Federal Circuits, 5th Cir. (September 01, 1999)
Docket number: 98-31019
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IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT No. 98-31019 PEGGY BERGERON, Plaintiff-Appellant, versus SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION, Defendant-Appellee. Appeal from the United States District Court for the Western District of Louisiana (97-CV-1837) August 31, 1999Before GARWOOD, DUHÉ and BENAVIDES, Circuit Judges.*GARWOOD, Circuit Judge: Plaintiff-appellant Peggy Bergeron (Bergeron) appeals the district court's grant of summary judgment in favor of defendant- appellant Southwest Louisiana Hospital Association, d/b/a Lake Charles Memorial Hospital (the hospital) dismissing her claims of sexual harassment and retaliatory discharge. We affirm. Facts and Proceedings Below * Pursuant to 5TH CIR. R. 47.5 the Court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5TH CIR. R. 47.5.4. Bergeron began working as a technician in the hospital's emergency room (ER) in 1993. Bergeron also worked in the ER as an extern while attending nursing school. In January 1995, Bergeron was hired by the hospital as an ER nurse. Dr. Michael Lescord (Lescord) was at all times an employee of Emcare, Inc., a physician organization which supplies doctors to the ER under contract with the hospital. Lescord commenced working in the ER in 1993. When the hospital considered hiring Bergeron as an ER nurse, the hospital's ER nurse manager Paul Fuselier (Fuselier) inquired whether Lescord believed Bergeron would be a positive addition to the ER. Lescord responded affirmatively. After Bergeron began working as an ER nurse, Lescord began to ask Bergeron to accompany him on rounds. Although ER doctors do not always request that nurses join them on rounds, it is not uncommon for ER doctors to do so. Bergeron alleges that Lescord requested her assistance on rounds too often, even when other nurses were available. Bergeron alleges that Lescord became irritated if she refused to join him due to conflicting responsibilities. Although Lescord never reprimanded Bergeron for refusing to accompany him, Bergeron states that Lescord's body language--such as sighing, turning around, or slapping a chart on a desk--indicated that he was unhappy. Nonetheless, Lescord continued to request Bergeron's assistance. Lescord once touched Bergeron's shoulder. Lescord approached Bergeron to discuss a patient, holding the patient's chart in his left hand. Lescord then placed his right hand on Bergeron's right shoulder. Lescord did not rub or caress Bergeron's shoulder in any way, but only rested his hand there for about one second before Bergeron pulled away. Lescord backed away immediately, and did not say anything. Bergeron walked away, and Lescord did not follow her. Bergeron admits that it is not uncommon for doctors to approach nurses in this manner when discussing patients, and that the touching was not in any way sexual. However, Bergeron felt uncomfortable. Both Lescord and Bergeron identify a single incident in the spring of 1995, when Lescord loudly scolded Bergeron in the ER, as the beginning of a serious conflict between them. A private doctor sent a patient to the ER. The patient had experienced chest pains the night before. The doctor telephoned the ER and spoke to Bergeron. The doctor told Bergeron that he would come to the hospital to meet the patient, and asked Bergeron to do some lab work when the patient arrived. Because the patient's vital signs were stable, Bergeron did not immediately notify an ER doctor of the patient's arrival. When test results revealed that the patient's cardiac enzymes were abnormal, Bergeron showed Lescord the patient's chart. The patient had been in the ER for approximately one hour at this point.1 Dr. Lescord was very angry that he had not been notified earlier about the patient's presence in the ER. Lescord threw the chart at the ground and yelled, "Why am I just being notified now?" Lescord immediately ran into the patient's room and yelled at Bergeron to get the patient on oxygen. As Lescord was leaving his shift that evening, he approached Bergeron and attempted to explain that his comments should be interpreted as constructive criticism. Bergeron did not interpret Lescord's statement to be an apology, but instead an assertion that "I'm the doctor, . . . what I say goes." After the incident, Lescord spoke to Fuselier and stated that anytime a patient with chest pains arrived, the nurses should notify a doctor immediately. The incident was later discussed in an ER committee meeting, although Bergeron's name was not specifically mentioned. Fuselier attributed the error to Bergeron's inexperience. However, Bergeron insisted that she did nothing wrong. Since the private doctor was going to meet the patient at the hospital, Bergeron believed she was not required to notify an ER doctor. Also, Bergeron asserted that the policy requiring patients with chest pains to be seen immediately by doctors did not apply because the patient had not had chest pains that day. After this incident, Lescord's professional relationship with Bergeron soured. Lescord surmised that his abrupt manner had offended Bergeron. Lescord stated that Bergeron became very quiet and sullen, and essentially would not speak to him. After approximately two weeks, Lescord asked Bergeron to speak with him in his office. Lescord attempted to discuss constructive criticism with Bergeron. Bergeron alleges that Lescord stated that he would have to be a lot more sensitive with her. Bergeron began crying, at which point Lescord allegedly "told [her] that he had a shoulder for [her] to cry on and he said [he had] a lot of pull with the administration." Bergeron's relationship with Lescord did not improve after the meeting. Bergeron enlisted the aid of her fellow nurses to arrange work assignments so that Bergeron would not have to interact with Lescord. In the ER, nurses were not assigned to work for any particular doctor, but instead were assigned to stations. So, for example, if Bergeron's shift overlapped with Lescord's, Bergeron would request to work in the triage area, where she did not have to interact with the doctors. Once, while working in triage, Bergeron briefly walked out of the area to deliver a patient's chart. Lescord asked Bergeron to hold a telephone and wait for the other party to return to a call for him. Bergeron refused, stating that she had to return to the triage. Although Lescord did not say anything, Bergeron states that he slapped his hand down on the desk, indicating anger. Lescord admits that nurses are not required to assist doctors while working in triage, but other nurses generally would do so if asked. A similar situation occurred one afternoon while Bergeron and a few other ER employees, among them a technician, were standing around the nurses' station. Lescord approached Bergeron and requested assistance holding a baby during a lumbar puncture. As this was a task that a technician could perform, Bergeron asked the technician to assist Lescord. Lescord stated that he would need additional help, and Bergeron replied that she would have to find someone else. Bergeron explains that she was required to stay by the ambulance phone because she was the only nurse in the area and only nurses were allowed to answer the ambulance phone, although it is not clear whether she articulated this concern to Lescord. Lescord told Bergeron that she needed to start setting her priorities. After this incident, Lescord complained to Fuselier. Lescord reprimanded Bergeron for failing to acknowledge his orders. Lescord had asked Bergeron to get a patient an ice pack. Bergeron did not acknowledge the request. Lescord said, "You need to acknowledge me when I'm speaking to you." Bergeron looked at him, refused to answer, and walked away. Bergeron says she did not answer because she was afraid of getting in trouble. According to Lescord, nurses customarily verbally acknowledge doctors' orders so that the doctors can know that their orders have been heard and will be carried out. Bergeron's refusal to acknowledge his orders concerned Lescord. Lescord snapped at Bergeron on an occasion when Bergeron and two other people were standing around a monitor trying to discern a rhythm. Bergeron suggested changing leads, and attempted to change the lead, but Lescord pushed her hand away and snarled, "I want it in this lead." On another occasion, Bergeron was in the process of discharging a patient whom Lescord was not ready to discharge. Lescord grabbed the patient's chart out of Bergeron's hand and threw it down on the counter. Once, when treating a patient, Bergeron asked another nurse to find a doctor. The other nurse asked a different doctor to treat the patient, even though Lescord was actually behind a divider in the same room. Lescord did not confront Bergeron about this incident, but later complained to Fuselier that Bergeron had deliberately found another doctor, despite the fact that he was readily available and should have treated this patient. Bergeron denies responsibility because she did not personally summon the doctor. After this incident, Lescord told Fuselier that he wished to speak again with Bergeron in his office. Bergeron recounted that conversation as follows: "And he said, `What is it, Peggy? Don't you like me?' And I said, `No, I don't. I don't trust you. I don't feel safe working with you.' And he said, `So you're not going to come with me in patients' rooms, take care of patients?' And I said, `That's not what I'm saying. What I'm saying is I don't like it but I'll do it because it's my job.' And he said, `So you're saying that you're not going to work with me?'" At this point, Bergeron refused to speak further with Lescord without a third person present. At Bergeron's request, Lescord found Fuselier, and the conversation resumed with Fuselier present. Lescord stated that he was concerned that the negative atmosphere in the ER was compromising patient care. Bergeron and Lescord agreed to attempt to act professionally toward each other. According to Lescord, this conversation took place perhaps as shortly as a few days before Bergeron complained of harassment. There were also problems involving Bergeron's charting procedures. Lescord expressed concern that Bergeron had once delayed treating a patient. Bergeron argued that she did not delay the treatment, but Lescord had taken the chart away from her so that she could not document the treatment on the chart. Rebecca Rhodes (Rhodes), the hospital's Assistant Vice President of Patient Care Services, recalled having an extended conversation with Bergeron regarding a delay in reporting an elevated blood pressure while Rhodes was serving as interim nurse manager. According to the hospital, a subsequent error in which Bergeron performed an unauthorized procedure on a patient played a central role in the decision to transfer Bergeron. An elderly male patient entered the ER and Bergeron brought him to the telemetry. After taking the patient's blood pressure, Bergeron sent someone to get a doctor and began an intravenous (IV) fluid bolus2 on the patient. Within five minutes Lescord arrived and began talking to the patient. Lescord did not say anything to Bergeron regarding the IV bolus. However, Lescord later discussed the incident with Deanna Harless (Harless), who had replaced Fuselier as nurse manager. Lescord asked that Bergeron be "written up" for starting the IV without his authorization. Lescord stated that the saline IV was clearly contraindicated for that patient. Both Lescord and Sherry Haley (Haley), the hospital's VicePresident of Patient Care Services, asserted that nurses should not perform these procedures without a doctor's order. Haley alleged that Bergeron had insisted that it is a nurses' prerogative to start an IV bolus, and that Bergeron had stated that she would handle the situation the same way again. Harless stated that she felt that Bergeron had used bad judgment in this situation, and it was inappropriate to start the procedure without a doctor's order. Harless believed that Bergeron's judgment was clouded by the tension between her and Lescord. Bergeron alleged that Harless had told her that it was acceptable for a nurse to start a bolus in certain emergency situations. However, Bergeron stated that Harless had told her to always get an order first when working with Dr. Lescord. Bergeron said that she said agreed. The record does not reveal on what date this incident occurred, although it appears to have been close to the time that Bergeron was removed from the ER schedule. Lescord agreed that in most respects Bergeron performed at the same level as other nurses with her level of experience. Lescord also acknowledged that errors occur frequently in the emergency room. The difference, according to Lescord, was that other nurses accepted criticism and correction, whereas Bergeron would simply turn her back and walk away if Lescord tried to correct her. Lescord was concerned to have no ability to discuss errors with a nurse while caring for critically ill patients. Bergeron, however, felt that Lescord singled her out for harsh treatment. For example, on the same evening that Bergeron started the IV, another nurse named Denise made a drug error, and disclosed the error to Lescord. Although Lescord complained about the incident, he apparently told Denise that he would overlook the error. Bergeron later complained to the administration about this apparent disparate treatment, and Denise was written up.3 On or about March 21, 1996, Bergeron told Rhodes that she had received a lot of complaints from Lescord, and that she feared that her job was in jeopardy. Attempting to find a cause of the problem, Rhodes hypothesized that perhaps Bergeron's looks intimidated Lescord. On March 27, 1996, Bergeron went to visit an attorney whom she had selected from the telephone directory. That attorney happened to be a member of the same law firm as John Bradford (Bradford), an attorney who represented the hospital. When Bergeron arrived, the attorney with whom she had an appointment was not available, and she was taken to Bradford's office. Bradford explained that he represented the hospital and could not represent Bergeron. Undeterred by the conflict of interest, Bradford offered to listen to Bergeron's story. Bergeron told Bradford that she had been receiving complaints and was concerned about losing her job. Bergeron told Bradford that she thought she might have an harassment claim. Bradford told Bergeron to speak to Haley and Rhodes. The next day, March 28, 1996, Bergeron told Haley that she believed Lescord was unjustly criticizing her, and she feared losing her job. Haley told Bergeron that she should not worry because doctors did not hire or fire nurses, and Bergeron's job would be safe as long as she did her job and acted professionally. Bergeron told Haley that she had spoken to a lawyer, but that nothing came of it because the lawyer worked for the hospital. Later that day Bradford called Haley to ask whether Bergeron had taken his advice and spoken to her. Bradford told Haley that Bergeron thought she might have a sexual harassment claim. After speaking to Bradford, Haley arranged a meeting between herself, Bergeron, and Rhodes. The meeting took place the following day, March 29, 1996. Haley and Rhodes told Bergeron that they had spoken to Bradford, and asked whether Bergeron felt she was being sexually harassed. Bergeron apparently stated that she felt it was "like sexual harassment." Rhodes and Haley instructed Bergeron to go to human resources and file a formal complaint immediately. Bergeron complied, and immediately consulted Betty Mitchell (Mitchell), the hospital's Human Resources Director. Mitchell told Bergeron to submit a written complaint. Mitchell also told Bergeron to keep a log or journal of incidents involving Lescord, and to turn that in to her as well. Bergeron responded that she had already been keeping such a log. Mitchell also informed Bergeron, although perhaps on a later date, that hospital personnel were reviewing her patient care records. Mitchell could not, at the time of her deposition, identify the purpose of this investigation. On April 2, 1996, Harless told Bergeron that Haley wanted to see her. When Bergeron arrived at Haley's office, Haley quietly escorted Bergeron into a conference room where Bradford awaited her. Bradford informed Bergeron that they would like her to transfer out of the ER. Bergeron alleges that Bradford told her if she did not voluntarily transfer, they were "going to find something" in order to terminate her. Bergeron also alleges that Bradford said, "It's just like a black person getting in trouble and calling it discrimination and blaming it on them;" and "You know, if you have a friend and that friend hurts you, you can overlook it. If that person is not your friend you won't overlook it." Bergeron told Bradford that she did not wish to transfer. However, Bradford told Bergeron to think it over and get back to him. Bradford denied threatening Bergeron. Bradford claimed to simply have told Bergeron that if she filed a complaint, the hospital would have to investigate, and that the hospital could not guarantee her a job. Bradford admitted offering to transfer Bergeron if she could not get along with Lescord. No one other than Bergeron and Bradford attended the meeting, and neither made a memorandum of the meeting's events. Also on April 2, Bergeron submitted a written complaint to Mitchell. The complaint stated that approximately one year earlier, Lescord began showing "an exceptional amount of attention" to Bergeron by requesting her assistance when other nurses were available. The complaint also alleges that Lescord "invad[ed her] personal space by putting his arm around [her] when discussing patient cases." The complaint continues: "Situations such ass [sic] this seemed to increase, making me more uncomfortable each time. At this time, Dr. Lescord began complaining to my head nurse that I `was not doing my job.' My head nurse spoke with me on several occasions about these complaints and was unable to find any faults with my job performance. . . . Soon, he began to outwardly criticize my performance in front of patients and the nursing staff. . . . My complaint is that I feel that I have worked long enough under these conditions and it is past the point of harassment." At one point in time, Bergeron and Mitchell discussed what positions might be available for Bergeron outside the ER. Mitchell offered Bergeron a position in ICU, or in a second unit outside the hospital. Also, the head nurse in the cath lab contacted Bergeron and informed her of an available position there. Bergeron interviewed at the cath lab, but felt that the job was inadequate because it would have paid less than her evening shift in the ER. Bergeron rejected the ICU position because, as she explained: "[Mitchell] told me that it could be available if I wanted it, like they were almost providing the position for me. And I wanted to be in a place where I was needed and not supplied to." Bergeron did not remember whether the pay for the ICU position would have been different from the pay for her position in the ER. In May 1996, the hospital collected statements from other ER workers, who were asked to comment on their observations of Bergeron's relationship with Lescord. Greenman observed that "[i]t appeared that Dr. Lescord seemed to 42 U.S.C.