Diane, I work at a small hops, maybe 900 births a year. The hosp has a separate fridge just for ebm. It's about the size of the frigde we had in college (years ago) and it also has a thermometer inside. It fits the bill for infection control standards and the moms think it's special. As for transport from home, we suggest they bring it in a cooler. Hope this helps! Elisa Elisa Hirsch, RN,IBCLC Westlake VIllage, CA