Sioux Falls is where four states send their patients, and that changes how a get-well order should be written. This city of a couple hundred thousand people carries the tertiary hospitals for eastern South Dakota, southwest Minnesota, northwest Iowa and northeast Nebraska, because both Sanford Health and Avera Health are headquartered here. The practical consequence is that the patient in the room is very often not from Sioux Falls at all — they were driven or flown in from a town two or three hours away, their family is staying in a hotel, and there is nobody at the house to take a delivery. That single fact inverts the usual advice. In most cities the smart default is to send get-well flowers to the home; here, while the patient is admitted, the hospital room is frequently the only address that reaches them, which makes floor compliance the whole game rather than a detail.
Start by settling which campus, because the two big ones are close together and constantly confused. Sanford USD Medical Center at 1305 W. 18th Street is the Sanford flagship and the region's trauma center; Sanford Children's Hospital, the castle-fronted building on West 22nd Street that locals call the Castle of Care, operates as part of that campus, along with the neonatal intensive care unit and a very large birthing service. Avera McKennan Hospital & University Health Center at 1325 S. Cliff Ave. is the Avera flagship, roughly a mile and a half from the single florist on this grid — Cliffave Florist sits at 2101 E. 26th St., essentially around the corner from the Cliff Avenue campus. Avera also runs specialty campuses on West 69th Street: the Avera Heart Hospital of South Dakota and the Avera Behavioral Health Center, which are separate buildings with separate rules. The Royal C. Johnson Veterans Memorial Hospital on West 22nd Street serves the region's veterans. LifeScape handles pediatric and adult rehabilitation, and there are freestanding surgical and specialty hospitals in the city as well. Sanford and Avera each run a cancer institute. If you are not certain which of these buildings the patient is in, ask the family for the building name before you order rather than after — a delivery to the wrong campus is a delivery that never arrives.
Floor rules are where get-well orders fail, and they are not uniform building to building. Oncology and infusion are the most restricted adult units at both systems: no true lilies of any kind, no heavily pollinated stems, no fragrance, and frequently no live potting soil, because soil carries fungal spores an immunocompromised patient should not be breathing. The neonatal intensive care unit inside the Sanford children's campus generally accepts no flowers or plants at all; for a NICU family, the delivery that works is one to the family's hotel or a parent lounge. Pediatric floors want lily-free, low-pollen, scent-free and no latex, since latex-allergy protocols are standard in children's hospitals — which also rules out latex balloons. Intensive care, burn and transplant units at both Sanford and Avera are usually flower-free by policy, with a lobby handoff to a family member the only route in. Behavioral health is the strictest address in the city: glass, wire, long ribbon, and anything breakable or tie-able are not permitted on most units, and many accept no deliveries at all, so confirm with the unit before ordering anything for the Avera Behavioral Health Center. Maternity, cardiac step-down and general post-surgical floors are the most permissive and will take nearly anything cheerful. Safe defaults everywhere in this city: alstroemeria, lisianthus, spray roses, carnations, gerbera, stock, solidago and greenery, in an unbreakable container under about fourteen inches so it fits a rolling tray table instead of crowding a windowsill full of monitors.