When to Test and How
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/ Categories: WELLNESS, 2021

When to Test and How

Healthcare systems are attempting to walk a fine line. We want everyone who needs a COVID-19 test to get one. Testing helps people determine whether they need to isolate from others and whether it’s safe to resume our lives after a suspected exposure. At the same time, nervousness and anxiety are inspiring people to get a PCR test when they may not need one. This causes unnecessarily long waits at testing centers. Here’s the latest.

Get a PCR test if:

  • You have symptoms of COVID-19, even after vaccination.
  • You have been informed that you are a close contact (within 6 feet for a total of at least 15 minutes) of someone with a confirmed case of COVID, even after vaccination.

Note that if you have tested positive in the past 90 days, you may test positive again, even after you have recovered without having been reinfected. Because reinfection within 90 days is so rare, getting tested within this timeframe may not be worthwhile.

A new web-based tool available from the Centers for Disease Control and Prevention helps people decide whether or not they need a PCR test for COVID-19. We’ve linked to it at svhealthcare.org/COVID-Resource-Center.

You may also need a negative COVID test if you are returning to college or boarding school or if you are traveling via plane, for instance. Some workplaces or family gatherings also require a negative test.

If you took part in activities that put you at higher risk—like travel or attending a big gathering in a crowded indoor setting—but have not been alerted to any potential exposure or you would like assurance that you’re not infected before attending an event, an at-home antigen test is likely sufficient to provide the reassurance you need.  

Following these recommendations will ensure everyone gets the tests they need while preserving local testing capacity for those who need it most.

Karen Bond is the director of Laboratory Services at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care, in Bennington.

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What to Expect During Your Outpatient Visit

Now that cases of COVID-19 in the state have plateaued and Governor Phil Scott has given the go-ahead to resume elective procedures, the physicians and nurses at Southwestern Vermont Health Care are eager to provide the elective procedures that were postponed at the onset of the pandemic.

At the same time, we recognize that we need to implement enhanced precautions to ensure safety. See news about the universal safety precautions we are taking here.

Two areas in particular, outpatient surgery and diagnostics (which include the lab and imaging departments), have put additional precautions in place to ensure patient and staff safety.

Outpatient Surgery

3 – 4 Days Before Procedure. Patients will be given directions to get a drive-up swab test for COVID-19. The test should be conducted 3 – 4 days before your surgery. There is no out-of-pocket charge. Patients are given a cloth mask and are asked to wear it and self-isolate until surgery. Results for most tests are expected to be negative. Your surgeon will be in touch with you if there is a positive result. Procedures for those who have tested positive will be rescheduled.

Day of Procedure. Patients should come to the procedure alone, unless they need to be accompanied for safety reasons. Both patients and companions should wear a cloth face covering to the hospital. They are screened for symptoms at the main entrance. Patients will be given a medical-grade procedure mask to wear once they are checked into the unit.

Post Procedure. After the procedure, we will continue to be available to you. You will be provided a link that can be accessed via your cell phone or Internet. The link includes a brief questionnaire to help us assess your progress and guide you to a smooth recovery.

Diagnostic Imaging and Lab Work

Like those receiving an outpatient procedure, every imaging patient will be screened over the phone before arriving at the hospital. Lab patients with appointments will also be pre-screened on the phone. All patients should come for lab and imaging alone, unless a support person is needed for safety reasons. Patients should wear a cloth face covering to the hospital and for the entire duration of their stay. Patients are screened again at the main entrance.

Patients will notice some changes in the waiting rooms. Chairs have been spaced 6 feet apart to comply with social distancing. Reading material has been removed to discourage touching things that have been touched by others. In addition, the exam rooms are being deep cleaned after every patient, and the waiting rooms and high-traffic areas are disinfected hourly.

The clinical professionals at SVHC are confident that these measures, along with continued social distancing, will allow patients to receive the care they need in a safe and timely way.

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