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Infant and Pediatric Feedings:
Guidelines for Preparation of Human Milk and Formula in Health Care Facilities
Third Edition

Book and Study Guide By Editors
Caroline Steele, MS, RD, CSP, IBCLC, FAND
Emily Collins, MHA, RD, CNSC

28 CPEUs

Book, 266 pgs and Study Guide with 1 Reporting Form, 39 pgs.
Provides comprehensive up-to-date information on human milk and formula storage, handling, and preparation techniques based on the latest scientific research, public policy, and expert consensus. More specifically you will discover:

  • guidelines for implementing centralized infant and pediatric feeding preparations,
  • information on donor human milk along with guidelines for human milk products,
  • the latest on lactoengineering techniques,
  • about the use of blenderized tube feedings within the hospital setting, and
  • expanded information on modular components and other additives.

For more information and customer comments, click here.

Approved/Accepted by CDR

For RDs/RDNs & DTRs/NDTRs for the Professional Development Portfolio

SUGGESTED Performance Indicators (PIs):
1.2.1, 1.2.3, 1.2.4, 1.2.1, .1.2,5, 1.2.6, 1.6.5, 3.1.3, 3.1.6., 3.1.7, 4.2.8, 4.2.9, 5.1.3, 5.1.4, 6.1.2, 6.1.3, 6.1.6, 6.1.7, 7.1.1, 7.1.2, 7.1.3, 7.1.5, 7.1.6, 7.2.1, 7.2.2, 7.2.5, 7.2.7, 7.2.8, 7.2.9, 7.2.10, 7.2.11, 7.1.4, 7.3.1, 7.3.2, 8.1.4, 8.3.6, 9.4.7, 10.5.1, 11.1.3, 11.3.4, 12.3.6, 12.3.8, 13.1.2, 13.1.3, 13.1.4, 13.1.5, 13.1.6, 13.1. 7, 13.2.5, 14.1.2, 14.1.4, 14.1.7, 14.2.6

DON'T SEE your Performance Indicators Listed here?
There are many Performance Indicators (PIs) that are applicable we can't list them all &
Per CDR you may use ANY PI as long as it relates to your Learning Plan.
For details
click here.

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To order an ADDITIONAL Reporting Form click below:

28 CPEUs

Infant and Pediatric Feedings:
Guidelines for Preparation of Human Milk and Formula in Health Care Facilities
Third Edition

Book and Study Guide By Editors
Caroline Steele, MS, RD, CSP, IBCLC, FAND
Emily Collins, MHA, RD, CNSC

Copyright 2019 Wolf Rinke Associates, Inc. All rights reserved for this self-directed, accredited learning program. Reproduction in whole or part without written permission from the publisher is prohibited.


Madonna G. Whelan - "It really seemed to cover everything from start to finish. I really learned a lot. This should be a required course for anyone preparing infant feeds from either MBM or formula."


Welcome to the pre-approved, accredited CPE program for Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, Third Edition. The program consists of a book of the same title edited by Caroline Steele and Emily Collins and this study guide. This CPE program is designed to help you identify key best practices for the safe and accurate handling of human milk and formula within the health care setting. The intended audience is the RDN, NDTR, or other clinicians responsible for the development and/or oversight of hospital infant/pediatric feeding operations. The emphasis of this study guide is regulatory compliance and best practices for the safe and accurate preparation and distribution of human milk and infant/pediatric formulas. It is also designed to help you earn 28 Level 2, Continuing Professional Education Units (CPEUs).

To get the most out of this CPE program, it is suggested that you adhere to the following four steps:

  • Review the objectives in this study guide.
  • Read and study the book.
  • Assess what you have learned by answering the self-assessment questions in this study guide.
  • Compare your answers to the answer key, which you will find at the end of the study guide. If you scored at least 80% (60 questions) correct, you have completed the program and are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM in front of this study guide. If you scored less than 80% correct, re-read the appropriate sections of the book and re-test yourself until you score at least 80% (60 questions) correct.

After you have successfully completed the program, complete the CPE REPORTING FORM and:
Submit online at www.easyCPEcredits.com,
Or fax to (410) 531-9282,
Or mail to Wolf Rinke Associates, 3801 Schuylkill Road, Spring City, PA 19475.

Upon receipt of your CPE Reporting Form, we will email you a Certificate of Completion
within 3-5 business days.

When you submit your CPE Reporting Form to us via www.easyCPEcredits.com, fax, or mail be sure to write your correct email address in the space provided on the CPE Reporting Form. If writing by hand, be sure to print your email address clearly.

To ensure that our emails are delivered to your inbox (instead of your junk/spam folders), please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.


Upon completion of this CPE program you will be better able to:

  • Evaluate current human milk and formula handling procedures within your organization to ensure that processes are in alignment with best practices.
  • Advocate for necessary changes for best practices regarding human milk and formula handling within your organization.
  • Create an operational plan for initiating or expanding infant/pediatric feeding preparation operations.
  • Develop policies and procedures that outline specific processes for infant/pediatric feeding handling including staffing, sanitation, refrigeration, storage, preparation, and distribution.
  • Generate an implementation plan including key stakeholder communication and education.
  • Implement best practices in the handling of infant and pediatric enteral feedings.
  • Perform ongoing quality monitoring of handling procedures, with adjustment of processes as indicated, using quality improvement tools such as Hazard Analysis Critical Control Point (HACCP) or Plan-Do-Check-Act (PDCA) cycles.


General Guidelines for Human Milk and Formula Preparation
Chapter 1: Getting Started
Chapter 2: Physical Facilities
Chapter 3: Equipment and Supplies
Chapter 4: Staffing and Workflow
Chapter 5: Expressed Human Milk Preparation and Handling
Chapter 6: Lactoengineering
Chapter 7: Donor Human Milk, Human Milk Products, and Milk Sharing
Chapter 8: Formula Preparation and Handling
Chapter 9: Blenderized Tube Feeding
Chapter 10:Modulars and Other Additives
Chapter 11: Delivery and Bedside Management of Feedings
Chapter 12: Microbiology and Infection Prevention
Chapter 13: Quality Assurance, Monitoring, and Emergency Preparedness
Considerations for Noncentralized Handling of Human Milk and Infant/Pediatric Formulas in Health Care Facilities


Caroline Steele, MS, RD, CSP, IBCLC, FAND is the Director of Clinical Nutrition & Lactation Services at Children’s Hospital of Orange County (Orange, CA). She is a Registered Dietitian, Board Certified Specialist in Pediatric Nutrition, Fellow of the Academy of Nutrition and Dietetics, and an International Board-Certified Lactation Consultant with over 25 years of clinical experience. Caroline has many professional publications and is a frequent lecturer on a variety of topics including breastmilk and formula handling, parenteral nutrition, and malnutrition documentation. She is also the co-editor and an author of the 3rd edition of the publication Infant and Pediatric Feedings: Guidelines for Breastmilk and Formula Preparation in Health Care Facilities and was an author of the 2nd edition of the publication. Caroline has received several professional awards including the Washington State Dietetic Association awards for Excellence in Clinical Practice in Research, the Recognized Young Dietitian of the Year, and the Outstanding Dietitian of the Year as well as the AAP District VIII Award for Research Excellence, the ASPEN Abstract of Distinction, and the Health Information Management Systems Society Davies Award for use of healthcare IT to improve patient safety.

Emily Collins, MHA, RD, CNSC is a Registered Dietitian and is the Administrative Nutrition Manager of Ambulatory Care Services at Michigan Medicine (University of Michigan Health System; Ann Arbor, MI). Emily works with a team of 40 Registered Dietitians who provide nutrition services for both pediatric and adult primary and specialty care patients. In addition to current experience in clinical nutrition management, Emily’s past work experience includes pediatric clinical work and a variety of clinical nutrition management roles. She completed operational planning/oversight of the 24-hour per day infant and feeding preparation operation at the University of Michigan, the Milk Room, and provided daily oversight following its conception. She is the co-editor of the 3rd edition of the publication Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. She has specialty certification in pediatric and adult nutrition support.


Wolf J. Rinke, PhD, RDN is the president and founder of Wolf Rinke Associates, Inc., a company that has provided high-quality CPE programs to nutrition and dietetics practitioners since 1990.
Dr. Rinke earned a BS at Drexel University, an MS at Iowa State University, a PhD in Continuing and Vocational Education (Adult Ed) at the University of Wisconsin and interned at Walter Reed Army Medical Center. He participated in a test item writer workshop sponsored by the Commission on Dietetic Registration (CDR).
Dr. Rinke is a past Adjunct Associate Professor, Graduate School of Management & Technology at the University of Maryland, and a former Adjunct Faculty Member of the School of Continuing Studies at The Johns Hopkins University. He has served as past president of the District of Columbia (DC) Dietetic Association and has been honored by the Academy of Nutrition and Dietetics with the Award for Excellence in the Practice of Management, the Outstanding Dietitian of the Year Award, and the Outstanding Service Award, in addition to delivering the Lenna Frances Cooper Lecture.
Dr. Rinke has served in numerous leadership roles at the Academy of Nutrition and Dietetics: Chair of the Scholarship Committee for Dietitians in Business and Communications; Chair of the Communication Committee, Honors Committee, and Licensure Panel and Ethical Practices Task Force for the Commission on Dietetic Registration; Chair of the Area Coordinating Committee and Chair for the Code of Ethics; Member of the Resource for Education Programs Committee; Member of the House of Delegates; and Member of the Board of Directors.
Dr. Rinke is the author of more than 500 articles, numerous CPE self-study programs, and several popular books including Make It a Winning Life: Success Strategies for Life, Love and Business; Winning Management: 6 Fail-Safe Strategies for Building High-Performance Organizations; and Don’t Oil the Squeaky Wheel, and 19 Other Contrarian Ways to Improve Your Leadership Effectiveness.


Special thanks to the following individuals for their careful review of this CPE program.

Lisa Peabody, RD, LMNT
Chief Clinical Dietitian
Methodist Women’s Hospital
Omaha, NE

Rachel Riddiford, MS, RD, LD
Director, Clinical Nutrition
Dayton Children’s Hospital
Dayton, OH

Susanne Trout, MS, RDN, LDN, IBCLC
Director, Formula and Human Milk Management, Executive Director CHOP Mothers’ Milk Bank
Children's Hospital of Philadelphia
Philadelphia, PA

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