Castillo v. Brownsville-Valley Regional Medical Center, Inc.

421 S.W.3d 263, 37 I.E.R. Cas. (BNA) 716, 2013 WL 6710329, 2013 Tex. App. LEXIS 15201
CourtCourt of Appeals of Texas
DecidedDecember 19, 2013
DocketNo. 13-12-00181-CV
StatusPublished
Cited by4 cases

This text of 421 S.W.3d 263 (Castillo v. Brownsville-Valley Regional Medical Center, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Castillo v. Brownsville-Valley Regional Medical Center, Inc., 421 S.W.3d 263, 37 I.E.R. Cas. (BNA) 716, 2013 WL 6710329, 2013 Tex. App. LEXIS 15201 (Tex. Ct. App. 2013).

Opinion

OPINION

Opinion by

Justice RODRIGUEZ.

Appellants Ramiro Castillo, Rogelio Garza Jr., Stephanie V. Gonzalez, Brenda Saenz, Lynda Valdez, Cleofe Vasquez, and Juan M. Vela challenge the trial court’s granting of appellee Brownsville-Valley Regional Medical Center’s (the Hospital) [265]*265plea to the jurisdiction on appellants’ claims under the Texas Occupations Code, Texas Health and Safety Code, and Texas Administrative Code. By one issue, appellants argue that the trial court erred in granting the Hospital’s plea because the National Labor Relations Act (NLRA or the Act) — under which both appellants and the Hospital had claims pending before the National Labor Relations Board (NLRB or the Board) in connection with the same events giving rise to this case — does not pre-empt appellants’ state law claims. We affirm.

I. Background

In their petition, appellants alleged the following facts:

26. On April 3, 2011, Plaintiff Gonzalez was serving as Charge Nurse [in the Hospital’s Intensive Care Unit (ICU) ]. She was called away from ICU on a rapid response code to assist with a patient in a medical-surgical unit. After providing the necessary assistance to the other unit, Plaintiff Gonzalez returned to ICU to attend to her duties as Charge Nurse and for her own patients.
27. Due to Plaintiff Gonzalez being away from ICU for the rapid response code, one of her ICU patients received scheduled medication approximately one hour late, through no fault of Plaintiff Gonzalez[’s].
28. A nurse in the other unit asked Plaintiff Gonzalez to remain away from ICU longer in order to accompany the patient to a CT scan. By that point in time the rapid-response patient had stabilized and Plaintiff Gonzalez was not urgently needed to accompany the patient to the CT scan. Plaintiff Gonzalez, having already been away from ICU for a dangerous period of time, thus declined to accompany the patient to the CT scan ....
[[Image here]]
30. ... [The Hospital] issued Plaintiff Gonzalez a disciplinary warning for declining the request of the nurse in the other department to accompany the patient to a CT scan and instead returning to ICU ....
31. By imposing the above described disciplinary action on Plaintiff Gonzalez, [the Hospital] effectuated a drastic change in hospital policy. Never before had [the Hospital] imposed disciplinary action against an ICU nurse over the nurse’s exercise of reasonable judgment in dealing with impossibly contradictory responsibilities arising from a rapid response code. This change in policy meant than an ICU nurse serving as Charge Nurse would not have the right to use the nurse’s own judgment as to when it was appropriate to return to the nurse’s critical duties in ICU from a rapid response situation. This change in policy meant, therefore, that an ICU nurse in such a situation would be forced to make an unreasonable choice between unethically leaving her critical ICU duties unattended and thus jeopardizing her nursing license, or declining to remain away from ICU and thus immediately jeopardizing her employment.

Appellants alleged that the foregoing was precipitated by the Hospital’s failure to “implement and enforce a written nurse staffing policy that ensures an adequate number and skill mix of nurses are available to meet the highly acute level of patient care needed in ICU.” Appellants alleged that the Hospital’s nurse staffing policy: is “inadequate for the proper and safe care for acute care patients”; is “not based on multiple nurse and patient considerations”; is “not in accordance with evidence-based safe nursing standards”; “does not include a method for adjusting the staffing plan to provide flexibility to [266]*266meet patient needs”; and “does not include a contingency plan when patient care needs unexpectedly exceed direct patient care staff resources.” Appellants also alleged that the Hospital failed “to provide for a Charge Nurse in its ICU nurse staffing plan,” instead rotating “Charge Nurse assignments among the Registered Nurses [RNs] in the ICU.” As a result of this failure, in particular, appellants alleged that the rotating ICU charge nurse was responsible for his or her charge nurse duties, a full load of ICU patients, and responding to rapid response codes in other parts of the hospital. Appellants allege that this policy is different from the charge nurse policies in the Hospital’s other departments, where the nurse staffing policies provide for a dedicated charge nurse who has no other responsibilities.

In connection with these ICU nurse staffing policy failures, appellants then alleged the following:

33.The realization that good faith service as Charge Nurse would place them in jeopardy of violating proper nursing practices and endangering their patients as a condition of their employment with [the Hospital] caused [appellants] to suffer great stress and anxiety over the prospect of serving as Charge Nurses, thus rendering [appellants] emotionally incapable of serving as Charge Nurses, and therefore requiring Plaintiffs to decline Charge Nurse assignments under the Standards of Practice required of nurses by the Rules of the Texas Board of Nursing ....
34. Accordingly, on April 29, 2011, within 60 days before [the Hospital] terminated then* employment, each [appellant] informed [the Hospital] in good faith that [the Hospitales practice of requiring nurses in ICU to perform Charge Nurse duties under these circumstances exposed ICU patients to unnecessary health risks ....
35. At the same time, each [appellant] also informed [the Hospital] in good faith that he or she could not accept Charge Nurse assignments in the future under these circumstances .... f1]

Appellants alleged that the next time each of them was asked by the Hospital to perform charge nurse duties, over a period between May 3 and May 6, 2011, he or she refused, citing his or her concerns about patient safety and his or her duties under the Texas Board of Nursing rules. After each appellant refused, the Hospital asked him or her to clock out and suspended his or her employment. On May 13, 2011, the Hospital terminated the employment of Vela, Garza, Vasquez, and Castillo. On May 20, 2011, the Hospital terminated the employment of Gonzalez, Valdez, and Saenz.

[267]*267In connection with the foregoing events, the Hospital filed an unfair labor practice charge with the NLRB, alleging that appellants had violated the NLRA by “engaging in a partial work stoppage” without providing proper notice as required by the Act. Appellants’ union also filed an unfair labor practice charge, alleging that the Hospital violated the NLRA by: denying employees their Weingarten rights2; disciplining Gonzalez because she engaged in union activities; terminating appellants’ employment when they engaged in the protected, concerted activity of protesting the disciplining of Gonzalez; and refusing to bargain with the union and, instead, unilaterally changing charge nurse responsibilities and ICU discipline practices. The NLRB eventually, dismissed the charge filed by appellants’ union.3 Appellants’ union has appealed the dismissal.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
421 S.W.3d 263, 37 I.E.R. Cas. (BNA) 716, 2013 WL 6710329, 2013 Tex. App. LEXIS 15201, Counsel Stack Legal Research, https://law.counselstack.com/opinion/castillo-v-brownsville-valley-regional-medical-center-inc-texapp-2013.