In a message dated 9/30/2004 9:09:07 PM Pacific Standard Time, 
[log in to unmask] writes:
a)who does the fortification? ie RN's,LPN's tech's
RN's

b)what protective devices are worn? Do we really have to dress like we are
going to a C/S to fix a bottle of breastmilk?
NO protective devices are needed:
  
•“Whereas universal precautions DO NOT APPLY to human breast milk, gloves 
may be worn by health care workers in situations where exposures to breast milk 
might be frequent, for example in breast milk banking.” 
–Centers for Disease Control. MMWR 1988; 37:377-82 
•“Contact with breast milk does not constitute on occupational exposure risk 
as defined by OSHA standards.” 
–Committee on Pediatric AIDS, AAP. Pediatrics 1995; 96:977-79 

c)are any of you doing checking of the numbers on the breastmilk with 2
nurses before feeding?
YES.  Color coding was not working.

d)do any of you sterilize the pump parts for parents while they are still
in the hospital 
NO, not necessary.
, or do you just instruct them to do this once they get
home? They can sterilize once a day at home as per manufacturer instructions.

e)are any of you using the Medela microsteam bags to sterilize pump parts
or haberman feeders in the hospital, NO
 and if so who is responsible for
doing this? How do you store them after they are sterilized?

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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