pharm

Pharmacy ServiceVA Design Guide

11 November 1995

Department of Veterans AffairsVeterans Health AdministrationOffice of Facilities Management

Facilities Quality OfficeStandards Service

202 565 6775

Final Draft

Revised March 1997

Final Draft 11-30-95Revised March 1997

VA DESIGN GUIDEPHARMACYSERVICE

FINAL DRAFT

DEPARTMENT OF VETERANSAFFAIRS VETERANS HEALTHADMINISTRATION FACILITIESMANAGEMENT OFFICE


VA DESIGN GUIDEPHARMACY SERVICE FORWARD

Foreword

The material contained in the Pharmacy DesignGuide is the culmination of a partnering effort bythe Department of Veterans Affairs PharmacyService, the Department of Veterans AffairsVeterans Health Administration, and theFacilities Quality Office. The goal of the DesignGuide is to simplify the design process and toensure the quality of VA facilities whilecontrolling construction and operating costs.

This document is intended to be used as a guideand to supplement current technical manualsand other VA criteria in planning inpatient andoutpatient pharmacies. The Design Guide is notto be used as a standard design and use of theDesign Guide does not preclude the need for afunctional and physical design program for eachspecific project. It is the project Architects andEngineers responsibility to develop a completeand accurate project design that best meets theusers needs and applicable code requirements.

_______________________________________

Lloyd H. Siegel, FAIADirector, Facilities Quality Office


VA DESIGN GUIDEPHARMACY SERVICE CONTENTS

Contents

Section 1 Introduction, Acknowledgments,Abbreviations, and Legend Symbols

Section 2 Narrative

Section 3 Functional Diagrams

Section 4 Design Guide Plates and DesignStandards: Inpatient Pharmacy

Section 5 Design Guide Plates and DesignStandards: Outpatient Pharmacy

Section 6 Design Guide Plates and DesignStandards: Pharmacy SpecializedPrograms


VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 1

Section 1Introduction,Acknowledgments,AbbreviationsLegend of Symbols

Page

Introduction ..................................................... 1-1

Acknowledgments ........................................... 1-2

Abbreviations .................................................. 1-3

Legend of Symbols ......................................... 1-4


VA DESIGN GUIDEPHARMACY SERVICE PAGE 1 - 1

IntroductionThe Pharmacy Service Design Guide is intendedto be a graphic consolidation of existingDepartment of Veterans Affairs standards andcriteria. It contains data from the followingsources:

Master Construction Specifications PG-18-1

Construction Standards H-18-3

Standard Details PG-18-4

Equipment Guide List PG-7610

List of Equipment symbols PG-18-6

Space Planning Criteria PG-7610

Barrier-Free Design Handbook H-18-13

Room Finish and Door Hardware SchedulePG-18-14

Various Technical Criteria (Design Manuals)pertaining to Architectural, HVAC, Plumbing,and Electrical.

Consensus information from various VAmedical centers.

Ambulatory Care Program Division

The Design Guide refers to the abovementioned sources when data is either toodetailed or too broad to be included in this guide.

The Design Guide for Pharmacy Service wasdeveloped as a design tool to assist the medicalcenter staff and the contracting officers in betterunderstanding the choices that designers askthem to make, and to help designers understandthe functional requirements necessary for properoperation of Inpatient and Outpatient PharmacyServices.

The Guide Plates contained in the PharmacyService Design guide are intended asillustrations of VA's furniture, equipment andpersonnel space needs. They are not meant tolimit design opportunities.

This Design Guide is not intended to be project-specific. While it does contain the vast majorityof spaces required in Pharmacy Services, it isnot possible to foresee all future requirements. The project-specific space program is the basisfor an individual project design. It is important tonote that the guide plates are a generic graphicrepresentation only.

Equipment manufacturers should be consultedfor actual dimensions and utility requirements.Use of this Design Guide does not supersedethe project architect's and engineers'responsibilities to develop a complete andaccurate design that meets the user's needs andthe appropriate code requirements.



AcknowledgmentsCredit is due to the following individuals whose guidance, advice, and effort made this publicationpossible:

FACILITIES MANAGEMENT OFFICE

C.V. Yarbrough Chief Facilities ManagementOfficer

Robert L. Neary, Jr. Deputy Chief FacilitiesManagement Officer

Lloyd H. Siegel, FAIA Director, Facilities QualityOffice

Leo A. Phelan, AIA Director, StandardsService

Mark G. Hall Design Guide Developer,Architect

William J. Leahy Architect

Wesley C. Wheeler Jr. Architect

Jennifer S. Webb Intern Architect

Sheila C. Jackman Secretary

Frances C. Wells Secretary

Satish Sehgal Mechanical Engineer

E.T. Minter Plumbing & SanitaryEngineer

CRITERIA, POST OCCUPANCYEVALUATION AND PLANNING SUPPORTSERVICE

Fred Amthor Chief, Criteria Division

John Sibenik Criteria Division

Frank Kernan Chief, Planning Support Division

Al Wong Equipment Criteria

PHARMACY SERVICE PROGRAM DIVISION

Mr. John E. Ogden Director,Director for Pharmacy Service

Ms. Louise R. Rodriguez Chief,Clinical Pharmacy/Quality Management

Mr. Andrew Muniz Chief, Field Operations

Dr. Jeff Ramirez Chief,Management and Clinical Information Systems

Dr. Gabriel Manasse DAD Chief MedicalDirector (Acting)

Dr. David H. Law Associate DeputyChief Medical Director for Clinical Programs

PRIVATE SECTOR CONSULTANTS

Kevin Carter Smith Hinchman & Grylls



AbbreviationsA AmperesAC/HR Air Changes per HourADA Americans with Disabilities ActAFF Above Finished FloorAI Acquisition and InstallationA&MM Acquisitions and Material ManagementAR As RequiredAT Acoustical Ceiling TileC Degrees CelsiusCC Contractor Furnished and Installed,

Construction FundsCF Construction Funds, VA Furnished,

Installed by VA or ContractorCFM Cubic Feet per MinuteCLG CeilingCMU Concrete Masonry UnitCP Carpet (without cushion broadloom)CS Construction StandardCT Ceramic TileDISCSW Disconnect SwitchEASS Electronic Access Security SystemEtO Ethylene Oxide GasEXH ExhaustF Degrees FahrenheitFC Foot-candleFD Floor DrainFIXT FixtureFLUOR FluorescentFM Facilities Management OfficeGFI Ground Fault InterrupterGWBD Gypsum WallboardHAC Housekeeping Aids ClosetHVAC Heating, Ventilation, and Air

ConditioningHP HorsepowerHR HourICU Intensive Care UnitK KelvinKW KilowattLB Pound/PoundsLLTS Lounge, Lockers, Toilets, and

ShowersMCS Master Construction SpecificationsMTD MountedNA Not Procured with Activation FundsNFPA National Fire Protection AssociationNSF Net Square FeetNSM Net Square MetersOSD Open Site DrainPCP Portland Cement PlasterPH Phase

PL PlasterPREP PreparationPSIG Pounds per Square Inch GaugeQT Quarry TileRB Resilient BaseSC Special Coating (High Build Glazed

Coating)SD Standard DetailSF Square Feet, Square FootSPD Supply, Processing, and DistributionSOPC Satellite Outpatient ClinicSS Stainless SteelTELEC TelecommunicationsUFAS Uniform Federal Accessibility

StandardsV VoltsVA Department of Veterans AffairsVACO Veterans Affairs Central OfficeVAMC Veterans Affairs Medical CenterVC VA Furnished and Contractor Installed

-- Medical Care Appropriation forEquipment and ConstructionAppropriations for Installation

VCT Vinyl Composition TileVHA Veterans Health AdministrationVV VA Furnished and Installed-VHA

AppropriationW WattsW/SF Watts per Square FeetW/SM Watts per square meterW/m2 Watts per square meter



Section 2Narrative

Page

General Considerations...............................2 - 1

Functional Considerations ...........................2 - 1

Technical Consideration ..............................2 - 2


VA DESIGN GUIDEPHARMACY SERVICE PAGE 2-1

NarrativeGeneral Considerations

Current DirectionThe pharmacy department serves both theinpatient and outpatient environments.

The inpatient component usually consists of alarge centralized facility.

VA Hospitals usually have separate outpatientpharmacies.

Ambulatory Care Center pharmacies are oftenleased and operated by a separate entity in theprivate sector, VA maintains direct control oftheir hospital based inpatient and outpatientpharmacies as a component of managed care.

TrendsMore “just in time” deliveries from the vendorresulting in less need for long-term storage.

More enhanced communications systemsthroughout the hospital with faster response toneeds.

Better automated delivery systems will beavailable for transporting medications.

Decentralized clinical “product-line” pharmacieswill be considered where volumes and activitieswarrant.

Inpatient satellite pharmacies within CardiacServices, Oncology, Neurology, Intensive Care,and other departments will be considered.

NHCU or Long Term Care Facility needs maybe served as a satellite to a hospital pharmacy.

Automated medications dispensing machineswill be utilized for routine medications, and mayprovide automatic inventory control/benchmarking billing.

Pharmaceutical research may result in the needfor fewer procedures in a number of patient careareas, including surgery.

Off-site mail prescription services will becomemore common reducing on-site pharmacystorage requirements and goals of face-to-faceinteraction between pharmacist and patient willbe compromised.

At the present time there are two schools ofthought about how Pharmacy Service shoulddeal with patients. Some facilities are veryconcerned with security and deal with usersthrough a secure dispensing area. Otherfacilities prefer face-to-face relationships withtheir patients with no barriers similar to a localdrug store. The final decision should bedetermined by the user - the medical center.

Data may be compiled for drug efficacy testingand establishment of treatment protocols.

Functional ConsiderationsOperations: ServicesPharmacy service is responsible for thecontrolled dispensing of all drugs required in thedelivery of health care. Service includes thetotal drug utilization review process.

Pharmacy services are coordinated with clinicalservices and organized into the OutpatientPharmacy and the Inpatient Pharmacy.

Inpatient and outpatient pharmacies may becombined in one facility where justified byworkloads and adjacencies of outpatient andinpatient services and staffing.

Patient Care ConceptsPatient Participation concepts educate andinform the patient of their options to insure theirparticipation in the decision and healing process.

Patient Focused Care decentralized pharmacyservices where practical to bring these servicescloser to the patient.

Incorporating a Pharmacist in the Patient CareTeam helps to implement patient participationand patient focused care and is in itself a goal ofthe VA to improve the quality and effectivenessof Pharmacy Services.



Level of CareEducation and Research programs whichincrease space demands and effect functionalrequirements will be identified on a project basis.

Program Missions may result in centers ofexcellence which require special facilities.

Hospital and outpatient service levels,specialized services and off-site Primary CareClinics will effect requirements.

Alternatives for service delivery should beconsidered on a project basis.

Patient BaseThe Veteran is and will remain the priority of theVA healthcare system.

The Family of the veteran is a criticalconsideration in creating and maintainingveteran loyalty to the VA system.

Space Planning IssuesFlexibilityFlexibility is a critical aspect in the design ofPharmacy services which require an Open Planand Flexible Systems which can adapt totechnology and automation.

EfficiencyProcess and work flow issues include theoutpatient dispensing process, unit dose cartstock, IV packaging process, and bulk supply,storage, and retrieval.

SecuritySecurity issues must be balanced with patientneeds to allow Patient Consultation and accessto pharmacist, while limiting access to ControlledSubstances.

Security requirements for narcotics storage aregoverned by the Federal Drug EnforcementAgency Code of Federal Regulations Section1300. These regulations cover off-site clinicswhere there may not be a walk-in vault.

Space RelationshipsFunctional DiagramsFunctional organization and work flow areaddressed by Inpatient Pharmacy andOutpatient Pharmacy functional diagrams whichaddress Outpatient and Ambulatory patient,Hospital Material Distribution, Stat Service, andStaff and Delivery access.

Organizational ConceptsThe concepts indicated by the Guide Platesclosely follow the operational organization ofInpatient Pharmacy, and Outpatient Pharmacy.

Satellite Pharmacies are not included in theGuide Plates as they are specialized and poseunique protocol and security requirements. SeeCommunity Based Outpatient Clinics andSatellite Outpatient Clinics Design Guides.

Space AllocationProgram LevelsOffice of Infrastructure Policy and DevelopmentCriteria Division of the Department of VeteranAffairs will set the size of the Pharmacy on anindividual basis according to the estimatedworkloads in appropriate categories for eachfacility.

The net areas of spaces included in the GuidePlates is representative of the examples given.Actual net area space requirements will varyaccording to workloads.

Technical ConsiderationsArchitecturalInterior Materials and Finishes: PartitionsInterior partition should be primarily paintedgypsum wallboard on metal studs. Partitionsaround consultation rooms and conferencerooms should have sound attenuation battsbetween the studs in accordance with VAConstruction Standard H-18-3, 34-1, "NoiseTransmission Control".

The partitions around prescription receiving,drug breakdown and verification, and dispensingareas have special security requirements. Vaultconstruction is required for controlled substancestorage. See VA Construction Standard H-18-3,CD-49.



Interior Materials and Finishes: FloorsFloors in offices, conference rooms and waitingareas should be carpet with a 100mm(4 inch ) high resilient base.

Floors in areas such as prepackaging, unit doseand dispensing should also be carpeted.

Floors in toilet rooms shall be ceramic tile with aceramic tile base.

Floors in most other spaces should be vinylcomposition tile with a 100mm (4 inch) highresilient base.

Interior Materials and Finishes: CeilingsCeilings should be primarily lay-in acousticceiling tile.

Refer to VA Construction Standard PG-18-3,CD-49, "Physical Security Requirements foradditional concerns.

Interior Materials and Finishes: ProtectionWall and corner guards shall be used incorridors and other areas which wall damagefrom cart traffic is anticipated.

Interior Doors and HardwareDoors and FramesInterior doors should be 45mm (1 3/4") thicksolid core flush panel wood doors or hollowmetal doors in hollow metal frames.

Door jambs should have hospital type sanitarystops that stop 205mm (8 inches) from the floorto facilitate mopping. Hollow metal doors shouldbe used where high impact is a concern andwhere fire rated doors are required.

The main doors leading to drug receiving area,Outpatient Pharmacy and Inpatient Pharmacyare required to be steel security doors.

Doors in the Type II Vaults for controlledsubstance storage are required to meet GSAClass 5 criteria and have a day gate.

HardwareKick/mop plates should generally be applied toboth sides of the doors. Handicappedaccessible hardware should be used throughout.

ReferencesRefer to VA Handbook PG-18-14, "RoomFinishes, Door and Hardware Schedule" and VAConstruction Standard H-18-3, CD-49 "PhysicalSecurity Requirements and Options" foradditional information.

EquipmentCaseworkCasework systems can be either fixed ormodular and are usually decided on a project byproject basis.

Modular systems are usually installed by asubcontractor who may or may not have aconnection to the general contractor. This canbe a problem when utility connections have tobe made. Modular systems have a wide rangeof colors, fabrics and materials and can bequickly installed.

The general contractor has more control overthe subcontractor with built-in or fixed caseworkthis sometimes can give a high quality endproduct, but may take longer to complete thanfactory made units.

Casework system should be chosen that provideflexibility for planning and utilization purposes.

Casework systems should incorporatecomponents dimensioned for ease of multiplere-use installation applications.

Casework systems should be used thatincorporate self supporting assemblieseliminating the need for wall reinforcing.

Casework systems should be planned avoidingcorner installations and filler panel instances.

The final decision on casework should be madeby the user - the medical center.

Automated SystemsAutomated Systems shall include elements ofmaterial handling, dispensing, inventory andpatient billing.

These systems elements will require access tothe main facility’s “information backbone” as wellas the departmental local area network. Allcomponents should be planned for compatibility.



Safety Cabinets and Laminar Flow HoodsAll occurrences of these items will require aconfirmation of the materials, chemicals and/orsolvents to be used.

All occurrences of these items will require aconfirmation of the Hood or CabinetClassification and Type in order to determineroom air and ventilation performancerequirements.

Heating, Ventilation and Air ConditioningOperationAir conditioning systems should be provided toheat, cool and ventilate the individual space, asrequired by VA design criteria.

The air conditioning systems serving thePharmacy Service should be designed tooperate at full capacity to suite Pharmacyschedule.

CapacitiesThe number of people and the air conditioningload noted on the room design standard sheet isfor purpose of establishing the basis of designguide and its use in planning. Theengineers/designers shall verify the actualnumber of people and the air conditioning loadto agree with the project requirements.

Verify equipment A.C. loads shown as peractual equipment furnished on a project.

The percent of outside air shall be based on thespace total supply air quantities.

Air Quality and DistributionIn general, clean areas shall have positive airpressure and soiled areas should have negativeair flow with respect to the adjoining areas.

Corridors should not be used to supply orexhaust/return air from rooms. Corridor air maybe used to ventilate toilet rooms, hacs and smallelectrical or telephone closets opening directlyon corridors. Exfiltration/Infiltration frompositive/negative pressure rooms adjacent to acorridor should be considered in balancing airflow.

The transfer air, should not be more than2.8 m3/min. (100 CFM) per undercut door.

Care should be taken to minimize the shortcircuiting of air between supply andexhaust/return openings in rooms.

Exhaust SystemA dedicated exhaust system should be providedfor the biological safety cabinet located in thepharmacy. Locate supply air diffusers as faraway from the hood sash opening as possible,and size to eliminate draft conditions and forproper air flow at the hood.

SeismicWhere required, install HVAC systems withseismic provisions as outlined in the VA HVACDesign Manual for Hospital Projects.

Refer to VA Handbook H-18-03, CD-54, “NaturalDisaster Resistive Design Non-Structural” foradditional information.

Noise LevelSelect HVAC equipment, ductwork and airdistribution devices to acheive noise levels listedin the HVAC Design Manual for HospitalProjects and Master Construction SpecificationSection 15200.

PlumbingWater and Waste SystemsThe plumbing systems should be provided tosatisfy the departmental plumbing needs.

The department domestic cold water should bepiped to all plumbing fixtures and equipmentrequiring this utility.

The department domestic hot water should bepiped to all plumbing fixtures and equipmentrequiring this utility. A hot water return systemshould be provided to ensure the designtemperature at the farthest outlet.

The department plumbing fixtures and drainsshould be drained by gravity through soil, wasteand vent stacks. In addition, the departmentspecial waste should be drained throughcorrosion resistance flame retardant piping intoeither a local or centralized acid dilution tank.



Medical Gas SystemsThe department medical gases outlets areshown to establish the basis of design guide andits use in planning. The engineers/designersshall verify the medical gases location andquantities for individual projects.

Where required, the plumbing and medicalgases systems should be installed with seismicprovisions as outlined in the VA PlumbingDesign Manual for Hospital Projects.

Refer to VA Handbook H-18-3, CD-54, “NaturalDisaster Resistive Design Non-Structural” foradditional information.

ElectricalIlluminationIllumination is typically provided utilizingrecessed fluorescent luminaries with acrylicprismatic lenses. The fixtures typically useF32T8 lamps in compliance with the NationalEnergy Policy Act of 1992. Lamps have aminimum color rendering index (CRI) of 85 anda color temperature of 4100 degrees Kelvin (K),which is close to the "cool white" colortemperature of 4150 degrees K.

Lighting intensities conform to the VA designcriteria, the IES Lighting Handbook and IESpublication CP-29, "Lighting for Health CareFacilities". IES CP-29 is currently being updatedand will be replaced by IES RecommendedPractice RP-29 in the future.

Lighting is typically controlled by wall mountedswitches located at the entrance to the room. Larger spaces may utilize multiple switching byseparate switches for lighting of individual zonesor areas.

Power load densities for lighting are listed foruse by the mechanical HVAC load calculationpurposes. Load densities should be verified forthe actual design, as they may vary dependingon the room configuration, fixture types, lampsand ballasts used.

PowerGeneral purpose duplex receptacles aretypically provided on each wall of a room orspace.

Dedicated duplex or special receptacles areprovided for selected pieces of equipment suchas refrigerators.

Workstations with personal computer computers(PC's) are typically provided with quadruplexreceptacles for the PC, monitor and printer.

Junction boxes are provided for equipmentrequiring a hardwired connection.

Certain modular casework units are providedwith a utility access module with surfacemounted electrical strip mold and also providesa chase for wiring. Conduits and junction boxesare provided to connect to the utility accessmodule for power wiring.

Duplex receptacles on the critical branch of theemergency power system are provided forselected pieces of equipment such asrefrigerators to allow for limited operation duringa power outage.

Emergency Power requirements are addressedin VA Construction Standards H-18-3, #800-3

SecurityPhysical SecurityA vault with a day gate has been provided in thecontrolled substance area for secured storage.

Doors for inpatient and outpatient pharmaciesare the steel security door type.

Electronic SecurityConduit and junction boxes have been providedin the controlled substances vault and secureddispensing room for an electronic accesssecurity system

Life SafetyPurposeThe life safety program shall be developed toprovide a reliable system to protect the buildingoccupants, firefighting personnel, buildingcontents, building structure and continuity ofbuilding function. Its intent should be to providea reasonable level of fire safety by reducing theprobability of injury, loss of life or buildingfunction changes due to a fire. This can beaccomplished by limiting the development andspread of a fire emergency to the area of originand reducing the need for total occupantevacuation.



ComponentsThe design aspects of the facility which relate tothe fire and life safety include:

• Structural fire resistance;• Building compartmentation;• Fire detection, alarm and suppression;• Smoke control and exhaust;• Firefighter access and facilities; and• Emergency power.

Fire SuppressionNew hospital construction and renovated areasof existing facilities are required to be fullyprotected by an automatic fire suppressionsystem.

EgressThe minimum width of corridors andpassageways in non patient areas of Pharmacyareas is 1120 mm (44"). However, for patientareas and cart movement 1800 mm (72") or2400 mm (96") corridors and passageways arerequired.

Waiting areas are permitted to be open to thecorridors.

ReferencesRefer to the latest editions of NFPA 1010 "LifeSafety Code", the Uniform Building Code andadditional standards published by the NationalFire Protection Association (NFPA).

Energy Conservation

Refer to VA HVAC Design Manual for HospitalProjects for information.

CommunicationsTelephoneTelephone outlets are typically provided at eachworkstation or in each room. Desk outlets are450 mm (18”) AFF and wall phone outlets are1200 mm (48”) AFF.

Certain modular casework units are providedwith a utility access module that housecommunication outlets and provide a chase forcabling. Conduits and junction boxes areprovided to connect to the utility access modulefor telephone service.

Automatic Data Processing (ADP)ADP or computer outlets are typically providedat each workstation with a personal computer(PC) and or printer. Desk outlets are 450 mm(18”) AFF.

Certain modular casework units are providedwith a utility access module that housecommunication outlets and provide a chase forcabling. Conduits and junction boxes areprovided to connect to the utility access modulefor ADP service.

Public AddressThe Pharmacy Service will not have anindependent public address (PA) system. Thedepartment will be included as part of thehospital-wide PA system. Speakers are typicallylocated in corridors and public spaces. Theactual system configuration will depend on theoverall design layout and functionalrequirements.

Waste ManagementMedical WasteMedical waste is generated in the form ofrefused medications and expired drugs whichare discarded through waste grinders to sanitarydrains, or otherwise destroyed or maintained forsecure disposal as required.

General WasteGeneral waste is generated in all spaces and isheld in containers for collection and sorting intocarts or bins as required at scheduled times or itis bagged and transported to the waste handlingfacility by a waste chute where available.

RecyclingBulk containers are removed and collected atthe receiving area where breakout occurs.

Methods for sorting, collecting, transporting anddisposing of recyclable products must bespecifically analyzed for each facility andlocation.

The net area requirements of soiled utility roomsand waste holding and collection areas will bedetermined after the appropriate process ofsorting, collecting, segregation and recyclinghave been determined on a facility basis.

The optional use of disposable or reusableproducts is an important consideration inrecycling and waste disposal alternatives.



Space RequirementsSpace requirements will vary with the selectionof waste collection and recycling methods andsystems, and space requirements need to beanalyzed for each optional method or systemconsidered for new and existing facilities.

While space needs are determined by VAHandbook 7610 on a departmental basis spaceprovisions for waste collection needs to bedistributed and dedicated to a variety of uses toaccommodate the implementation of the systemand method selected.

TransportationPatient: OutpatientProvide convenient access to The OutpatientPharmacy from patient parking and the primarycare entrance.

Patient volumes for Outpatient Pharmaciesgenerally justify a ground floor location tofacilitate wayfinding and to decrease passengerelevator traffic.

Use techniques including clear access routes,public spaces, landmarks and signage tofacilitate wayfinding.

Provide passenger elevator access toOutpatient facilities located off main entrancelevels.

Patient: InpatientThe need for patient access to InpatientPharmacies and convenient pharmacist accessto patient areas while maintaining base contactwill be established on a project basis.

Separate Inpatient and Outpatient traffic wherepossible.

Convenient service access for unit dose andbulk supply cart delivery from hospital serviceelevators is required.

Unit Dose and Bulk supply carts requiresecurable deliveries due to transport of narcoticsand dedicated keyed access to elevators shouldbe considered on a project basis.

Automated cart delivery systems are notgenerally acceptable for assurance of securedelivery.

Pharmacy deliveries are generally accompaniedby pharmacy personnel with verification ofdelivery documented.

Pharmacy distribution routes to nursing units areplanned to minimize conflict with public andpatient traffic.

For outpatients mail out prescriptions are nowbeing used throughout the system and areincreasingly popular.

StaffProvide staff access separated from patientwaiting and public areas.

Staff access is limited to one point where it canbe visually and/or electronically monitored.

Locate staff lounge and locker areas away frominpatient and outpatient traffic, convenient to thepharmacy, but outside of the secure area.

RecordsBoth the Inpatient and Outpatient Pharmacydepend heavily on bar coding and electronicdata transfer for patient prescription, billinginformation, and inventory.

Pharmacy records record the administration orrefusal of each unit dose and the resultingdocumentation is made part of the patients’consolidated medical records.

Automated prescription filling and automatedtransport systems are utilized within thepharmacy requiring flexible space toaccommodate new and changing systems.

Pharmacy Medical Record and prescriptionorder volumes frequently justify pneumatic tubeor automated box transport access to MedicalRecords and the units served. These transportmodes may be located where shared use withstat delivery is possible.

Stat OrdersStat prescriptions are filled and transported tothe ordering unit by pneumatic tube orautomated box conveyor systems.



Bulk Delivery of PharmaceuticalsBulk Pharmaceuticals, including narcotics andall controlled substances, are delivered directlyto the pharmacy where they are received signedfor by the pharmacist.

Direct access to outside deliveries or thehospital receiving area is required.

MaterialsClean supplies are transported by exchangecarts which are stored in the Bulk Supply Area.

Sterile SuppliesThe use of sterile supplies is minimal and isaccommodated by prepackaging or disposableitems delivered with clean supplies.

WasteWaste is collected by housekeeping staff anddisposed of as indicated above under “WasteManagement” (see page 2-6).



Section 3Relationship Diagrams

Page

Inpatient Pharmacy ......................................... 3-1

Outpatient Pharmacy ...................................... 3-2



Section 4Design Guide Platesand Data Sheets:Inpatient Pharmacy

Guide Plate Series Plate Number

Dispensing Station - Unit Dose and Ward StockEquipment & Utility Plan ..........................4-1Reflected Ceiling .....................................4-1Design Standards ....................................4-1Equipment Guide List ..............................4-1

Medication Assignment Area and Stat CounterEquipment & Utility Plan ..........................4-2Reflected Ceiling .....................................4-2Design Standards ....................................4-2Equipment Guide List ..............................4-2

Controlled Substance Vault andSecured Dispensing Area

Equipment & Utility Plan ..........................4-3Reflected Ceiling Plan..............................4-3Design Standards ....................................4-3Equipment Guide List ..............................4-3

Receiving AreaEquipment & Utility Plan ..........................4-4Reflected Ceiling Plan..............................4-4Design Standards ....................................4-4Equipment Guide List ..............................4-4


VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 4 (cont.)

Section 4Design Guide Platesand Data Sheets:Inpatient Pharmacy


Extemporaneous Repackaging andExtemporanous Compounding

Equipment & Utility Plan ..........................4-5Reflected Ceiling Plan..............................4-5Design Standards ....................................4-5Equipment Guide List ..............................4-5

Intravenous Admixture and Aseptic TransferEquipment & Utility Plan ..........................4-6Reflected Ceiling Plan..............................4-6Design Standards ....................................4-6Equipment Guide List ..............................4-6

Oncology DrugsEquipment & Utility Plan ..........................4-7Reflected Ceiling Plan..............................4-7Design Standards ....................................4-7Equipment Guide List ..............................4-7



Design StandardsUnit Dose and Ward StockARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Paint Wainscot: -- Base: Resilient base Floor Finish: Vinyl composition tile Slab Depr: -- Notes:

SPECIAL EQUIPMENTNone

LIGHTING General: 100 FC Special: -- Notes: 1. Lighting control by area;

switch(es) at room entrance.2. 600 x 1200 mm (2'x4') recessed

fluorescent light fixture, acrylicprismatic lens, W/2-F32T8 lamps,3500° K CRI=75 (minimum)

POWER General: 3000W (Receptacles on electrical

strip mold on modular casework) Emergency: -- Notes: 1. Junction box for 120V power

connection to electrical strip moldon modular casework

2.Junction box for dose dispensingmachine to be ceiling-mounted

COMMUNICATIONS ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1. Communications cabling routed

via modular casework utilityaccess module to outlets oncasework.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-35 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Equipment: 54 w/sm (5W/SF) AC Load Lighting: 32 w/sm (3 W/SF) Number of People: 3 Special Exhaust: -- Notes:

PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:


Equipment Guide ListUnit Dose and Ward Stock


SYMBOL QTY AI DESCRIPTION

AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS, GRAVITYFEED SHELVES AND UTILITY ACCESS MODULE

AR VV CHAIR, ROTARY, WITH ARMSAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARDAR VV DOSE DISPENSING MACHINE, PATIENT SPECIFIC



Design StandardsMedication Assignment Area and Stat CounterARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient base Floor Finish: Vinyl Composition Tile or Carpet Slab Depr: -- Notes:

SPECIAL EQUIPMENTThis space will have immediate access to amaterial transport system.

LIGHTING General: 50 FC Special: -- Notes: 1. Lighting control by area;

switch(es) at room entrance.2. 600 x 1200 mm (2'x4')recessed

fluorescent light fixture, acrylicprismatic lens, W/2-F32T8 lamps,3500° K CRI=75 (Min.)


strip mold on modular casework) Emergency: -- Notes: 1. Junction box for 120V power


COMMUNICATIONS ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1. Communications cabling routed

via modular casework utilityaccess module to outlets oncasework.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 18 w/sm (1.7 w/sf) AC Load Equipment: 54 w/sm (5 w/hr) Number of People: 3 Special Exhaust: -- Notes:



Equipment Guide ListMedication Assignment and Stat Counter



AR CF CABINET, FULL HEIGHT, DRUG DISPENSING, 1 FIXED SHELF,1 ADJUSTABLE SHELF AND 8 DISPENSING SHELVES WITHGRAVITY FEED TRAYS, 910mm W x 405mm D x 2130mm H(36"W X16"D X 84"H)

AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND UTILITY ACCESS MODULE

AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARDAR VV TELECOPIER, FACSIMILE RECEIVER/FAX MACHINE



Design StandardsControlled Substance Vault & Secured DispensingAreaARCHITECTURAL Ceiling: 1. Acoustic Tile in Secured Dispensing

2. Painted Gypsum Wallboard Ceiling Ht: 2740 mm (9'-0") Wall Finish: Paint Masonry & GWBD Wainscot: -- Base: Resilient base Floor Finish: Vinyl composition tile Slab Depr: -- Notes: 1. Vault Construction: Reinforced

concrete or reinforced CMU walls;concrete slab "roof".

2. Vault door and day gate: Refer toVA Construction Standard H-08-3,CD-49 for additional securitycriteria.


LIGHTING General: Secured dispensing = 100 FC

Vault = 20 FC Notes: 1. Single switch per room controls

lighting2. 300mm x 1200mm (1' x 4') surface

mounted fluorescent light fixture,wrap-around acrylic lens, W/2-F32T8 lamps, 3500°K, CRI=75(minimum)

3. 600mm x 1200mm (2' x 4')recessed fluorescent light fixtures,acrylic prismatic lens, W/2F32T8lamps, 3500°K, CRI=75(minimum)

POWER General: 1000W (Receptacles) Emergency: -- Notes: 1. Junction box for power and signal

connections to electronic accessreader (2 locations)

COMMUNICATIONS ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1. Conduit and junction boxes

required for electronic accesssecurity system.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: Vault Area 11 w/sm (1 w/sf) Secured Area 32 w/sm (3 w/sf) AC Load Equipment: Vault Area43 w/sm (4 w/sf)

Secured Area 54 w/sm (5 w/sf) Number of People: 3 Special Exhaust: -- Notes:



Equipment Guide ListControlled Substance Vault & Secured DispensingArea



AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND WALLHANGER STRIP

1 CF REFRIGERATOR, UNDER COUNTER, 5 CU. FT., 120 VOLTS, 20AMPS, 600mm W x 600mm D x 960mm H (24"W X 24"D X 38"H)

AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARDAR VV CABINET, FULL HEIGHT OPEN SHELVES, 5 ADJUSTABLE, 1 FIXED

SHELF, 900mm W x 405mm D x 2130mm H (36”x16”x84”)



Design StandardsReceiving AreaARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient base Floor Finish: Vinyl Composition Tile Slab Depr: -- Notes: 1. 1120mm (3’-8”) Wide Door


LIGHTING General: 30 FC Special: -- Notes: 1. Lighting control by area; switching

2. 600 x 1200 mm (2'x4')recessedfluorescent light fixture, acrylicprismatic lens, W/2-F32T8 lamps,3500° K CRI=75 (minimum)

POWER General: 500 W (Receptacles) Emergency: -- Notes: --

COMMUNICATIONS ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: --

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0AC Load Lighting: 13 w/sm (1.2 W/sf) AC Load Equipment: 32 w/sm (3W/sf) Number of People: 6 Special Exhaust: -- Notes: --

PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --


Equipment Guide ListReceiving Area



AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND WALL HANGER STRIP

AR CF CABINET, FULL HEIGHT, BIN TYPE, ADJUSTABLE SHELVES, WITH 60 REMOVEABLE BINS, 910mm W x 305mm D x 2130mm H(36"W X 12"D X 84"H)

AR CF CABINET, FULL HEIGHT, OPEN S HELVES, 5 ADJUSTABLE AND 1 FIXED SHELF, AVAILABLE WIDTHS, 915mm (36"), 1200mm (48"); DEPTH 405mm (16"), HEIGHT 2130mm (84")

AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD



Design StandardsExtemporaneous Repackaging & ExtemporanousCompoundingARCHITECTURAL Ceiling: Acoustic lay-in ceiling Tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient Base Floor Finish: Vinyl Composition Tile or Carpet Slab Depr: -- Notes: --


LIGHTING General: 100 FC Special: -- Notes: 1.Lighting control by area;

switch(es) at room entrance.2.600 x 1200 mm (2'x4') recessed

fluorescent light fixture, acrylicprismatic lens, W/3-F32T8 lamps,3500° K CRI=75 (Min.).


strip mold on modular casework) Emergency: -- Notes: 1.Junction box for 120V power


2.Junction box for 120V powerconnection to tablet and capsulecounting machine.

3.Junction box for 120V powerconnection to unit dose packermachine.

COMMUNICATIONS ADP: -- Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1.Communications cabling routed

via modular casework utilityaccess lab module to outlets oncasework.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load Equipment: 64 w/sm (5 w/sf) Number of People: 3 Special Exhaust: -- Notes:

PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: Yes Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Drain and vent need to be

chemical resistant type.


Equipment Guide ListExtemporaneous Repackaging & ExtemporaneousCompounding



AR CF MODULAR CASEWORK , W/ OVERHEAD BINS,UTILITY ACCESS MODULE AND WALL HANGER STRIP

AR CF SINK, CORROSION RESISTING STEEL, 555mm x 405mm x 205mm (22" X 16" X 8")

AR CF PEGBOARD, 405mm W x 600mm H (16"W X 24"H)AR VV CABINET, FILING, UNDER COUNTER, 380mm W x 635mm D

(15"W X 25"D)AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV MACHINE, COUNTING,TABLET AND CAPSULE, 910mm W x 600mmD

(36"W X 24"D)AR VV MACHINE, UNIT DOSE PACKER, STRIP PACKAGING, 910mm W x

600mm D (36"W X 24"D), 120 VOLTS, 20 AMPSAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD


Equipment Guide ListIntravenous Admixture & Aseptic Transfer



P-418 1 CC LAVATORY, WALL HUNG (PG-18-1, MCS 15450; VOL. 3 SD 380)AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND WALL

HANGER STRIPAR CF REFRIGERATOR, UNDER COUNTER, 5 CU. FT., 120 VOLTS, 20

AMPS, 600mm W x 600mm D x 960mm H (24"W X 24"D X 38"H)AR VV CABINET, INTRAVENOUS (IV), VISUAL CLARITY INSPECTION, 120

VOLTS, 20 AMPS, 760mm W x 600mm D (30"W X 24"D)AR VV CART, STAINLESS STEEL, HEAVY DUTY, WIRE,

1525mm L x 600mm D x 2086mm H (60"L X 24"D X 70"H),205mm (8") CASTERS W/ BRAKE, HORIZONTAL SHELVING

AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPOUNDER, HIGH SPEED FOR PARENTAL NUTRITION,

ELECTRIC, 120 VOLTS, 20 AMPS1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTEDAR VV HOOK, COAT, WALL MOUNTEDAR VV LAMINAR FLOW CLEAN WORK STATION, 1830 LINEAR mm

(72 LINEAR INCHES) OF WORK SPACE, 815mm D x 2050mm H(32"D X 80"H), PROVIDE 120 VOLTS, 20 AMPS

AR VV MACHINE, COUNTING, TABLET AND CAPSULE,915mm W x 600mm D (36"W X 24"D)

1 VV REFRIGERATOR, SELF CONTAINED, PASS-THRU,.90cm (65 CU. FT.), DISPLAY WITH GLASS DOORS,1060mm W x 740mm D x 2060mm H (42"W X 33"D X 81"H),120/208 VOLTS, SINGLE PHASE, 20 AMPS

AR VV SCANNER, LASER, HAND HELD, ELECTRIC, 120 VOLTS, 20 AMPSAR VV SCANNER, LASER, HAND HELD, ELECTRONIC, 120 VOLTS, 20

AMPSAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD



Design StandardsIntravenous Admixture and Aseptic TransferARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile with

washable surface Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Ceramic Tile Floor Finish: Ceramic Tile Slab Depr: -- Notes: 1120 (3”-8”) Wide Door


LIGHTING General: 50 FC - 1.6 W/SF Special: -- Notes: 1.Lighting control by area;

switch(es) at room entrance.2.600 x 1200 mm (2'x4') recessed


POWER General: 1600 W (Receptacles) Emergency: 2000 W (Refrigerators) Notes: 1. Junction box for 120V power

connection to visual clarityinspection cabinet.

2. Junction box for 120V powerconnection to laminar flow workstation on emergency power.

3. Junction box for 120V powerconnection to pass-throughrefrigerator station on emergencypower.

. Junction box for 120V powerconnection to tablet and capsulecounting machine.

COMMUNICATIONS ADP: -- Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: --

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 100 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 10 Room Pressure: See notes below AC Load Equipment: anteroom 32 w/sm (3 w/sf)

buffer room 64 w/sm(6 w/sf) Number of People: 8 Special Exhaust: -- Notes: 1. Maintain admixture (buffer room) under

positive pressure with respect to Ante Room.2. Maintain Ante Room under positive pressure

with respect to Corridor.3. AC load due to equipment is based on use of

water-cooled pass-through refrigerator. If air-cooled refrigerator is used increase heat loadcorrespondingly.

4. HVAC System for Buffer Room (Risk Level II)to be based on 100% outdoor air, HEPAfiltered supply air with 100% exhaust from theroom.

5. Laminar flow clean work station is self-contained and does not require exhaust tooutside the building

6. Provide minimum 12 air changes per hour forBuffer Room and Ante Room

PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: Yes Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Sanitary drain and vent need to be

the chemical resistant type.



Design StandardsOncology DrugsARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Paint Wainscot: -- Base: Integral welded seam sheet flooring base Floor Finish: Welded seam sheet flooring Slab Depr: -- Notes: 1. 1060mm (3’-6”) Wide Door


LIGHTING General: 70 FC Special: -- Notes: 1.600 x 1200 mm (2'x4')recessed


2. 300mm x 1300mm (1’x4”)recessed fluorescent light fixture,acrylic prismatic lens, W/1-F32T8lamps, 4100° K

POWER General: 2800W (Receptacles) Emergency: 2000W (Receptacles) Notes: 1.Junction box for Laminar Flow

Hood on emergency power.

COMMUNICATIONS ADP: Yes Radio: -- Telephone: Yes Intercom: Yes Pub. Addr: -- Notes: --

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: -- 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 12 (Prep Area) Room Pressure: Negative for Prep Area

Equal for reference areawith respect to corridor

AC Load Lighting: 22 w/sm (2 w/sf) both rooms AC Load Equipment: 194 w/sm (18 w/sf) Number of People: 4 per room Special Exhaust: Provide dedicated exhaust

system for Laminar FlowH12-B2 hood. See HVAC Design

Manual for Hospital Projects. Notes: --



Equipment Guide ListOncology Drugs


SYMBOL QTY AI DESCRIPTIONREFERENCE AREAP-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1: MCS 15450, VOL3,

SD 380)1 VV WORK STATION, MODULAR1 VV CHAIR, ROTARY, WITH ARMS1 VV CABINET, FILING (LETTER SIZE) 5 DRAWER,

APPROX. 381mm x 635mm x 1524mm (15” x 25” x 60”)1 VV BOOKCASE, SECTIONAL, EACH SECTION,

838mm x 330mm x 381mm (33” x 13” x 15”) WITH 254mm (10”) BASE1 VV BULLETIN BOARD, APPROX. 914mm x 914mm (36” x 36”)AR VV CLOCK, BATTERY OPERATEDAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP

(PG-18-1, MCS 16140, H-18-3, CS 801 3)1 VV DISPENSER, PAPER POWEL, SURFACE MOUNTED1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTED1 VV RECEPTACLE, WASTE, STEP-ON TYPE,

APPROX. 305mm (12”) DIAMETERAR VV HOOK, COAT, WALL MOUNTED

PREPARATION AREAH7-48 AR CC BIOLOGICAL SAFETY CABINET (LAMINAR FLOW) CLASS II, TYPE

B2 100% DIRECT EXHAUSTED AIR THROUGH WORK SPACE,1219mm x 787mm x 2438mm (48” x 31” x 96”), WITH CUP SINK, AIR,VACUUM AND COLD WATER OUTLETS, 120 VOLTS, 20 AMPRECEPTACLES, GAS OUTLETS NOT REQUIRED(PG-18-1 & PG-18-6, MCS 11610)

1 VV CHAIR, ROTARY, WITH ARMSJ-2 1 CF SINK, CORROSION RESISTING STEEL,

555mm x 405mm x 205mm (22”x16”x8”)AR CF MODULAR CASEWORK, W/OVERHEAD CABINETS AND WALL

HANGER STRIPAR CF REFRIGERATOR, .14 m3 (5 CU. FT), 120 VOLT, 20 AMP,

UNDERCOUNTER, 610mm x 955mm (24” x 38”)AR VV CLOCK, BATTERY OPERATEDAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP

(PG-18-1, MCS 16140, H-18-3, CS 801 3)AR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD



Section 5Design Guide Platesand Data Sheets:Outpatient Pharmacy


Prescription ReceivingEquipment & Utility Plan .............................5-1Reflected Ceiling Plan.................................5-1Design Standards .......................................5-1Equipment Guide List .................................5-1

Filing and AssemblyEquipment & Utility Plan .............................5-2Reflected Ceiling Plan.................................5-2Design Standards .......................................5-2Equipment Guide List .................................5-2

DispensingEquipment & Utility Plan ............................5-3Reflected Ceiling Plan.................................5-3Design Standards .......................................5-3Equipment Guide List .................................5-3

Prepacking & Extemporaneous CompoundingEquipment & Utility Plan .............................5-4Reflected Ceiling Plan.................................5-4Design Standards .......................................5-4Equipment Guide List .................................5-4



Design StandardsPrescription ReceivingARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Fabric (Tackboard Wall Surface) Wainscot: -- Base: Resilient base Floor Finish: Carpet Slab Depr: -- Notes:


LIGHTING General: 50 FC Special: -- Notes: 1. Single switch per station controls

station lighting. As an alternate,lighting may be controlled by areawith switch(es) located at roomentrance.

2. 600mm x 1200mm (2' x 4')recessed fluorescent light fixture,parabolic louver, W/2-F32T8lamps, 3500°K, CRI=75(minimum)

POWER General: 1000W (receptacles) Emergency: -- Notes:

COMMUNICATION ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1.Nurse Call/Code One/EMS

recorder.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 22 w/sm (2 w/sf) AC Load-Equipment: 54 w/sm (w/sf) Number of People: 3 Special Exhaust: -- Notes:



Equipment Guide ListPrescription Receiving



AR CF CABINET, UNDER COUNTER, 3 DRAWER,395mm W x 55mm D x 760mm H (15"W X 22"D X 30"H)

AR CF COUNTER TOP, HIGH PRESSURE PLASTIC LAMINATEDECORATIVE

AR VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITH ARMSAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD



Design StandardsFiling and AssemblyARCHITECTURAL Ceiling: Acoustic lay-in ceiling Tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient base Floor Finish: Carpet Slab Depr: -- Notes: --


LIGHTING General: 30 FC (ambient) Special: -- Notes: 1. Lighting control by area;

switch(es) at room entrance.2. 600mm x 1200mm (2' x 4')

recessed fluorescent light fixture,acrylic prismatic lens, w/2-F32T8lamps, 4100°k, CRI=75(minimum)

3. Coordinate height of rotary filewith lighting layout.

POWER General: 200 W (receptacles) Emergency: -- Notes: 1. Junction box for 120V power

connection to electric rotary file

COMMUNICATION ADP: -- Radio: -- Telephone: -- Intercom: -- Pub. Addr: -- Notes: --

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 18 w/sm (1.7w/sf) AC Load-Equipment: 32 w/sm (3 w/sf) Number of People: 2 Special Exhaust: -- Notes:



Equipment Guide ListFiling and Assembly



AR CF CABINET, UNDER COUNTER, 3 DRAWER,395mm W x 555mm D x 760mm H) 15"W X 22"D X 30"H

AR CF COUNTER TOP, HIGH PRESSURE PLASTIC LAMINATEDECORATIVE

AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV FILE, ROTARY, MECHANICAL POWER, ELECTRIC, 120 VOLTS,

20 AMPS ( See 5-2 Lighting Note # 3)



Design StandardsDispensingARCHITECTURAL Ceiling: Acoustic lay-in Ceiling Tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard on

reinforced masonry sub-wall. Wainscot: -- Base: Resilient base Floor Finish: Carpet Slab Depr: -- Notes: 1. Refer to VA Construction

Standard CD-49 for securitycriteria


LIGHTING General: 100 FC Special: -- Notes: 1. Lighting controlled by area;

switch(es) located at roomentrance.

2. 600 x 1200 mm (2'x4') recessedfluorescent light fixture, acrylicprismatic lens, W/3-F32T8 lamps,4100°K, CRI=85 (Minimum)

POWER General: 500W (receptacles) Emergency: -- Notes: 1. Junction box for 120V power

connection to electronic tabletcounting machine.

2. Junction box(es) for 120Vpower and signal connections topatient notification monitor.

COMMUNICATION ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr -- Notes: 1. Conduit and junction boxes

required for patient notificationmonitor system.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/hr (5 w/hr) Number of People: 3 Special Exhaust: -- Notes:



Equipment Guide ListDispensing



AR CC SERVICE WINDOW, BULLET RESISTIVE, ONE WINDOW ATWHEELCHAIR HEIGHT AND ONE CONVENTIONAL HEIGHT WITHPACKAGE TRANSFER BOX (PG-18-1, MCS 11022; PG-18-4, SD 67B)

AR CF BELT, CONVEYOR, 1 TO 5 BELTS AS REQUIRED (WHENAPPROVED BY VHA)

AR CF MODULAR CASEWORK, W/ OVERHEAD CABINETS AND WALLHANGER STRIP

CF NOTE: DISPENSING SYSTEMS SHALL BE AS DIRECTED BY VHAAR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV CRT, COMPUTER SYSTEM, WITH KEYBOARDAR VV MACHINE, COUNTING TABLET, ELECTRONIC, 120 VOLTS,

20 AMPS, 600mm W x 600mm D (24"W X 24"D)AR VV MONITORS, HIGH RESOLUTION, PATIENT NOTIFICATION SYSTEM,

BLACK AND WHITE, 685mm (27")



Design StandardsPrepacking & Extemporaneous CompoundingARCHITECTURAL Ceiling: Acoustic Lay-In Ceiling Tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient Base Floor Finish: Vinyl Composition Tile or Carpet Slab Depr: -- Notes:


LIGHTING General: 100 FC Special: -- Notes: 1.Lighting control by area;

switch(es) at room entrance.2.600mm x 1200mm (2' x 4')

recessed fluorescent light fixture,acrylic prismatic lens, W/3-F32T8lamps, 3500°K, CRI=75(minimum)

POWER General: 1000W (receptacles on electrical

strip mold on modular casework). Emergency: -- Notes: 1. Junction box for 120V power

connection to electrical strip moldon modular casework.

2. Junction box for 120V powerconnection to tablet and capsulecounting machine.

3. Junction box for 120V powerconnection to unit dose packer.

COMMUNICATION ADP: -- Radio: -- Telephone: Yes Intercom: -- Pub. Addr: -- Notes: 1. Communications cabling routed

via modular case-work utilityaccess lab module to outlets oncasework.

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/sm (3 w/sf) Number of People: 3 Special Exhaust: -- Notes:

PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Sanitary drain and vent need to be

chemical resistant type.


Equipment Guide ListPrepacking & Extemporaneous Compounding



AR CF MODULAR CASEWORK , W/ OVERHEAD BINS, UTILITY ACCESSMODULE AND WALL HANGER STRIP

AR CF SINK, CORROSION RESISTING STEEL, 555mm x 405mm x 205mm(22" X 16" X 8")

AR CF PEGBOARD, 405mm W x 600mm H (16"W X 24"H)AR VV CABINET, FILING, UNDER COUNT ER, 380mm W x 635mm D

(15"W X 25"D)AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV MACHINE, COUNTING, TABLET AND CAPSULE,

910mm W x 610mm D (36"W X 24"D)AR VV MACHINE, UNIT DOSE PACKER, STRIP PACKAGING,

910mm W x 610mm D (36”W x 24”D)AR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD



Section 6Design Guide Platesand Data Sheets:Pharmacy SpecializedProgramsGuide Plate Series Plate Number

Drug Information ServiceEquipment & Utility Plan........................6-1Reflected Ceiling Plan ...........................6-1Design Standards .................................6-1Equipment Guide List............................6-1



Design StandardsDrug Information ServiceARCHITECTURAL Ceiling: Acoustic Lay-In Ceiling Tile Ceiling Ht: 2740 MM (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient base Floor Finish: Carpet or Vinyl Composition Tile Slab Depr: -- Notes: --


LIGHTING General: 75 FC (ambient) Special: -- Notes: 1. Dual-level switching provided

50/10 FC levels. 2. 600 X 1200 MM (2'x4') recessed

fluorescent light fixture, acrylicprismatic lens, W/2-F32T8lamps, 3500°K, CRI=75 (Min.).

POWER General: 1000W (receptacles) Emergency: -- Notes: --

COMMUNICATION ADP: Yes Radio: --Telephone: Yes Intercom: -- Pub. Addr: -- Notes: --

HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating : 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/sm (5 w/sf) Number of People: 3 Special Exhaust: -- Notes: --



Equipment Guide ListDrug Information Service



AR CC SHELVING, FREESTANDING STEEL, LIBRARY, SINGLEFACED UNITS, WITH ADJUSTABLE SHELVES,915mm W x 255mm D x 2285mm H (36"W X 10"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)

AR CC SHELVING, SINGLE FACED UNITS, PERIODICAL, WITHSLOPING AND ADJUSTABLE SHELVES,915mm W x 305mm D x 2285mm H (36"W X 12"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)

AR VV BOOKCASE, SECTIONAL (EACH SECTION,315mm W x 330mm D x 380mm H (33"W X 13"D X 15"H))WITH 255mm H (10"H) BASE

1 VV BULLETIN BOARD, APPROX., 915mm W x 915mm H (36"W X 36"H)AR VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITH ARMS1 VV CHALKBOARD/TACKBOARD COMBINATION,

1525mm W x 1220mm H (60"W x 48"H)AR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV TABLE, OCCASIONAL, 1220mm (48”) DIA.AR CF CABINET, UNDERCOUNTER, 3 DRAWER,

395mm W x 555mm D x 760mm H (15”W x 22”D x 30”H)AR CF COUNTER, TOP, HIGH PRESSURE LAMINATED, DECORATIVE

760mm W x 1525m L (30”W x 60”L)

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