J.R. Anthony, Sr. v. SCSC (Torrance State Hospital)

CourtCommonwealth Court of Pennsylvania
DecidedMarch 5, 2018
Docket410 C.D. 2017
StatusUnpublished

This text of J.R. Anthony, Sr. v. SCSC (Torrance State Hospital) (J.R. Anthony, Sr. v. SCSC (Torrance State Hospital)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
J.R. Anthony, Sr. v. SCSC (Torrance State Hospital), (Pa. Ct. App. 2018).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

John R. Anthony, Sr., : Petitioner : : v. : No. 410 C.D. 2017 : Submitted: December 22, 2017 State Civil Service Commission : (Torrance State Hospital), : Respondent :

BEFORE: HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE P. KEVIN BROBSON, Judge HONORABLE DAN PELLEGRINI, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COHN JUBELIRER FILED: March 5, 2018

John R. Anthony, Sr., (Petitioner) petitions for review of the Order of the State Civil Service Commission (Commission) that dismissed his appeal from a one-day suspension from his regular position as a psychiatric aide by Torrance State Hospital (Appointing Authority) and sustained Appointing Authority’s one-day suspension of Petitioner. On appeal, Petitioner argues the Commission erred in dismissing his appeal because he set forth a valid claim that his discipline was motivated by his race and not merit-based factors. Discerning no error, we affirm. The majority of the facts in this matter are undisputed and are as follows. Petitioner is a regular status, psychiatric aide for Appointing Authority, which provides care for psychiatrically challenged individuals. On February 20, 2016, Petitioner worked the 11:00 p.m. to 7:00 a.m. shift and was assigned to provide one- to-one constant visual observation1 (one-to-one care) to a patient (Patient). Patient is unsteady on her feet and has a history of falling and injuring herself and, therefore, one of Appointing Authority’s physicians (Physician) ordered one-to-one care for Patient on February 20 and 21, 2016. Because of Patient’s history, her room has padding on the walls, floors, and bed, except for one corner several feet in width, which is near where Patient keeps her shoes. During Petitioner’s shift, Patient got out of bed at around 1:30 a.m. and looked for her shoes, and Petitioner told her it was not time to get up and helped her back to bed. Patient did not fall, trip, or injure herself at this time. Between 2:00 a.m. and 2:30 a.m., Patient had to use the bathroom and was assisted by Petitioner and a second psychiatric aide (Aide T.R.). Patient “was pleasant and laughing,” and neither Petitioner nor Aide T.R., nor a third psychiatric aide (Aide L.P.), observed any bleeding or injuries on Patient’s face. (Adjudication, Findings of Fact (FOF) ¶¶ 20-21.) Aide T.R. relieved Petitioner from 3:00 a.m. to 3:30 a.m. while he took his assigned break; Patient remained in her bed during this time. “At some time between 3:30 AM and 6:10 AM, [Patient] was out of her bed looking for her shoes a second time. [Patient] was not bleeding at that time.” (Id. ¶ 26.)

1 One-to-one care requires that one staff member be dedicated to constantly observing one patient and to remain with the patient for the staff member’s entire shift, excluding break times. The patient must be in the staff member’s direct eyesight. When the one-to-one care assignment occurs overnight, such as the one here, the staff member sits in the patient’s room or in the hallway right outside the room, no more than 10-feet away from the patient, and observes the patient sleeping. Although the patient’s room is dark, the hallway lighting provides sufficient light for the staff member to see into the room to ensure that “the patient is asleep or, if awake, does not need anything.” (Adjudication, Findings of Fact (FOF) ¶¶ 7-8.) The staff member is required to record the patient’s behavior every 30 minutes, including whether intervention was required and, if so, the patient’s reaction to that intervention.

2 However, when the unit’s on-duty Registered Nurse (RN) and Aide L.P. came into the room to tend to Patient’s morning needs at around 6:10 a.m., Aide L.P. pulled Patient’s sheet back and discovered Patient actively bleeding from a laceration on her left eyelid, a contusion or “friction kind of abrasion” on her cheek, and a cut on her forehead. (Id. ¶¶ 27, 29-30, 43-44, 53.) Patient could not explain what happened. After providing immediate care for Patient’s fresh injuries, RN called for Physician, who, after examining Patient, ordered Patient to be taken by ambulance to the emergency room for additional care. Based on the nature of Patient’s injuries, Physician indicated that the injuries could not be self-inflicted from scratching, and were not from blunt force trauma, but could have occurred if Patient fell while standing, even if she fell where the room was padded. (Id. ¶¶ 53- 54.) Physician drafted a Progress Report stating that Patient had a “Fall unobserved – nightshift” and that she was concerned about the injuries not being discovered by Petitioner, Patient’s one-to-one staff member. (Id. ¶¶ 53-56.) On Monday, February 22, 2016, Physician informed Appointing Authority’s Chief Nurse Executive (Chief Nurse) of Patient’s injuries and her concerns regarding when the injuries were discovered. Chief Nurse directed that the incident be investigated. Witness statements were collected, and a pre-disciplinary conference was held on May 4, 2016. Thereafter, Appointing Authority notified Petitioner by letter dated May 13, 2016, that he was suspended for one day based on the charge of:

Non-Physical Patient Abuse-Neglect (as defined in Department Policy Section 7178). Specifically, on February 21, 2016, between the hours of 3:30 a.m. to [sic] 6 a.m., when you did not visually observe a patient to whom you were assigned for one-to-one observation regarding fall risks and that patient then fell and sustained facial injury.

3 (FOF ¶ 1; Certified Record (C.R.) at Item 1, Comm’n Ex. A.) Petitioner filed an appeal with the Commission under Section 951(a) and (b) of the Civil Service Act,2 71 P.S. § 741.951(a), (b). (Reproduced Record (R.R.) at 2a-3a; FOF ¶ 2.) Petitioner asserted his discipline was based on his race and/or retaliation for his filing complaints against Appointing Authority. He also challenged the merit-based reason proffered for his suspension. (R.R. at 2a-3a.) A hearing was held, at which Appointing Authority presented the testimony of, among others, RN, Aide L.P., Physician, Chief Nurse, and its HR director.3 Petitioner offered his own testimony, along with that of another psychiatric aide and Petitioner’s union representative, Aide M.P.4 In addition to the above-stated facts, Appointing Authority’s witnesses testified, relevantly, as follows. RN testified Petitioner was Patient’s primary observer during the nightshift and was required to keep her in his direct eyesight. RN indicated that, after being asked if Patient had fallen, Petitioner said he had not seen Patient fall and was surprised by Patient’s injuries. Aide L.P. testified when she and RN entered the room Petitioner was sitting in the one-to-one chair and, when she asked Petitioner what happened, Petitioner said Patient “must have fallen when she was up earlier looking for her shoes.” (FOF ¶¶ 28, 31-32.) When she asked again, Petitioner stated he did not know what had happened. Physician explained she was particularly concerned about the fact that Patient’s injuries were discovered by the morning care nurse and not by Petitioner,

2 Act of August 5, 1941, P.L. 752, added by Section 27 of the Act of August 27, 1963, as amended, 71 P.S. § 741.951(a), (b). 3 Aide T.R. and a Nurse Manager who had participated in the pre-disciplinary conference also testified on Appointing Authority’s behalf. 4 Petitioner also presented the testimony of Therapeutic Services Activity Worker, M.M., who is familiar with Patient’s tendencies.

4 the staff member responsible for Patient’s one-to-one care, and who should have noticed the injuries if he had been constantly observing Patient. According to Physician, the purpose of one-to-one care is to prevent a patient from being injured or, if injured, to ensure that the patient receives immediate medical care.

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Bluebook (online)
J.R. Anthony, Sr. v. SCSC (Torrance State Hospital), Counsel Stack Legal Research, https://law.counselstack.com/opinion/jr-anthony-sr-v-scsc-torrance-state-hospital-pacommwct-2018.