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Pharmacy Service
April 1, 2018
APRIL 1, 2018
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APRIL 1, 2018
TABLE OF CONTENTS
1.0 GENERAL 1-1

1.1 Foreword 1-3
1.2 Acknowledgments 1-5
1.3 Introduction 1-9
1.4 VA Policies / Standards and Industry Policies / Standards 1-11
1.4.1 VA Policies/Standards 1-11
1.4.2 Industry Codes/ Standards 1-12
1.4.3 HIPAA 1-12
1.4.4 Disaster Planning 1-12
1.5 Abbreviations 1-13
1.6 Definitions 1-17
2.0 NARRATIVE 2-1

2.1 Clinical and Operational Summary 2-3
2.1.1 Pharmacy Staff and Role Descriptions: 2-3
2.1.2 Pharmacy Educational Program 2-5
2.1.3 Inpatient Pharmacy 2-6
2.1.4 Primary Inpatient Pharmacy Spaces and Functions 2-7
2.1.5 Outpatient Pharmacy 2-9
2.1.6 Primary Outpatient Pharmacy Spaces and Functions 2-10
2.1.7 Satellite Pharmacy 2-11
2.1.8 Waste Management 2-11
2.2 Trends in Pharmacy 2-13
2.2.1 Research Based Design 2-13
2.2.2 Technology Advancements: 2-13
2.2.3 Codes and Standards 2-14
2.2.4 Meds to Beds 2-14
2.2.5 Storage 2-15
2.2.6 Consolidated Mail Outpatient Pharmacy (CMOP) 2-15
2.2.7 Personalized Healthcare: DNA Driven Drug Development 2-16
2.3 Technical Considerations 2-17
2.3.1 VA Policies, Directives, Handbooks and Standards 2-17
• Local/State Codes and References 2-17
• Other Recommended Reference Standards 2-17
2.3.2 Architecture 2-18
• Ceilings 2-18
• Floors 2-18
• Walls 2-18
• Casework 2-19
• Countertops 2-19
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• Acoustics / Noise Control 2-19
• Doors 2-19
2.3.3 Interior Design 2-20
• Interior Finishes 2-20
• Wayfinding 2-21
2.3.4 Heating, Ventilation, and Air Conditioning Systems 2-21
• Life Cycle Analysis 2-21
• Energy Conservation 2-22
2.3.5 Pneumatic Tube System 2-24
2.3.6 Plumbing Systems 2-24
2.3.7 Electrical Systems 2-25
2.3.8 Telecommunication, Monitoring, and Signaling Systems 2-26
2.3.9 Fire Protection and Life Safety 2-26
3.0 FUNCTIONAL CONCEPTS 3-1
3.1 General 3-3
3.2 Adjacency Diagrams 3-4
3.2.1 Bubble Diagram - Inpatient Pharmacy (IP) 3-4
3.2.2 Mockup Diagram - Inpatient Pharmacy (IP) 3-5
3.2.3 Bubble Diagram - Outpatient Pharmacy (OP) 3-6
3.2.4 Mockup Diagram - Outpatient Pharmacy (OP) 3-7
3.2.5 Mockup Diagram - Combined IP/OP Pharmacy 3-9
3.3 Medication Flow Diagrams 3-10
3.3.1 Inpatient Pharmacy (IP) 3-10
3.3.2 Combined Pharmacy IP Flow 3-11
3.3.3 Hazardous Drug (HD) Receiving/Storage 3-12
3.3.4 Sterile Compounding Flow 3-13
3.3.5 Outpatient Pharmacy (OP) 3-14
3.3.6 Combined Pharmacy: OP Flow 3-15
3.4 Security Diagram - Combined Pharmacy 3-16
3.5 Prototype - Combined Pharmacy 3-17
3.5.1 Prototype Floor Plan 3-17
3.5.2 Prototype Reflected Ceiling Plan 3-18
4.0 DESIGN GUIDE PLATES 4-1

4.2 Legend of Symbols 4-5
4.3 Room Templates 4-9
4.3.1 Dispense/Consult Window - (PHOW2) 4-10
4.3.2 Filling/Assembly Area, Outpatient (PHOF1) 4-20
4.3.3 Processing Area, Outpatient - (PHPA1) 4-32
4.3.4 Secured Dispensing / Storage, Outpatient (PHOS1) 4-40
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4.3.5 Discharge Pharmacist (PHDP1) 4-50
4.3.6 Work Room, IDS (PHID1) 4-58
4.3.7 Filling/Assembly Area, Inpatient (PHIF1)` 4-70
4.3.8 Processing Area, Inpatient (PHPA1) 4-84
4.3.9 Secured Dispensing / Storage, Inpatient (PHIS1) 4-92
4.3.10 Repackaging Area (PHIR1) 4-102
4.3.11 Non-Sterile Compounding Area (PHNS1) 4-114
4.3.12 Receiving/Breakdown, Inpatient (PHRB1) 4-122
4.3.13 Anteroom, Sterile Compounding (PHAR1) 4-134
4.3.14 Sterile Hazardous Drug Buffer Room (C-SEC) (PHHD1) 4-146
4.3.15 Sterile Non-Hazardous Drug Buffer Room (PHSC1) 4-156
5.0 APPENDIX 5-3
5.1 Site Visits 5-5
5.1.1 Introduction 5-5
5.1.2 Jesse Brown VAMC, Chicago, Illinois 5-7
• Medical Center Overview 5-8
• Pharmacy Overview 5-9
• Outpatient Pharmacy Plan 5-12
• Inpatient Pharmacy Plan 5-14
5.1.3 Edward Hines Jr. VAMC CMOP, Hines, Illinois 5-16
• Overview 5-17
• CMOP Overview 5-18
5.1.4 University of Chicago Medical Center, Chicago, Illinois 5-20
• Overview 5-21
5.1.5 Elmhurst Memorial Hospital, Elmhurst, Illinois 5-28
• Overview 5-29
• Model of Care 5-32
• Pharmacy Plan 5-34
5.1.6 Rush University Medical Center 5-38
• Overview 5-39
• Pharmacy Plan 5-42
5.1.7 Orlando VAMC, Orlando, Florida 5-44
• Overview 5-45
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5.1.8 James Haley VAMC, Tampa, Florida 5-56
•Overview 5-57
•Pharmacy Overview 5-58
•Outpatient Pharmacy Plan 5-62
•Inpatient Pharmacy Plan 5-66
5.1.9 Malcom Randall VAMC, Gainesville, Florida 5-68
• Overview 5-69
5.1.10 Washington DC VAMC, Washington, DC 5-78
• Overview 5-79
• Outpatient Pharmacy Patient Flow 5-82
• Pharmacy Receiving Distribution Flow 5-83
• Outpatient Pharmacy Sterile Compounding Flow 5-84
• Inpatient Pharmacy Medication Flow 5-85
• Outpatient Pharmacy Medication Flow 5-86
5.2 Storage Study 5-87
5.2.1 Jesse Brown VAMC Storage Survey 5-88
5.2.2 Orlando VAMC Storage Survey 5-89
5.2.3 Orlando VAMC Storage Survey 5-90
5.2.4 Tampa VAMC Storage Survey 5-91
5.2.5 Gainesville VAMC Storage Survey 5-92
5.2.6 UCMC Storage Survey 5-93
5.2.7 UCMC Storage Survey 5-94
5.2.8 Elmhurst VAMC Storage Survey 5-95
5.2.9 Rush VAMC Storage Survey 5-96
5.2.10 Washington DC VAMC Storage Survey 5-97
5.3 Test Fits 5-99
5.3.1 Consult Room 5-100
5.3.2 Phonebank, Telepharmacy 5-101
5.3.3 Storage, Prosthetics and Supplies 5-102
5.3.4 Filling/Assembly, Shelving Storage 5-103
5.3.5 Work Area, Sterile Compounding 5-104
5.3.6 Storage, Sterile Compounding 5-105
5.3.7 Workstation, Clinical Pharmacy Teaching Coordinator 5-106
5.3.8 Workstation, Intern/Student 5-107
5.3.9 Workroom, Resident 5-108
5.3.10 Pharmacy Cache 5-109
TABLE OF CONTENTS iv
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1.0 GENERAL
TABLE OF CONTENTS
1.1 Foreword 1-3

1.2 Acknowledgments 1-5
1.4 VA Policies / Standards and Industry Policies / Standards 1-11
• 1.4.1 VA Policies/Standards 1-11
• 1.4.2 Industry Codes/ Standards 1-12
• 1.4.3 HIPAA 1-12
• 1.4.4 Disaster Planning 1-12
1.5 Abbreviations 1-13
1.6 Definitions 1-17
GENERAL 1-1
APRIL 1, 2018
GENERAL 1-2
APRIL 1, 2018
1.1 Foreword
VA Program Offices, project teams, designers and constructors, are

obligated to our Nation’s Veterans and taxpayers to make the most
effective and efficient use of resources, by providing a continuum of safe,
secure, high quality, high performance, and high value environments
of care and service for Veterans. The VA Office of Construction and
Facilities Management (CFM) supports the Department’s mission through
development and application of standards as a basis for disciplined
planning, design, an d construction of VA facilities.
VA Standards are the culmination of a partnership among the Department

of Veterans Affairs (VA), the Veterans Health Administration, Program
Officials, Clinicians, Industry, Academic and Research Organizations,
Expert Consultants, and the Office of Construction and Facilities
Management. Design Guides are developed through integration of VA-
specific requirements, Federal law and regulation, benchmarking of
industry best practice, evidence-based research and design, and value-
based analysis of leading edge innovation. The result is the establishment
of best value standards for optimum functionality, safety, operability,
performance, and quality throughout the VA environment of care and
service.
Design Guides (PG-18-12) are a critical component of the VA Technical

Information Library (TIL) (www.cfm.va.gov/TIL) which provides standards
for all VA planning, design, and construction projects. Design Guides
focus on selected healthcare departments and services and include
an overview narrative of VA-specific planning and design principles
and concepts, room templates, equipment lists, and basic technical/
engineering requirements. They communicate the basis of design and
are required to be utilized by project teams working on new construction
and renovations of existing facilities. Design Guides will maximize the
effectiveness and efficiency of the planning and design process and
ensure a high level of design, while controlling construction, operating,
and maintenance costs.
GENERAL 1-3
APRIL 1, 2018
The material contained in Design Guides constitutes a Standard for VA

Planning, Design and Construction. For all VA projects, it is required
that project teams comply with the following in all phases of project
development:
1. All applicable VA Standards published in the VA Technical

Information Library (TIL) shall be applied as a basis, foundation,
and framework in planning, design, and construction. Any
substantial variance from Standards shall be considered only as
required to accommodate specific site, functional, and operational
conditions. Upon consideration of variance CFM shall be
consulted, and each Administration will function as Authority Having
Jurisdiction for decision. Each substantial variance shall have a
basis rationale and be documented in the project record
2. Clinicians, providers, primary users, and other stakeholders shall
be involved in all phases of project development to best adapt
Standards for specific functional, operational, and site conditions,
and to provide optimum service environments for Veterans.
This also includes installations and modifications of systems or
technology involving safety, security, functionality, or environmental
quality. Stakeholder involvement shall be documented in the
project record
Design Guides are not project-specific. It is impossible to foresee all

rapidly evolving requirements of healthcare facilities and each site or
project will have unique requirements or conditions. Site-specific issues
must be addressed within the context of these standards and applied to
each individual project. Use of this Guide does not preclude the need for,
nor absolve planners, designers, and constructors of their responsibility
to provide complete, functional, safe, and secure designs suited to the
unique requirements of each project, within budget, and on schedule.
Materials, equipment and systems are shown in an illustrative,

performance-based format and are not intended to depict, suggest, or
otherwise constitute endorsement of any specific product or manufacturer.
Manufacturers should be consulted for actual dimensions, configurations,
and utility requirements.
All participants in the project development process must embrace VA

Planning, Design and Construction Standards as fundamental in providing
optimum environments for Veterans’ care and services, in fulfilling VA’s
mission.
GENERAL 1-4
APRIL 1, 2018
1.2 Acknowledgments
Credit is due to the following individuals whose leadership, knowledge,

skills, and ability made this document possible.
VETERANS HEALTH ADMINISTRATION (VHA)
PHARMACY SERVICE (FIELD BASED)
Keri Justice
Malcolm Randall VAMC Chief, Pharmacy Service
Heather Taxeras, Pharm.D

Malcolm Randall VAMC Inpatient Pharmacy Supervisor
Rachel Cornett, Pharm.D

Malcolm Randall VAMC Outpatient Pharmacy Supervisor
Richard Rooney, Pharm.D

Jesse Brown VAMC Chief, Pharmacy Service
Isabel Sanvanson Karceski, Pharm.D

Jesse Brown VAMC Associate Chief of Operations
Ivan Itebejac, Pharm.D,

Orlando VAMC Chief, Pharmacy Service
Jacqueline Kill, Pharm.D

Orlando VAMC Associate Chief of Pharmacy
Kyle Hagen, Pharm.D

Orlando VAMC Inpatient Pharmacy Supervisor
Alicia Decker, Pharm.D

Orlando VAMC Outpatient Pharmacy Supervisor
Peter Willis, Pharm.D

Orlando VAMC Outpatient Pharmacy Supervisor
Kim Mowrey, Pharm.D

James A Haley VA Hospital Chief, Pharmacy Service
Freddy Tadros
James A Haley VA Hospital Associate Chief of Pharmacy
GENERAL 1-5
APRIL 1, 2018
PHARMACY BENEFITS MANAGEMENT SERVICE (PBMS)
Vaiyapuri Subramaniam, Pharm.D

Pharmaceutical Compounding &
Management Associate Chief Consultant
Kimberly Quicci-Roberts Health Science Specialist
Philip Coggins
Richmond VAMC Pharmacist
Steven Clause
Tennessee Valley Health System ACY Pharmacy Site Manager
Roy Coakley
VISN 8 Pharmacy Benefits Manager
Louis Cobuzzi
Planning Analysis & Development Associate Chief Consultant
ENVIRONMENTAL PROGRAM SERVICE (EPS)
Christine Emanuelson
Environmental Programs Service Program Manager, Interior Design
OFFICE OF CAPITAL ASSET MANAGEMENT ENGINEERING AND SERVICES

(OCAMES)
Brandilyne Stockstill Capital Support Engineer
Brian Melewski Capital Support Engineer
OFFICE OF OPERATIONS, SECURITY AND RESILIENCE (OSR)
Forrest Frakes Senior Telecommunications

Office of Operations, Security & Resilience Specialist
GENERAL 1-6
APRIL 1, 2018
OFFICE OF CONSTRUCTION & FACILITIES MANAGEMENT (CFM)
Don Myers, Director Facilities Standards Service
Gary Fischer, AIA

Facilities Standards Service Senior Healthcare Architect
Orest Burdiak
Facilities Standards Service Principal Interior Designer
Jacob Brown
Facilities Standards Service Medical Equipment Specialist
Mahmut Nazli
Facilities Standards Service Mechanical Engineer
David Tash
Facilities Standards Service Mechanical Engineer
Michael Taylor
Facilities Standards Service Plumbing Engineer
Lam Vu
Facilities Standards Service Electrical Engineer
Mark Wiersma
Consulting Support Services Director
Michael Koch
Consulting Support Services Architect
David Treece
Consulting Support Services Senior Healthcare Architect
Linda Chan
Facilities Planning Development Service Planner/Architect
GENERAL 1-7
APRIL 1, 2018
CONSULTANTS - SMITHGROUPJJR
Bill Kline, AIA, ACHA, EDAC, LEED AP Principal in Charge
Naomi Kruger, IIDA, LEED AP BD+C Project Manager
Joshua Hendershot, AIA, NCARB

EDAC, LEED AP Senior Medical Planner
Stephen Parker, AIA, NCARB

LEED AP BD+C Architect
Laura Babinski, RA, LEED AP BD+C Architect
SUB-CONSULTANTS - THE INNOVA GROUP
Chris Phillips Project Manager
Eric Hunt Equipment Planner
Lee Pettit, AIA, LEED GA Space Planner
SUB-CONSULTANTS - URS CORPORATION
Troy Metz, PE Mechanical Department Manager
William Hoffman, PE Mechanical Engineer
Danny Reyno Electrical Engineer
GENERAL 1-8
APRIL 1, 2018
1.3 Introduction
This Pharmacy Service Design Guide (PG-18-12) replaces the first Design
Guide for Pharmacy Service which dates from 1995. One of the primary
drivers for developing this update to the Design Guide is due to the age
of the current information available within VA for use on facility design and
construction projects, with the knowledge that there have been significant
changes to Pharmacy Service over this period of time.
The Office of Construction & Facilities Management worked with the

Pharmacy Benefits Management Service and Pharmacy Service field
based personnel on this effort to establish a new ‘Best Practice’ standard
for VA facilities providing pharmacy services to the nations Veterans. This
effort involved site visits, research, information development and testing
of related information used in the formulation of space projections for
potential new facility projects.
The Design Guide represents planning and design standards that have
been developed to support the delivery of patient care for Pharmacy
Service. These standards apply to Inpatient Pharmacy and Outpatient
Pharmacy contained within a VA Medical Center (VAMC) as well as
Outpatient Pharmacy in large Outpatient Clinics / Ambulatory Care
Centers or in off-site locations from a VAMC. The Pharmacy Service
contained in a CBOC setting (most often under 100,000 BGSF) are
addressed in the PACT / Outpatient Clinic Space Planning Criteria Chapter
and Design Guide.
The standards set forth herein are not intended to be project-specific, nor
are they crafted as a regulatory code. The Design Guide addresses space
and equipment planning, based on the functional, technical, and systems
requirements to support the operational requirements associated with the
various Pharmacy services. The narrative and graphic material developed
in this document are based on the site visits of both recently built/
renovated and older facilities, staff interviews, collaborative work sessions
and meetings, and research of relevant publications and standards.
GENERAL 1-9
APRIL 1, 2018
The Design Guide, in conjunction with PG-18-9, Space Planning Criteria

Chapter 268: Pharmacy Service and PG-18-5, Equipment Guide List –
Pharmacy Service, is a design tool for VA Medical Center clinical and
administrative staff, planners, architects, interior designers, engineers, and
consulting architects and engineers (A/E’s) to assist with understanding
the unique functional and technical requirements associated with this
patient care service. The concepts and standards set forth in these
documents address the space needs for Pharmacy Service when provided
within a VA Medical Center environment and when provided within a
VA Ambulatory Care or Outpatient Environment. In addition, within the
context of the information contained in the Design Guide an approach is
discussed on how to apply these standards to pharmacy projects planned
to be renovated within an existing building.
GENERAL 1-10
APRIL 1, 2018
1.4 VA Policies / Standards and Industry Policies / Standards
1.4.1 VA Policies/Standards

1. Master Construction Specifications PG-18-1
2. Design and Construction Procedures PG-18-3 (Refer to the PG-18-3
(Topic 1) for the list of Codes, Standards and Executive Orders.)
3. Standard Details PG-18-4

4. Equipment Guide List PG-18-5

5. VA Handbook 0730

6. Barrier-Free Design Standard H-18-13

7. Room Finish, Door, and Hardware Schedule PG-18-14

8. Refer to the following PG 18-9 Space Planning Criteria Chapters

and MH RRTP that often require Pharmacy space:

◦ Chapter: Ambulatory Care (Hospital-Based)

◦
Chapter: Inpatient Nursing Units
◦
Chapter: Small House Model
◦
Chapter: CBOC Prototype Study
◦
Chapter: Surgical and Endovascular Services
◦
VHA HANDBOOK 1162.02: Mental Health Residential
Rehabilitation Treatment Program (MH RRTP)

9. Various Technical Criteria (Design Manuals) pertaining to

Architectural, HVAC, Plumbing, Electrical and Physical Security

10. Consensus Information from various VA medical centers

11. Seismic Design Requirements H-18-8

12. Physical Security Design Manuals

◦ For VA
Mission
Critical
Facilities

◦ For VA Life-Safety Protected Facilities

GENERAL 1-11
APRIL 1, 2018
1.4.2 Industry Codes/ Standards
1. FGI Guidelines for Design and Construction of Hospital and

Outpatient Facilities - Current Edition
2. United States Pharmacopeia Convention (USP) Compounding
Compendium - Current Edition
1.4.3 HIPAA
The Healthcare Insurance Portability and Accountability Act of 1996

(HIPAA) protects individuals rights to audible as well as visual privacy.
This is especially the case with respect to protection of each individual’s
medical records, private information and communications. The law
protects all conversations between patients and admission interviewers,
caregivers, nurses, physicians and families. ARRA passed by U.S.
government in 2009 enacts special provisions and legal enforcement tools
for patient privacy, protection and security. Office of Civil Rights (OCR)
monitors HIPAA security rule compliance based on ARRA provisions.
Current penalties that can be implied by OCR for non-compliance with
HIPAA are divided in four categories: (i) without knowledge; (ii) based on
reasonable cause; (iii) willful neglect and (iv) willful neglect, not corrected.
Penalties differ per violation versus maximum penalty according to these
four categories and vary between $100 and up to $1,500,000.
1.4.4 Disaster Planning
Situations can arise in which it may not be feasible to evacuate patients for
extended periods of time. In those cases, emergency electrical power will
be required to maintain seamless equipment operation, heating, ventilating
and vertical transportation systems, and life safety systems. This is
especially important to keep the patient population reasonably comfortable
and safe. These Design Standards recommend that the project consider
planning for this contingency in order to care for the veteran population
especially when the facility is located in an area where a high probability of
threat exists from natural disasters such as hurricanes and earthquakes.
Refer to the Physical Security Design Manual For Va Life-Safety Protected

Facilities, and Physical Security Design Manual for VA Mission Critical
Facilities.
GENERAL 1-12
APRIL 1, 2018
1.5 Abbreviations
A Amps/Amperes
ABA Architectural Barriers Act
ABAAS Architectural Barriers Act Accessibility Standard
AC/HR Air Changes per Hour
ACT Acoustical Ceiling Tile
ADA Americans with Disabilities Act
ADAAG ADA Accessibility Guidelines

ADM Automated Dispensing Machine
A/E Architectural / Engineering Firm
AFF Above Finished Floor
AHJ Authority Having Jurisdiction
AIA American Institute of Architects
ANSI American National Standards Institute

ASHRAE American Society of Heating, Refrigerating & Air Conditioning Engineers
AR As Required
ASC Ambulatory Surgery Center
AT Acoustical Ceiling Tile
AT (SP) Acoustical Ceiling Tile (with Sprayed Plastic Finish)
BC Base Cabinet
BMS Building Management System
C Degree Celsius
CC Contractor Furnished, Contractor Installed
CFM Cubic Feet per Minute
CFM Office of Construction & Facilities Management
CMS Centers for Medicare and Medicaid Services
CON Certificate of Need
CV Control Valve
CLG Ceiling
CO2 Carbon Dioxide
GENERAL 1-13
APRIL 1, 2018
CP Carpet (without cushion broadloom)

CT Ceramic Tile
DG Design Guide
DOE Department of Energy
DP Automatic Push Plate
DS Door Switch
EDM Electrical Design Manual
EES Essential Electrical System
EMER Emergency
F Degrees Fahrenheit
FC Foot-candle
FD Floor Drain
FIXT Fixture
FLUOR Fluorescent
FM Facilities Management
FMS Facilities Management Service
FPS Fire Protection System
GFI Ground Fault Circuit Interrupter
GSF Gross Square Feet
GSM Gross Square Meters
GWB Gypsum Wallboard
HAC Housekeeping Aides Closet
HD High Density Storage / Hazardous Drugs
HATCH Holistic Approach to Transformational Change
HIPAA Health Insurance Portability and Accountability Act of 1996
HVAC Heating, Ventilating and Air Conditioning
HP Horsepower
HR Hour
IDS Investigational Drug Services
IES Illuminating Engineering Society
GENERAL 1-14
APRIL 1, 2018
IESNA Illuminating Engineering Society of North America

IP Inpatient
IPS Isolation Power System
JSN Joint Schedule Number
kW Kilowatt
LED Light Emitting Diode
LEED Leadership in Energy and Environmental Design
LB Pound/Pounds
LLTS Lockers, Lounges, Toilets & Showers
MATV Master Antenna Television
MCS Master Construction Specifications
MID Motion Intrusion Detection
MTD Mounted
NEC National Electrical Code
NFPA National Fire Protection Association
NSF Net Square Feet
NSM Net Square Meters
O Oxygen
OBRA Omnibus Budget Reconciliation Act of 1987
OIT Office of Information & Technology
OP Outpatient
OSHA Occupational Safety and Health Administration
PACU Post Anesthesia Care Unit
PG Program Guide
PH Phase
PFD Program for Design
PP Push Plates
PSDM Physical Security Design Manual
PTS Pneumatic Tube Station
RB Resilient Base
GENERAL 1-15
APRIL 1, 2018
RCP Reflected Ceiling Plan

RES Resinous Flooring
RF Rubber Flooring
RPS Radio Paging System
RSF Resilient Sheet Flooring
SC High Build Glazed Coating (Special Coating)
SD Standard Detail
SF Square Foot, Square Feet
SOPC Satellite Outpatient Clinic
SP Special Faced
STC Sound Transmission Class
TIL Technical Information Library provided by the VA online @ http://www.cfm.
va.gov/TIL/
UPS Uninterruptible Power Supply
USGBC United States Green Building Council
USP United States Pharmacopeia
V Volts
VA Department of Veterans Affairs
VACO Veterans Affairs Central Office
VAMC Veterans Affairs Medical Center
VA-SEPS Space and Equipment Planning System (see definitions)
VAV Variable Air Volume
VC VA Furnished, Contractor Installed
VHA Veterans Health Administration
VISN Veterans Integrated Health Network
VOC Volatile Organic Compound
VSO Veterans Service Organizations
VTEL Video Teleconferencing
VV VA Furnished, VA Installed
W Watts
GENERAL 1-16
APRIL 1, 2018
1.6 Definitions
Clean Room A room in which the concentration of airborne particles is controlled to

meet a specified airborne particulate cleanliness class.
Doff To remove PPE
Don To put on PPE
Essential Electrical A system comprised of alternate sources of power, all connected

System (EES) distribution systems, and ancillary equipment, designed to ensure
continuity of electrical power to designated areas and functions of a
health care facility during disruption of normal power sources, and
designed to minimize disruption within the internal wiring system.
Gross Square Feet Total building gross areas measured from exterior faces of exterior
(GSF) walls
Hazardous Drugs Drugs are classified as hazardous if studies in animals or humans

indicate that exposures to them have a potential for causing cancer,
development or reproductive toxicity, or harm to organs
High-efficiency An extended-medium, dry-type filter in a rigid frame, having a mini-

particulate air mum particle collection efficiency of 99.97% for particles with a mass
(HEPA) filtration median diameter of 0.3 mm
Leadership in Energy Includes a rating system for building design as well as professional
and Environmental accreditation for people working in the design building industry.
Design (LEEDTM)
Mechanical Area Main boiler room and other mechanical and electrical areas;
included in gross areas and excluded in net areas.
National Fire Produces a code used in many jurisdictions to define fire protection
Protection requirements of building codes. VA uses several of the NFPA codes
Association (NFPA) including NFPA 101, Life Safety Code.
GENERAL 1-17
APRIL 1, 2018
Negative Pressure A room that is at a lower pressure than the adjacent spaces and,
Room therefore, the net flow of air is into the room
Net Area / Net The area of rooms or spaces as measured from the inside wall to
Square Feet (NSF) inside wall and assigned to functional use by occupants.
/ Net Square Meters
(NSM)
Pass-through An enclosure with interlocking doors that is positioned between two

spaces for the purpose of reducing particulate transfer while moving
materials from one space to another. A pass-through serving negative-
pressure rooms needs to be equipped with sealed doors
Personal protective Items such as gloves, gowns, respirators, goggles, faceshields, and
equipment (PPE) others that protect individual workers from hazardous physical or
chemical exposures
Positive Pressure A room that is at a higher pressure than the adjacent spaces and,
Room therefore, the net airflow is out of the room
Repackaging The act of removing a product from its original primary container and
placing it into another primary container, usually of smaller size
Spill kit A container of supplies, warning signage, and related materials used to
contain the spill of an HD.
United States Green The United States Green Building Council is a national coalition of
Building Council leaders in the building industry that developed the LEED™ system.
(USGBC)
VA-SEPS Acronym for Space and Equipment Planning System, a digital tool
developed by the Department of Defense (DoD) and the Department
of Veterans Affairs to generate a Program for Design (PFD) and
an Equipment List for a VA healthcare project based on specific
information entered in response to Input Data Statements. SEPS 3,
the current version, incorporates the propositions set forth in all VA
space planning criteria chapters. SEPS 3 is designed to aid healthcare
planners in creating a Program for Design (PFD) and Program Room
Contents (PRC) based on a standardized set of criteria parameters.
GENERAL 1-18
APRIL 1, 2018
2.0 NARRATIVE
TABLE OF CONTENTS
2.1 Clinical and Operational Summary 2-3
• 2.1.1 Pharmacy Staff and Role Descriptions: 2-3
• 2.1.2 Pharmacy Educational Program 2-5
• 2.1.3 Inpatient Pharmacy 2-6
• 2.1.4 Primary Inpatient Pharmacy Spaces and Functions 2-7
• 2.1.5 Outpatient Pharmacy 2-9
• 2.1.6 Primary Outpatient Pharmacy Spaces and Functions 2-10
• 2.1.7 Satellite Pharmacy 2-11
• 2.1.8 Waste Management 2-11
2.2 Trends in Pharmacy 2-13
• 2.2.1 Research Based Design 2-13
• 2.2.2 Technology Advancements: 2-13
• 2.2.3 Codes and Standards 2-14
• 2.2.4 Meds to Beds 2-14
• 2.2.5 Storage 2-15
• 2.2.6 Consolidated Mail Outpatient Pharmacy (CMOP) 2-15
• 2.2.7 Personalized Healthcare: DNA Driven Drug Development 2-16
2.3 Technical Considerations 2-17
• 2.3.1
VA Policies, Directives, Handbooks and Standards 2-17
• 2.3.2
Architecture 2-18
• 2.3.3
Interior Design 2-20
• 2.3.4
Heating, Ventilation, and Air Conditioning Systems 2-21
• 2.3.5
Pneumatic Tube System 2-24
• 2.3.6
Plumbing Systems 2-24
• 2.3.7
Electrical Systems 2-25
• 2.3.8
Telecommunication, Monitoring, and Signaling Systems 2-26
• 2.3.9
Fire Protection and Life Safety 2-26
NARRATIVE 2-1
APRIL 1, 2018
NARRATIVE 2-2
APRIL 1, 2018
2.1 Clinical and Operational Summary
The Pharmacy Department serves both inpatient and outpatient needs.

This includes, but is not limited to Inpatient Nursing Units, Small

House Model units, Surgical Services, Emergency Departments, Pain

Management and Ambulatory/Outpatient Care Clinics.
Although it is ideal for both inpatient and outpatient pharmacies to be

combined, or in close adjacency, it is not always possible due to space

constraints and facility needs. Some facilities operate with cross trained

staff that are able to flex easily between the different work-flows and is

recommended that a combined pharmacy be considered when possible.
2.1.1 Pharmacy Staff and Role Descriptions:
To help the design team better understand the roles of the staff and their
level of interaction with the pharmacy, a brief description of the more
common positions are listed below for reference. These roles are here for
reference only and may vary per facility
Chief of Pharmacy: Full and final responsibility for technical, clinical,

professional, and administrative activities of the Pharmacy department.
The Chief of Pharmacy Services is the uppermost position in the
pharmacy organizational hierarchy. The Chief of Pharmacy services works
collaboratively with mid-level managers and clinicians to direct pharmacy
services in all areas (clinical, educational, administrative, professional,
research, technological, financial), but assumes ultimate responsibility for
decisions made and their outcomes.
Assistant Chief of Pharmacy: Coordinates daily management of pharmacy

operations to align with facility philosophies, policies, procedures, goals
and objectives. The Assistant Chief of Pharmacy plays an active role in
pharmacy program management and ongoing monitoring and evaluation
of pharmacy programs. He or she is also involved with administrative
and educational activities as well as human resource management and
medication safety and security. Also will assume responsibility of the
director when the Chief Pharmacist is absent.
Administrative Officer: Personnel management/administration, budgeting

and financial management, procurement and contracting, property
management. Works with human resource and sets up HR documents.
Duties may perform contracting officer monitoring for pharmacy
contracts. Assist the preparation of presentations and data gathering.
NARRATIVE 2-3
APRIL 1, 2018
Program Support Assistant: Performs administrative work at the

direction of the pharmacy management, such as preparing documents,

spreadsheets, Memo’s, Budgeting and functions as directed. Scheduling

and coordinating meetings, interviews, events and other similar activities.

Assisting with all aspects of administrative management, directory

maintenance, logistics, equipment. Preparing business correspondence,

agendas for service meetings. Answering phones and providing customer

service.
Clinical Pharmacy Supervisor: Daily professional and administrative

operation of the clinical pharmacy program and the professional guidance

and development of professional pharmacy staff. Responsible for

designing, developing, implementing, and assessing progressive and

comprehensive clinical pharmacy services and education programs to

promote continued advancement of clinical pharmacy services within the

organization.

Informatics Pharmacist: Responsible for the operation of the computer

database systems. Key functions include the management of

pharmaceutical pricing, drug accountability, drug information, pharmacy

benefits management, and management of the drug file. Activities are

designed to improve medication use through appropriate utilization of

available technology. The ADPAC pharmacist is involved in development

and assessment of clinical order sets to promote safe and effective

medication use. ADPAC pharmacists also continually assess and update

pharmacy technology as appropriate.
Pharmacoeconomist: Responsible for pharmacoeconomic program

development, implementation, monitoring, and reporting. Key functions

include: pharmacy formulary management, medication conversions,

drug utilization evaluation, economic and clinical medication therapy

assessments, patient outcomes assessments, and medical education and

information communication. Primarily, the responsibility of this role is to

ensure an appropriate balance between financial and clinical stewardship

with respect to medication therapy.

Procurement Technician: Procurement technicians must be able

to perform all responsibilities of inpatient and outpatient pharmacy

technicians. Primary responsibilities, however, include maintenance

and adherence to drug and supply inventory system to ensure that

inpatient and outpatient pharmacies can function adequately. Inventory

management, contractual assessments, and financial stewardship

NARRATIVE 2-4
APRIL 1, 2018
with respect to medication and supply acquisition are key functions.

Procurement technicians are also responsible for ensuring supply chain
integrity and for appropriate receipt, storage, and reverse distribution of
medication inventory under the supervision of pharmacy administrators.
Research Pharmacist: Responsible for the receipt, custody, distribution,

billing, and preparation of all records for all investigational drugs used in
the facility and for serving as the Pharmacy representative in all research-
related committees. The research pharmacist reviews study protocols
prior to Research and Development Committee consideration and
negotiates and establishes mechanisms to allow appropriate handling of
investigational medications. Research pharmacists ensure compliance
with facility and regulatory requirements in the handling of investigational
medications.
Pharmacy Resident (PGY1): PGY1 Pharmacy residents comprise the

introductory post-graduate training program. Residents are responsible
for a variety of clinical, administrative, and research-related activities.
Residents rotate through a variety of pharmacist positions under the
supervision of qualified preceptors. Completion of a PGY1 residency
program should equip graduates to perform at a high level across the
spectrum of pharmacist roles.
Pharmacy Resident (PGY2): PGY2 Pharmacy residents comprise the

specialized post-graduate training program. PGY2 pharmacy residencies
are designed to produce highly-qualified practitioners in a designated
pharmacy specialty. Rotations of PGY2 pharmacy residents are tailored
to a specific field of interest. Common PGY2 programs include: infectious
disease, pharmacy administration, psychiatry, critical care, ambulatory
care, oncology, transplant, and others. Responsibilities include a
combination of clinical, administrative, and research-related activities.
2.1.2 Pharmacy Educational Program
Like most clinical modalities, VAMC’s pharmacies provide education and

training for residents and students around the country and are affiliated
with major medical, nursing and allied health professional schools and
colleges. For this reason additional space is required to support the
educational program and staff support areas to accommodate training
requirements. The additional space and size needs must be taken into
consideration when determining the size and number of support spaces
for teaching and educating, i.e., conference rooms, offices, staff lounges,
resident spaces, etc.
NARRATIVE 2-5
APRIL 1, 2018
2.1.3 Inpatient Pharmacy
Figure 2.1 Jesse Brown VAMC Inpatient Pharmacy
The Inpatient Pharmacy is comprised of all functional areas required to

receive, process, fill, store and distribute all manners of medications to
the inpatient population on the hospital campus. Although the Inpatient
Pharmacy is responsible for monitoring and stocking medication supplies
via medication rooms, medication dispensing stations and satellite
pharmacies, these spaces are not addressed in this pharmacy design
guide and should be referred to the appropriate design guide those rooms
support.
The Inpatient Pharmacy should be centralized to the hospital and

connected to key departments through close adjacency or delivery
systems; e.g., pneumatic tube system and/or robotics, and have close
proximity to the loading dock area.
Security: The Inpatient Pharmacy is a staff only secured space and is

typically detached from public access by design. Secured access is used
to not only refuse public admittance, but also to allow only approved
hospital staff members in appropriate areas. The wall construction around
the Pharmacy is of a non scalable construction, meaning the partitions
will run to the underside of the floor or roof deck above. See the VA
Architectural and the Physical Security Design Manual for VA Mission
Critical Facilities for design requirements.
NARRATIVE 2-6
APRIL 1, 2018
2.1.4 Primary Inpatient Pharmacy Spaces and Functions
Filling / Assembly Area: Pharmacy Tech work area with access to carousel
and/or storage shelving for filling orders and assembling medications for
ADM restock.
Processing Area: Pharmacist workstation for initial receiving/validation of

medication orders and conducting phone consultations with providers.
Secured Dispensing / Storage: Restricted access work area for storing/

processing narcotics and controlled substances. Includes space for
expired drug collection/disposal.
Filling / Assembly Shelving: Active shelving for storage of drugs and

medication supplies required for filling orders.
Filling / Assembly Carousel: Automated storage and retrieval system for

drugs and medication supplies required for filling orders. Space includes
static shelving for overstock or bulky items that are not compatible with the
carousel bins.
Repackaging Area: Work area and equipment for processing bulk

medications into individual unit doses
Expired Drug Collection: Secured collection bins for expired/waste

medications for return or disposal.
Restock Area, Crash Cart: Work space and storage area for crash cart
replenishment and maintenance operations.
Non-Sterile Compounding Area: Work area for conducting Category

1-nonsterile / simple compounding activities.
Sterile Non-Hazardous Drug Buffer Room: Positive pressure buffer area /

clean room for mixing, transferring, and assembling components of non-
hazardous drug compounded sterile preparations.
Sterile Hazardous Drug Buffer Room [C-SEC]: Negative pressure buffer

area / clean room for mixing, transferring, and assembling components of
hazardous drug compounded sterile preparations.
NARRATIVE 2-7
APRIL 1, 2018
Sterile Hazardous Drug Storage: Negative pressure space for storing

sterile compounding operations.
Work Area, Sterile Compounding: Non-sterile work area adjacent to clean

rooms for support of both hazardous and non-hazardous compounded
sterile preparation activities
Ante-room, Sterile Compounding: An ISO Class 7 or cleaner room where

personnel hand hygiene, garbing procedures, and other activities that
generate high particulate levels are performed. The ante-room is the
transition room between the unclassified area of the facility and the buffer
room.
Storage, Sterile Compounding: Storage for sterile fluid bags and IV

admixture materials and supplies.
Housekeeping, Sterile Compounding: For storage of disposable cleaning

supplies specifically for use in Sterile Compounding areas. Keep separate
from general Pharmacy housekeeping supplies.
Inventory Receiving / Breakdown: Space for receiving, verification, and

breakdown of deliveries.
Procurement: Work area for inventory control/stock management staff.
Investigational Drug Services (IDS): Work space for conducting

investigational drug studies, including space for securable filing cabinets
and refrigerator.
Pharmacy Cache: Secured storage space for emergency medical

supplies and pharmaceuticals. Actual NSF required for pharmaceutical
portion of storage may vary by project - to be determined during planning
process.
NARRATIVE 2-8
APRIL 1, 2018
2.1.5 Outpatient Pharmacy
Figure 2.2 Gainesville VAMC Outpatient Pharmacy
The Outpatient Pharmacy is comprised of all functional areas required to

receive, process, fill, store and distribute all manners of medications to
the outpatient population in either the hospital or satellite pharmacy. The
Outpatient Pharmacy should be easily accessible to public space near
or on the path to major circulation spines of the facility and should have
strong adjacency to outpatient clinics and main points of entry.
The Outpatient Pharmacy is also responsible for dispensing medications

for discharge patients. Hospital protocol for discharge patients should be
considered to help determine best location or flow between the Outpatient
Pharmacy and the units the Outpatient Pharmacy is serving.
Security: Security will remain a concern when controlled substances are

available. There is a balance between patient experience and security
for both patient and the Pharmacy staff that needs to be taken into
consideration when designing dispensing and consultation areas. The
outpatient narcotic secured room is designed per the VA Construction
Standard H-18-3, CD-49.
Refer to the Physical Security Design Manual for VA Mission Critical

Facilities, for specific security measures.
NARRATIVE 2-9
APRIL 1, 2018
2.1.6 Primary Outpatient Pharmacy Spaces and Functions
Dispensing and Consult Area: Work area with secure transaction windows
/ pass throughs for dispensing medication to patients, and for conducting
general (non-confidential) consults with Pharmacists.
Dispensing Window: Secure transaction window with pass-thru for

dispensing medication to patients; not intended for patient consults
Consult Window: Semi-private station located outside of secure

Pharmacy perimeter for general (non-confidential) patient consults with
Pharmacists; not intended for medication distribution; open configuration
with no window or pass-through between patient and Pharmacist.
Consult Room: Private space for confidential patient consults with

Pharmacists.
Filling / Assembly Area: Pharmacist / Technician work stations, and active

shelving for storage of medications and prepackaged items required for
filling of prescriptions.
Automated Filling / Storage: Space for automated filling robot, and for
storage of bulk medications and supplies.
Processing Area: Pharmacist workstation for initial receiving and

validation of prescriptions, and for conducting phone consultations with
providers. Can also accommodate Community Care coordination.
Secured Dispensing / Storage: Restricted access work area for storing

/ processing narcotics and controlled substances. Includes space for
packaging and holding mail-out prescriptions, handling returned mail, and
for expired drug collection / disposal.
Mail Out Area: Work space for packaging and shipping of filled
prescriptions, and for processing returned mail.
Expired Drug Collection / Disposal: Secured collection bins for expired/

waste medications for return or disposal.
Discharge Pharmacy: Work area for provider coordination and processing

of medications prior to patient being released from inpatient / emergency
care.
NARRATIVE 2-10
APRIL 1, 2018
Call Center: Space for Pharmacy Technicians to conduct phone consults

with patients.
Inventory Receiving / Breakdown: Space for receiving, verification, and

breakdown of deliveries
Procurement: Work area for inventory control/stock management staff.
Storage: Storage for non-medicinal/bulky items/supplies required for filling

of prescriptions, i.e., Prosthetics.
2.1.7 Satellite Pharmacy
Inpatient satellite pharmacies can be in a number of departments to help

support immediate needs that would require a dedicated Pharmacist. The
needs of the facility should be discussed at the time of design in an effort
to provide the best level of care possible. A Satellite Pharmacy could be
included in Oncology, Surgical Services, Intensive Care Units, Neurology,
Cardiac Services, Emergency Services among other departments and
nursing units.
In addition to inpatient satellite pharmacies located within the hospital

proper, Long Term Care and Mental Health Residential Rehabilitation and
Treatment Programs could use a Satellite Pharmacy managed by the
Inpatient Pharmacy that is not in the hospital.
Satellite Pharmacies are not included in this design guide as they are specific to the
modality they serve and should be addressed within those specific design guides.
2.1.8 Waste Management
Rx Waste: Expired drug waste is generated most often by the medication

shelf life running out. Expired medication is collected by their drug
categories in a designated central accumulation area for either reverse
distribution, if applicable, or collected for disposal and taken to the loading
dock to be held in a secured location until pick up. This includes, but not
limited to partial vials, hospital repacks, un-dispensed, pre-filled syringes,
partial syringes, discontinued medications, unadministered medications,
patient prescriptions, and physician RX samples.
NARRATIVE 2-11
APRIL 1, 2018
Hazardous Rx Waste: Hazardous waste is collected separately from Rx

Waste and stored in a secured location, typically adjacent to the loading
dock, until such time a licensed hazardous waste hauler can collect and
transport it.
Sharps: Sharp containers shall be located at key locations to allow for

immediate disposal in areas where syringes will be used. Sharps container
are used to dispose partial, full or used syringes and will be collected
separately for proper disposal.
Satellite Rx Accumulation Areas: Satellite accumulation areas should be

discussed with each facility and identified in patient care areas. Regular
collection of expired and unused medications in these satellite locations
should be discussed and planned for.
General Waste: General waste is generated in all spaces and held in

waste containers within the various rooms or bulk storage in the receiving
area. The waste is then collected by cart and transported via the loading
dock to a waste handling facility.
Recycling: The sorting, collecting, transporting and disposing of recyclable

material should be analyzed by locality and modified to suit local
conditions and practices.
Product types used in the Pharmacy: disposable vs. recyclable products

should be discussed as it is an important design consideration that
impacts physical space, pharmacy operations, staffing and waste disposal
volumes.
Refer to the NEPA Interim Guidance for Projects for more information
regarding recycling requirements.
NARRATIVE 2-12
APRIL 1, 2018
2.2 Trends in Pharmacy
Over the years there have been numerous updates to Pharmacy function,
operation and delivery of care. Below are some key elements of significant
changes to note.
2.2.1 Research Based Design
Although using design to affect outcomes is not a new concept, the use
of research based design has become common in helping designers and
facilities determine courses of action that help in the design of safer and
more patient centric environments based on real data and outcomes. One
such example is medication errors, which can derive from poor lighting,
ergonomics, fatigue, distractions and general lack of efficiency can all be
improved with research based solutions.
2.2.2 Technology Advancements:
Robotics play a significant role in

the reduction of medication errors,
efficiency of staff as well as how
drugs are stored, filled and delivered.
Robotics in conjunction with conveyor
systems for outpatient pharmacies
bring the medication to technicians
for filling, limiting technician fatigue,
thereby reducing medication errors.
Advancement in automated medication
storage and dispensing systems is
Figure 2.3 Orlando VAMC Inpatient
Pharmacy Robotics
significantly helping facilities with
inventory control and space management
for medication storage. Storage systems like medication carousels
increase the amount of medications that can be stored in a given square
footage when compared to static shelving by condensing the storage need
in a compact and vertical solution. These systems save square footage
requirements and also staffing assigned to manual check par levels on a
regular basis.
NARRATIVE 2-13
APRIL 1, 2018
Specialty equipment such as compounding robotics have also been

advancing to help in repetitive tasks with high volume. Given the right
conditions and facility needs, robotics are able to provide a significant
savings in operation and possible FTE costs.
2.2.3 Codes and Standards
With advancement in research studies of the long term effects of

medication exposure to staff, there have been significant updates to the
USP chapter <797> Pharmaceutical Compounding - Sterile Preparations,
and the addition of the USP chapter <800> Hazardous Drug - Handling
in Healthcare Settings. These chapters are provided by the United States
Pharmacopeia (USP) to help mitigate workplace exposure in the sterile
environments with potential exposure to hazardous drugs.
2.2.4 Meds to Beds
The Meds to Beds concept describes part of a discharge process where

the patient receives prescriptions, hand delivered at bedside, before or
during discharge. The theory behind Meds to Beds is to not only limit the
number of stops and wait time a patient has before leaving the hospital
by eliminating the need to visit the outpatient pharmacy after being
discharged, but also to make sure the patient receives their medication,
the medication is explained to them and the patient has the ability to have
their questions answered by a pharmacist.
There are benefits to this program as well as challenges with staffing and
current practices. Revised communication protocols between nursing
and pharmacy staff will need to be discussed with the stakeholders to
determine if it is right for the facility, works with their current or future
staffing demand and nursing unit configuration.
NARRATIVE 2-14
APRIL 1, 2018
2.2.5 Storage
Figure 2.4 Inventory management system
Advanced storage systems and inventory management with just-in-time

deliveries from vendors, results in storage needs that have the potential
to be reduced, or at the very least better managed through integrated
tracking systems. Using these types of storage systems could help
eliminate medication shortage or stock overruns that could lead to more
expired medications.
2.2.6 Consolidated Mail Outpatient Pharmacy (CMOP)
Figure 2.5 Hines VA CMOP
NARRATIVE 2-15
APRIL 1, 2018
The VA Mail Order Pharmacy processed 119.7 million outpatient

prescriptions in fiscal year 2016. The Department of Veterans Affairs
provides approximately 80% of all outpatient prescriptions to Veterans
via mail order utilizing the VA Mail Order Pharmacy, a system of 7 highly
automated pharmacies. The VA Mail Order Pharmacy processes 470,000
prescriptions daily and every work day over 330,000 Veterans receive a
package of prescriptions in the mail. The VA utilization of VA Mail Order
Pharmacy results in exceptional accuracy and lower processing costs than
filling prescriptions at each VA Medical Center. Each facility will vary in the
overall medication utilized via the CMOP, however, that ratio could play a
role in the size of the pharmacy being designed.
2.2.7 Personalized Healthcare: DNA Driven Drug Development
The advent of consumer health services and devices, along with

supporting infrastructure such as telehealth & rapid DNA sequencing, has
made obtaining care more accessible and eventually, more affordable.
Sometimes referred to as personalized medicine, precision medicine,
among others, for pharmacies, the emergence of DNA-driven drugs that
can be synthesized in a bespoke manner and tailored to each patient is of
special interest. A particular individual’s BMI, caloric intake, family history
and other factors can be analyzed and considered in a drug mixture
best suited to their needs. As these patient-specific drugs are developed
in automated processes, the benefits of mitigating allergic reactions,
minimizing side effects and increasing the effectiveness of existing or
new drugs has become more apparent. As pharmacies become more
consumer-oriented, this type of customization will become increasingly
commonplace as a patient’s seek to control how they consume healthcare.
NARRATIVE 2-16
APRIL 1, 2018
2.3 Technical Considerations

2.3.1 VA Policies, Directives, Handbooks and Standards
VA functions as the Authority Having Jurisdiction (AHJ) for all VA facilities

and projects and has the responsibility to guard public health and safety
through enforcement of its own standards.
Planning, design, and construction of all VA pharmacies must be in

accordance with this document and with the latest editions and/or versions
of all VA policies and standards. The more stringent code and/or standard
are to be applied to VA facilities. Requirements in this Design Standard
shall not be construed as authorization or permission to disregard or
violate applicable local codes and regulations.
Please refer to section 1.4.2 Industry Codes/ Standards for a list of Codes,
Standards and Executive orders.
Local/State Codes and References

For VA owned properties the VA is not subject to local imposition of code
enforcement procedures, such as drawing reviews, building permits,
inspections, fees, etc. For leased properties,h the VA will be subject to the
local AHJ codes and regulations.
Other Recommended Reference Standards

FGI Guidelines for Design and Construction of Hospital and Outpatient
Facilities – Current Edition, published by the Facilities Guidelines Institute
with the assistance of the U.S. Department of Health & Human Services.
USP Compounding Compendium - Current Edition. Published by The

United States Pharmacopoeia Convention.
<795> Pharmaceutical Compounding - Non-sterile Preparations

<797> Pharmaceutical compounding - Sterile Preparations
<800> Hazardous Drugs - Handling in Healthcare Settings
NARRATIVE 2-17
APRIL 1, 2018
2.3.2 Architecture
Ceilings
The finished ceiling height of typical Pharmacy spaces should be a
minimum of 9’-0” (2743 mm) above the floor and be free of dust-collecting
overhangs. Consideration of acoustics should be addressed as required
by the function of the space.
The surfaces of the ceilings in the sterile compounding spaces shall be

smooth, impervious, free from cracks and crevices, and non-shedding,
thereby promoting cleanability, and minimizing spaces in which
microorganisms and other contaminants may accumulate.
Floors
Cleanability of the flooring material is of primary importance in the buffer
rooms. Consider the following when choosing a flooring material:
◦ Smooth, impervious, non-shedding, free from cracks
◦ Readily cleanable
◦ Resistant to damage by disinfectant agents
◦ Able to be have seams sealed

Flooring in the sterile compounding areas, including the ante-room, shall
be seamless and of non-porous material, such as a rubber or resilient
sheet flooring with heat-welded or chemical welded seams and integral
cove base to the wall. The buffer area shall not contain sources of water or
floor drains. Refer to PG 18-14 for flooring spec.
Staff in main pharmacies are often standing for long durations. The use of
softer, ante-fatigue, ergonomic flooring should be considered.
Walls
Due to the use of supply and distribution carts in the Pharmacy,
consideration shall be given to the durability of partitions. It is
recommended that walls are fitted with a crash rail and wall protection
in high traffic areas or areas where movable equipment and carts could
come in contact with wall surfaces.
NARRATIVE 2-18
APRIL 1, 2018
Security consideration should be made around the perimeter of the

pharmacy with walls going to the underside of structure of the floor above.
If a medication vault room is built, partitions should be constructed in
accordance with VA Handbook 0730.
Casework
Modular casework storage systems should be utilized for flexibility
including the incorporation of typical dimensions for ease of multiple re-
use applications. Casework systems should be integrated with space
planning to avoid corner installations and filler panels.
Countertops
For all clinical and clinical support areas, countertops should be made of
impervious, solid surface material (per PG 18-14: Room Finishes, Door &
Hardware Schedule) with integral sinks, which offers long-term durability,
and resists chipping and staining from medical agents expected to be
used in clinical environments. Plastic laminate veneer materials may be
used in non-clinical staff and administrative areas.
Acoustics / Noise Control

Interior acoustics that support speech intelligibility while providing comfort
can be difficult to obtain in an open Pharmacy work area where large
automation equipment could be present along with non-porous materials
that are required for infection control purposes. It is important to find
ways to control reverberation and noise transmission in these spaces.
Noise should be minimized by the planning and design of the physical
environment by isolating equipment and staff workflow that requires quiet
environments from the noisier functions. Selection of pharmacy equipment
and other systems (compounding robots, automated shelving, etc) could
also help in reducing excessive noise.
Refer to PG 18-3: Topic 11 - Noise Transmission Control and the FGI

guidelines for additional information regarding the acoustical requirements.
Doors
The doors entering directly into any Pharmacy space from a public space
are required to be secured with staff specific access; e.g., keycard or
keypad. Service doors to Receiving should be double leaf and large
enough to accommodate supplies on pallets to be easily moved into the
Receiving Area.
NARRATIVE 2-19
APRIL 1, 2018
For doors between the Anteroom and Buffer rooms, a glazed, 2 panel
sliding door with a push panel activator is recommended. If a swing door is
used a door lite is recommended.
Access into the Secure Dispensing & Storage, Outpatient (vault) is

required to have a steel secured door with day gate and limited staff with
keycard or keypad access.
2.3.3 Interior Design
Interior Finishes
Refer to the Room Finishes, Door & Hardware Schedule Program Guide
(PG 18-14), consider the following key factors in the design process,
which have an impact on the built environment and the user experience:
◦ Maintenance
◦ Durability
◦ Life cycle cost
◦ Warranty
◦ Therapeutic attributes (specifically for staff standing for long

durations)
◦ Improved wayfinding (clear demarcation between staff and

patient spaces)
◦ Specify appropriate materials to maximize infection control.

These materials can include but are not limited to upholstery
fabric with special coatings and moisture resistant backings,
stainless steel or solid surface counter tops.
NARRATIVE 2-20
APRIL 1, 2018
Wayfinding
Clear delineation of staff spaces and patient/visitor spaces helps reduce
stress and aid efficient operations in the Pharmacy. Also, it should be
noted that some staff members may be present in the facility do not
frequent the department regularly. It is therefore important to consider both
off-stage and on-stage routes when designing wayfinding.
◦ Patients / visitors touch pharmacy services at the perimeter to

pick-up scripts / have consults
◦ Pharmacy service visitors / delivery personnel required to

access pharmacy administration area and interior pharmacy
areas for dropping deliveries or picking up returns / waste etc.
2.3.4 Heating, Ventilation, and Air Conditioning Systems
HVAC systems shall be provided to heat, cool, and ventilate the individual
rooms or areas as required to satisfy design criteria. The HVAC system
shall comply with NFPA 72, 90A, 99, and 101, and the current version of
Department of Veterans Affairs (VA) HVAC DMs (http://www.cfm.va.gov/til/
dManual/dmMEhosp.pdf), VA Design and Construction Procedures (http://
www.cfm.va.gov/TIL/cPro.asp), VA Master Construction Specifications
(http://www.cfm.va.gov/TIL/spec.asp) and VA Standard Details (http://www.
cfm.va.gov/TIL/sDetail.asp) where applicable. The current VA design and
construction criteria are available on the VA Technical Information Library
(TIL) at http://www.cfm.va.gov/til/. Deviations from the VA guidelines may
be made provided approval is obtained from the VA. Where specific VA
requirements are not available or indicated in this DM, design criteria from
industry standards such as American Society of Heating, Refrigerating
and Air-Conditioning Engineers (ASHRAE), National Fire Protection
Association (NFPA), and Department of Energy (DOE), etc. , should be
submitted to VA for review and approval.
Life Cycle Analysis

The HVAC system shall be selected based on an economic life cycle
analysis performed as outlined in the current edition of the VA HVAC DM.
NARRATIVE 2-21
APRIL 1, 2018
Energy Conservation
Energy conservation shall be emphasized in all aspects of the building
design. The building shall meet the requirements of the current version of
the VA Sustainable Design and Energy Reduction Manual (http://www.
cfm.va.gov/til/sustain.asp), the VA HVAC DMs, the VA Electrical DM, and
the VA Plumbing DM. These design manual energy standards apply to
HVAC systems as well as the building envelope, service water heating,
lighting and energy management.
Exterior Design Conditions: Exterior summer/winter design conditions

and cooling tower wet bulb design temperatures shall be based on the
current edition of the VA HVAC DM. The Architect/Engineer (A/E) may
recommend more severe outdoor climatic conditions for review and
approval by the VA.
Interior Design Conditions: Interior design conditions for each space shall
be maintained throughout the year. In accordance with the current version
of the VA HVAC DM.
Supply Air Requirements: The supply air volume shall be established to

meet the heating and cooling load requirements of the occupied space.
The supply volume shall, however, be modified to meet a) meet minimum
air change requirements if this air quantity is more than the heating
and cooling load requirements, b) maintain proper space pressurization
relative to room exhaust requirements. For all air systems the supply air
minimum airflows shall follow the current version of the VA HVAC DM.
ANTE
STERILE (+) STERILE
HAZARDOUS DRUG COMPOUNDING
COMPOUNDING HD (++)
(-) STORAGE
(-)
(+) POSITIVE PRESSURE

(-) NEGATIVE PRESSURE
AIRFLOW
Figure 2.6 Sterile compounding pressurization diagram
NARRATIVE 2-22
APRIL 1, 2018
Filtration: Filtration for the HVAC systems shall be provided in

conformance with the current version of the VA HVAC DM
Sterile Compounding Rooms: Sterile compounding rooms used for

hazardous and non-hazardous drug compounding and intravenous
admixtures shall follow the current version of the VA HVAC Design Manual
(DM). The Design Manual includes information on air handling unit and
room requirements for these rooms such as room air changes, room
design temperatures, relative humidity ranges, noise levels, and space
pressure relationships.
Pharmacy spaces: Pharmacy support spaces shall follow the current

version of the VA HVAC DM unless noted otherwise. The room data
sheets provided in the Room Templates chapter of this document refers
the user to specific room types shown in the VA HVAC DM unless noted
otherwise. The room type referenced in the HVAC DM is found in Table
6 that will provide the needed information for room design temperatures,
relative humidity range, room air changes, and space pressure
relationships.
Outdoor Air Requirements: The HVAC design shall provide each space
with not less than the minimum recommended quantity of ventilation air
indicated in the current version of the VA HVAC DM.
Exhaust and Return Air Requirements: The HVAC design for each space
shall provide return air and exhaust air as required to control the transfer
of odors and provide proper room pressurization. At a minimum, exhaust
air and pressurization should be provided as indicated in the VA HVAC
DM.
Noise Criteria: The HVAC design shall provide resulting sound levels in
occupied spaces not to exceed the levels shown in the current version of
the VA HVAC DM.
Design Features: HVAC design features such as the use of economizers

shall follow the design criteria outlined in the current version of the VA
HVAC DM.
Temperature Control Criteria: The automatic temperature controls systems

and the use of individual temperature controls for Pharmacy spaces shall
be provided in accordance with the current version of the VA HVAC DM.
Humidity Criteria: Humidity levels for all spaces shall be provided in

conformance with the current version of the VA HVAC DM.
NARRATIVE 2-23
APRIL 1, 2018
2.3.5 Pneumatic Tube System
Pneumatic Tube System: A pneumatic tube system shall be considered

in order to provide an efficient means of delivering medications between
Pharmacy areas and patient prescription receiving locations.
2.3.6 Plumbing Systems
The plumbing systems shall comply with the current version of Department
of Veterans Affairs (VA) Plumbing DM (http://www.cfm.va.gov/til/dManual/
dmPlbg.pdf), VA Design and Construction Procedures (http://www.cfm.
va.gov/TIL/cPro.asp), VA Master Construction Specifications (http://www.
cfm.va.gov/TIL/spec.asp) and VA Standard Details (http://www.cfm.va.gov/
TIL/sDetail.asp), where applicable. Deviations from the VA guidelines may
be made, provided approval is obtained from the VA-CFM. Where state
or local codes are more stringent than the above requirements, submit
criteria to the VA for review and approval.
Domestic Water: Domestic water shall be distributed to the plumbing

fixtures and equipment. Design of the domestic water system shall follow
the VA PDM. This includes design of water hammer arrestors, domestic
booster pump design, and central domestic hot water and recirculating
systems.
Plumbing Fixtures: Plumbing fixture types (including fixtures required to

meet person with disabilities requirements) and fixture flow restrictors
(aerators are prohibited) shall be in accordance with the current version of
the VA PDM.
Sanitary Systems: Provide sanitary drain connections to plumbing fixtures

designed in accordance with the current version of the VA PDM.
NARRATIVE 2-24
APRIL 1, 2018
2.3.7 Electrical Systems
Lighting: Lighting systems are essential for the Pharmacy staff to perform
and function safely, efficiently, and effectively. The VA Lighting DM (LDM
- http://www.cfm.va.gov/til/dManual/dmLighting.pdf) provides design
guidance for lighting design parameters, as well as recommended types of
luminaires. The Illuminating Engineering Society of North America (IESNA)
can also be used as a reference by the design for the recommended
illuminance target if LDM does not provide direct guidance. The A/E has
the option of using either fluorescent or LED lighting technology. The A/E
shall follow the Reflected Ceiling Plan in Section 4 – Room Templates of
this Design Manual for the placement of luminaires. Areas not covered
by the room templates lighting shall follow the architectural and interior
design features of the building. The design A/E shall select appropriate
number of lamps in each luminaire to render the required illuminance level
for each room and task.
Lighting levels in the Pharmacy room are also required to fluctuate from
high to low in order to accommodate specific tasks. Therefore, the design
A/E must implement luminaires with dimming capabilities using multi-level
switching, dimming arrangements, or both. Point-to-point foot-candle
calculation for each room or area must be performed using commercially
available computer software to validate compliance with lighting level
and energy conservation requirements during the project design phase.
The calculations must be documented and provided to VA for review and
concurrence.
Normal Power: The A/E shall provide electrical design. Power connection
shall be provided for all electrically operated equipment. The A/E shall
confirm electrical requirements of all equipment to provide correct design
and load calculations. A/E shall show receptacles or hardwire connections
for all electrically operated equipment.
Emergency Power: Emergency power connection shall be provided for

equipment that needs to operate continuously and cannot be interrupted.
Equipment such as refrigerators/freezers, safes, etc., shall be connected
to the building emergency power system, or as an option for refrigerators/
freezers, a contingency plan shall be provided for moving drugs to
another refrigeration location in the event of a power failure if the building
is not provided with an emergency generator system.
NARRATIVE 2-25
APRIL 1, 2018
2.3.8 Telecommunication, Monitoring, and Signaling Systems
Intercom, telephone and computer systems are all required in the

Pharmacy rooms. The Office Information & Technology (OIT) design guide
provides A/E design guidance on equipment room layout. The design
A/E can also refer to Electronic Industries Alliance/ Telecommunication
Industries Association (EIA/TIA) if OIT does not provide direct guidance.
2.3.9 Fire Protection and Life Safety
Fire Detection and Sprinkler System: Hazard classification indicated on

the room data sheets is based on the Occupancy Hazard Definitions
provided in NFPA 13. Provide fire alarm and detection systems in
compliance with NFPA 101 and NFPA 72 as well as VA Fire Protection
Design Manual (http://www.cfm.va.gov/til/dManual/dmFire.pdf). Coordinate
the location of sprinklers with other ceiling systems in accordance with
the current version of the VA Master Construction Specifications (http://
www.cfm.va.gov/TIL/spec.asp) and VA HVAC Design Manual (http://www.
cfm.va.gov/til/dManual/dmMEhosp.pdf) and VA Plumbing Design Manual
(http://www.cfm.va.gov/til/dManul/dmPlbg.pdf).
NARRATIVE 2-26
APRIL 1, 2018
3.0 FUNCTIONAL CONCEPTS
TABLE OF CONTENTS
3.1 General 3-3

3.2 Adjacency Diagrams 3-4
• 3.2.1 Bubble Diagram - Inpatient Pharmacy (IP) 3-4
• 3.2.2 Mockup Diagram - Inpatient Pharmacy (IP) 3-5
• 3.2.3 Bubble Diagram - Outpatient Pharmacy (OP) 3-6
• 3.2.4 Mockup Diagram - Outpatient Pharmacy (OP) 3-7
• 3.2.5 Mockup Diagram - Combined IP/OP Pharmacy 3-9
3.3 Medication Flow Diagrams 3-10
• 3.3.1 Inpatient Pharmacy (IP) 3-10
• 3.3.2 Combined Pharmacy IP Flow 3-11
• 3.3.3 Hazardous Drug (HD) Receiving/Storage 3-12
• 3.3.4 Sterile Compounding Flow 3-13
• 3.3.5 Outpatient Pharmacy (OP) 3-14
• 3.3.6 Combined Pharmacy: OP Flow 3-15
3.4 Security Diagram - Combined Pharmacy 3-16
3.5 Prototype - Combined Pharmacy 3-17
• 3.5.1 Prototype Floor Plan 3-17
• 3.5.2 Prototype Reflected Ceiling Plan 3-18
FUNCTIONAL CONCEPTS 3-1

APRIL 1, 2018

APRIL 1, 2018
3.1 General
The diagrams in the following section show general adjacencies for both
inpatient and outpatient pharmacies, as well as some of the more major
department flows.
There are several different methods a pharmacy will receive medication

orders or scripts to begin the filling and dispensing process. Within
the pharmacy there are also different variations on the processing of
medication orders depending on a manual picking and medication filling
flow vs one that is more automated. The different medication flows though
the pharmacy are outlined in diagrams below.
With the new USP <800> Hazardous Drugs - Handling in Healthcare

Settings chapter there are clarifications on the delivery, handling and
storage of hazardous drugs. HD delivery and storage diagram Figure 3.8
shows the variation in the flow of hazardous drugs from the loading dock
to HD storage locations.
Each facility will be unique with varying staffing and spacial needs, as
such the various adjacency and flow diagrams in this chapter are not
meant to be all-encompassing, but to give the design team a starting point
to base future discussions with the pharmacy team and to help reach an
appropiate flow base for the pharmacy to design towards.

APRIL 1, 2018
3.2 Adjacency Diagrams
3.2.1 Bubble Diagram - Inpatient Pharmacy (IP)
The adjacency between the various inpatient space planning criteria should
be considered carefully as they have significant impact on the function and
efficiency of the pharmacy being designed. There are some natural primary
and secondary adjacencies to pay close attention to as illustrated below.
ADMIN
STAFF IDS
SUPPORT
HD
STORAGE
HD
IP FILLING / ANTE BUFFER
EDUCATION
ASSEMBLY ROOM ROOM
STORAGE
BUFFER
ROOM
RECEIVING
IP
REPACKAGING PROCESSING
IP
SECURE
Figure 3.1 Inpatient pharmacy adjacency bubble diagram
ADMIN
Legend:
Outpatient STAFF
Clean Room SUPPORT
OP
SECURE
Inpatient
Staff Area
Support
Circulation EDUCATION OP FILLING / PUBLIC
DISPENSING ACCESS
Secure Entry ASSEMBLY
CONSULT

RECEIVING
OP
PROCESSING/
STORAGE
APRIL 1, 2018
3.2.2 Mockup Diagram - Inpatient Pharmacy (IP)
The following image is a diagrammatic conceptual layout showing key

adjacency attributes for the inpatient pharmacy
WORK
WAIT/
OFF. OFF. OFF. OFF. OFF. OFF. OFF.
ADMIN.
CONF.
WORK AREA
TLT STERILE
CONF. COPY TELEBANK IDS HAZARDOUS DRUG
BUFFER ROOM
TLT HAC
HAZARD
PICK UP DRUG
STORAGE ANTE
MAIL
COORD INTERN INTERN COMPOUNDING
WORK AREA
RESIDENT
STERILE NON-
WORKROOM
HAZARDOUS DRUG
IP REPACK. BUFFER ROOM
IP FILLING
PTS
STERILE STORAGE
IP SUPER.
LOUNGE/LOCKER IP SECURE
Figure 3.2 Inpatient pharmacy adjacency mockup diagram
Legend:
Outpatient
Clean Room
Inpatient
Staff Area
Support
Circulation
Secure Entry

STORAGE
HD
IP FILLING / ANTE BUFFER
EDUCATION
ASSEMBLY ROOM ROOM
STORAGE APRIL 1, 2018
BUFFER
3.2.3 Bubble Diagram - Outpatient Pharmacy (OP) ROOM
RECEIVING
The adjacency between the various outpatient

PROCESSINGspace planning criteria should
IP
REPACKAGING
be considered carefully, not only how the OP pharmacy functions but also in
IP
relation to the general public. Special attention needs to be focused on how

SECURE
the public access dispensing and consultation and where those spaces are
located in relation to outpatient clinics, emergency, surgical and inpatient
services. Major relationships shown below.
ADMIN
STAFF
SUPPORT
OP
SECURE
EDUCATION OP FILLING / PUBLIC

DISPENSING ACCESS
ASSEMBLY
CONSULT
RECEIVING
OP
PROCESSING/
STORAGE
DISCHARGE
MAIL OUT
2 Figure 3.3 Outpatient pharmacy adjacency bubble diagram
Legend:
Outpatient
Clean Room
Inpatient
Staff Area
Support
Circulation
Secure Entry

APRIL 1, 2018
3.2.4 Mockup Diagram - Outpatient Pharmacy (OP)
The following image is a diagrammatic conceptual layout showing key

adjacency attributes for the outpatient pharmacy
TLT TLT TELEBANK OFF. OFF. CONF.
LOUNGE/LOCKER
HAC
OP STORAGE OP SECURE
SHARED
INVENTORY/
RECEIVING
OP FILLING OP
OP
DISPENSE/
SUPER.
CONSULT
ELEC.
ROBOT
SERVER CONSULT
DISC. PROCESSING
Figure 3.4 Outpatient pharmacy adjacency mockup diagram
Legend:
Outpatient
Clean Room
Inpatient
Staff Area
Support
Circulation
Secure Entry

APRIL 1, 2018

APRIL 1, 2018
3.2.5 Mockup Diagram - Combined IP/OP Pharmacy
WORK
WAIT/
ADMIN.
CONF.
WORK AREA
TLT STERILE
BUFFER ROOM
TLT HAC
HAZARD
PICK UP DRUG
STORAGE ANTE
MAIL COORD INTERN INTERN COMPOUNDING
WORK AREA
RESIDENT
STERILE NON-
WORKROOM
HAZARDOUS DRUG
IP FILLING
STERILE STORAGE
PTS
LOUNGE/LOCKER IP SUPER.
IP SECURE
SHARED
INVENTORY/
RECEIVING
OP FILLING OP
OP
DISPENSE/
SUPER.
CONSULT
ELEC.
MAIL-OUT
ROBOT
SERVER CONSULT
Legend: DISC. PROCESSING
Outpatient
Figure 3.5 Combined pharmacy mockup diagram
Clean Room
Inpatient
Staff Area
Support
Circulation
Secure Entry

APRIL 1, 2018
3.3 Medication Flow Diagrams
3.3.1 Inpatient Pharmacy (IP)
Medication ordered from a nursing unit, surgical services, the emergency

department or an oncology unit for example, have different flows from the
main inpatient pharmacy. The typical flows are outlined below, however,
specific flows for each facility should be discussed with the pharmacy
stakeholders and adjusted accordingly.
ORDER
PROCESSING/
PHARMACY CHECK
SINGLE DOSE
REPACKAGING
SUPPLY EMPTY
FILL ORDERS
REFILL IP SINGLE DOSE (HAZARDOUS DRUG
SUPPLY COMPOUNDING OR
STANDARD SCRIPTS)
HD COMPOUNDING STAT ORDERS
HAND DELIVERED
OR PICKED UP AND DELIVER TO HAND DELIVERED OR
DELIVERED BY NURSING MEDICATION CABINET P-TUBED TO UNIT
STAFF
PATIENT DELIVERY
Figure 3.6 Inpatient pharmacy medication flow diagram

APRIL 1, 2018
3.3.2 Combined Pharmacy IP Flow
WORK
WAIT/
ADMIN.
CONF.
WORK AREA
TLT STERILE
BUFFER ROOM
TLT HAC
HAZARD
5 PICK UP DRUG
STORAGE ANTE
WORK AREA
RESIDENT
STERILE NON-
WORKROOM
IP REPACK.
3 2 HAZARDOUS DRUG
BUFFER ROOM
IP FILLING
4 1 STERILE STORAGE
3 6 PTS
IP SECURE
SHARED
INVENTORY/
RECEIVING
OP FILLING OP
OP
DISPENSE/
SUPER.
CONSULT
ELEC.
MAIL-OUT
ROBOT
SERVER CONSULT
DISC. PROCESSING
Figure 3.7 Combined pharmacy IP flow
Legend: Key Notes:

Outpatient 1 ADM system monitors 4 Pharmacist checks order.
quantity throughout
Clean Room 5 Order delivered to ADM
hospital and places order at cabinets throughout the
Inpatient scheduled intervals. facility.
Staff Area
2 Orders sent to printer. 6 STAT orders delivered
Support
3 Tech fills order from med- through PTS or hand
Circulation carousel or picks form static delivered to department
Secure Entry shelving.

APRIL 1, 2018
3.3.3 Hazardous Drug (HD) Receiving/Storage
Hazardous drugs require special consideration from delivery at the loading

dock to pharmacy receiving and eventually storage and use. The preferred
flow is described below allowing access to the HD storage separate from the
HD Buffer Room, however, the A/E should become familiar with all USP 800
requirements for additional options as pharmacy needs or function change.
HD DELIVERY AT DOCK
AND ORDER CHECKED
ORDER TAKEN TO
PHARMACY RECEIVING
HD OUTER
PACKAGING REMOVED
IN RECEIVING AREA
HD SUPPLIES TAKEN
TO HD STORAGE
ROOM
HD SUPPLIES
CLEANED AND
UNPACKED FROM
INNER PACKAGING
IN HD NEGATIVE
PRESSURE STORAGE
ROOM AND STORED
HD SUPPLIES TO
BUFFER ROOM USING
PASS-THROUGH
Figure 3.8 Inpatient pharmacy medication

flow diagram for hazardous drug receiving
to storage

APRIL 1, 2018
3.3.4 Sterile Compounding Flow
WORK
WAIT/
ADMIN.
CONF.
5 4
WORK AREA
TLT STERILE
BUFFER ROOM
TLT HAC 3
HAZARD
6 PICK UP 2 DRUG
STORAGE ANTE
1
4
WORK AREA
RESIDENT 5 STERILE NON-
WORKROOM
HAZARDOUS DRUG
3
IP FILLING
2
STERILE STORAGE
LOUNGE/LOCKER
PTS 6 IP SUPER.
IP SECURE
SHARED
INVENTORY/
RECEIVING
OP FILLING OP
OP
DISPENSE/
SUPER.
CONSULT
ELEC.
MAIL-OUT
ROBOT
SERVER CONSULT
DISC. PROCESSING
Figure 3.9 Combined pharmacy sterile compounding flow
Key Notes:
Legend:
1 Staff enters anteroom for 4 IV bag(s) are compounded
Outpatient in buffer room.
donning PPE.
Clean Room
5 Pass through transfer for
2 Supplies retrieved from
Inpatient
storage. pharmacist check.
Staff Area 3 Labels printed in work area 6 IV bag is sent via PTS,
Support and passed to staff in buffer picked up or hand
room. delivered.
Circulation
Secure Entry

APRIL 1, 2018
3.3.5 Outpatient Pharmacy (OP)
Medications that are called into the outpatient pharmacy or patients that walk
in with physical scripts go through a flow similar to below. The primary flow
shows the patient physically picking up their script at the dispensing stations
or if using the Meds to Beds concept the medications are delivered to the
patient bedside before or during discharge. If the
patient PHYSICIAN ORDER/
does not pick up their medications during
a certain CALL-IN OR HAND time frame, the medications are mailed
SCRIPT
to the patients address on file. See Meds to Beds
description in section 2.2 Trends in Pharmacy.
PROCESSING/
MANUAL AUTOMATED
PHARMACY
CHECK / HAND SCRIPT
VERIFIED
ORDER SENT TO
LABEL PRINTED ROBOTICS
HAND PICKED & FILLED ROBOT FILLS

BY TECH PRESCRIPTION & LABEL
SENT TO TECH TO
FINISH FILL
CHECKED BY MEDS TO BEDS

PHARMACIST
MEDICATION MAILED TO MEDICATION WAS NOT SENT TO DISPENSING SENT TO DISCHARGE

PATIENTS HOME PICKED UP BY PATIENT FOR PATIENT PICK-UP PHARMACIST
DISPENSED TO PATIENT
DISPENSED TO PATIENT BY DISCHARGE
Figure 3.10 Outpatient pharmacy @ WINDOW/CONSULT PHARMACIST AT
medication flow diagram from ordered or BEDSIDE
dropped off scripts

APRIL 1, 2018
3.3.6 Combined Pharmacy: OP Flow
WORK
WAIT/
ADMIN.
CONF.
WORK AREA
TLT STERILE
BUFFER ROOM
TLT HAC
HAZARD
PICK UP DRUG
STORAGE ANTE
WORK AREA
RESIDENT
STERILE NON-
WORKROOM
HAZARDOUS DRUG
IP FILLING
STERILE STORAGE
IP SECURE
3 7
SHARED
INVENTORY /
RECEIVING
OP FILLING OP
OP
SUPER. 8 CONSULT
DISPENSE/
ELEC.
6
MAIL-OUT
ROBOT
SERVER 3 4 5 2 1 CONSULT
DISC. PROCESSING
Figure 3.11 Combined pharmacy OP flow
Key Notes:
Legend:
1 Order received. 5 Pharmacist checks order.
Outpatient
2 Pharmacist processes order 6 Order stored ready to dispense.
Clean Room
and sends to automation. 7 Narcotics processed through
Inpatient OP Vault & stored in vault until
3 Order processed through
Staff Area automation or picked
picked up by patient.
Support
through storage. 8 Order dispensed to patient.
Circulation 4 Order checked by tech and
Secure Entry hand-pick if necessary.

APRIL 1, 2018
3.4 Security Diagram - Combined Pharmacy
WORK
WAIT/
ADMIN.
CONF.
* *
WORK AREA
TLT
STERILE
BUFFER ROOM
TLT HAC
HAZARD
PICK UP DRUG
STORAGE ANTE
WORK AREA
RESIDENT
WORKROOM STERILE NON-
IP REPACK. HAZARDOUS DRUG
BUFFER ROOM
IP FILLING
STERILE STORAGE
IP SECURE
SHARED
INVENTORY/
RECEIVING
OP FILLING OP
OP
DISPENSE/
SUPER.
CONSULT
*
ELEC.
MAIL-OUT
ROBOT
SERVER CONSULT
DISC. PROCESSING
Figure 3.12 Combined Pharmacy Security Diagram
*
Legend:
Secure Interior Access
Outpatient
Clean Room Surveilled Areas
Inpatient
Staff Area
Support
Disclaimer: Surveilled Areas and Secure Access points indicated are
Circulation for spaces in Section 4.3 Room Templates. Refer to the VA Physical
Secure Perimeter Access Security Design Manual for specific requirements regarding common spaces.

APRIL 1, 2018
3.5 Prototype - Combined Pharmacy
3.5.1 Prototype Floor Plan
OFFICE,
OFFICE, OFFICE,
PHARMACY QUALITY OFFICE, INFO
WAITING OFFICE, ADMIN OFFICE, ADMIN CLINICAL PHARMACOE - CONF.
CHIEF MGMT. PHARMA
PHARMA CONOMIST
PHARMA
FUTURE
HOOD
TLT
STERILE
CONF.
HAZARDOUS
COPY DRUG BUFFER
TELE BANK IDS ROOM
TLT HAC
STORAGE,

STERILE

HAZARDOUS

PICKUP DRUG
HAC
COORD STUDENT STUDENT COMPOUNDING BENCH
AREA

STAFF MAIL
ANTEROOM
FILLING/ASSEMBLY

CAROUSEL,

INPATIENT

WORKROOM, STERILE
RESIDENT INPATIENT NON-HAZARDOUS
REPACKAGING DRUG BUFFER
ROOM
FUTURE
HOOD
FILLING/ASSMEBLY, PROCESSING
INPATIENT AREA
STERILE
ADM STATION
STORAGE
IP SECURED
IP SUPERVISOR
DISPENSING
RESTOCK
LOUNGE/LOCKER TUBE STATION AREA, CRASH
CART
OP SECURE
OP STORAGE
Department Legend RECEIVING
ADMIN
COMPOUNDING
OP
SUPERVISOR DISPENSING /
CORRIDOR CONSULT
IP
ELEC. OUTPATIENT

AUTOMATED

MECH FILLING /
STORAGE

MAIL OUT OUTPATIENT

OP FILLING /

ASSEMBLY
CONSULT
SERVER AREA
Calculation DISCHARGE PROCESSING
Failed
Figure 3.13 Combined Pharmacy Prototype Floor Plan
0 5' 25'
VA PHARMACY DESIGN GUIDE 2017.11.14

1/8" = 1'-0"
FLOOR PLAN - COMBINED PHARMACY
APRIL 1, 2018
3.5.2 Prototype Reflected Ceiling Plan
OFFICE,
OFFICE, QUALITY OFFICE,
OFFICE, INFO
CLINICAL MGMT. PHARMACOE -
PHARMACY OFFICE, ADMIN OFFICE, ADMIN PHARMA
PHARMA PHARMA CONOMIST
CHIEF
WAITING

CONF.

TLT
STERILE

HAZARDOUS

DRUG BUFFER

COPY ROOM
CONF.
TELE BANK IDS
TLT
HAC
STORAGE,

STERILE

HAZARDOUS

DRUG

PICKUP HAC
COMPOUNDING
COORD STUDENT STUDENT AREA
ANTEROOM
STAFF MAIL
FILLING/ASSEMBLY
CAROUSEL,
WORKROOM, INPATIENT STERILE
RESIDENT NON-HAZARDOUS
INPATIENT DRUG BUFFER
REPACKAGING ROOM
FILLING/ASSMEBLY,
INPATIENT
STERILE
STORAGE
ADM STATION PROCESSING
AREA
LOUNGE/LOCKER IP SECURED RESTOCK

DISPENSING AREA, CRASH IP SUPERVISOR
TUBE STATION CART
OP SECURE
OP STORAGE
RECEIVING
OP
SUPERVISOR
DISPENSING /

CONSULT

ELEC.

OUTPATIENT

AUTOMATED

MAIL OUT OUTPATIENT CONSULT
FILLING /
FILLING / DISCHARGE PROCESSING
SERVER STORAGE
ASSEMBLY
AREA
Figure 3.14 Combined Pharmacy Prototype RCP
0 5' 25'
VA PHARMACY DESIGN GUIDE 2017.11.14
FUNCTIONAL CONCEPTS 3-181/8" = 1'-0"

REFLECTED CEILING PLAN - COMBINED PHARMACY
APRIL 1, 2018
4.0 DESIGN GUIDE PLATES
TABLE OF CONTENTS

4.2 Legend of Symbols 4-5
4.3 Room Templates 4-9
• 4.3.1 Dispense/Consult Window - (PHOW2) 4-10
• 4.3.2 Filling/Assembly Area, Outpatient (PHOF1) 4-20
• 4.3.3 Processing Area, Outpatient - (PHPA1) 4-32
• 4.3.4 Secured Dispensing / Storage, Outpatient (PHOS1) 4-40
• 4.3.5 Discharge Pharmacist (PHDP1) 4-50
• 4.3.6 Work Room, IDS (PHID1) 4-58
• 4.3.7 Filling/Assembly Area, Inpatient (PHIF1) 4-70
• 4.3.8 Processing Area, Inpatient (PHPA1) 4-84
• 4.3.9 Secured Dispensing / Storage, Inpatient (PHIS1) 4-92
• 4.3.10 Repackaging Area (PHIR1) 4-102
• 4.3.11 Non-Sterile Compounding Area (PHNS1) 4-114
• 4.3.12 Receiving/Breakdown, Inpatient (PHRB1) 4-122
• 4.3.13 Anteroom, Sterile Compounding (PHAR1) 4-134
• 4.3.14 Sterile Hazardous Drug Buffer Room (C-SEC) (PHHD1) 4-146
• 4.3.15 Sterile Non-Hazardous Drug Buffer Room (PHSC1) 4-156
DESIGN GUIDE PLATES 4-1

APRIL 1, 2018

APRIL 1, 2018
4.1 Introduction
The Room Template plans are intended as general representations of

typical furniture, equipment, and functional and personnel space needs.
The Room Template reflected ceiling plans are a representation of HVAC
diffusers/grilles, sprinklers, lighting, speakers, and other ceiling-mounted
equipment locations.
The Room Templates were developed as a design tool to assist the

Project Team in understanding the choices to be made during design,
as well as to assist designers in understanding the VA’s functional
requirements for the specific room identified. The Room Templates are
not intended to be project specific and are not meant to limit design
opportunities. While the Room Templates are provided for a majority of
spaces required in the Pharmacy, it is not possible to foresee all possible
variations of future requirements. JSN numbers listed on the plans may
not reflect all equipment in the space. Refer to all plans, reflected ceiling
plans, elevations and equipment list to get the full range of equipment.
A project’s specific space program shall be used as the basis for individual
project design. In all cases the Room Templates must be reviewed against
project criteria and any special requirements. In situations when a test-
fit plan was required to arrive at a new NSF and equipment layout, the
plan and equipment list have been included in this document. The test-fit
rooms do not have room data sheets, RCPs, or interior elevations. The
Room Templates were designed per the subject matter experts from the
VA, the consultants, and the industry standards stated in Section 1. Users
shall refer to other VA criteria and standards (listed in Section 1) when
information is either too detailed or too broad to be included in the Room
Templates.
Equipment requirements and technologies are continually evolving.

Equipment manufacturers shall be consulted for actual dimensions and
utility requirements. See the PG18-9 Space Planning Criteria for a cross
reference to the Room Names and SEPS designation codes used in this
section.

APRIL 1, 2018

Plot Date: 2/1/2017 4:00:25
SPEAKER SYSTEM
SKETCH TITLE
NIGHT LIGHT 1/4" = 1'-0"

SKETCH TITLE
1/4" =SCALE
1'-0"
LEGEND SCALE DUPLEX
Plot RECEPTACLE
Date: 2/1/2017 4:00:25 PM
APRIL 1, 2018
SKETCH TITLE
CL CENTERLINE
PENDANT / HANGING LIGHT FIXTURE
1/4" = 1'-0"
CL CENTERLINE LEGEND FLOOR MOUNTED RECEPTACLE
PP
SCALE
SKETCH TITLE
0'
4.2 Legend of Symbols PP SCALE: 1/4" = 1'-0"

TRACK LIGHTING (LIGHTRAIL) WITH SHADES
CL CENTERLINE
GROUND FAULT INTERRUPTER
2' X 4' LIGHT FIXTURE
0' - 0" LEGEND
2' X 4' LIGHT
UNDER CABINET TASK FIXTURE PP
0' - 0" SKETCH TITLE
CLLIGHT CENTERLINE
JJ
0
QUADRAPLEX RECEPTACLE
SCALE: 1/4" = 1'-0"
Architectural 2’x2’ Acoustic Ceiling Tile
2' X 2' FLOURESCENT LIGHT FIXTURE
WALL SCONCE JSN
2' X 2' FLOURESCENT LIGHT FIXTURE 0' - 0" EX FIRE EX
2' X 4' LIGHT FIXTURE JSN DESCRIPTION
LEGEND
EX FIRE EXTINGUI
1' X 4' FLOURESCENT LIGHT FIXTURE SPECIAL RECEPTACLE
DESCRIPTION
1' X 4' FLOURESCENT LIGHT FIXTURE CL CENTERLINE SKETCH TITLE
2’x4’ Acoustic HCeiling TileHUMIDISTAT

2' X 2' FLOURESCENT LIGHT FIXTURE NC
2' JSN
X 4' LIGHTNURSE
FIXTURE
CALL EMERGENCY
PHONE DATA
STATION
SCALE: 1/4" = 1
FIRE/ EXTINGUISHER
OUTLET
NC PP
EX
NURSE CALL EMERGENCY
DESCRIPTION STATION
DOWNLIGHT
T1' X 4' FLOURESCENT
THERMOSTAT
LIGHT FIXTURE
LEGEND
DOWNLIGHT 2' X 2' FLOURESCENT
NCL LIGHT OS FIXTURE CENTERLINE
NURSE PlotLIGHT
CALL Date: 11/24/
SINGLE POLE SWITCH
SKETCH TITLE
HVAC SUPPLY DIFFUSER NC 0' N NURSE OS CALL 4'EMERGENCY
NURSE 4'STATION
2' X CALL LIGHT
LIGHT8' FIXTURE EX
Gypsum Board LEGEND
EXIT SIGN 1' X 4' FLOURESCENT LIGHT FIXTURE Plot Date: 2/1/2017 4:00:25 PM
DOWNLIGHT SCALE: 1/4" = 1'-0"
EXIT SIGN SKETCH TITLE SINGLE POLE SWITCH AND DIMME
HVAC RETURN SPEAKER SYSTEM
1/4" = 1'-0" N OS 2'NURSE
2' XSPEAKER CALL LIGHTLIGHT FIXTURE NC
FLOURESCENT
NIGHT LIGHT SYSTEM
SCALE
CLEXIT SIGN EXHAUST REGISTER
NIGHT CENTERLINE
LIGHT TV TELEVISION CABLE OUTLET
J 1' X 4'JFLOURESCENT
DOWNLIGHT DUPLEX
J-BOXRECEPTACLE
LIGHT FIXTURE
2' X 4' LIGHT
Interior ElevationCENTERLINE
Reference 2DUPLEX RECEPTACLE
CL PENDANT / HANGING LIGHT FIXTURE SPEAKER SYSTEM N
1 3 ELEVATION MARKER
NIGHT
FD
PENDANT
LIGHT /
FLOOR HANGING
DRAIN LIGHT FIXTURE FLOOR MOUNTED
2' X 2' RECEPTACLE
FLOURESCENT LIGHT
LEGEND EXITPPSIGN DUPLEX4FLOOR RECEPTACLE INDIRECT
MOUNTED LIGHT11/24/2017 4:3
RECEPTACLE
Plot Date:
DOWNLIGHT
SKETCH TITLE
Height of Ceiling Above
PENDANT Finish
/ HANGING LIGHTFloor
TRACK LIGHTING 2'(LIGHTRAIL)
FIXTURE X 4' LIGHT WITH SHADES
0'
FIXTURE
4' 8'1' X 4' FLOURESCENT LIGHT
SMOKEFAULT DETECTOR HD H
TRACKSPRINKLER
LIGHTING
SCALE:(LIGHTRAIL) NIGHT LIGHTGFI PP
1/4" = 1'-0"WITH SHADES0' - 0"
GROUND
PUSH PLATE
INTERRUPTER
2' X 4' LIGHT FIXTURE GFI FLOOR MOUNTED
GROUND RECEPTACLE
FAULT INTERRUPTER
UNDER CABINET TASK LIGHT EXIT SIGNREQUIREMENTS FORLEGEND
2' X 2' FLOURESCENT
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS LIGHT FIXTURE
OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING SPACE, ROOM CONTENTS, A
UNDER CABINET TASKWITH
LIGHT QUADRAPLEX DOWNLIGHT
RECEPTACLE
JSN and Equipment
TRACK
ENGINEERING SYSTEMS.
CL
THEY
Name
LIGHTING
PROVIDE
2' XCENTERLINE
(LIGHTRAIL)
TYPICAL SHADES
CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND
PENDANT / HANGING LIGHT FIXTURE
EX FIRE
ARE NOTEXTINGUISHER
SKETCH
INTENDED TITLE
TO BE PROJECT SPECIFIC R
2' FLOURESCENT LIGHT
WALL SCONCE FIXTURE GFI J J NIGHT
GROUND FAULT INTERRUPTER
QUADRAPLEX
J-BOX
JSN
LIGHT
RECEPTACLE
EX FIRE EXTINGUISHER
SCALE: 1/4" = 1
WALL SCONCE DESCRIPTION
UNDER
1' X 4'CABINET TASK LIGHT
FLOURESCENT LIGHT FIXTURE J J SPECIAL RECEPTACLE
Centerline J J TRACK LIGHTING NCSPECIAL
(LIGHTRAIL)
EXIT
NURSE
WITH
RECEPTACLE SIGNEMERGENCY STAT
CALL
SHADES
H HUMIDISTAT
CL INDIRECT
PENDANT LIGHT
CENTERLINE
H
WALL SCONCEHUMIDISTAT DOWNLIGHT NC NURSE CALL /EMERGENCY
HANGING LIGHT FIXTURE
PHONESTATION
/ DATA OUTLET
2' X 4' LIGHT FIXTUREJ PHONENIGHT/ DATALEGEND
LIGHT
OUTLET
T THERMOSTAT
DOWNLIGHT J UNDER SPECIAL
CABINET TASK
N RECEPTACLE
LIGHT OS NURSE CALL LIGHT
Wiring Devices Single Pole T Switch (subscript
THERMOSTAT indicates fixture PP PUSH PLATE SKETCH TITLE
H N OS TRACK NURSESINGLE
LIGHTING CALL POLELIGHT SWITCHWITH SHADES
(LIGHTRAIL)
and Switches controlled) HUMIDISTAT
HVAC SUPPLY DIFFUSER SINGLE/ POLE SCALE: 1/4" =
EXIT SIGN LIGHT
2' X 2' FLOURESCENT FIXTURE WALL SCONCE PHONE DATA SWITCH
OUTLET
PENDANT / HANGING LIGHT
HVAC SUPPLY DIFFUSER FIRE 3EXTINGUISHER
EXIT SIGN EX D
T
Three-Way Switch
THERMOSTAT
HVAC RETURN UNDER
3 CABINET
D
SPEAKER
TASK POLE
SINGLE
SYSTEM POLE 2' XSWITCH
LIGHTSWITCH AND DIMM
4' LIGHTAN
1' XHVAC
4' FLOURESCENT
NIGHT LIGHT LIGHT FIXTURE SPEAKER SYSTEM SINGLE
RETURN
H CL
SINGLE POLE SWITCH CENTERLINE
Dimmer Switch NIGHT LIGHTEXHAUST HVAC SUPPLY DIFFUSER HUMIDISTAT TV TELEVISION
DUPLEXTRACK LEGEND
CABLE
LIGHTINGOUTLET (LIGHTRAIL
REGISTER NCTV WALL SCONCE
TELEVISION
NURSE CALLCABLE2' X 2'RECEPTACLE
EMERGENCY FLOURESCENT
OUTLET STATIONLIGHT
3 DUPLEX
D RECEPTACLE SKETCH TITLE
HVAC RETURNEXHAUST REGISTER

PENDANT / HANGING LIGHT T FIXTURE THERMOSTAT
2 SINGLE POLE SWITCH LEGENDAND DIMMER
PENDANT / DOWNLIGHT
HANGING LIGHT FIXTURE 2 1 3 ELEVATION
FLOOR 1' X LEGEND
UNDER 4'MARKER
FLOURESCENT
MOUNTEDCABINET
SKETCH
SCALE: 1/4" =
TASKLIGHT
RECEPTACLE
TITLE LIGHT
Occupancy Sensor FLOOR DRAIN
H
TV TELEVISION
3FLOOR CABLE
LEGEND
ELEVATION
MOUNTED OUTLET
MARKER
RECEPTACLE
N
FD
FLOOR DRAIN
1 HUMIDISTAT
OSHVAC
4 NURSE
SUPPLY DIFFUSERCALL LIGHT
SKETCH TITLE
SCALE: 1/4" =
EXHAUST REGISTER = 1'-0"2' X 4' LIGHT
FD
4 SKETCH TITLE WALL 1/4"
SCONCE
TRACK LIGHTING (LIGHTRAIL) WITH SHADES 2 CL SMOKE
CENTERLINE
DETECTOR
0'
HEAT
1 T RETURN
EXITLIGHTING
TRACK SIGNSPRINKLER
(LIGHTRAIL) WITH SHADES THERMOSTAT HD
Lighting 2’x2’ Efficient Light Fixture GROUND FAULT INTERRUPTER
SCALE
HVAC ELEVATION MARKER SCALE: 1/4" DOWNLIGHT
= 1'-0"
GFI SMOKE DETECTOR HEAT DETE
3
FLOOR DRAINSPRINKLER GROUND FAULT INTERRUPTERHD
Devices
FD
CLSPEAKER SYSTEM2'CENTERLINE
X 2' FLOURESCENT LIGHT
TV
4
NIGHT
UNDER
UNDER CABINET TASK LIGHT
LIGHT
CABINET TASK LIGHT
CL H CENTERLINE HVAC SUPPLY DIFFUSER
HUMIDISTAT
EXHAUST REGISTER QUADRAPLEX RECEPTACLE
SPRINKLER CL CENTERLINE
SMOKE DUPLEX RECEPTACLE
DETECTOR
1'HD
EXITX 4'SIGN
FLOURESCENT
HEAT DETECTOR LIGHT
2
2’x4’ Efficient Light Fixture
WALL SCONCE
WALL SCONCE T RETURN THERMOSTAT 2' X 4'1 LIGHT3
HVAC
PENDANT / HANGING LIGHT FIXTURE FD FLOOR DRAIN
J SPECIAL RECEPTACLE
J SPECIALFLOORRECEPTACLE
MOUNTED NIGHT LIGHT
RECEPTACLE HVAC
4
SUPP
EXHAUST REGISTER 2' X 4'DOWNLIGHT 2' X 4' LIGH
H H HUMIDISTAT HUMIDISTAT LIGHT FIXTURE
2' X 2' FLOURESCENT LIGHT
2’x4’ Efficient Light Fixture SPRINKLER PHONE / DATA OUTLET
TRACK LIGHTING (LIGHTRAIL) WITH SHADES PHONE / DATA HVACOUTLET
2' XPENDANT RETURN
4' LIGHT FIXTURE
(emergency power) T THERMOSTATTHERMOSTAT FLOOR
GROUND DRAIN FAULT INTERRUPTER / HANGING LIGHT F
T 1'2'XX4'2'FLOURESCENT
FLOURESCENT LIGHT
FD
2' X 2' FLOURESCENT LIGHT FIXTURE LIGHT
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM EXIT
SINGLEAND SIGN
TYPES
POLE
THAT ILLUSTRATE VA PLAN
SWITCH
SINGLE PLANNING
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, POLE SWITCHCRITERIA,
EXHAUST
GENERAL TECHNICAL GUIDANC
REGISTER
1’x4’ Efficient LightUNDER Fixture CABINET TASK LIGHT
HVAC SUPPLYHVAC DIFFUSERSUPPLY DIFFUSER 2' X 2' FLOURESCENT
1' X 4' 1' LIGHT
FLOURESCENT
FIXTURE
X 4' FLOURESCENT
LIGHT FIXTURE LIGHT
SPRINKLER
QUADRAPLEXTRACK RECEPTACLE LIGHTING (LIGHTRAIL
3 D NIGHT LIGHT
WALL SCONCE SINGLE
SINGLE POLE POLE SWITCH
DOWNLIGHT
SWITCH AND AND DIMMERDIMM
HVAC RETURN HVAC RETURN 1' XFD
4' FLOURESCENT FLOOR LIGHT FIXTURE
DRAIN
Recessed Down Light Fixture DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES TH
SPECIAL
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL RECEPTACLE
UNDER CABINET
CONFIGURATIONS,
TASK LIGHT
PLANNING CRITERIA, AND GENER
DOWNLIGHT
TV TV CABLE
TELEVISION TELEVISION
DOWNLIGHT
OUTLET CABLE OUTLET
H EXHAUST REGISTER
EXHAUST REGISTER
HUMIDISTAT SPRINKLER
EXIT SIGN
2 DOWNLIGHT
PHONEWALL SCONCE
2
/ DATA OUTLET
1 3 ELEVATION
1 3 MARKER
ELEVATION MARKER
FD T THERMOSTAT
FD FLOOR DRAINFLOOR DRAIN EXIT SIGN
DISCLAIMER: ROOM TEMPLATES
4 ENGINEERING SYSTEMS.
EXIT SIGN
ARE GRAPHICAL
NIGHT
TRACK
THEY PROVIDE
REPRESENTATIONS OF SEL
LIGHT
LIGHTING
TYPICAL (LIGHTRAI
CONFIGURATIONS, PLANNIN
4
DESIGN GUIDE PLATES SINGLE
HSIGN POLE SWITCH
HVAC SUPPLY DIFFUSER EXIT 4-5
HUMIDISTAT
NIGHT LIGHTNIGHT
SPRINKLER SPRINKLER SMOKE DETECTOR SMOKE HD LIGHT
DETECTOR HEAT DETECTOR
HDLIGH
UNDER
PENDANT CABINET TASK
/ HANGING LIGHT
HVAC RETURN TSINGLE
NIGHT LIGHT
POLE THERMOSTAT
SWITCH AND DIMMER
CL LEGEND
DOWNLIGHT
LEGEND
LEGEND 2' X 4' LIGHT FIXTURE 2' X 2' FLOURESCENT
SKETCH TITLE
Plot
Plot Date: LIGHT
Date: 11/24/2
11/24/2
SKETCH
SKETCHTITLE
TITLE 0'0' 4'4' INDIRECT PPLIGHT8'8' PUSH
SCALE:PLATE
1/4" = 1
LEGEND2' X 2'4'1/4"
1/4" 2'== FLOURESCENT
XLIGHT 1'-0"
1'-0"
FIXTURE LIGHT FIXTUREAPRIL SCALE:
SCALE: 1, 2018EXIT SIGN Plot Date: 11/24/2
LEGEND
SKETCH TITLE PP EX LEGEND
PUSHCENTERLINE
PLATE 2' FIRE
Plot XDate:EXTINGU
11/24/2
4' LIGHT FIX
SKETCH TITLE
0'
CL 4' 8'
SKETCH TITLE
SCALE: 1'1/4"
X 4' =FLOURESCENT LIGHT FIXTURE
0' 4' 8'
1'-0" NIGHT LIGHT
CL
CL CENTERLINE
CENTERLINE
SCALE: 1/4" = 1'-0" JJ JJ J-BOX DOWNLIGHT
J-BOXEXTINGUISHER SCALE: 1/4" = 1
FIRE
2' X 2' FLOURESCENT LIGHT FIX
EX
NC NURSE CALL E
1' X 4' FLOURESCENT LIGHT FIXTURE PENDANT / HANGING LIGHT
CL CENTERLINE DOWNLIGHT J J 1' XCENTERLINE
J-BOX 4' FLOURESCENT LIGHT FIX
CL LEGEND
CENTERLINE
J CL INDIRECTEXIT
INDIRECT SIGN Plot Date:
LIGHT
LIGHT 11/24/
SKETCH TITLE
NC J J-BOX CALL
NURSE
N 2' X 4'STATIO
EMERGENCY
NURSE LIGHT
CALL
0' 4' 8'
Recessed Down Light Fixture
DOWNLIGHT
2'2' XX 4'4' LIGHT
LIGHT FIXTURE
FIXTURE
TRACK
NIGHT LIGHT LIGHTING (LIGHTRAIL
(emergency)
SCALE: 1/4" = 1'-0"
EXIT SIGN PP
PP INDIRECT
PUSH
PUSH PLATE
PLATE LIGHT
DOWNLIGHT
N NURSE CALL
INDIRECT LIGHT LIGHT
SPEAKER SYS
2'2' XX 2'2' FLOURESCENT
FLOURESCENT 2' X 4'LIGHT
LIGHTFIXTURE
LIGHT FIXTURE
FIXTURE
2' X 4'NIGHT
LIGHTLIGHT
LEGEND UNDER CABINET 2'TASK LIGHT
PP J FIRE FIRE EXTINGUISHER
PENDANT
EXTINGUISHER / HANGING X 4' LIGHT
Plot D
Sconce LightCL
CENTERLINE FIXTURE PUSH 1' X 4' FLOURESCENT
PLATE LIGHT
EXIT SIGN
LEGEND SKETCH TITLE J EXEX
PP J-BOX
PUSH PLATE PlotDUPLEX
Date: 11/24/2
1'1' XX 4'4' FLOURESCENT LIGHT EXIT SIGN RECE
FLOURESCENT LIGHT FIXTURE
FIXTURE
1/4" = 1'-0" 0' SPEAKER WALLSYSTEMSCONCE
2' X 2'SKETCH
FLOURESCENT
LEGEND
TITLE LIGHT FIXTURE 4' 8'
NIGHT LIGHT LEGEND FIRE2'EXTINGUISHER
X 2' FLOURESCENT Plot Date: LIGHT
11/24/
2' X 2' FLOURESCENTPENDANT LIGHT FIXTURE / HANGING LIGHT FIXTURE
NC EX
SCALE
SKETCH TITLE SCALE: 1/4" = 1'-0"
0'
SKETCH TITLE NC EX 4' NURSE
NURSE
FIRE
NIGHTTRACK
CALL
CALL
EXTINGUISHER
INDIRECT LIGHT LIGHTING
EMERGENCY
EMERGENCY
DOWNLIGHT
LIGHT 8'
FLOOR
(LIGHTRAIL
STATIO
STATIO
MOUNT
1' X 4' FLOURESCENT LIGHT FIXTURE DUPLEX RECEPTACLE
Undercabinet Light LEGEND CL1' X 4' FLOURESCENT
DOWNLIGHT
DOWNLIGHT CENTERLINE 1/4" = FIXTURE
SCALE: LIGHT 1'-0" 1/4" = 1'-0" H 1' X HD4' Date:
HUMIDISTAT
Plot FLOURESCENT 11/24/2017 LIGHT4:30
PENDANT 2' X 4' LIGHT FIXTURE
/ HANGING HEAT DETECT
NC
SCALE
CL
SKETCH TITLE
CENTERLINE TRACK LIGHTING 0' (LIGHTRAIL) WITH 4' SHADES NURSE UNDERCALL CABINET
EMERGENCY TASK LIGHT
STATI
J N NPPJ OS 8'NURSE CALL LIGHT
NC OSFLOOR PUSH
J-BOX
PP
NURSE
NURSE
PENDANT PLATE
MOUNTED
CALL
CALL
/ HANGING
EMERGENCY
LIGHT LIGHT FIXT
RECEPTACLE
GROUNDSTATIO FAUL
SCALE: 1/4" = 1'-0" T THERMOSTAT
EXIT SIGN
CL EXIT
CENTERLINE
2' X 2'
CL
DOWNLIGHT
FLOURESCENT LIGHT
CENTERLINE
FIXTURE J HD J HEAT
J-BOX DETECTOR
WALL SCONCE
Night Light EXIT SIGN SIGN DOWNLIGHT UNDER CABINET TASK LIGHT DOWNLIGHT
TRACK LIGHTING (LIGHTRAIL) WITH SHADES NEX 0' -OS FIRE EXTINGUISHER
NURSE CALL LIGHT HVAC SUPP
0"SPEAKER
GROUND
SPEAKER
INDIRECT NIGHT FAULTLIGHT
SYSTEM
SYSTEM
LIGHT PP INTERRUPTER
CL CENTERLINE 1' X 4' FLOURESCENT LIGHT
2' X 4' LIGHT FIXTURE
FIXTURE
N OS TRACK NURSE LIGHTINGCALL LIGHT
(LIGHTRAIL) W
QUADRAPLEX
NIGHT
NIGHT
EXIT SIGN LIGHT
LIGHT WALL SCONCE J J HJ-BOX INDIRECT HUMIDISTAT
Exit Sign UNDER CABINET 2' XTASK
4' LIGHT
LIGHTFIXTURE HVAC LIGHT
RETURN
EXIT SIGN DUPLEX
DUPLEX EXIT SIGN
RECEPTACLE
RECEPTACLE
2' X 2' FLOURESCENT LIGHT FIXTURE PPNC NURSE
SPEAKER
PUSHUNDER
QUADRAPLEX 0' CALL
PENDANT
PLATE 0"SYSTEM
- CABINET EMERGENCY
/ HANGING
RECEPTACLE SPECIAL
TASK LIGHTSTATI
LIGHT
RECE
2' X 4' LIGHT FIXTURE 2' X 4' LIGHT FIXTURE SPEAKER SYSTEM JSN
NIGHT
PENDANT
PENDANT
WALLHSCONCELIGHT
/DOWNLIGHT
/ HANGING
HANGING LIGHT LIGHT FIXTURE
FIXTURE TINDIRECT LIGHT THERMOSTAT
Receptacles Duplex 2'NIGHT LIGHT
X 2' FLOURESCENT HUMIDISTAT
LIGHT FIXTURE PP PUSH EXHAUST
PLATE
NIGHT LIGHT
DESCRIPTION
REGISTER
1' X 4' FLOURESCENT LIGHT FIXTURE FLOOR
DUPLEX
FLOORWALL MOUNTED
RECEPTACLE
SCONCE
MOUNTED RECEPTACLE
RECEPTACLE
PHONE / DATA
FIRE
SPECIAL EXTINGUISHER
RECEPTACLE
2' X 4' LIGHT
2' X 2' FLOURESCENTTHERMOSTAT FIXTURE 2' X
LIGHT FIXTURE 2' FLOURESCENT LIGHT EX N
FIXTURE OS DUPLEX NURSE
TRACK RECEPTACLE CALL
LIGHTING
LIGHT
HVAC
(LIGHTRAILSUP
JSN
1'PENDANT T / HANGING LIGHT
X 4' FLOURESCENT LIGHT FIXTURE
FIXTURE PP NC
FIRE FLOOR
EXTINGUISHERDRAIN CALL EMERGE
NURSE
Ground Fault Interrupter H TRACKHUMIDISTAT
Duplex
TRACK
PENDANT
EXIT LIGHTING
LIGHTING
SIGN / HANGING (LIGHTRAIL)
(LIGHTRAIL) WITH
WITH SHADES
LIGHT FIXTURE SHADES
FD
EX PUSH PLATE
FLOOR PENDANT
MOUNTED / HANGING
RECEPTACLE
DESCR
LIGHT F
1' X 4' FLOURESCENT LIGHT H FIXTURE GROUND
PHONE HVAC/ FAULT
HUMIDISTAT
GROUND DATA RETURN
FAULT SINGLE POLE
INTERRUPTER
OUTLET
INTERRUPTER
1' X 4' FLOURESCENT LIGHT DOWNLIGHTFIXTUREHVAC SUPPLY DIFFUSER NC FLOOR
NURSE MOUNTED
CALL EMERGENCY RECEPTACLE
2' X 2' FLOURESCENT LIGHT FIXTURE SPEAKERUNDER CABINET
SYSTEM TASKSTATIO
LIGHT
T THERMOSTAT FIRE EXTINGUISHER
N SPRINKLER NC
Quad UNDER
TRACK
UNDER
NIGHT CABINET
LIGHTING
CABINET
LIGHT
DOWNLIGHT TASK LIGHT
(LIGHTRAIL)
TASK LIGHT WITH SHADES EX
TNC THERMOSTAT
NURSE OS
CALL EMERGENCY
NURSENURSE
SINGLE POLE
CALL
STATI
C
TRACK LIGHTING
1' X 4' FLOURESCENT HVAC RETURN
LIGHT(LIGHTRAIL)
FIXTURE WITH SHADES SINGLE
GROUND EXHAUST
POLE
TRACK
WALL FAULT REGISTER
SWITCH
LIGHTING
SCONCE INTERRUPTER
(LIGHTRAIL
DOWNLIGHT QUADRAPLEX
QUADRAPLEX
DUPLEX RECEPTACLE
RECEPTACLE
RECEPTACLE
HVAC
EXIT SUPPLY
SIGN DIFFUSER DISCLAIMER: N
WALL
WALL SCONCE SCONCEDOWNLIGHT ROOM TEMPLATES OS GROUND NURSE
ARE GRAPHICALFAULT CALL INTERRUPTER
LIGHT OF SEL
REPRESENTATIONS
UNDER CABINET
PENDANT / HANGING LIGHT FIXTURETASK LIGHT NC NURSE CALL TV
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS,
EMERGENCY NCALL HVAC SUPPLY
TELEVISION
OS
STATION
PLANNINC
Floor-mounted Receptacle UNDER
EXITHVAC SIGN CABINET TASK LIGHT
RETURN EXHAUST REGISTER NFD
OS SINGLE
SPECIAL
SPECIAL
POLESPEAKER
FLOOR
NURSE
UNDER
DRAIN
SWITCH
CABINET
RECEPTACLE
RECEPTACLE
SYSTEM
AND
LIGHT
TASK
DIMME
LIGHT
DOWNLIGHT
NIGHT LIGHT H QUADRAPLEX
FLOOR 2MOUNTED
HUMIDISTAT
HVAC RETURN
RECEPTACLE
RECEPTACLE
WALL SCONCE EXIT SIGN QUADRAPLEX RECEPTACLE
HH HUMIDISTAT
EXIT SIGN
HUMIDISTAT
WALL FD SCONCE TV SPEAKER
TELEVISION
1
WALL
SYSTEM
3CABLE
SCONCE
OUTLET
DUPLEXELEVATION RECEPTACLE MA
(LIGHTRAIL) WITH SHADES N OST NURSE
FLOOR DRAIN CALL LIGHT
SPRINKLER SPEAKER
Special Purpose Receptacle NIGHT
EXHAUST
TRACK LIGHT REGISTER
LIGHTING SPECIAL THERMOSTAT
PHONE
PHONE
4 RECEPTACLE
SPEAKER SYSTEM
// DATA
DATA OUTLET
OUTLET
PENDANT / HANGING NIGHT LIGHT LIGHT FIXTURE 2
GROUND
EXHAUST
SPECIAL FAULT
REGISTER
RECEPTACLE INTERRUPTER
TTH EXIT SIGN THERMOSTAT
THERMOSTAT
NIGHT OSLIGHT OCCUPANCY SENSOR
HUMIDISTAT
DUPLEX RECEPTACLE
FLOOR MOUNTED OFREC
1 ROOM
DISCLAIMER: ELEVATION MARKER
3 TEMPLATES ARE GRAPHICAL REPRESENTATIONS
HVACDUPLEX SEL
SUPP
H FLOOR CABINET
HUMIDISTAT DRAIN TASK SPRINKLER HSPEAKER
ENGINEERING SYSTEMS. THEYSINGLE
SINGLE
PROVIDE
DUPLEX POLE
TYPICALSWITCH
HUMIDISTAT
POLE SWITCH SMOKE
CONFIGURATIONS,
RECEPTACLE DETEC
PLANNIN
FD
UNDER
LIGHT FIXTURE PHONE / DATA OUTLET
Floor Mounted Receptacle on Emergency HVAC
HVAC SUPPLY Power
SUPPLYPENDANTDIFFUSER
DIFFUSER/ HANGING
4 SYSTEM
FLOORPHONE DRAIN / DATA OUTLET
WITHLIGHT FIXTURE
FD
T NIGHT FLOOR
OS THERMOSTAT
OCCUPANCY
LIGHTPENDANT MOUNTED /
SENSOR
TRACK LIGHTING
RECEPTACLE
HANGING LIGHT ON(LIGHTRAIL)
FIXTURE EMERGENCY SHADES FLOOR
QUADRAPLEX MOUNTED
HVAC RETURN
RECEPTACLE
RECEPTACLE
DUPLEX FLOOR
ON EM M
T THERMOSTAT
WALL SCONCE T GFI
SINGLE
SINGLE
SMOKE
THERMOSTAT
POLE
POLE
DETECTOR
GROUND
SWITCH
SWITCH
FAULT
AND
AND DIMME
INTER
DIMME
HVAC
HVACSPRINKLER
RETURN
RETURN DUPLEX RECEPTACLESINGLE
FLOOR POLE
MOUNTED SWITCH RECEPTACLE
Duplex on Emergency Power
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR
TRACK
ENGINEERING LIGHTING
SYSTEMS. UNDER
THEY HVACTYPICAL
PROVIDE SUPPLY
(LIGHTRAIL)
CABINET WITH DIFFUSER
TASK SHADES
LIGHT PLANNING
CONFIGURATIONS, CRITERIA, AND GENERALSINGLE SPRINKLER
SPECIAL
TECHNICAL POLE SWITCH
RECEPTACLE
GUIDANCE, AND ARE NOT INTENDE
FLOOR MOUNTED PENDANTRECEPTACLE
/ HANGINGON EMERGENCY
LIGHT HVAC TRACK
SUPPLY
FIXTURE LIGHTING
DIFFUSER (LIGHTRAIL) WITH SHADES DUPLEX
GROUND EXHAUST
ONFAULT REGISTER
EMERGENCY HVAC
INTERRUPTER POWER SUPP
TRACK LIGHTING (LIGHTRAIL) WITH SHADES
TV
TV TELEVISION
TELEVISION
SINGLE GFI
POLE
CABLE
CABLE
QUADRAPLEX
SWITCH
OUTLET
OUTLET
ANDGROUND
RECEPT
DIMM
H EXHAUST
HUMIDISTAT
EXHAUST REGISTER
REGISTER
HVAC RETURNWALL SCONCE
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPESDISCLAIMER:
THAT ILLUSTRATEROOMVA
FLOOR
TEMPLATES ARE
MOUNTED
GROUND
SINGLE
GRAPHICAL
RECEPTACLE
FAULT
POLEFOR SWITCH
REPRESENTATIONSINTERRUPTER
ANDOF DIMM
SELECTE
UNDER CABINET TASK LIGHT 22 PLANNING REQUIREMENTS SPACE, ROOM CONTENTS,
Junction Box SYSTEMS. THEY PROVIDE
ENGINEERING HVAC RETURN
TYPICAL CONFIGURATIONS, UNDER
PLANNING CABINET
CRITERIA, ENGINEERING
TASKTECHNICAL
AND GENERAL SYSTEMS.
LIGHT GUIDANCE,
FD
THEY PROVIDE HVAC
AND ARE TYPICAL
FLOOR
NOT RETURN
PHONE
INTENDED DRAIN TO/ DATA
CONFIGURATIONS, OUTLET
PLANNING
BE PROJECT SPECIFICCR
T TRACK LIGHTING THERMOSTAT (LIGHTRAIL) WITH SHADES J 11 J TV 3

3 TELEVISION
QUADRAPLEX
ELEVATION
ELEVATION MARKER CABLE
MARKERRECEPTACLE
SPECIAL OUTLET
RECEPTACLE
QUADRA
UNDER
FLOOR CABINET TASK
DRAIN LIGHT
4TV
FD
FD FLOOR
EXHAUST DRAIN REGISTER TELEVISION CABLE OUTLET
WALL SCONCE 4GROUND FAULT INTERRUPTER
H
EXHAUST REGISTER HUMIDISTAT WALL SCONCE 2 QUADRAPLEX
SINGLE POLE SWITCH
EXHAUST RECEPTACLE
REGISTER
Floor Mounted Junction Box WALL SCONCE HVAC SUPPLY DIFFUSER 1 2 3 SPECIAL SPRINKLER
RECEPTACLE PHONE / DATA
UNDER CABINET TASK LIGHT J J
ELEVATION
SMOKE
SMOKE DETECTORDETECTOR
MARKER
HDSPECIAL HE
H
FLOOR DRAIN THERMOSTAT
SPRINKLER
SPRINKLER HD
FD
HFD T
FLOOR DRAINH
HUMIDISTAT
1 3
4QUADRAPLEX ELEVATION
SINGLE
SPECIAL POLE
RECEPTACLE
FLOOR
MARKER
SWITCH
RECEPTACLE
DRAIN AND DIMM
HVAC RETURN HUMIDISTAT FD
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF
4
SEL
Auxiliary Telephone Data Outlet
WALL SCONCE ENGINEERING SYSTEMS. THEY PROVIDE PHONE TYPICAL SINGLE/ DATA POLE
CONFIGURATIONS, OUTLETSWITCH
PLANNIN
P
DISCLAIMER:ROOM
DISCLAIMER: ROOM H TEMPLATES
TEMPLATESARE HUMIDISTAT
AREGRAPHICAL
GRAPHICAL REPRESENTATIONS
REPRESENTATIONSOF SELECTEDHVAC
OFSELECTED ROOM SUPPLY
ROOMTYPES
TYPES THATDIFFUSER
THAT ILLUSTRATE
ILLUSTRATEVA VAPLANNING
PLANNINGREQUIREMENTS
REQUIREMENTSFOR
SMOKE FORSPACE,
DETECTORSPACE, ROOM ROOMCONTENTS,
CONTENTS, AN
HD
AN
H
Systems ENGINEERING
T
ENGINEERINGSYSTEMS.
SYSTEMS. THEY
THEYPROVIDE
PROVIDE SPRINKLER
THERMOSTAT
TYPICAL
TYPICALCONFIGURATIONS,
CONFIGURATIONS, PLANNING
T PLANNING CRITERIA,
CRITERIA, AND
THERMOSTAT ANDGENERAL
GENERALTECHNICAL
TECHNICALGUIDANCE,TV
GUIDANCE, AND
ANDARE
ARE
SPECIAL RECEPTACLE
TELEVISION
NOT INTENDEDCABLE
NOTINTENDED
SMOKE
TO
TOBE OUTLET
BEPROJECT
PHONE / DATA OUTLET
DETECTOR
PROJECT SPECIFIC
SPECIFICRR
HD H
SPRINKLER
EXHAUST REGISTER SPRINKLER3 D SINGLE P
T TEMPLATES THERMOSTAT HVAC RETURN 2 SINGLE POLE SWITCH SINGLE P
H
Floor-mounted
DISCLAIMER: ROOM
Data Outlet
HUMIDISTAT
ARE GRAPHICAL REPRESENTATIONS HVAC SUPPLY
OF SELECTED DIFFUSER
ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, A
HVAC SUPPLY DIFFUSER
ENGINEERINGROOM
SYSTEMS. THEY PROVIDE TYPICAL REPRESENTATIONS
CONFIGURATIONS, PLANNING CRITERIA,
ROOMAND GENERAL TECHNICAL1ROOM
GUIDANCE, 3 AND ARE NOT INTENDED TO BE ROOM
PROJECT SPECIFIC
DISCLAIMER: TEMPLATES ARE GRAPHICAL OF SELECTED TYPES THATDISCLAIMER:
ILLUSTRATE VA TEMPLATES
PLANNING ELEVATION
SINGLE
PHONE TV
ARE
REQUIREMENTS POLE
/ DATA
GRAPHICAL MARKERSWITCH
OUTLET
REPRESENTATIONS
FORTELEVISION
SPACE, CABLE OF SEL
CONTENTS, OUA
FD THEY PROVIDE FLOOR
TYPICALDRAINCONFIGURATIONS, PLANNING CRITERIA, AND GENERAL
HVAC SUPPLY DIFFUSER ENGINEERING SYSTEMS. THEY
TECHNICAL GUIDANCE, PROVIDE
AND ARE TYPICAL CONFIGURATIONS,
NOT INTENDED TO BE PROJECT 3 SPECIFICD
PLANNIN
EXHAUST REGISTER 4 SINGLE POLE SWITCH AND DIMME
T THERMOSTAT HVAC RETURN HVAC RETURN
Television Cable Outlet
2
SINGLE
SINGLE POLE POLE SWITCH AND DIMM
SWITCH
HVAC RETURN
SPRINKLER TV TELEVISION
1SMOKE
TV OUTLET
ELEVATION
CABLE
3 DETECTOR TELEVISI
MARKER
HD
FD HVAC SUPPLY DIFFUSER
FLOOR DRAIN
EXHAUST REGISTER EXHAUST REGISTER 4
2TV
SINGLE
TELEVISION CABLE
POLE
2
SWITCH AND DIMMER
OUTLET
HVAC RETURN
DISCLAIMER: ROOM TEMPLATES ARE EXHAUST REGISTER OF SELECTED ROOM TYPES THAT ILLUSTRATE
GRAPHICAL REPRESENTATIONS VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS,
ELEVATIO
PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, ANDELEVATION
1 3 SMOKE
MARKER
1 3 DETECTOR
FLOOR DRAINFDSPRINKLER FLOOR DRAIN
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, ARE NOT INTENDED TO BE PROJECT SPECIFIC
FD
2
TV 1 4TELEVISION CABLE OUTLET 4
3 ELEVATION MARKER
FD EXHAUST FLOOR DRAIN
REGISTER
2 4 SMOKEHD
SPRINKLER SPRINKLER SMOKE DETECTOR HD
DESIGN GUIDE PLATES 1 3 4-6
ELEVATION MARKER
FD FLOOR DRAIN SPRINKLER SMOKE DETECTOR
HD
4
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, A
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC R
ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS,
CL
CL
CENTERLINE
CENTERLINE JJ JJ J-BOX
J-BOX
EXIT SIGN
DOWNLIGHT
DOWNLIGHT
DOWNLIGHT
DOWNLIGHT
APRIL INDIRECT
1, 2018
INDIRECT LIGHT
NIGHTLIGHT
LIGHT
2'2' XX 4'4' LIGHT EXIT
EXITSIGN
SIGN
LIGHT FIXTURE
FIXTURE EXIT
EXIT SIGN
SIGN
PP
PP PUSH
PUSHPLATE
PLATE
PENDANT / HANGING LIGHT FI
NIGHT
NIGHTLIGHT
NIGHT
NIGHT LIGHT
LIGHT
LIGHT
FLOURESCENT LIGHT
LIGHT FIXTURE
FIXTURE
EX FIRE EXTINGUISHER
FIRE EXTINGUISHER
EX
EX
FLOURESCENT LIGHT
LIGHT FIXTURE
FIXTURE TRACK LIGHTING
PENDANT
PENDANT (LIGHTRAIL)
////HANGING
HANGING LIGHT
LIGHTFIX
FI
PENDANT
PENDANT HANGING
HANGING LIGHT
LIGHT FIX
FIX
Nurse Call LEGEND NC NURSE Plot Date: 11/24/201
NC NURSE CALL
CALL EMERGENCY
EMERGENCY STATION
STATIO
SKETCH TITLE
0' 4' UNDER 8'CABINET TASK LIGHT
DOWNLIGHT
DOWNLIGHT TRACK
TRACKLIGHTING
TRACK
TRACK LIGHTING(LIGHTRAIL)
LIGHTING
LIGHTING (LIGHTRAIL)W
(LIGHTRAIL)
(LIGHTRAIL) W
W
SCALE: 1/4" = 1'-0"
Nurse Call Ceiling Light NN OS NURSE
WALL CALL
SCONCE LIGHT
OS NURSE CALL LIGHT
UNDER
UNDERCABINET
UNDER
UNDER CABINETTASK
CABINET
CABINET TASKLIGHT
TASK
TASK LIGHT
LIGHT
LIGHT
EXIT
EXIT SIGN
Speaker CL CENTERLINE
SIGN J HJ J-BOX
HUMIDISTAT
SPEAKER
WALL
WALLSYSTEM
SCONCE
SCONCE
SPEAKER
WALL
WALL SYSTEM
SCONCE
SCONCE
NIGHT
NIGHT LIGHT
LIGHT
Push Plate T THERMOSTAT
DUPLEX
DUPLEX RECEPTACLE
INDIRECT LIGHT
RECEPTACLE
HHH HUMIDISTAT
HUMIDISTAT
HUMIDISTAT
HUMIDISTAT
PENDANT
PENDANT // HANGING LIGHT
2' X 4' LIGHT
HANGING FIXTURE
LIGHTFIXTURE
FIXTURE HVAC SUPPL
Mechanical Room Thermostat PPTT FLOOR
PUSH MOUNTED
THERMOSTAT
FLOOR MOUNTED
PLATE
THERMOSTAT
RECEPTACLE
RECEPTACLE
T THERMOSTAT
THERMOSTAT
HVAC RETURN
2'TRACK
X 2' FLOURESCENT LIGHT FIXTURESHADES
HVAC Supply TRACK LIGHTING
LIGHTING (LIGHTRAIL)
(LIGHTRAIL) WITH
WITH SHADES FIRE EXTINGUISHER HVAC
HVACSUPPLY
HVAC
HVAC SUPPL
SUPPLY
SUPPL
EX GROUND
GROUND FAULT
FAULT INTERRUPTER
INTERRUPTER
EXHAUST REGISTER
1' X 4' FLOURESCENT LIGHT FIXTURE HVAC
HVAC Return UNDER HVACRETURN
HVAC
HVAC RETURN
RETURN
RETURN
UNDER CABINET
CABINET TASK
TASK LIGHT
LIGHT
NCFD QUADRAPLEX
NURSE FLOOR
CALL EMERGENCY
DRAIN
RECEPTACLESTATION
Exhaust Register WALL
WALL SCONCE
SCONCE EXHAUST
EXHAUSTREGISTER
EXHAUST
EXHAUST REGISTER
REGISTER
REGISTER
DOWNLIGHT
SPECIAL RECEPTACLE
Plumbing Sprinkler Head NFD OS SPECIAL RECEPTACLE
NURSE CALL LIGHT
SPRINKLER
FLOOR
FLOORDRAIN
DRAIN
HH HUMIDISTAT
FD
FD
FD FLOOR
FLOOR DRAIN
DRAIN
HUMIDISTAT
EXIT SIGN PHONE // DATA
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL
PHONE
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL DATA OUTLET
REPRESENTATIONS
OUTLET
CONFIGURATIONS,
OF SELEC
PLANNING
TT THERMOSTAT
THERMOSTAT SPEAKER SYSTEM
SPRINKLER
SPRINKLER
SPRINKLER
SPRINKLER
NIGHT LIGHT SINGLE
SINGLEPOLE
POLESWITCH
SWITCH
HVAC
HVACSUPPLY
SUPPLYDIFFUSER
DIFFUSER ENGINEERING
DISCLAIMER:ROOM
DISCLAIMER:
DISCLAIMER: ROOM DUPLEX
ROOMTEMPLATES
TEMPLATES
TEMPLATES
ARE
ARE RECEPTACLE
AREGRAPHICAL
GRAPHICAL
GRAPHICAL
REPRESENTATIONS
REPRESENTATIONSOF
REPRESENTATIONS OFSELECT
OF SELEC
SELECT
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECT
SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING C
ENGINEERINGSYSTEMS.
SYSTEMS.THEY
THEYPROVIDE
PROVIDETYPICAL
TYPICALCONFIGURATIONS,
CONFIGURATIONS,PLANNING
PLANNINGCC
ENGINEERING
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING
PENDANT / HANGING LIGHT FIXTURE SINGLE
SINGLE POLE
POLE SWITCH
SWITCH AND
AND DIMMER
DIMME
HVAC
HVAC RETURN
RETURN
FLOOR MOUNTED RECEPTACLE
TV
TV
TELEVISION
TELEVISION CABLE
CABLE OUTLET
OUTLET
EXHAUST
EXHAUST REGISTER
REGISTER
TRACK LIGHTING (LIGHTRAIL) WITH SHADES 22
2 GROUND FAULT INTERRUPTER
11 33 ELEVATION
FLOOR 1 3 ELEVATION MARKER
MARKER
FD
FD
FD FLOOR DRAIN
DRAIN 44
UNDER CABINET TASK LIGHT 4
SPRINKLER
WALL SCONCE SMOKE
SMOKE DETECTOR
DETECTOR HD HE
HE
SPRINKLER HD
SPECIAL RECEPTACLE
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND
ROOM TEMPLATES
DISCLAIMER: ROOM TEMPLATES ARE
ARE GRAPHICAL
GRAPHICAL REPRESENTATIONS
REPRESENTATIONS OF
OF SELECTED
SELECTED ROOM
ROOM TYPES
TYPES THAT
THAT ILLUSTRATE VA
VA PLANNING
PLANNING REQUIREMENTS
REQUIREMENTS FOR
FOR SPACE,
SPACE, ROOM
ROOM CONTENTS,
CONTENTS, ANAN
DISCLAIMER: GENERAL ILLUSTRATE
H
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC RE
ENGINEERING SYSTEMS. THEY HUMIDISTAT
THEY PROVIDE
PROVIDE TYPICAL CONFIGURATIONS,
TYPICAL CONFIGURATIONS, PLANNING
PLANNING CRITERIA,
CRITERIA, AND
AND GENERAL
GENERAL TECHNICAL
TECHNICAL GUIDANCE,
GUIDANCE, AND
AND ARE
ARE NOT
NOT INTENDED
INTENDED TO
TO BE
BE PROJECT
PROJECT SPECIFIC
SPECIFIC RE
R
PHONE / DATA OUTLET

T THERMOSTAT
SINGLE POLE SWITCH
HVAC SUPPLY DIFFUSER
SINGLE POLE SWITCH AND DIMMER

HVAC RETURN
TV TELEVISION CABLE OUTLET

EXHAUST REGISTER
2
1 3 ELEVATION MARKER
FD FLOOR DRAIN
4
SPRINKLER SMOKE DETECTOR HD HEA
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQ

APRIL 1, 2018

APRIL 1, 2018
4.3 Room Templates
The Room Templates listed in this chapter include a floor plan, reflected
ceiling plan, elevations, axonometric, interactive 3D PDF, room data
sheets and the equipment list of each space.
When viewing the interactive 3D view there are a couple of suggestions

below that will help in the navigation of each space. Each element is
adjustable to your preference, however, these settings will be a good
starting point to view each space.
Figure 4.1 Interactive 3D PDF example in adobe acrobat
*Disclaimer: Room Templates are graphical representations of selected room types that
illustrate the integration of space, components, systems, and equipment. They provide typical
configurations and general technical guidance, and are not intended to be project specific.
Specific infrastructure design requirements are contained in VA Design Manuals and Space
Planning Criteria located in the VA Technical Information Library (TIL).

PLAN Plot Date: 1/8/2018 3:05:04 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018
4.3.1 Dispense/Consult Window - (PHOW2)

Floor Plan
23'
- 9" [7233 mm]
R7050
REFRIGERATOR
F0115 M1825
SHELF UNIT PRINTER
TO FILLING
CT020
COUNTER
Sos a,b
T
5'-6" ø DISPENSE/CONSULT 1
10' - 1" [3083 mm]

TO CONSULT
ROOM WINDOW 4 2
PHOW2 3
500.00 SF
F2000
WASTE BASKET
F0280
CHAIR LOW BACK
23' - 5" [7140 mm]

M1801
5' - 0" [1523 mm]

COMPUTER
F2700
9' - 1" [2764 mm]

BAR CODE READER
CT020
COUNTER 5
A1015
PHONE
PASS-THRU 8' - 8" [2632 mm] 6' - 0" [1832 mm] 6' - 0" [1829 mm]
QUEUING
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

PHARMACY, PHOW2, DISPENSE/CONSULT WINDOW -
RCP Plot Date: 1/5/2018 4:46:02 PM

SKETCH TITLE
0' 4' 8'
APRIL 1,16'2018
SCALE: 3/16" = 1'-0"
Reflected Ceiling Plan
ab ab ab
ab ab ab
DISPENSE/CONSULT
WINDOW

PHOW2
500.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


ELEVATIONS Plot Date: 1/5/2018 4:46:07 PM

SKETCH TITLE
0' 4' 8' APRIL 1, 2018 16'
SCALE: 3/16" = 1'-0"

Elevations
F2245
CAMERA F3025
BULLETIN BOARD
M1825
PRINTER
F0420
FILING CABINET
OPEN
ELEVATION 1
F3200
CLOCK
F2245
CAMERA
GLASS DIVIDER ABOVE SITTING
F3025 HEIGHT
BULLETIN BOARD PASS THRU
M1825 CT020
PRINTER COUNTER
F0420
FILING CABINET
ELEVATION 2
GLASS DIVIDER
ABOVE SITTING
HEIGHT
SPEAKING GRILL
A1015
PHONE
SPEAKING GRILL
F2700
BAR CODE READER
CT020
COUNTER
M1801
COMPUTER
F0280
CHAIR LOW BACK
F2000
WASTE BASKET
DURESS ALARM
ELEVATION 3
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”



SKETCH TITLE
0' 4' 8' APRIL 1, 201816'
SCALE: 3/16" = 1'-0"
Elevations
F2245
CAMERA
M1801
COMPUTER
F2000
WASTE BASKET
ELEVATION 4
8' - 9" [2661 mm] 6' - 1" [1848 mm] 6' - 1" [1848 mm] PASS THRU
ELEVATION 5
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


PHARMACY, PHOW2, DISPENSE/CONSULT AREA - AXON APRIL
Plot Date: 1, 2018 4:26:20 PM
11/24/2017
SKETCH TITLE
0' 4' 8' 16'
4.3.1 Dispense/Consult
SCALE: Window - (PHOW2)
Axonometric
APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
ARCHITECTURE & INTERIOR DESIGN COMMUNICATIONS
Ceiling Type AT (Acoustical Ceiling Tile) Electronic Access No

Ceiling Height 9’-0” Intercom No
GWB (Gypsum Wallboard); P Motion Intrusion Detection
Wall Finish Yes
(Paint) (MID)
Base RF (Integral Base-4”) Public Access No
Floor Finish RF (Rubber Flooring) Security Surveillance Yes
Television (SSTV)
Slab Depression No
Clock Yes
Sound Protection N/A
Motion Sensor Wall
Single Size Door, 3’-6” x 7’
Doors 0”(1066.8 mm x 2133mm), Other N/A
Steel with Lite
Hardware Electronic Entry
HVAC
LIGHTING
General Requirement: Refer to Outpatient Dispensing data sheet
in the current version of the VA HVAC Design Manual for room
temperatures, humidity range, room air change requirements,
General Requirement: Refer to VA Lighting Design Manual and pressurization.
Chapter 4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for
design approach and recommended luminaires.
PLUMBING
Cold Water No
POWER
Hot Water No
Normal Yes
Waste No
Emergency No
FIRE PROTECTIONS AND LIFE SAFETY

COMMUNICATIONS
Alarm Detection Smoke
Data Yes
Alarm Annunciator Audio/Visual
Telephone Yes
Sprinkler Yes
Cable Television No
Hazard Type Light
Duress Alarm Yes

APRIL 1, 2018

Equipment List
JSN NAME AI QTY DESCRIPTION

Telephone, Desk,
A1015 V/V 3 Telephone, desk, multiple line.
Multiple Line
A solid, nonporous countertop with a smooth
seamless appearance. Easy to clean and maintain
and with proper cleaning does not support the growth
of mold. An acrylic-based solid surface product.
Countertop, Solid
CT020 C/C 32 Standard thickness of 1”, and a 4” butt backsplash/
Surface
curb. Also referred to as a work surface or work top.
Available in a choice of colors and depths. Used
in lab and other hospital areas requiring optimum
physical and chemical resisting properties.
Freestanding open shelf bookcase, approximately 82”
Bookcase, Open, 5 high X 37” wide X 18” deep with 5 (five) adjustable
F0115 V/V 3
Shelf shelves. Unit can be separate or part of a system with
available add-on shelving.
Low back contemporary swivel chair, 37” high X 25”
Chair, Swivel, Low wide X 31” deep with a five (5) caster swivel base,
F0280 V/V 1
Back arms and foam padded seat and back upholstered
with either woven textile fabric or vinyl.
Half height two (2) or three (3) drawer lateral filing
cabinet, 28” high X 42” wide X 18” deep with recessed
Cabinet, Filing, Later
F0420 V/V 2 handles, locking device and drawer label holders.
al, Half Height
Drawers are adaptable to either letter or legal size
materials.
Wastepaper basket, fire resistant, approximately
40 quart capacity. This unit is used to collect and
Basket, Wastepaper, temporarily store small quantities of paper refuse
F2000 V/V 3
Fire Resistant in patient rooms, administrative areas and nursing
stations. Size and shape varies depending on the
application and manufacturer selected.
A high definition, full functional video surveillance
camera. The camera is capable of full 1080p
Camera, Video
resolution at 30 frames per second while optimizing
F2245 Surveillance, HD, IP V/V 1
network usage with H.264, MPEG-4 and JPEG
Powered
compression formats. Camera will have an open,
standards-base
Hand held laser bar code reader with computer
Reader, Bar Code,
interface. Used for automated inventory, using bar
F2700 Hand Held, With V/V 3
code stickers / labels. Convenience outlet required at
Interface
point of use.

APRIL 1, 2018

Equipment List (continued)
Bulletin board approximately 36”W x 24”H. Wood

Board, Bulletin, framed 1/2” cork posting panel with moisture proof
F3025 V/V 2
Wood Framed backing. Units are factory assembled and have
keyhole hangers for easy installation.
Clock, 12” diameter. Round surface, easy to read
numbers with sweep second hand. Wall mounted unit
Clock, Battery, 12”
F3200 V/V 1 for use when impractical to install a fully synchronized
Diameter
clock system. Battery operated, (batteries not
included).
Desk top microprocessing computer. The unit shall
consist of a central processing mini tower, flat panel
monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
Computer, Micropro
2.8 GHz Pentium processor; 512 MB memory; 80GB
M1801 cessing, w/Flat Panel V/V 3
hard drive; 32/48x CD-ROMDVD combo; 1.44MB
Monitor
network interface card; video 32 MB NVIDIA; a
18 inch flat panel monitor. The computer is used
throughout the facility to input, manipulate and retrieve
information.
High resolution computer printer with a variety of type
styles and sheet/envelope feeder trays. Database
information reflects network ready, medium duty office
M1825 Printer, Computer V/V 1
style laser printers. Other types of printers (bubble jet,
dot matrix, line or plotter) as well as light or heavy use
capabilities are available.
General purpose refrigerator approximately 84x27x37.
This unit is corrosion resistant stainless steel. It has
Refrigerator, 25
R7050 V/V 1 a single self closing door with safety stops. This
Cubic Feet
refrigerator is generally used in commercial kitchens,
hospitals and schools.

APRIL 1, 2018

PHARMACY, PHOF1, FILLING/ASSEMBLY AREA,
OUTPATIENT + (PHOM1, PHOF2) - PLAN
APRIL
Plot Date: 1, 2018
1/5/2018 4:46:18 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

4.3.2 Filling/Assembly Area, Outpatient (PHOF1), Automated Filling/
Storage, Outpatient (PHOF2), Mail Out Area (PHOM1)
32' - 3" [9834 mm]
M1825 Floor Plan
PRINTER
U0001
PHARMACIST
STATION FILLING /
CONVEYOR ASSEMBLY

F2700 AREA,

BAR CODE READER
OUTPATIENT

F0230
4' - 0" [1219 mm]

CHAIR PHOF1

M1801 TECH 800.00 SF

TYP.
COMPUTER STATION
M1830
LABEL PRINTER
M7265
PILL COUNTER
E0636
WORKSTATION TECH
STATION
CORDLESS PHONE
4' - 2" [1274 mm]
M2050
.
SHELF TECH
STATION
R6060 5'-6" ø
REFRIGERATOR
1
2
41' - 4" [12598 mm]

4' - 0" [1219 mm]
MAILOUT
MAIL OUT AREA
STATION PHOM1
F2020
TRASH CAN
100.00 SF
L2000 AUTOMATED
FILLING /

SaSb
PURIFIER
T
E0210 STORAGE,

WORKSTATION
OUTPATIENT
PHOF2
5' - 5" [1655 mm]
ROBOT
4 MGMT. 360.00 SF J
STATION
U0002 3
CAROUSEL
M7280
ROBOT DISPENSER
CHECK MANUFACTURER
SPECIFICATIONS FOR
ROBOT CLEARANCES
Sos a,b
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
OUTPATIENT + (PHOM1, PHOF2) - RCP Plot Date: 1/5/2018 4:46:22 PM
0'
SKETCH TITLE
4' 8' APRIL 1,16'2018
SCALE: 3/16" = 1'-0"

ab ab ab ab
ab ab OS ab ab
ab ab OS ab ab
FILLING /
ASSEMBLY
AREA,
OUTPATIENT
PHOF1
800.00 SF
ab ab ab ab
MAIL OUT AREA

PHOM1
100.00 SF
ab ab ab
AUTOMATED
FILLING /
ab ab ab STORAGE,
OUTPATIENT
OS PHOF2
360.00 SF
ab ab ab
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


OUTPATIENT + (PHOM1, PHOF2) - ELEVATIONS Plot Date: 1/5/2018 4:46:25 PM

SKETCH TITLE
0' 4' 8'
APRIL 1,16' 2018
SCALE: 3/16" = 1'-0"
Elevations
F3200
CLOCK
M7265
PILL COUNTER
M1801
M1830
COMPUTER
LABEL PRINTER
U1000
U0001 CORDLESS PHONE
CONVEYOR F0230
CHAIR
M1825
PRINTER
E0636
WORKSTATION
ELEVATION 1
M2050
SHELF
R6060
REFRIGERATOR
F3200
CLOCK
E0636
WORKSTATION
M7265
OPEN OPEN PILL COUNTER
U0001
CONVEYOR
M1830
LABEL PRINTER
M1801
COMPUTER
ELEVATION 2 F2700
BAR CODE READER
U1000
CORDLESS PHONE
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


PHARMACY,
PHARMACY, PHOF1,PHOF1, FILLING/ASSEMBLY
FILLING/ASSEMBLY AREA,
AREA,
OUTPATIENT
OUTPATIENT + (PHOM1,
+ (PHOM1, PHOF2)
PHOF2) - ELEVATIONS
- ELEVATIONS APRIL
Plot 1,1/5/2018
Date: 20184:46:29
4:46:29 PM
Plot Date: 1/5/2018 PM
PHARMACY,
SKETCH TITLE
SKETCH TITLE PHOF1, FILLING/ASSEMBLY 0'
0'
4'
AREA,
4'
8'
8'
16'
16'
OUTPATIENT
4.3.2 Filling/Assembly SCALE:+ 3/16"
(PHOM1,
SCALE: 3/16" =Area,
= 1'-0" PHOF2) - ELEVATIONS
1'-0" Outpatient (PHOF1), Automated Filling/ Plot Date: 1/5/2018 4:46:29 PM
SKETCH TITLE
Storage, Outpatient (PHOF2),
0'
Mail Out
4'
Area (PHOM1)
8' 16'
SCALE: 3/16" = 1'-0"

Elevations
M7280
M7280
ROBOT DISPENSER
ROBOT DISPENSER
U0001
U0001
CONVEYOR
M7280
CONVEYOR
ROBOT DISPENSER
M1801
U0001 M1801
COMPUTER
CONVEYOR COMPUTER
L2000
L2000
M1801
PURIFIER
PURIFIER
COMPUTER
E0210
E0210
L2000
WORKSTATION
WORKSTATION
PURIFIER
E0210
WORKSTATION
ELEVATION 3
ELEVATION 3
ELEVATION 3
L2000
E0210 L2000
E0210 PURIFIER
WORKSTATION PURIFIER
WORKSTATION U0002
M1801 U0002
M1801 L2000
CAROUSEL
E0210
COMPUTER CAROUSEL
COMPUTER PURIFIER
WORKSTATION
M2050
M2050 U0002
M1801SHELF
SHELF CAROUSEL
COMPUTERU0001
U0001
CONVEYOR
M2050
CONVEYOR
SHELF
U0001
OPEN
CONVEYOR OPEN OPEN
OPEN
OPEN
OPEN
ELEVATION 4
ELEVATION 4
ELEVATION 4
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
DISCLAIMER: ROOM SYSTEMS.
ENGINEERING TEMPLATES AREPROVIDE
THEY GRAPHICAL REPRESENTATIONS
TYPICAL OF SELECTED
CONFIGURATIONS, PLANNINGROOM TYPES
CRITERIA, THAT
AND ILLUSTRATE
GENERAL VA PLANNING
TECHNICAL REQUIREMENTS
GUIDANCE, AND ARE NOTFOR SPACE,TO
INTENDED ROOM CONTENTS,
BE PROJECT AND ROOM
SPECIFIC SPECIFIC
REQUIREMENTS.
APRIL 1, 2018
PHARMACY, PHOF1,
4.3.2 Filling/Assembly FILLING/ASSEMBLY
Area, Outpatient AREA,
(PHOF1), Automated Filling/
OUTPATIENT + (PHOM1, PHOF2) - AXON
Storage, Outpatient (PHOF2), Mail Out Area (PHOM1) Plot Date: 1/5/2018 4:46:34 PM
SKETCH TITLE
0' 4' 8' 16'
Axonometric
SCALE:

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Data Yes

Ceiling Height 9’-0” Telephone Yes
GWB (Gypsum Wallboard); P Cable Television No
Wall Finish (Paint)
Duress Alarm No
Base RF (Integral Base -4”)
Electronic Access No
Floor Finish RF (Rubber Flooring)
Intercom No
Slab Depression See Notes
Motion Intrusion Detection (MID) Yes
Sound Protection No
Doors No Public Access No
Hardware No Security Surveillance Television (SSTV) Yes
Notes
Motion Sensor Ceiling
1. For carousels, coordinate placement and lbs. per
square foot with structural engineer. Clock Yes
Other No
LIGHTING HVAC
General Requirement: Refer to Outpatient Filling data sheet in

General Requirement: Refer to VA Lighting Design Manual the current version of the VA HVAC Design Manual for room
Chapter 4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for temperatures, humidity range, room air change requirements,
design approach and recommended luminaires. and pressurization.
POWER
Normal Yes
Emergency Yes,

APRIL 1, 2018

Room Data (continued)
PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

THIS TYPICAL INCLUDES:
3 Vertical Hanging Strips
2 3 Shelf, Units
Counter, Work, w/ 2 Cantilevered Work Surfaces
E0636 Storage, Cab, V/V 4 2 Storage Cabinets
Pharm, Wall Mtd,72” 4 Pull-out Bottle Drawers
2 Shelves, Storage/Display
2 Storage Cabinet Drawers
2 Lights
Drafting chair approximately 47” high X 20” wide X
Chair, Drafting, 20” deep with rotary stool and a 5 (five) star base
F0230 V/V 4
Rotary with casters. Padded seat and back. Foot ring
adjusts with chair.
Reader, Bar Code,
code stickers / labels. Convenience outlet required
Interface
at point of use.
numbers with sweep second hand. Wall mounted
F3200 V/V 1 unit for use when impractical to install a fully
Diameter
synchronized clock system. Battery operated,
(batteries not included).
Desk top microprocessing computer. The unit
shall consist of a central processing mini tower, flat
panel monitor, keyboard, mouse and speakers.
The system shall have the following minimum
Computer, Micropro
characteristics: a 2.8 GHz Pentium processor; 512
MB memory; 80GB hard drive; 32/48x CD-ROMDVD
Monitor
combo; 1.44MB network interface card; video
32 MB NVIDIA; a 18 inch flat panel monitor. The
computer is used throughout the facility to input,
manipulate and retrieve information.
High resolution computer printer with a variety
of type styles and sheet/envelope feeder trays.
Database information reflects network ready,
medium duty office style laser printers. Other types
of printers (bubble jet, dot matrix, line or plotter) as
well as light or heavy use capabilities are available.
Label printer for use in pharmacy applications. The
printer shall be bench top standing. It shall be
Printer, Label, Phar
M1830 V/V 3 flexible enough to accommodate label sizes up to 4
macy
inches, with a minimum print speed of 6 inches per
second and a minimum resolution of 203 dpi.

APRIL 1, 2018

Storage shelving unit. Unit is corrosion resistant

stainless steel, galvanized steel or baked enamel
Shelving, Storage, on steel. It contains 5 adjustable shelves with 400
M2050 V/V 24
75”H X 36”W X 14”D pound load capacity. Available in open or closed
(end panels) designs. Unit is designed for storage
and light industrial applications.
Table mounted prescription counter device that
Counter, Pill/Tablet, counts tablets and capsules directly into the final
M7265 Automated, Counter V/V 3 container. The unit shall automatically count and
Mounted dispense tablets and capsules into a container with
speed and accuracy.
Biological refrigerator. This unit shall have a
minimum volume of 40 cubic feet, double doors,
Refrigerator, Biolog stainless steel cooler storage with stainless steel
R6060 ical, SS, 2 Door, 40 V/V 1 drawers, three adjustable shelves and one stationary
Cu Ft stainless steel shelf. This refrigerator is used in
research laboratories and hospital pharmacies for
storage and dispensing of drugs.
Pharmacy Robot
U0001 C/C 1 Pharmacy conveyor system from robot to Pharmacist
Conveyor
AUTOMATED FILLING/ASSEMBLY STORAGE, OUTPATIENT (PHOF2)
Worksurface, w/
1 Lockable Flipper Unit
E0210 Overhead Cab, Wall V/V 1
1 Shelf, Storage/Display
Mtd, 48” W
1 Light
1 Cantilevered Work Surface
Water Purification System (also referred to as a
water-polishing unit) that is capable of producing
not less than 24 liters of water per hour, free of
ionic contamination and with reduced Total Organic
Compounds (TOC) not to exceed 6 parts per billion
and water resistivity up to 18.3 megohm-cm from
Purification System, a clean (tap) water source. Purified water to be
L2000 V/V 1
Water used for HPLC or GC/MS applications and TOC
analysis. System must utilize operator replaceable
cartridges and UV light source to obtain the specified
purity. System must be fully automatic and switch
to a standby mode during periods of reduced use.
Design must incorporate a resistivity indicator and a
final bacterial 0.22 micrometer filter.

APRIL 1, 2018


Computer, Micropro
Monitor
M2050 V/V 3
75”H X 36”W X14”D pound load capacity. Available in open or closed
Robotic prescription dispensing system. System
handles 200 tablets and capsules and delivers filled
Dispensing System, and labeled vials at a rate of up to 100 prescriptions
M7280 V/V 1
Prescription, Robotic per hour. System uses a computer controlled robotic
arm to fill vials directly from medication dispensing
cells.
Medication dispensing carousel for automated
Storage, Medication,
U0002 C/C 1 pharmacy retrieval with inventory management
Carousel
software.
MAILOUT AREA (PHOM1)
2 3 Shelf, Units
Counter, Work, w/ 2 Cantilevered Work Surfaces
E0636 Storage, Cab, V/V 1 2 Storage Cabinets
Pharm, Wall Mtd,72” 4 Pull-out Bottle Drawers
2 Storage Cabinet Drawers
2 Lights
Drafting chair approximately 47” high X 20” wide X
Chair, Drafting, 20” deep with rotary stool and a 5 (five) star base
F0230 V/V 1
Rotary with casters. Padded seat and back. Foot ring
adjusts with chair.
Forty four (44) gallon trash can, 32” high X 24”
diameter, with lid. Used to collect and transport
Can, Trash, 44
F2020 V/V 1 refuse from a point of origin to point of disposal
Gallon
(example: from soiled utility or a nursing unit to the
trash compactor at housekeeping).

APRIL 1, 2018


Reader, Bar Code,
Interface
at point of use.
Computer, Micropro
Monitor
printer shall be bench top standing. It shall be
M1830 V/V 1 flexible enough to accommodate label sizes up to 4
macy
inches, with a minimum print speed of 6 inches per
second and a minimum resolution of 203 dpi.
M2050 V/V 3
75”H X 36”W X 14”D pound load capacity. Available in open or closed
Table mounted prescription counter device that
Counter, Pill/Tablet, counts tablets and capsules directly into the final
M7265 Automated, Counter V/V 1 container. The unit shall automatically count and
Mounted dispense tablets and capsules into a container with
speed and accuracy.

PHARMACY, PHPA1, PROCESSING AREA, OUTPATIENT -

PLAN APRIL
Plot Date: 1, 2018
1/5/2018 4:46:37 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.3 Processing Area,

SCALE: 1/4" = 1'-0"Outpatient - (PHPA1)
Floor Plan
10' - 0" [3048 mm]
A5225
DUAL MONITOR
M1840 BRACKET
5' - 6" [1707 mm]
COPIER/FAX COMBO A5225

F0720 DUAL MONITOR
BRACKET
TABLE, WRITING
A1015
F2000 PHONE
WASTE BASKET 1
F2700
E0123 BAR CODE READER
WORKSTATION M1800
COMPUTER MONITOR
PROCESSING F0275
AREA, CHAIR HIGH BACK
OUTPATIENT
PHPA1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”
APRIL 1, 2018
RCP Plot Date: 1/5/2018 4:46:41 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.3 Processing Area, Outpatient - (PHPA1)
SCALE: 1/4" = 1'-0"
PROCESSING

AREA,

OUTPATIENT

PHPA1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”


ELEVATIONS APRIL
Plot Date: 1, 20184:46:44 PM
1/5/2018
SKETCH TITLE
0' 4' 8' 16'
4.3.3 Processing
SCALE:Area, Outpatient - (PHPA1)
1/4" = 1'-0"
Elevations
F0275 M1800
CHAIR HIGH BACK COMPUTER MONITOR
M1840 F2700
COPIER/FAX COMBO BAR CODE READER
F0720 A1015
TABLE, WRITING PHONE
F2000 E0123
WASTE BASKET WORKSTATION
ELEVATION 1
4' 8' 16'
Scale: 1/4” = 1’-0”
Plot Date: 1/6/2018 10:51:03 AM
SKETCH TITLE
0' 4' 8' 16'
SCALE:
APRIL 1, 2018

Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Motion Intrusion No

Detection (MID)
Ceiling Height 9’-0”
Public Access No
Wall Finish GWB (Gypsum Wallboard); P (Paint)
Security Surveillance No
Base RF (Integral Base-4”) Television (SSTV)
Floor Finish RF (Rubber Flooring) Motion Sensor No
Slab Depression No
Clock No
Sound Protection No
Other No
Doors No
Hardware No
HVAC
LIGHTING General Requirement: Refer to Outpatient Processing data sheet

PLUMBING
Cold Water No
POWER
Hot Water No
Normal Yes
Waste No
Emergency No

COMMUNICATIONS
Data Yes
Telephone Yes
Sprinkler Yes
Cable Television No
Hazard Type Light
Duress Alarm No
Intercom No

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Desk-mounted bracket that supports two LCD
computer monitors, or laptop and monitor
Bracket, Dual
configuration. Extends LCD’s or labtop up to 25” with
A5225 Compouter Monitor, V/V 1
an adjustment range of 18”. Desk clamp attaches to
Desk-Mounted
edge up to 2.6” thick. Maximum combined weight
supported not to exceed 50 lbs.
This JSN will provide a whole work station typical to
quickly plan work in areas in clinical or administrative
spaces. There will be a price decrease if typical work
stations are used with vertical hanging strips instead
of panels. THIS TYPICAL INCLUDES:
4 Standard Solid Panels
2 Panel Connectors, 2-Way Corner
1 Panel-to-Panel Connector
2 Finished End Hardware
Workstation, Straight,
E0123 V/V 1 1 Cantilevered, Work Surface
Free Standing, 72” W
2 Lockable Flipper Units
2 Shelf, Storage/Displays
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray
1 Adjustable Keyboard Tray
1 Mobile Pedestal, Box/File
Highback contemporary swivel chair, 41” high X 23”
wide X 23” deep with five (5) caster swivel base and
Chair, Swivel, High
F0275 V/V 1 arms. Chair may be used at desks or in conference
Back
rooms. Back and seat are foam padded and
upholstered with either woven textile fabric or vinyl.
Table writing approximately 29” H X 30” W X 18” D
F0720 Table, Writing V/V 1
for use in day rooms, sleep rooms or as appropriate.
F2000 V/V 1

APRIL 1, 2018


Reader, Bar Code,
Interface
at point of use.
A high definition LED computer monitor with
minimum 1920 x 1080 resolution, 4ms response
M1800 Monitor, Computer V/V 1 time, 25 inch class display size, compatible with desk
or arm mounted. Monitor is VESA compatible and
Energy Star compliant.
Computer, Micropro
Monitor
Printer/Copier/Fax Multifunctional printer, fax, scanner and copier (PFC)
M1840 V/V 1
Combination all-in-one machine.

PHARMACY, PHOS1, SECURED DISPENSING/STORAGE,

OUTPATIENT - PLAN APRIL
Plot Date: 1, 2018
1/5/2018 4:46:59 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.4 Secured Dispensing

SCALE: 3/16" = 1'-0" / Storage, Outpatient (PHOS1)
Floor Plan
M2080 22' - 9" [6927 mm]

SHELVING
M7280
ROBOTIC DISPENSING
SYSTEM
PHARMACIST
R6200 STATION
REFRIGERATOR
E0220 5' - 0" [1524 mm] 5' - 0" [1517 mm]
WORKSTATION
M1825 F0275
PRINTER PHARMACIST CHAIR HIGH BACK
TECH STATION
M1830 STATION M1801
LABEL PRINTER 1 COMPUTER
22' - 0" [6706 mm]

6' - 0" [1832 mm] M7265
CT020 6 5 2
COUNTER 3 PILL COUNTER
4 A1015
PHONE
F0860 E0984
MOBILE TABLE TECH MOBILE CART
STATION J
F2700 A5103
BAR CODE READER WASTE DISPOSAL UNIT,
PHARMACEUTICAL
F0100
MAIL BIN A1175
CACHE 5'-6" ø VAULT DOOR WITH
CART MAILOUT DAYGATE
STATION
T Sos a,b
SECURED
DISPENSING/STORAGE,
OUTPATIENT
PHOS1
500.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
OUTPATIENT - RCP Plot Date: 1/5/2018 4:47:02 PM
0'
SKETCH TITLE
4' 8' APRIL 1,16'2018
SCALE: 3/16" = 1'-0"
4.3.4 Secured Dispensing / Storage, Outpatient (PHOS1)

ab ab ab
ab ab OS ab
ab ab ab
SECURED

DISPENSING/STORAGE,

OUTPATIENT

PHOS1
500.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


OUTPATIENTPHOS1,
PHARMACY, - ELEVATIONS
SECURED DISPENSING/STORAGE, Plot Date: 1/5/2018 5:23:19 PM
OUTPATIENT - ELEVATIONS 0'
SKETCH TITLE
Plot Date: 1/5/2018 5:23:19 PM
4' 8'
APRIL 1, 2018
16'
PHARMACY,
SKETCH TITLE PHOS1,
SCALE: 3/16" = 1'-0" SECURED
0' DISPENSING/STORAGE,
4' 8' 16'
OUTPATIENT - ELEVATIONS
SCALE: 3/16" = 1'-0" Plot Date: 1/5/2018 5:23:19 PM
4.3.4 Secured
SKETCH TITLE Dispensing / Storage, Outpatient (PHOS1)
0' 4' 8' 16'
Elevations3/16" = 1'-0"
SCALE:
F2245
M7280 CAMERA
F2245
ROBOTIC DISPENSING F2000
M7280 CAMERA
SYSTEM WASTE BASKET
ROBOTIC DISPENSING F2000
M2080
SYSTEM A1015 BASKET
F2245
WASTE
SHELVING
M7280 PHONE
CAMERA
M2080 A1015
ROBOTIC DISPENSING
SHELVING F0275
F2000
PHONE
SYSTEM CHAIR HIGH
WASTE BACK
BASKET
F0275
M2080 E0220HIGH BACK
A1015
CHAIR
SHELVING WORKSTATION
PHONE
E0220
F0275
WORKSTATION
CHAIR HIGH BACK
E0220
ELEVATION 1 WORKSTATION
ELEVATION 1
F2245 ELEVATION 1
CAMERA
F2245
E0220 A1015
CAMERA
WORKSTATION PHONE
E0220 A1015
M1801
F2245 E0220
WORKSTATION PHONE
COMPUTER
CAMERA WORKSTATION
M1801 E0220
M2080
E0220 E0984
A1015
COMPUTER WORKSTATION
SHELVING
WORKSTATION MOBILE CART
PHONE
M2080 E0984
M1801
SHELVING E0220 CART
MOBILE
COMPUTER WORKSTATION
M2080 E0984
SHELVING MOBILE CART
ELEVATION 2
ELEVATION 2
ELEVATION 2
M7265
PILL COUNTER M1825
M7265
F3200 PRINTER
PILL COUNTER M1825
CLOCK M7280
F3200 PRINTER
F0100
M7265 ROBOTIC DISPENSING
CLOCK M7280
MAIL BIN
PILL COUNTER SYSTEM
M1825 DISPENSING
F0100 ROBOTIC
A5103
F3200 M2080
PRINTER
MAIL BIN SYSTEM
WASTE DISPOSAL UNIT,
CLOCK SHELVING
M7280
A5103 M2080
PHARMACEUTICAL CT020
DISPENSING
WASTE DISPOSALF0100
UNIT, ROBOTIC
SHELVING
F2020
MAIL BIN COUNTER
SYSTEM
PHARMACEUTICAL CT020
TRASH CAN
A5103 M2080
C04J0
F2020 COUNTER
WASTE DISPOSALF0860 SHELVING
TRASHUNIT,
CAN CABINET
C04J0
MOBILE TABLE
PHARMACEUTICAL
F0860 CT020
CABINET
MOBILE F2020
TABLE COUNTER
TRASH CAN C04J0
F0860 ELEVATION 3
CABINET
MOBILE TABLE ELEVATION 3
0’ 4’ 8’ 16’
ELEVATION 3
Scale: 3/16”
DISCLAIMER: ROOM TEMPLATES = 1’-0”
ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC
PHARMACY,
OUTPATIENTPHOS1, - ELEVATIONSSECURED DISPENSING/STORAGE, Plot Date: 1/5/2018 5:23:57 PM
OUTPATIENT
SKETCH TITLE - ELEVATIONS 0' Plot Date: 1/5/2018 5:23:57 PM
PHARMACY,
SKETCH TITLE
PHOS1, SECURED DISPENSING/STORAGE,
4' 8' 16'
0' 4' 8' 16'
OUTPATIENT

- ELEVATIONS
SCALE: 3/16" = 1'-0" Plot Date:
APRIL 1/5/2018
1, 20185:23:57 PM
SCALE:
SKETCH TITLE
3/16" = 1'-0"
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

Elevations
F3200
CLOCK
F3200
A1175
CLOCK
F0100
VAULT DOORA1175
WITH
MAIL BIN
F0100
F3200
DAYGATE
VAULT DOOR WITH
MAIL BIN
F0860
CLOCK
DAYGATE
F0100
A1175 MOBILE
F0860 TABLE
F0100
MAIL
VAULT DOOR BIN
F0100
WITH M1801
MOBILE
MAIL BINTABLE
MAIL BIN
A5103
DAYGATE COMPUTER
M1801
F0860
WASTE DISPOSALF0100
UNIT,
A5103 A1015 TABLE
COMPUTER
MOBILE
PHARMACEUTICAL
WASTE DISPOSAL
MAILUNIT,
BIN
PHONE
A1015
M1801
F2020
PHARMACEUTICAL
A5103
E0220
PHONE
TRASH CAN
F2020 COMPUTER
WASTE DISPOSAL UNIT, WORKSTATION
E0220
TRASHE0984
CAN A1015
PHARMACEUTICAL F0275
WORKSTATION
MOBILE CART
E0984 PHONE
F2020 CHAIR
F0275HIGH BACK
MOBILE CART E0220
TRASH CAN CHAIR HIGH BACK

WORKSTATION
E0984 ELEVATION 4 F0275
MOBILE CART ELEVATION 4 CHAIR HIGH BACK
ELEVATION 4
M1801 M7280
COMPUTER
M1801 ROBOTIC
M7280 DISPENSING
COMPUTER
F0275 SYSTEM DISPENSING
ROBOTIC
CHAIR HIGHM1801
BACK
F0275 SYSTEM
E0220
M7280
CHAIRCOMPUTER
HIGHA1015
BACK WORKSTATION
E0220 DISPENSING
ROBOTIC
PHONE
A1015 WORKSTATION
SYSTEM
F0275
CHAIR HIGHPHONE
BACK E0220
A1015 WORKSTATION
PHONE
ELEVATION 5
ELEVATION 5
ELEVATION 5
M1830
M7265
LABEL
M1830PRINTER
PILL COUNTER
M7265
LABEL
CT020PRINTER
PILL COUNTER
M1825 COUNTER
CT020
M1830
PRINTER
M7265
M1825 COUNTER
LABEL PRINTER
F0100
PILL COUNTER
PRINTER
C04J0 MAIL BIN
F0100
CT020
CABINET
M1825
C04J0 A5103
MAIL BIN
COUNTER
PRINTER
CABINET
R6200 WASTE
F0100 DISPOSAL UNIT,
A5103
REFRIGERATOR
R6200 PHARMACEUTICAL
WASTE
C04J0 MAIL BINDISPOSAL UNIT,
REFRIGERATOR
M7280
CABINET F0535
PHARMACEUTICAL
A5103
ROBOTIC DISPENSING
M7280 CART
F0535 DISPOSAL UNIT,
R6200 WASTE
ROBOTIC SYSTEM
DISPENSING
REFRIGERATOR CART
F2020
PHARMACEUTICAL
SYSTEM TRASH
F2020 CAN
F0535
M7280
ROBOTIC DISPENSING TRASH CAN
CART
SYSTEM F2020
ELEVATION 6 TRASH CAN
ELEVATION 6
0’ TEMPLATES ARE4’ ELEVATION 6

8’ 16’ THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC
DISCLAIMER: ROOM GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA,
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPESAND GENERAL TECHNICAL VA
THAT ILLUSTRATE GUIDANCE, AND
PLANNING ARE NOT INTENDED
REQUIREMENTS TO BE ROOM
FOR SPACE, PROJECT SPECIFICAND
CONTENTS, REQUIREMENTS.
ROOM SPECIFIC
Scale: THEY
3/16”PROVIDE
= 1’-0” TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.


OUTPATIENT - AXON APRIL
Plot Date: 1, 2018
1/6/2018 11:11:04 AM
SKETCH TITLE
0' 4' 8' 16'
4.3.4 SecuredSCALE:
Dispensing / Storage, Outpatient (PHOS1)
Axonometric
APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data

Wall Finish GWB (Gypsum Wallboard); P (Paint) Cable Television No
Base RF (Integral Base-4”) Duress Alarm Yes
Floor Finish RF (Rubber Flooring) Electronic Access Yes
Slab Depression No Intercom No
Sound Protection See VA Interior Design Guide Motion Intrusion Detection (MID) Yes
Single Size Door, 3’-6” x 7’-0”(1066.8 Public Access No

Doors mm x 2133mm), Steel w/ Day Gate
Security Surveillance Television (SSTV) Yes
Notes
Clock Yes
1. CMU wall to deck.
Other No
LIGHTING
HVAC
General Requirement: Refer to VA Lighting Design Manual General Requirement: Refer to Outpatient Secured Storage data
Chapter 4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for sheet in the current version of the VA HVAC Design Manual
design approach and recommended luminaires. for room temperatures, humidity range, room air change
requirements, and pressurization.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
A solid, nonporous countertop with a smooth seamless
appearance. Easy to clean and maintain and with
proper cleaning does not support the growth of mold.
An acrylic-based solid surface product. Standard
Countertop, Solid
CT020 C/C 32 thickness of 1”, and a 4” butt backsplash/curb. Also
Surface
referred to as a work surface or work top. Available
in a choice of colors and depths. Used in lab and
other hospital areas requiring optimum physical and
chemical resisting properties.
Freestanding open shelf bookcase, approximately 82”
Bookcase, Open, 5 high X 37” wide X 18” deep with 5 (five) adjustable
F0115 V/V 3
Shelf shelves. Unit can be separate or part of a system with
available add-on shelving.
F0280 V/V 1
Back arms and foam padded seat and back upholstered with
either woven textile fabric or vinyl.
al, Half Height
materials.
F2000 V/V 3
Camera, Video
Powered
standards-base
Reader, Bar Code,
Interface
point of use.

APRIL 1, 2018

Bulletin board approximately 36”W x 24”H. Wood

Board, Bulletin, framed 1/2” cork posting panel with moisture proof
F3025 V/V 2
Wood Framed backing. Units are factory assembled and have
keyhole hangers for easy installation.
Diameter
included).
Computer, Micropro shall have the following minimum characteristics: a 2.8
M1801 cessing, w/Flat Panel V/V 3 GHz Pentium processor; 512 MB memory; 80GB hard
Monitor drive; 32/48x CD-ROMDVD combo; 1.44MB network
interface card; video 32 MB NVIDIA; a 18 inch flat
panel monitor. The computer is used throughout the
facility to input, manipulate and retrieve information.
Refrigerator, 25
Cubic Feet

PHARMACY, PHDP1, DISCHARGE PHARMACIST - PLAN Plot Date: 1/5/2018 4:47:31 PM

SKETCH TITLE
APRIL 1, 2018
0' 4' 8' 16'
SCALE: 1/4" = 1'-0"

4.3.5 Discharge Pharmacist (PHDP1)
Floor Plan
10' - 0" [3048 mm]
A5225
DUAL MONITOR
M1825 BRACKET
PRINTER
M1801
5' - 7" [1707 mm]
F0720 COMPUTER
TABLE, WRITING
1 A1015
F2000
PHONE
WASTE BASKET
F2700
E0123 BAR CODE READER
WORKSTATION
M1800
COMPUTER MONITOR
DISCHARGE F0275
PHARMACIST CHAIR HIGH BACK
PHDP1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”

APRIL 1, 2018
4.3.5 Discharge
PHARMACY,Pharmacist (PHDP1) PHARMACIST - RCP
PHDP1DISCHARGE Plot Date: 1/5/2018 4:47:39 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 1/4" = 1'-0"
DISCHARGE

PHARMACIST

PHDP1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”

PHARMACY, PHDP1, DISCHARGE PHARMACY -

ELEVATIONS APRIL
Plot Date: 1, 2018
1/5/2018 4:49:33 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.5 Discharge Pharmacist

SCALE: 1/4" = 1'-0" (PHDP1)
Elevation
M1800
F2700
COMPUTER MONITOR
BAR CODE READER
M1825
E0123
PRINTER
WORKSTATION
F0720
TABLE, WRITING A1015
PHONE
F2000
WASTE BASKET F0275
CHAIR HIGH BACK
ELEVATION 1
4' 8' 16'
Scale: 1/4” = 1’-0”
APRIL 1, 2018
PHARMACY, PHDP1, DISCHARGE PHARMACIST - AXON Plot Date: 1/5/2018 4:49:38 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE:
Axonometric
05-DISCHARGE

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Intercom No

Ceiling Height 9’-0” Motion Intrusion Detection No
(MID)
GWB (Gypsum Wallboard); P
Wall Finish Public Access No
(Paint)
Base RF (Integral Base-4”) Security Surveillance Television No
(SSTV)
Slab Depression No Clock No
Sound Protection See VA Interior Design Guide Other No
Doors No
Hardware No HVAC
General Requirement: Refer to Discharge Pharmacy data sheet

LIGHTING
PLUMBING
POWER Cold Water No

Normal Yes Hot Water No
Emergency No Waste No

COMMUNICATIONS
Data Yes
Telephone Yes
Sprinkler Yes
Cable Television No
Hazard Type Light
Duress Alarm No

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Bracket, Dual
Desk-Mounted
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray
Chair, Swivel, High
Back
Table writing approximately 29” H X 30” W X 18” D for
use in day rooms, sleep rooms or as appropriate.
F2000 V/V 1

APRIL 1, 2018


Reader, Bar Code,
Interface
point of use.
A high definition LED computer monitor with minimum
1920 x 1080 resolution, 4ms response time, 25
M1800 Monitor, Computer V/V 1 inch class display size, compatible with desk or arm
mounted. Monitor is VESA compatible and Energy
Star compliant.
Computer, Micropro
Monitor
combo; 1.44MB network interface card; video 32 MB
NVIDIA; a 18 inch flat panel monitor. The computer is
used throughout the facility to input, manipulate and
retrieve information.
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.

WORK ROOM - PLAN Plot Date: 1/5/2018 4:49:43 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018
4.3.6 Work Room, IDS (PHID1)

Floor Plan
16' - 8" [5072 mm]
7' - 0" [2121 mm]
4' - 0" [1226 mm] 4' - 0" [1219 mm] 4' - 0" [1218 mm]
1
CT020
3 2
M1810 COUNTER
COPIER/FAX COMBO 4 F2000
3' - 4" [1013 mm] 4' - 0" [1211 mm] WASTE BASKET
F0275
CHAIR HIGH BACK CT020
11' - 5" [3483 mm]

COUNTER
18' - 0" [5496 mm]

J
A1015
A5075
PHONE
SOAP DISPENSER
A5225
DUAL MONITOR CS140
BRACKET SINK
M1801
COMPUTER
Sos ab T
M1800 5'-6" ø
COMPUTER MONITOR
R6070
REFRIGERATOR-FREEZER,
BIOLOGICAL
E0090
WORKSTATION
WORK ROOM,
INVESTIGATIONAL
DRUG
SERVICES
PHID1
300.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

WORK ROOM - RCP Plot Date: 1/5/2018 4:49:47 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018

ab OS ab
ab ab
WORK ROOM,

INVESTIGATIONAL

DRUG

SERVICES

PHID1
300.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
WORK ROOM - ELEVATIONS Plot Date: 1/5/2018 4:52:18 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018

Elevations
F0275 F2000
CHAIR HIGH BACK WASTE BASKET
M1800 CT020
COMPUTER MONITOR COUNTER
E0078 F0420
WORKSTATION FILING CABINET
ELEVATION 1
CT020 A5075
COUNTER SOAP DISPENSER
F0420 A5080
FILING CABINET PAPER TOWEL
DISPENSER
CS140
SINK
ELEVATION 2
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

PHARMACY,
WORK ROOMPHID1, INVESTIGATIONAL DRUG SERVICES,
- ELEVATIONS Plot Date: 1/5/2018 4:52:26 PM
WORK ROOM - ELEVATIONS 0'
SKETCH TITLE
4' 8' Plot Date: 1/5/2018
16' 4:52:26 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
APRIL 1, 2018
SCALE: 3/16" = 1'-0"

Elevations
F3200 A1015
CLOCK
F3200 PHONE
A1015
M1810
CLOCK PHONE
E0078
COPIER/FAX COMBO
M1810 WORKSTATION
E0078
COPIER/FAX COMBO WORKSTATION
M1800
COMPUTER
M1800 MONITOR
COMPUTER
F0275 MONITOR
CHAIR
F0275HIGH BACK
CHAIR HIGH BACK
ELEVATION 3
ELEVATION 3
F3200
R6070
CLOCK
F3200
R6070
BIOLOGICAL E0090
CLOCK
CT020 WORKSTATION
E0090
BIOLOGICAL
COUNTER
CT020 M1810
WORKSTATION
CS140
COUNTER COPIER/FAX
M1810 COMBO
SINK
CS140 F0275
COPIER/FAX COMBO
SINK CHAIR
F0275HIGH BACK
CHAIR HIGH BACK
ELEVATION 4
ELEVATION 4
0’ 4’ 8’ 16’
Scale:THEY
ENGINEERING SYSTEMS. 3/16” = 1’-0”TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
PROVIDE

PHARMACY, PHID1, INVESTIGATIONAL DRUG SERVICES,
WORK ROOM - AXON Plot Date: 1/5/2018 4:52:49 PM

SKETCH TITLE
0' 4' 8'
APRIL 1, 2018 16'
SCALE:

Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Telephone Yes

Ceiling Height 9’-0” Cable Television No
Wall Finish GWB (Gypsum Wallboard); P (Paint) Duress Alarm No
Base RF (Integral Base-4”) Electronic Access Yes
Floor Finish RF (Rubber Flooring) Intercom No
Slab Depression No Motion Intrusion Detection (MID) Yes
Sound Protection See VA Interior Design Guide
Public Access No
Single Size Door, 3’-6” x 7’-0”(1066.8 mm
Doors Security Surveillance Television (SSTV) Yes
x 2133mm), Solid Wood Core
Hardware Electronic Entry Motion Sensor Wall

Clock Yes
Other No
LIGHTING
General Requirement: Refer to VA Lighting Design Manual Chapter HVAC

4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design
approach and recommended luminaires. General Requirement: Refer to Investigational Drug Service
data sheet in the current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air change
POWER
Normal Yes
Emergency Yes
COMMUNICATIONS
Data Yes

APRIL 1, 2018

PLUMBING
Cold Water Yes

Hot Water Yes
Waste Yes

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Disposable soap dispenser. One-handed dispensing
Dispenser, Soap,
A5075 V/V 1 operation. Designed to accommodate disposable
Disposable
soap cartridge and valve.
A surface mounted, satin finish stainless steel, single-
Dispenser, Paper fold, paper towel dispenser. Dispenser features:
A5080 Towel, SS, Surface C/C 1 tumbler lock; front hinged at bottom; and refill indicator
Mounted slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
Bracket, Dual
Desk-Mounted
Single compartment stainless steel sink, drop-in,
self-rimming, ledge-type, connected with a drain
and provided with a mixing faucet. It shall also be
provided with punched fixture holes on 4” center,
integral back ledge to accommodate deck-mounted
Sink, SS, Single fixtures, brushed/polished interior and top surfaces,
CS140 Compartment, C/C 1 and sound deadened. Recommended for use in
10x14x16 ID suspended or U/C/B sink cabinets having a high
plastic laminate or Chemsurf laminate countertop/work
surface. Coordinate actual outside sink dimensions
with the actual clear dimension of cabinet specified to
ensure that they are compatible. For general purpose
use throughout the facility.
Countertop, Solid
Surface

APRIL 1, 2018


2 Panel-to-Panel Connectors
1 Panel Connector, 2-Way Corner
Workstation,
E0090 L-Shaped, Free V/V 2
3 Lights
Standing, 72x72
3 Tackboards
2 Cantilevered Work Surfaces
1 Pencil Drawer
2 Support Panels
Chair, Swivel, High
Back
al, Half Height
materials.
F2000 V/V 1
Diameter
included).
Star compliant.

APRIL 1, 2018


Computer, Micropro
Monitor
information.
Floor standing copier. Unit features automatic paper
size selection, automatic document feeder and sorter.
Copier, Floor Stand The system also has zoom capabilities and automatic
M1810 V/V 1
ing, Digital two-sided copying. For use where medium volume
reproduction is required in the range of 30 to 40
copies per minute.
Biological refrigerator with freezer. This unit includes
Refrigerator/Freezer, a freezer compartment for general laboratory use.
R6070 Biological, Upright, V/V 1 Its independent direct-set temperature controllers
18 Cu Ft allow temperature selection for +2° to 14°C for the
refrigerator, and from -20° to -30°C for the freezer.

APRIL 1, 2018

PHARMACY, PHIF1, FILLING/ASSEMBLY, INPATIENT +
(PHPA1, PHIF2, NT001, PHRA1, PHAD1) - PLAN
APRIL
Plot Date: 1, 2018
1/5/2018 5:25:32 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

4.3.7 Filling/Assembly Area, Inpatient (PHIF1), Filling/Assembly Carousel,
Inpatient (PHIF2), Processing Area, Inpatient (PHPA1), Tube Station
(NT001), Restock Area, Crash Cart (PHRA1)
Floor Plan
33' - 0" [10058 mm]
FILLING/ASSEMBLY
4' - 0" [1229 mm] CAROUSEL,
J INPATIENT J
PHIF2
280.00 SF 1
6' - 6" [1992 mm] 4' - 0" [1219 mm] 5' - 9" [1762 mm]
3 2
34' - 10" [10609 mm]
4' - 0" [1219 mm] 5' - 0" [1524 mm] 4' - 0" [1219 mm] FILLING/ASSEMBLY,
M2070 INPATIENT

SHELVING
PHIF1
U0002
CAROUSEL 540.00 SF
F0535 J J
CART
M1830 PROCESSING

LABEL PRINTER
CT020
AREA

COUNTER PHPA1
F2020
TRASH CAN
WORK AREA, 140.00 SF
R6060 ADM
REFRIGERATOR MANAGEMENT F0230

A5080 PHAD1 CHAIR
PAPER TOWEL
DISPENSER 40.00 SF F2700
J
BAR CODE READER
CT020
CORDLESS
COUNTER PHONE
5'-6" ø
E0123
5' - 0" [1530 mm]
WORKSTATION
4' - 10" [1476 mm]
CS140
SINK M1801
P1965 COMPUTER
EYEWASH CT020
2' 6" [762 mm] 4 7' - 7" [2315 mm] COUNTER
A5075 E0954
SOAP DISPENSER CRASH CART
M1825 Sos a,b T J
PRINTER
RESTOCK
AREA, CRASH
TUBE STATION CART
NT001 PHRA1
30.00 SF 40.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
PHARMACY, PHIF1, FILLING/ASSEMBLY, INPATIENT
+(PHPA1,PHIF2, NT001, PHRA1, PHAD1) - RCP Plot Date: 1/5/2018 4:53:05 PM
SKETCH TITLE
0' 4' 8' 16'
APRIL 1, 2018
SCALE: 3/16" = 1'-0"

FILLING/ASSEMBLY
CAROUSEL,
INPATIENT
PHIF2
280.00 SF
ab
OS
ab ab ab ab
FILLING/ASSEMBLY,
INPATIENT
PHIF1 WORK AREA,
540.00 SF ADM
MANAGEMENT
PHAD1
ab ab ab ab
40.00 SF
OS
PROCESSING
AREA
PHPA1
140.00 SF
ab ab ab ab
TUBE STATION RESTOCK

NT001 AREA, CRASH
30.00 SF CART
PHRA1
40.00 SF
0’ 4’ 8’ 16’
Scale:
DISCLAIMER: ROOM 3/16” = 1’-0”
TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC

PHARMACY, PHIF1, FILLING/ASSEMBLY, INPATIENT APRIL 1, 2018
+(PHPA1,PHIF2, NT001, PHRA1, PHAD1) - ELEVATIONS Plot Date: 1/5/2018 4:53:11 PM
4.3.7 Filling/Assembly Area, Inpatient
SKETCH TITLE
0' (PHIF1), 4'Filling/Assembly
8' Carousel, 16'
Inpatient (PHIF2),
SCALE: Processing
3/16" = 1'-0" Area, Inpatient (PHPA1), Tube Station
Elevations
F2020 M1830
TRASH CAN LABEL PRINTER
F0535 C02C0
CART CABINET
M2070 U0002
SHELVING CAROUSEL
ELEVATION 1
U0002 E0123
CAROUSEL WORKSTATION
M1830 F0230
LABEL PRINTER CHAIR
CT020 E0954
COUNTER CRASH CART

C02C0 CT020
CABINET COUNTER
ELEVATION 2
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

APRIL 1, 2018
PHARMACY,
+(PHPA1,PHIF2, PHIF1,
NT001,FILLING/ASSEMBLY,
PHRA1, PHAD1) -INPATIENT
+(PHPA1,PHIF2,
4.3.7 Filling/Assembly
SKETCH TITLE
NT001, PHRA1, PHAD1)
Area, Inpatient - ELEVATIONS
(PHIF1), Filling/Assembly Carousel,
Plot Date: 1/5/2018 4:53:15 PM
0' 4' 8' 16'
InpatientSCALE:
SKETCH TITLE
(PHIF2), Processing
3/16" = 1'-0"
0' Area, Inpatient
4' (PHPA1),
8' Tube Station16'
(NT001),SCALE: Restock Area, Crash Cart (PHRA1)

3/16" = 1'-0"
Elevations
R6060 M1830
R6060
REFRIGERATOR M1830PRINTER
LABEL
REFRIGERATOR
C02C0 LABEL PRINTER
C02D0
C02C0
CABINET C02D0
CABINENT
CABINET
F2020 CABINENT
M2070
TRASHF2020
CAN OPEN M2070
SHELVING
TRASH CAN OPEN
SHELVING
U0002
U0002
CAROUSEL
CAROUSEL
ELEVATION 3
ELEVATION 3
F3200
F3200
CLOCK CE030
CLOCK CE030 38X30
CABINET
CT020 CABINET
CT020
COUNTER A6165 38X30
COUNTER A6165
PNEUMATIC STATION
E0954
PNEUMATIC STATION
CRASHE0954
CART CT020
CRASHC02D0
CART CT020
COUNTER
C02D0
CABINENT
OPEN
COUNTER
C03E0
CABINENT OPEN C03E0
CABINET
CABINET
ELEVATION 4
ELEVATION 4
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

DISCLAIMER: ROOM THEY PROVIDE
TEMPLATES TYPICAL CONFIGURATIONS,
ARE GRAPHICAL REPRESENTATIONSPLANNING CRITERIA,
OF SELECTED ROOMAND GENERAL
TYPES TECHNICAL VA
THAT ILLUSTRATE GUIDANCE, AND
PLANNING ARE NOT INTENDED
REQUIREMENTS TO BE ROOM
FOR SPACE, PROJECT SPECIFICAND
CONTENTS, REQUIREMENTS.
ROOM SPECIFIC
+(PHPA1,PHIF2, NT001, PHRA1, PHAD1) - AXON
APRIL 1, 2018
Plot Date: 1/6/2018 11:50:40 AM
SKETCH TITLE
0' 4' 8' 16'
4.3.7 Filling/Assembly
SCALE: Area, Inpatient (PHIF1), Filling/Assembly Carousel,
Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data

Cable Television No
Duress Alarm No
Base RF (Integral Base-4”)
Electronic Access Yes
Floor Finish RF (Rubber Flooring)
Intercom No
Slab Depression See Notes 2
Sound Protection See VA Interior Design Guide Motion Intrusion Detection (MID) Yes
Public Access No
Single Size Door, 3’-6” x 7’-0”(1066.8 mm
Doors x 2133mm), Steel
Hardware Electronic Entry Motion Sensor Ceiling
Notes Clock Yes
1. For carousels, coordinate placement with structural
Other No
engineer.
2. If high-density storage is used and a raised track
is not selected, coordinate slab depression with HVAC
structural engineer.
General Requirement: Refer to Inpatient Filling data sheet in

the current version of the VA HVAC Design Manual for room
LIGHTING temperatures, humidity range, room air change requirements,
and pressurization.
General Requirement: Refer to VA Lighting Design Manual Chapter
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design
approach and recommended luminaires.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water Yes

Hot Water Yes
Waste Yes

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Dispenser, Soap,
A5075 V/V 1 operation. Designed to accommodate disposable soap
Disposable
cartridge and valve.
A surface mounted, sensor activated, automatic, roll
paper towel dispenser. The unit dispenses a paper
Dispenser, Paper towel automatically only when hands are place in
A5082 Towel, Sensor, C/C 1 position below the dispenser for maximum sanitation
Hands Free and hygiene. May include adjustable settings for sheet
length, time delay, and sensor range. Unit is battery
operated or with optional AC power adapter.
Standing height under counter base cabinet with
an adjustable shelf and a full width drawer above a
Cabinet, U/C/B, 1 solid right or left-hinged door (appropriate door hinge
C02C0 Shelf, 1 Drawer, 1 C/C 8 configuration to be indicated on equipment elevation
DO, 36x24x22 drawings). Also referred to as a combination cabinet or
a drawer and cupboard cabinet. For general purpose
self-rimming, ledge-type, connected with a drain and
provided with a mixing faucet. It shall also be provided
with punched fixture holes on 4” center, integral
back ledge to accommodate deck-mounted fixtures,
Sink, SS, Single brushed/polished interior and top surfaces, and sound
CS140 Compartment, C/C 1 deadened. Recommended for use in suspended or
10x14x16 ID U/C/B sink cabinets having a high plastic laminate
or Chemsurf laminate countertop/work surface.
Coordinate actual outside sink dimensions with the
actual clear dimension of cabinet specified to ensure
that they are compatible. For general purpose use
throughout the facility.
Countertop, Solid
Surface
referred to as a work surface or work top. Available in
a choice of colors and depths. Used in lab and other
hospital areas requiring optimum physical and chemical
resisting properties.
Utility cart, 32-39” high X 36” wide X 24” deep, with 4
F0535 Cart, Utility V/V 2
(four) heavy duty caster wheels.

APRIL 1, 2018


diameter, with lid. Used to collect and transport refuse
Can, Trash, 44
F2020 V/V 3 from a point of origin to point of disposal (example: from
Gallon
soiled utility or a nursing unit to the trash compactor at
housekeeping).
Diameter
included).
printer shall be bench top standing. It shall be flexible
M1830 V/V 2 enough to accommodate label sizes up to 4 inches,
macy
with a minimum print speed of 6 inches per second and
a minimum resolution of 203 dpi.
A sink mounted eyewash station. The unit is designed
Eyewash, Eye/
for emergency eye and face rinsing from soft flow dual
P1965 Face, Sink Mounted, C / C 1
spray-heads. The Flow must be activated by the single
Hands-free
momentary action and remain on until terminated.
Emergency tempering valve thermostatically mixes hot
Valve, Mixing, Ther and cold water to provide a safe fluid supply for a single
P2451 C/C 1
mostatic, Eyewash emergency eye/face wash with a flow rate of 10 gpm
(38.8L)
Biological refrigerator. This unit shall have a minimum
volume of 40 cubic feet, double doors, stainless steel
Refrigerator, Biolog- cooler storage with stainless steel drawers, three
R6060 ical, SS, 2 Door, 40 V/V 2 adjustable shelves and one stationary stainless steel
Cu Ft shelf. This refrigerator is used in research laboratories
and hospital pharmacies for storage and dispensing of
drugs.
FILLING/ASSEMBLY CAROUSEL, INPATIENT (PHIF1)
Storage shelving unit approximately 77” H X 36” W X
18” D. Corrosion resistant baked enamel, galvanized
Shelving, Storage,
M2070 V/V 6 or stainless steel open unit with adjustable shelves.
77hx36wx18d
The closed version is also available. For use in the
storage room.
Medication dispensing carousel for automated
Storage, Medication,
U0002 C/C 2 pharmacy retrieval with inventory management
Carousel
software.
PROCESING AREA, INPATIENT (PHPA1)
Telephone, Desk,
Multiple Line

APRIL 1, 2018

Desk-mounted bracket that supports two LCD computer

monitors, or laptop and monitor configuration. Extends
Bracket, Dual
LCD’s or labtop up to 25” with an adjustment range
of 18”. Desk clamp attaches to edge up to 2.6” thick.
Desk-Mounted
Maximum combined weight supported not to exceed 50
lbs.
stations are used with vertical hanging strips instead of
panels. THIS TYPICAL INCLUDES:
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray
Chair, Swivel, High
Back
F2000 V/V 1
mounted. Monitor is VESA compatible and Energy Star
compliant.

APRIL 1, 2018


Computer, Micropro shall have the following minimum characteristics: a 2.8
M1801 cessing, w/Flat Panel V / V 1 GHz Pentium processor; 512 MB memory; 80GB hard
Monitor drive; 32/48x CD-ROMDVD combo; 1.44MB network
interface card; video 32 MB NVIDIA; a 18 inch flat
panel monitor. The computer is used throughout the
facility to input, manipulate and retrieve information.
macy
with a minimum print speed of 6 inches per second and
a minimum resolution of 203 dpi.
RESTOCK AREA, CRASH CART (PHRA1)
Standing height under counter base cabinet with four
Cabinet, U/C/B, 4 full width drawers of equal height. Also referred to as
C02D0 C/C 2
Drawer, 36x24x22 a drawer cabinet. For general purpose use throughout
the facility.
Countertop, Solid
Surface
referred to as a work surface or work top. Available in
a choice of colors and depths. Used in lab and other
hospital areas requiring optimum physical and chemical
resisting properties.

APRIL 1, 2018


1 Cart body, style-A narrow, w/raised edge top
1 Accessory rail, side
1 Accessory rail, back
1 Defibrillator tray
1 IV pole
Cart, Emergency, 1 Breakaway bar
E0954 Mobile, 66”H x 32”W V/V 1 1 Flip-up shelf
x 22”D 1 Wastebasket
1 Oxygen tank holder
1 Electrical box-4 outlet
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Drawer organizer bins.

APRIL 1, 2018

PHARMACY, PHPA1, PROCESSING AREA, INPATIENT -

PLAN APRIL
Plot Date: 1, 2018
1/5/2018 4:53:36 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.8 Processing Area,

SCALE: 1/4" = 1'-0"Inpatient (PHPA1)
Floor Plan
10' - 0" [3051 mm]
A5225
DUAL MONITOR
SaSb BRACKET
M1825
M1801
5' - 7" [1705 mm]
PRINTER
COMPUTER
F0720
M1830
TABLE, WRITING
LABEL PRINTER
F2000
WASTE BASKET A1015
1
PHONE
E0123
WORKSTATION M1800
COMPUTER MONITOR
F0275
PROCESSING CHAIR HIGH BACK
AREA,
INPATIENT
PHPA1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”
RCP Plot Date: 1/5/2018 4:53:39 PM

SKETCH TITLE
APRIL 1, 2018
0' 4' 8' 16'
SCALE: 1/4" = 1'-0"

4.3.8 Processing Area, Inpatient (PHPA1)
PROCESSING

AREA,

INPATIENT

PHPA1
56.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”

ELEVATIONS
PlotAPRIL 1, 2018 4:53:45 PM
Date: 1/5/2018
SKETCH TITLE
0' 4' 8' 16'
SCALE: 1/4" = 1'-0"

Elevation
M1801 F0275
COMPUTER CHAIR HIGH BACK
A5225 M1800
DUAL MONITOR COMPUTER MONITOR
BRACKET M1830
M1825 LABEL PRINTER
PRINTER E0123
F0720 WORKSTATION
TABLE, WRITING A1015
F2000 PHONE
WASTE BASKET
ELEVATION 1
4' 8' 16'
Scale: 1/4” = 1’-0”

AXON Plot Date: 1/5/2018 4:53:53 PM
0'
SKETCH TITLE
4' 8' APRIL 1, 2018 16'
SCALE:

Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Motion Intrusion Detection No

(MID)
Ceiling Height 9’-0”
Public Access No
Security Surveillance Television No
Base RF (Integral Base-4”) (SSTV)
Slab Depression No Clock No
Sound Protection See VA Interior Design Guide Other No
Doors No
Hardware No HVAC
LIGHTING General Requirement: Refer to Inpatient Processing data sheet

PLUMBING
POWER Cold Water No
Normal Yes Hot Water No
Emergency No Waste No
COMMUNICATIONS FIRE PROTECTIONS AND LIFE SAFETY
Data Yes Alarm Detection Smoke

Telephone Yes Alarm Annunciator Audio/Visual
Cable Television No Sprinkler Yes
Duress Alarm No Hazard Type Light
Intercom No

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Bracket, Dual
Desk-Mounted
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray
Chair, Swivel, High
Back
F2000 V/V 1

APRIL 1, 2018

Equipment List (Continued)

Star compliant.
Computer, Micropro
Monitor
information.
macy
with a minimum print speed of 6 inches per second
and a minimum resolution of 203 dpi.

SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
APRIL 1, 2018
4.3.9 Secured Dispensing / Storage, Inpatient (PHIS1)

Floor Plan
16' - 0" [4877 mm]
A1015
E0123
TELEPHONE
WORKSTATION
F0280
CHAIR LOW BACK F0405
FILING CABINET
M1830 5'-6" ø
LABEL PRINTER M1801
1 COMPUTER
CT020
2 A5103
T
3
17' - 6" [5334 mm]
COUNTER
WASTE DISPOSAL UNIT,
M7265 PHARMACEUTICAL
4' - 6" [1372 mm]
PILL COUNTER F0535
C01C0 CART
CABINET J
F2700
U3150 BAR CODE READER
PHARMACY, SECURE R7050
STORAGE SYSTEM REFRIGERATOR
4' - 0" [1219 mm]
Sos a,b
SECURED
DISPENSING/STORAGE,
INPATIENT
PHIS1
280.00 SF
0’
ENGINEERING SYSTEMS. 4’ TYPICAL CONFIGURATIONS,
THEY PROVIDE 8’ 16’
PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
Scale: 3/16” = 1’-0”

0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
APRIL 1, 2018

ab ab
OS
ab ab
SECURED

DISPENSING/STORAGE,

INPATIENT

PHIS1
280.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

PHARMACY, PHIS1, SECURED DISPENSING/STORAGE,
INPATIENT - ELEVATIONS Plot Date: 1/5/2018 4:55:25 PM

SKETCH TITLE
APRIL 1, 2018
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

Elevations
F2245 M1801
CAMERA COMPUTER
F0405 E0123
FILING CABINET WORKSTATION
A1015
F0280
TELEPHONE
CHAIR LOW BACK
ELEVATION 1
F2245 M1830
CAMERA LABEL PRINTER
E0123 F2700
WORKSTATION BAR CODE READER
A5103 R7050
WASTE DISPOSAL UNIT, REFRIGERATOR
PHARMACEUTICAL F0535
M1801 CART
COMPUTER
F0280
CHAIR LOW BACK
ELEVATION 2
F3200
U3150 CLOCK
PHARMACY, SECURE F2245
STORAGE SYSTEM CAMERA
E0123
WORKSTATION
F0280
CHAIR LOW BACK
ELEVATION 3
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


PHARMACY, PHIS1, SECURED DISPENSING/STORAGE,
INPATIENT - AXON Plot Date: 1/5/2018 4:55:29 PM

SKETCH TITLE
0' 4' 8' APRIL 1, 2018 16'
SCALE:

Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data

Wall Finish GWB Gypsum Wallboard; Paint Cable Television No

Duress Alarm No
Base RF Integral Base (4”)
Floor Finish RF Rubber Flooring
Intercom No
Slab Depression See Notes 1
Motion Intrusion Detection (MID) No
Doors No Public Access No
Hardware No Security Surveillance Television (SSTV) Yes

Notes
1. If high-density storage is used, coordinate slab
depression with structural engineer. Clock Yes
2. For carousels, coordinate placement with structural Other No
engineer.
HVAC
LIGHTING
General Requirement: Refer to Inpatient Secured Dispensing/
Storage data sheet in the current version of the VA HVAC Design
General Requirement: Refer to VA Lighting Design Manual Chapter Manual for room temperatures, humidity range, room air change
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design requirements, and pressurization.
approach and recommended luminaires.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Disposal unit with gasket lid and absorbent pad for
non-hazardous pharmaceutical waste. Available in 2,
Waste Disposal Unit,
A5103 V/V 1 8 and 11 gallon container sizes. Not intended for P-,
Pharmaceutical
U- and D-listed drugs, sharps, infectious/biohazard
waste, controlled substances or free liquids.
DO, 36x18x22 drawings). Also referred to as a combination cabinet
or a drawer and cupboard cabinet. For general
purpose use throughout the facility.
Countertop, Solid
Surface
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray

APRIL 1, 2018


F0280 V/V 2
Four (4) or five (5) drawer letter size, vertical filing
Cabinet, Filing, Full cabinet, 53” high X 15” wide X 29” deep with locking
F0405 V/V 2
Height, 4-5 Drawer device. Each drawer has label holder, handle and
roller cradle.
Camera, Video
Powered
standards-based design providing a platform for
integration and operation as an independent device or
as part of a surveillance network.
Reader, Bar Code,
Interface
point of use.
Diameter
included).
Computer, Micropro
Monitor
information.
macy

APRIL 1, 2018

Table mounted prescription counter device that counts

Counter, Pill/Tablet, tablets and capsules directly into the final container.
M7265 Automated, Counter V/V 1 The unit shall automatically count and dispense
Mounted tablets and capsules into a container with speed and
accuracy.
Refrigerator, 25
Cubic Feet
Narcotic dispenser for securing, tracking and
replenishing supplies of controlled substances.
Double integrated Main Tower with 7 doors, 1 rapid
CII Safe Prescription
U3150 V/V 2 access drawer, BioID, XP. With double column,
Storage
auxiliary narcotics vault. 8 doors, 0 drawers.
Controlled by Integrated Mains, Control Stations or PC
Desktop Solution.

PHARMACY, PHIR1, REPACKAGING AREA, INPATIENT -
PLAN Plot Date: 1/5/2018 4:55:37 PM
SKETCH TITLE
0' 4' 8' 16'

SCALE: 3/16" = 1'-0" APRIL 1, 2018
4.3.10 Repackaging Area (PHIR1)

Floor Plan
18' - 0" [5486 mm]

K1910
TABLE
M1210
BALANCE
M1830
LABEL PRINTER
A1015
E0078 PHONE
WORKSTATION F0275
A5225 1
CHAIR HIGH BACK
DUAL MONITOR 4 2
BRACKET
F2700
M1801
5 BAR CODE READER
COMPUTER 5'-6" ø F2000
M1800 WASTE BASKET
COMPUTER MONITOR
CT020
21' - 11" [6673 mm]
COUNTER 4' - 0" [1219 mm]

C01C0
4' - 6" [1372 mm]
CABINET
J
M7275
PACKAGER
F2020
TRASH CAN
REPACKAGING
CT020
5' - 0" [1524 mm]
AREA COUNTER
PHIR1 P1965
3
5' - 0" [1524 mm] EYEWASH
400.04 SF
CS150
Sos a,b
SINK
A5075
T SOAP DISPENSER
M2055 A5080
SHELVING PAPER TOWEL
F2017 DISPENSER
WASTE BIN
0’ 4’ 8’ 16’
Scale:
ENGINEERING SYSTEMS. THEY3/16” = 1’-0”TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
PROVIDE

PHARMACY, PHIR1, REPACKAGING AREA - RCP APRIL 1, 2018
Plot Date: 1/5/2018 4:55:44 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.10 Repackaging
SCALE: Area (PHIR1)
3/16" = 1'-0"
ab ab
ab OS ab
ab ab
REPACKAGING

AREA

PHIR1
400.04 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

PHARMACY, PHIR1, REPACKAGING AREA - ELEVATIONS APRIL 1, 2018
Plot Date: 1/5/2018 4:55:53 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.10 Repackaging Area
SCALE: 3/16" = 1'-0" (PHIR1)
Elevations
M1210 E0078
BALANCE WORKSTATION
M1830 M1800
LABEL PRINTER COMPUTER MONITOR
K1910 A1015
TABLE PHONE
F0275
CHAIR HIGH BACK
ELEVATION 1
M2055 P1965
SHELVING EYEWASH
F2700 A5080
BAR CODE READER PAPER TOWEL
F0275 DISPENSER
CHAIR HIGH BACK CS150
F2000 OPEN SINK
WASTE BASKET CT020
E0078 COUNTER
WORKSTATION M7275
PACKAGER
ELEVATION 2
A5080 F3200
PAPER TOWEL CLOCK
DISPENSER M2055
P2450
SHELVING
VALVE, MIXING
F2017
P1965
WASTE BIN
EYEWASH
A5075
SOAP DISPENSER
CS150
SINK
F2020
TRASH CAN
ELEVATION 3
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APRIL 1, 2018
PHARMACY, PHIR1, REPACKAGING AREA - ELEVATIONS Plot Date: 1/5/2018 4:56:10 PM
SKETCH TITLE
4.3.10 Repackaging Area (PHIR1)0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

Elevations
M2055
SHELVING
F0275
CHAIR HIGH BACK
E0078
OPEN
WORKSTATION
ELEVATION 4
M7275
M2055
PACKAGER
SHELVING
CT020 C01C0
COUNTER CABINET
ELEVATION 5
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


PHARMACY, PHIR1, REPACKAGING AREA - AXON APRIL
Plot Date: 1, 2018
1/5/2018 4:56:17 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.10 Repackaging
SCALE: Area (PHIR1)
Axonometric
APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data

Base RF (Integral Base-4”) Duress Alarm Yes
Floor Finish RF (Rubber Flooring) Electronic Access No
Slab Depression See Notes 1 Intercom No
Sound Protection See VA Interior Design Guide Motion Intrusion Detection No
(MID)
Doors No
Public Access No
Hardware No
Security Surveillance Television Yes
(SSTV)
Notes:
1. If high-density storage is used and a raised track is not selected, Motion Sensor Ceiling
coordinate slab depression with structural engineer.
Clock Yes
Other No
LIGHTING
HVAC
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design General Requirement: Refer to Inpatient Repackaging data sheet
approach and recommended luminaires. in the current version of the VA HVAC Design Manual for room
and pressurization.
Notes:
1. If high-density storage is used and a raised track is not selected,
coordinate slab depression with structural engineer.
POWER
Normal Yes
Emergency No

APRIL 1, 2018

PLUMBING
Cold Water Yes

Hot Water Yes
Waste Yes

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
Dispenser, Soap,
Disposable
Bracket, Dual
Desk-Mounted
DO, 36x18x22 drawings). Also referred to as a combination cabinet
or a drawer and cupboard cabinet. For general
provided with pre-punched fixture holes on 4” center,

APRIL 1, 2018


Countertop, Solid
Surface
This section will provide a whole work station typical
to quickly plan work areas in clinical or administrative
4 standard solid panels;
2 panel connectors, 2-way corner;
1 panel-to-panel connector;
2 finished end hardware;
Workstation,
1 cantilevered work surface;
E0078 L-Shaped w/Peninsu V/V 2
1 peninsula work surface;
la, Free Std, 78x72
2 lockable flipper units;
2 shelf, storage/display;
2 lights;
1 tack board, 48”W;
1 tool rail, 30”W;
1 paper tray;
1 diagonal tray;
1 adjustable keyboard tray;
1 mobile pedestal, box/file.
Chair, Swivel, High
Back
F2000 V/V 1
Rectangular steel waste receptacle with step-on lid
and 24 gallon capacity. The receptacle is used to
Waste Receptacle,
F2017 V/V 1 collect and temporarily store small quantities of paper
24 GAL
refuse. Can be used in restrooms, patient areas,
laboratories, pharmacies, etc.

APRIL 1, 2018


Can, Trash, 44
F2020 V/V 1 from a point of origin to point of disposal (example:
Gallon
from soiled utility or a nursing unit to the trash
compactor at housekeeping).
Reader, Bar Code,
Interface
point of use.
Diameter
included).
Work table approximately 36x120x30. The table is
made of heavy duty stainless steel with all edges
rolled down at 90 degrees. The edges are 2” high
Table, Work, Stain
K1910 V/V 1 and have rounded corners. The table has stainless
less Steel
steel legs and a stainless steel under-shelf. The unit
is used as a work station in large kitchens, hotels,
restaurants and hospitals.
Electronic balance with high fluorescent display, built-
in auto tracking and tape. Unit has a programmable
Balance, Electronic,
M1210 V/V 1 selection for weight range and automatic calibration.
Laboratory/Pharmacy
Intended for use in the laboratory or pharmacy. Unit’s
weight limitation will be no less than 4000 grams.
Star compliant.
Computer, Micropro
Monitor
information.

APRIL 1, 2018


macy
Stationary, wire, shelving unit. Unit has fully
adjustable shelves constructed of stainless steel. For
Shelving, Storage,
use in general purpose storage areas. Shelving is
M2055 Wire, CRS, w/Adjust V/V 5
provided in various sizes and configurations. Price
able Shelves
provided is for a unit approximately 74”H x 18”D x
48”W with four shelves.
Automated packager for inpatient unit dose pharmacy
applications. The unit consists of an array of cells
which hold pills and tablets. The system computer
takes user instructions and directs the system to
select the proper pill cell and dispense a tablet
onto a plastic bottom sheet. At the same time, the
system prints a plastic cover sheet for the pill which
Packager, Unit Dose,
M7275 V/V 1 includes the type of pill and any facility specific coding
Solids
necessary. The system then marries the two sheets
(with the pill between them) and heat seals the sheets
enclosing the pill. The system is designed to limit
cross contamination by containing tablet dust and
to alert the operator in case of malfunction. Several
configurations are available depending on the size of
the pharmacy and workload.
Eyewash, Eye/ for emergency eye and face rinsing from soft flow
P1965 Face, Sink Mounted, C/C 1 dual spray-heads. The Flow must be activated by
Hands-free the single momentary action and remain on until
terminated.
Emergency tempering valve thermostatically mixes
Valve, Mixing, Ther hot and cold water to provide a safe fluid supply for a
P2451 C/C 1
mostatic, Eyewash single emergency eye/face wash with a flow rate of 10
gpm (38.8L)

PHARMACY, PHNS1, NON-STERILE COMPOUNDING AREA

- PLAN APRIL
Plot Date: 1, 2018
1/5/2018 4:56:20 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.11 Non-Sterile Compounding

SCALE: 1/4" = 1'-0" Area (PHNS1)
Floor Plan
8' - 0" [2438 mm]

A5075
SOAP DISPENSER
A5080
2' - 1" [635 mm]

PAPER TOWEL
DISPENSER
5' - 0" [1522 mm]

P1965
EYEWASH
CS140 CA040
SINK 1 OPEN SHELVING
CT050 C03F0
COUNTERTOP CABINET 36X30
NON-STERILE

COMPOUNDING

AREA

PHNS1
40.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”

- RCP APRIL 1, 2018
Plot Date: 1/5/2018 4:56:27 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.11 Non-Sterile Compounding
SCALE: 1/4" = 1'-0" Area (PHNS1)
NON-STERILE

COMPOUNDING

AREA

PHNS1
40.00 SF
4' 8' 16'
Scale: 1/4” = 1’-0”
APRIL 1, 2018
4.3.11 Non-Sterile Compounding Area (PHNS1)

-Elevation

SKETCH TITLE
0' 4' 8' 16'
SCALE: 1/4" = 1'-0"
A5075
SOAP DISPENSER
A5080
PAPER TOWEL
DISPENSER CA040
CS140 OPEN SHELVING
SINK C03F0
P1965 CABINET 36X30
EYEWASH
CT050
COUNTERTOP
ELEVATION 1
4' 8' 16'
Scale: 1/4” = 1’-0”

- AXON Plot Date: 1/5/2018 4:56:46 PM

SKETCH TITLE
0' 4' 8' APRIL 1, 2018 16'
SCALE:

Axonometric

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
Ceiling Type AT (Acoustical Ceiling Tile) Intercom No

Ceiling Height 9’-0” Motion Intrusion No
Detection (MID)
Public Access No
Base RF (Integral Base-4”)
Security Surveillance No
Floor Finish RF (Rubber Flooring) Television (SSTV)
Slab Depression No Motion Sensor No
Sound Protection See VA Interior Design Guide Clock No
Doors No Other No
Hardware No
HVAC
LIGHTING
General Requirement: Refer to Inpatient Compounding data
General Requirement: Refer to VA Lighting Design Manual sheet in the current version of the VA HVAC Design Manual
Chapter 4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for for room temperatures, humidity range, room air change
design approach and recommended luminaires. requirements, and pressurization.
POWER PLUMBING
Cold Water Yes

Normal Yes
Hot Water Yes
Emergency No
Waste Yes
COMMUNICATIONS
Data No
Telephone No
Cable Television No Sprinkler Yes
Duress Alarm No Hazard Type Light

APRIL 1, 2018

Equipment List

Dispenser, Soap,
Disposable
Standing height under counter base cabinet with an
Cabinet, U/C/B, 1 adjustable shelf and two half width drawers above
C03F0 Shelf, 2 Half DR, 2 C/C 2 solid hinged doors. Also referred to as a combination
DO, 36x30x22 cabinet or a drawer and cupboard cabinet. For
general purpose use throughout the facility.
Cabinet, Open, W/H, Wall hung open front cabinet with two adjustable
CA040 2 Shelf, Sloping Top, C/C 1 shelves and sloping top. Also referred to as an open
38x36x13 case. For general purpose use throughout the facility.
provided with punched fixture holes on 4” center,
Stainless steel countertop (composition of heavy-
gauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4” backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
Countertop, Stainless
CT050 C/C 8 or work top. Available in various depths. Used in
Steel
areas where excellent ease of cleaning, abrasion
resistance, bacteria resistance, impact resistance,
load capacity and moisture resistance, are of concern.
Pricing based upon a 24” depth.
terminated.

APRIL 1, 2018


P2451 C/C 1
gpm (38.8L)

PHARMACY, PHRB1, INVENTORY
RECIEVING/BREAKDOWN, INPATIENT + (PHWP1) - PLAN
Plot Date:
APRIL 1, 2018
1/5/2018 4:56:49 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

4.3.12 Receiving/Breakdown, Inpatient (PHRB1), Workstation, Procurement
(PHWP1)
Floor Plan
TO PHARMACY
WORK AREA

22' - 0" [6699 mm]
A5107
GLOVE DISPENSER
F0530
TRASH CART
(PALLET E0978
SPACE) INVENTORY MOBILE CART
RECEIVING/BREAKDOWN,
INPATIENT
PHRB1
(PALLET
SPACE) 400.00 SF
22' - 0" [6703 mm]
3
2 4
1 6' - 8" [2033 mm] SHRED BIN
(PALLET
SPACE)
F0410 WORKSTATION,
FILING CABINET
PROCUREMENT 5'-6" ø
A1015 CT020
PHONE PHWP1 COUNTER
F0280 60.00 SF M1825
CHAIR LOW BACK PRINTER
M1801 F0420
COMPUTER
T
Sos a,b
FILING CABINET
F2700
BAR CODE READER
E0123
WORKSTATION
SERVICE CORRIDOR TO

LOADING DOCK

0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

RECIEVING/BREAKDOWN, INPATIENT + (PHWP1) - RCP APRIL 1, 2018
Plot Date: 1/5/2018 4:56:54 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.12 Receiving/Breakdown,
SCALE: 3/16" = 1'-0" Inpatient (PHRB1), Workstation, Procurement
(PHWP1)
INVENTORY

RECEIVING/BREAKDOWN,

INPATIENT

PHRB1
400.00 SF
ab ab
ab OS ab
ab ab
WORKSTATION,
PROCUREMENT
PHWP1
60.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
RECIEVING/BREAKDOWN, INPATIENT + (PHWP1) -

ELEVATIONS APRIL
Plot Date: 1, 2018
1/5/2018 4:57:05 PM
SKETCH TITLE
0' 4' 8' 16'
3/16" = 1'-0"
SCALE: Inpatient (PHRB1), Workstation, Procurement
(PHWP1)
Elevations
CE030
A5107 CABINET 38X30
GLOVE DISPENSER E0978
MOBILE CART
C03G0
CABINET 36X30
(PALLET
SPACE)
ELEVATION 1
CE030
CABINET 38X30
CT020
COUNTER
E0978 M1825
MOBILE CART PRINTER
F0530 F0420
TRASH CART FILING CABINET
SHRED BIN C03G0
CABINET 36X30
ELEVATION 2
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
RECIEVING/BREAKDOWN, INPATIENT + (PHWP1) -

RECIEVING/BREAKDOWN,
SKETCH TITLE INPATIENT
0' +4'(PHWP1) - 8' APRIL 1, 2018 16'
ELEVATIONS SCALE: 3/16" = 1'-0" Plot Date: 1/5/2018 4:57:10 PM
SKETCH TITLE
Inpatient (PHRB1),
0' Workstation,
4' 8' Procurement 16'
(PHWP1) SCALE: 3/16" = 1'-0"
Elevations
A1015
PHONE
M1801
A1015
COMPUTER
PHONE
F0280
M1801
CHAIR LOW BACK

COMPUTER
F2700
F0280
BAR CODE READER
CHAIR LOW BACK
M1825 F0410
F2700CABINET
FILING
PRINTER
BAR CODE READER
F0420 E0123
M1825 F0410
PRINTER FILING CABINET
F2000
F0420 E0123 BASKET
WASTE
ELEVATION 3 F2000
WASTE BASKET
ELEVATION 3
F3200
CLOCK
WALL PROTECTION
F3200
A5107
CLOCK
GLOVE DISPENSER
WALL PROTECTION
A5107
GLOVE DISPENSER
(PALLET (PALLET (PALLET
SPACE) SPACE) SPACE)
(PALLET (PALLET (PALLET

SPACE) SPACE) SPACE)
ELEVATION 4
ELEVATION 4
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”



PHARMACY, PHRB1, INVENTORY APRIL 1, 2018
RECIEVING/BREAKDOWN, INPATIENT + (PHWP1) - AXON Plot Date: 1/5/2018 4:57:16 PM
SKETCH TITLE
4.3.12 Receiving/Breakdown, Inpatient
0' (PHRB1),
4' Workstation,
8' Procurement
16'
(PHWP1)
SCALE:
Axonometric

APRIL 1, 2018

(PHWP1)
Interactive 3D PDF

APRIL 1, 2018

(PHWP1)
Room Data

Base RF (Integral Base-4”) Duress Alarm No
Floor Finish RF (Rubber Flooring) Electronic Access Yes
Slab Depression No Intercom Yes
Motion Intrusion Detection (MID) Yes
Double Sized Sliding Door, 6’-0” Public Access No

x 7’-0”(1828.8 mm x 2133mm),
Doors Aluminum Frame w/ View Window,
Double Sized Door, 6’-0” x 7’ Security Surveillance Television (SSTV) Yes
0”(1828.8 mm x 2133mm), Steel
Clock Yes
Other Door intercom

LIGHTING
General Requirement: Refer to VA Lighting Design Manual

Chapter 4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for HVAC
General Requirement: Refer to Inpatient Breakdown/Receiving
data sheet in the current version of the VA HVAC Design Manual
POWER for room temperatures, humidity range, room air change
Normal Yes
Emergency No

APRIL 1, 2018

(PHWP1)
PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Ordinary, Group 1

APRIL 1, 2018

(PHWP1)
Equipment List

Telephone, Desk,
Multiple Line
Examination glove dispenser box for wall mounting.
Dispenser, Glove,
Fabricated of either cold rolled steel with a white
A5107 Surgical/Examina V/V 1
baked enamel finish, plastic or acrylic. Provided with
tion, Wall Mntd
wall bracket to facilitate mounting and demounting.
Cabinet, U/C/B,
two adjustable shelves and two solid hinged doors.
C03G0 2 Shelf, 2 Door, C/C 2
Also referred to as a cupboard cabinet. For general
36x30x22
Wall hung cabinet with two adjustable shelves, framed-
Cabinet, W/H, 2 SH,
glass hinged doors, and sloping top. Also referred to
CE030 2 GDO, Sloping Top, C/C 2
as a framed-glass hinged double door wall case. For
38x30x13
general purpose use throughout the facility.
Countertop, Solid
Surface
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray

APRIL 1, 2018

(PHWP1)

1 Wire Cart, w/Casters
Cart, Wire, Mobile, 5 Wire Shelves w/Fences and Dividers
E0978 V/V 2
72”H x 48”W x 24”D 4 Vertical Back/Side Panels
1 Cart Cover
Label Clips
F0280 V/V 1
Two (2) drawer letter size vertical filing cabinet
Cabinet, Filing, Half approximately 29” high X 15” wide X 26” deep with
F0410 V/V 1
Height, 2 Drawer locking device. Each drawer has label holder, handle
and roller cradle.
Cabinet, Filing, Full
Height, 4-5 Drawer
materials.
Heavy duty trash cart, approximately 42” high X 74”
wide X 34” deep with two (2) solid non-marking rubber
F0530 Cart, Trash V/V 1
roller bearing wheels, one (1) or two (2) swivel casters,
2000 pound capacity and tilt mechanism.
Reader, Bar Code,
Interface
point of use.
Diameter
included).
Computer, Micropro
Monitor
information.

APRIL 1, 2018

(PHWP1)

WORKSTATION, PROCUREMENT (PHWP1)
Telephone, Desk,
Multiple Line
2 Lights
1 Tack board
1 Tool Rail
1 Paper Tray
1 Diagonal Tray
F0280 V/V 1
Two (2) drawer letter size vertical filing cabinet
Cabinet, Filing, Half approximately 29” high X 15” wide X 26” deep with
F0410 V/V 1
Height, 2 Drawer locking device. Each drawer has label holder, handle
and roller cradle.
F2000 V/V 1

APRIL 1, 2018

(PHWP1)

Reader, Bar Code,
Interface
point of use.
Computer, Micropro
Monitor
information.

APRIL 1, 2018
PHARMACY, PHAR1, ANTEROOM, STERILE

4.3.13 Anteroom, Sterile Compounding (PHAR1), Storage, Hazardous Drug
COMPOUNDING
(PHHD2), - PLAN
Housekeeping, Plot Date: 1/5/2018 4:57:18 PM
Sterile Compounding (PHJC1)
SKETCH TITLE
0' 4' 8' 16'
Floor Plan
SCALE: 3/16" = 1'-0"
26' - 10" [8167 mm]

16' - 4" [4967 mm] 10' - 0" [3048 mm]
R6060
REFRIGERATOR
TO STERILE
HAZARDOUS DRUG A1014
BUFFER ROOM TELEPHONE
PASS THRU
P1965
EYEWASH
PP A5077
TO HAND SANITIZER
PHARMACY
WORK AREA
P3000
STORAGE, LAVATORY
10' - 8" [3251 mm]
HAZARDOUS F2010
STEP-ON WASTE
DRUG
M2080
SHELVING PHHD2
18' - 2" [5546 mm]
150.00 SF
5'-6" ø UPE01
CANTILEVER BENCH
R6060
REFRIGERATOR
M2080
SHELVING
2
S3
7' - 0" [2142 mm]
F2020 1 3 ANTEROOM,
5' - 0" [1524 mm]
STERILE
DEMARCATION
TRASH CAN TO 4
PHARMACY
COMPOUNDING
LINE
WORK AREA
F0535 PHAR1
CART
PP
PP
300.00 SF
PP
TO
A5100
SHOE COVER HOUSEKEEPING, STERILE NON-
HAZARDOUS DRUG
DISPENSER STERILE BUFFER ROOM
COMPOUNDING
PHJC1
15.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APRIL 1, 2018

4.3.13 Anteroom, Sterile
COMPOUNDING - RCP Compounding (PHAR1), Storage,Plot
Hazardous Drug
Date: 1/5/2018 4:57:21 PM
(PHHD2),
SKETCH TITLE
Housekeeping, Sterile Compounding (PHJC1)
0' 4' 8' 16'

SCALE: 3/16" = 1'-0"
STORAGE, HOUSEKEEPING,
HAZARDOUS STERILE
DRUG COMPOUNDING
PHHD2 PHJC1
150.00 SF 15.00 SF
ANTEROOM,

STERILE

COMPOUNDING

PHAR1

300.00 SF

0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
COMPOUNDING - ELEVATIONS Plot Date: 1/5/2018 4:57:26 PM
SKETCH TITLE
0' 4' 8' 16'
PHARMACY,3/16"
PHAR1,
= 1'-0" ANTEROOM, STERILE
SCALE: APRIL 1, 2018
SKETCH TITLE
4.3.13 Anteroom, Sterile Compounding
0'
(PHAR1),
4'
Storage,
8'
Hazardous 16'Drug
SCALE: 3/16" = 1'-0"
(PHHD2), Housekeeping, Sterile Compounding (PHJC1)
Elevations
U0038
CA040
PPE DISPENSER
OPEN SHELVING
UPE01 LINT-FREE
CANTILEVER BENCH PAPER TOWEL
DISPENSER
A5077
U0038 A5077
CA040
HAND SANITIZER
PPE DISPENSER HAND SANITIZER
OPEN SHELVING
A5100
UPE01 LINT-FREE
A1014
SHOE COVER
CANTILEVER BENCH PAPER TOWEL
DISPENSER TELEPHONE
DISPENSER
A5077 P3000
A5077
HAND SANITIZER LAVATORY
HAND SANITIZER
A5100 F2010
SHOE COVER A1014
STEP-ON WASTE
TELEPHONE
DISPENSER
P3000
LAVATORY
ELEVATION 1 F2010
STEP-ON WASTE
ELEVATION 1
CA040
OPEN SHELVING
LINT-FREE
PAPER DISPENSER
R6060
U0038 CA040
REFRIGERATOR
PPE DISPENSER OPEN SHELVING
F3200
A5145 LINT-FREE
CLOCK
PAPER DISPENSER
HOOK, GARMENT, UPE01
DOUBLE R6060
U0038 CANTILEVER BENCH
F0535 REFRIGERATOR
PPE DISPENSER F2010
CART F3200 WASTE
STEP-ON
A5145
F2020 CLOCK
HOOK,TRASH
GARMENT,
CAN UPE01
DOUBLE
A5100 CANTILEVER BENCH
F0535
SHOE COVER F2010
CART
DISPENSER STEP-ON WASTE
F2020
LOW RETURN
TRASH CAN
A5100
SHOE COVER
ELEVATION 2
DISPENSER
LOW RETURN
ELEVATION 2
0’ 4’ 8’ 16’
ENGINEERING SYSTEMS.Scale:
THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
3/16” = 1’-0”


SKETCH TITLE
0' 4' 8'
APRIL 1, 2018
16'
SCALE: 3/16" = 1'-0"

Elevations
F3200
CLOCK
F2245
CAMERA
R6060
REFRIGERATOR
M2080
SHELVING
ELEVATION 3
A5077
HAND SANITIZER
F2245
CAMERA
M2080
SHELVING
PP
ELEVATION 4
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

APRIL 1, 2018
COMPOUNDING - AXON Plot Date: 1/5/2018 4:57:37 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE:
Axonometric
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
GWB (Gypsum Wallboard); SC High Build Data No

Ceiling Type Glazed Coating (Special Coating) Telephone No
GWB (Gypsum Wallboard); SC High Build Duress Alarm No
Wall Finish Glazed Coating (Special Coating)
Electronic Access Yes
Base RF (Integral Base-4”) Intercom No
Floor Finish RF (Rubber Flooring) Motion Intrusion Detection Yes
(MID)
Slab Depression No
Public Access No
Security Surveillance Television Yes
Single Size Sliding Door, 4’-0” x 7’ (SSTV)
Doors 0”(1219.2 mm x 2133mm), Aluminum
Frame w/ View Window Motion Sensor Ceiling
Hardware Push Button Plate Clock Yes

Other No
LIGHTING
HVAC
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design General Requirement: Refer to Anteroom data sheet in the
approach and recommended luminaires. current version of the VA HVAC Design Manual for room
and pressurization.
Notes
1. Refer to HVAC Design Manual for information on ceiling Notes:
diffusers and low return grilles for this room. 1. Refer to HVAC Design Manual for information on ceiling
diffusers and low return grilles for this room.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water Yes

Hot Water Yes
Waste Yes

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, V/V 1 Telephone, wall mounted, 1 line, with speaker.
With Speaker
Dispenser, Soap,
Disposable
A touch free wall-mounted hand sanitizer dispenser.
Dispenser, Hand
For use throughout a healthcare facility. Unit does
A5077 Sanitizer, Hands- V/V 1
not include the sanitizing liquid. Units are battery
Free
operated.
A shoe cover dispenser for use in areas requiring use
of shoe covers. Unit is designed for low to moderate
usage and holds 55 pairs of shoe covers. Dispenser
Shoe Cover Dispens
A5100 V/V 1 allows workers to put-on shoe covers quickly, easily
er, Small
and safely. Shoe cover refills are available to meet
requirements of various applications (clean rooms,
waterproof, anti-static, non-skid).
A surface mounted, satin finish stainless steel, double
Hook, Garment, garment hook. Equipped with a concealed mounting
A5145 Double, SS, Surface C/C 2 bracket that is secured to a concealed wall plate. For
Mounted general purpose use throughout the facility to hang
various items of apparel.
Cabinet, Open, W/H, Wall hung open front cabinet with two adjustable
CA040 2 Shelf, Sloping Top, C/C 1 shelves and sloping top. Also referred to as an open
38x36x13 case. For general purpose use throughout the facility.
Basket, Wastepaper, “Step-on” wastepaper basket with inner liner and foot
F2010 V/V 1
Step-On petal activated flip top.
Camera, Video
Powered
Stationary, solid, shelving unit. Unit has fully
Shelving, Storage, adjustable shelves constructed of solid stainless steel.
M2080 Solid, CRS, w/Adjust V/V 2 For use in general purpose storage areas. Shelving
able Shelves is provided in various sizes and configurations. Price
provided is for a unit approximately 76

APRIL 1, 2018


terminated.
P2451 C/C 1
gpm (38.8L)
Wall mounted, vitreous china lavatory (approximate
bowl size 7”x15”x10”) with: straight-front apron,
Lavatory, Vitreous straight or contoured back; faucet holes on 4” centers;
P3000 C/C 1
China, Straight Back gooseneck spout; wrist blade handles; and grid
strainer. It shall be suitable for use in clinics, offices,
washrooms or patient care areas.
Refrigerator, Biolog volume of 40 cubic feet, double doors, stainless steel
R6060 ical, SS, 2 Door, 40 V/V 1 cooler storage with stainless steel drawers, three
Cu Ft adjustable shelves and one stationary stainless steel
shelf. This refrigerator is used in r
Personal Protection Organizer offers on-sight storage
for multiple types of isolation apparel including gowns,
face masks, and exam gloves. There’s also a built in
Personal Protective
U0038 V/V 2 storage area that can be used for storing additional
Equipment Dispenser
medical supplies. The Surgical Protection Systems
keeps protective apparel organized in one convenient
location for staff members and others.
Stainless Steel seat is 16 gauge x 1.5” high #304
grade polished brushed finish and is equipped with
Stainless Steel Wall
UPE01 C/C 1 stainless steel weld nut to accept bolts for fastening
Mounted Bench
to the brackets. Corners are TIG welded and cleaned.
Brackets are rated at 1,140 lbs. load limit.
Can, Trash, 44
Gallon
STORAGE, HAZARDOUS DRUG (PHHD2)

APRIL 1, 2018


volume of 40 cubic feet, double doors, stainless
Refrigerator, Biolog steel cooler storage with stainless steel drawers,
R6060 ical, SS, 2 Door, 40 V/V 1 three adjustable shelves and one stationary stainless
Cu Ft steel shelf. This refrigerator is used in research
laboratories and hospital pharmacies for storage and
dispensing of drugs.
Rectangular steel waste receptacle with step-on lid
and 24 gallon capacity. The receptacle is used to
Waste Receptacle,
F2017 V/V 1 collect and temporarily store small quantities of paper
24 GAL
refuse. Can be used in restrooms, patient areas,
laboratories, pharmacies, etc.
Diameter
included).
HOUSEKEEPING, STERILE COMPOUNDING (PHJC1)

APRIL 1, 2018

PHARMACY, PHHD1, STERILE HAZARDOUS DRUG

BUFFER ROOM (C-SEC)- PLAN APRIL
Plot Date: 1, 2018
1/8/2018 3:19:59 PM
SKETCH TITLE
0' 4' 8' 16'
4.3.14 SterileSCALE:
Hazardous
3/16" = 1'-0" Drug Buffer Room (C-SEC) (PHHD1)
Floor Plan
LINT-FREE WIPE
DISPENSER 23' - 11" [7293 mm]
U3500
CACI
K1910
TABLE
A1015
PHONE FUTURE
HOOD
U1200 F0535
PASS-THRU CART
T
M2080
1
SHELVING
4 2
15' - 0" [4578 mm]

WORK AREA, 3
STERILE
COMPOUNDING
5'-6" ø
STERILE
HAZARDOUS
F2000
WASTE BASKET DRUG BUFFER
ROOM [C-SEC]
PHHD1
360.00 SF
PP
Sos a,b
M3073
PP CONTAINER,
BIOHAZARD WASTE,
STEP-ON, FIRE SAFE
TO ANTEROOM
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APRIL 1, 2018
PHARMACY,
4.3.14 Sterile PHHD1,Drug
Hazardous STERILE HAZARDOUS
Buffer DRUG (PHHD1)
Room (C-SEC)
BUFFER ROOM (C-SEC) - RCP Plot Date: 1/5/2018 4:57:45 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
LOW WALL
EXHAUST
AIR
GRILLE(TYP)
CACI OS
EXHAUST
(TYP)
STERILE
HAZARDOUS
DRUG BUFFER
ROOM [C-SEC]
PHHD1
360.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

BUFFER ROOM (C-SEC) - ELEVATIONS Plot Date: 1/8/2018 3:26:17 PM
SKETCH TITLE
0' 4' 8' APRIL 1,16'2018
SCALE: 3/16" = 1'-0"
4.3.14 Sterile Hazardous Drug Buffer Room (C-SEC) (PHHD1)

Elevations
LINT-FREE PAPER F2245

DISPENSER CAMERA
U3500
WINDOW
CACI
F0535
CART
F2000
WASTE BASKET
LOW RETURN
U3501
SHARPS
ELEVATION 1
F0535
CART
U3500
LINT-FREE PAPER CACI
DISPENSER U3501
SHARPS
U1200
PASS-THRU
ELEVATION 2
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”


SKETCH TITLE
0' 4' 8' 16'
APRIL 1, 2018
SCALE: 3/16" = 1'-0"

SKETCH TITLE
0' 4' 8' 16'
Elevations
SCALE: 3/16" = 1'-0"
F0535 F2245
CART CAMERA
M2080 U3500
SHELVING CACI
M3073 F2000
CONTAINER, WASTE
F2245 BASKET
F0535
BIOHAZARD WASTE,
CART A1015
CAMERA
STEP-ON, FIRE SAFE
M2080 PHONE
U3500
SHELVING U1200
CACI
M3073
PP PASS-THRU
F2000
U3501BASKET
WASTE
CONTAINER,
BIOHAZARD WASTE, SHARPS
A1015
STEP-ON, FIRE SAFE PHONE
U1200
PP PASS-THRU
U3501
SHARPS
ELEVATION 3
ELEVATION 3
F2245
CAMERA
K1910
TABLE U1200
PASS-THRU
F2245 A1015
CAMERA PHONE
LINT-FREE PAPER
K1910 DISPENSER
TABLE U1200
PASS-THRU
A1015
PHONE
LINT-FREE PAPER
DISPENSER
ELEVATION 4
ELEVATION 4
0’ 4’ 8’ 16’
Scale:THEY
ENGINEERING SYSTEMS. 3/16”PROVIDE
= 1’-0” TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.


BUFFER ROOM (C-SEC) - AXON APRIL
Plot Date: 1, 2018 6:28:57 PM
12/12/2017
SKETCH TITLE
0' 4' 8' 16'
4.3.14 Sterile SCALE:

Hazardous Drug Buffer Room (C-SEC) (PHHD1)
Axonometric
APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
GWB (Gypsum Wallboard); SC High Build Data Yes

Ceiling Type Glazed Coating (Special Coating) Telephone Yes

Wall Finish Glazed Coating (Special Coating) Electronic Access No
Floor Finish RF (Rubber Flooring) Motion Intrusion Detection (MID) Yes
Slab Depression No Public Access No
Sound Protection See VA Interior Design Guide Security Surveillance Television (SSTV) Yes
Single Size Sliding Door, 4’-0” x 7’-0”(1219.2 Motion Sensor Ceiling

Doors mm x 2133mm), Aluminum Frame w/ View
Window Clock No
Hardware Push Button Plate Other No
LIGHTING HVAC
General Requirement: Refer to VA Lighting Design Manual Chapter General Requirement: Refer to Sterile Hazardous Drug
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design Compounding data sheet in the current version of the VA HVAC
approach and recommended luminaires. Design Manual for room temperatures, humidity range, room air
change requirements, and pressurization.
Notes
1. Use lighting fixture rated for clean room. Notes
1. Refer to HVAC Design Manual for information on ceiling
diffusers and low return grilles for this room.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
F2000 V/V 2
Camera, Video
Powered
Table, Work, Stain
less Steel
adjustable shelves constructed of solid stainless steel.
Shelving, Storage,
For use in general purpose storage areas. Shelving
M2080 Solid, CRS, w/Adjust V/V 2
is provided in various sizes and configurations. Price
able Shelves
Stainless steel pass-thru with interlocking system to
maintain required pressurization and minimize particle
U1200 Pass-Thru, Vented C/C 1
migration; smooth interior and exterior surfaces for
cleaning/sanitizing; and vented with HEPA filtration.
Negative pressure isolator offering product, personnel
Compounding
& environment protection from hazardous or potent
U3500 Aseptic Containment V/V 2
pharmaceutical compounds and chemotherapy
Isolator
agents.

APRIL 1, 2018

Sharps disposal bin for Chemotherapy waste. Extra

large, 19 gallon capacity, slide top with gasket. Comes
Sharps Container
U3501 V/V 2 with a liquid-absorbent material pre-attached to the
20G
inside bottom of the collector. Ships 5/case. Color:
Yellow base/Natural top.
Container, Biohazard A biohazard waste container with a step-on lid. The
M3073 Waste, Step-on, Fire V/V 1 container will have a capacity of approximately 12
Safe gallons and be made of a fire safe material.

PHARMACY, PHSC1, STERILE NON-HAZARDOUS DRUG
BUFFER ROOM - PLAN Plot Date: 1/5/2018 4:58:00 PM
SKETCH TITLE
0' 4' 8' 16'

SCALE: 3/16" = 1'-0" APRIL 1, 2018
4.3.15 Sterile Non-Hazardous Drug Buffer Room (PHSC1)

Floor Plan
24' - 0" [7315 mm]
L2280
HOOD
U3501 TO ANTEROOM
SHARPS PP
F2000
WASTE BASKET Sos a,b PP
K1910
TABLE
A1015
PHONE
L1200
15' - 0" [4572 mm]

PASS THRU
1
5'-6" ø
4 2
WORK AREA,
STERILE 3
COMPOUNDING M2080
SHELVING
F2020
TRASH CAN
LINT-FREE
WIPE
FUTURE HOOD DISPENSER
STERILE
NON-HAZARDOUS
DRUG BUFFER

ROOM

PHSC1
360.00 SF
0’ 4’ 8’ 16’
ENGINEERING SYSTEMS.Scale: 3/16” = 1’-0”
THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

APRIL 1, 2018
BUFFER ROOM - RCP Plot Date: 1/5/2018 4:58:02 PM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
a b a b
OS
a b a b
STERILE
NON-HAZARDOUS
DRUG BUFFER
ROOM
PHSC1
360.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

BUFFER ROOM
PHARMACY,
- ELEVATIONS
PHSC1, STERILE NON-HAZARDOUS DRUG Plot Date:
APRIL1/5/2018 5:33:08 PM
1, 2018
BUFFER ROOM - ELEVATIONS0'
SKETCH TITLE
4' 8' Plot Date: 1/5/2018
16' 5:33:08 PM
SKETCH TITLESCALE:
3/16" = 1'-0" 0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
Elevations
A5077
HAND SANITIZER
A5077
F2245 L2280
HAND SANITIZER
CAMERA HOOD
F2245 L2280
K1910 F2000
HOOD
CAMERA WASTE BASKET
TABLE F2000
K1910 U3501 BASKET
TABLE WASTE
SHARPS
U3501
M2080
SHARPS
SHELVING
M2080
PP SHELVING
PP
ELEVATION 1
ELEVATION 1
F2245
CAMERA
F2245
LOW RETURN M2080
CAMERA
SHELVING
LOW RETURN M2080
SHELVING
ELEVATION 2
ELEVATION 2
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APRIL 1, 2018
BUFFER ROOM - ELEVATIONS Plot Date: 1/5/2018 5:35:33 PM
SKETCH TITLE
0' 4' 8' 16'

SCALE: 3/16" = 1'-0"
Elevations
F2245 U3501
CAMERA SHARPS
L2280 F2000
HOOD WASTE BASKET
LINT-FREE LOW-RETURN
PAPER
DISPENSER
K1910
F2020 TABLE
TRASH CAN
ELEVATION 3
F2245
CAMERA
L1200
PASS THRU
A1015
PHONE
A5077
HAND SANITIZER
K1910
TABLE
ELEVATION 4
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
BUFFER ROOM - AXON
APRIL
Plot Date: 1, 2018 6:31:40 PM
12/14/2017
SKETCH TITLE
0' 4' 8' 16'
4.3.15 Sterile Non-Hazardous

SCALE: Drug Buffer Room (PHSC1)
Axonometric
APRIL 1, 2018

Interactive 3D PDF

APRIL 1, 2018

Room Data
GWB (Gypsum Wallboard); SC High Build Data No

Ceiling Type Glazed Coating (Special Coating) Telephone Yes

Wall Finish Glazed Coating (Special Coating) Electronic Access No
Floor Finish RF (Rubber Flooring) Motion Intrusion Detection (MID) No
Slab Depression No
Public Access No
Single Size Sliding Door, 4’-0” x 7’
Doors 0”(1219.2 mm x 2133mm), Aluminum Motion Sensor Ceiling
Frame w/ View Window
Clock No
Hardware Push Button Plate
Other No
LIGHTING HVAC
General Requirement: Refer to VA Lighting Design Manual Chapter General Requirement: Refer to IV Prep data sheet in the current
4 Patient Areas Lighting Guidelines 4.2.18 Pharmacy for design version of the VA HVAC Design Manual for room temperatures,
approach and recommended luminaires. humidity range, room air change requirements, and
pressurization.
Notes:
1. Use lighting fixture rated for clean room. Notes:
1. Refer to HVAC Design Manual for information on ceiling
diffusers and return grilles for this room.
POWER
Normal Yes
Emergency Yes

APRIL 1, 2018

PLUMBING
Cold Water No
Hot Water No
Waste No

Sprinkler Yes
Hazard Type Light

APRIL 1, 2018

Equipment List

Telephone, Desk,
Multiple Line
F2000 V/V 2
Can, Trash, 44
Gallon
Camera, Video
Powered
Table, Work, Stain
less Steel
Pass-through specimen cabinet. The unit has a sight-
proof interlocking door that permits only one door to
open at a time. It also includes a removable spill tray,
Cabinet, Specimen, corrosion resistant stainless steel welded construction
L1200 C/C 1
Pass Thru, CRS with seamless corners and burr-free edges and is
able to adjust to wall thickness between 3-6 inches.
Used for passage of specimens from patient area to
laboratory.

APRIL 1, 2018

Horizontal laminar flow hood. This is a freestanding

unit that meets or exceeds Class 100 requirements
set for Federal Standard 209B. The unit will have
HEPA filters, a washable and reusable pre-filter, a
work surface and side walls of type 304 stainless
Hood, Laminar Flow,
steel construction, duplex electrical receptacles, high
L2280 Horizontal, Free C/C 2
velocity return air slots that provide an air curtain
Standing, 6ft
at the work area, work surface and side walls and
blowers with an average velocity of 100 fpm. Used
for work with non-hazardous materials where clean
particle free air is required. 6 foot model, other sizes
available.
adjustable shelves constructed of solid stainless steel.
Shelving, Storage,
For use in general purpose storage areas. Shelving
M2080 Solid, CRS, w/Adjust V/V 2
is provided in various sizes and configurations. Price
able Shelves
Sharps disposal bin for Chemotherapy waste. Extra
large, 19 gallon capacity, slide top with gasket.
Sharps Container
U3501 V/V 2 Comes with a liquid-absorbent material pre-attached
20G
to the inside bottom of the collector. Ships 5/case.
Color: Yellow base/Natural top.

APRIL 1, 2018

5.0 APPENDIX
APRIL 1, 2018
APPENDIX 5-2
APRIL 1, 2018
5.0 APPENDIX
TABLE OF CONTENTS
5.1 SITE VISITS 5-5
5.1.1 Introduction 5-5
5.1.2 Jesse Brown VAMC, Chicago, Illinois 5-7
5.1.3 Edward Hines Jr. VAMC CMOP, Hines, Illinois 5-16
5.1.4 University of Chicago Medical Center, Chicago, Illinois 5-20
5.1.5 Elmhurst Memorial Hospital, Elmhurst, Illinois 5-28
5.1.6 Rush University Medical Center 5-38
5.1.7 Orlando VAMC, Orlando, Florida 5-44
5.1.8 James Haley VAMC, Tampa, Florida 5-56
5.1.9 Malcom Randall VAMC, Gainesville, Florida 5-68
5.1.10 Washington DC VAMC, Washington, DC 5-78
5.2 STORAGE STUDY 5-87
5.2.1
Jesse Brown VAMC Storage Survey 5-88
5.2.2
Orlando VAMC Storage Survey 5-89
5.2.3
Orlando VAMC Storage Survey 5-90
5.2.4
Tampa VAMC Storage Survey 5-91
5.2.5
Gainesville VAMC Storage Survey 5-92
5.2.6
UCMC Storage Survey 5-93
5.2.7
UCMC Storage Survey 5-94
5.2.8
Elmhurst VAMC Storage Survey 5-95
5.2.9
Rush VAMC Storage Survey 5-96
5.2.10 Washington DC VAMC Storage Survey 5-97
APPENDIX 5-3
APRIL 1, 2018
5.3 TEST FITS 5-99
5.3.1 Consult Room 5-100
5.3.2 Phonebank, Telepharmacy 5-101
5.3.3 Storage, Prosthetics and Supplies 5-102
5.3.4 Filling/Assembly, Shelving Storage 5-103
5.3.5 Work Area, Sterile Compounding 5-104
5.3.6 Storage, Sterile Compounding 5-105
5.3.7 Workstation, Clinical Pharmacy Teaching Coordinator 5-106
5.3.8 Workstation, Intern/Student 5-107
5.3.9 Workroom, Resident 5-108
5.3.10 Pharmacy Cache 5-109
APPENDIX 5-4
APRIL 1, 2018
5.1 Site Visits
5.1.1 Introduction
As a beginning step to updating the Space Criteria and Design Guide for
the Pharmacy chapter, the team embarked on two site visits to conduct
post occupancy evaluations of existing pharmacies. In order to gain an
understanding of the way the VA currently operates, the team toured
multiple VA-operated pharmacies in addition to several State-operated
Veteran Homes across the country. In addition, the team toured a number
of private pharmacies to see a variety of solutions and work flows. The
group also focused on adjacencies of spaces, finishes, and architectural
details. The analysis was intended to be a learning experience for the
design team which would translate into modifications, additions, or
deletions from the existing chapter criteria and design guide.
APPENDIX 5-5
APRIL 1, 2018
APPENDIX 5-6
APRIL 1, 2018
5.1.2 Jesse Brown VAMC, Chicago, Illinois
Figure 5.1 Aerial of Jesse Brown VAMC
JESSE BROWN VAMC
Location Chicago, Illinois

Total Area 240,000 SF
Floors 8
Beds 200
Pharmacy Size Not Available
Construction Cost $82,000,000
Opening Date May 2008 Outpatient Pharmacy renovated 2011
Owner Veterans Health Administration
Architect/Engineer SOM/Ellerbe Becket
APPENDIX 5-7
APRIL 1, 2018
Figure 5.2 Main Concourse in Jesse Brown VAMC
Medical Center Overview

The Jesse Brown VA Medical Center consists of a 200-bed acute care
facility and four community based outpatient clinics (CBOCs). Jesse
Brown VAMC provides care to approximately 62,000 enrolled veterans
who reside in the City of Chicago and Cook County, Illinois, and in four
counties in northwestern Indiana. In FY10, the medical center had over
8100 inpatient admissions and 560,000 outpatient visits. A budget of
over $355 million supports approximately 2,000 full-time equivalent staff,
including 200+ physicians and 450 nurses, with 500+ volunteers providing
service and care at Jesse Brown VAMC and CBOCs.
In May 2008, the medical center opened its new inpatient bed tower
pavilion, which includes seven surgical suites, cystology, intensive care,
inpatient dialysis, an outpatient surgical center and a chapel. The medical
center’s strategic priority is the “heart of the Veterans Community” and as
Provider of Choice for veterans in the Chicago area. JBVAMC established
APPENDIX 5-8
APRIL 1, 2018
a “We Are Here” outreach campaign to inform veterans about the health
care benefits they have earned through their service to our country and
the specific services available to them at Jesse Brown VA Medical Center.
Figure 5.3 Entrance Lobby in Jesse Brown VAMC
Formerly known as the West Side VA Medical Center, the facility was
renamed in 2004 for the Honorable Jesse Brown, who served as
Secretary for Veterans Affairs from 1993 to 1997.
Pharmacy Overview
Pharmacy services are spread throughout the medical center to best
serve the facility at the necessary points of access. Pharmacy services
are divided into 5 separate locations: Outpatient, Inpatient, DDTC, Drug
Cache, and OR Satellite.
The outpatient Pharmacy is located on the 1st floor, which provides it easy
access to and from the loading dock. The space is large enough that it is
able to handle inpatient discharge prescriptions as well, to help alleviate
space constraints in the inpatient Pharmacy. The move for discharge from
inpatient to the outpatient Pharmacy was critical to provide enough room
APPENDIX 5-9
APRIL 1, 2018
to support the use of robotics, which are now used heavily for discharge
prescriptions. Locating the outpatient Pharmacy on the first floor also
makes it convenient for pick-up by vets. As the medical center is located
conveniently to public transit, the system does not need to contract
out any pharmaceutical work to external pharmacies. The Just-In-Time
delivery service used means that the Pharmacy currently has no need
for a medications carousel. Noted space constraints include those in the
waiting area where urgent care patients often contribute to crowding, and
the space necessary to keep various drugs segregated per regulating
while they are awaiting disposal. Space for staff lockers and personal
storage is also an issue.
The inpatient Pharmacy is located on the 3rd level within the bed tower,
and is much smaller than the outpatient Pharmacy. It typically supports
130 patients (200 maximum) at any given time. It has two clean rooms
with an ante room, each with two hoods, which were built according to
best practices in 2007. As a result, few to no alterations are anticipated
to be necessary once updated standards are adopted. There is a pick-up
window for nurses near the clean room which allows the compounding
pharmacist to remain in the clean room area at all times. The inpatient
Pharmacy also includes a narcotics vault, an oncology research
workstation, and a pick-up window that can be used for after-hours
outpatient pick-up services. Although space is limited, it is used effectively
and the Pharmacy benefits by sharing discharge services with the
outpatient Pharmacy. However, the inpatient and outpatient services each
have their own receiving processes and area, which does occupy valuable
space within the inpatient Pharmacy.
The DDTC (drug dependence treatment center) Pharmacy resides on

the second floor and supports the medical center’s methadone program.
The room has enough space to prepare and administer pick-up and take-
home doses of methadone. The workstation near the large pick-up window
assures that patients can watch their dosage being prepared before it is
administered.
The drug cache occupies two rooms on the second floor of the medical
center. The entrance has a two-step security system requiring both a key
and a code for entry, although a code may be entered without the key
in an emergency (however an alarm will sound). The rooms have ample
space for the cache and are therefore also used for overflow storage,
including several overflow refrigerators and storage for flu vaccines.
The OR satellite Pharmacy can be used as contingency space, if needed,

by the other Pharmacy services. However, the satellite was not observed
APPENDIX 5-10
APRIL 1, 2018
APPENDIX 5-11
1257
NURSE HALLWAY BIO-MED REPAIR

MANAGER 1254
1251 1256

PATIENT
WALL
GUARD
APRIL 1, 2018
WHEELCHAIR PATIENT 1250
STORAGE WAITING
1249A AREA
on this site visit, as the program is covered by the VA Surgical Services

1249
MECH RM
1248
Design Guide.
WATER TREATMENT MAIN
STORAGE ENTRANCE
1247 1246
Outpatient Pharmacy Plan

1 8
3
2 4 6
5 7

Figure 5.4 Jesse Brown VAMC Outpatient Pharmacy Floor Plan
Legend: Key Notes / Photo Locations:

Outpatient 1 Receiving/breakdown 6 Waiting space: can become
Clean Room 2 Bulk storage overcrowded with urgent care
patients
Inpatient 3 Automation
7 Consulting stations
Staff Area 4 Pick-up window 8 Staff coats hung here on wall as
Support 5 Call center they do not fit in lockers
Circulation
APPENDIX 5-12
APRIL 1, 2018
Figure 5.5 Jesse Brown VAMC Outpatient Figure 5.7 Jesse Brown VAMC Outpatient
Photo taken at note position #3 Photo taken at note position #8
Figure 5.6 Jesse Brown VAMC Outpatient Figure 5.8 Jesse Brown VAMC Outpatient
APPENDIX 5-13
APRIL 1, 2018
Inpatient Pharmacy Plan
1
4
5
2
Figure 5.9 Jesse Brown VAMC Inpatient Pharmacy Floor Plan
Legend: Key Notes:

Outpatient 1 Compounding pharmacist and 5 Main work area
Clean Room pick-up window 6 Receiving
Inpatient 2 Inpatient pick-up window
Staff Area 3 Pyxis restocking
Support 4 Research Oncology
Circulation
APPENDIX 5-14
APRIL 1, 2018
Figure 5.10 Jesse Brown VAMC Inpatient Figure 5.12 Jesse Brown VAMC Inpatient
Figure 5.11 Jesse Brown VAMC Inpatient Figure 5.13 Jesse Brown VAMC Inpatient
APPENDIX 5-15
APRIL 1, 2018
5.1.3 Edward Hines Jr. VAMC CMOP, Hines, Illinois
Figure 5.14 Aerial of Edward Hines Jr. VAMC
HINES CMOP
Location Hines, Illinois

Total Area ~115,000 SF Currently not all area is in use
Floors 1
Beds N/A for CMOP
Pharmacy Size ~115,000 SF
Construction Cost Not Available
Project Cost Not Available
Opening Date 1995
Architect/Engineer Not Available
APPENDIX 5-16
APRIL 1, 2018
Figure 5.15 Front facade of Edward Hines VAMC
Overview
Edward Hines, Jr. VA Hospital, located 12 miles west of downtown Chicago
on a 147-acre campus, offers primary, extended and specialty care and
serves as a tertiary care referral center for VISN 12. Specialized clinical
programs include Blind Rehabilitation, Spinal Cord Injury, Neurosurgery,
Radiation Therapy and Cardiovascular Surgery. The hospital also serves
as the VISN 12 southern tier hub for pathology, radiology, radiation therapy,
human resource management and fiscal services.
Hines VAH currently operates 471 beds and six community based outpatient
clinics in Elgin, Kankakee, Oak Lawn, Aurora, LaSalle, and Joliet. Over
600,000 patient visits occurred in fiscal year 2010 providing care to over
54,000 veterans, primarily from Cook, DuPage and Will counties. In FY
2010 the budget for Hines was over $510 million.
APPENDIX 5-17
APRIL 1, 2018
Figure 5.16 Robotic picking in Hines CMOP
CMOP Overview
The Central Mail Order Pharmacy located near the Hines campus is one
of six such facilities in the country, which in aggregate handle about 85%
of all outpatient prescriptions for the VA. Since 2006 the CMOP facilities
have comprised their own organization separate from the purview of the
VA hospitals. They are funded by payments from the hospitals and operate
at a cost of about $1.63 per prescription. The hospitals typically handle
their own discharge prescriptions before the prescription is automatically
transferred to the CMOP system. The CMOPs process close to 90 million
prescriptions a year. At the Hines CMOP specifically, the facility processes
roughly 120,000 prescriptions every day, and has a turn-around rate of 48
hours.
The current workflow for the Hines CMOP, including the administrative
area, occupies only about half of the total area of the building. The current
system was installed in 1995 and has undergone numerous updates and
APPENDIX 5-18
APRIL 1, 2018
upgrades in the intervening years to add more capacity and functionality.

There are several components to the system, which includes robotic
picking for medications that can be ordered in the correct doses for
prescription filling, a dispensing area for filling bottles with individual pills,
a line of stations for pharmacist verification of each prescription, and a
line of stations for packaging and preparing each package for shipment.
Once the material is packed, it is stored on carts until it can be picked up
by a contracted consolidator and sorted for shipping. The CMOP does not
handle shipping itself. As no compounding or IV prep is done at the facility,
there are no clean rooms. However, there are several mechanical hoods
for handling of some specific medications.
An entire replacement system is currently planned for the empty space in

the CMOP warehouse. As a result, the CMOP expects to be able to handle
any future increases in demand easily, and is not space-constrained.
Figure 5.17 Current assembly line at Hines CMOP
APPENDIX 5-19
APRIL 1, 2018
5.1.4 University of Chicago Medical Center, Chicago, Illinois
Figure 5.18 Aerial of University of Chicago Medical Center
UNIVERSITY OF CHICAGO MEDICAL CENTER - CENTER FOR CARE AND

DISCOVERY
Total Area 1.2 Million SF
Floors 10
Beds 240
Pharmacy Size 6,600 SF
Project Cost $700 Million
Construction Cost $470 Million
Opening Date February 2013
Owner University of Chicago Medicine
Architect/Owner Rafael Vinoly/CannonDesign
APPENDIX 5-20
APRIL 1, 2018
Figure 5.19 Main Entry of University of Chicago Medical Center
Overview
The University of Chicago Medicine is an academic medical center based
on the campus of the University of Chicago. The not-for-profit corporation
offers the full range of specialty and primary care services for adults and
children that includes the Center for Care and Discovery.
The new hospital is a 10-story “hospital for the future” that serves as the
new core of the campus of the University of Chicago Medicine. The Center
for Care and Discovery provides a home for complex specialty care with a
focus on cancer, gastrointestinal disease, neuroscience, advanced surgery
and high-technology medical imaging.
It has the internal capacity to rapidly and economically adjust to changes
in technology and medicine, and to the facility needs, for decades to come.
At 1.2 million square feet, the hospital is one of the largest buildings on
the University of Chicago campus, changing the skyline of the South Side
of Chicago. It occupies the north end of two city blocks, along the south
side of 57th Street between Cottage Grove and Drexel Avenues. Each floor
APPENDIX 5-21
APRIL 1, 2018
provides 100,000 square feet of space.

The architects created flexibility and adaptability by designing the entire
hospital structure on a grid system. The grid is organized into 85 modular
cubes that repeat on each floor. At 31 feet wide by 18 feet high, these
large cubes, or “bays,” can be re-purposed over time to accommodate
technological advancements and changing needs. For example, one bay
can enclose two patient rooms, one operating room or one interventional
procedure room–without changing the basic framework of the building.
The hospital’s innovative design also extends to its public spaces. The main
lobby is located on the 7th level and is referred to as the “Sky Lobby.” The
space has floor–to–ceiling glass walls, filling the space with natural light
and providing panoramic views of the campus and downtown Chicago. The
Sky Lobby houses central reception, family waiting areas, a chapel, the gift
shop, dining areas and other public spaces. The ground level of the new
hospital, open to the public, enhances the street-scape and includes cafés
and other retail businesses.
The new hospital contains 240 single-occupancy inpatient rooms including
52 intensive care beds; space for 28 operating rooms with leading-edge
technology; and an integrated diagnostic and interventional platform
including cardiac, gastrointestinal, neurological and vascular services.
The building also has two floors of expansion space that could be used
for additional patient care units as well as future leading-edge, technology-
based interventional or surgical suites.
Figure 5.20 Lobby at UCMC

Center for Care and Discovery
APPENDIX 5-22
APRIL 1, 2018
Pharmacy Overview
The project team visited three separate Pharmacy spaces at University of
Chicago: the inpatient Pharmacy in the Center for Care and Discovery, the
inpatient Pharmacy within the Comer Children’s Pediatric Hospital, and the
outpatient Pharmacy near the main lobby.
The Comer Children’s Pediatric Pharmacy currently serves as the main

inpatient Pharmacy to support all of the beds on the medical center
campus. However, as there are additional beds planned, it is anticipated
that the Center for Care and Discovery Pharmacy will play a larger role
in supporting the inpatient population in the future. The Comer Pharmacy
includes several clean rooms as well as a compounding robot, though
staff find that the robot provides the maximum benefit if it can be employed
to do a single task. The clean rooms and compounding robot together
provide sufficient capacity for most of the medical center’s current needs.
The Center for Care and Discovery Pharmacy has three additional
medication carousels, staff and administrative space, an investigational
drug service space, and a built-in narcotics vault. There are three
additional clean rooms in this Pharmacy which all share an Ante room,
however these rooms are currently only used as contingency and
overflow space for the Comer Pharmacy clean rooms, and their capacity
is anticipated to be needed once the hospital grows to accommodate an
additional several hundred inpatient beds. This Pharmacy was originally
planned to include picking robotics, however the hospital ultimately opted
to utilize the medication carousels instead.
APPENDIX 5-23
APRIL 1, 2018
CHEMO OFFICE OFFICE OFFICE COPY OFFICE

COMPOUNDING 84 SF 86 SF 84 SF 84 SF 131 SF
198 SF STAFF LOUNGE
247 SF
GENE THERAPY
COUMPOUNDING
89 SF
1 MULTI-PURPOSE ROOM
367 SF
PACKAGING
199 SF
STAT IV ANTE
86 SF 155 SF
2 3
CORR
IDS CORR MAIN
343 SF
721 SF 388 SF WORKROOM
1639 SF
STAFF TLT
65 SF
NARCOTICS
STOR
159 SF
5
LOCKERS
331 SF
EVS MANUAL 4
111 SF WORKSTATIONS
279 SF
Figure 5.21 Floor Plan of UCMC Center for Care and Discovery Pharmacy
Legend: Key Notes:

Outpatient 1 These clean rooms are used 4 Work area tight and doubles
Clean Room as contingency or overflow as receiving and storage
spaces primarily 5 Narcotic vault with automated
Inpatient
2 Three meds carousels in main medication dispensing as
Staff Area
workroom additional secured storage
Support
3 Admin spaces arranged in
Circulation ring around work area
APPENDIX 5-24
APRIL 1, 2018
Figure 5.22 UCMC Inpatient Figure 5.24 UCMC Inpatient

Note position #1 Note position #5
Figure 5.23 UCMC Inpatient

Note position #2
APPENDIX 5-25
Public Corridor 122
77 Closet
Sub-Waiting 18
1STE 246
390777
Conference Room Stairway Office
Office
478 203 55 APRIL 1,
86
2018
r Public Elevator Internal Corridor
75 233
Office
Outpatient Pharmacy Plan 51 Office
86
Elevator Supply Argo Tea Sub-Waiting

75 30 78 246
Office
138
Public Corridor
Work/Copy Office 845
56 49
WAITING Public Corridor

359 SF 673
DISPENSING
300 SF
TELCOM Non-Public Elevator
84
154 SF
1
Non-Public Elevator
84
Stairway
177
SUPPLIES
291 SF
ORDER
PROCESSING
312 SF
3 2 1012
370300
1013
370300
OFFICE Office Office
141 SF 103 86
A: EXTERNAL, NON-EMPLOYEE
Valet
WHEELCHAIR 48
STOR
166 SF Internal Corridor
297
OFFICE
90 SF
PUBLIC CORRIDOR PUBLIC CORRIDOR

4397 SF 224 SF
Figure 5.25 Floor Plan of UCMC Outpatient Pharmacy
Legend: Key Notes:

Outpatient 1 ScriptPro automation is
Clean Room primary tool for outpatient
Pharmacy services
Inpatient
2 High density storage
Staff Area
3 Outpatient filling
Support
Circulation
APPENDIX 5-26
APRIL 1, 2018
Figure 5.26 UCMC Outpatient Figure 5.27 UCMC Outpatient

Note position #1 west Note position #1 east
Figure 5.28 UCMC Outpatient

Note position #3
APPENDIX 5-27
APRIL 1, 2018
5.1.5 Elmhurst Memorial Hospital, Elmhurst, Illinois
Figure 5.29 Aerial of Elmhurst Memorial Hospital
ELMHURST MEMORIAL HOSPITAL
Location Elmhurst, Illinois

Total Area 866,000 SF
Floors 6
Beds 259
Pharmacy Size 4,000 SF
Project Cost $450 Million
Construction Cost $320 Million
Opening Date June 2011
Owner Elmhurst Memorial Care
Architect/Engineer Albert Kahn Associates/Pratt Design Studio
APPENDIX 5-28
APRIL 1, 2018
Figure 5.30 Main Entry of Elmhurst Memorial Hospital
Overview
Elmhurst Memorial Healthcare recently took the opportunity not only to
replace an outdated, landlocked hospital building, but also to redefine the
way they treat patients.
When the system set out to build a replacement facility, it established five
main goals for the new building: clinical quality, safety, market growth,
financial performance and patient satisfaction. Central to these is the
patient experience; throughout the planning process, the health system
asked, “How do you put the patient at the center, and make that stick?”
To answer this question, the system worked extensively with health care
consulting firm Hammes Company, Brookfield, Wis., to research, map and
optimize the patient experience. It also joined the Planetree network, an
organization based in Derby, Conn., that promotes patient-centered care,
including the idea that physical environments can enhance healing, health
and well-being. Planetree’s principles for safe, effective, high-quality care
that nurture the body, mind and spirit clearly are evident in the newly
opened Elmhurst Memorial Hospital facility, which was designed by Albert
Kahn Associates Inc., Detroit, and Pratt Design Studio, Chicago.
APPENDIX 5-29
APRIL 1, 2018
The red brick Prairie-style building is adorned with bands of precast

concrete molded in the design of a Planetree leaf, a motif used throughout
the hospital in tribute to the patient-centered model of care.
Gardens and outdoor seating areas span the front of the building. A water
feature is installed just inside the main entrance to provide a serene
entry sequence for patients and visitors. Oversized windows fill the first-
floor, public concourse with natural light. A number of amenities are
located along the concourse, including a flower shop, wellness boutique,
Starbucks, Pharmacy and the hospital’s café.
A health education center is available to the public in keeping with the

Planetree belief that access to health information can empower people
to participate in their own care. The back of this library opens to the
physician lounge, giving doctors easy access to research materials.
A nondenominational chapel with a second-story balcony is adjacent to

both the emergency department (ED) on the first floor and the intensive
care unit on the second floor. Family members and friends of patients in
these critical care areas can access the chapel without having to travel far
from the patient bedside.
Each room has a computer work station with an articulating arm that
allows caregivers to position the monitor where it can be seen easily by
the patient. A stool is provided in every room so caregivers can sit down
while speaking with patients.
To save hospital staff the time spent fetching extra seats for visitors, a
folding chair is stored in a cabinet in the family zone of each patient room.
A small table with leaves that fold down for easy storage can be rolled out
from beneath a counter on the footwall to give family and visitors a place
to work, share a meal or play games with a patient. The idea that families,
friends and loved ones are vital to the healing process is important to the
Planetree approach. At the far corner of each room, the walls meet in
a smooth curve rather than a sharp point, a gesture that has surprising
impact on making the room more comfortable.
Integrated, ceiling-mounted patient lifts are installed in each room for

staff and patient safety. Large bathrooms include roll-in showers sized
to enable staff members to assist patients with bathing. The toilet is
positioned away from the corner of each bathroom, providing room for
two caregivers, one on each side, to help a patient sit or stand. Fold-
down grab bars are installed on either side of the toilet to allow patients to
APPENDIX 5-30
APRIL 1, 2018
help themselves. A recessed cabinet in the wall of each bathroom stores

bedpans and other commonly used items.
The project team followed the 90/5 rule in designing the hospital. This
rule, which originated in the aerospace industry, states that 90 percent of
supplies should be stored within five seconds of where they are needed.
Nurse servers in each patient room keep supplies close at hand.
Like the patient rooms, the ED exam rooms are private, each with a
private bathroom. Two doors lead into each exam room; the staff work
area is on one side of the exam rooms and the waiting area is on the
other, to reduce noise and chaos.
A six-bed pediatric inpatient unit is located next to the ED on the hospital’s

first floor. The rooms here look into a children’s garden filled with fanciful
blown-glass globes.
Figure 5.31 Lobby of Elmhurst Memorial Hospital
APPENDIX 5-31
APRIL 1, 2018
Model of Care
The Planetree Model of Care has been highlighted as a holistic philosophy
of care that resonates with every department in the facility, including the
Pharmacy.
The hospital is considered a destination care center for community

providers. Facility management related that local physicians and surgeons
have a choice in their admitting and privileges and surgical case blocks
with competition from other area hospitals and surgical centers. Many
of the physicians are choosing to operate at Elmhurst and the facility
has seen an uptick in procedures related to this. The hospital also has
an established partnership with Northwestern University’s Interventional
Radiology program.
Because of the Planetree related design, there seems to be a large

amount of underutilized public space. Facility staff mentioned that this
space was a circulation factor and much of it was not in the program
when designed but is part of the Planetree philosophy to provide open,
non-restrictive spaces without pinch-points and generous lobby areas for
visitors.
Pharmacy Overview
The Pharmacy at Elmhurst handles inpatient medications, chemotherapy
for their adjacent cancer clinic, some home health care, and employee
outpatient prescriptions. Inpatient discharge prescriptions are not a service
provided. All Pharmacy services are located in one area in the basement
of the main hospital building. During an initial planning phase, the
Pharmacy was located near the ICU and OR suite on Level 2. Eventually,
planning adjustments were made to co-locate all critical care units, and
Pharmacy was left with limited space on Level 2. By moving the program
to the basement, they were able to maximize the space that could be
made available to the Pharmacy. This also located the Pharmacy to be
convenient to the loading dock for daily deliveries.
The Pharmacy group consists of 65 staff members for a total of 45

FTEs. They collectively handle 285 beds which are typically at 70-75%
occupancy. Staff are cross-trained to be able to work in both the inpatient
and employee outpatient services. Some pharmacists are “roving” on
the bed floors with a laptop which takes the place of having any satellite
Pharmacy spaces beyond what is located in the basement. There are also
two Pyxis stations located in each 25-bed unit. The stations are refilled
manually across all three shifts, with a focus on refilling the OR-located
APPENDIX 5-32
APRIL 1, 2018
Pyxis machines on the overnight shift to minimize disruption during peak

hours.
Although the Pharmacy group considered robotics, they ultimately decided

to utilize two medication carousels to automate their process for the
inpatient Pharmacy. There are also three pneumatic tube stations within
the Pharmacy, with one station for a dedicated tube system which is used
exclusively for chemotherapy being sent to the cancer clinic. By isolating
the chemotherapy drugs on their own system, the team minimizes risk
associated with a container bursting while in transit.
The carousels put out a report for restocking and a delivery is received
daily. As a result, the inpatient Pharmacy space is uncluttered and
organized, which a large portion of all drug storage occurring within the
carousels. Oncology drugs, however, are not handled through the carousel
and are therefore restocked manually. There is also a separate room
for receiving, breakdown, and additional storage. Due to the packaging
and storage needs of some specific medications, the staff would prefer
this space to be larger. Although the space has a high ceiling, the tops of
shelves are too high to be practically usable on a regular basis. If overflow
space is needed, the staff use the Home Health Care space, which also is
used for storing the emergency drug cache.
The clean rooms are built for best practices and therefore the group
anticipates that few changes will be necessary for USP 800. However,
the group expressed dissatisfaction with the current clean-room layout,
which employs a shared ante room for both clean rooms. The preference
was to have two separate ante rooms to keep the IV clean room workflow
completely separate from the chemo compounding workflow. The clean
rooms both have pass-through cabinets and refrigerators.
The project team noted the generally de-cluttered feel of the Pharmacy,
the quality of which was made more pleasant by the indirect lighting
installed in the main workspaces of both the inpatient and employee
outpatient services.
APPENDIX 5-33
APRIL 1, 2018
Pharmacy Plan
FOUNDATION
ELEC STOR SOILED BIO MED OFFICE
STOR
107 SF 108 SF 143 SF 903 SF 121 SF
284 SF
CORRIDOR
2010 SF
OFFICE OFFICE
1
123 SF 101 SF
CONFERENCE
387 SF
DISPENSING
OFFICE 2727 SF
OFFICE 101 SF
100 SF
RECEPTION
CORR
528 SF
7
64 SF
WAITING 3
128 SF ANTE
82 SF
IV CLEAN
198 SF
EMPLOYEE
PICK-UP
PHARMACY
58 SF
708 SF
2 IV
OFFICE OFFICE OFFICE IRB
201 SF
115 SF 100 SF 98 SF 88 SF
Figure 5.32 Floor Plan of Elmhurst Memorial Hospital Pharmacy
Legend: Key Notes:

Outpatient 1 Medical carousels 4 Ante room is small, would prefer a
Clean Room store bulk of supply separate ante room for each clean
2 Trial drugs stored and room
Inpatient
monitored in IRB room 5 Drug cache stored in Home Health
Staff Area
3 Outpatient pharmacy 6 Storage also used for Receiving/
Support
for employees only - Breakdown
Circulation no discharge
APPENDIX 5-34
APRIL 1, 2018
FACILITIES CORR STAFF

SOILED BIO MED OFFICE 110 SF
STOR STAFF TLT STAFF TLT JC LOCKERS
143 SF 903 SF 121 SF
434 SF 51 SF 51 SF 60 SF 120 SF
WORKROOM STORAGE
DISPENSING 229 SF 805 SF
2727 SF
8 6
JC
48 SF
CORRIDOR
249 SF
4 STAFF TLT
53 SF STAFF
ANTE IV CLEAN
HOME LOUNGE
82 SF 116 SF
HEALTH 204 SF
IV CLEAN STORAGE STAFF TLT
198 SF 798 SF 51 SF
STAIR D
IV CHEMO 5 STAFF
LOCKERS
CHANGING
333 SF
OFFICE IRB 123 SF 55 SF

201 SF 369 SF
98 SF 88 SF
OFFICE
99 SF
Figure 5.33 Floor Plan of Elmhurst memorial Hospital Pharmacy
7 Main Pharmacy work space is

uncluttered with indirect lighting
8 Two pneumatic tube stations - one
is on a designated chemo system
APPENDIX 5-35
APRIL 1, 2018
Figure 5.34 Elmhurst Pharmacy Figure 5.36 Elmhurst Pharmacy

Figure 5.35 Elmhurst Pharmacy Figure 5.37 Elmhurst Pharmacy

APPENDIX 5-36
APRIL 1, 2018
APPENDIX 5-37
APRIL 1, 2018
5.1.6 Rush University Medical Center
Figure 5.38 Aerial of Rush University Medical Center
RUSH UNIVERSITY MEDICAL CENTER

Total Area 830,000 sf
Floors 14
Beds 664 total 376 in new tower
Opening Date new tower opened in 2012
Project Cost $654 million
Construction Cost $398 million
Owner Rush University Medical Center
Architect/Owner Perkins+Will
APPENDIX 5-38
APRIL 1, 2018
Figure 5.39 Exterior view of Rush University Medical Center
Overview
Rush University Medical Center is a not-for-profit, 664-bed academic
medical center which is consistently ranked among the nation’s top
hospitals in the U.S. News & World Report. The Medical Center is on
the same campus as the university, which has an exclusive focus on the
health sciences. This allows for a unique integration of education and
patient care.
The medical center offers care for patients of all ages through Rush
University Children’s Hospital, the Johnston R. Bowman Health Center,
and the Ada F. Addington Inpatient Hospice Unit, as well as the new Tower
inpatient unit.
The Tower houses both acute and critical care and contains surgical,
diagnostic, and therapeutic services. The state-of-the-art design includes
APPENDIX 5-39
APRIL 1, 2018
patient-friendly features such as rooftop gardens, universal accessibility,

and sustainable design. The Tower also includes an entry pavilion to serve
as the new front door for the entire medical center. The space is a 3-story,
sun-filled design meant to unify existing buildings with the new hospital.
Pharmacy Overview
The Pharmacy at Rush was not updated when the new bed tower was
constructed. Instead, it resides in the basement of the older building. As
a result, the Pharmacy missed an opportunity to implement some key
upgrades to improve their workflow and position them for USP 800.
The Pharmacy has three clean rooms, as well as a room for a

compounding robot. All clean rooms have shortcomings which make them
more or less useful for certain tasks.
The compounding robot, nicknamed “Riva,” sits in its own room which
is equipped with a pass-thru to a storage space that is used primarily to
support the robot. The primary issue with this workflow is that the robot
needs to be cleaned and reconfigured for each new task that it performs,
so it is the most efficient only when performing the same task many times
over. There is also a walk-in cooler that opens up to the robotic storage
area, however the cooler is not necessary for this usage. The cooler would
be best accessed from the other side (a storage room), however there is
an unused narcotics vault currently blocking access between the storage
and the cooler (refer to plan for clarification).
The clean room that opens into the main Pharmacy work area has a large
window into the Pharmacy as well as a pass-thru cabinet, so that staff
within the clean room can effectively communicate with and pass materials
to someone in the Pharmacy. However, the entrance to the clean room is
not buffered by an ante room. Therefore, the room can only be used for
certain types of mixtures.
The other two clean rooms are accessed via an ante room from the main
Pharmacy corridor. These rooms have several issues. Although one room
has a window into the main Pharmacy area, neither have visibility to the
corridor, with limited visibility to the ante room, and there are no pass-thrus
at all. The lack of pass-thru cabinet or refrigerator means that any time a
pharmacist transfers materials into or out of the clean room, they must go
through the entire gowning process within the ante room. Additionally, the
rooms are not outfitted with equipment hoods. Instead, the entire room
acts as the filter and exhaust system. The Pharmacy group feels that
this substantially increases the amount of time that they are down due to
APPENDIX 5-40
APRIL 1, 2018
maintenance issues, which must be addressed above the ceiling. If a fan

goes down and requires maintenance, the entire room cannot be utilized
until the repair is made. The group plans to upgrade the rooms with hoods
in the near future to build more redundancy into the process.
In addition to the main Pharmacy workroom, which hosts the pharmacist

workstation, two medication carousels, and narcotics storage in a Pyxis
vault, there is a large storage room which has two additional carousels.
Because the ceiling height in the storage room is so much higher than
in the work room, these carousels are able to handle considerably more
medication. This room is also used to store contrasting materials for
radiology and neurology, as well as syringes for IV prep. The room is
manned by a staff member during peak hours, but lacks sufficient security
or a way to communicate effectively with the corridor or rest of the
Pharmacy.
The Pharmacy group also expressed a desire for more storage near the
Pharmacy. Although the medication is primarily stored in the carousel
equipment, the group noted that the automation that they utilize has its
own need for parts storage, which is currently not well-accommodated. It
was noted that the Pharmacy administrative spaces that are located near
the Pharmacy do not necessarily need to be co-located, whereas it would
be useful to have additional storage space at that location.
APPENDIX 5-41
MAIL PROCESS
871 SF ADMIN
3200 SF
CLEAN LINEN
HOLD
462 SF APRIL 1, 2018
Pharmacy Plan
CORR SOILED
LINEN
OFFICE 142 SF
127 SF MAIL RM 369 SF
TLT
ELEC 169 SF
83 SF
28 SF
TELECOMM
30 SF CORR.
1929 SF
ELEC TELECOMM
37 SF 32 SF
MECH MECH
STAIR B
205 SF
UP 2
RM SERV.
176 SF
RM
94 SF MECH
319 SF
CLEAN
ELEV #101 ELEV #100 CORR
RM
111 SF 121 SF 495 SF
164 SF
6 PHARMACY
CENTRAL DISTRIBUTION
ELEV LOBBY 1198 SF
250 SF PHARMACY
5 7
STOR
TLT 1110 SF
41 SF
ELEV #99 ELEV #98
106 SF 115 SF MENS LKRS CORR
134 SF 653 SF
CORR
STAIR A
268 SF
268 SF
UP IV CLEAN RM STOR
212 SF 109 SF
TLT
43 SF
WALK-IN
WOMENS ANTE
208 SF
3 1
COOLER
139 SF
LKRS
133 SF
ENVIR 4
SERV PHARMACY CONF. CLEAN ROOM
55 SF 660 SF RM. 143 SF
INVESTIGATIONAL
256 SF
OFFICE DRUG SERV
OFFICE COMPOUNDING
141 SF
290 SF STOR.
OFFICE 376 SF
OFFICE 111 SF GIFT SHOP
213 SF STOR.
665 SF
COPY RM
164 SF
PHARMACY
OFFICE
924 SF
INVESTIGATION
471 SF PUMP
LOUNGE OFFICE OFFICE RM. STOR.
187 SF 114 SF 113 SF 164 SF 141 SF
Figure 5.40 Rush University Medical Center Pharmacy Plan
Legend: Key Notes:

Outpatient 1 Vault is not used 4 This clean room is negative
Clean Room 2 Narcotics stored here pressure, used to be used for
in free-standing vault oncology
Inpatient
3 Anteroom with poor 5 Pharmacists workstation lacks
Staff Area
visibility and no pass- visibility of clean rooms
Support
thrus 6 Clean room is lacking ante room
Circulation
7 Storage is separated from
pharmacy by public corridor
APPENDIX 5-42
APRIL 1, 2018
Figure 5.41 Rush MC Inpatient Figure 5.43 Rush MC Inpatient

Note position 3 Note position 5 (looking north)
Figure 5.42 Rush MC Inpatient Figure 5.44 Rush MC Inpatient

Note Position 5 (looking south) Note Position 6
APPENDIX 5-43
APRIL 1, 2018
5.1.7 Orlando VAMC, Orlando, Florida
Figure 5.45 Aerial of Orlando VAMC
ORLANDO VAMC AT LAKE NONA
Location Orlando, Florida

Total Area 1.2 million SF
Floors 5
Beds 134 also includes a 120-bed community living center
Construction Cost $600 million
Opening Date February 2015
Architect/Owner Ellerbe Becket/RLF Architects
APPENDIX 5-44
APRIL 1, 2018
Figure 5.46 Main Entry of Orlando VAMC
Overview
The Orlando VA Medical Center, serving more than 100,000 Veterans
in Central Florida, is one of seven medical centers that make up the VA
Sunshine Healthcare Network (VISN 8). Established as a medical center
in October 2006, the Orlando VA Medical Center is recognized as one
of the Top 100 Companies in Central Florida for working families. The
Orlando VA Medical Center includes a 120-bed Community Living Center
in Lake Nona, a 60-bed Residential Rehabilitation Program (Domiciliary) in
Lake Nona and a 56-bed Residential Rehabilitation Program (Domiciliary)
located at Lake Baldwin, Outpatient Clinics in Lake Baldwin, Viera and
Daytona Beach and four Community Based Outpatient Clinics located
in Clermont, Kissimmee, Tavares, and Orange City. The new Orlando
VA Medical Center is part of a 650-acre health and life sciences park
known as the Lake Nona Medical City. The 65-acre medical campus has
134-inpatient beds and provides acute care, complex specialty care,
APPENDIX 5-45
APRIL 1, 2018
advanced diagnostic services, a large multi-specialty outpatient clinic, and

administrative and support services.
The medical center’s facilities ensure efficient care through emphasizing

clinical adjacencies. Single-patient rooms are designed to foster family
interaction, and integrated technologies support quality care and
education. The site planning allows for views of natural waterways while
high-traffic areas of the facility are located close to the main roadway for
easy access and parking. The hospital and clinic buildings are connected
by an indoor atrium which aids in wayfinding.
Pharmacy Overview
The new medical center in Orlando includes a two-story Pharmacy
department mainly separated into outpatient services (dispensing and
patient interaction) on the lower level, with inpatient and outpatient work
areas and administration on the upper level. The outpatient Pharmacy’s
location on the lower level means it is well situated to serve the
Emergency Department, while in the inpatient Pharmacy on the upper
level locates it closer to the inpatient beds. Having the two pharmacies
situated directly on top of each other has several advantages: it permits
pharmacists working upstairs to serve the outpatient Pharmacy on an
as-needed basis after business hours, and it also provides an opportunity
for the use of dumbwaiters to assist with transferring supplies between
the two locations. The dumbwaiters are a more expedient transportation
method than a pneumatic tube system, however they occasionally go out
of service and are difficult to repair.
Although the lower level of the Pharmacy serves as the point of service
for outpatients, most Pharmacy operations for both services take place
upstairs. This includes picking and packaging, as well as all workflows
associated with controlled substances, as both the outpatient and inpatient
vaults are in the upstairs Pharmacy. The upstairs portion of the Pharmacy
also has the only dedicated toilet room for all staff working on both levels.
In addition to not being enough toilets to support the entire Pharmacy
staff, this poses a particular issue for the lower outpatient Pharmacy. If
the pharmacist working in the lower area must go upstairs for any reason,
including the toilet, the lower Pharmacy must be completely closed. This
can lead to issues especially for emergency department patients after
hours who sometimes arrive at the outpatient Pharmacy to find it shut
down without explanation.
The main (upstairs) Pharmacy work area utilizes a three-carousel

system. There is one carousel which stores general inpatient medications
APPENDIX 5-46
APRIL 1, 2018
only. Additionally, one carousel is used to store bulk and pre-packaged

medications, as well as to support the inpatient robot. The third carousel
stores outpatient medications and supports the Optifill automation
system. The staff find that the carousel works well as support for Optifill
automation, however the carousel’s ability to do only one thing at a
time makes it a less desirable solution for manual picking, where open
shelf storage allows multiple people to access multiple medications
simultaneously.
The inpatient work side of the Pharmacy includes both an IV and a Chemo
prep room with a shared ante room. The rooms all include no-touch
faucets and doors, as well as hands-free communication technology to
allow staff to work efficiently and safely in the space and when transferring
materials between the clean rooms and the rest of the work area.
The inpatient Pharmacy follows a “cabinet-centric” workflow. This means

that Pyxis machines reside in every inpatient unit and are kept stocked
with first doses. The Pyxis cabinets are also supported by a robot which
resides within the main Pharmacy. The robot processes and fills first
doses which can be transferred to the inpatient units via the pneumatic
tube system. Within the Pharmacy, the robot is supported by one of the
three carousels as well as a dedicated workspace for an automation tech.
The outpatient side of the Pharmacy work area uses several forms of
automation as well. In addition to the Optifill system with the support
carousel and two automation tech workstations, there is a conveyor belt
for prescription processing which has 4 tech and 4 pharmacist stations.
The conveyor belt transfers medications filled by Optifill to be verified by
the pharmacists before being processed and packaged by the techs for
dispensing. Once packaged, the medications are sent to the outpatient
dispensing area on the lower level. The outpatient side of the Pharmacy
also includes an area for prosthetics storage and a tech workstation, as
well as a dedicated workstation for processing mail-out prescriptions. The
staff felt that an additional workspace for making follow-up phone calls to
patients would also be helpful.
Other spaces in the main Pharmacy include two secured storage vaults:
one each for inpatient and outpatient medications. The outpatient
dispensing area on the lower level also has a vault, however it is used
for short-term holding of controlled substances only, not for order
processing. The vaults used for long-term storage and order processing
are each divided into two spaces: the controlled-access ante room used
for processing and packaging, and the main vault storage area. Due to
size and layout of these spaces, the outpatient vault functions slightly
APPENDIX 5-47
APRIL 1, 2018
better with this space configuration than the inpatient vault does. The
inpatient vault is smaller and receives less traffic generally than the
outpatient vault, and the staff felt that it could more easily function as one
open space used for both functions. The outpatient vault is also used
to process prescriptions that are returned by mail for any reason. All
returned medication packages are opened within the vault to determine
whether their contents include any controlled substances before any other
processing of the returned medications is completed. One pharmacist as
well as two techs work in this vault daily.
The Pharmacy also includes a research area which is positioned well

to have easy access to the clean rooms and IV hoods as needed. The
general mail receiving area for staff is within the work area as well,
although staff felt this would be more appropriately located within the
administration suite. The Pharmacy administration area is located directly
adjacent to the Pharmacy work area. Although the staff did not feel that
the general administration needed to be adjacent to the work area, it was
noted that the supervisor workstation was best located within the work
area itself. The staff lounge is also located within the Pharmacy footprint
but is too small and narrow to properly serve all of the Pharmacy staff.
This results in staff storage overflowing to other areas of the work area.
The outpatient dispensing area on the lower level of the Pharmacy

department has more space than dispensing currently requires. The
Pharmacy is currently dispensing between 700 and 800 prescriptions per
day, but likely has the capacity to handle around 2000 per day. The space
has 4 dispensing windows, which are also used for consults. The separate
consult rooms are typically not used. Behind the dispensing windows is
a wall which separates the Pharmacy work area from the dispensing and
patient area. This configuration helps keep the pharmacists “off-stage” but
also makes it difficult to see if a line is forming. The Pharmacy also does
not have its own dedicated waiting area, but rather uses a “bingo board”
system in other waiting areas as well as the canteen to alert patients when
their prescriptions are ready.
APPENDIX 5-48
APRIL 1, 2018
APPENDIX 5-49
APRIL 1, 2018

33.6 33 A7 32 31 30.2
AS
L
CLOSET
K.6
WAREWASH
K.7
CONSULT
SERVERY
4 3
O.P. SECURE
PRESCRIPTION
STORAGE
PASSAGE
HAC
K
1
2 5 6 COMM
ELEC
HAC
PICK-UP
WAITING WINDOW
PHARMACY UP SODA CLOSET
CORRIDOR
STAIR - PHARMACY
AISLE
J
AGENT CASHIER
AGENT CASHIER MONEY ROOM
ASST CHIEF (FOOD)
TRAVEL CLERK TRAVEL CLERK

TLT
TOILET
AISLE CORR
OFFICE
LOANS
TOILET H
CASHIER ADMIN CLERKS
OFFICE DAY COOLER

SUPERVISOR
ATM
ATM WORKROOM VAULT
Figure 5.47 Orlando VAMC Outpatient Dispensing Floor Plan

CONCESSIONS CLINIC
CANTEEN RETAIL
HOSPIT
Legend: Key Notes: G
Outpatient 1 No waiting in front of 5 Large amount of

Clean Room Pharmacy underutilized space 0 4' 8' 16'
Inpatient 2 On-stage/Off-stage concept 6 Secondary vault used only

aided by layout for dispensing narcotics
Staff Area
since dispensing is on a
1/8" = 1'-0" GRAPHIC SCALE
3 Consult currently not used

Support different floor from main
4 Hard to see line forming pharmacy.
Circulation
APPENDIX 5-50
APRIL 1, 2018
Figure 5.48 Orlando VAMC Outpatient Figure 5.50 Orlando VAMC Outpatient
Note Position 2 Note Position 5
Figure 5.49 Orlando VAMC Outpatient Figure 5.51 Orlando VAMC Outpatient
APPENDIX 5-51
APRIL 1, 2018
33.6 33 A7 32 30 29.4 29 28
ASST. CHIEF OFFICE, CHIEF SECRETARY PHARM PHARM PHARM PHARM PHARM SUPV
UNION STOR UNION
PHARM INVESTIGATIVE PRIVACY
OFFICE OFFICE
OPEN TO
1 DRUGS
BELOW CORRIDOR
CLERK CLERK OFFICE,
CONF UNION CBI

CLINICAL
STUDY CUBICLES CHEMO PREP CORR OFFICE OFFICE
PHARM
CORRIDOR O.P. ROBOT SUPPORT 2 STAFF LOUNGE

MALE
LOCKERS
ADMIX ANTE CLOSET
STORAGE ROOM ELEC
COMM ELEC.
O.P. ROBOT
OPEN TO
BELOW P
O.P. VAULT STAIR SUPV PHARM WAITING
I.P. ROBOT
9 IV PREP
I.P. VAULT
EXTEMP. EXA
COMPOUND
PRESCRIPTION
REC. TELEPH
CORR
O.P. VAULT ANTE
ROOM
6 I.P. VAULT OPERATOR
CORRIDOR ANTE ROOM
CLO
CORRIDOR
I.P. CHECKING SECRETARY
O.P. FILLING & PREPACKAGING
ASSEMBLY
CORRIDOR
CHIEF CH
FEMALE RESP T
8 5 7 DRUG 3 LOCKERS
RECEIVING
I.P. ACTIVE CLEAN

STORAGE UP
HAC
4 HAC
STAFF
TLT
STAFF
LOUNGE
OPEN TO
BELOW CORRIDOR
DSS SUPV SAFETY SAFETY SAFETY OFFICE CODING CODING CODING SECRETARY HIMS
PERSONAL ID
Figure 5.52 Orlando VAMC Main Pharmacy Floor
VERIFICATION Plan
STORAGE OFFICE OFFICE SUPV CHIEF
Legend: Key Notes:

Outpatient 1 Research Pharmacy 5 Carousel currently not maximizing
Clean Room has easy access to space due to structural concerns
clean rooms 6 Pneumatic tube is far from most of
Inpatient
2 Lounge is too narrow work area
Staff Area
Support
3 Receiving techs could 7 Single dose robotics
use more workspace 8 Outpatient filing robotics and
Circulation
4 Procurement station conveyor system
too exposed 9 Outpatient vault with robotics
APPENDIX 5-52
APRIL 1, 2018
Figure 5.53 Orlando VAMC Main Pharmacy Figure 5.54 Orlando VAMC Main Pharmacy
Note Position 4
Note Position 7
APPENDIX 5-53
APRIL 1, 2018
Figure 5.58 Orlando VAMC Main Pharmacy

Note Position 8
APPENDIX 5-54
APRIL 1, 2018
APPENDIX 5-55
APRIL 1, 2018
5.1.8 James Haley VAMC, Tampa, Florida
Figure 5.60 Aerial of James A. Haley Veterans’ Hospital
JAMES HALEY VAMC
Location Tampa, Florida

Total Area Not Available
Floors Not Available
Beds 504 also 118 nursing home care unit beds
Pharmacy Size Inpatient: 3100 SF Outpatient: 9000 SF
Opening Date 1970
Architect/Engineer HDR Architecture
APPENDIX 5-56
APRIL 1, 2018
Figure 5.61 Main Entry of James A. Haley VH Outpatient Pharmacy
Overview
James A. Haley Veterans’ Hospital and Clinics (JAHVH) is a clinical
referral, level 1a facility in Tampa serving a four-county area of west
central Florida, including Hillsborough, Pasco, Hernando and Polk
counties. JAHVH is one of the nation’s largest and most complex
integrated medical facilities in the Veterans Health Administration.
The facility is comprised of a 504 operating bed medical center,

which includes medical and surgical inpatient, acute psychiatry, pain/
rehabilitation units and a community living center. JAHVH is one of five
Polytrauma Centers within the VA system and is the only VA medical
center that has a dedicated ventilation unit for long-term care located in its
100 bed Spinal Cord Injury/Disorder Center. JAHVH also has an off-site
domiciliary approximately 10 miles from the campus.
APPENDIX 5-57
APRIL 1, 2018
JAHVH has multiple outpatient primary and specialty care services. In

addition to the four community-based outpatient clinics there are several
outpatient off-site locations within a five-mile driving distance of the main
hospital campus including a new primary care annex, mental health clinic
and a drive-through Pharmacy.
JAHVH is a teaching hospital with a full complement of services

and surgical specialties to include primary care, medicine, surgery,
psychiatry, physical medicine research and rehabilitation, spinal cord
injury, neurology, oncology, dentistry, geriatrics, and extended care. The
hospital also has special programs for women Veterans, returning service
members and their families, and much more. As a teaching hospital,
residency training is provided in all major medical and surgical specialties
and subspecialties. The hospital is also a training site for medical, nursing,
and other health care professional students.
Pharmacy Overview
The inpatient Pharmacy within the hospital building is divided up into
three spaces: the main Pharmacy work area including the IV clean rooms
and secured substances vault is located on the 1st floor, re-packing and
unit dose storage is on the ground floor, and additional storage for both
inpatient and outpatient prosthetics supplies is located in the basement.
The Pharmacy drug cache is also split up, with controlled cache
substances in the main vault, IV bags and saline storage in the hospital’s
warehouse space, and the remainder of the cache in the Pharmacy
ground floor storage area. The Pharmacy also relies heavily on Pyxis
machines spread throughout the inpatient units, with approximately 90
machines in use throughout the hospital. The Pharmacy’s goal is to use
the Pyxis storage for around 90% of first doses, and the machines are
restocked daily, with typically between 10% and 25% of their supply being
restocked. In additional to all of these storage and work locations, the
Pharmacy would benefit from a location to store medications that patients
bring with them to the hospital. Due to the large SCI population which
corresponds to longer stays, many patients come to the hospital with their
own medications which cannot be used during their stay and must be
stored.
The main Pharmacy work area is 3100 SF, which would typically be
enough space to handle the workload for the hospital. However, the space
configuration has many nooks and crannies and very little open space,
making the space feel tighter and more cramped overall than it would
if it were a simple rectangular space. The entrance to the Pharmacy
is completely integrated into the high density storage space, such that
everyone entering the space must walk through the shelving.
APPENDIX 5-58
APRIL 1, 2018
A typical shift has 7 pharmacists on duty, with one working on each

patient bed floor along with 2 working in the IV clean rooms along with
4 techs and possible up to 2 trainees. Additionally, a tech stays near the
dispensing window and vault area, and monitors both. Although having
the dispensing window near the vault is a convenient configuration for the
staff, there is relatively little dispensing that occurs. Most orders are either
received digitally or through the Pyxis restocking process.
The two clean rooms include an IV Prep room as well as a negative-

pressure chemo room, however they would benefit from additional
negative-pressure storage to support the Chemo room, as well as
additional oncology IV storage. Each room currently has 2 hoods which
can handle the capacity necessary for the hospital, although the staff
noted that they would easily be able to use 3 hoods in each room. There
is no designated compounding space, however very little compounding
is done on site. The Pharmacy’s policy is to acquire as much as possible
commercially before doing any compounding within the Pharmacy. The
Pharmacy also has an investigative drug room which is not built as a clean
room but has a hood for working. There is also a small staff lounge.
The outpatient Pharmacy is located off-site from the main hospital,

although it is very close. It shares a building with a dermatology clinic,
and the Pharmacy side of the building includes a Coumadin clinic, a tele-
Pharmacy center, the outpatient dispensing and work areas, a shared
waiting area, and a drive-thru dispensing window.
The Coumadin clinic has its own dedicated check-in counter but shares
the waiting space with the Pharmacy. It includes a specimen collection
area off of the waiting room with 2 blood-draw chairs, and has a small
lab on site for analysis. Its five consult rooms are well-used, with 3 rooms
full at any given time. Three pharmacists work in the clinic during a shift,
giving around 60 consults along with 80 labs per day. Patients typically
arrive to the clinic about an hour before their appointment time to have
their blood drawn an analyzed, which can lead to a busy waiting room.
Reduced lab analysis times may help to decrease crowding in the waiting
area.
The call center has two dedicated offices for one pharmacist along with
5 techs. All together they handle around 1200 calls per day. The calls
are from providers; the call center does not handle patient consults.
Most of the calls are easily addressed, such as for regular prescription
refills or similar issues that can be handled by a tech without requiring a
pharmacist. The call center functions as its own entity which could easily
be located elsewhere on the medical campus without issue.
APPENDIX 5-59
APRIL 1, 2018
The outpatient Pharmacy operations has another 4 pharmacists and 12

techs working on a typical shift, which includes a Tele-Pharmacy which is
separate from the call center. The pharmacists rotate between operations
and phone care in 4-hour shifts. Many of the pick-up windows in the
waiting area are used for phone care purposes, while two are used for
in-person pick-ups. Although there is no dedicated consult room, there
is space in the blood draw area and in nearby offices to use for consult
if necessary. The high volume of phone consults (up to 1000 per day)
compared to the walk-in consults is likely due to the Pharmacy being
located off site from the hospital. The drive-thru is well-used by patients
and well-liked by everyone. It especially benefits the large spinal cord
injury population that uses the medical center.
The main work area in the outpatient Pharmacy uses both ScriptPro
and Optifill automation technology, though does not have a conveyor
belt system. The Optifill handles the 200 most-used medications. Most
of the medications prepared in the Pharmacy are directly distributed,
either through the pick-up windows or the drive-thru. Only about 10% of
the prescriptions are mail-order, as the CMOP handles most mail orders
unless they are out of stock of a specific medication or if the mail order
includes narcotics.
The secured storage cage is not built with vault construction, but is
a controlled-access space with C2 cabinets that store the controlled
substances. The cage includes 4 workstations, but usually houses 1
pharmacist and 1 tech on a typical shift. Space constraints within the
cage mean that work is best distributed over multiple shifts. The staff also
noted that a window between the secured room and the rest of the work
area would allow labeling to take place of a package once it is packaged,
which would help to minimize the work which must take place within the
cage itself. Controlled substances which are to be mailed out are held in
the cage until the driver arrives. The distance and lack of communication
technology between the loading area and the secured storage can
sometimes cause issues with getting the medication out to the dock in
time to be mailed. A storage solution for packaged medications outside
of the cage could alleviate space constraints as well as ameliorate the
communication issues with the mail trucks.
Other spaces within the Pharmacy include administrative space as well as

a “Resolution Room” which helps take tasks necessary to resolve issues
out of the main workflow, and is a space that can be used for Community
Care / Choice management. There is also a staff break room which is
shared with the dermatology clinic in the building, and therefore is not
quite large enough.
APPENDIX 5-60
APRIL 1, 2018
APPENDIX 5-61
Legend:
Support
Inpatient
Staff Area
Outpatient
Circulation
Clean Room
SPRINKLER
37 SF TOILET TOILET
48 SF 48 SF
CORRIDOR
TOILET 104 SF
MECHANICAL 73 SF
OFFICE OFFICE OFFICE OFFICE OFFICE CLERK OFFICE 95 SF 86 SF
78 SF 79 SF 79 SF 79 SF 79 SF 77 SF TOILET
86 SF
CORRIDOR
206 SF
LOCKERS
Key Notes:
114 SF
40 SF
WAITING AREA
1
1616 SF
LOCKERS
WAITING AREA
113 SF
57 SF
162 SF CONFERENCE
ROOM
security issues
420 SF
2 Coumadin clinic
SUPERVISOR

CLERK OFFICE 119 SF SECURITY

3
114 SF RX SUBMISSION AREA 94 SF

CORRIDOR
284 SF 424 SF
in-person check-ins
to work areas create

1 Only 2 desks used for
3 Multiple access points

CORRIDOR
APPENDIX
99 SF
RPH OFFICE CORRIDOR
Figure 5.62 James A Haley VH Outpatient Pharmacy Floor Plan

707 SF
4
114 SF
133 SF
RESTROOM RESTROOM
42 SF
47 SF 55 SF
5
CORRIDOR MOVABLE FILES CORRIDOR RX FULFILLMENT FILES CORRIDOR RX ROBOT CORRIDOR VAULT STORAGE UNIT
RPH OFFICE 73 SF 284 SF 95 SF 568 SF 95 SF 203 SF 81 SF 280 SF 132 SF
114 SF
44 SF 292 SF 134 SF
CORRIDOR
SUPERVISOR 239 SF
OFFICE
114 SF
inside is limited
especially with storage

4 Drive-thru well-used and liked
6 Tight work space creates issues,

APRIL 1, 2018
5 Vault is far from loading and space
5-62
APRIL 1, 2018
Figure 5.63 James A Haley VH Outpatient

Note Position 1

Note Position 4
APPENDIX 5-63
APRIL 1, 2018

Note Position 5

Note Position 6
APPENDIX 5-64
APRIL 1, 2018
APPENDIX 5-65
APRIL 1, 2018
Inpatient Pharmacy Plan MEN WOMEN

42 SF 51 SF
CORRIDOR
729 SF
EXAM
120 SF STORAGE STOR 126 SF
FIRE STOR ELEC
402 SF 122 SF
17 SF 255 SF
STORAGE 4
EXAM
120 SF 502 SF
VAULT 1 PICK-UP
3 140 SF MEANS
2 182 SF
EXAM
120 SF
BUS OPS
VISN ELEVATOR
EXAM 163 SF 154 SF LOBBY
OFFICE LOUNGE/
120 SF STOR 221 SF
72 SF LOCKERS MEANS
31 SF 369 SF 184 SF
EXAM
120 SF NURSE
SUPER STORAGE
137 SF ELEVATOR
155 SF 380 SF
EXAM LOBBY
120 SF 332 SF
MECH
IV PREP ANTE CHEMO IV 51 SF
EXAM 125 SF 205 SF 174 SF 141 SF
120 SF COMM
5 52 SF
CORRIDOR ELEVATOR
376 SF LOBBY
435 SF
Figure 5.67 James A Haley VH Inpatient Pharmacy Floor Plan
Legend: Key Notes:

Outpatient 1 Vault/Pick-up window 4 Flammable storage does not need
Clean Room configuration is to be built-in
convenient 5 Ante room to clean rooms is also
Inpatient
2 Irregular space layout egress route
Staff Area
created inefficiencies
Support 3 Storage blocks path to
Circulation compounding areas
APPENDIX 5-66
APRIL 1, 2018
Figure 5.68 James A Haley VH Inpatient Figure 5.70 James A Haley VH Inpatient
Figure 5.69 James A Haley VH Inpatient

Note Position 5
APPENDIX 5-67
APRIL 1, 2018
5.1.9 Malcom Randall VAMC, Gainesville, Florida
Figure 5.71 Aerial of Malcom Randall VAMC
MALCOM RANDALL VAMC
Location Gainesville, Florida

Floors 5
Beds 220
Opening Date 1970
Architect/Engineer Flad Architects
APPENDIX 5-68
APRIL 1, 2018
Figure 5.72 Main Entry of Malcom Randall VAMC
Overview
The North Florida/South Georgia Veterans Health System serves veterans
across a large geographical area in North Florida (33 counties) and South
Georgia (19 counties). In addition to our two medical centers in Gainesville
and Lake City, it offers a number of services to our patients in several
satellite outpatient clinics and community-based outpatient clinics. The
system represents the largest Pharmacy workload of the VA system, with
5 outpatient and 2 inpatient pharmacies.
The Malcom Randall VA Medical Center (VAMC) is one of two VAMCs in

the North Florida/South Georgia Veterans Health System. The Malcom
Randall VAMC provides a full range of comprehensive health care,
including: primary care, specialty care, tertiary care, and long term care.
It houses approximately 220 operational inpatient beds, including three
ICUs: cardiothoracic surgical, and medical.
APPENDIX 5-69
APRIL 1, 2018
Pharmacy Overview
The Pharmacy within the Malcom Randall VAMC has three separate
spaces: an outpatient Pharmacy, and inpatient Pharmacy, and a separate
oncology Pharmacy consisting of several IV clean rooms.
The oncology Pharmacy operates only Monday through Friday for a

regular day shift, and processes approximately 40 IV bags a day, or
around 125-150 bags in a typical week. It includes an ante room, a work
room, an IV transfer room with a pass-through window into the work room,
and one room for chemo processing. The space is not at present USP
800 compliant and will require upgrades in the near future. In addition, it is
currently experiencing significant mechanical issues and the chemo room
is not able to maintain the negative pressure required. As a result, hooded
glove-boxes are used for completing all work in these rooms. The staff
noted that the space would benefit from a hands-free intercom system,
as there is currently no intercom due to concerns over cleanliness. An
additional decontamination shower was also desired on top of the existing
one which is currently located in the ante room.
The outpatient Pharmacy processes approximately 1000 prescriptions per

day, although many of them (up to 800), are processed for mail-out rather
than an in-person pick-up. The medical center does much of its own mail
order filling rather than sending the orders to the CMOP due to cost and
availability differences in medications between the medical center itself
and the CMOP. For in-person pick-ups, the Pharmacy has 2 dispensing
windows and a consult room. There is no dedicated window for drop off,
as most prescriptions are sent digitally or phoned in. The consult room has
two consult spaces inside, however there are concerns with HIPAA privacy
regulations when both spaces are in use at the same time. The staff would
prefer to have two consult spaces which are acoustically separated from
each other.
Within the outpatient Pharmacy workspace, the Optifill automation system

works in conjunction with a conveyor belt to process the majority of the
prescriptions. The Optifill can hold up to 608 medications. When an order
is placed, the robot fills and labels the bottle, which is then dropped into a
bin on the conveyor belt. If any additional medications are needed for the
order that cannot be filled by the robot, the bin is routed to a technician
station for these remaining items. Then, the robot or the tech forwards
the bin on to a pharmacist station for verification of the order. All together,
the conveyor belt connects the robot, 4 tech stations, and 3 pharmacist
stations. The main complaint with this system by the staff is the noise
level. Despite this layout, the typical staffing level is only 2 pharmacists
APPENDIX 5-70
APRIL 1, 2018
and 2 techs on the conveyor belt at any one time, with another pharmacist
and tech working in the narcotics vault.
The outpatient narcotics cage is not actual vault construction, but is a

controlled-access space with a work area and controlled substances
stored in Pyxis C2 safes. These safes are restocked from the inpatient
vault as needed. The Pharmacy work area also includes a staff lounge
and conference area which is open to the main work space, and staff
restrooms including a shower. The staff would prefer a lounge that is
separated from the work area, and also noted that their large residency
program would benefit from a conference room large enough for up to
35 or 40 individuals. The medical center has one of the largest residency
programs in the country, including 20-30 residents at all times. A
presentation space that includes a projector and a conference table would
be a key asset to the program.
The inpatient Pharmacy includes the main work area, as well as

pharmacist offices in each 30-bed unit. Each bed unit also has 2 meds
rooms, each which contain a Pyxis machine, and most units have a third
machine in a corridor alcove. The main Pharmacy space includes a high-
density storage area as well as a drug disposal collection area which is
easily accessed by the main work space. There is one small area of the
Pharmacy, approximately 90 square feet, which houses the repacking
equipment, the pneumatic tube station, the flammable storage cabinet,
the compounding workstation, and a pill splitter. Ideally, the compounding
workstation could be moved out of this zone to a location where there was
access to a hand sink and an eyewash.
There is an IV prep clean room area in the inpatient Pharmacy which

supplements the oncology Pharmacy. The prep area includes two
pharmacist workstations. There are problems with this room as well,
possibly in part because it is situated on top of a building control joint. The
staff finds that the room has almost constant mechanical and plumbing
issues.
There is no automation within the inpatient Pharmacy and therefore 2

procurement techs handle inventory manually with a daily count. Currently
the procurement workstation is exposed to the main work area, and the
staff finds this configuration difficult, as the procurement techs would
benefit from a quieter environment. The staff noted that use of a meds
carousel would permit the techs to more easily work from a remote
location.
APPENDIX 5-71
APRIL 1, 2018
Other spaces within the Pharmacy include a dedicated space for crash
cart refill, which is useful to have but could function with even slightly
less space than it currently has available. The dedicated crash cart
tech is also responsible for maintaining the drug cache. There is also
an investigational drug program, which typically has between 20 and
25 ongoing studies, with desk space for a pharmacist and a tech, some
storage space, and two hooded glove-boxes. The controlled-substance
vault houses substances for inpatient, outpatient, surgical and anesthesia
services. Saline storage also takes up space within the Pharmacy. It was
noted that some space constraints in the department could be alleviated
by using an equipment-based solution for storing controlled substances
rather than having a built-in vault, and by storing saline within the main
hospital logistics space, which is a typical solution for many hospitals. The
Pharmacy has already eliminated space for a library of drug information,
most of which is available online, choosing only to store paper copies of
MSDS sheets as needed. The Pharmacy would also benefit from having a
dedicated staff toilet room accessible from within the department.
APPENDIX 5-72
APRIL 1, 2018
APPENDIX 5-73
1-2 CORRIDOR
SHAFT
F-C1-10
2
ASST. CHIEF SECT./WTG. CHIEF TRAINEE TRAINEE TRAINEE
F121-1 F123-1 F123A-1 F125-1 F127-1 F129-1
EXAM EXAM
F118-1 F119-1
STAIR
CORRIDOR
APRIL 1, 2018
#5-1
ELECT. F-C1-12
ELEV. F137-1 TRAINEE
EXAM EXAM M. TLT. F. TLT. F132-1
S-12
F116-1 F117-1 F135-1 F134-1 CORR
ELEVATOR LOBBY
E-C1-11
F-C1-14 ELECT
E155-1
EXAM
F114-1 Outpatient Pharmacy Plan
EXAM
F115-1
ELEV
S-11
STORAGE/FUT. ELEV.
F136-1
TRAINEE
F133-1 LOCKERS
E128A
OFFICE
CORR INTERVIEW ROOM E135-1
CORRIDOR CORRIDOR
E-C1-15 E128
F-C1-8 F-C1-13
CORR
FUTURE CHASE
E130A-1 E-CQ-16
EXAM EXAM EXAM EXAM EXAM PROCEDURE STRETCHER O
DIET. O. DIET. O.
G101-1 G103-1 G105-1 G107-1 G109-1 G111-1 EQUIPMENT STO
G169-1 G170-1
E135-2
NUTR. CLINIC
CORRIDOR WAITING
G167-1
GC116-1 C-G1-17
CORRIDOR
GC13-1 PATIENT TRAIN.
CLEAN U. G168L-1
ASST. CHIEF
G112-1
G171-1
EXAM
G102-1
EXAM
G104-1
EXAM
G106-1
EXAM
G108-1
CONSULT
G110-1 M TLT. 2 5
G113-1
PHAR. O. RECOVERY
G168K-1 E140A-1 STAFF OFFIC
EXAM EXAM EXAM EXAM CONSULT E142C-1
F TLT.
G116-1 G118-1 G120-1 G122-1 G124-1 G114-1
CONTROL RO
TLT E142B-1
E140B-1
CORRIDOR
GC16-1
4
N. STAT.
CONS. CENTER SUB.STOR./FLAM.STOR. E140-1
G126-1 G168J-1
EXAM EXAM EXAM EXAM EXAM CORRIDOR
G117-1 G119-1 G121-1 G123-1 G125-1 GC14-1
NUTRITION ANES-WKRM. & STORA
E140B1 E142-1
HAC
EXAM EXAM EXAM EXAM CONSULT (TB) TLT. E141-1
G129-1 G131-1 G133-1 G135-1 G137-1 G168H-1
ENDOSCOPY STRETCH. ST.
G127-1 E141A-1
CORRIDOR TLT.
GC18-1 G168G-1 PHARMACY
G168-1
TLT. STORAGE CLEAN CORR
HAC HAC E146-1 1-C1-21
G127A-1
G139-1 G168F-1
EXAM EXAM EXAM EXAM SOIL. U.
G130-1 G132-1 G134-1 G136-1 G138-1
M TLT.
G140-1
W TLT.
G141-1 SUB-STERILE
EXAM EXAM EXAM EXAM CONSUL (TB) E145-1
O.R. - J
G144-1 G146-1 G148-1 G150-1 G152-1
E144-1 O.R. - I
TLT. E143-1
G142-1
CORRIDOR
GC110-1
MED. & TREAT.
3
G166-1
EXAM EXAM EXAM EXAM CONSULT (TB)
ONCOLOGY
G145-1 G147-1 G149-1 G151-1 G153-1
G168E-1
T. OFF.
G168A-1
CORRIDOR
GC114-1
EXAM EXAM EXAM EXAM CONSULT (TB) PROC.(CAST)
G154-1 G156-1 G158-1 G160-1 G162-1 G165-1
PASSAGE SECT/WTG
GC115-1 G168B-1
CORRIDOR
GC113-1
TLT.
EXAM
G155-1
CONSULT
G157-1 TLT.
COMM.
G161-1
ELECT.
G163-1
G164A-1
RADIOLOGY SUITE
G164-1
CONTROL ROOM
G164B-1
T. OFF.
G168D-1
1 ASST. CH.
G159-1
Figure 5.73 Malcom Randall VAMC Outpatient Pharmacy Floor Plan
Legend: Key Notes:

Outpatient 1 Open staff lounge / 4 Narcotics cage has room
Clean Room conference space not large for one safe and one
enough for all residents workstation
Inpatient
2 Consult spaces need better 5 Dispensing window
Staff Area
acoustical separation
Support 3 Work area combines Optifill
Circulation robot with conveyor belt
APPENDIX 5-74
APRIL 1, 2018
Figure 5.74 Malcom Randall VAMC Outpatient Figure 5.76 Malcom Randall VAMC Outpatient
Figure 5.75 Malcom Randall VAMC Outpatient

Note Position 3
APPENDIX 5-75
CORRIDOR C1-20
C1-22
C1-24
ENT/SURG
LOCKER/LOUNGE STAFF TOILET ENT MD 1 ENT CONF/BREAK PLASTICS CHIEF SEC ENT CHIEF ENT MID LEVEL RESIDENTS MD 1 SEC/WAITING
H180-1 H179-1 H178-1 H177-1 H176-1 H175-1 H173-1 H172-1 H170-1 H168-1 H167-1
OR
APRIL 1, 2018
MGT
OFFICE SECY DIST COORD ANALYSIS SECRETARY SECY
Inpatient Pharmacy Plan A101-1 A102-1 A105-1 A106-1 A108-1 A109-1 HOSPITAL DIRECTOR
A111-1
LOBBY
A100-1
CLO
UROLOGY AGENT CASHIER F.A.C.
EXAM A111A-1
D356-1 D376-1 SECY.
D375-1
A110-1
MEMO
OFFICE OFFICE FILES
OFFICE
EXAM A103-1 A103A-1 OFFICE
EXAM A107-1 A114A-1 CLO
D357-1 WHEELCHAIR A107A-1 TLT
D374-1 STORAGE A112A-1 A112C-1
D161B-1
SECRETARY ASSOC DIRECTOR

SWITCHBOARD MAS SCHED OFFICE STGE A112-1
IOUS DISEASE EXAM COPY FILES A113-1
PARALYZED VET. OF A158-1 A158B-1 A103A-1 A114B-1
D358-1 D373-1 AMERICA CONTROLLED A114-1
SUBSTANCE VAULT
D161A-1
MED. RM. FEMALE TOILET

TLT
A158A-1
2 SECRETARY
A116A-1
D372-1 FDVA OFFICE A159-1 QUI COORD ADMIN ASST

D161-1 A115-1 A117-1
CONFERENCE
CARDIOLOGY
RESEARCH A114C-1
UNION OFFICE A116-1
D371-1
OFFICE FDVA OFFICE MALE TOILET OFFICE
3
A164C-1 RESEARCH
361A-1 D162-1 A160-1 A119-1
ELEC CLO
SECY
A116B-1
A118-1
EXAM
OFFICE
D370-1
A164H-1 A120-1
ESCORT SECY. CONF
FDVA OFFICE
WAITING A164A-1 INPATIENT CONFERENCE A121-1
D163-1
D361-1 SUPERVISOR A128-1
CHIEF OF STAFF
A164B-4
A124-1
4
AFGE LOCAL 2779 A164K-1 OFFICE
D370A-1 ELEC CLO
A122-1 HAC
D166-1
A123-1
OFFICE OFFICE
TELE. CLO. F.A.C.

TC21A
F. TOILET M. TOILET
SHAFT A127-1 A126-1
1
STAGE OFFICE STAIR
FICE CONFERENCE
G.U. CLERK #1-1
63A-1 D170-1 CLEAN
D167-1 OFFICE
A129-1
EXAM 8
EXAM 9
PHARMACY 1 SECY EXECUTIVE
CONFERENCE & M.I.C.
D169-1 A125-1
OFFICE D168-1 SECRETARY
D363-1
A130-1
CHASE
SOIL UTILITY
CHIEF
D171-1 LAB
FFICE
ASST. CHIEF
364-1
SUPPLY OFFICE
A133-1
EXAM PARALYZED
P-5 P-6 VET OF OFFICE
D365-1 STERILE PREP. M TOILET
SUPVR. AMERICA A132A-1
A145-1
A141-1 SURG OFFICE
A140-1 A134A-1
OFFICE
F TOILET
A132-1
A144-1
OFFICE
DUCT CHASE
A134-1
EXAM
C366G-1
P-3 P-4 DIETICIAN OFFICE PROJ. BOOTH

GENERAL
OFFICE B136A-1
B142-1
SECY OFFICE /SURGERY OFFICE SECY & A125A-1
C366F-1
B141-1 B140A-1 B139-1 B138B-1 WAITING OFFICE
B138-1 B138A-1
EMPLOYEE TRAVEL &

PAY ROLL
S-2 S-1 CHIEF B140-1 OFFICE
SOCIAL
Figure 5.77 Malcom Randall VAMC Inpatient Pharmacy Floor Plan

EXAM EXAM WORKER SECURITY OFFICE B136-1
B141A-1 B139A-1 CHIEF OF SURGERY
C366A-1 C366E-1 B143-1 OFFICE B137A-1
OFFICE
B1370-1
B139B-1
DRESSING
Key Notes:
DRESSING
T/C WAITING ROOM CONFERENCE ROOM ROOM
Legend:
SERVICE LOBBY ADMIN ASST MALE T. FEMALE T.
C263A-1 B208-1 B209-1 B210-1 B213-1
C261-1 OFFICE CHASE B137C-1 SECY B211-1 B212-1
B144-1 STGE B137-1
B137B-1
TRASH T/C Outpatient

T/C 1 Rolling shelves system 3 No dedicated med
used to maximize storage information space beyond
C262-1 TC1B-1 TC1B-1
Clean Room F.A.C.
in compact space carousel MSDS sheets, information is

FFICE
Inpatient OFFICE Roomwould help with inventory
HAC
B207-1
STG
B206A-1
OFFICE
B205-1 available online
WHIRLPOOL TANK RM STAFF PSYCHIATRIST
259-1 OFFICE OFFICE B181D-1 CHIEF REHAB MED
and storage
B181A-1 B217-1 B214-1

Staff Area B215-1
4 Supervisor office large

C259A-1 C260-1
STORAGE LINEN
B222B-1 B222A-1
OFFICE
2 Vault construction means

SECRETARY
Support B206-1 B204-1
enough for two workstations.
P.T. EQUIP. ADMIN.
Pyxis not required Space seconds as receiving

FFICE CATH. LAB B181C-1 SECY. REHAB. MED.
ROOM OFFICER
Circulation
256-1 C255-1 B218-1
B217A-1 B217-1
STAIR
and storage overflow

B182A-1 OFFICE
#2-1
B203-1
DOCTOR
B202-1
P.T. TREATMENT
PHYSICAL THERAPY ROOM
B222-1 B221-1 CHIEF O.T.
APPENDIX
OFFICE
CATH LAB.
C254-1
CONTROL
ROOM
CENTRAL HAC
B183-1
SUPPLY
B181-1
OFFICE
B201-1
B200-1
B220-1 OT WORK ROOM
B219-1 5-76 OCCUPATIONAL
THERAPY
B225-1
C254A-1
ELEC
CLOS TRAINEE
A261A-1 B199-1
APRIL 1, 2018
Figure 5.78 Malcom Randall VAMC Inpatient Figure 5.80 Malcom Randall VAMC Inpatient
Figure 5.79 Malcom Randall VAMC Inpatient

Note Position 2
APPENDIX 5-77
APRIL 1, 2018
5.1.10 Washington DC VAMC, Washington, DC
Figure 5.81 Aerial of Washington DC VAMC
WASHINGTON DC VAMC
Location Washington, DC
Floors Not Available
Beds 220
Opening Date 1970
Architect/Engineer Not Available
APPENDIX 5-78
APRIL 1, 2018
Figure 5.82 Washington DC VAMC
Overview
VAMC DC was selected for the design team to shadow the pharmacy staff
for a few hours and document actual flows within both the outpatient and
inpatient pharmacy. Below are observations made that assisted the design
team in identifying key flows within the VAMC DC pharmacy.
The Washington DC VA Medical Center is a tertiary hospital which

provides a comprehensive primary and secondary care in medicine,
surgery, neurology and psychiatry. VAMC DC has 175 acute care beds,
30 Psychosocial Residential Rehabilitation Treatment beds and a 20-suite
Fisher house. There is also on campus a 120-bed Small House Model
(Community Living Center) with long term, hospice and palliative care.
Specialized services such as: cardiology, primary care, imaging,

substance abuse treatment, women’s health, among many others are
provided in addition to patient centered programs like yoga, nutrition
education, massage, acupuncture etc.
APPENDIX 5-79
APRIL 1, 2018
1
2
Figure 5.83 Washington DC VAMC Photo Key
Legend:
Outpatient
Clean Room
Inpatient
Staff Area
Support
Circulation
APPENDIX 5-80
APRIL 1, 2018
Figure 5.84 Washington DC VAMC -Inpatient Main Pharmacy Area, Position 1
Figure 5.85 Washington DC VAMC -Inpatient Anteroom, Position 2
Figure 5.86 Washington DC VAMC -Outpatient Main Pharmacy Area, Position 3
APPENDIX 5-81
APRIL 1, 2018
Outpatient Pharmacy Patient Flow
2 4
Figure 5.87 Washington DC VAMC Outpatient Pharmacy Patient Flow - Outpatient Dispensing
Legend: Key Notes:

Outpatient 1 Patient proceeds to Outpatient 4 Patient prescription is
Clean Room Pharmacy waiting area. available for pick up at
2 Patient checks in the staff at dispensing counter.
Inpatient
counter and waits for consult
Staff Area
session.
Support
3 Patient is called into consult
Circulation room for session with care
provider.
APPENDIX 5-82
APRIL 1, 2018
Pharmacy Receiving Distribution Flow
4
1
Figure 5.88 Washington DC VAMC Receiving Distribution Flow
Legend: Key Notes:

Outpatient 1 Bulk delivery is received 3 Bulk drugs are delivered
Clean Room by inventory manager at to outpatient pharmacy,
loading dock. between robotic, hand pick
Inpatient and narcotic storage areas.
2 Both IP & OP bulk drug
Staff Area
delivery is broken down, 4 Bulk drugs are delivered to
Support sorted, stored. inpatient pharmacy.
Circulation
APPENDIX 5-83
APRIL 1, 2018
Outpatient Pharmacy Sterile Compounding Flow
PTS
4 4
3 2
Figure 5.89 Washington DC VAMC Inpatient Pharmacy IV Flow
Legend: Key Notes:

1 Supplies / IV bags are 4 Pharmacist / tech
Outpatient compounds IV bags in
collected from storage.
Clean Room
buffer room.
2 Pharmacist / tech preps
Inpatient additional supplies or labels
5 Pass through transfer for
Staff Area needed in Anteroom. pharmacist check.
6 If IV bag is an HD, IV is
Support 3 Pharmacist / tech dons before stored for pickup or hand
Circulation entering buffer/clean room.
delivered to unit. If not HD,
than PTS can be used.
APPENDIX 5-84
APRIL 1, 2018
Inpatient Pharmacy Medication Flow
Figure 5.90 Washington DC VAMC Inpatient Pharmacy Medication Order Flow
Legend: Key Notes:

Outpatient 1 Order comes in and 4 STAT drug orders & orders
Clean Room processed. issued after carts depart
2 Order sent to label printer. are distributed through
Inpatient pneumatic tube system.
Staff Area 3 Once order is received,
drugs are manually picked, 5 ADM orders are stacked on
Support
labeled and checked by carts. when carts are filled,
Circulation pharmacist for individual they are delivered to the
distribution or cart delivery. units at a specific time every
day.
APPENDIX 5-85
APRIL 1, 2018
Outpatient Pharmacy Medication Flow
3
3
1
2 3
4
5
6
9 8 7
Figure 5.91 Washington DC VAMC Outpatient Pharmacy Drug Flow
Legend: Key Notes:

1 Order received & label printed. 5 Techs drops off order to
Outpatient pharmacist.
2 Tech processes order.

Clean Room 6 Pharmacist checks.
Inpatient
3 Order processed either through
automation or hand-picked, 7 Order ready for dispensing.
Staff Area includes compounding & 8 Order passed through to
Support narcotic. counter staff.

Circulation 4 Order filled & tech station. 9 Order dispensed to patient.
APPENDIX 5-86
APRIL 1, 2018
5.2 Storage Study
The Storage Survey of VA Medical Center pharmacies and VA pharmacies

in non-VA hospitals surveyed for this Design Guide are intended to help
guide the storage requirements of various pharmaceutical services the
VA provides. This context informed both the development of the Room
Templates and Test Fits but are in no way considered exhaustive or
comprehensive. A combination of square footage takeoffs of existing
plans and visual inspection of pharmacy equipment informed the metrics
provided in this section.
APPENDIX 5-87
1266
FEC
CONFERENCE
LUNCH RM R LOCKERS
1264 1264A
STAFF
TOILET
1265
WALL
GUARD
FEC CLEAN
APRIL 1, 2018
STORAGE
(DRY) 1261
WALL
GUARD
CLEAN STORAGE

CLEAN
ALCOVE STORAGE
1266A 9 (WET)
3 1260
CHAIR STATION7 6
CUBICLES
5.2.1 Jesse Brown VAMC Storage Survey

2
1259
(CUBICLE)
WALL
GUARD CHAIR
8
STATION
CUBICLES
1259A(CUBICLE)
1
10
EXIST SHAFT
1258
SOCIAL FEC
WORKER TEMPORARY 11
NURSES
WALL
1253
GUARD
STATION
1255
1252 WALL
GUARD
TEMPORARY
CHIEF SOILED
PHYSICIAN UTILITY
1257
NURSE HALLWAY BIO-MED REPAIR

MANAGER 1254
1251 1256
WALL
GUARD
PATIENT
WHEELCHAIR PATIENT 1250
STORAGE WAITING
1249A AREA
1249
MECH RM
1248
WATER TREATMENT MAIN

STORAGE ENTRANCE
1247 1246
 
Outpatient
239 sf

430 sf
425 sf

Inpatient 96 sf
198 sf 359 sf
384sf
Figure 5.92 Jesse Brown VAMC Storage Survey
APPENDIX 5-88
APRIL 1, 2018
5.2.2 Orlando VAMC Storage Survey
RLANDO, FL
RLANDO VA MEDICAL CENTER INPATIENT PHARMA
440 TYP. 1' - 10" 1' - 10"
H-
H-
1' - 10"
3
W18k W18k W
1' - 0"
2NC08 1 36 9 9
2P102 9 36 36 9 2P821 36 9 9
A
ASST CHIEF 36 2P104 2P106 36 2P110 2P112
36 2P114 2P116 2P118 2P820
INVESTIGATIVE DRUGS 2Q406
68cs 9 OFFICE, CHIEF 36 9 SECRETARY PHARMACIST PHARMACIST PHARMACIST PHARMACIST PHARMACIIST SUPV PHARM 36 STORAGE
0' - 2 1/8" 10 1/4" 12' - 4 5/8" 9' - 5 1/2"0' - 10 7/8" 8' - 4" 8' - 10 3/4" 8' - 11 1/4" 5' - 10" 3' - 7 3/4" 2 2Q404 36
9' - 8" 9 2' - 5 7/8" UNION OFFICE
4
1' - 0"
2' - 5"
67bs
2' - 2 1/4"
2' - 5"
5' - 9 1/2"
2PC01 36
CLEAR
11 3/4"
2PC01 36 2PC01 36 36 2PC
3' - 10"
4' - 1"
CORRIDOR 3 24' - 4 5/8" 1 18
254 sf
1
3"
12' - 8 5/8"
18 18 36 4
2PC01b 36
2PC01a 36 2P815b 2Q402
9' - 10 1/8"
1' - 2 1/2" CLERK 9' - 3 3/4" 3' - 0 1/2" 21' - 7 3/4" 36 B7 2QC04
CLERK 1' - 3 1/8" 18 1 CHEMO PREP CONF RM
8' - 5 7/8"
2P111
2P113 CORRIDOR
6' - 0" 2' - 0 1/4"
2PC02.1
27 OFFICE; CLINICAL
68cs 3 STUDY CUBICLES 0' - 11 3/8"

36 36
2QC04
PHARM.
36 CLEAR 18 1' - 6 1/4" A 67bs
B30 67bs 36
2' - 4 1/4"
5' - 0" 14
10"
2P204 2P121.1 2P121 2P121.2 18 18 18

0' - 11 3/4"
9 O.P. ROBOT SUPPORT STAFF LOUNGE 27 36 10' - 7 3/4" 36 36

10 A
68cs 3' - 4" 4' - 10" 2' - 6 1/4" 18 19' - 0 1/4" 18 1' - 2 1/
77c 1
5
10' - 2 1/2"0' - 11 3/4"
9 9 9 9 9
9 9 67bs 18 2Q212a
4' - 6"
240 sf
77c 68c MALE LOCKERS A
77c 68c 2PC08 18 2P815
11' - 4 1/2"
2P202a 8 2P121a 2P121b 2P808 2 TOILETS
77c ORRIDOR ANTE RM
10' - 2 1/2"
2 67bs
O.P. ROBOT 1' - 1 7/8" COMM ELEC ADMIX STORAGE B5 6" 1' - 2" 1
15' - 9" H-AE4.341 9' - 9" 8' - 11 1/8"
1 18
1' - 0"
7 B30
2' - 3 5/8"
H-AE4.320 2' - 2 1/8"
2 3/8"
77c 4
18 18
12 10 68c 68c 39
2P808a 1 1' - 3 1/8" 6' -
C
0' - 10"
77c SUPV PHARM

77c 2US01 3
2PC02 2P702a STAIR 68c 18 39 CLE
H-AE4.302 2' - 8 5/8" 2Q212b
CORRIDOR O.P. VAULT 77c
101 sf
68cs 68c 5 MALE TOILETS
22' - 5 3/8"
4bs
2P806
I.P. ROBOT
77c B20
2P815a 2
10' - 3 1/4"
68c
97 sf
7 7 IV PREP
8' - 8 1/4"
1' - 2 1/2"
2 2P708a
IP VAULT 2Q212
15 2P706 4 VESTIBULE
EXTEMPORANEOUS
H-AE4.306
COMPOUNDING
41
A
9 9 2' - 4 1/4" 9
77c 2P704
2' - 3 5/8"
9
4' - 8 3/8"
10 A
6' - 11 3/8"
PRESCRIPTION REC. 7
18
0' - 10 7/8"
1 2Q210
B6 9
2P702 VESTIBULE
2PC07 18 2QC
OP VAULT ANTE ROOM 15 2P708
CORRIDOR CORR
IP VAULT ANTE ROOM
6' - 1 1/4"
0' - 4 1/4" 10' - 6 1/2" 1' - 2 1/2" 2Q210b
2
11 17 FEMALE TOILETS
H-AE4.302
77c 2P804
4bs
10' - 10 1/2"
77c IP CHECKING
9' - 5 3/8" 11' - 9 3/8" 1' - 3 1/8" 6' -
2NC08 7
2P202 CLE
CORRIDOR
O.P. FILLING & 77c
ASSEMBLY 2P801
10 PREPACKAGING
227 sf 2 39
9' - 6 1/4"
8' - 8 1/4"
1' - 2 1/2"
77c 9
39
9 18
A
1' - 7 3/8" A
14' - 1 3/4"
9 9 C08.2
2PC FIN 9
FIN
9 2Q210a
10
8' - 5 3/4"
11 9 9 2P920 FEMALE LOCKERS 9

2' - 0 3/8"
DRUG REC'G 67bs TOILETS

A
DRU 2 18 A 18 A 18 27b
1' - 3 1/8" 8' - 1 1/4" 1' - 2 1/2" 2P201
8' - 7 5/8" 1 10
TO FINISH
5' - 5"
6' - 5" IP ACTIVE STORAGE
517 sf
18 18
0' - 11 3/8" 5' - 5 5/8" 67
1' - 8 1/8" 6' - 3 1/2" 3' - 6" 6'-4".
2PC02.2
67bs
4' - 2 1/2"
2P920a 2P920b 68c FIN FIN FIN

67
10' - 0 1/2"
HAC STAFF TOILET

3' - 6 5/8"
5' - 9 1/4"
68cs 9 2P908 2Q202

67bs 67bs
2P920
67bs HAC 39 27bs 1 STAFF LOUNGE

2P920
67 0' - 11 1/4"
67bs 3 4bs 4 2QC09

68cs 67bs 2PC09
1 67
CLEAR
CLEAR
CLEAR
4 67bs 1
8' - 0"
8' - 0"
8' - 0"
CORRIDOR
A
4' - 1 3/8" 9 1' - 3 1/8" 5' - 9" 6' - 0" 0 4' 8' 16'
36 36b 36 9 36 36 27
68cs 2PC09 A A A
CLEAR CLEAR
2KC04
2K502.2
3' - 9 3/4"
2K516
2KC06
2KC08
36 9 9 36 2K516i 9
1' - 3 1/8"
2K605
1' - 3 1/8"
2K516h CODING
9 2K407 36b 2K602c 2K602d OFFICE 36 9
CODING
- 4 1/4"
- 2 1/2"
DSS SUPV SAFETY OFFICE SAFETY OFFICE

9 3/4"
9 4 9 36 1/8" = 1'-0" GRAPHIC SCALE

6' - 9 1/4" 36 36 2K808 36
2K602b 36b 36 2K80
2K516g CODING SUPV
Figure 5.93 Orlando VAMC Inpatient: Storage Survey
APPENDIX 5-89
APRIL 1, 2018
5.2.3 Orlando VAMC Storage Survey
1
34 33.6 H-AE3.440
33 A7 32 31 30.2
1
H-AE3.441
H-AE1.1FD2
H-AE1.1FD3
1 1
1
H-AE4.305 H-AE5.448
2' - 2 1/2"
H-AE5.707
0' - 1 3/4"
18 18 3
12 84c 12 12
1UC02 1V104.2
12 18 24 24 1V104.3
1' - 10 5/8"
24
1' - 10 5/8"
1' - 10 5/8"
9
10 5/8" 2 18 18 9
6' - 7 3/4"
39 13' - 11 3/4" 6' - 0 1/2"

68cs
1' - 10"
1T821
2' - 10 3/4" 1 12' - 3 3/4" 9 9 9
CLOSET 9
68cs
16' - 0 3/4"
41 1K103a 68cs 11 1V104a 7

1K103 39 MEN'S TOI LET 3' - 0 3/8" 2' - 10 3/8" WAREWASH 13' - 6 3/4"
5' - 5"
WOMEN'S TOILET 68cs
12' - 2 1/8"
68cs 67 68cs
53cs
GE 67 1U501a 68
CONSULT
1U501a.2
1V104
1T116 1T120 1T124 1U501a.1
1T112 10 SERVERY
BLOOD COLL BLOOD COLL BLOOD COLL 11
OD COLL 1T114 1T118 1T122 1 1 68cs
8 1/2" BLOOD COLL BLOOD COLL BLOOD COLL H-AE5.434 10' - 2 3/8" 10' - 11 3/8"
8 67 1U501.1
1U501b
2 O.P. SECURE
H-AE4.303 27 PRESCRIPTION
68cs
5' - 1 1/4"
21' - 8 1/2" 1U501.2 9 27b STORAGE 1UC03 9 9
1U302 4' - 0" 68c 1' - 11 5/8"
101 sf
68c 9 1U501a.3 PASSAGE
68cs HAC
TO FINISH FACE 15
1TC06
1T501
4' - 9 1/4"
SUB-WAITING 27 9
68cs
1T503 2' - 1"
1' - 0 3/4"
10' - 8 1/4"
9 ELEC 1 18 A 1U303
10' - 4 3/4"
68c 18 9 12 27b 1U301 2
8 ELEC
1T601 27b COMM 68c
COMM 68c
7' - 4 1/4"
1U501c 68cs 68cs

HAC 68c
8 1U502
PICK-UP WINDOW 1U501
1T603 1TC05 1U502a 1V102 68cs
STAFF TLT CORRIDOR
3' - 7" PHARMACY 13 1 1US01 UP SODA CLOSET
WAITING
9' - 7 1/2"
A
CLEAR
H-AE4.341
750 sf
7' - 8"
8' - 3"
6' - 6" 1UC02 8 68cs

1TC06
1V104.1
1TC05 CORRIDOR 68cs
A
PASSAGE CLEAR 1US01

2 68c STAIR - PHARMACY
4
6' - 5 5/8"
1T802 1T801
SPEC COLL TLT SPEC COLL TLT 8 2
14' - 5 5/8" 9' - 9 5/8" 9 2 1' - 0"
77cs
1' - 0 5/8" CLR
6' - 5 1/8"
8' - 5 3/4" 1 68cs

1TC08 1T803
1T605 77c
6' - 6 1/4"
CORRIDOR SPEC COLL TLT 14' - 11 7/8"

1' - 6"
0 1/2" SPEC COLL & PROC 18 1UC05 9

53cs 67 67bs
21 8 67 1UC05 AISLE 67bs 2' - 4" CLEAR 1' - 3 1/8"
0' - 1 7/8"
1' - 10 1/2"
9 9
9 9
6' - 11 5/8"
1T805 67bs
6' - 1 7/8"
3 1/4"
5 7' - 4 3/8" 18 1U702b.1

T602 SPEC COLL TLT 53cs A 67bs
7' - 2"
11' - 7 1/2"
ORAGE 1T607 1' - 0 5/8" 8 1U702a B21 9

AGENT CASHIER 1U702b 1N606
SPEC COLL & PROC 1N608
AGENT CASHIER MONEY ROOM
1T807 ASST CHIEF (FOOD)
1T604
7' - 7 5/8"
2 77c 68c SPEC COLL TLT 3' - 1 5/8"

PV OFFICE 8 27bs
77c 5
11' - 6 1/4"
1U702a
5' - 4 3/4"
2 3/8" 8' - 6" 1NC06.1

1U702c 11' - 7 1/8" 39
1
A
8 1U702 TRAVEL CLERK

4' - 5 7/8" 1M112 68cs
12' - 5 1/2"
TRAVEL CLERK
6 1TS02 TLT 7
1M110 STAIR - LAB UP 13cs 1N607
9' - 8 1/4"
11" HAC 68c 4 TOILET

68c 8
3 H-AE5.434 1U702c 39
14' - 8 1/4"
5 8
1U702
68 68cs 39
CLEAR
1UC07
8' - 0"
3' - 4" 4' - 0 3/4"

5' - 3 3/8" 7' - 0 5/8"
1 AISLE 1NC06
1' - 3"
1 9 6' - 2 3/8" 6' - 5 1/4" 1' - 7 1/8"

A H-AE4.303 CORRIDOR
1U701
H-AE4.340 68 1MC01.1 1U701c

68cs 1N605
OFFICE; LOANS
2' - 6 1/2"
18 TOILET
1MC06
18 9
1' - 4"
1M115 27 39
12' - 11 7/8"
9 1U701 1N602 24
DRESS 1M121 3 8 18 CASHIER ADMIN CLERKS
12' - 2 3/4"
DOPLER TEST 9
1U701.1
3' - 7 1/4"
7' - 8 3/4" 5' - 7" 39 3

10' - 4 1/8"
Figure 5.94 Orlando68cs

VAMC Outpatient: Storage Survey
5' - 6 1/2" 9 1U701.2
4 1M119 8 CLEAR 1V101a 11
2' - 9 5/8" 1' - 11" DAY COOLER
' - 9 3/8" BONE DENSITY RM 6' - 0" 7' - 11" 1 1U701b
1NC06.2
CLEAR 1' - 4 3/8" OFFICE; SUPERVISOR

4 7 1U701d
FIN FACE
1U701a
8' - 3 5/8"
1M603 ATM WORKROOM VAULT

A
E/X-RAY EQUIPMENT 5 ATM 2' - 6"

2' - 3 5/8"
1
OOM) 1MC06 CALIBRATION 5' - 6 1/2" 27b 27bs
H-AE5.434 0' - 6 3/4"
CORRIDOR 1' - 2 1/2" 27b
1M604
1 75c DIGITAL ARCHIVE
27b 27b
13' - 2 1/4" 8' - 6 1/4" 27b 13' - 6 5/8" APPENDIX 5-90
4 1M811
10' - 9 7/8"
1M306 1M308 CLEAR 59b 27bs

39 68cs CONCESSIONS
SOILED HOLD CLEAN UTILITY
9
27b 27b
A
EQ EQ
APRIL 1, 2018
5.2.4 Tampa VAMC Storage Survey
Inpatient 5
402sf
502 sf
140 sf
171 sf
Outpatient
284 sf 568sf 132 sf

280 sf
Figure 5.95 Tampa VAMC: Storage Survey
APPENDIX 5-91
S10-1
S11-1 C1-2a
VESTIBULE
C1-2
WAITING
E100-1 SECLUSION
C1-49b
SPECIMEN
OPHTHAL WAITING
CORR COLLECTION WAITING
C1-47
E-C1-8 C1-5
APRIL 1, 2018
ELEC. CLOSET
PAIN WAITING
C1-49a
C1-46
ISOLATION
C1-49c TRANSFER
MED ROOM E126E-1
EMBOSSER STRESS TEST ROOM E.R. 5 E.R. 4 E.R. 3 E.R. 2 ISOLATION E.R. 1
F103F-1
F102-1 F103-1 F103A-1 F103B-1 F103C-1 F103D-1 F103E-1
OPHTHAL RECEPTION ENGINEER V/D WORK
PASSENGER SPEC SUPERVISOR OBSERVATION
SPEC COLL REC E
C1-48 ELEVATOR H101-1 C1-7a TOILET CHEMISTRY AND MICROBIOLOGY
NTROL H101a-1 E109A C1-7
5.2.5 Gainesville VAMC Storage Survey

LOW VISION EXAM EXAM ALCOVE VESTIBULE H102-1 PROCEDURE 1
-1 SECURITY MEDIC ELEC CLOSET E126-1
J121-1 J120-1 EXAM J104-1 INFO DESK
OPTICAL SHOP
03 C1-1a RECEPTION E101-1 E116-1 E118-1 H115-1
J111-1 EXAM C1-1
SCALE E.R. / CHEST PAIN UNIT J103-1 A101A-1
C1-35a F103H-1 CLEAN UTILITY E104-1 N. STAT./COMM.C. MECH ROOM
TOILET EXAM EXAM
F103G-1 E115-1 CUB 13 E126D-1 TOILET
F106-1 J112-1 J105-1 DROP OFF NU
C1-3h H104-1
OPT NERVE PASSAGE C1-6
EXAM
J123-1 SOILED UTILITY
J106-1 CANTEEN E-C1-4
INTERVIEW ROOM
EXAM EXIT SUPER. SUPER. SUPER. EXAM OFFICE EXAM
C1-1b STORAGE STORAGE
F-C1-4 F107-1 EXAM ELEC CUB 12 CUB 5 CUB 4
J122-1 F103I-1 F108-1 F109-1 F110-1 F111-1 F112-1 E105 H183-1 STORAGE CUB 14 E126C-1 TOILET
J113-1 J102-1 C1-3a C1-4h C1-4a PROCEDURE 2
ULTRASOUND SUBWAIT 1 HAC
RIDOR CORRIDOR CORRIDOR CORRIDOR CORRIDOR H103-1 C1-3g CORRIDOR H106-1 H117-1
J125-1 J114-1 E114-1 STORAGE
1-35 C1-33 C1-31 C1-29 C1-26 C1-8
EXAM CORR H116-1
CORR CORRIDOR
CORRIDOR J108-1 E-C1-5 CORRIDOR
E-C1-6 SUPER LKRS. SECURITY
LIFE SUPPORT SCALE C1-23
F-C1-5 C1-3 CUB 11 CUB 6 CUB 3 TOILET
VF 1 E103-1 E102-1 H182-1
E113-1 C1-23a
FEMALE TOILET C1-3b C1-4g C1-4b H108-1
J115-1 EXAM EXAM CONFERENCE/BREAK STAFF TLT
EXAM CORRIDOR OFFICE
PHOTO J184-1 H184a-1
J124-1 J116-1 J107-1 VESTIBULE TLT H119-1
J128-1 W. TLT. C1-4 E126B-1
H184-1 E102A-1
EXAM COPY E106-1 CUB 10 CUB 7 U. CUB 2
SOC. WK. SOC. WK. COMM. CLEAN
VF 2 OTHER H. STAFF H. STAFF H. STAFF TRAINEE
J110-1 F131A-1 MALE TOILET
CUB 15
C1-3c C1-4f C1-4c
TOILET
F104-1 F105-1 F122-1 F124-1 F126-1 F128-1 F130-1 C1-3f E112-1 H110-1
J117-1 H181a-1
NORTH SERVICE C.U.
EXAM 7/STRETCHER
ELEVATOR P-7 P-10 ELEV. LOBY H171-1
SOILED EXAM EXAM H174-1
STORAGE VESTIBULE
MEDS SUBWAIT HOLD STAFF TLT STAFF TLT E-C1-14 SOILED U.
VF 3 J118-1 J109-1 C1-25 CUB 16 CUB 1 TOILET
J134-1 J127-1 J126-1 J174-1 CUB 9 CUB 8
CORRIDOR J180-1 J182-1 VESTIBULE C1-3e E111-1 C1-4d H112-1 S.U.
TLT. J119-1 EXIST. M. TLT. ELEV. LOBBY MINOR O.R.
H181-1 C1-3d C1-4e OFFICE H169-1
F120-1 F-C1-11 TRAINEE E114-1 E-C1-7 E110-1
F131-1 E126A-1
P-8 P-9
CORRIDOR ON-CALL TLT
SHAFT
F-C1-10 CORRIDOR E117-1 E117B-1
CORRIDOR
2 C1-28 CORRIDOR
ASST. CHIEF SECT./WTG. CHIEF TRAINEE TRAINEE TRAINEE C1-22
C1-24
F121-1 F123-1 F123A-1 F125-1 F127-1 F129-1
EXAM
F119-1
STAIR
OPHTHAL MD 2 OPHTHAL MD 1 OPHTHAL MD 3 NURSE OFFICE NURSE OFFICE RESIDENTS JANITOR LOCKER/LOUNGE STAFF TOILET ENT MD 1 ENT CONF/BREAK PLASTICS CHIEF SEC ENT CHIEF ENT MID L
CORRIDOR
CORRIDOR #5-1
J171-1 J173-1 J175-1 J177-1 J179-1 J181-1 J183-1 H180-1 H179-1 H178-1 H177-1 H176-1 H175-1 H173-1 CE-9 H172-
ELECT. F-C1-12
CORRIDOR
ELEV. F137-1 TRAINEE
EXAM M. TLT. F. TLT. C1-27
S-12 F132-1
F117-1 F135-1 F134-1 CORR
ELEVATOR LOBBY
E-C1-11 EXISTING
F-C1-14 ELECT CHASE PERIOPERATIVE CORR TLT
E155-1 COMM E-C1-12 E153 OFFICE CHIEF OFFICE SECRETARY
EDUCATION
GENERAL CLINIC E156-1 E182-1 E181-1 E183A-1
SECRETARY AND EXAM ELEV STORAGE/FUT. ELEV. TRAINEE E154-1 MGT
0utpatient Inpatient
ADM. ASST. OFFICE PATHOLOGIST RESID. WAITING AREA OFFICE DIST COORD ANALYSIS SECRETARY
WAITING F115-1 S-11 F136-1 F133-1 SECY
D326-1 D326A-1 D326B-1 D326C-1 D349-1 LOCKERS
D324-1 A101-1 A102-1 A105-1 A106-1 A108-1
E128A
EXCORT SECRETARY
OFFICE E152 E183B-1
LOBBY TOILET
CORR INTERVIEW ROOM E135-1 VEST
CORRIDOR A100-1 E183-1
E-C1-15 E128 E151C-1
F-C1-13
OFFICE LAB NEUROLOGY AGENT CASHIER F.A.C.
EXAM
D353-1 D355-1 D356-1 D376-1
D375-1 CORR
TOILET FUTURE CHASE
E130A-1 E-CQ-16 OFFICE SCAN ROOM
FLAM. STORAGE D352-1 M. LCKRS. F. LCKRS
EXAM EXAM PROCEDURE STRETCHER OR. E184-1 E179-1
D328-1 DIET. O. DIET. O. E151-1 E150-1
G107-1 G109-1 G111-1 FAC EQUIPMENT STORAGE
G169-1 G170-1 OFFICE OFFICE
OFFICE
- 1-1 EXAM CHEMO PHARMACY EXAM E135-2 A103-1 A103A-1 OFFICE
NUTR. CLINIC EXAM A107-1
CORRIDOR D350-1 D355A-1 WAITING
D355C-1 D357-1 WHEELCHAIR A107A-1
CLERICAL AUTOPSY/ G167-1 D374-1 STORAGE
AUTO PROC. TLT GC116-1 C-G1-17
OGY PATH. PATHOLOGY
DOR D330-1 D351-1 D161B-1
D329-1 D318-1 CORR
3-1 PATIENT TRAIN.
E-C1-24 OFFICE
CLEAN U. G168L-1 STGE
ASST. CHIEF SWITCHBOARD MAS SCHED OFFICE E185-1
G112-1 EXAM EXAM LAB INFECTIOUS DISEASE EXAM EQUIPMENT ROOM CONTROL
COPY FILESROOM
G171-1 PARALYZED VET. OF A158-1 A158B-1 A103A-1 A114B-1
D347-1 D346-1 D355B-1 D358-1 D373-1 CONTROLLED E179B-1 E179A-1
A114-1
AMERICA
EXAM CONSULT HISTOLOGY AND SUBSTANCE VAULT
CYTOLOGY D161A-1
368 sf
G108-1 G110-1 VEST A156-1
M TLT.
D341-1 E151A-1
G113-1 DRESS OFFICE
PHAR. O. TLT E150D-1 E187-1
RECOVERY
G168K-1 MED. RM. FEMALE TOILET
STAFF OFFICE A158A-1
E140A-1 FDVA OFFICE
CYTOLOGY SLIDES D372-1 A159-1
E142C-1 QU
RAGE EXAM CONSULT D161-1
F TLT.
-1 G122-1 G124-1D316-1 G114-1 A164F-1
CONTROL ROOM A164B-5
RESEARCH CONFERENCE
CARDIOLOGY TLT E142B-1 M. TLT VEST FILM STORAGE A164G-1
MALE TOILET OFFICE OFFICE
RESEARCH A164E-1 A114C-1
E140B-1 E151B- E150A-1 E188-1 E189-1 E190-1 E191-1
240 sf
OFFICE NEURO. D371-1 UNION OFFICE
OFFICE OF
LAB SUPVR. HISTOLOGY D343-1 PATHOLOGIST OFFICE FDVA OFFICE MALE TOILET A164C-1
D341D-1 CORR A1
D333-1 D341C-1 D344-1 D361A-1 D162-1 A160-1
282 sf
EQUIP. ROOM E-C1-23 A164I-1
N. STAT. DICTATION
CONS. CENTER SUB.STOR./FLAM.STOR. E142-2
E140-1 E149 F. TLT
G126-1 G168J-1
E150B
EXAM EXAM CORRIDOR SUB STERILE
EXAM
G123-1 G125-1 GC14-1 E173-1 OF
OFFICE OFFICE D370-1 NUTRITION ANES-WKRM. & STORAGE STERILE STORAGE OPERATING ROOM F
A164J-1 A164H-1 A1
BIOLOGY LAB D362B-1 D362C-1 E140B1 E142-1 E148-1 E171-1
ESCORT SECY.OPERATING ROOM E
FDVA OFFICE
D334-1 A164A-1 CONFERENCE E175-1
HISTOLOGY G.U. WAITING D163-1 INPATIENT
D341A-1 SURGICAL D361-1 SUPERVISOR A128-1
HAC
CYTOLOGY PATHOLOGY LAB. CYTOLOGY RAD. OFFICES A164D-1
EXAM CONSULT (TB) TLT. D341B-1 E141-1
D340-1 D339-1 D362-1 A164B-4 STORAGE
G135-1 G137-1 G168H-1 SCRUB
OFFICE HAC
BACTERIOLOGY OFFICE AFGE LOCAL 2779 E170-1 A164L-1 A164K-1 E171A-1 OF
ENDOSCOPY D362D-1 ELEC CLO
STRETCH. ST. E170A-1
M TLT D312-1 D362A-1 D370A-1 A
G127-1 D166-1
E141A-1
D310-1
TLT.
G168G-1 PHARMACY
OFFICE OFFICE
600 sf
G168-1
TLT. STORAGE CLEAN CORR CORRIDOR
A165A-1 A165-1
HAC HAC E146-1 1-C1-21 CE-15
G127A-1 TELE. CLO. F.A.C.
G139-1 G168F-1
TC21A
EXAM SOIL. U.
G136-1 G138-1
M TLT.
SHAFT CORR.
C G140-1 SUPPLY SUPPLY
WAITING 1 EQUIP. STOR. E-C1-22 ELECTRICAL CLOSET SCRUB
A-1 STAIR D335-1 D335A-1
D338B-1 STAGE OFFICE STAIR
4-1 W TLT. WAITING OFFICE E147-1 E169-1 CONFERENCE E176A-1
290 sf
G.U. CLERK A164B-1 #1-1
CHEST X-RAY G141-1 D363A-1 SUB-STERILE A154-1 A155-1 ROOM G
OPERATING
D336-1 D170-1 CLEAN
EXAM
D308-1 CONSUL (TB) E145-1 E172-1
CT SCAN CONTROL O.R. - J D167-1
G150-1 G152-1
E144-1
53 sf
D338B-2 O.R. - I
TLT. E143-1
STAIR SECY
G142-1 EXISTING CHASE SUB STERILE
PHARMACY #6-1 A150-1 E174-1
EXAM 8
EXAM 9 A164-1
OFFICE D169-1
X-RAY DIAGNOSTIC II D168-1
D338-1 D363-1
CT SCAN
MED. & TREAT. D338A-1
PIPE SPACE CHASE
G166-1
TOILET SOIL UTILITY
EXAM CONSULT (TB) CHIEF
ONCOLOGY D171-1
D304-1
G151-1 G153-1 LAB A152-1
G168E-1 OFFICE
T. OFF. A153-1 ASST. CHIEF
D364-1
X-RAY SUPV G168A-1 A151-1
SUPPLY
D337B-1
26 sf
A147-1
X-RAY DIAGNOSTIC 1 CORRIVIEWING
DOR RM
AY DIAGNOSTIC 7 EXAM GC114-1D306-1 VIEWING
CONSULT (TB)D305-1 PROC.(CAST)
D300-1 TOILET
G160-1 G162-1 G165-1 D337A-1 EXAM PARALYZED
OFFICE
D365B-1 P-5 P-6 M TOILET VET OF
D365-1 STERILE PREP.
CONTROL RM LAB EXAM SUPVR. AMERICA A132A-1
A172-1 A145-1
D300A-1 D366F-1 D365A-1 SECT/WTG A148-1 A141-1 SURG
PASSAGE
GC115-1 G168B-1 A140-1
R OFFICE
F TOILET
A132-1
X-RAY A144-1
A156-12
D366E-1
TLT. FILM STORAGE EXAM
G164A-1 D337-1 DUCT CHASE
COMM. ELECT. RADIOLOGY SUITE CONTROL ROOM T. OFF. SCRUB D366F-1 ASST. CH.
EXAM
G161-1 G163-1 G164-1 G164B-1 G168D-1 D365C-1 G168C-1
C366G-1
RADIOLOGY ROOM CYSTO 1 GENITO URINARY

C294-1 TLT VIEWING CLINIC P-3 P-4 DIETICIAN
D366D-1 GENERAL
C295-1 C366-1 OFFICE
C295A-1 B142-1 SECY OFFICE /SURGERY OFFICE SECY &
C366F-1
B141-1 B140A-1 B139-1 B138B-1 WAITING OFFICE
B138-1 B138A-1
ELEV
P-11 EMPLOYEE TRAVEL &
NURSE STATION TLT PAY ROLL
ISOLATION CYSTO 2 S-2 S-1
C366D-1 SOCIAL CHIEF B140-1
C286B-1 C265A-1 EXAM EXAM EXAM EXAM SECURITY OFFICE
WORKER
B141A-1 B139A-1 CHIEF OF SURGERY
C366C-1 C366B-1 C366A-1 C366E-1 B143-1 OFFICE B137A-1
OFFICE
B1370-1
C265B-1 B139B-1
RECOVERY ROOM SURGICAL
C286-1 PATHOLOGY
C264-1
CLERKS STA. T/C WAITING ROOM CONFERENCE
SPD STORAGE SERVICE LOBBY ADMIN ASST
C265-1 C263A-1 B208-1 B209-1
SOIL PIPE SPACE C263-1 C261-1 OFFICE CHASE B137C-1 SECY
WHEEL CHAIRS STGE
C286A-1 B144-1 B137-1
C385A-1 B137B-1
TRASH T/C T/C

C262-1 TC1B-1 TC1B-1
F.A.C.
F.A.C.
OLD ELEC CLOS HAC STG OFFICE

-1 C283B-1 SPEC EQUIP LAB OFFICE OFFICE OFFICE Room B207-1 B206A-1 B205-1 WHIRLPOOL TANK RM
C285-1 C267-1 C258-1 C259-1 OFFICE OFFICE B181A-1 B181D-1 B217-1
C259A-1 C260-1
STORAGE LINEN
B222B-1 B222A-1
OPERATING ROOM - A GEN. STOR. SECRETARY OFFICE
Figure 5.96 Gainesville VAMC Inpatient: Storage Survey

C287-1 C282E-1 B206-1 B204-1
OFFICE
P
LOCKERS C268-1 SUPERVISOR OFFICE OFFICE CATH. LAB B181C-1 P.T. EQUIP. ADMIN.
1
ROOM OFFICER
C283-1 C269-1 C257-1 C256-1 C255-1
B217A-1 B217-1
STAIR
B182A-1 OFFICE
#2-1
B203-1
DOCTOR
OFFICE B202-1
TOIL. AND SHOWERS C251-1
SURGICAL NURSES P.T. TREATMENT
C283A-1 ROOM
WORK ROOM AND SECY. PHYSICAL THERAPY
INSTRUMENT B222-1 B221-1 CHIEF O.T.
C270-1
STERILIZER OFFICE
B220-1
C282-1 SUPPLY CATH LAB. CENTRAL HAC SUPPLY OFFICE B200-1
APPENDIX 5-92
CONTROL B183-1
C250-1 C254-1 B181-1 B201-1
ROOM
C254A-1
TOIL. AND LOCKERS STAFF ELEC
STAFF
C281-1 C272-1 SECRETARY TOILET CLOS TRAINEE
C271-1 C252-1 A261A-1 B199-1
FILE
C282A-1
DARK ROOM OFFICE
C246A-1 B198-1 HAC
CONTROL CCU & SICU
ROOM STORAGE. B184A-1 B224-1
OPERATING ROOM - D STORAGE LOUNGE BLOOD C246B-1 B184-1
APRIL 1, 2018
5.2.6 UCMC Storage Survey
2 3 4 5 6
THE UNIVERSITY OF CH
5841 S. MARYLAND A
CHICAGO, IL 60637
RAFAEL VINOLY ARCH

50 VANDAM ST
NEW YORK, NY 10013
TEL: (212) 924-5060 FA
CANNON DESIGN
30 WEST MONROE, SU
CHICAGO, IL 60603
12 sf
TEL: (312) 346-2270 FA
THORNTON TOMASET
14 EAST JACKSON BLV
CHICAGO, IL 60604
TEL: (312) 596-2000 FA
DRUCKER ZAJDEL STR

55 SOUTH MAIN STREE
NAPERVILLE, IL 60540
TEL: (630) 305-5757 FA
AFFILIATED ENGINEER
5802 RESEARCH PARK
MADISON,WI 53719
61 sf
TEL: (608) 238-2616
PRIMERA ENGINEERS,
100 SOUTH WACKER D
CHICAGO, IL 60606
TEL: (312) 606-0910 FA
DAVID MASON & ASS

464 NORTH MILWAUK
CHICAGO, IL 60610
TEL: (312) 884-5100 FA
SITE DESIGN GROUP,

888 SOUTH MICHIGAN
CHICAGO, IL 60605
TEL: (312) 427-7240 FA
159 sf
CONSULTANTS
T
U
O
M
N
P
5
432 sf PERMIT NUMBER:
PROJECT NUMBER:
PHASE:
D
6
C
DRAWN BY:
ARCHITECT'S SEAL
00 2008/11/14 GM
REVISION ISSUE ISSU
NO. DATE FOR
SHEET RECORDS
Figure 5.97 UCMC Inpatient: Storage Survey

A
APPENDIX 5-93
KEY PLAN AND NORTH
IF THIS DRAWING IS NO
PRINT; REFER TO GRAP
SCALE:
ENLARG
377660
Medical Records
1SHB 1313 1311 1312 153 1512
373540 377660 377660 377660 377600
1515 1555
Internal Corridor Work Area, Staff Reception Reception
Shaft 377604 377604
753 105 341
235 107 1019 Sub-Waiting GenRad - X-Ray 1545
130 251 377600
390777 Lounge
Public Corridor 1548 233
1317A 377600
APRIL 1, 2018
377660 1,061
Central Storage
Internal Corridor 39
46 227 1556A
1556 377604
660 380777
w Room 1318 Treatment, General
Unfinished Area 92
52 377660 1559
211
ED, VACANT Exam Room 377600 1563
95 1510 1513 Dark Room 390777
1317 377600 377604 60 Public RR
5.2.7 UCMC Storage Survey

377660 Public Lobby Seating Sub-Waiting 1549 91
1316 Work Area, Staff 516 244 377607
A: CARRILLO, ELLEN
377660 110 1557 1557A A: FLEMING,Office
LAQUESHA
1560A
Exam Room 377604 377604 377602 A: GOOLSBY,432
RENITA
92 1310 Chest - X-Ray Treatment, General A: HAYNES, FRANCINE
Dark Room
377660 80 A: STEVENS, TANIKA
Public Lobby Seating
211 104
A: UNOCCUPIED, VACANT
1352A 1314 1315 474 A: UNOCCUPIED, VACANT 1564
377660 377660 377660 377600
ent Toilet Exam Room Office 1577 Locker Room
43 97 131 377600 228
A: CONNING, SARAH 1511A Internal Corridor 1562
377600 456
Internal Corridor 377600
1357
377660 193 1561 Internal Corridor
dor 377600
Patient Toilet 1577A 413
Internal Corridor
42 1310C 377625 1572 3881561A 1567
377660 Patient Toilet 1574 1573 377620 377620 377607
1356 1358H Internal Corridor 42 377625 377625
137-0000 Office Internal Corridor Office
377660 68 A75 Public Lobby Seating GenRad - X-Ray 147 97 141
Office 1310A 1310B
Office 01 243 1574E 124 1565
87 377660 377660 A: UNOCCUPIED, VACANT A: HUGHES, ROSALIE
181 External 377625 377600
A: UNOCCUPIED, VACANT Patient Toilet Patient Toilet
5 A: UNOCCUPIED, VACANT A: YOUNG, ANETT 43 42 1016 72,464.91 1017 Internal Corridor Locker Room
60 1358G 390777 390777 48 237
oom 377660 Public RR Public RR 1574A
239 236 377625 1570 1571 1568 1569
1358A 1358 Closet 1358F 1574D 1574B Internal Corridor 1574A1 377620 377620 377620 377620
377660 137-0000 39 377660 377625 377625 33 377625 Staff RR Office Office Staff RR
Office Office Office Mammography Mammography 1574A2 Changing Area 53 160 161 52
100 247 106 164 118 377625 51
A: REFT, CHESTER S. A: YOUNG, ANETT A: PELIZZARI, CHARLES A: UNOCCUPIED, VACANT A: HARRIS, SHARON
Changing Area
A: REFT, CHESTER S. (100%, -) A: PELIZZARI, CHARLES (100%, 0) 30 1566
377600
1018A 1403 Private RR
1 1358B 1358C 1358D 1358E 390777 390777 104
7 137-0000 377660 137-0000 137-0000 Public Corridor Public Corridor
levator Office Office Office Office 78 610
143 98 97 152
A: AYDOGAN, BULENT
A: YENICE, KAMIL M. A: AL-HALLAQ, HANIA
A: WIERSMA,
A. RODNEY D. 1005A
A: YENICE, KAMIL M. (100%,
A: AL-HALLAQ,
-) HANIA
A: WIERSMA,
A. (100%, RODNEY
-) D. A: AYDOGAN,
(100%, 0) BULENT (100%, 0) 378020
A: OZTURK, NAIM 1403A 1406 1408
1227 Conf Supply
390777 370582 1411 373275
1 378500 7
1226 1228 EL-P5-1 1003A Public Corridor Kitchenette 370582 Trash Room
7 Central Storage 51
378500 378500 390777 390777 61 1402 Consult Room 79
levator 22 1406A
Exam Room Exam Room Public Elevator 1018 Public Corridor 370582 122
74 390777 77 370582 A: UNOCCUPIED, VACANT
110 116 Sub-Waiting
Public Corridor Closet
1005 1STE 246
813 18
378020 390777 1405A 1405 1410A
Conference Room Stairway 370582370582 370582
1239 EL-P4-1 1003 EL-P2-1 478 203
1225 1229 Office Office
378500 390777 390777 390777 Internal Corridor
378500 378500
55
233
86
Exam Room Public Lobby Seating Public Elevator Public Corridor

Public Elevator
Exam Room
A: BAKER, MANAL A: OCHOA, VIRGINIA 1STF
112 492
75
306
75
114
1405B 1410B 390777
370582
370582
Stairway
215 Office Office 251
8500 1224 EL-P3-1

EL-P1-1 1402A 51
86
therapy 378500 390777

390777
370582
A: MEWANI, MONIKA A: WILLIAMS, BRENDA
1005B 1004A
69 Exam Room Public Elevator

Elevator Sub-Waiting
378020
373214
O, JAMES 91 75
75
246
1230
Conf Supply
Argo Tea 1409
378500
30
78
1407
390777
Patient Toilet
370582
Public Corridor
1223 1405C
1405D
38
370582
370582
Office 845
378500 138
Exam Room Work/Copy

Office
121289 1231
56
49
A: LOVE, TERRI
378500 378500
1401
A: JASSER, ANTOINE
Internal Corridor Work Area, Resident

390777
753 98
Public Corridor
673
1232
1004
1222 377721
EL-S2-1
378500
1015A
378500 390777
Office
Public Lobby Seating 377721
1211 Patient Toilet 1238

1SHC 1EL3
Non-Public Elevator
117 sf
102
A: BOONE, GEORGE 359

Central Supplies 1C03
378500 39 378500
373540
373540 84
am Room A: MACON, ANGELA 300

373540
Reception
Shaft Electrical
74 A: MCBRIDE-MARTIN, WANDA 678
Voice/Data
1221 A: CAPERS, CHERYL 157
207
154
378500 A: KELSEY, DOMINIQUE EL-S1-1
Treatment, VFI A: UNOCCUPIED, VACANT 390777
113 Non-Public Elevator
A: UNOCCUPIED, VACANT 84
1STH
1220 390777
378500 Stairway
Exam Room 177
114
1014
377721
1219
378500
1234
378500
Central Supplies
291
1006
162 sf
377721
Central Supplies
1011
370300
1012 1013
1218 1237
312
Office 370300
370300
Exam Room Exam Room
115 378500 117

122-1700
141
Office Office
Internal Corridor A: BEACH, Office
BRITTANY
86
11 1010
500 83 234
L
A: GIBBS, JOANNA 370300 A: EXTERNAL, NON-EMPLOYEE
224sf
Records A: RIDGEWAY, JEAN 1007
Internal Corridor
A: SALMINEN, KIMBERLY 1001B 373660
23 1217 1235
373321
1008
A: BARRY, TERESA297
GERALYN
, FRANK 378500 378500

A: ZISKIND, LAUREN 390777
Valet A: EXTERNAL, NON-EMPLOYEE
Security Desk 48
Exam Room 1218A Exam Room

Wheel Chair Storage
1236
1117
183
112 378500 110

166
122-1700
122-1700
1009
Central Storage 377721
22 Office
Office
1001
1002
Office
64
61
373320
390777
90
A: RIDGEWAY, JEAN Reception
Public Corridor
358
4,397
1112 1009A
1001A
390777
380777
370520
Public Corridor
Reception
A: UNOCCUPIED,
563 VACANT 370590
Family Resource Library 224
A: UNOCCUPIED, VACANT Office 167
A: UNOCCUPIED, VACANT A: EXTERNAL, NON-EMPLOYEE

A: UNOCCUPIED, VACANT A: UNOCCUPIED, VACANT
ACANT
1114
380777
Internal Corridor
482
1108
380777
Internal Corridor
282
1108-S3 1108-S4 1108-S5
1109-E1 380777 380777 380777

1002A
380777
NT Office Office Office
373214
Work/Copy 48 47 48
Argo Tea
1115
88A: UNOCCUPIED, A:
1108-N1 VACANT
UNOCCUPIED,
1108-N2A:VACANT
UNOCCUPIED,
1108-N3
VACANT 378101 218
378101 378100 378100 Reception

NT Office Office Office 372
48 47 48
A: DUNCAN, EDNA
A: MASON, PATRICIA A: RYAN, DENAE
1108A 1115A
380777 373214
Internal Corridor Merchandising Service
191 50
1109-S2 1115-N1
380777 1108-S1 1108-S2 378101
Office 380777 380777 Office
47 Office Office 78
1STD
UPIED, VACANT 61 47 A: UNOCCUPIED, VACANT
390777
A: UNOCCUPIED, VACANT Stairway
1EL1 1CO1 165
373540 373540
Electrical Voice/Data
182 87
Figure 5.98 UCMC Outpatient: Storage Survey
APPENDIX 5-94
APRIL 1, 2018
5.2.8 Elmhurst VAMC Storage Survey
122 sf
125 sf 696 sf
Figure 5.99 Elmhurst VAMC: Storage Survey
APPENDIX 5-95
APRIL 1, 2018
5.2.9 Rush VAMC Storage Survey
115 sf
375 sf
440 sf
137sf
375 sf
Figure 5.100 Rush VAMC: Storage Survey
APPENDIX 5-96
APRIL 1, 2018
5.2.10 Washington DC VAMC Storage Survey
785 sf
384 sf
300 sf
300 sf
83 sf
211 sf
190 sf
Figure 5.101 Washington DC VAMC: Storage Survey
APPENDIX 5-97
APRIL 1, 2018
APPENDIX 5-98
APRIL 1, 2018
5.3 Test Fits
Disclaimer: Test Fits are for demonstration purposes only. They are
intended for planning exercises and should not be used for construction
documentation, equipment purchasing, bidding or cost estimating. RCPs,
elevations, axons, data sheets and equipment lists are not provided for
Test Fits.
Test Fits are graphical representations of selected room types that
illustrate the integration of space, components, systems, and equipment.
They provide typical configurations and general technical guidance, and
are not intended to be project specific. Specific infrastructure design
requirements are contained in VA Design Manuals and Space Planning
Criteria located in the VA Technical Information Library (TIL).
As Test Fits are not project-specific, site specific issues must be
addressed with the context of VA Standards and applied to each individual
project with the shareholders and design team. Use of these Test Fits
does not preclude the need for, nor absolve planners, designers, and
constructors of their responsibility to provide complete, functional, safe,
and secure designs suited to the unique requirements of each project.
Equipment and systems are shown in an illustrative, performance-based
format and are not intended to depict, suggest, or otherwise constitute
endorsement of any specific product or manufacturer. Manufacturers
should be consulted for actual dimensions, configurations, and utility
requirements.
APPENDIX 5-99
CONSULT ROOM Plot Date: 1/5/2018 11:20:13 AM
SKETCH TITLE
0' 4' 8' 16'
APRIL 1, 2018
SCALE: 3/16" = 1'-0"
5.3.1 Consult Room
12' - 0" [3658 mm]

F2000
WASTE BASKET
CT030
COUNTERTOP PLAM
M1801
COMPUTER
A1015
PHONE
C01C0
6' - 0" [1829 mm]
CABINET
10' - 0" [3048 mm]
F0340
STOOL
F0795
TABLE
A5145
HOOK, GARMENT,
DOUBLE
CONSULT
ROOM
45
120.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

APPENDIX 5-100
PHONE BANK, TELE-PHARMACY Plot Date: 1/5/2018 11:20:14 AM
SKETCH TITLE
APRIL 1, 2018
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
5.3.2 Phonebank, Telepharmacy
12' - 9" [3880 mm]
A1015
PHONE
F0280
CHAIR LOW BACK
15' - 9" [4788 mm]
F2000
PHONE BANK, WASTE BASKET
M1801
TELEPHARMACY COMPUTER
43 E0123
WORKSTATION
200.00 SF
0’ 4’ 8’ 16’
DISCLAIMER: ROOMScale: 3/16” ARE

TEMPLATES = 1’-0”
GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC
APPENDIX 5-101
STORAGE, PROSTHETICS AND SUPPLIES Plot Date: 1/5/2018 11:20:15 AM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0" APRIL 1, 2018
5.3.3 Storage, Prosthetics and Supplies
10' - 6" [3200 mm]
PROVIDE BLOCKING
FOR PROSTHETIC
STORAGE SYSTEM
M2080
SHELVING
9' - 6" [2903 mm]

STORAGE,
PROSTHETICS
AND SUPPLIES
47
100.00 SF
0’ 4’ 8’ 16’
Scale: 3/16”
ENGINEERING SYSTEMS. THEY=PROVIDE
1’-0” TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
APPENDIX 5-102
APRIL 1, 2018
5.3.4 Filling/Assembly, Shelving Storage

FILLING/ASSEMBLY, STORAGE SHELVING Plot Date: 1/5/2018 11:20:16 AM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
29' - 0" [8842 mm]

3' - 0" [908 mm] 4' - 0" [1219 mm] 4' - 0" [1219 mm]
14' - 6" [4413 mm]

M2050
SHELF
FILLING/ASSEMBLY,
SHELVING

STORAGE

49
420.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APPENDIX 5-103

WORK AREA, STERILE COMPOUNDING APRIL 1, 2018
Plot Date: 1/5/2018 11:20:17 AM
SKETCH TITLE
0' 4' 8' 16'
5.3.5 Work Area, Sterile
SCALE: 3/16" = 1'-0"Compounding
16' - 8" [5080 mm]

F3200
CLOCK
F2000
WASTE BASKET
6' - 0" [1829 mm]

K1910
TABLE
U1200
PASS-THRU
M1801
COMPUTER
F0230
CHAIR
WORK AREA,

STERILE

COMPOUNDING

50
100.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APPENDIX 5-104
SCALE: 3/16" = 1'-0"
APRIL 1, 2018
5.3.6 Storage, Sterile Compounding
27' - 0" [8221 mm]

4' - 0" [1219 mm]
14' - 10" [4520 mm]

M2080
SHELVING
4' - 0" [1219 mm]
STORAGE,
STERILE
COMPOUNDING
51
400.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APPENDIX 5-105
COORDINATOR Plot Date: 1/5/2018 11:20:18 AM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018
5.3.7 Workstation, Clinical Pharmacy Teaching Coordinator
8' - 7" [2619 mm]
E0123
WORKSTATION
A1015
7' - 0" [2128 mm]
PHONE
F2000
WASTE BASKET
M1801
COMPUTER
F0275
CHAIR HIGH BACK WORKSTATION,
CLINICAL

PHARMACY

TEACHING

COORDINATOR

53
60.00 SF
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”
APPENDIX 5-106
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"
APRIL 1, 2018
5.3.8 Workstation, Intern/Student
10' - 4" [3150 mm]

F0420
FILING CABINET
5' - 10" [1770 mm]

A1015
PHONE
F2000
WASTE BASKET
M1801
COMPUTER
E0123
WORKSTATION WORKSTATION,
F0275 INTERN/STUDENT
CHAIR HIGH BACK
54
60.00 SF
0’ THEY PROVIDE TYPICAL
ENGINEERING SYSTEMS. 4’ 8’
CONFIGURATIONS, 16’ TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.
PLANNING CRITERIA, AND GENERAL
Scale: 3/16” = 1’-0”
APPENDIX 5-107
WORKROOM, RESIDENT Plot Date: 1/5/2018 11:20:19 AM
SKETCH TITLE
0' 4' 8' 16'
SCALE: 3/16" = 1'-0"

APRIL 1, 2018
5.3.9 Workroom, Resident
F3200 18' - 0" [5486 mm]

CLOCK
F2000
WASTE BASKET
M1801
COMPUTER
A1015
PHONE
A5220
13' - 4" [4064 mm]

BRACKET
A5212
BRACKET
M0500
TELEVISION, FLAT
SCREEN
F0750 WORKROOM,
TABLE RESIDENT
F0220
55
CHAIR
E0220 240.00 SF
WORKSTATION
DISCLAIMER: ROOM0’TEMPLATES ARE GRAPHICAL

4’ 8’
REPRESENTATIONS 16’THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SPECIFIC
OF SELECTED ROOM TYPES
Scale: 3/16” = 1’-0”
APPENDIX 5-108
PHARMACY CACHE Plot Date: 1/5/2018 11:20:
SKETCH TITLE
APRIL 1, 2018
0' 4' 8'
SCALE: 3/16" = 1'-0"

5.3.10 Pharmacy Cache
26' - 5" [8052 mm]
R6065
REFRIGERATOR
PHARMACY
CACHE
56
1080.00 SF
PHARMACY
CACHE CART
40' - 11" [12461 mm]
6' - 0" [1833 mm]
F0525
CART, SUPPLY
F2245
CAMERA
0’ 4’ 8’ 16’
Scale: 3/16” = 1’-0”

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM CONTENTS, AND ROOM SP
ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMEN
APPENDIX 5-109
APRIL 1, 2018
APPENDIX 5-110

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Pharmacy Service

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1.0 GENERAL 1-1

1.3 Introduction 1-9

1.4 VA Policies / Standards and Industry Policies / Standards 1-11

1.4.1 VA Policies/Standards 1-11

1.4.2 Industry Codes/ Standards 1-12

1.4.3 HIPAA 1-12

1.4.4 Disaster Planning 1-12

1.5 Abbreviations 1-13

1.6 Definitions 1-17

2.0 NARRATIVE 2-1

2.1.1 Pharmacy Staff and Role Descriptions: 2-3

2.1.2 Pharmacy Educational Program 2-5

2.1.3 Inpatient Pharmacy 2-6

2.1.4 Primary Inpatient Pharmacy Spaces and Functions 2-7

2.1.5 Outpatient Pharmacy 2-9

2.1.6 Primary Outpatient Pharmacy Spaces and Functions 2-10

2.1.7 Satellite Pharmacy 2-11

2.1.8 Waste Management 2-11

2.2 Trends in Pharmacy 2-13

2.2.1 Research Based Design 2-13

2.2.2 Technology Advancements: 2-13

2.2.3 Codes and Standards 2-14

2.2.4 Meds to Beds 2-14

2.2.5 Storage 2-15

2.2.6 Consolidated Mail Outpatient Pharmacy (CMOP) 2-15

2.2.7 Personalized Healthcare: DNA Driven Drug Development 2-16

2.3 Technical Considerations 2-17

2.3.1 VA Policies, Directives, Handbooks and Standards 2-17

• Local/State Codes and References 2-17

• Other Recommended Reference Standards 2-17

2.3.2 Architecture 2-18

• Acoustics / Noise Control 2-19

2.3.3 Interior Design 2-20

• Interior Finishes 2-20

2.3.4 Heating, Ventilation, and Air Conditioning Systems 2-21

• Life Cycle Analysis 2-21

• Energy Conservation 2-22

2.3.5 Pneumatic Tube System 2-24

2.3.6 Plumbing Systems 2-24

2.3.7 Electrical Systems 2-25

2.3.8 Telecommunication, Monitoring, and Signaling Systems 2-26

2.3.9 Fire Protection and Life Safety 2-26

3.0 FUNCTIONAL CONCEPTS 3-1

3.1 General 3-3

3.2 Adjacency Diagrams 3-4

3.2.1 Bubble Diagram - Inpatient Pharmacy (IP) 3-4

3.2.2 Mockup Diagram - Inpatient Pharmacy (IP) 3-5

3.2.3 Bubble Diagram - Outpatient Pharmacy (OP) 3-6

3.2.4 Mockup Diagram - Outpatient Pharmacy (OP) 3-7

3.2.5 Mockup Diagram - Combined IP/OP Pharmacy 3-9

3.3 Medication Flow Diagrams 3-10

3.3.1 Inpatient Pharmacy (IP) 3-10

3.3.2 Combined Pharmacy IP Flow 3-11

3.3.3 Hazardous Drug (HD) Receiving/Storage 3-12

3.3.4 Sterile Compounding Flow 3-13

3.3.5 Outpatient Pharmacy (OP) 3-14

3.3.6 Combined Pharmacy: OP Flow 3-15