36E77619R0017-020.pdf

Phase 1 – USP 800 Hot Springs Pharmacy Gap Assessment

Contract #36C26318C0003

Table of Contents

Section 1 Summary Statement and Project Team

Section 2 Pharmacy Site Assessments

A. First Level Combined Outpatient/Inpatient Pharmacy

Appendix I Facility Internal Gap Assessment

Appendix II Programmatic Cost Estimate

USP800 Gap Assessment Hot Springs VAMC 6/8/18

Section 1

Phase 1 – USP 800 Pharmacy Assessment – Summary Statement

USP 797/800 describes practice and quality standards for handling hazardous drugs (HDs) to promote patient safety, worker safety, and environmental protection. Handling HDs includes, but is not limited to, the receipt, storage, compounding, dispensing, administration and disposal of sterile and nonsterile products and preparations. The standards are rapidly evolving as states move into compliance with FDA and USP mandates.

The consulting team of National Facility Solutions (prime contractor), Stone Group Architects, BWBR and Dunham was engaged to provide a summary review of the hospital pharmacies at the Hot Springs - Black Hills VA Medical Center. This effort was two-phased; it began with a review of existing plans, details and specifications of the pharmacy. This was followed by a site visit to assess current conditions and identify compliance issues and deficiencies with proposed USP 800 regulations that will go into effect on December 1, 2019.

On March 21, 2018 the design team toured the pharmacy within the Hot Springs - Black Hills VA hospital. The site visit included representatives from NFS, Stone Group Architects, Hospital Facilities and Project Management staff along with the pharmacy’s site manager and staff. The visit began with a discussion of VA’s system wide goals for USP 800 compliance, a review of current hazardous drug protocols and a walk-through to review current state compliance. At each site, non-compliant USP 797/800 issues were identified and discussed with staff, and these are captured in the general pharmacy comments for each respective pharmacy.

A Gap Analysis produced by the Hot Springs - Black Hills VA Pharmacy staff is included as Appendix I (attached at the back of this report) and is intended to compliment the Design team’s review, which together comprise the entire Site Report.

The design team has included a cost estimate of anticipated construction costs associated with renovations required to bring this pharmacy in compliance with USP 797/800. This can be found in Appendix II of this document.

General Site Observations:

The pharmacy is located on the first level and is where all drugs are brought into the hospital and stored. The drugs enter the building in totes through the loading dock and are delivered directly to the pharmacy by the pharmaceutical supplier.

Pharmacy deliveries are identified separately from standard deliveries to the hospital and bypass the main loading dock/receiving area. It was discussed that hazardous drugs (HDs) are going to start being segregated from non-HDs by their pharmaceutical supplier, but this protocol had not yet been implemented at time of this site visit. Since the Loading Dock/Receiving area does not receive Pharmacy deliveries, no provisions for USP 800 will be required in this area.

The pharmacy hood room was renovated in 2000 and meets USP 797 minimum requirements. Delivery, unpacking and storage areas will need to be designed to comply with USP797/800 requirements.

Pharmacy:

Upon arrival at the pharmacy, totes are checked in by a pharmacy procurement tech.

Totes containing HDs are brought directly into the pharmacy area and stacked in an open area that is part of the main circulation aisle. This open aisle area is where the initial unpacking of all drugs takes place. There is no separation from general traffic or other pharmacy products, and no designation on the floor for HD vs non-HD, nor is there a counter to unpack contents from the totes. This breakdown space lacks a dedicated handwashing sink. An area for PPE and spill containment kits are directly available.

As part of the breakout process, a Pharmacy tech separates out controlled substances and delivers these to the vault, which has restricted access.

The pharmacy floor has carpet tile and vinyl base. While flooring material is not specifically addressed in USP 800, carpet is incompatible with HD handling best practices, and should be replaced with a material that provides a surface that is easier to clean and will minimize the concern for HD contamination. This finish selection would fit the requirements for durability and cleanability where cleaning agents are likely to be used, and also fits Facility Guidelines Institute (FGI) guidelines, Infection Control Risk Assessment (ICRA) best practices, and other licensing agencies (i.e. CMS, Dept. of Health) guidance for pharmacy design. Facilities infection control staff may have input on flooring selection to include weighing options of typical flooring materials such as resilient sheet flooring, VCT, LVT, or a MMA type product.

Regarding pressurization conditions, per conversation with the site it is believed that the general area of the pharmacy is currently in neutral to slightly positive pressure (this condition will need to verified/measured during design).

Pharmacies must consider room pressurization when storing HDs1. Storing active pharmaceutical (APIs) of an HD in a negative pressure environment is required.

Additionally, they must store any antineoplastic HD requiring manipulation in a negative pressure environment. Storage of other agents and dosage forms may be based on the facility’s AoR. Absent a current AoR, all current HD storage will need to be moved to a segregated HD storage area. The room must have a negative pressure between 0.01 to 0.03” water column (wc), be vented to the outside, and have at least 12 air changes per hour. If determined to be acceptable within the facility’s current or future AoR, then the current HD storage practice may be acceptable within USP800 guidelines.

1 Antineoplastic HDs requiring manipulation other than counting or repackaging of final dosage forms and any HD API must be stored separately from non-HDs in a manner that prevents contamination and personnel exposure. Non-antineoplastic, reproductive risk only, and final dosage forms of antineoplastic HDs may be stored with other inventory if permitted by entity policy. See USP 800 Chapter 5.2

Section 2

Phase 1 – USP 800 Pharmacy Assessment – Pharmacy Site Assessments

The following general comments apply to the facility we toured during on March 21, 2018.

Site Visited: Hot Springs - Black Hills VA Health System – Pharmacy

Observations:

• The pharmacy has limited access control devices at doorways.

• Generally, with all pharmacy groups, it was recognized that system wide standard operating procedures (SOP) will need to be defined and implemented.

• The ceilings within the ante and buffer rooms appear to be scrubbable 2x4 ACT.

• It is unclear from the documentation provided if the ante room separating the IV prep space and the main pharmacy is compliant.

• There is no HD compounding done at this site.

Pharmacy Phase 1 USP 800 Pharmacy – Assessments

Existing Pharmacy Layout:

Architectural Summary:

• All HDs and non-HDs are unpackaged after delivery to Inpatient Pharmacy.

• Current room is used to store all drugs in their final dose form3.

• Sterile Non-HD drugs are compounded in the IV Hood room D016C.

• Sterile HD compounding is not done at this facility.

• Room does contain spill kits and PPE for staff.

3 HDs that do not require any further manipulation, other than counting or repackaging of final dosage forms, may be prepared for dispensing without any further requirements for containment unless required by the manufacturer or if visual indicators of HD exposure hazards are present (e.g., HD dust or leakage).

Counting or repackaging of HDs must be done carefully. Clean equipment should be dedicated for use with HDs and should be decontaminated after every use. Tablet and capsule forms of antineoplastic HDs must not be placed in automated counting or packaging machines, which subject them to stress and may create powdered contaminants. USP 800 Para 12

• Non-sterile HD compounding is currently done in the general pharmacy and needs to be done in negative pressure4.

• Floor has vinyl base and carpet floor, wall and ceiling finishes are monolithic, verify paint is durable finish.

• No sink or eye wash in the Ante room5.

Mechanical Summary:

• The general area of the pharmacy is in positive pressure.

• Room does not have adequate hand sinks or an eye wash station.

Review of Certification Testing

Test Technology, Inc. performed a full certification of the pharmacy IV room on December 04, 2017 with the following results:

IV Prep Sterile (Buffer per report) Room

Allowable Limit Measured Value Pass/Fail Particle Test (ISO 5) <352,000/ m3 6,577m3 Pass Air Changes per Hour >30 AC/hr N/A N/A Room Pressurization >+0.02” w.c. +0.0278 Pass

The Sterile IV (Buffer) Room was found to be holding adequate room pressurization of +0.0278” w.c.

Electrical Summary:

The sterile IV (Buffer) was found to have the existing hoods connected to emergency power. Existing equipment is fed with emergency power as required. All lighting is flush mounted with gasketed with smooth lens covers for easy cleaning. Entry to the pharmacy has controlled and restricted access at all doors.

4 In addition to this chapter, nonsterile compounding must follow standards in Pharmaceutical Compounding—Nonsterile Preparations <795>. A C-PEC is not required if manipulations are limited to handling of final dosage forms (e.g., counting or repack-aging of tablets and capsules) that do not produce particles, aerosols, or gasses.

The C-PECs used for manipulation of nonsterile HDs must be either externally vented (preferred) or have redundant–HEPA filters in series. Nonsterile HD compounding must be performed in a C-PEC that provides personnel and environmental protection, such as a Class I Biological Safety Cabinet (BSC) or Containment Ventilated Enclosure (CVE). A Class II BSC or a compounding aseptic containment isolator (CACI) may also be used. See USP 800 Para 5.3.1 5 USP 797 should be reviewed to determine proper placement of the sink for a non-HD sterile compounding setup.

Proposed Pharmacy Layout:

Recommendations:

• A dedicated space within the receiving area should be created to provide shipping tote receiving and include space for inspection, PPE and spill kit storage, cleaning/disinfection supply storage and disposal unit. This area should also have suitable flooring (“smooth, impervious, free from cracks and crevices, and non-shedding”, i.e. a cleanable monolithic surface) and scrubbable wall surfaces.

• A hand wash sink should be in close proximity to the receiving area.

• Storage within compounding rooms should be limited and covered or enclosed for ease of cleaning and to limit dust and contaminants.

• Pharmacy staff will need to establish USP 800 protocols for spills, containment and returns when damaged HDs are received.

• Pharmacy staff will also need to establish USP 800 compliant protocols for delivery, distribution and administering of HDs and subsequent disposal.

• A dedicated donning area for PPE is required directly inside the ante room with a demarcation line and PPE storage.

• Floor finishes within the ante room and positive pressure hood rooms should be monolithic with welded seams and integral base.

• Wall finishes should be a durable, durable paint system that can withstand wipe downs and scrubbing associated with the facilities cleaning protocols.

• The ceilings within the ante and buffer room should be hard-lid (gypsum board) and should also have a durable paint finish that can withstand wipe downs and scrubbing associated with the facilities cleaning protocols.

• It is recommended to remove and seal the window in the non-HD compounding space to be flush with the wall.

Architectural Summary:

General Pharmacy

• Renovation work must be scheduled to minimize down time. Pharmacy may utilize couriers throughout to assist with compounding needs.

• Review storage needs for non-HD medications and supplies to consolidate overall space allocation to create dedicated HD delivery/breakout space and construction of new spaces described below.

• Provide a dedicated area for delivery, inspection and breakout of HDs with PPE and spill containment supplies and hand wash sink directly adjacent.

• Wall and ceilings should be gypsum board with an appropriately durable finish system that will allow wipe down and scrubbing per the facilities cleaning protocols.

• Provide handwashing sink with integral eyewash in the Outpatient Pharmacy area in close proximity to the HD storage room.

• Replace carpet flooring with suitable and compliant flooring system.

After numerous conversations within the VISN regarding best practice flooring finishes, we offer the following guidance on this topic:

While flooring material is not specifically addressed in USP 800, it is generally agreed that carpet is incompatible with HD handling best practices, and if encountered in a general pharmacy space it should be replaced with a material that provides a surface that is easier to clean and will minimize the concern for HD contamination. Depending on a facility’s Assessment of Risk (AoR), vinyl tile may be suitable as long as it meets standards for typical cleaning. Under ideal circumstances the pharmacy flooring would be a monolithic material with integral base. However, this is not explicitly required by USP800 so we suggest a material the meets standards for compatibility, durability and cleanability where cleaning agents are likely to be used, and also fits Facility Guidelines Institute (FGI) guidelines, Infection Control Risk Assessment (ICRA) best practices, and other licensing agencies (i.e. CMS, Dept. of Health) guidance for pharmacy design.

Facilities infection control staff may have input on flooring selection to include weighing options of typical flooring materials such as resilient sheet flooring, VCT, LVT, or a MMA type product.

Ante Room (+)

• Verify room pressure monitoring and recording system.

• Sink is outside the Ante room6.

• Provide handwashing sink with integral eyewash.

• Donning/Doffing area (and adjacent PPE) will be added.

• Replace drop ceiling with hard-lid (gypsum board) and should also have a durable paint finish that can withstand wipe downs and scrubbing associated with the facilities cleaning protocols.

IV Hood (Sterile) (+)

• Verify room pressure monitoring and recording system.

• Remove demountable partition and replace with stud wall to deck. Relocate to provide space for pass-through.

• Add pass-thru to pharmacy work space.

• Replace drop ceiling with hard-lid (gypsum board) and should also have a durable paint finish that can withstand wipe downs and scrubbing associated with the facilities cleaning protocols.

(New) HD Storage Room (-)

• Create negative pressure storage room (with monitoring) in close proximity to delivery/breakout space to minimize travel distances for transport of HDs.

• Provide space for 1 hood for compounding of non-sterile HDs7.

• Provide covered/enclosed storage for HDs to minimize wipe down efforts.

• Provide Donning/Doffing area directly outside room with PPE storage and waste collection.

• Provide handwashing sink with integral eyewash either inside room or in close proximity to room.

• Provide space for HD storage refrigerator.

Mechanical Summary:

Reference the above architectural sketches of the pharmacy for the proposed revisions to create a HD storage room. Based on our assessment we recommend that hazardous drug (HD) storage be provided in a newly constructed space within the pharmacy to meet USP 800. This will require a new exhaust fan to be located on the roof above the pharmacy. The exhaust fan must be located on the roof maintaining a minimum distance of no less than 20 feet from adjacent outdoor air intakes. Exhaust fan will need to maintain a negative pressure in the space at a rate of 12 air changes per hour (ACH). Provide optional room pressurization monitor if desired by staff or VA facilities.

6 USP 797 should be reviewed to determine proper placement of the sink for a non-HD sterile compounding setup.

7 VA staff are currently reviewing the possibility of placing a non-sterile HD compounding hood in the HD storage room. Further discussions will be required prior to completing this assessment.

New wall hung sinks with integral eyewashes are being recommended for both the Ante room and new HD storage space (reference above architectural plans for proposed locations). The Ante Room sink will need to be located at least 1 meter from the compounding room entry. Provide new domestic water and waste connections to the sinks. Saw cutting of the floor will likely need to be required to accommodate the waste lines to the new sinks.

Electrical Summary:

Reference the above architectural sketches of the pharmacy for the proposed revisions to create a HD storage room and the mechanical description. Provide emergency power to any new HVAC equipment. Power to be fed from equipment branch panelboards located in the corridor near D010 storage next to pharmacy. Modify the existing power layout to provide critical power for any new refrigerator locations. Provide gasketed and lensed LED lighting. The exterior lens surface of lighting shall be smooth, mounted flush and sealed. Provide critical power for any new refrigerator locations.

Additionally, it is recommended to provide new digital touchscreen display room pressure monitors with diaphragm type sensors that are less prone to drifting out of calibration over time.

Appendix I

VA Hot Springs Pharmacy Staff GAP Analysis

USP 800 Assessment

Appendix II

VA Hot Springs

MCC Programmatic Cost Estimate USP 800 Assessment

Project #18.101

6009 Cottontail Trail

Madison, WI 53718 608 O

262.490.2744 C

www.middleton-cc.com

VAMC HOT SPRINGS

PHARMACY ASSESSMENT

Hot Springs, South Dakota

Programmatic Estimate April 27, 2018

Prepared For:

National Facility Solutions

220 Ramsey St.

Hastings, MN 55033 http://www.middleton-cc.com/

VAMC HOT SPRINGS

PHARMACY ASSESSMENT

Notes

NOTES REGARDING PREPARATION OF ESTIMATE

This estimate was prepared based on the following documents provided by National Facility Solutions

1. Programmatic Documents Received 4/26/18

2. Information regarding the project was also obtained via meetings, phone conversations, and email messages that clarified the project scope.

BIDDING PROCESS - MARKET CONDITIONS

This document is based on the measurement and pricing of quantities wherever information is provided and/or reasonable assumptions for other work not covered in the drawings or specifications, as stated within this document. Unit rates have been generated from current material/labor rates, historical production data, and discussions with relevant subcontractors and material suppliers. The unit rates reflect current bid costs in the area.

All unit rates relevant to subcontractor work include the subcontractors overhead and profit unless otherwise stated.

Pricing reflects probable construction costs obtainable in the Hot Springs South Dakota area on the bid date.

This estimate is a determination of fair market value for the construction of this project. It is not a prediction of low bid. Pricing assumes competitive bidding for every portion of the construction work for all subcontractors with a minimum of 3 bidders for all items of subcontracted work and a with a minimum of 3 bidders for a general contractor. Experience indicates that a fewer number of bidders may result in higher bids, conversely an increased number of bidders may result in more competitive bids.

Since Middleton Consulting has no control over the cost of labor, material, equipment, or over the contractor's method of determining prices, or over the competitive bidding or market conditions at the time of bid, this statement of probable construction cost is based on industry practice, professional experience and qualifications, and represents Middleton Consulting's best judgment as professional construction cost consultants familiar with the construction industry. However, Middleton Consulting cannot and does not guarantee that the proposals, bids, or the construction cost will not vary from opinions of probable cost prepared by them.

ASSUMED CONSTRUCTION PARAMETERS

The pricing is based on the following project parameters:

1. A construction start date of Summer 2018

2. No Phasing Requirements

3. The contract will be competitively bid to multiple contractors.

4. All contractors will be required to pay prevailing wages.

5 Work is assumed to be done during normal business, or trade hours 6 Estimate includes pricing as of April 2018.

Programmatic Estimate 04/27/2018

PHARMACY ASSESSMENT

Exclusions

EXCLUSIONS

The following are excluded from the cost of this estimate:

1. Professional Design Fees

2. Testing Fees

3. Owner Contingencies/Scope Changes

4. Construction Contingency

5. Cost Escalation Beyond a Start Date of Summer 2018

6. Finance and Legal Charges

7. Environmental Abatement Costs

8. Equipment (Owner Furnished/Installed)

9. Artwork

PHARMACY ASSESSMENT

COST SUMMARY - 1ST FLOOR PHARMACY

01000 GENERAL REQUIREMENTS $0

02000 EXISTING CONDITIONS $3,087

03000 CONCRETE $0

04000 MASONRY $0

05000 METALS $0

06000 WOODS, PLASTICS & COMPOSITES $989

07000 THERMAL & MOISTURE PROTECTION SYSTEM $2,707

08000 OPENINGS $2,075

09000 FINISHES $28,469

10000 SPECIALTIES $193

11000 EQUIPMENT $0

12000 FURNISHINGS $0

13000 SPECIAL CONSTRUCTION $0

14000 CONVEYING EQUIPMENT $0

21000 FIRE SUPPRESSION $806

22000 PLUMBING $5,727

23000 HEATING, VENTILATING & AIR CONDITIONING $15,585

26000 ELECTRICAL $12,394

27000 COMMUNICATIONS $0

28000 ELECTRONIC SAFETY AND SECURITY $1,681

31000 EARTHWORK $0

32000 EXTERIOR IMPROVEMENTS $0

33000 UTILITIES $0

SUBTOTAL $73,713

ESCALATION TO START OF CONSTRUCTION 2.0% $1,474

GENERAL CONDITIONS/BOND/INSURANCE 20.0% $15,037

CONTRACTOR'S FEES 15.0% $13,534

DESIGN CONTINGENCY 20.0% $20,752

TOTAL ESTIMATED BID $124,510

BUILDING TOTAL

VAMC Hot Springs

04/27/2018

USP 800 Pharmacy Assesment

TOTAL COSTUNIT COSTUMQTYDESCRIPTION

EXISTING CONDITIONS

Selective Demolition02100

Remove ceiling system @ storage 173 SQFT 1.14 197

TOTAL: Selective Demolition $197

Building Demolition02300

Gut building, commercial, minimum demo 250 SQFT 11.56 2,890

TOTAL: Building Demolition $2,890

$3,087 TOTAL: EXISTING CONDITIONS

WOODS, PLASTICS & COMPOSITES

Rough Carpentry06200

Miscellaneous wood blocking & rough carpentry 250 SQFT 1.16 289

TOTAL: Rough Carpentry $289

Millwork06300

Modify Countertop at Pharmacy for Storage 1 LS 700.04 700

TOTAL: Millwork $700

$989 TOTAL: WOODS, PLASTICS & COMPOSITES

THERMAL & MOISTURE PROTECTION

Roofing07400

Roof Patch at Exhaust Fan 1 EA 2,254.17 2,254

TOTAL: Roofing $2,254

Caulking & Sealants07800

Miscellaneous caulking & sealants 1,893 SQFT 0.24 453

TOTAL: Caulking & Sealants $453

$2,707 TOTAL: THERMAL & MOISTURE PROTECTION

OPENINGS

OPENINGS08000

HM frame 1 EACH 384.60 385

SC wood door 1 EACH 665.85 666

Hardware set, single 1 EACH 1,025.02 1,025

TOTAL: OPENINGS $2,075

$2,075 TOTAL: OPENINGS

FINISHES

Plaster & Gypsum Board09100

Gypsum Board Ceilings@ storage 173 SQFT 14.51 2,511

Page 1 of 4Project #

04/27/2018

USP 800 Pharmacy Assesment

TOTAL COSTUNIT COSTUMQTYDESCRIPTION

3-5/8" 25 ga metal studs, 5/8" type x gypboard each side, 3" mineral fiber blanket insulation, full-height

348 SQFT 14.68 5,107

TOTAL: Plaster & Gypsum Board $7,618

Floor Finishes09200

Floor surface installation preparation 200 SQFT 1.13 226

Vinyl sheet vinyl flooring-New 173 SQFT 12.44 2,152

Premium for flash cove base at sheet vinyl flooring 70 LNFT 8.03 562

TOTAL: Floor Finishes $2,940

Ceiling Finishes09400

Patch ceilings at new walls 58 SQFT 22.22 1,289

TOTAL: Ceiling Finishes $1,289

Paints & Coatings09600

Paint plaster/drywall 3 coats -Epoxy- Water Based 2,664 SQFT 3.36 8,951

Paint ceiling @ Pharmacy- Epoxy-Water Based 1,893 SQFT 3.36 6,361

Misc Painting 1 LS 1,310.48 1,310

TOTAL: Paints & Coatings $16,623

$28,469 TOTAL: FINISHES

SPECIALTIES

Toilet Accessories10400

Paper towel dispenser, surface mounted 1 EACH 101.26 101

Hand sanitizer dispenser 1 EACH 91.26 91

TOTAL: Toilet Accessories $193

$193 TOTAL: SPECIALTIES

FIRE SUPPRESSION

Fire Sprinkler Equipment & Specialties21200

Reconfigure existing wet sprinkler system for renovation/buildout 250 SQFT 3.23 806

TOTAL: Fire Sprinkler Equipment & Specialties $806

$806 TOTAL: FIRE SUPPRESSION

PLUMBING

Selective Demolition22100

Remove existing wall-mount lavatories including carrier and piping 1 EACH 450.60 451

Patch Floor at New Sink Install 1 LS 475.50 476

TOTAL: Selective Demolition $926

Plumbing Fixtures22200

Lavatory, counter mounted 1 EACH 2,638.70 2,639

Emergency eye/facewash, EEW, countertop- HD Storage 1 EACH 845.48 845

Page 2 of 4Project #

04/27/2018

USP 800 Pharmacy Assesment

TOTAL COSTUNIT COSTUMQTYDESCRIPTION

TOTAL: Plumbing Fixtures $3,484

Plumbing Equipment & Specialties22300

Thermostatic mixing valve - 1/2", point of use 1 EACH 335.02 335

TOTAL: Plumbing Equipment & Specialties $335

Domestic Water, Waste & Vent, & Storm Drainage Piping22400

Tie-In sanitary lines at new sinks 1 EA 981.20 981

TOTAL: Domestic Water, Waste & Vent, & Storm Drainage Piping $981

$5,727 TOTAL: PLUMBING

HEATING VENTILATION & AIR CONDITIONING

Selective Demolition23100

Remove existing grilles and diffusers 2 EACH 33.45 67

TOTAL: Selective Demolition $67

Ventilation & Exhaust23200

Exhaust fan, rooftop, w/curb, backdraft damper, 1/8 hp 1 EACH 1,615.10 1,615

Connect new duct to existing 1 EACH 273.02 273

Provide connection for Fume Hood to Exhaust 1 EACH 942.08 942

Re-configure Ducts and Grilles in thisStorage area 2 EACH 1,844.16 3,688

TOTAL: Ventilation & Exhaust $6,519

Temperature Controls23600

Negative air pressure monitoring device 1 EACH 1,600.00 1,600

Thermostats/temperature sensors 1 EACH 400.00 400

Miscellaneous points & devices- Fume Hood- Hood by Owner & Exhaust Fan 2 EA 2,000.00 4,000

TOTAL: Temperature Controls $6,000

Testing, Balancing, & Commissioning23700

Air testing and balancing 1 LSUM 3,000.00 3,000

TOTAL: Testing, Balancing, & Commissioning $3,000

$15,585 TOTAL: HEATING VENTILATION & AIR CONDITIONING

ELECTRICAL

Selective Demolition26100

Disconnect exisiting Light fixtures 4 EACH 43.70 175

TOTAL: Selective Demolition $175

Main Power Distribution26200

Service and distribution - Branch panelboards and associated feeders 250 SQFT 3.30 825

TOTAL: Main Power Distribution $825

Emergency Power Distribution26300

Page 3 of 4Project #

04/27/2018

USP 800 Pharmacy Assesment

TOTAL COSTUNIT COSTUMQTYDESCRIPTION

Emergency Service and distribution -Feeders needed 250 SQFT 4.64 1,161

TOTAL: Emergency Power Distribution $1,161

Lighting26500

Light Fixtures at Storage 4 EACH 537.61 2,150

Occupancy sensors automatic wall switches 1 EACH 178.59 179

TOTAL: Lighting $2,329

Branch Power Distribution & Devices26600

Power special purpose receptacles For fume hood- Run to Emergency Power 1 EACH 1,080.72 1,081

Branch installation 600 V, including 3/4" EMT conduit and THWN wire, 20A for exhaust Fan

200 LNFT 19.26 3,853

Branch Power - Miscellaneous receptacles and electrical equipment hook up 250 SQFT 7.32 1,831

Branch Power - Branch wiring installation 600 V, including 3/4" EMT conduit and

THWN wire, 20A

250 SQFT 4.30 1,076

TOTAL: Branch Power Distribution & Devices $7,840

Mechanical Equipment Connections & Feeders26700

Motor connections, flexible conduit and fittings, 1 phase, 115 volt, up to 1 HP motor

1 EACH 63.75 64

TOTAL: Mechanical Equipment Connections & Feeders $64

$12,394 TOTAL: ELECTRICAL

ELECTRONIC SAFETY & SECURITY

Intrusion Detection & Access Control Systems28300

Card Reader at Ante Room1 1 EACH 1,680.72 1,681

TOTAL: Intrusion Detection & Access Control Systems $1,681

$1,681 TOTAL: ELECTRONIC SAFETY & SECURITY

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