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11. Sterilization of Bottles and Water

a. Wash your hands well.

b. If sterilization of bottles is not required, clean the bottles and nipples vigorously with soap and water, rinsing thoroughly.

c. If sterilization of water is not necessary, mix tap water with formula as indicated and according to instructions.

d. If preparing bottles of formula for storage, always use boiled water for mixing to decrease the growth of bacteria (germs).

e. If sterilization of equipment is necessary, follow this procedure.

1) Identify the type of equipment to be used. If a commercial sterilizer, review the instructions for its proper use. If sterilizing of equipment is to be done on the stove, assemble the following equipment and then continue with the sterilization procedure.
(a) Nipples   (b) Bottle brush   (c) Dishwashing detergent   (d) Hot water from tap   (e) Large pot with cover   (f) Small towel   (g) Tap water   (h) Timer, watch, or clock   (i) Tongs   (j) Clean, empty jar   2) Wash your hands.   3) Scrub the bottles, nipples, and caps with hot soapy water. Squirt water through the nipple holes to clean out any dried formula.   4) Rinse well with hot water.   5) Fold a small towel to fit the bottom of the pot and lay it there to prevent the bottles from breaking. (Use a towel only if there is no bottle rack available.)   6) Place caps and nipples into a clean empty jar. Place it into the pot at the center of the bottles.   7) Pour water into and around the bottles and into the jar holding the nipples and caps until each bottle is 2/3 filled.   8) Cover the pot.   9) Place the pot on the burner and turn burner setting to high or full.   10) Begin timing for 25 minutes after the water comes to a full boil. Remove the nipples and caps after 15 minutes.   11) After 25 minutes, turn off the burner.   12) Take the cover off the pot and allow it to cool.   13) Remove the bottles with tongs. Do not touch the tops or insides of the bottles.   14) Prepare the formula, place formula in bottles, place nipples and caps on bottles tightly, and cover. Store in the refrigerator. f. Never use formula stored in the refrigerator for longer than 2 days.

g. Formula that has been unrefrigerated for longer than I hour begins to spoil. Dispose of any formula left out for more than an hour and begin with a fresh preparation.

h. Remove the chill from the bottle by placing in a pot of hot tap water for several minutes. Do not heat on the stove.

i. Always test the temperature of the formula on your wrist before feeding to avoid scalding the infant's mouth.

j. Procedure for sterilizing tap water.

1) Assemble the following equipment.   (a) Saucepan   (b) Water   (c) Timer, watch, or clock 2) Wash your hands.   3) Fill the saucepan until it is 2/3 full of water.   4) Place the covered saucepan on the stove and turn the burner to the high setting.   5) Once the water comes to full boil, set the timer for 20 minutes.   6) Turn off the burner and allow the water to cool before mixing.
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lsb 05/30/2002