Dignity Health Mercy San Juan Medical Ctr – Pharmacy Upgrade to USP 797


Acute Care Hospitals, Pharmacies


Carmichael, CA


$1.4 Million


August 2020

Pharmacy Upgrades With Minimal Disruption

Our Mercy San Juan Medical Center Pharmacy project is now underway. The first phase of remodeling a space for a temporary Break Room has been completed. This has paved the way for the next phase to begin which will transition the existing Break Room into a temporary Segregated Compounding Area. This build-out will allow the Pharmacy’s non-hazardous drug compounding to continue functioning during the subsequent phases of construction. Once construction in the Segregated Compounding Area is completed, we will begin working hand-in-hand with OSHPD, licensing, and the Board of Pharmacy to obtain sign-off for use. Sign-off of this space will facilitate the commencement of the primary project – the renovation of the existing IV Prep, Chemo Prep, and Anteroom spaces to conform with USP 797 and USP 800.

Agency Coordination Strict Timelines

Two new dedicated exhausts will be added along with a new Chemo Prep hood.  Various other pieces of equipment, including pharmacy grade refrigerators, pass-through windows, scrub sinks, shelving, and workstations will be replaced.  Staff dressing will be expanded, and the donning/doffing areas will be modified.
This project requires close coordination with the Pharmacy, hospital leadership, OSHPD, licensing consultants, CDPH, Board of Pharmacy, as well as other construction projects that are occurring simultaneously in the same building.  Licensing and Board of Pharmacy will play a vital role two times in this project.  Strict timelines are enforced for notifications to the agencies, as well as timely completion of construction once notifications are issued.