I was wondering how you all handle the fortification process in your units. Do you have a seperate room / area in the unit to do it all in? Do you use HMF? Formula? A combination of the 2 when the calories get big? When using powdered formula to fortify, do you measure it out (using teaspoons...) or weigh it using a gram scale? If you measure it out, how do you clean the teaspoons and the other measuring equipment?
I know one of the current "trends" in neonatal nutrition right now is protein content. How has your unit been dealing with this new push? Our standard TPN / HA starts off at 3g of protein per kg. (the custom TPN/HA then goes off of that / lab values). We just started our Similac roation (6mo Similac, 6mo Enfamil). For our babies on premature formula, we are now exclusively using their high protein (3.3g vs 3g of protein) 24cal forumla. We are in the process of trying to decide how to best make sure that our babies on breast milk (which is most of them) are getting all the protein that they need as well. Do any of you routinely add Beneprotein (or a different protein supplement) to breast milk? Currently we only use protein supplements when babies aren't growing very well despite all other measures.
