Norton Healthcare, Inc. v. National Labor Relations Board

156 F. App'x 745
CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 8, 2005
Docket04-1304, 04-1428
StatusUnpublished
Cited by1 cases

This text of 156 F. App'x 745 (Norton Healthcare, Inc. v. National Labor Relations Board) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Norton Healthcare, Inc. v. National Labor Relations Board, 156 F. App'x 745 (6th Cir. 2005).

Opinion

GIBBONS, Circuit Judge.

The Nurses Professional Organization, United Nurses of America, American Federation of State, County and Municipal Employees, AFL-CIO (“the Union” or “NPO”) filed charges with the National Labor Relations Board (“NLRB” or “Board”) against Norton Healthcare, Inc., d/b/a Norton Audubon Hospital (“Norton”), alleging unfair labor practices pursuant to Section 8(a)(3) and (1) of the National Labor Relations Act (“the Act”). The charges arise out of Norton’s decision to terminate Elizabeth Jane Gentry, a registered nurse and former employee of Norton Audubon Hospital. The Administrative Law Judge (“ALJ”) found that Norton had violated the Act. The Board adopted the ALJ’s order with modifications.

For the following reasons, we affirm the decision of the NLRB and grant enforcement of its order.

I.

Norton Audubon Hospital is a not-for-profit hospital located in Louisville, Ken *747 tucky, and owned by Norton Healthcare, Inc. Norton Healthcare has been operating Norton Audubon since September 1998.

The Union has been attempting to organize the nurses at Norton Audubon since 1989, when Humana, Inc., owned it. The NLRB conducted an election among the Norton Audubon employees that year in which the Union was unsuccessful. Norton Audubon was purchased by Columbia Healthcare Corporation in 1998. Another election was held in 1994, and the Union was again unsuccessful.

The Union filed unfair labor practice charges with the Board regarding the 1994 election. On March 31, 1997, an ALJ issued a decision recommending that the Board order Norton Audubon to bargain with the Union. The ALJ also found numerous violations of Section 8(a)(3) and (1) of the Act. The Board, in reviewing the ALJ’s decision, ordered a new election.

In May 1998, the Union learned that Norton Healthcare, Inc., known at the time as Alliant Healthcare, was in the process of purchasing Norton Audubon and urged Alliant to recognize and bargain with the Union in a letter sent to the CEO of Alliant and signed by Gentry. Alliant declined to recognize the Union. After Norton Healthcare assumed control of Norton Audubon, the Union filed a number of unfair labor practice charges against it. The Board found that Norton Healthcare had committed several violations by taking adverse actions against individuals based on their association with and participation in union activities. 1 See 2002 WL 31341800 (N.L.R.B.2002); 2001 WL 1589735 (NLRB 2001).

Gentry began working at Norton Audubon in 1981 as a staff nurse in the coronary care unit. Gentry served as the primary nurse on duty for mechanical heart transplants and had extensive experience working with angioplasty patients. Gentry was generally viewed as a very well-qualified nurse. 2 Gentry joined the Union in the 1980s and served as a trustee and legislative director. Gentry was a self-described “very vocal member” of the Union, handing out authorization cards and union literature, wearing union buttons and speaking publicly as a representative of the Union. Norton Healthcare had stipulated that Gentry’s Union activities and support were well-known. In September 1998, after Alliant/Norton Healthcare began operating Norton Audubon, Gentry’s supervisor, Steve Williams, told Gentry that he heard that she had been making negative comments about the hospital, and instructed her to stop making such remarks. Gentry testified that she was told that “they were going to be watching [her] to make sure that [she] had corrected her attitude.” According to Gentry’s testimony, she continued to be active in the union even after this warning. On October 15, 1998, Gentry was placed on a performance improvement plan due to failure to check a *748 patient’s vital signs and “poor conduct and attitude with co-workers and patients.”

On June 21, 1999, Dr. William Schmidt performed a balloon angioplasty and stent placement on a ninety-pound, sixty-one year old patient named Faye Jeannette. Jeannette was transferred to the open-heart unit, and Gentry was assigned to care for her. Gentry testified that the nurse who had previously cared for Jeannette told Gentry that Jeannette had undergone a successful surgery, but that she was a very nervous patient who frequently awakened and complained of great pain but soon after fell back asleep without treatment or attention. According to Dr. Schmidt, the probability of experiencing chest pain after a successful angioplasty like Jeannette’s was very low, and in such a situation, any chest pain experienced by the patient is more likely due to anxiety. Dr. Schmidt also testified that Jeannette experienced “extreme anxiety” after the surgery, likely because she suffered from bipolar disorder. Gentry testified that she was also informed that Jeannette was given morphine prior to her transfer to the open-heart unit.

Jeannette was connected to two intravenous (“IV”) lines through a common portal. Through one IV line, Jeannette received dextrose at half-strength saline solution for rehydration purposes. Through the other, Jeannette received Aggrestat, an anti-coagulant. According to Dr. Schmidt, it is not unusual for a nurse to periodically flush the IV with saline. Mary Gruebbel, Chief Nursing Officer at Norton Audubon, also testified that it is normal procedure to flush a patient’s IV with saline and that such an action is not required to be noted on the patient’s chart. Gentry testified that Dr. Schmidt prescribed Percocet to Jeannette to relieve pain. Dr. Schmidt testified that he generally prescribes Percoeet for back pain, which is common in patients who have undergone angioplasties, and that he tends not to prescribe morphine for these patients because it can be dangerous to administer that medication post-angioplasty. Dr. Schmidt’s orders instructed Gentry that in the event that Jeannette experienced pain, Gentry was to perform an EKG and then administer a nitroglycerin patch after the EKG if Jeannette’s systolic blood pressure was above 90.

Gentry testified that she was completing her initial assessment and connecting Jeannette’s IVs when Jeannette awoke and said, “I’m dying, I’m dying, you’ve got to help me, I’m in such pain. Somebody help me, help me, help me.” Gentry testified that she looked at Jeannette’s monitor and took her heart rate and everything appeared normal. Gentry then flushed Jeannette’s IV with saline and Jeannette fell back asleep. Dr. Schmidt’s standing orders directed the nurse to report chest pain immediately. Gentry did not report the chest pain immediately, but rather looked over her paperwork to prepare for Dr. Schmidt, because she testified that he was due to be on the floor soon thereafter. Gentry testified that she did not contact Dr. Schmidt because the episode sounded similar to an experience that the nurses had described, because Jeannette had already fallen back asleep, and because she knew that Dr. Schmidt would be arriving on the floor shortly.

Dr. Schmidt arrived on the floor and at that time, Gentry informed him that Jeannette was stable but that she had complained of pain. Gentry told Dr. Schmidt that she had flushed Jeannette’s IV with saline and that Jeannette had fallen asleep shortly thereafter. Gentry testified that Dr. Schmidt nodded and then went to check on Jeannette. After examining her, Dr.

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156 F. App'x 745, Counsel Stack Legal Research, https://law.counselstack.com/opinion/norton-healthcare-inc-v-national-labor-relations-board-ca6-2005.