CHILD CARE

• ASSISTING WITH BOTTLE-FEEDING USING FORMULA

• 1. Wash hands. Prepare materials (bib, nappy or linen, chair)
• 2. Make sure that the formula is fresh and the bottles have been properly stored.
• 3. Check the temperature of the liquid in the bottle before giving it to the baby.
• 4. Check whether the baby is hungry by using rooting reflex
• 5. Prepare the baby before feeding the baby, put on the bib while the baby is inside
the crib.
• 6. Babies should be held during bottle-feeding. Position baby in semi tilted position
or semi-fowlers position.
• 7. Open the bottle & check baby if hungry using rooting reflex (touch side of mouth
with nipple) Place cap on a table in sideways position.
• 8. When feeding the baby, the nipple should be full of liquid to prevent the baby
from sucking and swallowing air.
•
• Let baby consume half of the content to allow some rest.
• To remove the bottle , twist it slowly before removing it.
• This is to prevent a buildup of air by feeding the baby slowly and stopping after every 2
ounces .
• 9. Burp baby.
• This helps get rid of excess air. There are two methods of burping.
• Method A:
• Cover shoulder with a clean cloth or small towel.
• Hold the baby in a vertical position so his head is resting on the caregivers shoulder.
 • Gently rub and /or pat the infant’s back until you hear the burp.
• Method B.
• Sit the infant on your leg so his feet are dangling on your side.
• Put one of your hands on the infant’s chest, and lean the baby over so your hands
supports him.
• Gently rub and pat the baby’s back with your other hand until you hear the burp.
• Method C.
• Place the baby across the lap in a prone position, then gently rub the back.
• Use a nappy or clean linen when burping the baby)
• 10. Feed again to finish milk & burp again
• 11. Return baby to crib
• 12. Record or document the amount of milk consume & discard
unfinished milk.
• MAKING FORMULA
• 1. Perform handwashing
• Before and after the procedure.
• 2. Assemble all equipments.
• Formula milk
• As prescribed by the doctor.

 
 Sterilized H2O
• Leveling Knife
• To prepare the adequate amount of the infant formula.
• Spoon
• To open the lid of the infant formula.
• Tray with linen or nursery rack
• To place the prepared infant formula for feeding the baby.
• Infant Formula Scoop
• 
• 3. Carefully follow the instructions on the label as to the amounts of powder and sterile water to mix together.
Check the milk’s expiration date.
• 4. Get sterilized formula bottle & place in flat surface (table) remove cap & nipple.
• 5. Open the lid of the can using an appropriate equipment if needed, like for example if the can is covered with
a lid, open it with a spoon.
• 6. Pour sterilized water to desired ounce according to baby age, bend knees as you pour water into the bottle.
• Dilute exactly as the directions state. (sample ratio of milk to water : Small scoop -1:1, big scoop – 1:2)
• 7. Scoop milk & scrape it using labeling knife & pour milk inside bottle.
• 8. Cover bottle & shake milk using the circular or rotational technique, continue until milk dissolved.
• 9. Keep the bottle refrigerated until 10 minutes before the feeding. Formula will begin to spoil within 2 hours
when left at room.
• Perform this procedure in 10 minutes or less
• 
•CLEANING & STERILIZATION Of Infant Bottles
•Why do we need to sterilize the baby’s bottles?
•During the first year of the baby’s life, he’s/she’s at his most vulnerable to illnesses.
•If you don’t sterilize the baby’s bottles, viruses, bacteria and parasites can gather on his/her bottle and
in his/her milk and make him ill. 
•Why do we need to sterilize the baby’s bottles?
• The baby could develop anything from Gastrointestinal disorders or infections to a more serious bout
of diarrhea, vomiting, and dehydration.
•Why do we need to sterilize the baby’s bottles?
•It's not possible or practical to create a totally germ-free environment for the baby.
•But by sterilizing the baby’s feeding equipment, you can reduce the risks while he's/she’s at his/her
most vulnerable. 
•1. Gather materials
•Apron
•To protect you from water splashes & soap.
• 2 Basins
• For cleaning the formula bottles
• Liquid or bar soap
• To clean the formula bottles
• Tray with clean linen or
• To put the sterilized formula bottles
• Bottle rack
• To put the sterilized bottles
• Formula bottles  
• Nursery brush
• To remove stubborn dirt
• Tong
• For picking up bottles, rings, cap, lid, & nipple.
• Iodized salt
• To remove unpleasant smell of milk.
• Container for sterilizing the formula bottles.
• 2. Put on the apron
• 3. Place all dirty bottles in the basin and bring to the sink
• 4. Wash bottle in the running water (if possible to remove stubborn milk)
• 5. Place bottles, rings, cap, lid, & nipple in the ward soapy water.
• 6. Clean bottle, lid & nipple with iodized salt to remove smell of milk.
• 7. Brush bottles, caps, lid & nipples in warm soapy H2O, retract nipple to clean the
inside part.
• 8. Rinse all in faucet
• 9. Place bottles, cap, lid and nipple in an upside down pos. inside tray or put in the
rock.
• 10. Bring tray or rock to steamer
• 11. Check steamer if functioning, check plug
• 12. Put H2O in the plate
• 13. Put bottles, lid, nipples & cap inside steamer in upside down pos.
• 14. Start steamer & wait until cover of steamer starts to moisture & start
timing for 20-30 min.
• 15. After 30 min. unplug steamer & remove sterile bottles, caps & nipples
• 16. Place bottles in tray with sterile linen upside down to drain & cover
• 17. Record and set aside for use.
• 
• 2 face towels
• 2 baby diapers
• 2 baby cap
• 2 baby mittens
• 2 baby boots
• 2 baby clothes
• WASH HANDS
• 3. Prepare materials needed on a table
• 1 bath towel to place for removing vest and diaper
• 1 bath towel to receive baby after tub bath
• 1 bath towel to place vest & diaper to dress baby after tub bath
• 3 basins and bath tub and warm water
• cotton balls & cotton swab, shampoo, baby soap, 2 face towels placed in a tray
• Rationale: Arranged equipments makes bathing easy to perform without unnecessary delays.
• 4. Check the room temperature , close door, window/s , aircon, electric fan, et. al.
• Rationale: Prevents chilling of the baby, protects the baby from extreme temperature.
• 5. Check temperature of baby (using a tympanic thermometer)
• Rationale: To determine if the baby is hypothermic/hyperthermic.
• 6. Place baby in 1st receiving towel,
• check diaper if with stool, wipe the buttocks of the baby using the tip of the diaper and
in a downward motion .
• Rationale: Prevents cross infection from anal area to genital area.
• Get wet cotton balls & clean genital area.
• Roll the used diaper, place it inside a plastic bag for segregation.
• Rationale: Reduces the odor & spread of microorganisms from the diaper.
• Remove dress & swaddle the baby.
• squeezed out gently the moist cotton balls.
• wipe the eyes from inner to outer cantus (from right and left),
• then the face – using the S or Z stroke,
• followed by the nose ridge ( downward stroke) ,
• inside the nose (using a wet cotton swab) and ears ( use cotton balls, from front to
back,)
• and pat dry.
• Reminders: Discard cotton balls each time you use it.
• 8. To wash the hair
• hold the infant in the football hold, with the baby’s head over the sink or tub,
• then clip the ears.
• 9. Wet hair apply a small amount of shampoo hair
• massage head with tips of fingers and wash hair( in 1st basin) .
• Rinse hair in another basin and
• dry hair with the face towel & discard towel in the hamper.
• 10. Bring baby to bath tub
• wet feet first to condition baby with temperature of the water.
• Unwrap totally the baby and gently place him on the tub.
• Remove bath towel, throw in hamper
• One of your hands should always be holding the baby.
• Never let go, not even for a second.
• 11. Wash the baby’s body with soap and the washcloth
• using downward stroke, being careful to wash between the folds (creases)
of the skin.
• 12. If the infant is female, always wash the perineal area from front to
back.
• If the infant is male, clean the foreskin by gently retracting it.
• If the child has been circumcised, this is not necessary.
• 13. Rinse the infant thoroughly with warm water.
• 14. Lift the infant out of the water and onto the 2nd towel you laid out.
• wipe dry & massage body a little
• 15. Put towel in hamper & transfer baby in 3rd towel & put on vest &
diaper.
• 16. Return baby back to the crib.
• 17. Remove & clean materials used & put back to its proper place.
• 18. Record or document