Tech Tips

How Does Centralized vs. Decentralized Medication Distribution Impact Design?

Bill Hinton, CMNT - medical equipment planner

Bill Hinton, CNMT

Associate Principal, Senior Project Manager

In the past, most facilities used a centralized medication distribution methodology, but many facilities have now shifted to a decentralized model.

With a centralized distribution system, the pharmacy processes orders for medications and sends that day’s meds to the patient care areas.  In this approach, medication rooms typically only store a few PRN (as needed) drugs, requiring only a single half-size automatic meds dispenser and half-size refrigerator.

In the decentralized approach, many more medications are kept within the medication room, to be dispensed by the nurse from doctors’ orders.  In this scenario, multiple tower dispensers – main and auxiliary – are typically required in addition to the half-size refrigerator. Medication rooms housing multiple dispensers, counters with sinks, and wall storage can approach 160sf or more in size.

Other trends impacting design

Recent trends also include a change in responsibility for IV solutions from materials management to pharmacy, which translates into IV bag storage moving out of the clean supply room and into the medication room. Another trend is the storage of ancillary supplies associated with medication administration, such as IV tubing and syringes, to be housed in the medication room, requiring three to six feet of wall space.

Designing for flexibility

Although not all projects can accommodate the flexibility, planning the med rooms for a distributed system (even if the current method is centralized) can allow the pharmacy to change models in the future.  We have experienced projects in which the facility switched from a centralized distribution to a decentralized distribution system after construction documents were issued. In one example, the resizing of a dozen medication rooms from 110sf to 165sf cascaded into a redesign of 43 additional spaces.

Adam Sachs, PE

Associate, Mechanical Engineer

Amy Pitts, MBA, BSN, RN

Medical Equipment Project Manager

Andy Neathery

Technology BIM Specialist

Angela Howell, BSN, RN

Senior Associate, Medical Equipment Project Manager

Anjali Wale, PE, LEED AP

Associate Principal, Senior Electrical Engineer

Austin Barolin, PE, CEM, LEED AP O&M

Senior Associate, Senior Energy Analyst

Beth Bell

Principal, Chief Financial Officer

Bilal Malik

Associate, Senior Electrical Designer

Brennan Schumacher, LEED AP

Associate Principal, Lighting Design Studio Leader

Brian Hageman, LEED AP

Associate Principal, Plumbing Discipline Lead

Brian Hans, PE, LEED AP

Associate Principal, Senior Mechanical Engineer

Brian J. Lottis, LEED AP BD+C

Associate, Senior Mechanical Designer

Brianne Copes, PE, LEED AP

Senior Associate, Mechanical Engineer

Bryen Sackenheim

Principal, Technology Practice Leader

Carolyn Carey

Medical Equipment Project Manager

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