Hillsborough County Hospital Authority v. State, Department of Administration, Division of Retirement

495 So. 2d 249, 11 Fla. L. Weekly 2064, 1986 Fla. App. LEXIS 9837
District Court of Appeal of Florida·Decided September 26, 1986·No. No. 85-892·Published·Cited by 1 cases

Opinion

PER CURIAM.

This is an appeal from a declaratory statement issued pursuant to section 120.-565, Florida Statutes (1983).

On behalf of Tampa General Hospital, the Hillsborough County Hospital Authority filed a petition for declaratory statement with the Department of Administration, Division of Retirement. In response, the division issued a declaratory statement which reads in pertinent part:

I. THE FACTS

“The Hospital employs approximately 989 nurses of whom 760 are unquestiona-' bly employees properly eligible for, and enrolled in, the Florida Retirement System and over whom there is no dispute. The Hospital’s inquiry concerns the remaining 229 nurses who are members of the so called nursing pool.

“Operating a facility as large as Tampa General Hospital necessarily entails certain staffing difficulties, especially in the area of trained nursing personnel who are habitually in short supply. Because of inability to predict employees’ illnesses, personal emergencies, and a whole gamut of reasons and excuses for personnel unexpectedly not reporting for work, the Hospital has had to seek a secondary source of supply for skilled nursing personnel without whom the business of the Hospital could not continue in the absence of a substantially in[250]*250creased risk of diminished service to the Hospital’s patients. In some cases, the shortage would be life threatening if not ameliorated.

“Some shortages appear to be predictable while others are more subject to the vicissitudes of daily commerce in the health care industry. These shortages of personnel, both predictable and unpredictable, occur in virtually every cost center within the Hospital in which nursing personnel are employed. To further complicate matters, as the Hospital has so ably drawn to our attention, not only does the demand for nursing personnel within the Hospital change on a daily basis, but the level of expertise required for replacing personnel within the Hospital varies as well. It is not possible, for example, to replace a highly skilled coronary care, intensive care or burn unit nurse with one who is accustomed to and trained for only routine floor care of patients. The Hospital is, therefore, faced with not only a shortage of personnel but with a shortage of very special and specific skills as well.

“Historically, many hospitals, including this hospital, have been able to resort to outside employment agencies or nursing registries which would contract with the hospital to provide the required quantity and quality of personnel needed at any given time. The registries would charge the nurses and the hospitals a fee for their services making it both an expensive way for the Hospital to obtain personnel and an expensive way for the nurses themselves to obtain employment. In 1980 and 1981 when the nursing shortage appeared to be most acute, nurses began contracting directly with hospitals for their services eliminating the intermediate cost of the employment agency. Such a situation presently exists at the hospital here.

“The Hospital organized a ‘staffing office’ which provides to individual nurses who wish employment at the Hospital on something other than a permanent full time basis, the opportunity to work at the Hospital during those periods of time when the nurse may wish to do so. This leaves the individual nurse free to contract with more than one hospital or to work only so many hours during the month as he or she may choose to do so. The arrangement appears beneficial to both parties since the hospital has access to a greater number of employees than it could afford to keep regularly on its payroll, and the individual nurses, being paid more than the Hospital’s regular full time staff members, earn more take home pay than they would otherwise.

“The mechanics of this staffing procedure are significant. Each nurse who wishes to become a member of the nursing pool must undergo a somewhat abbreviated orientation procedure with the Hospital to acquaint them with such mundane necessities as the location of various supplies and services, the various procedures used by the Hospital associated with patient care and otherwise. It appears that no pool nurse can participate in employment with the Hospital before that orientation is complete regardless of the level of skill or the necessity for that nurse’s services.

“Two weeks before the beginning of each calendar month, the Hospital staffing office distributes a blank calendar to each pool nurse for that month with space provided in each day for each of the three shifts used by the Hospital. The pool nurse is requested to indicate his or her availability for service to the Hospital by checking off each shift during which the nurse is willing to work. A copy of that calendar is appended to this Declaratory Statement as Exhibit A. The staffing office also maintains a record of the specific skills possessed by each nurse in the nursing pool so that when a demand for specific skills is evident and a decision is made to utilize nursing pool personnel, the Hospital can match both availability and skill level to its requirements. Presumably, the Hospital is free to reject the services of a specific pool nurse at any given time and the pool nurses are free to cancel their availability upon at least 24 hour notice to the Hospital. A nursing pool nurse may be called to work at the Hospital for one shift or for a prolonged period of time, depend[251]*251ing on that nurse’s availability and the Hospital’s specific needs. The nurse remains free to contract with other institutions during those periods of time when her services are not required by the Hospital, and many pool nurses often work for more than one institution under similar arrangements. The Hospital attempts to fill specialized skill positions with its own in-house staff first. It will sometimes utilize lesser skilled pool personnel to replace its own highly skilled in-house personnel who are shifted to fill a specialized skill position before seeking the same high skill from a pool nurse.

“The permutations of need, skill level, and availability vary from occasional use to repetitive use. Some departments routinely make use of pool nurses while others rarely use pool nurses. The Hospital has historically considered pool nurses to be something other than part of its regular staff and has not reported these individuals for Florida Retirement System or social security contributions. The pool nurses are paid a slightly higher hourly wage than regular employees.

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III. DISCUSSION

“It must be recognized at the outset that the Division of Retirement does not have nor does it presently intend to promulgate, a specific definition for ‘pool nurses’. Rather, the applicable Florida Statutes and Administrative Rules must be applied to each individual employment situation to determine whether or not FRS membership is required. With specific regard to Petitioner’s pool nurses, it is recognized that the employment situation varies greatly among individuals within the nursing pool. The Division accepts that many nurses employed in this manner are truly ‘on call’ as described in Rule 1.04(6)(e)7. The Division of Retirement has long interpreted that rule to require some element of being called to work unexpectedly and that the work contemplated would be for brief or limited periods. It must, therefore, also be recognized that some nurses in Petitioner’s nursing pool go far beyond the usual ‘on call’ status and work for considerable periods of time on a more or less regular or nonlimited basis.

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Hillsborough County Hospital Authority v. State, Department of Administration, Division of Retirement, 495 So. 2d 249, 11 Fla. L. Weekly 2064, 1986 Fla. App. LEXIS 9837 (Fla. Ct. App. 1986).

495 So. 2d 249 (Hillsborough County Hospital Authority v. State, Department of Administration, Division of Retirement) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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