Wallace v. Methodist Hosp Sys

CourtCourt of Appeals for the Fifth Circuit
DecidedNovember 14, 2001
Docket00-20255
StatusPublished

This text of Wallace v. Methodist Hosp Sys (Wallace v. Methodist Hosp Sys) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wallace v. Methodist Hosp Sys, (5th Cir. 2001).

Opinion

Revised November 13, 2001

UNITED STATES COURT OF APPEALS FIFTH CIRCUIT

____________

No. 00-20255 ____________

VERONICA A. WALLACE,

Plaintiff - Appellant,

versus

THE METHODIST HOSPITAL SYSTEM,

Defendant - Appellee.

Appeal from the United States District Court for the Southern District of Texas

November 7, 2001

Before EMILIO M. GARZA and PARKER, Circuit Judges, and HINOJOSA*, District Judge.

EMILIO M. GARZA, Circuit Judge:

Veronica A. Wallace (“Wallace”) appeals the district court’s grant of judgment as a matter

of law to the defendant, The Methodist Hospital System (“Methodist”), on her Title VII1 and Texas

* District Judge of the Southern District of Texas, sitting by designation. 1 42 U.S.C. § 2000e et seq. Commission on Human Rights Act (TCHRA)2 claims of sex discrimination. We affirm.

I

Wallace began working at Methodist in 1986 as a technician, but in 1990, she entered nursing

school.3 While she was in nursing school, Donna Hahus (“Hahus”), the head nurse of Methodist’s

Medical Intensive Care Unit (MICU), hired Wallace as a student nurse. In the fall of 1992, soon after

Wallace completed her nursing degree and became a Registered Nurse, Hahus hired Wallace as a staff

nurse in the MICU. At the time she was hired, Wallace was pregnant with her first child. During the

spring of 1993, Wallace took three-and-a-half months’ maternity leave. By using accrued sick time,

holiday time, and vacation time, Wallace received full pay and benefits throughout this leave.

Wallace returned to work in June. Shortly after returning to work, Wallace discovered that

she was pregnant with her second child. Wallace switched her schedule from days to nights and

began working a compressed schedule, putting in three twelve-hour shifts each week instead of five

eight-hour shifts. Wallace testified that on her return, Hahus treated her differently. Specifically,

when Hahus came on her shift and Wallace was finishing her shift, Hahus did not converse with

Wallace when she entered a room to check a patient’s chart. However, Martine Rousseau-Merzile,

a nurse who was not pregnant during her employ in the MICU, testified that this was how Hahus

treated her, i.e., she would just go about her business looking at the charts without speaking.

Just before Wallace left on her second maternity leave, Hahus and Tory Schmitz (“Schmitz”),

Wallace’s direct supervisor, met with Wallace to give her an evaluation. Wallace received a

2 Tex. Labor Code Ann. § 21.051 et seq. 3 Our recitation of the facts reflects the lens through which we view the evidence on a motion for a judgment as a matter of law, namely, in the light most favorable to the nonmovant. See Section II.A. infra.

-2- satisfactory rating and a merit increase as a result of this appraisal. Nonetheless, the evaluation

contained written comments criticizing Wallace for “an impression that she is unconcerned with errors

and omissions” and her overall score dropped ten points from the previous year when she was also

pregnant . The evaluation noted that Wallace had been working the compressed schedule since

returning from maternity leave. During this meeting, Hahus remarked to Wallace that she needed to

“choose between nursing and family.” Additionally, Schmitz told Wallace that she was unsure “how

to classify [Wallace] because [she was] gone t hree months before and [she would be] gone three

months again.”

From March 2, 1994 through June 4, 1994, Wallace took her second maternity leave. Unlike

her first maternity leave, Wallace had little accumulated time on which to draw, leaving a portion of

her leave unpaid. With Hahus’s assistance, however, Wallace increased the paid portion of her leave.

Hahus listed enough days of Wallace’s leave as excused absences to allow Wallace to accrue an

additional four weeks of paid vacation time, which Wallace applied to her leave.

Within a month of returning to work after her second leave, Wallace learned that she was

pregnant with her third child. Wallace testified that Hahus mentioned the availability of the

compressed schedule to a group of nurses. Wallace stated her preference for this schedule. Hahus

retorted that Wallace was “still costing the hospital money because [she] was receiving full benefits

and giving 80 hour pay periods.” Hahus, however, had no control over whether nurses worked a

compressed schedule because it was part of a program Methodist offered to its employees. Wallace

resumed working a compressed schedule.

Sometime prior to when she was slated to take her third maternity leave, Hahus chastised

Wallace for following a physician’s order literally, exclaiming “How stupid could you be?” A

-3- physician had issued an order to draw blood to ascertain the digoxin level of a patient to whom

Wallace had just administered digoxin. Wallace knew that drawing the blood so close in time to the

drug’s administration would result in a false high and so she attempted to locate the physician giving

the order. Learning that he had already left for the day, Wallace drew the blood. Hahus received the

test results, which she realized registered a false high because of the close proximity of the draw and

the administration.

On December 19, 1994, Dr. Barrosa, a gastroenterologist, issued a written order for tube

feeding to begin on Mr. B.,4 a patient in the MICU.5 Under the order of Mr. B’s attending physician,

Dr. Kenneth Lloyd, Mr. B already had in place a Salem Sump, a large bore tube used for suctioning

fluids from the stomach but which could also be used for tube feeding. Wallace knew that the Salem

Sump could be used for feeding. Without an order to do so, even though one was required,6 Wallace

replaced the Salem Sump with a feeding tube of a smaller diameter. She also wrote in the patient’s

4 The patient has been referred to throughout these proceedings as “Mr. B.” 5 Dr. Barrosa’s order stated:

12-19-94 11:00 a.m.

1) Start TF [tube feeding] with FS [full strength] VivinexTen @ 30 millimeters per hour. 2) Check gastric residuals q4h [every 4 hours] - hold TF [tube feeding] X 2H [for 2 hours] if greater than 200 millimeters. 3) Keep bed in reverse Trendelenburg [keep the head up higher than the feet]. 4) Okay to transfer to floor from GI standpoint. 6 Methodist Policy D-707 provides:

A physician order is required for insertion or removal of a nasogastric tube.

-4- record that she had received a verbal order from Dr. Nicola Hanania to put in the smaller bore tube.7

Dr. Lloyd discovered that the Salem Sump had been replaced. He did not want the Salem Sump

removed because of Mr. B’s medical problems. After checking the chart and seeing the order with

Dr. Hanania’s name affixed, Dr. Lloyd asked Dr. Hanania why he had ordered the tube change. Dr.

Hanania informed Dr. Lloyd that he had given no such order. Dr. Lloyd then spoke with Wallace.

At trial, Wallace admitted that she could have but did not contact a physician about Dr. Barrosa’s

order.

The next day, Dr. Lloyd told Schmitz about the incident. Schmitz spoke to both Dr. Hanania

and Dr. Barrosa, verifying that neither had given an order to change the tube. Dr. Barrosa testified

that he did not want the Salem Sump changed. At the direction of Hahus, Schmitz called Wallace

at home to inquire about the incident. Wallace admitted to Schmitz that she had inserted the tube

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