Section 325.1056. Formulas and water solutions for infant feeding.

Rule 56. (1) Infant formulas and  water  solutions  prepared  in the hospital for use in infant feeding shall be made and used with the following restrictions:

(a)   A separate room shall be provided for the preparation of infant formulas and water solutions and shall be reserved for this purpose  only.

(b)   The formula room shall contain a handwash lavatory with tempered running water, soap, and individual towels in  a towel dispenser for hand-washing.

(c)    The formula room shall have a double compartment sink with hot and cold running water for use in the preparation of infant formulas and water solutions.

(d)  The formula room shall contain enclosed cabinets  for  storage  of supplies used in the preparation of infant formulas and  water  solutions.

(e)    Cleaning supplies used in the formula room shall be stored in a separate cabinet clearly identified for this purpose only.

(f)   A refrigerator shall be available exclusively for the storage of infant formulas and water solutions requiring refrigeration.

(g)     After nippling and capping each individual unit of infant formula or water solution prepared in the formula room, the unit shall be subjected to  a  terminal sterilizing process at a minimum of 230 degrees Fahrenheit at 7 pounds pressure for 10 minutes.

(h)   Nipples shall not be changed  following  sterilization.  Provision shall be made to protect the sterility of the units in transportation from the formula room to the infant.

(i)   The sterility of infant formulas and water solutions prepared in the formula room and the attached nipples shall be checked by bacteriologic methods at least once a month.

(j)    Records of the bacteriologic check of infant formulas and water solutions prepared in the formula room and the attached nipples shall be maintained for 1 year from the date of bacteriologic check.

(k)     The hospital shall develop and have available written policies for the preparation, storage, distribution, and use of infant formulas and water solutions prepared in the formula room.

(2)   Commercially prepared and prepackaged infant formulas and water solutions used for infant feeding shall be used with the following restrictions:

(a)    The director of public health shall approve each type of packaged unit of commercially prepared and prepackaged infant formula and water solution before it can be used for infant feeding.

(b)   Disposable components of commercially prepared and prepackaged infant formula and water solution units shall not be reused.

(c)   Enclosed cabinets shall be provided for the short-term storage of commercially prepared and prepackaged infant formulas and water solutions removed from their original   shipping  carton  and  not  requiring refrigeration.

(d)   Nipples shall not be changed following assembly of commercially prepared and prepackaged infant formula and water solution units.

(e)   A refrigerator shall be available exclusively for the storage of infant formulas and water solutions requiring refrigeration.

(f)  Provision shall be made to protect the sterility of the commercially prepared and prepackaged  formula  and  water   solution  units    in transportation from the point of unit assembly to the infant.

(g)   The hospital shall develop and have available written policies for the storage, assembly, distribution, and use of commercially prepared and prepackaged units of infant formula and water  solution used for infant feeding.

History: 1954 AC; 1979 AC; 1979 ACS 6, Eff. Apr. 10, 1981.