LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH   Policy 352.21 Medication Room and Examination Room Specifications     REFERENCE

One (1) Medication Room per clinic Power Supply and Network Connection Outlets to adequately support all equipment that require power; emergency power outlet for refrigerators and automated medication dispensing machine Internet data ports to support all equipment that require internet connection, including refrigerator Room Temperature Control Room is vented with functional air-conditioning and heater to regulate temperature of medication room 24/7/365 Temperature shall be kept between 15 °C (59 °F) and 30 °C (86 °F) 24/7/365 Equipment Medication storage unit Automated Medication Dispensing Machine One (1) main cabinet per program One (1) to three (3) tower cabinets per program as determined by DMH Pharmacy Services Lockable metal or wood cabinets At least one (1) floor cabinet or several wall cabinets Separate locked non-removable drawer or cabinet for controlled substances as determined by DMH Pharmacy Services One (1) Refrigerator per program, dedicated exclusively for medication storage Temperature shall be kept between 2 °C (36 °F) and 8 °C (46 °F) Separate locked non-removable drawer or box for controlled substances as determined by DMH Pharmacy Services One (1) digital thermometer in refrigerator connected with network One (1) table at least 24 inches in length and width One (1) desktop computer with monitor. Laptop docking station may be provided in lieu of desktop computer if medication room staff have been issued laptops Security Card key badge access controlled by pharmacy services Wall mount physical key(s) electronic lock box installed behind locked door; password managed by pharmacy services Door with physical key lock To be used for emergency situations when electronic card key system fails or is non-operational Lock is unable to locked from the inside of the med room Two (2) physical keys locked inside electronic lock box No windows Panic button mounted on the wall inside medication room Floor Non-carpeted flooring for easy and thorough sanitation Lighting Adequate lighting in areas where medication-related tasks are performed Ceiling and walls Intact with no safety hazards Two (2) Examination/Treatment Rooms Power Supply and Network Connection Outlets to adequately support all equipment that require power Internet data ports to support all equipment that require internet connection 110V/20 Amp dedicated circuit with a NEMA 5-20R receptable for TMS device and chair Sink With running hot and cold water Water flow control mechanism (e.g. standard faucet, foot-operated pedals, wing-type handle, automatic shut-off systems) Sanitary supplies Wall-mounted liquid or foam hand-washing soap dispenser Antiseptic hand cleanser Wall-mounted, single-use paper towel dispenser or hot air hand-drying machine Flat table surface for medication preparation Surface must be away from sink Surface should be cleaned and disinfected on a regular basis Flat table surface for centrifuge placement Waste Regular trash bin Wall-mounted bracket for two (2) gallon sharps container Wall-mounted bracket for pharmaceutical waste container One (1) Refrigerator for urine specimens, if necessary Mobile lockable storage cart not to exceed 45" X 40" X 30" dimensions One (1) cart for storage of syringes, needles, cotton balls, bandages, and other supplies for medication administration One (1) cart for storage of vacutainers, vacutainer tubes and other phlebotomy supplies Floor Non-carpeted flooring for easy and thorough sanitation Safeguards to protect client’s privacy during medication administration Biohazard container with leak proof red bags for blood and other potentially infectious materials (OPIM) Phlebotomy chair Transcranial Magnetic Stimulation (TMS) procedure chair (if necessary) Seating for client Medical grade recliner for medication administration and monitoring OR Low exam table accessible for all adult populations including elderly, disabled, obese or clients who are pregnant Equipment for vital signs acquisition Automated vital signs devices for blood pressure, pulse, oxygen saturation One (1) digital thermometer to record body temperature Digital bariatric standing floor scale with handrails Stadiometer (for measuring height) Staff Workstation Mobile workstation with a writing surface to allow nurses to access electronic health record, check medication orders and perform documentation (Preferred) OR Table or desk and a chair for nurse with desktop or laptop docking station Two regular chairs for client and clients’ caregiver, if applicable Antiseptics Personal protective equipment Disposable Gloves Vital Sign Station (optional) If space permits, a vital sign station can be created outside examination/treatment room for nurses to take and document vital signs Adequate space shall be allocated for vital signs equipment listed above Desk and chair for clients and staff