National Labor Relations Board v. Fairmont General Hospital, Inc.

261 F. App'x 534
CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 24, 2008
Docket06-2301
StatusUnpublished

This text of 261 F. App'x 534 (National Labor Relations Board v. Fairmont General Hospital, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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National Labor Relations Board v. Fairmont General Hospital, Inc., 261 F. App'x 534 (4th Cir. 2008).

Opinion

*535 PER CURIAM:

The National Labor Relations Board (NLRB or the Board) petitions for enforcement of its order entered against Fairmont General Hospital (Fairmont General or the hospital) in an unfair labor practice case. In this court Fairmont General challenges the Board’s unit clarification decision that included two newly created occupational medicine assistant (OMA) positions in the bargaining unit for non-professional employees of the hospital. Fairmont General argues that (1) the union’s petition for unit clarification should not have been entertained because the OMA positions had been historically excluded from the bargaining unit; and (2) even if the petition was properly considered, the Board applied the incorrect analysis and reached a result that the evidence does not support. We conclude that the petition was properly entertained, that the Board applied the correct analysis in deciding the petition, and that the Board’s conclusions are supported by substantial evidence. Accordingly, we grant the Board’s petition for enforcement.

I.

A.

Fairmont General is an acute care community hospital located in Fairmont, West Virginia. Two-thirds of the hospital’s seven hundred employees are unionized. Technical employees such as nurses are represented by District 1199 of the Service Employees’ International Union (SEIU), while “nonprofessional employees” are represented by the Retail, Wholesale, and Department Store Union Council, Local 550, United Food and Commercial Workers International Union (the Union). J.A. 308. The Union contract covers:

All the part-time and full-time nonprofessional employees in the following Hospital departments: Nutrition Services, Engineering, Laundry, Guest Services, X-Ray, Clinical Laboratory, Medical Records, Central Supply, and Patient Services. There is excepted from the above departments all clerical and administrative employees, other than ward secretaries, and all clerical employees (except in the Medical Records department); all department heads and their assistants; student employees; and supervisors.
The term, “nonprofessional employees,” is intended to exclude those whose occupations require a course of study or an extensive technical training course or apprenticeship, such as laboratory technicians, registered or licensed practical nurses, or dietitians.

J.A. 308.

The Union represents approximately 180 Fairmont General employees. Bargaining unit positions include laboratory secretaries, certified nurse’s aides, operating room technicians, and emergency room medical assistants. Many covered employees perform both clerical tasks (such as answering phones and scheduling appointments) and clinical duties (such as blood sugar testing, drug screening, and assisting with physicals). Bargaining unit positions do not require extensive training, although some require limited certifications.

B.

In 1991 Fairmont General started providing occupational medicine services. The occupational medicine program (OM) was originally located in the main hospital facility and staffed by medical technologists. OM grew as employers began requesting more health services for their employees. In 1998 Fairmont General responded to OM’s growth by employing a licensed practical nurse (LPN), Cindy Ralphsnyder, and a laboratory secretary, Janice Diven, to work in OM. The lab secretary was represented by the Union, while *536 the LPN and the medical technologists were represented by SEIU.

In 1999 Brian Pulice was engaged as an independent contractor to direct and market OM’s services, and the program “grew astronomically.” J.A. 101. In response to the program’s growth, Ralphsnyder and Diven moved in 2000 to an offsite location five miles from the main hospital facility. When Ralphsnyder left OM two years later, Fairmont General did not hire another LPN to take her place. Instead, the hospital created the new position of occupational medicine services coordinator (OMSC), which Diven, the former lab secretary, filled. OMSC duties included drug and alcohol testing, conducting physicals, drawing blood, audio testing, pulmonary function testing, performing injections, and otherwise assisting physicians. In addition, the OMSC position required Diven to take on responsibility for coordinating some of OM’s programs. The vacant lab secretary position was filled by Brenda Schell. The Union continued to represent the lab secretary, but did not represent Diven in her new position as OMSC.

Between 2002 and 2005 OM’s services continued to expand. In response the OM lab secretary position evolved to encompass substantially more tasks than its original clerical duties. By the end of 2004 Schell spent approximately seventy-five percent of her time doing various clinical activities and twenty-five percent of her time on clerical tasks. By 2005, in addition to her clerical tasks, Schell’s duties included breath alcohol testing, various types of on- and off-site drug testing and paperwork, multiphasic computer entry, setting up medical equipment, vision screening, urinalysis dips, assisting with blood drawing, taking vital signs, and conducting physicals.

In 2004 Pulice, OM’s director, was replaced by Pam Payne under the new title of occupational medicine director. Payne took over many of the clerical and billing duties formerly performed by the lab secretary. Payne also reviewed the OM job descriptions and decided that they should be changed. Accordingly, in 2005 Payne eliminated the lab secretary position and posted the newly created positions of occupational medicine assistant (OMA) I and II. (The only difference between the two positions is that the OMA II is full-time and the OMA I is part-time.)

Schell received the OMA II position, and Roseann Orwig received the OMA I position. Like Schell, Orwig’s previous title was lab secretary. The OMA job descriptions required applicants to have a high school diploma, current CPR certification, and basic computer and typing skills. The positions also list several preferred clinical certifications, some of which had previously been obtained by Schell and Orwig for their lab secretary positions. The OMA clinical duties were substantially the same as Schell’s previous duties as lab secretary, except that audio and phlebotomy testing were added. Schell’s OMA clerical duties also were substantially the same as her previous duties, and there was no change in her work days, hours, or supervision. As an OMA, Schell continued to spend twenty-five percent of her time on clerical tasks and seventy-five percent of her time on clinical tasks.

At the same time the OMA positions were created, the OMSC title was changed to occupational medical coordinator (OMC), and Diven remained in this posi-. tion. While the OMC tasks remained substantially the same as the OMSC tasks, the OMC had “quasi-supervisory duties” such as taking over the director’s responsibilities in Payne’s absence. J.A. 220. Fairmont General listed the OMAs and OMC as non-union in their position descriptions. Thus, Diven remained in a non-union position, while Schell and Orwig ceased being *537 represented by the Union as the result of the title change.

C.

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261 F. App'x 534, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-labor-relations-board-v-fairmont-general-hospital-inc-ca4-2008.