Staffing crisis at Pontiac Hospital putting patients at risk, nurse says

Mothers and their newborns are in danger because of a persistent staff shortage at the obstetrics department of the Pontiac Hospital in Shawville, Que., according to a nurse who works there.

"The life of the mother and her child are in our hands. If a baby died on my shiftbecause we don't have enough staff? I could never stop thinking about it," the nurse said.

"We've become depressed, anxiouswe cry when we get to work. It's not good at all. It's too much pressure."

CBC/Radio-Canada has agreed to call the womanMartine because she's one of only five nurses in the department, and fears losingher job for speaking out.

Martine said she's sounding the alarm to protect both her colleagues, and the pregnant women and newborns they care for.

For the eighth time this fall, the Centre integr de sant et services sociaux de l'Outaouais (CISSSO) has announced it's closing the Pontiac Hospital's birthing unit, this time from 12:01 a.m. Mondayuntil 8 p.m. Tuesday.

Patients are being advised to go to the Gatineau Hospital during that time.

Health authority says unit is safe

Marie-ve Cloutier, director of nursing services for the CISSSO, said she understands the concerns of nurses, but reassuredmothers they should feel safe giving birth in Shawville when the unit is open.

"I'd like to underline that it is safe for future mothers in Pontiac," Cloutier said. "Their safety is important for the CISSS de l'Outaouais,"

Cloutier said whenwhen health officials believe the currentstaff shortage has made the situation too precarious, they close the unit temporarily and redirect people to the Gatineau Hospital, or to Pembroke, Ont.

There are currently only five specialized nurses working at the birthing unit.CISSSOhas said there should be 12 for the unit to provide full and safe service.

Meanwhile,two of hospital's five doctors who performdeliverieschose to leave at the end of December.

The five nurses trained in obstetrics at the Pontiac Hospital worked a total of 582 overtime hours in August and September, on top of their regular shifts.

'Sometimes I'm alone'

Martine said it's hardest during overnight shifts.

"The on-call obstetriciancould be far, in l'le-du-Grand-Calumet or Aylmer," she said.

"If something isn't going well with the mother, like a post-partum hemorrhage or a respiratory problem with the baby,sometimesI'm alone."

The Pontiac representative for theSyndicat des professionelles en soins de l'Outaouais (SPSO),the union representing health-care professionals in western Quebec, said on-call staff should be no farther than 30 minutes away, and eventhat may be too far in certainsituations.

Suzanne Mousseausaid emergency room staff may not haveobstetrics training.

"The other nurses have not necessarily been trained to help a baby in distress. If the emergency doctor can't step in, therecould be a problem," shesaid.

CISSSO said emergency doctors are qualified to deliver babies if a mother needs help.

"A birth can happen in any emergency room. If a woman is having a complications in labour, an emergency doctor will attend the birth," Cloutier said.

'Do something'

Martine is urging CISSSOtoconsider a six-month closure at the Shawville birthing unit to address the staffing problem.

"We told management, 'Do you want to keep the unit open, to the point of putting your patients' lives at risk?' But they aren't listening to us," she said.

"Get us out of this or help us. Do something."

The CISSSO said managers are working with the nursestoward a solution.

"The management is in Shawville every day, they work alongside their teams, they collaborate," Cloutier said.

"We're doing everything we can to support right now and maintain services for the population."

The union doesn't believe a shutdown is the answer, and could give the provincean excuse to close the unit permanently, reducing service to patients in the region.