St. Joseph is a progressive institution providing a good work environment.
The obstetrical department went through the LEAN program utilized by the Toyota Company to get rid of waste, improve productivity and improve the work environment to provide excellent patient care. The team leader or charge nurse receives an initial report form the off- going charge nurse or team leader. The next staff receive a flash report to grasp an overview of what will be happening that day, issues to provide safe coverage and a quick brief on critical patients or situations of concern. The unit has 3 operating rooms all designed to be similar to the other. The unit uses the single room maternity care system that patients like for they stay in the same room for their whole hospitalization. Staff work either Labor and Delivery or Maternal Child for continuity and safety. The team leader oversees the flow of the unit, assignments, fills in in triage, ensures the obstetrical technicians have rooms ready for admissions, supports the nurses in the operating room, complete an eight hour acuity report and provides support at deliveries or makes sure a second RN is present for a delivery if she is unable. The team leader supports staff in critical events such as shoulder dystocia, hemorrhage and instrument deliveries. The most enjoyable part of my job is I am able to use a vast array of skills, its challenging but manageable, and I personally can see continuity of care from antenatal period through delivery to the start of the family.