Desiree Reedus v. Department of Veterans Affairs

CourtMerit Systems Protection Board
DecidedApril 16, 2024
DocketCH-1221-17-0411-W-2
StatusUnpublished

This text of Desiree Reedus v. Department of Veterans Affairs (Desiree Reedus v. Department of Veterans Affairs) is published on Counsel Stack Legal Research, covering Merit Systems Protection Board primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Desiree Reedus v. Department of Veterans Affairs, (Miss. 2024).

Opinion

UNITED STATES OF AMERICA MERIT SYSTEMS PROTECTION BOARD

DESIREE K. REEDUS, DOCKET NUMBER Appellant, CH-1221-17-0411-W-2

v.

DEPARTMENT OF VETERANS DATE: April 16, 2024 AFFAIRS, Agency.

THIS ORDER IS NONPRECEDENTIAL 1

Heather White , Esquire, Washington, D.C., for the appellant.

Chadwick C. Duran and Danielle Kalivoda , Indianapolis, Indiana, for the agency.

BEFORE

Cathy A. Harris, Chairman Raymond A. Limon, Vice Chairman

REMAND ORDER

The appellant has filed a petition for review of the initial decision, which denied her request for corrective action in this individual right of action (IRA) appeal. For the reasons discussed below, we GRANT the appellant’s petition for review, AFFIRM the administrative judge’s finding that the appellant established

1 A nonprecedential order is one that the Board has determined does not add significantly to the body of MSPB case law. Parties may cite nonprecedential orders, but such orders have no precedential value; the Board and administrative judges are not required to follow or distinguish them in any future decisions. In contrast, a precedential decision issued as an Opinion and Order has been identified by the Board as significantly contributing to the Board’s case law. See 5 C.F.R. § 1201.117(c). 2

a prima facie case of whistleblower reprisal, VACATE the administrative judge’s finding that the agency proved by clear and convincing evidence that it would have taken the same actions in the absence of the appellant’s protected disclosures, and REMAND the case to the regional office for further adjudication in accordance with this Remand Order.

BACKGROUND On May 3, 2015, the agency appointed the appellant to a position as a Physician in the Urgent Care Unit at the Marion Campus (Marion) of the agency’s Northern Indiana Health Care System (NIHCS), subject to the completion of a 2-year probationary period. Reedus v. Department of Veterans Affairs, MSPB Docket No. CH-1221-17-0411-W-1, Initial Appeal File (IAF), Tab 11 at 38-39. The appellant initially reported directly to Marion’s Medical Director of Primary Care (PC Director); however, following a series of confrontations between the appellant and the PC Director, NIHCS’s then-Chief of Staff (COS) issued a memorandum on June 23, 2015, removing the PC Director from the appellant’s chain of command. Id. at 45. On July 22, 2015, the appellant notified NIHCS’s then-Deputy Chief of Staff (Deputy) 2 that the PC Director was endangering patients by drastically reducing the dosage of their prescribed pain medication without tapering the dosage, causing at least one patient to suffer a seizure. IAF, Tab 22 at 4, 7-8. In the fall of 2015, the agency hired an Associate Chief of Staff for Primary Care at Marion (ACOS), who became the appellant’s immediate supervisor. Reedus v. Department of Veterans Affairs, MSPB Docket No. CH-1221-17-0411- W-2, Appeal File (W-2 AF), Hearing Transcript, Day 1 (HT1 at 48) (testimony of the appellant); Hearing Transcript, Day 2 (HT2) at 239 (testimony of the COS). 2 The Deputy was appointed NIHCS’s COS in 2016. Reedus v. Department of Veterans Affairs, MSPB Docket No. CH-1221-17-0411-W-2, Appeal File (W-2 AF), Hearing Transcript, Day 2 (HT2) at 237-38 (testimony of the COS). Accordingly, all references to him concerning events that occurred in 2016 or thereafter, including his hearing testimony, identify him as COS. 3

On July 19 and 20, 2016, the appellant sent emails to the ACOS and the COS concerning the protocol for responding to a “code blue”; i.e., a life-threatening emergency. IAF, Tab 9 at 139-40, 142-44; HT1 at 194-96 (testimony of the appellant’s union representative). In her July 19 email, the appellant stated that, when she responded to a code blue in Marion’s mental health ward the previous day, no other physician was present, hospital staff was not performing cardiopulmonary resuscitation correctly, and the patient subsequently died at the scene. IAF, Tab 9 at 142-43, Tab 18 at 20. The appellant asserted that Marion’s floor staff must be trained to respond to emergencies, and that it was not “typical protocol” in an inpatient hospital to require the Urgent Care provider to leave her post unmanned and travel long distances to other parts of the facility to respond to emergencies when other providers in closer proximity to the patient could provide care. IAF, Tab 9 at 143. In her July 20 email, the appellant alleged that hospital staff who responded to a code blue earlier that day did not follow the correct protocol for responding to emergencies, nor did they know the location of the carts that contained the equipment for responding to emergencies. Id. at 139-40. On July 27, 2016, the ACOS placed the appellant on a Focused Personnel Practice Evaluation (FPPE), citing concerns that she was not properly using the Emergency Department Information System (EDIS), a management tool that all agency urgent care clinics and emergency departments must use to track patients and ensure that they receive the care that they need in a timely manner. IAF, Tab 12 at 5; HT2 at 281 (testimony of the COS). On August 2, 2016, the ACOS issued the appellant an Ongoing Professional Practice Evaluation (OPPE), in which she concluded that the appellant did not meet “all defined criteria” for medical privileges. W-2 AF, Tab 26 at 119-21. In particular, the ACOS found that the appellant’s interpersonal and communication skills were unsatisfactory for the following reasons: (1) the appellant did not call her supervisor when she was going to be 4

off work; (2) the appellant did not accept constructive feedback; and (3) the ACOS had “concerns about [the appellant’s] relationship with [the PC Director].” Id. at 119. The ACOS also stated that there were concerns about the appellant’s professionalism in front of staff and patients when the PC Director requested assistance from Urgent Care. Id. at 120. On August 3, 2016, Marion’s then-Acting Director (AD) notified the appellant that her medical privileges would be suspended effective August 4, 2016, at the COS’s recommendation, pending review of allegations that she had failed to respond promptly to a code blue on July 20, 2016, and had refused to provide medical care to a veteran on July 28 and 29, 2016. IAF, Tab 11 at 29-30. Around the time that her medical privileges were suspended, the appellant began a period of approved leave protected under the Family and Medical Leave Act of 1993 (FMLA). IAF, Tab 17 at 18. By memorandum dated August 31, 2016, the ACOS recommended to the COS that he consider convening a Physician Professional Standards Board (PSB) to determine whether the appellant’s employment should be terminated during her probationary period. IAF, Tab 10 at 17-21. In support of her recommendation, the ACOS described several incidents–including the July 2016 incidents that led to the suspension of the appellant’s medical privileges–in which the appellant allegedly failed to provide appropriate medical care to veterans in Urgent Care or failed to communicate professionally to staff, veterans, and family members. IAF, Tab 10 at 18-21, Tab 11 at 29-30. On September 7, 2016, the COS notified the appellant that a PSB would be convened to review eight alleged deficiencies in her performance and to make recommendations concerning her retention in the agency. IAF, Tab 8 at 16-18, Tab 11 at 18-20. On November 7, 2016, the appellant notified NIHCS’s Director that she would exhaust her FMLA leave on November 14, 2016, and she requested leave without pay (LWOP) from November 15 to December 15, 2016, the date of her next doctor’s appointment. IAF, Tab 8 at 30-31. On November 9, 2016, the COS 5

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Bluebook (online)
Desiree Reedus v. Department of Veterans Affairs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/desiree-reedus-v-department-of-veterans-affairs-mspb-2024.