Ojai Valley Community HospitalDownload PDFNational Labor Relations Board - Board DecisionsMar 12, 1981254 N.L.R.B. 1354 (N.L.R.B. 1981) Copy Citation 1354 OJAl Diego, d/b/a and -RC-42 9(c) Visia I ~ c . , ~ 1. Diego, $250,000, $5,000 I hear~ng. 2(6) 2(2) 2(5) (1) organi~ation;~ Ventura C o ~ n t y ) . ~ PEAVC's infer ." Wnder Sec. 2 ( 5 ) Sec. 2 ( 2 ) subdivibions Sec. 2(3) Sec. 1 1 tlme agreement* VALLEY COMMUNITY HOSPITAL National Medical Convalescent of San Ojai Valley Community Hospital1 Public Employees' Association of Ventura County, Pe- titioner. Case 3 l 14 March 12, 1981 DECISION AND DIRECTION O F ELECTION' Upon a petition duly filed under Section of the National Labor Relations Act, as amended, a hearing was held before Hearing Officer Julia A. Timmons of the National Labor Relations Board on August 15, 24, and 31, 1978. Pursuant to Sec- tion 102.67 of the National Labor Relations Board Rules and Regulations, Series 8, as amended, and by direction of the Regional Director for Region 31, this case was transferred to the National Labor Relations Board for decision. Thereafter, the Em- ployer and Petitioner filed briefs. On March 30, 1979, the National Labor Rela- tions Board issued its Supplemental Decision and Order in Sierra Hospital, in which the Board set forth its policy regarding conflict of in- terest issues raised by the active participation in the affairs of a labor organization by supervisors of the employer with whom the labor organization seeks to bargain, or of third parties. Inasmuch as these issues had also been raised in the instant proceed- ing, the Board, on May 25, 1979, issued an Order remanding the case to the Regional Director for further hearing on these issues in light of Sierra Vista. Pursuant to the Board's Order, the additional hearing was held before Hearing Officer Susan D. Kunk on July 23, 24, and 25 and August 6, 1979. Following the close of that hearing, the case was again transferred to the Board for decision. The Employer and Petitioner have both filed supple- mental briefs. The Board has reviewed the Hearing Officers' rulings made at both hearings and finds that they are free from prejudicial error. They are hereby af- firmed. Upon the entire record in this proceeding, the Board finds: The parties stipulated that the Employer, Na- tional Medical Convalescent of San d/b/a Ojai Valley Community Hospital, hereinafter re- ferred to as the Employer or the Hospital, is a California corporation engaged in the business of operating an acute care hospital located in Ojai, California. During the past calendar year, a repre- sentative period, the Employer derived revenues for its services in excess of and it pur- chased goods valued in excess of directly The name of the Employer appears as amended at the 241 NLRB 631. 254 NLRB No. 163 from sources located outside the State of Califor- nia. The parties further stipulated that the Employ- er is engaged in commerce within the meaning of Section and (7) of the National Labor Rela- tions Act, as amended. Accordingly, we find that the Employer is an employer within the meaning of Section of the Act and that it will effectuate the policies of the Act to assert jurisdiction in this proceeding. 2. The Employer contends that Petitioner, Public Employees' Association of Ventura County, herein- after referred to as Petitioner or PEAVC, is not a labor organization within the meaning of Section of the Act. In support of this contention, the Employer argues that: because Petitioner repre- sents individuals who work for city or county enti- ties in the state of California, neither the workers which it represents nor the entities with which it deals can be considered to be employees or em- ployers, respectively, as contemplated by the statu- tory definition of a labor and (2) Pe- titioner's board of directors, which controls each bargaining unit's contract negotiations, is com- prised in substantial part of statutory supervisors. We find no merit in the Employer's argument. With respect to the Employer's first contention the record reveals that the Petitioner operates under the Meyers-Milias-Brown Act4 which gave California state, county, and municipal employees collective-bargaining rights. PEAVC is an associ- ation comprised of employees of political subdivi- sions, public employees of a special interest area, public employees otherwise associated together professionally, private employee groups by approv- al of PEAVC's board of directors, and retirees of all the aforementioned groups within the bound- aries of County, California (hereinafter the constitution and bylaws pro- vide that the association's purpose is, alia, "to represent those employees for whom it has, or may acquire, lawful authority to serve as majority rep- resentative, in discussions and negotiations with . . . any private employer whose employees are members. . . Petitioner's executive director tes- tified that the Employer's employees would receive chapter or unit status within the association if Peti- tioner were certified as their collective-bargaining of the Act, a labor organization is by definition en organization in which employees partictpate and which exists for the pur- pose of dealing with employers. The term "employer" under of the Act excludes states and political thereof. de- fines "employee" as being limited to individuals who work for entities within the statutory definition of an employer. California Government 3500-35 At the of the first hearing, PEAVC had one collective-bargain- ing agreement with the County covering I2 bargaining units and separate bargaining with 14 cities or special districts in the County. [UNITY According1 2(5) delegate/director Ass~ciat ion.~ affiliate ~ a c a n t . ~ 2(11) Ven- 1 Filmore, 1 participation" p re~en ted .~ unlts. allilialed ofiicers, affiliate oficers, ' delegate/director ' w~thout affect~ng Inc., We.rtern Baptirt Hospiral, (1970). PEAVC's collective- spokesperson,1° l 1 suficient bargaining.12 Em- l a oFTers that 1 Vista Inc.. wpm. l2 OJAI VALLEY COMM HOSPITAL 1355 representative. y, as Petitioner does not limit its membership to city, state, or municipal employees and as it exists for the statutory pur- poses, we find that Petitioner is a labor organiza- tion within the meaning of Section of the Act. The record also fails to verify the Employer's contention that Petitioner's board of directors is composed in substantial part of supervisors and that the board of directors exerts strong influences over the bargaining process. The executive authori- ty of PEAVC is vested in a board of directors which, according to the bylaws, is to be comprised of a elected from each of the var- ious chapters, affiliate chapters, and units of the However, until such times as the chapter, chapter, or unit has its representa- tive formally installed on the board of directors, its seat remains The Employer claims that five directors possess the indicia of supervisory authority set forth in sec- tion of the Act. We note, however, that at the time of the first hearing and according to an exhibit submitted by Petitioner, 13 directors were employed by the county of Ventura, 1 by the tura Regional County Sanitation District, by the city of and by the city of Thousand Oaks. While these individuals may, in fact, possess the indicia of supervisory authority, it is clear that none of them is, nor could be, a supervisor within the meaning of the National Labor Relations Act, as amended. Therefore, we find no merit in this aspect of the Employer's argument. Moreover, even if these individuals were statutory supervisors, it is undisputed that none of them is employed by this Employer. In Sierra Vista, we noted that "active by an employer's own super- visors in the internal affairs of a labor organization which seeks to bargain with that employer could raise some doubt as to whether that labor organiza- tion could deal with the employer at arm's length. Since no director of PEAVC is a supervisor em- ployed by the Employer, no conflict-of-interest issue is We further noted in Sierra Vista that the active internal union participation of supervisors em- ployed by a third party may present a conflict-of- PEAVC functions through three separate and distinct groups: chapters, and chapters. A unit is an appropriate bargaining unit established by the Civil Service Commission. A chapter is similar to a unit and elects its own but usually does not represent county em- ployees. An chapter represents employees outside the County, elects its own and establishes its own constitution. Each has 1-5 votes depending on the number of members he represents. Units of any kind formal representation on the board of di- rectors do occasionally send representatives to meetings to speak on issues them. See also Baptist Hospitals, d/b/a 246 NLRB 170 interest issue if a "demonstrated connection" is shown between the employer of unit employees and the employer of those supervisors. We have al- ready determined that members of Petitioner's board of directors are not supervisors within the meaning of the Act. However, we shall, for the purposes of this discussion only, assume that they are supervisors. Yet, even this assumption does not further the Employer's argument. The record reveals that various chap- ters, affiliate chapters, and units form their own negotiating committees which in turn establish pro- posed collective-bargaining packages. This process varies, however, depending upon whether the group represents county or noncounty employees. Each county unit or chapter draws up bargaining proposals as to matters that affect it in- dividually, and with the assistance of PEAVC's ex- ecutive director, Barry Hammit, who acts as chief negotiates with the county. In areas where mutual benefits are shared, such as health insurance, the county chapters and units get together and make a unified demand with Hammit again acting as chief negotiator. The affiliated chapters are more autonoumus, making their own collective-bargaining decisions, doing their own collective bargaining, and ratifying the contract themselves. PEAVC assigns them a staff person who assists in contract negotiations. Petitioner's board of directors does not set policy nor does it dictate the course which negotiations should take at the local level and cannot impose its will on the various bargaining committees. As the foregoing demonstrates, the Employer has failed to substantiate its contention that Peti- tioner's board of directors is dominated by supervi- sors and that the board of directors controls indi- vidual bargaining unit's contract negotiations. As we emphasized in Sierra Vista, the employer has a heavy burden of showing actual or potential con- flict of interest. The mere allegation of such con- flict is not to sustain that ?burden, since the Board emphasized that an employer must adduce probative evidence demonstrating that su- pervisory participation in a labor organization's in- ternal affairs "presents a clear and present danger of interference with the bargaining process" which would serve to disqualify that labor organization from Based on the foregoing, we find that PEAVC is not disqualified because of an al- leged conflict of interest from representing the Hamrnit testified that he advice on such matters as bargaining strategy and he takes his direction from the individual bargaining committees. Sierra Hospital. Id. at 634. 1.156 ployer's Yista -13 Yista 9(b)(3) Act14 force15 9(b)(3). 9(b)(3) Vlsisra. organ~zatton IS v~rtually status 2(5) Wsla, Sierro conflict-of-inter- est thc employee\. alfairs PEAVC's wpervisors In l 4 Sec. 9(b)(3) find ind~vidual employer's Sec. 9(b)(3) al$o afliliated organiration adm~ts '" pol~ce contracling l 6 & (1954), market17 & ~ o m b , company Lomb.l8 9(c)(l) 2(6) (RNs), (NAs). RNs (RNs, NAs) RNs sometimes ' 7 Hosp~tal ' 8 Soccer Consriruenr I317 DECISIONS OF NATIONAL LABOR RELATIONS BOARD employees for the purposes of collective bargaining with the Employer. Considering all the circumstances, the Employer has failed to sustain the burden required by us in Sierra of show- ing that "there is a clear and present danger of a conflict of interest which compromises [Petition- er's] bargaining integrity . . . . The Employer asserts that a further conflict of interest exists in the instant case separate and apart from the Sierra issue. Initially, the Employer contends that Section of the prohibits the representation by Petitioner of both the Ojai police and the employees of the Employer. The Employer argues that inasmuch as the Ojai police are responsible for security problems at the Hospital, they should be considered guards within the meaning of Section Furthermore, the Employer contends that Petitioner may not repre- sent its employees because Petitioner represents su- pervisors of Ventura County General Hospital, an alleged competitor of the Employer. We reject both of these arguments. At the outset, the Ojai police are not guards within the meaning of Section of the Act. They are employed by the city of Ojai, and the only contact they have with the Employer arises purely pursu- ant to their municipal function of rendering assist- ance when needed.' We also reject the Employ- ':' Id. at 635. The Employer also contends that Petitioner is not a stat- utory labor organization since all of the Employer's nursing department supervisors are eligible for membership in Petitioner. We find no merit in this contention, for, as we stated in Sicrro "the mere presence of supervisors in a labor irrelevant to determining under Section of the Act." Sierra supra. 632. The Employer argues that a further Vista-type issue is presented by possibility that supervisors employed by Ventura County General Hospital moy, through their representative to Petitioner's board of directors, act against the interests of the Employer's The Employer additionally argues that Petitioner's are always subject to supervisory influence. since any of units could at any time change its designated representative to the board of di- rectors. The Employer asserts that under such uncertain circumstances Petitioner should be barred from representing the Employer's employees. However. inasmuch as no supervitors employed by Ventura County Gen- eral Hospital presently sit on Petitioner's hoard of directors and since no of other employers presently do so, we find the possibility that they may do so the future and then exert some influence on the bargaining process to be entirely too remote and speculative, and, hence. lacking in merit. states that the Board shall not appropriate any bar- gaining unit whtch includes both employees and "any em- ployed as a guard to enforce against employees and other persons rules to protect property of the employer or to protect the safety of persons on the premises." prohibits the Board from cer- tifying any labor organization "as the representative of employees in a bargaining unit of guards if such organization admits to membership, or is directly or indirectly with an which to membership, employees other than guards." The Ojai department is an affiliate chapter of PEAVC, its agent being the Ojai Police Officers* Association. The Ojai police chapter has not had a representative on Petitioner's board of direc- tors for the past 4 years. Anna Jacobs, director of nursing at the Hospital, testified that inci- dents requiring police assistance occur only about once a month and usu- ally involve patients who become belligerent and present a threat to staff. er's claim that the Employer and Ventura County General Hospital stand in a competitive relation- ship. We find that the Employer's reliance on Bausch Lomb Optical Company, 108 NLRB 1555 is misplaced. The Employer asserts that the two hospitals compete for nurses in an extremely tight job and that the two compete for employees through wage and benefit packages and differences between the two hospitals in desired working conditions. As a result, claims the Em- ployer, the shortage of nurses places a great strain on the supervisors of both hospitals and that the su- pervisors at Ventura Hospital, who are represented by Petitioner, have an interest in assuring them- selves of an adequate supply of competent nurses, even if to the Employer's detriment. In Bausch the union representing the employer's employees established a to engage in the same business as the employer and was thus in direct competition with the employer. In our opinion, the situation presented by this Em- ployer is not the kind of direct competition with which the Board was concerned in Bausch & Accordingly, we find that Petitioner is not disqualified on conflict-of-interest grounds from representing the Employer's employees. 3. A question affecting commerce exists concern- ing the representation of certain employees of the Employer within the meaning of Section and Section . . and (7) of the Act. . . 4. Petitioner seeks to represent a unit consisting of all nursing staff employees employed by the Em- ployer at its Ojai, California, facility, excluding su- pervisors. Such a unit would include registered . nurses licensed vocational nurses (LVNs), and nurse attendants At the hearing, Peti- tioner expressed its willingness to proceed to an election in a smaller unit, specifically, one com- posed of only. Throughout these proceedings, the Employer has declined to take a position regarding what would constitute an appropriate unit and has limited its ar- guments to the inappropriateness of the unit or units sought by Petitioner. In this regard, the Em- ployer's basic position is that the three categories of employees within the nursing department LVNs, and each possess basic skill levels and perform jobs that are distinctly separate from those of the others. In particular, the Employer asserts that the are professional employees while the visitors, or other patients. She further testified that such prob- lems are handled directly by Hospital personnel. The Hospital and Ventura County General are 18 miles apart. See The North American League and irs Member Clubs, 236 NLRB (1978). OJAl NAs RNs, 2(11) RNs RNs RNs RNs RNs NAs. RNs RNs RNs NAs. RNs, Instp- er ?a1 1 NAs NAs 01. ..,e-job NAs NAs, petitioned- RNs, NAs RNs em- ployees,lg NAs status.20 RNs, NAs RNs employees.21 RNs industry.22 RNs, NAs. RNs. l 9 Sacrammto, Inc., 17 Pres- byterran 20 ~Vathan ,Mirram Barnert Hosprtal Associatron, Bar- nert Memorral 780-781 (1975). NAs NAs 11 determ~ne techntcal 2 1 The MedlcaI I267 2 2 1357 VALLEY COMMUNITY HOSPITAL LVNs and are not. In addition, the Employer contends that employees in each nursing depart- ment category share a community of interest with employees outside the nursing department who work at the same skill level. Accordingly, the Em- ployer argues that a unit limited to nursing depart- ment employees is inappropriate because employ- ees within that department do not share a sufficient community of interest with each other to constitute a single unit and because such a unit would im- properly exclude employees outside the nursing de- partment who have interests and working condi- tions similar to employees included in the unit. Fi- nally, the Employer contends that, if an election is directed, the specialty unit supervisors must be ex- cluded from any unit found appropriate. For the reasons set forth below, we agree with the Employer that a unit comprised of all nursing department employees is inappropriate. We find, however, that Petitioner's requested alternative unit, made up only of is appropriate. In addi- tion, we find that the specialty unit supervisors are supervisors within the meaning of Section of the Act and, accordingly, we shall exclude them from the unit found appropriate herein. The record reveals that are required to graduate from an accredited school of nursing, pass a state-administered exam and be licensed by the State. must also attend periodic training ses- sions which are optional for other employees. A review of their job functions reveals that are responsible for the continuous, overall nursing care of patients. In this regard, are involved in all aspects of disease prevention, and the administra- tion of medicine and therapy as well as remedial and restorative processes. Only are authorized to receive and implement the full range of doctors' orders. They also interpret doctors' orders to sub- ordinate staff and generally oversee and direct LVNs and In addition, coordinate and direct the administration of therapeutic and techni- cal services to patients by other hospital employ- ees. The are responsible for monitoring pa- tient reactions to various treatments and can initiate or engage in other curative or rehabilitative patient treatments. In performing their various job func- tions, exercise a substantial degree of inde- pendent judgment. LVNs are required to have completed 1 year of clinical and theoretical training at the college level and must be certified by the State. LVNs can ad- minister medicine by hypodermic injection, with- draw blood, and start or superimpose intraveneous fluids. An LVN also oversees and directs Unlike however, LVNs do not exercise a high degree of independent judgment. For exam- ple, in implementing doctors' orders, LVNs are limited to the administration of medication. They do not have authority to initiate other forms of pa- tient treatment. Indeed, state law requires that LVNs perform their jobs under the supervision of either a physician or an RN. In addition, an LVN may not, merely through experience, become an RN. an LVN must comply with the addi- tional and certification requirements to which subject. subject to any state certification and need no, . any educational requirements. receive training and are responsible for such tasks as bedmaking, bathing patients, and posi- tioning patients for comfort. can take patients' temperatures and pulse rates but may not adminis- ter medicine or otherwise receive and implement doctors' orders. in short, perform routine, ministerial duties with respect to patients who are recuperating normally. Based on the foregoing, we find the for unit consisting of LVNs, and to be inappropriate. The record clearly establishes, and the parties agree, that the are professional while neither the LVNs nor the enjoy such professional Thus, even assum- ing auguendo that the LVNs, and pos- sessed a sufficient community of interest to consti- tute a single, appropriate unit, inclusion of the pro- fessional would be prohibited unless they are given an opportunity to vote as to whether they wish to be included in a unit with nonprofessional Within such an election framework, we note that if, for example, the were to vote "no" on being included in a unit with nonprofes- sionals, but voted "yes" on representation, while LVNs and Nas also voted "yes" on representation, two separate units would result. We have held that such a result is contrary to the congressional admo- nition against proliferation of bargaining units in the health care Accordingly, we reject Petitioner's request for a unit of LVNs, and As noted above, Petitioner alternatively has re- quested a unit limited to The Employer, con- sistent with its overall position, asserts that such a unit is inappropriate because it excludes other pro- Mercy Hospital of 2 NLRB 765 (1975); The Medical Center. 218 NLRB 1266 (1975). The Employer contends that the LVNs are technical employees, see. and Memorial d / b / a Hospital Center, 217 NLRB 775, and that the are "regular employees." In view of our finding herein that LVNs and are not professional employees, we deem unnecessary to whether they are or regular employees. Presbyterian Center. 218 NLRB 1266, (1965). Id. at 1267. 1358 RNs. R N s . ~ ~ RNs. (1980), "[rlegistered RNs RNs RNs RNs RNs RNs RNs contrast,24 RNs. 23 24 RNs nonprofess~onals. RNs duration.25 RNs divideh care/coronary supervisors issue.26 2(11) 9(b) 2 5 d/b /a (1981). inter alia, RNs !hat RNs the RNs appropriate the extent between RNs Jenk~ns Mount 'b st~pulated, superviwrr d~rec tor p.m. nlght DECISIONS O F NATIONAL LABOR RELATIONS BOARD fessional employees outside the department of nurs- ing who share a community of interest with the It specifically argues that the pharmacists and laboratory technologist employees are professionals who share a community of interest with The Board has recently had occasion to reexa- mine the appropriateness of a unit limited to In Newton-Wellesley Hospital, 250 NLRB 409 the Board held that nurses can . . . possess such a community of interests as makes their separate representation appropriate." 250 NLRB at 413. In that case we found a unit lim- ited to appropriate but in so doing we dis- avowed any "irrebuttable presumption" of the ap- propriateness of such a unit and emphasized that we would examine each case on its particular facts to determine whether a requested unit limited to is appropriate. Our review of the record herein convinces us that the separate unit of sought by Petitioner is an appropriate unit for collective bargaining. Thus, as in Newton-Wellesley, the are adminis- tratively separated into a distinct nursing depart- ment and receive common specialized supervision from the unit supervisors as well as from the direc- tor and assistant director of nursing. The work in close and continuous contact with each other and share a common background with re- spect to education, training, experience, and licens- ing. Because of their diversity of skills, the can and do transfer to various departments throughout the hospital. Also of substantial signifi- cance is the fact that the are uniquely respon- sible for the continuous, round-the-clock care of particular groups of patients. These responsibilities involve virtually all aspects relating to overall pa- tient well-being. In the pharmacists and medical tech- nologists work outside the nursing department in departments separate from each other and have dif- ferent immediate supervision. They have limited personal contact with the patients and they gener- ally remain closely tied to their specific work areas and equipment rather than engaging in the continu- ous, multifaceted patient care undertaken by the Finally, we note that the working contacts The record reveals that the Employer employs one part-time regis- tered pharmacist who works in a separate pharmacy department and re- ports to the administrator. The laboratory technologists, who are respon- sible for analysis of blood chemistry, hematology, parasitology, serology, bacteriology, bloodbanking and urinalysis, work in the clinical laboratory department under the supervision of the Medical Director and Chief Technologists. We d o recognize that some terms of employment are common to and the nonnurse professionals. These include insurance, pension plan, and leave opportunities. In addition, the hospital administator pro- vides common, top-level supervision. The record reveals, however, that the foregoing terms are common to virtually all hospital employees in- cluding both professionals and between the and other professionals occur only on an intermittent basis with each contact being of limited Based upon the foregoing, we conclude that the appropriateness of a separate unit of has been adequately established. The remaining issue before us is whether, as con- tended by the Employer, the specialty unit supervi- sors are supervisors under the Act who should be excluded from the unit found appropriate herein. The nursing department is into a general medical-surgical unit and the following specialty units: obstetrics, intensive care, op- erating room, recovery room and emergency room. Each specialty unit is headed by a unit supervisor who reports to the director of nursing. The parties stipulated and we agree that the operating room su- pervisor is a supervisor within the meaning of the Act but the remaining specialty unit are in The record reveals that each specialty unit su- pervisor is responsible for the operation of his or her particular unit. Each has authority to assign work, transfer employees in and out of the unit, in- struct and train employees, issue written repri- mands, evaluate employees for purposes of merit increases or promotions, and adjust grievances. The unit supervisors can select employees to work in their unit and can effectively veto either the hiring of an employee or the assignment of an employee to the unit. They also have authority to initiate and implement the discharge of an employee who com- mits a substantial violation of the Employer's rules. In our view, the foregoing primary indicia of su- - pervisory status amply demonstrate that the spe- cialty unit supervisors are supervisors within the meaning of Section of the Act. We, therefore, shall exclude them from the unit. Accordingly, we find that the following employ- ees of the Employer constitute an appropriate unit for the purposes of collective bargaining within the meaning of Section of the Act: Compare, Mount Airy Foundation Mount Airy Psychiatric Center. 2 5 3 NLRB No. 139 where a panel of the board found ap- propriate a unit that included, and certain nonnurse pro- fessionals designated "team leaders." In case. the and the non- nurse team leaders were responsible for continuous overall psychiat- ric care of a specific group of patients, with the performing medical tasks only during infrequent emergencies. We thus found a unit including both groups to be because the employees stood "in an identi- cal position" to that they "perform virtually the same daily tasks, substitute for each other, receive the same benefits, and are subject to the same supervision." We find no such substantial shared communtty of interest and nonnurse professionals in the instant case. Member did not participate in Airy. T h e parties also and we agree, that the following persons are under the Act: director of nursing; assistant of nursing; in-service director; utilization review coordinator; day, and supervisors; and, day charge nurse of the medical-surgical wing. OJAI Ern- exclud- ing nurses assistants [Direction of Election and Excelsior footnote 1359 VALLEY COMMUNITY HOSPITAL All registered nurses employed by the and supervisors as defined in the Act, as well ployer at its Ojai, California, location; as other employees. licensed vocational nurses, omitted from publication.] Copy with citationCopy as parenthetical citation