Pharmacy Manual

Pharmacy
Design Manual
workflow design
& project planning
medical casework
2009 Goelst International, LLC
Sustainable by design.
CONTENTS
Pharmacy
Design Manual
04
Learning Objectives
05
Primary Pharmacy Function
07
Distribution and Workflow
09
Pharmacy Personnel
10
Benefitting from Goelst Modular Medical Casework
12
Pharmacy Work Areas
12 Order Entry/Review
14 Unit Dose Picking/Dispensing
16 IV Admixture
18 USP 797
20 Compounding/Packaging
22 Bulk and Active Storage
24 Controlled Substance Vault
26 STAT Dispensing
28 Technicians Workstation
30 Pharmacist Office
32 Secretary/Reception
34 Break Room/Staff Lounge
36 Conference/Drug Information Center
38 Satellite Pharmacy
40 Outpatient Pharmacy
workflow design & project planning
42
Square Footage Calculation
43
Block Diagram
44
Preliminary Plan
45
Schematic Plan
46
Future Trends
47
Pharmacy Terms
48
Pharmacy Graphical Overview
50
Pharmacy Product Spotlight
52
Basic Information Sheet
Pharmacy Design Manual
OBJECTIVES
0
Learning Objectives
Be comfortable in the pharmacy environment
Know the 3 primary services of a pharmacy
Understand the role of each of the pharmacy work areas
Know the relationship between the pharmacy and all other hospital
departments and the important role that the pharmacy plays
Know the key personnel

Who are the key players within the hospital and pharmacy staff
What is the pharmacy personnel chain of command
Who should you make initial contact with and, in the event that you are
unable to do so, who is your next best option
Understand the pharmacy workflow

Understand the flow of materials throughout individual pharmacy work areas
and how to best optimize that individual areas workflow
Know the two main types of pharmacies and how they differ
Understand the function of each work environment and why certain work
environments are located where they are
Be able to identify distribution systems

Understand the interrelationship of pharmacy departments and their
individual responsibilities concerning medication distribution
Understand the pros and cons of available distribution systems
Consider future trends of distribution including automation, robotics, and
pneumatic tube systems
Be able to fill out the Basic Information sheet

Provide the facilitys initial needs assessment
Establish design requirements for the specific work areas to be built
Calculate square footage of rooms and consider hardware, machinery, and
additional design constraints including structural impediments
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
FUNCTION
0
Primary Function of a Pharmacy
The main objective of the hospital pharmacy is to provide prescription medications,
intravenous doses, an all related substances to both inpatients and outpatients of
the healthcare facility at the request of the physicians. Preliminary distribution efforts
of medicines include receiving, packaging and compounding of various substances
are completed within the pharmacy. Research based pharmaceutical substances,
developed for clinical studies, may also be managed by the hospital pharmacy staff.
Other responsibilities of the pharmacy include, managing inventory, providing security
of controlled substances, keeping of drug distribution records, providing cost analysis,
and the management and updating of patient prescription records. Primary services of
the pharmacy fall under the following categories:
1. Procurement and organization of patient prescriptions

2. Facility wide medication distribution
3. Patient consultation and clinical research
More and more pharmacies are dedicated to the continuing education of their staff.
Conferencing as well as pharmacy research initiatives are integral to the growth and development of successful pharmacy personnel. The role of the pharmacist is becoming
increasingly more dynamic in the fields of healthcare. In addition to dispensing medications, pharmacists are now taking a more direct role in patient care.
Once a prescription is received by the pharmacist from the physician the task of fulfilling the medicinal requirements may vary greatly. Medicines are typically prepared and
dispensed in one of two locations:
1. Central Pharmacy - Location of primary storage, packaging and compounding

2. Satellite Pharmacy - High traffic area capable of dispensing general use drugs
Medications are delivered via patient care units by a variety of personnel. Doctors,
nurses, and orderly assistants may all be responsible for trafficking medications. Increasingly prevalent modern forms of distribution include the use of automated vending
and pneumatic tube systems to supply high traffic areas such as emergency rooms and
intensive care units. The use of automated machinery provides pre-stocked pharmaceuticals to be delivered almost immediately after the initial request by the physician.
TYPES OF PHARMACIES
0
Types of Pharmacies
Centralized & Decentralized
Centralized
Prescription orders are processed by the pharmacist and are sent to the nurse station/
patient care unit, to be administered by the nursing staff.
Decentralized
The pharmacy department distributes medications at the nurse station via controlled
automation systems for 24/7 availability by the nursing staff.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
DISTRIBUTION
0
Process of Distribution
The initial prescription requested by the attending physician is commonly referred to as
the STAT ORDER. STAT denotes a severe urgency and is administered almost immediately. This initial order or first dose is rapidly filled when received by the pharmacist.
Next preparations begin to continually provide doses to the patient at regular intervals.
The process of stocking an ample supply of the required medication at the patient unit
may vary greatly depending on the size and organization of the facility. The following descriptions are the most common processes of distribution used by hospital pharmacies.
Standard Floor Stocking

A predetermined quantity of medicine is stored in the patient care unit to be administered by the nurse at designated intervals. To prevent depletion, the pharmacy
is responsible for restocking this patient care unit on a regular basis. At this point,
management of the medicine and patient record keeping become the responsibilities
of the nurse. This process is not widely used due to a lack of security, the probability for
mistakes and its overall inefficiency.
Single Dose Drawer Exchange

Individual packaged doses are prepared in either the central or satellite pharmacy.
The single dose is then placed inside of a secure drawer along with all the patients
required medications for a 12 to 24 hour period. Multiple drawers are loaded into cart
shelving and delivered to the patient care unit for the nurses. The emptied carts are then
switched out and replenished. The drawers are now refilled to begin the process over.
Multiple Integration Process

The most common process of distribution is a hybrid of both floor stocking and the
single does drawer/cart exchange. In this scenario, the specialized medications, which
are less frequently administered, are transported via the mobile carts. The high volume
medications such as pain relievers, gastrointestinal drugs, and cough suppressants are
stored using the standard floor stocking system.
Additional Systems
I.V. medication or intravenous fluids are predominantly used in the hospital to administer
drugs directly into the patients vein. Preparation of such speciality pharmaceuticals are
done under a tissue culture hood within a sterile prep room inside of the pharmacy. This
mixture of sterile fluid and medication is then delivered by the pharmacist to the patient
care unit in a sterile container, typically a glass bottle or plastic bag.
FLOW CHART
0
In-Patient Pharmacy Workflow

Movement of Materials From Wholesaler to Order Entry
Supplies are received directly from the wholesaler, by the pharmacy staff in the receiving area. Items are then broken down and sent to distribution via bulk storage or sent
directly to packaging where bar coding and organization takes place. Next medicines
are subdivided and sent to unit dose order processing, the IV preparation room, or
prepared for automated distribution methods.
Administration
& Purchasing
From
Loading
Dock
Recieving
Compounding
Bulk /Active
Storage
Break Down
Unit Dose
Station
Packaging
Sterile
IV Prep
Order Entry
Processing
Processing
Automation
Autamation &
Exchange
Systems
Systems
Distribution of Medication upon receipt of Doctors Prescription

The doctors prescription is received by the order entry staff. Next the pharmacist
categorizes the medicine as IV, oral dose, or special treatment. The prescription order is
then electronically processed and labeled by Order Entry technicians before being sent
to the appropriate patient care location after review of the order by a supervisor.
Doctor
writes
IV
Prep
USP-797
Sterile Prep
Room
Outpatient
Pharmacy
Drawer
Exchange
Oral
Medications
Unit Dose
Distribution
Distribution
Labeling
Labeling &
&
Order
Order Review
Review
Automation/
Pnuematic Tube
Systems
R
X
Order Entry
Processing
Processing
Special
Treatments
Patient
Care Unit
Floor Stocking
Systems
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
PHARMACY PERSONNEL
0
Pharmacy Personnel
Director of Pharmacy
The Pharmacy Director is a registered pharmacist typically holding a B.S., M.S. or M.
B. A in pharmacology or some other advanced degree. The Director of Pharmacy is
responsible for the total management of the pharmacy staff and facilities. The Director
also oversees administrative, distributive, technical, and clinical operations. The Director
of Pharmacy is also responsible for observing policy issues including strict adherence to
local and federal regulatory commissions. The role of the pharmacist is continually expanding within the healthcare environment. The director may also interact with personnel from other departments in addition to overseeing direct patient care responsibilities.
Assistant Director
The responsibility of the Assistant Director may vary from organization to organization.
The assistant can aid with the management of staff and facilities as well as administrative duties including dealing with drug representatives and distributors. Assistant Directors may only be present at larger pharmacy facilities. However the size of a pharmacy
and its staff may not be directly proportional to the size of the hospital.
Pharmacist
The pharmacist is also a licensed healthcare provider and is responsible for overseeing the daily operations of the pharmacy. The pharmacists role in patient care includes
providing accurate dosage of medications and individual consultations. The pharmacist
may work together with the nursing staff in addition to reviewing the performance of
technicians and other subordinate personnel. The pharmacist is concerned with specific
area functions and will be primarily interested in optimizing workflow, space management issues, and improving productivity within the overall facility.
Technician
Pharmacy technicians may receive a varying amount of certified training. Under
supervision and direction from the Director of Pharmacy and staff pharmacists, the
technician performs routine duties including IV preparation, unit dose sorting, inventory
organization, packaging and compounding. Tasks completed by technicians are always
reviewed by a certified pharmacist.
Clerical Staff
Clerical staff in the pharmacy department are responsible for a variety of administrative
duties. Clerical personnel complete word processing, data entry, reception, inventory,
and medication procurement tasks.
ADVANTAGES
10
Benefitting from Goelst
Modular Medical Casework
As with most functional environments, no two pharmacy facilities will be the same. Staffing, technical considerations, and frequency of patient turnover all affect pharmacy size
and workflow requirements. It is important to understand how the Goelst product and
service process are engineered to provide custom solutions for all pharmacy design
needs. The following points outline both the technical and financial advantages of designing with Goelst within the pharmacy and other healthcare facilities.
Technical Advantages of Goelst Casework
The prominent aspect of Goelst casework is how drastically it differs from the fixed
millwork cabinetry traditionally found in healthcare facilities. The adaptability of Goelst
workplace configurations suit the constantly evolving needs of innovative work environments in ways that are simply unachievable by use of the millwork alternative.
The complete Goelst design process centers on the products modular capabilities. In
addition, the durable Goelst casework construction reinforces its potential uses within
a variety of different institutional applications. The following list of technical advantages
discusses how Goelst is designed to change in order to meet the expanding needs for
space and workflow optimization while meeting rigorous physical standards:
Goelst casework is 100% moveable, changeable, reconfigurable and repairable.
Modular construction allows for field repair and replacement of individual parts
should the need arise, thereby increasing the life and versatility of the product.
Goelst is engineered to provide multiple design reconfigurations. Modular construction adapts with the technology, personnel, and spatial needs of each facility.
The highest quality European engineered hardware combined with durable construction materials create a lasting functional product suitable for institutional use.
All product materials and design efforts including component hardware engineering are specifically catered to meet the high demands of healthcare work spaces.
Goelst casework products are held together by high-quality metal systems resulting in joinery that is multiple times stronger than conventional millwork furniture.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
ADVANTAGES
11
Additional Advantages
Goelsts product inventory consists of over 75,000 standard line items enabling
any design solution to meet application specific needs and custom configurations.
Casework and accessories are designed to meet standards including engineering
that complies with the latest USP 797 regulations for pharmacy infection control.
Financial Advantages of Goelst Casework

Both the engineering aspects and quality of construction materials contribute to the
longevity of Goelst casework. However, it is the economic life cycle cost, extended
warranty and vast reconfiguration options that provide the significant return on the
customers investment. Specific financial benefits of installing Goelst product include:
Modular capabilities decrease the costly churn-rate for new casework that is
often associated with the use of millwork furniture during healthcare expansion.
Goelst installs in half the time of millwork carpentry and maintenance of the modular components is completed within minutes with the use of a single screwdriver.
Traditional millwork is fixed to the building structure making change impossible.
The reconfiguration of Goelst maximizes the customers casework purchase.
There are no hidden costs resulting from prolonged installation schedules or unforeseen maintenance that is largely characteristic of the millwork alternative.
Compared to the 39+ year depreciation rate for millwork, the freestanding Goelst
casework will rapidly depreciate in only 7 years. This is becoming increasingly
important to for profit healthcare institutions.
The 10-year, all-inclusive warranty, including on-site service ensures unsurpassed
performance of the physical product supported by dedicated customer service.
Regardless of initial up-front costs, the sustainable dynamics of Goelst casework
ensure that it will pay for itself long before millwork or other casework providers.
Pharmacy Work Areas
ORDER ENTRY/REVIEW
12
Order Entry/Review
The order entry area is the primary receiving and communications area for the entire
pharmacy. It is often the most central and open location of the pharmacy. It is found in
close proximity to entrances and exits and requires multiple computer workstations.
The order entry pharmacist is responsible for reviewing and distributing all written prescription orders. The workers in this area may depend on multiple communication technologies. Orders may be e-mailed, faxed or transmitted via pneumatic tube systems.
Once orders are received by the pharmacist, they must be cross-referenced with the patient care folder and all medication dosage history must be documented. Prescriptions
are typically archived at the order entry station which requires significant storage space.
Goelst Modular Medical Casework Application
Larger order entry areas may be designed using the modular G-Wall system including
the use of cantilevered worktops and shelves. Smaller areas may be configured using
transaction counters, worktables, or assorted casegoods. The final design of the pharmacy order entry area must allow for:
An optimal use of available workspace including future reconfiguration efforts.
Comprehensive electrical wiring including power, telephone, and data lines.
Additional space for the upgrade and expansion of computer hardware.
Goelst casework products may include:
Both 11 series sitting height and 14 series standing height base cabinets. The
order entry area must accommodate storage and organizational requirements.
Cantilevered worktops that accommodate multiple computer workstations and
keyboard trays. Adjustable height worktables may also be used as workstations.
Cantilevered shelving and/or 18 series overhead cabinets that provide storage for
file folders, procedural manuals, reference books, and technical literature.
24 series transaction countertops that allow for pass-through communication
between interdepartmental pharmacy personnel.
Illumination hardware including 80.3 series task lighting and 80.11 light valances.
80.14 series Slatwall components for increased organization of work tools and files.
.Additional office accessories may include 80.13 series lightweight tack panels.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
ORDER ENTRY/REVIEW
13
Plan view of Order Entry/Review Stations
The order entry/review workstation will range in size from 100 to 280 square feet based
on the volume of patient care, number of employees, and computer hardware needs.
26' - 8"
15" - 10"
29'
Pharmacy Work Areas
UNIT DOSE PICKING/DISPENSING
14
Unit Dose Picking/Dispensing
In an effort to maximize productivity, high-volume pharmacy medications are prepackaged in single dose form. The administration of individual unit doses ensures
accuracy and prevents unnecessary waste of medications. The need to sort and dispense unit-dose medications as efficiently as possible has lead to the development of
ergonomically configured picking stations.
The repetitive physical actions performed by the technician within the unit dose picking
station, must be kept to a minimum. All extra steps taken and unnecessary movement
leads to substantial loses of time and a decrease in overall departmental productivity.
Ergonomic characteristics of successful unit dose stations reduce medications to
an arms length in distance. The majority of picking takes place at standing height.
Computer data entry is typically performed at a sitting height work top. The average
horseshoe shaped picking station will contain 300-500 gravity fed medication bins.
These stations contain approximately 95% of the most frequently administered drugs.
Automated Dispensing Carousels
Hospitals with larger operating budgets may incorporate automated dispensing robots
and carousels in the unit dose picking area. These automated vertical shelving units
rotate within the picking area to dispense medication doses at the touch of a button.
The size and orientation of the picking station will vary depending on the size of each
facility and the volume of medications regularly distributed. Functional requirements of
individual stations also vary depending on available personnel and organization of the
hospital. The casework application must be adaptable to suit these various needs. Factors of successful unit dose casework configurations include:
Practical size of picking station and number of technicians required to fill orders.
Quantity of multiple picking stations and their proximity to the order entry area.
Distribution access including cart exchange method and pneumatic tube systems.
Integration of computer hardware and wiring of data and communication terminals.
20 series G-Wall consisting of both radiused and straight walls. Use of additional
cantilevered shelving and worktops also provide efficient use of available space.
14 series base cabinets with gravity fed drawers as well as angled cantilevered
shelves with plastic storage bins to provide optimal use of vertical wall space.
Cantilevered work surfaces as well as centrally located 26 series adjustable height
worktables to provide space for computer workstations as well clerical duties.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
UNIT DOSE PICKING/DISPENSING
Automated
Station
15
Plan Views of Unit Dose Picking Stations

Unit dose picking stations will vary in size and configuration based on the size of the
hospital and layout of the pharmacy. The quantity of picking stations and total square
footage depends on the volume of patients and the quantity of drugs in the pharmacy.
Unit Dose Picking Station areas range in size from 300 - 600 square feet.
Robot-Rx - A centralized, distribution system that automates the

drug dispensing process using
bar-code scanning technology
Vertical Carousel - automated vertical shelving units rotate within the
picking area to dispense medication doses at the touch of a button.
12' - 4"
11' - 5.5"
5'
17' - 4"
29' - 0.5"
Pharmacy Work Areas
IV ADMIXTURE
16
IV Admixture
The IV Admixture chamber or Clean Room should be designed to be the most sterile
environment in the pharmacy. Work done within the IV Admixture room consists of the
sterile mixture and preparation of medications suspended within intravenous fluids and
syringe doses. The size and number of required personnel within the IV Admixture is
dependent on the volume of IVs prepared and level of risk that must be complied to.
All IV Admixture rooms must retain an airtight seal that when compromised engages a
positive air pressure vacuum that prevents contamination from airborne microbes.
Inside of the clean room, medications are introduced into sterile IV solutions underneath a Laminar Hood. The Laminar Hood distributes filtered air downward through
the prep area. Additional positive air filters are strategically placed within the clean and
anterooms. The classification of IV Admixture room will vary based on the number and
effectiveness of sterile filter locations.
Inside of the adjacent Anteroom should be adequate storage space for fluids and
medications. The anteroom is also were gowning, hand washing, and clerical work
takes place. Multiple computer workstations positioned on cantilevered worktops must
also be located within the anteroom.
The use of standard Goelst product including G-Wall and specialty cabinetry will effectively satisfy all infection control requirements. G-Wall product is also reconfigurable.
Design of the entire IV Admixture area should consist of 20 series modular G-Wall.
Base cabinetry may consist of 14 series open drawer trays to allow for storage.
Both adjustable height and sloped shelving may be used for additional storage.
Adequate space must be provided for refrigeration units and multiple fume hoods.
25 series cantilevered worktops constructed of chemically resistant Trespa resin.
16 IVS Tambour Door Cabinet to enable pass-trough capabilities of medications.
20 SHD G-Wall panels with sliding acrylic windows to provide sterile pass-through.
80 DSD Double Swinging Doors to create sterile, hands-free entrances/exits .
80 SOS illuminated soffits prevent contamination of empty space above cabinets.
21 series lockers and wardrobes will provide sterile storage of work gowns etc.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
IV ADMIXTURE
17
Plan View of an IV Admixture Room
An average IV Admixture room configuration consisting of sterile compounding, IV and
Chemo prep, distribution/order entry, an anteroom and changing area will require a
minimum of 800 square feet.
Vertical
Laminar Hood
Horizontal
Laminar Hood
CHEMO
PREP
26' - 8"
(-) Negative Airflow
Horizontal
Laminar Hood
STERILE
IV ROOM
(+) Positive Airflow
ANTEROOM
Double
Swinging Doors
15' - 10"
Tambour Door
Pass-Throughs
ADDITIONAL
IV SUPPLIES
GOWNING
29'
Pharmacy Work Areas
USP 797
18
USP 797
What is USP 797?
In each sate, the state pharmacy boards are defining the infection control regulatory
standards for hospitals. The extent of each states USP 797 requirements may vary.
USP 797 compliant IV Admixture rooms will soon become standard and are currently
requested by the Pharmacy Director and hospital administration to ensure the regulatory
viability of their pharmacy and healthcare facility well into the future.
Establishing USP 797 Regulations
USP 797 is an extensive regulation that establishes a number of specific pharmacy classifications and sterile procedural requirements. It outlines various means of prevention
for the accidental transmission of disease and bacterial infections. Specific policies describe sterilization methods of medications in an effort to protect both hospital patients
and pharmacy staff.
These guidelines have been mandated by the Unites States Pharmacopeia (USP), not
for profit, public health organization. It applies to any pharmacy that manufactures,
stores, or administers compounded sterile preparations or CSP doses. Such doses
include IVs prepared from non-sterile ingredients, syringe doses with suspended medication and topical anti-biotics. Most hospital pharmacies will fit this description.
Additional details concerning USP 797 compliance are as follows:
JCAHO has been defining USP 797 since July 1, 2004. Efforts to comply with USP
797 guidelines should begin immediately before they become mandatory in 2010.
To begin with, accurately asses the needs of your healthcare facility by interviewing
the Director of Pharmacy, Director of Engineering, and various administrators.
With the aid of the Pharmacy Directory, identify in the pharmacy where sterile compounding is done and procedural requirements that will need to be provided for.
Create a USP 797 compliant analysis document to illustrate how Goelst product
will effectively satisfy all such requirements within individual pharmacy areas.
Create an action plan that describes how to consider specific design elements.
Ensure successful integration of ISO Level-7, standard air-quality filtration systems.
Depending on proximity to IV clean rooms, air treatment systems may also be
required in the anteroom, Chemo prep area, compounding and order entry areas.
Daily sanitation requirements including floor moping and the wiping down of all
casework and walls is also included within USP 797 compliant rooms.
Hand washing and sterile gowning are also required for USP 797 compliant rooms.
.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
USP 797
19
Laminar Flow
Hood
Transom Panel
Stat IV
Pick
Station
Laminar Flow
Hoods
Sterile
Prep
IV Storage
Chem.
Hood
Bulk Storage
Pass Thru Unit
Chemo
Prep
Pick
Station
USP 797.
This regulation exists in an

effort to prevent contamination of supplies and
from putting hospital patients at risk. Fume
hoods, anteroom areas, pass-through units, and
airflow vents all need to be carefully positioned
within the pharmacy to be USP 797 compliant.
Note: Sterile preparation areas will utilize (+)
positive air pressure, or a downward flow of air.

Chemo preparation areas will utilize the opposite,
(-) negative air pressure or upward flow of air.
AIRFLOW DIAGRAM
Filtered Air &
(+) Air Pressure Area
Unfiltered Air &
( ) Air Pressure Area
HEPA filter
AIRFLOW DIAGRAM
Filtered Air &
(+) Air Pressure Area
Unfiltered Air &
( ) Air Pressure Area
Pharmacy Work Areas
COMPOUNDING/PACKAGING
20
Compounding/Packaging
In the compounding area of the pharmacy wet materials such as topical medications,
ointments, creams, lotions and other liquids are mixed and stored, typically by a pharmacist or technician. Medications are either divided into single unit doses or repackaged and placed in storage.
Located either adjacent to or in the same location as the compounding area will be a
smaller work space reserved for packaging and labeling of both unit dose and bulk
medications. Technicians are typically responsible for such duties and will utilize special
packaging machines. The Purchasing area, where bulk medications are initially received
from shipping, is also positioned close or adjacent to the packaging and compounding
areas. Close proximity to purchasing enables technicians to quickly sort medications
that will be funneled through compounding and packaging.
Packaging is completed on an as needed basis and in smaller healthcare facilities there
will be no need for two separate areas.
Packaging and Labeling Machines
Automated packaging machinery allows technicians to simultaneously sort, bar code
label, and package individual unit doses and secondary items for bulk storage and
picking. Individually labeled, high-volume drugs may be dispensed by robotic systems.
Further USP regulations will soon be required for the packaging/compounding areas.
In an effort to decrease mis-dispensing of medications to the wrong patients, USP
mandates will include standardized barcoding for explicit organization of all unit dose
medications. Also compounding areas may soon move towards clean room standards
similar, to IV prep/storage, including sliding glass doors and air filtration systems.
Freestanding G-Wall frames may be used to configure both compounding and packaging areas. Refrigeration units and plumbing systems including sinks and faucets must
be integrated for the wet compounding station. Ideally compounding/packaging will
also be in close proximity to the order entry area and bulk storage areas.
Mobile tables, significant storage space, and room for computer hardware and packaging machines must all be considered within a compounding/packaging design. Both
areas should utilize cantilevered worktops and cantilevered overhead shelving.
20 series G-Wall consisting of both radiused and straight walls. Use of 14 WMS
sinks will require 20 CTS support brackets and 20 OMR mounting rails.
14 series standing height base cabinets including moisture resistant HPL
worktops. 14 SNK base cabinets should be specified for all sink applications.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
COMPOUNDING/PACKAGING
Automated
Station
21
Plan Views of Compounding/Packaging Areas

Since these two areas are typically combined, the overall size of the compounding
and packaging areas will range from 200-250 square feet.
Med-Pak - creates individually

labeled, unit dose packages that
work in conjunction with centralized, robotic picking systems
23' - 10"
15' - 10"
26' - 8"
PURCHASING
COMPOUNDING
& PACKAGING
Pharmacy Work Areas
BULK & ACTIVE STORAGE
22
Bulk & Active Storage
Bulk storage is a large area of the pharmacy designated for the storing of boxed material,
packaged medication and IV supplies in bulk quantities. Daily deliveries are sent to bulk
storage via purchasing/receiving or directly from the loading dock until accessed by pharmacy personnel. As a result of the dust and debris generated from breakdown of boxes
and freight, bulk storage is situated far away from sterile processing areas.
The smaller, active storage area is typically situated adjacent to bulk storage but in closer
proximity to picking and packaging/compounding stations which require frequent restocking. Here supplies and materials are further broken down and organized into smaller more
accessible quantities. Less frequently administered drugs may also be stored here in
ready-to-use individual unit doses.
High Density Mobile Storage
Bulk Storage is also an ideal area to integrate mobile shelving units. Smaller hospitals
may be to unable accommodate storage without further maximizing available floor space.
Mobile Cart Storage
Mobile cart storage and distribution methods vary greatly between hospitals. Depending
on size, there may be a large network of cart exchange systems in place. Some facilities
may rely only on mobile carts. Other hospitals may be responsible for transporting large
volumes of medication off site to various healthcare institutions.
Modular shelving will be predominantly used within all pharmacy storage areas. Shelving
units may consist of a variety of configurations based on the size, format and quantities of
various stored materials. Additional design considerations may include:
Proximity of storage areas to one another and to receiving and processing areas.
Storage areas may include computer workstations for labeling, printing, and filing.
Cantilevered worksurfaces used for completing paperwork may also be required.
Aisle ways within storage areas as well as throughout the entire pharmacy floor plan
must provide sufficient space for the movement of mobile exchange carts.
Also an area for the storage of mobile carts while not in use may also be required.
20 series G-Wall including radiused walls, straight walls and cantilevered shelving.
25 series cantilevered worktops to provide computer and clerical workstations.
16 series tall cabinets with open adjustable shelving, sloped shelving and drawers.
14 series standing height base cabinets with multiple open and gravity fed drawers.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
BULK & ACTIVE STORAGE

12' - 10"
23
26' - 7"
BULK STORAGE
Plan Views of Bulk/Active Areas
The size of storage areas will vary based on volume of patient care and size of the
pharmacy. Bulk storage areas range from 200 to 400 square feet. Active storage areas
should be no larger than 250 square feet. If either storage area is too small or too large
they become ineffective. Shelf dimensions should range from 24 to 48 in width.
18' - 4"
ACTIVE STORAGE
7' - 5"
Pharmacy Work Areas
CONTROLLED SUBSTANCE VAULT
24
Controlled Substance Vault
In the central pharmacy, there should be a specific area or closed room reserved for the
storage of narcotics and government regulated medications. This area should remain
secure at all times using locked doors and locked cabinets or a physical vault. The vault
should be located in a low traffic area yet remain highly visible for security purposes.
Secured Automated Dispensing
Pyxis automated dispensing units enable tracking and documentation of controlled
substances while streamlining the distribution process. The use of free standing, secure
dispensing machines should be used in conjunction with secure locked doors.
G-Wall modular configurations with both cantilevered shelving and worktops are suitable for controlled substance vault design. The use of any cabinets or drawers should
include either double or single security locks. Any transport devices either automated or
the use of mobile dose exchange carts should also remain secure.
25 series cantilevered worktops and 20 series cantilevered adjustable shelving.
22 series drawer cabinets are ideal for storage of smaller unit dose medications.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
CONTROLLED SUBSTANCE VAULT
Automated
Station
25
Plan View of a Controlled Substance Storage Room

Controlled Substance Towers Secured vending enclosers with
regulated computer access dispense labeled unit dose narcotics
Depending the size of the hospital and methods of security the controlled substance storage room will range in size from 200 to 240 square feet.
13' - 7"
5' - 4"
7' - 6"
Pharmacy Work Areas
STAT DISPENSING
26
STAT Dispensing
STAT orders require a rapid work flow and distribution process. STAT orders are filled
and dispensed immediately and delivered independently to patent care units. STAT
drugs are not distributed during regularly scheduled floor delivery. The STAT picking
station is set apart from the larger unit dose station so that work flows remains independent. STAT stations will stock a majority of high-volume drugs in unit dose quantities.
A similar configuration to the larger Unit Dose Station may be implemented for a STAT
dispensing area. G-Wall units equipped with cantilevered shelves and worktops along
with multiple drug storage bins will provide optimal use of distribution work space.
20 series G-Wall consisting of both radiused and straight walls. Use of additional
cantilevered shelving and worktops also provide efficient use of available space.
shelves with plastic storage bins both provide optimal use of vertical wall space.
.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
STAT DISPENSING
27
Plan View of a STAT Dispensing Station
An independent STAT dispensing station will range in size from 50 to 125 square feet. A
smaller STAT dispensing station reserved for IV medications may also be located in the
sterile IV Admixture room.
16' - 3"
10' - 6"
4' - 6"
Pharmacy Work Areas
TECHNICIANS WORKSTATION
28
Technicians Workstation
A series of small computer workstations or offices, for use by technicians, should
be designated within the pharmacy floor plan. These workstations serve a variety of
functions. Technicians may be provided independent personal space to file and sort paperwork, use computers for communication and data entry, be involved with telephone
conferencing, and to read technical literature and research documents.
Modular components used for workstation configurations may include G-Wall, cantilevered shelving and a variety of overhead and/or base cabinets. Key issues to address
within this area include flexibility of space and the integration of computer and communications hardware. Use of modular wiring will also be comprehensive within this area.
20 series G-Wall consisting of optional partitions to maintain privacy. Use of additional cantilevered shelving and worktops to provide flexible use of space.
14 series base cabinets with adjustable shelves to store computer hardware. 18
series overhead cabinets with mail slots/shelving for storage of files and manuals.
80 series modular wiring components including grommet holes and task lighting.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
TECHNICIANS WORKSTATION
29
Plan View of a Technicians Workstation
Depending on quantity of mid-level personnel and available computer technology the
technicians workstation will range in size from 75 to 125 square feet.
17' - 10"
14' - 10"
Pharmacy Work Areas
PHARMACISTS OFFICE
30
Pharmacists Office
The Director of Pharmacy is assured to have his/her own private office. Additional offices may be reserved for the Assistant Director and supervising Pharmacists. Maintaining confidentiality and privacy is critical within these areas. Administrative as well as
commercial meetings with pharmaceutical representatives may occur in the office area.
Aside from implementing standard office design conventions it is important to consider
future reconfiguration possibilities. G-Wall structures, base and overhead cabinets, and
additional casegoods may be used in conjunction with product from other functional
areas to satisfy reconfiguration and expansion efforts of the facility, in the future.
Largely reflecting both personal taste and specific facility requirements, office areas will
utilize a variety of cabinet and worksurface configurations.
20 series G-Wall consisting of cantilevered 25 series worktops.
A variety of 11 series sitting height base cabinets and 16 series tall cabinets may
be used to provide adequate storage for both folder filing and additional items.
80 series modular wiring components including grommet holes and task lighting.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
PHARMACISTS OFFICE
31
Plan View of a typical Pharmacists Office
The office of the Director ranges between 125 - 150 square feet depending on individual
needs. The Assistants offices average 100 square feet depending on available space.
23' - 4"
13' - 11"
Pharmacy Work Areas
SECRETARY/RECEPTION
32
Secretary/Reception
The initial area of the pharmacy will be reserved for reception personnel and equipment.
Secretaries and other clerks in this area may have offices in close proximity to administrators and directors. The reception area should be located at the front of the pharmacy
to prevent foot traffic from entering the medical distribution and clinical areas.
It is required that accreditations, memberships, licenses and other certifications be displayed to the public in this area. Waiting rooms may also be located close to this area.
Aesthetics of casework configurations as well as function are important aspects of a successful reception area. Reception personnel must remain organized and efficient while
also acting as the initial contact for people entering and existing the pharmacy.
Multiple 11 series file drawer cabinets for archival storage of paperwork.
18 series open overhead cabinets with multiple mail slots to provide additional storage and organization of paper, files, and technical manuals.
Corner and peninsula shaped 25 series worktops for computer accommodation.
80.13 series lightweight tack panels to display documents and/or public notices.
80 series Slatwall Accessories to provide reconfigurable organization for office items.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
SECRETARY/RECEPTION
33
Plan View of a Secretary/Reception Area
A secretary/reception area will range in size from 50 to 200 square feet. The volume of
traffic for reception is dependent on the number of patent consultations and outpatient
services offered by the hospital pharmacy.
13' - 11"
8' - 6"
5'
Pharmacy Work Areas
BREAK ROOM/STAFF LOUNGE
34
Break Room/Staff Lounge
It is customary to locate a separate break room or lounge area for pharmacy personnel
to allow for coffee and meal breaks. It is important to provide a pharmacy break area to
cater to the needs of 2nd and 3rd shifts. Personnel should always remain in close proximity to distribution areas to quickly complete STAT orders during emergencies.
Break room configurations must allow space for major and minor appliances including
refrigerators, ovens, microwaves, and kitchen supplies. Design must include integration
of electrical components as well as plumbing apparatuses including at least one sink.
14 series standing height base cabinets including moisture resistant HPL worktops.
14 SNK base cabinets should be specified for all sink applications.
26 series circular and/or rectangular dining tables. Chairs and additional seating
are typically outsourced by Goelst if requested by the end user.
17 series mail slot cabinets may also be used to provide mail and personal storage.
80.13 series lightweight tack panels to display documents and/or public notices.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
BREAK ROOM/STAFF LOUNGE
35
Plan View of a Break Room/Staff Lounge
A break room/staff lounge will range in size from 75 to 225 square feet depending on
the appliances and equipment needed as well as the number of employees per shift.
7'
14'
3'
15'
Pharmacy Work Areas
CONFERENCE/DRUG INFORMATION
36
Conference/Drug Information
In order to ensure both the longevity and professional capabilities of the pharmacy
personnel a large conferencing/research area is typically provided as home for the
continuing education of current issues and developments on Pharmacology. In addition
administrators may hold meetings in the pharmacy conference room which remains set
apart from the rest of the healthcare facility.
Shelving and other modular products that are reconfigurable will allow for future change
as the functions and services of the pharmacy evolve over time. Modular shelving will be
needed to accommodate research manuals and multiple periodicals. Space for a computer and/or digital projector may be required as well as a narrow wall-mounted cabinet
to enclose a white marker board. A large table with available seating is also required.
Multiple 16 series open tall cabinets equipped with adjustable shelving for storage.
Multiple 11 series file drawer cabinets for archival storage of paperwork.
80 series modular wiring including task lights to illuminate reading/writing surfaces.
26 series circular and/or rectangular dining tables. Chairs and additional seating
are typically outsourced by Goelst if requested by the end user.
.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
CONFERENCE/DRUG INFORMATION
37
Plan View of a Conference/Drug Information Center
An average conference area will range in size from 150 to 225 square feet depending
on quantity of personnel employed and available floorspace.
21' - 10"
12' - 7"
Pharmacy Work Areas
SATELLITE PHARMACY
38
Satellite Pharmacy
Remote satellite pharmacies my be located anywhere within a hospital but are typically
positioned in close proximity to acute patient care departments including emergency
rooms and operating rooms. The satellite pharmacy is independently stocked, operated,
and supervised by the official pharmacy department. By positioning one or more satellites, the overall networking and distribution efforts of the pharmacy become significantly
more streamlined and effective.
By locating satellite pharmacies directly on patient care floors the pharmacist is allowed
far greater involvement in clinical patient care and drug treatment observation. This trend
of direct patient contact by the pharmacist is rapidly becoming the new standard in pharmaceutical care. Decentralized patient care floors with individual satellite pharmacies
may include pediatric, oncology, or separate hospital wings found in larger facilities.
Size and scale of satellite pharmacies may vary depending on necessity but all basic functions should remain fundamentally similar. There should be a small unit dose picking station, computer and label printer, telecommunication hardware, refrigerated cold storage
and wet sink area. Depending on facility requirements, a satellite pharmacy may also be
equipped with a small laminar flow hood for sterile preparation procedures.
Depending on size of the hospital mobile cart distribution networks may be in place that
include the satellite. In such a case, ample space must be designated for cart storage.
In response to innovation in pharmacy care, the services and functional requirements of
the satellite work area may need to change over time. Similar reconfigurable casework
configurations as found in the main pharmacy may be designed for a satellite.
Multiple 16 series open tall cabinets equipped with adjustable sloped shelving.
18 series overhead cabinets with sloped shelves and/or mailslots for filing.
11 series sitting height cabinets to accommodate storage and filing requirements.
26 series circular and/or rectangular conference tables will be required in the patient
consultation rooms. Additional seating is typically outsourced by Goelst.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
SATELLITE PHARMACY
39
Plan View of a Typical satellite Pharmacy
An average satellite pharmacy area will range in size from 125 to 275 square feet
depending on the size of the hospital and volume of patient care.
13'
5'
8' -11"
Pharmacy Work Areas
OUTPATIENT PHARMACY
40
40
Outpatient Pharmacy
In addition to standard patient care, hospital pharmacies may also be responsible for
providing prescription medications to outpatients. Existing as a separate retail entity, the
hospital pharmacy must order, stock, and distribute a separate medication inventory for
the outpatient pharmacy services.
The size and scope of an outpatient pharmacy operation may vary greatly based the
type of healthcare institution. In smaller private hospitals the outpatient pharmacy may
only require a single room or separate transaction configuration. VA facilities, military
bases and higher education facilities may have an entire department dedicated to
outpatient services.
The typical outpatient pharmacy will consist of a unit dose picking station, dispensing/order pick-up area, and consultation area for patients and families. The size and
number of the individual functional area is dependent on the size of hospital and volume
of outpatients. Dispensing and picking area will require cantilevered shelving and base
cabinets for storage. A large area for Trespa worksurfaces will be needed to accommodate computer equipment, labeling/printing devices, refrigerated storage and sinks.
In larger outpatient departments a separate area to be used as a waiting room while patients have their prescriptions filled may be needed in an alcove or lobby. The wait area
should be located in close proximity to the entrance an should be visible from either
the reception or order entry areas. The outpatient foot traffic should remain secure and
separate from the primary hospital pharmacy.
20 series G-Wall consisting of optional partitions to maintain privacy. Use of additional cantilevered shelving and worktops to provide flexible use of space.
Multiple 16 series open tall cabinets equipped with adjustable sloped shelving.
18 series overhead cabinets with sloped shelves and/or mailslots for filing.
11 series sitting height cabinets to accommodate storage and filing requirements.
26 series circular and/or rectangular conference tables will be required in the
patient consultation rooms. Additional seating is typically outsourced by Goelst.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Work Areas
39' - 2"
OUTPATIENT PHARMACY
41
Plan View of a Typical satellite Pharmacy
An average satellite pharmacy area will range in size from 125 to 275 square feet
depending on the size of the hospital and volume of patient care.
25'
25'
15' - 6"
DROP-OFF & PICK-UP

29' - 9"
29' - 9"
12' - 9"
PICKING/DISPENSING
39' - 2"
15' - 10"
16'
25'
CONSULTATION
Pharmacy Diagrams
SQUARE FOOTAGE CALCULATION
42
Square Footage Calculation
Quantity
Department Area
_________
Unit Dose Picking/Dispensing Stations @ __________ sq. ft.
_________
IV Admixture Room @ __________ sq. ft.
_________
Compounding Area @ __________ sq. ft.
_________
Packaging Area @ __________ sq. ft.
_________
Controlled Substance Storage Room @ __________ sq. ft.
_________
STAT Dispensing Station @ __________ sq. ft.
_________
Outpatient Picking Stations @ __________ sq. ft.
_________
Outpatient Dispensing Stations @ __________ sq. ft.
_________
Bulk Storage Area @ __________ sq. ft.
_________
Active Storage Area @ __________ sq. ft.
_________
Cart Holding Area @ __________ sq. ft.
_________
Staff Toilets @ __________ sq. ft.
_________
Janitors Closet @ __________ sq. ft.
_________
Order Entry/Review Station @ __________ sq. ft.
_________
Technicians Workstations @ __________ sq. ft.
_________
Inventory Control Station @ __________ sq. ft.
_________
Pharmacists Offices @ __________ sq. ft.
_________
Secretary/Reception @ __________ sq. ft.
_________
Staff Lounge @ __________ sq. ft.
_________
Conference Room @ __________ sq. ft.
_________
Drug Information Center @ __________ sq. ft.
_________
Outpatient Consultation Room @ __________ sq. ft.
Subtotal______________
TOTAL NET SQUARE FEET________________

Net-to-Gross Conversion Factor X_________
TOTAL GROSS SQUARE FEET_____________
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Diagrams
BLOCK DIAGRAM
43
Block Diagram
The block diagram demonstrates the typical adjacencies and relative sizes for all of the
functional areas within a typical pharmacy, in a graphic format.
The size of each area is determined by combining the typical Goelst modular medical
casework plans for each specified application. From this point, traffic patterns begin to
take shape visually, and an overview of the general work process can be evaluated.
TECHNICIANS
WORKSTATION
CHEMO PREP
IV ADMIXTURE
UNIT DOSE
DISPENSING
CONTROLLED
SUBSTANCE
VAULT
STERILE ANTE ROOM
ORDER ENTRY/REVIEW
GOWNING
SUPPLIES
ASSISTANT
DIRECTORS
OFFICE
BULK/ACTIVE
STORAGE
RECORD STORAGE
DRUG
RETURN
HOUSE
KEEPING
PHARMACY
DIRECTORS
OFFICE
RECEIVING/
BREAK DOWN
SUPPLIES
BREAK ROOM/
LOUNGE
EQUIPMENT
ALCOVE
COMPOUNDING/
PACKAGING
PURCHASING
LOCKER AREA
CONFERENCE
ROOM
SECRETARY/
RECEPTION
Pharmacy Diagrams
PRELIMINARY PLAN
44
Preliminary Plan
The preliminary plan clarifies the spatial requirements of the pharmacy areas by
illustrating the locations of all the fixed walls and open areas. The preliminary diagram
also identifies entrances, exits, and exact traffic patterns between work areas.
TECHNICIANS
WORKSTATION
CHEMO PREP
IV ADMIXTURE
UNIT DOSE
DISPENSING
CONTROLLED
SUBSTANCE
VAULT
STERILE ANTE ROOM
ORDER ENTRY/REVIEW
SUPPLIES
ASSISTANT
DIRECTORS
OFFICE
GOWNING
RECORD STORAGE
DRUG
RETURN
PHARMACY
DIRECTORS
OFFICE
HOUSE
KEEPING
BULK/ACTIVE
STORAGE
RECEIVING/
BREAK DOWN
SUPPLIES
BREAK ROOM/
LOUNGE
EQUIPMENT
ALCOVE
COMPOUNDING/
PACKAGING
PURCHASING
LOCKER AREA
CONFERENCE
ROOM
SECRETARY/
RECEPTION
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
Pharmacy Diagrams
SCHEMATIC PLAN
Schematic Plan
The schematic plan shows all of the specific Goelst modular medical casework and
exact configurations of components as is appropriate for a typical pharmacy. Specific
facility configurations will vary depending on individual pharmacy requirements and size.
FLOW DIAGRAM
ms to this area from the outside.
45
UNIT DOSE
DISPENSING
TECHNICIANS
WORKSTATION
Symbols
CHEMO PREP
IV ADMIXTURE
RECEIVING
STATION
CONTROLLED
SUBSTANCE
VAULT
STERILE ANTE ROOM
ORDER ENTRY/REVIEW
SUPPLIES
ASSISTANT
DIRECTORS
OFFICE
RECORD STORAGE
BULK/ACTIVE
STORAGE
PHARMACY
DIRECTORS
OFFICE
DRUG
RETURN
HOUSE
KEEPING
RECEIVING/
BREAK DOWN
EQUIPMENT
ALCOVE
CONFERENCE
ROOM
GOWNING
COMPOUNDING/
PACKAGING
PURCHASING
SUPPLIES
BREAK ROOM/
LOUNGE
LOCKER AREA
SECRETARY/
RECEPTION
FUTURE TRENDS
46
Future Trends in Pharmacy
Administration and Personnel
The role of the Pharmacist is evolving. Direct patient care, including consultation and clinical observations will increase the need for personnel and satellite distribution of doses.
Preventative pharmacy care will concentrate on the prevention of drug-related problems.
Medication Dispensing and Automation
The move towards universal barcoding for unit dose medications is increasingly popular.
Nurses will use wands to scan individual medications and patients prior to administering.
Unit dose distribution systems will expand resulting in increased integration of automated
methods and robotic technology. As a result, pharmacy budgets are likely to increase.
An increase in the volume of STAT or initial dose medications distributed as a result of the
worsening condition of newly admitted patients is likely to become a pharmacy priority.
New methods of administering doses such as timed release systems, fluid infusion pumps,
and transdermal patch medications will become increasingly more prevalent for patients.
As regulations for sterile IV medications become more rigourous, the level of complexity
and expense involved in the manufacturing process of these doses will inflate in proportion.
As distribution methods continue to evolve, the volume and diversity of drugs stored at
nurse stations will increase. Automated technology is also now appearing at nurse stations.
Personnel stationed at satellites will multiple as the role of direct clinical care expands for
pharmacists. Observation of drug treatment therapy and patient consulting will increase.
Robotic technology and automated distribution systems have become more popular in the
pharmacy. The increasing volume of pharmacy orders will require additional automation.
Layout and Floor Plan
As procedural tasks within the pharmacy become more complex and as satellite pharmacies increase in number, the relative size of storage, office, and distribution areas will shift.
Mobile distribution traffic patterns and congested work flows will need to be addressed as
the quantity of personnel and level of direct patient care increases within the pharmacy.
The need for large bulk storage areas will decrease as pharmaceutical vendors distribute
more specialized medications. Levels of preventative care will also increase for patients.
Due to increasing USP 797 mandates and the rising necessity for intravenous medications,
sterile admixture rooms, including chemo prep areas, will increase in size and complexity.
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
PHARMACY TERMS
Pharmacy Terms
47
Anteroom A support area adjacent to the clean room used for storage of IV medications.
Automation System of drug storage/control with computer software for reconciling usage.
Bio-Safety Hood A hood used in the manufacturing and mixing of chemotherapy drugs.
Cassette Exchange System Distribution where full casettes of medication are exchanged at
regular intervals with empty cassettes stored either in a medical cart or in the nurse station.
Centralized Pharmacy Orders are processed by a pharmacist in the main hospital pharmacy and sent to the nurse station to be administered by nursing staff to patients.
Centralized Pharmacy Technology
Carousel Rotating vertical storage units that provide automated unit dose picking
McKesson Robot Rx Housing pre-packed medications for distribution and labeling
Swisslog Robot Houses medications in single doses for packaging and distribution
Pyxis or Omnicell Controlled Substance Towers Secured narcotic storage unit
Clean Room An area set aside for sterile IV preparation where airborne particles and contamination must be kept to a minimum. Area may also be referred to as IV Admixture Room.
Controlled Substances (refered to as narcotics) Secure drugs with a potential for abuse.
Decentralized Pharmacy Medications that have been placed at nurse stations under controlled automation system by the pharmacy dept. for 24/7 availability to the nursing staff.
Decentralized Pharmacy Technology
Pyxis, SureMed or Omnicell 24/7 Automated medication storage at nurse station.
Floor Stock Medication Medications stored at the nurse station with a high turnover rate
and a low toxicity level. Such common items include pain relievers and topical ointments.
IV A specialty pharmaceutical that is administered intravenously meaning injected or by drip.
Laminar Flow Hood A vertical, horizontal, or bio-safety hood used during sterile med prep.
In-Patient Pharmacy Pharmacy in the hospital where drugs are purchased, delivered,
stored, processed, packaged, compounded (both sterile and non-sterile), and also recorded.
Par Level System Medication that is systematically stocked at a predetermined par level
and is replenished at a predetermined time to maintain consistent quantities of medications.
Pick List A comprehensive list of medications which is to be filled for cassette distribution.
Out-Patient Pharmacy An ambulatory location that distributes medications to the public.
Satellite Pharmacy A condensed pharmacy that is specific in nature. Locations of satellites
may include O.R., E.R., Oncology or Pediatric. Satellites are designed to increase efficiency.
STAT Medication that is to be filled immediately and without disrupting normal workflow.
Unit Dose High-volume medication doses packaged as individual units-of-use with name, expiration date, and bar code identification. Unit doses ensure accuracy and efficiency of meds.
GRAPHICAL OVERVIEW
48
Graphical Overview Pharmacy Applications
Visual Reference Guide
This visual reference section features samples of suggested Goelst casework products
and their suitable pharmacy applications. For a comprehensive list of our entire product
catalog including available dimensions, please consult the Graphical Overview brochure.
Sitting Height Base Cabinets

11 series cabinets should be used for all sitting height desk and workstation areas. Areas
may include Order Entry Stations, Technician Workstations, Offices, and Reception Desks.
11 Base Cabinets (Sitting Height)
11SBF
11FEF
11BBF
11TED
11FRD
11ONS
11DDS
11DRS
11ONP
14TRG
14TOD
18WFL
18WFC
Standing Height Base Cabinets

Standing Height cabinets increase organization of both paper files and medications. Areas
suited for 14 series cabinets include Unit Dose Dispensing, IV Admixtures, and Break areas.
14 Base Cabinets (Standing Height)
14TED
14PTD
14FRD
14FVD
14BFF
14BBF
14MBF
Overhead Cabinets
Overhead cabinets are ideal for increasing storage and organizational space. 18 series
cabinets may be used in Tech Workstations, Order Entry, Offices, and Break Room areas.
18 Overhead Cabinets
18SDH
18CSV
18PCS
18POS
18POS
Goelst USA, LLC
18SBP
18SBB
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
GRAPHICAL OVERVIEW
49
G-Wall and Cantilevered Shelving
G-Wall is the ideal Goelst product for maximizing floorspace and Pharmacy workflow.
G-Wall work areas may include Unit Dose, IV Admixture, Storage and Procedure areas.
20 G-Walls and Shelving
20SLD
20RHD, 20RHS
20CTS
20SHD, 20SHS
20OMR
20SWS
20IWS
20OWS
20SPC
Wardrobes, Lockers, and Tall Cabinets

21 series wardrobes and lockers should be made available for pharmacy staff. 16 series
tall cabinets are required for storage in IV Admixture, Offices and Bulk Storage Areas.
21 Wardrobes and Lockers
21DRS
21ONS
16 Tall Cabinets
21SEL
21TEL
21QDL
16ONS
21MDL
16SSF
16WLM
Worktops
HPL, Trespa, and Solid Surface worktops are all found in Pharmacies. In conjunction with
G-Wall, cantilevered worktops are used in Compounding, Storage, Office and Prep areas.
25 Worktops
25SSI
25RCW
25WWS
25CWP
25BST
25BFW
25TER
25SDS
25BKS
80 Series Hardware and Accessories

A variety of office and hardware accessories including Slatwall components, modular
wiring, and task lighting may be utilized in Order Entry, Offices, and Reception areas.
80SAT
Accessory Tray
for Slatwall
80SBH
Binder Holder
for Slatwall
80SFT
80SWO
Folder Tray
for Slatwall
Slatwall Rail
80TLF
Swivel Light
with Task Cord
80MWS
80MWP
Modular Wiring Modular Wiring

4-gang box (blk) Power Feed
80LVR (black)
Light Valance Rail Kit
PRODUCT SPOTLIGHT
50
16 IVS - Tambour Door Pass
Through IV Storage Cabinet
Goelsts IV-Storage cabinet (model 16IVS) is a pass-thru melamine cabinet
that divides two rooms and incorporates sloped, gravity-feed steel shelves.
This room-dividing, pass-thru unit, in conjunction with the new G-Wall system, allows
a customer to stock IV bags into the cabinet from a negative air-pressure side, without
losing a significant amount of air from the positive air-pressure side. When users on
the positive pressure side need to retrieve the IV bags from the cabinet, they simply
raise the tambour door.
As the tambour door is raised from one side, the other side of this pass-thru cabinet
is closed-off to reduce any significant amount of air loss between the two rooms.
This was engineered and accomplished with help from a local vendor here in North
Carolina. Our engineers worked closely together to achieve a relatively air-tight door
system that would not drastically reduce air pressure and trigger the air-pressure
alarms in pharmacies.
We have constructed a cabinet that has a spacious interior and without having too
many structural supports to get in the way. This gives the customer many customizable options to meet their specific storage needs. All of the stainless steel shelves are
adjustable on our 32mm system, in both height and in degree of slope. Each shelf
has a 4 high retainer on the bottom-slope side to keep the IV bag (or other product)
from falling off the shelf and is slotted to accept our proprietary shelf dividers. Each
shelf comes with no less than three (3) stainless steel dividers that can remain loose
for quick-change adjustments or secured with a set screw for a fixed compartment.
The tambour carpet is a genuine metal extrusion on a polypropylene base. All tambour door system components are produced in an aluminum satin finish.
Product Details
Goelst USA, LLC
Cabinets divide IV prep anteroom

and main pharmacy work area
while maintaining proper airflow
Incorporates sloped, gravity-feed

steel shelves for IV bag storage
Tambour door components are

made in an aluminum satin finish
Comes with three (3) stainless

steel dividers that remain loose
for quick-change adjustments
Shelf has a 4 high retainer on

the bottom-slope side to keep
the IV bag from falling out
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
PRODUCT SPOTLIGHT
51
14 Series Base Cabinets
with Gravity Feed Drawers
Open drawer base cabinets with gravity feed distribution systems are becoming increasingly more prevalent in hospital pharmacy design.
Goelst open cabinets with gravity feed drawers have been specifically engineered to
meet both storage and workflow requirements within busy pharmacy dispensing areas.
The modularity of this system allows for individual drawer components to be reconfigured within a single standard cabinet.
The open drawer cabinets provide quick visual reference of small items within high
volume storage areas such as pharmacy picking and dispensing stations. The gravity
feed cabinets come standard with the Goelst modular drawer divider system. The
aluminum dividers may be re-configured within the drawer to create multiple storage
configurations based on varying dimensions of multiple stored items. The gravity feed
drawer system is ideal for rotating potentially perishable stock. By creating vertical
lanes, older items slide to the front of the drawer while newer items are re-stocked in
the rear of the drawer to enable "first-in, first-out" rotation of product.
The semi-open base cabinets are only offered in the 14 series due to their ergonomic
requirements. Standing height cabinets are better suited to the manual picking procedures performed by technicians in large pharmacy dispensing areas. The 14 series
open base cabinets are typically used in conjunction with angled cantilevered shelves
to further conform to the movements of pharmacy technicians. As with all Goelst drawers, the gravity feed pharmacy cabinets come standard with Goelst soft-close drawers.
This is particularly beneficial for storage of medications to prevent accidental breakage
of fragile items as a result of jarring drawer closings.
Product Details
n
Open drawer cabinets provide

quick visual reference of small
items within high volume storage
Drawers may be placed on a

level plane or on an incline to
enable gravity-fed distribution
14 series semi-open cabinets

come standard with the Goelst
modular drawer divider system
14 series gravity feed pharmacy

cabinets come standard with
Goelst soft-close drawers
BASIC INFORMATION SHEET
52
Pharmacy Design
Basic Information Sheet
General Information:
Number of Beds
Hospital Name
Pharmacy Director
Assistant Director
Phone Number(s)
Fax Number(s)
EMAIL Assistant
EMAIL Director
Pharmacy Services:
Pharmacy Type:
In-Patient
Satellite Pharmacies:
O.R.
Out-Patient
E.R.
Pediatrics
Oncology
Distribution Method:
Centralized
De-Centralized
Automation Systems:
Centralized:
Robot-Rx (Unit Dose)
Carousels
Med-Pak (Packaging)
De-Centralized:
Pyxis Med Towers (Vault)
Omnicell
Sure-Med
Facility Planning:
Current Sq. Ft.
1-Year Expansion Plan:
5-Year Expansion Plan:
Renovation
New Space
New Sq. Ft.
What is being done about USP 797 (Cleanroom, Chemo, Sterile Prep):
What is being done about barcoding (Automated/Manual):
Goelst USA, LLC
phone (336) 201-5555 - fax (336) 201-5556
www.goelst.com
NOTES
Notes
53
Pharmacy
Design Manual
54
workflow design
& project planning
Goelst, LLC
915 Bridge Street
Winston-Salem, NC 27101 USA
medical casework

Pharmacy Manual

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Pharmacy

2009 Goelst International, LLC

workflow design & project planning

Pharmacy Design Manual

Know the key personnel

Understand the pharmacy workflow

Be able to identify distribution systems

Be able to fill out the Basic Information sheet

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Design Manual

1. Procurement and organization of patient prescriptions

1. Central Pharmacy - Location of primary storage, packaging and compounding

Pharmacy Design Manual

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Design Manual

Standard Floor Stocking

Single Dose Drawer Exchange

Multiple Integration Process

Pharmacy Design Manual

In-Patient Pharmacy Workflow

Distribution of Medication upon receipt of Doctors Prescription

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Design Manual

Pharmacy Design Manual

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Design Manual

Financial Advantages of Goelst Casework

Pharmacy Work Areas

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Work Areas

Pharmacy Work Areas

UNIT DOSE PICKING/DISPENSING

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Work Areas

UNIT DOSE PICKING/DISPENSING

Plan Views of Unit Dose Picking Stations

Robot-Rx - A centralized, distribution system that automates the

Pharmacy Work Areas

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Work Areas

(-) Negative Airflow

(+) Positive Airflow

(+) Positive Airflow

Pharmacy Work Areas

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Work Areas

This regulation exists in an

Note: Sterile preparation areas will utilize (+)

positive air pressure, or a downward flow of air.

Pharmacy Work Areas

Goelst USA, LLC

phone (336) 201-5555 - fax (336) 201-5556

Pharmacy Work Areas

Plan Views of Compounding/Packaging Areas

Med-Pak - creates individually

Pharmacy Work Areas