />

Checklist


Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns


Assessment<br />

Skills in the<br />

house!<br />

Bureau of Nutrition and Physical Activity<br />

Health and Wellness for all <strong>Arizona</strong>ns<br />

PCE Skills in<br />

the house!

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