Rule 3701-22-28 | Newborn nutrition.
(A) Each maternity unit or newborn care nursery will develop and follow written service plans for the following:
(1) Administration of donor human milk and donor human milk products, if used, including protocols, equipment, and supplies for the administration of donor milk and donor milk products to newborns requiring intervention; and
(2) Maintenance of newborn nutrition services to ensure that newborn nutritional needs are met.
(B) Each maternity unit or newborn care nursery that provides parenteral nutrition will develop and follow a written service plan for the preparation and administration of parenteral nutrition, including:
(1) Appropriate staff;
(2) Equipment;
(3) Supplies; and
(4) A laminar flow hood, which need not be located in the newborn care nursery.
(C) If the maternity unit or newborn care nursery does not provide for on-site preparation of parenteral nutrition, the maternity unit or newborn care nursery will develop and follow a written service plan for the outsourcing of the preparation of parenteral nutrition.
(D) Each maternity unit or newborn care nursery will provide the necessary support to assess and monitor patients receiving parenteral nutrition.
(E) Maternity units and newborn care nurseries using commercial formula, human milk, donor human milk, or donor human milk products, will provide for the storage and handling of the formula, human milk, donor human milk, donor human milk products, or any combination thereof.
(F) Maternity units and newborn care nurseries that prepare newborn formula on-site will provide an appropriately equipped, designated feeding preparation area. If any formula or human milk requires the addition of more than two measured ingredients, or requires the addition of an ingredient not routinely available in a nursery, a separate formula room will be provided and maintained in accordance with guidelines issued by the American dietetic association.
(1) The formula room may be an area outside the maternity unit or newborn care nursery that is on-site and has qualified staff and policies and procedures for the safe handling of commercial formulas, human milk, donor human milk, and donor human milk products for formula preparation.
(2) The formula room may include outsourcing from the facility that has an enteral formulary room and has qualified staff and policies and procedures for the safe handling of commercial formulas, human milk, donor human milk, and donor human milk products for formula preparation.
Last updated September 2, 2025 at 8:38 AM
Supplemental Information