The Guidelines and Evaluation Criteria for Hospital and Birthing Center Implementation of the U.S. Baby-Friendly Hospital Initiative¹ was updated to be effective for onsite assessments taking place from 2/1/2020 to 12/31/2022 in the United States. Step 2 states, “Train all health care staff in the skills necessary to implement this policy,” (p 10).
The 2019 update added language to the criterion for evaluation. "This designated health care professional(s) will provide documentation that training for breastfeeding and parent teaching for formula preparation and feeding is provided for all health care staff caring for mothers, infants and/or young children and that the staff are oriented on arrival and scheduled for the completion of training within 6 months (for example, by providing a list of new staff who are scheduled for training)."²
This new language provides clarification that all policy and new staff training are to be completed by 6 months after hire date. Remember that Step 2 Education assists you in keeping track of your staff’s progress in the training and will be able to provide you with certificates for the BFHI Designation walkthrough of your facility.
Please be sure to reach out with any questions about staff training, documentation, or issues regarding your Step 2 Education account.
Rooting for you and your work toward the BFHI facility designation.
Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA CHC
Professional Development Educator
1. Baby-Friendly USA. "Interim Guidelines and Evaluation Criteria for Facilities Seeking and Sustaining Baby-Friendly Designation." Albany, NY: Baby-Friendly USA, 2019.
2. Baby-Friendly USA. "Summary of Changes: Interim Guidelines and Evaluation Criteria for Facilities Seeking and Sustaining Baby-Friendly Designation." Albany, NY: Baby-Friendly USA, 2019.
Both documents can be freely downloaded from:
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Last Updated: September 2018