Ill. Nurses Assoc. v. Bd. of Trustees of Univ.

741 N.E.2d 1014, 318 Ill. App. 3d 519, 251 Ill. Dec. 836
CourtAppellate Court of Illinois
DecidedFebruary 2, 2001
Docket1-99-3324, 1-99-3732, 1-99-3733 cons.
StatusPublished
Cited by19 cases

This text of 741 N.E.2d 1014 (Ill. Nurses Assoc. v. Bd. of Trustees of Univ.) 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
Ill. Nurses Assoc. v. Bd. of Trustees of Univ., 741 N.E.2d 1014, 318 Ill. App. 3d 519, 251 Ill. Dec. 836 (Ill. Ct. App. 2001).

Opinion

JUSTICE O’BRIEN

delivered the opinion of the court:

This consolidated appeal involves three employees of the University of Illinois (University), Joyce Tomanek, Linda Leonard, and Diana Perez, who were discharged by the University for various acts of alleged misconduct. The employees, through their respective unions, grieved the discharge decisions to arbitration. The arbitrators ordered the three employees reinstated; however, the University refused to comply with the arbitrators’ awards. The employees’ unions then filed unfair labor practice charges against the University for its refusal to comply with the arbitrators’ awards ordering the employees’ reinstatement. The Illinois Educational Labor Relations Board (Board) affirmed the arbitrators’ orders reinstating Leonard and Perez, but reversed the arbitrator’s order reinstating Tomanek. On appeal, Tomanek argues that the Board erred in reversing her reinstatement. On cross-appeal, the University argues that the Board erred in affirming the reinstatement of Leonard and Perez. We affirm on the appeal and the cross-appeal.

The issues on appeal are: (1) whether section 10(b) of the Illinois Educational Labor Relations Act (115 ILCS 5/10(b) West 1996)) prohibits implementation of the arbitration awards; and (2) whether the arbitrators’ awards reinstating Tomanek, Leonard, and Perez violate public policy.

I. Facts

A. Joyce Tomanek

Joyce Tomanek worked as a nurse in the University Hospital’s “6W Stepdown” unit, which was a unit that monitored critical care patients. On December 16, 1995, Tomanek worked the night shift from 11 p.m. to 7:30 a.m. During that time, Tomanek was responsible for monitoring patient J.L., who required 21 cc of Dopamine per hour to maintain his blood pressure.

About four hours before Tomanek began her shift, a nurse hung a Dopamine bag for J.L. The nurse manager of 6W Stepdown testified that Tomanek should have easily calculated that the Dopamine bag would last until about 6 a.m. on December 17. The nurse manager also testified that nurses must order Dopamine at least 1 to IV2 hours in advance from the pharmacy, meaning that Tomanek should have ordered the Dopamine by 5 a.m. on December 17.

Tomanek did not order the Dopamine until 7:13 a.m. on December 17. When she placed her request with the pharmacy, she did not indicate that the request was an emergency or had a high priority. Tomanek noted on J.L.’s chart that she had hung a new Dopamine bag. In fact, however, Tomanek left work at 7:30 a.m. without hanging a new Dopamine bag for J.L. At 8 a.m., the nurse on the next shift discovered the empty Dopamine bag and noted that JJL.’s blood pressure had plummeted.

Two days later, on December 19, 1995, Tomanek was again working the 11 p.m. to 7:30 a.m. shift at 6W Stepdown. During that time, Tomanek was responsible for monitoring patient H.S., who had a pacemaker. A computer monitor attached to H.S. generated “telemetry strips” which recorded the pacemaker’s functioning.

At 11:13 p.m., the computer generated a telemetry strip indicating a “noncapturing pacemaker rhythm,” i.e., that the patient’s heart was not beating regularly. According to University witnesses, Tomanek did not chart the noncapturing pacemaker rhythm. Instead, she charted that H.S. had anxiety, low blood pressure, and abdominal pain.

At approximately 11:50 p.m., Tomanek called the medical officer on duty (MOD) regarding H.S. According to the MOD, Tomanek did not mention H:S.’s irregular pacemaker rhythm. Instead, she told the MOD only that H.S. had low blood pressure, abdominal pain, and anxiety. Accordingly, the MOD prescribed Mylanta and Ativan (anti-anxiety medication.)

Between 11:13 p.m. and 12:45 a.m., the telemetry strips registered a noncapturing pacemaker seven times. The nurse manager testified that Tomanek failed to chart five of those telemetry strips. Tomanek testified in her defense that she thought that the prior shift’s nurse had communicated information about the noncapturing pacemaker to the doctors responsible for H.S.’s care.

At about 3:30 a.m. on December 20, H.S. suffered a “code blue.” Despite strenuous efforts by the entire medical team, H.S. died at about 4:30 a.m.

On September 13, 1996, the University began discharge proceedings against Tomanek. The University charged Tomanek with the following offenses: (1) endangering the lives of patients; (2) failure to report noncapturing pacemaker rhythm to a physician; (3) failure to notify an attending physician and nursing supervisor of a patient’s condition on a timely basis; (4) failure to order medication on a timely basis; (5) failure to give ordered medication; (6) failure to follow doctor’s orders; (7) failure to notice changes in a patient’s condition; (8) falsification of a patient’s medical chart; (9) negligent patient care; and (10) illegible documentation of a patient’s record.

Tomanek’s union grieved the discharge decision to arbitration. The arbitrator found that the University proved all charges except number 3. However, the arbitrator also found mitigating factors, specifically that Tomanek was a senior nurse with a good work record and that no nexus existed between her actions and H.S.’s death. The ■ arbitrator also found that Tomanek did not act intentionally nor was she grossly negligent.

The arbitrator determined that Tomanek should be reinstated without back pay, on the condition that the University transfer her to a less demanding position or retrain her to successfully function on 6W Stepdown.

The University refused to comply with the award. Tomanek’s union then filed an unfair labor practice charge against the University. The Board found that the award reinstating Tomanek violated public policy because she had endangered the lives of two patients. Therefore, the Board reversed Tomanek’s reinstatement.

B. Linda Leonard

Linda Leonard worked as a University staff nurse for almost 20 years, mostly in the pediatric clinic. One of her coworkers, Mrs. J., worked in the pediatric clinic as an ambulatory care assistant.

On February 27, 1996, Mrs. J.’s son, M.J., appeared at his school with a bandage on his finger. During the course of the day, M.J. removed the bandage, revealing a V-shaped cut with dry blood. M.J. told his teacher that the cut was caused by a dog bite.

M.J.’s teacher sent him to the school nurse, who cleaned his finger and applied a new bandage. Concerned that the cut might be infected, the school nurse sent M.J. home with a note that he was not to return to school until a physician treated his finger.

The next day, February 28, M.J. returned to school with a note from his mother, Mrs. J., which stated that M.J. had not been bitten by a dog but instead had cut his hand on an open can in the refrigerator. Mrs. J. also stated in the note that M.J. did not need to see a physician.

At school that morning, M.J. pulled off his bandage, picked at the cut and complained that his finger hurt.

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Bluebook (online)
741 N.E.2d 1014, 318 Ill. App. 3d 519, 251 Ill. Dec. 836, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ill-nurses-assoc-v-bd-of-trustees-of-univ-illappct-2001.