Efficiency of Canopy Entrance Allows Closure of Flagpole Entrance
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Efficiency of Canopy Entrance Allows Closure of Flagpole Entrance

All patients and visitors entering Southwestern Vermont Medical Center (SVMC) will use the “canopy entrance” starting on Sunday, July 17. The prominent tent-like structure and enclosed walkway is accessed using the second right turn for patients entering the hospital campus from Dewey Street. Parking for the Canopy Entrance is in the P lot, which is the next left-hand turn. Visit https://svhealthcare.org/patients-visitors/parking for a map. 

The canopy entrance opened in March for patients needing the emergency department, laboratory, imaging, surgery, endoscopy, sleep studies, and visitors to inpatient units. The flagpole entrance had been indicated as an entrance for renal dialysis and medical infusion patients and as a pick-up location for patients discharged from some inpatient services, including Medical-Surgical Units, the Intensive Care Unit, and Women’s and Children’s Services. The use of the Canopy Entrance for all pateints will continue for approximately 12 months, while the current main entrance and the adjacent Emergency Department undergo a significant renovation and expansion.

“The Canopy Entrance is operating very efficiently,” said Director of Hospitality Services Tiffany Tobin. “So it makes sense to streamline all of the entering and exiting through that point. It’s simpler for patients and staff and helps improve the experience for everyone.”

The area surrounding the Canopy Entrance is intended for patient pick-up and drop-off only. Patients and visitors are 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 guide patients and visitors. As patients approach the canopy, they will find hospitality staff, who will guide them to services and appointments.

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.

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How to Become a Mask Wearer

Long before COVID-19, online chat groups for people with pulmonary fibrosis (PF) were filled with posts about how uncomfortable it is to wear a mask in public: not physically uncomfortable, a fact that was barely mentioned, but psychologically uncomfortable. For people with this condition or the lung transplant used to cure it, catching a cold or the flu could be deadly. They need to wear masks in public to help protect themselves from getting ill.

The participants discussed how awkward it is riding the bus in a mask, going to the grocery store in a mask, or boarding a plane while wearing one. They were mostly self-conscious that others would think they were ill or weak. Many would rather suffer the risk of getting fatally sick than put a mask on in a department store.

Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. This—along with distancing and handwashing—are crucial parts of returning to a more normal way of life. Suddenly, we are all feeling the psychological discomfort PF patients have felt for many years.

People usually have an interest in blending in. And, just like doing anything out of the ordinary, wearing a mask for the first time definitely feels like putting yourself out there. If we want to return to a somewhat normal way of life, masks are crucially important, along with frequent, thorough handwashing and keeping a distance from others.

Here are a few tips for making the leap from being someone nervous about wearing a mask to being a person who wears one regularly.

Do it for others. We know that people can spread COVID-19 as many as a few days before they get sick. Even if you feel fine, you could have COVID-19 right now without knowing it. At the same time, masks are far better at keeping sick people from spreading germs than they are at keeping people from getting sick. So wearing a mask isn't a sign of weakness; it's a sign of altruism. It's like saying, "I am not certain that I am not sick, so I want to pay those around me the consideration of limiting the likelihood I will infect them." Think of it as a badge of kindness.

Get a mask that fits. We know that masks are not completely comfortable physically. Getting the right fit makes a big difference in their "wearability." Cloth masks are readily available online and from local groups. The Green Mountain Mask Makers have excellent information and resources. If you can, purchase a few types in a few sizes to see which you like best. Buy enough of that type to allow washing between trips out in public.

Get a mask that you like. Once you have found a mask source and as long as you have a choice, pick one that you like. You can choose colors that match your wardrobe or that represent your interests, like camouflage. There are even masks that look like fashionable scarves when they hang around your neck. The sooner we start thinking of masks as part of our outfits, as essential and unremarkable as shoes or a belt, the healthier we will all be.

Try to quit caring about what others think. This one is hard. But one wise PF patient wrote, "I just don't give a darn!" Essentially, he shared that if people want to judge him for wearing a mask, so be it. Their opinions don't have a single thing to do with him. Many in the chat group applauded his confidence and vowed to adopt his attitude.

If we all do our best, soon the cultural scale will tip. Wearing a mask or not wearing one will cease to be a political statement. It will be normal. And thankfully, if wearing a mask in public, handwashing and sanitizing, and keeping our distance are all normal, going out into public again can be safe and normal too.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

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