Protocols
Formulas
Scenarios
Breastmilk
Memorial Hermann
100

A “low bottle count” sticker should be placed on feeding labels for patients with this number of EBM bottles left in inventory.

What is Twenty?

100

Designed to “give failure to thrive babies a boost toward an epic comeback,” this high-use ready-to-feed formula comes in a 4oz container that is tedious to scan.

What is Fortini?

100

A nurse calls to see how many bottles of EBM are currently available in Enteral’s freezers. This button in Timeless will display all unprepared and prepared bottles.

What is Find Bottles?

100

Breastmilk changes its composition over time, adapting to meet a baby’s changing needs. This special, early milk is rich in antibodies and is yellow in color.

What is Colostrum?

100

“To create healthier communities, now and for generations to come.” is the Memorial Hermann ____.

What is Vision?

200

Freezers holding breastmilk should be kept at this temperature or lower. (in Fahrenheit)

What is -4 degrees?

200

Not to be confused with its pink labeled counterpart, this product gives breastmilk the extra boost needed for our NICU’s most fragile babies.

What is Enfamil Human Milk Fortifier High Protein?

200

A patient's family member stops you in the Atrium to ask for directions to room S5.506. You direct them to this pavilion and floor.

What is Sarofim, fifth floor?

200

While breastmilk can vary in caloric concentration depending on a variety of factors, we estimate that term breastmilk provides an average of this many calories per oz.

What is Twenty?

200

This blonde lab started working in 2019 as CMHH’s first facility dog.

Who is Dexter?

300

During preparation, this is the only product to give a soft stop in Timeless when expiring in the next 24 hours.

What are EBM/DBM?

300

When this powdered infant formula is concentrated over 24cal/oz, this is a red flag to contact the dietitian to clarify the order.

What is Enfamil A.R.?

300

A dietitian calls, letting Enteral know that we can substitute Similac Neosure powder for Enfamil EnfaCare powder in a fortification recipe. This function in Timeless will allow us to change the EBM fortifier so that we can still scan during prep.

What is Manage Patient Feed Orders?

300

Certain fatty acids in breastmilk, such as DHA, are crucial for the growth and development of this part of an infant’s body.

What is Brain/CNS?

300

What year did the hospital to be later known as Memorial Hermann-TMC first open its doors?

What is 1925?

400

Timeless requires documentation of these two pieces of information when receiving a product.

What are Expiration Date and Lot Number?

400

This product comes in both infant and pediatric formulations, differentiated by name and either blue or teal lettering on a white labelled can.

What is EleCare (Infant/Junior)?

400

It’s 11am on a Tuesday and you see a new feed order for Gentlease that doesn’t have a calorie concentration or frequency. This is the first person you should contact to help clarify the order.

Who are Dietitians?

400

These helpful carbohydrates found in breastmilk help grow healthy gut bacteria and prevent harmful pathogens from attaching to the intestine.

What are Human milk oligosaccharides (HMOs)?

400

List the 7 designated holidays.

What are New Year’s Day, MLK Day, Memorial Day, Independence Day (July 4), Labor Day, Thanksgiving Day, Christmas Day?

500

List all necessary information that must be included on a feed order label.

What are Expiration date and time, Patient name, Bedspace, MRN, Feeding type, Feed calorie concentration?

500

The keto products that we have on formulary include KetoCal 4:1, KetoVie 4:1, KetoVie 3:1, and ______.

What is KetoVie Peptide 4:1?

500

Calculate the total volume that should be prepared by AM/PM: Low bottle count EBM 20cal/oz. Bolus feeds 50ml Q3 at 9am, 12am, 3pm, 6pm. Continuous feeds 25 ml/hr x 8h (10pm-6am)

What is 208ml? (=52+52+52+52)

500

This group of enzymes found in breast milk helps infants digest fat but can also cause breastmilk to smell and taste metallic and bitter after prolonged storage in the refrigerator or freezer.

What are Lipases?

500

List the four Memorial Hermann service standards.

What are Safe, Caring, Personalized, Efficient?