Hospital Instructions

for Safe Infant Formula Preparation, Storage and Use

Powdered formulas are not sterile. To minimize the risk of infection, powdered formulas are not recommended
for use in premature or immunocompromised infants unless no appropriate nutritional alternative is available,
and then only with strict medical supervision and careful preparation, storage and use. 1

Preparation and Use Instructions1,2 Storage Instructions for Prepared Formula

Follow hospital procedures carefully Recommendation
Refrigeration Dedicated refrigerators recommended
Check label against individual patients feeding order Store at 35-40F (2-4C) no longer than
(confirm product identity and dilution) 24 hours

Wash and dry hands/work area thoroughly Room Temperature Should be fed immediately, but hold no
longer than a total of 2 hours before feeding
Ensure container integrity If bottle is warmed, discard after 1 hour

Avoid touch contamination of formula at each step After Feeding Begins Feed within 1 hour or discard
Do not refrigerate for later feedings
Visually inspect the formula (if anything looks unusual, set
it aside and contact your Mead Johnson representative) Tube-Feeding Hangtimes* Neonates or Infants and Children
Immunocompromised with Healthy
When preparing powdered or concentrated liquid formulas, For prepared formula from: Infants/Children Immune Systems
chilled, sterilized water is recommended
Ready-To-Use unaltered infant
4 hrs 8 hrs
Do not use a blender to reconstitute powdered formula formula (commercially sterile)
Concentrated liquid formulas (commercially sterile)
Do not store in formula warmer or use microwave oven Powdered formulas (not sterile)
4 hrs 4 hrs
to warm formula
Powder added to liquid formula
4 hrs 4 hrs
or expressed breast milk3
*Adapted from Robbins and Beker, p. 91.2
For reservoir and tube-change guidelines, refer to the ADA publication, Infant Feedings: Guidelines for Preparation of
Formula and Breastmilk in Health Care Facilities, 2004. Liquid (commercially sterile)
4 hrs 4 hrs
References added to expressed breast milk
1. International Formula Council. Infant Feeding Safety Issues for Health Care Professionals. Atlanta, Ga: International
Formula Council. 2004:4. 2. Robbins ST, Beker LT, eds. Infant Feedings: Guidelines for Preparation of Formula and
Breastmilk in Health Care Facilities. Chicago, Ill: American Dietetic Association; 2004. 3. Telang S, Berseth CL, Ferguson P,
Kinder J, DeRoin M, Petschow B. Bacterial growth rates in preterm human milk fortified with powdered fortifiers. Pediatr Failure to follow these instructions could result in severe harm.
Res. 2004;55:37A.

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For specific product information, visit mjn.com, contact your local
LB2149 REV 10/10 2010 Mead Johnson & Company, LLC
Mead Johnson representative, or call Medical Services at 1-812-429-6399