SVHC Embraces “Green Demolition”
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/ Categories: NEWS, 2021, ED

SVHC Embraces “Green Demolition”

BENNINGTON, VT—November 12, 2021—Loads of insulation, doors, lighting fixtures, pressure treated lumber, wooden beams, and an antique cast iron sink are among the items being harvested for reuse from The Lodge, a building on the Bennington campus of Southwestern Vermont Medical Center (SVMC), part of Southwestern Vermont Health Care (SVHC). The building is slated for demolition next week to make way for a $28 million renovation and expansion to SVMC’s Emergency Department.

The salvage work was done by Deconstruction Works, a demolition, salvage and recycling service based in Vermont. The business has offices in Brattleboro and Bristol and is co-owned by Erich Kruger and Tom Shea. The company lists items for sale on its Facebook page and on other online sites.

Pushing much of the construction waste to reuse, rather than the landfill, helps the health system meet the state’s requirements for managing solid waste, as detailed in the Act 250 permit. It also helps mitigate the emotional impact of losing a piece of the health system’s history.

“This building has served an important purpose for almost 100 years,” said Ron Zimmerman, the health system’s director of engineering. “That so much of its materials will be reused and that items of historical significance will find new homes is gratifying.” 

James (Buzz) Surwilo, an environmental analyst with the Waste Management and Prevention Division of the Vermont Agency of Natural Resources’ Department of Environmental Conservation, was involved in developing the plan for managing the construction and demolition waste in accordance with the state’s guidelines. He encourages companies to recycle, salvage, and think about how they can avoid creating unnecessary construction waste.

“We came up with a pretty unique, progressive, forward-thinking plan with the Lodge,” Surwilo said. “Kudos to the hospital for minimizing the environmental and cultural impacts and making a good faith effort to keep things out of the landfill.”

The Lodge was built in 1925. It had 22 rooms for its original purpose of housing laundry and housekeeping employees. Most recently, it had been used as offices for SVHC’s Finance Department.

The construction project will nearly double the size of the current Emergency Department, which was designed to accommodate 14,000 patient visits a year but currently sees nearly 25,000 annually. The changes will further enhance patient safety, infection prevention, and patient privacy. Vertical treatment areas will allow for highly efficient treatment of low-acuity conditions. The project also includes an expansion to the Emergency Crisis Area for those experiencing mental health distress and increased telehealth connectivity with Dartmouth-Hitchcock.

Outside the Emergency Department, the project includes renovations of the Main Entrance and café, outpatient registration area, the Imaging Department waiting area, and the phlebotomy and laboratory upgrades. An enclosed walkway will connect the Emergency Department to SVMC ExpressCare.

Temporary parking changes are in effect to make way for site preparation work. The first row of parking in the S3 lot has been predesignated for patient use. See the map at https://svhealthcare.org/patients-visitors/parking for details. Regular updates on the project will appear in SVHC’s weekly e-newsletter, on social media, and on the health system’s website, svhealthcare.org.

About SVHC:
Southwestern Vermont Health Care (SVHC) is a comprehensive, preeminent, health care system providing exceptional, convenient, and affordable care to the communities of Bennington and Windham Counties of Vermont, eastern Rensselaer and Washington Counties of New York, and northern Berkshire County in Massachusetts. SVHC includes Southwestern Vermont Medical Center (SVMC), Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwestern Vermont Health Care is among the most lauded small rural health systems in the nation. It is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. SVMC ranked fourth nationwide for the value of care it provides by the Lown Institute Hospital Index and is a five-time recipient of the American Nurses Credentialing Center’s Magnet® recognition for nursing excellence. It has also received the highest marks possible from the Leapfrog Group. 

Southwestern Vermont Medical Center provides exceptional care without discriminating on the basis of an individual’s age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Language assistance services, free of charge, are available at 1-800-367-9559.

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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