Hubbard Regional HospitalDownload PDFNational Labor Relations Board - Board DecisionsSep 30, 1977232 N.L.R.B. 858 (N.L.R.B. 1977) Copy Citation DECISIONS OF NATIONAL LABOR RELATIONS BOARD Hubbard Regional Hospital and District 1199 Mass., National Union of Hospital & Health Care Employees, RWDSU/AFL-CIO. Cases I CA 11683, 1-CA-11980, 1-RC-14218, I1-RC-14220, and 1-RC-14271 September 30, 1977 DECISION, ORDER, AND DIRECTION OF SECOND ELECTIONS BY CHAIRMAN FANNING AND MEMBERS JENKINS AND PENELLO On April 20, 1977, Administrative Law Judge David S. Davidson issued the attached Decision in this proceeding. Thereafter, Respondent filed excep- tions and a supporting brief. Pursuant to the provisions of Section 3(b) of the National Labor Relations Act, as amended, the National Labor Relations Board has delegated its authority in this proceeding to a three-member panel. The Board has considered the record and the attached Decision in light of the exceptions and brief and has decided to affirm the rulings, findings, and conclusions of the Administrative Law Judge, to modify his remedy,2 and to adopt his recommended Order. a ORDER Pursuant to Section 10(c) of the National Labor Relations Act, as amended, the National Labor Relations Board adopts as its Order the recommend- ed Order of the Administrative Law Judge and hereby orders that the Respondent, Hubbard Re- gional Hospital, Webster, Massachusetts, its officers, agents, successors, and assigns, shall take the action set forth in the said recommended Order. [Direction of Second Elections and Excelsior footnote omitted from publication.] I We agree with the Administrative Law Judge's conclusion that the discharges of Geraldine Siegmund, Sharon Allard. Susan Fjellman, and Marlene Plaza were discriminatory. Although other factors may have played a role, we conclude that hut for their union activities none of the four would have been fired. 2 In accordance with our decision in Florida Steel (orporution, 231 NLRB 651 (1977), we shall apply the current 7-percent rate for periods prior to August 25. 1977, in which the "adjusted prime interest rate" as used by the Internal Revenue Service in calculating interest on tax payments was at least 7 percent. DECISION STATEMENT OF THE CASE DAVID S. DAVIDSON, Administrative Law Judge: On April 23 and July 8, 1976, the charges in this case were filed by the Union. On January 14 and February 4, 1976, the representation petitions were filed, and on June 10, 1976, elections were held. On June 16, 1976, objections to conduct of the elections and conduct affecting the results of the elections were filed by the Union. On July 1, 1976, an initial complaint issued in Case I-CA-11683 and on August 13, 1976, that case was consolidated with Case I- CA-11980 and the representation cases. A consolidated complaint was issued, and a hearing was directed upon the complaint and the issues raised by the Union's first three objections to the election. A hearing was held before me on October 6, 7, 8, 26, and 27, 1976, in Milford and Worcester, Massachusetts. At the hearing counsel for the General Counsel deleted from the complaint certain allegations as to which no evidence has been offered. At the conclusion of the hearing the parties waived oral argument. After the hearing briefs were filed by counsel for the General Counsel and Respondent.' The principal issue raised in this proceeding is whether Respondent on or about April 14, 1976, discriminatorily discharged registered nurses Geraldine Siegmund, Sharon Allard, and Susan Fjellman and licensed practical nurse Marlene Plaza and thereafter refused to reinstate them because of their activities on behalf of the Union. Also at issue is whether Respondent through its supervisors interrogated employees concerning their union activities or made certain threats and promises to them. The issues raised by the objections are the same as those raised by the complaint. Respondent denies the commission of any unfair labor practices and contends that it engaged in no objectionable conduct which would warrant setting the elections aside. Upon the entire record in this case including my observation of the witnesses and their demeanor, I make the following: FINDINGS OF FACT I. THE BUSINESS OF RESPONDENT Respondent, a nonprofit Massachusetts corporation, at all times material has been engaged at Webster, Massachu- setts, in the operation of a hospital providing health care services. Its annual gross revenues exceed $250,000, and it annually receives goods, materials, and services valued in excess of $50,000 from points located outside Massachu- setts. I find that Respondent is an employer engaged in commerce within the meaning of the Act and that it will effectuate the policies of the Act to assert jurisdiction herein. I Certain errors in the transcript have been noted and corrected. 232 NLRB No. 130 858 HUBBARD REGIONAL HOSPITAL 11. THE LABOR ORGANIZATION INVOLVED District 1199 Mass., National Union of Hospital & Health Care Employees, RWDSU/AFL-CIO, referred to herein as the Union, is a labor organization within the meaning of the Act. 111. THE ALLEGED UNFAIR LABOR PRACTICES A. The Four Discharges I. The organizing efforts of Respondent's nurses In 1975 some of Respondent's nurses formed an independent union known as the Community Nurses Association or CNA. An election was held, and CNA was certified as the representaive of the nurses in May 1975. After several collective-bargaining meetings, negotiations broke down, and in December 1975, CNA voted to affiliate with the Union. After the affiliation vote the Union sought recognition as representative of the nurses which Respon- dent denied. On January 14, 1976, the Union filed its petitions in Cases I-RC-14218 and I-RC-14220 seeking elections in units of technical employees and service and maintenance employees. The Union filed a further petition on February 4, 1976, in Case I-RC-14271 seeking an election in a unit of registered and licensed practical nurses. A consolidated hearing which ended on March 2, 1976, was held in Worcester and Webster, Massachusetts. On May 14, 1976, the Regional Director issued a Decision and Direction of Elections which the Board amended on June 8, 1976. Elections were conducted in the three units on June 10, 1976, and in each unit a majority voted against representa- tion by the Union. From December 1975 on, a number of nurses, including each of the alleged discriminatees, wore buttons while at work indicating support of the Union. Each of the discharged nurses also attended one or more days of the hearing held in the representation cases in the spring of 1976. Allard had also testified at the representation hearing a year earlier which preceded certification of CNA and served as an officer and bargaining committee member for CNA. During the month of December 1975, nursing service problem report forms were completed by supervisors with respect to each of the four alleged discriminatees recording that each was wearing a union button on her uniform. The forms were placed in their personnel files where they remained thereafter. Earlier in April 1975, Patricia Soltys, Respondent's assistant director of nurses, had written on an otherwise favorable evaluation of Siegmund that since 2 In explanation Mrs. Solt)s testified that Siegmund was not up to her usual self in that she was hypercritical of management decisions. I It is stipulated that Siegmund was not a supervisor within the meaning of the Act. 4 The testimony of Mrs. Solts and Siegmund is in conflict as to the nature of their discussion of Mr. Soltys' condition. According to Mrs. Soltys. she explained to Siegmund that there was a possibility of cancer, and Siegmund sought to reassure her by referring to a former patient named Bell who had similar symptoms and had recovered. Siegmund denied learning at that time of the possibility of cancer and testified that the conversation about Bell occurred the following day at lunch. Although as indicated below, I have credited Mrs Soltys in many respects and have not credited the union activity started, "emotionally she has not been up to her usual self, and the personnel on her unit have also been feeling uprising tensions." 2 2. The "yellow bird" incident Around April 1, 1976, Edward Soltys, husband of Patricia Soltys, was admitted to the hospital as a patient suffering from jaundice of an unknown cause. Because infectious hepatitis was suspected, Soltys was placed on precautions in isolation. Nursing personnel entering and leaving his room were required to wear yellow disposable gowns over their regular uniforms and to use masks and gloves, if necessary, in caring for him. Disposable dishes were used, and precautions were taken in the handling of all materials taken from his room. By the middle of the following week the cause of Mr. Soltys' jaundice was still unknown, and his doctors decided to perform exploratory surgery to attempt to determine it. Among suspected causes was the possibility of cancer, although Soltys' chart did not so indicate. On April 8, the day before the scheduled surgery, Siegmund, who was head nurse in unit D,3 where Mr. Soltys' room was located, obtained Mrs. Soltys' signature on a surgical consent form and spoke to her briefly about the surgery. At the conclusion of their conversation Siegmund commented that she did not know how they were going to transport Mr. Soltys to surgery and that she guessed they would have to wrap him in a plastic sheet. 4 The next morning, Friday, April 9, Mr. Soltys was prepared for surgery and given preoperative medication, including Demerol to make him drowsy, by the night-shift nurses in unit D. The day-shift nursing staff, which came on duty at 7 a.m., was responsible for reviewing the preoperative checklist with the patient, garbing him properly for transport to surgery, placing him on a stretcher, and taking him there. Normal procedure was to garb a patient in a hospital gown, place him on a stretcher, and cover him with two bath blankets. Normally a patient was transported from his room to the operating room by two persons. On the morning of April 9, the four alleged discrimina- tees were all assigned to the day shift in unit D. Siegmund was head nurse, Plaza was assistant head nurse, Allard was medication nurse, and Fjellman was a floor nurse assigned to several patients, including Mr. Soltys. Between 7:20 and 7:30 Allard visited Soltys' room briefly to check on the effect of the medication previously given him. According to Allard, he was alone in the room and was awake, alert, and slightly talkative. She left after a minute or less. significant portions of Siegmund's testimony, I am persuaded that the testimony of the discnminatees that they were unaware of the suspicion of cancer before Mr. Soltys' operation was truthful. I conclude that Mrs. Soltys' recollection of the portion of the conversation about her husband's condition was not accurate. With respect to the plastic sheet, Mrs. Siegmund initially testified that she did not believe she made the remark attributed to her but that she may have said that she did not know how they were going to transport him to surgery because he was on precautions. Later she testified that she had told Mr. Soltys that she did not know how they were going to get him to surgery and that they might have to put him in a plastic bag. She testified that on April 8 she recounted her earlier conversation with Mr Soltxs to Mrs. Soltys. I have credited Mrs. Soltys in this regard 859 DECISIONS OF NATIONAL LABOR RELATIONS BOARD Shortly thereafter Plaza went to Soltys' room and went over the preoperative checklist with him. 5 According to Plaza, Soltys was awake, alert, and responsive, and when she asked him a checklist question about wearing nail polish, he laughed. She testified that Soltys asked her what all the questions were about, and she explained that it was normal preoperative procedure. Siegmund, who entered the room and stayed a minute or so while Plaza was going over the checklist, testified that Soltys appeared very apprehensive, was asking questions about the surgery, and was not quite sure why he was going. About 7:30 preparations were started for transporting Mr. Soltys to surgery. Although it is not entirely clear who was present in the room at the outset, it appears that Plaza and Haagsma were there at the time Mr. Soltys was moved to the stretcher in a hospital gown and covered with bath blankets. Allard, Siegmund, and orderly Roland Brissette also went to the room at about that time. 6 Before entering the room, Allard had taken a disposable yellow precaution gown and had hand-lettered on it the words "Yellow Bird Express." Either Allard or Brissette put the gown over Mr. Soltys. Fjellman entered the room after the gown was put over him. Someone handed Brissette a brown plastic bag which he placed over Mr. Soltys' feet. Siegmund told one of the others that he needed a surgical mask, and someone obtained one and placed it over his face. Someone also said that they needed a hat for Mr. Soltys, and Fjellman got a plastic shower cap which was then placed on Mr. Soltys. While this was going on there was considerable laughing and talking among the staff. According to Siegmund, Allard, and Fjellman, Mr. Soltys was also laughing and talking and exhibited no resistance to what was being done. According to Haagsma, Soltys appeared to be quiet and withdrawn while he was being garbed for transport. 7 None of those in Mr. Soltys' room at this time wore precaution gowns or masks. When the garbing of Mr. Soltys was completed, Sieg- mund told Allard to call Mrs. Soltys to tell her they were taking her husband to surgery in case she wanted to see him. Allard had Mrs. Soltys paged, and when she responded Allard told her they were taking her husband to surgery and asked if she wanted to come and see him before he went.8 Although Mrs. Soltys had not planned to see Mr. Soltys again before the surgery, she did not communicate that fact and said she would come up. I According to Plaza and Siegmund. newly hired nurse Haagsma was present observing Plaza as part of her orientation. Haagsma testified that she did not remember being present in Mr. Soltys' room until somewhat later. I Haagsma testified that she did not recall whether Brissette was there but that there were about six others beside herselfl in the room aind that Brissette could also have been there. I Plaza was not questioned during the General Counsel's case-in-chief about the garbing of Mr. Soltys on grounds that her testimony would be cumulative. She was not questioned further about it after Haagsma testified for Respondent and placed in issue Mr. Soltys' response to what was happening. 8 There is a conflict over the words used by Allard and whether she asked Mrs. Soltys if she wanted to kiss Mr Soltys goodbye. In a tape-recorded interview of Mrs. Soltys by Hospital Administrator Gagnon the following Monday. Mrs. Soltys did not state thalt Allard asked if she wanted to kiss her husband goodbye. I do not credit that portion of Mrs. Soltys' testimony, but credit her otherwise as to this conversation After Allard spoke to Mrs. Soltys, Siegmund, Plaza, Allard, Fjellman, and Brissette started to wheel Mr. Soltys' stretcher through the hospital corridors toward the surgical suite. At or about the time the group left unit D, Brissette left the group and returned to unit D, Mrs. Soltys emerged from an elevator and encountered the group, and Mrs. Fleming, director of nursing, appeared in the corridor a short distance away.9 Mrs. Soltys observed that there was a lot of laughing and joking going on but that her husband appeared drowsy and was not laughing. She also observed how he was garbed. She wished her husband good luck, said she would see him after the operation, and then left the group. The group with stretcher proceeded past Mrs. Fleming, who said nothing, to the surgical suite, where they turned Mr. Soltys over to Operating Room Supervisor Russell. In response to a look from Russell, Siegmund asked Russell, "What's the matter, can't you take a joke so early in the morning?" and Russell replied, "Not this."' 0 Mr. Soltys was quiet and had his eyes closed when he was wheeled into the surgical suite. After Mrs. Soltys left the corridor where she had seen her husband, she went to the ladies' lounge and cried. At or about 9:30 a.m. she spoke to Director of Nursing Fleming about the possibility of news of her husband's operation. At that time she told Fleming that she had never seen anything like what she had seen that morning and that she would never know why they had dressed her husband that way. She told Fleming that she was upset but asked her not to say or do anything at that time because she was very upset over her husband's condition and did not want to be an interfering wife, knowing how the nurses generally felt about interfering families." About 10 a.m. Mrs. Soltys was called to the operating room by Mr. Soltys' doctor who told her what surgery had been performed. While there she told Operating Room Supervisor Russell that she was upset because of the way her husband was dressed when he was transported to surgery and said that she would appreciate it if Russell would write a problem report but that otherwise she would write it herself. Russell said she would write the report.1 2 Around 11:30 a.m. Mr. Soltys was released from the recovery room, and Siegmund went to the recovery room accompanied by Fjellman and Brissette to bring Mr. Soltys back to his room on unit D. Normally when a patient is returned to his room his chart, including a record of his " Brissette and Fleming did not testify. Siegmund testified that Brissette left the group at or about that point, and Mrs. Soltys testified that she did not see him. l' Russell so testified and Russell gave basically the same version in a taped interview with Gagnon the following Monday. Siegmund in her initial testimony indicated some uncertainty as to what she said, but became more positive on rebuttal in denying Mrs. Russell's version. Her testimony was left uncorroborated by the others who were present at the time. I have credited Russell. II Several days earlier Mrs. Soltys had written a problem report concerning the nursing care given her husband by Fjeflman after Mr. Soltys had complained about a lack of nursing attention. She gave the report to Fleming but did not speak to Fjellman about it and asked Fleming to hold the report until after her husband was discharged. 12 Later that afternoon Russell again told her that she would wnte the report and asked whether Mrs. Soltys wanted it done immediately. Mrs. Soltys replied that Russell could do it at her convenience. 860 HUBBARD REGIONAL HOSPITAL anesthesia and recovery room notes, accompanies him. Siegmund received the chart with the anesthesia record, but recovery room nurse Wisniewski told her that the recovery room notes would not be available until later and that she would bring them over later. Wisniewski told Siegmund that Mr. Soltys had been complaining about his levin tube 3 but reported nothing else unusual about his condition. Before leaving the recovery room Siegmund discovered that the patient was soaked with urine and required a change of linen. Recovery room personnel started to make the change and Siegmund assisted without donning a precaution gown. After Mr. Soltys was returned to his room, Siegmund checked his levin tube and found that it had a plastic cover over it which impaired its functioning and which she removed.'4 After Mr. Soltys had been returned to unit D Siegmund went to lunch. While Siegmund was sitting at a table with others, Mrs. Soltys came through the cafeteria line, sat in a vacant seat next to Siegmund, and conversed with her. Mrs. Soltys told Siegmund that she was concerned about her husband's condition. Siegmund observed that she had recently seen a Mr. Bell who had been a patient under similar circumstances, that he had done well, and that she was sure that Mrs. Soltys' husband would do well also. Their conversation then turned to Siegmund's aunt. During their conversation Mrs. Soltys said nothing about the manner in which Mr. Soltys was dressed that morning. Siegmund and the others got up to leave before Mrs. Soltys and Mrs. Soltys asked "What's the matter? Have I got B.O. or something?" The others said that their lunch period was up and they had to leave. i s While Siegmund was at lunch, Mr. Soltys complained to Plaza who was attending him of incisional pain. After 1l A levin tube is a rubber tube which is inserted through a patient's nasal passage and passes into his gastrointestinal tract for drainage. 14 Although the evidence is in dispute as to whether there was such a cap on the tube. I find that Siegmund's testimony in this regard is corroborated by a conversation she had with Russell when she left the lunchrxoom about half an hour later. Although Russell's version differed from Siegmund's. even under Russell's version. Siegmund complained to her about Mr. Soltys' levin tube, commented that it came with a new kind of cap on it. and asked Russell if she knew anything about it. There was no apparent occasion fbr Siegmund to ask about the cap unless it was on Mr. Soltys' levin tube. 1s Siegmund so testified and was corroborated in part by Nurses Dean and Healy who were also at the table. Mrs. Sollys denied that there was any discussion of her husband or Mr. Bell at the table, placing that discussion on the previous day as indicated above. She had no recollection, however. of what was said while at lunch. I have credited Mrs. Siegmund. i6 The evidence is in sharp dispute as to what Wisniewski told Siegmund. what actually happened in the recovery room. and what the recovery room notes actually said According to Siegmund. Wisniewski told her the notes were late because Mr. Soltys had an acute period of respirator) distress in the recovery room and they had to ventilate him. She also testified that she recalled reading in the notes the words "respiratory distress." Wisniewski testified that the notes were delayed because she had to copy the original bedside notes which she had taken because Mr. Soltys was still on precautions. She denied telling Siegmund that Soltys had suffered respira- tory distress but conceded that she may have told Siegmund they had some trouble when Siegmund read about the use of the ambubag. She identified the notes quoted above as the only recovery room notes written and denied that any version existed containing the words respirator)y distress. She also testified that she did not see the ambubag in use but placed it on Mr, Soltys for Anethesiologist Maramag and had assumed she used it while Wisniewski was otherwise occupied. Dr. Maramag testified that Mr. Sollys did not suffer respiratory distress and that the difficulty stemmed from his holding his breath because of the levin tube. She also testified that she did not use the ambubag. Dr Maramag also testified that if Mr. Soltys had suffered checking with the recovery room and determining that he had not received medication there, Plaza administered pain-relieving medication to Mr. Soltys as prescribed in his postoperative orders. About I p.m. Wisniewski brought the recovery room notes to Mrs. Siegmund. Siegmund read them while Wisniewski was there. In them the entry for 10:30 a.m. read: "Responding - very restless and apprehensive c/o difficulty breathing. Suctioned for mucus. Extremely apprehensive. Respirations becoming shallow - Dr. Maramag in attendance. Color dusky - semiresponsive, pulse 88. Air way inserted. Ventilated - Ambubag - p 96 - Dr. Maramag in attendance. Color improving - Breathing improved B.P. 150/110 - pulse 90." When Siegmund read these notes, she questioned Wisniewski about them, and Wisniewski said that they had a little trouble but everything seemed all right.i6 Sometime after receiving the recovery room notes Siegmund, Plaza, and Allard discussed the fact that the notes seemed to indicate that Mr. Soltys had suffered from respiratory distress t7 and that they should have been told about it before medicating Mr. Soltys because of possible adverse effects of the medication on his respiration. However, they did nothing further about it that afternoon except to monitor Mr. Soltys' vital signs.t' Around 2:45 p.m. Mrs. Soltys gave a patient report to Associate Director of Nursing Canty who worked on the 3 to II p.m. shift. Mrs. Soltys told Canty about the way her husband was dressed for transport to the operating room and asked her to tell the nurses on her shift to be sure that Mr. Soltys never learned how he was dressed. Canty later told the nurses on her shift about the incident and conveyed the instruction to them. respiratory distress he would not have been returned to his room that morning but would have been kept longer in the recovers room and then sent to the intensive care unit before being returned to his room. Her signature appears on the recovery room notes, and she testified that she signed only one set of notes. Although several witnesses testified in rebuttal that they had seen a different set of recovery room notes for Mr. Soltys, they were not consistent with one another in their testimony and they testified to other changes in the notes for which no apparent reason would appear. I am satisfied that the notes placed in evidence were the same as those which were delivered to Siegmund by Wisniewski April 9. I credit Dr. Maramag and Wisniewski in this respect and also as to what actually happened in the recovery room, particularly in light of the relatively fast return of Mr. Soltys to his room. I therefore also credit Wisniewski as to what she told Siegmund when she delivered the notes to her. 'i Dr. Maramag testified that what was written in the notes would indicate that the patient had problems breathing and if read by her would cause her to seek further information. '* Siegmund, Plaza, and Allard testified that they reacted with alarm and discussed what they should do about it They testified that they decided not to report it to Fleming immediately because complaints were supposed to go through their immediate supervisor who on that day was Mrs. Soltys and they did not want to cause her further concern. The) testified that they therefore decided to wait to report what they considered inadequate treatment of Mr. Soltys by recovery room personnel until the following Monday morning when a different immediate supervisor would be on duty. This testimony is in conflict with an affidavit given by Allard which Plaza and Siegmund adopted as their own. The asserted reason for not going to Fleming immediately is of dubious strength in view of the asserted importance of the problem and the failure of the nurses even to check with Dr. Maramag or anyone else to gain reassurance that there was no problem which required immediate attention. While I have credited Siegmund. Allard, and Plaza to the limited extent indicated. I do not credit them as to the degree of their alarm or their alleged discussion at that time about making a complaint to Fleming. 861 DECISIONS OF NATIONAL LABOR RELATIONS BOARD That evening at 6:30 when Mrs. Soltys came to visit her husband she met Richard Garber, an administrative resident at the hospital, in the lobby. Garber asked her if what he heard had happened to her husband that day was true, and she said that it was true and that she was very upset about it. Garber ascertained that she had not told Gagnon about it. Garber then called Gagnon and told him that some kind of a dirty trick had been played on Mrs. Soltys and her husband in delivering Mr. Soltys to surgery which had upset Mrs. Soltys. Garber partially described the incident, and Gagnon said he would look into it on the following Monday morning. Garber later told Mrs. Soltys what Gagnon had said. On Sunday, April 11, Mrs. Soltys spoke with Intensive Care Supervisor Guilbault concerning the incident and later that day he recounted part of that conversation to nurse Marsha Dean. He told Dean that Mrs. Soltys had been crying and was upset about the "yellow bird express" legend on the gown and the fact that the nurses had called her to come to see Mr. Soltys and the way he was dressed. ' 3. The suspension of Siegmund, Allard, and Plaza on April 12 Siegmund did not work on Saturday or Sunday, April 10 and I . Early Monday morning, April 12, she asked to see Director of Nursing Fleming with another supervisor present because she wanted to file a complaint. Siegmund was called to Fleming's office between 7:30 and 8 a.m. and, with Associate Director of Nursing Tackson present, told Fleming that the recovery room had reported Mr. Soltys ready to return to his room when he was saturated with urine and there were no recovery room notes available. She also told Fleming that the unit D nurses were given no report on his respiratory problem and had medicated the patient without knowing about it, possibly endangering his health and life. Fleming agreed that it was a serious complaint and after checking the operating room schedule for the previous Friday said that there was no need for what happened because the schedule had been light. Fleming told Siegmund she would check up on the complaint immediately and would get back to her. During this conversation there was no mention made by anyone of the manner in which Mr. Soltys had been brought to surgery on Friday morning.2 0 Around 8 a.m. Mrs. Soltys went to Mrs. Fleming again and told her that she was really upset and planned to speak to Gagnon about the "yellow bird" incident that day. Fleming said she would call Siegmund down and ask why Mr. Soltys had been treated as he had. Fleming did not 19 Guilbault so testified. Dean testified that such a conversation did not occur until 2 weeks later on April 25 and that she did not learn about the incident until Monday, April 12. I have credited Guilbault. Dean and Siegmund were neighbors and close friends. According to Siegmund and Dean, Siegmund spoke to Dean on Friday afternoon about Mr. Soltys' recovery room problems but said nothing about the "yellow bird" incident until Monday morning. Under all the circumstances, including my findings as to the recovery room problems and the timing of the determination to report them, I do not credit Dean's denial of knowledge of the incident as of April I I when Guilbault testified he talked to her about it. 20 Siegmund so testified. Fleming was not called as a witness, and although Tackson testified she was not questioned about this conversation. mention that she had just spoken to Siegmund that morning about Siegmund's complaints about the recovery room. Fleming then called Siegmund back to her office and told her she was "absolutely livid" about the way they had brought Soltys to surgery on Friday. Siegmund asked Fleming what she meant, and Fleming replied that "you don't fool with people like Ed Soltys." Siegmund asked how she would know you couldn't fool with him, and Fleming said that she was just so upset that she didn't know what was going to happen. Siegmund asked Fleming what she was trying to tell her because 45 minutes earlier Siegmund had been complaining to her with reference to the same patient and Fleming said nothing. Siegmund said that it seemed strange to her that suddenly they were talking about something different. Siegmund asked if the incident involving the transport to the operating room was more important than what she had talked to Mrs. Fleming about earlier, and Fleming said that they were not discussing that then or that that was not the issue. That morning Gagnon started to investigate the incident. He first looked into the status of Mr. Soltys and his illness, checking into the admitting diagnosis and any later change in it. He learned that no conclusions had yet been reached as a result of the exploratory surgery. At around 9 a.m. Mrs. Soltys went to see Gagnon who told her that he wanted to talk to her but wanted to speak to a few others first and that he would call her later.2t Gagnon then spoke to Fleming22 reviewing her knowl- edge of the case and what she had seen. Fleming told him that she was coming from the surgical suite to the elevator when she heard a lot of boisterous noise and laughing and saw four nurses transporting Mr. Soltys. She told him that she said something like "what's going on here" as Mr. Soltys was wheeled by her into the surgical suite and she saw some of the things that were on him. Gagnon asked Fleming who was involved, and she said she could only remember Siegmund, Al!ard, and Plaza. Gagnon next spoke to Mrs. Russell who gave a more detailed description of how Mr. Soltys was garbed and told him Siegmund's comment to her when the nurses brought Mr. Soltys into the surgical suite. Russell was also unable to identify Fjellman, the fourth nurse who was in the group. Around noon, Gagnon spoke to Mrs. Soltys, who told him how she had been paged by Allard, and as a result went up to see her husband although she had not planned to. She described to Gagnon what she saw in the corridor and told him that she was stunned but she tried to be big about it and wished Mr. Soltys good luck and left. She told him there were four or five nurses accompanying Mr. Soltys but could only name Siegmund, Allard, and Plaza. Allard testified that later that day Siegmund told her that she had also complained to Fleming that Mr. Soltys' levin tube was not working, but Siegmund did not mention voicing that complaint in her testimony. 21 Mrs. Soltys so testified. Gagnon recalled speaking to her only once. 22 Gagnon placed this conversation about 8:30 or 9 in the morning. Gagnon taped a portion of his conversation with Fleming and later conversations with Russell and Mrs. Soltys. Although Gagnon testified that he did not converse with Russell or Mrs. Soltys before recording their statements and that he recorded their entire statements, there is some indication that the taping was interrupted, and Russell testified to statements which do not appear on the tape. 862 HUBBARD REGIONAL HOSPITAL After speaking to Mrs. Soltys, Gagnon spoke to Director of In-Service Training Zagami to check on proper nursing procedure. Zagami told him that what the nurses had done was improper procedure and that she felt her work was lost because she was a professional person and she did not think any of the nursing staff would stoop so low. Gagnon next spoke to Dr. Chasse, Mr. Soltys' attending physician, described the incident to him, and asked him his opinion. Dr. Chasse commented that professionals just didn't do that. Gagnon questioned Dr. Chasse about the preoperative medication to establish whether or not what was done was contrary to the purpose of the medication, and Dr. Chasse indicated that it was. That afternoon Gagnon called Siegmund, Allard, and Plaza to his office shortly before 3 p.m. and spoke to them about the incident with Rachel Tkacik, associate director of nursing, present. 23 Gagnon told the nurses what he had heard about the manner in which Mr. Soltys was taken to surgery. He said that they had humiliated the patient and that he was concerned about Mrs. Soltys who had four children, was worried about her husband going for a cancer operation, and was upset by what they had done. Gagnon said that he had spent many years building up the hospital, that they had ruined the image of the hospital, and that they had destroyed his deep belief that registered nurses were tops. Gagnon said he was very upset about the matter, was emotional about it, and did not want to take action while he was emotional. Gagnon said he saw no reason for what had been done and that they had acted unprofession- ally.2 4 Siegmund told Gagnon that she was sorry if he had interpreted the incident as something designed to humiliate the patient and said that they had taken a very apprehen- sive patient and tried to cheer him up on his way to surgery.25 Allard said that she was responsible for the writing on the precaution gown and that she did not want the others to be blamed for that. Gagnon said they were being suspended pending a further investigation, with the possibility of termination, and that there was possibly a fourth nurse involved. 26 Gagnon then dismissed them.27 Gagnon did not ask the nurses their version of what had happened, why they had done it, or who else was involved. 21 Gagnon did not tape record this conversation as he had his earlier conversations with Fleming, Russell, and Mrs. Soltys. He testified that the reason was that he wanted the nurses to speak freely and did not want them to feel they were being taped and should he guarded. As appears below, however, he did not seek to elicit any information from them. 24 My findings as to this conversation are based on a composite of the testimony of Siegmund. Allard. Plaza., Gagnon, and Tkacik to the extent that they were in agreement. Gagnon testified that he said nothing at this time about humiliating Mr. Soltys, and Tkacik testified that she did not recall him speaking about it. However, as Gagnon conceded that humiliation of Mr. Soltys was a factor he considered in ultimately discharging the nurses. I find that he mentioned it at this time as the nurses testified. 25 Siegmund so testified and Allard testified similarly. Gagnon denied that Siegmund said this and testified that she said merely that it was a joke done to humor Mr. Soltys. Tkacik testified that Siegmund said that Mr. Soltys was "super apprehensive" and that they thought what they did would quiet him down. I have credited Siegmund in the light of Tkacik's testimony which is closer to Siegmund's version than Gagnon's. 4. The nurses' petition and demonstration on April 13 About 11:30 a.m. on Tuesday, April 13, a number of nurses gathered outside of Gagnon's office, and Dean, who had been president of CNA, acted as their spokesperson. Dean told Gagnon that they were there to ask that the three suspended nurses be reinstated and that they were presenting him with a petition signed by a number of employees stating their belief that the suspensions were caused by the nurses' union activities. Gagnon took the petition and said he was busy at a meeting. Someone suggested that he could at least read the petition and he did. He then said that they had had their say and could go home. After a further question, Gagnon said he was making a thorough investigation and would speak individ- ually to anyone who had further input into the matter. Dean said that she did, and Gagnon offered to meet her at I p.m. in his office.2 8 Fifteen minutes to half an hour before the gathering in front of Gagnon's office, Associate Director of Nursing Tackson went to the intensive care unit and called head nurse Healy aside. Tackson told her that neither she nor any of the others working in intensive care were to leave the floor at 11:30 because she knew there was going to be a meeting downstairs with Gagnon. Healy asked what meeting and Tackson told her that she knew what meeting Tackson was talking about. Healy then said that she did. Tackson said nothing about assuring patient care in this conversation. The meeting was scheduled during the lunch period for Healy and one of the others in the unit.2 9 Both attended. On the same morning an article appeared in a local newspaper which reviewed the efforts of the nurses to organize over the past year and stated that on the previous day two registered nurses, Siegmund and Allard, both staunch unionites, and licensed practical nurse Plaza had been temporarily suspended pending full investigation with permanent termination possible. The article asserted that all had or would challenge what they called trumped up charges designed to weed out unionism at the hospital and that the hospital had not released any news of the confrontation to the press. The article also disclosed the plan of the nurses to approach Gagnon, to demand reinstatement of the suspended nurses, and to hold a 26 According to Siegmund and Allard. Gagnon said he thought the fourth person was Fjellman but that he was not sure. Gagnon and Tkacik testified that her name was not mentioned, and Gagnon testified that he did not learn her identity until 2 days later. There is no apparent reason for Gagnon to have withheld action against Fjellman on this day if he knew her identity. I credit Gagnon. 27 Gagnon testified that after he told the nurses they were suspended they sat there and said nothing more, so he dismissed them. Siegmund and Allard testified that after she and Allard spoke, Gagnon said there was nothing more to discuss and ushered them out of the room. Tkaclk's testimony casts no light on how the meeting ended. As Gagnon concededly asked the nurses for no information and had determined to suspend them before calling them in. I credit the nurses that Gagnon terminated the meeting after he said what he had planned to say. 2s Dean did not return at that time to meet him, but spoke to him the next day. 29 Healy testified without contradiction as to this conversation. There is no evidence of any unusual circumstance requiring any nurse to change or forego her lunch period. 863 DECISIONS OF NATIONAL LABOR RELATIONS BOARD meeting to determine what steps the nurses would take if reinstatement were denied. 30 During that day Gagnon gave Fleming a written reprimand but did not discuss it with her at the time. The reprimand stated that the incident which had occurred on April 9 did much to destroy the professionalism they had worked hard to establish and that it was Gagnon's opinion that Fleming should have taken strong disciplinary action immediately when she came on the scene of this incident. Gagnon stated that as a consequence Mrs. Fleming was being severely reprimanded for not taking the proper action in this mattersi 5. The discharge of the nurses on April 14 On Wednesday morning, April 14, Russell identified Fjellman to Tackson as the fourth nurse involved in the incident, and Gagnon learned her identity from Fleming. Between 8 and 9 a.m. Gagnon called Fjellman into his office with Tackson present. Gagnon told Fjellman that he had learned she was involved in the "yellow bird" incident and that he wanted to give her a chance to answer questions or say what she wanted about it. Fjellman told him that on Friday Mr. Soltys was assigned to her as one of her patients for the day and that after she had taken care of her other patients she went to Mr. Soltys' room. She said that she heard laughter and giggling as she approached his room and found a lot of people there.3 2 Fjellman said that when she entered the room she found that Mr. Soltys had a mask and a yellow gown on and that everyone there seemed to know what was going on. Fjellman told him that although her initial reaction was to ask if they were really going to do that, as head nurse Siegmund was there and as she was respected, Fjellman didn't think anything was wrong and she did not want to counteract anything that the head nurse was doing. Fjellman told Gagnon that someone asked for a cap which Fjellman obtained and Brissette placed the plastic bag over Mr. Soltys' feet.33 Fjellman told Gagnon that she participated in the transport of the patient and mentioned that Brissette had also helped. Fjellman told Gagnon that on the way to surgery she said to herself "My God, maybe we shouldn't be doing this" but continued. She told Gagnon that the reason all four nurses accompanied the stretcher was that they wanted to see how Mrs. Soltys was going to react :"' Gagnon testified that he first saw the article that noon after the nurses had visited his office. He testified that he did not know who had put the article in the newspaper but he assumed that one or all of the suspended nurses were responsible for it. 31 Gagnon testified that he issued the letter of repnmand both because of her failure to take immediate action and her failure to display what he regarded as sufficient sensitivity to the incident when he interviewed her on Monday morning. He testified that when Fleming later told him why she had not taken more positive action he understood the circumstances better. 32 Gagnon, Tackson. and Fjellman testified to this interview. Fjellman could not remember much of what she said but contradicted Gagnon in several respects. According to Gagnon, Fjellman told him that before going to Mr. Soltys' room she heard that something was going on there and that it was generally known around the floor that something was going on there. Tackson testified only that Fjellman said she heard noise and laughter as she approached the room. Fjellman denied any advance knowledge that anything was happening in the room. Gagnon's notes taken at the time state "everyone seemed to know what was going on." Despite his contrary testimony, in the light of Tackson's testimony I find that the notes referred to everyone in the room and not everyone on the floor. I do not credit Gagnon in this respect. when she saw her husband. 34 Fjellman told Gagnon that, although she never remembered seeing a patient brought to surgery in that manner there or in any other hospital, at this hospital the nurses were much closer to their patients, and she felt that what the nurses did was permissible because of that relationship. Fjellman denied awareness of any possibility that cancer was involved in Mr. Soltys' operation and said that she did not think anything was done to hurt Mr. Soltys. Fjellman told Gagnon that it was her impression that Soltys was dressed as he was in order to cheer him up. Gagnon asked her if she ever joked or kidded around with Mr. Soltys, and she replied that she did not and that he was a rather serious person. Gagnon asked her if the personnel in the room were masked or gowned under proper precautionary procedure, and Fjellman said they were not. Gagnon asked if she could tell him who else was in the room, and she named the three suspended nurses and Brissette. 35 After Fjellman finished answering Gag- non's questions, she left his office. Fjellman went from Gagnon's office to the employees' lounge where she saw Brissette. She told him that she had just been down to talk to Gagnon, and almost immediately Brissette was called to Gagnon's office. Gagnon questioned Brissette about the incident and told him that his name had been mentioned as a participant. Brissette strenuously denied any involvement whatsoever in the incident. He said he saw the patient being transported to surgery but did not think it was right and went back to the nursing station instead of assisting as he usually did. Brissette told Gagnon he saw the precaution gown being prepared, asked what Allard was going to do with it, and said, "You've got to be kidding" when she told him its purpose.3 When Brissette returned from Gagnon's office, he told Fjellman that he denied everything and said that he was not in the Union and had nothing to do with Mr. Soltys on the previous Friday. Shortly thereafter, Fjellman was again called down to Gagnon's office, where Fleming told her that Gagnon was not available and began to ask her very specific questions about the incident. In connection with one of her answers Fleming asked Fjellman to be very specific because her answer might have to hold up in court or words to that effect. After that Fjellman became frightened and vague in her responses. Fleming then sent her back to her station. :ii Gagnon and Tackson testified that Fjellman told them that Mr. Soltys was completely garbed when she entered the room. Fjellman testified as set forth in the findings. There was no reason for Fjellman to testify that she disclosed her implication in dressing Mr. Soltys which was otherwise not established before her discharge unless her version was true. I have credited her in this regard. i4 Gagnon so testified. Although Tackson did not corroborate this. Gagnon's notes are corroborative, and Fjellman did not contradict him in this regard. :1 Gagnon and Tackson testified that Fjellman named only Siegmund and Brissette. Fjellman testified that she also named Allard. Plaza, and Haagsma. While I am inclined to believe that Fjellman mentioned Allard and Plaza who were suspended at that time, I credit the testimony of Gagnon and Tackson that Fjellman did not name Haagsma as there is no apparent reason why Gagnon would not have interviewed her as he did Brissette after speaking with Fjellman if Fjellman had named her. 36 The findings as to what Brissette told Gagnon are based on Gagnon's testimony. Brissette was not called as a witness by either side. 864 HUBBARD REGIONAL HOSPITAL About 10 or 10:30 that morning Dean was in unit D and met Gagnon leaving Mr. Soltys' room.37 Dean told him that she would like to talk to him about the incident on the previous Friday. They went into the examining room where Dean made an emotional plea on behalf of the suspended nurses and asked him to reinstate them. 3 8 She told him that on the day of the incident Mrs. Soltys sat next to Siegmund at lunch and seemed very friendly but concerned about her husband. She told Gagnon that Mrs. Soltys and Siegmund discussed Mr. Soltys' condition and that Siegmund sought to reassure Mrs. Soltys by referring to former patient Bell. Dean told Gagnon that it didn't make sense that Mrs. Soltys would sit with Siegmund at lunch the same day if she was so upset with her. Dean also told Gagnon that later the same afternoon Siegmund had come to Dean's house and mentioned that she was very upset because of the recovery room incident 39 and said that she had not gone to her supervisor, Mrs. Soltys, whom she felt had enough to worry about. Dean said that if someone was out to humiliate another in the morning, it would not be logical for him to be upset about the other's feelings in the afternoon. Dean said she had known the suspended nurses for a long time and that they would not be capable of doing anything to harm a patient and would not humiliate a patient intentionally. Gagnon listened to Dean and then said "Well, now that the Press is involved -," and Dean told him not to blame the suspended nurses because they had nothing to do with it and that she was the one who talked to the press. Gagnon said that he was trying to gather all the facts, that he had to make a decision by noon, and that he would have to live with the decision. Gagnon also commented that other people in unit D would not stand up for the suspended nurses. Dean said that people were frightened and were under a lot of stress. Toward the end of the conversation Dean started to cry and told Gagnon that she was under pressure and could not stand it. After Gagnon spoke with Dean, he went back to Mr. Soltys' room and spoke to him. Mr. Soltys appeared to be very groggy and sick. Gagnon told him he was sorry about his condition and his problem and talked to him a bit about personal experiences in surgery. Gagnon then asked if he recalled anything with respect to what happened when he went to surgery and if he was upset or anything. Mr. Soltys said, "I heard about what happened. I suppose 'they' were having fun, Oh well." Gagnon talked with him more about his condition and left. Shortly thereafter, Gagnon decided to discharge Sieg- mund, Allard, Plaza, and Fjellman, after reviewing their personnel files and consulting with counsel. About 2:30 that afternoon Fjellman was called to Fleming's office, and Fleming handed her a letter which notified her that she was discharged. Fleming told her that she did not know what was in the letter but that if she had any questions Fleming would try to answer them. When :.? Gagnon had gone to speak to Mr. Soltys but found that a nurse was assisting him and he left temporanly. :3 Dean testified twice as to this conversation. indicating the second time that in her initial testimony she had confused the incidents she spoke to Gagnon about with what she said to him about them. These findings are based on her second version of the conversation and Gagnon's testimony. While Gagnon testified that he could not recall some of the statements Dean testified to, he did not deny that she made them. Fjellman read the letter she became very upset. and Fleming asked if she wanted to see Gagnon. After a wait Fjellman saw him in his office. Fjellman told him that she felt that the termination and everything connected with it was very unfair. Gagnon went over the discharge letter and told her that he had made his investigation and that the decision was final. Fjellman asked what kind of a reference he would give her if she applied for a job elsewhere. Gagnon told her that he did not intend "to smear your name in the mud." It was a short conversation, and Gagnon got up and she left. Identical letters were mailed the same day to Siegmund, Allard. and Plaza. In the letters Gagnon stated that he had completed his investigation, had spoken with everyone involved, and had offered anyone who wished to provide him with any input the opportunity to do so. He concluded "I have received no explanation or reasons to conclude that the conduct in question was anything but totally unprofessional and unjustifiable. Accordingly I am inform- ing you that your services at this hospital are terminated effective this date." Gagnon testified that his reasons for discharging the nurses were that they abused the dignity of a patient; that they interfered in private affairs resulting in the humiliation of an employee; that what they had done was contrary to proper nursing practice; that despite ample time they had not apologized, made amends, or taken other action to show that they understood that what they had done was wrong; and that he was concerned that what the nurses had done reflected adversely on the hospital. In explaining why he believed the four nurses wanted to humiliate Mrs. Soltys, Gagnon testified that he felt that it was an attempt to humiliate a member of management and that "I've been in industry many years and I'm familiar with union organizing activities and it's common attempt to provoke members of management into certain uncom- promising or uncomfortable situations and this is one of the things we've been trying to avoid. Throughout the campaign and I think this was an attempt - to do this."40 Siegmund had worked at the hospital continuously from 1966 until her discharge. Before 1966 she had worked at the hospital on several other occasions and had a total of 15 years service. She had never received any oral or written complaints or warnings about her work and had never previously been cited for unprofessional conduct. Allard had worked at the hospital for approximately 6 years before her termination and had worked there previously for a short period of time. She had served in several capacities, including head nurse. During the winter before her discharge she received a written warning for wearing needles in her cap instead of cap pins. She received no other written warnings. Fleming had reprimanded Allard orally on one occasion because a doctor had complained that she had hung up a telephone on him very .19 Dean testified that she referred to the "recovery room incident" in those terms and did not give any further indication of what she was talking about. Gagnon did not ask her what she was referring to. '0 Mrs. Soltys testified similarly that she believed Siegmund. whom she had known many years, wanted to make fools of her and her husband "because I was part of management." and "we had union activity going on -- and Mrs. Siegmund's attitude toward management had changed." 865 DECISIONS OF NATIONAL LABOR RELATIONS BOARD abruptly. She also received a verbal reprimand for singing to patients about a week before her discharge. Plaza worked at the hospital for approximately 3-1/2 years before her discharge. During that period of time she never received any complaints or written or oral warnings about her work. Fjellman was employed at the hospital for I year. She had worked in hospitals since 1968, first as a nurses aide. About a week before her discharge, Soltys had filed a problem report with respect to Fjellman's care of her husband, but it was being held by Fleming pending Mr. Soltys' discharge as a patient. Fjellman was unaware of that complaint and received no others. 6. The attempt of the terminated nurses to utilize the hospital grievance procedure Respondent provided a grievance procedure for employ- ees which was described in its Personnel Policies Hand- book. In pertinent part, it stated: 2. If you have a grievance with regard to your work or your association with the hospital, you are urged to utilize the hospital's grievance procedure with the full understanding that you will be fully protected from discrimination of any kind and that the hospital will make every effort to arrive at a satisfactory solution. The procedure provided several steps for processing a grievance, progressing from the immediate supervisor through the executive officer in charge of personnel and the administrator. It provided finally: 8. If you are not satisfied with the decision rendered by the Administrator concerning your grievance, then you should present it, in writing, to the President of the Board of Directors of the hospital. The Board's decision concerning your grievance will be final. When Siegmund received the discharge letter she called Fleming and said she wanted to institute a grievance, and Fleming subsequently told her that as far as the hospital was concerned the steps through the Administrator level had already been carried out and the nurses' next step would be to write a letter to the board of directors. On April 19, the fobur employees wrote a joint letter to the president of the board of directors. 4i In it they stated that they believed their discharges were a direct result of the union campaign at the hospital and that if it were not for the union campaign they would still be employed by the hospital. They set forth in some detail their version of the facts relating to the "yellow bird" incident, explaining that what they had done was intended as a sincere effort to put the patient at ease. Each received the following reply from the president of the board dated April 23: This is to acknowledge the receipt of a letter dated April 19, 1976, addressed to me, unsigned, but bearing your typewritten name. I'm replying to you in the event 41 The handbook provided that no written communication would be acted upon unless signed. The nurses typed their names on the grievance but did place their signatures on it. However, the grievance was not rejected for lack of signatures. that the unsigned letter reflects your position relative to your recent termination from Hubbard Regional Hospital. Your letter alleges that your termination resulted from a campaign by nurses to win representation by District 1199, MASS., N.U.H.H.C.E. - AFL-CIO. It is my understanding that charges raising this claim have been filed with the National Labor Relations Board, which, in my view, is now the appropriate forum to resolve them. Shortly before this letter was written, on April 20 an article appeared in the Worcester Telegram which quoted union leaflets as stating that the nurses were fired because they were "active supporters of the union drive," and stated further that about 50 nurses had voted to file an unfair labor practice charge against the hospital with the NLRB which would be filed later that week. A charge was filed on April 23. Gagnon, who participated in deliberations over the response to the nurses' grivance, testified that "since this was going to be filed as an unfair labor practice, [the president] felt that whatever action the [hospital] board took would be overruled and superseded by the NLRB," and the nurses' grievance was therefore not considered. Following receipt of the nurses' grievance which referred to Mr. Soltys' problems in the recovery room, Gagnon showed it to Operating Room Supervisor Russell and Dr. Maramag and asked Russell for a detailed report about what took place in the recovery room. Both Gagnon and Russell testified that they first learned about the nurses' complaint against the recovery room from the April 19 letter. Russell later prepared a report which she gave to Gagnon. After receiving the nurses' April 19 letter, Gagnon again spoke to Brissette about his irnvolvement in the "yellow bird" incident. Brissette again denied any involvement and asserted that the nurses were trying to get back at him because he had taken off his union button. 7. Concluding findings While the burden of proof in this case in on the General Counsel to establish that the discharge and refusal to reinstate the four nurses was caused by their union activities, it is not necessary for the General Counsel to establish that the union activities were the sole cause of the action against them. Rather, it is sufficient for the General Counsel to establish that the action taken against the nurses was at least partially caused by their union activities.4 2 It is undisputed that Respondent had knowledge that all four dischargees were supporting the Union. Each wore a union button, and notations to that effect had been placed in their personnel files which Gagnon reviewed shortly before deciding to discharge them. In addition, Mrs. Soltys had noted on an evaluation of Siegmund written about a year before her discharge, Mrs. Soltys believed that the 42 The Youngstown Osteopathic Hospital Association, 224 NLRB 574 ( 1976); UnitedAircraft Corporation v. N L. R.B., 440 F.2d 85 (C.A. 2, 1971). 866 HUBBARD REGIONAL HOSPITAL beginning of union activity had brought about a change in Siegmund's attitude. Thus Respondent was not only aware of the dischargees' union activities but also was sensitive to them. The evidence also establishes Respondent's hostility to the Union. As found below, commencing sometime after the four discharges, two of Respondent's associate direc- tors of nursing unlawfully sought to induce employees to abandon support for the Union. During the period between the suspensions and the discharges Associate Director of Nursing Tackson sought to interfere with attendance of intensive care unit nurses at a lunchtime gathering outside Gagnon's office, and when the discharged nurses sought to grieve their discharges, the grievances were rejected because Respondent believed they were going to file charges with the Board. There is thus sufficient evidence of knowledge and hostility to require careful examination of the circumstances surrounding the discharges. Turning to the incident which led to the suspensions and discharges, I find that the evidence does support Respon- dent's contention that the nurses' conduct was unprofes- sional and inconsistent with the needs of the patient. Although the dischargees testified they dressed Mr. Soltys in irregular garb to humor him and overcome extreme preoperative apprehensiveness, I cannot credit that testi- mony.43 Contrary to their testimony that Mr. Soltys remained alert, talkative, and extremely apprehensive after he was medicated and joined in the laughter over his preparation, the observations of Nurse Haagsma, Mrs. Soltys, and Operating Room Supervisor Russell were that he was quiet and appeared drowsy and withdrawn, and Anesthesiologist Maramag noted on her record that the effect of the medication was satisfactory. No notation was made on the nursing report to indicate extreme apprehensi- veness, and when Mr. Soltys was delivered to the operating room no one said anything to Russell or Dr. Maramag about his apprehensiveness. In addition, despite testimony of Siegmund, Allard, and Plaza as to their intended purpose, there is a conspicuous lack of testimony about how the decision was reached to garb Mr. Soltys. Insofar as appears, on the basis of separate brief visits to Mr. Soltys' room, Allard lettered the yellow gown and Siegmund returned to the room to join in garbing Mr. Soltys without any prior discussion or consultation, I cannot maneuver believe that Siegmund, Allard, and Plaza each individually reached the same conclusion and independently joined in the unusual action taken to garb Mr. Soltys without prior discussion. The evidence also supports the inference that the garbing of Mr. Soltys was intended as a joke. The idea of some unusual garbing of Mr. Soltys appears to have been on Mrs. Siegmund's mind on the previous day when she told Mrs. Soltys they might have to wrap him in a plastic sheet. The lettering on the gown seems clearly intended for the 43 An alternative explanation suggested by some of the evidence was that the garb was dictated by the fact that Mr. Soltys was on precautions, and the nurses were unsure of the proper way to transport a patient on precautions to the operating room. That explanation might have supported a decision to place a surgical mask on Mr. Soltys if he were otherwise garbed in the ordinary fashion, but it cannot explain the additional items placed on him. That the nurses were not overly concerned about observing the precautions is shown by their own failure to don yellow gowns and masks while preparing Mr. Soltys for transport, Mrs. Siegmund's failure to do so when helping to change Mr. Soltys in the recovery room after the operation, Mrs. eyes of others than Mr. Soltys who was not in a position to see it. Fjellman's statement to Gagnon on the following Wednesday that four nurses had accompanied Mr. Soltys to the operating room because they wanted to see Mrs. Soltys' reaction is strong evidence that what was done was directed at her as much as at the patient. 44 That the garbing of Mr. Soltys was intended as a joke rather than as a therapeutic measure directed at relieving his apprehensi- veness is also shown by Siegmund's remark to Russell as the nurses wheeled Mr. Soltys into the surgical suite. Thus, I conclude that the incident cannot be explained as a mere exercise of discretion, perhaps misguided, taken in the interest of calming an overly apprehensive patient, and that Gagnon on the basis of the evidence before him had cause to reject the explanation given by the nurses and to conclude that what they had done was unprofessional. However, the question remains whether Gagnon would have decided to discharge the nurses for this incident if not for the union activities at the hospital. As set forth above, Gagnon specified five reasons, apart from the general charge of unprofessional conduct set forth in the discharge letter, for discharging the four nurses. As the discussion above indicates, the record supports Gag- non's conclusion that the conduct of the nurses in garbing and transporting Mr. Soltys was contrary to proper nursing practice. Apart from the fact that the explanation given by the nurses for their conduct must be rejected, the conduct of the nurses caused excitement and stimulation which would tend to have an effect contrary to the purpose of the preoperative medication given to Mr. Soltys, as Allard's testimony on cross-examination concedes. Thus, the nurses' conduct not only was unjustified as an impromptu effort to aid the patient, but could be viewed as contrary to the immediate interest of preparing him for the operation. There is, however, no evidence of any harm to Mr. Soltys flowing from the incident, and indeed despite the mode of garbing and transporting Mr. Soltys, he arrived at the operating room in the desired state, as Dr. Maramag observed. A further reason given by Gagnon was that the garbing of Mr. Soltys abused his dignity. There is again support for this conclusion, although it is far from clear whether Mr. Soltys himself was aware that the way in which he was garbed was unusual or demeaning. However, the irregulari- ty was noticeable to Mrs. Soltys and any other staff members who saw him. Particularly in view of the effect of Mr. Soltys' jaundiced condition on his skin color, it was reasonable to conclude that apart from other consider- ations, the joke at Mr. Soltys' expense tended to demean his personal worth. However, this conclusion must be tempered by evidence that the atmosphere at the hospital was informal, patients and staff generally knew each other Siegmund's failure to attempt to ascertain appropriate procedure in advance of preparing Mr. Soltys, and the absence of any testimony to relate the use of the shower cap and plastic bag to the fact that Mr. Soltys was on precautions. 44 There is testimony that relatives of patients were called on other occasions as a matter of courtesy to see patients just before they were taken to surgery, and it was disputed whether such calls were made absent a specific request. Here what Fjellman told Gagnon indicates that at least one purpose in calling Mrs. Soltys was to see her reaction and that the call to her was not simply an instance of the practice followed with others. 867 DECISIONS OF NATIONAL LABOR RELATIONS BOARD and certainly did in this case, and joking with patients was common. Gagnon testified that he also relied on the fact that the nurses did not apologize or give any indication of recognition that what they had done was wrong. The record shows that the nurses did not apologize and that three of them gave no indication that they recognized what they had done was wrong. Siegmund's statement that she was sorry if Gagnon interpreted the statement as designed to humiliate Mr. Soltys was coupled with her assertion that what the nurses did was designed to calm an overly apprehensive patient. None of them told Gagnon that they were sorry if what they did caused Mr. or Mrs. Soltys to become upset, and only Fjellman gave any acknowledge- ment that they may have been wrong in what they did. The significance of this factor is weakened, however, by the circumstances under which Gagnon spoke to the nurses. Gagnon did not ask the nurses for their version of the incident, and I have credited them that Gagnon gave them little opportunity to speak before announcing their suspen- sions. Once that announcement was made and Gagnon had conveyed his own emotional reaction to the incident, there was little likelihood that the nurses would come forward and volunteer anything which might be used against them. The evidence relating to the remaining reasons cited by Gagnon for deciding to discharge the nurses gives support to an inference that Gagnon's action was based on the union activities at the hospital as well as the nurses' treatment of Mr. Soltys. Gagnon testified that in deciding to discharge the four nurses he relied on the fact that he viewed their conduct as interfering in private affairs resulting in the humiliation of Mrs. Soltys. In explaining why he believed the nurses sought to humiliate Mrs. Soltys, Gagnon testified that he saw the incident as an attempt to provoke a member of management into an uncompromising or uncomfortable situation because he deemed such attempts common in the course of union organizing activities.4 5 Thus, Gagnon did not simply view what the nurses did as employee miscon- duct but saw it as a maneuver to gain an advantage in the union organizing campaign then in progress at the hospital. The record shows no basis for this view of the incident other than the subjective reactions of Gagnon and Mrs. Soltys. That Gagnon viewed it in this manner, however, shows that he saw it as a matter to be dealt with not only on its own merits as a disciplinary problem, but as a countermove in a campaign in which organization of the hospital employees was at stake. Of similar effect is Gagnon's testimony that one of the reasons for his decision was his concern that what the nurses did reflected adversely on the hospital. Until Gagnon suspended the nurses, the incident was known only to those on the hospital staff. The matter became public only after the suspension and after a newspaper article carried the charge that the suspension was attribut- able to the union activities. Insofar as appears, the details of the incident itself were not publicized. That Gagnon was concerned over that publicity is shown by his indication to 45 As noted above, Mrs. Soltys testified similarly. 46 First National Bank & Trutw Co, 209 NLRB 95, 101 (1974); General Nutriion Center. Inc., 221 NLRB 850. 855 (1975). Dean, shortly before the discharges, that the involvement of the press complicated his decision. That the hospital's disposition of the matter was influenced by the union activities was again demonstrated by the response of the hospital, in which Gagnon participated, to the attempt of the nurses to file a grievance over their discharges. Evidently based upon a newspaper report that the Union intended to file charges, the hospital declined to consider the grievance on its merits stating that the NLRB was the appropriate forum to resolve it. In amplification, Gagnon testified that since a charge was going to be filed, the hospital president felt that whatever action the hospital took would be overruled and supersed- ed by the NLRB. Of course, if the hospital had decided to reinstate the nurses, the hospital's action would have hardly been overruled and superseded by the NLRB whatever conclu- sion it reached as to the merit of the charge, and if the hospital had considered the grievance on its merits and rejected it, the hospital's action would not have been overruled and superseded unless the NLRB found merit in the charge. Thus, nothing in the statement of intention to file a charge either precluded or rendered moot consider- ation of the grievance on its merits. Although not alleged as such in this complaint, the hospital's refusal to entertain the grievance because charges were to be filed was itself interference with employees' statutory rights. 46 There is further evidence to support an inference that union activities played a substantial role in the decision to discharge the four nurses. One measure of the gravity of the incident is found in Mrs. Fleming's response to it. Mrs. Fleming was herself a direct witness to the incident. She observed the four nurses wheeling the stretcher to the surgical suite and heard the noise they made. Mrs. Fleming at most asked what was going on but took no initiative herself to pursue the matter until Monday morning after Mrs. Soltys told Fleming she planned to speak to Gagnon about it. It is true that about an hour and a half after the incident Mrs. Soltys went to Fleming, complained, and asked her to wait until her husband had left the hospital to take any action against the nurses. But that request had nothing to do with Fleming's failure to react immediately to the incident when she observed it or to show greater sensitivity to other aspects of the incident when she spoke to Gagnon on the following Monday. Indeed, if anything, the fact that Mrs. Soltys had complained to Fleming should have made her more rather than less sensitive in her response to the incident when talking to Gagnon. I find Fleming's response to the incident evidence that when the incident was viewed by her, also a responsible member of management, it was not deemed nearly as serious as Gagnon made it, and that Fleming in her initial reaction to the incident viewed it as a deviation unworthy of the concentrated attention it later received. Although Gagnon on Tuesday decided to reprimand Fleming for that view, and did so in writing without speaking to her further, I find it impossible to separate that decision from his own elevation of the seriousness of the incident.47 17 Although Gagnon testified that he later learned of the conversation 868 HUBBARD REGIONAL HOSPITAL A further factor supporting the inference that the union activities became a substantial factor in Gagnon's decision is the uniformity of the discipline imposed on the four nurses. Each had a different work history, a different responsibility, and a different role in the incident. Looking at the two extremes, Siegmund had the longest service and the greatest responsibility. Whether or not she was the instigator of the incident, she was a clear participant and was in a position to stop it. She, as well as Allard and Plaza, had no responsibility to accompany Mr. Soltys to the surgical suite. Despite her long unblemished record, Siegmund's offense must be viewed as the most serious since she not only failed to stop the incident, but clearly lent her authority and influence to give encouragement to the others to proceed with the incident. Her judgment should have been that on which the hospital could rely. Fjellman on the other hand was a relatively new employee, also with a good record. 4? As the nurse assigned to Mr. Soltys, Fjellman had the duty to accompany Mr. Soltys to the surgical suite. By Fjellman's own account to Gagnon, which he conceded he had no reason to disbelieve, she entered the room after the garbing of Mr. Soltys was well under way, voiced doubts, but was influenced by Siegmund's presence to conclude that what was being done must be all right and might be explained by the atmosphere of greater closeness to patients which existed at the hospital. Gagnon checked only one part of her story, that relating to Brissette. He made no effort to check the remainder of Fjellman's description of her role before almost immediately deciding to discharge her along with the others. The conclusion is compelling that Gagnon had virtually decided upon the discharge of the others by Wednesday morning and that Fjellman was lumped with them with no consideration of her differing circumstances. Her treatment is further evidence that the discipline of the nurses transcended the incident which gave rise to it and its particulars and became a move in the hospital's campaign against the Union. Further evidence supporting the inference of discrimina- tion appears in the role Gagnon took in investigating and pursuing the matter. Gagnon did not ordinarily participate in disciplinary actions, but left that responsibility to line supervision below him. Only once before in the previous 6 years did Gagnon intervene and participate when he learned that supervision had dealt ineffectively with an absenteeism problem by giving repeated oral warnings but failing to follow procedures which might culminate in discharge. Here from the start Gagnon took over the entire responsibility for investigation and disciplinary decision. Director of Nursing Fleming was interviewed about what she saw but she did not participate in the investigation and deliberations which followed let alone to assume responsi- bility for them under Gagnon's overall guidance. 49 The unusual procedure is indicative that normal disciplinary considerations were suspended in this case. The General Counsel sought to establish a number of other instances in which unprofessional conduct was between Mrs. Soltys and Fleming which put Fleming's response in a difference light. as indicated Mrs. Soltys' request excused neither of the shortcomings Gagnon attributed to Fleming. and I find Gagnon's testimony in that regard unpersuasive. at The only complaint against her had not been filed and was unknown to Gagnon at the time of her discharge. tolerated in the hospital without discipline. Some of the examples fell for lack of proof, others appear to have been unknown to management, and others clearly not analogous to the incident in this case. But two, both involving Mrs. Soltys, shed further light on Gagnon's response to the "yellow bird" incident. One involved Mrs. Soltys' direction to remove an isolation sign from a room housing an elderly patient being treated for tuberculosis so that another elderly patient could be moved in with her. In justification for this action, Respondent introduced evidence that the hospital was crowded and that there was no other available bed for the second patient. However, the evidence shows that there were two empty rooms to which the vacant bed in the room with the tubercular patient could have been moved and that there was no assurance that adequate precautions would be maintained to protect the nontuber- cular patient in the room she was placed in. The other example concerns a practice which existed in the hospital for an extended period of time. Some medications which were prescribed for patients but unused by them were sent to Mrs. Soltys instead of being returned to the pharmacy. Mrs. Soltys kept them in a drawer and dispensed them to employees at their request. The medications included antibiotics, cough syrups, aspirin, and Darvon, but not narcotics. Some were prescription medications. This practice continued until a new pharma- cist instituted a unit dosage system which eliminated the possibility of leftover medications. It is difficult to escape the conclusion that both are examples of unprofessional conduct. Each involved a breach of proper procedure with possible danger to others. The first unnecessarily exposed a patient to infection, and the second placed the hospital in the position of dispensing drugs without prescription or medical supervision to employees for use by themselves and their families. While the relative gravity of various breaches of professional standards is always hard to determine, the hospital's total insensitivity to these two examples when considered in contrast to the severity of Gagnon's reaction to the "yellow bird" incident is further indication that Gagnon's reaction was attributable to more than the unprofessionalism of the conduct involved. In the light of all the above, I conclude that the preponderance of the evidence supports the inference that the union activities of the four dischargees and of the hospital employees generally played a substantial role in Gagnon's decision to discharge and not to reinstate Nurses Allard, Fjellman, Plaza, and Siegmund and that by discharging and refusing to reinstate them, Respondent violated Section 8(a)3) and (I) of the Act. B. The Alleged Violations of Section 8(a)(1) About April 28, when some nurses were engaged in informational picketing and handbilling outside the hospi- tal for the first time, Mary Ann Bell, associate director of nurses, told nurse Patricia DeFilippo that she hoped that '9 Fjellman testified to an attempt by Fleming to obtain details from her after Gagnon spoke to her, but in Gagnon's descnption of his investigation and decision he mentioned no involvement of Fleming other than giving her own statement to him on Monday. 869 DECISIONS OF NATIONAL LABOR RELATIONS BOARD none of the girls on her shift would be out there picketing and that it would not go well for them.50 Bell did not say in what manner it would not go well for the girls. During the I or 2 weeks the handbilling continued, Bell joined a conversation at a coffeebreak with Nurse Theresa Ann O'Donoghue who participated in the handbilling and several others. Bell said that she hoped they were not jeopardizing their jobs by handbilling and that she hoped what they were doing was not illegal. Bell also said that she would not advise any of her nurses to be out there doing that. Some of those present said that they thought that what they were doing was right, that they were committed to do it, and that they had to stand up for what they believed in. They asserted that the handbilling was not illegal. On other occasions, Bell said that she hoped she was not doing anything illegal and that she would not want the nurses to put their jobs in jeopardy because of it. I find that Bell's statements to DeFilippo, O'Donoghue, and others were implied threats of reprisal for the picketing. Insofar as appears the picketing was at all times lawful and protected. On the first occasion Bell's threat was imprecise but was no less a threat that if girls on her shift picketed they would be worse off for having done so. On the later occasions Bell coupled her hope that the nurses were not jeopardizing their jobs by picketing with a hope that it was not illegal, but did not confine the implied threat of job loss to the event that they picketed illegally. I find that Bell's repeated threats were directed at lawful picketing and were designed to discourage employee participation in it. I find that Bell's threats of reprisals violated Section 8(a)(l) of the Act. On one occasion in early May, Bell asked O'Donoghue if she had changed her mind yet on how she was going to vote. When O'Donoghue answered that she had not, Bell said that she was not telling her which way to vote and the conversation ended. As this was the only instance of interrogation established, and O'Donoghue was a known union activist, I find that it is insufficient to support a finding that Respondent engaged in coercive interrogation. During the spring before the election, Associate Director of Nurses Diane Canty called nurse DeFilippo aside a number of times to talk to her about the Union, sometimes with other nurses present. On most of these occasions Canty said that she thought the Union was a violent union, and in conjunction therewith usually showed the nurses a booklet of newspaper clippings about the Union. Canty told the nurses that they did not need a union, that the hospital board members realized they had made mistakes, that they were willing to correct them, that the nurses should give them another chance, and that they would probably do well for them.5t On one occasion Canty gave examples to Pamela Moylan and two others of what would be different in the hospital if the Union got in. Canty said that she felt she would have to be a better supervisor because stewards ~" The testimony as to statements by Bell was uncontradicted. One witness, Pamela Moylan. testified to statements by Bell which were clearly protected by Sec. 8(c) and need not be set forth herein. ', DeFilippo and Moylan both testified to this effect. Canty was not questioned about her statements about the hospital board and denied only that she told employees they didn't need a union. I credit nurses DeFilippo and Moylan, finding likely that in the context of her efforts otherwise to would be watching her and would probably report her if she did not carry out her role. Canty said that she would have to be stricter in enforcing rules, that the nurses would have to wear their caps until 11 p.m., that there would be no smoking in the backroom, and similar requirements would be enforced. Canty told them that if they did anything wrong, they would receive a verbal warning, a written warning, and then discharge.5 2 Canty said that if management violated the contract in any way the Union would be quick to file a grievance. Canty also told Moylan that it was important to vote in the election, that she could not tell Moylan how to vote, and that it would be Moylan's decision to make. Canty's statements to DeFilippo and others about the hospital board conveyed a promise of benefit. While the benefits promised were not spelled out, the message was nonetheless clear that the improvements would come if the nurses gave the hospital another chance, i.e., rejected the Union. I find that by these remarks of Canty, Respondent violated Section 8(a)(1) of the Act. I find also that Canty's statement to Moylan and two others conveyed a threat of reprisal if the nurses chose to be represented by the Union. Although Canty testified that she believed the Union would require her to do the things she mentioned, her testimony that she believed stewards would require stricter enforcement of rules against the nurses is impossible to believe. The message Canty conveyed was that if the Union was chosen, she would go by the book and stop overlooking minor infractions that had been ignored in the past. I find that Canty's statements that she could not tell Moylan how to vote and that it was Moylan's decision to make to do nothing to weaken the threat which was aimed at coercing Moylan and others in making their decision. I find, accordingly, that Canty made threats which violated Section 8(a)( ) of the Act. I find that Canty's statements about union violence and the showing of the booklet of clippings did not exceed the bounds of protected free speech and find no violation based on them.53 IV. THE OBJECTIONS The objections to the election raise the same issues as the unfair labor practices considered above. Respondent contends initially that even if, as found above, its conduct violated the Act, it does not warrant setting aside the election. If the statements of Bell and Canty stood alone, there might be merit in the contention, at least to the extent of the elections in the nonnursing units. But I cannot agree that the discharges do not warrant setting aside the elections. discourage support of the Union Canty told employees that they did not need a union. 52 These findings are based on a composite of the testimony of Moylan and Canty. 53 The complaint does not allege any other violations based on her statements. 870 HUBBARD REGIONAL HOSPITAL A discriminatory discharge of an employee "goes to the very heart of the Act,"5 4 and discrimination against some employees tends to discourage union membership and activities of all employees. The Board has held that discriminatory discharges without more require setting an election aside. 55 Here, in the light of the postdischarge publicity, the rejection of the nurses' grievances based on the filing of the charges, and the other interference with employee rights by Supervisors Bell and Canty, there is no reason to depart from that holding and to conclude that discouragement of union membership and activity which followed from the discharges was dissipated in the less than 2-month period which elapsed between the discharges and the elections. Accordingly, I shall recommend that Objec- tions 2 and 3 be sustained, that the elections be set aside, and that new elections be directed. V. THE REMEDY Having found that Respondent engaged in unfair labor practices, I shall recommend that it be ordered to cease and desist therefrom and to take certain affirmative action designed to effectuate the policies of the Act. As I have found that Respondent unlawfully discharged Sharon Allard, Susan Fjellman, Marlene Plaza, and Geraldine Siegmund, I shall recommend that Respondent be ordered to offer them immediate and full reinstatement to their former jobs or, if those jobs no longer exist, to substantially equivalent jobs, without prejudice to their seniority or other rights and privileges. I shall further recommend that Respondent be ordered to make them whole for any loss of earnings they may have suffered as a result of the discrimination against them by payment to them of the amounts they normally would have earned from the dates of their discharges until the dates of Respondent's offer of reinstatement, less net earnings, to which shall be added interest at the rate of 6 percent per annum in accordance with the formula set forth in F. W. Woolworth Company, 90 NLRB 289 (1950), and Isis Plumbing & Heating Co., 138 NLRB 716 (1962). Upon the basis of the above findings of fact and the entire record in this case, I make the following: CONCLUSIONS OF LAW I. Hubbard Regional Hospital is an employer engaged in commerce within the meaning of Section 2(2), (6), and (7) of the Act. 2. District 1199 Mass., National Union of Hospital & Health Care Employees, RWDSU/AFL-CIO, is a labor organization within the meaning of Section 2(5) of the Act. 3. By promising better treatment of employees if they rejected union representation; by threatening employees with loss of jobs and other unspecified reprisals if they engaged in informational picketing: and by threatening employees with stricter enforcement of rules if they chose "4 N.L.R.B. v. Enlwistle Manufarruring Compauns, 120 F.2d 532 (C.A. 4. 1941). 5s Olsegio Ski Club-Hidden Valler. Inc., 217 NLRB 418 1975) 1" In the event no exceptions are filed as provided by Sec. 102.46 of the Rules and Regulations of the National L abor Relations Board, the findings. conclusions, and recommended Order herein shall, as provided in Sec. 102.48 of the Rules and Regulations, be adopted by the Board and become to be represented by a union, Respondent has engaged in unfair labor practices affecting commerce within the meaning of Sections 8(aX)() and 2(6) and (7) of the Act. 4. By discharging Sharon Allard, Susan Fjellman, Marlene Plaza, and Geraldine Siegmund because of their union activities, Respondent has engaged in unfair labor practices affecting commerce within the meaning of Sections 8(a)(3) and (I) and 2(6) and (7) of the Act. Upon the foregoing findings of fact, conclusions of law, and the entire record, and pursuant to Section 10(c) of the Act, I hereby issue the following recommended: ORDER5 The Respondent, Hubbard Regional Hospital, Webster, Massachusetts, its officers, agents, successors, and assigns, shall: 1. Cease and desist from: (a) Promising better treatment of employees in order to discourage them from engaging in union activities. (b) Threatening employees with loss of jobs, stricter enforcement of rules, or other reprisals because they engage in union activities or choose to be represented by a union. (c) Discharging or otherwise discriminating against employees in regard to hire or tenure of employment or any term or condition of employment because they become members of or engage in activities on behalf of District 1199 Mass., National Union of Hospital & Health Care Employees, RWDSU/AFL-CIO, or any other labor organization. (d) In any other manner interfering with, restraining, or coercing employees in the exercise of their right to engage in or refrain from engaging in ony or all of the activities specified in Section 7 of the Act. 2. Take the following affirmative action which is necessary to effectuate the policies of the Act: (a) Offer Sharon Allard, Susan Fjellman, Marlene Plaza, and Geraldine Siegmund immediate and full reinstatement to their former jobs or, if those jobs no longer exist, to substantially equivalent positions, without prejudice to their seniority or other rights or privileges, and make them whole for any loss of earnings they may have suffered as a result of discrimination against them in the manner set forth in the section of the Decision entitled "The Remedy." (b) Preserve and, upon request, make available to the Board or its agents, for examination and copying, all payroll records, social security payment records, timecards, personnel records and reports, and all other records relevant and necessary to a determination of compliance with paragraph (a) above. (c) Post at its Webster, Massachusetts, place of business, copies of the attached notice marked "Appendix." 57 Copies of said notice on forms provided by the Regional Director for Region 1, after being duly signed by its findings, conclusions. and Order, and all objections thereto shall be deemed waived for all purposes. 57 In the event that the Board's Order is enforced b. a Judgment of a United States Court of Appeals, the words in the notice reading "Posted by Order of the National Labor Relations Board" shall read "Posted Pursuant to a Judgment of the United States Court of Appeals Enforcing an Order of the National Labor Relations Board." 871 DECISIONS OF NATIONAL LABOR RELATIONS BOARD Respondent's representative, shall be posted by it immedi- ately upon receipt thereof and be maintained by it for 60 consecutive days thereafter, in conspicuous places, includ- ing all places where notices are customarily posted. Reasonable steps shall be taken by Respondent to insure that said notices are not altered, defaced, or covered by any other material. (d) Notify the Regional Director for Region I, in writing, within 20 days from the date of this Order, what steps have been taken to comply herewith. IT IS FURTHER RECOMMENDED that Objections 2 and 3 to the elections conducted in Cases I-RC-14218, I-RC- 14220, and 1-RC-14271 be sustained, that the elections held on June 10, 1976, be set aside, and that the cases be remanded to the Regional Director for Region I to conduct new elections at such time as he deems appropri- ate. APPENDIX NOTICE To EMPLOYEES POSTED BY ORDER OF THE NATIONAL LABOR RELATIONS BOARD An Agency of the United States Government WE WILL NOT promise better treatment of employees in order to discourage them from engaging in union activities. WE WILL NOT threaten our employees with loss of jobs, stricter enforcement of rules, or other reprisals because they engage in union activities or choose to be represented by a union. WE WILL NOT discharge or otherwise discriminate against our employees in regard to their hire or tenure or any term or condition of employment because they become members of or engage in activities on behalf of District 1199 Mass., National Union of Hospital & Health Care Employees, RWDSU/AFL-CIO, or any other labor organization. WE WILL offer Sharon Allard, Susan Fjellman, Marlene Plaza, and Geraldine Siegmund immediate and full reinstatement to their former jobs or, if those jobs no longer exist, to substantially equivalent jobs, without prejudice to their seniority or other rights and privileges, and WE WILL make them whole for any loss of earnings they may have suffered as a result of the discrimination against them. WE WILL NOT in any other manner interfere with, restrain, or coerce our employees in the exercise of their right to engage in or to refrain from engaging in any or all the activities specified in Section 7 of the Act. These activities include the right to self-organization, the right to form, join, or assist labor organizations, to bargain collectively through representatives of their own choos- ing, and to engage in other concerted activities for the purpose of collective bargaining or other mutual aid or protection. HUBBARD REGIONAL HOSPITAL 872 Copy with citationCopy as parenthetical citation