Thanks to all who e-mailed me their current practices.  The more I've been 
looking into this issue, the more I am realizing what practice to follow 
depends on how the milk is viewed.  Those that feel fortified milk is a 
medicine are the ones who are recommending that any unused "dose" is 
discarded after administration.  Those that feel fortified milk is a food 
recommend the standard formula preparation guidelines.
Fortunately, our director of neonatology feels that fortified EBM is first 
a food, secondarily a medicine.  Our new policy states that fortified EBM 
can be refrigerated up to 24 hours.  Our nurses are happy, I am happy, our 
docs are happy, and most important of all, our moms and babies are happy.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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