A
: In each health care facility, it is important to involve the appropriate professionals in developing procedures for using safe techniques in the preparation and use of tube feedings and in setting quality assurance protocols for monitoring those techniques.
The Academy of Nutrition and Dietetics (formerly American Dietetic Association) suggests a hangtime of 4 to 8 hours is acceptable for commercially sterile ready-to-feed products when carefully poured from the container into a tubefeeding setup. This includes Ready To Feed infant formulas, Pedialyte®, and PediaSure® products.
Any feedings that are reconstituted with water or modified in any way should be prepared using aseptic technique and should hang for no more than 4 hours. This includes concentrated liquid and powder formulas, fortified human milk, and any feedings to which other ingredients are added.
Adapted from:Pediatric Nutrition Practice Group, Robbins ST, Meyers RE, eds. Infant Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 2nd ed. Chicago: American Dietetic Association; 2011.
Campbell SM: Preventing Microbial Contamination of Enteral Formulas and Delivery Systems. Columbus, Ohio: Ross Products Division, Abbott Laboratories, 2003.
Bankhead R, Boullata J, Brantley S, et al. A.S.P.E.N. Enteral Nutrition Practice Recommendations. JPEN. 2009;33:122-167.