Frank v. South Suburban Hospital Foundation

628 N.E.2d 953, 256 Ill. App. 3d 360, 195 Ill. Dec. 489
CourtAppellate Court of Illinois
DecidedDecember 28, 1993
Docket1-92-4275
StatusPublished
Cited by8 cases

This text of 628 N.E.2d 953 (Frank v. South Suburban Hospital Foundation) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frank v. South Suburban Hospital Foundation, 628 N.E.2d 953, 256 Ill. App. 3d 360, 195 Ill. Dec. 489 (Ill. Ct. App. 1993).

Opinion

JUSTICE DiVITO

delivered the opinion of the court:

Plaintiff Marcia G. Frank (Frank) brought this action against South Suburban Hospital Foundation (South Suburban), a not-for-profit Illinois corporation that operates South Suburban Hospital in Hazel Crest, Illinois, to recover damages resulting from the alleged wrongful termination of her employment as a nurse-supervisor. Cross-motions for summary judgment were filed, and the circuit court granted South Suburban’s motion and denied Frank’s motion. Frank now appeals. We affirm.

Frank was hired by South Suburban in October 1984 and became the nursing supervisor of South Suburban’s oncology unit when it opened in January 1985. She had first become a registered nurse in Illinois in 1965, and had received her B.S. in 1982 and her M.S. in 1985. Frank had been employed previously at St. Elizabeth Hospital in Chicago, St. Margaret Hospital in Hammond, Indiana, and Ingalls Memorial Hospital in Harvey, Illinois.

As part of the hiring and orientation process, Frank received a letter of appointment dated September 25, 1984, and a notice of an orientation meeting. That notice advised her to attend the meeting with her "Employee Handbook” (Handbook). During her employment, two very similar versions of the handbook were in force. The personnel policies and procedures of South Suburban were distributed, and Frank kept these in a policy book at the nurses’ station and in her office.

South Suburban characterizes the Employee Handbook as a general resource guide. The first page, entitled "Welcome,” states that the Handbook is intended to provide employees with some "basic guidelines” about employee "rights and responsibilities” and South Suburban’s structure. The third page, entitled "Foreword,” states that the Handbook is a "general manual” only and may be revised at any time. A section of text set off from the rest of the page states that "[tjhis handbook is a basic guide only. It is not a definitive policy or procedure manual. The hospital and its functional units maintain specific operating manuals, policies, procedures and rules.” Employees are told that they "may also refer to the hospital’s Personnel Policy and Procedure Manual.”

The discipline section of the Handbook lists five "[tjypes of disciplinary action that may be taken.” These are first reprimand, second reprimand, one-day suspension, three-day suspension, and discharge. The Handbook specifies that "[t]he type of action will depend upon the severity of the offense and the corrective action deemed necessary by the direct supervisor.” South Suburban’s progressive discipline policy lists the same five examples of disciplinary action, any of which may be imposed depending upon the severity and circumstances of the offense. "Progressive discipline may begin or advance to any step omitting action at lesser step(s) dependent upon the severity of the employee infraction(s).” Discharge, in particular, may occur for "commission of a first infraction of a serious nature.” The policy specifies that three-day suspensions "[m]ay be administered to an employee in lieu of immediate discharge pending investigation.” The purposes and scope of the policy are listed as "[t]o define and specify the methods for administering discipline and to insure fair and consistent treatment of employees in violation of hospital policies and procedures.” Finally, the progressive discipline operational practice standard procedure provides that the department manager or supervisor is to review the facts of the case and the disciplinary action with the employee, and to obtain the employee’s signature on the disciplinary action form.

The employee behavior policy specifies that "[b]ehavior that requires disciplinary action includes, but is hot limited to the following.” Twenty-six examples follow, including "11. Deliberate failure to follow instructions or to work in accordance with hospital or department policies and procedures.” This policy also specifies that "[t]he nature of the disciplinary action administered will be based on the nature of the incident.” The medical leave of absence policy provides that an employee may commence a leave of absence no later than the fifteenth day after being away from work for medical reasons. An employee must exhaust accumulated sick pay first, with the remaining time being unpaid. The duration of a leave is 30 to 180 days.

Another policy calls for annual reviews of performance, and Frank’s first review in March 1985 was positive. At her next review in October 1985, she was given both positive and negative evaluations, and was awarded a pay increase of 5%, identified as representing a performance level "above expectations.” In April 1986 she was awarded a 2% merit increase on top of a 4% across-the-board increase, for performing according to expectations. Her performance review of October 1986 also showed her performing according to expectations.

On March 17, 1987, a patient in the oncology unit experienced an erratic and accelerated heart beat. His pulse rate was 170 to 180, and the normal rate would be 60 to 100. A "stat EKG” was ordered by a nurse and approved by the patient’s physician, Dr. Fanaipour, who ordered other tests as well. Another of the patient’s physicians, Dr. Mehta, was contacted by telephone. He ordered that digoxin (the generic name for the product Lanoxin) be given, and it was. After the EKG and lab test results were received, Dr. Mehta ordered the administration of more digoxin intravenously.

At this point Frank intervened. She noted from the patient’s chart that in the past he had been given digoxin, and became concerned that he might be "digtoxic,” meaning that he had too much digoxin in his system. She called the laboratory and ordered that a digoxin level test be performed on blood already taken from the patient. Before the results of the test were available, Frank observed a staff nurse preparing to inject the additional digoxin ordered by Dr. Mehta. She directed the nurse not to administer the drug until the digoxin level test had been completed. Additionally, Frank performed a medical procedure known as carotid massage on the patient. This procedure is designed to lower the heart rate and should generally be performed only on a patient who is being monitored. The patient in question was not monitored. Frank did not know whether or not the patient was in a life-threatening condition. When Dr. Mehta arrived on the floor and learned that the digoxin he had ordered had not been administered, he became upset and wanted to know why Frank had interfered with his orders. Frank was immediately suspended for three days pending investigation, in lieu of immediate discharge.

When the three-day investigatory suspension expired, Frank was not returned to work. South Suburban placed her on paid sick leave status in order to obtain a medical evaluation of her condition, and considered placing her on a medical leave of absence in early April 1987 if her medical condition so warranted. Frank received sick pay for the time between the conclusion of her suspension and her termination.

Dr. Jay Walther examined Frank on March 24, 1987. Based on that examination and the results of laboratory tests he had ordered, Walther determined that Frank, in fact, had no significant health problems.

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Bluebook (online)
628 N.E.2d 953, 256 Ill. App. 3d 360, 195 Ill. Dec. 489, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frank-v-south-suburban-hospital-foundation-illappct-1993.