SVHC Previews Medical Matters Weekly for February 24
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SVHC Previews Medical Matters Weekly for February 24

A Look at Emergency Nursing at Southwestern Vermont Medical Center

BENNINGTON—February 18, 2021—Southwestern Vermont Health Care’s (SVHC) Medical Matters Weekly with Dr. Trey Dobson, a weekly interactive, multiplatform medical-themed talk show that launched February 10, will feature two Emergency nurses—Alexandra Chaffin, RN, and Jill Maynard, RN—as guests on its February 24 show. The show will cover what it is like to be an emergency nurse during the COVID-19 pandemic and initiatives implemented to ensure patient and staff safety.

The show is produced with cooperation from Catamount Access Television (CAT-TV) and airs live at 2 p.m. on Wednesdays. Viewers can see Medical Matters Weekly live on Facebook at facebook.com/svmedicalcenter and facebook.com/CATTVBennington. Those viewing on Facebook will be able to contribute questions through the chat function.

After the program, the video will be available on area public access television stations. On CAT-TV, viewers will find the show on channel 1075 at 8:30 a.m. and 2 p.m. Thursdays, 1 p.m. Fridays, 4:30 p.m. Saturdays, 6 a.m. Sundays, noon Mondays, 9 p.m. Tuesdays, and 8 p.m. Wednesdays. Videos and podcasts are on svhealthcare.org/MedicalMatters, as well as Youtube and on many podcast-hosting platforms, respectively.

Alexandra Chaffin, RN, has been a nurse at SVMC since 2010 and has worked in the Emergency Department since about 2014. She received her associates’ in nursing from Vermont Technical College and anticipates graduating with a bachelor’s in nursing from Castleton University this summer. She serves as a staff nurse, where she cares for patients, and as a charge nurse, in which case she is responsible for the movement of both staff and patients and as a resource to ensure care is executed appropriately throughout the department. She is also a member of the ED Advisory Council.

Jill Maynard, RN, is the director of nursing for the Emergency Department and Intensive Care Unit at Southwestern Vermont Medical Center. She received her bachelor’s in nursing from Southern Vermont College in Bennington and will soon graduate with her master’s in nursing with a focus on leadership and management. She joined the SVMC nursing staff in 2004.  Prior to this, she served as an Advanced EMT for her local rescue squad and as an ED Technician. In her current role, she manages the ExpressCare, emergency, and ICU nursing. She also leads nursing initiatives, including those to ensure safe emergency access for COVID and non-COVID patients, to decrease workplace violence, and to increase access to high quality efficient emergency care. She has been instrumental in emergency management and preparedness, in the development of the Respiratory Evaluation Center and the Emergency Crisis Area, and in the implementation of support programs for individuals affected by mental health conditions and substance abuse. 

The program’s host, Trey Dobson, MD,  is an Emergency Medicine physician with Dartmouth-Hitchcock Health and serves as Chief Medical Officer for Southwestern Vermont Medical Center in Bennington, Vermont.  He is an Instructor of Emergency Medicine at Dartmouth Geisel School of Medicine and a member of the Board of Trustees of Dartmouth-Hitchcock. He is past president of the Vermont Medical Society and currently sits on the Governance Council and performs medical practice peer review for the Vermont Program for Quality in Health Care. He obtained a Masters in Geology from the University of Wyoming and his Medical Degree at The University of Tennessee. Dr. Dobson completed his residency in Emergency Medicine at the University of Virginia. 

To contribute questions in advance of each week’s show, please e-mail wellness@svhealthcare.org or post to Facebook with #SVHCMedicalMattersWeekly.

About SVHC Medical Matters Weekly:
Medical Matters Weekly is an interactive, multi-platform guest-driven talk show hosted by Dr. Trey Dobson. It provides a behind-the-scenes perspective on healthcare, including topics like behavioral health, food insecurity, equitable care, and the opioid crisis. The show is produced in partnership with Catamount Access Television (CAT-TV) and is broadcast on CAT-TV, Greater Northshire Access Television, Facebook Live, YouTube, and podcast platforms. 

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.

SVMC has earned several prominent distinctions. Most recently, SVMC received the American Hospital Association’s Rural Healthcare Leadership Award for transformational change in efforts toward healthcare reform and its fifth consecutive designation within the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program®. It ranked fourth in the nation for healthcare value by the Lown Institute Hospitals Index in 2020 and is one of Vermont’s Best Places to Work. SVMC earned an ‘A’ for hospital safety from the Leapfrog Group for two years in a row. During the pandemic, SVMC and both its skilled nursing facilities, the Centers for Living and Rehabilitation in Bennington, and the Center for Nursing and Rehabilitation at Hoosick Falls, earned perfect scores on a Centers for Medicare and Medicaid Services evaluation meant to determine the ability to prevent transmission of COVID-19 and other infections. 

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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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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