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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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. 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. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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