In a message dated 98-08-20 09:43:45 EDT, you write:

<< So how do you sterilize shields in the states? >>

I work for an IBCLC in private practice, we have a retail store front and the
largest Pump rental station in Arizona.

When sterilizing pump kits and the odd SNS or Sheild used in consult (most
times moms are charged for sheilds and sent home with them) we use and
autoclave with "Cavicide"for 10 minutes,  then hospital grade Pressure
Sterilizer.

We used to use 20lb pressure for 30min w/M****and N*****3 parts. Found that
was too long and too hot and now we may carry A***t which recomends 15Lbs
pressure for 16min.This seems to be working well.

You put parts in inner pan of sterilizer which is then floated on top of
distilled water in sterilizer. Lid is put on sterilizer and screwed down.
Place on burner over high heat with pressure spout open until steam is flowing
thru spout. Close spout and watch until sterilizer reaches 15 lb pressure.
Turn heat to low and maintain 15lb for 16-20 minutes. Open spout to let out
pressure if it rises above 15lb. at end of 16 min turn off heat and open spout
to release pressure.  as soon as you are able (handles and lid latches are
very hot) open lid to let steam escape.put lid on "crooked" and allow to air
dry- otherwise the steam condenses and you have to dry off all of your
sterilized parts with a non'sterile towel or you have to allow to air dry and
get water spot all over your sterile parts. Clients wont believe parts are
sterile when they have water spots all over them.

Hope this helps

Cheryl L. Tompkins, CLC