JANOVSKY v. UPMC PRESBYTERIAN

CourtDistrict Court, W.D. Pennsylvania
DecidedAugust 3, 2023
Docket2:21-cv-00615
StatusUnknown

This text of JANOVSKY v. UPMC PRESBYTERIAN (JANOVSKY v. UPMC PRESBYTERIAN) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
JANOVSKY v. UPMC PRESBYTERIAN, (W.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

KIRSTAN JANOVSKY, ) ) Plaintiff, ) ) Civil Action No. 21-615 v. ) ) UPMC PRESBYTERIAN, ) ) Defendant. )

MEMORANDUM OPINION

In this action, Plaintiff Kirstan Janovsky (“Plaintiff”) brings multiple claims against her former employer, Defendant UPMC Presbyterian (“Defendant”), under the Family and Medical Leave Act (“FMLA”), 29 U.S.C. § 2601 et seq., the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12101 et seq., and the Pennsylvania Human Relations Act (“PHRA”), 43 Pa. Cons. Stat. Ann. § 951 et seq. Presently before the Court is the Motion for Summary Judgment and brief in support filed by Defendant in this matter (Docket Nos. 36, 37), the brief in opposition filed by Plaintiff (Docket No. 44), and Defendant’s reply (Docket No. 48). In addition to the motion and briefs, the Court has considered the parties’ concise statements of material facts and responses, as well as the appendices that were filed in connection with the briefs. (Docket Nos. 38-39, 42-43, 45, 49-50). On June 15, 2023, the Court held oral argument on the motion. (Docket No. 52). For the reasons set forth herein, Defendant’s Motion for Summary Judgment is denied. I. FACTUAL BACKGROUND As the parties are well-acquainted with the factual background of this case, at this juncture the Court will present an abbreviated version of the facts relevant to Defendant’s summary judgment motion.1 Defendant is a non-profit research and academic hospital that has a Neurotrauma ICU Unit (“Unit 4G”), which is a typically intense, 10-bed unit that focuses on the care of critically injured trauma patients with head trauma, strokes, and spinal injuries. (Docket Nos. 38, ¶¶ 1-3; 43, ¶¶ 1-3). In early November 2019, Plaintiff, a licensed Registered Nurse, transferred from University of Pittsburgh Physicians, where she was a Surgical Nurse Coordinator,

to Defendant’s Unit 4G as a Senior Professional Staff Nurse, an at-will position that is subject to Defendant’s various policies. (Docket Nos. 38, ¶¶ 6-8, 13; 43, ¶¶ 6-8, 13). The Unit Director, Teresa Lucchetti (“Lucchetti”), interviewed Plaintiff and recommended that she be hired. (Docket Nos. 38, ¶¶ 10-11; 43, ¶¶ 10-11). From November 2019 until February 2, 2020, Plaintiff went through Unit 4G orientation. (Docket Nos. 38, ¶ 28; 43, ¶ 28). According to Plaintiff, she spoke to Lucchetti in November and December of 2019 about her medical condition, which includes depression, anxiety, and PTSD, and asked at that time for an accommodation to manage her anxiety. (Docket Nos. 42, ¶¶ 13, 18; 49, ¶¶ 13, 18; 45-1 at 25). Plaintiff contends that she proposed using the phrase “I just need a

minute” to indicate that she needed to take a break for her medical condition, and that Lucchetti agreed. (Docket Nos. 42, ¶ 19; 49, ¶ 19). During this time, Plaintiff also spoke with Melanie Smith-Fortney, Defendant’s Director of Nursing, about orientation concerns, and Plaintiff shared with Smith-Fortney that she suffers from PTSD. (Docket Nos. 42, ¶¶ 21-24; 49, ¶¶ 21-24). Additionally, Plaintiff requested and received intermittent FMLA approval pursuant to her health care provider’s certification, beginning December 31, 2019, through December 30, 2020. (Docket Nos. 42, ¶ 60; 49, ¶ 60).

1 The relevant facts are derived from the undisputed evidence of record, and the disputed evidence of record is read in the light most favorable to the non-moving party. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986) (“The evidence of the non-movant is to be believed, and all justifiable inferences are to be drawn in his favor.”). On January 14, 2020, Plaintiff was placed on a Performance Expectations Plan (“PEP”) at work, a non-disciplinary informal means utilized to identify employees’ performance issues. (Docket Nos. 38, ¶¶ 46-56; 43, ¶¶ 46-56). The PEP reflected that Plaintiff’s orientation would be extended an additional two weeks in order to give her time to be successful on Unit 4G. (Docket Nos. 38, ¶¶ 47, 52; 43, ¶¶ 47, 52). The PEP identified areas for improvement, including

“administering medications per hospital policy,” and “listen[ing] and tak[ing] direction and feedback from preceptor to improvements in time management, organization critical thinking, and documentation.” (Docket Nos. 38, ¶ 53; 43, ¶ 53). Plaintiff disagreed with the comments in the PEP and did not sign it, however, and she claims that she was experiencing an anxiety attack at the time she was asked to sign it. (Docket Nos. 38, ¶ 54; 43, ¶ 54; 42, ¶ 27; 49, ¶ 27). Plaintiff also states that she told Lucchetti during the PEP meeting that she was having an anxiety attack and asked for a break to regroup, but Lucchetti did not stop the meeting. (Docket Nos. 42, ¶¶ 27- 28; 49, ¶¶ 27-28). On January 30, 2020, Plaintiff was placed on a Performance Improvement Plan (“PIP”) at

work. (Docket Nos. 38, ¶¶ 57-80; 43, ¶¶ 57-80). The PIP Period is 45 days in length unless otherwise extended, and during the PIP Period, employees are not eligible to transfer to another position. (Docket Nos. 38, ¶¶ 63-66; 43, ¶¶ 63-66). The PIP identified “Goals and Objectives” including: “Kirstan will display that she is effectively listen[ing] to feedback by adjusting her behavior as to the specifics of the feedback,” “Timely completion of nursing activities,” and “Independently administer[ing] medications, complet[ing] patient assessments, charts on all assigned patients, prepar[ing] patients for surgery/off unit testing, participat[ing] in multi- disciplinary rounds.” (Docket Nos. 38, ¶ 72; 43, ¶ 72). On March 9, 2020, Lucchetti recommended a finding that Plaintiff had successfully completed the PIP, and on March 12, 2020, Plaintiff was presented with a PIP Conclusion Document that she signed, which stated, in part: It is imperative that you maintain performance expectations going forward. If you do not sustain acceptable performance for at least 12 months following successful completion of this Performance Improvement Plan (PIP), you will be subject to termination of employment.

(Docket Nos. 38, ¶ 79; 43, ¶ 79). On April 24, 2020, Defendant’s pharmacy conducted a Routine Narcotics Audit on Unit 4G, and Plaintiff had the highest diversion score that month. (Docket Nos. 38, ¶¶ 81-86; 43, ¶¶ 81- 86). As a result, a 30-Day Audit was ordered to review Plaintiff’s “wasting” procedures. (Docket Nos. 38, ¶¶ 87-88; 43, ¶¶ 87-88). “Wasting,” in layman’s terms, occurs when excess or unused medicines are discarded. (See Oral Argument regarding Defendant’s Motion for Summary Judgment, held on June 15, 2023 (“Oral Argument”).2 As part of Unit 4G orientation, Plaintiff was required to complete Required Online Nursing Modules, which included a Safe Medication Practices Module containing Controlled Substances Best Practices. (Docket Nos. 38, ¶¶ 32-36; 43, ¶¶ 32-36). The Controlled Substances Best Practices states, “Documentation and wasting should both be performed immediately (preferred) or within 1 hour of administration,” and it provides that narcotics should not be wasted in front of a Patient Care Technician (“PCT”), except in specific circumstances. (Docket Nos. 38, ¶¶ 35, 90; 43, ¶¶ 35, 90). The 30-Day Audit revealed a total of 5 unaccounted for quantities with no waste documented, 1 transaction where the amount wasted was less than expected, and a total of 8 wastes that were wasted at the end of the shift. (Docket Nos. 38, ¶ 88; 43, ¶ 88). The conclusion drawn

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JANOVSKY v. UPMC PRESBYTERIAN, Counsel Stack Legal Research, https://law.counselstack.com/opinion/janovsky-v-upmc-presbyterian-pawd-2023.