October 2018 - On a chilly October day, Diane Desmond, RN, and Raema Howell, RN, activation leads for the new Barnes-Jewish West County Hospital (BJWCH), geared up for a working meeting on the construction site. Wearing hard hats, safety glasses and high visibility vests, they met Susan Freet and Carolyn Evans, BJWCH nurse managers, near the construction gate.