NOTICE: This
opinion is subject to formal revision before publication in the bound volumes
of NLRB decisions. Readers are requested
to notify the Executive Secretary, National Labor Relations Board,
Norton Health Care, Inc. d/b/a
August 13, 2007
SUPPLEMENTAL DECISION AND ORDER
REMANDING
By Members Schaumber, Kirsanow, and Walsh
On March 14, 2003, Administrative Law Judge Ira Sandron issued the attached Supplemental Decision and Order. The Respondent filed exceptions, a supporting brief, a reply brief, and an opposition to the Charging Party’s motion to remand. The General Counsel filed an answering brief. The Charging Party filed an answering brief, a motion to remand, and a response to the Respondent’s opposition to its remand motion.
The National Labor Relations Board has delegated its authority in this proceeding to a three-member panel.
The Board has considered the decision and the record in light of the exceptions1 and briefs and has decided to remand this proceeding to the judge for further findings, analysis, and conclusions consistent with this supplemental decision.
This is a compliance proceeding. In the underlying case,
the Board found that the Respondent’s predecessor committed various violations
of Section 8(a)(3), (4), and (1) of the Act, ordered appropriate remedies for
these violations, and directed a second election based on some of the unfair
labor practices.2 Effective September 1, 1998, the Respondent,
as a successor employer, assumed ownership of
The key issues presented here involve the validity of the
Respondent’s reinstatement offer to RN Joanne Sandusky; its offers of promotion
to RNs Patricia Clark and Martha Ann Hurst; and its obligation to supply the
i. the
respondent’s reinstatement offer
to rn joanne
In its earlier decision, the Board found that, in August
1994, the Respondent’s predecessor unlawfully terminated or permanently laid
off
We agree with the judge, for the reasons that he set out,
that the Respondent’s July 2000 offer of re-employment to
Subsequent to the judge’s decision, the Charging Party moved to remand this case “to the appropriate authority,” essentially to reopen the record, citing newly discovered evidence that a lactation consultant position still existed at Suburban. In support, the Union proffered an affidavit from Sandusky, dated August 26, 2003, in which she asserts that, at a June 2003 professional meeting, she met Tina Martin, who informed her that she had been working as a lactation consultant in the Neonatal ICU at Suburban for about 1 year (and thus had been in this position at the time of the October 2002 compliance hearing).
The Board has stated that “[n]ewly discovered evidence is evidence of facts in existence at the time of the hearing which could not be discovered by reasonable diligence. In addition, in order to warrant a further hearing, the newly discovered evidence must be such that if adduced and credited it would require a different result. See Section 102.48 (d)(1) of the Board’s Rules and Regulations.”5
Here, the proffered evidence, if credited, would show that
Martin was employed as a lactation consultant at the time of the compliance
hearing and had been hired after
We conclude that the General Counsel acted with “reasonable
diligence” in subpoenaing records and questioning the Respondent’s witness. We also conclude that the evidence, if adduced
and credited to show that Martin occupies the same or substantially equivalent
lactation consultant position as
Accordingly, we grant the Charging Party’s motion and
remand with the direction that the record be reopened for the taking of the
additional evidence described in the Charging Party’s motion, plus any rebuttal
evidence the Respondent may wish to introduce on this issue.6 The
judge shall thereafter issue a second supplemental decision, setting forth,
inter alia, any necessary credibility resolutions. If a lactation consultant position exists that
ii. the
respondent’s promotion offers to rns
patricia clark and martha ann hurst
In its earlier decision, the Board found that, in January 1996, the Respondent’s predecessor unlawfully denied Clark and Hurst promotions to the patient care leader position, which is now titled clinical coordinator. In so concluding, the Board rejected the contention that the positions were supervisory, and it ordered the Respondent’s predecessor to offer Clark and Hurst those positions. The Respondent did not move for reconsideration or seek court review of the Board’s determination that those positions were nonsupervisory. In July 2000, the Respondent offered Clark and Hurst charge nurse positions8 (which it deemed substantially equivalent positions to the now-abolished patient care leader positions), but it informed Clark and Hurst that it considered the positions it was offering them to be supervisory. The employees declined the offers because they did not want to give up their right to engage in union activity.
The compliance hearing in this matter was held in October 2002. The judge found that the Respondent “acted at its peril” in deciding that the clinical coordinator position was supervisory, but he allowed the parties to present further evidence on the supervisory status of the clinical coordinator position in light of the time that had elapsed since the earlier proceeding, and the Supreme Court’s intervening decision in NLRB v. Kentucky River Community Care, 532 U.S. 706 (2001). Analyzing that evidence under then-extant law, the judge concluded that the positions offered were not supervisory and that the reemployment offers to Clark and Hurst were “invalidated by the imposition of [the] improper qualification” that the positions were supervisory. Accordingly, he ordered the Respondent to make new and unconditional offers of clinical coordinator positions to Clark and Hurst.
The issues here are whether the Respondent’s July 2000 offers were valid, and, if not, whether intervening case law casts doubt on the Respondent’s continuing obligation to reoffer the positions to Clark and Hurst.
We agree with the judge’s conclusion that the Respondent’s July 2000 offers failed to comply with the Board’s order and thus were invalid. Unlike the judge, however, we do not find intervening Board law relevant in making this determination.9 The Board ordered the Respondent to offer Clark and Hurst nonsupervisory patient care leader (now clinical coordinator) positions, but the Respondent concededly failed to do so, thus defeating the Board’s purpose of restoring the status quo ante. The Respondent did not timely challenge the Board’s determination that the positions were nonsupervisory, nor does the Respondent argue here that it changed the positions from nonsupervisory to supervisory prior to July 2000, when it made the offers. The Respondent also failed to satisfy its burden at compliance of showing that no substantially equivalent nonsupervisory positions were available.
While we do not apply current Board law retroactively to determine whether the July 2000 offers were valid when the Respondent made them, the supervisory status of the clinical coordinators under current law is relevant to the Respondent’s continuing obligation under the order.
On September 29, 2006, the
Board issued its decisions in Oakwood
Healthcare, supra, Croft
Metals, Inc., 348 NLRB No. 38, and Golden Crest Healthcare Center,
348 NLRB No. 39, in light of the Supreme Court’s decision in NLRB v.
Kentucky River Community Care,
supra. These Board cases specifically
address the meaning of “assign,” “responsibly to direct,” and “independent
judgment,” as those terms are used in Section 2(11) of the Act.
Accordingly,
we remand the issue of the supervisory status of the current clinical
coordinator position to the judge for further consideration in light of Oakwood Healthcare, Golden Crest, and Croft
Metals, including allowing the parties to file
briefs on the issue, and, if warranted, reopening the record to obtain evidence
relevant to deciding the issue under the Oakwood Healthcare, Croft Metals, and Golden Crest framework. If the current clinical coordinator position
is found nonsupervisory, then the judge’s recommended Order as to Clark and
Hurst shall stand. If the judge
determines the position is supervisory under the above framework, he shall also
determine whether a substantially equivalent nonsupervisory position is
available for promotion purposes, and whether (and, if so, when) the Respondent’s
backpay obligation tolled.10
iii. the
respondent’s ongoing obligation to
furnish the
addresses of bargaining unit employees
In the underlying proceeding, the Board found the unfair
labor practices of the Respondent’s predecessor at Audubon to be “so numerous,
pervasive, and outrageous that special notice and access remedies are necessary.”11
The General Counsel sought a bargaining order under NLRB v. Gissel Packing Co., 395 U.S. 575 (1969). Also, the
Below, the General Counsel argued to the judge that
the 1-year period should be extended to fulfill the purpose of the Board’s
Order, citing three additional unfair labor practice cases involving this
Respondent13 (rather than
its predecessor, which committed the unfair labor practices in this case). The General Counsel argued that the
The judge concluded that the Board had anticipated
both “that the Regional Director would reschedule an election within a period
of more or less 1 year” and that the Respondent would not engage in further
unfair labor practices. The judge thus
extended the names-and-addresses remedy beyond the 1-year period provided for
in the Board’s Order. To avoid the
The Respondent has excepted on the ground that the judge’s role in a compliance hearing is limited to applying what the Board has already decided. We find merit in the Respondent’s exception and note that the Respondent did comply with this aspect of the Board’s Order. We thus decline to issue a new order extending the 1-year period, but we note that, once the Regional Director sets the date for the second election, the Respondent will be required to provide the names and addresses of unit employees under Excelsior Underwear, 156 NLRB 1236 (1966).14
ORDER
It is ordered that this proceeding is remanded to the administrative law judge for appropriate action as noted above.
It is further ordered that the administrative law judge shall prepare a second supplemental decision setting forth credibility resolutions, findings of fact, conclusions of law, and a recommended Order, as appropriate on remand. Copies of the second supplemental decision shall be served on all parties, after which the provisions of Section 102.46 of the Board’s Rules and Regulations shall be applicable.
Dated,
______________________________________
Peter C. Schaumber, Member
______________________________________
Peter N. Kirsanow, Member
______________________________________
Dennis P. Walsh, Member
(seal) National
Labor Relations Board
David
Ness, Esq., for
the General Counsel.
Grover
C. Potts Jr. and Mitzi D. Wyrick, Esqs. (Wyatt, Tarrant &
Combs, LLP), of
Kay
Tillow, of
SUPPLEMENTAL DECISION AND ORDER
Statement of the Case
Ira Sandron, Administrative Law Judge. This
matter arises out of a second amended compliance specification and notice of
hearing issued by the General Counsel on June 25, 2002, relating to the Board’s
Decision, Order, and Direction of Second Election in 331 NLRB 374 (the Order),1 issued on June 22, 2000.
The Respondent assumed ownership of
In its Order, the Board affirmed Judge John West’s
findings that
The General Counsel contends that the Respondent has failed to comply with these provisions of the Order. The Respondent denies any noncompliance, contending that it made valid offers to Clark, Hurst, and Sandusky in July 2000, that the position of patient care leader (retitled charge nurse and then clinical coordinator)3 was and is supervisory, and that it was under no obligation after 1 year from the date of the Board’s Order to furnish the Union with the names and addresses of unit employees.
Backpay and pension contributions for Clark,
Pursuant to notice, a trial was held before me in
Upon the entire record in this case, including my observations of the witnesses and their demeanor, I make the following
Findings of Fact
Witnesses for the General Counsel included the following:
Clark, Hurst, Sandusky, and Tillow; Supervisory Field Examiner Matthew Denholm;
and, under Section 611(c), Judy Kees, Norton’s division director of human
resources management (HR) for all of Norton’s hospitals since February 2002,
previously HR director of Audubon since July 1999. The Respondent’s witnesses included Kees;
Christopher Brown, clinical manger of a med/surg unit; Randa Bryan, manager of
the emergency room (ER); Ladonna Thomas, manager of the open heart unit;
Charlotte Ipsan, clinical manger of the neonatal intensive care unit (NICU) at
Suburban; Laurie Shawn, staff nurse in NICU at Suburban; and Mary Gruebbel,
vice president for patient care services.
Background
Audubon and Suburban are among the seven hospitals the Respondent
currently owns and operates in the
The Reinstatement Offer to
i. facts
The Board found that
As a lactation consultant, she worked out of the NICU and developed protocols for the care of mothers who were breastfeeding pre-term or high-risk babies. In addition, she worked with some of the problem breast-feeders in the newborn nursery unit and was occasionally called to be a consultant in pediatrics.
Since December 4, 1995, she has worked full-time (37-1/2
hours a week) as a community health care specialist or nurse care manager for
Pursuant to the Order, the Respondent, by letter of July
12, 2000, from HR Director Kees, offered
Norton does have med/surg nursing positions available to which you could be oriented. . . . Norton believes that the med/surg nursing positions are substantially equivalent positions. You are hereby offered the opportunity to be reinstated immediately to a med/surg nursing position following reorientation to that position.
Kees’ letter implied, but did not directly state, that
There was no other communication, either written or oral,
between them. The record does not
reflect whether
In addition, she assumed that she would have to lift and ambulate many patients and feared that because of her size, she could not lift heavy patients and could injure her back. She is 62 years old, slightly less than 5-feet tall, and weighs about 85 pounds, approximately her same weight as in July 2000. She testified about one occasion, about 12 years ago, when she had difficulty lifting a patient from a stretcher to the recovery room, because he was too heavy and also because the stretchers were too high for her. She did not believe that she was ever “pulled” to work in med/surg after that.
However,
In neither her response letter nor her testimony on direct
examination did
It is undisputed that in July 2000, Audubon did not have a labor and delivery, an NICU, or a pediatrics unit, and that the hospital at that time did not have babies delivered in the standard course of its business. In approximately September 1997, the NICU at Audubon ceased operations, and most of the RNs there transferred to Suburban. General Counsel’s Exhibit 16 reflects that the effective date of transfer for those RNs was October 1, 1997. Ipsan, who was the clinical manager of NICU at Audubon and is now clinical manager of NICU at Suburban, testified that she believed all nurses who applied for such a transfer received it. None of those nurses were lactation consultants.
In January or February 1999, the mother/baby unit at Audubon
was closed. A number of its nurses were
immediately transferred to other Norton hospitals in the area, depending on
where there were appropriate positions available. Similarly, in early 1999, the labor and
delivery unit at Audubon closed, and many of its RNs went to the labor and
delivery unit at Norton’s downtown
The record reflects that there have been two full-time
lactation consultants at Suburban since 1999.
One was Lisa Hughes, whose employment records are contained in General
Counsel’s Exhibit 17. She was rehired by
Suburban in September 1993, as an RN in the mother/baby unit. In December 1998, she applied for promotion
to the position of full-time lactation consultant in that unit, and on January
3, 1999, was so promoted. On January 31,
1999, she transferred in that position to the NICU, where she remained until
the time of her termination on January 2, 2001, for excessive absenteeism and
tardiness. No one replaced her. The second individual is Debbie Moses, who is
still employed in that position, out of the mother/baby unit. Her personnel records are contained in Respondent’s
Exhibits 137–143. She was hired at
Suburban in September 1988, after applying for the position of staff
nurse/lactation consultant. In February
1997, she was promoted from being a staff nurse/lactation consultant at
Suburban to a full-time position as lactation consultant at Louisville Market,
when both hospitals were still owned by
No one replaced
Two witnesses called by the Respondent, Ipsan and Shawn,
testified without controversion that at some point prior to September 1994
(Ipsan put the timeframe as between 6 to 12 months earlier; Shawn as the early
1990s), they were involved in training
ii. positions
of the parties
A number of issues are presented in this rather complex factual
situation. I will only address those
that have been pursued by the parties in their posthearing briefs. Thus, while the General Counsel’s brief
asserts that
The General Counsel contends that the Respondent was
obliged to offer
The Respondent takes the position that Sandusky was offered a substantially equivalent position in view of the fact that there were no lactation consultant positions or even any mother/baby or neonatal units at Audubon in July 2000; she was offered a salary commensurate to her lactation consultant position and reorientation training; and there were no physical demands that would have precluded her from being a med/surg nurse. The Respondent contends that she is not entitled to recover mileage expenses because she is already reimbursed for mileage.
For the reasons stated below, I find that Sandusky should have been offered a lactation consultant position at Suburban in July 2000, and that the offer made to her at that time for a med/surg nurse position was invalid; that when the lactation consultant position encumbered by Hughes was eliminated on January 2, 2001, there was no longer an existing lactation consultant position available for reinstatement purposes, but the Respondent remained obliged to offer Sandusky a substantially equivalent position; that the position of a med/surg nurse was substantially equivalent; and that the Respondent must renew its offer to her for such a position.
iii. analysis
and conclusions
The first question that must be answered in determining
the efficacy of the Respondent’s July 2000 offer to
However, both in September 1997 and in early 1999, Audubon
RNs were given the opportunity to transfer to sister hospitals in the area when
their units at Audubon were closed.
Since 1994, Suburban has had two persons in the lactation
consultant position: Moses and
Hughes. Moses was hired as a part-time
lactation consultant in 1988—approximately 6 years prior to
As support for its argument that Sandusky should be reinstated as a lactation consultant, to the position formerly held by Hughes, the General Counsel cites Panoramic Industries, Inc., 267 NLRB 32, 38–39 (1983). The judge therein cited (at fn. 37) Curtis Mfg. Co., 189 NLRB 192, 198 (1971), wherein a discriminatee was ordered restored to her former position of employment even though it meant firing an employee hired after her termination.
Hughes was hired as a lactation consultant in January
1999, after
The next question is whether the Respondent’s July 2000 offer
to
In any event, I must now determine whether the July 2000
offer to
The reinstatement letter
Although
Not having worked as med/surg nurse for many years,
However, I have concluded that there was such a lactation
consultant position and that it existed until January 2, 2001. The final question is whether the Respondent,
after January 2, 2001, was obliged to renew its offer to
Moreover, Audubon has an established practice of allowing RNs to transfer to other positions when their positions have been eliminated. Based on this, I conclude that had Sandusky been presented with, and accepted, a valid reinstatement offer for the lactation consultant position in July 2000, she would have been able to transfer to other positions (i.e., in med/surg) if her lactation consultant position had been eliminated after January 2, 2001.
Based on these considerations, I conclude that the Respondent, since January 2, 2001, has remained under an obligation to renew its offer to Sandusky to work as a med/surg nurse and that the Respondent’s backpay obligation continues until such time as that offer is made.
Finally, as to mileage reimbursement, I find that
The Offers to Clark and Hurst
i. background
As noted earlier, both Clark and Hurst have remained employed as RNs at Audubon since they were unlawfully denied promotion to patient care leader (now entitled clinical coordinator) in mid-January 1996. The Order required the Respondent to offer them such promotion. Issues relating to the validity of the July 2000 offers the Respondent made to them are intertwined with the issue of whether clinical coordinator is a statutory supervisory position within the meaning of Section 2(11) of the Act.
The Board adopted Judge West’s determination that the patient care leaders were not statutory supervisors within the meaning of Section 2(11) of the Act. It is not necessary for me to recite in detail all of his specific findings in this regard. Suffice to say, he concluded that the functions performed by the patient care leaders which went beyond patient care were routine in nature and did not require the use of independent judgment under Section 2(11) of the Act. He therefore included them in the unit.
The Respondent contends that I should revisit this issue,
in light of developments in the law that occurred since the hearing in the previous
case concluded on February 12, 1996, and the Order issued on June 22, 2000, in
particular, the Supreme Court decision in NLRB
v. Kentucky River Community Care, Inc., 532 U.S. 706 (2001). The Respondent further contends that the
clinical coordinators have been supervisors under the Act since the time when
it took control of the hospital in September 1998. The General Counsel and the
ii. facts
By letters of July 14, 2000,13 the Respondent offered Hurst and Clark, respectively, positions as charge nurses, pursuant to the Order. In said letters, Kees stated,
The Charge Nurse position has evolved since [September 1, 1998] to include more management responsibilities. Effective March 1, 2000, Norton transitioned to change Charge Nurse positions with a revised Job Description reflecting the increased management responsibilities of the position.
It is the position of Norton that the Charge Nurse position is a substantially equivalent position to the Patient Care Leader position which was abolished at Norton. Accordingly, Norton is prepared to offer you a Charge Nurse position. Enclosed herewith you will find a copy of the current Job Description for the Charge Nurse position at [Audubon]. Further, you should be advised that is the position of Norton that persons occupying regular Charge Nurse designations . . . are supervisors within the meaning of [the Act].
By letters dated July 24 and 26,15 respectively, Clark and Hurst responded identically that:
I am concerned that the job offer of July 14, 2000 as it is stated in your letter would be supervisory and would therefore deprive me of my Section 7 rights under federal law. The offer, as you place it, would end my freedom to participate in union and concerted activity. This is a problem for me, and I need some time to consider this.
. . . As the Nurses Professional Organization, we have a written protest to the NLRB over this matter, and I would like to await the outcome of that protest.
There was no further communication between the Respondent and Clark and Hurst regarding the offers. Clark (who is still union president) and Hurst testified, consistently with their response letters, that they declined the offers because they did not wish to give up their right to engage in union activity.
iii. the legal
framework
Here, the Respondent conditioned its offers of promotion to clinical coordinator (charge nurse) on the employees’ acquiescence in the Respondent’s assertion that clinical coordinators are statutory supervisors. The offers contained the clear message that the employees would forfeit their rights to engage in union activities if they accepted promotion.
Preliminarily, I do not conclude that the Respondent, in contending that the clinical coordinators are supervisors, was motivated by a desire to place Clark and Hurst, two of the most identified union leaders, in an untenable position. Nevertheless, I must determine whether the Respondent placed a condition on the offers that invalidated them, with the result that its backpay obligations to Clark and Hurst continued past July 2000, and further offers of promotion must be made.
It is well established that an employer has the burden of
proving that it made a valid offer of reinstatement tolling its backpay
obligation and that such offer was sufficiently unequivocal and unconditional. Beverly Cafeteria Corp., 329 NLRB 977
(1999); Tony Roma Restaurant, 325 NLRB 851 (1998). I therefore reject the Respondent’s
contention, made at the hearing, that Clark and Hurst could have accepted the
offers and later contested the Respondent’s position in a ULP proceeding, or
through some other means. That would
have placed them in a very difficult situation, particularly because it would
appear that an employer, after a reasonable period of time, can discharge an
employee reinstated to a supervisory position for continuing to engage in union
activities. See Oil, Chemical &
Atomic Workers International
Significantly, this is not a case of first impression on the issue of the status of clinical coordinators. The month before the July 2000 offers were made, the Board found that the position was nonsupervisory and included in the bargaining unit.
In light of these considerations, I conclude that the Respondent, although certainly free to believe and argue that the status of clinical coordinators had changed since the ULPs had been committed by its predecessor, acted at its peril in unilaterally deciding that the position was now supervisory and that it could force Clark and Hurst to choose between the promotion and remaining active in union affairs. See Central Cartridge, Inc., 236 NLRB 1232 (1978), in which the Board held invalid an employer’s offer to reinstate an employee “as a supervisor,” when the position was ultimately determined to be nonsupervisory.
For the reasons stated below, I find that the clinical coordinators are not statutory supervisors within the meaning of Section 2(11) of the Act and that the Respondent’s offers of promotion to Clark and Hurst were invalidated by the imposition of an improper qualification.
iv. the status
of clinical coordinators
A. Facts
Considerable evidence, documentary and testimonial, was presented on this issue. Although two timeframes are relevant (July 2000, when the offers were made, and the present), none of the parties have contended that there have been any significant changes in the role and duties of clinical coordinators since July 2000. I also note that the large number of nursing units and staff, described earlier, may understandably result in some variations in the application of hospital-wide policies and procedures.
I give most weight to the testimony of Randa Bryan, Christopher Brown, and Ladonna Thomas, for the following reasons. All three answered questions readily and without hesitation, appeared candid, and did not appear to make any efforts to skew their answers to make clinical coordinators supervisory. They were generally quite consistent in terms of hospital policies and the practices with which they are familiar. Significantly, Brown and Thomas are now clinical managers but have had experience as clinical coordinators.
Brown is the clinical manager for a 36-bed med/surg
unit. He normally supervises three
clinical coordinators and reports to the unit’s director. Before becoming clinical manger in March
2000, he was a clinical coordinator in the intensive care unit since late 1998
or early 1999. His testimony primarily
concerned his relationship as clinical manager with the clinical coordinators
who report to him.
Kees and Clark also testified in detail on the status of clinical coordinators. Kees was generally credible, but she is more removed from day-to-day operations by virtue of her position in higher management. The same holds true for witness Mary Gruebbel, who has been vice president for patient care services for Norton Health Care since September 1, 1998. Patient care services entails in-patient units, emergency services, and surgical services. Moreover, Gruebbel’s testimony was quite limited in scope.
In contrast to her credible testimony on direct examination,
1. General role and status
Job descriptions for clinical coordinators and clinical managers, used through the years, are contained at Respondent’s Exhibits 146–152. Inasmuch as formal job descriptions are not dispositive of supervisory status, I will not set out their contents here. Suffice to say, the basic description of the duties of clinical coordinator has not changed significantly since at least February 12, 1998,17 albeit there has been some changes in nomenclature and in format, and an expansion of enumerated responsibilities.
Kees testified that there has been an initiative by Norton since September 1, 1998, to ensure that clinical coordinators are positioned to assist charge managers in running their departments. Operations at the hospital are continuous, 24 hours a day, 7 days a week, and managers cannot be there all the time. Part of this initiative involved getting more clinical coordinators to participate in evaluations and discipline on a formal basis. A training program for clinical coordinators was instituted, wherein they received training on how to fill out an evaluation, how to coach and counsel, and how to prepare a performance improvement plan (PIP). They were also trained on how to interview, such as at job fairs, but recruitment techniques have changed since then. A management development program was extended on January 1, 2001, to all supervisors, including clinical coordinators, who now receive such training. Clinical coordinators work with educators (nonstaff nurses) in the orientation of new employees, but educators and preceptors (staff nurses) are the ones who decide whether an employee passes his or her orientation.
Although Kees testified that clinical coordinators may interview and hire new employees, neither she nor any other witness of the Respondent gave any specific instances or numbers. In any event, she testified that actual hiring is done through HR, which makes the formal job offers. Therefore, I need not further address clinical coordinators’ role in this area.
Brown and Bryan testified very similarly as to their view
of the role of clinical coordinators.
Thus, Brown testified that “clinical coordinators are my eyes and ears”
(Tr. 384), while
Clinical coordinators, as well as acting clinical coordinators (clock charge nurses) receive a 5-percent pay differential an hour. They do not receive any other benefits vis-à-vis staff nurses. As Brown and Thomas testified, when clinical coordinators are not engaged in clinical coordinator duties, they perform patient care services as RNs.
2. Role in evaluations and PIPs
Respondent’s Exhibits 5 through 134 represent nursing staff personnel records from January 1, 2000, to the present. Included are evaluations of RNs, LPNs, nurses’ aides or patient care associates (PCAs), technicians, and unit secretaries. Most are annual reviews, a few 6-month or transitional (probationary) evaluations. Most were signed by both a clinical coordinator and a clinical manager, although not always on the same date. Some had notations written by clinical coordinators and/or clinical managers.
Kees testified that such evaluations have been used for developmental and nonmonetary—morale—rewards, or “pats on the back” (Tr. 165). In 2000, all increases were at the same percentage amount, regardless of an employee’s evaluation.
Kees additionally testified that evaluations, transitional (probationary) or annual, are given to the employee either by the clinical coordinator or the clinical manager. However, the similar testimony of both Brown and Bryan reflects that the clinical managers review the proposed evaluations made by clinical coordinators, have the authority to change them, and may do so on occasion. Thus, Brown testified that in the 90-day evaluations of new employees, clinical coordinators have significant input because they are directly involved in patient care activities. He candidly stated on direct examination that, in terms of regular or annual evaluations presented to him by clinical coordinators, he has disagreed with their ratings on a few occasions and changed them.
Regarding PIPs, Kees testified that they are not disciplinary
but can result in discipline if there is lack of improvement. Further, PIPs resulting from an annual
evaluation are “unusual” (Tr. 287).
According to hospital policy, the department director must concur in the
decision to place an employee on a PIP.
Kees is consulted for approval of a PIP before there is a meeting with
the employee by either the clinical coordinator, clinical manager, or director,
or a combination thereof. Although department
managers have the authority to change the decision of someone below as to
placing someone on a PIP, she was not aware of any instances in which this has
occurred. She could not give any
examples of when a clinical coordinator has made the final decision as to
whether someone passed or failed a PIP.
Kees testified that an employee who does not pass the transitional 90-day evaluation may be given additional time to improve. A clinical coordinator can extend the transitional period, but a clinical manger or director of the unit would have to decide whether to accept such recommendation. Brown’s testimony comported with hers. He testified that if a probationary employee needs extension of the orientation period, he is the one who can extend it, placing “significant reliance” on the recommendation of the clinical coordinator (Tr. 393). Only once or twice during his tenure as a clinical manager has the 90-day period been extended, and on those rare occasions, he followed the recommendation of the clinical coordinators.
Regarding an employee’s transfer to another department, that can result from failure to pass a PIP, Kees testified that a clinical coordinator or clinical manger can exercise that authority. However, she could not cite any specific occasions when a clinical coordinator has actually exercised such authority, and she conceded that even though a clinical coordinator may initiate a transfer, the clinical manager is to going to be involved. In any event, she testified, it is the employee’s decision in those situations whether or not to accept the transfer.
In summary, based on the above, I find the following:
1. Annual evaluations do not result in any financial impact on employees or in the direct imposition of any form of discipline,
2. Ninety-day probationary periods are rarely extended based on evaluations, and the record does not establish that anyone has been terminated based on a 90-day evaluation.
3. Clinical coordinators prepare evaluations but must discuss them with clinical managers, who retain the authority to change them and occasionally do so.
4. Clinical coordinators have significant input into putting someone on a PIP, but the ultimate decisionmaking authority lies with clinical managers, with required participation by HR.
5. PIPs are rarely imposed.
6. Clinical coordinators may initiate employee transfers, but clinical manager must become involved and, ultimately, the subject employees decide whether or not to accept them.
3. Role in discipline
At all times material, the Respondent has maintained a progress discipline policy, last revised on January 1,