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Designing for USP 800: Creating A Safe Healthcare Environment

Exposure to hazardous drugs – such as those used in cancer treatment, antivirals, hormones, and some bioengineered drugs – can put healthcare workers at serious risk of adverse health effects. These can include impact or damage to DNA, cancer, infertility, birth defects, and organ damage, to name a few.

In February 2016, The United States Pharmacopeia (USP) released USP Chapter 800, “Hazardous Drugs – Handling in Healthcare Settings,” to address these risks. Chapter 800 outlines a strict set of standards on the handling of these drugs in hospitals and the design of clinical pharmacies to minimize risk. This poses several design implications for the space planning of pharmacies to achieve compliance.

Meeting the deadline

Facility modifications will need to be implemented before the USP 800 effective date in December 2019, placing pressure on hospitals to act now. Our design team is experienced in USP compliance and healthcare design and can help these facilities reach USP 800 compliance by the defined date.

Perspectus Architecture works with top healthcare institutions improving and reconfiguring their pharmacies to ensure that the environment is designed to meet requirements of USP 800.

Our first step is a site evaluation of the physical space by creating a compliance checklist or gap analysis. Then we speak with the users about their workflow and processes.

“We talk to the pharmacists and pharmacy techs that live in the space to identify where improvements can be made with their workflow and processes,” says Ray Minotas, Project Director at Perspectus Architecture. “That will then impact the overall design and layout while also making sure that all USP 800 guidelines are met.”

Key facility improvements

The new engineering and environment control/quality requirements apply to unpacking environments, preparation and compounding cleanrooms, and storage spaces.

“Previously, non-hazardous and hazardous drugs could be received and unpacked in the space. Sterile and non-sterile hazardous drugs could also be stored together in positive pressure – this is no longer allowable,” says Sal Rini, Principal at Perspectus Architecture.

Pharmacies are now required to have separate cleanrooms – one for sterile non-hazardous, and another for sterile hazardous, with an anteroom between them for access. The receiving and unpacking areas for hazardous drugs must now be under negative pressure with at least 12 air exchanges per hour to assist in the ventilation of potentially harmful gasses or residue.

One of the most challenging aspects of these upgrades can be finding the space within the existing facility to accommodate hazardous drug unpacking and storage rooms adjacent to the compounding room.

Minimizing Public Health Risks

It is important to reiterate that the design modifications expressed in USP 800 are the response to the growing concern of dangerous health risks that can result from the exposure to the over 200 hazardous drugs during receiving and handling in healthcare settings. The design of a new pharmacy will vary widely on a case-by-case basis, depending on the existing conditions of the pharmacy. Perspectus Architecture works closely with hospitals to ensure the least impact possible to their facilities and to maintain full compounding operations.

Perspectus Congratulates Three Newly Licensed Architects

Pictured Left to Right: Chris Dohar, Natalie Shellhorn, Tyler Middendorf

June 2018 – We are so proud to announce that Chris Dohar, Natalie Shellhorn, and Tyler Middendorf have recently accomplished all requirements to become officially licensed architects! Throughout their journeys, Chris, Natalie, and Tyler have succeeded in each stage of qualification, including passing all divisions of the Architect Registration Exam.

Congratulations to each newly licensed architect!

 

 

Welcome (Back) Interns Sam Losi and Katie Wills

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Pictured: Sam Losi and Katie Wills

We are excited to welcome (back) architectural intern Sam Losi and interior design intern Katie Wills to Perspectus for the summer.

Sam previously interned with Perspectus over his winter break this past year. He just completed his first year at Carnegie Mellon University where he is studying architecture.

Katie also previously interned with Perspectus over her winter break. She is a rising senior at Kent State University where she is majoring in interior design and just completed her spring semester abroad in Florence, Italy.

We thought it would be a good idea for everyone to get to know Sam and Katie a little bit, so we did a Q & A with them.

What about architecture/interior design gets you excited?

(Sam) I really enjoy the idea of my future work ‘living’ longer than I do. Someday I want my grandchildren or great-grandchildren to walk into a space I designed and think to themselves “My Pop-pop made this.”

(Katie) There are so many things about interior design that excite me. Mainly all of the possibilities that this field has to offer. I am interested in sustainable design and green design because there is still so much to be discovered. With new innovations in interior design being developed all of the time, it is an exciting time to be in the field. I really enjoy and get excited about being able to change people’s lives and help people visions become a reality.

Who is your favorite architect/interior designer?

(S) My favorite architect is Louis Kahn. I recently had the chance to visit Rochester, New York and, while there, was privileged to experience the interior spaces of the First Unitarian Church of Rochester. The monumental feeling conveyed by Kahn in the church’s congregational hall has stuck with me.

(K) I don’t have one favorite architect or interior designer. But I just got back from studying abroad in Florence, Italy and the architecture was incredible. It was fascinating to see all of the structures and details that are still intact today. It seemed like everywhere you look there is something to see and it is amazing how innovative the designers were and it was all hand built.

What have you always wanted to try and never did?

(S) I have always wanted to try to fly a plane. As a little kid, the giant flying machines amazed me and I’ve dreamt of flying one ever since.

(K) I have always wanted to go on a hot air balloon ride or go bungee jumping.

What is the one thing you can’t live without?

(S) My cats. I have had at least one as long as I can remember, and they have a special place in my heart. Angel, the elder of the two, is 18 years old and is blind and deaf. Patches, the younger, is 8 and really fat. They’re great.

(K) I can’t live without coffee or tea. I drink one or the other all day long.

Anything else we should know about you?

(S) I almost always have interesting socks on. I started collecting them a few years ago and it has gotten to the point where it takes longer for me to decide what pair of socks to wear than it does what shirt. It’s a bit quirky, I know.

(K) Interesting fact- I collect coffee cups. Also, I love to skydive and paraglide

Perspectus Promotes Four and Hires One

May 29, 2018 – Perspectus Architecture has recently promoted four team members and hired one.

Natalie Ata has been promoted to Director of Marketing.

McKensey Seher has been promoted to Marketing Associate.

In addition to his role as a Senior Project Director, Eric Lahrmer, AIA, NCARB, has also been promoted to Director of Architectural Operations.

In addition to his role as a Project Director, David Thompson, AIA, LEED® AP BD+C, NCARB, has also been promoted to Director of Design.

Additionally, Perspectus welcomes the third Natalie on our team and second Natalie in our marketing department, Natalie Pike. Natalie has joined our marketing department as our Communications Associate. Welcome, Natalie P!

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Perspectus Project Wins Award At Celebration of Preservation

Perspectus Project for City of Massillon Honored With Excellence in Preservation Education Award

May 23, 2018 – Perspectus Historic Architecture, Chambers, Murphy & Burge Studio, was recognized last night at the Celebration of Preservation hosted by AIA Cleveland and the Cleveland Restoration Society for their work on Design Guidelines for the Massillon Downtown Historic District. The project won the award for Excellence in Preservation Education.

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Principals Elizabeth Corbin Murphy, Larry Fischer, and Peter Bohan attended last night’s event. Design Guidelines provide citizens and property owners with the historical context of their community and illustrate the types of buildings that represent the city’s unique past and instill a sense of pride. The Guidelines highlight different types and styles of buildings found in the community and describe the historic values, influences, and features that are associated with each. Describing proper maintenance of historic materials, the Guidelines provide helpful information to property owners on metal work, brick and stone masonry, windows and doors, and roofing and rainwater systems.

For more on Design Guidelines, click here.

 

Perspectus Completes Cleveland Clinic Crile Building Food Emporium

Perspectus’ latest project for the Cleveland Clinic is now open to the public.

As the architect of record, Perspectus provided design services for architecture and interiors, construction administration and coordination of engineers and equipment vendors.

Perspectus designed the 17,000 square-foot dining space consistent with the Cleveland Clinic’s branding and philosophy of creating environments free of clutter and distractions, making it a peaceful and relaxing place for patients, their families and Clinic staff to eat. The facility boasts abundant natural light and views of the surrounding neighborhood with large floor to ceiling windows on three sides of the space. The Food Emporium delivers a retreat from the otherwise stressful experience of being in a hospital.

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The Food Emporium supports the Cleveland Clinic’s efforts to provide healthier food. Working in collaboration with Bon Appetit Management Company, a food-service management company with a focus on local, sustainable food sources, the redesigned space features six neighborhoods of food. Each concept delivers fresh, wholesome options using whole grains, minimally-processed meats, and an emphasis on locally-sourced the ingredients whenever possible.

One of the six neighborhoods includes the first Beefsteak location in the Great Lakes region. Beefsteak is a vegetable-forward restaurant chain led by James Beard Award and Michelin Star winner, Jose Andres.

Other concepts include:

Starbucks: Third location on the campus
Char: Burgers and sandwiches
Italia: Flatbreads
Carve: Mediterranean / Hummus Bar
Simmer and Steam: Vietnamese Pho

Check out more of our work in healthcare here.

Read The Project Feature in Properties Magazine

Senior Living Architect Eileen Nacht joins Perspectus Architecture

Perspectus Architecture is pleased to announce that Eileen Nacht, AIA, LEED AP, EDAC, one of the region’s leading senior living architects, has joined the full-service architectural firm as Senior Project Director.

Senior Project Director Eileen Nacht

With more than 25 years of experience, Eileen is a seasoned architectural professional who manages concept, design, budgeting and development for multi-million dollar clients. Her portfolio includes complex, multifaceted projects specific to senior living, encompassing the full continuum of care, including master planning for new construction and renovation of existing communities. Eileen has worked with senior living communities in Ohio, Illinois, Michigan, Virginia, Pennsylvania and Florida as well as several VA Medical Center Community Living Centers.

Supervising projects from concept design through post occupancy, Eileen is committed to expanding Perspectus’ capabilities and applying an evidence-based process to the design and development of healing environments for senior living and healthcare.

“We continually strive to attract the best talent, and Eileen excels in leading architectural and engineering project teams,” said Jim Wallis, AIA, IIDA, NCARB, Principal of Perspectus Architecture. “We’re thrilled to have her on board to elevate our programming process for all project types, especially those focused on person-centered care.”

A resident of Pepper Pike, Ohio, Eileen earned a Bachelor of Architecture degree from University of Cincinnati and is a registered architect in the State of Ohio. A member of AIA, Eileen is a LEED Accredited Professional and holds Evidence Based Design Accreditation Certification (EDAC).

Chambers, Murphy & Burge merges with Perspectus Architecture

December 19, 2016; Cleveland, OhioPerspectus Architecture announced today that Akron-based Chambers, Murphy & Burge Historical Architecture, an AIA Gold Medal Firm, has merged with the Cleveland-based architectural firm.cmb-pa-logo

With 27 registered architects, the combined practice is now one of the largest architectural firms in Ohio. The firms’ complementary strengths – Perspectus in Architectural Design and Chambers, Murphy & Burge in Historical Architecture – are known for service and talent.

Bill Ayars, AIA, ACHA, Managing Principal of Perspectus Architecture, said, “Perspectus has a strong commitment to preserve the past and build for the future, and we’re thrilled to add historical architecture, preservation and adaptive reuse to our capabilities. Chambers, Murphy & Burge is one of the most highly regarded firms in their field, and we’ve enjoyed a long-term mutual respect.”

Perspectus Managing Principals Bill Ayars and Larry Fischer (top) with Chambers, Murphy & Burge Owners Elizabeth Murphy and Lauren Burge

Managing Principals Bill Ayars & Larry Fischer with Chambers, Murphy & Burge Owners Elizabeth Murphy & Lauren Burge

Nationally-recognized for its expertise and hands-on approach to restoration of older and historic structures, Chambers, Murphy & Burge has provided Architectural Preservation Services for more than 50 years. Elizabeth Corbin Murphy, FAIA, an AIA Ohio Gold Medal Architect, and Lauren Pinney Burge, AIA have managed the firm since 1993, upholding the high standards of the founders, the late Henry and Lorraine Chambers. The firm continues to practice from its downtown Akron office and is now a studio within Perspectus Architecture’s national practice.

“We’re excited and proud to join the Perspectus team,” said Ms. Murphy. “This growth opportunity will add depth and keep us ahead of the curve, and our clients will benefit from more extensive technical capabilities and resources.”

The Chambers, Murphy & Burge team provides consultation to property owners and developers as well as other architects on detailed preservation and rehabilitation design and specifications for materials and methods. CMB’s architects and conservation specialists are familiar with 18th, 19th and 20th century buildings and provide specialized specifications to address uncommon situations.

Elizabeth added, “If you look at the center cores of Cleveland and Akron, there are lots of historical buildings, and efforts are increasingly complicated. The availability of tax credits has augmented interest in the rehabilitation of historic structures, and Chambers, Murphy & Burge is proud to be one of the leading firms in Ohio working with the tax credits. Our profession is advancing, and the Perspectus team will enhance our historical architecture work and expand our client base.”

Currently celebrating its 15th anniversary, Perspectus has an innovative approach to design and project leadership. The firm works nationally for prominent healthcare, senior living, government, academic, and retail clients. Beyond design excellence, Perspectus has been recognized as a six-time recipient of the Weatherhead 100 award honoring the accomplishments of Northeast Ohio’s fastest-growing companies.

Perspectus has been a prominent resident of Shaker Square for 15 years and recently committed to an extended lease with the Coral Company, the square’s owner, for another decade. The location has been excellent as a Historic Landmark, known from New York to Chicago. Perspectus has transformed the entire second floor into a design and innovation center, functioning as a high tech company while maintaining the historical character of the interiors.

For more information on Chambers, Murphy & Burge, visit www.cmbarchitects.com.

Jennifer Gibson honored with IIDA Service Award

Jennifer GibsonAt the 2015 Design Awards held on October 30th at Cleveland’s Near West Theatre, the Cleveland Akron City Center of the International Interior Design Association presented a 2015 IIDA Service Award (Emerging Professional category) to Perspectus Architecture interior designer Jennifer Gibson, IIDA, NCIDQ, LEED AP ID+C.

Jennifer was honored for achievement of excellence in the interior design community. IIDA Cleveland Akron recognizes the next generation of designers and professional leaders as they contribute, develop and refine their skills in the workplace.

Jennifer joined Perspectus Architecture in 2012 to head up the firm’s in-house interior design practice. She has collaborated with our architects on various project types including healthcare, senior living, higher education, government and hospitality.

Jennifer served as interior design lead on a project which was awarded with a 2014 Cleveland IIDA Design Award in the healthcare category — the Centers for Dialysis Care East Facility Lobby Renovation. The CDC East project is one of numerous projects as part of CDC’s rebranding program.

A large group of co-workers were in attendance at the Design Awards to wish her well. Congratulations to Jennifer on this deserved honor!