331 NLRB 374
Audubon Regional Medical Center
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
374
Audubon Regional Medical Center and Nurses’ Profes-
sional Organization affiliated with the United
Nurses of America, American Federation of State,
County and Municipal Employees, AFL–CIO.
Cases 9–CA–31725–1, 9–CA–32276, 9–CA–33632,
9–CA–33565–1–5, and 9–RC–16332
June 22, 2000
DECISION, ORDER, AND DIRECTION OF
SECOND ELECTION
BY CHAIRMAN TRUESDALE AND MEMBERS FOX
AND LIEBMAN
On March 31, 1997, Administrative Law Judge John H.
West issued the attached decision. The Respondent filed
exceptions and a supporting brief. The General Counsel
and the Charging Party filed answering briefs, and the Re-
spondent filed a reply brief. On April 22, 1998, the Re-
spondent filed a motion to reopen the record, and the Gen-
eral Counsel and the Charging Party each filed a timely
opposition brief to the motion. On January 12, 1999, the
Respondent filed an amended motion to reopen the record,
and the General Counsel and the Charging Party each filed a
timely opposition brief to the amended motion.
The National Labor Relations Board has delegated its au-
thority in this proceeding to a three-member panel.
The Board has considered the decision and the record in
light of the exceptions, briefs, and motions1 and has decided
to affirm the judge’s rulings, findings,2 and conclusions only
to the extent consistent with this Decision, Order, and Di-
rection of Second Election.3
This matter arose from an organizing drive by the Nurses’
Professional Organization (Union) conducted among the
Respondent’s registered nurses (RNs) at Audubon Regional
Medical Center (Audubon) located in Louisville, Kentucky.
On January 5, 1994, after having obtained a purported ma-
jority of authorization cards signed by the RNs working at
Audubon, the Union requested recognition from the Re-
spondent. The Respondent denied this request. The next
day the Union filed with the Board the instant representation
petition, Case 9–RC–16332, seeking to represent the Audu-
bon RNs.4 The Union and the Respondent each conducted a
vigorous campaign that culminated with the election held on
March 3 and 4, 1994. The Union lost that election by a bal-
lot count of 220 to 366, with a total of 54 challenged ballots,
which were not determinative. Shortly thereafter, the Union
timely filed objections to the election. Later, the Union also
filed several unfair labor practice charges alleging numerous
violations of the Act committed by the Respondent before
and after the election during the period from January 1994,
through January 1996.
1 The motions and oppositions to them are discussed in sec. II of this
decision, infra.
2 The Respondent has excepted to some of the judge’s credibility
findings. The Board’s established policy is not to overrule an adminis-
trative law judge’s credibility resolutions unless the clear preponder-
ance of all the relevant evidence convinces us that they are incorrect.
Standard Dry Wall Products, 91 NLRB 544 (1950), enfd. 188 F.2d 362
(3d Cir. 1951). We have carefully examined the record and find no
basis for reversing the findings.
3 We have modified the judge’s recommended Order in accordance
with our decisions in Indian Hills Care Center, 321 NLRB 144 (1996),
and Excel Container, 325 NLRB 17 (1997).
4 The parties entered into a Stipulated Election Agreement on Janu-
ary 25, 1994. The unit consists of:
All full-time and regular part-time Registered Nurses, including Pool
Registered Nurses, employed by the Respondent at its facility at One
Audubon Plaza, Louisville, Kentucky, but excluding all other em-
ployees, all other professional employees, all technical employees, all
business office clerical employees, all skilled maintenance employees,
all physicians, all nonprofessional employees and all guards and su-
pervisors as defined in the Act.
1. The judge found that the Respondent had committed
most of the violations of Section 8(a)(1) of the Act alleged
by the outstanding complaints. He found that the Respon-
dent had (1) unlawfully solicited grievances accompanied
by promises to adjust them; (2) discriminatorily enforced
posting rules affecting campaign literature; (3) unlawfully
threatened employees by linking union support with plant
closure or sale, job and benefit loss, discrimination, and
discipline; (4) unlawfully stated that it would not negotiate if
the employees selected the Union as their collective-
bargaining representative; and (5) attempted to discourage
the employees’ union support prior to the election by an-
nouncing a wage increase, new long-term disability insur-
ance benefits,5 increased benefits for certain part-time em-
ployees, and a new committee to deal with RN staffing is-
sues and complaints. We adopt these findings.
2. The judge also found that the Respondent violated Sec-
tion 8(a)(1) and (3) of the Act by discriminating against
employees Joanne Sandusky and Terry Hundley because of
their union and/or protected concerted activities. He also
found that the Respondent violated Section 8(a)(1), (3),
and/or (4) of the Act by discriminating against employees
5 On February 16, 1994, approximately 3 weeks before the election,
the Respondent issued a memorandum announcing that new long-term
disability insurance benefits would be available to employees at some
undisclosed future date. In this notice, the Respondent informed the
employees that it had not yet decided on a specific plan for such bene-
fits and needed to review the situation further to determine what plan
would be made available in the future. In the same memorandum, the
Respondent also announced an unlawful wage increase for the RNs and
stated that “[t]his new Columbia pro-employee relations approach will
provide all of us here more opportunities to make positive changes
similar to what we are announcing today.”
In affirming the judge’s finding that the preelection announcement
of new long-term disability benefits was unlawful, we note that the
instant situation is distinguishable from Weather Shield of Connecticut,
300 NLRB 93 (1990), relied on by the Respondent. There, the pension
plan announced on the day before the election was to become effective
on a date certain, shortly after the election, and in fact had been a cer-
tainty for nearly a year before the election eve announcement. Unlike
here, the employer in Weather Shield had already decided on the details
and effective date for the pension benefits prior to the filing of the
representation petition. Here, in contrast, the announced goal to have
long-term disability benefits for its employees was still in its formative
stages on February 16, 1994, and was conditioned on future action by
the Respondent. The Respondent did not work out critical details,
including the effective date for the disability benefits, until months after
the election.
331 NLRB No. 42
AUDUBON REGIONAL MEDICAL CENTER
375
Gloria Gant, Patricia Clark, and Ann Hurst because of their
union and/or protected concerted activities or because of
their assistance and participation in these Board proceed-
ings. We adopt these findings of unlawful discrimination
against these RNs, but we provide, in section I, infra, further
explanation regarding the violations involving Hundley,
Clark, and Hurst.
3. The judge found that the preelection violations of Sec-
tion 8(a)(1) described above also constituted objectionable
conduct such that the election conducted on March 3 and 4,
1994, should be set aside. He also sustained three other
objections to the election (identified in his decision as union
objections 1, 4, and 5) alleging objectionable conduct not
covered by the unfair labor practice allegations of the com-
plaint. These objections were that the Respondent had en-
gaged in objectionable conduct by insisting on the inclusion
of RN applicants in the bargaining unit while selectively
challenging their ballots (union objection 1); by soliciting
employees to wear antiunion buttons (union objection 4);
and by assisting in the establishment of an antiunion RN
committee called nurses for nurses (NFN) and by promoting
this committee through recruitment, financial assistance,
and allowing NFN activities to occur on work time (union
objection 5). We agree with the judge that the Respondent
engaged in objectionable conduct warranting setting aside
the election. However, we find it unnecessary to pass on
union objections 1 and 4 and rely instead on the other con-
duct found objectionable by the judge.
4. Given the nature and extent of the pre- and post-
election unfair labor practices committed by the Respon-
dent, the judge concluded that the possibility of erasing the
effects of the unfair labor practices and of conducting a fair
rerun election by the use of traditional remedies was “slight
to nonexistent.” Citing NLRB v. Gissel Packing Co., 395
U.S. 575 (1969), he found that as of January 5, 1994, when
the Union requested recognition, a majority of the RNs had
executed authorization cards designating the Union as their
collective-bargaining representative, and that therefore, the
Respondent should be held to have violated Section 8(a)(5)
and (1) by refusing to recognize the Union as of that date
and by its subsequent actions in unilaterally implementing a
job redesign plan that reorganized the staffing and job duties
of the RNs at Audubon in early 1996. Because of the de-
gree and pervasiveness of the Respondent’s unfair labor
practices, the judge also recommended a broad cease-and-
desist order, precluding the Respondent from “in any man-
ner” interfering with, coercing, or restraining employees in
the exercise of their rights guaranteed by Section 7 of the
Act.
We agree with the judge that the nature and extent of the
Respondent’s unfair labor practices has rendered unlikely
the possibility of erasing the effects of the unfair labor prac-
tices and of conducting a fair rerun election by the use of
traditional remedies alone. However, for the reasons set out
in section II, infra, we find a Gissel bargaining order remedy
to be unwarranted here.6 We have concluded instead that
employee rights can be best served by directing a new elec-
tion but also adopting the judge’s recommended broad
cease-and-desist order and ordering certain additional spe-
cial remedies, including the submission of the names and
addresses of current employees to the Union, a public read-
ing of the notice to employees at Audubon’s facility, and
reasonable access to the Respondent’s bulletin boards.
I.
The Respondent operates a large acute-care hospital,
Audubon Regional Medical Center, in Louisville, Kentucky,
with approximately 480 beds and over 600 staff RNs.
Throughout 1993 and 1994, the Respondent went through a
series of corporate mergers and divestitures. Prior to March
1, 1993, the Respondent was owned by Humana, Inc. In
March 1993 Humana underwent a divestiture that split the
organization into two companies: Galen, Inc. and Humana.
Galen continued to operate Audubon and its three affiliated
“sister” acute-care hospitals located in the Louisville area7
until Galen merged with Columbia in June 1993. Then, on
October 21, 1993, Columbia announced an impending
merger with Hospital Corporation of America (HCA) which
became effective on February 10, 1994. At the time of the
election held on March 3 and 4, 1994, Columbia/HCA
Healthcare Corporation was operating Audubon.8
After the March 1994 election, the Respondent began to
utilize a new method of patient care delivery service, known
as the patient focused care model, on its nursing units at
Audubon. In the process, the Respondent consolidated RN
jobs and modified RN job duties and responsibilities. To
implement the new patient focused care model, the Respon-
dent altered certain job titles and job descriptions within
Audubon’s nursing department in early 1996. As part of
this job restructuring, the former charge nurse position was
abolished and replaced with the new patient care leader
(PCL) position, which had job responsibilities similar to
those performed by the former charge nurse position. To fill
the newly created PCL positions, the Respondent conducted
an application and interview process among its current em-
ployees.
The judge found, inter alia, that RNs Patricia Clark, Terry
Hundley, and Ann Hurst were discriminatorily denied cer-
tain full-time PCL positions that were available in mid-
January 1996.9 He found that all three discriminatees had
6 Because we decline to find that a bargaining obligation arose on the
basis of the Union’s card majority, we also reverse the judge’s findings
that the Respondent violated Sec. 8(a)(5) and (1) by failing to recognize
the Union and making unilateral changes.
7 These hospitals are Suburban Medical Center, Southwest Medical
Center, and University of Louisville Hospital.
8 As more fully described in sec. II, infra, Alliant Health System,
Inc. became the owner and operator of Audubon effective September 1,
1998.
9 As more fully described by the judge, the Respondent also unlaw-
fully (1) gave Hundley a low performance evaluation, (2) subjected her
to an exit interview when she decided to voluntarily terminate her em-
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
376
engaged in protected activity and had been active union
supporters.10 He noted that Clark and Hurst had also testi-
fied in support of the Union’s interests as witnesses for the
General Counsel during an earlier phase of the hearing.
Analyzing such factors as union animus and employer
knowledge, the judge found that under the Board’s Wright
Line11 causation test, the General Counsel had met his bur-
den of proving that protected union activity and/or participa-
tion in the Board proceedings were motivating factors in the
Respondent’s decision to reject Clark, Hundley, and Hurst
for the PCL positions in question. The judge then correctly
observed that once this was established by the General
Counsel, the burden shifted to the Respondent to show that
its rejection of Clark, Hundley, and Hurst would have taken
place even in the absence of any union or protected activity
on the part of these employees. The judge found that the
Respondent had failed to meet its burden in all three situa-
tions. As explained below, we agree that the credited evi-
dence supports this view.
Clark, Hundley, and Hurst were experienced RNs who
were qualified to perform the job duties and responsibilities
of PCLs. Hired in 1977, Clark had been promised the next
available charge nurse position by Audubon’s former CEO
in 1991. Employed since 1984, Hundley had worked as a
full-time charge nurse at Audubon for approximately 5
years. Employed since 1981, Hurst also had considerable
charge nurse experience at Audubon.
The Respondent does not dispute that Clark, Hundley,
and Hurst possessed the necessary job qualifications for the
full-time PCL positions. Yet, the Respondent awarded
these jobs to Brenda Canary, Paula Case, and Lori Stewart,
respectively. Canary, Case, and Stewart were RNs with less
experience and seniority than the discriminatees. None of
them were shown to be union supporters or participants in
Board proceedings. Unlike Clark, none of them had been
previously promised the next available charge nurse posi-
ployment, and (3) denied her future employment with the Respondent
on an on-call basis.
10 Clark and Hurst were pictured in the Union’s FACES election
campaign booklet, and their pictures were also prominently displayed
on a union billboard located near Audubon’s facility. Clark and Hurst
had engaged in various union activities, including wearing union but-
tons to work, leafletting with union campaign material, soliciting their
fellow Audubon nurses to sign union authorization cards, and attending
union meetings.
Clark became union president in October 1994. In that role, she
later participated in a public candlelight ceremony and on a local radio
talk show to publicize the Union’s concerns about inadequate staffing
that could result from the Respondent’s decision to restructure the
Audubon nursing units. Other nurses, including Hundley, had openly
complained to management about inadequate staffing. To memorialize
one such staffing problem on her shift, Hundley presented Darin Ford,
her immediate supervisor, with a complaint form that the Union had
urged its supporters to use during this period.
11 Wright Line, 251 NLRB 1083 (1980), enfd. 662 F.2d 899 (1st Cir.
1981), cert. denied 455 U.S. 989 (1982), approved in NLRB v. Trans-
portation Management Corp., 462 U.S. 393, 399–403 (1983), overruled
in part on other grounds Director, Office of Workers Compensation
Programs, Dept. of Labor v. Greenwich Collieries, 512 U.S. 267, 276–
278 (1994).
tion. Furthermore, unlike the discriminatees, there is no
evidence that Canary, Case, and Stewart had complained
about inadequate staffing in their nursing units or had ex-
pressed any concerns or commented about any reservations
involving the Respondent’s job restructuring plan.
The Respondent contends that its selections of Canary,
Case, and Stewart would have occurred regardless of any
union or protected activity on the part of the discriminatees
because (1) it promoted other union supporters and (2) it did
not consider seniority in awarding the PCL positions. The
record, however, shows that neither ground withstands scru-
tiny.
Regarding the first ground, the fact that the Respondent
may have promoted other union supporters does not under-
cut the General Counsel’s evidence that the Respondent
acted out of animus with respect to Clark, Hundley, and
Hurst. See NLRB v. McCullough Environmental Services, 5
F.3d 923, 927 (5th Cir. 1993). “[A] discriminatory motive,
otherwise established, is not disproved by an employer’s
proof that it did not weed out all union adherents.” Nach-
man Corp. v. NLRB, 337 F.2d 421, 424 (7th Cir. 1964)
(citation omitted).
With respect to the second ground, the record lacks any
explanation why seniority was not used in awarding the
PCL positions in question. We have only the Respondent’s
bare assertion that seniority did not matter, but this appears
to be inconsistent with Hurst’s credited testimony that the
Respondent used seniority in awarding promotions to other
staff RNs during the restructuring process.12
We further note that Joann Anderson, the Respondent’s
vice president of patient care services and the chief nursing
officer at Audubon, testified about the 1996 restructuring
process at the reopened hearing in June 1996, but she was
not questioned by the Respondent about the situations in-
volving Clark, Hundley, and Hurst. In fact, none of the
Respondent’s supervisors and managers who interviewed
the RN applicants or made the final selections for the PCL
positions testified at the 1996 hearing. Thus, the record
contains no explanation directly from the management offi-
cials involved, including Donna Cook (director of pediat-
rics), Jacqui Falk (clinical coordinator), Shannon McMahon
(clinical coordinator), Karlene Pietranton (director of spe-
cialty services), and Joan Wempe (director of maternal and
child nursing), concerning what selection criteria, if any,
were actually used by them and resulted in bypassing Clark,
Hundley, and Hurst for the PCL jobs. Without evidence of
this kind, there is no basis on which we can find merit in the
Respondent’s claim that Canary, Case, and Stewart were
better candidates or made better impressions in interviews.
Given these shortcomings in the Respondent’s defense,
we agree with the judge that the Respondent has failed to
meet its burden under Wright Line of proving that it would
12 Hurst testified that she observed that two clinical associate RN po-
sitions on her shift were awarded to RNs Michele Cowden and Pat
Furguson based on their seniority.
AUDUBON REGIONAL MEDICAL CENTER
377
not have selected Clark, Hundley, or Hurst even in the ab-
sence of their protected union activity and/or Board partici-
pation. Accordingly, we adopt the violations of Section
8(a)(1), (3), and (4) found by the judge.
II.
The judge found that the Respondent engaged in unfair
labor practices after the representation petition was filed on
January 6, 1994. The judge further found that this unlawful
activity by the Respondent continued for many months after
the March 1994 election among the RNs. He concluded
that a bargaining order was appropriate under NLRB v. Gis-
sel Packing Co.,13 because, in his view, the nature and the
extent of the Respondent’s unfair labor practices have made
slight the possibility of a fair second election among the
RNs. He considered (1) the Respondent’s many violations
of Section 8(a)(1), (3), and (4), several of which are consid-
ered “hallmark” violations14 of the Act; (2) the number and
rank of supervisors and managers who committed these
unfair labor practices; (3) the collective effect of this unlaw-
ful activity on all unit members; and (4) the continuation of
the Respondent’s unlawful conduct in 1995 and 1996. In
these circumstances, the judge believed that the effects of
the Respondent’s unlawful conduct could not be erased by
merely ordering the Respondent to cease and desist from
engaging in it.
Approximately 6 months after the judge’s decision is-
sued, the Respondent filed a motion to reopen the record to
introduce evidence of changed circumstances that allegedly
negate the necessity of a remedial bargaining order. The
Respondent argues that (1) every managerial employee who
the judge concluded was involved in the commission of
unfair labor practices or objectionable conduct in these
cases has left Audubon’s employ; (2) Audubon has experi-
enced a 52.4-percent turnover in its RN staff since the
commission of the alleged unfair labor practices and objec-
tionable conduct; and (3) as of the April 22, 1998 filing date
for this motion, more than 4 years have elapsed since the
Union initially demanded recognition on January 5, 1994.
In support of its arguments, the Respondent submitted a
sworn affidavit from Debra Waite, who apparently became
Audubon’s acting human resource manager in September
1997. Attached to Waite’s affidavit are two exhibits. Ex-
hibit 1 is a 38-page comparison chart that covers the period
of January 5, 1994, through April 1, 1998, and details the
employment histories for those staff RNs who were in-
cluded in the bargaining unit by the judge. Exhibit 2 is a
one-page table entitled “Terminated Managerial Employ-
ees” that lists the names of 15 individuals who terminated
their Audubon employment during the period of November
11, 1994, through January 1, 1998.
13 Supra, 395 U.S. 575.
14 See NLRB v. Jamaica Towing, Inc., 632 F.2d 208, 212 (2d Cir.
1980). (“Certain violations have been regularly regarded by the Board
and the courts as highly coercive. These are the so-called ‘hallmark’
violations and their presence will support the issuance of a bargaining
order unless some significant mitigating circumstance exists.”)
Approximately 15 months after the judge’s decision is-
sued, the Respondent filed an amended motion to reopen the
record to introduce evidence concerning the alleged asset
purchase of Audubon by Alliant Health System, Inc. (Al-
liant) on September 1, 1998. The Respondent alleges that
Alliant has appointed its own team of senior management
personnel at Audubon, replacing employees of Colum-
bia/HCA Healthcare Corporation. Relying on such cases as
Impact Industries v. NLRB,15 Koons Ford v. NLRB,16 and
NLRB v. Jamaica Towing, Inc.,17 the Respondent argues that
“the change in ownership and management, as well as the
substantial turnover in employees and passage of time,
make it likely that a fair and impartial election could be
conducted.” In support of its argument, the Respondent
submitted a sworn affidavit from Stephen A. Williams, Al-
liant’s president and chief executive officer.
Both the General Counsel and the Union oppose the Re-
spondent’s motions. They contend that the evidence that the
Respondent seeks to introduce through its motions concern-
ing events postdating the Respondent’s unfair labor prac-
tices is irrelevant under prevailing Board precedent. Rely-
ing on Intersweet, Inc.,18 they argue that the appropriateness
of the bargaining order remedy depends on an evaluation of
the circumstances as of the time of the commission of the
unfair labor practices. Thus, in their view, no purpose
would be served by reopening the record to receive evi-
dence concerning alleged changes in Audubon’s ownership,
management personnel, and employee complement that
occurred several years after the unfair labor practices were
committed by the Respondent. Neither the General Counsel
nor the Union challenge the truth of the facts presented in
either motion, the supporting affidavits, or exhibits 1 and 2
attached thereto.
We have decided to grant the motions and reopen the re-
cord to include the Respondent’s evidence on managerial
turnover and the transfer of company ownership and man-
agement from Columbia/HCA Healthcare Corporation to
Alliant.
We would normally at least consider issuing a bargaining
order in the circumstances of this case. However, the un-
challenged evidence submitted by the Respondent shows
that none of the supervisory or managerial employees who
perpetrated the unfair labor practices is still employed by
Audubon or is still associated with Audubon in any capac-
ity. Stephen A. Williams, Alliant’s president and chief ex-
ecutive officer, attests that since the September 1998 take-
over of Audubon’s operations “Alliant Health System, Inc.
has appointed its own team of senior management personnel
at Audubon Regional Medical Center replacing employees
of Columbia/HCA Healthcare Corporation.” Given this
unrefuted contention that there has been 100-percent turn-
15 847 F.2d 379, 383 (7th Cir. 1988).
16 833 F.2d 310 (4th Cir. 1987).
17 Supra at 214.
18 321 NLRB 1 (1996), enfd. 125 F.3d 1064 (7th Cir. 1997).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
378
over in management, and the long delay of the case here at
the Board, we recognize that a bargaining order would
likely be unenforceable in the courts. See generally Fla-
mingo Hilton-Laughlin v. NLRB, 148 F.3d 1166, 1171
(D.C. Cir. 1998) (court expressed belief that substantial
change in management could result in conduct of a fair and
impartial second election despite employer’s widespread
unfair labor practices); Charlotte Amphitheater Corp. v.
NLRB, 82 F.3d 1074, 1078 (D.C. Cir. 1996) (court held that
Board must allow an employer the opportunity to proffer
evidence that passage of time or change in circumstances
might mitigate need for bargaining order); Research Fed-
eral Credit Union, 327 NLRB 1051 (1999) (on Board re-
quest for remand of case, Board found bargaining order
likely unenforceable in light of long delay and 76.5-percent
change in management personnel that occurred after unfair
labor practices); Camvac International, Inc., 302 NLRB
652 (1991) (on remand from court, and applying court’s
directives, Board found that due to almost complete turn-
over of supervisors and managers and significant passage of
time, bargaining order not warranted.) Accordingly, rather
than engender further litigation and delay over the propriety
of a bargaining order, we believe that employee rights
would better be served by proceeding directly to a second
election. See Cooper Industries, 328 NLRB 145 (1999).19
Although a Gissel remedy is not being imposed, we do
find that certain extraordinary remedies are warranted.20
The Respondent engaged in extensive and serious unfair
labor practices when faced with the union organizing effort
among its employees. As more fully described in the
judge’s decision, the Respondent violated Section 8(a)(1) by
threatening employees with plant closure or sale, job and
benefit loss, discrimination, and discipline; indicating that it
would not negotiate with the Union; announcing a wage
increase, new long-term disability insurance benefits, in-
creased benefits for certain part-time employees, and a new
committee to deal with RN staffing issues and complaints
before the election; soliciting grievances and promising to
adjust them; and discriminatorily removing union campaign
literature. In Wallace International de Puerto Rico, Inc.,
328 NLRB 29 (1999), the Board stated:
We have long held that threats of plant closure and
other types of job loss are more likely than other types
of unfair labor practices to affect the election condi-
tions negatively for an extended period of time. Gar-
19 Thus, we find it unnecessary to pass on the judge’s findings and
conclusion that a majority of the unit RNs executed authorization cards
designating the Union as their exclusive bargaining representative and
that the Union had such majority status as of January 5, 1994. We also
therefore reverse the 8(a)(5) violation found by the judge in connection
with the Respondent’s 1996 job redesign plan, because at that time the
Respondent was not obligated to bargain with the Union. See Fiber
Glass Systems, 278 NLRB 1255, 1256 (1986), vacated on other
grounds 807 F.2d 461 (5th Cir. 1987), supplemented by 298 NLRB 504
(1990).
20 It is well settled that the Board has broad discretion when fashion-
ing a “just remedy.” Maramont Corp., 317 NLRB 1035, 1037 (1995).
ney Morris, Inc., 313 NLRB 101, 103 (1993), enfd. 47
F.3d 1141 (3d Cir. 1995). Such threats serve as an in-
sidious reminder to employees every time they come to
work that any effort on their part to improve their work-
ing conditions may be met with complete destruction of
their livelihood. Electro-Voice, Inc., 320 NLRB 1094,
1095 (1996).
Under these circumstances, we find that special remedies
are necessary to dissipate as much as possible any lingering
effects of the Respondent’s unfair labor practices, and to
ensure that a fair election can be held. Our order will afford
the Union “an opportunity to participate in this restoration
and reassurance of employee rights by engaging in further
organizational efforts, if it so chooses, in an atmosphere free
of further restraint and coercion.” United Dairy Farmers
Cooperative Assn., 242 NLRB 1026, 1029 (1979), enfd. in
relevant part 633 F.2d 1054 (3d Cir. 1980).21
For the foregoing reasons, we shall order the Respondent
to supply the Union, on its request made within 1 year of the
date of this Decision and Order, the names and addresses of
its current unit employees. We shall also order the Respon-
dent, during the time the required notice is posted, to con-
vene the unit employees during working time at its Louis-
ville facility, by shifts, departments, or otherwise, and have
a responsible management official of the Respondent’s cur-
rent ownership read the notice to employees, or at the Re-
spondent’s option, permit a Board agent, in the presence of a
responsible management official of the Respondent, to read
the notice to the employees.22 In addition, we shall require
the Respondent to grant the Union and its representatives
reasonable access to the Respondent’s bulletin boards and
all other places where notices to employees are customarily
posted.23
AMENDED REMEDY
We agree with the judge that the Respondent’s unfair la-
bor practices warrant a broad cease-and-desist order, requir-
ing the Respondent to cease and desist from committing the
21 The Board has previously ordered these remedies in cases where it
found that remedial measures in addition to the traditional remedies for
unfair labor practices were appropriate. See, e.g., Research Federal
Credit Union, supra at fn. 17; Cooper Industries, supra at fn. 7; Wallace
International de Puerto Rico, supra at fn. 4.
These remedies are in addition to the Union’s right to have access to
a list of voters and their addresses under Excelsior Underwear, 156
NLRB 1236 (1966), after issuance of the Notice of Second Election.
22 Because those supervisors and managers who actively participated
in the Respondent’s antiunion campaign and unlawful conduct are no
longer associated with Audubon, we shall permit the new ownership
and managers, who had no involvement with the previous owners’ past
unlawful activities, to have this choice.
Chairman Truesdale agrees that the special remedy requiring the Re-
spondent to supply the Union with unit employee names and addresses
is warranted here. However, contrary to the majority, he would not
impose the additional special remedies requiring reading of the notice
and reasonable access to bulletin boards.
23 See, e.g., Three Sisters Sportswear Co., 312 NLRB 853 (1993),
enfd. mem. 55 F.3d 684 (D.C. Cir. 1995), cert. denied 516 U.S. 1093
(1996); United Supermarkets, Inc., 261 NLRB 1291 (1982), enfd. mem.
699 F.2d 1161 (5th Cir. 1983).
AUDUBON REGIONAL MEDICAL CENTER
379
specific violations found and from violating the Act “in any
other manner.” In addition, we do not give the bargaining
order and the 8(a)(5) remedy, but we give the following
special remedies. We find that the Respondent’s unfair
labor practices are so numerous, pervasive, and outrageous
that special notice and access remedies are necessary to
dissipate fully the coercive effects of the unfair labor prac-
tices found. See generally Fieldcrest Cannon, Inc., 318
NLRB 470, 473–474 (1995), enfd. in relevant part 97 F.3d
65 (4th Cir. 1996), and cases cited there.
Accordingly, we shall order the Respondent to comply
with the following additional remedies: (1) in addition to
posting copies of the attached notice marked “Appendix” at
its Louisville, Kentucky facility, convene during working
time all employees at that facility, by shifts, departments, or
otherwise, and have the Respondent’s representative who
signed the notice read it to the employees, or at the Respon-
dent’s option, permit a Board agent to read the notice. If the
Respondent chooses to have a Board agent read the notice,
then the Respondent’s representative who signed the notice
shall be present while the notice is read; (2) supply the Un-
ion, on request made within 1 year of the date of this Deci-
sion and Order, the names and addresses of its current unit
employees; and (3) on request, grant the Union and its rep-
resentatives reasonable access to the Respondent’s bulletin
boards and all places where notices to employees are cus-
tomarily posted.
ORDER
The National Labor Relations Board orders that the Re-
spondent, Audubon Regional Medical Center, Louisville,
Kentucky, its officers, agents, successors, and assigns, shall
1. Cease and desist from
(a) Informing an employee that a fellow employee
“burned her bridges” by engaging in union or protected
concerted activities thereby implying that employees who
engaged in such activities would be subjected to discrimina-
tion or discipline.
(b) Posting at its Louisville, Kentucky facility, a notice
entitled “Audubon Regional Medical Center Staffing Im-
provement Plan” announcing the establishment of a com-
mittee to deal with employees’ terms and conditions of em-
ployment in order to discourage employees’ union or pro-
tected concerted activities.
(c) Announcing an increase in benefits for part-time em-
ployees and the implementation of a new long-term disabil-
ity insurance benefit for all employees in order to discour-
age employees’ union or protected concerted activities.
(d) Announcing a wage increase for all employees to dis-
courage employees’ union or protected concerted activities.
(e) Threatening employees that their organizational ef-
forts were futile and that the Respondent would not negoti-
ate with the Union in the event the majority of employees
voted for the Union.
(f) Threatening employees that the Respondent would re-
fuse to negotiate with the Union in the event they selected
the Union as their collective-bargaining representative.
(g) Threatening employees with loss of benefits in the
event the employees selected the Union as their collective-
bargaining representative.
(h) Threatening employees that the Respondent would
sell and/or close its hospital and that the employees would
lose jobs if the Union were selected as their collective-
bargaining representative.
(i) Discriminatorily enforcing a “posting” rule by denying
the posting of prounion literature while allowing antiunion
literature to be posted.
(j) Soliciting grievances from the Respondent’s employ-
ees and promising to adjust them in order to discourage
employees from supporting the Union.
(k) Discharging or permanently laying off an employee
because she formed, joined, or assisted the Union and en-
gaged in protected concerted activities, and to discourage
employees from engaging in these activities.
(l) Giving an employee a low evaluation because she
filled out a disclaimer notice or made oral statements, con-
certedly complaining to the Respondent regarding shortages
in staffing and because she joined, supported, or assisted the
Union and engaged in concerted activities, and to discour-
age employees from engaging in these activities.
(m) Denying an employee a full-time patient care leader
position because she and other supporters of the Union
aligned themselves with the Union’s position in protesting
that “job redesign” or “reorganization” of the staff would
result in loss of jobs and reduced patient care, and thereby
concertedly protested a change in a term and condition of
their employment; and because she joined, supported, or
assisted the Union and engaged in protected concerted ac-
tivities, and to discourage employees from engaging in these
activities.
(n) Subjecting an employee to an exit interview and deny-
ing her employment on a call-in-basis because she filled out
a disclaimer notice or made oral statements, concertedly
complaining to the Respondent regarding shortages in staff-
ing and because she joined, supported, or assisted the Union
and engaged in protected concerted activities, and to dis-
courage employees from engaging in these activities.
(o) Issuing a written reprimand to an employee because
she joined, supported, or assisted the Union and engaged in
protected concerted activities, and to discourage employees
from engaging in these activities.
(p) Assigning an employee to second shift because she
joined, supported, or assisted the Union and engaged in pro-
tected concerted activities, and to discourage employees
from engaging in these activities.
(q) Issuing an employee a low evaluation because she
joined, supported, or assisted the Union and engaged in pro-
tected concerted activities, and to discourage employees
from engaging in these activities.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
380
(r) Denying employees full-time patient care leader posi-
tions because since about September 1994 they and other
supporters of the Union aligned themselves with the Un-
ion’s position in protesting that “job redesign” or “reorgani-
zation” of the staff would result in loss of jobs and reduced
patient care and thereby concertedly protested a change in a
term and condition of their employment, and they joined,
supported, or assisted the Union and engaged in protected
concerted activities, and to discourage employees from en-
gaging in these activities.
(s) Assigning an employee to second shift because she
gave testimony to the Board in the form of an affidavit and
for testifying on behalf of the Board in Cases 9–CA–31725–
1 and 9–CA–32276.
(t) Issuing an employee a low evaluation because she
gave testimony to the Board in the form of an affidavit and
for testifying on behalf of the Board in Cases 9–CA–31725–
1 and 9–CA–32276.
(u) Denying employees full-time patient care leader posi-
tions because they gave testimony to the Board in the form
of an affidavit and for testifying on behalf of the Board in
Cases 9–CA–31725–1 and 9–CA–32276.
(v) In any other manner interfering with, restraining, or
coercing its employees in the exercise of their rights under
Section 7 of the Act.
2. Take the following affirmative action necessary to ef-
fectuate the policies of the Act.
(a) Within 14 days from the date of this Order, offer
Joanne Sandusky full reinstatement to her former job or, if
such job no longer exists, to a substantially equivalent posi-
tion of employment, without prejudice to her seniority or
other rights and privileges previously enjoyed.
(b) Make Joanne Sandusky whole for any loss of earnings
and other benefits suffered as a result of the discrimination
against her in the manner set forth in the remedy section of
the judge’s decision.
(c) Within 14 days from the date of this Order, offer the
patient care leader positions they sought to Terry Hundley,
Patricia Clark, and Ann Hurst or, if such jobs no longer
exist, offer them substantially equivalent positions of em-
ployment, without prejudice to their seniority or other rights
and privileges previously enjoyed.
(d) Make Terry Hundley, Patricia Clark, and Ann Hurst
whole for any loss of earnings and other benefits suffered as
a result of the discrimination against them in the manner set
forth in the remedy section of the judge’s decision.
(e) Within 14 days from the date of this Order, expunge
from its records any reference to the August 9, 1994 unlaw-
ful discharge or layoff of Joanne Sandusky, the December
12, 1995, evaluation of Terry Hundley, the August 17,
1995, written reprimand to Gloria Gant, and the January 31,
1996, evaluation of Gloria Gant. Within 3 days thereafter
notify these employees in writing that this has been done
and that the unlawful action against them will not be used
against them in any way.
(f) Preserve and, within 14 days of a request, make avail-
able to the Board or its agents for examination and copying,
all payroll records, social security payment records, time-
cards, personnel records and reports, and all other records
necessary to analyze the amount of backpay due under the
terms of this Order.
(g) Supply the Union, on its request made within 1 year of
the date of this Decision and Order, the full names and ad-
dresses of its current unit employees.
(h) On request, grant the Union and its representatives
reasonable access to the Respondent’s bulletin boards and
all places where notices to employees are customarily
posted in its Louisville facility.
(i) Within 14 days after service by the Region, post at its
Louisville, Kentucky facility, copies of the attached notice
marked “Appendix.”24 Copies of the notice, on forms pro-
vided by the Regional Director for Region 9, after being
signed by the Respondent’s authorized representative, shall
be posted by the Respondent and maintained for 60 con-
secutive days in conspicuous places including all places
where notices to employees are customarily posted. Rea-
sonable steps shall be taken by the Respondent to ensure
that the notices are not altered, defaced, or covered by any
other material. In the event that, during the pendency of
these proceedings, the Respondent has gone out of business
or closed the facility involved in these proceedings, the Re-
spondent shall duplicate and mail, at its own expense, a
copy of the notice to all current employees and former em-
ployees employed by the Respondent at any time since
January 1994.
(j) During the time the notice is posted, convene the unit
employees during working time at the Respondent’s Louis-
ville facility, by shifts, departments, or otherwise, and have
a responsible management official of the Respondent read
the notice to employees or permit a Board agent, in the pres-
ence of a responsible management official of the Respon-
dent, to read the notice to employees.
(k) Within 21 days after service by the Region, file with
the Regional Director a sworn certification of a responsible
official on a form provided by the Region attesting to the
steps that the Respondent has taken to comply.
IT IS FURTHER ORDERED that the complaints in
Cases 9–CA–31725–1, 9–CA–32276, 9–CA–33632, and 9–
CA–33565–1–5 are dismissed only insofar as they allege
violations of the Act not specifically found.
IT IS FURTHER ORDERED that Case 9–RC–16332 is
severed and remanded to the Regional Director for Region 9
for the purpose of conducting a second election as directed
below.
[Direction of Second Election omitted from publication.]
24 If this Order is enforced by a judgment of a United States court of
appeals, the words in the notice reading “Posted by Order of the Na-
tional Labor Relations Board” shall read “Posted Pursuant to a Judg-
ment of the United States Court of Appeals Enforcing an Order of the
National Labor Relations Board.”
AUDUBON REGIONAL MEDICAL CENTER
381
APPENDIX
NOTICE TO EMPLOYEES
POSTED BY ORDER OF THE
NATIONAL LABOR RELATIONS BOARD
An Agency of the United States Government
The National Labor Relations Board has found that we vio-
lated the National Labor Relations Act and has ordered us to
post and abide by this notice.
Section 7 of the Act gives employees these rights.
To organize
To form, join, or assist any union
To bargain collectively through representatives of
their own choice
To act together for other mutual aid or protection
To choose not to engage in any of these protected
concerted activities.
WE WILL NOT inform you that a fellow employee
“burned her bridges” by engaging in union or protected
concerted activities thereby implying that employees who
engaged in such activities would be subjected to discrimina-
tion or discipline.
WE WILL NOT post at our Louisville, Kentucky facility,
a notice entitled “Audubon Regional Medical Center Staff-
ing Improvement Plan” announcing the establishment of a
committee to deal with your terms and conditions of em-
ployment in order to discourage your union or protected
concerted activities.
WE WILL NOT announce an increase in benefits for
part-time employees and the implementation of a new long-
term disability insurance benefit for all employees in order
to discourage your union or protected concerted activities.
WE WILL NOT announce a wage increase for all em-
ployees to discourage your union or protected concerted
activities.
WE WILL NOT threaten you that your organizational ef-
forts are futile and that we would not negotiate with the
Nurses’ Professional Organization affiliated with the United
Nurses of America, American Federation of State, County,
and Municipal Employees, AFL–CIO in the event the ma-
jority of you vote for the Union.
WE WILL NOT threaten you with loss of benefits in the
event that you select the Union as your collective-
bargaining representative.
WE WILL NOT threaten you that we would sell and/or
close Audubon Regional Medical Center and that you
would lose your job if the Union were selected as your col-
lective-bargaining representative.
WE WILL NOT discriminatorily enforce a “posting” rule
by denying the posting of prounion literature while allowing
antiunion literature to be posted.
WE WILL NOT solicit grievances from you and promise
to adjust them in order to discourage you from supporting
the Union.
WE WILL NOT permanently lay off or discharge you
because you form, join, or assist the Union and engage in
protected concerted activities, and to discourage you from
engaging in these activities.
WE WILL NOT give you a low evaluation because you
fill out a disclaimer notice or make oral statements, concert-
edly complaining to us regarding shortages in staffing and
because you join, support, or assist the Union and engage in
protected concerted activities, and to discourage you from
engaging in these activities.
WE WILL NOT deny you a full-time patient care leader
position because you and other supporters of the Union
aligned yourselves with the Union’s position in protesting
that “job redesign” or “reorganization” of the staff would
result in loss of jobs and reduced patient care and thereby
concertedly protested a change in a term and condition of
your employment, and because you join, support, or assist
the Union and engage in protected concerted activities, and
to discourage you from engaging in these activities.
WE WILL NOT subject you to an exit interview and
deny you employment on a call-in-basis because you fill out
a disclaimer notice or make oral statements, concertedly
complaining to us regarding shortages in staffing and be-
cause you join, support, or assist the Union and engage in
protected concerted activities, and to discourage you from
engaging in these activities.
WE WILL NOT issue a written reprimand to you because
you join, support, or assist the Union and engage in pro-
tected concerted activities, and to discourage you from en-
gaging in these activities.
WE WILL NOT assign you to a different shift because
you join, support, or assist the Union and engage in pro-
tected concerted activities, and to discourage you from en-
gaging in these activities.
WE WILL NOT issue you a low evaluation because you
join, support, or assist the Union and engage in protected
concerted activities, and to discourage you from engaging in
these activities.
WE WILL NOT assign you to a different shift because
you give testimony to the National Labor Relations Board in
the form of an affidavit and for testifying on behalf of the
Board.
WE WILL NOT issue a low evaluation because you give
testimony to the Board in the form of an affidavit and for
testifying on behalf of the Board.
WE WILL NOT deny you a full-time patient care leader
position because you give testimony to the Board in the
form of an affidavit and for testifying on behalf of the
Board.
WE WILL NOT in any other manner interfere with, re-
strain, or coerce you in the exercise of your rights under
Section 7 of the Act.
WE WILL, within 14 days from the date of the Board’s
Order, offer Joanne Sandusky full reinstatement to her for-
mer job or, if such job no longer exists, to a substantially
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
382
equivalent position of employment, without prejudice to her
seniority or other rights and privileges previously enjoyed.
WE WILL make Joanne Sandusky whole for any loss of
earnings and other benefits suffered as a result of our dis-
crimination against her, less any net interim earnings, plus
interest.
WE WILL, within 14 days from the date of the Board’s
Order, offer the patient care leader positions they sought to
Terry Hundley, Patricia Clark, and Ann Hurst or, if such job
no longer exists, to substantially equivalent positions of
employment, without prejudice to their seniority or other
rights and privileges previously enjoyed.
WE WILL make Terry Hundley, Patricia Clark, and Ann
Hurst whole for any loss of earnings and other benefits suf-
fered as a result of the discrimination against them, plus
interest.
WE WILL, within 14 days from the date of the Board’s
Order, expunge from our records any reference to the Au-
gust 9, 1994, unlawful discharge or layoff of Joanne San-
dusky, the December 12, 1995, evaluation of Terry
Hundley, the August 17, 1995, written reprimand to Gloria
Gant, and the January 31, 1996, evaluation of Gloria Gant,
and WE WILL, within 3 days thereafter, notify these em-
ployees in writing that this has been done and that the
unlawful actions taken against them will not be used against
them in any way.
WE WILL supply the Union, on its request made within
1 year of the date of this Decision and Order, the full names
and addresses of all current unit employees of our Louisville
facility.
WE WILL, on request, grant the Union and its represen-
tatives reasonable access to our-bulletin boards and all
places where notices to employees are customarily posted in
our Louisville facility.
AUDUBON
REGIONAL
MEDICAL
CENTER
Theresa Donnelly and Deborah Jacobson, Esqs., for the General
Counsel.
Thomas Birchfield and Richard Cleary, Esqs., for the Respondent.
Margaret A. McCann, Esq., for the Charging Party.
DECISION
STATEMENT OF THE CASE
JOHN H. WEST, Administrative Law Judge. A charge was
filed by the Nurses’ Professional Organization affiliated with the
United Nurses of America, American Federation of State, County
and Municipal Employees, AFL–CIO (Union)1 against the Audo-
bon Regional Medical Center (Respondent)2 on March 25, 1994,3
in Case 9–CA–31725–1. A complaint was issued on May 12. On
September 23, in Case 9–RC–16332 the Regional Director for
Region 9 of the National Labor Relations Board (Board) issued a
report on objections to election in which he ordered that Case 9–
RC–16332 be consolidated with Case 9–CA–31725–1. On October
1 Hereinafter referred to as the Union.
2 Hereinafter referred to as the Employer or Respondent.
3 All dates are in 1994 unless otherwise indicated.
17 the Union filed a charge against the Respondent in Case 9–CA–
32276. On June 21, 1995, a consolidated amended complaint was
issued in Cases 9–CA–31725–1, 9–CA– 32276 and 9–RC–16332
and on August 11, 1995, an amended consolidated complaint was
issued in this proceeding. The latter alleges that Respondent en-
gaged in unfair labor practices within the meaning of Section
8(a)(1) and (3) of the National Labor Relations Act (the Act) col-
lectively by, among other things, threatening employees, announc-
ing the establishment of a committee to deal with employees’ terms
and conditions of employment and announcing increased benefits
and wages, implementing a new long-term disability insurance
benefit, soliciting grievances and promising to adjust them, dis-
criminatorily enforcing a “posting” rule, and discharging or perma-
nently laying off its employee Joann Sandusky because of her un-
ion or concerted protected activity. It is also alleged in the August
11, 1995, consolidated complaint that from about June 1991 to
about January 5, 1994, a majority of the unit,4 by executing au-
thorization cards, designated and selected the Union as their repre-
sentative for the purposes of collective bargaining with Respondent
and that the alleged unlawful conduct is so serious and substantial
in character that the possibility of erasing the effects of these unfair
labor practices and of conducting a fair rerun election by the use of
traditional remedies is slight and a bargaining order should be is-
sued. Additionally, the June 21 complaint alleges various 8(a)(5)
violations following the Union’s January 5 request to bargain. Re-
spondent denies violating the Act.
A hearing on these consolidated cases was held before me in
Louisville, Kentucky, on September 19–22 and 26–29, 1995, No-
vember 6–9, 1995, December 4–8, 1995, and February 12, 1996.
On March 5, 1996, a complaint was issued in Case 9–CA–33632
alleging that from about January 5, 1993, to about January 5, 1994,
a majority of the employees in the above-described unit, by execut-
ing authorization cards, selected the Union as their representative
for the purposes of collective bargaining with Respondent; that
since January 5, based on Section 9(a) of the Act, the Union has
been the exclusive bargaining representative of the unit; that about
December 1994 Respondent implemented a “job redesign” proce-
dure to reorganize the staffing and job duties of the unit positions,
which procedure adversely impacts the unit by reducing staffing
and job duties; that this procedure relates to wages, hours, and other
terms and condition of employment of the unit and is a mandatory
subject for the purpose of collective bargaining; that Respondent
did not afford the Union an opportunity to bargain with Respondent
with respect to the conduct or the effects of the conduct; and that
Respondent thereby violated Section 8(a)(1) and (5) of the Act. By
my Order dated March 26, 1996, the motion of counsel for the
General Counsel to reopen the record and consolidate this case with
the above-described consolidated cases was granted. Respondent
denies violating the Act as alleged in this complaint.
On April 8, 1996, a complaint was issued in Case 9–CA–33565–
1, –2, –3, –4, and –5 alleging violations, collectively, of Section
8(a)(1), (3), and (4) of the Act in that since about September 1994,
the supporters of the Union, by aligning themselves with the Un-
ion’s position in protesting that the “job redesign” of the staff
4 The unit is as follows:
All full-time and regular part-time Registered Nurses, including
Pool Registered Nurses, employed by Respondent at its facility at
One Audobon Plaza, Louisville, Kentucky, but excluding all other
employees, all other professional employees, all technical employ-
ees, all business office clerical employees, all skilled maintenance
employees, all physicians, all nonprofessional employees and all
guards and supervisors as defined in the act.
AUDUBON REGIONAL MEDICAL CENTER
383
would result in loss of jobs and reduced patient care, concertedly
protested a change in a term and condition of their employment;
that about September 15, 1995, and on subsequent dates thereafter,
Respondent’s employees, including Terry Hundley, by filling out a
“disclaimer form” or by making oral statements, concertedly com-
plained to Respondent regarding shortages in staffing; that subse-
quently Respondent gave Hundley a low evaluation, denied her a
full-time patient care leader position, subjected her to an exit inter-
view, and denied her employment on a call-in basis; that Respon-
dent issued a written reprimand to its employee Gloria Gant, as-
signed her to second shift and issued her a low evaluation; that
Respondent denied its employees Patricia Clark and Ann Hurst
full-time patient care positions; and that Respondent engaged in
certain of the conduct described above because the named employ-
ees gave testimony to the Board in Cases 9–CA–31725–1 and 9–
CA–32276. By my Order dated April 19, 1996, the motion of
counsel for the General Counsel to consolidate this case with the
above-described consolidated cases was granted. Respondent de-
nies these alleged violations.5
The reopened hearing was held before me in Louisville on June
3–6, 1996. Upon the record,6 including the demeanor of the wit-
nesses, and after due consideration of the separate briefs filed on
August 19, 1996, by the General Counsel and the Union, and on
August 20, 1996, by the Respondent, I make the following
FINDINGS OF FACT
I. JURISDICTION
Respondent, a corporation, has been engaged in the operation of
a hospital providing acute medical care at Louisville. The com-
plaint alleges, the Respondent admits, and I find that at all times
material, Respondent has been an employer engaged in commerce
within the meaning of Section 2(2), (6), and (7) of the Act and the
Union has been a labor organization within the meaning of Section
2(5) of the Act.
II. FACTS
Kay Tillow, who was an organizer for the Union in June 1991,
testified that a card campaign began at Audubon Regional Medical
Center (Audubon) on June 4, 1991. An organizing committee was
formed and it met about every 2 weeks. She testified that the num-
ber of Audubon employees on the committee varied and that in
January 1994, there were about 40 to 50 employees on the commit-
tee.
By letters dated February 9 and March 1, 1993 (GC Exh. 13(b)
and (c)), respectively, the Union sent out a copy of “FACES OF
NPO” (GC Exh. 13(a)), which is a 35-page booklet with pictures
and written statements of some of the nurses at Audubon in support
5 Respondent also denies that, as alleged in the complaint, David
Vandewater was ever Respondent’s chief operating officer or a super-
visor or agent of the Respondent within the meaning of Sec. 2(11) and
(13) of the Act. This appears to be a change in position in that in earlier
answers Respondent appears to have admitted this allegation, except
that in its answer in Case 9–CA–33632 Respondent denies that Vande-
water was ever Respondent’s chief operating officer and admits only
that Vandewater is a supervisor or agent of Respondent’s parent com-
pany, Columbia/HCA Healthcare Corporation within the meaning of
Sec. 2(11) and (13) of the Act, and it takes the position that Edie
Harper and Charlotte Freiberger were not supervisors or agents of
Respondent within the meaning of Sec. 2(11) and (13) of the Act prior
to the United States Supreme Court’s decision in NLRB v. Health Care
& Retirement Corp. of America, 511 U.S. 571 (1994).
6 The record includes over 650 exhibits and over 5000 pages of tran-
script covering the testimony of hundreds of witnesses.
of the Union. The letters also enclosed a union authorization card
(GC Exh. 13(d)). The March 1, 1993 letter, asked those who had
already signed a card to update the card. Additionally, the February
9, 1993 letter, contained what purports to be the signatures and
telephone numbers of some members of the organizing committee.
By leaflet dated May 6, 1993 (GC Exh. 11), the Union indicated as
follows:
Audubon provides managers with disability pay. We urge
Audubon to extend this tradition to all employees who do the
caring—
As here pertinent, by memorandum dated September 22, 1993
(GC Exh. 3(a)), Marilyn Underwood Riley, Respondent’s director
of human resources, advised all employees at Audubon that, under
the Columbia Employee Handbook, the benefits of certain part-
time employees would be reduced from full benefits to prorated
benefits, effective January 1. Columbia HCA had become owner of
Audubon. Riley testified that in July 1993 when the hospital was
owned by Galen Incorporated, a managers’ manual was circulated
and in the introduction a policy for the proration of time-off bene-
fits was introduced; that the policy was supposed to be imple-
mented in September 1993; and that the four sister Louisville hos-
pitals opposed the plan because full benefits for less than full time
was a good recruitment tool and they were advised that they would
have until December 31, 1993, to work with the employees to ad-
just their schedules.
By leaflet dated October 4, 1993 (GC Exh. 12), the Union sum-
marized changes which had occurred in the recent past at Audubon
and what happened to some of the programs and benefits which
Audubon was supposedly “looking into.”
By documents dated November 3, 1993 (GC Exhs. 8–9), the
Union advised employees at Audubon that a meeting was sched-
uled for November 16, 1993, to discuss obtaining short-term dis-
ability insurance through the Union.
Robin Deusel, who—according to her testimony—from January
1 through March 3 was the nurse manager of the recovery room,
testified that in the fall of 1993 she had discussions with her staff
RNs regarding a market wage adjustment, telling them during unit
meetings that they “would be getting a raise the first of the year
when all of the dust settled and the mergers and everything took
place.” On cross-examination Deusel testified that in August or
September 1993, she told the nurses “its my understanding, or its
my assumption that you’ll be getting a raise about the first of the
year”; that her telling the nurses in August 1993 about them getting
a raise after the first of the year was based on her having learned in
August 1993 that human resources was looking into a market ad-
justment; that she was aware that human resources compared the
market on a regular basis; that she was aware that Audubon was
behind the market for about 2 years before August 1993; and that in
May 1993 she moved from staff nurse into a management position.
Joann Anderson, who at the time was Audubon’s associate di-
rector for nursing, testified that in the fall of 1993 she regularly met
with nurse management on a weekly basis; that the need for a mar-
ket wage adjustment was discussed at those meetings in that Audu-
bon was having difficulty in recruiting registered nurses (RNs) and
patient care attendants (PCAs) at the time; that the market analysis
that had been done by the human resources department indicated
that Audubon was off the market as far as wages in both of these
categories and that was a contributing factor in the hospital’s ability
to recruit; that it was discussed that there would be a market ad-
justment after the first of the year; and that no particular amount
was mentioned during those meetings.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
384
In December 1993 or January 1994, according to the testimony
of Respondent’s employee Jane Gentry, when Columbia HCA
took over Audubon the nurses were told that those who worked
less than 40 hours a week would no longer receive full-time bene-
fits. As a .9 (36 hours) full-time equivalent (FTE) employee, Gen-
try formerly received full-time benefits. Her sick leave and her
vacation were decreased. Gentry testified that full-time benefits
were restored to the .8 (32 hours) and .9 FTE nurses in the first part
of 1994 because reducing the benefits was a very unpopular move
on Columbia’s part.
At some time in 1994 during the organizing campaign before
the election, the Union issued a leaflet which asked “[a]re you
better off today then you were in 1989.” (See GC Exh. 10.) The
document summarizes some of the alleged pertinent things which
occurred between 1989 and 1994.
General Counsel’s Exhibit 2 is a 16-page list titled “TOTAL RN
STAFF as of 1/5/94,” which was produced by Respondent and
given to the General Counsel in response to a subpoena. The Gen-
eral Counsel and Respondent stipulated that 21 individuals on the
list are designated “MOBILE RN” and at the time they were tem-
porary employees who are registered nurses (RNs) and not in-
cluded in the involved unit. The General Counsel took the position
that five of the individuals on the list were supervisors as of Janu-
ary 5 but Respondent would only concede that the five were super-
visors effective May 23, the date of the decision by the United
Sates Supreme Court in NLRB v. Health Care Retirement Corp.,
supra.
Riley testified that at some point in time before the petition for
an election was filed by the Union she met with Vivian Flener and
Lonnie Holthouser who asked for recognition. She advised them
that the hospital would not recognize them and they would have to
file a petition for an election.
On January 6 the Union filed a petition for an election. Wood-
row Pugh, who was associate director of human resources at
Audubon at the time, testified that after the petition was filed he,
along with others in management, met with MSA, which was a
labor consulting group. As covered on direct by the General Coun-
sel and on cross-examination by Respondent, nurse managers at
this meeting asked when the market wage adjustment was going to
be given.
Gary Bensing, who is the vice president of human resources at
the University of Louisville Hospital, testified that a few days be-
fore January 11, 1994, he prepared the wage and salary proposal
for Ron Hytoff, the president of the University of Louisville Hospi-
tal (R. Exh. 40); and that the proposal was submitted to Gary Hill,
the eastern division vice president. Bensing testified that at the time
he submitted this salary and wage increase proposal he did not
have any discussions with Riley at Audubon, he did not have dis-
cussions with anyone at Audubon or Columbia Healthcare Corpo-
ration’s corporate offices, and no one at either Audubon or Colum-
bia Healthcare Corporation directed him to submit the proposal;
that at the time that he submitted the proposal he was aware that a
petition for an election had been filed by the NPO “[b]ut that would
have been through the, the newspapers, or whatever”; that before
he submitted the proposal he “probably had some conversation”
with someone at Audubon regarding the petition; and that when he
submitted this proposal on January 11 he had not talked to anyone
at Audubon about the petition being filed. Counsel for Respondent
asked Bensing three times whether, when he submitted the pro-
posal on January 11, he had talked to anyone at Audubon about the
petition being filed before counsel finally elicited the testimony he
was looking for. Bensing went on to testify that he submitted the
proposal at that time because his hospital was behind the market
and it was having a difficult time with recruitment and retention
and it was losing people to Jewish Hospital and Alliant Hospital.
On cross-examination Bensing testified that the Columbia HCA
hospitals in Louisville had a medical insurance package that was
superior to their competitors; and that in early 1994 he did not put
the word out that there was going to be a market adjustment. In his
memorandum of January 11 (R. Exh. 40), Bensing indicates that
his hospital’s existing benefit package was better than its competi-
tors.
On January 17,7 according to Respondent’s Exhibits 51 through
61, 10 individuals became registered nurse applicants (RNAs) at
Audubon after they received their temporary work permits (all
between 12/15/93 and 1/7/94) to practice nursing. Anderson testi-
fied that these individuals were nurse externs who became RNAs
between January through March 1994; that a nurse extern is some-
one who is in nursing school, has completed their first med-surg
rotation in nursing school, and is brought into the facility to be
support staff in the nursing department; that nurse externs do not
have a guarantee of employment at Audubon; and that a nurse
extern becomes an RNA when he or she has completed his or her
nursing program, made application to the Board of Nursing for a
Board permit, and he or she has received a work permit. On cross-
examination Anderson testified that once a permit is issued the
extern has the right to be an RNA; that all of the above-described
individuals were working for Audubon prior to the receipt of their
permit; and that they are not placed in an RNA position until RNA
orientation starts and in this instance it started on January 17, which
is when they were officially recognized as RNAs. Anderson testi-
fied that nurse externs are offered a position if they meet the re-
quirements and if there is an RN position open for them; and that
they are not left in that position if they do not pass the boards. On
cross-examination Anderson testified that none of the nurse externs
listed on Respondent’s Exhibit 51 were included on an Audubon
list of nurse externs as of January 5;8 that while these individuals
were not in Audubon’s system as externs as of January 5, for them
to be RNAs they had to have RNA orientation which is the first
step as an RNA; and that the people on Respondent’s Exhibit 51
were not as of January 5 considered externs for the purpose of
payroll.
During the last week of January, Pugh was called to a meeting at
Columbia’s corporate headquarters in Louisville with the other
human resource managers from the other local hospitals owned by
Columbia HCA. Riley told him to get his compensation literature
together because he would be going to a meeting with representa-
tives of the four hospitals and with their regional human resources
director to discuss the market wage adjustments. The meeting was
attended by Bensing and Tony Vaughan, who is associate director
of human resources at the University of Louisville Hospital, by
Brian Hildreth from Suburban Hospital, Donna Borders from
Southwest Hospital, by the regional director of human resources,
and by himself and Riley. Pugh testified that, with respect to the
registered nurses, those in attendance discussed being behind in the
market and they might have joked about the Union coming into
7 Jacqueline Augustine (hired 4/88); Martha Ballard (hired 1/93);
Burnis Bragg (hired 7/93); Leslie Dalton (hired 1/93); Nancy Hummer
(hired 3/93); Mary Mattingly (hired 7/93); John McGowen (hired 4/91);
Michael Ohlemacher (hired 3/93); Sharon Wright (hired 3/93); and
Cheryl Jones (hired 5/83).
8 The stipulation of counsel for Respondent that those individuals
listed on R. Exh. 51 were not externs as of January 5, 1994, was ac-
cepted.
AUDUBON REGIONAL MEDICAL CENTER
385
Audubon; that twice during the meeting Neil Hinfield, who is the
vice president of Columbia’s corporate human resource depart-
ment, which is above regional, came into the meeting; that the first
time Hinfield asked how the meeting was going and if what we
were doing “was going to . . . do what it took to . . . win this elec-
tion”; that the second time Hinfield came into the meeting he said
that Rick Scott, who is the chief executive officer of Columbia,
said that they should do whatever it takes but get it done that day;
and that at the conclusion of the meeting it was agreed that there
would be a market adjustment raise of 40 cents per hour. Accord-
ing to the testimony of Pugh, General Counsel’s Exhibit 7 is a
summary of what was put together after the above-described meet-
ing. The raises for specified registered nurse positions were
changed on the document from 40 to 60 cents.9 With respect to the
notice to each individual employee concerning their market ad-
justment raise, Riley told him to print out the RN positions first and
then to do all of the other positions in the hospital. Pugh testified
that in 1991 he printed the market adjustment raise for all of the
positions at the same time. Pugh also testified that the 1994 raise
was to be effective after two pay periods; and that he could not
recall any prior raises that became effective beyond one pay period
(2 weeks). On cross-examination Pugh testified that when he at-
tended the meeting to discuss wage increases Audubon was behind
its competitors in the RN category; that about 1400 hourly employ-
ees at Audubon were impacted by the wage adjustment; and that in
9 Pugh testified that Riley told him that the raise went from 40 to 60
cents
because the MSA Consulting Group had conducted this meeting with
several of the RN managers and had asked them, basically, “What
would it take to just knock out the Union, get rid of them once and for
all, would 60 cents do it, would some other amount do it?”
And I guess they decided upon 60 cents, in this meeting. So, I
was told to change all the RN positions from 40 to 60 cents.
In 1991 when Pugh came to Audubon it was owned by Humana, Incor-
porated (Humana). He had worked for Humana as a senior compensa-
tion analyst from 1989 to 1990. Other hospitals Humana owned in the
Louisville area were Suburban, Southwest, and the University of Lou-
isville Hospital. Pugh testified that in 1994 Columbia HCA owned all
four of these hospitals; that at Audubon he developed proposals for
market adjustment raises which were pay increases to bring Audubon
up to the same level as employees at other hospitals in the area, which
hospitals compete for employees; that the practice was to grant the
market adjustments to all four of the above-described hospitals; that
prior to the raise that was announced in February 1994 the last market
adjustment raise at Audubon occurred in July 1991; that market ad-
justment raises were proposed between 1991 and 1994 but they were
not approved by regional headquarters because, as indicated by Riley,
they were too expensive; that he put together a market adjustment
proposal in April 1993, GC Exh. 5, which called for a 47-cent increase
for RNs and an average total increase for all job classifications of 59
cents, but it was denied, with Riley indicating that the regional manager
thought it was too expensive and with Doug Howell of the regional
office telling him that the region was not supporting any market ad-
justment; that he submitted proposals on a regular 6-month schedule;
that when the next proposal was turned down he, along with other
management individuals worked up a proposal in December 1993
covering the most pressing needs (GC Exh. 6); that the above-described
December 1993 proposal did not propose any raise for registered nurses
at Audubon and Riley had indicated in the fall of that year that salary
increases for RNs, given the budget, were not a priority at the time; and
that the December 1993 proposal was not acted on in 1993. On redirect
Pugh testified that from 1991 to 1994, Audubon practiced the “lag”
strategy in that it was behind the wage rates of other Louisville hospi-
tals by about 50 cents but Audubon’s benefits were worth quite a bit
more than its competitors’ benefits so it was deemed to be okay.
1994 he believed that it took longer than one pay period to make
the increase effective “in order to influence the outcome of the
election” and since the raise was not effective until after the elec-
tion, that gave employees “something to look forward to as they
were voting” and for the employees to vote for the Union would
amount to a declaration that the raise was not relevant whereas the
raise was significant.
Riley, who when she testified in September 1995 had been the
vice president of human resources for about 2 years and who previ-
ously had been the director of human resources, testified that she
had knowledge of all wage and benefit changes which were made
at Audubon since she became director in 1990; that a market wage
adjustment is based on what Audubon’s competition is presently
paying so that Audubon can attract and retain personnel; that the
market wage adjustment which was announced in February 1994 at
Audubon was originally proposed in April 1993;10 that Pugh
worked with her on the April 1993 proposal; that the four hospitals
in Louisville in the Columbia Healthcare network tried to keep
their wage and benefit packages as much alike as possible, includ-
ing the wage scales; that a little over 2000 employees worked at
Audubon during the 1994 NPO campaign; that there are presently
about 680 RNs employed at Audubon;11 that there are a number of
hospitals located within a 10-mile radius of Audubon; that histori-
cally Audubon’s wages have lagged behind the wages of its com-
petitors but its benefits have been somewhat better; that in March
1993 she received the Louisville Area Healthcare Human Re-
sources Association report (LAHHRA) (R. Exh. 24), which is a
survey of, among other things, wages and benefits at area hospitals
done by the Red Cross, and she determined that Audubon was very
much behind in the market; that in March 1993, she received Re-
spondent’s Exhibit 25 which is an annualized projected financial
impact statement regarding proposed wage changes from Bensing
at the affiliated University of Louisville Hospital;12 that at the time
Bensing proposed a 40-cent raise for RNs; that she proposed a 47-
cent raise for RNs and the proposals were submitted to Doug How-
ell, who was the divisional human resources director; that in May
1993 Howell held two meetings regarding the proposals and he
indicated at the second meeting that there was a possibility that the
hospital might be bought by Columbia Healthcare Corporation; that
subsequently she told Pugh that they were going to have to “sit on
our proposal for a while” because of the rumored purchase; that
Columbia Healthcare Corporation purchased Audubon on Septem-
ber 1, 1993; that as indicated in Respondent’s Exhibit 26, on Sep-
tember 20, 1993, Howell requested that all proposed wage adjust-
10 GC Exh. 5. On cross-examination Riley testified that the average
rate for an RN at Audubon was higher by 21 cents an hour than the
other surveyed hospitals. Riley testified that while on the average
Audubon’s nurses were not behind the market, a market adjustment was
proposed because Audubon’s in-hire rate was 47 cents below the mar-
ket and, therefore, Audubon could not compete for RNAs coming out
of school.
11 R. Exh. 18 is a list of the RNs, including nurse applicants who
have applied for their licenses, working at Audubon as of September
1995.
12 Bensing corroborated Riley. Bensing testified that with respect to
R. Exh. 24, the Louisville area Healthcare Human Resources Associa-
tion salary and benefits survey, he could not identify which hospital, by
letter, the figures applied to, except he could recognize Audubon’s
figures; that he would not know whether it was Jewish Hospital, Alliant
Hospital, or Methodist Hospital; and that when he sent out his proposal
he was probably relying on telephone calls or information provided by
his hospital’s employees to determine what his hospital’s competitors
were offering.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
386
ments be submitted as they were needed during the next 4 months;
that based on the above-described September 20 memorandum
Riley expected that an across-the-house market adjustment could
be granted to employees at Audubon after the first of the year;13
that during the 4-month or “stub” period she did propose a market
adjustment for several specific categories of positions (GC Exh. 6),
but not an across-the-house adjustment;14 that at a management
group meeting in October or November 1993, she told nurse man-
agers who were present, in addition to other managers, that Audu-
bon would be able to give a market adjustment across the house
after the first of the year; that Howell resigned in late 1993; that his
replacement, Rick Thomason, started sometime in January 1994;
that in late January 1994, she learned that Bensing and the chief
executive officer of the University of Louisville Hospital sent a
memorandum to the vice president of the region requesting that
they move forward with the market wage adjustment; that Bensing
did not consult with her before he did this and she did not inform
Bensing that a petition had been filed for an election at Audubon
before he submitted the proposal; that Thomason contacted her and
instructed her to prepare a proposal; that Thomason could not find
the proposal Audubon submitted in April 1993; that contrary to the
assertion of Pugh, the wage proposals were not being made to
influence the election; that Pugh would not have had any conversa-
tions with Bensing in January 1994, because “we really didn’t have
a meeting. Most of those were phone conversations. No he
wouldn’t have”; and that she did not recall telling Pugh that Uni-
versity had made a proposal to corporate in mid-January.
RN Patricia Heck testified that she was a member of the com-
mittee at Audubon which was designated to help select a new
charge nurse for the newborn nursery; that in January 1994 she had
a conversation with Pat Martin, who was the evening supervisor;
that Martin asked her who she wanted as designated charge nurse
and she responded that Vivian Flener, in her opinion, was the best
qualified for the position; that Martin said that Vivian has “burned
some bridges” and “Vivian’s burned some bridges in some high
places”; that Martin then asked Heck if she was familiar with the
“ICN Newborn Nursery letter”; that she told Martin that she was
familiar with it but she had been on a 14-month leave of absence so
she was not that familiar with what it said; and that she believed
that General Counsel’s Exhibit 143 was the letter Martin was refer-
ring to in this conversation. Martin, the administrative supervisor of
nursing, testified that she had a conversation with Heck about the
fact that Heck hoped that Flener would get the charge nurse posi-
tion but she, Martin, did not say that Flener had burned her bridges
in some high places; that rather she told Heck that “there’s been a
lot of water under the bridge regarding Vivian”; that when she
made the statement to Heck she knew about the letter to David
Jones, the president/CEO of Humana, regarding conditions in the
intensive care nursery but she did not know that Flener, who
worked in the newborn nursery, had signed the letter and she never
assumed that Flener signed the letter which was from the intensive
care nursery; that Flener had personal problems and at work she
could come across negatively about everything; that she did not
participate in evaluating applicants for the involved charge nurse
position, which was never filled; and that the letter did not come up
in her discussion with Heck that evening. On cross-examination
Martin testified that the only thing that she was referring to with
13 She assertedly based this expectation on the fact that the memo-
randum states that the new scales will be effective January 1, 1994.
14 On cross-examination Riley testified that GC Exh. 6 was submit-
ted to the region in mid-December 1993.
respect to “water under the bridge” was Flener’s personal problems
and how she handled them at work; that Flener was a competent
nurse; that Flener complained about the way overtime was distrib-
uted, and understaffing; that she considered Flener’s complaints to
be constant and they were a part of the “water under the bridge”
statement; that she was aware that there was an article in the news-
paper regarding the letter to Jones concerning the conditions in the
intensive care nursery but she did not remember any television
coverage; that she never disciplined Flener for poor work perform-
ance during the period in question; and that Flener worked as a
relief charge nurse quite often. Subsequently Martin testified that
she had no input whatsoever with respect to Flener’s application for
the designated charge nurse position; that she believed that Donna
Cook made the decision on this application; and that Cook was
someone who Flener would normally discuss her problems with.
Cook testified that the charge nurse position Flener applied for was
not filled; that there were three applicants for that position and all
went through the interview process; that the position was not filled
because Audubon did not have the volume in that department to
support that position; that Flener and Heck were both known union
supporters; that it was her decision as to whether to fill the involved
position; and that Flener was probably the strongest of the three
candidates for the position. On cross-examination Cook testified
that she respected Flener’s professional and leadership abilities;
that prior to the fall of 1993, Audubon and Suburban were owned
by the same company and that company was merging with another
company; that she believed that the charge nurse position was
posted around August 1993; that in January 1994 it was announced
that the position would not be filled; that the interview process was
completed in December 1993; that the application process contin-
ued through December 1993, and the merger announcement did not
affect going ahead with the interview process; and that the candi-
dates were informed in December 1993 that there was a possibility
that Audubon might not fill the position. Subsequently Cook testi-
fied that Flener did not have any negatives as far as being consid-
ered for the charge nurse position.
Heck testified that there are monthly staff meetings in the new-
born nursery; that nurse manager Cook conducts the meetings; and
that at a staff meeting in January 1994 she raised a question about
part-time nurses being required to take a day off without pay when
a full-time nurses took the hours when they had to make up a
scheduled day and Cook said that at that point she could be flexible
because there was no contract but if there was a contract, she no
longer could be flexible on when she scheduled people. Cook de-
nied making this statement, pointing out that she was just reiterat-
ing a longstanding policy.
Respondent’s Exhibit 27 is a two-page memorandum titled
“Audubon . . . Proposed Wage and Salary Adjustments February 8,
1994.” Riley testified that she submitted this to Thomason in re-
sponse to his above-described request; that the second page of the
document had already been submitted to the region; that with this
submission she deducted $85,000 which she had included in the
prior submission to cover the pool people; that she reduced the
prior proposal by 40 general office clerks; that the February 8 pro-
posal was not an across-the-house market adjustment because her
instructions were “Mr. Bensing has already presented a proposal,
You need to put together something as quickly as you can and get it
to me”; that she “put together very quickly what . . . [she] thought
absolutely needed to be done”; that she took the major categories of
positions at that time and made the sheet up for RNs, LPNs, pools
for which Audubon was competing with Baptist East Hospital and
some other positions; that she was proposing a market wage ad-
AUDUBON REGIONAL MEDICAL CENTER
387
justment of 75 cents per hour for RNs15 vis-a-vis the 47 cents in her
April 1993 proposal because it was almost a year later and the
community had not stopped and she was still competing; that
Audubon was experiencing a recruiting and retention problem in
the above-described job classifications with a turnover rate of be-
tween 10 and 20 percent during the time they went without an
adjustment to wages; that vacancies caused staffing problems; and
that the total proposed cost of the February 1994 proposal was less
than the April 1993 proposal because in 1994 she did not include
as many positions. On cross-examination Riley testified that while
her February 8 proposal called for a 75-cent-an-hour wage adjust-
ment for first-shift RNs, Bensing was proposing a 40-cent-an-hour
increase for this group; that Bensing was the one who did the sur-
vey comparison; and that subsequently she brought her proposal in
line with what Bensing was proposing.
On February 10, according to the testimony of Riley, the merger
was completed between Columbia and HCA. She testified that it
would be better for Columbia HCA, which owns hundreds of hos-
pitals, to take a hit for an across-the-board wage adjustment than
Columbia which only owned about 80 hospitals at that point in
time.
On February 11, according to her testimony, Riley received
Bensing’s proposal for a market adjustment (R. Exh. 29). Riley
testified that this was the proposal that Bensing had sent to the
region in January 1994, and she asked him to fax her a copy on
February 11; and that she did not know if Pugh reviewed this
document but she did not give it to him to review.
Respondent’s Exhibit 28 is titled “AUDUBON . . . PROPOSED
WAGE AND SALARY ADJUSTMENTS FEBRUARY 14,
1994.” Riley testified that she and Audubon’s chief financial offi-
cer (CFO) compiled this document; that they made adjustments to
the above-described February 8 proposal in that she lowered the
RN category from 75 to 40 cents, she lowered the LPN category
from 60 to 40 cents, and she reduced the PCA category from 25 to
10 positions; that Bensing’s proposal was more comprehensive
than hers because she decided that she could adopt various parts of
his proposal at the meeting which would be held to finalize the
proposals, “[we] could sit down and we could go through these as
we normally did, such was our process, that we could agree on the
numbers between all four hospitals”; that her February 14 proposal
was about $690,000 less than her February 8 proposal because
Audubon’s CFO wanted to stay competitive but yet stay within the
budget for the hospital; that Bensing wanted an across-the-board
adjustment and she agreed with that position; and that Pugh was
involved in this process.
General Counsel’s Exhibit 3(b), as here pertinent, is a letter
dated February 16 from William Brown, president and chief execu-
tive officer of Audubon, to its employees which contains para-
graphs dealing with (1) the reinstatement of benefits described
above in the paragraph dealing with the September 22, 1993
memorandum, and (2) a new offer of disability insurance. Regard-
ing the former, Riley testified that as of January 1, 1994, the proc-
ess of proration of benefits began; that it took a lot of time to
change employees’ FTE status; that sometime in late January 1994,
she learned that Bensing had made an independent decision not to
follow the policy in that he circulated a memorandum in December
1993, indicating that present employees would be grandfathered in
and the new policy would be applied to those hired after January 1,
15 Plus a shift differential of an additional 9 cents for the second shift
and 11 cents for the third shift.
1994;16 that when Audubon started to implement this change in
policy it was a “nightmare” in that the changes in the system had to
be done on an individual basis and the system was making numer-
ous errors; that the other sister hospitals in Louisville decided to
grandfather in those employees hired before January 1; that at the
time that Audubon decided to grandfather in people hired before
January 1 there was a NPO organizing campaign but that had no
effect on this decision; and that the decision to grandfather in peo-
ple hired before January 1 was also made at Southwest and Subur-
ban and it impacted all job classifications and not just RNs.17
Bensing testified on cross-examination regarding the proration of
benefits that his decision to grandfather in those who were hired
before December 31, 1993, was approved by his CEO and Doug
Howell; that his hospital was instructed in November or December
1993 to cease offering full-time benefits for .8 or .9 FTE employees
but the offers to the new graduates were made 3 or 4 months prior
to that time; that in this case his hospital was allowed to do some-
thing different than its other sister hospitals in Louisville; and that it
was common knowledge among the employees in his hospital at
the end of December 1993 that his hospital was not going to prorate
the benefits of its existing .8 and .9 FTE employees.
With respect to the implementation of a disability plan, Riley
testified that Audubon first considered the implementation of such
plan in February 1993 and she spoke to Howell at the time about
the possibility;18 that on February 10, 1994, when the merger with
Columbia HCA was completed she learned that the employees
would be able to participate in a long-term disability plan in that
Healthcare Corporation of America had a flexible benefit plan
which included the disability plans; that while the employees did
not participate in the long-term plan until January 1, 1995, Audu-
bon announced the plan in February 1994 because she wanted to
announce it as quickly as possible since it was a recruitment and
retention tool and Audubon’s competitors were offering disability
to their employees; that all of the employees at Audubon were
eligible for the disability plan through the flexible benefits plan;19
that the hiatus between the announcement and the implementation
was necessitated by the fact that all of Audubon’s systems had to
16 Bensing corroborated this. He sponsored R. Exh. 41, which is his
memorandum dated December 28, 1993, to department managers and
supervisors in which he indicates that the proration of benefits will not
impact current employees. Bensing testified that his hospital had made
offers to applicants in December 1993, and they accepted the positions
based on the fact that they were going to get full-time benefits; and that
the decision to grandfather in employees had nothing to do with the fact
that NPO was attempting to organize certain of Audubon employees.
17 Riley pointed out that the affiliated hospital, Sunrise, in Las Ve-
gas, Nevada, decided not to follow it at all. The affiliated hospitals in
Louisville did prorate benefits for those hired after January 1, 1994.
18 R. Exh. 36 is a memorandum from Riley to Howell dated February
27, 1993, regarding short-term disability. R. Exh. 37 is a financial
analysis of the short-term disability proposal from Riley to Howell
dated April 13, 1993. Riley testified that what the employees ended up
getting was a much better plan than what she proposed in this memo-
randum. R. Exh. 38 is a one-page document dated “5–14–93” which
Riley testified were her notes taken at a meeting she had with Howell to
discuss the disability proposal. Riley testified that at this meeting How-
ell indicated that such a plan could not be implemented just at Audu-
bon, as the region was considering a plan which would take away the
accrual of sick day time and replace it with a disability plan, a catastro-
phic plan would be exorbitant, and nothing would be done until it was
determined whether ownership would go from Gaylen to Columbia.
19 Riley explained that the employee chooses which benefits best
meets their needs from among the medical, dental, like, long-term dis-
ability and dependent life coverage available.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
388
go to the HCA system and those responsible for implementing the
new system had to be trained; and that all of the affiliated hospitals
in Louisville are on a flexible benefit plan. On cross-examination
Riley testified that the disability plan that was announced in Febru-
ary 1994 was a completely different plan than the one proposed
back in February 1993; and that the disability plan that was made
available to employees effective January 1995 was announced by
the human resources people at the other hospitals in management
meetings and the other hospitals did not issue memorandums to the
employees at those hospitals to announce the disability plan which
would be available in January 1995. Bensing testified that employ-
ees at his hospital would have been advised in December 1993 or
January 1994 about long-term disability being made available in
January 1995, testifying “I think—yeah general, it would have
been made known to employees.” On cross-examination he testi-
fied that the long-term disability plan was announced to the em-
ployees at his hospital in writing in August or September 1994; and
that he did not put it in writing before that because before that he
did not know for certain that it would be implemented and if it was,
when the long-term disability would actually be effective.
Respondent’s Exhibit 30 is titled “AUDUBON . . . PROPOSED
WAGE AND SALARY ADJUSTMENTS FEBRUARY 16,
1994.” Riley testified that she and Audubon’s CFO prepared this
proposal; that the LPN market adjustment was changed from 40
cents an hour to an increase of 20 cents an hour; that specified shift
differentials she had forgotten earlier were added here; and that this
document was given to the regional human resource director.
Riley testified that after the above-described February 16 pro-
posal there was a meeting in downtown Louisville where there was
a review of Binsing’s proposal, her proposal and the concerns of
Southwest and Suburban; that they sat down and “hashed all
through the final components of a market proposal”; that Pugh was
at the meeting; that Neil Hemphill did come by the door of that
meeting and “[h]e said hello . . . just general chitchat . . . how’s
everything going. That’s about it”; that she did not recall Hemphill
saying anything like “Do the right thing. Rick Scott wants this
done”;20 that consultants from the MSA were present at this meet-
ing because she needed some guidance regarding talking about a
wage increase in the middle of a union campaign; that she was
concerned about either granting or not granting a wage increase at
Audubon at the time; that Bensing could not grant a market ad-
justment to his employees in February 1994 because wages and
benefits were something that the affiliated hospitals in Louisville
always did together unless it involved a spot adjustment which
involved a limited number of positions vis-a-vis an across-the-
board adjustment involving a majority of positions; that at this
meeting the proposed market adjustment for the RNs went from 40
cents an hour to 60 cents an hour because Audubon and its affili-
ated hospitals had been losing nurses to Jewish Hospital and so
they asked if it would be possible to try to get ahead of Jewish
Hospital “for the first time in our life, and—or at least come in line
with them”; and that the market adjustment was announced to the
employees somewhere around February 20 and it was announced
and implemented at the four hospitals in Louisville in the Colum-
bia Healthcare network.21 Riley further testified that the approval
20 As noted above, Pugh, according to the transcript, testified that the
name of the vice president of Columbia’s human resource department
was at that time Neil Hemphill.
21 Those classifications which according to Riley were in line with
the market or which had recently received an adjustment, approxi-
mately four including phlebotomists and EKG techs, did not receive
this market adjustment.
process involved the CEOs of the individual hospitals approving
the individual packets as they were prepared, the packets then went
to the regional human resource director and the final approval of
the market adjustment was made by the president of the region,
Gary Hill. Bensign testified that the decision was made to go to a
60-cent-an-hour increase for RNs because Jewish Hospital and
Alliant Hospital would be giving an increase in the early spring and
his hospital and its sister hospitals would no longer be competitive.
Between February 18 and 21 General Counsel’s Exhibits 4(a)–
(d) were distributed to the involved employees. All four documents
relate to the market adjustment wage increase which was an-
nounced to employees prior to the election. Riley testified that all
of the employees at the sister hospitals, namely, Audubon, the
University of Louisville Hospital, Southwest Hospital, and Subur-
ban Medical Center, received the announcement regarding the
market wage increase at or near the same time;22 that the adjust-
ment cost a total of about $4 million annually to all four of these
hospitals; that the annual cost of this adjustment, with respect to
RNs, to Audubon was about $400,000; that since February 10,
Columbia HCA has owned Audubon; that Columbia Healthcare
Corporation owned Audubon from September 1, 1993, to February
10, 1994; that Gaylen, Incorporated owned Audubon from March 1
to September 1, 1993; that before that Humana Corporation owned
the hospital from 1974; that prior to this adjustment the last time
that the four area sister hospitals gave a market wage adjustment
was in June 1991; that with the 1994 market wage adjustment there
were variations among job classifications which took into account,
among other things, recruiting and retention; that in 1994 the RNs
received an adjustment of 60 cents and in 1991 this same group
received a market adjustment of 60 cents;23 that it is Audubon’s
policy that once a market adjustment has been approved it is an-
nounced to the employees and the process of entering the increase
into the system is commenced; and that the hospital announces it
before it is implemented because that is something that the employ-
ees want to hear especially since they had not received a market
adjustment since 1991.24
22 Columbia HCA owns and operates these four hospitals in the Lou-
isville area. The announcments from Southwest, University of Louis-
ville Hospital, and Suburban dated February 18, 21, and 18 (sic), re-
spectively, were received as R. Exhs. 33, 34, and 35, respectively. On
cross-examination, Riley testified that she supposed that Ronald Hytoff
signed R. Exh. 34, “I know that when it was faxed to me, he had not
signed the document yet.” The announcement, which is dated February
21, 1994, was faxed on March 31, 1994. Bensing testified that his CEO,
Hytoff, sent R. Exh. 34 out to employees on about February 21.
23 See for example the 1991 and 1994 adjustment statements re-
ceived as R. Exhs. 20 and 19, respectively. The 1989, 1988, and 1987
market adjustment statements for this same RN, Angela Pate (Bla-
grave), were received as R. Exhs. 21, 22, and 23, respectively. In 1989
the adjustment was $1, in 1988 it was 35 cents, and in 1987 it was
$1.01. On cross-examination Riley testified that R. Exh. 20 does not
have a date of issuance but it was effective June 30, 1991; that the
normal process was that a document such as R. Exh. 20 would be is-
sued several weeks before the effective date if all the entries can be
made into the system and all the sheets printed so that employees can
know what their salary increase is; that GC Exh. 433, dated June 17,
1991, is an announcement of the 1991 wage increase by Executive
Director Brown, and that this demonstrates that there was a 13-day time
lag between the effective date or the raise and its announcement. With
respect to R. Exhs. 21, 22, and 23, the time lag between the announce-
ment and the effective date was 2, 30, and 16 days, respectively.
24 The 1991 increase was approved after the human resource direc-
tors from the four affiliate hospitals met and discussed it and that proc-
ess took several months. Riley testified that there was union activity at
AUDUBON REGIONAL MEDICAL CENTER
389
On a Saturday in late February (approximately 2 weeks before
the election described below), according to the testimony of Pugh,
Riley telephoned him at home, gave him the names of 25 to 30 of
Audubon’s employees and told him to go to Audubon, look up
their telephone numbers, make a list and deliver the list to an RN
who worked at Audubon and was in nurses for nurses (NFN),
which is a group that believed that there should not be a union at
Audubon. Riley and the RN who he delivered the list to told him
the purpose of the list, namely, the NFN was going to telephone the
people on the list who it was believed could vote either way in the
election, and try to convince them to vote for Audubon. Riley testi-
fied that Audubon did not contribute any money to NFN; that she
understood that doctors did independently contribute money to
NFN; that the doctors are not employed by Audubon but rather
they are given privileges and practice at the hospital; that NFN was
not allowed to use hospital materials and equipment during the
campaign; that she was aware that a NPO supporter used hospital
equipment during the campaign in that Anna Long was initially
disciplined (it was rescinded by Riley) for using the hospital fax
machine for NPO related business; that Audubon did not pay any
expenses of NFN; that she did not recall anything about the event
that Pugh testified about where he was directed by her to deliver
phone numbers to an RN on a Saturday morning; that Audubon did
not recruit nurses to belong to NFN; that the NFN gave as its work
telephone number the telephone number of the pediatric intensive
care unit at Audubon but it was a common practice for employees
to give their work telephone number when they are requested to
supply a work telephone number; that some of the managers had
antiunion buttons on tables but employees were not forced to wear
such buttons; and that no one was forced to remove a button of any
kind.
Tillow testified that the NPO obtained the names of nurses who
worked at Audubon for a mailing list from a number of sources,
namely, the nurses inside the hospital, the nurses themselves, and
from lists purchased from the Kentucky Board of Nursing.
Miriam Gravatte, who in February 1994 was a staff nurse at
Audubon,25 testified that she founded NFN; that this group did not
hold any meetings at Audubon; that she asked Riley for the ad-
dresses of Audubon’s RNs so NFN could mail literature to them;
that Riley gave her the list; and that NFN mailed and distributed a
number of anti-NPO documents to RNs during the campaign.26
Donna Porter, who was in NFN, testified that Gravatte asked for a
copy of the Excelsior list and she, Porter, received it from Pugh
outside of human resources; and that she was told that the list con-
tained the names and addresses of the RNs who worked at Audu-
bon during January 1994.
By letter dated February 21, 1994, from RN Pate to Riley (C.P.
Exh. 15), the former requested “a list of all Audubon Regional
Medical Center’s Registered Nurses and their addresses.” By letter
dated February 23, 1994, Riley advised Pate “[t]he Human Re-
sources Department does not supply that information to other em-
ployees and, therefore, I will not be able to grant your request.”
(C.P. Exh. 16.) On cross-examination Pate testified that she never
asked Riley for the Excelsior list.
Sometime in the latter part of February 1994, according to the
testimony of Audubon staff nurse Jane Gentry, Nurse Managers
Karen Purviance, and Kay Kirby came to the coronary care unit
Audubon during June 1991. The 1991 adjustment became effective
June 30, 1991.
25 At the time she testified here she was a patient care leader.
26 C.P. Exhs. 9–14.
(CCU) and, at the nurses station, they asked the nurses present,
including Gentry, if they had any questions about the union cam-
paign or about the administration or anything.27 Gentry testified
that she told Kirby that she, Gentry, did not have any questions but
she would be happy to discuss the issues with her; that Kirby said
she would be interested in knowing why Gentry supported the
Union; that she told Kirby that there were a lot of issues that had to
be addressed collectively and the Union was the only way to ad-
dress the situation; that they discussed the value of specified com-
mittees and Kirby indicated that the administration was attempting
to change the committee policy and involve more staff nurses; that
Kirby said that “[w]hen the negotiations come down the playing
field will be completely level and we will start with no benefits at
all”; that she told Kirby that she, Gentry, did not think that the
nurses would lose every benefit that they had presently; and that
Kirby said “yes” it was her understanding that the benefits “would
start from zero and that we would have no benefits and we would
have to start from nothing, the ground floor, to get anything.” Kirby
testified that she wanted to ensure that the employees understood
the issues; that she did rounds and she was in the CCU; that on one
occasion she spoke with Gentry in the CCU; that Gentry started the
conversation indicating that the hospital was shortstaffed; that Gen-
try asked her if they were going to start bargaining at zero benefits
and she, Kirby, replied that she had never been through collective
bargaining but we would negotiate in good faith on both sides; and
that she has always asked employees if she could help them out or
solve any problems that would make their job easier.28 On cross-
examination Kirby testified that when asked about collective bar-
gaining she told the employees that you could end up with less in
one area and more in another area; that she did not indicate to em-
ployees that they would wind up with more or less overall; that it
was not her understanding that the employees could wind up with
either more overall or less overall; that the employees could wind
up with more overall or less overall; that when she spoke with
Gentry she was in CCU not as a supervisor on rounds but rather as
part of a program began during the union campaign whereby every
2 weeks she would make rounds to see if the employees had any
questions;29 that “probably, yeah” it was about the Union; that she
did not say to Gentry that in collective bargaining the employees
could wind up with more or less; that Gentry said “I hear that we
might have to start negotiating at zero”; that she responded by say-
ing that collective bargaining is negotiating in good faith; that one
of the others present during her conversation with Gentry was nurse
Mary Pohl; that she was not trying to persuade employees that it
would be better if they did not bring a union in; that in her conver-
sations with the employees she was trying to let them know that she
thought it would be better if they did not have a union; that she
never said to an employee that they should vote no or yes; and that
she wore a button which said vote no in the election.
During the week before the election, according to the testimony
of Audubon staff nurse Stacy Doyon (formerly Myers), she met
27 Gentry also testified that Purviance was a nurse manager in the
cardiovascular unit (CVU) and Kirby was a nurse manager in the transi-
tional care unit; and that normally you never saw nurse managers from
other units on CCU.
28 Kirby testified that she did this in her own unit only. Subsequently
she testified that it was possible that people brought up problems and
working conditions to her in units other than her own and in those in-
stances she would write out the answer and tell whoever was in charge
of that area.
29 At the time of the hearing she was making rounds which extend
beyond her unit of supervision about once every 6 weeks.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
390
Vandewater, the chief operating officer of Columbia HCA, on the
CVU at Audubon. Doyon testified that she was introduced to
Vandewater by Purviance; that Laura Wood, the assistant director
of nursing, was also present; that she wore union buttons at work
and she passed out literature at work; that she was in the medica-
tion room when she was approached by Vandewater; that he mo-
tioned for her to come to the main station area; that he then said
“[a]re there any problems or anything you’d like to talk about”;
that she asked him why the hospital will not have a debate with the
NPO people because a lot of people had questions that they wanted
to pose to both sides; that he said that he felt no need to speak with
a group of people who had no idea how to run a hospital and did
not understand what his job entailed; that Wood mentioned a com-
mittee that was going to be made up of staff nurses addressing staff
nurses’ concerns, kind of a communication network between the
staff and the administration; that she asked Vandewater what
would happen if the nurses voted the Union in and Vandewater
said “nothing” and “we will not negotiate . . . [n]othing will happen
. . . . I will not negotiate. No Columbia Hospital has ever negotiated
in the past and we will not negotiate”; that when she said “[b]ut
what will we do” Vandewater answered “[w]ell you can strike or
leave”;30 that as he left Vandewater shook her hand “[a]nd he
shook it very hard. I . . . had to wait for him to let go”; and that five
to eight staff nurses observed this conversation and subsequently
she heard other nurses comment about the conversation.
During approximately the week before the election, according to
the testimony of Audubon staff nurse Mary Blankenbaker, David
Vandewater, the chief operating officer of Columbia HCA, came to
her unit, labor and delivery, introduced himself to the nurses who
were around the nurses station, said that he wanted to talk about the
union vote and asked if the nurses had any questions. Blanken-
baker testified that Vandewater was accompanied by Nurse Man-
ager Karen Binder; that she asked Vandewater about the possibility
of obtaining better short-term disability; that Vandewater looked at
the prounion button she was wearing and at her name tag, said
“Blankenbaker” out loud and then wrote something down on a pad
that he had; that when nurse Terry Phelps asked about long-term
disability Vandewater said “[w]e’re getting a long-term disability
program, [w]e have to wait and see what is best for everybody”;
and that Vandewater said that he was good at his job “[w]e don’t
need a third party, please vote no. Give us time.”
At the end of February Gentry asked Laura Wood if she would
bring Vandewater to CCU. With respect to the subsequent meet-
ing, Gentry testified that Wood, along with Lynn Smith, who was
nurse manager of the emergency room (ER) at the time, came to
CCU with Vandewater; that Wood introduced Vandewater to the
nurses present; that Vandewater asked her if she had any questions
and he took out a pencil and a note pad; that Vandewater said that
he knew that she was involved in the Union; that Vandewater said
if they involved someone else in policies and procedure it would
just be more difficult for Audubon to get anything done; that she
told Vandewater that she heard that he said that Columbia would
30 Former Audubon nurse Denise Davis overheard part of the con-
versation between Doyon and Vandewater. Davis testified that Doyon
(then Myers) asked Vandewater what he would do if the Union was
voted in and Vandewater said,
[He] wouldn’t consider talking with the Union at all. If they came in,
he was not gonna sit down with them and talk over issues or anything.
He said that we would just consider ourselves on strike. He didn’t
need the Union in there. He was good at what he did.
Davis also testified that Vandewater shook her hand and Doyon’s
hand.
never negotiate with the Union; that Vandewater denied saying
that; that Vandewater said Audubon could not compromise and it
would not change its stand on the issues, there would be an impasse
and the only weapon the nurses had was to strike; and that Vande-
water said that it was his job to see that the nurses did not go out on
strike because it was his job to keep the hospital open. On cross-
examination Gentry testified that she was an open organizer and
supporter of the NPO and she was not sure if she was wearing a
union button when she met with Vandewater.
On the Monday before the union election, February 28, accord-
ing to the testimony of Bagby, Vandewater came to her unit at the
behest of Gentry. Bagby testified that she asked Vandewater why
wouldn’t Audubon let the prounion nurses go to the meetings with
Brown; that Laura Wood and Lynn Smith, who are directors at the
hospital, said it was because they knew that the prounion nurses
had already made a decision about the Union; and that Gentry said
to Vandewater “Well, then you’re telling us that you won’t negoti-
ate” and Vandewater said, “No, I’m telling you we won’t change
our minds . . . . [W]e won’t change what we feel about the issues at
hand.” On cross-examination Bagby testified that Vandewater said,
“We will not change our stand on the issues”; and that regarding
meeting with Brown, she was told “Because we knew where you
stood on the issues” and “we knew you’d already made up your
mind.” Wood testified that she was not aware of employees’ com-
plaints about not being invited to meetings conducted by Brown
and she believed that many of the meetings were open.
Vandewater testified that Columbia HCA owns and operates
337 hospitals; that as part of his job he tries to tour at least 100
hospitals each year; that in February 1994 it came to his attention
that there was a union organizing effort at Audubon and he had not
had the opportunity to meet many of the Audubon employees;31
that he takes notes when he takes these tours; that he remembered
taking notes when he toured Audubon twice in February 1994 but
he could not recall writing the name of an individual in his notes
albeit that was a common practice; that on the tour he visited five
or six units32 and there were between five and ten employees on
each unit; that he did not just speak to RNs; that he told the em-
ployees that there was a significant difference between Columbia
HCA’s personalized and accessible approach and Humana’s struc-
tured approach; that he chatted with employees about issues associ-
ated with unionization and the operation of the hospital, and about
healthcare legislation; that some employees were enthusiastic about
his presence while others were not; that one employee would not
shake his hand and some were “verbally abusive”;33 that some of
the employees were angry; that on February 24 during his first tour
with employees he spoke with a nurse in the critical care unit
(CCU) about collective bargaining; that he “absolutely” did not
remember saying “nothing” to a nurse who asked what would hap-
pen if the Union was voted in; that the nurse’s testimony that he
said “[W]e will not negotiate. Nothing will happen” is “absolutely
untrue”; that in CCU the issue of collective bargaining came up
when this fairly aggressive employee raised her voice to almost “an
attacking pitch and indicated that she was going to negotiate the
contract personally and I said ‘I’m not going to be negotiating. I’m
not going to be the one to negotiate the contract”‘; that her testi-
31 In an earlier visit in the fall of 1993 when Columbia HCA ac-
quired Gaylen Healthcare Corporation he went to Audubon to meet
with physicians and management.
32 Manager Laura Wood testified that Vandewater visited six units
the first day and seven units on the second tour.
33 More specifically, he testified that some employees said that they
did not want to talk to him and they were insulted that he was there.
AUDUBON REGIONAL MEDICAL CENTER
391
mony that he said “[n]o Columbia Hospital has ever negotiated in
the past and we will never negotiate” is “absolutely not true”; that
Columbia has unions in its hospitals and it negotiates with them;
that he absolutely did not remember answering “[w]ell you can
strike or leave” when this employee asked “[b]ut what will we do”;
that he did shake hands during his tour but he did not shake her
hand very hard and he would not do anything to hurt that individ-
ual; that he “absolutely” did not say or intimate to the nurse in
CCU that if the Union won the election she and the others would
have to consider themselves on strike because that is not something
you can say; that his second tour with the employees at Audubon
occurred a couple of days after his first tour; that during his second
tour the issue with respect to whether he would negotiate came
back up in that a nurse said to him “we understand that you’re not
going to negotiate”; that he then said that “Columbia HCA has an
obligation to collective bargaining, and we’ve got to do it in good
faith . . . we do it in other hospitals around the United States”; that
he told the employees that Columbia HCA has a staff of people
who participate in this process and he was not one of them; that he
never said to an employee during one of his Audubon tours that the
hospital would not compromise on anything in collective bargain-
ing, and that the only thing that the Union can do to change the
hospital’s mind would be to strike; that he “absolutely” did not tell
an Audubon employee that she could consider herself on strike if
she voted the Union in because “[i]t’s against the law”; and that he
“absolutely” did not during either day of the Audubon tours say
that Columbia would not negotiate with the Union if it won the
election, and on the second day he said just the opposite in that he
said that Columbia HCA is obligated to collective bargaining. On
cross-examination he testified that of the 337 hospitals less than 10
have had collective-bargaining agreements and all of them were
already engaged in a collective-bargaining relationship at the time
they were acquired; that Columbia HCA had never had a hospital
change from an unorganized hospital to an organized hospital un-
der its ownership; that Laura Wood was with him on both days
when he toured Audubon; that he probably asked Wood to point
out particular employees that she thought it might be important for
him to talk with on a particular unit or they spoke to the manager of
the unit who introduced him; that the employee in CCU who he
spoke with was not the one who was verbally abusive to him; that
strikes were discussed on both days of his tours; that he was sure
that he brought up strikes in the context of it being the ultimate
negotiating tool that the Union has; that he told employees that
bargaining in good faith did not require the hospital to agree with
what the Union wanted; that he told employees that the Union has
two options, namely accept the final offer or go on strike; that he
did not approve the raise that was granted to the RNs during the
organizing campaign; that he does not normally approve of an
across-the-board raise such as that and “generally speaking” that is
approved at a lower level than him; that he did not consider his
February 22 memorandum to all registered nurses at Audubon (R.
Exh. 1), to be a campaign document notwithstanding the fact that
the memorandum does not discuss anything besides the Union
campaign, except that it indicates how big the company is; 34 that
34 The memorandum reads, in part, as follows:
(3) Columbia/HCA has every right to say NO to any of the Un-
ion’s demands. We will bargain in good faith, but if we reach
an impasse, our position is to implement our final offer and
prepare for a strike. We recognize that a strike is the ultimate
weapon unions use in negotiations. We also know that unions
tell RN’s that they will not strike, but have taken thousands of
RN’s out on strike.
he could not tell exactly when the vote was taken; and that he could
not tell if this memorandum was issued during the union campaign.
Subsequently he testified that he assumed he was aware of when
the petition for the election herein was filed and that he was made
aware of the fact that the hospital won the election shortly after the
election.
Regarding Vandewater’s tours, Wood testified that she accom-
panied Vandewater on both of his tours, namely on February 24
and 28; that both tours began about 8 a.m.; that on the first tour
Vandewater told employees that he did not feel that unions be-
longed in health care and there was a potential for disruption in
patient care because of the possibility of strikes; that Vandewater
told the employees that he felt that it was better for people to com-
municate directly with each other than through a third party; that on
the first tour Vandewater spoke with Myers; that Myers confronted
Vandewater about all the things that were wrong at Audubon; that
Myers told Vandewater that when they sat down and negotiated the
contract, they would be telling administration what to do and the
hospital would have to do whatever the union said; that Vandewa-
ter told Myers that negotiating is give and take by nature and it
does not mean that you ask for something and we automatically
give it to you; that Vandewater told Myers that if there is impasse
the hospital can make a final best offer and implement it and the
staff, if it chooses not to work under the final best offer, can go
elsewhere or they could go out on strike and he certainly hoped
neither of those happened; that Myers was trying to intimidate
Vandewater; that Myers was not intimidated by Vandewater; that
she did not hear Vandewater say in the cardiovascular stepdown
unit that Columbia would not negotiate with the NPO if it won the
election; that she did not recall him saying in this unit that nothing
would happen if the Union was voted in and he did not say I will
not negotiate if the Union is voted in or no Columbia hospital has
ever negotiated in the past and we will not negotiate; that Vande-
water did not say that if the union came in, employees would have
to leave or strike; that Vandewater occasionally joted down notes
but she did not see what he was writing; that Vandewater shook
Myers hand when he was introduced to her; that on February 28
Vandewater visited the CCU; that Gentry told Vandewater that
when they were negotiating the contract the administration would
have to talk to the nurses, something the administration did not do
at the time; that Vandewater said that “I will not be at the bargain-
ing table, and you know, probably neither will you”; that Bagby
then said “Are you saying you’re not gonna negotiate with us”; that
Vandewater said, “No. No, Columbia will bargain in good faith.
I’m telling you I personally, David Vandewater, won’t be there and
it’s possible you won’t be either, that there will be attorneys, nego-
tiators, those are the people who will be talking then”; that with
respect to whether Vandewater said in CCU that in the event of
unionization that Columbia would make no compromises in collec-
tive bargaining, he indicated that Columbia would be there and
would bargain in good faith; and that Vandewater did not say the
hospital would only have one proposal in collective bargaining and
staffing would not be part of it. On cross-examination Wood testi-
fied that on February 24 and 28 she stayed with Vandewater in all
I have asked for a report showing me where the AFSCME has agreed,
in contracts, to fewer benefits than what you have right now. This will
enable us to go to the bargaining table and say, “AFSCME, you have
agreed to this before, and this is what we want here.”
We do not like the adversarial process. We could all lose. But, if a
majority chooses to vote for the union, we are prepared to exercise our
legal and business rights.
Please consider this before you vote.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
392
the units he went to and she observed his actions the whole time;
that RN Arlene Rice refused to shake Vandewater’s hand; and that
on February 24 she did not say anything to Myers about forming a
committee to deal with staffing issues or concerns and she does not
recall ever discussing this with Myers or any other nurse.35 Subse-
quently Wood testified that she did not remember seeing
Vandewater shake Myer’s hand on February 24 at the end of their
conversation and it was possible that he did and she did not see it;
that Rice refused to shake Vandewater’s hand on February 28; that
with respect to Myers alleged attempt to intimidate Vandewater,
Myers is 5 feet 6 inches tall and weighs about 150 pounds, and
Vandewater is about 6 feet 3 inches tall and weighs about 200
pounds.
On rebuttal Myers/Doyon testified that she is 5 feet 6 inches tall
and at the time involved she would have weighed about 120
pounds; that Vandewater did not say that negotiation was a give
and take and a time consuming thing; that Vandewater said that he
would not negotiate; that she did not tell Vandewater that if the
parties couldn’t reach an agreement that an arbitrator would come
in and decide things; that she did not believe that during her con-
versation with Vandewater she behaved in a manner which could
reasonably be considered rude or intimidating; and that she was
extremely nervous during the conversation, she felt on the spot, she
may have crossed her arms, and her tone may have increased be-
cause of her nervousness. On cross-examination she testified that
when she asked Vandewater what would happen if the Union was
voted in he said “nothing” and she said, “I’m confused” because it
was her understanding that if the Union is voted in there would be
negotiations and Vandewater responded that he would not negoti-
ate; that when she asked Vandewater “[t]hen what would we do”
Vandewater said “[y]ou would either have to leave or strike, I
guess”; that at that point she felt intimidated; and that she did not
remember if there was a handshake at the beginning of their con-
versation but that when Vandewater said, “I guess your choice is to
strike or leave she stood up and said, “Thank you for your time”
and they shook hands; that this handshake was very, very firm.
During that same week, according to the testimony of Blanken-
baker, Nurse Manager Robin Deusel came to labor and delivery
and spoke to the nurses present. Blankenbaker testified that Deusel,
who did not work in that area, told her and nurses Gayle McKinley
and Pat Waller that they had to vote against the Union because if
the Union got in, the only power the nurses would have would be
to go out on strike and if that happened, Audubon may not be able
to recover; that Deusel said that if there was a strike, no patients
would be admitted and if there were no patients, there would be no
jobs; and that Deusel mentioned that a new committee was being
formed and she encouraged the nurses present to get involved that
way and see things change. Deusel testified that she did administra-
tive rounds twice in February 1994 during the union campaign; that
there were administrative rounds prior to 1994;36 that on her first
administrative rounds during the campaign Lynn Smith accompa-
nied her and on the second, Earnestine (apparently referring to
Muth), accompanied her; that during the first of these February
1994 rounds she showed a strike video with Smith to employees in
all of the nursing units in the hospital, spending about 15 minutes
35 Wood testified that she was aware that during the union campaign
there was a discussion about forming a subcommittee to look at staffing
issues.
36 Anderson testified that nurse managers did “focus” rounds every
other week throughout the units since the beginning of 1993; and that
not all nurse managers were involved in the nurse management rota-
tion, as far as rounds were concerned, in 1993.
in each unit; that one of the units she went to on the first rounds
was labor and delivery; that there were about five nurses present in
labor and delivery at 2 a.m., including McKinley; that she told the
nurses that if the Union was voted in and it and the hospital could
not come to an agreement, a strike was the last thing a union could
do; that she told the nurses that the hospital would do everything
within its power to keep the hospital open and running but the hos-
pital might lose patients in that physicians would send their patients
to another hospital; that she did not tell the nurses that they would
not have a job if the Union won the election; and that she did dis-
cuss the Nursing Recruitment and Retention Committee regarding
staff input and communications but she did not say anything about
the staffing subcommittee. On cross-examination Deusel testified
that the nurses asked about patient load if there was a strike; that
she told the nurses that the discussion was all speculation; that
when she was nurse recruiter she was co-chair of the Professional
Directions Committee and she was on this committee when she
spoke to the nurses in February 1994; that the committee had dis-
cussed establishing two subcommittees, namely one for recruitment
and one for retention; that she could not recall a subcommittee
being established in February 1994 to deal with the issue of staff-
ing; that in her discussions with nurses she believed that she was
impartial regarding unionization but she was not sure whether she
wore a “Vote No” button; and that while she recalled that the strike
video, which she played about 20 times in the various units, con-
tained a presentation to the employees from Rick Scott,37 she could
not recall if Scott indicated on the video the recent announcement
of wage and benefit changes that were going to take place at the
facility but she recalled him asking employees to give Columbia a
chance. While Deusel testified that she never told an employee how
to vote, she conceded that the video itself indicated that the em-
ployees should vote “No.” Subsequently Deusel testified that she
showed the video at the nurses stations and that someone at the
counter trying to get the nurses attention, either a patient or a family
member of a patient, could actually see the video while it was be-
ing shown.
Regarding the Professional Directions Committee, Anderson
testified that it was in place for several years when she came to
Audubon in the early 1990s; that the committee’s basic responsi-
bilities were to review and assist in the recruitment and retention
activities at the hospital; that the committee participated in activi-
ties at the various colleges with respect to recruitment, they manned
the booths for the Kentucky Nurses Association Convention, they
tracked and trended turnover rates, and they looked at trends in
staffing and scheduling; that the committee was made up of both
management and staff personnel; that staff participated voluntarily;
that the committee is chaired by a manager and beginning in Janu-
ary 1993 Donna Cook assumed the chair; that Cook, with the help
of staff members, made the decision that the committee would go
to subcommittees, namely one for recruitment, one for retention
and one for staffing; that she could not give a specific date as to
when these committees were first discussed but by the summer of
1993 their initiation was discussed; that the activities of the Profes-
sional Directions Committee were not widely disseminated among
employees; that during the organizing campaign Audubon notified
nurses about the formation of a staffing subcommittee because
some of the staff were concerned about staffing and they felt that
no one was listening or doing anything about it; that management
believed that the announcement might help staff realize that staff-
ing was being evaluated at multiple levels and not just at the ad-
37 He was described here as the president of Columbia Corporation.
AUDUBON REGIONAL MEDICAL CENTER
393
ministrative level; and that shortly after the election it was deter-
mined that there was not a lot of interest in that particular subcom-
mittee and it was abolished. On cross-examination Anderson testi-
fied that she was confident that by the summer of 1993 the decision
had been made to form the three above-described subcommittees.38
Cook testified that she was appointed to the chairmanship of the
Professional Directions Committee (PDC) by Anderson in the late
fall of 1993; that before then the PDC had been dormant; that she
held one meeting of the PDC in early January 1994 and the second
meeting in February 1994; that she wanted the PDC to focus on
recruitment, retention and staffing; that staffing was broken out as a
separate subcommittee which would then report to recruitment and
retention; that there was an announcement made regarding that
subcommittee and the other subcommittees established in the hope
of getting employees to participate on the committee and to pro-
mote the work the committee was doing; that she shared her plan
with Anderson before the announcements; and that the staffing
subcommittee dissolved itself in the spring of 1994, about 5 weeks
after it started, for lack of attendance at the meetings. On cross-
examination Cook testified that the staffing committee first met in
March 1994; that it could have been in January when the plan for
subcommittees was formulated; that the one-page announcement
about the PDC soliciting for membership was distributed in Febru-
ary 1994; that the first meeting was in March 1994; that she did not
tell Anderson in the summer of 1993 that she, Cook, was planning
to establish a subcommittee for staffing; that she could not have
told Anderson about such a plan until sometime in January 1994;
that staffing was an issue that was being raised by the Union during
the campaign and she was aware of some of the union literature
which spoke to staffing problems at the hospital; that she did not
know that the Union was raising the issue of staffing at the time
she was considering what to do in her leadership of PDC; that
Flener told her that the Union could help alleviate the staffing prob-
lems which existed in the hospital; that the fact that the Union was
raising staffing as an issue may have been mentioned at manage-
ment meetings during the campaign; that part of Respondent’s
aforementioned September 6, 1994, position statement to the
Board, are the minutes of PDC meetings and they demonstrate that
the subcommittees and the general overall plan was first discussed
at a PDC meeting at the March 8, 1994 meeting; that the an-
nouncement seeking people to join the PDC went out after the
March 8 meeting; and that all three of the subcommittees were
dissolved by the summer of 1994. Subsequently Anderson testified
that she had no role in the preparation of the September 6 position
statement nor did she review it prior to testifying at the hearing
herein; and that she appointed Cook to the PDC in December
1993; that she was wrong in her earlier testimony that Cook be-
came the chairperson in January 1993 in that this occurred in Janu-
ary 1994.
The General Counsel and Respondent stipulated that a larger
version (about 2 feet by 3 feet) of General Counsel’s Exhibit 419
was placed on an easel in the hospital in February 1994. The poster
reads in part as follows:
What are we doing about staffing?
Here is part of the staffing answer . . .
38 Respondent’s September 6, 1994, position statement to the Board
regarding the Professional Directions Committee was received as GC
Exh. 446. The statement does not indicate that the decision to form
subcommittees was reached in the summer of 1993.
AUDUBON REGIONAL MEDICAL CENTER STAFFING
IMPROVEMENT PLAN
. . . .
4. A focus action team composed of staff RN’s, LPN’s,
Nurse Managers and a staffing consultant, will be devel-
oped using the current Professional Directions Committee
to develop short and long term staffing solutions.
5. The focus team and Professional Directions Committee
will be charged with developing a plan to eliminate man-
datory overtime within the next six months.
. . . .
WE ARE BEING RESPONSIVE
About 1 week before the election, according to the testimony of
Steven Nanz, Supervisor Deusel came into his unit, open heart
recovery, and answered nurses’ questions. Nanz testified that Deu-
sel said that if the employees did join a union, they would lose their
benefits, the hospital did not have to negotiate with the union, and
the hospital would most likely close; and that Deusel and Ear-
nestine Muth were making administrative rounds to inform the
nurses of what was going on. On cross-examination Nanz testified
that the nurses were asking Deusel questions about what would
happen if they went union; that Deusel and Muth said that they
were on his floor to answer questions about the union vote; that
Deusel and Muth were nurse managers from other units; and that
Deusel said that the employees had no guarantees that they would
have benefits if they went union, the hospital did not have to nego-
tiate, and most likely if the hospital went union the hospital would
be sold. Deusel testified that she did speak with the nurses on the
open heart unit about benefits and she indicated that if the Union
won the election, all benefits and salaries would be negotiated; that
she did not tell the nurses that if the Union won the election they
would lose benefits; that they discussed the hospital having been
bought and sold but they never discussed the hospital being sold as
a result of the union campaign; and that the staff brought up the
hospital being sold; that she never said that if the Union won the
election, the hospital would be sold or Columbia would sell the
hospital.
The aforementioned August 11, 1995, amended consolidated
complaint alleges that Respondent, as here pertinent, by Karen
Purviance in February 1994 discriminatorily enforced a “posting”
rule by denying the posting of prounion literature while allowing
antiunion literature to be posted. Stacy Doyon testified that she
posted a letter from nurses in California supporting the union and
she posted it on the front of the refrigerator in the kitchen which
also served as the nurses lounge; that Purviance took the letter
down and threw it away; that this exercise was repeated; and that
there was other campaign literature posted on the bulletin board
adjacent to the refrigerator, and on the back of the kitchen and
restroom doors. On cross-examination Doyon testified that the
Union and the hospital posted materials on bulletin boards. Subse-
quently Doyon testified that the involved refrigerator door was
used to post notices of mandatory staff meetings or something
important like flyers from the pharmacy, and notices regarding
infection control or new drugs. Purviance testified that there are
three bulletin boards in the CVU unit; that at the time of the elec-
tion it was her understanding that election campaign material was
to be placed on the general bulletin board in the kitchen area only;
that she removed campaign literature which was posted on the wall
beside the telephone in the unit and on the refrigerator in the unit;
that she saw NFN materials posted on the refrigerator in the break
room; and that she would try to keep all election campaign material
on the one bulletin board in the unit. On cross-examination Purvi-
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
394
ance testified that that portion of the general bulletin board on
which election campaign literature was posted on was pretty full;
that the employees posted notices in the areas around the bulletin
board, on the refrigerator, and on restroom doors; that during the
campaign she received written information from administration
about what could be posted where; that this information was con-
veyed verbally to the employees; that ambulating patients can use
the elevators in the CVU unit designated “For Staff Use Only”; that
she would consider this area to be a patient care area; and that the
hospital placed an election campaign poster in this area. Purviance
also testified that the refrigerator was used by the families of open
heart post-op patients to refrigerate food which these patients might
prefer over hospital food. On further cross, Purviance testified that
she physically handed a number of communications from admini-
stration to each employee on her unit.
In mid-February, according to the testimony of Linda Grasch,
who was formerly employed by Respondent as a registered nurse,
Nurse Manager Cook, who was Grasch’s supervisor at the time,
told her and several other nurses who were in the nursery, includ-
ing Donna Williams, that “if the Union got in that they would close
the hospital. That they had some 200 and some hospitals and they
didn’t worry about one.” On cross-examination Grasch testified
that Audubon went through a number of ownership changes in the
year preceding the election herein, namely, from Humana, to
Gaylen, to Columbia, to Columbia HCA; and that Cook gave an
exact number of hospitals when she made her statement about
closing the hospital. Cook testified that Grasch asked her if the
hospital would go out on strike; that she told Grasch that the hospi-
tal would do everything that it could to avoid a strike; that she did
not tell Grasch that Columbia would close the hospital if the NPO
won and Columbia had more than 200 hospitals and they did not
worry about one; and that during the campaign she did not tell any
employee that the hospital would close if the NPO won the elec-
tion. On cross-examination Cook testified that she may have had
other discussions with Grasch during the campaign but she, Cook,
could not recall them.
In late February, approximately 1 week before the election here,
Nurse Managers Theresa Munson and Sandy Bishop, according to
the testimony of Vivian Flener (now Zollman), who at the time
was a registered nurse working at the involved facility, came to the
newborn nursery with a television and videotape machine and said
that they had a video for Zollman and registered nurse Pat Heck to
watch. Zollman testified that she asked the managers if it was the
strike video and when they replied yes she said that she was not
interested in seeing it; that she told the managers that she would be
interested in talking to them about the Union and the issues; that
Bishop asked them what did they hope to gain from having a Un-
ion in place; that at one point Bishop said that Vandewater had
already said that he will absolutely not bargain with the Union and
the employees would have to go out on strike; that she told Bishop
that it was a Federal law that if the Union was voted in the em-
ployer had to bargain in good faith and Bishop again said that
Vandewater already said that he would not bargain with the Union;
and that prior to the union campaign it was not common for other
nurse managers to be in her department. In July 1990 Flener signed
a complaint regarding “[a] severe understaffing problem in the
Intensive Care Nursery” at the involved hospital (GC Exh. 143).
On cross-examination Zollman testified that she openly organized
for the Union; that during the election campaign she was co-vice
president of the Union and she was a member of the organizing
committee; that she signed a document which demanded recogni-
tion; that she participated in drafting campaign literature that was
handed out to nurses; that she handed out union literature to nurses
at Audubon; that Respondent’s Exhibit 5, which is a six-page
document covering what the employer may say and “REALITY”
was distributed to nurses at Audubon during the election cam-
paign;39 that Heck is also a member of the Union organizing com-
mittee; that she and Heck were open and obvious union supporters;
that her affidavit to the Board indicates that Bishop said Vandewa-
ter had already said that he would not bargain with the union and
the employees would probably be forced to go out on strike but the
affidavit does not indicate that Bishop reiterated this after she,
Zollman, told Bishop that it is a Federal law that you have to bar-
gain in good faith; and that she was a vocal supporter of the Union
and she did not try to keep her support a secret. Heck testified that
when she mentioned that she had a problem with some backpay
Bishop said, “[w]ell what do you think a union can do for you; that
Bishop said “as you already know, Mr. Vandewater has said that he
will not negotiate. Now how do you feel about going out on strike”;
and that Munson and Bishop were in her unit for over an hour. On
cross-examination Heck testified that she signed a letter asking Bill
Brown for a debate (R. Exh. 7); that she believed that her conversa-
tion with Bishop occurred on February 26;40 and that during this
conversation she did make a statement that if unionizing meant
going out on strike that she would be willing to do this. Sandra
Bishop testified that during the involved organizing campaign she
was nurse manager of the cardiovascular telemetry unit; that one
evening when she made rounds showing a video concerning strikes
she went to about 20 units, including the newborn nursery; that she
was accompanied by Munson; and that she recalled talking to
Flener and Heck that evening and while she could not recall the
content of her conversation with these two RNs, she believed that
she would not have said anything that was unlawful. On cross-
examination Bishop testified that she could not remember whether
prior to the union campaign she ever made rounds during the eve-
ning or night shifts with other nurse managers; that there was a
period when there was no system of doing rounds and she was not
sure when the system under which she did rounds began; that when
her nurse manager position was eliminated she was awarded the
director position over some other applicants; and that she could not
recall on how many of the 20 units she showed the strike video and
she could not recall whether Rick Scott was on the video. Subse-
quently Bishop testified that she began showing the video at 7:30
p.m. and she was on each unit approximately 15 minutes; that she
could not recall how many units agreed to view the video; that
visiting hours end at 8:30 p.m., some visitors stay beyond that time
but they stay in the patient’s room; and that she did not recall any
visitors to the hospital seeing the strike video.
At the end of February, according to the testimony of Vivian
Kleitz who was a staff RN in the ER at Audubon from 1988 to
March 1995, Laura Polson, who during the union campaign was
nurse manager of the cardiac cath lab, asked her and the three or
four other nurses present if they had any questions about the Union
39 At the bottom of the first page of the document the following ap-
pears under “WHAT THEY MAY SAY”: “You will lose all your bene-
fits and will have to start from zero.” And under “REALITY” it is
pointed out that this is not true and why. R. Exh. 6 was also received
during this witness’ testimony. The parties stipulated that it was distrib-
uted by the Union sometime between 1991 and 1994. This exhibit is
titled “WHAT ADMINISTRATION AND SUPERVISORS CANNOT
DO,” and the last page of the document is a form to record what oc-
curred if the person filling out the form believed that management or
supervisors interfered with union organizing.
40 C.P. Exh. 1 indicates that Heck worked on February 26.
AUDUBON REGIONAL MEDICAL CENTER
395
and the upcoming vote.41 Kleitz testified that when the nurses said
they did not have any questions Polson said “Well, I sure would
hate to lose all my benefits”; that she asked Polson what she meant;
that Polson then said “Well I hate to lose everything I’ve gotten
. . . if they vote the Union in then we lose all our benefits. We start
from scratch”; that she then told Polson that was not true in that the
employees do not start from scratch; and that Polson said that she
had 3 or 4 weeks of vacation, sick leave and insurance and she did
not want any of that to be “messed with.” On cross-examination
Kleitz testified that she was a vocal supporter of the Union during
the organizing campaign; that she was one of the nurses on the
organizing committee who signed a letter on NPO letterhead dated
February 8 challenging William Brown, president of Audubon and
the highest ranking official of Columbia Health Care Corporation
on site at the time, to a debate (R. Exh. 7); that Polson said “I sure
would hate to lose everything I’ve worked for”; and that when she
asked Polson what she meant Polson replied, “[m]y vacation, my
sick time, my benefits, insurance. I’d hate to start from scratch.”
Polson testified that at the time of the union campaign she was a
nurse manager in the cardiac cath lab; that during the campaign she
did speak to RNs concerning how benefits could be affected during
the collective-bargaining process; that during the campaign she left
her unit and spoke with nurses in ER; that she did not recall saying
that she would hate to lose all of her benefits by voting for the
Union while she was in the presence of Kleitz and she “would not
have said something like that . . . and . . . that doesn’t sound like a
statement that I would have made”; and that she did not recall say-
ing and she would not have said in the presence of Kleitz that
negotiations regarding benefits would start at zero or start at
scratch. On cross-examination Polson testified that she made
rounds as a nurse manager one night in the ER. And on redirect
Polson testified that prior to the union campaign nurse managers
made night rounds because the 11 [p.m.] to 7 [a.m.] employees did
not have access to the human resources office which was closed
during those hours; and that she did not tell Kleitz in the ER that if
the RNs voted the Union in that they would lose all of their
benefits.
In February 1994, according to the testimony of Kleitz, she
posted prounion literature on the bulletin boards in the ER depart-
ment.42 Kleitz testified that subsequently she saw Edith Harper
take her, Kleitz’, prounion literature off the bulletin board directly
behind the nurses desk;43 that subsequently she saw that the proun-
ion literature (a “Fiction and Fact” flyer and pamphlets regarding
staffing-to-nurse ratio) that she posted on the bulletin board in the
nurses lounge had been taken down while all the antiunion litera-
ture remained on the board; that she went to Harper’s office and
asked her why she took the prounion literature down; that Harper
41 Present were Charge Nurse Linda Richardson, Alice Muench, and
Bob Austell. Polsen was accompanied by another lady whom Kleitz did
not know.
42 Kleitz testified that there are three bulletin boards in the ER area;
that all types of material are posted on these bulletin boards, including
antiunion material of the nurses for nurses (NFN), kids’ drawings,
newspaper cartoons, and order forms for Girl Scout cookies.
43 Kleitz testified that Harper issued “needs” lists which indicated
where Respondent needed help during a 6- to 8-week period so that
nurses could volunteer for extra shifts; that Harper assigns these extra
shifts and she resolves any conflicts in assigning these extra shifts; that
Harper susbsitutes for Nurse Manager Lynn Smith when the latter is
absent; that Harper fields patient and family complaints; that in Smith’s
absence Harper calls nurse meetings and she presides at them; that
when she calls in sick she speaks to Harper; that Harper handles
switches in nurses schedules; and that Harper approves the nurses’
vacation schedules.
initially denied taking the literature down but when Kleitz told her
more than once that she saw her do it Harper finally admitted it;
that Harper said that she did it because she did not want any more
“union stuff” in the ER department; and that Harper did not deny
that she left the NFN literature on the bulletin boards. On cross-
examination Kleitz testified that Harper removed at least three
pieces of prounion literature; and that her November affidavit to the
Board indicates only that a letter was removed. Harper testified that
she was a clinical coordinator in March 1994;44 that she was paid
hourly; that she did not attend nurse manager meetings during the
organizing campaign before the March 1994 election vote; that she
did not hand out hospital literature during the campaign; that she
received campaign literature from the NPO; that she voted in the
March 1994 union election; that it was her understanding that cam-
paign literature could not be hung in the patient care area during the
campaign but it could be posted in a nonpatient care area; that the
only board in the emergency room which was in a nonpatient care
area was in the staff lounge; that she considered the three boards
near the desks to be in a patient care area because they can be seen
by the patients or their families who come to the desks; that she
never removed any literature during the campaign from the lounge
board; that she did remove literature during the campaign from one
of the other bulletin boards in the patient care area of the ER and
she threw the literature out; that she did not remember what the
literature was but she remembered that there was no NFN literature
on that board; and that subsequently Kleitz discussed the matter
with her. On cross-examination Harper testified that she became a
clinical coordinator in the summer of 1993; that in the past each
unit in the hospital had a nurse manager and at the time she testified
herein there was no longer such a thing as a nurse manager but
each unit had a clinical coordinator; that in her unit she does not
have anything to do with the budget or discipline whereas the nurse
managers were involved in the budget and discipline; that as a
clinical coordinator she can recommend discipline; that she has
recommended to the director that an employee be disciplined for
absences and being tardy; that when she voted in the election her
ballot was challenged by the Union; that no one told her that it was
her job to enforce a rule prohibiting the posting of campaign litera-
ture in a patient care area; that she approves vacation requests for
the day shift but usually no judgment has to be made regarding
vacations and if there is a conflict, it is resolved on a seniority ba-
sis; that she signs off on the evaluations of employees by the charge
nurse; and that at the beginning of the involved campaign she was
on the NFN committee (C.P. Exh. 3), and she handed out literature
one afternoon and that was the only involvement she had.45 Harper
testified that when she takes time off from work a charge nurse fills
in for her.
Joann Anderson, Audubon’s vice president of patient care ser-
vices, testified that during the union campaign Audubon had one
44 Harper testified that at the time of the involved union campaign
she was the only clinical coordinator in the hospital; that her duties
were different from a charge nurse in that she did a lot of things with
the policies and procedures, she did daily time sheets for payroll, cor-
rections, and putting in the employees’ sick time or vacation time which
the charge nurses did not do; that she overlooked the evaluations that
the charge nurses did; and that she made sure that there was staffing on
a weekly basis while the charge nurses “kind of look[ed] at it just on a
daily basis.”
45 As noted above, she testified on direct that she did not hand out
“hospital” literature during the campaign. RN Miriam Gravatte, who
was the founder of NFN, testified that when Harper was at work she put
any handouts that NFN had in the employees’ mailboxes.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
396
clinical coordinator, Edie Harper, who scheduled employees; and
that Harper had no fiscal responsibility, she did not participate in
nurse manager meetings, and she was paid hourly. On cross-
examination Anderson testified that Harper was involved in disci-
plinary counseling and she formally evaluated employees as part of
the merit raise system in January through March 1994; that the
authority to issue suspensions and more severe disciplinary actions
occurred while Harper was the only clinical coordinator; that
Harper, as a clinical coordinator, has a higher pay scale then a
regular staff RN; and that Harper’s name appears on Charging
Party’s Exhibit 3 which is a one-page document titled “YOU ARE
NOT ALONE, NURSES FOR NURSES . . . . OPPOSED TO
UNION REPRESENTATION.”
In February 1994, according to the testimony of Nancy McDon-
ald, who is an RN at Audubon, Star Block, who assertedly was a
nursing supervisor, had a conversation with her in the open-heart
recovery room.46 McDonald testified that Arlene Rice was present
during this conversation; that they were discussing staffing; that
earlier they had been discussing the shortage in staffing; that Block
said that the shortage was NPO’s fault; that Block said that she had
talked to Vandewater when he was at the hospital and he said “that
if the Union was voted in, he would sell the hospital, [a]nd . . . he
had over a hundred hospitals and he would sell” and Block stated
that Vandewater said that “staffing wasn’t part of his . . . proposal
[s]taffing wasn’t negotiable”; that Block said that Vandewater “had
one proposal, and one proposal only”; and that the conversation
lasted for approximately 10 minutes. On cross-examination,
McDonald testified that this conversation occurred during a week-
end when Block was the house relief supervisor; that she com-
plained to Block that they started the shift short of nurses; that
Block said if the nurses worked extra there would not be a shortage
in the staff; that she told Block that the nurses already worked extra
and it didn’t solve the problem; that they were experiencing some
increase in patient flow that morning which caused a staffing prob-
lem; and that when Block said that Vandewater would sell the
hospital if the Union was voted in she, McDonald, said that Audu-
bon had been bought and sold before. Block testified that she re-
called having a conversation with McDonald and Rice in late Feb-
ruary 1994 concerning the upcoming election; that McDonald and
Rice thought that they were shortstaffed and they indicated that the
Union would help by putting staffing patterns in the contract as had
been done in one of the hospitals out West; that she told them that
she did not think that unions had any business in healthcare; that at
the time of this conversation she was working as house relief su-
pervisor; that she did not tell them that she had spoken with
Vandewater when he toured the hospital; that she did not tell them
that Vandewater would sell the hospital if the NPO won the elec-
46 McDonald testified that at the time Block was a nursing supervi-
sor during the 1 or 2 weekends each month that she worked and from
Monday to Friday Block worked as a bed coordinator; that she worked
with Block when she was a nursing supervisor over the weekends; that
Block’s duties as a nursing supervisor included determining the nursing
needs of the hospital, booking beds for different areas of the hospital,
assigning beds for transfer patients, transferring people to different
areas of the hospital as needed, authorizing nurses to come in late or
leave early, issuing occurrences or reprimands regarding absences; and
that when Block served as the nursing supervisor she was the only
supervisor present in her area of the hospital. On cross-examination
McDonald testified that Block was known as the house relief supervi-
sor when she worked on weekends; that Block could transfer nurses
within the division that they worked or in critical care; and that desig-
nated charge nurses would take their instructions from the nursing
supervisor.
tion or that the hospital would have only one proposal during nego-
tiations and staffing would not be part of it; that she did not tell
them that Columbia had over 100 hospitals and would sell one if it
was unionized but this topic may have come up in speculation; that
she did not recall telling them that staffing was the fault of NPO;
that she did not tell them that staffing would not be negotiable if the
NPO won the election; that Dee Doyle asked her to sign an au-
thorization card during the organizing drive; that in January
through March 1994 she held two positions simultaneously,
namely, nursing resource coordinator and assistant QA coordinator;
that as nursing resource coordinator she was bed coordinator and
every other weekend she was relief nursing supervisor; that as bed
coordinator, relief nursing supervisor and assistant QA coordinator
she was paid hourly; that as bed coordinator she did not supervise
any nurses or other employees; that as assistant QA coordinator no
employees reported to her and she did not direct employees in
patient care; that she voted a challenged ballot in the 1994 union
election; that as house relief supervisor she did not have authority
to discipline nurses but rather she made the rounds on the nursing
units, collected staffing and was troubleshooter; that during the 5
years that she served as nursing resource coordinator she never
disciplined a nurse; that when she worked as house relief supervi-
sor the charge nurse or the RN on the floor was responsible for
patient care, she did not keep attendance records for employees, she
did not handle any employee requests to come in late or leave
early, she never wrote up an employee for an absence and she did
not have the authority to determine whether discipline could be
imposed as a result of an absence; and that as nursing resource
coordinator she reported to Laura Wood, who was the assistant
director of nursing over critical care and as assistant QA coordina-
tor she reported to Robin Andari, who was the QA coordinator. On
cross-examination Block testified that when she served as house
supervisor on the weekend she was the highest ranking nurse in the
hospital; that when she had the conversation with McDonald and
Rice she, Block, was the only house supervisor on duty that eve-
ning; that the speculation as to whether the hospital might close
might have come up during the conversation with McDonald and
Rice but she could not recall; and that when she worked as relief
nursing supervisor she considered herself a supervisor.
Anderson, on cross-examination testified that Charging Party’s
Exhibit 7 is an “AUTOMATED TIME AND ATTENDANCE
FINAL BIWEEKLY ATTENDANCE DETAIL” for Mary Block;
that the document is for Mary S. Block;47 that the document indi-
cates “DEPARTMENT 601 NURSING SUPER-VISOR”; that
department 601 is where nursing supervision is housed; and that
“POSITION:64C RN SUPV” on the form is an abbreviation for
nursing supervisor. On redirect Anderson testified that Block
would always be listed as an RN supervisor in the payroll system
even during the time she was bed coordinator because that was the
highest level that she would be in; and that Block was paid hourly.
Doyon testified that Kim Blair was one of the supervisory per-
sonnel at Audubon in January and February 1994; that Blair took
care of staffing; that during this same period Star Block did basi-
cally the same thing as Blair and Block had written a letter to Nurse
Manager Purviance voicing concerns about Doyon’s competence
as a charge nurse. Block testified that she did write a note to
Doyon’s nurse manager indicating that Doyon probably needed a
little more orientation in the charge nurse role; and that the note
was not a disciplinary letter. Anderson testified that between Janu-
ary and March 1994 Block worked primarily out of the nursing
47 It covers the reporting period from 11/28 to 12/11/93.
AUDUBON REGIONAL MEDICAL CENTER
397
office and she was responsible for tracking and developing policies
and procedures for the nursing department; that the other part of
Block’s job was bed coordinator which involved making sure that
patients were place in the proper department or unit for the care
that they needed, she collected the staffing information for different
units and every other weekend she covered house supervision; that
Block was paid hourly and she did not attend nurse manager meet-
ings; that Block, regarding participation in the disciplinary process,
“participated at the level that other staff RNs would participate at,
except when she was in the role of house supervisor on the week-
ends”; that Block would have input in the evaluation process only
as weekend house supervisor; that as bed coordinator Block had
authority to transfer employees but most of the time nurse manag-
ers were present and they performed this function; and that Block
did not play a role in the hiring or rewarding of employees with
salary increases. On cross-examination Anderson testified that as
house supervisor every other weekend Block had the authority to
participate in disciplining employees, she could engage in verbal
counseling, she could issue written warnings which are placed in
the employee’s personnel file, and she had responsibility for formal
written evaluations which impacted merit increases; that Blair, who
was the bed coordinator person, is the day house supervisor as of
June or July 1994; that Blair served as weekend house supervisor
on the weekends that she worked; and that Block was the other
weekend house supervisor.
In late February 1994, according to the testimony of Peggy
Fields (formerly Smith), who is a staff RN at Audubon, Laura
Wood, who at the time was assistant director to the critical care
nursing units, and Earnestine Muth, who was the nurse manager of
the intensive care unit, rolled a television to the nurses station in the
cardiovascular unit and showed a video to her and the other em-
ployees who were present, including RN Kenny Doyon. Fields
testified that after the video, which was about a strike, was over
Wood said to Kenny Doyon in her presence “[t]his is the reason
why . . . we should vote no to the union, because we would lose
everything. We would start from ground zero. We would lose all of
our benefits.” (Emphasis added.) On cross-examination Fields
testified that she was an active supporter of the Union; that she
verbally campaigned with her fellow nurses on break time about
joining the Union; and that in her April 6 affidavit to the Board it is
indicated that Wood said “This is why it was important to vote no,
because we could start from zero and lose all our benefits, so we
should vote no.” (Emphasis added.) Wood testified that she did
discuss, during the campaign, with RNs, the collective-bargaining
process, specifically how it relates to wages and benefits; and that
she did not recall having a conversation with Kenny Doyon or
Fields about collective bargaining during the organizing campaign.
Fields testified that in late February she needed a day off to go to
her uncle’s funeral; that she was unable to find an RN to work for
her; that an LPN said she would trade working days so that Fields
could attend the funeral; and that when she asked Nurse Manager
Karen Purviance if there would be an exception to the rule regard-
ing RNs being able to trade with other RNs, Purviance agreed
stating “[i]sn’t it nice that we can be so flexible now, but if the
union got in, we wouldn’t be able to be flexible.” On cross-
examination Fields testified that LPNs were not included in the unit
that the Union was seeking to represent. Purviance testified that at
the time in question here she was the nurse manager on CVU; that
Fields was an open and obvious union supporter; that she told
Fields that if the Union came into the hospital that flexibility could
be altered or eliminated; and that she made this statement because
it was her understanding of negotiating and bargaining that such
policies would be looked at. On cross-examination Purviance testi-
fied that it was hospital policy that you could only trade days with
someone of your same job classification; and that in the past, be-
fore Fields asked, she, Purviance, allowed RNs to trade with LPNs.
On February 28, according to the testimony of coronary care
(CCU) RN Melinda Bagby, who has worked for over 15 years for
Audubon, the nurse manager of her unit, George Roth, took down a
letter she had posted on the bulletin board in the conference room
in CCU and wadded it up. Bagby testified that the letter was a
prounion letter of encouragement from the unionized nurses at the
San Leandro, California hospital which Columbia HCA owned;
that “everything” is posted on the bulletin board and she was never
told that she had to have permission to post on the bulletin board;
that at that time Roth did not remove the campaign literature of the
NFN, the antiunion group; and that when the NFN posted a letter
the next day Roth, who saw them go into the conference room
where the bulletin board is located, did nothing.48 Roth testified
that it was his understanding during the union campaign that there
could be posting on bulletin boards in nonpatient care areas; that
the bulletin board in the break or conference room in CCU is con-
sidered in a nonpatient care area; that he posted prohospital cam-
paign literature on that board; that the only material that he re-
moved from the conference room bulletin board was defaced mate-
rial which he had earlier put up; that he did not remove NPO litera-
ture from this board; that he did remove all campaign literature
from patient care areas; and that he did not allow hospital or NFN
literature to be posted in an area that was off limits to NPO litera-
ture. On cross-examination he testified that he attended meetings
conducted by a consultant where he was instructed about the hospi-
tal’s position regarding the Union; that he did the best he could to
communicate the hospital’s opposition to the Union to the employ-
ees in CCU; that it is common for him to crumple material when he
throws it in a garbage can; and that the hospital did have campaign
material in the staff elevator area which was used by nonstaff peo-
ple notwithstanding the signs prohibiting this. Also Roth testified
that when the management position in CCU was eliminated he was
permitted to continue in that position until he bid and assumed his
new position as clinical coordinator.
Sometime before the election (R. Exh. 39), “INFOR-MATION
ABOUT YOUR RIGHTS AND THE UPCOMING ELECTION,”
was circulated by Audubon’s management to the involved employ-
ees. The document specifies the time and place of the election and
it specifies the “RIGHTS” of the involved employees and encour-
ages them to vote.
Cook testified that on two occasions during the campaign she
made rounds outside of her unit, namely on February 24 and 28;
that this was the first time she made these types of rounds outside
her unit within such a short period; that thereafter she made such
rounds every 4 to 6 months; that she did not engage in this practice
before the union campaign; and that from 1991 to 1994 she was
never asked to make off-shift rounds outside her department and
she was not aware of any other nurse managers engaging in this
practice between 1991 and 1994. Laura Wood, who at the time was
assistant director of nursing, testified that before the Union filed its
petition for an election in January 1994, nurse managers made
rounds outside of their units if another nurse manager was absent,
and over holidays when supervisors would cover for each other and
do rounds. On cross-examination Wood testified that before the
48 Examples of NFN literature were received as C.P. Exhs. 2–5.
Bagby testified that she received some NFN literature at home albeit
she has an unlisted telephone number.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
398
union campaign there was no schedule [of] rounds for the directors
of nursing because there was a nurse manager in every unit; and
that the eight directors of nursing were instituted in May 1994.
Barbara Sautel, an RN at Audubon, testified that before the elec-
tion, sometime in January to March 1994, she was approached at
the hospital by her manager, Carol Young, who suggested that she,
Sautel, might be interested in going to a meeting of the NFN; that
she did not go to the meeting and she was not disciplined; that
Young said that the NFN wanted to try to resolve some of the con-
flicts in the hospital the right way and not the union way and she,
Sautel, might learn something from going to the meeting; that dur-
ing unit meetings during this period Young told RNs that with the
union everyone would have to pay dues, your jobs will be reevalu-
ated, you will lose benefits, benefits and everything will go back to
zero, you will all start at zero regarding seniority and sick leave;
that she did not hear the entire statement of Young; that RNs Anna
Long and Glenda Brown were present during Young’s statements;
and that Young said that if the Union gets in you are likely to lose
benefits. Young testified that during the period January though
March 1994 she was the manager of diagnostic cardiology; that in
this position she supervised three nurses, Long, Brown, and Sautel;
that she recalled one discussions with these three nurses regarding
benefits; that she told the three RNs that benefits would be pretty
much frozen and then negotiated and they could end up with more,
the same or less; that during this discussion she did not mention
zero benefits and she did not say the if the Union won the election,
the nurses would lose benefits; that she did not recall discussing
what would happen to jobs at the hospital if the Union won the
election; that it is possible that she said that jobs could be changed
if the Union won the election but she did not recall such a discus-
sion; that she did not say that negotiations would start at zero; that
after the discussion Sautel followed her into the hall and indicated
that she, Sautel, did not necessarily have the same views as Long
and Brown; that Sautel then indicated that she heard that there were
some nurses who were organizing against the Union and she told
Sautel who she could contact if she was interested, namely Gra-
vatte; and that she did not tell Sautel to go to a NFN meeting, she
did not encourage Sautel to go and she did not tell Sautel about
where a NFN meeting was to be held. On cross examination
Young testified that she explained to Sautel that Gravatte was a
nurse on pediatrics; and that she had heard that Gravatte was in-
volved in NFN but she could not remember who told her.
On March 3 and 4 an election was held pursuant to the provi-
sions of a stipulated election agreement. Bagby, who was an elec-
tion observer for the Union, testified that according to the Stipu-
lated Election Agreement registered nurse applicants (RNA) were
included in the unit; that while she was observer two nurse appli-
cants were challenged by Audubon, Tiffany Fenwick, and Sandra
Welch; that she made a formal complaint over this challenge with
the agents present; and that later in the day Respondent challenged
two other RNAs, Michael Ohlenmacher and Ms Jones, both of
whom had worn prounion pins in the hospital. On cross-
examination Bagby testified that she challenged Kathy Jordan, who
was a NFN supporter; and that when the agent from the National
Labor Relations Board (Board) asked Respondent why it chal-
lenged the two RNAs they were told it was because they did not
have RN licenses. Subsequently Bagby testified that she was
shocked that Audubon challenged RNAs and she went to the union
office and told the people there what was happening; and that the
union representatives gathered a list of RNAs and were considering
challenging all of them so that they would all be classified together,
it would be fair and afterwards they would all have to be dealt with
together. Riley testified that Audubon asked that registered nurse
applicants (RNAs) be included in the unit; that Audubon chal-
lenged two RNAs at the election because they had applied for posi-
tion at other hospitals and Audubon was not sure that they were
going to continue working for Audubon; that NPO challenged 14
or 16 RNAs; that it was never announced by Audubon at a preelec-
tion conference that it would be challenging certain nurses; and that
Audubon never informed nurses that mobile nurse votes would
only be counted if they voted yes.
During the campaign a number of union authorization cards
were signed. They are covered in Appendix A hereto.
Respondent’s Exhibit 31 is titled “AUDUBON . . . MARKET
WAGE ADJUSTMENT SUMMARY” and it is dated “3/14/94.”
Riley testified that the document which is reflective of the final
market adjustment was worked up by Pugh pursuant to her direc-
tions; that the employees actually received the increase in their
paychecks in the latter part of March 1994; that it took about a
month after it was announced to make it effective because Audu-
bon has over 2000 employees and there were a lot of entries to be
made and a document had to be placed into each employee’s per-
sonnel file; that nothing was done for this market wage adjustment
than had been done in the past; that Pugh was told to do the RN
statements first because they were the largest category of state-
ments to be done and normally her people work on the largest cate-
gory first; that notification to employees about their market adjust-
ment was done differently than in the past in that management
received training and they were given some documents to make
available to the employees about the adjustment;49 that the litera-
ture was made available because the employees became confused
regarding what they would receive and in 1991 when a market
adjustment was given the human resource department had to an-
swer a lot of questions on an individual basis; and that this market
adjustment would have been given at the same time if there had not
been a union petition, campaign and election and if the Columbia
HCA merger had not occurred.
Anderson testified that the vacancy rate for the RN job classifi-
cation in March 1994 remained at about 20 percent.
By letter dated May 26, 1994, the Regional Director for Region
9 of the Board advised NPO with respect to Cases 9–CA–31725–1,
–2, –3, and –4 that further proceedings were not warranted except
with respect to some 8(a)(1) allegations in Case 9–CA–31725–1.
The letter also contains the following:
Finally, in view of the dismissal of these charges, as well
as the size of the unit, it cannot be concluded that a free and
fair election would be impossible especially after the imposi-
tion of the Board’s traditional remedies in the event the Un-
ion’s objections are meritorious. Under all these circum-
stances, a bargaining order, pursuant to Section 8(a)(1) and (5)
of the Act, as alleged in Case 9–CA–31725–4 is not war-
ranted. Philips Industries, 295 NLRB 717 [(1989)].50
Respondent’s Exhibit 63, a one-sheet document dated 7/6/94
and titled “NURSING COST CONTAINMENT MEASURES,”
was sponsored by Anderson. She testified that the document was
used by administration to look at cost containment measures, either
tracking them or looking at what could be done; that the document
calls for the elimination of three positions, namely the lactation
consultant, the accreditation manager, and the QA coordinator; and
49 GC Exhs. 4(a), (b), and (c). Riley testified that R. Exh. 32 was in-
cluded in the packet.
50 As pointed out by counsel for the Charging Party at the hearing,
the Regional Director was overruled on appeal.
AUDUBON REGIONAL MEDICAL CENTER
399
that these three positions were later eliminated because they were
not critical to the functioning of the facility.
On August 9 Joanne Sandusky, who had been a registered nurse
for 30 years and who was hired at Audubon in 1975, was paged by
her immediate supervisor, Joan Wempe, at about 12:45 p.m. and
was told that they were to meet at 1:30 p.m. Sandusky testified that
at 1:30 p.m. she went to Wempe’s office and they went to human
resources and met with Marcia Johnson; that Johnson said that
Sandusky’s position was being eliminated and she handed San-
dusky a pay and severance check; that Johnson told Sandusky that
she had to start packing immediately, get out as soon as possible,
Wempe would watch her pack and she would be escorted out of
the hospital; that she asked them at that time if there were any posi-
tions in neonatal or maternal units or discharge planning available
and that Johnson and Wempe responded that they did not think so
but she could look at the board where jobs are posted, but maybe
she would not be qualified for any of them; that Johnson said that
she was terminated; that Johnson asked her to sign her personnel
action request (PAR) which indicated that she was terminated;51
that Wempe escorted her upstairs to her office and when she said
that she did not need help Wempe said that she had to stay with her
the whole time; that it took about 2 hours to pack her belongings;
that Wempe then called for a security guard and she called for a
dolly to carry all of the boxes; that there were 20 boxes and the
guard, who escorted Sandusky, along with Wempe, to the door
could not load all of them in Sandusky’s car; that she had to return
to the hospital to get the remaining boxes; and that when she re-
turned to the hospital she was not allowed to go into the hospital
and Wempe and the guard met her at the door. In 1984 Sandusky’s
position as maternal child patient education coordinator was elimi-
nated but at that time she was immediately assumed into the inten-
sive care nursery as a staff nurse. In 1994 Sandusky became very
active in the union organizing campaign, passing out leaflets, wear-
ing union buttons, having her picture on a big billboard in Louis-
ville,52 appearing in a video with about 10 other nurses and speak-
ing on the video about seniority and job security, passing out au-
thorization cards and signing requests to debate Brown (R. Exh. 7)
and NFN (GC Exh. 294). The video was mailed to all the employ-
ees in the hospital.
Wempe testified that as director of maternal child nursing she
supervised Sandusky when she was a lactation consultant; that the
position of lactation consultant was eliminated in August 1994; that
subsequently staff nurses performed the services previously per-
formed by the lactation specialist that she and Joann Anderson
made the decision to eliminate the position of lactation consultant
as part of a cost containment package; that she and Johnson, who
works in the human resources department, informed Sandusky that
her position had been eliminated because of downsizing and cost
containment; that at the time she told Sandusky that she could
51 GC Exh. 300, which has a checkmark in the termination box next
to “Position Eliminated” and which was signed by Johnson with a date
next to her signature of “8–4–94.”
52 GC Exh. 293 is a picture of the billboard. Also appearing on the
billboard were Patty Clark, Shy Rice, Gloria Gant, Donna Ingram, Ann
Long, Lonnie Holthouser, Ann Hurst, Vivian Kleitz, Lisa Cain, Jeff
Tallant, Dee Doyle, Maggie Kelly, Angela Pate, Melinda Bagby,
Vivian Zollman, Terry Schmidt, and Betty Schmidt. Sandusky testified
that all of the other people on the billboard were still working at Audu-
bon when she left on August 9. Subsequently, she testified that the
hospital enlarged a photograph of the billboard and placed it on easels
in front of all the elevators; that the following statement was also
placed on the easels: “Do you really want these people in charge of
your work or environment.”
apply for any position that was open in the hospital that she felt
qualified for; that she informed Sandusky that there were several
openings in the intensive care nursery and she told Sandusky where
she could find those postings; that when Sandusky asked she told
Sandusky that she, Wempe, did not just have another position to
give her; that it was preferred that Sandusky move her belongings
out of the hospital that day; that she believed that the people whose
jobs were also eliminated at that time also moved out on that same
day; and that she asked security to help escort Sandusky out of the
building because they needed someone to help them with the boxes
and she thought that “it would not embarrass her [Sandusky] uh,
maybe not, uh, so much, umm, to have someone help us out with
them.” On cross-examination Wempe testified that she did not have
personal knowledge of when the other people whose jobs were
eliminated at that time moved their belongings out; that the security
guards wear uniforms and their primary responsibility is the secu-
rity of the facility; that if she used maintenance for Sandusky’s
removal she, Wempe, would have had to ask their supervisor for
that;53 that she was trying to keep the embarrassment down for
Sandusky by not involving other staff members of the facility; that
the primary concern when she selected the security guard was San-
dusky’s embarrassment; that the cost containment package as it
related to Sandusky’s termination had nothing to do with the pa-
tient census; that other cost containment measures which were
implemented at the time of the elimination of Sandusky’s position
was the decrease of some staff members hours to 37.5 from 40;54
that Sandusky was the only RN in her, Wempe’s, department
whose position was eliminated at that time; and that the jobs that
went from 40 hours to 37.5 hours involved patient care attendants
and unit secretaries. On redirect Wempe testified that she had never
been involved in a situation before where security had been asked
to assist management. Subsequently Wempe testified that San-
dusky did not receive any advance notice that her job was going to
be eliminated; that Sandusky refused to sign her personnel action
request which indicated that her position was eliminated; and that
she could not remember on what basis she understood that the
individuals whose positions were eliminated at the same time as
Sandusky’s left the same day that they were advised.
On August 10 Sandusky filed a grievance regarding her August
9 termination (GC Exh. 301). This was not the first grievance that
Sandusky had filed with Audubon. On April 13, 1993, she filed a
grievance regarding her evaluation and the alleged unprofessional
behavior of her nurse manager (GC Exh. 295). As set forth in the
grievance resolution. the evaluation was set aside and there was a
written apology (GC Exh. 296). In June 1993, Sandusky filed a
grievance regarding her evaluation and the actions of the same
nurse manager, Donna Cook.55 When Sandusky discussed this
grievance with Riley the latter asked Sandusky if she knew any-
thing about a petition that someone had left on her desk that morn-
ing (GC Exh. 298). The petition is signed by approximately 120
individuals.56 It reads as follows:
We have signed below to express our concern for Joanne
Sandusky, RN, Family Support Specialist, in the Intensive
53 Wempe testified that normally maintenance moves furniture or
equipment in the hospital.
54 Other measures were specified but apparently they occurred at
some point in time other than when Sandusky’s position was elimi-
nated.
55 Additionally, Sandusky filed a grievance regarding Cook and
management team meetings.
56 The copy Riley had was not the final copy and did not have as
many signatures as the one received here.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
400
Care and Newborn Nurseries. It is only through experienced
and caring employees such as Joanne that our patients and
their families see the human face of our hospital.
After 18 years of service, Joanne should be valued for her
experience. People should not be tossed aside like used sup-
plies. We urge you to act to see that justice is done for Joanne.
Sandusky testified that Riley, who is usually quite soft spoken,
raised her voice a lot and acted upset in referring to the petition,
and she said that Sandusky should not be talking to anyone else
about her grievance.57 As set forth in the grievance resolution (GC
Exh. 299), Sandusky received merit increases, became part of the
nutritional support team in the area of lactation management, re-
tained her grade and salary, and it was decided that she would
report to the assistant director of nursing in charge of the nutritional
support team. The resolution also called for Sandusky to develop a
job title and description in the area of lactation management. At the
time of the resolution, Sandusky asked Riley if the position was
approved on the corporate level, whether it was a stable position
and whether it was subject to elimination. Riley responded that
Audubon did not have to get approval on the corporate level for
such positions anymore, that the hospitals has more autonomy in
developing such positions, that the doctors had asked for and really
wanted this position, and it was something that was needed in the
hospital. In March 1994, Sandusky became full-time lactation
consultant. As described above, 5 months later the position was
eliminated.
By letter dated April 19, 1994, Respondent’s counsel submitted
a statement of position to the Board and supporting documentation
in response to objections and unfair labor practice charges (GC
Exh. 451).
Anderson testified that annualized about $1 million was saved in
the May 1994 reorganization of nursing management; and that the
cost of the across-the-board wage increase announced in February
1994 could have been a little over $1 million considering the fact
that it was given not only to RNs but also to a lot of other catego-
ries of employees; and that she could not estimate what proportion
of the cost of the wage increase was attributable to the wage in-
crease for RNs.
By letter dated August 29 (GC Exh. 302), from Riley to San-
dusky, the former advised the latter that she was, per Sandusky’s
request, providing her with a written summary of their August 26
meeting. The letter reads, in part, as follows:
I do want to assure you that Audubon . . . does not dis-
criminate against or illegally terminate employees. Unfortu-
nately, the position of Lactation Clinician, which you held,
was eliminated.
. . . .
We also discussed the fact that the title change and job
description change for your position was at your request and
mutually agreed upon as a resolution to your grievance signed
November 29, 1993.58
57 RN Angela Pate testified that she was called into the office of Ken
Morrow, the director of surgical services, and asked if she had collected
signatures on the petition for Sandusky and if she collected them on
company time. Pate responded in the affirmative to both questions.
Morrow then told her that he did not want this being done on company
time.
58 Riley’s letter also refers to “layoff procedures” and to the fact that
Riley found it unfortunate that Sandusky declined to continue the
breastfeeding series “Catch the Spirit.” Regarding the latter, Sandusky
testified that she was offered $25 for a 3-hour course each month but
Riley testified that when it was decided that Sandusky would be-
come the lactation consultant Sandusky asked whether corporate
had to approve the position; that with respect to the petition that
Sandusky’s coworkers signed, she, Riley, did not tell Sandusky that
she could not speak to other nurses concerning her grievance but
rather she assured Sandusky that the confidentiality of the griev-
ance process had not been breached by Riley’s office; that Audu-
bon is a 480 bed hospital and if the census (number of patients
occupying those beds) drops below 300 Audubon considers it a
plummet in census; that in the fall of 1993 the census was in the
200 range and cost containment measures were discussed but noth-
ing was done at that time; that in the first quarter of 1994 the census
came back into the 300 range; that it was decided by the hospital to
“flatten” its management ranks, eliminate 13 nurse manager posi-
tions, create nurse director positions, and have clinical coordinators
on the first shift; that the nurse managers and anyone in house who
felt they were qualified could bid for the director and clinical coor-
dinator positions; that some of the nurse managers left Audubon
and they were given a severance package; that other cost contain-
ment measures included ending the weekend shift differential,
closing Audubon’s X-ray lab in its physicians office building, re-
ducing overtime, and reducing some of the 40 hour positions to
37.5 hours; that the administrative team which was working on the
cost containment measures identified three positions as noncritical
and nonessential, namely the manager of accreditation, a quality
assurance coordinator and the lactation specialist or consultant; that
the decision to eliminate the lactation consultant position was made
by Anderson, the vice president of patient services, and Wempe,
the manager of that area and confirmed by the administrative team;
that Sandusky’s position was not eliminated because of her union
activity; that the quality assurance coordinator and the hospital
accreditation manager received 2 and 4 weeks of severance pay,
respectively; that Sandusky received 4 weeks of severance pay; that
on August 9 Columbia’s policy regarding noncritical and nonessen-
tial positions which were eliminated was that there were no recall
rights but if the individual is rehired at any Columbia HCA hospital
within 90 days, they retain their seniority; that vacancies in regis-
tered nurse positions are filled in two ways, namely, external can-
didates fill out an application with the hospital and employees of
the hospital or any Columbia HCA facility self nominate or nomi-
nate themselves for the position; that Respondent’s Exhibit 42 is a
list of positions available at Audubon on August 5, which includes
a number of RN positions; that it was not her intent, even in a con-
tract situation regarding the Catch-the-Spirit course to pay San-
dusky less than minimum wage; that Sandusky’s August 10 letter
was taken through the grievance process;59 that when she met with
Sandusky she told Sandusky that there was nothing unjust, dis-
criminatory, or illegal about her termination;60 that with respect to
she explained to Riley that there was also development time involved.
When all the time involved is considered, Respondent’s offer
amounted, according to the testimony of Sandusky, 84 cents an hour.
With respect to the former, Sandusky testified that Riley told her that
she was on layoff status which was contrary to what Johnson said on
August 9.
59 By letter dated November 15 (R. Exh. 44), Steve Tullman, Audu-
bon’s vice president and chief operating officer, advised Sandusky,
after meeting with her, that, among other things, the elimination of the
involved position was not an act of discrimination and she was on lay-
off status which gave her recall rights for 6 months.
60 In her grievance Sandusky alleged the following:
In addition, the creation of my job prior to the union election
and the elimination of my new job following the election vio-
AUDUBON REGIONAL MEDICAL CENTER
401
severance pay Sandusky was given 2 weeks more than any other
exempt status position was given; that she told Sandusky during
this meeting that she could apply for any position in the hospital for
which she was qualified and Riley would look into putting San-
dusky into a recall situation;61 that she had a number of telephone
conversations with Sandusky about finding employment following
her job elimination; that one position which was considered and for
which she interviewed was in the intensive care nursery but that
position was taken off the posting as part of a cost containment
measure; and that her last contact with Sandusky was when she
told Sandusky that aforementioned position was taken off posting
in the beginning of November 1994. On cross-examination Riley
testified that, regarding the lactation specialist position, she told
Sandusky, in response to her question, that Audubon could create
positions like that at the hospital and it had been approved; that
when the hospital eliminated the 13 nurse positions it created 8
directors positions and one clinical coordinator position for each of
the approximately 20 units that had a charge nurse on the first shift;
that 6 of the 15 to 20 nurse managers terminated their employment
at Audubon at the time; that about 2 months before the termina-
tions the plan was explained to the nurse managers and they were
told of their options, including staff nurse if they did not want to
pursue a director or clinical coordinator position; that one of the
nurse managers who had 26 years of service received 6 months
severance and the next senior who had 10 years received 8 or 10
weeks severance; that none of the nurse managers received a ter-
mination notice until they had decided whether to exercise their
options; that she never told an employee that they were not allowed
to discuss their grievance with others outside management; that
when an employee other than the grievant expresses an opinion in
writing to the administrator about the grievance, it is her personal
policy to assure the grievant that no one in the human relations
office breached the confidentiality of the grievance procedure; that
the hospital accreditation manager had been with the hospital for 2
years when the position was eliminated, the quality assurance co-
ordinator had been with the hospital for a couple of years when that
position was eliminated, and neither one administered direct patient
care and neither was an RN; that the census normally goes up and
down and it is sometimes related to the season of the year; that the
elimination of the position of lactation specialist was due to low
census and the fact that the position was noncritical and nonessen-
tial; that the administrative team consists of the CEO and those in
management on the vice president level; and that she did not in-
form Sandusky in April 1995 when the intensive care nursing posi-
tion was reopened. On redirect Riley testified that Sandusky never
contacted her regarding the reposting of the intensive care nursery
position; and that when it was earlier eliminated from posting sev-
eral other positions were also eliminated from posting.
In late August, Pugh attended a meeting in the human resources
department with Riley, Donna Hilbert, who is the assistant director
of human resources, and Johnson, who is the associate director of
human resources. Pugh testified that either Riley or Johnson said
that there would be an “objection” over the termination of Joann
Sandusky; that he then asked why she was not at least allowed to
apply for another position “just like everyone else is allowed to
do”; that the others present did not respond to his question; and that
in prior meetings with Riley she indicated that Sandusky was part
lated my rights and those of all employees under Section 7 of
the National Labor Relations Act.
61 Riley pointed out that the quality assurance coordinator did not re-
ceive recall rights.
of the Union and a chronic complainer and she always whined.
Pugh testified that he voluntarily left Audubon after nursing man-
agement was reorganized, he was removed from the incentive
compensation list, the amount of work he was assigned increased in
quantity but decreased in importance, and he was spoken to regard-
ing taking his daughter to an emergency doctor’s appointment,
which is covered under Audubon’s dependent care benefit, while
other people in his department went to “Cainland” on company
time. Pugh was denied a requested severance package. He then
filed an Equal Employment Opportunity Commission (EEOC)
complaint.
On September 1 Sandusky applied for a staff nurse position in
the intensive care nursery at Audubon. Wempe and Charlotte Frie-
berger, the clinical coordinator in the intensive care nursery, subse-
quently interviewed her. Sandusky never heard anything further
about the position. Wempe testified that she interviewed Sandusky
for this position; that she did not fill the position at the time because
the census had declined from an average daily census of 14 to 8 in
the intensive care nursery; and that several positions in the inten-
sive care nursery were removed at that time from the posting. On
cross-examination Wempe testified that the average daily census
for the month of September 1994 in the intensive care nursery was
12, it was 12 in August and the average for all of 1994 was 12 to
14; and that the average daily census for this unit was 8 in Novem-
ber, 10 in December, 16 in January 1995, 12 to 14 in February
1995, 12 to 14 in March 1995, and about 12 to 14 in April 1995.
By letter dated September 7 (GC Exh. 303), Sandusky advised
Joann Anderson, the vice president for patient care, that she was
appealing her grievance to the second step “as is . . . [her] right
under the hospital’s grievance policy.”
By letter dated October 6 (GC Exh. 304), Anderson, who re-
ferred to her meeting with Sandusky on September 28, advised
Sandusky to continue her discussions with Wempe concerning a
staff RN position. Anderson ended the letter with “I can tell you are
going through a rough time right now, But I feel you will succeed
in the end.”
By letter dated October 13 (GC Exh. 305), Suburban Medical
Center, which is also owned by Columbia HCA, advised Sandusky,
with respect to her application for a part-time Special Care Nursery
RN position, that “[a]lthough your qualifications and experience
are commendable we have decided to pursue other candidates that
better suit our needs at this time.” Sandusky was never interviewed
for this position.
With respect to the Sandusky matter, Anderson testified that
Sandusky’s position was eliminated as a part of the cost contain-
ment, reduction in force measure and not because of her activity on
behalf of the NPO; that in the fall of 1993 the administration de-
cided that Audubon had to reduce its costs as much as it could with
as little impact on direct patient care givers as possible; that the
accreditation manager and the QA coordinator left the same day
they were told; that based on her investigation she determined that
Wempe and Johnson were not rude or demoralizing and that was
definitely not their intent; and that Sandusky was treated differently
in that she was placed on layoff status while no one else was and
she received more weeks of severance than what would normally
be given to someone in a nonmanagement position. On cross-
examination, Anderson testified that Sandusky’s performance was
not a factor in deciding to eliminate her position or how to treat her
once the position was eliminated; that in the redeployment of regis-
tered nurses in February 1995, those nurses who were effected
were told about what was happening to the jobs that they were in
and they were given a list of other jobs that they could bid on; that
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
402
while Sandusky indicated to Anderson that she, Sandusky, evalu-
ated two to three patients a day, the lactation consultant who was
available to be called in if needed has not been called in since San-
dusky’s position was eliminated; and that she did not know of
anyone else who was escorted by security.
In late 1994, according to the testimony of RN Patricia Clark, a
long-term disability benefit plan was made available to Audubon
employees to go into effect in January 1995. Prior to this the RNs
did not have long-term disability insurance available to them.
By letter dated December 1, 1994 (R. Exh. 16), the Acting Re-
gional Director for Region 9 of the Board advised the Union re-
garding Case 9–CA–32276 that there was insufficient evidence of
a violation and he declined to issue a complaint.
The General Counsel and Respondent stipulated that there was
no long-term disability plan effective until January 1995 as to
hourly employees. It was also stipulated that after the employees
were notified of the long-term disability plan in February 1994
there was no formal written communication with them about the
plan but in the summer to late fall 1994 the employees were noti-
fied that open enrollment was going to occur in the fall.
On February 6, 1995, Anna Long, who is a staff RN at Audu-
bon, was told by Charlie Mayer and her supervisor Carol Young
that her, Long’s, job was eliminated. Long testified that this con-
versation occurred in Young’s office; that she was told that as part
of the restructuring, positions were being eliminated; that accord-
ing to seniority she was one of the first they were speaking to and
she had 20 minutes to make a pick from the list and then they
would go to the next person in seniority and offer them a position;
and that the list consisted of jobs from University, Caretenders, and
she thought Suburban. On cross-examination Long testified that
she was a “big supporter” of the Union; and that her picture and her
statement in support of the Union appears in “FACES OF NPO”
(GC Exh. 13(A)). Riley testified that she was in charge of deciding
how the Long situation would be handled; and that Long and the
others effected in that situation were given the opportunity to select
one of the open positions in the hospital at the time, if there was a
like fit, before they were served with a termination notice. On redi-
rect Riley testified that Long was an open union supporter whose
picture appeared in “Faces” and on the above-described billboard.
In April 1995 the position for which Sandusky was interviewed
in the intensive care nursery, which position was temporarily re-
moved from posting, was filled. Respondent did not contact San-
dusky when it decided to fill the position. As noted above, Riley
testified that she did not inform Sandusky in April 1995 when the
intensive care nursing position was reopened. Wempe testified that
while Sandusky did not get this position there were several other
people who applied for the position when Sandusky applied and
they also did not receive the job. On cross-examination Wempe
testified that none of the other applicants for this position had 19
years of seniority with the hospital as did Sandusky; and that she
did not telephone Sandusky about the fact that this position was
reopened. Both Riley and Wempe testified that Sandusky did not
contact them when the job was reopened.
Respondent’s Exhibit 18 is titled “RNs on Staff” at Audubon
and it is dated “9/27/1995.” Riley conceded that the list was in
error in that it includes Sandusky when she should have been taken
out of the system when her layoff status period ended in mid-
March 1995; that contrary to the list, Sandusky was never a clinical
coordinator; and that there possibly could be other errors in this
document.
With respect to the duties of RNs, Joann Anderson, who has
been vice president of patient care at Audubon since January 1994,
testified that in January 1994 there were about 650 RNs at Audu-
bon; that RNs are responsible for overseeing the care that is being
delivered to the patient population that they are working with; that
RNs are responsible for assessing, developing a plan of care for the
patients that they are caring for, and assuring that plan of care is
carried out on a regular basis; that depending on the volume of
patients there can be an exchange of staff on a day-to-day or shift-
to-shift basis; that there is a legal requirement that an RN oversees
the care being delivered to the patients; that the State requires that
an RN be the one directing and supervising the care being delivered
to patients; that the patient care delivery model at Audubon is pri-
marily an RN-driven model; that when Audubon had nurse manag-
ers they were responsible for individual nursing units with respect
to issues relating to fiscal responsibility, program development,
personnel management, budget, equipment, and tracking and trend-
ing of occurrence reports; that nurse managers rarely engaged in
direct patient care; that since March 1994 the changes in the func-
tion of the clinical coordinator include being utilized across the
facility, their role has been expanded so that on most units they
have 24-hour responsibility as well as shift responsibility for the
day shift, they perform some clinical care, they are involved in
equipment and supply issues, they are learning the financial side of
the business and they are involved in disciplinary actions, perform-
ance evaluations and scheduling; that some RNs perform their
duties without the assistance of anyone, namely those who work in
the clinical research department, the heart institute, the quality
management department, case managers, discharge planners, the
education department and the endoscopy department; that specified
individuals on Respondent’s list of RNs (GC Exh. 2) would not be
assisted in their duties by any other licensed or nonlicensed person-
nel; that Respondent’s Exhibits 46 through 50 are the job descrip-
tions in January 1994 for the different categories within the nursing
department;62 that these job descriptions are still in effect; that RNs
are responsible for assessing the condition of a patient in determin-
ing and updating a patient care plan; that in a medical emergency
situation if a physician is not on hand, the RN is the one responsible
for handling the situation and the RN could direct lesser skilled
employees: that RNs have the authority to make a determination
based on patient needs and established staffing guidelines on how
many care givers are needed in a unit; that the charge nurse makes
patient assignments at the beginning of the shift or on the previous
shift or in the absence of a charge nurse the RN can make patient
assignments; that the charge nurse generally at the beginning of the
shift assigns breaks but the RN can, if the need arises, make
62 Respectively they include registered nurse, licensed practical
nurse, patient care attendant, clinical nurse specialist/nurse supervisor,
and designated charge nurse. All but the clinical nurse specialist has
“JOB DESCRIPTION–NON MANAGEMENT” at the top of the first
page. The clinical nurse specialist has “JOB DESCRIPTION–
MANAGEMENT” at the top of the first page. The identification por-
tion of the first page of the job description for the RNs specifies, in part,
as follows:
Supervised by
Nurse Manager
Supervises directly:
LPN’s, PCA’s, UC’s, Techs, ESA’s
Supervises indirectly:
Student Nurses
And under “ESSENTIAL DUTIES” on the first page of this job de-
scription it is specified “2. Supervises new graduates, LPN’s and nonli-
censed nursing staff.” Anderson testified that the expectation of an RN
supervising the category of employees described above relates specifi-
cally to the patient population that they are dealing with; and that there
may be tasks that are delegated to other licensed personnel or unli-
censed personnel, according to what the patient needs are, what was
determined by the RN in the assessment.
AUDUBON REGIONAL MEDICAL CENTER
403
changes within that schedule of break times; that the formal evalua-
tion process of LPNs and PCAs is generally performed by the
clinical coordinators or the charge nurse but the RN can have input
in the process; that with respect to occurrences, the RNs could do
the verbal counseling but they could not assign points; and that
responsibilities of the RNs and the designated charge nurses differ
in that the latter is responsible for doing the patient assignments on
a daily basis, they do some tracking and trending of attendance
records, they have additional Joint Commission requirements, they
maintain processes and systems that cover the entire functioning
within a given shift on a given unit, they problem solve, they work
with physicians in terms of additional orders, they engage in direct
patient care, they are involved in the formal disciplinary process in
terms of developing work plans. On cross-examination Anderson
testified that staffing guidelines for a particular unit are recom-
mended by the directors of those areas, approved by her and dis-
tributed to the unit on a quarterly basis; that employees who are not
needed on a particular day (budgeted out) are chosen on a rota-
tional basis by their classification; that an RN would not need ap-
proval from the housing supervisor to keep an RN even though the
guidelines call for an LPN; that the individual units decide whether
they are overstaffed or understaffed but the housing supervisor is
the central repository for this information and if there is a greater
need than availability the housing supervisor decides which unit
has the greatest need and the available person would be placed in
that unit; that an RN can send someone home without first contact-
ing the housing supervisor or the central office; that RNs receive
computer generated physicians’ orders for the patients and this is
used for medical care; that an RN cannot refuse to allow another
RN or a LPN or PCA to take a scheduled break but the RN can
delay the time of the break; that staff RNs do not have access to
personnel files of other RNs, or LPNs or PCAs because
“[p]ersonnel files are confidential, and are held at a level that we
would not release them to just anybody”; that while the staff RN
cannot decide how many disciplinary points are warranted in an
given situation, the staff RN can make a recommendation which is
taken into consideration at all levels of the disciplinary process;
that an RN can suspend another nurse of PCA and while the RN
has to inform management the RN does not need the prior approval
of the house supervisor or a clinical coordinator; that there are
guidelines with respect to what conduct warrants immediate sus-
pension and if the conduct did not fall within the parameters of the
guidelines Anderson did not believe that the RN could send an-
other RN or employee home; that while it is not required that each
unit have a RN for each shift, there has to be an RN in the hospital
for each shift and that RN could be a clinical coordinator or a nurse
manager; that staff nurses fill in for designated charge nurses when
the latter are off; that on the day shift the clinical coordinators
make the patient assignments on days that they are doing clinical
care, which is about 80 percent of the time; that in the evening and
night shifts there are designated charge nurses and house supervi-
sors; that the house supervisors, all of whom have RN degrees, are
in lieu of administration; that if someone on the unit has to go
home for the shift that determination would be made by the desig-
nated charge nurse or the clinical coordinator during the day shift;
that the house supervisor is the one who knows which units are
short and which units have an excess of nurses; and that the medi-
cal orders are put in a standardized form and there is also a nursing
care plan which represents the RN’s determination of what actions
need to be taken to provide nursing care.
Stephanie Ohlemacher, who is a RN at Audubon, testified that
she works in surgery; that she has no authority to discipline em-
ployees; that she does not hire or fire; that she has drafted an occur-
rence or a problem sheet regarding other people on her unit who
she believed put a patient in a dangerous condition more than once
and she gave the sheet to her supervisor; that she has no idea what
happened to the involved employee but the employee still works at
Audubon; that you do not have to be an RN to fill out these sheets;
that for about 2 years up to about 2 weeks before she testified on
December 5, 1995, she did the scheduling for the employees in her
unit; that she did the 6-week schedule and she does not do the daily
scheduling; that days for vacation are requested on a first-come-
first-serve basis and most of the time all of them are granted; that
the secretary, who is not an RN, of her prior supervisor was doing
the scheduling when she, Ohlemacher, testified; that the guideline
is that the scheduler is supposed to be as fair as possible; and that
the scheduler before the scheduler she took over from was a super-
visor.
Cook testified that nurse managers have the authority to assign
mandatory overtime and charge nurses can assign overtime in col-
laboration with the nursing supervisor.
Patricia Clark testified that she has worked the last 18 years for
Audubon and its predecessor, St. Joseph’s; that she was a desig-
nated charge nurse from 1986 to 1990; that as charge nurse she did
not decide the duties of patient care attendants (PCAs) since they
have a job description; that LPNs do almost everything that an RN
does, except start blood, do any push I.V. drugs, vein medications,
and I.V. bags, initial assessments on patients and care plans; that
General Counsel’s Exhibit 453 is a current assignment sheet of the
type she used when she was a charge nurse; that she usually ob-
tained a census and made out the assignment sheet according to
room numbers, dividing the assignments up according to how
many nurses were there, including herself; that as charge nurse she
had no say in staffing patterns; that on the assignment sheet she
filled out when people took breaks but usually she asked the em-
ployees if they had a preference and if possible she let the employ-
ees work their break times out among themselves; that she did not
have to instruct the PCAs to take vital signs at the beginning of the
shift or to pass trays later; that the only time that she knew about
when a PCA had to delay taking a break was when there was an
emergency; that as a charge nurse she never filled out an evaluation
of another employee; that as a staff nurse she never received an
evaluation from a charge nurse; that staff nurses were evaluated by
nurse managers and later by clinical coordinators; that as a charge
nurse she might have been asked if there was a specific problem
with a particular nurse but she had never been asked what rating an
employee should get on their evaluation; that as charge nurse she
was never told that she had the authority to discipline an employee
and she never disciplined an employee; that when she was desig-
nated charge nurse she had a problem with an employee and she
told the nurse manager who asked her to write down what hap-
pened; that in that instance she wrote out just what happened and
did not make nor was she asked for any recommendation as to
what should be done; that as a staff nurse she has never given any
sort of discipline and she has never received any discipline from
another staff nurse; that neither staff nurses nor charge nurses have
access to the written/verbal forms; that in 1994 when designated
charge nurses were not working a staff nurse would work as charge
nurse; that there is a patient plan of care which is inputed into the
computer by the unit secretary from doctor’s orders and a nursing
care plan which is different than the former; and that the nursing
care plan is a nursing diagnosis which is also inputed into the com-
puter. On cross-examination Clark testified that she was president
of NPO; that under the Kentucky Board of Nursing laws licensed
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
404
practical nurses (LPNs) care for the ill, injured, or infirm under the
direct supervision of a registered nurse; that by law a part of her
registered nursing practice includes the supervision and delegation
to other personnel in the performance of nursing care; that in mak-
ing assignments as a charge nurse she did take into account the
acuity of a particular patient; that the RN has to work up the initial
nursing care plan based on the RN’s diagnosis and update it daily;
that an RN could ask a PCA to take vital signs more frequently
then at the beginning of the shift or check on the input and output
more often; that as charge nurse she has asked for more staff based
on the acuity of the patients on her unit and once or twice she re-
ceived the additional help; that a charge nurse does not decide
whether nurses take budget days; and that after the initial assess-
ment LPNs can assess the patient. On redirect Clark testified that if
she enters in the nursing care plan that a patient’s vital signs should
be taken every 4 hours she does not indicate who should do it; that
she did not have the authority to discipline RNs or LPNs while she
was a charge nurse and now when she is on staff; that staffing
patterns are posted on each floor; that the staffing pattern indicates
how many RNs, LPNs and PCAs there should be in a unit based on
the census or number of patients; that there is no mention of patient
acuity on the census staffing pattern; and that the normal practice
of staffing is to do it according to the staffing patterns. And on
recross Clark testified that the staffing pattern is a skill mix pattern
that is supposed to be followed but it cannot always be followed
because of the scheduling.
Anderson testified that the decision to implement patient fo-
cused care at Audubon was made on August 23, 1995, and it re-
layed to Audubon by Jim Pickle, who was, at the time, the presi-
dent of the Kentucky division.
By memorandum dated September 1, 1995, Ronald J. Vigus,
president and chief executive officer of Audubon, notified Audu-
bon’s employees of the “re-engineering” to patient focused care.
By memorandum dated September 21, 1995, the task force ad-
vised the Audubon employees about the progress of the “reengi-
neering” effort. Attached to the memorandum is a four- page article
on “Converting a Unit to Patient-Focused Care.”
By memorandum dated November 30, 1995 (GC Exh. 457),
Vigus advised Audubon employees about work redesign. In the
memorandum Vigus indicated that “[t]his will allow us to care for
our patients better than the incremental reductions that have oc-
curred in the past.” Anderson testified that the change to patient
focused care was a dramatic change. The memorandum indicates
that department managers have copies of the draft job descriptions
and draft staffing guidelines and it gives a reengineering time line
which, among other things, calls for leadership positions to be
selected by December 13, 1995. Anderson testified that the job title
staff nurse was not to continue after the reengineering but the clini-
cal associate RN would have been probably equivalent to the staff
nurse position; that the patient care leader position was an ex-
panded role for what used to be the charge nurse position since the
new role called for them to assume more explicit responsibilities
for direction and supervision and management of not only the staff
on the unit but the care of the patients on the unit; that the reengi-
neering anticipated the reduction of the number of employees in
the EKG, respiratory therapy and phlebotomy (blood drawing)
departments (laboratory for phlebotomy) since employees in the
patient care units, RNs or LPNs or PSAs, would provide some of
these services; that before the reengineering routine EKGs and
routine respiratory therapy was done on the floor where the patient
was located; that it was projected that in the “long-run” there
would be a reduction in the number of RNs required to care for the
same number of patients; that that might have been a byproduct of
the patient focused care but it was not a goal; that she did not know
how many individuals had their hours reduced after the reengineer-
ing; that the reengineering process was not just a nursing depart-
ment change, it was a facility-wide change effecting every job in
the hospital; that the other Columbia HCA facilities in the Louis-
ville area, Southwest, Suburban, and the University of Louisville
Hospital (until it was no longer part of the Columbia system), were
part of the reengineering network project; that the first goal of the
reengineering was to improve the quality of care being delivered,
the second goal was to improve Audubon’s efficiency, and the third
goal was to improve the financial status of the hospital; that other
Columbia hospitals which had also undergone the reengineering
process included some located in Dallas, Texas, and in other areas
of Kentucky; that the Louisville hospitals were picked by Pickle to
spearhead the patient-focused care approach because the largest
facilities in the Kentucky division were located in Louisville; that
before reengineering (a) most EKGs were done at the patient’s
bedside, (b) phlebotomy was done at the patient’s bedside, and (c)
routine respiratory therapy treatments were done at the patient’s
bedside; that, therefore, reengineering did not affect any change in
the location of where those aspects of care were delivered and at
the time she testified, June 6, 1996, the location had not changed
but with full implementation there would be changes; and that she
could not testify that more care was being provided at the patient’s
bedside than before reengineering but when the plan was fully
implemented, which had not occurred yet when she testified in
June 1996, assessments and the admission process would occur at
the bedside.
A number of staffing pattern sheets which, collectively, cover
the period before and after the commencement of the involved
“reengineering” were received pursuant to stipulations of the Gen-
eral Counsel and the Respondent (GC Exhs. 458–512, except GC
Exhs. 459 and 462). Anderson testified that during that portion of
the reengineering for which she was present,63 she was told that
there was a staffing problem in the skilled nursing unit and she was
aware that the physicians were concerned with the reengineering
process in that they believed that it was going faster then they
wanted and they questioned what it was going to do with respect to
the quality of care for the patients; that RNs faced with the prospect
of losing their jobs could not bump other nurses with less seniority
on other shifts or in other units because the reengineering was done
unit by unit and shift by shift; that there were fewer RNs working at
Audubon in March 1996 then there were in September 1995; and
that prior to the reengineering it was brought to her attention by
nurse managers that there was insufficient staff on a unit and physi-
cians brought up staffing levels.
Rebecca Picklesimer testified that within a week of seeing the
above-described November 30, 1995 memorandum, she saw a
proposed staffing pattern for 6 East (GC Exh. 530), in the confer-
ence room on 6 East; that the new staffing pattern had less RNs to
take care of the patients in her unit; and that she resigned from
Audubon and she told management that it was because they were
not staffing according to the staffing pattern in that there were
fewer nurses on the floor than were called for in the staffing pat-
tern. On cross-examination Picklesimer testified that she did not
know who wrote the proposed staffing pattern; that the staffing
pattern was not formally posted but rather was floating around the
63 Anderson left Audubon on March 4, 1996, and became adminis-
trator of Care Tenders of Louisville, which is a home health agency
owned by Columbia HCA.
AUDUBON REGIONAL MEDICAL CENTER
405
unit; that she never discussed this proposed staffing pattern with
her clinical coordinator or nursing director; and that staffing pat-
terns were not met at Audubon at times during 1994 and through-
out 1995.
Irvin Kaiser testified that he is an RN patient care leader on
Audubon’s diabetic unit; that he saw General Counsel’s Exhibit
558 posted on the bulletin board in his unit before the reengineer-
ing went into effect toward the end of February;64 and that memos
(“memdocs”) from management are posted on the same bulletin
board. On cross-examination Kaiser testified that he did not know
whether a member of management prepared this document.
Stacy Myers Doyon testified that since April 1995 she worked
in Audubon’s labor and delivery department; that General Coun-
sel’s Exhibit 563 is a draft of a staffing pattern they received on the
unit to look at prior to implementation; that she and her coworkers
initialed the document; that the practice in this unit is to initial
those documents in the communication manual which come from
their clinical coordinator or their director to show that they saw the
document; that she was relatively sure that this document was in
the communication manual since it is initialled; and that she
thought that she remembered seeing it posted on the unit next to the
staffing pattern they were using at the time. On cross-examination
Doyon testified that she did not recall the date that the document
may have been in either the communication manual or taped to the
bulletin board.
Patricia Clark testified that she saw a draft of a proposed staffing
pattern in her area, 3 East, posted in the conference room (GC Exh.
459) in late November 1995; that the document indicated that there
would only be one RN on each shift on 3 East and the rest of the
care associates would be LPNs; that at the time she saw this staff-
ing pattern the patient care leaders had not yet been chosen; that
this proposed staffing pattern represented a big cut in the number
of RNs; that later she saw a .5 patient care leader added to the staff-
ing pattern; that the reengineering took effect in her unit on January
22, 1996, with the clinical associate RN having more responsibility
in that this individual now did all the respiratory treatments, some
phlebotomy, and oversaw all the new jobs that the PSAs have; that
under the reengineering the clinical associate RN is caring for more
patients than before; that she is patient care leader on days when
patient care leader Canary is not working in the unit; that at the
time she testified in June 5, 1996, the patient care leader position
was basically the same as the charge nurse position before the
reengineering; that, with respect to Anderson’s testimony at the
hearing about case management, the patient care leader on 3 East
does not do any case management and this function is performed
by discharge planners; that from the time in December 1995 when
Audubon started putting out the drafts of the staffing patterns the
turnover in her unit was “tremendous”; that in her unit Jewell Jack-
son, Pat Floyd, Jane Robertson, Valarie Miles, Selma Oliver,
Glenda Phillips, Karen Thurman, and Sherry Young left when the
draft staffing patterns first came out; that she did not recall any
time when that many RNs left her unit; that six of seven new regis-
tered nurses have been hired on her floor; that before the restructur-
ing she was never required or mandated to work extra shifts but
rather the RNs would volunteer if there was a need; that after the
restructuring the staffing was so small that Audubon started man-
dating people and when one went to work in the morning one did
not know whether they would be working 8, 12, or 16 hours be-
cause they could be mandated to stay; and that this could occur two
or three times a week.
64 The one-page document is a staffing pattern.
Mary Elizabeth Bryan, who is a patient care leader on 4 East at
Audubon, testified that she saw a proposed staffing pattern on 4
East (GC Exh. 572).65 On cross-examination Bryan testified that
she believed that the document was posted on the clinical coordina-
tor’s door or in that area some time in mid-December 1995.
Melinda Bagby, who is a staff nurse in coronary care at Audu-
bon, testified that she saw the proposed staffing pattern received as
General Counsel’s Exhibit 574 in the coronary care unit at the
nurses station in late November early December 1995; and that this
proposed staffing pattern was handed to her and by Laura Wood.66
In its March 20, 1996 position statement to the Board (GC Exh.
575), counsel for Respondent indicates at page three as follows:
The reorganization, therefore, has resulted in staffing patterns
requiring 68 fewer FTEs. A 1.0 FTE is the equivalent of an
RN working 40 hours per week. As many RNs work less than
a 1.0 FTE, more than 68 RNs have been affected by the reor-
ganization. In fact, a total of 152 RNs have experienced a re-
duction in FTE status. The vast majority of these RNs have
experienced a variance from their previous FTE status of less
than .5.
And on page 5 of the position statement counsel for Respondent
indicates as follows:
As noted, 152 RNs experienced a reduction in their FTE
status as a result of the reorganization. Most of these RNs ex-
perienced between a .1 and .5 reduction in FTE status. The to-
tal impact of the reorganization was that 68 FTEs were elimi-
nated.
Audubon’s assistant director of human resources, Robert Net-
tles, testified that when he looked (compared) at the time period
near the beginning of the reengineering and September to Decem-
ber 1995, he concluded that there appeared to be no significant
change in the attrition rate for RNs; that Audubon’s computer sys-
tem could give the attrition of RNs for January, February, and
March 1996; that the reengineering was implemented in most of
the units in January 1996, and in others in February 1996; that he
used an average number of 635 RNs to calculate the attrition rate;
that he did not analyze the attrition rate among RNs at Audubon for
the first quarter of 1996; that the more vacancies that Audubon had
the more there would be a need to recruit for that category; that he
was not aware of any special recruitment incentives such as bo-
nuses offered at Audubon for RNs since he began working there in
September 1995 and he would know about most of them if they
occurred; that General Counsel’s Exhibit 51467 indicates that be-
ginning April 1, 1996, there was an employee referral bonus pro-
gram policy and procedure whereby the Audubon employee could
get up to one thousand dollars for referring qualified candidates
who are hired by Audubon into a number of job categories, the first
listed being RNs; that he was aware of this program and he was not
aware of a similar program since he first started working at Audu-
bon; that he was aware that employees were being required to work
extra shifts during the reengineering period; that General Counsel’s
Exhibit 514 indicates that on Sunday, March 17, 1996, ads for RNs
65 Bryan testified that there was no handwriting on the copy she saw.
66 The above-described August 11, 1995, consolidated complaint al-
leges that Laura Wood is the assistant director of nursing at Audubon.
The General Counsel and the Respondent stipulated that GC Exh. 573,
a proposed staffing pattern, has Laura Wood’s handwriting on it.
67 The memorandum indicates that it is an update on the concerns
and suggestions discussed at a meeting held on March 12, 1996, of the
patient care committee.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
406
and respiratory therapists appeared in the local and national news-
papers; that such ads may have been placed on more than just
March 17, 1996; that under “EMPLOYEE RETENTION” on Gen-
eral Counsel’s Exhibit 514 the following appears: “[e]mployees are
being returned to their full time equivalent status based in staffing
needs. This allowed benefits to be prorated to the appropriate
FTE”; that other hospitals in the Louisville area advertise for RNs;
that he did not think that there had been a reduction of the number
of RNs at Audubon since he came to the hospital but there had
been a reduction of the FTEs; that in an affidavit (GC Exh. 513), he
indicated that as of April 1996 there was a reduction in the number
of RNs by 62 lowering the number of RNs from 652 to 590, in-
cluding pool employees but apparently not including clinical coor-
dinators; that Audubon receives a monthly payroll report from a
data center in Nashville, TN which gives the name of the em-
ployee, the department, job title, FTEs, social security numbers,
etc.; and that he used this monthly report to arrive at the 590 RNs
listed on General Counsel’s Exhibit 513.
On February 16, 1996, Terry Hundley, who had worked as a RN
at Audubon from October 1984, resigned her staff nurse position in
pediatrics at Audubon. Hundley testified that during her tenure at
Audubon she had worked as a charge nurse for over 5 years; that
she held this position immediately before the above-described
reengineering; that she was involved in the NPO before the first
election in 1989 and she was involved with the NPO during the
campaign before the 1994 election; that during the most recent
campaign she wore union buttons, talked to other RNs in pediatrics
about the Union, signed a union authorization card, and testified
earlier about signing the card; that on September 15, 1995, she
filled out a disclaimer form, which form was composed by NPO,
and which form is used to document when a nurse believes that
they are working in unsafe conditions, when there is a shortstaff
situation or a hazardous problem (GC Exh. 515);68 that on Septem-
ber 15 there were 22 patients in her unit and there were only two
nurses, she and Paula Case, with no aides, no unit coordinators, no
other staff; that the staffing pattern for 22 patients called for 3.5
RNs,69 one LPN, and two and one half PCAs; that she informed
her supervisor, Rochelle Turner, of the situation and Turner indi-
cated that she had no one to send and she, Hundley, was on her
own to get staffed; that when she was unable to get someone she
telephoned Darrin Ford, the clinical coordinator, at home and ad-
vised him of the situation; that she spoke to the nurse who was in
charge when she, Hundley, arrived on the unit and that nurse, An-
gela Sartain, signed the form; that when the other nurse who was
going to work with her on the unit arrived she, Hundley, explained
that she had filled out the form and the other nurse, Case signed it;
that when the pediatric director came on the unit she told her,
Donna Cook, about the situation and the fact that she, Hundley,
was filling out the disclaimer because it was unsafe; that Cook tried
to get help and when she could not she telephoned Ford and told
him that he needed to come into work; that she discussed the dis-
claimer form with Ford when he came in and he wanted to know
why she had filled it out; that she showed the form to Ford and he
asked for it, indicating that it did not reflect that he had come in to
the hospital during her shift; that she did not give Ford the form;
that she had complained about staffing almost every time she was
in charge, every time there was a shortage; that once before when
68 The form is titled “FORMAL OBJECTION AND DISCLAIMER
OF
LIABILITY
FROM
COMPELLED
ASSIGNMENT”
and
“DISCLAIMER FORM.”
69 The one-half being an RN for one-half of the shift.
she complained about being shortstaffed she was disciplined for
“venting” to her nursing supervisor, Shirley Turner, in front of the
house doctor for pediatrics and another nurse (GC Exh. 516); that
in her annual evaluation for the period ending November 4, 1995,
she was given an overall performance score of 2.48 out of a possi-
ble 5; that during her discussion of this evaluation with Ford he
indicated that she complained too much about staffing; that this
was the lowest evaluation she ever received in her working ca-
reer;70 that when the reengineering was implemented on the pediat-
ric floor there were two patient care leader (PCL) positions avail-
able; that Case, who at the time had been an RN for about 18
months, and on the pediatric unit for about 1 year and 6 months,
received the PCL position which Hundley believed she should have
received; that she interviewed with Cook for this position, with
Cook asking her whether she could support the restructuring and if
she could get along with Ford; that when she did not get the PCL
position she spoke with Cook who indicated that she, Hundley, did
not get the position because of the disciplines in her file,71 because
she did not get along with management, because she was not flexi-
ble with her schedule, and because she was not supportive of the
restructuring; that she and Case resigned on the same day in Febru-
ary 1996;72 that during her exit interview she asked Ford if she
could work as a pool employee; that subsequently she told Ford
that she was advised that she did not have to have an exit interview
if she was going to remain on the pool staff and Ford told her that
Cook wanted to see her; that subsequently she met with Cook and
Ford, and Cook told her that she was not eligible to remain in pool
status because of her time and attendance73 and they needed people
that were supportive of the restructuring and because she did not
get along well with management;74 that subsequently she spoke
with Donna Hilbert in human resources and was advised that she
should not have had two of the points because they involved over-
night hospital stays, namely, consecutive days off for surgery and a
second surgery for which she had to take a leave of absence; that
subsequently she spoke with Cook who indicated that she would
have Ford check it out; that when she telephoned Cook later Cook
said that she, Hundley, was still ineligible for the pool because they
needed people who (1) were flexible with scheduling, (2) got along
with management and it was a known fact that she did not like
Ford, and (3) were supportive of the restructuring; and that she was
not aware of anyone else who was asked to have an exit interview
before becoming a pool status RN. On cross-examination Hundley
testified that she did not remember ever talking to nurses in her unit
about NPO after the election in front of a supervisor; that Cook
knew about her union activity because she, Hundley, testified in
70 Her 1991 through 1994 annual evaluations were received as GC
Exhs. 518 through 521, respectively. They show overall evaluation
scores, respectively, of 3.41, 3.9, 3.9, and 3.7.
71 In addition to the discipline described above, Hundley received
and unexcused absence when one of her horses was injured and she had
to stay with it until the veterinarian arrived.
72 Hundley’s letter of resignation was received as GC Exh. 522, and
her personnel action request was received as GC Exh. 523.
73 Cook told Hundley that she had 7.5 points and at 8 points she
would receive a written reprimand. Hundley testified that she told Cook
that Kim Cottingham had more attendance marks than she, Hundley,
did; and that according to Respondent’s policy (GC Exh. 524), over-
night hospital stays and leaves of absence are not considered occur-
rences.
74 Her absence tracking record, a doctor’s note for the April 1995
surgery, and her personnel action request for the April-May 1995 medi-
cal leave of absence were received as GC Exhs. 525, 526, and 527,
respectively.
AUDUBON REGIONAL MEDICAL CENTER
407
December 1995; that with respect to the above-described dis-
claimer, she was afraid for her job because Ford had threatened to
fire her on the spot in the past for comments that she made and
when she could not come into work when he called her at home
and told her to report to work although she was not scheduled; that
she reported Ford three times to human resources about calling her
at home, mandating her to change her schedule and threatening her
if she did not come in; that she did indicate in public that she did
not like Ford; that before she vented to Turner she had discussed
the shortstaff situation with the nurses with whom she worked; that
leaving Audubon was difficult because she loved working in pedi-
atrics and since she is self-supporting she needed more than .8
status and the temporary registry position which was to last for 3
months; that over her objection, Ford marked the box
“[d]issatisfied” on her PAR as her reason for leaving; that during
her conversations with Ford he slammed his fists on the desk,
“cussed” at her, talked about her children and harassed her; that in
1 year (January 1995 to 1996) 27 people left Ford’s unit and 25 of
those were nurses who had problems with Ford. Subsequently,
Hundley testified that the hospital did not provide employees with
the disclaimer form.
Nettles testified that he was not aware of anyone in pediatrics
who was denied pool status other than Hundley but he was aware
that Jackie Harper was not selected for a pool position by her su-
pervisor, Lynn Smith.
Case testified that she interviewed with Cook for the PCL posi-
tion and she told Cook that she, Case, was ready for a change and
she wanted some management experience; that she was the least
senior of the people who applied for the position; that Hundley
trained her on pediatrics; that she was not a nurse during the 1994
organizing campaign; that she received a written discipline on
October 24, 1995, for having accumulated 8.5 absenteeism and
tardiness points within the last 12 months (GC Exh. 529); that she
received this discipline before she interviewed with Cook for the
PCL position; that when she resigned she told Ford that she wanted
to continue to work in the pool and Ford said that Audubon does
not deny anyone who wants to work in the pool; that subsequently
Ford told her that she would have to speak to Cook about joining
the pool and she asked Ford to have Cook give her a call; that
Cook did not call and when she saw Ford later he said that she
would have to speak with Cook; that she signed the above-
described disclaimer since there was just Hundley and herself for
22 patients; and that most of the time Hundley was the one who
brought staffing concerns to management’s attention. On cross-
examination Case testified that she did not like working with Ford
and he was an unfair boss; that about 25 employees in Ford’s unit
left during his tenure; and that she did not engage in any union
activity. Subsequently she testified that she resigned the same day
as Hundley.
Gloria Gant testified that she was hired by Audubon in 1976;
that during her entire tenure with Audubon she worked on pediat-
rics; that she became involved with NPO in 1991; that she solicited
union authorization cards, she signed one herself, wore an NPO
button, and was on the billboard on Poplar Road with other mem-
bers of the NPO for approximately 2 years; that on August 17,
1995, she received a corrective counseling record alleging that she
engaged in “[r]ude/negative behavior towards patients & visitors”
(emphasis added) (GC Exh. 531);75 that on August 16, 1995, she
75 The form contains boxes for “minor (1.5 points), serious (2.0
points), major (3.0 points), [and] critical (6.0 points).” The “major” box
is checked off. The form also notes that “six points in any 12-month
went into a baby’s room to give the baby medication; that the baby
had a central line76 in and she had to turn the baby over on its back
to check that there was no redness or leaking around the catheter
site; that she explained to the parents of the baby that she had to
turn the baby over to check the dressing; that the father assisted her
in turning the baby over; that she checked the site and showed the
father where it was okay; that she then turned the baby back over
and gave the medication; that the baby did not cry or fuss and the
baby went back to sleep; that she then left the room and sometime
later during that shift she was told by Cottingham, who was the
charge nurse, that the parents of this baby did not want Gant to take
care of the baby anymore after the end of that shift because she
woke the baby up; that she went to the baby’s room with the charge
nurse and asked the parents why they were upset with her; that the
parents said that no one had ever wakened their baby up to give the
medication and she explained that she had to check the dressing
before giving the medication and she apologized for having to
wake the baby up; that the charge nurse had to report what occurred
to the clinical coordinator, Ford; that Ford asked her what occurred,
spoke with the involved parents and then told her that she should
not have gone back into the room and confronted the parents; and
that she had never received a written warning before relating to her
conduct.
Cottingham testified that the father of the infant told her that he
did not want Gant to take care of the baby anymore because when
Gant gave the baby medicine she woke the baby up after he had
been trying to get the baby to sleep all day long; that the father said
that no one had awakened the baby before; that the baby had to be
turned over to get to the central line because the site had to be
checked; that the baby woke up while being turned over; that she
told Gant of the complaint and they both went to the patient’s room
where Gant told the father that if she did “anything wrong . . . tak-
ing care of the baby . . . she sure didn’t mean to”; that the father
said that they wanted someone else to take care of the baby and she
and Gant left the room; that she observed the conversation between
Gant and the father and Gant was not rude toward the father but
rather was very professional; that she later informed Ford of the
incident; that subsequently when she heard that Gant was going to
be written up over the incident she tried to explain to Ford that she
did not “think anything happened to where you can write some-
body up over that . . . Gloria was very professional . . . and . . .
[Ford said] we don’t need to discuss this”; that no one else in man-
agement talked to her about this incident; that when she resigned in
December 1995 she told Cook that she was leaving because of the
stress on the floor and Cook asked her if one of the reasons she was
leaving was her points (She had 12 and 1/2 points for her atten-
dance and she had been told by Ford when she had 11 and 1/2
points that 12 points was the most you could get and over that she
would be terminated.) and if she would like to stay in the pool; that
she subsequently worked in the pool for a couple of days; that
when she spoke with Cook about working in the pool she had al-
ready received two attendance and tardy disciplines (GC Exhs. 555,
556), with the first dated June 15, 1995, and the second dated No-
vember 2, 1995; and that she received a third which is dated De-
cember 12, 1995, and which indicates a total of 13.5 points. On
cross-examination Cottingham testified that the baby’s father told
Gant that she could continue taking care of the baby for the rest of
period may result in termination.” Gant noted on the form that this was
the first time in almost 30 years of nursing that she was accused of
being rude to a patient or to a patient’s family.
76 It is a catheter that is placed in the subclavian vein to give long-
term I.V. medication.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
408
the day but he did not want her taking care of the baby for the rest
of the time that the baby was going to be there.
Regarding the complaint against Gant, Hundley testified that she
had contact with the family of the patient, a 6-month old; that the
father complained to her while she was charge nurse about LPN
Sandy Woods, indicating that he did not want her checking his
baby every hour; that the baby had a central line and Woods was
checking it every hour to make sure it was not leaking; that the
family complained about the way aide Chuck Bibelhauser took the
baby’s temperature, changed the baby’s diaper, and wore an ear-
ring in his ear, indicating that they did not want Bibelhauser in the
room; that the parents told her with respect to Lauraetta Hardin that
they hoped that she wouldn’t frighten the baby because the baby
had never seen a black person; and that she discussed the com-
plaints with one of the baby’s doctors and the doctor said that she
realized that they were difficult, and as soon as they had no one
else to take care of their baby, she would transfer them to Kosair.
On August 23, 1995, Gant was checking a patient’s I.V. site
with the mother in the room. The mother became faint and Gant
who was holding the baby also held on to the mother to keep her
from falling. As a result, Gant injured her wrist and shoulder and
had to be placed on transitional duty (GC Exh. 532). Gant testified
that she was still on transitional duty in pediatrics during the re-
structuring period;77 that on January 17, 1996, Cook told her that
since she, Gant, was on transitional duty she did not show up on
the pediatric staff and there was no position for her; that Cook
further stated that she would not offer registry until Gant came off
transitional duty and Gant could apply for any position throughout
the house if there was something available but there was no posi-
tion in pediatrics; that she asked Cook about her evaluation which
was due in July 1995 but which she had not received; that about 3
or 4 days later Ford called her at home and told her that he was
changing her shift, he had checked with employee health and they
said it was okay to put her on the 3 to 11 shift because they no
longer needed her on the day shift; that she told Ford that it would
be inconvenient for her to work the 3 to 11 shift; that she had dia-
betes and worked the first shift since 1984 except for a few times
when management put her on the 11 to 7 shift and she had prob-
lems with her diabetes; that management was aware of her diabe-
tes; that she started the 3 to 11 shift on January 22, 1996; that on
January 31, 1996, she met with Ford who gave her evaluation
which is dated July 18, 1995 (GC Exh. 533);78 that the 2.35 evalua-
tion she received was the lowest she had ever received;79 that Ford,
during this meeting mentioned her sick leave, the aforementioned
conduct discipline, and the fact that she was not able to perform her
duties due to her injury; that in the comment section of the evalua-
tion Ford referred to “employee conduct discipline on file”; that as
noted above that conduct discipline was issued in August 1995;
that she did not have any other conduct discipline and the evalua-
tion period, as noted above, was for a 1-year period ending July 18,
1995; that she filed a grievance on February 8, 1996, with respect
to her transfer to the second shift and with respect to the above-
described written warning (GC Exh. 540); that she met with Riley
77 She could not push or pull and there was a restriction on the
amount of weight she could lift.
78 The specified appraisal period is from July 18, 1994, to July 18,
1995.
79 The parties stipulated that out of a possible 5 on her prior evalua-
tions Gant received a 4 in 1989, a 3.7 in 1990, a 3.9 in 1991, a 4 in
1992, a 3.9 in 1993, and a 3.61 in 1994 (GC Exhs. 534 through 539,
respectively). Gant testified that the evaluations have an impact on her
longevity bonus.
concerning the grievance and she showed Riley the daily assign-
ment sheets from the pediatric floor which showed, contrary to
what Ford said, that there were day needs (GC Exh. 541);80 that
Ford generally composed the daily worksheets; that subsequently
she met with Nettles and Cook and later with Becky Kahl about her
grievance and she was put back on first shift after she had problems
with her diabetes, she had to seek medical attention and her doctors
wrote a letter stating that she had to be placed back on first shift in
order to control her diabetes; that in her March 19, 1996 response
to the grievance (GC Exh. 543), Cook, in treating the conduct dis-
cipline, refers to “a failure to follow the Charge Nurse’s Instruction
as well”; that this allegation had never been raised in her meetings
with Nettles and Cook; that the night of the incident Cottingham
never instructed her not to speak to the parents or not to go back
into the patient’s room and Cottingham accompanied her when she
went back to the patient’s room; that in her April 24, 1996 response
to the grievance, Kahl indicates in part “[a]fter much thought and
deliberation my decision is to uphold the disciplinary action dated
August 16, 1995. This action is based in the fact that you took issue
with the family inspite [sic] of the recommendation by the charge
nurse to not do so” (GC Exh. 544); that this was not raised in her
meeting with Kahl; that she met with the CEO of Audubon, Mi-
chael Louviere, and by memorandum dated June 3, 1996 (GC Exh.
545), he indicated that he was going to reduce the points on her
conduct discipline from 3 to 1.5; that Louviere, days before she
testified herein on June 6, 1996, told her that Riley agreed with the
decision to drop the points.81 On cross-examination Gant testified
that after the NPO election she continued to wear NPO buttons to
work and she continued soliciting union authorizing cards; that she
was aware that these same parents who complained about her had
complained about Woods checking the baby too frequently; that in
September 1995 another parent complained that when she asked
about when Gant was going to insert a feeding tube Gant allegedly
said “I’m busy right now . . . [and] you’ll have to wait till we get
around to you” (R. Exh. 69);82 that she worked for 4 weeks on the
second shift before going back the first shift; and that she suffered
insulin reaction on the second shift and she had a problem seeing at
night.
Nettles testified that Respondent’s transitional duty policy, in ef-
fect since June 1, 1995, is found in Respondent’s Exhibit 72;83 that
employees on transitional duty are assigned to department 949 for
80 The form lists four shifts, namely 11–7, 7–3, 3–11/3–7, and 7–11.
Gant also sponsored additional daily assignment sheets (GC Exh. 542).
81 The General Counsel introduced a number of disciplinary records
(GC Exhs. 546 through 554), which involve either minor or serious
offenses which collectively include incidents such as confronting a
family after a complaint was made, being rude, using profanity in a
public area, failing to check a patient’s armband with respect to blood
tests, and engaging in conduct detrimental to patient care. As noted
above, Gant was not charged with a minor or serious offense. Rather,
she was charged with a major offense. Also as noted above, a minor
offense calls for 1.5 points.
82 Gant denied the alleged offense in her response pointing out that
the attitude of this mother changed when, after asking Gant for a case of
prescribed costly formula apparently so that it would be covered by
medical insurance, she did not receive the formula from the hospital.
Gant’s response indicates that the alleged conversation never took
place. Gant was not disciplined regarding this matter.
83 The policy indicates that whenever possible, the employee will be
assigned to their home unit/department. Also some of the guidelines
include “[a]n employee is not to be counted as staff unless the job du-
ties they are performing meet a need of a particular unit or department”
and “[i]f an employee remains on Transitional Duty for six months, the
employee’s position may be posted.”
AUDUBON REGIONAL MEDICAL CENTER
409
payroll purposes so that Respondent can see how many employees
are on transitional duty at one time and the payroll dollars will
show up in one cost center (R. Exh. 73); that if the employee on
transitional duty is not able to meet the essential functions of their
preinjury occupation, they are not carried on the staffing pattern of
the particular unit in which they are working; that Gant was still on
transitional duty when he testified regarding this matter, June 6,
1996; that Gant was not carried on the staffing pattern of the pedi-
atrics department during the reengineering but during and after the
reengineering she was assigned to work in the pediatrics depart-
ment; that prior to the reengineering Gant worked on the first shift;
that there was no limitation in her file precluding her from working
on the evening shift; that in his discussions with the department
manager and the clinical coordinator he advised them that Gant
could be reassigned to the second shift; that after Gant worked on
the evening shift for about 2 to 3 weeks, she was reassigned to the
first shift pursuant to a decision he and Cook reached after it was
brought to their attention that Gant was having a difficult time
adjusting to the second shift because of her diabetic condition; that
before she was reassigned to the second shift she did not bring any
of these concerns to his attention; that Respondent’s Exhibit 74 is
Audubon’s attendance policy, Respondent’s Exhibit 75 is Audu-
bon’s employee conduct policy and Respondent’s Exhibit 76 is
Audubon’s policy regarding patients’ and families’ complaints;
that under Audubon’s employee conduct policy a minor offense is
assigned 1.5 points, a serious offense is assigned 2 points, a major
offense is assigned 3 points, and a critical offense is assigned 6
points, and after an employee has accumulated a total of 6 points
within a rolling 12-month period the individual will be disciplined
up to and including termination; that there are occasions when
complaints are made regarding the conduct of an employee and it
is determined that there is no wrongdoing; and that Respondent’s
Exhibit 77 is a list of the scores of a number of performance
evaluations in pediatrics department 640, he verified the accuracy
of the numbers and they represent the RNs who were in the de-
partment at the time that he testified in June 1996.84 On cross-
examination Nettles testified that Gant was limited in that she
could only lift or push or pull 11 to 25 pounds, her reaching using
the left arm was limited, she had limited use of the left arm when
using both hands, and with repetitive wrist movement her use of
her left wrist was limited to 15 minutes per hour; that at the time
reengineering began Gant had not been on transitional duty for 6
months and therefore her position could not have been posted; that
the transitional duty policy was in effect before and after the reen-
gineering; that during the reengineering Gant was still on transi-
tional duty and therefore she was not eligible for selection; that an
RN with more seniority than Gant was selected for the .8 FTE
clinical associate position on the day shift and Gant was not on the
seniority list; that Gant’s reassignment to the second shift had noth-
84 One of the counsel for the General Counsel pointed out that a re-
view of the underlying documents indicated that Respondent accurately
reflected the scores that the listed individuals received on the listed
evaluations but she believed that other specified individuals should
have been included in the list. Counsel for the Union echoed the above-
described opposition indicating that there were at least six RNs work-
ing on pediatrics at the time who were not included on the list and that
the document is limited in what it indicates. On cross-examination
counsel for the Union specified the individuals who she believed
should have been on the list. Nettles testified that the named individuals
whom he recognized were RNs who worked in pediatrics but “not all
those are on the list,” he pulled only those files of the employees who
are on the list and there was no particular reason why he picked the
names on the list and omitted the other individuals named.
ing to do with the particular tasks that were needed to be done on
the second shift as opposed to the first shift because the same work
is done on these two shifts; that Cook made the decision to utilize
Gant on the second shift; that points under the attendance policy are
considered separately from points under the conduct policy; that
the fact that the parents complained unreasonably about most of the
nurses who were taking care of their child did not “alleviate” Gant
with respect to how she reacted to the complaint about her conduct;
and that Cottingham told Gant not to take care of that patient any
day following the day of the incident. On redirect Nettles testified
that there was only one .8 FTE available on pediatrics and that
went to the most senior person who was not Gant; that even if Gant
had been in rotation she would not have been selected for that .8
FTE position; and that there is no transitional duty policy which
states that a person’s position cannot be eliminated while they are
on transitional duty. Subsequently Nettles testified that in her re-
sponse to Gant’s grievance Cook indicated that there was a failure
to follow the charge nurses instruction as well (GC Exh. 543); that
this language was discussed in his presence when he participated in
the grievance procedure; that the charge nurse’s instructions that
Gant did not follow was that she was going to be off the patient
care rotation and the charge nurse recommended to her not to go in
to the patient’s room after that point, that Gant should not go into
the patient’s room “after her rotation was over” which would be the
end of that shift; and that there was no recommendation that Gant
not go into the patient’s room during the remainder of the shift.
Ann Hurst was hired by Audubon in 1981 and she has worked
as a staff RN on the Med-Surg Telemetry floor on 5 West since that
time. Hurst testified that prior to the reengineering her FTE status
was 1.0; that she had been the relief charge whenever charge nurse
Shannon McMahan was off; that she has been active in the NPO
since they began organizing; that she solicited signatures on union
authorizing cards, her picture appeared in the NPO booklet and on
the billboard on Popular Road, which stayed up for over a year, she
wore union buttons to work, leafleted several times for the Union
outside the hospital and she testified earlier in this proceeding about
union authorization cards she had other employees sign; that other
RNs who worked on her shift on 5 West included Michele Cow-
den, who had 30 years with Audubon and St. Josephs, Judy Chap-
pell, who came to Audubon in 1987, Pat Furguson, who had 20 or
more years seniority, Lori Stewart who had been a RN for a couple
of years, Andy Reichle who came to Audubon in 1984 or 1985,
Terry Assucion, who had been at Audubon a couple of years, and
Susan Mattuissi, who had been there about 2 years; that for the
morning shift there were two patient care leader positions available
and two clinical associate RN positions which were awarded by
seniority; that the two RNs with the most seniority, Cowden and
Furguson, took the two clinical associate RN positions; that she and
all of the other RNs on her shift, 5 West day shift, applied for the
patient care leader positions; that she had the most seniority among
those applying; that in January 1996 she interviewed with McMa-
hon, who was the clinical coordinator at the time; that McMahon
told her that Karlene Pietranton, who became the director over 5
West, would make the decision; that Chappell and Stewart were
offered the patient care leader positions; that she was offered a .5
part-time patient care leader position which would mean that she
would have lost her vacation time, there would have been a change
in the cost of her insurance (apparently referring to medical) and
she would not have been able to live on her pay; that Mattuissi was
offered a job on another unit as a patient care leader, Assucion was
offered a patient care leader position on the afternoon shift, Reichle
was offered a patient care leader position on the night shift and
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
410
none of these RNs were reduced to part time .5 status; that when
she subsequently discussed this matter with McMahon she, Hurst,
was told that if she accepted she could work on the registry to
make up the difference until April 1, 1996; that when she subse-
quently discussed this matter with Pietranton she, Hurst, was told
that Stewart interviewed better than she, Hurst, did and Stewart
wanted the job very badly and she came across that way; that
Chappell was very vocal in indicating that she would not support
the NPO in any way; that Stewart was not a RN until after the
union election and she, Hurst, was not aware whether Stewart ex-
pressed her support or nonsupport of the Union; and that in April
1996 she had her 1.0 FTE returned when she accepted a clinical
associate RN position.85 On cross-examination Hurst testified that
she was told that seniority was not the main criterion in determin-
ing who would receive the patient care leader positions; that she
did not apply for any patient care leader positions other than the
day shift positions; that Reichle signed a union authorization card
and no one else, as here pertinent, wanted the night shift position;
that in 1994 her nurse manager, Colette O’Brien, said something to
her about her activities on behalf of the NPO; that before she be-
came clinical coordinator McMahon said something to her about
her activities on behalf of the NPO; that McMahon become clinical
coordinator in December 1995; that she did not want to work
nights and she did not apply for one of those positions; that she
filled in for patient care leaders about three times when they were
not on the floor and there was no difference between that position
on her floor and the charge nurse position; that about one week
after she took the .5 patient care leader position Pietranton told her
that she had worked it out with management and Hurst could have
a full time 1.0 position but she did not sign the papers indicating
that she had this clinical associate position until April 1, 1996; and
that she was able to keep the same hours that she was working
before the reengineering. On redirect Hurst testified that McMahon
told her that she was opposed to the Union, any union;86 and that
with respect to an issue raised by Respondent on cross-
examination, namely, whether anyone in management said any-
thing to her about her activities on behalf of the NPO, Hurst testi-
fied that Vandewater told her while she was wearing a union
(NPO) button that “he was very opposed to Unions and he would
do anything in his power to prevent them.”87
Particia Clark, who as indicated above, is an RN at Audubon
who started in 1977 and became president of NPO in October
1994, testified that she has been active in the NPO for some time;
that she helped write an article in the September 1994 NPO news-
letter about restructuring (GC Exh. 564), and she helped to distrib-
ute it by, among other things, leafletting at Audubon; that she
spoke at a candlelight ceremony in March 1995 in Jefferson Square
Park in Louisville which, according to the flyer promoting the
gathering, dealt with “Patient Care Crisis” and “Dangerous short
85 The General Counsel and Respondent stipulated that Hurst re-
ceived a 3.6 (out of 5) on her 1994–1995 annual evaluation (GC Exh.
559), and a 4.0 on her 1993–1994 evaluation (GC Exh. 560), where she
was described as Martha Hurst; and that Stewart received a 3.5 on her
1994–1995 evaluation (GC Exh. 561), and a 3.6 on her 1993–1994
evaluation (GC Exh. 562), where she was described as Loretta Viau.
86 One of the counsel for Respondent objected to this inquiry indicat-
ing that he did not pursue this line of questioning as to what McMahon
talked about when she was a rank-and-file employee. As noted above,
McMahon was charge nurse before she became clinical coordinator.
87 Hurst also testified that as they parted Vandewater shook her hand
“and he squeezed it a lot harder than I thought he should have”; and
that this occurred before the 1994 election.
staffing . . .”; that she believed that television channel 41 was at the
ceremony; that in March 1995 she was on a Louisville radio talk
show about restructuring at Audubon; that as of November 1995
she was an .8 FTE staff nurse on 3 East; that she asked Wempe
what the benefits would be for the proposed .5 patient care leader
and Wempe later told her that she would not be able to take sick
days since they would be put in a bank for if she ever became full
time again, vacation time would be cut, and the cost of her medical
insurance would increase “tremendously”; that she therefore
changed her self-nominating form to reflect that she was seeking a
1.0 patient care leader position (GC Exh. 566); that around Decem-
ber 21, 1995, Jacqui Falk, who is a clinical coordinator, and
Wempe together interviewed her for the patient care leader posi-
tion; that during the interview when they asked her if she supported
the hospital she asked them to explain what they meant; that she
told them she supported the hospital and she was proud of her floor
and proud to work at Audubon; that she was asked about how she
felt about the restructuring of the hospital and ultimately she said
that she was willing to try it notwithstanding everything she read
and heard about it; that during the interview she indicated that she
preferred the 1.0 to the .5; that she was told that she would hear
about the results by December 26 or 27, 1995; that when she did
not hear by the beginning of the new year she telephoned Wempe
who told her that the 1.0 patient care leader position went to Brenda
Canary who came to Audubon in 1984; that Canary was an ob-
server for the hospital in the 1989 election and she wore “No” but-
tons; that when she asked about the .5 patient care position Wempe
said “oh, you wanted that”; that later Wempe told her that she
could have the .5 patient care leader position and she would get an
additional .3 on the registry until April 1996; that on January 22,
1996, she filed a grievance over not receiving the 1.0 patient care
leader position (GC Exh. 567); that on February 1, 1996, Wempe
replied (GC Exh. 568), denying the grievance;88 that on February 7,
1996, she appealed (GC Exh. 569);89 that subsequently she was
informed that her grievance was denied; that in the late 1980s she
was a designated charge nurse but the hospital had all of the charge
nurses re-bid for their jobs after the 1989 union election and those
who re-bid were reinterviewed; that during her reinterview her
supervisor, Laurie Tiebolt, questioned her about her union activi-
ties, what went on at union meetings, and about the Union and its
function; that after that interview Jacqui Falk was awarded the
charge nurse position and Clark filed a grievance over the outcome;
that Bill Brown, who was CEO of Audubon at the time awarded
the charge position back to her if she wanted it; that she declined
for the sake of the unit, with the written understanding (GC Exh.
570), that when the designated charge nurse position became avail-
able she would be given the position if she was still interested; and
that Wempe was the nurse manager at the time and Wempe was
involved in the events leading up to the grievance and the process-
ing of the grievance, and Wempe was aware of Brown’s 1991
88 In her response Wempe indicates that there was no discrimination
of Clark due to her affiliation with the NPO. Also Wempe indicates in
her response that when Clark asked what Wempe meant by her question
whether Clark supported the hospital, which question was asked during
the interview, she, Wempe asked nine questions which are specified in
Wempe’s response.
89 In her appeal, Clark indicates as follows:
Contrary to what Wempe has written in her February 1 letter, she
did not respond by asking that list of questions. Instead, when I
asked her to elaborate on what she meant by that question, she sim-
ply repeated the same question, “How do you support the hospi-
tal?”
AUDUBON REGIONAL MEDICAL CENTER
411
resolution of the grievance. On cross-examination Clark testified
that while she worked on the registry until April 1996 she received
an enhanced pay rate for all of her hours; that at the time she testi-
fied in June 1996, she was no longer working out of the registry
and she had a .8 FTE on the floor which is the same as she had
before the redesign; that during her interview for the patient care
leader position she told her interviewers that her research indicated
that patient care focus did not work; and that she signed an affida-
vit on April 27, 1996 (R. Exh. 71). On redirect Clark testified that
while she worked as a relief charge nurse since 1991, she was not a
designated charge nurse during this period because no designated
charge nurse position on her unit on her shift opened up during that
period and Falk continued as designated charge nurse until Audu-
bon created the clinical coordinator position when the designated
charge position ceased to exist; that when she was restored to her .8
FTE status she was not told why she was being restored; that when
the reengineering began there were staffing problems in that there
were not enough RNs and LPNs; that in April all those on her floor
who had a reduced FTE status were all offered an opportunity to
return to their former FTE status; that attached to her above-
described affidavit are patient care leader job descriptions which
were distributed by Audubon; that the job description distributed
by Audubon in December 1995 calls for the patient care leaders to
be involved in disciplining, directing staff, completing evaluations,
and be involved in the hiring of staff; that she asked Wempe about
the job description and Wempe said that she did not know anything
about patient care leaders disciplining, or hiring or firing; and that
patient care leaders are actually performing the charge nurse job.
The General Counsel and the Respondent stipulated to a list
dated June 5, 1996, which lists 86 RNs who resigned or retired
between 1/1/96 and 6/5/96 (GC Exh. 576).90
With respect to Respondent’s Exhibit 78 which purports to be a
list of the RNs on staff at Audubon on “6/4/1996,” Nettles testified
that he requested Ruth Ballinger to prepare it; that the list contains
about 18 clinical coordinators; that the list is an accurate list of all
RNs at Audubon in June 1996; that he reviewed it against person-
nel records and the human resource information system; that one
would expect that if someone had been terminated more than 6
months before the list was prepared that person would not be on
the list; that Joanne Sandusky is on the list; that the clinical coordi-
nators are in the list because they are RNs; that the directors of
nursing are RNs but they are not on the list because they should not
be on the list; and that the clinical coordinators are on the list be-
cause “[t]here’s no indication why they shouldn’t be on the list.”
Ballinger testified that she produced the document on June 4, 1996,
at the behest of Riley and Nettles; that after she printed out the
document she noticed that Sandusky’s name was on the list even
though Sandusky is not a current employee; that she asked Riley
why Sandusky was still printing out and whether she should leave
Sandusky on the list; that Riley said to leave Sandusky’s name on
the list; that she reviewed the list’s accuracy and Sandusky is the
only person on the list who is not currently in the employ of Audu-
bon;91 and that she produced General Counsel’s Exhibit 2 which is
90 These parties also stipulated that two specified individuals on the
list were discharged.
91 On voir dire Bellinger testified that she reviewed the accuracy of
the list by producing another list that covered the terminations of RNs
for the last 9 months and compared the two lists and no name appeared
on both lists; that there are sometimes errors in the system; that she did
not think that R. (Exh.) 78 contained clinical coordinators; that as Net-
tles testified, the list does contain clinical coordinators; that to produce
the list she had to enter position numbers and one of the numbers she
titled Total RN staff and is dated January 5, 1994. On cross-
examination Bellinger testified that she did not know how many
people on the list were in the “I” category; and that she did not
know if Sandusky was on a LOA.
Analysis
Paragraph 5(a) of the August 11, 1995, amended consolidated
complaint alleges that about early January 1994 Martin informed
an employee that a fellow employee “burned her bridges” by en-
gaging in union or protected concerted activities thereby implying
that employees who engage in such activities would be subjected to
discrimination or discipline. On brief, the General Counsel con-
tends that Martin clearly indicated to Heck that employees who
participate in group protests concerning working conditions were
jeopardizing their opportunities for promotion. Respondent, on
brief, argues that the statement which Martin made according to her
testimony, namely “a lot of water under the bridge regarding
Vivian” had nothing to do with Flener’s (Zollman) union or other
protected activity but rather referred to Flener’s alleged constant
complaints about her personal life; that since Martin’s statement,
even if unlawful (a point which Respondent does not concede), was
made in December 1993, it was made outside the critical period92
and cannot support overturning an election; and that since the
statement was made in the presence of one employee it was de
minimis and could not have affected the results of the election.
With respect to Respondent’s witnesses on this point, on the one
hand we have Martin testifying that Flener had personal problems
and at work she could come across negatively about everything;
and that Cook was someone who Flener would normally discuss
her problems with. On the other hand, we have Cook testifying that
Flener was the strongest of the three applicants for the position and
she did not have any negatives as far as being considered for the
charge nurse position. Martin’s explanation is not credited. Heck
impressed me as being a credible witness. Her testimony about
what was said is credited. As far as the timing of the statement is
entered was for clinical coordinators; that if she entered an existing
position number for a classification which should not be on the list,
those in that classification would be on the list in error; that if she made
mistakes in entering position numbers someone who should be on the
list might not be on it; that she did not enter directors of nursing be-
cause they are exempt, “[d]irectors, managers, I never include them in
RN staff listings”; that she obtained the list of terminations in the last 9
months from Audubon’s data base by creating a query and requesting
the information; that she requested a list of those “termed” in that last 9
months; that “termed” includes anyone who is no longer in the employ
of Audubon for whatever reason; that all employees or former employ-
ees in Audubon’s system are coded as either “A,” “I,” or “T”; that the
“A” means active, the “T” means the person is no longer in the em-
ployment of Audubon, and the “I” is kind of a gray area which includes
those on leave of absence (LOA) and others but she did not know
anything about the “I” category beyond LOA; that Respondent’s Ex-
hibit 78 includes all employees who are in the “A” and “I” codes; that
she included registered nurse applicants; that at the time she produced
R. Exh. 78 clinical coordinators were salaried but, she keyed them in
probably out of habit; and that she was aware in the fall of 1995 that a
question arose in this proceeding about a list with Sandusky’s name on
it when she was supposed to have been termed; that this correction was
not made in the system since the fall of 1995.
92 The critical period in this matter is the period between January 6,
1994, the date the petition for election was filed, and March 4, 1994,
the date the election was completed. Goodyear Tire & Rubber Co., 138
NLRB 453 (1962). As noted above, Flener, along with Holthouser,
asked Respondent for recognition before the petition was filed. It is also
noted that Flener signed the petition for election dated January 6, 1994
(GC Exh. l(a)).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
412
concerned, it is noted that Cook testified that it was not announced
until January 1994 that the position would not be filled. Conse-
quently, Heck’s testimony that the conversation occurred in Janu-
ary 1994 is credited. By the above-described conduct of Martin,
Respondent violated the Act as alleged.
Paragraph 5(b) of the August 11, 1995, amended consolidated
complaint alleges that about early February 1994 Respondent
posted at its Louisville facility a notice entitled “Audubon Regional
Medical Center Staffing Improvement Plan” announcing the estab-
lishment of a committee to deal with employees’ terms and condi-
tions of employment in order to discourage employees’ union or
protected concerted activities. On brief, the General Counsel con-
tends that contrary to Respondent’s contention this was not a con-
tinuation of the previously established PDC since the PDC had
never played any role in staffing matters and it had been totally
inactive throughout 1993; that Respondent’s announcement itself
constitutes an admission that the committee’s staffing focus would
be new for it states “will be developed” and the announcement
further promises to develop a plan “to eliminate mandatory over-
time within the next six months.”93 Respondent. on brief, argues
that the PDC had, among other things, examined trends in staffing;
that the announcement in question simply informed employees of
an existing function of the PDC, although in a slightly different
form and was thus lawful; and that the staffing subcommittee dis-
banded shortly after the election.94 As noted above, Anderson had
to retract her testimony that Cook became the chairperson in Janu-
ary 1993 for this occurred in January 1994. Cook conceded that
staffing was an issue that was being raised by the Union during the
union campaign; and that the one-page announcement about the
PDC soliciting for membership was distributed in February 1994.
As noted above, the General Counsel and Respondent stipulated
that the announcement, a smaller version of which was received as
General Counsel’s Exhibit 419, was posted on an easel in Audubon
in February 1994. As indicated by the General Counsel, the in-
volved announcement itself indicates that something new was
being proposed. Anderson testified that the staff was concerned
93 More specifically, the announcement, GC Exh. 419, reads in per-
tinent part as follows:
What are we doing about staffing?
Here is part of the staffing answer . . .
. . . .
4. A focus action team composed of staff RN’s, LPN’s, Nurse
Managers and a staffing consultant, will be developed us-
ing the current Professional Directions Committee to de-
velop short and long term staffing solutions.
5. The focus team and Professional Directions Committee
will be charged with developing a plan to eliminate man-
datory overtime within the next six months.
. . . .
WE ARE BEING RESPONSIVE
94 Respondent also argues that this allegation is an improper resur-
rection of a previously dismissed charge regarding employer dominated
employee committees in violation of Sec. 8(2) of the Act. As Respon-
dent notes, the allegation here deals with an alleged violation of Sec.
8(a)(1) of the Act. Contrary to Respondent’s assertion, the allegation
here is not virtually identical to the dismissed charge. Here we are
dealing with the question of whether Respondent, by making this an-
nouncement, interfered with, restrained, and coerced employees in the
exercise of rights guaranteed in Sec. 7 of the Act in violation of Sec.
8(a)(1) of the Act. It is noted that the Union’s objection to the 1994
election alleges that the Employer acted unlawfully in promising to set
up a committee or committees to solve staffing and other problems if
nurses turned down union representation.
about staffing and believed that nothing was being done about it.
The announcement does not indicate that something had been done
in the past regarding possible solutions to the staffing situation, and
it does not describe continuing measures which had been imple-
mented or even formulated prior to the campaign to solve this per-
ceived problem. Rather, the announcement speaks to what the
Respondent will do in the future. The fact that the subcommittee
was disbanded shortly after the election has no significance other
than perhaps to show that once it had outlived its usefulness it was
done away with. By first addressing this longstanding expressed
concern of the nurses during the involved union campaign by the
announcement in question Respondent violated Section 8(a)(1) of
the Act as alleged.
Paragraph 5(c) of the August 11, 1995, amended consolidated
complaint alleges that about February 16, 1994, Respondent an-
nounced an increase in benefits for part-time employees and the
implementation of a new long-term disability insurance benefit for
all employees in order to discourage employees’ union or protected
concerted activities. On brief, the General Counsel contends that
beginning in mid-February 1994, with the election approaching on
March 3 and 4 Respondent began a flurry of announcements in-
cluding, as here pertinent, the reinstatement of full-time benefits for
certain part-time employees hired before January 1, 1994, and the
availability of a long-term disability insurance plan. The General
Counsel points out that this disability plan did not become available
to employees until January 1995, 10 months after its announcement
on the eve of the representation election and the University of Lou-
isville Hospital, one of Audubon’s sister hospitals in Louisville, did
not announce in writing to employees the availability of the disabil-
ity plan until the fall of 1994 because, as Bensing testified, before
then he did not know for certain that it would be implemented and
he had no idea as to when it would actually be effective. Respon-
dent, on brief, argues that when Audubon’s parent corporation,
Columbia Healthcare Corporation, merged with Hospital Corpora-
tion of America (HCA) on February 10, 1994, Audubon manage-
ment knew that Audubon employees would be participating in
HCA’s flexible benefit program which included long-term disabil-
ity; that publicizing this benefit was a legitimate campaign strategy;
that the conveyance of this purely factual information did not vio-
late the Act and there was no adverse effect on the election; that in
October 1993 Riley was told by Neil Hemphill, a senior vice presi-
dent with Columbia, that he and HCA’s benefits person were work-
ing on a program in which Columbia hospitals, including Audubon,
would be allowed to participate in HCA’s benefits following the
merger; and that Bensing testified that the flexible benefits package
was generally known to the employees at the University of Louis-
ville hospital around December 1993 or January 1994. Although
his name came up with respect to statements he made on at least
two major points of contention in this proceeding, Hemphill never
testified. For the reasons specified below, I did not find Riley to be
a credible witness. Additionally, what was discussed in October
1993 regarding benefits under HCA had to be speculative in view
of the fact the merger had not occurred yet and just what long-term
disability plan, if any, would be made available had not and could
not at that time have been finalized. Bensing testified that it would
not have surprised him if the flexible benefits were discussed at the
manager meetings in December 1993 and January 1994. Then one
of the counsel for Respondent asked “[o]kay. And, would that have
been made known to employees at or about the time” which ques-
tion elicited the following testimony from Bensing: “I think, yeah,
general, it would have been made known to employees.” As indi-
cated above, the merger did not occur until February 10, 1994. As
AUDUBON REGIONAL MEDICAL CENTER
413
pointed out by the General Counsel the University of Louisville
Hospital, one of Audubon’s sister hospitals in Louisville, did not
announce in writing to employees the availability of the disability
plan until the fall of 1994 because until that time Bensign did not
know for certain that it would be implemented and he did not know
when it would actually be effective. The Union had made long-
term disability a campaign issue. By William Brown’s February
16, 1994 announcement Respondent was not stating a fact but
rather it was making a promise regarding one of the concerns pub-
licized by the Union. At the time of the announcement the prom-
ised benefit was not an existing benefit and it had not been final-
ized as a result of an already ongoing process. The announcement
also indicated that certain benefits for certain part-time employees
hired before January 1, 1994, were to be reinstated. The Union had
made a campaign issue of the fact that Respondent had reduced the
benefits of certain part-time employees. The timing and the fact
that Respondent used the same announcement for both of these
matters supports the contention that the announcement of the rein-
statement of benefits to certain part-time employees was also in-
tended to influence Audubon’s employees. On the other hand, as
pointed out by the Board in Village Thrift Store, 272 NLRB 572
(1983),
A grant or promise of benefits made during an organizational
effort will be considered unlawful unless the employer can
provide an explanation, other then the organizational activity,
for the timing of the grant or announcement of such benefits.
Thus, the Board requires that an employer show by objective
evidence that it would have made the same grant or an-
nouncement of benefits had the union not been present. [Foot-
note omitted.]
Respondent’s evidence regarding what occurred at the University
of Louisville Hospital and the difficulty which Audubon was alleg-
edly experiencing with programming this change were not refuted.
But Respondent chose to include notification of this change in the
same memorandum which announced the offer of long-term bene-
fits. The announcement ends with the following: “This new Co-
lumbia proemployee relations approach will provide all of us here
more opportunities to make positive changes similar to what we are
announcing today.” Obviously, Respondent was attempting to
achieve union disaffection with this announcement and it was hold-
ing out to the RNs the possibility of other similar “positive
changes” which would benefit the RNs. By its own actions Re-
spondent linked its announcement of the reinstatement of benefits
to certain part-time employees with its attempt to achieve union
disaffection. Respondent violated the Act as alleged regarding the
February 16, 1994 announcement.
Paragraph 5(d) of the August 11, 1995, amended consolidated
complaint alleges that about February 18, 1994, Respondent an-
nounced a wage increase for all employees to be effective March
20, 1994. On brief, the General Counsel contends that this an-
nouncement was made in order to influence employees in the up-
coming representation election; that although the granting or an-
nouncement of an increase in wages or benefits during an organiz-
ing campaign is not per se unlawful, the Board as set forth in Ma-
rine World USA, 236 NLRB 89, 90 (1978), examines “whether,
based on the circumstances of each case, the granting of increased
wages and benefits is calculated to impinge upon the employees’
freedom of choice in an upcoming scheduled election. . . .”; that the
Board has found a grant of new wages or benefits during an elec-
tion campaign lawful only where the employer has established that
the action was consistent with an established past practice, was
made pursuant to a decision reached before the commencement of
the union campaign or was prompted only by legitimate business
considerations; that Pugh’s testimony establishes that the motive
for the granting of a 60-cent wage increase for the registered nurses
was to crush the Union’s organizing effort in that Riley told that
this was the reason the initial 40-cent figure was raised to 60 cents
and Hemphill, the vice president for human resources of Colum-
bia/HCA, questioned the hospitals’ human resources managers,
including Riley and Bensing, about whether the proposed wage
increase would be enough to defeat the Union in the upcoming
election; that Hemphill did not testify; that while Bensing did tes-
tify he failed to deny that Hemphill made this statement; that Riley
merely testified that she did not recall anything like that being said;
that Pugh’s testimony is corroborated by documentary evidence
and is inherently far more probable than the account presented by
Riley; that the December 14, 1993, market adjustment proposal did
not include any increase for staff RNs because during that period
the attrition rate for staff RNs was lower than the average rate for
the last few years; that Riley’s contention that a corporate decision
to grant an across-the-board raise after the first of the year had been
made in the fall of 1993 is so contrary to the undisputed documen-
tary evidence that it undermines her entire testimony; that Riley’s
claim that Howell’s September 20, 1993 memorandum, to eastern
division human resource directors is a commitment to grant an
across-the-board wage increase flies in the face of the entire content
of that memo; that Bensing’s testimony contradicts Riley’s position
in that he testified that no one in regional management ever told
him before he issued the January 11, 1994 proposal, that there was
definitely going to be a market adjustment for the employees of the
four Louisville hospitals in the early part of 1994; that Bensing
testified that in September 1993 he was told by regional manage-
ment to hold off until the first part of January 1994, and then they
would look at things and see if they could make a move; that
Bensing’s testimony about the wait-and-see attitude is the virtual
antithesis of the already-announced, carved-in-stone wage increase
the Board has approved in the midst of an election campaign; that
the justification for increasing the proposed RN raise from 40 to 60
cents at the last moment, namely to stay competitive after Jewish
Hospital’s regular spring raise, is logic defying since Riley and
Bensing knew all along that Jewish Hospital normally gave a raise
in the spring and the justification for this 50-percent increase in the
proposal is nothing more substantial than this suddenly remem-
bered fact about Jewish Hospital; and that Respondent had not met
the burden of establishing that the wage increase was decided upon
before the Union’s petition was filed nor can it show that the wage
increase was consistent with an established past practice since there
is no consistency with respect to the time of year or interval be-
tween raises, nor is there any showing of raises being consistently
triggered by any certain market conditions. The Union, on brief,
contends that wages were a significant issue in the election cam-
paign; that the Employer granted wage increases to its Louisville
hospitals only and the increases were announced about 2 weeks
before the election to be given about 2 weeks after the election; that
the timing is crucial in that this preelection announcement of a
postelection increase effectively made the granting of the increase
conditional on the Union’s losing the election; that the evidence
shows that the sole purpose for granting the wage increase was to
influence the employees’ vote; that the evidence shows that the
Respondent had no intention of granting any wage increases until
the union petition was filed; that the announcement of the increase
was a blatant attempt to induce the RNs not to vote for the Union;
and that but for the union organizing campaign, there would have
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
414
been no increase. On brief the Respondent argues that Audubon
and one of its affiliates had proposed a needed market wage ad-
justment in April 1993; that this proposal was put on hold because
of the changing budgetary processes and pending the completion of
several corporate mergers; that it is undisputed that a market wage
adjustment was under consideration at Audubon for several months
prior to the one in question which was announced in February
1994; that Riley recognized that an across-the-board market wage
increase would be “possible” after the first of the year, given the
September 20 Howell memorandum; that it is undisputed that
Bensing had not discussed his January 11, 1994, wage proposal
with Riley or anyone else at Audubon or at Columbia’s corporate
headquarters prior to its submission;95 that on February 11, 1994,
Bensing’s January 11, 1994, wage adjustment proposal was sent to
Riley; that the proposal for RNs was increased to 60 cents because
it was anticipated that Jewish Hospital would give a raise to its
nursing employees in the spring; that the granting of wage in-
creases had been held to be lawful where such action is consistent
with past practices or has been decided upon prior to the onset of
union activities, Marine World U.S.A., supra, enforcement denied
on other grounds 611 F.2d 1274 (9th Cir. 1980); that it is undis-
puted that the pay of RNs at Audubon and its sister hospitals was
behind the market, which was very competitive for RNs at the
time; that Audubon was suffering recruitment problems in the RN
category in the months preceding the election; and that the allega-
tion that a sizeable wage increase was given to nearly 3000 em-
ployees not eligible to vote in the election in order to dissuade 600
voters who were either demanding or expecting a raise is ludicrous.
As pointed out by the General Counsel, Hemphill, the vice
president for human resources of Columbia/HCA, questioned the
hospitals’ human resources managers during the late January 1994
meeting on the wage proposal, including Riley and Bensing, about
whether the proposed wage increase would be enough to defeat the
Union in the upcoming election. Hemphill did not testify to deny
making this statement. While Bensing testified, he failed to deny
that Hemphill made this statement. And Riley merely testified that
she did not recall. Pugh’s testimony is credited. He impressed me
as being a credible witness. Riley was not a credible witness. She
knew that this wage increase was not decided on prior to the filing
of the involved petition yet she slanted her testimony in advancing
this position even when Respondent’s own documentary evidence
did not support her. With respect to Respondent’s past practice
regarding across-the-board wage increases, Respondent had not
given one since 1991. As Pugh testified, Respondent was satisfied
to engage in the “lag” strategy from 1991 to 1994. This had been
its practice during that period. Respondent, from 1991 to 1994 was
satisfied to lag behind the wage rates of other Louisville hospitals
by about 50 cents because its benefits were worth quite a bit more
than its competitors’ benefits so it was deemed to be okay. In 1994
it would have one believe that not only was it giving up on the lag
strategy but it was going to give a raise to RNs of an amount that
not only took into consideration the existing situation at other area
hospitals but it was going to increase the wage adjustment even
further upward in anticipation of what one of its competitors might
do in the spring of 1994. Pugh’s testimony regarding why the pro-
posed raise was increased from 40 to 60 cents is credited. Finally,
95 As noted above, this assertion appears to be disputed by the
changing testimony of Bensing for at one point he testified that at the
time he submitted his January 1994 proposal he was aware that a peti-
tion for an election had been filed by the NPO, and before he submitted
his proposal he “probably had some conversation” with someone at
Audubon regarding the petition.
in my opinion the involved wage increase was not prompted by
legitimate business considerations; it was prompted by the union
campaign. Respondent’s witnesses testified that in the fall of 1993
and in March 1994 Audubon had a vacancy rate of between 18 and
20 percent. But this was the situation in the spring of 1993. And we
do not know how long before that this situation existed since Re-
spondents’ witnesses, Riley and Anderson, could not recall on
cross examination. In the past Respondent dealt with the situation
using agency nurses and then “mobiles.” In other words, in the past
Respondent did not give the raise and it coped with the situation.
Respondent did not show how the situation changed to such an
extent that it would have caused Respondent to change its past
practice. In my opinion Respondent has not shown that the in-
volved increase was prompted by a legitimate business considera-
tion. Respondent violated the Act as alleged in paragraph 5(d) of
the August 11, 1995 amended consolidated complaint.
Paragraph 5(e) of the August 11, 1995, amended consolidated
complaint alleges that about the last week in February 1994, Re-
spondent, by David Vandewater, at its Louisville facility, (1)
threatened employees that their organizational efforts were futile
and that Respondent would not negotiate with the Union in the
event the majority of employees voted for the Union, and (2) solic-
ited grievances from employees and promised to adjust them in
order to erode employees’ support of the Union. On brief, the Gen-
eral Counsel argues that according to his own testimony Vandewa-
ter personally addressed a total of between 50 and 120 employees
on his February 1994 tours at Audubon, including an undisclosed
number of RNs; that Doyon’s conversation with Vandewater be-
came a topic of conversation throughout the hospital; that subse-
quently another RN, Gentry, asked Vandewater about his conversa-
tion with Doyon; that other managers at Audubon helped to spread
the word that Vandewater had stated that he would not negotiate
with the Union even if the employees voted for union representa-
tion; that in one unit Vandewater said that he wanted to talk about
the Union, asked the nurses if they had any questions, and assured
the nurses that they were getting a long-term disability policy but
they had to wait and see what was best for everybody; that Vande-
water’s testimony was particularly lacking in credibility; that
Vandewater repeatedly asserted that the conduct of which he was
accused was uncharacteristic of him, as if we should take his word
for his character, if not for his denial of the specific conduct; that
Vandewater revealed his character on the stand to be extremely
argumentative and excitable; that when caught in a misstatement
about whether he had approved any campaign documents distrib-
uted to employees, instead of simply admitting his mistake, he got
angry and argued over what was meant by a “campaign document”
and what was the “middle” of the campaign; that when he was
asked whether it was possible that he might have applied excessive
pressure in a handshake with a RN due to his strong feelings during
their discussion, he said that it was not; and that contrary to his
claim that his purpose during the organizing campaign was to let
employees know that Columbia/HCA was better than the previous
owner, Vandewater’s written campaign statements are in a much
more threatening vein. Respondent, on brief, contends that during
his two tours Vandewater met no more than 100 Audubon employ-
ees total, not all of whom were RNs; that Vandewater did not seek
out individual employees when he toured the units; that some NPO
supporters actively sought out conversations with Vandewater; that
Vandewater spoke about how Columbia was different and asked
the employees to give the Company a chance; that the alleged
threats that Audubon would refuse to negotiate should the Union
win the election, allegedly made by Vandewater, Bishop, and
AUDUBON REGIONAL MEDICAL CENTER
415
Block, were made to no more than 16 unit employees; that Vande-
water, Bishop, and Block categorically deny threatening to refuse
to bargain; that even if these statements had been make as alleged
such were not coercive in the context of these conversations, in
which the recipient of the allegedly threatening statement, in each
instance, immediately refuted any contention that Audubon would
not have to bargain with the Union; that in light of these responses,
it is not likely that the employees directly affected believed that
Audubon would actually refuse to bargain; and that in Hospital of
the Good Samaritan, 315 NLRB 794, 809–810 (1994), testimony
of ardent union supporters concerning threats by top management
was not credited “as it appears unlikely that [respondent’s president
and chief executive officer] would make such blatantly unlawful
statements as attributed to him by [union supporters] . . . in the
presence of nurses who were demonstrably union supporters.”
Stacy Doyon’s testimony is credited with respect to what
Vandewater said to her. She impressed me as being a credible
witness. Vandewater did not. He was incapable of conceding even
the obvious without prodding when faced with his own document.
Also, Stacy Doyon’s testimony is corroborated by Denise Davis.
While Wood testified in support of Vandewater’s position she was
not a credible witness. Her attempt to portray Stacy Doyon as the
aggressor or attempted intimidator in her conversation with
Vandewater is at best questionable and at worst absurd when one
considers that Vandewater is the chief operating officer of the over
300 hospitals owned and operated by Columbia/HCA, he stands
over 6 feet tall, weighs 200 pounds, and runs 3 miles daily while
Doyon is 5 feet 6 inches tall and weighed 120 pounds at the time.
Doyon’s husband also works for Audubon. Also important is the
fact that Vandewater testified that he asked Wood to point out
particular employees that she thought it might be important for him
to talk to on a particular unit or they spoke to the manager of the
unit. Vandewater did not specifically deny that he approached
Stacy Doyon, that he motioned for her to leave the medication
room and come to the nurses station area, and that he initiated the
conversation asking Stacy Doyon if there were any problems or
anything she wanted to talk about. Stacy Doyon did not attempt to
intimidate Vandewater. Vandewater did attempt to intimidate
Stacy Doyon and he ended the conversation with a handshake that
he engaged in in an inappropriate manner. It is noted that according
to his testimony he did not unintentionally apply too much pressure
and hold the handshake too long. Vandewater wanted to make an
impression. He did. While talking with Stacy Doyon, Vandewater
threatened employees that their organizational efforts were futile
and that Respondent would not negotiate with the Union in the
event the majority of employees voted for the Union. He made it a
point to do this with a union supporter and he did it in such a way
that he was assured that the message would be passed on. The
message was passed on by both employees and local management.
Respondent violated the Act as alleged in paragraph 5(e)(i) of the
August 11, 1995, amended consolidated complaint.96
As set forth above, Blankenbaker testified that Vandewater
came to her unit, introduced himself to the nurses who were around
the nurses station, said that he wanted to talk about the union vote
and asked if the nurses had any questions. One of the nurses pre-
96 As noted above, in its answers to the last two complaints involved
here, Respondent has denied that Vandewater is a supervisor or agent
of Respondent within the meaning of the Act. At a minimum Vandewa-
ter was acting as agent of the Respondent within the meaning of the
Act with respect to the conduct which is alleged in the August 11,
1995, amended consolidated complaint to be a violation of the Act. By
his conduct Respondent violated the Act.
sent asked Vandewater about the possibility of obtaining long-term
disability and Vandewater said “[w]e’re getting a long-term disabil-
ity program, [w]e have to wait and see what is best for everybody.”
Vandewater ended the conversation saying “[w]e don’t need a third
party, please vote no. Give us time.” He was accompanied by
Nurse Manager Karen Binder. Neither specifically denied that the
conversation occurred as Blankenbaker testified. Her testimony is
credited. Contrary to the impression Respondent attempts to con-
vey on brief, it was not a known fact at this time that the RNs
would receive long-term disability as a consequence of the Colum-
bia/HCA merger. This benefit was not announced to the employees
at the University of Louisville hospital in writing until fall 1994
because it was not known to be a fact until that time or as Bensing
testified, before then he was not certain it would be implemented
and if it was, he did not know until fall 1994 the effective date.
Respondent violated the Act as alleged in paragraph 5(e)(ii) of the
August 11, 1995, amended consolidated complaint.
Paragraph 5(f) of the August 11, 1995, amended consolidated
complaint alleges that Respondent by (1) Sandy Bishop and (2)
Star Block threatened employees that Respondent would refuse to
negotiate with the Union in the event they selected the Union as
their collective-bargaining representative. On brief, the General
Counsel contends that Bishop told Vivian Flener Zollman and Pat
Heck that Vandewater has already said that he will absolutely not
bargain with the Union and you will have to go out on strike. Re-
spondent, on brief, points out that Bishop could not recall saying
anything to Flener (Zollman) and Heck about strikes and Bishop
did not recall discussing Vandewater. The testimony of Flener
(Zollman) and Heck is credited. Both testified that Bishop said that
Vandewater said that he will absolutely not bargain with the Union
and the employees would have to go out on strike. There were two
supervisors present when this statement was made. One, Munson
did not testify to deny that the statement was made. The other,
Bishop, testified only that while she could not recall the content of
her conversation with Flener (Zollman) and Heck, she believed that
she would not have said anything that was unlawful. Since alleg-
edly Bishop could not recall the specifics of the conversation, one
would think that this was all the more reason to call Munson if
Bishop did not make the unlawful statement. When faced with
determining whether to credit the specific corroborated testimony
of two witnesses or the alleged belief of Bishop, there should be no
doubt about the outcome. Respondent violated the Act as alleged in
paragraph 5(f)(i) of the August 11, 1995, amended consolidated
complaint.
Regarding Star Block, as indicated above, RN Nancy McDonald
testified that Block stated that Vandewater said that “staffing
wasn’t part of his . . . proposal [s]taffing wasn’t negotiable” and
“Vandewater had one proposal, and one proposal only.” Block
denies saying this. She also testified that at the time of this conver-
sation she was working as house relief supervisor and was the only
house supervisor on duty that evening, that when she served in this
position on weekends she was the highest ranking nurse in the
hospital, and that when she worked as relief supervisor she consid-
ered herself a supervisor. Block was paid hourly but she was listed
in Respondent’s records as a supervisor (C.P. Exh. 7). McDonald
testified that Block’s duties as a nursing supervisor included,
among other things, transferring nurses to different areas of the
hospital as needed, authorizing nurses to come in late or leave early
and issuing occurrences or reprimands regarding absences. Block
did not specifically deny that she performed these duties. As
pointed out by the testimony of McDonald, at the time of the in-
volved conversation Block was viewed as a supervisor by the em-
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
416
ployee. Block, as she testified on cross-examination, viewed her-
self as a supervisor, and Block was designated as a supervisor in
Respondent’s own records.97 Block was a supervisor at the time of
the conversation. Her testimony on direct that as relief supervisor
she did not have authority to discipline nurses was part of an at-
tempt to show that she was not a supervisor. As noted above, an-
other of Respondent’s managers testified that Block had authority
to participate in disciplining employees. Block was not a credible
witness. On the other hand, McDonald impressed me as being a
credible witness. Her testimony is credited. Respondent violated
the Act as alleged in paragraph 5(f)(ii) of the August 11, 1995,
amended consolidated complaint.98
Paragraph 5(g) of the August 11, 1995, amended consolidated
complaint alleges that six named supervisors threatened employees
collectively in January and February with loss of benefits in the
event the employees selected the Union as their collective-
bargaining representative. As noted above, while RN Peggy Fields
testified that supervisor Laura Wood said, after showing a video
which was about a strike, that “[t]his is the reason why . . . we
should vote no to the union, because we would lose everything. We
would start from ground zero. We would lose all of our benefits.”
(Emphasis added.), Fields’ affidavit to the Board indicates that
Wood said “[t]his is why it was important to vote no, because we
could start from zero and lose all our benefits, so we should vote
no.” (Emphasis added.) Wood testified that she did not recall hav-
ing a conversation with Kenny Doyon or Fields about collective
bargaining during the campaign. On brief, Respondent contends
that if a coercive statement was made, its alleged recipient, Kenny
Doyon, would have testified. In view of the equivocal nature of
Fields’ testimony, which was elicited early in the proceeding, one
would have expected that Kenny Doyon would have been called
not to give his subjective impression but rather to corroborate
Fields that Wood said “would.” With the record in its present state,
one could not, in my opinion, find that Wood said “would.” Con-
sequently, this portion of the involved complaint, paragraph 5(g)(i),
will be dismissed.
Paragraph 5(g)(ii) of the August 11, 1995, amended consoli-
dated complaint alleges that Supervisor Karen Purviance threat-
ened employees with loss of benefits in the event the employees
selected the Union as their collective-bargaining representative. As
set forth above, Fields testified that Purviance said “[i]sn’t it nice
that we can be so flexible now, but if the union got in, we wouldn’t
97 Additionally, as noted above, Anderson testified that as house su-
pervisor Block had the authority to participate in disciplining employ-
ees, she could engage in verbal counseling, she could issue written
warnings which are placed in the employee’s personnel file, and she
had responsibility for formal written evaluations which impacted merit
increases. Sec. 2 (11) of the Act provides:
The term “supervisor” means any individual having authority,
in the interest of the employer, to hire, transfer, suspend, lay off,
recall, promote, discharge, assign, reward, or discipline other em-
ployees, or responsibly to direct them, or to adjust their griev-
ances, or effectively to recommend such action, if in connection
with the foregoing the exercise of such authority is not of a
merely routine or clerical nature, but requires the use of inde-
pendent judgment.
The indicia of supervisory authority is interpreted in the disjunctive and
the possession of any of the authorities listed placed the employee
invested with the authority in the supervisory class.
98 While par. 5(f) of the August 11, 1995, amended consolidated
complaint does not include Deusel, as found below, the testimony of
Steven Nancz that Deusel, among other things, said that the hospital
did not have to negotiate is credited.
be able to be flexible.” Purviance testified that she told Fields that if
the Union came into the hospital that flexibility could be altered or
eliminated. On brief, the General Counsel contends that Purviance
admitted making a substantially similar statement. As indicated in
the next preceding paragraph, Fields either was not able to differen-
tiate between “would” and “could” or she was mistaken either in
her testimony or affidavit. In either case the result is the same; the
reliability of her testimony suffers. If Purviance used the word
“would,” then there would be a valid question as to whether she
was making a threat. On the other hand, if she used the word
“could,” she was not making a threat in my opinion, in the context
in which it was used. Rather, she was pointing out a possibility.
Purviance’s testimony is credited. Consequently, this portion of the
involved complaint, paragraph 5(g)(ii), will be dismissed.
Paragraph 5(g)(iii) of the August 11, 1995, amended consoli-
dated complaint alleges that Supervisor Laura Polson threatened
employees with loss of benefits in the event the employees selected
the Union as their collective-bargaining representative. As noted
above, Kleitz testified that Polson said, “Well, I sure would hate to
lose all my benefits” and “Well I hate to lose everything I’ve got-
ten . . . if they vote the Union in then we lose all our benefits. We
start from scratch”; and that Polson said that she had 3 or 4 weeks
of vacation, sick leave, and insurance and she did not want any of
that to be “messed with.” On brief Respondent contends that Pol-
son vehemently denies making any threats regarding zero benefits,
and never said nurses would lose benefits if the Union were voted
in; and that Kleitz conceded that Polson said that she would hate to
start from scratch not that Kleitz would have to start from scratch.
Kleitz’s testimony is credited. Polson’s denial could not be rea-
sonably characterized as vehement. Polson never denied that at the
time she had 3 or 4 weeks vacation. If she did not, undoubtedly this
point would have been raised by Respondent. If she did have 3 or 4
weeks vacation at the time, Polson did not explain how Kleitz
would have known this absent the threat. Respondent’s ostensible
reliance on the fact that Polson said that she would hate to start
from scratch is misplaced in that such a statement would not rea-
sonably be taken literally but rather would be taken figuratively (if I
were you) since Polson would not be a member of the unit and
having the union act as the RNs’ collective-bargaining agent should
not affect Polson’s benefits. Respondent violated the Act as alleged
in paragraph 5(g)(iii) of the August 11, 1995, amended consoli-
dated complaint.
Paragraph 5(g)(iv) of the August 11, 1995, amended consoli-
dated complaint alleges that Supervisor Kay Kirby threatened em-
ployees with loss of benefits in the event the employees selected
the Union as their collective-bargaining representative. As de-
scribed above, Gentry testified that Kirby said that “[w]hen the
negotiations come down the playing field will be completely level
and we will start with no benefits at all” and it was her understand-
ing that the benefits “would start from zero and that we would have
no benefits and we would have to start from nothing, the ground
floor, to get anything.” Kirby, in effect, denied making these state-
ments. She did not impress me as being a credible witness, how-
ever. Kirby initially tried to convey the impression that she was not
trying to persuade the RNs to vote against the Union and she never
said to an employee that they should vote no. When pressed on
cross-examination, however, she conceded that she told employees
that it would be better if they did not have a union and that she
wore a button which said vote no in the election. On the other hand
Gentry was candid and capable of admitting the obvious on cross-
examination. Her testimony is credited. Respondent violated the
AUDUBON REGIONAL MEDICAL CENTER
417
Act as alleged in paragraph 5(g)(iv) of the August 11, 1995,
amended consolidated complaint.
Paragraph 5(g)(v) of the August 11, 1995, amended consoli-
dated complaint alleges that Supervisor Donna Cook threatened
employees with loss of benefits in the event the employees selected
the Union as their collective-bargaining representative. As de-
scribed above, Heck testified that Cook said that if there was a
contract (collective-bargaining agreement) she no longer could be
flexible on when she scheduled people. As concluded above, Heck
impressed me as being a credible witness. Cook testified that dur-
ing the meeting in question she discussed the enforcement of a
longstanding policy, there was no reference to the Union, and she
did not say that the hospital could not be flexible in the future re-
garding the application of the weekend policy if there was a union
contract in effect. As indicated above, Sandusky filed a grievance
in April 1993 (GC Exh. 295), in which she, in effect, alleges at
least twice that Cook was not telling the truth about certain matters.
As part of the resolution of that grievance, Cook had to present a
written apology to Sandusky. In her June 1993 grievance (GC Exh.
297), Sandusky alleges that Cook made untruthful statements in
her evaluation of Sandusky. As part of the resolution of that griev-
ance (GC Exh. 299), Cook’s evaluation, in effect, was to be disre-
garded and Sandusky, who received a merit increase, no longer
reported to Cook. Such resolutions do not indicate management’s
total support of Cook. Cook did not impress me as being a credible
witness. She had a track record coming into this proceeding. She is
not the type of individual that I would want to rely on in determin-
ing who is telling the truth. Respondent violated the Act as alleged
in paragraph 5(g)(v) of the August 11, 1995, amended consolidated
complaint.
Paragraph 5(g)(vi) of the August 11, 1995, amended consoli-
dated complaint alleges that Supervisor Carol Young threatened
employees with loss of benefits in the event the employees selected
the Union as their collective-bargaining representative. As noted
above, Sautel testified that during unit meetings Young told RNs
that with the union everyone would have to pay dues, your jobs
will be reevaluated, you will lose benefits, benefits, and everything
will go back to zero, you will all start at zero regarding seniority
and sick leave, and the RNs are likely to lose benefits. Young testi-
fied that she told the three RNs that benefits would be pretty much
frozen and then negotiated and they could end up with more, the
same or less; that she did not mention zero benefits and she did not
say the if the Union won the election, the nurses would lose bene-
fits; and that she did not say that negotiations would start at zero.
On brief, Respondent contends that Sautel admitted that she uses
the words “likely” and “could” interchangeably and that Young did
not say nurses would end up with zero benefits or no benefits after
collective bargaining. It is noted that after making these conces-
sions on cross-examination, Sautel testified that Young did not say
that the employees could improve benefits and Young did say that
the employees would start at zero if the Union came in. For the
reason set forth below I did not find Young to be a credible wit-
ness. On the other hand, Sautel impressed me as being a reliable
witness. Her testimony on this point is credited. Respondent vio-
lated the Act as alleged in paragraph 5(g)(vi) of the August 11,
1995, amended consolidated complaint.
Paragraph 5(h) of the August 11, 1995, amended consolidated
complaint alleges that three named supervisors threatened employ-
ees that Respondent would sell and/or close its hospital and that the
employees would lose jobs if the Union were selected as their col-
lective-bargaining representative. As noted above, RN Grash testi-
fied that Cook said that “if the Union got in that they would close
the hospital. That they had some 200 and some hospitals and they
didn’t worry about one.” Cook denied making this threat. But as
noted above, I do not find Cook to be a credible witness. On the
other hand, Grash impressed me as being a credible witness. Re-
spondent violated the Act as alleged in paragraph 5(h)(i) of the
August 11, 1995, amended consolidated complaint.
Paragraph 5(h)(ii) of the August 11, 1995, amended consoli-
dated complaint alleges that Star Block threatened employees that
Respondent would sell and/or close its hospital and that the em-
ployees would lose jobs if the Union were selected as their collec-
tive-bargaining representative. McDonald, as here pertinent, testi-
fied that Block said that she had talked to Vandewater when he was
at the hospital and he said “that if the Union was voted in, he would
sell the hospital, [a]nd . . . he had over a hundred hospitals and he
would sell.” Block denies making this statement. As found above,
when she made this statement Block was a supervisor. Also as
found above, and for the reasons given above, in my opinion Block
was not a credible witness. McDonald, on the other hand, im-
pressed me as being a credible witness and her testimony is cred-
ited. Respondent violated the Act as alleged in paragraph 5(h)(ii) of
the August 11, 1995, amended consolidated complaint.
Paragraph 5(h)(iii) of the August 11, 1995, amended consoli-
dated complaint alleges that Robin Deusel threatened employees
that Respondent would sell and/or close its hospital and that the
employees would lose jobs if the Union were selected as their col-
lective-bargaining representative. Twice in February 1994 Deusel
made “administrative rounds” to units where she did not work.
During these rounds she showed a strike video to employees. Two
nurses on two different units testified that she made certain state-
ments during these visits. More specifically, Blankenbaker testified
that Deusel told her and other named nurses that they had to vote
against the Union because if the Union got in, the only power the
nurses would have would be to go out on strike and if that hap-
pened, Audubon may not be able to recover; and that Deusel said
that if there was a strike, no patients would be admitted and if there
were no patients, there would be no jobs. RN Nanz testified that
Deusel said that if the employees did join a union, they would lose
their benefits, the hospital did not have to negotiate with the Union,
and the hospital would most likely close; and that Deusel said that
the employees had no guarantees that they would have benefits if
they went union, the hospital did not have to negotiate and most
likely if the hospital went union the hospital would be sold. As
noted above, Deusel denied these allegations. She also testified that
she was impartial regarding unionization and she never told an
employee how to vote. On cross-examination Deusel conceded that
the video she was showing indicated that the employees should
vote “NO” and she was not sure whether she wore a “Vote No”
button. Deusel was not a credible witness. Both Blankenbaker and
Nanz impressed me as being credible witnesses. Their testimony is
credited. Respondent violated the Act as alleged in paragraph 5. (h)
(iii) of the August 11, 1995, amended consolidated complaint.
Paragraph 5(i) of the August 11, 1995, amended consolidated
complaint alleges that Respondent by (1) Karen Puviance, (2)
George Roth, and (3) Edie Harper at specified times in February
1994 discriminatorily enforced a “posting” rule by denying the
posting of prounion literature while allowing antiunion literature to
be posted. As noted above, Doyon testified about a copy of a
prounion letter she kept posting on the refrigerator door in the
nurses lounge in her unit and how Purviance took it down. Purvi-
ance testified that she removed all campaign literature that was on
the refrigerator. This testimony was not refuted. Moreover, while
Doyon testified that the refrigerator was used to post notices of
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
418
mandatory staff meetings or something important like fliers from
the pharmacy and notices regarding infection control and new
drugs, she did not testify that while Purviance took prounion litera-
ture off the refrigerator door, she left antiunion literature on the
refrigerator door. It has not been shown that Respondent by Purvi-
ance discriminatorily enforced a “posting” rule by denying the
posting of prounion literature while allowing antiunion literature to
be posted. Consequently this portion of the August 11, 1995,
amended consolidated complaint will be dismissed.
As noted above, Bagby testified that Roth took down a prounion
letter she had posted on the bulletin board in the conference room
in CCU and wadded it up; that at that time Roth did not remove the
campaign literature of the NFN; and that when the NFN posted a
letter the next day Roth, who saw them go into the conference
room where the bulletin board is located, did nothing. Roth testi-
fied that he did not remove NPO literature from the involved bulle-
tin board and he did not allow hospital or NFN literature to be
posted in an area that was off limits to NPO literature. He also
testified that he posted prohospital campaign literature on the in-
volved bulletin board and it is common for him to crumple material
when he throws it in a garbage can. The testimony of Bagby is
credited. Roth conceded that he posted prohospital materials on the
bulletin board. His assertion that the only material that he removed
from this board was defaced material that he put up indicates that
he removed material based on something other than whether it was
in a patient care area. In removing material from this board he was
assertedly relying on a subjective criterion. Admittedly, he, in ef-
fect, asserts that the criterion was only applied to material he posted
on this board. But one must wonder if there is only enough room
on this board for so many postings and Roth wanted to post some-
thing, would he only take down that which he posted to make room
for the new posting. Since he took on the responsibility to post and
to remove postings, and since he was in the habit of crumpling
material before he threw it away, in my opinion Bagby’s testimony
is reliable. Respondent violated the Act as alleged in paragraphs
5(i) and (ii) of the August 11, 1995, amended consolidated com-
plaint.
As noted above, Kleitz testified that she posted prounion litera-
ture on the bulletin boards in ER;99 that subsequently she saw
Harper take this literature off the bulletin board directly behind the
nurses desk and later she saw that the prounion literature that she
posted on the bulletin board in the nurses lounge had been taken
down while all the antiunion literature remained on the board; that
she went to Harper’s office and asked her why she took the proun-
ion literature down;100 that Harper initially denied taking the litera-
ture down but when Kleitz told her more than once that she saw
her do it Harper finally admitted it; that Harper said that she did it
because she did not want any more “union stuff” in ER; and that
Harper did not deny that she left the NFN literature on the bulletin
boards. Harper testified that it was her understanding that campaign
literature could not be hung in the patient care area during the cam-
paign but it could be posted in a nonpatient care area; that no one
told her that it was her job to enforce a rule prohibiting the posting
of campaign literature in a patient care area; that the only board in
the emergency room which was in a nonpatient care area was in
the staff lounge; that she considered the three boards near the desks
99 As indicated above, Kleitz testified that there are three bulletin
boards in the ER area; that all types of material is posted on these bulle-
tin boards including antiunion material of the Nurses for Nurses (NFN).
100 As indicated above, while Kleitz testified that Harper removed at
least three pieces, her Board affidavit only refers to one piece of proun-
ion literature being removed.
to be in a patient care area because they can be seen by the patients
or their families who come to the desks; that she never removed
any literature during the campaign from the lounge board; that she
did remove literature during the campaign from one of the other
bulletin boards in the patient care area of the ER and she threw the
literature out; that she did not remember what the literature was but
she remembered that there was no NFN literature on that board;
and that subsequently Kleitz discussed the matter with her. On
brief, Respondent contends that Kleitz exaggerated the situation.
Harper was a supervisor at the time. Anderson testified that in
January through March 1994, Harper was involved in disciplinary
counseling and she formally evaluated employees as a part of the
merit raise system. As noted, Harper admitted that she removed
literature from a bulletin board but she testified that it was one of
the boards in a patient care area. Respondent posted antiunion post-
ers in areas frequented by patients, their friends and families and
Respondent showed a strike video to nurses at nurses stations with-
out regard, other than the time of the day when it was shown, to the
fact that this area would be considered a patient care area, espe-
cially in labor and delivery where Deusel showed the video. Also,
as Harper admits, no one told her that it was her job to enforce a
rule prohibiting the posting of campaign literature in patient care
areas. Perhaps an explanation for Harper’s position that she did not
want any more union literature in the ER, Kleitz’ testimony is cred-
ited on this point, can be found in the fact that at one time Harper
was on the NFN committee and, as testified to by Gravatte, who
was the founder of NFN, when Harper was at work she put any
handouts that NFN had in employees’ mailboxes. Kleitz’s testi-
mony that Harper left NFN literature on the bulletin boards is also
credited. As Harper testified the only board in the ER which was
not in a patient care area was in the lounge. If NFN materials were
left on the “boards” in the ER that would mean that some of it was
left on a board or boards in-patient care areas. Respondent violated
the Act as alleged in paragraphs 5(i) and (iii) of the August 11,
1995, amended consolidated complaint.
Paragraph 5(j) of the August 11, 1995, amended consolidated
complaint alleges that Respondent by (1) Laura Wood, (2) Sandy
Bishop, (3) Kay Kirby, (4) Robin Deusel, and (5) Karen Bender at
specified times in February 1994 solicited grievances from its em-
ployees and promised to adjust them in order to discourage em-
ployees from supporting the Union. On brief, the General Counsel
contends that managers made rounds which were not normally
made, repeatedly asking nurses if they had any questions or prob-
lems they wanted to talk about; that Deusel told Blankenbaker that
if she would get involved in the new committee the hospital was
forming, she could “see things change”; that Wood told Stacy
Doyon that a committee of staff nurses was being formed “address-
ing staff nurses concerns, kind of a communication network be-
tween the staff and the administration”; and that Kirby asked Gen-
try and other employees in her unit if they had any questions or
concerns she could address, and when Gentry complained that the
administration ignored staff nurses’ suggestions, Kirby noted that
Respondent “was attempting to change the committee policy and
involve more staff nurses.” Respondent, on brief, argues that the
record is devoid of any evidence that nurse managers promised to
remedy grievances but rather they merely solicited nurse concerns
regarding a variety of issues before the Petition—as well as after;
and that no evidence was elicited in support of the allegation
against Bender. Inasmuch as there is no evidence in the record
regarding Bishop and Bender as far as this alleged violation of the
Act is concerned, the complaint to this extent will be dismissed. As
indicated above, in my opinion Stacy Doyon was a credible witness
AUDUBON REGIONAL MEDICAL CENTER
419
and Wood was not. Doyon’s testimony that Wood mentioned a
committee that was going to be made up of staff nurses addressing
staff nurses’ concerns, kind of a communication network between
the staff and the administration, is credited. Vandewater accompa-
nied by Wood during one of his tours asked Doyon if there are any
problems. Vandewater then told Doyon and the other employees
present that he felt that there was no need to speak with the Union.
Wood then made her statement about the committee. In taking this
approach Respondent solicited grievances from its employees and
promised to adjust them in order to discourage employees from
supporting the Union. Kirby testified that she engaged in a program
which began during the union campaign whereby every 2 weeks
she would make rounds to other units where she did not work to
see if the employees had any questions; and that in the past she
asked employees in her own unit if she could help them out or
solve any problems that would make their job easier.101 As noted
above, I did not find Kirby to be a credible witness. As set forth
above, Gentry testified that Kirby came to CCU and asked if the
nurses had any questions about the union campaign or about the
administration or anything; and that when she told Kirby that there
were a lot of issues that had to be addressed collectively and the
Union was the only way to address the situation, Kirby indicated
that the administration was attempting to change the committee
policy and involve more staff nurses. Gentry’s testimony is cred-
ited. Kirby solicited grievances from Audubon’s employees and
told them that their concerns could be adjusted without the Union
in order to discourage employees from supporting the Union. And
finally, Deusel went to an area that she did not work in, labor and
delivery, as part of the administrative rounds during the union
campaign. There, according to the credible testimony of Blanken-
baker, Deusel mentioned that a new committee was being formed
and she encouraged the nurses present to get involved that way and
see things change. Again, by Deusel Respondent solicited griev-
ances from its employees and promised to adjust them in order to
discourage employees from supporting the Union. Respondent
violated the Act as alleged in paragraphs 5(j) (i), (iii) and (iv) of the
August 11, 1995, amended consolidated complaint.
Paragraph 6 of the August 11, 1995, amended consolidated
complaint alleges that about August 9, 1994, Respondent dis-
charged or permanently laid off its employee Joanne Sandusky
because she and other employees of Respondent formed, joined, or
assisted the Union and engaged in concerted activities, and to dis-
courage employees from engaging in these activities. On brief the
General Counsel contends that Sandusky was an open and active
union supporter during the organizing campaign; that Sandusky
received assistance from the Union in the filing and processing of
several essentially successful grievances; that 5 months after the
representation election, the results of which were still contested,
Respondent abruptly terminated Sandusky, an employee with over
19 years of tenure, under circumstances so unprecedented and
harsh as to raise a strong inference of unlawful motive; that Re-
spondent was unable to show that any other employee, in the ab-
sence of some sort of misconduct or other cause, had ever been
terminated without any advance notice, without any effort to place
the employee in another position in the hospital and escorted to the
door with a security guard; that when Sandusky’s previous position
was eliminated she was reabsorbed into the unit staff without hav-
ing to bid or apply for a position; that shortly after Sandusky’s
termination, Respondent eliminated a number of other nursing
101 Her testimony regarding what was possible in other units is not
credited. Her approach in CCU belies her assertion.
positions in the hospital and Long, one of the nurses affected, was
given a list of jobs at Audubon as well as at other affiliated facili-
ties from which she could select a position and transfer without
suffering any break in her employment; that at the affiliated Subur-
ban Hospital when the part-time lactation consultant position was
eliminated, incumbent Debbie Moses continued working full time
in another position until Suburban decided to recreate the lactation
consultant position on a full-time basis and offered it to Moses; that
when Pugh asked at a management meeting why Sandusky was not
given the opportunity to apply for other positions “like just about
everyone else is allowed to do,” those present, including Riley and
Johnson, the associate director of human resources who told San-
dusky on August 9, 1994, that she had to start packing and get out
of the building as soon as possible, said nothing; that in the past
Riley had said in Pugh’s presence that Sandusky was a “chronic
complainer” and “part of the Union”; that events following her
termination further support a finding that Sandusky was discrimi-
nated against because of her union activities in that when Sandusky
applied for a staff nurse position in the intensive care nursery, the
unit where she had been employed for 19 years, the position was
inexplicably removed from the board after Sandusky was inter-
viewed and then reposted 6 months later and filled without notify-
ing Sandusky of the reposting; that when Sandusky applied for a
position at Suburban she was summarily rejected despite her obvi-
ously high qualifications without even the opportunity for an inter-
view; that Sandusky was treated this way because she was an open
and active union supporter; that although what happened to San-
dusky occurred after the election, the results of the election were
not final and there were unfair labor practice charges as well as
objections pending; and that by removing Sandusky from the unit,
Respondent sought to quell employee’s prounion sentiments, to
demonstrate that it would get rid of prounion employees and to
frighten and intimidate potential witnesses. Respondent, on brief,
argues that despite the fact that Sandusky was very active in union
campaigning through 1993, during the entire grievance process
there were no discussions about Sandusky’s union activity; that
“[s]ecurity was called primarily because these individuals work for
an outside contractor and are not employees of Audubon which,
Wempe hoped, would lessen any embarrassment to Sandusky.
Wempe also wanted to avoid having employees taken away form
patient care duties simply to carry boxes to Sandusky’s car”; that
the General Counsel failed to prove a prima facie violation of Sec-
tion 8(a)(3); that it is difficult to believe that, given the absence of
any other alleged 8(a)(3) activity during the course of a long and
aggressive card solicitation and election campaign, that Audubon
would perceive a need to terminate a union supporter as an exam-
ple to other union members, or that Sandusky would be the chosen
target of such an exercise; that the timing of Sandusky’s job elimi-
nation, 5 months after the election, compels the conclusion that
Audubon’s action in doing so was not motivated by her union ac-
tivity; that assuming arguendo that prima facie case could be estab-
lished, the record shows that the Hospital had legitimate nondis-
criminatory reasons for eliminating the lactation consultant position
in August 1994; that Suburban eliminated its lactation consultant
position in July 1994; and that the General Counsel has failed to
establish that Audubon’s reasons for eliminating Sandusky’s posi-
tion are pretextual.
It does not appear that Riley attempted to refute Pugh’s testi-
mony that Riley had said that Sandusky was “part of the Union.”
As concluded above, Riley, in my opinion, was not a credible wit-
ness. She viewed Sandusky as “part of the Union” and Riley was
upset with the above-described petition signed by over 100 of
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
420
Audubon’s nurses in support of Sandusky (GC Exh. 298). Riley
was not upset because of any question of a breach of the confiden-
tiality of the grievance process. Riley was upset because the peti-
tion in support of Sandusky was a demonstration of the willingness
of over 100 of Audubon’s nurses to engage in concerted protected
activity in support of an “experienced and caring employee,” San-
dusky. From Respondent’s point of view, Sandusky became the
perfect target to set an example. Contrary to Respondent’s asser-
tions on brief, Wempe was not trying to lessen the embarrassment
of Sandusky with the security guard escort; Wempe was making it
as embarrassing as possible. Security guards are normally used to
escort wrongdoers or security risks out of a building. And as to
Respondent’s argument that Wempe did not want to have employ-
ees taken away from patient care duties, it need only be noted that
Wempe conceded that normally maintenance moves furniture or
equipment in the hospital. Certainly Respondent is not arguing that
having a maintenance person push the cart with Sandusky’s boxes
on it would be taking an employee away from patient care duties.
By its handling of the posting of a job opening, interviewing San-
dusky, then removing the posting, and later filling the position
without telling Sandusky that the position was again posted, Re-
spondent made it more than obvious that it did not want Sandusky
as an employee.102 If it took Sandusky back, the message to em-
ployees would be weakened if not lost. Respondent could not let
that happen. While ostensibly encouraging her and telling San-
dusky what she should do to obtain a position, Respondent was
making sure that she would not work at Audubon. The recall rights
Respondent ostensibly gave to Sandusky were meaningless for
Respondent never intended to let her truly exercise those rights.103
As pointed out by the General Counsel, Respondent was unable to
show that any other employee, in the absence of some sort of mis-
conduct or other cause, had ever been terminated without any ad-
vance notice, without any effort to place the employee in another
position in the hospital, and escorted to the door with a security
guard. Under Wright Line, 251 NLRB 1083 (1980), enfd. 662 F.2d
899 (1st Cir. 1981), cert. denied 455 U.S. 989 (1982), the General
Counsel has demonstrated that Sandusky engaged in extensive and
open activity in support of the Union, that Respondent knew, as
Riley put it, that Sandusky was “part of the Union” and there is
antiunion animus on the part of Respondent. The General Counsel
has made a prima facie showing sufficient to support the inference
that protected activity was a motivating factor. On the other hand,
Respondent has failed to persuade by a preponderance of the evi-
dence that it would have taken these same actions even in the ab-
sence of Sandusky’s union activity. Respondent violated the Act as
alleged in paragraph 6 of the August 11, 1995, amended consoli-
dated complaint.
Paragraph 7 of the August 11, 1995, amended consolidated
complaint alleges that the following employees of Respondent
constitute a unit appropriate for the purposes of collective bargain-
ing within the meaning of Section 9(b) of the Act:
102 Interestingly Respondent argues that the position was not filled
until April 1995, after the ICN census had sufficiently increased to
warrant a new position. Respondent specifies that the October and
November 1994 pertinent average daily census was eight. When the
position was posted the average daily census was 12, and the average
daily census for 1994 was 12 to 14. But the average census in ICN rose
to 16 in January 1995 and it remained a constant 12 to 14 for the next 4
months. Consequently it seems that the census had sufficiently in-
creased to warrant a new position long before April 1995.
103 In view of her treatment by sister hospital Suburban, it appears
that this applied with respect to Audubon and its affiliates.
All full-time and regular part-time Registered Nurses, in-
cluding Pool Registered Nurses, employed by Respondent at
its facility at One Audubon Plaza, Louisville, Kentucky, but
excluding all other employees, all other professional em-
ployees, all technical employees, all business office clerical
employees, all skilled maintenance employees, all physi-
cians, all nonprofessional employees and all guards and su-
pervisors as defined in the Act.
The General Counsel, on brief, points out that in January 1994
Respondent stipulated that the unit alleged here was appropriate for
collective bargaining. The General Counsel contends that the Su-
preme Court, in American Hospital Assn. v. NLRB, 499 U.S. 606
(1991), approved the Board’s final rule on collective-bargaining
units in the health care industry which found that a unit of all regis-
tered nurses in an acute care hospital setting was appropriate for
collective-bargaining purposes absent “extraordinary circum-
stances”; that Respondent did not make any attempt to establish
that there are any extraordinary circumstances here which would
render the unit inappropriate; that while Respondent, relying on
NLRB v. Health Care & Retirement Corp., 511 U.S. 571 (1994),
contends that practically all of its registered nurses are supervisors
within the meaning of Section 2(11) of the Act, this decision does
not lend any support to Respondent’s contention;104 that Respon-
dent did not present any evidence that the registered nurses here
have the authority to hire, transfer, suspend, lay off, recall, promote,
discharge, reward, or discipline other employees or to adjust their
grievances, or to effectively recommend such action; that although
Respondent did present sparse evidence that some of the registered
nurses did direct and assign employees certain tasks in connection
with their status as a registered nurse, such routine assignments and
directions fall short of establishing the use of independent judgment
necessary to confer supervisory status; that the fact that registered
nurses may determine that a particular patient should be ambulated
more frequently or have vital signs taken more frequently and that
this determination would result in the aide assigned to that particu-
lar patient carrying out those duties, does not mean that the regis-
tered nurse is exercising independent judgement in the assignment
or direction of the aide’s work for as the Board pointed out in
Providence Hospital, 320 NLRB 717, 728 (1996).
[W]hen a professional gives directions to other employees
those directions do not make the professional a supervisor
merely because the professional used judgment in deciding
what instructions to give. For example, designing a patient
treatment plan may involve substantial professional judgment,
but may result in wholly routine direction to the staff that im-
plements that plan.
that clearly not all assignments and directions given by an em-
ployee involve the exercise of supervisory authority; that as pointed
out by the court in NLRB v. Security Guard Service, 384 F.2d 143,
151 (5th Cir. 1967).
[i]f any authority over someone else, no matter how insignifi-
cant or infrequent, make an employee a supervisor, our indus-
trial composition would be predominately supervisory. Every
order-giver is not a supervisor. Even the traffic director tells
the president of a company where to park his car [;]
that here any authority the RNs have to assign or direct other staff
members does not require the use of independent judgment within
104 Sec. 2(3) of the Act excludes from the definition of “employee”
any individual employed as a supervisor.
AUDUBON REGIONAL MEDICAL CENTER
421
the meaning of Section 2(11) of the Act; that the Court in NLRB v.
Health Care & Retirement Corp., supra, made clear that its deci-
sion was in no way an infringement on the Board’s interpretation
of Section 2(11) of the Act, other than the specific phrase “in the
interest of the employer” on which the Board had previously relied
in finding RNs and others not to be supervisors in health care
facilities; that in Providence Hospital, supra, the Board had the
opportunity to address RNs in a hospital setting in light of the Su-
preme Court’s decision in NLRB v. Health Care & Retirement
Corp., supra; that in Providence Hospital, supra, the “charge
nurses” in question had as much, or more, authority than the ad-
ministrative record reveals for any of the RNs at issue in that the
charge nurses in that case had the authority to assign employees to
patients, monitored the arrival time of other employees to verify
attendance, called in replacement employees if the need dictated,
requested nurses to work overtime, coordinated patient care within
their areas of responsibility, monitored other employees’ skills and
performances, evaluated other staff members, and served on panels
evaluating applicants for employment; that the Board in Provi-
dence Hospital, supra, found that such assignments and directions
were routine in nature and that they were not supervisors within the
meaning of Section 2(11) of the Act; that any assignments or direc-
tions the RNs here may give other employees appear to be routine
in nature and do not require the use of independent judgment as
contemplated in Section 2(11) of the Act; and that the RNs at issue
here are not supervisors within the meaning of Section 2(11) of the
Act.
The Union, on brief, argues that Respondent waived its right to
raise the supervisory status of RNs when it freely stipulated that the
RNs were an appropriate bargaining unit of employees under the
Act since the law in the Sixth Circuit, rejecting the Board’s “in the
interest of the employer/in the interest of patient care analysis,” has
not changed in over 9 years, NLRB v. Beacon Light Christian
Nursing Home, 825 F.2d 1076 (6th Cir. 1987); that the general rule
is that stipulations are conclusive on the parties absent changed
circumstances and no changed circumstances exist in the Sixth
Circuit; that although NLRB v. Health Care & Retirement Corp.,
supra, changed the Board’s reliance on the “in the interest of the
employer/in the interest of patient care” test for determining the
supervisory status of nurses, it did not change the law in the Sixth
Circuit; that NLRB v. Health Care & Retirement Corp., supra, did
not hold that all RNs are statutory supervisors; that here the RNs
are nonsupervisory professional employees entitled to the protec-
tion afforded professional employees under Section 2(12) of the
Act;105 that the Act defines a professional employee as one whose
105 Sec. 2(12) of the Act reads:
(12) The term “professional employee” means
(a) any employee engaged in work (i) predominantly intellec-
tual and varied in character as opposed to routine mental, manual,
mechanical, or physical work; (ii) involving the consistent exer-
cise of discretion and judgment in its performance; (iii) of such a
character that the output produced or the result accomplished
cannot be standardized in relation to a given period of time; (iv)
requiring knowledge of an advanced type in a field of science or
learning customarily acquired by a prolonged course of special-
ized intellectual instruction and study in an institution of higher
learning or a hospital, as distinguished from a general academic
education or from an apprenticeship or from training in the per-
formance of routine mental, manual, or physical processes; or
(b) any employee, who (i) has completed the courses of spe-
cialized intellectual instruction and study described in clause (iv)
of paragraph (a), and (ii) is performing related work under the su-
work involves the exercise of judgment and discretion; that this
exercise of professional judgment, however, does not make one a
supervisor in that only when an employee exercises independent
judgment in the exercise of Section 2(11) activity is the employee a
statutory supervisor; that in this case the Respondent confuses su-
pervisory authority with professional responsibility; that as pointed
out by the Board in Sunset Nursing Homes, 224 NLRB 1271
(1976), job descriptions are not conclusive concerning the actual
job and one must look at the actual duties performed; that a review
of Respondent’s job descriptions shows that all the listed activities
deal with nursing techniques and procedures as applied to patients
according to the guidelines set forth by standards of care and nurs-
ing policy and procedures; and that as the testimony showed, the
supervision of new graduates, LPNs and nonlicensed nursing staff
concerns professional direction, not Section 2(11) statutory author-
ity.
Respondent, on brief, contends that almost all Respondent’s
RNs are supervisors under the Act; that Respondent had a right to
elicit testimony on the supervisory issue notwithstanding its above-
described 1994 stipulation regarding the unit; that the Court in
NLRB v. Health Care & Retirement Corp., supra, under circum-
stances similar to those presented here, recognized that nurses are
indeed supervisors within the meaning of the Act; that nearly all of
Respondent’s RNs are supervisors because they (1) have authority
to assign and responsibly direct less-skilled employees, (2) exercise
that authority through the use of independent judgment, and (3)
hold authority in the interest of Audubon by virtue of their respon-
sibility for assigning and directing employees in patient care; that
given the absence of an appropriate bargaining unit the complaint
should be dismissed; that almost all of Audubon’s RNs responsibly
direct the work of less-skilled employees using independent judg-
ment; that the Board’s recent Providence Hospital, supra, decision
is not dispositive to the instant proceedings because there the situa-
tion involved the authority exercised by charge nurses over staff
RNs and in the instant proceeding it involves the authority exer-
cised by nearly all of Audubon’s RNs, charge or staff, over less-
skilled employees in the provision of patient care; and that in re-
sponding to the false dichotomy rejected in NLRB v. Health Care
& Retirement Corp., supra, the Board has created another false
dichotomy between Section 2(11) and (12) where none exists.
The Board, in Providence Hospital, supra at 727–733, indicates
as follows:
As both the Board and the courts have recognized, not
every act of assignment even of employees constitutes statu-
tory supervisory authority. As with every supervisory in-
dicium, assignment must be done with independent judgment
before it is considered to be supervisory under Section 2(11).
Thus, routine or clerical assignments are not supervisory; only
those requiring the exercise of independent judgment are. Al-
though the test is easily stated, application often depends on a
careful analysis of the facts of each case. In doing so the
Board and the courts have followed certain guiding principles.
For example, work assignments made to equalize employees’
work on a rotational or other rational basis are routine as-
signments; assignments based on assessment of employees’
skills when the differences in skills are well known, have been
found routine; asking, without authority to require, employees
to come in early or work late is routine; and adjusting em-
pervision of a professional person to qualify himself to become a
professional employee as defined in paragraph (a).
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
422
ployees’ schedules to meet the vagaries of manpower needs is
not necessarily supervisory.
. . . .
when a professional gives directions to other employees,
those directions do not make the professional a supervisor
merely because the professional used judgment in deciding
what instructions to give. For example, designing a patient
treatment plan may involve substantial professional judgment
but may result in wholly routine direction to the staff that im-
plements that plan. Independent judgment must be exercised
in connection with the Section 2(11) function if the actor is to
be deemed a statutory supervisor; use of judgment in related
areas of a professional or technical employee’s own work
does not meet the statute’s language.
. . . .
Since the enactment of Section 2(11), the Board has, with
court approval, distinguished supervisors who share man-
agement’s power or have some relationship or identification
with management from skilled nonsupervisory employees
whose direction of other employees reflects their superior
training, experience, or skills.
. . . .
the “essence” of the job of all RNs, and not just charge nurses,
is “judgment.” The evidence in this case demonstrates that all
RNs, in whatever their capacity, regularly exercise judgment
as professional employees that differs little in effect from any
additional authority exercised by RNs when serving as charge
nurses. As explained above, the essence of professionalism
requires the exercise of expert judgment and the essence of
supervision requires the exercise of independent judgment.
And as detailed below, the alleged supervisory independent
judgment of charge nurses when examined in detail becomes
indistinguishable from the professional judgment exercised by
all RNs.
. . . .
At the beginning of a shift, charge nurses assign patients to
employees based on the needs and acuity of the patients and
the skills of the staff. Charge nurses may also look at the mix
of staff—i.e., that number of RNs, LPNs, and aides avail-
able—and which patients RNs have had the day before.
. . . .
Typically, in all centers, the RN asks the charge nurse if it is a
good time to take a break. Depending on the need for the RN
to cover other patients, the charge nurse will approve or dis-
approve the break.
Although the evidence regarding charge nurses’ assign-
ments is largely limited to staff RNs, there is some evidence
as to their assignment of LPNs and aides, but most often that
depends on the number of LPNs and aides present at any one
time. [731]
. . . .
Charge nurses’ daily assignments do not require any inde-
pendent judgment that goes beyond the professional judgment
exercised by all RNs. Such assignment does not involve the
independent judgment required of a supervisor.
. . . .
Charge nurses monitor other employees skills and per-
formances, intervene in the case of serious problems in pro-
cedures, patient care, or customer relations, and report lesser
problems in the end-of-shift reports. On occasion, they have
intervened in disputes between staff RNs over patient assign-
ments. Staff RNs, however, are also expected and required to
report any problems in the care given patients. There is evi-
dence that staff RNs have done so and have personally inter-
vened, including an RN who reported deficiencies in a charge
nurses’ performance. This is part of their professional respon-
sibility. As one staff nurse testified, “As nurses we learn right
off the bat in nursing school that you are first and foremost a
patient advocate.”
. . . .
Charge nurses have also served on panels evaluating appli-
cants for employment, but it is unclear whether this is in a
charge nurse or RN capacity.
. . . .
we conclude that the record has failed to establish that the RN
charge nurses are supervisors within the meaning of Section
2(11) of the Act. Accordingly, they are included in the peti-
tioned-for unit and are eligible to vote in the election. [Foot-
notes and citations omitted.]
The RNs at issue here are not supervisors within the meaning of
Section 2(11) of the Act. The evidence of record regarding this
issue is summarized above and in some of the footnotes in Appen-
dix A. None of the RNs in the unit described above are involved in
the hiring, transferring, laying off, recalling, or adjusting griev-
ances. They do not have the authority to reward or promote or to
effectively recommend those actions. And they do not have the
authority using independent judgment to suspend, discharge, disci-
pline, or to effectively recommend that action. The functions that
they perform beyond the patient care they themselves render appear
to be routine in nature and do not require the use of independent
judgment as contemplated in Section 2(11) of the Act. The in-
volved assignments of patients in situations such as the one at hand
are as, pointed out in Providence Hospital, supra, routine functions
and do not require the exercise of independent judgment. Similarly,
the role that the charge nurse plays in breaks has not been shown to
be other that routine and lacking in independent judgment. And
while as Margaret Kelly testified, as a charge nurse in 1993 she
could call people into work for the next shift, it was not shown that
she could compel them to come to work if they were not scheduled
to come to work. As the General Counsel points out, in Providence
Hospital, supra, the “charge nurses” in question had as much, or
more, authority than this record reveals for any of the RNs at issue.
And yet the Board concluded that the nurses in question in Provi-
dence Hospital were not supervisors. Whether Respondent agrees
with the Board’s approach in Providence Hospital, supra, is of no
consequence. It is Board law. The RNs involved here, including the
designated charge nurses as they functioned up to the time of the
demand for recognition, are properly included in the unit set forth
above. They are professionals. They have not been shown to be
supervisors within the meaning of the Act. The Kentucky board of
nursing laws do not indicate that under the National Labor Rela-
tions Act Kentucky RNs are supervisors. Indeed the Kentucky
board of nursing is precluded by law from reaching such a conclu-
sion. The National Labor Relations Board, subject to judicial re-
view, makes this determination.
Paragraph 8 of the August 11, 1995, amended consolidated
complaint alleges that (a) from about June 1991 to about January 5,
1994, a majority of the unit, by executing authorization cards, des-
ignated and selected the Union as their representative for the pur-
poses of collective bargaining with Respondent and, (b) at all times
since January 5, 1994, based on Section 9(a) of the Act, the Union
has been the exclusive collective-bargaining representative of the
unit. The General Counsel, on brief, points out that in NLRB v.
AUDUBON REGIONAL MEDICAL CENTER
423
Gissel Packing Co., 395 U.S. 575, 606–607 (1969), the Supreme
Court, in considering the validity of authorization cards, held:
[E]mployees should be bound by the clear language of what
they sign unless that language is deliberately and clearly can-
celed by a union adherent with words calculated to direct the
signer to disregard and forget the language above his signa-
ture. There is nothing inconsistent in handing an employee a
card that says the signer authorizes the union to represent him
and then telling him that the card will probably be used first to
get an election.
The General Counsel contends that the fact that employees may
have been informed that the cards could be used to get an election
does not prevent their use in establishing the Union’s majority
status; that there is no requirement that card solicitors have to af-
firmatively restate the purposes of the cards and the fact that they
told the signers that a purpose of the cards was to secure a Board
election did not negative the overt action of the employees in sign-
ing cards designating the Union as their bargaining agent; that
declarations to employees that authorization cards are desired to
gain an election do not under ordinary circumstances constitute
misrepresentations either of fact or of purpose; that the fact that
employees are told in the course of solicitation that an election is
contemplated or that a purpose of a card is to make an election
possible is insufficient basis for vitiating unambiguously worded
authorization cards, Levi Strauss & Co., 172 NLRB 732 (1968);
that a solicitor does not invalidate a card for use to establish major-
ity representation by stating that if enough employees signed cards
there will be a vote or election, Cumberland Shoe Corp., 144
NLRB 1268 (1963); that all of the cards in this case constitute valid
designations of the Union as the collective-bargaining representa-
tive of the employees; that there is no probative evidence that any
of the card signers were informed by representatives of the Union
to ignore the stated purpose of the cards or that it was only for the
purposes of seeking an election (emphasis in original); that there is
nothing wrong with solicitors telling signers that the card did not
mean they were joining the Union for that was the case since the
cards have nothing to do with union membership; that while it is
anticipated that Respondent will argue that some of the card signers
were told by a card solicitor that the card would only be used to
obtain an NLRB election, such testimony was given in response to
leading questions, referred to a prior card not signed in the period
involved here, the signer read the card and was not told anything
inconsistent with what was on the card, and some were not credible
witnesses; that the signers were being asked by Audubon to ac-
knowledge their support for the Union in a proceeding at which
their Employer was barring no expense to avoid being ordered to
bargain with the Union; that it is not surprising that at least a few of
the RNs attempted to disavow any understanding of what the au-
thorization cards meant; that those who were allegedly told that the
card was to receive more information about the Union were not
told by the card solicitors that this was the only purpose of the card;
that this again is not a misrepresentation “calculated to direct the
signer to disregard and forget the language above his signature,”
NLRB v. Gissel Packing Co., supra; that the record does not sup-
port discounting the cards of three individuals, Tammy
McClanahan, Kathy Stoess, and Tammy Taylor, regarding being
told “so we could vote” because there are credibility questions
regarding the first two and the last testified that it was her friends
and not union representatives who spoke to her; that the General
Counsel introduced authorization cards from 347 employees who
were employees in the bargaining unit in January 5, 1994, whose
cards were dated within the 1-year period immediately preceding
that date; that 15 additional card signers should be counted towards
the Union’s majority; that the Board in Surpass Leather Co., 21
NLRB 1258, 1273 (1940), held that “[i]n the absence of further
proof of desires concerning representation of the employees whose
cards are in evidence, only signed cards dated within a reasonable
time prior to the dates on which the . . . [Union] alleges the respon-
dent refused to bargain with it, can be accepted by us as evidence
of designation of the . . . Union by such employees”; that as noted
by the judge in Blade-Tribune Publishing Co., 161 NLRB 1512,
1523 (1966), “[t]he Board did not define the term ‘reasonable
time.’ It would appear from Luckenback Steamship Co., 12 NLRB
1330, 1343–1344 (1938), that a 1-year period is considered to be a
reasonable time”; that the card of Rhonda Stone, dated January 3.
1993, should be counted; that the in view of the length of the in-
volved campaign it was necessary for the Union to seek reaffirma-
tions from early card signers and because of the difficulty of keep-
ing track of whose cards had become stale in a unit so large it is
submitted that cards dated within 2 months of the 1-year period
should be counted towards the Union’s majority;106 that Gloria
Coleman’s card, which assertedly was signed within the reasonable
period of time, should be counted because although she testified
that she was last employed “full time” at Respondent in December
1992, the unit includes non-full-time employees and Respondent
clearly regarded her as employed in the unit as of the refusal to
bargain date since she is listed on the list provided by Respondent
(GC Exh. 2); that the cards signed by a number of other employ-
ees107 should be counted towards the Union’s majority since the
cards signed after January 5, 1994, namely in January and February
1994, provide “further proof of [the employees’] desires concern-
ing representation,” eliminating any doubt that the employees’
support for the Union as evidenced by their earlier-signed cards
was continuing as of January 5, 1994, Surpass Leather Co., supra
at 1273; that the card Judy Slaton signed on January 9, 1994,
should be counted because she testified that she was still employed
as a RN at Audubon and she had signed another card a couple of
years before; that the card Selma Becht signed on January 15,
1994, should be counted because she testified that she was still
employed by Audubon and had been for nearly 4 years; that the
card Linda Lowe signed on January 7, 1994, should be counted
because she testified that she was employed as a staff nurse by
Respondent from August 1986 until September 1994 or 1995 and
she also signed a card on October 10, 1992; that Slaton, Becht, and
Lowe were employed in the unit on the refusal-to-bargain date and
on the date on which they signed their cards; that the card of Va-
naja Selvaraj should be counted even though the card itself has
been lost because the signer’s testimony that he or she signed a
card is sufficient to support the counting of that card towards ma-
jority even where the card has been misplaced, Q-1 Motor Express,
308 NLRB 1267, 1279 (1992), enfd. 25 F.3d 473, 480 (7th Cir.
1994); and that a clear majority—at least 363 in a unit of no more
than 642—of employees in the bargaining unit have been shown to
have designated the Union as their collective-bargaining represen-
tative, and thus the Union’s majority status has been convincingly
demonstrated.
Respondent, on brief, argues that at least 34 specified cards were
procured following assurances that the card would only be used to
106 The cards of Jacqueline Bourke, Connie Branham, Joan Driscoll,
and Darlene Johnson fall into this category.
107 Cheryl Glisson, Pamela Kelly, Karen Kuban, Margaret Metzger,
Melody Reibel, and Kathy Stoess.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
424
obtain a Board-supervised election; that at least 11 cards were
procured after assurances that the signer was not obligated to join
the Union or would not be taking a definitive position regarding the
Union by signing such card; that nine specified signers were led to
believe that the card was simply a means to obtain information
about the Union; that two employees were told that they had to
sign the card in order to be able to vote; that designated charge
nurse Maggie Kelly solicited authorization cards from specified
employees;108 that cards were solicited from employees who were
not part of the bargaining unit at the time of solicitation, namely
Sherria Young, who was a PCA in April 1993, did not have even a
temporary license at the time and did not graduate form nursing
school until May 1994, and other specified employees who at the
time they signed cards were nurse externs and therefore could not
be part of a professional unit of RNs without the specific approval
of the RNs which is absent here since nurse externs cannot be con-
sidered professionals under Section 2(12) of the Act because,
unlike RNAs they have not completed their course of study nor
obtained a permit to practice as a professional RN or RNA; that
nurse externs do not share a commonality of interest with RNs or
RNAs, St. Elizabeth’s Hospital of Boston, 220 NLRB 325, 326
(1975); that a number of the cards were obtained after the Union’s
request for recognition on January 5, 1994;109 that the alleged bar-
gaining unit contained approximately 642 employees and, there-
fore, in order to establish majority status sufficient to support a
bargaining order, 322 current authorization cards are necessary;
that of the 369 authorization cards, including the missing card of
Selvaraj, introduced herein—only 366 of which were solicited
from unit employees110—51 cannot be counted because they were
obtained due to misrepresentation from card solicitors, 10, as noted
above, were solicited by a designated charge nurse, 5 were solicited
from employees who were not in the unit at the time, 8 cards are
“stale” in that they are more than 1 year old, and the involved cam-
paign was not interrupted by the filing and processing of an unfair
labor practice charge,111 and 12 cards were executed after the de-
mand for recognition and should not be counted, Tall Pines Inn,
268 NLRB 1392, 1407 (1984).
Before deciding whether a majority has been demonstrated by
the cards received herein, the size of the unit must be determined.
Both the General Counsel and Respondent have settled on 642 as
108 It is noted that while Respondent brought out on the cross-
examination of Kelly the fact that she was a designated charge nurse
during 1993, this was not raised as an objection to the cards that she
sponsored. They have been received in evidence. Additionally, for the
reasons specified above. In my opinion Kelly was not a supervisor
when she solicited the involved authorization cards.
With respect to the card which Cheryl Glisson signed allegedly after
being told to sign it by designated charge nurse, Linda Richeson, it is
noted that the card is dated 11/29/92. Obviously it was introduced here
as a standard of comparison. As concluded here, Glisson signed a card
on January 6, 1994. The 11/29/92 card will not be considered in deter-
mining whether there is a majority. So whether the signer was told to
sign the card is not relevant. It would appear, however, that such testi-
mony is suspect if Glisson was not going to voluntarily sign in view of
the fact that she subsequently signed a card and she did not testify that
this was done on an involuntary basis.
109 Respondent concedes that in most of the cases these cards support
cards signed more than a year prior to the demand for recognition.
110 As stipulated, Chris Ballard and Mary Street are mobile RNs and
therefore not in the unit. Assertedly the card of Theresa Vincent cannot
count toward majority status since the General Counsel failed to show
that she was a member of the bargaining unit as of January 5, 1994.
111 Blade Tribune Publishing Co., 161 NLRB 1512 (1966), revd. On
other grounds 180 NLRB 432 (1969).
the approximate number of employees in the involved unit. It ap-
pears that both are relying on the list which was produced by Re-
spondent and received here as General Counsel’s Exhibit 2. The list
contains the names and positions of 663 individuals. General
Counsel and Respondent stipulated that 21 of the individuals were,
at the time involved, mobile RNs who were temporary employees
and not included in the unit.112 This would reduce the number to
642. Also at the outset of the hearing herein Respondent stipulated,
with respect to the list it provided of RNs as of January 5, 1994,
that five of the individuals on the list, namely Kimberly Blair, Mary
Block, Linda Borders, Edith Harper, and Ann Marie Powell, were
supervisors effective on May 23, 1994, the date of the decision of
the Supreme Court in NLRB v. Health Care & Retirement Corp.,
supra. In other words, Respondent is taking the position that these
five individuals would only be considered supervisors after the
May 1994 Supreme Court decision. The five did not become su-
pervisors because of the Court’s decision. The Court rejected the
approach which the Board took in that and similar cases. But the
Court did not take any action which would have transformed these
five individuals into supervisors. If as Respondent stipulated, they
were supervisors after the Court’s decision, then they were supervi-
sors before the Court’s decision. Accordingly, they will be ex-
cluded from the unit. Consequently we are dealing with a total of
637.
Certain of the cards described in Appendix A hereto were re-
ceived with the understanding that they would be authenticated by
a comparison with genuine signatures of the involved individuals.
Taking this approach, it is my opinion that the cards received as
General Counsel’s Exhibits 34 (Hughes, D.), 421 (McAfee, C.), 40
(Slayton, K.), and 44 (Westfall, G.) are authentic.
As was pointed out by the Court in NLRB v. Gissel Packing Co,
supra at 606 and 608
[E]mployees should be bound by the clear language of what
they sign unless that language is deliberately and clearly can-
celed by a union adherent with words calculated to direct the
signer to disregard and forget the language above his signa-
ture. There is nothing inconsistent in handing an employee a
card that says the signer authorizes the union to represent him
and then telling him that the card will probably be used first to
get an election.
. . . .
We also accept the observation that employees are more likely
than not, many months after a card drive and in response to
questions by company counsel, to give testimony damaging to
the union particularly where company officials have previ-
ously threatened reprisals for union activity in violation of . . .
[Section] 8(a)(1). Footnote omitted.]
Taking Respondent’s contentions first, with respect to its argument
that at least 34 specified cards were procured following assurances
that the card would “only” be used to obtain a Board-supervised
election, it is noted that (1) Theresa Jordan gave this testimony in
answer to a leading question, she could not identify who told her
this, and she testified that no one told her that the card was for some
purpose inconsistent with what the card says; (2) Pam Hurley testi-
fied that she did not read the card and Hodges credibly denied tell-
ing Hurley that the card was only to get an election; (3) Barbara
DeFerraro’s testimony that she did not read any of the five cards
that she signed makes her an unreliable witness, her testimony
112 Accordingly, the cards of Chris Ballard and Mary Street will not
be considered further.
AUDUBON REGIONAL MEDICAL CENTER
425
about the use of the word “only” was in response to a leading ques-
tion, and she qualified the response testifying that she was told that
if enough cards were signed there could be a vote; (4) Mary Paw-
ley answered a leading question framed with the words “just to”
and she testified that no one told her to ignore what was written on
the card or said anything inconsistent with what was on the card;
(5) Rebecca Sayers answered a leading question about the only
reason or the only purpose, Margaret Kelly credibly denied Sayer’s
assertion, Sayers at one point testified that she could not remember
what happened before she signed which card, and Sayers could not
even remember signing another card until she was shown the card;
(6) Karen Kuban was asked leading questions on this point and she
subsequently testified that she was not told to ignore the language
on the card and she was not told anything inconsistent with it; (7)
Rita McCubbin was asked a leading question on this point and she
could not recall who might have told her the purpose of the card;
(8) Tammy McClanahan was asked a leading question on this
point, and at one point she testified that she was mislead or she
misunderstood; (9) Diane Bielefeld was asked a leading question
on this point and even then she subsequently qualified her re-
sponse; (10) Theresa Browning was asked a leading question on
this point, and she testified that she was not even sure if she read
the card before signing it; (11) Liza Zottman-Dixon was asked a
leading question on this point, and she subsequently testified that
Pitts merely said “do you want to sign the card or not”; (12) Jaque-
line Bass testified that she was told that the purpose of the card was
to see whether we could be represented and that was the only pur-
pose the card was for; (13) Sandra Carter testified, with respect to
what she was told the card was for, that “just that it was for—to
be—for the hospital to be able to have a vote” and “just what I told
you before, that, you know, it was for the hospital to be able to
have a vote for the union”; (14) Tana Scott Bulus answered “No”
to Respondent’s question. “[D]id she [Kleitz] say that the purpose
for which the card would be used would be for any reason but to
petition for an election”; (15) Michele Hicks did not testify that she
was told that “the card would ‘only’ be used to obtain a Board-
supervised election”; (16) Linda Hibbs testified that Pate told her
that “signing the card did not mean that I was asking for the Union
to represent me, only that we would have enough signatures to get
a vote, and then, after that, because you signed the card you didn’t’
have to vote for the Union,” she, Hibbs, read the card before she
signed it and she was not told to ignore the language on the card;
(17) Margaret Sullivan responded to a leading question on this
point, she testified that she probably read the card before signing it
and she was not told to ignore what was printed on the card, and
Jeff Tallant credibly testified that he did not tell Sullivan that the
only purpose of the card was to get an election; (18) Carrie Shel-
burne changed her testimony about when Pitts told her “just to”
and then she changed her testimony again and alleged with respect
to her 1993 card that Doyle was the one who said “just to” with
respect to the 1993 card; (19) Susan Keeler testified that she was
told that the purpose of the card was to call for an election but she
could not recall who said this; (20) Debbie Humpress testified that
Doyle told her that the card was “just to get a vote, to be able to get
a vote,” she did not remember if she read the card before signing it,
and Doyle did not tell her to ignore the language on the card;113
(21) Leda Sharp eventually testified that she could be mistaken
about exactly what was said regarding the purpose of her 1993
card; (22) Jean Skrine testified that she was told that by signing the
113 Doyle testified that she told Humpress that it was an authorization
card for the NPO to represent the nurses.
card she was not committed to anything and she was not sure if she
read the card but “[i]f I didn’t’ read it, . . . [it] would have been
pretty stupid on my part”; (23) Judy Jones testified that when she
testified about being told “only” she may have been referring to the
1991 card she signed and not her 1993 card and she originally gave
the “only” testimony in response to a leading question; (24) Maria
Bishop initially testified “Yes” to Respondent’s counsel’s question
“[D]id she [Doyle] tell you that that was the only thing the card
would be used for, to get a vote” but later Bishop testified that she
remembered nothing about her conversation with Doyle, then in
response to a question of Respondent’s counsel she agreed that she
had originally testified “Yes,” then she testified that she remem-
bered nothing about the conversation with Doyle and finally she
testified, in response to Respondent’s counsel that she could not say
for sure that Doyle said “only”; (25) Tina Franke answered “Yes”
when one of Respondent’s counsel asked her “[D]id . . . [Hodges]
tell you that the card would only be used to petition for a vote,”
then she testified that Hodges came in and asked if anybody would
sign a card to allow the Union to come in and petition for a vote,
and that was the end of the conversation, and subsequently Hodges
credibly denied telling Franke that the card would only be used to
petition for a vote; (26) William Owen testified that he could not
recall who said the card was “just to , to give the Union a chance
. . . for an election,” then he testified “Yes” to Respondent’s coun-
sel’s question “. . . the only thing you were told by an NPO sup-
porter prior . . . [to the time he signed the November 1993 card]
was that the only purpose for which those cards would be used,
would be to petition for an election at the hospital,” and then he
testified that he could not remember what words were used when
they talked about the card being used for an election; (27) Linda
Lowe testified that she asked Margaret Kelly if by signing the card
she was signing yes she wanted a union and Kelly said “Well, no,
it’s just in order to get the NLRB to set up a vote for us,” she read
the card before signing it and no NPO supporter, including Kelly,
ever told her to ignore the language on the card; (28) Ann Reichie
(Ratcliff) testified she was concerned about whether she would be
obligated to vote for the Union and Hurst told her that “they just
needed . . . cards . . . to have an election,” she read the card before
she signed it and Hurst did not tell her to ignore what was printed
on the card; (29) Ann Fenzel testified “Yes” when asked by one of
Respondent’s counsel “[d]id . . . [Anna Long] tell you that an elec-
tion was the only thing the card would be used for,” then when
asked again by one on the counsel for Respondent whether Long
said that an election was the only purpose of the card Fenzel testi-
fied that she did not recall since the conversation occurred several
years before the hearing; (30) Leslie Eyre (Cooms) testified that
she could not recall what Kleitz told her word for word about the
card, Kleitz said the card was to have a vote; (31) Jean King testi-
fied “Yes she . . . said that’s all it meant” when one of Respon-
dent’s counsel asked her “[d]id . . . [Flener] tell you that was the
only purpose of the card, to—get an vote” and later she testified
that Flener told her that her card needed to be updated because it
was only good for a year and that was all that was said; (32) Jerry
Finerty testified “Yes” when asked by one of Respondent’s counsel
“[a]nd Ms. Rice and/or Ms. Pate advised you to sign the card so
that you could get an election . . . [i]n fact, that was all they said the
purpose of the card was for, correct,” and he read the card before he
signed it and he was not told to ignore the language on the card;
(33) Cecilia Burba testified “Yes” when asked by one of Respon-
dent’s counsel “And she [Kleitz] said that was the only reason [to
get additional cards in order to petition for an election] why she
needed . . . [Burba’s] signature on the card,” and Kleitz credibly
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
426
testified that she did not tell Burba that the only purpose of the card
was to get an election; and (34) Susan Grace gave the following
testimony when questioned by one of Respondent’s counsel:
Q. [D]id you have any discussion with Ms. Patterson prior
to you signing the card?
A. I asked what it meant to sign the card. And she said
that it gave the Union the right to come in and take a vote.
Q. Is that the only thing you remember her saying con-
cerning the purpose for the card?
A. Yes.
The page on which this portion of Grace’s testimony is found is
cited by Respondent on brief to support its argument that at least 34
specified cards were procured following assurances that the card
would “only” be used to obtain a Board-supervised election. A
reasonable reading of this testimony in no way supports the argu-
ment of Respondent that Grace was assured that the card would
“only” be used to obtain a Board-supervised election. As noted
above, this was not the only time this approach was taken. As con-
tended by the General Counsel on brief there is no probative evi-
dence that any of the card signers were informed by representatives
of the Union to ignore the stated purpose of the cards or that it was
“only” for the purposes of seeking an election. Also as anticipated
by counsel for the General Counsel while Respondent argues that
some of the card signers were told by a card solicitor that the card
would “only” be used to obtain an NLRB election, such testimony
was given in response to leading questions, referred to a prior card
not signed in the period involved here, the signer read the card and
the signer was not told anything inconsistent with what was on the
card, and certain of the signers were not credible witnesses. Re-
spondent has failed to show that anything was said to the involved
signers which would foreclose use of these cards for the purpose
designated on the cards face.
Next, Respondent contends that 11 cards should not be counted
because the cards were procured after assurances that the signer
was not obligated to join the NPO or would not be taking a defini-
tive position regarding the NPO by signing such card. As pointed
out by counsel for the General Counsel on brief, there is nothing
wrong with solicitors telling signers that the card did not mean they
were joining the Union for that was the case since the cards have
nothing to do with union membership.
Next, Respondent contends that nine specified signers were led
to believe that the card was simply a means to obtain information
about the Union. Even if this were true, it is not the equivalent of
telling a signer that the only purpose of the card is something other
than what is stated on the face of the card. This is an insufficient
basis for vitiating unambiguously worded authorization cards. On
brief, Respondent argues “[i]t is apparent that these individuals did
not desire to join the Union, nor did they comprehend the obliga-
tion inherent in signing the card—the solicitor did not convey the
significance of signing in this context either.” No authority is cited
for the proposition that the solicitor is obligated to explain the sig-
nificance of signing the card. As pointed out by counsel for the
General Counsel those who were allegedly told that the card was to
receive more information about the Union were not told by the
card solicitors that this was the “only” purpose of the card and this
is not a misrepresentation “calculated to direct the signer to disre-
gard and forget the language above his signature,” NLRB v. Gissel
Packing Co., supra.
Next, Respondent contends that two employees were told that
they had to sign the card in order to be able to vote. Tammy
McClanahan testified that she told counsel for the General Counsel
that she, McClanahan, was either misled or misunderstood the
purpose of the card. Since she conceded that it was possible that
there was a misunderstanding on her part, her testimony about
being told that she had to sign the card in order to be able to vote
cannot be the basis for finding that she was definitely told this. Her
card should be counted, While Mary Potter seemingly corroborated
Kathy Stoess, Potter, who asserted that she remembered the exact
words, changed the wording at least three times and eventually
conceded that she did not overhear the full conversation at issue.
Doyle impressed me as being a credible witness. It appears that
Stoess misunderstood Doyle. Stoess’ testimony is not credited.
Next, Respondent contends that cards were solicited from em-
ployees who were not part of the bargaining unit at the time of
solicitation, namely Sherry Young, who was a PCA in April
1993, did not have even a temporary license at the time, and did
not graduate from nursing school until May 1994, and other
specified employees who at the time they signed cards were
nurse externs and therefore could not be part of a professional
unit of RNs without the specific approval of the RNs which is
absent here since nurse externs cannot be considered profes-
sionals under Section 2(12) of the Act because, unlike RNAs
they have not completed their course of study nor obtained a
permit to practice as a professional RN or RNA; and that nurse
externs do not share a commonality of interest with RNs or
RNAs. Young testified that when she signed the card human
resource person Fran Taylor and manager Joan Wempe told her
that she was going to be a RNA at Audubon. Neither Taylor nor
Wempe deny this. Young is included on the list given by Re-
spondent to counsel for the General Counsel of the “TOTAL
RN STAFF as of 1/5/94” (GC Exh. 2). Young’s card will be
counted. Four of the individuals who signed cards were in-
cluded on Respondent’s Exhibit 51, namely Jacqueline
Augustine (Jones), Martha Ballard, Cheryl Jones, and Michael
Ohlemacher. All four were working at Audubon when they
signed their cards. Respondent did not refute the testimony of
the last two named individuals that they received offers from
Audubon to work as RNs before they received their work per-
mits. Cheryl Jones never was a nurse extern. Respondent did
not refute. Augustine’s testimony that she was an RNA when
she signed the card. All four of these individuals are included
on the list given by Respondent to counsel for the General
Counsel of the “TOTAL RN STAFF as of 1/5/94” (GC Exh. 2).
Additionally, Anderson testified that the four individuals,
among others, were not included on Audubon’s list of nurse
externs as of January 5, 1994, they were not in Audubon’s sys-
tem as nurse externs as of January 5, 1994, and as of January 5,
1994, they were not considered externs for payroll purposes.
Respondent stipulated that these individuals were not externs as
of January 5, 1994. Originally Anderson testified that the nurse
externs were not placed in RNA positions until orientation
started on January 17, 1994. All four received their permits
before the demand for recognition was made. Under these cir-
cumstances the cards of these four individuals will be counted.
Next, Respondent contends that eight cards are “stale” in that
they are more than 1 year old, and the involved campaign was
not interrupted by the filing and processing of an unfair labor
practice charge. The card of Theresa Browning will not be
counted since it is not clear what year the card was signed. On
the other hand, while there was some question regarding when
the card of Theresa Barnes was signed, I am satisfied that as the
signer testified, the card was signed in 1993. It will be counted.
With respect to the remaining six cards cited by Respondent as
AUDUBON REGIONAL MEDICAL CENTER
427
being “stale,” counsel for the General Counsel requests that
they be counted since assertedly they were signed “within a
reasonable period of time” prior to the demand for recognition.
The card of Rhonda Stone is dated January 3, 1993. Surely the
general rule should not be so technically or mechanically ap-
plied so as to preclude the consideration of a card signed just 2
days beyond a line drawn in the sand. In my opinion Stone’s
card should be counted. The least “stale” of the remaining five
cards is dated December 12, 1992, and the most “stale” of the
five cards is dated November 2, 1992. Now that “the camel’s
nose is in the tent” should we start to stretch the general rule
further, accepting counsel for General Counsel’s rationale that
the involved cards are reaffirmations (except Coleman’s), it
was difficult to keep track of those whose cards had become
stale in so large a unit and cards dated within 2 months of the
1-year period should be counted toward the Union’s majority?
This would include Coleman’s card which is not a reaffirma-
tion.
And finally with respect to the majority question, Respon-
dent contends that 12 of the cards were obtained after the Un-
ion’s request for recognition on January 5 and should not be
counted. counsel for General Counsel requests that these cards
also be counted since some of these signers were reaffirming
cards signed more than 1 year prior to the demand for recogni-
tion and at least one other, who was a first time signer, was still
employed at Audubon when she testified here. The problem
with establishing a general rule and then making specified ex-
ceptions is that once you subsequently add to the list of excep-
tions an industrious advocate will attempt to obtain additional
exceptions and use those exceptions as a justification for ob-
taining even more exceptions. Pretty soon the vitality of the
general rule is compromised. While carving out numerous ex-
ceptions is sometimes a necessity, i.e. the hearsay rule, here in
the age of the computer little or no weight should be given to
the argument that it is difficult to keep track of whose card has
become stale. Even before the age of the computer, cards could
be placed in an index card box with separators indicating the
month of the year. There would be no difficulty in determining
which cards were becoming “stale.” In my opinion, no
justification has been shown for counting cards which were
signed after the demand for recognition by someone who had
not signed a card before. The question is whether the Union
had a majority at the time of the demand—not whether the
Union could find additional signers after the demand for
recognition. And the justification given for further extending
the involved period is, in my opinion, insufficient to justify that
course of action. For the reasons stated above, I do not believe
that the cards of the following signers should be counted:
Jacqueline Bourke, Connie Branham, Gloria Coleman, Joan
Driscoll, Ethel Johnson (Lester), Pamela Kelly, Karen Kuban,
Cheryl Glisson, Melody Reibel, Margaret Metzger, Kathy
Stoess, Twylita Schulz, Judy Slaton, Selma Becht, Linda Lowe,
Susan Peak, and Jodie Steele. For the reason given by the
General Counsel, as set forth above, the mislaid card of Vanaja
Selvaraj will be counted. As noted above, Respondent argues
that the card of Theresa Vincent should not be counted since
the General Counsel failed to show that she was a member of
the bargaining unit on January 5, 1994. Vincent is not included
in the General Counsel’s Exhibit 2, the list of RNs at Audubon
on January 5, 1994, and Vincent is not included in the General
Counsel’s brief. Her card will not be counted.
By my count, the Union needs 319 for a majority. It has 348.
As alleged in paragraph 8 of the August 11, 1995 amended
consolidated complaint (a) within a reasonable period of time
prior to January 5, 1994, a majority of the unit, by executing
authorization cards, designated and selected the Union as their
representative for the purposes of collective bargaining with
Respondent, and (b) at all times since January 5, 1994, based on
Section 9(a) of the Act, the Union has been the exclusive col-
lective-bargaining representative of the unit.
Paragraph 9 of the August 11, 1995, amended consolidated
complaint alleges that the conduct described above in para-
graphs 5 and 6 is so serious and substantial in character that the
possibility of erasing the effects of these unfair labor practices
and of conducting a fair rerun election by the use of traditional
remedies is slight, and the employees’ sentiments regarding
representation, having been expressed through authorization
cards, would, on balance, be protected better by issuance of a
bargaining order than by traditional remedies alone. On brief,
counsel for the General Counsel points out that the Supreme
Court approved the Board’s use of a bargaining order remedy in
two types of cases, namely those “exceptional cases” in which a
respondent’s “outrageous” and “pervasive” unfair labor prac-
tices have rendered a fair rerun election impossible, and those
“less extraordinary cases . . . which nonetheless still have the
tendency to undermine majority strength and impede the elec-
tion process.” It is also pointed out by counsel for the General
Counsel that the Court stated in the latter type cases that a bar-
gaining order should issue if the Board finds that “the possibil-
ity of erasing the effects of past practices and of ensuring a fair
election . . . by the use of traditional remedies, though present,
is slight,” and that employee sentiment once expressed through
cards would, on balance, be better protected by a bargaining
order. The General Counsel contends that here Respondent
committed hallmark violations including the granting of an
across-the-board pay raise and the announcement of improve-
ments in benefits in order to discourage employee support for
the Union; that the Board has consistently held that unlawfully
granted wage increases or benefits “are particularly lasting in
their effect on employees and difficult to remedy by traditional
means, not only because of their significance to the employees,
but also because the Board’s traditional remedies do not require
the employer to withdraw the benefits from employees.” Cam-
vac International, 288 NLRB 816, 820 (1988); that additionally
threats to close a facility and threats of loss of jobs and benefits
in the event employees select union representation are clearly
violative of the Act are particularly destructive of employee
freedom of choice; that the establishment of an employee
committee to deal with terms and conditions of employment
and the threat by Respondent’s chief operating officer that it
would be futile to select the Union when considered with the
above-described unlawful conduct, constitute grounds to set
aside the 1994 election and enter a remedial bargaining order
since the cumulative effect of Respondent’s violations are suf-
ficiently serious to preclude the holding of a fair rerun election;
that although the unfair labor practices here are not “outrageous
and pervasive” they undermined the union’s majority and inter-
fered with the electoral process; and that as pointed out in
NLRB v. Anchorage Times Publishing Co., 637 F.2d 1359,
1370 (9th Cir. 1981), cert. denied 454 U.S. 835 (1981), “wage
increases are the most significant of the violations warranting a
Gissel bargaining order instead of a rerun election for “it is
unlikely that those who received such benefits, or who heard of
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
428
them, will forget that it is the company that has the final word
on wage increases—and decreases.” The Union, on brief,
points out that the Board in Honolulu Sporting Goods Co., 239
NLRB 1277, 1282 (1979), quotes the following language from
Tower Records, 182 NLRB 382, 387 (1970), enfd. 79 LRRM
2736, (9th Cir. 1972):
It is a fair assumption that in most instances where em-
ployees designate a union as their representative, a major
consideration centers on the hope that such representative
may be successful in negotiating wage increases. Certainly
this appears to have been an important consideration in the
instant case. A unilateral award of a wage increase by an
employer following a union’s demand for recognition re-
sults in giving the employees a significant element of what
they were seeking through union representation. It is diffi-
cult to conceive of conduct more likely to convince em-
ployees that with an important part of what they were
seeking in hand union representation might no longer be
needed. An employer may have the right to persuade the
employees that representation is not in their best interests,
but it does not have the right to threaten them or confer
benefits on them which are designed to influence the em-
ployees against choosing a representative. When, as here,
an employer does so, free choice in a subsequent election
becomes a matter of speculation, so long as the effects of
the interference remain unremedied.
The Union argues that Respondent’s preelection announcement
of a postelection pay increase effectively made the granting of
the increase conditional on the Union’s losing the election; that
Respondent’s sole purpose for granting the wage increase was
to influence the employees’ vote and Respondent had no inten-
tion of granting a wage increase until the union petition was
filed; that the vice president of Columbia/HCA told managers
regarding wage increases that they were going to do what it
took to win the election; that Respondent engaged in an exten-
sive antiunion campaign consisting of severe and numerous
unfair labor practices which disseminated to all RNs in the
bargaining unit; and that every level of Respondent’s manage-
ment violated the Act. Respondent, on brief, contends that a
bargaining order is an extraordinary remedy which is imposed
under extraordinary circumstances, absent here; that it did not
commit any unfair labor practices; that the alleged bargaining
unit is very large, comprising approximately 640 employees,
most of whom work at different times in different units; that
fewer than 50 employees or less than eight percent of the al-
leged unit, were exposed to the alleged unfair labor practices;
that there is absolutely no record evidence which would indi-
cate that employer statements forming the basis for these unfair
labor practices were disseminated among the workforce; that
almost all allegations of unfair labor practices were made
against relatively low-level supervisors who had no power to
implement such threats; and that Respondent committed no
hallmark violations warranting a bargaining order in that it did
not threaten plant closure, discriminatorily terminate union
adherents or grant significant benefits to employees.
Respondent’s violations are set forth above. They run the
gamut in that they were committed by one of Respondent’s
highest ranking managers to some of its lowest ranking manag-
ers. That many of them were committed against union support-
ers was no accident. As Vandewater testified, he probably
asked Wood to point out particular employees that she thought
it might be important for him to talk with on a particular unit.
Vandewater sought out Stacy Myers Doyon and he intention-
ally and physically made her a messenger. Respondent’s anti-
union campaign was very sophisticated. In my opinion, its ap-
proach was measured beforehand in terms of being able to
make an attempt to defend while accomplishing its task. None-
theless, contrary to Respondent’s assertions, as noted above, it
did commit hallmark violations. And these violations collec-
tively affected all of the unit members. In the circumstances
existing here, it is not only appropriate but, in my opinion, it is
essential to issue a bargaining order. The effects of Respon-
dent’s unlawful conduct cannot be erased by merely ordering
Respondent to cease and desist. The nature and the extent of
Respondent’s unfair labor practices have made a free choice by
the employees slight to nonexistent. As alleged in paragraph 9
of the August 11, 1995, amended consolidated complaint, the
conduct described above in paragraphs 5 and 6 is so serious and
substantial in character that the possibility of erasing the effects
of these unfair labor practices and of conducting a fair rerun
election by the use of traditional remedies is slight, and the
employees’ sentiments regarding representation, having been
expressed through authorization cards, would, on balance, be
protected better by issuance of a bargaining order than by tradi-
tional remedies alone.114
114 With respect to those who take the position that the appropriate-
ness of a bargaining order must be assessed as of the time it is issued, it
should be noted that Respondent has not requested that the record be
reopened to submit evidence of changed circumstances after its unlaw-
ful conduct, such as employee turnover which may or may not erode
majority support for the Union. As found below, Respondent continued
in its unlawful conduct after the original hearing. I have no doubt that
Respondent will do whatever it believes is necessary, including con-
tinuing its unlawful conduct, to keep the employees from having a fair
election. It has demonstrated that to be the case and it continues to
demonstrate that to be the case. Merely telling Respondent in the situa-
tion at hand to stop and “don’t’ do that again” would be telling the
involved employees that even though Respondent continues to violate
the law the best they can hope for is to begin all over again. Respondent
has done pretty much what it wants to and with a cease and desist rem-
edy only, the most that will happen to it, in the eyes of the employees,
is that it will receive little more than a slap on the wrist. To those who
would erect a cathedral around the indication that a bargaining order is
an extraordinary thing, it should be noted that after the passage of a
specified period, if the majority of employees are not satisfied, they can
petition for recertification. One would like to be able to look to the vote
but where, as here, Respondent has violated and will not hesitate, in my
opinion, to continue to violate the law there is no “after the employer’s
unlawful conduct.” As pointed out by the Board in Sheraton Hotel
Waterbury, 312 NLRB 304 (1993), the turnover rate is not a relevant
consideration under existing Board law concerning factors governing
the issuance of a Gissel bargaining order. And as pointed out by the
Board in Intersweet, Inc., 321 NLRB 1 (1996), the Board adheres to
this position—that the validity of the bargaining order depends on an
evaluation of the circumstances as of the time the unfair labor practices
were committed—largely on the grounds that consideration of changed
circumstances after the unfair labor practices were committed would
reward, rather than deter, an employer who engaged in unlawful con-
duct during an organizational campaign. And with respect to consider-
ing turnover, anyone making this effort here would have to, in fairness,
consider the fact, as described above, that after the election there were
complaints about a manager, Darrin Ford, there was an unusually high
turnover rate in the group that he supervised, he apparently created a
hostile environment (Hundley’s testimony that Ford “cussed” at her,
slammed his fists on the desk, talked about her children, and harassed
her was not even denied by Respondent). With at least the tacit ap-
proval of Respondent for, as indicated above, there were complaints
AUDUBON REGIONAL MEDICAL CENTER
429
On brief, the Union points out that the remaining objections is-
sues not coextensive with the unfair labor practices alleged in the
amended consolidated complaint as follows:
1. Whether the Employer engaged in objectionable con-
duct by insisting on the inclusion of registered nurse appli-
cants (RNAs) in the bargaining unit yet discriminatorily chal-
lenging, during the election, the votes of RNAs it judged to be
supportive of the Union while not challenging the votes of
other RNAs?
2. Whether the Employer engaged in objectionable con-
duct when it interrogated nurses about their stand on the Un-
ion?
3. Whether the Employer engaged in objectionable con-
duct by maintaining lists of employees’ positions concerning
the Union, assigning certain RNs to attend meetings with
CEO Bill Brown on paid work time, and whether these ac-
tions created an impression of Employer surveillance of em-
ployees’ support for the Union?
4. Whether the Employer engaged in objectionable con-
duct by soliciting employees to wear antiunion buttons?
5. Whether the Employer engaged in objectionable con-
duct by assisting in the establishment of an antiunion RN
committee called Nurses For Nurses (NFN) and by promoting
this committee through recruitment, financial assistance, and
allowing NFN activities to occur on work time?
Regarding number 1 above, the Union contends that two of the
RNAs the Employer challenged wore union buttons at the hospital
and these challenges tended to restrain, coerce, and intimidate em-
ployees in the exercise of their Section 7 rights. Audubon argues
that there is no Board rule or restriction that prohibited Audubon
from challenging any voters. As noted above, Riley testified that
Audubon challenged two RNAs because they applied for positions
at other hospitals and Audubon was not sure that they were going
to continue working for it. Bagby’s above-described testimony that
the Board agent was told that the RNAs were being challenged
because they did not have their licenses was not refuted. The rea-
son given by Audubon has changed. Also the testimony of Bagby
and Respondent choose to let the situation continue. In other words, an
employer can manipulate turnover. Also there is a question as to
whether the floating by management of proposed staffing guidelines
under the reengineering proposal was the cause of increased turnover.
And once you start to consider turnover up to the time of the issuance
of the bargaining order, in situations such as the one at hand, you
would have to allow the parties to introduce evidence with respect to
the reasons for turnover. Would this result in a two-part proceeding
where one would first determine that there is a need for a bargaining
order since a fair election is not be possible? Then the second hearing
would be held to determine if circumstances had changed and if any
turnover had been unlawfully manipulated by the employer. If the
second hearing involves the taking of a lot of evidence and if it takes
some time to reach a decision in that part at the initial stage and with
appeals, would it be necessary to begin the process again to consider
turnover, etc. which has occurred during the pendency of the second
proceeding? There has to be finality. If there is not, the employees
would begin to wonder if the system is being used improperly. If they
conclude that such is the case, whether justified or not, then there is no
real likelihood of a fair election. Here in view of Respondent’s viola-
tions the possibility of erasing the effects of the unfair labor practices
and conducting a fair election are, in my opinion, nonexistent. As noted
below, Respondent took measures to support NFN and Respondent
unlawfully punished union supporters who participated in the first stage
of the proceeding here. These messages are not lost on the employees.
It is clear that Respondent appreciates this fact.
that two of the RNAs challenged wore union buttons in the hospital
was not refuted. Consequently, it can be concluded that these two
engaged in union activity and the Employer knew. Audubon has
changed its reasons for the challenge. It challenged them because
they were open union supporters. Riley is not a credible witness.
Respondent made no attempt, other than Riley’s assertion, to dem-
onstrate that the two had applications pending at another employer.
And even they did, that is not sufficient justification for Respon-
dent’s action. This objection will be sustained. With respect to
number 2 above, Respondent correctly submits that no evidence
was introduced could result in sustaining this objection.115 Regard-
ing number 3 above, the Union contends that the scheduling of
certain employees to attend the meetings given by Bill Brown cre-
ated the impression of surveillance amounting to objectionable
conduct by Audubon. Audubon argues that there is no evidence
that Audubon did more than observe employees at work and this
normal observation of employees at Audubon cannot be held to be
“surveillance” sufficient to affect the conduct of the election. The
employees who participated in the involved campaign were more
open and active than any group that I have encountered in my ex-
perience, i.e., having their picture placed on a billboard on a local
street, among other things. I do not believe that it has been demon-
strated that the actions Audubon took created an impression of
employer surveillance of employees’ support for the Union. This
objection will be overruled. Number 4 above will be sustained
since Riley testified that some managers had antiunion buttons on
tables but employees were not forced to wear such buttons. Being
forced to wear the antiunion button is not the issue. A manager
making the antiunion buttons available to employees and putting
them in the position where they had to choose to wear or not to
wear the buttons was objectionable. This objection will be sus-
tained. And finally, with respect to number 5 above, I do believe
that Audubon unlawfully assisted the Nurses for Nurses (NFN).
Pugh, at the behest of Riley delivered a list of certain Audubon
employees to NFN. Riley’s “I do not recall” carries no weight.
Contrary to the arguments on brief, the list was not an Excelsior
list. As noted above, on a Saturday approximately 2 weeks before
the election Riley telephoned Pugh at his home and gave him a list
of 25 to 30 employees’ names. At the behest of Riley Pugh then
went to the hospital, looked up these employees’ telephone num-
bers and made a list. This was no Excelsior list.116 He then, as di-
rect by Riley, delivered the list to an Audubon RN who was in the
NFN. Both Riley and the NFN RN told him the list was of people
who could vote either way in the election and the NFN was going
to telephone them and try to convince them to vote for the hospital.
At one time Audubon supervisor Edith Harper was on the NFN
committee and, as NFN founder Miriam Gravatte testified, Harper
would put NFN handouts in the employees’ mailboxes when she
was at work. And Barbara Sautel’s testimony is credited with re-
spect to supervisor Carol Young suggesting to her that she might be
interested in going to a meeting of the NFN. Young did not impress
me as being a credible witness. She equivocated with respect to
what she told the nurses regarding jobs it the Union won the elec-
tion. This objection will be sustained.
115 As pointed out by Audubon, the employees questioned about their
union support were open and active union supporters, Rossmore House,
269 NLRB 1176 (1984), affd. 760 F.2d 1006 (9th Cir. 1985).
116 According to the testimony of Donna Porter, who was in NFN,
Pugh delivered an Excelsior list to her outside of human resources. The
list Pugh delivered on a Saturday was delivered to the home of the RN
who was in the NFN.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
430
Those objections which are coextensive with the unfair labor
practices alleged in the amended consolidated complaint are sus-
tained to the extent that it has been found above that Audubon
violated the Act. The sustained objections would result in the elec-
tion held on March 3 and 4, 1994, being set aside and Case 9–RC–
16332 being remanded to the Regional Director for Region 9 for
the purpose of conducting a new election at such time as he deems
the circumstances permit the free choice of a bargaining represen-
tative. But as noted above, I believe that the nature and the extent
of Respondent’s unfair labor practices have made a free choice by
the employees nonexistent.
Paragraphs 6 and 7 of the complaint in Case 9–CA–33632 al-
lege as follows:
6. (a) About December 1995, . . . Respondent implemented a
“job redesign” procedure which is still ongoing to reorganize
the staffing and job duties of the unit positions.
(b) The effects of the conduct of Respondent described
above in paragraph 6(a) has had, and will continue to have, an
adverse impact on the unit resulting in a substantial reduction
in the staffing, and various changes in the job duties, of the
bargaining unit positions.
(c) The subject set forth above in paragraph 6(a), and its
effects on the unit as described above in paragraph 6(b), re-
lates to wages, hours and other terms and conditions of em-
ployment of the unit and is a mandatory subject for the pur-
pose of collective bargaining.
7. Respondent engaged in the conduct described above in
paragraph 6 without affording the Union an opportunity to
bargain with Respondent with respect to the conduct or the af-
fects of the conduct.
On brief, counsel for the General Counsel contends that if granted,
the bargaining obligation would attach at the point in time when
the Union achieved a card majority and Respondent commenced
its unlawful campaign on January 5, 1994; that the restructuring
and adoption of the patient focused care model was not an entre-
preneurial decision in that Respondent did not change the scope,
nature or direction of its business; that Respondent has merely
decided to perform the same functions with fewer employees by
substituting one group of employees for another and by changing
the hours and working conditions of RNs; that these are clearly
decisions amenable to the collective-bargaining process, Holmes &
Narver, 309 NLRB 146, 147 (1992); that there is no need to apply
the multistep analysis laid out in Dubuque Packing Co., 303 NLRB
386 (1991), and determine whether Respondent’s decision turned
on labor costs since this was not a core entrepreneurial decision;
that Respondent’s unilateral action cannot be excused since it cer-
tainly has had a detrimental impact on the unit in that Respondent
decreased the hours of 152 RNs, thereby reducing their pay and
benefits; that some RNs were involuntarily transferred to insecure
jobs in the registry; that RNs are performing additional duties and
caring for more patients than they had in the past; that there was a
dramatic rise in the attrition rate of RNs which is evidence of the
restructuring’s adverse effect on the unit; and that it would have
been futile for the Union to request to bargain over the restructur-
ing, it was not obligated to do so and the fact that it did not does
not, in the circumstances of this case, constitute waiver. The Union,
on brief, contends that the restructuring directly affected the wages,
hours and working conditions of the RN bargaining unit; that Re-
spondent admitted that the restructuring resulted in the elimination
of 68 FTE RN positions and reduced the FTE status of 152 RNs;
and that the restructuring also directly affected the working condi-
tions of the RNs in that Respondent combined and reassigned work
done by RNs, LPNs, X-ray employees and respiratory therapists.
Respondent, on brief, argues that the reengineering is not violative
of the Act as Audubon had no bargaining obligation; that the reen-
gineering involved fundamental changes in its health care delivery
system thus constituting an entrepreneurial decision which is not a
mandatory subject of bargaining, First National Maintenance
Corp. v. NLRB, 452 U.S. 666 (1981); that the new model of patient
care delivery resulted in the redesign of approximately 1200 nurs-
ing department positions at Audubon, of which approximately half
were RN positions; that respiratory therapy, EKG and phlebotomy
were redeployed to units in order that these functions be performed
at the patients’ bedsides; that there is no evidence the reengineering
turned solely on labor costs; that RNs have experienced no diminu-
tion of earnings or loss of job opportunity since the reengineering;
that while there was a time when RNs were working through the
house registry to obtain their desired FTE, most RNs have returned
to their previous FTE in their department; that absent evidence of a
demonstrable adverse impact on RNs, there can be no duty to bar-
gain over the reengineering; that the burden to Audubon to bargain
with one discrete classification of employees concerning a reengi-
neering which was being implemented at literally scores of Colum-
bia/HCA facilities would be sizeable, clearly outweighing the bene-
fit to the collective-bargaining process; that it was also necessary
that Audubon move forward with this undertaking in short order
given its unattractive financial position; that the reengineeing in-
volved a great deal more than merely expanding or contracting the
job responsibilities of Audubon RNs; that bargaining over narrow
issues such as that would have been meaningless in the context of
the mammoth changes taking place at scores of Columbia/HCA
facilities; and that by failing to request that Audubon bargain over
the staff reengineering, the Union waived its right to compel bar-
gaining on this matter.
Taking Respondent’s last argument first, the Union did not
waive its right to compel bargaining on this matter for, as pointed
out by the General Counsel, Respondent has never recognized the
Union as the collective-bargaining representative of its employees,
Respondent was, and remains, unwilling to bargain with the Union,
it would have been futile for the Union to make such a request, and
therefore, it was not obligated to do so. Going to the patient focused
care approach was not an entrepreneurial decision in that Respon-
dent did not change the scope, nature or direction of its business.
Rather, as pointed out by the General Counsel, Respondent merely
performs the same functions with fewer employees by substituting
one group of employees for another and by changing the hours and
working conditions of RNs. Such approach had a detrimental im-
pact on the unit. Such decisions are clearly decisions amenable to
the collective-bargaining process, Holmes & Narver, supra. There
is no need to apply the multistep analysis laid out in Dubuque
Packing Co., supra, and determine whether Respondent’s decision
turned on labor costs since this was not a core entrepreneurial deci-
sion. Respondent violated the Act as alleged in paragraphs 6 and 7
of the complaint in Case 9–CA–33632.
Paragraph 6 of the consolidated complaint in Case 9–CA–
33565–1, –2, –3, –4, –5 alleges as follows:
6. (a) On December 12, 1995, Respondent gave employee
Terry Hundley a low evaluation because she filled out a dis-
claimer notice or made oral statements, concertedly complain-
ing to Respondent regarding shortages in staffing and because
she joined, supported, or assisted the Union and engaged in
concerted activities, and to discourage employees from engag-
ing in these activities.
AUDUBON REGIONAL MEDICAL CENTER
431
(b) About January 15, 1996, Respondent denied em-
ployee Terry Hundley a full-time Patient Care Leader position
because since about September 1994 she and other supporters
of the Union, aligned themselves with the Union’s position in
protesting that “job redesign” or “reorganization” of the staff
would result in loss of jobs and reduced patient care and
thereby concertedly protested a change in a term and condi-
tion of their employment, and she joined, supported or as-
sisted the Union and engaged in concerted activities, and to
discourage employees from engaging in these activities.
(c) About February 8, 1996, Respondent subjected its
employee Terry Hundley to an exit interview and denied her
employment on a call-in -basis because she filled out a dis-
claimer notice or made oral statements, concertedly complain-
ing to Respondent regarding shortages in staffing and because
she joined, supported or assisted the Union and engaged in
concerted activities, and to discourage employees from
engaging in these activities.
Counsel for the General Counsel, on brief, contends that the evi-
dence clearly establishes a prima facie case that Respondent issued
Hundley a low evaluation, denied her the PCL position and, there-
after, a pool position because of her union and concerted protected
activity; that Hundley supported the Union and demonstrated that
support openly by wearing a union button to work, discussing
unionization with her coworkers, filling out the above-described
disclaimer form, which was composed by the Union and showing
it to Darrin Ford and authenticating her authorization card during
this proceeding; that Respondent was aware of Hundley’s union
sympathies; that Hundley was very vocal about nurses’ staffing
concerns; that the evaluation of Hundley which is at issue is sig-
nificantly lower than all of her recent evaluations and it relied on a
clearly unlawful disciplinary action issued by Shirley Turner; that
the selection of Paula Case over Hundley for the PCL position was
motivated by unlawful considerations and Case was only an extern
at the time of the election involved herein and she was not involved
with the Union; that Respondent’s refusal to grant Hundley a pool
position and its mandate that she be interviewed before being con-
sidered for this position were clearly unlawful; that while Cook
claimed poor attendance barred Hundley from working in the pool,
other employees with far worse attendance records were granted
pool status; that the pretextual nature of the attendance claim was
demonstrated by the fact that when Hundley demonstrated that she
had fewer points than Cook originally ostensibly thought, Cook
was not moved; that the other stated reason for refusing pool status
to Hundley that she did not support the restructuring and she did
not get along with management showed that Respondent viewed
Hundley as aligned with the Union in its opposition to the restruc-
turing and she complained too much; and that Bob Nettles was
unable to think of one pediatric RN whose request to work in the
pool was denied and Respondent failed to produce any evidence
that any other RN, regardless of unit, was denied pool status. Re-
spondent, on brief, argues that the General Counsel has failed to
show the requisite causal connection between any protected activ-
ity and allegedly discriminatory employment actions; that the Gen-
eral Counsel has failed to establish that Hundley’s adverse em-
ployment actions were the result of union animus as the evidence
reflects that such actions were taken by an immediate supervisor
with whom Hundley had a contentious working relationship; and
that Hundley was not subject to any disparate treatment on the
basis of her protected activity, as other employees engaged in that
activity experienced no adverse employment actions.
The General Counsel has shown that Hundley engaged in pro-
tected activity and Respondent knew. Also union animus on the
part of the Respondent has been shown. For two reasons, Respon-
dent is mistaken in its position that the General Counsel has to
show “union-animus exhibited by the individual responsible for all
of the employment actions concerning which Hundley now com-
plains.” First Ford was only “responsible” for Hundley’s evalua-
tion. It was not demonstrated that he was the decision maker re-
garding the patient care leader position or the requirement that
Hundley, unlike anyone else who went before her, have an exit
interview to decide whether she would be allowed to be in the pool.
Second, the General Counsel, in the situation at hand, is not re-
quired to show union animus on the part of the individual, Ford.
Respondent’s union animus has been amply demonstrated in this
proceeding. Under Wright Line, 251 NLRB 1083 (1980), enfd. 662
F.2d 899 (1st Cir. 1981), cert. denied 455 U.S. 989 (1982), the
General Counsel has demonstrated that Hundley engaged in open
activity in support of the Union and in concerted protected activity,
that Respondent knew, and there is antiunion animus on the part of
Respondent. The General Counsel has made a prima facie showing
sufficient to support the inference that protected activity was a
motivating factor. On the other hand, Respondent, for the reasons
specified by the General Counsel on brief—as set forth above, has
failed to persuade by a preponderance of the evidence that it would
have taken these same actions even in the absence of Hundley’s
union and concerted protected activity. Respondent violated the
Act as alleged in paragraph 6 of the consolidated complaint in Case
9–CA–33565–1, –2, –3, –4, –5.
Paragraph 7 of the consolidated complaint in Case 9–CA–
33565–1, –2, –3, –4, –5 alleges as follows:
7. (a) About August 17, 1995, Respondent issued a writ-
ten reprimand to its employee Gloria Gant because she joined,
supported, or assisted the Union and engaged in concerted ac-
tivities, and to discourage employees from engaging in these
activities.
(b) About January 17, 1996, Respondent assigned its em-
ployee Gloria Gant to second shift because she joined, sup-
ported or assisted the Union and engaged in concerted activi-
ties, and to discourage employees from engaging in these ac-
tivities, and because she gave testimony to the Board in the
form of an affidavit and for testifying on behalf of the Board
in Cases 9–CA–31725-1 and 9–CA–32276.
(c) About January 31, 1996, Respondent issued its em-
ployee Gloria Gant a low evaluation because she joined, sup-
ported or assisted the Union and engaged in concerted activi-
ties, and to discourage employees from engaging in these ac-
tivities, and because she gave testimony to the Board in the
form of an affidavit and for testifying on behalf of the Board
in Cases 9–CA–31725–1 and 9–CA–32276.
The General Counsel, on brief, contends that Gant’s written warn-
ing, assignment to second shift, and low evaluation were unlaw-
fully motivated; that Gant was a main union adherent whose union
activities were known to Respondent; that Respondent’s primary
reason for disciplining Gant, her alleged disobedience, is clearly a
farce; that the uncontradicted testimony is that Cottingham never
told Gant not to return to the patient’s room; that rather, Cotting-
ham informed Gant that she was not to care for the patient once her
shift was over; that Cottingham overtly approved of Gant’s actions
by going with Gant to speak to the parents; that Nettles conceded
that Gant was never told not to visit the room for the remainder of
her shift; that Gant did not violate any instructions and Respondent
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
432
contrived a reason to retaliate against her for her protected activi-
ties; that the severity of the discipline and the evidence of disparate
treatment demonstrates Respondent’s unlawful motives; that on the
involved evaluation Respondent penalized Gant based on an alleg-
edly unlawful warning that did not even issue during the appraisal
period; that Respondent’s summary of evaluation scores received
by other RNs in the pediatric unit fails to show consistent treatment
since the list is incomplete; that Gant’s second-shift assignment
was unlawful and Respondent’s justification fell apart when Net-
tles admitted that the work Gant performed on the second shift was
no different from that which she performed on first shift; that Re-
spondent did not transfer any other RN working on Gant’s shift;
that Respondent’s claim that Gant could not be considered for an
RN position contradicts its transitional duty policy; and that
Respondent, being well aware of Gant’s medical problem, assigned
her to second shift as retaliation for her union and other protected
concerted activities or because she participated in Board proceed-
ings. Respondent, on brief, argues that the General Counsel has
failed to show the requisite causal connection between any pro-
tected activity and Gant’s August 1995 reprimand since it had been
nearly a year since Gant engaged in any protected activity; that
Ford was unaware of Gant’s union activities; that Gant violated
hospital policy by confronting a patient’s relatives who had just
complained about her care; that the fact that Respondent later re-
viewed and lessened discipline does not establish an unlawful mo-
tive; that 4 months elapsed between Gant’s testimony at the hear-
ing herein and her reassignment to the second shift; that there is no
proof of a causal connection between Gant’s protected conduct and
her reassignment; that once Gant brought her health concerns to the
attention of Audubon management she was placed back on the first
shift; and that Gant was not subject to any disparate treatment on
the basis of her protected activity, as she was treated similarly to
other employees, including many employees who did not support
the NPO.
Among the union activities engaged in by Gant was having her
picture on the billboard on Poplar Road, wearing union buttons
both before and after the election, and soliciting union authoriza-
tion cards both before and after the election. The facts regarding
Gant’s discipline are summarized above. They fully support the
contentions of the General Counsel on brief. It is noted that Cook
also signed the unlawful discipline of Gant. Certainly there is no
question but that she was at Audubon during the involved union
campaign. The facts did not justify this discipline. At the outset
charge nurse Cottingham told Ford that nothing happened that
would warrant someone being written up. Ford told Cottingham
that they did not need to discuss it. The reason they did not need to
discuss it was because what had happen would have no bearing on
what was going to happen. Eventually Respondent’s treatment of
the situation was twisted by Cook into “a failure to follow the
Charge Nurses’ instruction as well” and, by the person ruling on
Gant’s appeal of her grievance, “[t]his action is based on the fact
that you took issue with the family inspite [sic] of the recommen-
dation by the charge nurse to not do so.” Both of these quoted as-
sertions are untrue. There was no business justification for the
discipline. The fact that the evaluation in question refers to this
discipline which occurred outside the considered period of the
evaluation undermines any claim that the evaluation is valid. But to
make matters worse from Respondent’s perspective, the discipline
referred to was itself unlawful. Respondent knew before Gant was
assigned to the second shift that she had diabetes. Earlier when she
was taken off the first shift she had problems with her diabetes. She
told Ford that she did not want to be transferred off the first shift.
When she was transferred nonetheless Gant filed a grievance with
respect to, inter alia, being placed on the second shift. Gant worked
for 4 weeks before being placed back on the first shift. During that
period she suffered an insulin reaction while working on the second
shift and she had problems seeing at night. Gant was transferred
back to the first shift after she sought medical attention and her
doctors wrote a letter indicating that she had to be placed back on
first shift in order to control her diabetes. Under Wright Line, supra,
the General Counsel has demonstrated that Gant engaged in open
activity in support of the Union and she participated, to the extent
described above, in this Board proceeding, that Respondent knew,
and there is antiunion animus on the part of Respondent. The Gen-
eral Counsel has made a prima facie showing sufficient to support
the inference that protected activity was a motivating factor. On the
other hand, Respondent, as pointed out by the General Counsel and
for the reasons set forth above, has failed to persuade by a
preponderance of the evidence that it would have taken these same
actions even in the absence of Gant’s union activities and her
above-described participation in this proceeding. Respondent vio-
lated the Act as alleged in paragraph 7 of the consolidated com-
plaint in Case 9–CA–33565–1, –2, –3, –4, –5.
Paragraph 8 of the consolidated complaint in Case 9–CA–
33565–1, –2, –3, –4, –5 alleges that about January 12, 1996, Re-
spondent denied its employee Patricia Clark a full-time patient care
leader position because since about September 1994 she and other
supporters of the Union, aligned themselves with the Union’s posi-
tion in protesting that “job redesign” or “reorganization” of the staff
would result in loss of jobs and reduced patient care and thereby
concertedly protested a change in a term and condition of their
employment, and she joined, supported, or assisted the Union and
engaged in concerted activities, and to discourage employees from
engaging in these activities, and because she gave testimony to the
Board in the form of an affidavit and for testifying on behalf of the
Board in Cases 9–CA–31725–1 and 9–CA–32276. The General
Counsel, on brief, contends that it is obvious that Clark’s above-
described activities in furtherance of unionization, in addition to
those against the restructuring, were open and known to Respon-
dent; that the questions posed by Wempe and Falk during Clark’s
interview focused in Clark’s allegiance to the hospital and the re-
structuring, rather than Clark’s background and experience; that an
inference should be drawn from the interview that the interviewers
perceived Clark’s union sympathies as inconsistent with being a
loyal employee; that the fact that Clark had to request consideration
for the .5 PCL position after learning that she did not receive the
full-time job highlights Respondent’s bias against Clark; that based
on the written promise from former CEO Bill Brown made to
Clark in 1991, Respondent had an obligation to place Clark in the
full-time position; that the nature, substance, and function of the of
the PCL and charge nurse positions are the same—only the title has
changed; that Clark had more seniority than Brenda Canary, the
RN chosen for the position who was not a union supporter; and that
Respondent did not present any evidence at the hearing to explain
its decision to bypass Clark. Respondent, on brief, argues that
Audubon’s denial of a PCL position to Clark does not support a
prima facie case of discrimination/retaliation, as she was not the
most qualified candidate for the position; that Clark was not the
only employee denied a full-time PCL position, as six other em-
ployees in her department were denied the same position; and that
initially Clark, under the reengineering, received a pay increase and
in April 1996 Clark received a .8 FTE PCL position solidifying the
pay increase she received.
AUDUBON REGIONAL MEDICAL CENTER
433
Regarding Respondent’s assertion on brief that Clark was not
the most qualified candidate for the 1.0 full-time 7 to 3 PCL posi-
tion, it is noted that Wempe indicates in her response to Clark’s
grievance that “[t]he most qualified candidates were chosen for the
positions of Patient Care Leader based on objective criteria only”
(GC Exh. 568). Wempe does not indicate in this document just
what the objective criteria are. But in her appeal of Wempe’s ruling
on her grievance, Clark indicates that Wempe told her that she,
Clark, was graded on the grid system and her scores were almost as
good as the person who got the job (GC Exh. 569). Wempe did not
deny telling Clark this. Yet Respondent chose not to introduce such
grids to demonstrate that the “most qualified” individual was cho-
sen. As noted above, Brenda Canary was awarded the position at
issue. Respondent did not deny the following which appears in
Clark’s grievance (GC Exh. 567):
Brenda Canary was awarded the position. Her seniority date
is 9–10–84, and my seniority date is 2–25–77. Having
worked for almost 19 years at Audubon, my seniority is
greater than that of Brenda who has less than 12 years. In ad-
dition to longevity, I have many years experience as desig-
nated charge nurse and relief charge nurse on 3 East. Brenda
Canary does not have this extensive charge experience. She
never worked as Designated charge nurse and was reluctant to
work as a relief charge nurse. Brenda has always been against
NPO, has never signed a union card, and served as the em-
ployer observer in the 1989 election.
The obvious question is what constituted the “most qualified” in
Respondent’s opinion? What were the “objective criteria” and why
should Respondent be hesitant to share them and let a determina-
tion be made as to whether in truth the “most qualified” person was
chosen? One thing is clear. The former CEO of Audubon made a
written committment to Clark that she would receive the next des-
ignated charge nurse position that became available (GC Exh.
570). Clark’s assertion that there is no real difference between the
charge nurse position and the position of PCL has not been refuted.
And certainly any minor differences that may exist cannot be a
justification for going back on such a committment. Under Wright
Line, supra, the General Counsel has demonstrated that Clark en-
gaged in extensive activity in support of the Union and she partici-
pated, to the extent described above, in this Board proceeding, that
Respondent knew, and there is antiunion animus on the part of
Respondent. The General Counsel has made a prima facie showing
sufficient to support the inference that protected activity was a
motivating factor. On the other hand, Respondent, for the reasons
set forth above, has failed to persuade by a preponderance of the
evidence that it would have denied Clark the PCL position she
sought even in the absence of Clark’s union activities and her
above-described participation in this proceeding. Respondent vio-
lated the Act as alleged in paragraph 8 of the consolidated com-
plaint in Case 9–CA–33565–1, –2, –3, –4, –5.
Paragraph 9 of the consolidated complaint in Case 9–CA–
33565–1, –2, –3, –4, –5 alleges that about January 15, 1996,
Respondent denied its employee Ann Hurst a full-time patient
care leader position because since about September 1994, she
and other supporters of the Union, aligned themselves with the
Union’s position in protesting that “job redesign” or “reorgani-
zation” of the staff would result in loss of jobs and reduced pa-
tient care and thereby concertedly protested a change in a term
and condition of their employment, and she joined, supported or
assisted the Union and engaged in concerted activities, and to
discourage employees from engaging in these activities, and
because she gave testimony to the Board in the form of an affi-
davit and for testifying on behalf of the Board in Cases 9–CA–
31725–1 and 9–CA–32276. On brief, the General Counsel con-
tends that Hurst was an ardent union activist whose union sup-
port was known to management; that the uncontradicted testi-
mony is that Chappel and Stewart, who received the two in-
volved PCL positions, did not engage in any union activity; that
Hurst was the most qualified applicant for the involved PCL
position; that Hurst testified that there is no difference between
the former charge nurse position and the current PCL position;
that Hurst had the most charge nurse experience of all of the
applicants and the most seniority; that Stewart, who had been a
RN for less than 2 years, had lower scores on her recent evalua-
tions than Hurst; that Hurst was the only RN on her shift whose
FTE status was reduced; and that Respondent failed to present
any testimony to explain why it chose Chappel and Stewart over
the more experienced Hurst. Respondent argues on brief that
Hurst was virtually ignorant of the reengineering when she in-
terviewed for a full-time PCL position; that something was
worked out so that Hurst, notwithstanding the fact that she did
not get the involved PCL position, was able to maintain the
same hours she previously worked, with no loss in pay or bene-
fits; and that Hurst was not treated in a disparate manner since
three other union supporters received half of the available full-
time PCL positions in Hurst’s unit.
Hurst engaged in extensive union activity in that her picture ap-
peared on the bulletin board on Poplar Road and in the NPO book-
let, she wore union buttons to work, she leafleted for the Union
outside Audubon, and in an earlier part of the hearing she spon-
sored a number of union authorization cards she received from
other employees. Perhaps most telling is the fact that one time
when she wore her union button to work she saw Vandewater who
told her that “he was very opposed to Unions and he would do
anything in his power to prevent them.” Vandewater did not spe-
cifically deny that he said this. Hurst also testified that as they
parted Vandewater shook her hand “and he squeezed it a lot harder
than I thought he should have.” Vandewater did not specifically
deny that he engaged in this conduct with Hurst. As noted above,
Hurst was not the only female nurse to testify about such conduct.
With one other, Stacy Myers Doyon, Vandewater not only applied
too much pressure he did not let go of her hand immediately. This
misconduct was not unintentional. Under Wright Line, supra, the
General Counsel has demonstrated that Hurst engaged in extensive
activity in support of the Union and she participated, to the extent
described above, in this Board proceeding, that Respondent knew,
and there is antiunion animus on the part of Respondent. The Gen-
eral Counsel has made a prima facie showing sufficient to support
the inference that protected activity was a motivating factor in de-
nying the PCL position Hurst sought. On the other hand, Respon-
dent, for the reasons set forth above, has failed to persuade by a
preponderance of the evidence that it would have taken these same
actions even in the absence of Hurst’s union activities and her
above-described participation in this proceeding. The only evidence
about why Respondent chose Stewart, who had been an RN for a
couple of years, versus Hurst, who had been an RN since 1981,
was Hurst’s own testimony regarding what she was told when she
asked why Stewart received the position, namely, Stewart inter-
viewed better than she, Hurst, did and Stewart wanted the job very
badly and she came across that way. Perhaps this is the inter-
viewer’s concept of an objective standard. The interviewer, Karen
Pietranton, who is described as the director over 5 West, did not
testify to deny that she said this. This testimony is credited, Not
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
434
only isn’t this a sufficient business justification for making the
choice, it was, and it was meant to be, a message to Hurst. Respon-
dent violated the Act as alleged in paragraph 9 of the consolidated
complaint in Case 9–CA–33565–1, –2, –3, –4, –5.
CONCLUSIONS OF LAW
1. Respondent is an employer engaged in commerce within the
meaning of Section 2(6) and (7) of the Act.
2. The Union is a labor organization within the meaning of Sec-
tion 2(5) of the Act.
3. By engaging in the following conduct Respondent committed
unfair labor practices contrary to the provisions of Section 8(a)(1)
of the Act.
(a) In January 1994 Martin informed an employee that a fellow
employee “burned her bridges” by engaging in union or protected
concerted activities thereby implying that employees who engaged
in such activities would be subjected to discrimination or disci-
pline.
(b) In February 1994 Respondent posted at its Louisville facility
a notice entitled “Audubon Regional Medical Center Staffing Im-
provement Plan” announcing the establishment of a committee to
deal with employees’ terms and conditions of employment in order
to discourage employees’ union or protected concerted activities.
(c) About February 16, 1994, Respondent announced an in-
crease in benefits for part-time employees and the implementation
of a new long-term disability insurance benefit for all employees in
order to discourage employees’ union or protected concerted ac-
tivities.
(d) About February 18, 1994, Respondent announced a wage in-
crease for all employees to be effective March 20, 1994.
(e) About the last week in February 1994, Respondent, by David
Vandewater, at its Louisville facility, (i) threatened employees that
their organizational efforts were futile and that Respondent would
not negotiate with the Union in the event the majority of the em-
ployees voted for the Union, and (ii) solicited grievances from
employees and promised to adjust them in order to erode employ-
ees’ support of the Union.
(f) Respondent, by Sandy Bishop and Star Block, at specified
times in February 1994, threatened employees that Respondent
would refuse to negotiate with the Union in the event they selected
the Union as their collective-bargaining representative.
(g) Specified supervisors threatened employees collectively in
January and February 1994 with loss of benefits in the event the
employees selected the Union as their collective-bargaining repre-
sentative.
(h) Specified supervisors threatened employees during the criti-
cal period that Respondent would sell and/or close its hospital and
that the employees would lose jobs if the Union were selected as
their collective-bargaining representative.
(i) Specified supervisors at specified times in February 1994 dis-
criminatorily enforced a “posting” rule by denying the posting of
prounion literature while allowing antiunion literature to be posted.
(j) Specified supervisors at specified times in February 1994 so-
licited grievances from Respondent’s employees and promised to
adjust them in order to discourage employees from supporting the
Union.
4. By engaging in the following conduct Respondent committed
unfair labor practices contrary to the provisions of Section 8(a)(1)
and (3) of the Act.
(a) About August 9, 1994, Respondent discharged or perma-
nently laid off its employee Joanne Sandusky because she and
other employees of Respondent formed, joined, or assisted the
Union and engaged in concerted activities, and to discourage em-
ployees from engaging in these activities.
(b) On December 12, 1995, Respondent gave employee Terry
Hundley a low evaluation because she filled out a disclaimer notice
or made oral statements, concertedly complaining to Respondent
regarding shortages in staffing and because she joined, supported,
or assisted the Union and engaged in concerted activities, and to
discourage employees from engaging in these activities.
(c) About January 15, 1996, Respondent denied employee Terry
Hundley a full-time patient care leader position because since about
September 1994 she and other supporters of the Union, aligned
themselves with the Union’s position in protesting that “job redes-
ign” or “reorganization” of the staff would result in loss of jobs and
reduced patient care and thereby concertedly protested a change in
a term and condition of their employment, and she joined, sup-
ported, or assisted the Union and engaged in concerted activities,
and to discourage employees from engaging in these activities.
(d) About February 8, 1996, Respondent subjected its employee
Terry Hundley to an exit interview and denied her employment on
a call-in basis because she filled out a disclaimer notice or made
oral statements, concertedly complaining to Respondent regarding
shortages in staffing and because she joined, supported, or assisted
the Union and engaged in concerted activities, and to discourage
employees from engaging in these activities.
(e) About August 17, 1995, Respondent issued a written repri-
mand to its employee Gloria Gant because she joined, supported, or
assisted the Union and engaged in concerted activities, and to dis-
courage employees from engaging in these activities.
(f) About January 17, 1996, Respondent assigned its employee
Gloria Gant to second shift because she joined, supported, or as-
sisted the Union and engaged in concerted activities, and to dis-
courage employees from engaging in these activities.
(g) About January 31, 1996, Respondent issued its employee
Gloria Gant a low evaluation because she joined, supported, or
assisted the Union and engaged in concerted activities, and to dis-
courage employees from engaging in these activities.
(h) About January 12, 1996, Respondent denied its employee
Patricia Clark a full-time patient care leader position because since
about September 1994 she and other supporters of the Union,
aligned themselves with the Union’s position in protesting that “job
redesign” or “reorganization” of the staff would result in loss of
jobs and reduced patient care and thereby concertedly protested a
change in a term and condition of their employment, and she
joined, supported, or assisted the Union and engaged in concerted
activities, and to discourage employees from engaging in these
activities.
(i) About January 15, 1996, Respondent denied its employee
Ann Hurst a full-time patient care leader position because since
about September 1994 she and other supporters of the Union,
aligned themselves with the Union’s position in protesting that “job
redesign” or “reorganization” of the staff would result in loss of
jobs and reduced patient care and thereby concertedly protested a
change in a term and condition of their employment, and she
joined, supported, or assisted the Union and engaged in concerted
activities, and to discourage employees from engaging in these
activities
5. By engaging in the following conduct Respondent committed
unfair labor practices contrary to the provisions of Section 8(a)(1)
and (4) of the Act.
(a) About January 17, 1996, Respondent assigned its employee
Gloria Gant to second shift because she gave testimony to the
AUDUBON REGIONAL MEDICAL CENTER
435
Board in the form of an affidavit and for testifying on behalf of the
Board in Cases 9–CA–31725–1 and 9–CA–32276.
(b) About January 31, 1996, Respondent issued its employee
Gloria Gant a low evaluation because she gave testimony to the
Board in the form of an affidavit and for testifying on behalf of the
Board in Cases 9–CA–31725–1 and 9–CA–32276.
(c) About January 12, 1996, Respondent denied its employee
Patricia Clark a full-time patient care leader position because she
gave testimony to the Board in the form of an affidavit and for
testifying on behalf of the Board in Cases 9–CA–31725–1 and 9–
CA–32276.
(d) About January 15, 1996, Respondent denied its employee
Ann Hurst a full-time patient care leader position because she gave
testimony to the Board in the form of an affidavit and for testifying
on behalf of the Board in Cases 9–CA–31725–1 and 9–CA–32276.
6. By refusing to recognize and bargain with the Union as repre-
sentative of a majority of the employees as requested in January 5,
1994, but instead engaging in the commission of those preelection
practices described above, Respondent undermined the majority in
the unit of employees that the Union represented, and made impos-
sible the holding of a fair representation election. Respondent’s
refusal to bargain and embarking on this course of misconduct
constituted an unfair labor practice in violation of Section 8(a)(5)
of the Act.
7. By engaging in the following conduct Respondent committed
unfair labor practices contrary to the provisions of Section 8(a)(1)
and (5) of the Act: about December 1995 Respondent implemented
a job redesign procedure which is still ongoing to reorganize the
staffing and job duties of the unit positions. This conduct has had,
and will continue to have, an adverse impact on the unit resulting
in a substantial reduction in the staffing, and various changes in the
job duties, of the bargaining unit positions. These changes relate to
wages, hours, and other terms and conditions of employment of the
unit and is a mandatory subject for the purpose of collective bar-
gaining. Respondent engaged in this conduct without affording the
Union an opportunity to bargain with Respondent with respect to
the conduct or the affects of the conduct.
8. The described unfair labor practices affect commerce within
the meaning of Section 2(6) and (7) of the Act.
9. Respondent’s preelection unfair labor practices nullified the
results of the March 3 and 4, 1994, representation election, and
these unfair labor practices cannot be corrected by conventional
remedies, including a rerun election, in view of the fact that in the
situation at hand it is not possible to have a fair rerun election.
Accordingly, it is appropriate and necessary that Respondent be
ordered to bargain with the Union as of January 5, 1994, when the
Union attained a majority and requested the Respondent to recog-
nize it.
10. Respondent has not violated the Act in any other manner.
REMEDY
Having found that Respondent has engaged in a number of un-
fair labor practices and that the objections, to the extent set forth
above, should be sustained, I shall recommend that Respondent be
ordered to cease and desist from committing these unfair labor
practices and take certain affirmative actions designed to effectuate
the policies of the Act.
The Respondent having discriminatorily discharged or perma-
nently laid off Joanne Sandusky, must offer her immediate and full
reinstatement to her former job or, if such job no longer exists, to a
substantially equivalent position of employment, without prejudice
to her seniority or other rights and privileges enjoyed by her and
make her whole for any loss of earnings or other benefits she nay
have suffered as a result of the discrimination against her as pre-
scribed in F. W. Woolworth Co., 90 NLRB 289 (1950) with interest
to be computed in the manner prescribed in New Horizons for the
Retarded, 283 NLRB 1173 (1987).
The Respondent having discriminatorily denied Terry Hundley,
Patricia Clark, and Ann Hurst the full-time patient care leader posi-
tions they sought, must offer them such positions or, if such jobs
no longer exists, to a substantially equivalent positions of employ-
ment, without prejudice to their seniority or other rights and privi-
leges enjoyed by them and make them whole for any loss of earn-
ings or other benefits they nay have suffered as a result of the dis-
crimination against them, with interest to be computed in the man-
ner prescribed in New Horizons for the Retarded, supra.
Respondent will be required to expunge from its records the Au-
gust 9, 1994 unlawful discharge or layoff of Joanne Sandusky, the
December 12, 1995 evaluation of Terry Hundley, the August 17,
1995 written reprimand to Gloria Gant and the January 31, 1996
evaluation of Gloria Gant, and any reference to thereto.
It shall be recommended that Respondent recognize and bargain
with the Union on request and embody any understanding reached
into a signed agreement.
Having found that Respondent has made unilateral changes in
certain terms and conditions of employment of the employees in
the involved unit in violation if Section 8(a)(1) and (5) of the Act, I
recommend that Respondent revoke, on request of the Union, the
unilateral changes, except as they relate to increases in pay or bene-
fits for it would contradict the purposes of the Act to penalize em-
ployees by requiring Respondent to withdraw increases in pay or
benefits. With these exceptions, and at the request of the Union,
Respondent should return the terms and conditions of employment
of the bargaining unit members to the status quo ante which existed
on January 5, 1994, when the demand for recognition was made. I
shall also recommend that Respondent reimburse unit employees
and former unit employees for any monetary losses they may have
suffered as a result of Respondent’s unilateral changes, as pre-
scribed in F. W. Woolworth Co., supra, with interest to be com-
puted in the manner prescribed in New Horizons for the Retarded,
supra.
In view of the degree and pervasiveness of the unfair labor prac-
tices, a broad cease and desist order shall be recommended pre-
cluding Respondent from “in any manner” interfering with,
coercing, or restraining employees in the exercise of their rights
guaranteed by Section 7 of the Act.
[Recommended Order omitted from publication.]
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
436
APPENDIX A
The following is a list of employees who signed or executed union authorization cards on the dates indicated with the pertinent General
Counsel exhibit number, who sponsored the exhibit (authorization card) (see fn. 1 below), and transcript reference, respectively:
Employees Who Signed Union Cards
Name
Date
Exhibit1
Witness
Transcript
Abbott, Anglia2
7/30/93
205
Johansen, M.
828
Adcock, Nancy3
2/4/93
307
Gamble, D.
1212
Allen, Carmelita
10/28/93
369
Pate, A.
1377
Anderson, Donna4
12/14/93
120
Zollman
589
Augustine, Jacqueline
11/19/93
228
Self
911
(Jones)5
Austell, Bob
1/5/94
149
Kleitz, V.
687
Bagby, Melinda
7/15/93
310
Self
1223
Bailey, Cheryl
7/27/93
397
Zeigler, M.
1405
Baker, Margie
11/27/93
214
Self
848
Ball, Anna6
1/1/94
370
Pate
1377
Ball, Susan7
3/5/93
253
Doyle, D.
1002
Ball, Vicki
11/14/93
53
Self
226
Ballard, Angela8
1/13/93
98
McGiveney
487
Ballard, Celeste
2/27/93
14
Tillow
118
Ballard, Chris9
12/7/93
15
Tillow
118
Ballard, Lucinda
11/17/93
74
Kelly, M.
358
Ballard, Martha10
12/16/93
97
McGiveney
487
Barnes, Theresa11
1/13/–12
254
Doyle
1002
Barnett, Penny
10/12/93
183
Holthouser
768
Basham, Judy13
11/20/93
371
Pate
377
Bass, Jacquelyn14
3/15/93
23
Self
1285
Beasley, Valerie15
12/8/93
255
Doyle
1002
Becht, Selma16
1/15/94
365
Clark
1321
Bertoli, Janet
7/16/93
71
Self
337
Bielefeld, D.17
7/21/93
212
Self
831
Binggeli, W.18
3/9/93
256
Doyle
1002
Bishop, Maria19
1/18/93
257
Doyle
1002
7/23/91
447
Self
3092
Bizzell, Karen20
1/5/94
343
Clark, P.
1319
Black, Patricia21
1/23/93
232
Tallant
933
Blair, Annette
10/12/93
61
Self
259
(Adams)
Blake, Suzanne
9/30/93
189
Hurst, A.
781
Blankenbaker, Mary
11/23/93
45
Self
136
Bourke, Jacqueline
12/11/92
206
Self
1264
6/12/91
207
Self
1264
Bradley, Sallye22
4/8/93
344
Clark
1319
Branham, Connie23
7/16/91
184
Holthouser
768
12/2/92
408
Schmidt, B.
1455
Brantley, E.24
7/29/93
150
Kleitz
687
Breitmeyer, D.25
7/20/93
311
Bagby, M.
1223
Brewer, Dawn26
3/11/93
122
Zollman
589
Britt, Elizabeth27
3/11/93
123
Zollman
589
Brockman, Vickie
1/28/93
63
Self (James)
267
Brown, Glendora28
12/13/93
75
Kelly, M.
358
Brown, Glinda
11/16/93
320
Self
1262
Brown, Henry
2/6/93
312
Bagby
1223
Brown, Susan29
1/11/93
105
Kaiser, Y.
506
3/2/93
24
Self
2799
Browning, T.30
9/19/—31
226
Self
895
Burba, Cecilia32
6/17/93
224
Self
869
Burch, M.33
7/21/93
185
Holthouser
768
Burch, Rosemarie34
7/21/93
186
Holthouser
768
Burgin, Nancy
11/23/93
227
Self
902
Buschman, Mary35
3/11/93
124
Zollman
589
Butler, Robin36
8/9/93
151
Kleitz
687
Cain, Sunetta
1/17/93
324
Self
1283
Campbell, Vicki
11/28/93
331
Gant, G.
1302
Carby, Nancy37
1/13/93
249
Kaiser, L.
976
Carmichael, L.38
7/28/93
203
Corbett, M.
816
AUDUBON REGIONAL MEDICAL CENTER
437
8/9/91
439
Self
2312
Carr, C.39
1/14/93
372
Pate
1377
Carter, Sandra40
2/27/93
25
Self
1416
Cawthon, Linda
3/4/93
26
Self
1397
Cecil, Mary
11/15/93
285
Self
1026
Chapman, Sandra41
1/13/93
106
Kaiser
506
Ciliberti, Carol42
1/20/93
216
Long, A.
855
Clark, Diane
8/8/93
152
Kleitz
687
Clark, Patricia
10/12/93
342
Self
1319
Clay, Paul43
10/28/93
373
Pate
1377
Cline, Judy
4/12/93
153
Kleitz
687
Cockerel, E.44
6/16/93
89
Self
436
Cohen, Constance45
1/14/93
74
Pate
1377
Cole, Kelly46
1/16/93
125
Zollman
589
Coleman, Gloria47
12/12/92
52
Self
224
Comstock, Donna48
2/4/93
190
Hurst
781
Cooper, Pamela49
12/11/93
332
Gant, G.
1302
Corbett, Mary
3/6/93
202
Self
816
Cottingham, Kim
11/15/93
91
Self
448
Cowden, Michelle50
1/26/93
191
Hurst
781
Curtsinger, Tamara
1/31/93
126
Zollman
589
Davis, Denise
12/15/93
83
Self
377
Daviss, Sharon
11/3/93
192
Hurst
781
Deaton, Rebecca
11/8/93
54
Self
228
DeFerraro, B.51
3/4/93
64
Self
277
Delarosa, Betty52
10/18/93
333
Gant
1302
Denney, Jody
1/5/94
127
Zollman
589
Denny, Debra53
5/2/93
409
Schmidt
1455
Dixon, Dorothy54
3/27/93
68
Self
318
Downs, Barbara55
11/12/93
128
Zollman
589
Doyon, Kenneth
6/9/93
258
Doyle
1002
Driscoll, Joan56
7/11/91
76(A)
Kelly, M.
358
11/2/92
76(B)
Kelly, M.
358
Dugan, Lisa
11/5/93
193
Hurst
781
Duncan, Sylvia57
1/22/93
398
Zeigler
1405
Edelen, Avalena
2/6/93
313
Bagby
1223
Edwards, Dana58
1/24/93
172
Hodges, C.
727
Edwards, Renee59
12/30/93
75
Pate
1377
Esterday, Kathy
1/14/93
376
Pate
1377
Eyre, Leslie60
8/30/93
154
Kleitz
687
Fautz, Debby61
11/16/93
377
Pate
1377
Fenzel, Ann62
3/3/93
217
Long
855
Finerty, Jerry63
3/1/93
27
Self
272
Fizer, Ted64
4/21/93
420
1493
Flener, V. (Zollman)
10/12/93
119
Self
589
Floyd, Patricia65
11/23/93
345
Clark
1319
Franke, Tina66
1/24/93
173
Hodges
727
Franklin, Lisa67
3/11/93
129
Zollman
589
Franklin, Michael
12/16/93
314
Bagby
1223
Frazier, Kathy
6/12/93
155
Kleitz
687
Freiberger, C.68
3/30/93
28
Self
1340
6/4/91
367
Self
1350
Fugate, Sherrie69
7/11/93
233
Tallant
933
Gamble, Deborah
3/6/93
306
Self
1212
Gant, Gloria
3/3/93
330
Self
1302
Gensheimer, Kim70
6/22/91
366
Clark
1321
3/28/93
29
1321
Germano, Deborah71
1/21/93
77
Kelly, M.
358
7/3/91
434
Self
2287
1/25/93
435
Self
2287
Gertz, Tamelya
5/4/93
208
Johansen
828
Gibson, Jeanne72
7/21/91
145
Zollman
589
3/4/93
30
590
Gividen, Karen
1/14/93
259
Doyle
1002
Glisson, Cheryl73
11/29/92
156
Kleitz
687
1/6/94
378
Pate
1377
Grace, Susan74
1/25/93
174
Hodges
727
Grasch, Linda
11/12/93
118
Self
515
Gray, Barbara
1/13/93
107
Kaiser
506
Gray, Barbara75
10/28/93
379
Pate
1377
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
438
Greenwood, S.76
1/14/93
218
Long
855
Grizzle, P.77
6/9/93
292
Sandusky
1088
Haines, Semon78
10/28/93
380
Pate
1377
Hardin, L.79
10/18/93
334
Gant
1302
Harper, Jaci
11/29/93
335
Gant
1302
Harping, Elizabeth80
6/16/93
321
Brown, G.
1262
Harris, M.81
3/31/93
430
1504
5/15/92
430
1504
Harrison, Stacy82
6/7/93
157
Kleitz
687
Hatfield, Holly83
8/11/93
78
Kelly, M.
358
Haughtigan, Kara84
12/8/93
315
Bagby
1223
Heck, Patricia
11/12/93
290
Self
1038
Heichelbrech, M.85
10/19/93
158(A)
Kleitz
687
11/9/92
158(B)
Kleitz
687
Heimerdinger, Judy86
1/19/93
108
Kaiser
506
Heishman, Sandra87
1/11/93
109
Kaiser
506
11/4/93
221
Wiseman, J.
865
Hereford, Dianna88
12/11/93
316
Bagby
1223
Hibbs, Linda89
6/9/93
381
Pate
1377
Hicks, Mechele90
1/24/93
175
Hodges
727
Higdon, Ann
3/14/93
31
Self
1391
Holloway, Helen
11/13/93
72
Self
342
Holthouser, L.91
1/26/93
182
Self
768
Hopkins, Emily
10/21/93
410
Schmidt
1455
Horn, Susan92
10/9/93
130
Zollman
589
Howell, Laura93
6/10/93
159
Kleitz
687
Hruska, Darlin94
11/5/92
396
Pate
1383
3/4/93
32
1383
Huber, Janie95
4/8/93
234
Tallant
933
Hudson, Nora96
9/8/91
144
Zollman
589
3/8/93
33
590
Hudson, Susan97
8/12/93
132
Zollman
589
Hughes, Deanna
9/4/92
146
Zollman
589
3/4/93
34
590
Humphress, Debby98
8/5/93
260
Doyle
1002
Humphries, Terry
9/12/93
67
Self
311
Hundley, Terry99
11/27/93
336
Gant
1302
Hunt, Holly
11/27/93
16
Self
288
Hunt, Shane100
4/10/93
59
Self
248
Hurley, Pamela101
1/24/93
62
Self
263
Hurst, Ann102
1/3/94
188
Self
781
Hutchison, Betty
8/8/93
337
Gant
1302
Ingram, Donna
3/25/93
399
Zeigler
1405
Jackson, Jewell103
3/25/93
346
Clark
1319
Jenkins, Martha
1/15/93
93
Self
466
Jent, Vickie
3/3/93
329
Self
1289
Johansen, Mary
11/27/93
204
Self
828
Johnson, Dana104
6/4/93
261
Doyle
1002
Johnson, E. D.105
11/6/92
133
Zollman
589
6/19/91
134
Zollman
589
10/22/91
35
590
Johnson-Harsch, Jamie
3/30/93
47
Gentry
161
Jones, Cheryl106
11/26/93
347
Clark
1319
Jones, Judy107
4/20/93
131
Zollman
589
Jones-Fisher, Dana108
4/15/93
48
Gentry
161
Jordan, Mary109
6/13/93
413
Schmidt
1455
Jordan, Theresa110
1/25/93
58
Self
243
Kaiser, Lee
10/12/93
248
Self
976
Kaufling, D.111
2/5/93
110
Kaiser
506
Kays, Gina112
1/18/93
262
Doyle
1002
Keeler, Susan113
1/5/93
160
Kleitz
687
Kellerman, N.114
1/14/93
250
Kaiser
976
Kelly, Alan115
11/19/93
235
Tallant
933
Kelly, Margaret116
11/16/93
73
Self
358
Kelly, Pamela117
1/24/94
17
Tillow
118
12/4/92
283
Doyle
1005
Kelty, Cynthia118
9/25/93
161
Kleitz
687
King, Dianne
11/16/93
286
Cecil, M.
1026
King, Jean119
10/28/93
348
Clark
1319
10/13/92
452
Self
3760
AUDUBON REGIONAL MEDICAL CENTER
439
King, Shirley120
11/9/93
400
Zeigler
1405
Kinney, M.121
5/12/93
263
Doyle
1002
Kinser, Brenda122
4/13/93
209
Johansen
828
Kitchen, Sue123
1/13/93
99
McGiveney
487
Kleinschmidt, L.124
1/28/93
176
Hodges
727
Kleitz, Vivian
10/19/93
148
Self
687
Kuban, Karen125
4/13/92
69(A)
Self
324
1/6/94
69(B)
Self
324
Kutz, Jacqueline
7/13/93
264
Doyle
1002
Larvick, Janette
2/9/93
88
Self
D432
Lasher, Linda126
11/30/93
135
Zollman
135
Lawhorn, Joann127
10/19/93
349
Clark
1319
Laws, Patricia128
3/22/93
338
Gant
1302
Lebangood, Kathy
1/28/93
177
Hodges
727
LeBlond, M.129
1/13/93
100
McGiveney
487
Lee, Barbara130
2/27/93
36
1549131
Leffel, Gloria (Meredeth)
6/8/93
84
Self
389
Leitner, Lisa132
6/19/91
147
Zollman
589
3/7/93
37
D590
Lockridge, Deborah
11/12/93
18
Self
292
Lohden, Theresa
10/4/93
57
Self
239
Long, Anna
11/16/93
215
Self
855
Lotze, Susan
10/28/93
94
Self
471
Lowe, Linda133
1/7/94
382
Pate
1377
10/10/92
448
Self
3210
Lowery, Glenda134
2/23/93
411
Schmidt
1455
Lucas, Pennie135
9/13/93
85
Self
395
Lyons, Ed136
2/16/93
101
McGiveney
487
Malik, Jenica
10/4/93
414
Schmidt
1455
Malone, Norita
11/14/93
323
Self
1275
Mangin, Aimee137
1/13/93
111
Kaiser
506
Masden, Clara138
11/21/93
350
Clark
1319
Masri, Lisa139
8/9/93
55
Self
233
Mattmiller, R.140
1/25/93
178
Hodges
727
McAfee, Cynthia141
7/27/93
421
1493
McCarty, Karen
7/10/93
162
Kleitz
687
McClanahan, T.142
1/25/93
87
Self
407
McCubbin, Rita143
1/14/93
86
Self
400
McDonald, Nancy
11/18/93
418
Self
1458
McGiveney, Mary144
11/5/93
96
Self
487
McMillan, M.145
11/14/93
200
Miles, J.
789
Medley, Joseph
3/5/93
79
Kelly, M.
358
Meece, Karen146
12/10/93
194
Hurst
781
Meers, Gina147
12/5/93
265
Doyle
1002
Mercer, Gail148
1/25/93
136
Zollman
589
Metzger, M.149
12/25/92
236
Tallant
933
1/9/94
237
Tallant
933
Miceli, Nicole
4/7/93
195
Hurst
781
Miles, Janet
10/27/93
199
Self
789
Miles, Valerie150
6/4/93
351
Clark
1319
Minrath, Mark
1/28/93
92
Self
461
Mirus, Rita
2/1/93
352
Clark
1319
Moore, Barbara151
4/20/93
137
Zollman
589
Morrison, Karen152
3/9/93
383
Pate
1377
Morrison, Lynn153
3/17/93
384
Pate
1377
Moyer, Christine
1/3/94
325
Cain, S.
1283
Mucker, Penny154
12/10/93
196
Hurst
781
Muckler, Sarah155
11/19/93
266
Doyle
1002
Muench, Alice156
1/24/92
170
Kleitz
689
3/2/93
38
690
Mullins, Dawne157
2/1/93
138
Zollman
589
Murphy, Gina158
1/2/94
163
Kleitz
687
Myers, Stacy
8/12/93
51
Self (Doyon)
186
Nanz, Steve159
2/11/93
238
Tallant
933
Napier, Diana (Blevins)
8/23/91
267
Doyle
1002
(Davenport)
3/9/93
268
Doyle
1002
Naville, Linda
8/11/93
385
Pate
1377
Nelson, Paula160
4/24/93
269
Doyle
1002
Nelson, Tracey161
3/2/93
415
Schmidt
1455
Nethery, Lynne162
6/12/93
210
Johansen
828
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
440
Nix, Patricia163
12/13/93
80
Kelly, M.
358
Norris, Margaret
4/15/93
49
Gentry
161
O’Bryan, Terri
4/21/93
406
Self
1440
O’Neil, Dorothy164
11/16/93
388
Pate
1377
Oakes, Jane165
5/8/93
222
Wiseman
865
Ohlemacher, M.166
11/1/93
386
Pate
1377
Ohlemacher, S.167
10/29/93
387
Pate
1377
Orkies, Sheila168
3/10/93
317
Bagby
1223
Osbourn, M.169
1/30/93
270
Doyle
1002
Otte, Mary (Pole)
7/23/93
95
Lotze
471
Owen, William170
1/11/93
112
Kaiser
506
11/4/93
223
Wiseman
865
Pate, Angela
12/30/93
368
Self
1377
Patterson, K.171
1/22/93
401
Zeigler
1405
Pawley, Mary172
3/2/93
65
Self
298
Payton, Carol
10/26/93
326
Cain
1283
Peak, Susan
1/11/94
403
1412
Phelps, Theresa
1/3/94
353
Clark
1319
Phillips, G.173
10/27/93
354
Clark
1319
Pope, Judy174
10/17/93
327
Cain
1283
Potter, Mary175
11/19/93
271
Doyle
1002
Price, Diana176
12/5/93
355
Clark
1319
Ragsdale, Judy177
1/14/93
117
Kaiser
506
Raper, P.178
3/25/93
169
Kleitz
687
Raymer, Kim
1/20/93
272
Doyle
1002
Reeder, Sheri179
5/21/93
389
Pate
1377
Reibel, Melody
2/17/94
229
Self
921
12/8/92
230
Self
921
Reichle, Ann180
1/26/93
197
Hurst
781
9/15/91
449
Self
3324
Rexcoat, Elizabeth
7/31/93
165
687
Reynolds, J.181
1/28/93
239
933
Rhoades, Terri182
1/2/94
167
687
Rhodes, Ellen (Hobbs)
6/12/93
166
687
Rice, Arlene
11/30/93
402
1405
Richeson, Linda183
1/1/94
164
Kleitz
687
Riggs, Stacey184
6/9/93
412
Schmidt
1455
Robinson, L.185
12/5/93
356
Clark
1319
Robinson, S.186
7/14/93
273
Doyle
1002
Rogers, Donna
12/11/93
81
Kelly, M.
358
Rudd, Elizabeth187
1/13/93
251
Kaiser
976
Ruhe, Susan188
1/18/93
318
Bagby
1223
Rumbaugh, S.189
11/22/93
139
Zollman
589
Salmon, Melissa
3/22/93
339
Gant
1302
Sandusky, Joanne
8/6/93
291
Self
1088
Sautel, Barbara190
3/9/93
219
Long
855
Sayers, Rebecca191
5/21/93
66
Self
304
Schanie, Cheri
12/2/93
60
Self
254
Schmidt, B.192
2/2/93
113
Kaiser
506
Schmitt, Betty
9/28/93
407
Self
1455
Schneider, Kim193
10/12/93
187
Holthouser
768
Schoenbaechler, S.194
4/28/93
417
Schmidt
1455
Schreck, Debbie195
10/28/93
391
Pate
1377
Schulz, Twylita
1/10/94
284
Doyle
1005
Schuler, Judith
3/23/93
390
Pate
1377
Scott, T.196
6/17/93
405
Self
1434
Scouller, T.197
9/28/93
240
Tallant
933
Seago, Mary198
1/19/93
274
Doyle
1002
Sears, Christine
3/6/93
39
Self
1358
Sedoris, Rhonda199
1/16/93
140
Zollman
589
Selvaraj, V.200
12/ /93
811
Shackleton, Jo Ann 201
1/31/93
275
Doyle
1002
Shanks, Cheyl202
7/31/93
362
Clark
1319
Sharp, Janna203
9/28/93
361
Clark
1319
Sharp, Leda204
12/16/93
102
McGiveney
487
6/10/91
436
Self
2302
9/12/91
437
Self
2302
11/14/92
438
Self
2302
Shelburne, C.205
7/15/93
276
Doyle
1002
1/5/94
443
Self
2582
AUDUBON REGIONAL MEDICAL CENTER
441
8/23/91
444
Self
2582
Shepphard, Jean
3/23/93
211
Johansen
828
Shofner, B.206
10/19/93
360
Clark
1319
Shoulders, Judy
4/2/93
56
Self
235
Simms, Veronica
11/20/93
225
Self
879
Sivado, Carol
11/14/93
359
Self
1428
Skrine, Jean207
1/27/93
308
Gamble
1212
Slaton, Judy
1/9/94
322
Self
1272
Slayton, Kathy
11/30/92
171
Kleitz
689
3/12/93
40
690
Sleder, Marsha208
1/4/94
328
Cain
1283
Smith, Harold209
3/19/93
358(A)
Clark
1319
Smith, Lisa
11/13/93
19
Self
1292
Smith, P.210
1/16/93
201
Self
796
Sohan, Margaret
2/25/93
41
Self
1388
Sorrells, Anne
8/10/93
20
Self
1444
Springate, A.211
10/28/93
416
Schmidt
1455
Steele, Jodie
1/6/94
404
Self
1424
Steinmetz, L.212
11/20/93
357
Clark
1319
Stewart, Holey213
5/23/93
198
Hurst
78
Stoess, Kathy214
12/4/92
277
Doyle
1002
2/15/94
278
Doyle
1002
Stone, Rhonda215
1/3/93
279
Doyle
1002
Street, Mary216
12/16/93
103
McGiveney
487
Strohbeck, Susan
7/1/93
141
Zollman
589
Sullivan, M.217
11/14/93
241
Tallant
933
9/19/92
440
Self
2483
Sullivan, Nancy218
2/25/93
42
Self
1019
Swift, Vicky
3/6/93
43
Self
1336
Tallant, Jeff219
1/26/93
231
Self
933
Taylor, Tammie220
12/3/93
422
1493
Thoma, Melanie
10/4/93
21
Self
1395
Thomas, Susan221
11/22/93
395
Pate
1377
12/9/92
445
Self
2784
Tolbert, Sharon222
1/14/93
394
Pate
1377
Turner, Dorothy223
6/6/93
168
Kleitz
687
Vanetti, Bridget224
7/15/93
70
Self
330
Vincent, Theresa
2/8/93
121
Zollman
589
Waldrop, Marilyn
5/6/93
247
Self
952
Walker, Katherine
5/25/93
242
Tallant
933
Wall, Sharon
2/1/93
114
Kaiser
506
Wallace, P.225
4/7/93
319
Bagby
1223
Walter, Karen226
1/27/93
243
Tallant
933
Waltz, Diann
1/30/93
280
Doyle
1002
Warner, Bonnie227
4/12/93
50
Gentry
161
Webb, Trini228
7/21/93
281
Doyle
1002
Weber, Jane
1/22/93
46
Self (Gentry)
161
Welch, Pamela229
10/18/93
340
Gant
1302
Welch, Vickie230
6/23/93
22
1493231
West, Nancy232
1/31/93
282
Doyle
1002
Westfall, Anita
3/3/93
179
Hodges
727
Westfall, George233
10/17/92
288
Cecil
1033
3/3/93
44
1033
1/24/93
181
1033
Wethington, M.234
1/15/93
115
Kaiser
506
Whitehouse, C.235
4/7/93
309
Gamble
1212
Williams, Donna236
10/12/93
142
Zollman
589
Willoughby, H.237
2/8/93
104
McGiveney
487
6/9/91
441
Self
2497
Wills, Vanessa238
2/1/93
244
Tallant
933
Wine, Mary239
1/14/93
392
Pate
1377
Winstead, Debra
1/14/93
82
Kelly, M.
358
Wiseman, Janet
11/4/93
220
Self
865
Wohlleb, Marijane
11/6/93
63
Clark
1319
Wooldridge, K.240
3/22/93
341
Gant
1302
Wright, Louise
10/13/93
252
Kaiser
976
Wrocklage, B.241
6/15/93
393
Pate
1377
Yates, Gloria242
1/23/93
180
Hodges
727
Yates, Jane243
5/22/93
423
1493
Yerta, Diane244
4/29/93
116
Kaiser
506
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
442
Young, Sherry245
4/25/93
364
Clark
1319
Zottman, L.246
4/21/93
245
Self
939
10/11/91
246
Self
946
1 When the sponsoring witness was not the card signer, the witness testi-
fied that he or she either saw the card signed or received the card from the
person who signed the card. Where the name of the sponsoring witness has
changed it will be indicated in this column and where the name of a card
signer has changed, the change will be noted in the first column if the spon-
soring witness is not the signer. Those cards for which a sponsoring witness
is not listed were introduced by the General Counsel to be authenticated by
comparing them with cards for which there was a sponsoring witness or
with a document which was admittedly signed by the individual. Subse-
quently Respondent called many of the card signers whose cards were
originally sponsored by someone else. These witnesses then identified their
own cards. One witness, Vanaja Selvaraj, testified that she signed a card but
apparently it has been misplaced.
2 When called by Respondent, she testified that her married name is
Munk; and that she signed and dated the card.
3 When called by Respondent, she testified that she signed and dated the
card.
4 When called by Respondent, she testified that she signed and dated the
card; that she was not real sure, specifically, what she was told about signing
the card; that she read the card; and that she was not told to disregard the
language on the card. The following appears at the top of the card: Authori-
zation for Representation—I hereby authorize the Nurses Professional
Organization, UNA, AFSCME, AFL–CIO to act as my collective-
bargaining agent for wages, hours, and working conditions.
5 Jones testified that when she signed the card she was not an RN but
rather a nurse extern, she had not passed her state boards yet and she was
not licensed at that time. Respondent initially sought a stipulation that this
card should not be admitted but, counsel for the General Counsel argued
that Augustine was on the list that Respondent provided dated January 5, the
date of the request of recognition. Subsequently, Respondent did not object
to the admission of the card. Jones received her RN license in April 1994.
She testified that she was a registered nurse applicant (RNA) when she
signed the card because she graduated in December 1993, she had com-
pleted all of her classes as of November 19, 1993, and she had applied for
her RN license; and that as of November 19, l993, she did not yet have her
temporary work permit which would allow her to serve as an RN.
6 When called by Respondent, she testified that she signed the card.
7 When called by Respondent, she testified that she signed the card.
8 When called by Respondent, she testified that she signed the card.
9 It was stipulated that when he signed the card he was a mobile RN.
10 When called by Respondent, she testified that she signed the card.
11 When called by Respondent, she testified that she signed the card; that
before she signed the card someone passing out literature outside the hospi-
tal said that they needed a certain number of cards to get a vote; and that she
read the card before she signed it and no one told her to ignore what was
printed on the card.
12 It appears that a “3” is written over a 9 “2” in the year on the date line.
It is noted that this was 13 days into the new year. When called by Respon-
dent, she testified that she dated the card right before this last election and
she thought that the number in question looked like a “3.”
13 When called by Respondent, Judith Basham testified that she signed
the card; that she did not remember what she was told about the card before
she signed it; and that she read the card and no one told her to ignore what
was printed on the card.
14 She testified that she was told that the purpose of the card was “for us
to have a vote to see whether we could be represented;” that she was not
told that she would be joining the Union by signing the card; and that she
read the card before signing it and no one told her to ignore the language on
the card.
15 When called by Respondent, she testified that she signed the card.
16 When called by Respondent, she testified that she signed the card.
17 Diane Bielefeld testified that she read the card before signing it; that
she was given the card by Arlene Rice who told her that signing the card
“does not mean that you are absolutely for the Union, this was just to en-
able—about [sic a vote] to become possible”; and that Rice’s statement
seems to be inconsistent with what is written on the card.
18 When called by Respondent, William Binggeli testified that in 1993 he
was an RN and he, among others, rotated in the charge nurse position when
the charge nurse was not there; that he signed and dated the card; and that he
was an RN when he signed the card.
19 When called by Respondent, she testified that she signed the card. She
answered “[y]es” when asked by one of Respondent’s counsel “[d]id she
[Doyle] tell you that that was the only thing the card would be used for, to
get a vote.” Further Bishop testified that she did not read the card before
signing it because it “is just a small card, it doesn’t’ have very much on it
. . . ” that she read some of the printed material on the card to be able to fill it
out; that she read at least three other lines above the first blank line she filled
in; that Doyle did not tell her to ignore the language on the card; and that she
did not remember what Doyle said; and that she signed another NPO card
(in 1991) and she read that card before she signed it. Subsequently she
testified that she remembered nothing about her conversation with Doyle
and that she could not remember whether she read GC Exh. 257 before
signing it. On rebuttal Doyle testified that she told Bishop that they needed a
certain number of cards signed “for the NPO to represent us to get a vote for
a union”; and that she did not remember if she told Bishop that the only
purpose of the card was to get an election.
20 When called by Respondent, she testified that she signed the card.
21 When called by Respondent, she testified that she signed the card; and
that Tallant told her the card was to be able to have the opportunity for the
nurses to vote and he encouraged her to read the card before signing it.
22 When called by Respondent, she testified that she signed the card and
that when Patty Clark gave her the card she said that the purpose was “[j]ust
that they would represent us.”
23 When called by Respondent, she testified that she is an RN and a
research coordinator, and her surname is now Tutwiler; that in January
and March 1994 she was a research coordinator; that she signed and
dated the 12/2/92 card; and that she was told by NPO supporters that
the card was to determine whether or not there would be enough inter-
est to have a union formed at the hospital.
24 When called by Respondent, Elizabeth Brantley testified that she
signed and dated the card.
25 Subsequently David Breitmeyer was called as a witness by Re-
spondent and he testified that he signed the card; and that he was told
that they needed more cards so that they could get a vote for the Union
and he would be represented by the Union. He also testified that he read
the card before signing it.
26 When called by Respondent, she testified that she signed the card,
Flener told her that if a certain number of people signed the cards they
would have a collective-bargaining organization such as NPO, and she
read the card before signing it.
27 When called by Respondent, she testified that she signed and dated
the card.
28 When called by Respondent, she testified that she signed the card;
that Kelly told her that the card was “to gather enough signatures to
begin talks to start union-type activities,” that she did not remember
Kelly saying anything about an election before she, Brown, signed the
card; and that she did not remember if she read the card before she
signed it.
29 When called by Respondent, she testified that she signed the card
received as GC Exh. 105; that she read the card; and that it is her signa-
ture and handwriting on GC Exh. 24.
30 Theresa Browning testified that Arlene Rice gave her the card to
sign; that Rice told her that if enough employees signed the cards they
would have a vote; that Rice did not say Browning was joining the
Union; and that she was not sure if she read the card before signing it.
31 Browning testified that she wrote the date on the card; that the last
digit in the year “9?” is not legible but she believed it would be a “1” or
a “2”; and that the digit in question is not the same as the “2” she wrote
in her telephone number and in her zip code or the “3” she wrote in her
department number and shift.
32 Burba testified that she was not sure who gave her the card; that
she believed Vivian Kleitz gave her the card; that she could not remem-
AUDUBON REGIONAL MEDICAL CENTER
443
ber signing the card; that at some point in time Kleitz told her that if so
many cards were signed there would be a vote but she was not sure
Kleitz said this when she, Burba, signed her card; that Kleitz said that
getting an election was the only reason they needed her signature on the
card; and that she believed that she read the card before she signed it.
Kleitz testified that she did not ask Burba to sign an authorization card;
that she did have discussions with Burba after she signed the card; that
after Burba signed the card she asked Kleitz about the process; that she
told Burba that there had to be a percentage of cards signed; and that
she never told Burba that the only purpose of the card was to get an
election. On cross-examination, Kleitz testified that she never specifi-
cally talked to Burba about signing a card before she signed it.
33 Subsequently Respondent called Marguerite Burch and she identi-
fied the card as hers.
34 Subsequently she was called by Respondent and she~ testified that
she signed the card; that Holthouser told her that if she signed the card
she would be more informed about what was going to happen; and that
he did not say that by signing the card she was joining the Union. She
also testified that she read the card before signing it.
35 When called by Respondent, she testified that she signed the card.
36 When called by Respondent, she testified that her married name is
Buffkim; that she signed and dated the card; that Kleitz told her that the
card meant that she wanted to be able to vote for or against the Union;
and that she could not say with certainty that she read the card before
signing it.
37 When called by Respondent, she testified that she signed and
dated the card and that Kaiser told her that the card would be used as a
basis for representation by the Union and if a majority of cards are
turned in, an election would be held.
38 When called by Respondent Lewellyn Carmichael testified that
she signed the card; that Corbett told her that signing the card would
help to reach a certain number in order for the union issue to be put to a
vote and there was no obligation to belong to the Union; that she read
the card before she signed it; that she recalled that while the card states
“I hereby authorize the Nurses Professional Organization . . . to act as
my collective bargaining agent. . . .,” Corbett said that authorization
was only if the Union was voted in; that she did not recall Corbett
telling her to ignore the language on the card; that she did not recall
signing any other union card; and that she did sign another authoriza-
tion card in August 1991.
39 When called by Respondent Christopher Carr testified that he
signed the card.
40 She testified that she was told by an NPO supporter that the pur-
pose of the card was for the hospital to be able to have a vote; that she
was not told that it was for any other purpose; and that she read the card
before signing it and she was not told to ignore what was written on the
card. ~
41 When called by Respondent, she testified that she signed and
dated the card; and that Kaiser told her that the card was to have the
NPO be her representative at that time.
42 When called by Respondent, she testified that she signed and
dated the card.
43 When called by Respondent he testified that he signed the card;
that Pate explained that the purpose of the card was to have NPO as the
employees’ bargaining agent; and that Pate might have told him that
they needed a certain percentage of the cards signed before they could
get an election at the hospital.
44 Elizabeth Cockerel testified that she was told that the purpose of
the card was for the nurses to have an election; that she read the card;
and that no one told her to disregard what was printed on the card be-
fore she signed it.
45 When called by Respondent, she testified that she signed and
dated the card.
46 When called by Respondent, she testified that she signed the card;
that Flener (Zollman) told her that the purpose of the card was to give
her a right to vote and they wanted to have an election, and they wanted
to see how many people they could get signed up; and that she read the
card before she signed it.
47 Respondent objected to the use of this card for majority purposes
and the General Counsel took the position that a card is valid if it was
signed and dated within a reasonable period from the date of the request
for bargaining.
48 When called by Respondent, she testified that she signed the card;
that before she signed the card Ann Hurst told her that signing the card
did not necessarily mean that she was joining the Union; that Hurst did
not say anything about an election at that time; and that she read the
card before signing it.
49 When called by Respondent, she testified that she signed the card
on the date indicated.
50 When called by Respondent, she testified that she signed the card.
51 Barbara DeFerraro testified that she was told that if enough cards
were signed there could be a vote; that she was not sure who told her
this and she did not read the card before signing it; and that she was
certain that she signed only two cards while at Audubon. When three
other cards she signed, which predate the one in question, were shown
to her she testified that she did not read any of the cards. Patricia Heck
testified that on September 20, 1995, while she was in the witness room
waiting to testify, Deferraro said that she did not read the card before
signing it and she knew that she was saying the right thing “because
Joanne Anderson told me I was.” This testimony was not offered for the
truth of the matter asserted. Anderson testified that she did not have any
discussion with Deferraro regarding her testimony at the hearing.
52 When called by the Respondent, she testified that she signed the
card.
53 When called by Respondent, she testified that she signed the card.
54 She testified that she was told that the purpose of the card was to
get an election, she read the card and no one told her to disregard what
was printed on the card before signing it.
55 When called by Respondent, she testified that she signed the card.
56 When called by Respondent, she testified that she signed both
cards; that before she signed the 7/11/91 card, Kelly told her that it was
to support the Union coming into Audubon and if the Union won the
election, she would be asked to join the Union; and that she signed the
second card, dated 11/2/92, because the first one seemed to be lost.
57 When called by Respondent, she testified that she signed the card;
and that someone at NPO headquarters told her that the card would be
used to petition for a vote.
58 Her married name is Wilson. When called by Respondent~ she
testified that she signed the card.
59 When called by Respondent, she testified that she signed the card.
60 When called by Respondent, she testified that her surname is now
Coomes; that in May 1993 she had her temporary work permit and she
was working at Audubon as a RNA; and that she signed and dated the
card.
61 When called by Respondent, she testified that she signed the card.
62 When called by Respondent, she testified that she signed and dated
the card; that before she signed the card Anna Long told her the card
was to demonstrate a certain percentage so that an election could be
held; and that she read the card before she signed it and Long did not
tell her to disregard what was printed on the card.
63 He testified that he was told that the purpose of the card was to get
an election, he read the card and he was not told to ignore the language
on the card before signing it.
64 His W-4 was received as GC Exh. 424 for purposes of compari-
son. When called by Respondent, he testified that he signed the card.
65 When called by Respondent, she testified that she signed the card.
66 When called by Respondent, she testified that she became a charge
nurse in January 1993; that she signed and dated the card; and that
Hodges told her that the card would allow a vote to be held at Audubon,
and they had to have 70 percent of the cards signed. She answered
“[y]es” when one of the counsel for Respondent asked “[d]id she
[Hodges] tell you that the card would only be used to petition for a
vote.” On cross-examination she testified that she believes that she read
the card before signing it; that Hodges did not tell her to ignore what
was written on the card; and that Hodges came in and asked if anybody
would sign a card to allow the Union to come in and petition for a vote
and that was the end of the conversation. On rebuttal, Hodges testified
that Franke indicated that she had an interest in a union; that she told
Franke that before a union could come in they had to have an election
and they had to have a certain percentage of cards signed before the
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
444
petition could be filed for an election; and that she did not tell Franke
that the card meant that she was for the Union, or it would only be used
to petition for a vote. On cross-examination Hodges testified that
Franke asked her for a card; that she told Franke that by signing the
card she was saying that she wanted a union in the hospital; that she
told Franke that first there would have to be an election but that was not
the sole purpose of the card; and that she asked Franke to update her
card and she signed a second card.
67 When called by Respondent, she testified that she signed the card.
68 Charlotte Freiberger testified that Tillow or Jena Zeigler, who was
president of the Union, told her that she should sign the card so she
would be allowed to vote, “if an election came about, you would be
allowed to vote”; that they did not tell her that by signing the card she
would be joining the Union; that she read the card; that no one told her
to ignore the language on the card and she questioned the language on
the card and either Tillo or Zeigler said that this just meant that you
could vote; that she signed an NPO union authorization card in 1991
(GC Exh. 367), with the same language on it, she read it before signing
it and no one told her to ignore the language on the card; that either
Tillo or Zeigler told her that the NPO needed to receive a sufficient
number of cards in order to petition for an election; that she became a
clinical coordinator between March and November 1994; that she voted
in the 1994 election; that she did not remember if she voted a chal-
lenged ballot; and that at the time of the 1994 election she was a charge
nurse. Tillo testified that Freiberger was active in the 1989 NPO cam-
paign at Audubon; that Freiberger subsequently made a radio ad sup-
porting the NPO; that she recalled Freiberger signing GC Exh. 367 at
the NPO kickoff meeting in June 1991; that at this meeting she said
that the purpose of the card was to get a committment; that she did not
tell Freiberger at this meeting that the purpose of the card was to get an
election; that she did not have any conversation with Freiberger before
she signed the card received as GC Exh. 28, concerning the purpose of
the card; that she never told Freiberger that the purpose of the card
received as GC Exh. 28 was to be able to vote or so that an election
could be held. On rebuttal Zeigler testified that she never told Freiber-
ger that she had to sign an authorization card in order to be eligible to
vote in an election; that she never heard Tillo tell Freiberger this; and
that Freiberger was the company’s observer at the 1994 election.
69 When called by Respondent, she testified that she signed the card;
that when Jeff Tallant gave her the card he asked her if she would like
to join the Union; and that she told Tallant that she was interested in it
and she signed the card.
70 When called by Respondent, she testified that she signed GC Exh.
29; that Clark said that the purpose of this card was for the employees
to have a vote; that she read the card before signing it; and that she
thought that she signed another card before this one.
71 When called by Respondent, she testified that she signed the card;
that Kelly did not tell her that by signing the card received as GC Exh.
77 she would be joining the Union; and that she signed the NPO au-
thorization cards received as GC Exhs. 434 and 435; and when she
signed the latter in 1991, Kelly told her that the purpose of the card was
to join the Union.
72 When called by Respondent, she testified that her surname is now
Sims; that she signed and dated the 3/4/93 card; that when she was
signing the card Flener (Zollman) told her that the card was to have an
election to see how many nurses wanted to get the Union; and that she
read the card before she signed it and no NPO supporter told her to
ignore the language on the card.
73 When called by Respondent, she testified that she signed the 1992
card when her charge nurse, Linda Richeson, told her to sign it; that the
signature on the 1994 card looks like hers but the telephone number on
that card would have been incorrect for that date; that she could not
testify that she dated the 1994 card because “my four’s are very straight
up and down, just like the one’s on the . . . card in “92”; that she did not
know if the signature on the 1994 card was hers; and that at about the
time the second card is dated she had personal problems, she temporar-
ily moved out of her residence on January 2, 1994, and it is possible
that she mistakenly used the address and telephone number she had
since 1988 on the January 6, 1994, card and signed the 1994 card.
Earlier Pate had testified that Glisson signed the 1994 card in her pres-
ence in the hold room of surgery while they were working there to-
gether. In writing the zip code on the 1992 card Glisson used a “4”
which is the same as the “4” on the date line on the 1994 card in that in
writing the left side of the “4” Glisson begins from the left, proceeds to
the right and then proceeds to the left until she takes the line at about a
90 degree angle to the right. The stroke was more exaggerated on the
1994 card but that undoubtedly was the result of the emotional distress
she was suffering at the time. The “6” on the date line of the 1994 card
is the same as the “6” on the phone line of the 1992 card. Glisson used
a dash to separate the shift times on the 1992 card just as she used
dashes on the date line on the 1994 card. Regarding her signature on the
1994 card, every letter is the same as her admitted signature on the
1992 card. The fact that the “y” in her signature on the 1994 card is not
exactly the same as the “y” in her signature in the 1992 card does not
warrant the altering of this conclusion. Glisson filled out, signed, and
dated the 1994 authorization card.
74 When called by Respondent, she testified that she signed the card;
that she was told by Karen Patterson that “it gave the Union the right to
come in and take a vote”; and that she read the card before signing it.
75 When called by Respondent, she testified that there are two Bar-
bara Grays at Audubon; and that she signed the authorization card
received as GC Exh. 379.
76 When called by Respondent, Sherry Greenwood testified that she
signed the card.
77 When called by Respondent, Patricia Grizzle testified that she
signed the card; and that she requested the card from Joann Sandusky.
78 When called by Respondent, she testified that she signed the card;
that she signed a card the year before this one; that with respect to one
of the cards, she was not sure which one, Holthouser said that it was to
show support for the Union and that signing the card did not make you
a member of the Union; and that she read the card before signing it and
she asked Holthouser if it would automatically make her a member of
the Union and he said “no.”
79 When called by Respondent, Lauraetta Hardin testified that she
signed the card; that Gloria Gant told her that the card was “for getting
the Union into Audubon”; and that Gant told her to read the card before
signing it.
80 When called by Respondent, she testified that she signed the card;
that she did not remember any discussions with anyone from the NPO;
that she remembered that she was told that it did not commit her to
voting for the Union but she could not recall who told her this; and that
she read the card before signing it.
81 Mary Harris-George’s W-4 (GC Exh. 432), was received for pur-
poses of comparison. When called by Respondent, she testified that she
signed both cards; that before she signed the card dated 3/31/93 Flener
told her that she had to resign if she wanted union representation for the
second election; that Flener said that the Union had to win the election
before it would represent her; that she did not recall specific conversa-
tions; that Flener said that the card was for union representation as far
as allowing it to come in for an election; that she did not recall Flener’s
exact words; and that she read the card before she signed it and Flener
did not tell her to ignore what was printed on the card.
82 Her married name is Bickett. When called by Respondent, she tes-
tified that she signed the card and that she was told that the card was to
show support for the NPO.
83 When called by Respondent, she testified that she signed the card.
84 When called by Respondent, she testified that she signed a union
authorization card in December 1993.
85 When called by Respondent, Mary Heichelbrech testified that she
signed and dated the cards; that she took a leave of absence in January
1994 to do a travel assignment at a hospital in Las Vegas, Nevada, and
she returned to Louisville in June 1994 and went to work in the ER at
Columbia’s Suburban Hospital; that when she left to go to Las Vegas,
Audubon gave her a leave of absence which gave her the right to go
back to employment with Audubon once her assignment was over; that
she stayed on Audubon’s pool; that she did not have to start over as a
new employee at Audubon; and that she probably worked at Audubon
as a pool nurse one day in June, July, or August. Anderson testified that
RNs quite frequently move between Audubon and its sister hospitals
and they retain their company seniority unless there is a greater than a
AUDUBON REGIONAL MEDICAL CENTER
445
90-day break in service; and that the 90-day period limitation did not
apply at Audubon before Columbia became involved.
86 When called by Respondent, she testified that she signed the card.
87 When called by Respondent, she testified that she signed GC Exh.
109. This witness was not asked if she signed GC Exh. 221, dated
“11/4/93.” But the sponsoring witness of that card testified that He-
ishman perosnally handed it to her and Heishman did not deny that it
was her card.
88 Subsequently she was called as a witness by Respondent and she
testified that she signed the card; that Bagby said that the purpose of
the card was to have a vote for the Union “and that I was recognized
with the NPO”; and that joining the Union was her purpose for signing
the card albeit she could not remember Bagby saying this. She also
testified that she obtained her understanding of the purpose for signing
the card from the language on the card.
89 When called by Respondent, she testified that she signed the card;
Pate said that signing the card did not mean that she, Hibbs, was asking
for the Union to represent her but only that they needed enough signa-
tures to get a vote and she did not have to vote for the Union; that Pate
or another union supporter told her that they wanted her to sign a card
in order to have an NLRB election; that she read the card before she
signed it and Pate did not tell her to ignore the language on the card.
90 When called by Respondent, she testified that she signed the card;
that Patterson told her that signing the card did not mean that she was
voting yes or no it just meant that if they get so many cards that it will
come to a vote; and that she read the card and the person soliciting her
signature did not tell her to disregard the language on the card. Also
Hicks testified that she did not recall having any discussions with
Hodges about signing an authorization card.
91 Lawrence Holthouser’s job description was received as R. Exh. 8.
92 When called by Respondent, she testified that she signed the card.
93 When called by Respondent, she testified that she signed the card;
that she could only recall Vivian Kleitz telling her that the card was the
way that she would receive information about the Union; that Kleitz
told her to read the card before signing it; and that she believed that she
read the card.
94 When called by Respondent, she testified that she signed both
cards.
95 When called by Respondent, she testified that she signed the card.
96 When called by Respondent, she testified that she signed the card,
GC Exh. 33.
97 When called by Respondent, she testified that she signed the card.
98 When called by Respondent, she testified that she signed the card;
that Doyle told her that they needed a few more cards to be able to get a
vote; that she did not remember if she read the card before signing it;
that she asked Doyle if signing it meant that she was going to vote
“yes” and Doyle said it was just to get a vote; and that Doyle did not
tell her to ignore what was stated on the card. On rebuttal Doyle testi-
fied that she told Humphress that it was an authorization card for the
NPO to represent the nurses.
99 When called by Respondent, she testified that she signed the card;
that Gant told her that they were trying to get enough signatures to have
a vote; that she read the card before she signed it and Gant did not tell
her to ignore what was written on the card; and that she could not re-
member exactly what Gant said.
100 He testified that he was told that the cards were to obtain a vote,
he read the card and he was not told to ignore what the card said before
signing it. Also, he testified that he was a charge nurse on January 5.
Kleitz testified that she may have talked to him but she thought it was
after he had signed the card.
101 She testified that she was told by Carol Hodges she would not
have to vote for the Union and that the card was just to be able to have
a vote; and that she did not read all of the card. On rebuttal Hodges
testified that she asked Hurley if she was interested in signing a card
and Hurley responded she was not because she did not want to pay
union dues and if there was a strike, she did not want to leave the pa-
tients; that when she explained the benefits of the Union Hurley said
that she hated the NPO; and that she never told Hurley that the card
was only to get an election. On cross-examination Hodges testified that
after Hurley said that she hated the NPO she, Hodges, saw Hurley’s
signature on a card. Hodges is credited. The testimony of someone who
testifies that she did not read what she signed when what she signed
was very short and would have taken very little time to read is not
reliable.
102 Her job description was received as R. Exh. 9.
103 When called by Respondent, she testified that she signed and
dated the card.
104 Subsequently she was called as a witness by Respondent. She tes-
tified that she signed the card; and that before she signed the card Doyle
told her that the purpose of the card was to be able to get a vote and get
more information. She also testified that she read the card before sign-
ing it.
105 When called by Respondent, Ethel Darline Johnson, whose sur-
name is now Lester, testified that she signed all three cards.
106 When called by Respondent, she testified that she signed and
dated the card; that at the time she signed the card she had received an
offer of employment by Audubon as an RN; that her work permit (R.
Exh. 61), is dated January 3, 1994; that therefore she did not have a
work permit when she signed the card on November 26, 1993; that she
received her offer of employment as an RN before the effective date of
her work permit, January 3, 1994; that she believed that she received
her offer in November 1993 from Joan Wempe to work on 3 East; and
that she was never a nurse extern notwithstanding the fact that she is
listed as such on R. Exh. 51.
107 When called by Respondent, she testified that she signed the card;
that before she signed the card Flener (Zollman) told her that the Union
needed to get a certain number of cards signed in order to get an elec-
tion; that Flener said that that was the only purpose; that she read the
card before signing it and Flener did not tell her to disregard what was
printed on the card; that she signed a card in 1991 and she believed that
Flener told her at that point in time that it was for an election; and that
in testifying about what she was told about the purpose of the more
recent card she may have actually been testifying about what she was
told when she signed the older card.
108 When called by Respondent, she testified that she signed the card.
109 When called by Respondent, she testified that she signed the card
and that she was told by Schmidt that if they all joined together and
formed a union the staffing problems would cease to exist, and they
were working toward some sort of union in the future.
110 In response to a leading question, she testified that she was told
by some unidentified person that the only reason for signing the card
was to have an election, she did not remember whether she read the
card but no one told her that the card was for some purpose inconsistent
with what the card states. The card reads, in part: “Authorization for
Representation, I hereby authorize the Nurses Professional Organiza-
tion, UNA, AFSCME, AFL–CIO to act as my collective bargaining
agent for wages, hours and working conditions.”
111 When called by Respondent Dorothy Kaufling testified that she
signed and dated the card.
112 When called by Respondent, she testified that she signed the card;
that she spoke to Dea Doyle about the purpose of the card but she could
not recall whether she spoke with Doyle before or after she signed the
card; that Doyle said that the card would allow the employees to have a
vote; and that she read the card before filling it out.
113 When called by Respondent, she testified that she signed the card;
that the purpose of the card was to get an election but she did not re-
member who told her this; that she assumed that she read the card be-
fore signing it; and that no one told her to ignore the language on the
card.
114 When called by Respondent, Norma Kellerman testified that she
signed the card and that Lee Kaiser told her it was an authorization for
representation.
115 When called by Respondent, he testified that he signed and dated
the card.
116 She testified that she was a charge nurse during 1993; that in this
position she assigned patients to employees on a daily basis and she
engaged in direct patient care with her patients; that she wrote up staff-
ing sheets for the month but she took her information from the days the
RNs put down on the general schedule that they would work or they
were assigned on the general schedule to work; that she did not make a
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
446
decision as to what staff would actually be there on any given shift; that
she just took the names off the general schedule and filled out the staff-
ing sheet; that patient care attendants (PCAs) assisted her in giving
baths or helping her turn the patient; that she, like any other RN, would
ask or tell a PCA to give a patient a bath; that she made up patient care
plans for her own patients; that she did not administer discipline; that
she never recommended discipline and this was one of the functions of
the nurse manager; that if she was having a disciplinary problem she
would tell the nurse manager; that on one occassion she had a problem
with another employee’s attutude and she, Kelly, spoke to the nurse
manager but she, Kelly, did not recommend any specific discipline; that
she could not recommend discipline as a designated charge nurse; that
she could recommend to her nurse manager that someone be disci-
plined; that in the course of administering nursing care to a patient she
may request the assistance of a PCA; that in 1993 she performed peer
evaluations; and that she called people into work if they were needed in
1993 for the night shift.
117 When called by Respondent, she testified that she signed and
dated the cards; that Doyle told her that the 1992 card was going to be
used to get an election and there needed to be so many cards signed
before the NPO could petition for a vote; and that she read both cards
before signing them.
118 When she was subsequently called by Respondent, she testified
that she is married and her surname was Morgan; that she signed the
card; that Kleitz might have given her the card; that Kleitz told her that
there was no obligation to vote for the Union and the card would be an
indication that she wanted some more information about it; and that she
probably did not read the card before signing it. On cross-examination
she testified that she felt pretty sure that Kleitz was the one who gave
her the card.
119 When called by Respondent, she testified that she signed and
dated the card; that before she signed the card Flener told her that the
card only meant that they might have a vote on whether they wanted
the Union; that she asked Flener if the card meant that she, King, was
part of the Union and Flener said “no, this is only for the vote”; that she
did not think she read the card before she signed it; that before she
signed the card Flener told her how the Union might help the nurses, to
get the Union in there had to be an election, and to get the election a
certain number of cards had to be signed; that she did not remember
signing any other union cards; that she did sign GC Exh. 452; that she
could not remember who gave that card to her; and that she remem-
bered Flener telling her that they needed so many cards signed in order
to have a vote and that the card needed to be updated because it was
only good for a year and that was all that was said.
120 When called by Respondent, she testified that she signed the card.
121 When called by Respondent, Michelle Kinney testified that she
signed the card and that Doyle told her that if she signed the card, “it
was just in favor of the Union.”
122 When called by Respondent, she testified that she signed and
dated the card.
123 When called by Respondent, she testified that she signed and
dated the card; that McGiveney told her that if enough people signed
the cards there would be a vote on whether the employees wanted a
union or not, and if the employees voted the Union in, then the organi-
zation would represent the employees; and that she probably read the
card before she signed it and McGiveney did not tell her to ignore what
the card said.
124 When called by Respondent Laurie Kleinschmidt testified that her
married name is Keho and that she signed the card.
125 In response to a leading question with the word “only” in it, she
testified that she was told that the cards were needed to have a vote.
She also testified that she read the card before signing it; and that no
one told her to ignore what was printed in the card or said anything
which was inconsistent with what was printed on the card.
126 When called by Respondent, she testified that she signed and
dated the card; and that Flener (Zollman) told her that by signing the
card she wanted the Union to represent her in collective bargaining.
127 When called by Respondent, she testified that she signed the card.
128 When called by Respondent, she testified that she signed and
dated the card.
129 When Respondent called her Marlene Leblond testified that she
signed the card; that she could not remember what McGiveney told her
about the purpose of the card; that another NPO supporter, Betty
Schmidt, told her that the card would be used to bring a vote; and that
she read the card before she signed it and no one told her to ignore what
was printed on the card.
130 Her W-4, GC Exh. 428, was received for purposes of comparison.
Respondent indicated that it did not object to the comparison. The card
with which the comparison is to be made was marked for identification
as GC Exh. 36. GC Exh. 428 was received at Tr. 1493. Subsequently
she was called by Respondent and testified that she signed the involved
card.
131 Id.
132 When called by Respondent, she testified that her married name is
Nolley; that she signed GC Exh. 37; and that NPO supporters said that
the purpose of the card was to get a vote.
133 When called by Respondent, she testified that she signed and
dated the 1994 card; that Maggie Kelly told her that the card showed
interest in having a vote but she could not remember the exact words
Kelly used; that she asked Kelly “I’m not signing yes, that I want a
union, right [a]nd she’d say [w]ell, no, it’s just in order to get the
NLRB to set up a vote for us”; that she read the card before she signed
it and Kelly did not tell her to ignore the language printed on the card;
that she signed and dated the 10/10/92 authorization card; that she read
that card before she signed it; and that she did not think that Kelly
asked her to sign another card after 10/10/92.
134 When called by Respondent, she testified that she signed the card;
that Schmidt told her that the cards would indicate people that were
interested in having a union vote for the nurses; and that she read the
card before signing it.
135 She testified that she was told that a certain number of people had
to sign the cards for there to be an election; that she read the card before
she signed it; and that she was not told to disregard what was printed on
the card.
136 When called by Respondent he testified that he signed the card;
that before he signed the card Betty Schmidt told him the card was to
have a vote to get the Union into the hospital, to sign this if you want
the Union, and McGiveney told him that the card was to get a vote to
get the Union in.
137 When called by Respondent, she testified that she signed the card;
and that Kaiser told her before she signed the card that it was “to repre-
sent me with the union.”
138 When called by Respondent, she testified that she signed and
dated the card; that Clark said that they needed a certain number of
nurses to sign to be able to hold elections to decide if the nurses would
be represented by a union; and that she read the card before she signed
it and Clark did not tell her to ignore the language on the card.
139 It is noted that the card reads “Lisa El Masri.” In view of the fact
that this individual gave the name “Lisa L. Masri” on the record and
answered questions put to “Ms. Masri,” I have included her card under
“M” and not “E.”
140 When called by Respondent, Rose Mattmiller testified that she
signed the card. She also testified that her surname is now Gaskins; that
when she signed the card she was told that it was to get an election and
to support getting a union into the hospital; and that no one told her to
ignore the language on the card which she “skimmed over.”
141 Her W-4 form (GC Exh. 425), was received for purposes of com-
parison.
142 Tammy McClanahan, in answering a leading question, testified
that Karen Paterson told her that the only purpose of the card was to get
an election and that she, McClanahan, had to sign the card in order to
be able to vote; that she thought that she read the card before she signed
it; that she was either misled or misunderstood the purpose of the card;
and that as an RN she directed patient care assistants (PCAs) and unit
secretaries to perform certain functions, she did a patient care plan
every day and she worked up a plan of action which others were ex-
pected to follow.
143 She testified that she did not recall who gave her the card but she
recalled that she was told that it was to get an election; and that she read
AUDUBON REGIONAL MEDICAL CENTER
447
the card before signing it and she was not told to disregard the printing
on the card.
144 Her job description covering her position during calendar year
1993 was received as R. Exh. 4.
145 When called by Respondent, Marla McMillion-Byrd testified that
she signed the card; that when she signed she was a night-shift charge
nurse; and that Rice told her that the card was for joining the Union.
146 When called by Respondent, she testified that she signed the card;
that Lee Kaiser told her only that she needed to update her 1991 union
authorization card; and that she read the 1993 card before signing it and
no one told her to ignore what was written on it.
147 When called by Respondent, she testified that she signed the card;
that Doyle told her it was to get a vote; and that she did not read the
bottom of the card before signing it and no one told her to ignore what
was written on the card.
148 When called by Respondent, she testified that she signed the card.
149 When called by Respondent Margaret Metzger testified that she
signed both cards.
150 When called by Respondent, she testified that she signed the card.
151 When called by Respondent, she testified that she signed the card
and that she was told that it was to be able to hold an election and “if
the Union would pass then—uh, we would be represented by them and
then we would be members . . . .”
152 When called by Respondent, she testified that she signed the card.
153 When called by Respondent, she testified that she signed the card.
154 When called by Respondent, she testified that she signed the card.
155 When subsequently called by Respondent, she testified that she
signed the card and she spelled her name Meckler.
156 When called by Respondent, she testified that she signed both
cards and that she probably read GC Exh. 38 before signing it.
157 When called by Respondent, she testified that her surname is now
Cunditt; and that she signed and dated the card.
158 When called by Respondent, she testified that she signed the card.
159 Subsequently he was called as a witness by Respondent and testi-
fied that he signed the card; and that individuals from the NPO, namely
Nancy McDonald or Lonnie Holthouser, told him that the purpose of
the card was “to enable nurses to vote on—. . . uh, to have Union repre-
sentation.” He also testified that he read the card before signing it and
no one told him to disregard what was written on the card.
160 Subsequently she was called by Respondent and she testified that
she was a charge nurse from 1991 until June 1994; that she signed the
involved card; that Doyle said that the purpose of the card was so that
the employees would be able to vote on whether or not they wanted the
Union; and that she read the card before signing it.
161 When called by Respondent, she testified that she signed and
dated the card.
162 When called by Respondent, she testified that her married name
is Taylor; and that she signed and dated the card.
163 When called by Respondent, she testified that she signed and
dated the card.
164 When called by Respondent, she testified that she signed and
dated the card.
165 When called by Respondent, she testified that she signed the card;
that she read the card before she signed it; and that Kaiser said that by
signing a card the Union would be able to petition the Board for an
election.
166 When called by Respondent, Michael Ohlemacher testified that
he signed the card and that Rice or Pate told him that it was an indica-
tion of his desire to have the NPO represent him in collective bargain-
ing. He also testified that he was a nurse extern when he originally
started working and then he became an RNA; that to become a RNA he
had to graduate nursing school, file to take the exam and get a permit
when he applied to take the exam; that he had to apply for an RNA
position and it was not guaranteed; that he applied for the RNA posi-
tion in November or December 1993; that he was offered and then went
into an RNA position in January 1994; and that the nurse recruiter in
the Audubon personnel department telephoned and offered him the
position before he received his permit. R. Exh. 51 indicates that he was
an extern who was hired 3/93, he received his permit 1/3/94 and he
became an RNA 1/17/94.
167 When called by Respondent, Stephanie Ohlemacher testified that
she signed the card.
168 When she was called by Respondent, she testified that she signed
the card.
169 Subsequently Michelle Osbourn was called by Respondent and
testified that she signed the card; and that regarding the purpose of the
card, Doyle told her that it was to obtain more information about the
organization, if enough cards were signed the Union would be able to
petition for a vote at the hospital and then the employees would be able
to “vote on the Union, as to whether or not we wanted to be a partici-
pant in the Union as a whole.” Osbourn was pretty certain she read the
card before signing it.
170 When called by Respondent he testified that prior to signing the
1/11/93 card he was told that it was just to give the Union a chance for
an election; that he signed the 11/4/93 card; that he read both cards
before signing them; that he could not remember the exact words that
were used when he was told the purpose of the cards, namely that the
card was being used for an election; that he was not sure who discussed
the purpose of the card at a meeting at the home of one of his cowork-
ers; that he did not remember what words were used when they talked
about the card being used for an election; and that he was not told to
ignore the printed language on the card.
171 When called by Respondent, Karen Patterson testified that she
signed the card.
172 She answered “thats right” to the following question: “[a]nd these
people told you, did they not, they wanted you to sign the card just to
get an election.” She also testified that she read the card; that no one
told her to ignore the language on the card and no one told her anything
inconsistent with the language on the card.
173 When called by Respondent Glenda Phillips testified that she
signed the card.
174 When called by Respondent, she testified that she signed the card;
and that either Cain or Flener said that the card would be used to have a
vote.
175 When called by Respondent, she testified that she signed and
dated the card.
176 When called by Respondent, she testified that she signed the card;
that she was told that they needed a certain number of cards to be
signed before there could be a vote; and that she read the card before
signing it.
177 When called by Respondent, she testified that she signed and
dated the card.
178 When called by Respondent this witness, whose name is now
Pamela Longacre, testified that she signed the card.
179 When called by Respondent, she testified that she signed the card;
and that she was told by different people in the NPO that the purpose of
the card was to show that she was in support of the NPO.
180 When called by Respondent this witness, whose name is now Ann
Ratcliff, testified that she signed and dated the card; that she asked
Hurst if the card would obligate her to vote for the Union and Hurst
said no they just needed enough people to sign the cards so that they
could have an election; that Hurst said that she would not have to join
the Union if she did not want to; that she read the card before she
signed it and Hurst did not tell her to ignore what was printed on the
card; and that most of her conversations with Hurst occurred after she
signed another card and before she signed the January 1993 card.
181 When called by Respondent, Joanne Reynolds testified that she
signed and dated the card. She also testified that before she signed a
card in 1989 Tillow said that signing a card did not obligate the em-
ployee to join the Union; and that she read the 1989 card before she
signed it and no NPO supporter told her that she could disregard the
language that was printed on the card.
182 Subsequently she was called by Respondent and she testified that
she signed the card; and that Kleitz told her that the Union needed so
many cards so that “they would have the right to get a vote.” She testi-
fied that she read the card before signing it.
183 When called by Respondent, she testified that she signed the card;
that Kleitz told her that the card would be used to get an election at the
hospital; that she read the card; and that no one told her to ignore what
was printed on the card.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
448
184 The parties stipulated that Riggs appears on the list which has
been received as GC Exh. 2 under the name of Knight. When called by
Respondent, she testified that she signed the card.
185 When called by Respondent, Louise Robinson testified that she
signed the card and that when Ball gave her the card she said that it was
for representation.
186 When called by Respondent, Sherria Robinson testified that she
signed the card; that Doyle told her that if they had enough cards they
would have an election to vote in a union; and that she read the card
before signing it.
187 When called by Respondent, she testified that she signed the card.
188 When called by Respondent, she testified that she signed the card;
that Dea Doyle told her that the card was so that they could vote yes or
no for the Union; and that she probably read the card before signing it
and no one told her to disregard what was printed on the card.
189 When called by Respondent, Sherry Rumbaugh testified that she
signed the card.
190 When called by Respondent, she testified that she signed and
dated the card.
191 She testified that she was told by Margaret Kelly, who gave her
the card, that the only purpose for signing the card was to get an elec-
tion; that she was pretty sure that she only signed one card; and that she
read the card before signing it and no one told her to ignore what was
stated on the card. When shown it, she conceded that she had previ-
ously signed a card. Subsequently she testified that she could not re-
member what happened before she signed which card. Kelly denied
Sayers’ assertion.
192 When called by Respondent, Barbara Schmidt testified that she
signed and dated the card.
193 When called by Respondent, she testified that she signed the card.
194 When called by Respondent, she testified that she signed the card;
that Schmidt said that they were collecting cards in order to vote for the
Union; and that she read the card before she signed it.
195 When called by Respondent, she testified that she signed and
dated the card; that Nancy McDonald told her before she signed the
card that if they collected enough cards, they would be able to have an
election; and that she read the card before she signed it.
196 Tana Scott, whose surname is now Bolus, testified that Kleitz told
her that by signing the card she, Kleitz, was agreeing to have a vote that
the NPO could collectively bargain with the hospital; that Kleitz never
said that by signing the card she would be joining the Union; that she
assumes that she read the card before signing it; and that no one told
her to ignore the language on the card. Kleitz testified that she did not
have any discussions with this card signer regarding the purpose of the
card before this individual signed the card.
197 When called by Respondent, Thomas Scouller testified that he
signed the card.
198 When called by Respondent, she testified that the signature and
date in the card were her handwriting.
199 When called by Respondent, she testified that she signed the card.
200 Vanja Selvaraj testified that she signed a union authorization card
in December 1993. One of the counsel for the General Counsel indi-
cated that she did not have possession of a card with this witness’ sig-
nature on it, stating “it appears to be lost.”
201 When called by Respondent, she testified that she signed the card.
202 When called by Respondent, she testified that she signed and
dated the card.
203 When called by Respondent, she testified that she signed and
dated the card.
204 When called by Respondent, she testified that she signed the 1993
card; that she was told prior to signing the card that it would give the
Union the right to have a vote and that was the only purpose of the
card; that she probably read the card before signing it and she did not
remember McGiveney telling her to ignore what the card indicates; that
she did not think that she signed a union authorization card before this
one; that she could be mistaken about exactly what was said regarding
the purpose of this card; that she did sign another card in June 1991,
another one in September 1991, and another in November 1992, all in
her maiden name, Culver; and that McGiveney explained that the pur-
pose of the card was to be able to get a vote for the Union, so that they
could get a union and she, Sharp, was signing the card supporting the
idea of having a union.
205 When called by Respondent, Carrie Shelburne testified that her
married name is Allen; that she signed the 1993 card; that Wesley Pitts
gave her the card and before she signed it he told her that the card was
to get a vote for the Union, just to have a vote at the hospital, and it
doesn’t’ mean that you are for the Union, it’s just for them to get
enough cards for a vote; that she thought that she read the card before
signing it; that she asked Pitts if the language on the card meant that she
was for the Union and Pitts said that it would just allow a vote at the
hospital and she was not saying that she would vote for the Union; that
she thought she read the card before signing it but she could not re-
member that far away; that no one told her to ignore the language on
the card; that she thought she signed one card before this one; that she
did not remember signing the card dated “1/5/94” (GC Exh. 443), as
Carrie Allen but it was her signature; that she also signed the “8/23/91”
card as Carrie Hicks (GC Exh. 444); that Pitts gave her the 1991 card;
that she may have been mistaken when she testified that Pitts gave her
the “7/15/93” card (GC Exh. 276); that the conversations that allegedly
took place with Pitts probably happened in 1991; that Doyle told her
that the only purpose of the 1993 card was for an election; that she
clarified the purpose of the card with Doyle the same way she did with
Pitts; that Doyle said that it was just to get an election and it did not
mean that she was for the Union; that she was aware that Doyle no
longer works at Audubon; and that she could not recall when she had
the conversations with Doyle.
206 When called by Respondent Barbara Shofner testified that she
signed the card; and that prior to signing the card Clark asked her if she
wanted the NPO to represent her in negotiations and she said yes and
signed the card.
207 When called by Respondent, she testified that she signed the card;
that Gamble said that the card did not commit her to anything and she
would get information from the Union; and that she probably read the
card before signing it.
208 When called by Respondent, she testified that she signed the card;
that Lisa Cain gave her the card; that Cain did not say anything differ-
ent than was written on the card; that Cain did not tell her that she was
authorizing the Union to represent her in collective bargaining; and that
she read the card before signing it and Cain did not tell her to ignore
what was written in the card.
209 When called by Respondent, he testified that he signed the card
and also another card which was marked for identification (GC Exh.
458(b)), which is dated 11/9/91.
210 Peggy Smith (now Fields) injured her leg in May 1993 and she
was out of work from then to January 1994, except for 5 days in July
when she returned to Audubon before reinjuring her leg.
211 When called by Respondent, Angela Springate testified that she
signed the card; and that she left the hospital before the election.
212 When called by Respondent, Linda Steinmetz testified that she
signed and dated the card.
213 When called by Respondent, she testified that she signed the card;
that Ann Hurst told her she should sign the card to get information
about the NPO; that she could not recall reading the information on the
card; and that she did fill in the information on the card so she did read
that part of the card but she did not remember reading the top of the
card.
214 Subsequently Respondent called Stoess who identified her two
cards. She testified that with respect to the 1992 card she was told that
the cards would enable the NPO to solicit a vote at the hospital; that
with respect to signing her 1994 card she was told that if she did not
sign the card the hospital might challenge her when she went to vote,
and in order to be able to vote she would have to sign a new card; that
Dee Doyle told her this; and that Doyle said that “I probably wouldn’t’
be able to vote because the hospital could challenge my card if I didn’t’
re-sign.” On cross-examination she testified that she read both cards
before she signed them; that she initiated conversations with managers
Karen Purviance and Marilyn Underwood Riley both of whom told her
that the hospital would not have challenged her vote that she had not
signed the second card; that RN Mary Potter overheard her 1994 con-
versation with Doyle regarding signing the card; that Doyle said that
AUDUBON REGIONAL MEDICAL CENTER
449
her prior card was not current and she would have to resign; and that
Doyle said that the company might challenge her vote not her card. At
one point asserting that she remembered the exact words, Potter testi-
fied that she overheard Doyle tell Stoess that “you need to sign the
Union card or you can’t’ vote,” or “if you didn’t’ sign a card you
couldn’t’ vote in the election” or “if you don’t’ sign the Union card,
you don’t’ get to vote.” Subsequently Potter testified that she only
heard a portion of the conversation between Doyle and Stoess and she
did not know if the portion that she heard was conditioned on obtaining
enough signatures for there even to be an election. On rebuttal Doyle
testified that before Stoess signed the 1992 card she told her that it was
an authorization card for representation; that she told Stoess that the
second card was a “re-sign” card and she believed that she told Stoess
that they were asking everyone who had signed a card over a year
previously to re-sign “so if and when we did get to go for a vote that
the hospital could not say the card was outdated and challenge it or
throw it out or something”; and that she did not tell Stoess that she
would not be able to vote in the upcoming election if she did not sign
the second card.
215 When called by Respondent, she testified that she signed and
dated the card.
216 McGiveney testified that Street was a mobile nurse as of Decem-
ber 16, 1993.
217 When called by Respondent, Margaret Sullivan testified that she
signed the 1993 card; that before she signed the card Tallant told her
the purpose of the card was for the employees to be able to vote for a
union if they wanted one; that Tallant said that the only purpose of the
card was to get an election; that she probably read the card before sign-
ing it; that she did not remember Tallant telling her to ignore what was
printed on the card; and that earlier she signed another card when Tal-
lant told her that he was interested in getting an election. On rebuttal
Tallant testified that he told Sullivan that the card was for the NPO to
represent her for any future bargaining and they would need to obtain
the signatures on authorization cards of at least 30 percent of the em-
ployees in the bargaining unit in order to petition for an election; and
that he never told Sullivan that the only purpose of the card was to get
an election. On cross examination Tallant testified that he told Sullivan
that the NPO had to win the election for her to be a member of the
NPO.
218 She testified that she was told that the card was to allow a vote to
take place for union representation; that she did not recall that she was
told that it would be used for any other purpose; that she thought that
she read the card; and that she was not told to ignore what was written
on the card.
219 His job description was received as R. Exh. 10.
220 Her W-4 (GC Exh. 426), was received for purposes of compari-
son. When called by Respondent, she testified that she signed and dated
the card. She also testified that she read the card before she signed it,
no one told her to ignore what the card said before she signed it and the
only information she had about the purpose of the card came from
friends and not from any NPO supporter or NPO literature.
221 When called by Respondent, she testified that she signed the card.
Also she testified that she signed another card dated “12-9-92.”
222 When called by Respondent, she testified that she signed and
dated the card; that before she signed the card Pate told her that signing
did not mean that she had to vote for the Union; that she read the card
before she signed it and Pate did not tell her to ignore the language on
the card; and that she did not remember exactly what Pate said to her
before she signed the card and it was pretty busy in surgery that day.
223 When called by Respondent, she testified that she signed and
dated the card.
224 She testified that she was not sure whether she read the card but
no one told her to ignore what was printed on the card or said anything
inconsistent with it.
225 When called by Respondent Patricia Wallace testified that she
signed and dated the card.
226 When called by Respondent, she testified that she signed the card;
that Tallant told her that the card would be used “just [to] get informa-
tion about the Union”; that Tallant told her that if enough people signed
the card there would be a vote; that she was not sure if it was Tallant
who said this; that Tallant said that it did not mean that she was voting
for the Union; that she read the card before signing it; that Tallant did
not tell her to ignore the language on the card; and that it was hard to
recall what Tallant told her when he gave her the card. On rebuttal
Tallant testified that before she signed the card he told Walter that the
card was an authorization card to represent her in any future bargaining
and it was necessary to get 30 percent of the employees in the bargain-
ing unit to sign cards to petition for an election; and that he never told
Walter that the only purpose of the card would be to get some informa-
tion from the NPO.
227 When called by Respondent, she testified that she signed the card
and that she was told only that it was to have an election for the Union
and to learn more about collective bargaining. She also testified that she
read the card before she signed it.
228 When called by Respondent, she testified that she signed the card;
and that she thought that Doyle told her that by signing the care she
would become a member of the NPO.
229 Subsequently she was called as a witness by Respondent and tes-
tified that she signed the card; and that she was told that the card was
just to get a vote but she couldn’t’ identify who told her this. She also
testified that she read the card before signing it.
230 Her W-4 (GC Exh. 429), was received for purposes of compari-
son. Respondent indicated that it did not object to my making the com-
parison. The card, with which the comparison is to be made, was
marked for identification as GC Exh. 22 and received at Tr. 1549. Sub-
sequently Respondent called her as a witness and she identified the
card.
231 Id.
232 When called by Respondent, she testified that she signed and
dated the card.
233 George Westfall’s W-4 form was received pursuant to a stipula-
tion as GC Exh. 289.
234 When called by Respondent, she testified that she signed and
dated the card.
235 When called by Respondent, Carolyn Whitehouse testified that
she signed and dated the card and that at the time she was a full-time
charge nurse.
236 When called by Respondent, she testified that she signed and
dated the card.
237 When called by Respondent, Hazelle Willoughby testified that her
name now is Stansbury; that she signed the 1993 card; that prior to
signing the card a supporter of NPO told her that they wanted her signa-
ture on the card so that she could become a member of the NPO; and
that earlier she signed another card.
238 When called by Respondent, she testified that her surname now is
Hawkins; that she signed the card; that she probably read the card be-
fore signing it; and that she asked someone at the NPO whether signing
the card would obligate her to joining the Union and she was told it
would not.
239 When called by Respondent, she testified that she signed the card.
240 When Karen Wooldridge was called by Respondent, she testified
that she signed the card; and that she was told that by Johansen that if
enough signatures were obtained, then a vote would be held concerning
whether the Union would represent the involved employees.
241 When called by Respondent, Barbara Wrocklage testified that she
signed the card.
242 When called by Respondent, she testified that she signed the card;
that she knew that the general purpose of the card was to get an elec-
tion; and that she read the card before she signed it and no one told her
to disregard the language on the card.
243 Her W-4 (GC Exh. 427), was received for purposes of compari-
son. When called by Respondent, she testified that she signed the card;
that before she signed the card she told Vickie Ball that she, Yates, did
not know if she was interested in the Union or not and Ball said sign it
anyhow; and that she reviewed the card 10 or 15 minutes before signing
it.
244 When called by Respondent, she testified that the handwriting, in-
cluding the signature and date, on the card was hers.
245 When called by Respondent, she testified that she signed the card;
that she graduated from her nursing program in May 1993; that when
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD
450
she signed the card she had already found out that she was going to be
working as an RNA at Audubon because human resource person, Fran
Taylor, and Manager Joan Wempe told her; and that she received an
offer of employment as a RNA at Audubon while she was working as a
PCA there.
246 Lisa Zottman-Dixon testified that when Wesley Pits gave her the
1993 card he said that the only purpose it would be used for would be
to get a vote and he did not tell her she would be joining the Union; and
that she read the card before signing it. Subsequently she testified that
she also signed an authorization card for the same Union in 1991; that
she read that card; and that Pitts did not tell her to ignore the language
on either card. Then she testified that there was not much discussion
before she signed the 1993 card “it was a matter of do you want to sign
the card or not,” and that regarding the 1991 card Pitts told her they
needed a certain number of people to sign cards in order to have a vote
and she did not recall him saying anything else.