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Breast Pump Assessment Chart Clinic Location Standard Values Symphony Lactina MIN setting MAX setting 50 250 mmHg Elevation Pump in Style First phase Second phase Low setting High setting 90 100 mmHg Values should go up as dial is adjusted from MIN to MAX Date Serial Number if applicable Value on MIN/Low MAX/High Is pump function normal Yes No Comments Name of Tester Page 2 Name of Tester.
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How to fill out breast pump assessment chart
How to fill out breast pump assessment chart
01
Gather all the necessary information and documents required for the breast pump assessment chart.
02
Start by filling out the personal information section of the chart, including your name, contact details, and any relevant medical information.
03
Move on to the breast pump details section and provide information about the make, model, and any other specifications of the breast pump you are using.
04
Next, fill out the usage details section, describing how frequently you use the breast pump and for how long each session.
05
In the maintenance and cleaning section, provide details on how you clean and sanitize the breast pump and its parts.
06
If applicable, fill out the section for any issues or concerns you have experienced with the breast pump, such as performance issues or discomfort during use.
07
Finally, review the completed assessment chart to ensure all the information is accurate and complete before submitting it.
08
Submit the filled-out breast pump assessment chart to the relevant healthcare provider or organization as instructed.
Who needs breast pump assessment chart?
01
New mothers who plan to or are currently using a breast pump can benefit from a breast pump assessment chart.
02
Healthcare providers, lactation consultants, and breastfeeding support groups may also need the assessment chart to evaluate a mother's breastfeeding journey and provide appropriate support.
03
Insurance companies or other organizations that offer coverage or support for breast pump usage may require the submission of a breast pump assessment chart to assess eligibility and determine the level of coverage.
04
Any individual or organization involved in monitoring or assisting with breastfeeding or breast pump usage may find a breast pump assessment chart useful for record-keeping and evaluation purposes.
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What is breast pump assessment chart?
The breast pump assessment chart is a document that evaluates the effectiveness and performance of a breast pump.
Who is required to file breast pump assessment chart?
Healthcare providers, lactation consultants, and hospitals are required to file the breast pump assessment chart.
How to fill out breast pump assessment chart?
The chart can be filled out by documenting the usage of the breast pump, any issues encountered, and the overall satisfaction of the pump.
What is the purpose of breast pump assessment chart?
The purpose of the chart is to ensure that breast pumps are functioning properly and meeting the needs of breastfeeding mothers.
What information must be reported on breast pump assessment chart?
Information such as pump brand, model, usage frequency, any complications, and user feedback must be reported on the chart.
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