SVMC Prepares to Open Alternative Entrance
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SVMC Prepares to Open Alternative Entrance

“Canopy Entrance” Allows Closure of Main Entrance for Emergency Department Renovation and Expansion

BENNINGTON, VT— March 28, 2022—Patients and visitors entering Southwestern Vermont Medical Center (SVMC), part of Southwestern Vermont Health Care (SVHC), will use an alternative entrance starting Wednesday, March 30. Named the “canopy entrance,” for the prominent tent-like structure and enclosed walkway, it is accessed using the second right turn for patients entering the hospital campus from Dewey Street. The canopy entrance will be used for many patient services—including emergency department, laboratory, imaging, surgery, endoscopy, sleep studies, and visitors to inpatient units—for approximately 16 months, while the current main entrance and the adjacent Emergency Department undergo a significant renovation and expansion. Visit https://svhealthcare.org/patients-visitors/parking for a map. 

“We have spent a lot of time working to anticipate patients’ needs during this change,” said Pamela Duchene, APRN, PhD, chief nursing officer and vice president for Patient Care Services. “We believe that the canopy entrance will provide a safe, comfortable way for patients to navigate the campus and the building during the construction.”

The canopy entrance has limited parking and is intended for patient drop-offs. Patients and visitors will be required to park and walk or take a shuttle that will circulate the campus 7 a.m. –7 p.m. Monday – Saturday. Shelters for patients waiting for a shuttle are located in the most frequently used lots. Prominently marked pedestrian walkways will be open. As patients approach the canopy, they will find hospitality staff, who will assist in guiding them to services and appointments.

Ambulances will continue to use the main entrance and ambulance bay. Renal dialysis and medical infusion patients have already begun using a different entrance, referred to as the “flagpole lot.” Additionally, several outpatient services discharge patients at the flagpole lot, including Medical-Surgical Units, the Intensive Care Unit, and Women’s and Children’s Services. Medical Records and Billing also use this location for pick-ups, and patients are asked to use the phone located in the vestibule to coordinate delivery. Two entry-point ambassadors are posted to the entrance 5:30 a.m. to 5:30 p.m. Monday through Friday and 11 a.m. to 5 p.m. weekends to assist patients who are unfamiliar with the entrance. For discharged patients waiting for transportation, there is a large indoor patient waiting area.

“The health system’s engineers and construction management firm devised several different entry points for staff, vendors, and selected outpatient services,” explains Ron Zimmerman, SVMC’s director of engineering. “The plan allows us to accommodate all of the patients we serve during several construction phases in the most comfortable and least disruptive way.”

The Emergency Department Renovation and Expansion 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 project 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, outpatient registration area, the Imaging Department waiting area, and the phlebotomy and laboratory upgrades. A new connector will provide improved access to SVMC ExpressCare and the Respiratory Evaluation Center and the Medical Office Building to the hospital.

Regular updates on the project are available in SVHC’s weekly e-newsletter, on social media, and on the health system’s website, svhealthcare.org/EDRenovation.

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. In addition, SVMC ranked fourth nationwide for the value of care it provides by the Lown Institute Hospital Index in 2020 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. The health system is fortunate to have the support of platinum-level corporate sponsor Mack, a leading supplier of contract manufacturing services and injection molded plastic parts based in Arlington, VT.

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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