From guesswork to framework:
Lead NICU Oral Feeding Decisions with Confidence and Clarity
Help the whole NICU team decide what feeding experience an infant is ready for, before automatically moving to full breast or bottle feeding.
The nofa© framework training course
NICU Feeding Oral Algorithm©
Give your NICU team a clear plan for what happens before an infant is ready for full breast or bottle feeding.
A shared decision-making framework is the number #1 way a NICU team moves from tube feeding toward full feeding without skipping the developmental support an infant needs first.
In fact, evaluating the whole infant is THE answer to feeding decisions that are no longer driven by age, cues, or discharge pressure alone, and no longer left to one opinion on one shift.
And if that wasn't reason enough to pay attention… NICU oral feeding practices remain highly variable between hospitals, between providers, between disciplines, and even between shifts, and every swallow an infant takes temporarily interrupts their breathing.
Your recommendation cannot help an infant while it stays buried in a note.
Developmental feeding gets treated as optional fluff instead of the clinical care it is. You might be...
Stuck with pacifier dips and controlled tastes that you recommend but that are inconsistently provided.
Experiencing strong cues being treated as proof a baby is ready, and postmenstrual age driving decisions that should belong to the whole infant.
Really wanting to intervene before an infant repeatedly struggles, but being unable to do that because therapy is called in only after feeding has already become hard.
You're feeling reactive, unheard, and alone in your concern, and not achieving the shared, followed-through feeding plan you want. Or even worse, watching a baby go straight from tube feeding to bottles without the support they needed first, then struggle right in front of you. But it doesn't have to be this way...
What if you could stop feeling reactive and dismissed?
Plus finally be respected as the feeding specialist you already are?
I’m Casey, a Certified Neonatal Therapist®, and I’ve stood exactly where you’re standing: writing the plan, knowing the baby was not ready, and searching for a clearer way to explain what they were ready for.
That’s why I built NOFA© out of board certification in swallowing, neonatal therapy, lactation, developmental care, real interdisciplinary practice, and my own days as a NICU mother, that is the solution to all the above. It takes everything I learned making feeding programs actually change at the bedside and organizes it into one framework the entire team can follow.
This is not theory I am guessing at. NOFA© has been examined through an IRB-approved study, and I am the creator and copyright owner, so what you learn comes straight from the source.
Here are the truths I unearthed that make NOFA© a framework you cannot find anywhere else:
Language the
Whole Team Shares
I watched good recommendations die in silos, so I designed NOFA© to be spoken by everyone. Nursing, providers, respiratory therapy, therapy, lactation, and families work from one plan, one score, and one set of reasons, and you stop repeating the same education every single day.
Advocacy You Can
Stand Behind
I built NOFA© so your recommendation is clear, documented, and defensible on rounds, with the specific domains driving your concern named out loud. You walk into the conversation prepared, credible, and able to advocate before feeding begins to fail.
Feeding Is a Continuum,
Not a Yes or No
I learned the honest question is not whether a baby can take something by mouth. It is what feeding experience matches this baby today. NOFA© hands you that answer, so skin-to-skin, non-nutritive sucking, dry breastfeeding, and controlled tastes finally count as the clinical progress they are.
And I have taken ALL this experience, philosophy, and hard-earned learning and poured this into NOFA© so you can lead with confidence, all without feeling alone in your concern or responsible for a plan you cannot control.
When You Enroll, You Get The Complete NOFA© Framework Training
This training walks you through the entire NICU Oral Feeding Algorithm from the ground up. NOFA® is the difference between guessing at readiness and knowing exactly what feeding experience a baby can handle today. Every one of the five domains is broken down with real scoring examples, leading to feeding decisions you can defend at the bedside and on rounds.
You will learn how to…
Evaluate the infant across five whole-infant domains
Interpret the cumulative score
Identify the appropriate level of feeding participation
Move beyond vague “not ready” recommendations
Clearly explain what is limiting progression
Communicate the plan to the team and family
Recognize when the score does not match the infant
Separate feeding participation from swallowing safety
You also get:
All 5 Scored Domains
Plus the 0 to 10 interpretation guide that maps every score to the right feeding experience
Score Cards & Scripts
The bedside score card, daily rounds language, and family scripts get your plan followed every time
PDHs
With completion certificate
Real Case Examples
So you can practice scoring the whole infant with confidence
NOFA© is right for you if…
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You write thoughtful feeding plans that get lost from one nurse to the next, or overridden the moment a provider says "start bottles."
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You are often called in only after a baby has already struggled, coughed, or desaturated at the breast or bottle.
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You want a clear way to say what a baby is ready for today, why, and what needs to happen before progressing.
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You are done repeating the same education every day and want change that actually sticks.
You don’t have to navigate this alone.
ONE TIME PAYMENT
$87
Frequently Asked Questions
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You will have access to the course for 6 months from your purchase date! Once you enroll, you can revisit the materials whenever you need a refresher. You will be granted access to the course via email upon purchasing.
Please contact support@texscopedx.com with any technical difficulties.
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No! Whether you're a new clinician looking to build foundational skills or an experienced provider wanting deeper insights, this training meets you where you are with actionable, evidence-based strategies.
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No, this is a pre-recorded, on-demand training, meaning you can watch it at your own pace, anytime, anywhere.
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Upon course completion, you will receive a certificate for professional development hours (PDH). CEU reporting is not included. However, you only need PDHs to maintain licensure.
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NOFA is for any NICU professional who cares about safe, ethical, family-centered feeding.
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I believe NICU clinicians deserve evidence-based tools without having to jump through hoops or break the bank. This price reflects my commitment to making high-quality, practical education accessible to the people who need it most.
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Yes, please send us an email to arrange a group training.
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When you enroll, you're purchasing access for ONE person to the course and materials. If you have colleagues, friends, or leadership who would like to take the course, please refer them to this page to purchase their own access to the materials.
Sharing the materials and access is a violation of the course's terms, which you agree to upon purchase. This will result in immediate removal from the course without refund.