SVMC Restricts Visitors
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/ Categories: NEWS, 2021

SVMC Restricts Visitors

BENNINGTON, VT—December 10, 2021—In response to a sustained surge in cases of COVID-19 throughout Vermont and to mitigate the spread of the virus, Southwestern Vermont Medical Center (SVMC), part of Southwestern Vermont Health Care (SVHC), will suspend in-person visits for hospital patients starting Monday, December 13. Visitor restrictions also include the health system’s practices and off-campus offices. Visitation at SVMC and other hospital systems has been restricted during times of increased transmission throughout the pandemic. Regional hospitals, including Dartmouth-Hitchcock Health and University of Vermont Medical Center, have also initiated visitor restrictions this week.   

“Caring for patients during a pandemic involves making difficult choices,” said Dr. Trey Dobson, chief medical officer and a board-certified emergency medicine physician at SVMC. “As much as we appreciate families’ in-person contributions to their loved ones’ healing, restricting visitors is necessary to protect our capacity to meet our patients’ and staff needs and ensure their safety amidst an increase in cases.”

The policy has some exceptions.

  • Adult patients—including those using primary and specialty clinics, emergency, perioperative, surgical, endoscopy, or medical infusion services—who require someone for physical or cognitive support associated with the patient’s health care, may have one healthy person accompany them. In the emergency department, visitors are allowed at the discretion of the care team.
  • Patients at the end of life may have up to six visitors at a time. Others may wait in a vehicle or away from the building. Minors must be accompanied by an adult and are limited to visits of 30 minutes or less.
  • Expectant and delivered mothers are allowed one unique care partner for the duration of the stay and, if requested, one doula. Prenatal appointments may be attended by both the patient and one healthy caregiver. Others, including children of expectant families, should not attend appointments.
  • Pediatric patients, regardless of area, may have two healthy primary care partners for the duration of their stay, as conditions and space allow.
  • A member of the clergy may visit upon request to the care team.

Dr. Dobson noted that the health system will reassess its visitor policy regularly and base future visitation on the region’s positive case percentage and inpatient volume.   

Both inpatients and outpatients who would benefit from additional support during a visit or stay should request the use of technology to bring important family and friends virtually into exam and hospital rooms.

Everyone required to stop at the check-in desk located near the hospital entrance.

  • All are expected to arrive wearing a mask or face covering. All masks must be worn for the entire duration of the visit. Those who do not comply will be asked to leave the premises.
  • Patients who are symptomatic or have been exposed to a confirmed case of COVID-19 will be provided with a medical-grade facemask.
  • Caregivers and visitors with symptoms of any kind and especially those who have had contact with someone positive for or suspected of having COVID-19 are not permitted at this time.
  • All non-staff persons entering an SVMC building will be given a sticker marked with the date and department they are visiting and are asked to keep the sticker visible and remain in the area of service for the entire time they are in the building.
  • Everyone is expected to sanitize their hands upon entry and exit from the building, units, and patient rooms.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit 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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