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The purpose of the surge plan is to prepare MCH employees for an influx of patients with COVID-19. Furthermore, this plan will establish triggers for different phases of the plan that will include staffing and supply requirements for each phase. Postponing non-essential surgeries and procedures, limiting visitors and access to the facility, setting up specific respiratory clinics for adults and pediatrics were all part of the initial phase of the Surge Plan. These actions have freed up capacity at the hospital. MCH is normally a 25-bed Critical Access Hospital and the surge plan has increased total beds to 40. COVID-19 patients who are admitted to MCH will be cared for in a dedicated area equipped with ventilators when needed. Ultimately the plan includes post discharge care for patients including providing telemedicine support, coordinating with Home Health Care, and connecting patients with other community resources. The phases of the plan roll out depending on the number of patients who are in the facility and those who are presenting for care.
“MCH has repurposed sections of the hospital to add beds and care for patients with COVID-19 or other illnesses. Managing infectious disease is part of everyday business for a hospital. COVID-19 may present us with a volume of patients that we don’t normally see, but our hospital is ready. We are working with the Department of Public Health and the other hospitals in the state to best coordinate our resources.” Cyndee McGuire, President and CEO
In conjunction with the Department of Health and Human Services and with assistance from the National Guard, an Alternative Care Site is being planned to further support potential surge at Keene State College. The kind of care most likely to be provided at this site will be care to patients who do not have to be hospitalized in an acute setting, or care of those who are post discharge from an acute care setting. MCH is working with Cheshire Medical Center, Dartmouth-Hitchcock Keene along with other community organizations to staff and support the alternate care site.
[post_title] => MCH Surge planning for COVID-19 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-surge-planning-for-covid-19 [to_ping] => [pinged] => [post_modified] => 2024-08-27 16:31:22 [post_modified_gmt] => 2024-08-27 20:31:22 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29658 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 29870 [post_author] => 9192192 [post_date] => 2020-04-01 09:49:32 [post_date_gmt] => 2020-04-01 13:49:32 [post_content] => Monadnock Community Hospital is working towards creating a path for patients to see their doctors remotely, as response to the COVID-19 outbreak has opened up new avenues for accessing care remotely. Telehealth visits use a video and audio connection from doctor to patient, and allow the patient to access medical care without leaving their home. It can be used by doctors, therapists, and other health care workers. Monadnock Community Hospital has already begun the process of doctors consulting with patients via video, and is on track to be able to provide greater access to that service – on a limited basis – within two weeks. Dr. Greg Neilley, an internist and geriatrician at Monadnock Internal Medicine, said he’s been able to meet with several patients so far using a video call. While telehealth consultations aren’t always appropriate – there is no way to run certain tests, or physically listen to a patient’s lungs or heart, for example, and most critical emergencies will still require an Emergency Room visit. But for many patients, they can receive a similar level of care as if they were in the same room as their doctor. Read the full article on Ledger Transcript >> [post_title] => A New Kind of House Call [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => a-new-kind-of-house-call-coronavirus-leads-to-increased-telemedicine-use [to_ping] => [pinged] => [post_modified] => 2023-12-27 12:50:13 [post_modified_gmt] => 2023-12-27 17:50:13 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29870 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 29576 [post_author] => 2 [post_date] => 2020-03-27 11:51:56 [post_date_gmt] => 2020-03-27 15:51:56 [post_content] =>Monadnock Community Hospital (MCH) was notified on March 22nd by the NH Department of Health and Human Services (DHHS) that a patient who was tested at our hospital is positive for COVID-19, the disease caused by the new coronavirus. All proper precautions were taken with this patient to ensure the least amount of risk to our patients, colleagues and visitors. The team was prepared to care for this patient and followed protocols appropriately. Our preparedness efforts around the virus are in line with the Centers for Disease Control (CDC) and DHHS guidelines. We are unable to provide specific information on the patient. We are working with DHHS to evaluate and understand if there are people who have been in close contact with this patient who may have had exposure.
“As your community hospital, we frequently and effectively provide care for those with infectious diseases. We have been preparing for the potential presence of the virus in our broader community and we are confident in our ability to maintain the health and safety of our staff, patients and visitors. As a reminder, we all must be vigilant in following appropriate steps to protect ourselves, including physical distancing, and hand hygiene standards. I am so proud of our team at MCH and grateful for their amazing dedication and teamwork over the past few weeks. We will get through this together.” Cyndee McGuire, President and CEO.
Importance of Physical Distancing and Proper Hand Hygiene
The virus is thought to spread mainly from person-to-person; between people who are in close contact with one another (within about 6 feet) or through respiratory droplets produced when an infected person coughs or sneezes. The Medical Staff at MCH stresses the importance of physical distancing during this critical time. Please stay at home as much as possible and avoid close contact with others. Proper hand hygiene and physical distancing are the best ways to avoid getting COVID-19.
If you have a fever or symptoms of lower respiratory illness (e.g., cough, shortness of breath), please call you primary care clinician. Do not go to your Clinician’s office or to the Emergency Department. You will be triaged over the phone and will be given instruction for next steps regarding your care.
We continue to work in partnership with DHHS. Know that your community hospital is here for you during this difficult time. Please call your primary care clinician if you have questions or concerns. You can find more information and resources about COVID-19 on our website as well as www.nh.gov/covid19 and www.cdc.gov
Temporarily Consolidated Primary Care Offices
“Your Primary Care Offices and Clinicians remain available to you. We are minimizing face to face visits and providing telephonic support wherever we can and providing face to face visits when necessary. More robust Telehealth options are forthcoming. These efforts are also consistent with CDC and NH DHHS recommendations." Dr. Luc Shippee, Monadnock Internal Medicine and Medical Director for Monadnock Health Partners
In an effort to conserve resources and best care for our community, MCH has temporarily consolidated primary care offices.
Clinicians of the consolidated practices are serving MCH in a different capacity during this time. Due to the high volume of calls, please limit calling your Primary Care Office only if you have an urgent health concern.
To address the nationwide shortages of healthcare supplies, MCH continues to accept donations of unused masks, face shields, goggles, isolation gowns, gloves and hand sanitizer. "We are very grateful for the generous donations we are receiving from individuals and businesses in our community, it is a tremendous help to our staff. No donation is too small.” said Cynthia McGuire, President and CEO.
We are asking for only new items please, still in the package. Donations can be dropped off at Monadnock Community Hospital, Loading Dock #2, Monday – Friday, 8 a.m. – 4 p.m. MCH, 452 Old Street Rd, Peterborough, NH. For questions or if you would like to make donation arrangements for drop off at an alternative location or time, please contact Laura Gingras, VP Community Relations and Philanthropy, at: 603-924-4666 or Laura.Gingras@mchmail.org
According to the CDC, fabric masks are a crisis response option when other supplies have been exhausted. MCH has seen an outpouring of support to make fabric masks to be used to cover clinical masks so that the clinical mask can be reused. The fabric masks will be washed and used again as well.
If you are interested in sewing masks, the pattern and instructions can be found on the MCH website, COVID-19 page, and also on this Facebook page. If you have questions, please email or call Sadie Halliday at 603.660.2321 or Sadie.Halliday@beangroup.com, or Cathy Maki at Cathy.Maki@mchmail.org.
PLEASE do not bring the masks directly to the hospital; we are trying to limit traffic as much as possible.
We are using five community drop-off locations:
Each building has an overhang and there will be a container in which to leave the masks. The masks will be collected daily and delivered to the hospital. When you leave masks, could you please leave your name, address and phone number so that we may acknowledge your generous contribution.
[post_title] => Critical COVID-19 Update: Monadnock Community Hospital Confirms First Case and Boosts Safety Protocols [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-sees-first-case-of-covid-19 [to_ping] => [pinged] => [post_modified] => 2024-08-27 16:39:24 [post_modified_gmt] => 2024-08-27 20:39:24 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29576 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [3] => WP_Post Object ( [ID] => 29523 [post_author] => 2 [post_date] => 2020-03-23 10:08:20 [post_date_gmt] => 2020-03-23 14:08:20 [post_content] => Monadnock Community Hospital was notified yesterday by the NH Department of Health and Human Services (DHHS) that a patient who was tested at our hospital is positive for COVID‐19, the disease caused by the new coronavirus. All proper precautions were taken with this patient to ensure the least amount of risk to our patients, colleagues and visitors. The team was prepared to care for this patient and followed protocols appropriately. Our preparedness efforts around the virus are in line with the Centers for Disease Control (CDC) and DHHS guidelines. We are unable to provide specific information on the patient. We are working with DHHS to evaluate and understand if there are people who have been in close contact with this patient who may have had exposure.“As your community hospital, we frequently and effectively provide care for those with infectious diseases. We have been preparing for the potential presence of the virus in our broader community and we are confident in our ability to maintain the health and safety of our staff, patients and visitors. As a reminder, we all must be vigilant in following appropriate steps to protect ourselves, including physical distancing, and hand hygiene standards. I am so proud of our team at MCH and grateful for their amazing dedication and teamwork over the past few weeks. We will get through this together.” Cyndee McGuire, President and CEO.If you have a fever or symptoms of lower respiratory illness (e.g., cough, shortness of breath), please call you primary care clinician. Do not go to your Clinician’s office or to the Emergency Department. You will be triaged over the phone and will be given instruction for next steps regarding your care. We continue to work in partnership with DHHS. Know that your community hospital is here for you during this difficult time. Please call your primary care clinician if you have questions or concerns. You can find more information and resources about COVID‐19 at our website www.monadnockhospital.org as well as www.nh.gov/covid19 and www.cdc.gov [post_title] => MCH Reports First Case of COVID-19 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => march-23-press-release [to_ping] => [pinged] => [post_modified] => 2023-12-27 09:13:33 [post_modified_gmt] => 2023-12-27 14:13:33 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29523 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [4] => WP_Post Object ( [ID] => 29519 [post_author] => 2 [post_date] => 2020-03-22 19:13:48 [post_date_gmt] => 2020-03-22 23:13:48 [post_content] =>
Thank you so much for your interest and care. Orders for standard/disposable masks are on long back-orders, due to both demand and supply chain issues. Other hospitals across the country are reporting the same supply concerns. According to the CDC, fabric masks are a crisis response option when other supplies have been exhausted.
“Prior to modern disposable masks, washable fabric masks were standard use for hospitals,” said Dr. Michael Lindberg, Chief Medical Officer for MCH. “We will be able to sterilize these masks and use them repeatedly as needed. While it’s less than ideal, we want to do our best to protect our staff and patients during this pandemic.”A group of community volunteers have stepped up to coordinate this effort for MCH. If you are interested in sewing masks, the pattern and instructions can be found here.
If you have questions, please email or call Sadie Halliday at (603) 660-2321 or Sadie.Halliday@beangroup.com, or Cathy Maki at Cathy.Maki@mchmail.org.
PLEASE do not bring the masks directly to the hospital; we are trying to limit traffic as much as possible.
We are using five community drop off locations:
Each building has an overhang and there will be a container in which to leave the masks. The masks will be collected daily and delivered to the hospital. When you leave masks, could you please leave your name, address and phone number so that we may acknowledge your generous contribution.
[post_title] => MCH is Welcoming Fabric Masks [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-is-welcoming-fabric-masks-from-our-community-as-we-prepare-for-covid-19 [to_ping] => [pinged] => [post_modified] => 2024-07-03 18:15:24 [post_modified_gmt] => 2024-07-03 22:15:24 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29519 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [5] => WP_Post Object ( [ID] => 29518 [post_author] => 9192192 [post_date] => 2020-03-19 12:03:18 [post_date_gmt] => 2020-03-19 16:03:18 [post_content] => Yesterday, the White House announced a call-to-action for anyone who can donate any expendable personal protective equipment (PPE) to address the nationwide shortages that healthcare providers are facing. Monadnock Community Hospital echoes the urgent local need and requests donations of unused masks, goggles, face shields, isolation gowns, gloves and hand sanitizer.MCH opened its Incident Command process on Feb 26th and has been planning for weeks in areas such as Logistics, Supplies, Safety, Resource Planning, and Surge Capacity.
The purpose of the surge plan is to prepare MCH employees for an influx of patients with COVID-19. Furthermore, this plan will establish triggers for different phases of the plan that will include staffing and supply requirements for each phase. Postponing non-essential surgeries and procedures, limiting visitors and access to the facility, setting up specific respiratory clinics for adults and pediatrics were all part of the initial phase of the Surge Plan. These actions have freed up capacity at the hospital. MCH is normally a 25-bed Critical Access Hospital and the surge plan has increased total beds to 40. COVID-19 patients who are admitted to MCH will be cared for in a dedicated area equipped with ventilators when needed. Ultimately the plan includes post discharge care for patients including providing telemedicine support, coordinating with Home Health Care, and connecting patients with other community resources. The phases of the plan roll out depending on the number of patients who are in the facility and those who are presenting for care.
“MCH has repurposed sections of the hospital to add beds and care for patients with COVID-19 or other illnesses. Managing infectious disease is part of everyday business for a hospital. COVID-19 may present us with a volume of patients that we don’t normally see, but our hospital is ready. We are working with the Department of Public Health and the other hospitals in the state to best coordinate our resources.” Cyndee McGuire, President and CEO
In conjunction with the Department of Health and Human Services and with assistance from the National Guard, an Alternative Care Site is being planned to further support potential surge at Keene State College. The kind of care most likely to be provided at this site will be care to patients who do not have to be hospitalized in an acute setting, or care of those who are post discharge from an acute care setting. MCH is working with Cheshire Medical Center, Dartmouth-Hitchcock Keene along with other community organizations to staff and support the alternate care site.
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