Hall v. Catholic Health Initiatives, St Anthony Hospital

District Court, W.D. Washington·Decided March 17, 2021·No. 3:19-cv-05360·Unknown

Opinion

UNITED STATES DISTRICT COURT AT TACOMA LINDA HALL, CASE NO. C19-5360 BHS Plaintiff, ORDER GRANTING v. DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ST. ANTHONY HOSPITAL, Defendant. This matter comes before the Court on Defendant Catholic Health Initiatives, St. Anthony Hospital’s motion for summary judgment. Dkt. 27. The Court has considered the pleadings filed in support of and in opposition to the motion and the remainder of the file and hereby grants the motion for the reasons stated herein. Hall has worked as an RN in the Emergency Department of St. Anthony since 2009. Dkt. 1-1, ⁋⁋ 3.3–3.5. She has insulin-dependent diabetes. Id., ⁋ 3.7. She mentioned that she was diabetic in her interview and signed a form during the hiring process stating that she could perform the job without accommodation. Dkt. 28-1 at 66, 98.1 Hall works three twelve-hour shifts per week and is entitled to two thirty-minute

meal breaks and three fifteen-minute breaks per shift in accordance with St. Anthony’s policy. Dkt. 1-1, ⁋⁋, 3.6, 3.14; Dkt. 27-2 at 21. Hall primarily monitors her blood sugar at work through a continuous monitor paired with her cell phone. Dkt. 27-2. at 61. When her blood sugar is too low, her heart races, she runs out of energy, she feels shaky and cannot think clearly, and she sometimes feels sweaty. Id. at 62. To counteract this, she

needs to eat. Id. When her blood sugar is too high, she feels lethargic and needs insulin, exercise, or hydration to counteract it. Id. at 62–63. Hall testified that she is able to go to the bathroom without taking a break, and sometimes she will need to run and take a bathroom break to use the bathroom and inject insulin at the same time. Id. at 18. Hall testified that staff at St. Anthony regularly miss breaks due to understaffing.

Dkt. 28-1 at 63. In 2011, Hall advocated for better break access for nursing staff, which was noted positively in her performance evaluation. Dkt. 27-2 at 7. St. Anthony Clinical Manager for the Emergency Department Sheila Niven declared that nurses in the Department may be responsible for up to four patient rooms at a time. Dkt. 27-6, ⁋ 5. She declared that for a nurse to take a break, their patients “must

be covered by another nurse or a charge nurse so that necessary supervision and care can be provided during the break.” Id. A charge nurse is a “semi-managerial position 1 The Court cites the CM/ECF page numbering. responsible for coordinating the work flow, activities, assignments, and the patient care provided in the Emergency Department on a given shift.” Id., ⁋ 7. On May 19, 2016, Hall gave her manager a letter from her doctor notifying St.

Anthony that she had insulin-dependent diabetes and requesting accommodations. Dkt. 1- 1, ⁋⁋ 3.11, 3.13. The letter stated that Hall “is a brittle diabetic [who] will need to take regular scheduled breaks in order to test her blood sugar level.” Dkt. 27-2 at 34. Hall first met with her supervisors to discuss her request on June 28, 2016. Dkt. 1-1, ⁋ 3.13. Hall was told that the charge nurse would relieve Hall for the meal breaks, but Hall would

need to use the “buddy break” system for her fifteen-minute breaks—to find another staff RN to cover her patients during her break. Dkt. 27-2 at 10. Hall alleges that over the next eleven months, charge nurses regularly refused to cover her meal breaks and staff nurses refused to cover her fifteen-minute breaks. Dkt. 1- 1, ⁋ 15. She testified that when she asked for her breaks “it became uncomfortable and

hostile.” Dkt. 27-2 at 13. On May 1, 2017, Hall and her manager, Christi Powers, met with St. Anthony’s Human Resources Director Vicki Lackman to review these issues. Dkt. 1-1., ⁋ 3.17; Dkt. 27-5, ⁋ 6. They agreed that Hall’s breaks would occur at set times, charge nurses would be required to cover Hall’s meal breaks, and if Hall could not identify a “buddy” for her fifteen-minute breaks, a charge nurse would cover her. Dkt. 1-

1, ⁋ 3.19. Powers instructed the charge nurses to prioritize Hall’s rest breaks if she could not identify a buddy. Id., ⁋ 3.20; Dkt. 27-5 at 15. Over the next several weeks, Hall alleges that she “continued to be met with hostility when she approached nurses to ask for cooperation for a ‘buddy break,’ including nurses accusing her of already having taken a break, or simply walking away without acknowledging that [Hall] had requested their assistance,” and alleges that the charge nurses were similarly hostile. Dkt. 1-1, ⁋⁋ 3.21–.22. Hall began to record her

missed breaks and requested another meeting with the HR manager and her manager. Id., ⁋ 3.23. At that meeting on June 13, 2017, Hall reported her issues with buddy breaks but acknowledged she had not requested assistance from charge nurses when she encountered difficulty, and Powers and Stacy Georgette reminded her that she should do so. Id., ⁋ 3.25; Dkt. 27-3, ⁋ 5. Georgette, a St. Anthony HR Manager during the relevant period,

asked whether Hall would prefer to work in another part of the hospital that would provide more regular breaks, but Hall declined. Dkt. 27-3, ⁋ 6. Nurses in the Emergency Department were sometimes assigned to triage. Id., ⁋ 3.28. When Hall was assigned to triage, she was able to access snacks to control her blood sugar without using the buddy break system, was able to avoid the need for preset

breaks, and did not experience hostility because she did not need to ask others to cover her. Id., ⁋⁋ 3.29, 3.30; Dkt. 27-2 at 12. Hall testified that in September 2017, she returned from a meeting with HR and found Emergency Department staff laughing at a sign that said “No Break for You,” posted “in the nurses’ station by the charge nurse, between the charge nurse and the

HUC.” Dkt. 27-2 at 15. She testified that the sign was created by Jason Strader, another ED staff member, and she believed Strader knew she had diabetes but did not know for sure. Id. Georgette declared that Hall did not report the sign to HR despite multiple meetings with HR about her accommodations during 2017. Dkt. 27-3, ⁋ 7. Hall testified that she recalled going to the bathroom and being told that was her break. Dkt. 27-2 at 13. She also testified that on one occasion when she reported a missed break, Powers called and yelled at her, asking “[w]hy didn’t you get your break?” Dkt.

28-1 at 81, and that a charge nurse, likely Powers, told her “breaks don’t just happen,” Dkt. 27-2 at 15. Another nurse also emailed a supervisor stating that Hall had logged missed breaks in May 2017 without having asked for a buddy break. Dkt. 28-1 at 77. Hall also testified that on a few occasions she was accused of taking a meal break when she only took a fifteen-minute break but did not recall who had made those accusations. Id. at

84. Hall testified that at some point she started taking screenshots on her phone to show the time for every break. Id. at 64–65. She also testified that, during a period when Tricia Castellano was the charge nurse, she felt like things were “spiraling,” that she had trouble getting assistance with heavy-care patients, and that some charge nurse had assigned her a heavier patient load than other nurses. Id. at 90. On one occasion, Hall overhead one

person at the nurses’ station quietly tell another to be quiet in front of Hall because “there’s spies among us.” Dkt. 27-2 at 22. Janie Patterson, who worked at St. Anthony as a staff nurse and interim charge nurse, declared that Powers and Castellano confronted her at least three times on the issue of whether Hall had taken longer breaks than she should or reported her breaks

incorrectly. Dkt. 28-1 at 48.2 She declared that Powers and Castellano would look

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