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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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