INOVA Health System

National Labor Relations Board - Board Decisions

Jun 30, 2014

360 N.L.R.B. 1223 (N.L.R.B. 2014)

INOVA HEALTH SYSTEM 1223
360 NLRB No. 135
Inova Health System and The Nurses Association for
Patient Safety and Cathy Gamble. Cases 05–
CA–035104 and 05–CA–035331
June 30, 2014
DECISION AND ORDER
BY CHAIRMAN PEARCE AND MEMBERS MISCIMARRA
AND HIROZAWA
On August 18, 2010, Administrative Law Judge Arthur
J. Amchan issued the attached decision. The Respondent
filed exceptions and a supporting brief, the General
Counsel filed an answering brief, and the Respondent
filed a reply brief.
The National Labor Relations Board has delegated its
authority in this proceeding to a three-member panel.
The Board has considered the decision and the record
in light of the exceptions and briefs1 and has decided, for
the reasons stated below, to affirm the judge’s rulings,
findings,2 and conclusions, as modified; to amend the
remedy;3 and to adopt the recommended Order as modi-
fied and set forth in full below.4

1 We deny the Respondent’s request for oral argument, as the rec-
ord, exceptions, and briefs adequately present the issues and the posi-
tions of the parties.
2 The Respondent has excepted to some of the judge’s credibility
findings. The Board’s established policy is not to overrule an adminis-
trative law judge’s credibility resolutions unless the clear preponder-
ance of all the relevant evidence convinces us that they are incorrect.
Standard Dry Wall Products, 91 NLRB 544 (1950), enfd. 188 F.2d 362
(3d Cir. 1951). We have carefully examined the record and find no
basis for reversing the findings.
In addition, the Respondent’s exceptions suggest that the judge’s rul-
ings, findings, and conclusions should be rejected because the judge
demonstrated bias and prejudice. Having considered the entire record,
we are satisfied that the contention is without merit.
In adopting the judge’s factual findings and ultimate conclusions, we
do not rely on his numerous inferences, including, but not limited to,
the adverse inferences he drew based on the Respondent’s failure to
call certain management officials as witnesses. Accordingly, we find it
unnecessary to address the Respondent’s argument that the judge based
his conclusion that the Respondent violated Sec. 8(a)(1) by suspending
and discharging Donna Miller on a “cascade of inferences that have no
evidentiary or logical foundation.”
3 First, in accordance with our decision in Kentucky River Medical
Center, 356 NLRB 6 (2010), we shall modify the judge’s remedy by
requiring that any monetary awards shall be paid with interest com-
pounded on a daily basis. Second, the judge improperly provided that
the make-whole remedy for both Donna Miller and Cathy Gamble shall
be computed in accordance with F. W. Woolworth Co., 90 NLRB 289
(1950). The judge cited the correct formula to calculate Miller’s back-
pay, but Gamble did not suffer cessation of her employment. Accord-
ingly, the correct computation method for Gamble is set forth in Ogle
Protection Service, 183 NLRB 682 (1970), enfd. 444 F.2d 502 (6th Cir.
1971), with interest as prescribed in New Horizons, 283 NLRB 1173
(1987), compounded daily as prescribed in Kentucky River Medical
Center, supra. Finally, we shall order the Respondent to compensate
Miller and Gamble for the adverse tax consequences, if any, of receiv-
ing a lump-sum backpay award and to file a report with the Social
This case centers on allegations that the Respondent
engaged in unlawful conduct directed at certain unrepre-
sented nurses who worked in the ambulatory surgical
center (ASC) at the Respondent’s hospital in Fairfax,
Virginia. As discussed below, we find that the Respond-
ent violated the Act by (1) suspending and terminating
employee Donna Miller, (2) telling Miller she could not
discuss her discipline, (3) issuing a warning to employee
Judy Giordano, and (4) failing to promote employee
Cathy Gamble.
I. THE SUSPENSION AND TERMINATION
OF DONNA MILLER
A. Relevant Facts
1. Background
In October 1986, the Respondent hired Registered
Nurse Donna Miller and assigned her to the main operat-
ing room (Main OR), where she worked as a staff nurse,
an assistant patient care director, and a patient care direc-
tor. In 2002, Miller transferred to the ASC, where she
worked as the senior nurse specialist (SNS) for pediat-
rics. ASC nurses assist surgeons in the performance of
outpatient surgeries, which are divided into service lines,
e.g., pediatrics, urology, and plastic surgery.5
The record establishes that forthright discussion, the
use of profanity, and the telling of off-color jokes and
stories were commonplace in the ASC, and that both
nurses and surgeons engaged in such behavior. This cul-
ture was not limited to spoken words: the record in-
cludes materials that hung on the walls of the ASC oper-
ating room, including a monthly calendar depicting a
cartoon penis and posters made by a pediatric surgeon
that digitally superimposed a nurse’s face onto provoca-
tive magazine covers. That surgeon described the jokes
in the ASC as ranging “from really corny fifth grade
jokes to really bad, filthy, off-color, dirty jokes.” As an
example of the “fifth grade jokes” that occurred, the rec-
ord shows that one anesthesiologist in the ASC would
shoot rubber bands at colleagues, hit the back of their
knees to make them fall over, and tape signs to their
backs stating things like “kick me,” “kiss me,” and “I’m
stupid.”

Security Administration allocating the backpay awards to the appropri-
ate calendar quarters for each employee.
4 We shall modify the judge’s conclusions of law and substitute a
new Order and notice to conform to the violations found and in accord-
ance with our decision in Durham School Services, 360 NLRB 694
(2014). We shall also modify the judge’s recommended Order to pro-
vide for the posting of the notice in accordance with J. Picini Flooring,
356 NLRB 11 (2010).
5 The ASC nurses are members of the Nurses Association for Pa-
tient Safety (NAPS). No party excepts to the judge’s finding that
NAPS is not a labor organization as defined by the Act.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1224
On April 12, 2005, Miller’s supervisor decided to pro-
ceed with a scheduled pediatric surgery in the ASC after
6 p.m. Miller and other ASC nurses were upset by that
decision, as it was a departure from the Respondent’s
practice, which had been to schedule after-hours opera-
tions in the Main OR. The following day, Miller con-
fronted Judy Rumensky, the senior director for clinical
services, over Rumensky’s decision to switch another
after-hours surgery from the Main OR to the ASC.
On April 15, 2005, the Respondent issued Miller a
“decision making” disciplinary notice for insubordina-
tion related to her confrontation with Rumensky. The
decisionmaking discipline—a step more serious than a
written warning, but less serious than a suspension—
criticized Miller for alleged insubordination and for hav-
ing discussed “these incidents . . . openly with other staff,
which leads to distrust of management and low staff mo-
rale.”
The Respondent’s rescheduling of surgeries from the
Main OR to the ASC continued to cause friction between
the ASC nurses and management. The friction escalated
in early 2007, when the Respondent permanently moved
most pediatric surgeries—including, for the first time,
inpatient procedures—from the Main OR to the ASC.
The nurses, particularly those who had worked in the
ASC for some time and were used to more regular work-
days, were unhappy with the resulting changes to their
work schedules.
Beginning in October 2007, the Respondent assigned
Miller to work exclusively in ASC room 10 as the circu-
lating nurse in pediatric surgery. Miller worked primari-
ly with three pediatric surgeons and, by all accounts, she
performed her duties well. Paula Graling, the patient
care director and head of the ASC, called Miller an “ex-
cellent clinician” and a “fabulous nurse.” In Miller’s
September 18, 2008 annual evaluation, Graling wrote
that Miller was “a tremendous asset to the ASC as an
experienced clinician delivering care to patients and as a
unit leader.” In that evaluation, Graling rated Miller
higher than any of her counterparts.
Also in 2008, the Respondent formed an ASC schedul-
ing committee consisting of Miller and three other non-
managerial employees. The committee’s role was entire-
ly administrative: its members received training using
scheduling software and entering management-approved
scheduling information into a computer. Only supervi-
sors and managers had authority to schedule employees
or approve changes to their schedules.
On December 5, 2008, the Respondent promoted Mil-
ler to the position of registered nurse 3. The Respondent
informed Miller of the promotion in a letter that praised
her “clinical expertise and dedication.”
Two and a half weeks later, on December 22, Miller
spoke with Supervisor Graling about an issue related to
the movement of pediatric patients after surgery. During
their discussion, Graling stated that she had received a
complaint about Miller’s use of inappropriate language,
which Graling linked to the unprofessional atmosphere in
the ASC. As described in a memo written by Graling,
Miller became offended and stated that “she didn’t give a
‘fu—’ anymore because it didn’t matter how much [she]
did no one measured [her] by [her] performance.”
Graling responded that Miller was a “valued staff mem-
ber who had done wonders to develop the [Respondent’s]
pediatric service line,” adding that she “appreciated [Mil-
ler’s] work, but wanted to coach her on what was being
said about her behavior in hopes that she would be more
cognizant if this was occurring.” The Respondent did
not issue Miller any discipline related to this discussion.
2. Calls to the Respondent’s “compliance hotline” con-
cerning Miller and the resulting investigation
In early 2009,6 the Respondent’s “compliance hotline”
received three phone calls complaining about Miller.
The callers were RN Lynda Engquist, Surgical Techni-
cian Brynn Lackey, and RN Paige Migliozzi. Migliozzi
was an admitted statutory supervisor in charge of training
student nurses (fellows) in the ASC.7 The record is un-
clear as to which person made which call.
The first caller, on January 14, complained that Mil-
ler—as a member of the scheduling committee—
“vindictive[ly]” changed the schedules of employees she
did not like and gave them fewer hours of work. The
caller also stated that both Miller and Miller’s husband,
who also worked as an ASC nurse, did not follow certain
procedures, including properly counting surgical instru-
ments after each surgery.
The second caller, on January 19, complained that Mil-
ler used profanity in the operating room, including when
children were under anesthesia, and that she made other
employees uncomfortable by talking about sexual situa-
tions. The caller said that employees were “terrified”
that Miller would retaliate against them for reporting
their concerns. The caller also stated that management
was aware of those concerns.
The third caller, on February 10, complained that Mil-
ler was “intimidating,” “bullie[d] her coworkers,”
“tend[ed] to throw her weight around,” and “act[ed] very

6 All subsequent dates are in 2009, unless otherwise noted.
7 The Respondent places newly hired registered nurses, most of
whom are recent graduates and lack operating room experience, in its
ASC student fellow program. The fellows spend 6 months rotating
through the different service lines in the ASC. During this time, each
fellow works with a more senior RN, who serves as a preceptor/mentor
to the fellow.
INOVA HEALTH SYSTEM 1225
authoritative but [did] not have any authority.” The call-
er also stated that Miller used profanity and sexual innu-
endo while conversing with coworkers and talked openly
and graphically about her sexual relations with her hus-
band. Finally, the caller complained about the length of
breaks taken by Miller and her husband and accused Mil-
ler of bullying the charge nurse into changing her hus-
band’s assignments.8
After the Respondent received the third compliance
hotline call, HR Manager Leanne Gorman began an in-
vestigation of Miller. Between February 11 and 17,
Gorman and another human resources representative
interviewed about 19 employees, including the 3 individ-
uals who had called the compliance hotline. The Re-
spondent selected 11 of the 19 interviewees by “random-
ly” choosing every fifth person on the ASC’s active ros-
ter; it selected the other 8 because each of them had pre-
viously complained about Miller.9
The Respondent asked each interviewee the same 10
questions. Most relevant here are the following ques-
tions about whether the interviewees were aware of, or
had been subject to:
 violations of Inova’s policy
 violations of Inova’s standards of behavior
 conduct by another employee that made them un-
comfortable
 unfair treatment by the scheduling committee
 retaliation or the fear of retaliation
 unethical or inappropriate behavior in the work-
place.
The interviewees made a number of negative com-
ments about Miller. The vast majority of those com-
ments, however, were made by five of the eight inter-
viewees who had previously complained about Miller.
Conversely, of the 11 other interviewees, only 3 com-
plained about Miller. The complaints and negative
comments about Miller made by both groups largely mir-
rored those made in the three compliance hotline calls.
3. Miller brings ASC nurses’ concerns about the fellows
program to management’s attention; management re-
sponds negatively
While the investigation was pending, Miller and four
other ASC nurses—Anita Holland, Martha Porta, Paula
Hay, and Laila Bailey—agreed that Miller would draft a
group email to supervisor Migliozzi expressing concerns
over the Respondent’s process for evaluating nursing

8 The compliance hotline received a fourth call about Miller on Feb-
ruary 27, 10 days after the Respondent placed Miller on administrative
leave, but before it terminated her.
9 One of the 19 interviewees fit into both categories.
fellows. All five of the nurses reviewed and signed the
email, which read, in relevant part:
We are [writing] regarding the coordination of the fel-
lows and follow up evaluations for each service. We
haven’t received any packets with the objec-
tives/evaluations for each fellow as they rotate through
our service in quite a while. In order to be better pre-
pared for a comprehensive rotation in each service, it
would be helpful to know who is coming, the learning
objectives and the length of the rotation. We need a
tool to evaluate the fellows and a way to document
their progress in a timely fashion. We have not been
asked for any feedback on the fellows on their progress
and we feel that is an important piece of the fellowship
program that we need to pay attention to. I know in
peds [pediatrics] that we need a break for a week before
we have another fellow. The surgeons need it and we
do too. Can you provide some assistance or guidance
to us to help us with our concerns? We are committed
to giving these fellows the best possible educational
experience with all of our combined experience and
guidance!
On February 13, Miller sent the email to Migliozzi,
with a copy to Graling. Migliozzi forwarded the email to
HR Manager Gorman with the following note:
I want to send you this email I just received from Don-
na. I am quite furious she decided to appoint herself as
spokesperson for this group. She has had a lot to say
but hasn’t said anything to me and been talking behind
me. I am leaving now because I am quite furious, can
we please talk Monday . . . .
Migliozzi also approached two of the ASC nurses who
signed the email and complained that the signers were
“ganging up” on her. She then asked them if Miller was the
leader of their group.
Meanwhile, upon receiving Miller’s email, Graling
telephoned HR Manager Gorman, who assured Graling
that there was nothing wrong with the email. Graling
then responded to Miller and Migliozzi, with copies to
the other four ASC nurses, stating in part:
I would also like to emphasize that proactive commu-
nication which take[s] place in a collaborative problem
solving forum is much more effective than a one di-
mensional group signed email which puts everyone on
the defensive. In the future, I would hope that each of
you would use the direct method of coming to me that
most of you are used to for solving issues such as that
[sic] demand my immediate attention.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1226
On Monday, February 16, Gorman spoke with
Migliozzi about Miller’s email. Later that day, during a
manager’s meeting about the compliance hotline calls,
Gorman discussed the email and Migliozzi’s complaints
about Miller with Chief of Surgery Dr. Russell Seneca.
Dr. Seneca stated that although Miller’s “clinical skills
[were] excellent,” she was “a vindictive person [who
needed] to go” and that he “fully support[ed] her termi-
nation.”
4. Miller meets with Graling and Gorman; the Respond-
ent suspends and terminates Miller
The next day, February 17, Graling and Gorman sum-
moned Miller to a meeting and informed her of the accu-
sations against her. Miller denied all but one of the accu-
sations: she admitted that, in January, during an opera-
tion in ASC room 10 while the patient was unconscious,
she responded to a doctor’s question about what she had
done on New Year’s Eve by mentioning that she had
been naked in a hot tub with her husband. The Respond-
ent immediately placed Miller on administrative leave
pending completion of an investigation, and directed her
not to discuss her suspension or the investigation with
anyone other than her husband.
After suspending Miller, the Respondent refused or ig-
nored offers from two of its surgeons—Drs. Alexander
Soutter and Allyson Askew—who worked with Miller on
a daily basis and wanted to provide statements on her
behalf. Dr. Soutter initiated a conversation with Gorman
to discuss Miller and offered to be interviewed as part of
the investigation. When Gorman refused his offer, Dr.
Soutter left a voice mail for a supervisor in human re-
sources. He also offered to give his version of events to
the Respondent’s General Counsel, but he never heard
back from the General Counsel or from any supervisor or
manager regarding Miller. Dr. Askew initiated a meeting
with Eileen Dobbing, the senior director of perioperative
services, to express her support for Miller. When Dr.
Askew asked for an explanation for Miller’s suspension,
however, Dobbing refused to discuss the issue.10
Subsequently, Gorman and her supervisor, Julie Reit-
man, discussed Miller with the Respondent’s in-house
counsel. Reitman then drafted a memo recommending
that Miller either be terminated or given a final written
warning and transferred to another facility.
On February 25, Graling and Dobbing met with Gor-
man, Reitman, and Chief Nursing Executive Patricia
Conway-Morana about resolving the matter. They dis-
cussed what they referred to as Miller’s “intimidating

10 The Respondent contends that it did not interview Drs. Soutter
and Askew because they (and all surgeons working at the Respondent’s
hospitals) are contractors, not employees.
behavior.” Dobbing asked Conway-Morana to consider
transferring Miller to another facility instead of terminat-
ing her.
Later that day, Conway-Morana sent an email to Dr.
Reuven Pasternak, the Respondent’s CEO, and other
managers regarding the appropriate discipline for Miller.
Among other things, the email cited the “decision-
making” disciplinary warning that the Respondent gave
Miller in 2005 for complaining about and discussing with
other employees the transfer of surgeries from the Main
OR to the ASC. Conway-Morana’s email also stated that
Dobbing “want[ed] to salvage an OR nurse” by transfer-
ring Miller to another facility, but added, “[p]ersonally, I
think she should be terminated.”
On February 26, Dr. Pasternak emailed Dr. Patrick
Christiansen, the Respondent’s administrator, and in-
structed him to terminate Miller. There is no evidence
that Dr. Pasternak had ever been involved in any prior
decision to terminate a nonmanagerial employee. On
March 3, Graling informed Miller that she was terminat-
ed for creating a hostile work environment, excessive
sharing of details of her personal life, and using inappro-
priate language.
B. Discussion
We affirm the judge’s finding that the Respondent vio-
lated Section 8(a)(1) by suspending and terminating Mil-
ler in response to protected activity.
To establish an 8(a)(1) violation based on an adverse
employment action where the motive for the action is
disputed, the General Counsel has the initial burden of
showing that protected activity was a motivating factor
for the action. Wright Line, 251 NLRB 1083 (1980),
enfd. 662 F.2d 899 (1st Cir. 1981), cert. denied 455 U.S.
989 (1982). The General Counsel satisfies that burden
by proving the existence of protected activity, the em-
ployer’s knowledge of the activity, and animus against
the activity. See Donaldson Bros. Ready Mix, Inc., 341
NLRB 958, 961 (2004). If the General Counsel meets
his burden, the burden “shift[s] to the employer to
demonstrate that the same action would have taken place
even in the absence of the protected conduct.” Id. (quot-
ing Wright Line) (other internal citations omitted).
Initially, we find that the General Counsel has estab-
lished that Miller engaged in protected activity and that
the Respondent had knowledge of that activity.
In 2009, Miller engaged in protected activity when she
emailed Migliozzi and Graling to initiate a discussion
about how certain aspects of the Respondent’s fellows
program affected ASC nurses. Miller sent the email on
behalf of herself and four other ASC nurses after they all
agreed that Miller would be the spokesperson on the is-
sue, and each one signed it. As the judge pointed out, the
INOVA HEALTH SYSTEM 1227
portion of the email that asks for a week’s hiatus between
the assignment of fellows to the various service lines was
particularly relevant to the terms and conditions of em-
ployment of the ASC nurses. See Champion Home
Builders Co., 343 NLRB 671, 671 fn. 3 & 680 (2004),
enf. in pertinent part sub nom. Carpenters Local 1109 v.
NLRB, 209 Fed. Appx. 692 (9th Cir. 2006) (employee
who, with the support of coworkers, wrote a “protest
letter” raising concerns about working conditions was
engaged in protected, concerted activity). The record
further establishes that the Respondent’s high-level man-
agers, including HR Manager Gorman and Chief of Sur-
gery Dr. Seneca, were aware of the concerted nature of
Miller’s conduct when they shared and discussed Mil-
ler’s email.
The General Counsel also established that the Re-
spondent demonstrated animus toward Miller’s protected
activity. Immediately after receiving Miller’s February
13, 2009 group email regarding the fellows program—
which clearly was protected activity—Migliozzi for-
warded the email to Gorman with a cover note stating
that she was “quite furious” with Miller for “appoint[ing]
herself as spokesperson for this group.” Graling,
Migliozzi’s supervisor, then emailed Miller and made
clear that the Respondent was not happy with her for
attempting to resolve an issue through a “one dimension-
al group signed email which puts everyone on the defen-
sive.” The timing of Miller’s suspension, the day after
Migliozzi spoke to Gorman about the email, strongly
suggests that animus toward the email played a role in
the decision. Indeed, that same day, when he was in-
formed about Miller’s email, Chief of Surgery Dr. Sene-
ca stated that Miller needed to go and that he fully sup-
ported her termination.
We also find that Miller engaged in protected concert-
ed activity in 2005, and that the Respondent exhibited
animus towards Miller based on its opposition to that
activity and relied on it, in part, in its determination to
discharge her in 2009.11 In 2005, Miller confronted a
manager with her concerns over the transfer of surgeries
from the Main OR to the ASC, which effectively extend-
ed into the evening the ASC nurses’ work schedules.
Miller’s concern, which was important to other ASC
nurses as well, related directly to the nurses’ terms and

11 Member Miscimarra agrees that the Respondent’s suspension and
employment termination of Miller violated the Act, but he does not rely
on the “decision-making” discipline issued by the Respondent to Miller
in 2005, which was remote in time from the subsequent events, and the
evidence does not establish or reasonably suggest that Miller’s conduct
in 2005 was a motivating factor in the Respondent’s decision to termi-
nate her employment. Accordingly, Member Miscimarra does not
reach whether Miller’s 2005 confrontation with management constitut-
ed concerted activity.
conditions of employment. Thus, in advancing her con-
cern, Miller was engaged in protected concerted activity.
See, e.g., Unite Here Local 26, 344 NLRB 567, 572
(2005), enfd. 446 F.3d 200 (1st Cir. 2006). And the Re-
spondent was clearly aware of this conduct: it disci-
plined Miller for it. The 2005 disciplinary warning went
even further, however, admonishing Miller for discussing
the issue “openly with staff, which [led] to distrust of
management and low staff morale.” Miller’s discussions
with other employees about the scheduling issues consti-
tuted protected concerted activity.
Based on the foregoing considerations, we find that the
General Counsel has amply met his initial burden under
Wright Line to establish that Miller’s protected activity
was a motivating factor in the Respondent’s decision to
suspend and then discharge her.
We further find that the Respondent has not met its re-
buttal burden under Wright Line to show that it would
have suspended and terminated Miller even in the ab-
sence of her protected activity. Relying on DTR Indus-
tries, 350 NLRB 1132, 1135–1136 (2007), enfd. 297
Fed.Appx. 487 (6th Cir. 2008), the Respondent argues
that it had a reasonable belief that Miller engaged in un-
protected misconduct—based on the “numerous com-
plaints [it received] from employees about her disruptive,
rude, belittling, and unprofessional conduct”—and that
her misconduct was the “sole basis” for her discharge.
The Respondent also argues that the timing of the com-
plaints to the compliance hotline provides a legitimate
explanation why it did not discipline Miller sooner.
But even if the Respondent had such a reasonable be-
lief about Miller, we find that it has not shown that it
would have suspended and discharged her in the absence
of her protected activity.
To begin, the Respondent’s managers’ email exchang-
es and discussions, discussed above, revealed that they
were hostile to Miller’s protected activity of sending the
February 13, 2009 group email.12 As explained above,
Migliozzi was “quite furious” with Miller for complain-
ing about how the fellows program affected the ASC
nurses, and Graling, Migliozzi’s supervisor, chided Mil-
ler for sending a “one dimensional group signed email
which puts everyone on the defensive.” In view of this
evidence, the record does not support finding that Re-
spondent satisfied its defense burden. See, e.g., Bally’s
Atlantic City, 355 NLRB 1319, 1321 (2010) (when there
is a strong showing of unlawful motivation, the respond-
ent’s defense burden is substantial).

12 Respondent also expressly cited Miller’s 2005 discipline as one of
the reasons for her discharge. This fact alone rebuts the Respondent’s
assertion that Miller’s alleged unprotected misconduct, brought to its
attention via the hotline, was the “sole basis” for the decision.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1228
For example, inappropriate language—one type of al-
leged misconduct cited by the Respondent to explain
Miller’s discharge—was part of the culture of the Re-
spondent’s operating rooms. The record shows that the
Respondent tolerated similar behavior by others; indeed,
for years before Miller engaged in protected activity, it
had tolerated the same behavior by Miller herself. Not-
withstanding that behavior, the Respondent not only con-
tinued to employ Miller, it praised her work in glowing
terms and, in 2008, rated her more highly than any of her
counterparts and promoted her to registered nurse 3.
Miller’s discipline (termination) was also more severe
than that of another employee who showed sexually ex-
plicit photographs of herself to colleagues in 2007. That
employee, a surgical technician, was not discharged for
her conduct, but received a final written warning—even
though, unlike Miller, she had already received two
warnings in the preceding 3 months.13
Furthermore, the sequence of relevant events defeats
the Respondent’s attempt to establish its affirmative de-
fense under Wright Line. To be sure, the Respondent
began its investigation of Miller on February 11, 2 days
before Miller sent the email in question. However, on
February 16—before the investigation was completed—
Gorman spoke with Migliozzi about Miller’s email. The
same day, Gorman discussed Miller’s email and
Migliozzi’s complaints about Miller14 with Chief of Sur-
gery Dr. Seneca, who stated that Miller’s “clinical skills
are excellent,” but that she “is a vindictive person and
needs to go” and that he “fully supported her termina-
tion.” The next day, Miller was suspended. Given this
sequence of events, during which animus against Miller’s
protected concerted email was injected into the decision-
al process before the investigation triggered by the hot-
line calls had been completed, it is impossible to separate
the role played by the Respondent’s investigation find-
ings from that played by its animus against Miller’s
email. Accordingly, the evidence does not establish that
the Respondent would have suspended and discharged
Miller based solely on its investigation findings even in
the absence of Miller’s protected concerted activity.
Finally, there is no merit in the Respondent’s argu-
ment, relying on Corrections Corp. of America,15 that the

13 The Respondent also gave a final warning to ASC nurse Judy
Giordano, whom, as discussed below, it accused of touching a co-
worker in “an aggressive manner.”
14 Recall that Migliozzi’s immediate response to Miller’s email was
to express fury specifically at the concertedness of Miller’s conduct: “I
am quite furious,” she told HR Manager Gorman, “she decided to ap-
point herself as spokesperson for this group.”
15 354 NLRB 940, 944 (2009), reaffirmed and incorporated by ref-
erence in 355 NLRB 588 (2010), affd. 421 Fed. Appx. 342 (5th Cir.
2011).
timing of the complaints to its compliance hotline pro-
vides a legitimate explanation why it did not discipline
Miller earlier. In Corrections Corp., the Board found
that even though the employer may have tolerated an
employee’s behavior in the past, it could no longer do so
after it became apparent that the behavior interfered with
the employer’s ability to retain RNs and provide patient
care. Here, by contrast, the evidence does not show that
the Respondent could no longer tolerate Miller’s use of
inappropriate language or that her behavior interfered
with the Respondent’s primary mission of patient care.
There is no evidence that the Respondent took any
measures to address similar behavior by the doctors in its
operating rooms. And, with regard to patient care, we
reiterate that just the year before discharging her, Graling
gave Miller the highest ASC nurse performance rating
and promoted her, and two surgeons with whom Miller
worked most closely considered her an “excellent” nurse
and vigorously opposed her termination.
For these reasons, we find that the Respondent has not
proved that it would have suspended and discharged Mil-
ler in the absence of her protected activity. Accordingly,
we affirm the judge’s finding that her suspension and
discharge violated Section 8(a)(1).
II. RESPONDENT’S INSTRUCTION THAT MILLER NOT
DISCUSS HER SUSPENSION WITH OTHERS
We also affirm the judge’s finding that the Respondent
violated Section 8(a)(1) by directing Miller not to discuss
her suspension with anyone except her husband. The
Respondent argues that the judge erred in finding this
violation because Gorman’s statement was merely a
“recommendation.” Without citing any cases, the Re-
spondent asserts that such an “oblique” statement “cer-
tainly does not rise to the level that it impinges on an
employee’s Section 7 rights.”
It is well established that employees have a Section 7
right to discuss discipline or disciplinary investigations
with fellow employees. See Westside Community Mental
Health Center, 327 NLRB 661, 666 (1999). The Board
has recognized that, in certain circumstances, an employ-
er may demonstrate that a confidentiality rule is based on
a “substantial and legitimate business justification” that
“outweighs the rule’s infringement on employees’
rights.” Caesar’s Palace, 336 NLRB 271, 272 (2001).16

16 We recognize that the Respondent’s instruction to Miller not to
discuss her suspension does not constitute a confidentiality “rule.”
Instructions directed solely at one employee that “were never repeated
to any other employee as a general requirement” are not work rules.
Flamingo Las Vegas Operating Co., 360 NLRB 243, 243 fn. 5 (2014);
see also Teachers AFT New Mexico, 360 NLRB 438, 438 fn. 3 (2014)
(no evidence the employer’s statements were communicated to other
employees or would be reasonably construed as establishing a new rule
INOVA HEALTH SYSTEM 1229
But the Respondent has failed to do so here. In particu-
lar, it has not shown that confidentiality was required to
protect the safety of witnesses, the maintenance of evi-
dence, or the veracity of testimony. See Hyundai Ameri-
ca Shipping Agency, 357 NLRB 860, 874 (2011) (finding
the employer failed to establish a sufficient justification
for its confidentiality rule); accord: Phoenix Transit Sys-
tem, 337 NLRB 510, 510 (2002), enfd. 63 Fed. Appx.
524 (D.C. Cir. 2003). Accordingly, we find that the Re-
spondent’s instruction to Miller to keep the investigation
and her suspension confidential violated the Act.
III. THE MARCH 24 WARNING ISSUED TO JUDY GIORDANO
On March 18, 2009, while Miller met with Adminis-
trator Dr. Christiansen to appeal her termination, a group
of six or seven ASC nurses, including Judy Giordano,
went to the Respondent’s human resources office to
show their support for Miller. After being told that they
could not wait for Miller in the waiting area, the nurses
left the human resources suite. They encountered Miller
and Michelle Melito, a human resources representative,
in a hallway, and they expressed their support for Miller.
A surveillance video of the encounter (with no audio)
shows that Melito spoke with the nurses; at one point,
Melito turned in the direction of a group of nurses that
included Giordano. Approximately 1 minute later, Meli-
to turned and walked away from the group.
On March 24, the Respondent presented Giordano
with a final written warning based on the encounter with
Melito. The warning, which is the last step in Respond-
ent’s progressive discipline policy, stated: “inappropri-
ate physical and verbal behavior, such as these behaviors
exhibited in the workplace, is unacceptable and falls out-
side the Inova Standards of Behavior.”17
The warning also mentioned an earlier incident, in
2008, when Giordano allegedly raised her voice at a
manager during a staff meeting. At that meeting,
Giordano and other ASC nurses complained that the Re-
spondent was giving higher pay to new nurses than to
more senior nurses. Although the March 24 written

or policy). Nonetheless, the same balancing of employer business
justification against employee rights in evaluating the lawfulness of a
confidentiality rule likewise applies to determine whether a confidenti-
ality instruction issued to a single employee violates the Act. See In-
termet Stevensville, 350 NLRB 1349, 1355 (2007) (citing Caesar’s
Palace, supra).
17 The record contains an earlier draft of the March 24 warning giv-
en to Giordano. That draft included the following additional language:
From reviewing the surveillance video, it is apparent that you did
touch the left should[er] of the HR Rep. This touch was not done in
an aggressive manner[;] however, unwanted physical contact is unpro-
fessional.
The Respondent offered no explanation why it removed that language
from the version of the warning ultimately given to Giordano.
warning mentioned that the Respondent had “verbally
coached” Giordano for insubordination for the 2008 in-
cident, in fact the Respondent had never disciplined or
verbally warned her for that incident.
For the reasons set forth in the judge’s decision, we af-
firm his finding that the Respondent violated Section
8(a)(1) by suspending and then giving a final written
warning to Giordano. The Respondent does not dispute
the judge’s finding that Giordano engaged in protected
concerted activity when she joined other nurses in a
group demonstration of support for Miller. It argues,
however, that the judge erred in finding this violation
because Giordano lost the protection of the Act by
“plac[ing] her hand in an aggressive manner on Melito’s
shoulder.”18
We find no merit in the Respondent’s assertion that
Giordano touched Melito in an aggressive manner. The
judge found that the evidence was inconclusive as to
whether Giordano actually touched Melito at all, and the
judge’s credibility resolutions and the surveillance video
of the incident support that finding. Further, we agree
with the judge that, even assuming Giordano did place
her hand on Melito’s shoulder, the evidence does not
support a finding that she did so in an aggressive manner.
In light of the judge’s findings, we are satisfied that
Giordano’s conduct, if misconduct at all, was not so op-
probrious as to lose Giordano the protection of the Act.
See Atlantic Steel Co., 245 NLRB 814, 816 (1979). Ac-
cordingly, we adopt the judge’s finding that the Re-
spondent violated the Act by issuing the March 24 warn-
ing to Giordano.
IV. THE FAILURE TO PROMOTE CATHY GAMBLE
In February 2009, the Respondent created a new posi-
tion in the ASC called clinical nurse leader (CNL) and
encouraged the senior nurse specialists to apply. The
CNLs would work in specific service lines, of which
there were seven or eight (e.g., orthopedics, urology,
plastic surgery), and earn $1 an hour more than the
SNSs. Five nurses—including three SNSs and two
RNs—applied for the CNL positions. One of the appli-
cants was SNS Gamble.
At a staff meeting on June 2, when the CNLs had not
yet been selected, Graling thanked ASC Nurse Guna
Perry for volunteering to stay late the previous evening
to assist with a surgery that had been transferred from the
Main OR to the ASC. Afterwards, Gamble and Nurse
Margaret Donegan told Perry that she should not have
volunteered to stay late because it created a bad prece-

18 The Respondent also asserts that if it truly had any retaliatory mo-
tive against Giordano, it “certainly would have seized on the opportuni-
ty to terminate [her].”
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1230
dent and that management would come to expect ASC
nurses to stay late to assist in surgeries scheduled for the
Main OR. Upset by this exchange, Perry told Graling
and ASC Management Coordinator Mary Lou Sanata
about what Gamble and Donegan had said to her and
stated that she did not want the nurses’ working condi-
tions to change because of her decision to stay late.
In August or early September, after completing the in-
terviews for the new CNL positions, the Respondent de-
termined that it would only hire four CNLs. The Re-
spondent then created a spreadsheet, which it called a
“matrix,” to compare the five candidates. Among other
things, the matrix states that Gamble was “prone to gos-
sip.”
The Respondent selected RN Deeb Oweis for the CNL
position in “general surgery and urology,” the service
line that would have been most appropriate for Gamble.
The Respondent admits that Gamble is a good nurse and
was qualified for the CNL position, but contends that
Oweis was better qualified.
On September 8, Sanata notified Gamble that she had
not been chosen for a CNL position. Sanata told Gamble
that one of the reasons that she did not get the promotion
was her comment to Perry after the June 2 staff meeting.
We affirm the judge’s finding that the Respondent vio-
lated Section 8(a)(1) by failing to promote Gamble to the
CNL position. Specifically, we find that the General
Counsel met his initial Wright Line burden to show that
Gamble’s protected activity was a motivating factor in
the Respondent’s decision, and that the Respondent’s
stated reasons for failing to promote Gamble are largely
unsupported by the record and, in one instance, simply
untrue.
As an initial matter, we find that Gamble was a quali-
fied applicant for the position of CNL. At the time of her
application, Gamble had 29 years of continuous nursing
experience—20 in the operating room and 9 in critical
care units—and was the SNS (clinical expert) for the
vascular and general surgery service lines. Moreover,
Gamble’s annual evaluations show that the Respondent
considered her to be an excellent nurse with superior
clinical skills. Conversely, Oweis had significant gaps in
his nursing career—from 1983 to 1989, and again from
1996 to 2007. And immediately prior to becoming a
manager, Oweis had worked only 16 months as a nurse.
The Respondent attempted to compensate for Oweis’
more limited experience by erroneously asserting that his
level of education was superior to Gamble’s.19

19 We address Oweis’ qualifications only as additional support for
our finding that the evidence contradicts most of the Respondent’s
stated reasons for choosing Oweis over Gamble, not to determine that
We further find that Gamble was engaged in protected
concerted activity when, after the June 2 staff meeting,
she and Donegan told Perry that Perry should not have
volunteered to stay late the previous evening. Gamble
and Donegan made their comments because they be-
lieved that Perry’s action would encourage the Respond-
ent to shift more operations from the Main OR to the
ASC, a practice that, as discussed above, had upset many
of the ASC nurses because it would alter their schedules
and effectively increase their work hours.
The Respondent does not dispute that Gamble’s com-
ments to Perry—attempting to dissuade her from volun-
teering for the transferred after-hours surgery—were a
factor in its decision not to select her for a CNL position.
Instead, citing Audubon Health Care Center, 268 NLRB
135, 136 (1983), it argues that Gamble’s comments were
unprotected because they advocated a partial strike. This
argument lacks merit because the record and the judge’s
credibility determinations show that ASC nurses who
stayed late to work on new surgeries volunteered to do
so. “The Board has long held that a refusal to perform
voluntary work does not constitute an unprotected partial
strike.” St. Barnabas Hospital, 334 NLRB 1000, 1000
(2001), enfd. 46 Fed. Appx. 32 (2d Cir. 2002). Thus, it
is not unprotected conduct for one employee to discour-
age another from accepting voluntary work, particularly
where, as here, the first employee has a reasonable belief
that acceptance of voluntary work will affect the terms
and conditions of other employees.
We also find that the Respondent was aware of Gam-
ble’s protected activity. The Respondent’s knowledge is
established by Graling’s observation of Gamble’s and
Donegan’s conversation with Perry, and by Perry’s sub-
sequent report of that incident to two high-level man-
agement representatives, Graling and Sanata.
Finally, we find that the Respondent showed animus
toward Gamble’s protected activity. That animus is es-
tablished by Sanata’s testimony that Gamble’s discussion
with Perry was a factor in the decision not to promote
her.
In light of the foregoing considerations, we find that
the General Counsel has met his initial burden under
Wright Line by showing that Gamble’s protected activity
was a motivating factor in the Respondent’s failure to
promote her.
The Respondent contends that even assuming that the
General Counsel made out a prima facie case under
Wright Line, the facts show that it would have made the
same decision—selecting Oweis instead of Gamble for

one was better qualified than the other. Such a comparison is not nec-
essary to the finding of a violation.
INOVA HEALTH SYSTEM 1231
promotion—even in the absence of Gamble’s protected
activity. Specifically, the Respondent asserts the follow-
ing reasons for not choosing Gamble: (1) her inability to
scrub and circulate, and therefore her inability to “pre-
cept”—i.e., train—others in those roles; (2) questions
regarding her performance (calling her “a middle to low
performer”); (3) her decision to work on administrative
matters on one occasion when the surgical unit was busy;
(4) her failure to “climb the clinical ladder” of profes-
sional development; (5) her lack of accountability as
shown by the poor upkeep of vascular carts; and (6) her
comment, during her interview, that her approach to
problem solving was to “growl back” at physicians who
were being difficult. In addition, as stated above, the
matrix the Respondent relied on to compare the candi-
dates for promotion criticized Gamble as “prone to gos-
sip.”
The record establishes that, contrary to the Respond-
ent’s assertions, several of its stated reasons for prefer-
ring Oweis to Gamble are unsupported by the record and,
in one instance, simply untrue.
First, the untrue stated reason for not promoting Gam-
ble relates to Respondent’s assertion that she was “prone
to gossip.” The Respondent’s Management Coordinator
Sanata admitted at the hearing that this explanation was
not true.
Second, the record does not support the Respondent’s
assertion that it failed to promote Gamble, in part, be-
cause she stayed late to address administrative matters on
one occasion instead of working in the unit when it was
busy.20 Sanata acknowledged that she did not know that
Gamble was available to work in the unit that day, and
the judge credited Gamble’s testimony that she would
have helped out in the unit if anyone had asked her to do
so. The posthoc nature of the Respondent’s focus on this
incident is highlighted by the fact that, merely a week
later, Sanata gave Gamble a thank you card from the
ASC management team commending Gamble for her
“hard work and dedication.”
Third, the record does not support the Respondent’s
ostensible reliance on Gamble’s purported inability to
precept in the scrub or circulating roles. According to
Paula Hay, one of the four nurses selected for promotion
to CNL whose testimony the judge fully credited, CNLs
do not precept in either the scrub or circulating positions;
rather, the senior nurse or scrub technician of the service
line serves as the preceptor.

20 Gamble worked a half-day every other week, with her shift end-
ing in the early afternoon. Sanata testified that this event occurred on
one of Gamble’s short days.
Fourth, the Respondent’s claim that Gamble was re-
sponsible for outdated items on the vascular cart was
disproved at the hearing. Sanata testified that no one
individual was individually responsible for the vascular
cart’s upkeep, but rather that “one, two, or four people
could constantly on a daily basis make sure everything
wasn’t expired.”
Finally, the Respondent’s claim that Gamble was a
“middle to low performer” is contradicted by her annual
evaluations, which, as stated above, show that the Re-
spondent considered her to be an excellent nurse with
superior clinical skills.
Even assuming Gamble failed to “climb the clinical
ladder” of professional development and gave a less than
satisfactory answer to a question concerning her ap-
proach to problem solving, we have rejected the Re-
spondent’s other asserted reasons for Gamble’s nonselec-
tion, and the Respondent does not contend that it would
have denied Gamble the promotion for these two reasons
alone.
For the above reasons, we conclude that the Respond-
ent has not met its burden to show that it would have
denied Gamble the promotion to the position of CNL in
the absence of her protected activity. Accordingly, we
affirm the judge’s finding that the Respondent’s failure
to promote her violated Section 8(a)(1).
AMENDED CONCLUSIONS OF LAW
Substitute the following for the judge’s Conclusion of
Law 1.
“1. Respondent violated Section 8(a)(1) of the Act by
suspending Donna Miller in February 2009 and then ter-
minating her in March 2009.”
ORDER
The National Labor Relations Board adopts the rec-
ommended Order of the administrative law judge as
modified and set forth in full below and orders that the
Respondent, Inova Health System, Fairfax County, Vir-
ginia, its officers, agents, successors, and assigns, shall
1. Cease and desist from
(a) Suspending, discharging, disciplining, denying
promotions to, or otherwise discriminating against em-
ployees for engaging in protected concerted activity.
(b) Prohibiting employees from discussing with other
employees any discipline issued to them or any matters
under investigation by its human resources department
absent a substantial and legitimate business justification
for doing so.
(c) In any like or related manner interfering with, re-
straining, or coercing employees in the exercise of the
rights guaranteed to them by Section 7 of the Act.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1232
2. Take the following affirmative action necessary to
effectuate the policies of the Act.
(a) Within 14 days from the date of this Order, offer
Donna Miller full reinstatement to her former job or, if
that job no longer exists, to a substantially equivalent
position, without prejudice to her seniority or any other
rights or privileges previously enjoyed.
(b) Within 14 days from the date of this Order, offer
Cathy Gamble the position of clinical nurse leader.
(c) Make Donna Miller and Cathy Gamble whole for
any loss of earnings and other benefits suffered as a re-
sult of the discrimination against them, in the manner set
forth in the remedy section of the judge’s decision.
(d) Reimburse Miller and Gamble an amount, if any,
equal to the difference in taxes owed upon receipt of a
lump-sum backpay payment and taxes that would have
been owed had there been no discrimination against
them.
(e) Submit the appropriate documentation to the Social
Security Administration so that when backpay is paid to
Miller and Gamble, it will be allocated to the appropriate
calendar quarters.
(f) Within 14 days from the date of this Order, remove
from its files any reference to the unlawful suspension
and discharge of Donna Miller, the unlawful discipline of
Judy Giordano, and the unlawful failure to promote
Cathy Gamble, and, within 3 days thereafter, notify them
in writing that this has been done and that the unlawful
discrimination will not be used against them in any way.
(g) Preserve and, within 14 days of request, or such
additional time as the Regional Director may allow for
good cause shown, provide at a reasonable place desig-
nated by the Board or its agents, all payroll records, so-
cial security payment records, timecards, personnel rec-
ords and reports, and all other records, including an elec-
tronic copy of such records if stored in electronic form,
necessary to analyze the amount of backpay due under
the terms of this Order.
(h) Within 14 days after service by the Region, post at
its facility in Fairfax County, Virginia, copies of the at-
tached notice marked “Appendix.”21 Copies of the no-
tice, on forms provided by the Regional Director for Re-
gion 5, after being signed by the Respondent’s author-
ized representative, shall be posted by the Respondent
and maintained for 60 consecutive days in conspicuous
places including all places where notices to employees
are customarily posted. In addition to physical posting of

21 If this Order is enforced by a judgment of a United States court of
appeals, the words in the notice reading “Posted by Order of the Na-
tional Labor Relations Board” shall read “Posted Pursuant to a Judg-
ment of the United States Court of Appeals Enforcing an Order of the
National Labor Relations Board.”
paper notices, notices shall be distributed electronically,
such as by email, posting on an intranet or an internet
site, and/or other electronic means, if the Respondent
customarily communicates with its employees by such
means. Reasonable steps shall be taken by the Respond-
ent to ensure that the notices are not altered, defaced, or
covered by any other material. In the event that, during
the pendency of these proceedings, the Respondent has
gone out of business or closed the facility involved in
these proceedings, the Respondent shall duplicate and
mail, at its own expense, a copy of the notice to all cur-
rent employees and former employees employed by the
Respondent at its Fairfax County facility at any time
since February 17, 2009.
(i) Within 21 days after service by the Region, file
with the Regional Director a sworn certification of a re-
sponsible official on a form provided by the Region at-
testing to the steps that the Respondent has taken to
comply.
APPENDIX
NOTICE TO EMPLOYEES
POSTED BY ORDER OF THE
NATIONAL LABOR RELATIONS BOARD
An Agency of the United States Government
The National Labor Relations Board has found that we vio-
lated Federal labor law and has ordered us to post and obey
this notice.
FEDERAL LAW GIVES YOU THE RIGHT TO
Form, join, or assist a union
Choose representatives to bargain with us on
your behalf
Act together with other employees for your bene-
fit and protection
Choose not to engage in any of these protected
activities.
WE WILL NOT suspend, discharge, discipline, deny
promotions to, or otherwise discriminate against any of
you for engaging in protected concerted activity.
WE WILL NOT prohibit you from discussing with other
employees any discipline issued to you or any matters
under investigation by our human resources department
unless we have a substantial and legitimate reason for
doing so.
WE WILL NOT in any like or related manner interfere
with, restrain, or coerce you in the exercise of the rights
listed above.
WE WILL, within 14 days from the date of the Board’s
Order, offer Donna Miller full reinstatement to her for-
mer job or, if that job no longer exists, to a substantially
INOVA HEALTH SYSTEM 1233
equivalent position, without prejudice to her seniority or
any other rights or privileges previously enjoyed.
WE WILL, within 14 days from the date of the Board’s
Order, offer Cathy Gamble the position of clinical nurse
leader.
WE WILL make Donna Miller whole for any loss of
earnings and other benefits suffered as a result of her
unlawful suspension and discharge, less any net interim
earnings, plus interest.
WE WILL make Cathy Gamble whole for any loss of
earnings and other benefits suffered as a result of our
unlawful failure to promote her, plus interest.
WE WILL reimburse employees Donna Miller and
Cathy Gamble an amount, if any, equal to the difference
in taxes owed upon receipt of a lump-sum backpay pay-
ment and taxes that would have been owed had there
been no discrimination against them.
WE WILL submit the appropriate documentation to the
Social Security Administration so that when backpay is
paid to Miller and Gamble, it will be allocated to the ap-
propriate calendar quarters.
WE WILL, within 14 days from the date of the Board’s
Order, remove from our files any reference to the unlaw-
ful suspension and discharge of Donna Miller, the unlaw-
ful discipline of Judy Giordano, and the unlawful failure
to promote Cathy Gamble, and WE WILL, within 3 days
thereafter, notify them in writing that this has been done
and that the unlawful discrimination will not be used
against them in any way.
INOVA HEALTH SYSTEM
Mary Anastasia Hermosillo and Paula Sawyer, Esqs., for the
General Counsel.
H. Tor Christensen and John Doran, Esqs. (Littler, Mendelson,
P.C.), of Washington, DC, and Boston, Massachusetts, for
the Respondent.
Paul M. Tyler and Brian Connolly, Esqs. (Gromfine, Taylor
and Tyler, P.C.), of Alexandria, Virginia, for the Charging
Parties.
DECISION
STATEMENT OF THE CASE
ARTHUR J. AMCHAN, Administrative Law Judge. This case
was tried in Washington, DC, on 14 days between April 21,
2010, and June 18, 2010. The Nurses Association for Patient
Safety (NAPS), a group of nurses working in the ambulatory
(outpatient) surgical center (ASC) of Respondent’s hospital in
Fairfax, Virginia, filed an initial charge on July 14, 2009, by its
representative, Attorney Paul M. Tyler. NAPS filed an amend-
ed charge on August 25, regarding the suspension and termina-
tion of nurse Donna Miller in February and March 2009, and a
final written warning issued to nurse Judy Giordano1 in March
2009. The General Counsel issued a complaint on October 30,
2009.2
On October 14, 2009, Cathy Gamble filed a charge concern-
ing Respondent’s failure to promote her to the position of clini-
cal nurse leader (CNL) in the ASC. On January 15, 2010, the
General Counsel issued a complaint consolidating Gamble’s
allegations with those of NAPS.
On the entire record,3 including my observation of the de-
meanor of the witnesses, and after considering the briefs filed
by the General Counsel, Respondent, and the Charging Party, I
make the following
FINDINGS OF FACT
I. JURISDICTION
Respondent, Inova Health System is a corporation, which
operates several hospitals, including the one involved in this
case, Inova Fairfax Hospital in Fairfax County, Virginia. Re-
spondent admits and I find that it is an employer engaged in
commerce within the meaning of Section 2(2), (6), and (7) of
the National Labor Relations Act (the Act).
II. ALLEGED UNFAIR LABOR PRACTICES
The complaint alleges that Respondent violated Section
8(a)(1) of the Act:
(a) in suspending and terminating Donna Miller because she
engaged in concerted activities by sending an email to man-
agement on behalf of herself and other nurses, on February
13, 2009, four days before she was suspended (or placed on
administrative leave). This email was sent approximately
three weeks before Respondent terminated Miller. The Gen-
eral Counsel also alleges that Respondent suspended and then
terminated Miller in order to discourage employees from en-
gaging in other concerted activities;
(b) in telling Ms. Miller that she could not discuss her disci-
pline with anyone;
(c) in suspending and then giving a final written warning to
Judy Giordano because Giordano and other employees con-
certedly protested Donna Miller’s discharge;
(d) in failing to promote Cathy Gamble because she concert-
edly told another employee not to accept unscheduled late
surgeries because nurses would be expected to work late.
As explained below, I find that Respondent violated the Act
as alleged with regard to Giordano and Gamble and in terminat-

1 Giordano is also referred to in this record by her former name, Ju-
dy Blood.
2 Respondent’s assertion that NAPS must be a “labor organization”
in order to file a valid charge is contrary to longstanding Board law.
There is no limitation as who or what type of entity may file a charge,
Bagley Produce, Inc., 208 NLRB 20, 21 (1973).
3 Each page of every document produced by Respondent in response
to the General Counsel’s subpoena has a unique number in the lower
right corner of each page. These are called “Bates numbers,” e.g.,
INOVA 01471. When I cite to these numbers I will omit INOVA and
the zero.
The errors in the transcript have been noted and corrected.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1234
ing Donna Miller. I conclude that Respondent would not have
terminated Miller in 2009 but for protected activity she engaged
in and was disciplined for in 2005. I find that this issue was
tried by the consent of the parties and that Respondent has not
been prejudiced by my basing my conclusion on these facts. I
also find that the General Counsel has made a prima facie case
that the termination decision was related to Miller’s February
13 email, and that Respondent failed to adequately rebut this
prima facie case.
I also find that Respondent violated the Act in telling Donna
Miller that she could not discuss her suspension with any
coworkers other than her husband.
IIII. THE SUSPENSION AND TERMINATION OF DONNA MILLER
Donna Miller’s Work History Prior to December 22, 2008
At the time of her termination on March 3, 2009, Donna Mil-
ler had worked at Inova Fairfax Hospital as a nurse for over 22
years. She was hired in October 1986. For many years, Miller
worked in the main operating room as a staff nurse, assistant
patient care director, and patient care director. In 2002, she
transferred to the ASC (outpatient surgery) where the work
hours were more regular and where there wasn’t any weekend
work, as a staff nurse.
On April 15, 2005, Miller’s then supervisor in the ASC,
Sherre Lopez, issued Miller a “decision-making” disciplinary
notice for insubordination.4 This notice, a step more serious
than a written warning, but less serious than a suspension in
Respondent’s progressive disciplinary system, remained in
Miller’s personnel file until her discharge. It was considered by
Respondent’s management in deciding to terminate her em-
ployment in February and March 2009.
On April 12, 2005, Miller took issue with Lopez’ decision to
proceed with a scheduled operation after 6 p.m. The next day,
according to Lopez, Miller became verbally abusive and disre-
spectful to Judy Rumensky, then Respondent’s senior director
for clinical services. Rumensky had decided to move a surgery
from the main operating room to the ASC. Miller, according to
reports received by Lopez, “yelled, repeatedly pointed her fin-
ger, made inappropriate comments about Judy’s treatment of
her department, and was argumentative and demanding.”
Lopez then noted:
Additionally, it has been reported to me that these incidents
have been discussed openly with other staff, which leads to
distrust of management and low staff morale.
(GC Exh. 17, p. 30.)
Rumensky’s account of the April 12 incident was that Miller
yelled at her “about me not doing anything for them and letting
the Main get by with everything . . . we’ve stayed late 2 nights
this week already . . . what was I going to do for them . . . this
happens all the time. . . .”
(GC Exh. 17, p. 34.)

4 This discipline is also referred to as a “decision-making suspen-
sion.” It is unclear whether Miller missed work as a result or lost any
pay.
Miller appealed her decisionmaking suspension. She wrote
to, and then met with Dr. Russell Seneca, the chairman of Inova
Fairfax’s department of surgery, on June 7, 2005. Miller wrote
to Seneca that the issue about transfers from the main operating
room to the ASC had continued to fester. Dr. Seneca upheld
the suspension. (GC Exhs. 35–43.)
From October 2007 until being placed on administrative
leave on February 17, 2009, Miller worked exclusively in the
pediatric surgery room of the ASC, room 10. Respondent con-
cedes that Miller performed her duties well. Miller is, accord-
ing to the head of the ASC during Miller’s tenure, “an excellent
clinician,” “a fabulous nurse.” (Tr. 259, 1007, 1727.)
Respondent did not issue any written discipline to Miller be-
tween the summer of 2005 and February 2009.5 However, the
issues surrounding the 2005 discipline continued to fester be-
tween the nurses in the ASC and Respondent’s management.
Particularly when most pediatric surgeries were moved to the
ASC in late 2007 and early 2008, the nurses in the ASC were
asked to work later and later without relief from the main oper-
ating room. This became a huge issue amongst the nurses,
particularly those who had been working in the ASC for several
years and were accustomed to shorter hours. (Tr. 718, 1146,
1604–1606.) However, there is no evidence in this record link-
ing this issue to the termination of Donna Miller, apart from the
2005 discipline, and no evidence that she engaged in any pro-
tected activity between 2005 until February 13, 2009, 4 days
before she was placed on administrative leave.
In early 2007, Eileen Dobbing became the senior director of
perioperative services at Inova Fairfax in charge of all the oper-
ating rooms.6 Shortly thereafter, Respondent started perform-
ing most types of children’s surgeries, inpatient and outpatient,
in room 10 of the ASC. Previously, most children’s inpatient
operations had been performed in the main operating room.
(Tr. 1498–1499.) Donna Miller was assigned to room 10 as the
circulating nurse in 2007, working primarily with two pediatric
surgeons, Dr. Alexander Sam Soutter and Dr. Allyson Askew.
In the spring of 2008 she also began to work with Dr. Stephen
Kim.
After these pediatric cases were transferred to the ASC, the
discord amongst the nurses in the ASC increased over the issue
of staying late to assist in pediatric surgeries. (Tr. 1146.) It
was Respondent’s practice until sometime in 2009 or 2010 to
perform pediatric surgeries after 6 p.m. in the main operating
room. Sometime in 2009 or 2010, Respondent began to sched-
ule pediatric surgeries in the ASC until 7:30 p.m. This was
done most likely to prevent pediatric patients, who generally
could not ingest anything by mouth, from having to wait any
longer than necessary for their surgeries. (Tr. 1498.)

5 Paula Graling testified that on December 22, 2008, she gave a ver-
bal coaching to Miller. Miller testified that while Graling advised her
of complaints about her language, Graling did not tell her that their
discussion constituted a coaching. I find that Miller was not disci-
plined.
6 Although Dobbing is the interim senior director of perioperative
services, she had held this position for 3 years at the time of the instant
hearing.
INOVA HEALTH SYSTEM 1235
On September 18, 2008, the patient care director of the ASC,
Paula Graling, Miller’s immediate supervisor, gave Miller her
yearly evaluation.7 Graling wrote that “Donna is a tremendous
asset to the ASC as an experienced clinician delivering care to
patients and as a unit leader.” (GC Exh. 34, Bates # 00098.) In
32 categories in which Miller was rated on a scale from 1 to 5,
she received a 5, “distinguished: exceeds all standards” in 24
categories. Her overall performance rating, 463 points out of a
possible 500, was considerably higher than the ratings given by
Graling to other nurses whose evaluations are in this record
(GC Exh. 34, Bates #00097.)
Events Leading to the Termination of Donna Miller8
Miller was promoted to registered nurse 3, from registered
nurse 2 on December 5, 2008. (GC Exh. 33.) Two and a half
weeks later, on December 22, 2008, Miller went to see her
immediate supervisor, Paula Graling, concerning an issue re-
garding the movement of children following surgery. Graling
raised a complaint she had received about the language used by
Miller in the ASC. According to a memo authored by Graling,
but not signed nor apparently seen by Miller:9
I took the opportunity to ask Donna about the climate of
teamwork in room 10 and told her I had received several con-
cerns from staff members, old and novice, about the language
and unprofessional atmosphere in Room 10. She became
very offended and asked why the staff did not come to her. I
told her that I had referred staff members back to her but that
it was exactly her challenging attitude that perhaps made it
difficult for staff to confront her. She told me that they should
all “fu..” off and I had ruined her day. She also told me that
she didn’t give a “fu..” anymore because it didn’t matter how
much you did no one measured you by your performance. I
stated that this was not true and that she was a valued staff
member who had done wonders to develop the pediatric ser-
vice line. I appreciated her work, but wanted to coach her on
what was being said about her behavior in hopes that she
would be more cognizant if this was occurring (since I was
not a direct observer). I also told her I would ask staff to con-

7 The chain of command relevant to this case is as follows: staff
nurses reported directly to Mary Lou Sanata, a management coordina-
tor, and Paula Graling, interim patient care director. Sanata reported to
Graling. Graling reported to Eileen Dobbing. Dobbing reported to Dr.
Patrick Christiansen, PhD, Inova Fairfax’s administrator, and also to
Pat Conway-Morana, the chief nursing executive, and Dr. Russell Sen-
eca, the chief of surgery. Dr. Christiansen, Dr. Seneca, and Conway-
Morana reported directly to Dr. Reuven Pasternak, the CEO of Inova
Fairfax.
In Respondent’s human resources department Leanne Gorman, a
human resources manager, reported to another human resource manag-
er, Julie Reitman. Julie Reitman reported to Kenneth Hull, the director
of human resources. Hull reported to Dr. Christiansen.
8 The testimony of management witnesses, Gorman, Graling, Dob-
bing, Drs. Christiansen, and Pasternak regarding the process by which
Respondent terminated Donna Miller is generally unreliable insofar as
it supports Respondent’s case. This testimony is riddled with incon-
sistencies, clearly inaccurate statements and material gaps regarding the
process by which decisions were made.
9 The text of Graling’s memo suggests that it was written after Mil-
ler left Graling’s office.
front her in person in the future if they had concerns but that I
was thankful they could come to me and give us an opportuni-
ty to address the situation without escalating it out of the de-
partment. She did not seem at all soothed by my remarks and
left my office angry.
(GC–17, pp. 29.)10
Graling testified that she considered this a verbal warning.
However, Graling’s boss, Eileen Dobbing, testified that Miller
was not written up (Tr. 1505), as did HR Manager Leanne
Gorman (Tr. 1721–1722.)11 I find that Miller was not disci-
plined in December 2008.
Graling also testified that she called HR Manager Leanne
Gorman the next day and this document went into Miller’s
personnel file. Eileen Dobbing testified that she directed
Graling to report her meeting with Miller to HR Manager Gor-
man. (Tr. 1504.)12 This procedure is inconsistent with Re-
spondent’s progressive discipline policy. That policy (GC Exh.
4, Bates #1367), mandates, for example, that any “reminder” or
“warning” be given to the employee to sign. This was not done
with regard to Graling’s notes of the December 22, 2008 meet-
ing. A “verbal reminder” is not forwarded to the human re-
sources department under this policy. Graling’s call to HR and
sending her notes to Gorman on December 22, suggests that
management began to build a case against Miller beginning in
December 2008.
There was no followup to Graling’s discussion with Miller
on December 22. Graling testified that she planned to meet
again with Miller, but did not do so after Damika Evans, a stu-
dent nurse who had complained about Miller, told her that Mil-
ler had spoken with Evans. (Tr. 248.) Eileen Dobbing, on the
other hand, testified that when Graling told her that Miller
wanted to speak to Damika Evans, Dobbing told Graling that
would not be a good idea. (Tr. 1503.) Miller testified that she
decided not to approach Evans. (Tr. 1198.) Evans testified in
this proceeding and did not mention any discussion with Miller
resulting from Miller’s December 22 meeting with Graling.
From this I conclude Miller never talked to Evans, and that
Graling did not followup on Evans’ complaints.

10 Graling did not testify under oath that Miller said the things
Graling attributed to her in the memo. Miller denied telling Graling
that her critics could f—off, etc., but it is not entirely clear that her
denial goes to the December 22 meeting or a subsequent meeting with
Graling. (Tr. 1201.) I’m inclined to believe that Graling’s account of
the December 22 meeting is fairly accurate.
11 I discredit the testimony of Dobbing and Gorman to the extent
that they suggest that Graling was instructed to discipline Miller in
December. I consider Dobbing’s testimony at Tr. 1505 very ambiguous
on this point.
12 Gorman testified that Graling called her first and that she advised
Graling to call Dobbing. (Tr. 1720–1722.) Regardless, of which one
Graling called first, her unprecedented step of escalating a nondiscipli-
nary incident leads me to believe that the December 22, 2008 meeting
was the beginning of an orchestrated campaign by Respondent regard-
ing Miller’s employment. One thing that is clear is that the initiative
for this escalation did not come from Graling. Somebody higher up in
Respondent’s management had begun to look for a reason to build a
case against Miller.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1236
On January 14 and 19, and February 10, 2009, anonymous
phone calls were made to the Inova System hotline complaining
about Miller. There is no evidence of any specific offensive
conduct by Miller after December 22, 2008. The record estab-
lishes that Miller’s conduct, including her use of profanity and
discussing her sex life had been unchanged for at least several
years if not longer. Thus, there is no explanation for why four
calls about Miller were made to the Inova hotline within 6
weeks in January and February 2009.
At least one of these calls was apparently made by Paige
Migliozzi, the nurse in charge of the training of student nurses
in the ASC. In its answer to the consolidated complaint, Re-
spondent admitted that Migliozzi was a supervisor within the
meaning of Section 2(11) of the Act and its agent pursuant to
Section 2(13) of the Act at all times material to this case.
Nurse Lynda Engquist and Surgical Technician Brynn Lack-
ey made two of the other calls to the hotline about Miller. A
fourth call was received on February 27, 10 days after Miller
was placed on administrative leave, but before she was termi-
nated.
The caller on January 14, complained that Miller was vindic-
tive to employees she does not like by changing their schedules
and giving them few hours of work. The record in this case
establishes that Miller had no ability to change other employ-
ees’ schedules or limit their hours of work, e.g. (Tr. 559–563,
1567). The caller also said that Miller and her husband [Terry
Miller], who also works as a nurse in the ASC pediatric operat-
ing room, did not follow certain procedures, such as counting
instruments after surgery. While Miller had a dispute with
Nurse Paige Migliozzi about counting instruments, she did not
violate Respondent’s policies in not counting instruments for
surgeries in which the surgeon did not enter the peritoneal cavi-
ty. However, this policy was changed after a discussion be-
tween Miller and Paula Graling. This first caller apparently did
not complain about Miller’s use of profanity and making ob-
scene statements, an allegation that was relied on by Respond-
ent in terminating Miller.
Five days later, on January 19, another anonymous call was
made to the Inova hotline about Miller. The hotline employee
taking the call recorded the complaint as follows:
Caller stated that for “years,” Donna Miller, RN, has been us-
ing profanity at work. Caller stated Ms. Miller uses profanity
in the operating room while children are under anesthesia.
Caller stated Ms. Miller also talks about sexual situations.
Caller stated employees are uncomfortable with Ms. Miller’s
language and subjects of conversation. Caller stated employ-
ees are “terrified” Ms. Miller will retaliate against them for
reporting these concerns. Caller was reminded of the non-
retaliation policy. Caller had no additional information to
provide.
Caller stated management (declined to name) is aware of the
concern.
Miller used profanity, openly talked about her sex life, made
off-color statements, and told off-color and possibly even ob-
scene jokes in the workplace and in the operating room. It is
unclear however, how frequently she did so. Based on the tes-
timony of Dr. Steven Kim, who I regard as a neutral witness, it
was rare that Miller said anything in the operating room that
stood out in terms of its sexual or offensive nature. Dr. Kim
worked with Miller at least once a week for an entire day from
May 2008 until February 2009. He could only recall one com-
ment by Miller that stood out in his mind as inappropriate and
that comment was made in the early part of his association with
her. (Tr. 2236–2238.)
Miller’s conduct in this regard was consistent with the cul-
ture of the ASC. (GC Exh. 16, Bates #3419; Tr. 1472–1473.)13
I find that the use of profanity and off-color and even obscene
language was commonplace in the ASC. According to the
uncontradicted testimony of Cathy Gamble, Dr. Russell Seneca,
the chief of surgery at Inova Fairfax, “could cuss like a sailor”
(Tr. 670). Respondent was well aware that cursing and off-
color jokes and conversation were commonplace in its operat-
ing rooms before it launched its investigation of Donna Miller,
as well as during its investigation of the allegations against
Miller, e.g. (Tr. 1976–1977; GC Exh. 16, Bates #3416).
A third hotline call was made on February 10, 2010. This
caller, who I infer was Lynda Engquist, stated that Miller “is
intimidating, bullies her coworkers, and tends to throw her
weight around.” Also the caller stated that “Miller acts very
authoritative but does not have any authority.” Thus, the third
caller contradicted the assertions made by the first caller re-
garding Miller’s vindictive changing of other employees’
schedules.
The third caller also related that Miller frequently used pro-
fanity and sexual innuendos while conversing with coworkers.
The caller related that Miller talked openly and very graphically
about her sex life. The caller mentioned comments that Miller
made about sexual relations with Miller’s husband, Terry Mil-
ler, who worked with her as a nurse in ASC pediatric operating
room.
Donna Miller denies making these graphic statements. Nev-
ertheless, I generally credit the testimony of Lynda Engquist
that she did so. The most graphic comment was overheard by
Engquist in an employee lounge about 2 months prior to Mil-
ler’s discharge. (Tr. 2008–2009.) However, I find that the use
of profanity and sexual banter was not as limited to Donna
Miller as suggested by Engquist. Rather, I find, as related to
Leanne Gorman by Bobbie MacDonald (see p. 12), who appar-
ently was not one of Miller’s friends, that the language used by
Miller was pervasive in the ASC and MOR and had been for
many years. I also find that based on MacDonald’s account
that Donna Miller discussed sex more often than most nurses in
the ASC, but no more than some physicians who worked in the
ASC. I am also uncertain that Miller said everything attributed

13 I fully credit the testimony of Paula Hay, a current employee of
Respondent, including her testimony regarding the “culture of the oper-
ating room” cited above. Board law recognizes that the testimony of
current employees that contradicts statements of their supervisors is
likely to be particularly reliable. Flexsteel Industries, 316 NLRB 745
(1995), enfd. mem. 83 F.3d 419 (5th Cir. 1996). The testimony of
current employees that is adverse to their employer is “. . . given at
considerable risk of economic reprisal, including loss of employment
. . . and for this reason not likely to be false.” Shop-Rite Supermarket,
231 NLRB 500, 505 fn. 22 (1977).
INOVA HEALTH SYSTEM 1237
to her by Engquist. The two women clearly had a mutual an-
tipathy towards each other dating back to the 1990s.
Finally, the third caller relayed comments attributed to nurse
Cathy Gamble regarding Miller’s plans to rearrange nurse’s
work schedules. The caller also complained about the length of
the breaks being taken by Donna and Terry Miller and com-
plained that Donna Miller bullied the charge nurse into chang-
ing Terry Miller’s assignments. None of these accusations are
supported by this record except the length of the breaks taken
by the Millers.
Leanne Gorman, an Inova Fairfax human resources manager,
conducted an investigation of Miller based on the compliance
calls. She interviewed eight employees on February 11, three
more on February 12, and four on February 17. Vivian Stancil,
another HR representative, interviewed five employees on Feb-
ruary 12. There is no credible evidence that Respondent has
conducted an investigation of this magnitude with regard to any
other employee.
Four of the eight employees interviewed by Gorman on Feb-
ruary 11 were selected randomly by choosing every fifth person
on the active employee roster of the ASC; the other four were
not selected randomly. The two employees interviewed by
Gorman on February 12 were selected randomly. Vivian
Stancil interviewed five employees on February 12, all of
whom were selected randomly, except for Teresa Ford. Ford
was the only employee interviewed by Stancil who provided
Respondent with significant negative comments about Miller,
none of which concerned profanity or sexual banter. Rita Mar-
tin, who was the 40th person on the roster, was not interviewed.
I infer that it is not coincidence that the vast majority of
comments relied upon by Respondent in terminating Miller
came from employees who were not selected randomly and
were interviewed by Gorman, rather than by Stancil. The in-
terview process was done precisely to build a case against Mil-
ler. The random selection was done to give the investigation the
appearance of objectivity.
Paula Graling testified that after the investigation was com-
pleted, two nurses, Lynda Engquist and Bobbie MacDonald,
approached her and asked if they could speak to Gorman. This
is not true. Engquist and MacDonald were interviewed the first
day that Gorman conducted interviews. Engquist, a witness
called by Respondent, testified that she was asked to speak to
Gorman; she did not volunteer. (Tr. 1983–1984, 2010.) Mar-
garet Donegan was also interviewed on February 11 despite the
fact that she was not one of the nurses selected by Gorman at
random. Donegan, like Engquist, did not volunteer to be inter-
viewed. She was told by management to talk to Gorman. (Tr.
1324.)14
Gorman testified that Paula Graling asked her to interview
three of these employees and that Paige Migliozzi was inter-
viewed because she asked Graling to speak to Gorman.
Graling, on the other hand, testified that she told Migliozzi that
Gorman would like to speak to her. (Tr. 2213.) The investiga-

14 Bobbie MacDonald, Paige Migliozzi, and Teresa Ford, the other
three nonrandom interviewees on February 11 and 12, 2009, did not
testify in this proceeding.
tion was supposed to be a secret, but Gorman conceded that she
didn’t ask Migliozzi how she found out about it. (Tr. 1900.)
I find Gorman’s testimony of how employees were selected
to be incredible. Gorman interviewed eight employees on the
first day of her investigation, only four of whom were selected
by random. Three of the four nonrandom selections, Lynda
Engquist, Paige Migliozzi, and Bobbie MacDonald provided
most of the input most detrimental to Miller. I conclude this
was not coincidental. If Gorman was conducting an impartial
investigation I conclude she would have interviewed all the
random interviewees before talking to Miller’s known enemies.
Gorman testified that the interviewees were told not to talk
about the interviews and that she tried to obscure the fact that
the investigation was the result of complaints about the Millers.
Given the fact that the nonrandom interviewees were the em-
ployees from whom the most damaging information to the Mil-
lers was elicited, I conclude that Engquist, Migliozzi, MacDon-
ald, and Donegan were selected for interviews on the assump-
tion that they would be most likely to provide information to
build a case against Donna Miller. In fact, I find that Gorman
knew or suspected before she started her interviews that
Migliozzi and Engquist had made at least some of the calls to
the hotline about Miller.
Gorman asked each employee 10 questions, most relevant to
this case are questions about:
1. violations of Inova policy;
2. violations of Inova’s standards of behavior;
3. whether the employee had been made uncomfortable by
another employee;
4. unfair treatment by the ASC Scheduling Committee. Alt-
hough Miller was not mentioned, she was one of four mem-
bers of the scheduling committee;
5. Had the interviewee experienced retaliation by anyone or
did they fear retaliation by anyone;
6. Had the interviewee experienced or witnessed unethical or
inappropriate behavior in the workplace.
Of the 11 employees picked at random and interviewed,
Gorman and Vivian Stancil, another HR representative, record-
ed complaints about Donna Miller by three of these employees;
Cathy Gamble, Brynn Lackey, and Damika Evans.
The HR investigators reported that Cathy Gamble (also an
alleged discriminate in this case) reported that Terry Miller, and
to a lesser extent, Donna Miller, took longer breaks than they
were allotted. Gamble was also reported as saying that Donna
Miller intimidates the charge nurse into changing her husband’s
assignments. Guna Perry, a former charge nurse in the ASC,
testified in this proceeding that Donna Miller asked her to
change Terry Miller’s schedule on one occasion and that other
nurses asked her to change their assignments on a regular basis.
There is no firsthand evidence that Miller intimidated the
charge nurses into changing Terry’s schedule.
Brynn Lackey, a surgical technologist, accused Donna Miller
of being vindictive and holding grudges. Lackey complained
about vulgar conversation in the pediatric operating room
(room 10) and Miller’s telling sexual jokes. She mentioned one
particular comment made by Miller about being naked with her
husband in her hot tub. Lackey repeated these accusations un-
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1238
der oath at this instant proceeding. I credit her testimony re-
garding the coarse nature of Miller’s conversation.15 Lackey
also accused Donna Miller of retaliating against staff members
who complained about her husband. This truth of this accusa-
tion has not been established.
Damika Evans, a nursing fellow (student nurse), related a
disagreement with Miller about counting instruments. Evans
complained about Donna Miller cursing and what she consid-
ered to be sexually suggestive banter between Miller, on the
one hand, and pediatric surgeons Alexander (Sam) Soutter and
Allyson Askew, on the other. At the hearing, Evans testified
that her principal complaint to Gorman concerned her treatment
by Anita Holland, rather than by Miller. Respondent did not
investigate this complaint or a complaint made by Holland
about Evans after Miller’s termination.
The HR representatives interviewed eight other staff mem-
bers not picked at random. They did not interview the nurses
who worked most regularly with Donna Miller; her husband
Terry, Jon Hurwitz, Ruby Dizon, and Judy Giordano. (Tr.
1401.) They also did not interview the two surgeons for whom
Donna Miller worked as much as 90 percent of the time, Dr.
Alexander (Sam) Soutter and Dr. Allyson Askew. In fact, Re-
spondent rejected a request from Dr. Soutter that it talk to him
about Miller’s conduct. (Tr. 837–838.)
From five of the eight employees not selected at random,
Paige Migliozzi, Lynda Engquist, Bobbie MacDonald, Desiree
Hensley, and Teresa Ford, Respondent obtained the most nega-
tive comments and serious allegations against Donna Miller.
Thus, the investigation was not an impartial search for the truth;
it was effort to build a case against Donna Miller.16
Teresa Ford complained about Miller being intimidating and
taking long lunches. However, room 10, the pediatric surgery
room in which Miller worked was generally self-sufficient and
the length of breaks and lunches taken by room 10 nurses had
minimal, if any impact of the working conditions of nurses in
other operating rooms. (Tr. 1401.) Moreover, ASC manage-
ment was well aware of the extent that the Millers took longer
breaks than other staff and did nothing to change this situation.
Lynda Engquist related that Miller talked openly about her
love life with Miller’s husband, Terry, including one very
graphic comment she stated was made in the lounge 2 months
prior to her interview. She encouraged her interviewers to talk
to nurse Anita Holland. Holland was also a nonrandom inter-
viewee. Holland, a friend of Miller’s, did not corroborate
Engquist’s comments about graphically obscene comments on
the part of Miller.17 Engquist complained about Miller having

15 Paula Graling testified that Lackey never complained to her about
Donna Miller’s behavior, and that Lackey complains regularly about a
lot of things. (Tr. 2198–2199.) When being interviewed by Gorman,
Lackey also complained about Terry Miller and Cathy Gamble.
16 Respondent places great emphasis on the fact that the HR inter-
viewers did not mention Donna Miller’s name in the interviews. How-
ever, they made the fact that they were investigating Miller apparent in
subtle ways, e.g. (Tr. 1382), and by selecting employees to interview on
the basis of suspected animus towards Miller.
17 Prior to her interview with Gorman, Margaret Donegan had com-
plained to management about employees taking excessive breaks, and I
infer that Gorman expected to obtain negative comments from Donegan
an intimidating demeanor, but seemed to doubt Miller’s ability
to affect employees’ schedules. In fact, as stated previously, it
is clear from Respondent’s management witnesses that Miller
had no ability to affect the schedules of other employees.
Desiree Hensley indicated that other nurses were afraid that
Miller could change their work schedules.18 If true, there is no
basis in this record for this concern.
HR interviewed Paige Migliozzi, the primary nurse educator
in the ASC. Since Migliozzi did not testify at this proceeding I
decline to find that any of the statements made by her are nec-
essarily true unless corroborated by firsthand testimony. Re-
spondent’s explanation as to how Leanne Gorman came to
interview Migliozzi is not credible (see p. 9). I infer that Gor-
man knew before she started the interviews that Migliozzi had
made one or more of the compliance line calls and also knew
that she would make serious allegations about Miller. Gorman
did not ask Migliozzi the questions she asked other interview-
ees, but rather solicited negative comments about Donna Mil-
ler.
Migliozzi reported to Gorman that she heard Miller make a
very graphic comment regarding how Miller and her husband
engaged in sexual intercourse. Whereas Engquist and a hotline
caller related that this comment was made in the lounge (GC
Exh. 11, GC Exh. 16, Bates #03407), Migliozzi told HR that
she overheard the statement in the pediatric operating room and
that Miller was talking to Dr. Soutter in the presence of Damika
Evans. While Evans told HR about cursing and sexual innuen-
dos in the pediatrics operating room, she did not mention this
incident.
Migliozzi also stated that Miller talked openly in the lounge
about sex and screwing, that other employees were afraid of
Miller and related some disagreements she had with Miller
about counting instruments before and after certain types of
surgery. Migliozzi also told the interviewers, but not in specif-
ic reference to Miller that “down at the lunch table sexual
comments are prevalent.” (GC Exh. 16, Bates #03420.)
In response to Gorman’s question about inappropriate behav-
ior, Charge Nurse Bobbie MacDonald, another nonrandom
interviewee who also did not testify in this proceeding, was
reported as saying:
Nothing that is atypical of environment. Suggestive language
is part of the culture. Innuendos go on between doctors and
staff in general including anesthesia but it’s playful banter.
It’s not everyone—others are more prevalent crossing the
line—it’s both doctors and staff but certain people. More out

and Cathy Laing, another nonrandom interviewee, about Miller in this
regard and Miller’s role on the scheduling committee.
18 Leanne Gorman testified that:
So, they [the scheduling committee, to which Miller be-
longed] did have the ability to change the schedule, or at least
there was at least a perception from what was conveyed to me that
the committee had the ability to change the days off for the em-
ployees that did not have a fixed schedule.
Whatever perception was conveyed to Gorman was inaccu-
rate, a fact she could easily have determined by talking to Re-
spondent’s management coordinator, Lou Sanata, who did control
the nurses’ schedules (Tr. 559–563, 592), or to Eileen Dobbing.
(Tr. 1567.)
INOVA HEALTH SYSTEM 1239
of urology, ortho and podiatry it’s the doctors. Certain staff
outside of those services (named above) that get a little raun-
chy—graphic in description of things. Sexual comments;
there are so many I can’t say what. It goes on in the lounge
when people are relaxed—people are laughing along with
you. It’s Donna Miller. She does have exceptional clinical
skills. She just thinks she’s a clown and thinks she’s enter-
taining but people would take exception to what she’s saying
and others egg her on. I feel there has been manipulation to
change assignments. . . . No one person stands out as manipu-
lating over the others.
(GC Exh. 16, Bates #03419.)
Guna Perry, a former Inova employee, who rotated with
MacDonald as charge nurse during the latter stages of Miller’s
employment, testified at trial that the atmosphere in room 10
was no different than that in other operating rooms. She also
testified that she heard Donna Miller tell jokes of a sexual na-
ture. (Tr. 1425.) I fully credit Perry’s testimony. Respondent
made no attempt to attack Perry’s credibility.
On the basis of the testimony of Perry, Paula Hay, the state-
ment taken from Bobbie MacDonald, and Chief Nursing Ex-
ecutive Pat Conway-Morana’s email to Dr. Pasternak on Febru-
ary 25,19 I infer that at least some of Respondent’s managers
were well aware of suggestive culture of the operating rooms
long before it began its investigation of Donna Miller.
Moreover, if Bobbie MacDonald was aware that sexual in-
nuendo and banter was most common in urology, orthopedics,
and podiatry, I infer that management personnel who were
routinely present in the ASC, such as Dr. Russell Seneca, Dob-
bing, Graling, and Lou Sanata were also aware that this was the
case.
There was nothing new about Donna Miller’s behavior in
late 2008 and 2009. ASC management had tolerated her use of
profanity and sexually explicit conversation for years. (Tr.
1992, 2028–2030.)
Miller’s February 13, 2009 Email
On Friday, February 13, 2009, at 3:19 p.m., Miller sent an
email to Paige Migliozzi, with a cc to their supervisor, Patient
Care Director Paula Graling. The email stated that it was from
Miller and four other ASC nurses: Martha Porta, Paula Hay,
Anita Hungate, and Laila Bailey. In typing the email, Miller
confused Hungate, who did not authorize Miller to use her
name, with Anita Holland, who did so.
The email stated:
Paige,
We are [word omitted] regarding the coordination of the fel-
lows and follow up evaluations for each service. We haven’t
received any packets with the objectives/evaluations for each
fellow as they rotate through our service in quite a while. In
order to be better prepared for a comprehensive rotation in
each service, it would be helpful to know who is coming, the
learning objectives and the length of the rotation. We need a
tool to evaluate the fellows and a way to document their pro-
gress in a timely fashion. We have not been asked for any

19 R. Exh. 25 at Bates #15336.
feedback on the fellows on their progress and we feel that is
an important piece of the fellowship program that we need to
pay attention to. I know in peds that we need a break for a
week before we have another fellow. The surgeons need it
and we do too. Can you provide some assistance or guidance
to us to help us with out concerns? We are committed to giv-
ing these fellows the best possible educational experience
with all of our combined experience and guidance!
(GC Exh. 62.)
Paige Migliozzi emailed HR Manager Leanne Gorman at
3:48 p.m. stating:
I want to send you this email I just received from Donna. I
am quite furious she decided to appoint herself as spokesper-
son for this group. She has had lot to say but hasn’t said any-
thing to me and been talking behind me. I am leaving now
because I am quite furious, can we please talk Monday. . . .
(R. Exh. 21.)
At 4:42 p.m., the same day, Paul Graling replied to Miller
and Migliozzi, with a cc email to Porta, Hay, Bailey, and Hol-
land.
It was my understanding that when Paige came on board she
communicated with each of you and that some subsequent at-
tempts at orientation modules were in the works. So far I
have seen a sample Peds checklist and in fact I have seen a
completed ENT orientation packet from Martha. I don’t
know who is the owner of each of these pieces of information
but would welcome some discussion about how we would all
like to proceed in the future to look at orientation and service
rotation needs.
I would also like to emphasize that proactive communication
which take place in a collaborative problem solving forum is
much more effective than a one dimensional group signed e-
mail which puts everyone of the defensive. In the future, I
would hope that each of you would use the direct method of
coming to me that most of you are used to for solving issues
such as that demand my immediate attention.
(GC Exh. 62.)
Migliozzi not only emailed HR Manager Gorman, she also
complained to Nurses Anita Holland and Paula Hay that the
signers of the email were ganging up on her. She asked Hol-
land and Hay if Miller was the leader of the group.
Graling testified that she did not remember having a conver-
sation with Gorman about “that e-mail.” (Tr. 2190.) Gorman
testified that Graling called her and that she told Graling there
was nothing wrong with Miller’s email. (Tr. 1740.) Regardless
of whether Graling was referring to General Counsel’s Exhibit
62 or Respondent’s Exhibit 21, I infer that she did talk to Gor-
man between the time she received Miller’s email at 3:19 p.m.
and her response to Miller at 4:42 p.m. In fact I infer that it
was a discussion with Gorman that led Graling to respond to
Miller.
I also infer that higher level managers and agents of Re-
spondent were aware of the email and Migliozzi’s belief that
Miller was the leader of a group of nurses seeking to undermine
her. I find the testimony of Respondent’s witnesses that nobody
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1240
other than Gorman and Graling were aware of Miller’s email to
be incredible. Given the fact that Respondent was considering
discharging or disciplining Miller in part for bullying other
Inova employees, I infer that Gorman told other human re-
source managers, such as Julie Reitman and/or Ken Hull, about
the email and Migliozzi’s reaction to it, and that either she or
Reitman or Hull informed other Inova managers about the
email as another example of Miller’s alleged bullying. I dis-
credit Gorman’s testimony to the contrary and find her to be
generally a witness whose testimony cannot be credited when
supporting Respondent’s theory of the case.20
Monday, February 16, 2009, was the first workday for
Migliozzi after the day she complained to Leanne Gorman
about Miller’s February 13 email and Miller appointing herself
as spokesperson for her group. I infer that Gorman and
Migliozzi spoke about the February 13 email and Miller, as
Migliozzi requested. Gorman did not deny speaking with
Migliozzi about “the email,” she testified that she did not recall
talking to her. (Tr. 1740.)
On February 16, Gorman spoke to Dr. Russell Seneca, Re-
spondent’s chief of surgery. She denied mentioning to Dr.
Seneca the email she received from Paige Migliozzi on Febru-
ary 13, or the relationship between Migliozzi and Miller. I
discredit her denial and infer that Gorman did discuss the email
with Dr. Seneca and Migliozzi’s complaints about Miller.21
Gorman’s notes indicate that she spoke to Dr. Seneca about
the compliance calls. Gorman knew that Migliozzi had made
one or more of the hotline calls complaining about Miller. It
defies credulity to believe that Gorman talked to Dr. Seneca on
the first workday after she received another complaint from
Migliozzi about Miller and did not mention it to Dr. Seneca
and possibly others—particularly since, as I infer, she had
talked to Migliozzi that morning about Miller’s email.
Gorman testified that she had one or two conversations with
Dr. Seneca, but did not take contemporaneous notes of the con-
versation(s). However, she made notes of this conversation on
February 19, or later. (Tr. 1764–1766.) Gorman’s notes are as
follows:
On 2/16/09 I spoke with Dr. Seneca about the compliance
calls since two physician names were mentioned. He felt
there was no reason to involve the physicians. He knows the
history of Donna Miller delt [sic] with her over her Decision
Making Suspension for unprofessional behavior in the past.
He stated that Donna is a vindictive person and needs to go.
Although her clinical skills are excellent we can’t retain
someone that displays this kind of behavior. He said that if

20 Gorman consulted with Reitman with respect to many of the de-
tails of her investigation. She obtained advice on formulating her inter-
view questions from Reitman and Hull. (Tr. 1730.) She terminated her
fact-finding pursuant to direction from Reitman. (Tr. 1754.) It defies
credulity that she failed to mention the February 13 email and Paige
Migliozzi’s reaction to that email to Reitman, as the most recent exam-
ple of Miller creating a hostile work environment, and/or Miller becom-
ing a spokesperson for nurses who were disenchanted with working
conditions in the ASC.
21 At Tr. 173, Gorman denied recalling what Dr. Seneca said to her
about Donna Miller.
we were to keep someone that displays this kind of behavior
then the Studer Principles mean nothing and he fully supports
her termination. He says he would handle the physicians
since they would not be happy about the decision.
(R. Exh. 22, Bates #1522.)
I conclude that Dr. Seneca, who did not testify in this pro-
ceeding, was heavily involved in the decision to terminate
Donna Miller.22 There is no other credible explanation for
Gorman’s call to him on February 16, or Eileen Dobbing’s
testimony that she kept Dr. Seneca updated during the whole
process concerning Donna Miller’s employment. (Tr. 1558–
1564.) From Dobbing’s testimony I infer that she discussed
with Dr. Seneca whether or not Miller should be fired. There is
no evidence that Dr. Seneca discussed Miller’s employment or
Respondent’s investigation of Miller with the physicians that
worked with her.23 I infer that Dr. Seneca communicated his
opinion to Dr. Pasternak and/or others that Miller should be
fired. I infer his views were taken into account in Dr. Paster-
nak’s decision to fire Miller.
In this record there is no basis for Dr. Seneca’s opinion that
Miller was “a vindictive person and needs to go,” apart from
his involvement in the 2005 discipline and the knowledge that I
infer he had regarding Miller’s email to Migliozzi on February
13. I also note that Gorman’s notes do not indicate that she
discussed Miller’s use of profanity or talk about sex, only her
vindictiveness, which would also indicate that they discussed
Miller’s email to Migliozzi.
Respondent Places Donna Miller on Administrative Leave
On February 17, 2009, the day after Gorman talked to
Migliozzi and Dr. Seneca, Donna Miller was summoned to a
meeting with Patient Care Director Paul Graling and Human
Resources Manager Gorman. Gorman informed Miller of the
accusations made against her during Gorman’s investigation.
Miller denied them all except that she admitted she talked about
spending New Year’s Eve naked in a hot tub with her husband.
She was placed on administrative leave pending completion of
Gorman’s investigation of her conduct.
Respondent Terminates Donna Miller’s Employment
There is very little evidence as to what transpired between
February 17 and 26, when Inova’s CEO Dr. Reuven Pasternak
decided to terminate Miller. I infer that there were many dis-

22 Respondent’s counsel objected to the General Counsel’s inquiry
regarding Dr. Seneca’s role in the termination of Donna Miller on the
grounds that Eileen Dobbing had not testified that Dr. Seneca was
involved in the decision and that there was “no allegation” that he was
involved. (Tr. 1560.)
Leanne Gorman testified that her notes regarding her conversation
with Dr. Seneca were omitted from several versions of her investigative
report. The reason for excluding these notes from versions of report
provided to certain management officials is not convincingly explained
in this record.
23 Dr. Askew testified that she talked to Eileen Dobbing as to
whether she could do anything on behalf of Miller, but did not testify to
any contact with Dr. Seneca. Dr. Soutter’s testimony about Dr. Seneca
relates only to Respondent’s disciplining him for protesting Miller’s
discharge in late March.
INOVA HEALTH SYSTEM 1241
cussions among management personnel regarding Miller’s fate
that are not in this record. Other deliberations are mentioned in
passing without any specific testimony about what was dis-
cussed.
Graling and her supervisor, Eileen Dobbing, met with Gor-
man, Julie Reitman, Gorman’s supervisor in the human re-
sources department, and Patricia Conway-Morana, Inova’s
chief nursing executive, on February 25, 2009. (Tr. 274, 1785.)
There is very little evidence as to what was discussed. Of those
in attendance, Graling, Gorman, and Dobbing testified; Reit-
man and Conway-Morana did not. Other than recalling that she
asked Conway-Morana to consider transferring Miller, Dobbing
could recall little about the meeting. (Tr. 1555.) Graling re-
called little else. Reitman may have reviewed a short memo
(GC Exh. 7), which summarized the results of Gorman’s inves-
tigation.24 The fifth bullet point of this memo states:
Donna has previously received a Decision Making
Suspension in April ’05 for inappropriate conduct in the
workplace. She was counseled in December ’08 by Paula
Graling regarding her inappropriate behavior and language
that had been brought up by other staff members. Donna
became very upset in the course of the conversation with
Paula and began to use profanity again and left the office
angry.
Prior to the February 25 meeting with Conway-Morana,
Reitman and Gorman had spoken with Respondent’s in-house
counsel, Houeida Saad. Reitman’s memorandum mentions two
recommendations regarding Donna Miller’s fate, either termi-
nation or a final written warning and transfer to another Inova
facility. The memo does not indicate who proposed these two
alternative courses of action. Neither Reitman nor Saad testi-
fied in this proceeding and there is absolutely no evidence as to
how they arrived at these recommendations or what role their
recommendation had in Respondent’s decision to terminate
Miller.25
Gorman testified that “the February 13 Donna Miller e-mail”
was not discussed at the meeting with Conway-Morana. Re-
gardless of whether this is technically true, I infer that Miller’s
email and Migliozzi’s reaction to it were discussed for the same
reasons I find it incredible that Gorman did not mention this to
Dr. Seneca. This is particularly so because Conway-Morana
cited Miller’s intimidating behavior as a reason she believed
that Miller should be terminated. It defies credulity to believe
that the most recent example of Miller’s alleged vindictiveness
was not discussed.
Paula Graling testified that Miller’s intimidating behavior
was one of the subjects discussed at the meeting she attended
with Conway-Morana. (Tr. 274, 314.) I infer that the latest

24 Since Reitman did not testify, I am not certain that GC Exh. 7 was
drafted on or about February 25.
25 Gorman testified that she was not involved in the decision to ter-
minate Donna Miller but that she made a recommendation to Julie
Reitman. (Tr. 99–100.) Having found Gorman not to be a credible
witness, I do not conclude that these recommendations originated with
her.
example of Miller’s intimidating behavior, the February 13
email was discussed.
Dobbing investigated the possibility of transferring Miller to
another Inova facility and having her go into Respondent’s
Employee Assistance Program (EAP). Dobbing called Inova’s
Alexandria Hospital to inquire as to whether Miller could be
transferred to Alexandria. She terminated her efforts in this
regard after being informed on February 26, that Dr. Reuven
Pasternak, the CEO of Inova Fairfax, was “pushing” for Mil-
ler’s termination. (R. Exh. 9; Tr. 1509–1510.)
At 6:04 p.m. on February 25, Conway-Morana sent an email
to Dr. Pasternak and others.26
Just wanted you to know that Julie Reitman from HR
met with Eileen and me today about an employee issue.
We have a 20+ year nurse that we have had several hotline
calls about- profanity, vindictive with schedule, sexual in-
nuendos, etc, but a great OR Nurse. . . . Also, her husband
works in the same department and the interactions be-
tween them are not appropriate (I thought we had a policy
against that!!). She has been warned in the past about her
intimidating and inappropriate behavior—4 years ago—
and recently. Personally, I think she should be terminated,
but Eileen wants to salvage an OR nurse, but not here.
She grieved her last disciplinary action and I am sure she
would again and I’m not convinced that we have enough
documentation to support this decision.
We have conferred with legal and have agreed that she
can not work on this campus (she is on administrative
leave). Eileen will talk to her counterparts at the other
Inova ORs and see if anyone is willing to take her if she
has a mandatory EAP referral and is put on a PIP with a
final written warning that they will accept the responsibil-
ity of following through on. If, and this is a big IF, there is
another OR director that is willing to take a chance on her,
we would allow a transfer. If not, we will terminate her.
. . . We also feel that we need to do education on ap-
propriate behavior to all the OR staff as Eileen agrees it is
too prevalent (I know from my clinical days, that the OR
teams sometimes get a little too chummy) . . . .
(R. Exh. 25.)
Conway-Morana did not testify in this proceeding. Thus,
there is no evidence as to why she believed that Miller should
be fired apart from what she mentioned in the email and no
evidence as to why she did not believe Respondent did not have
enough documentation to support termination or involuntary
transfer.
Dr. Pasternak responded to Conway-Morana on February 26,
at 8:16 a.m. In this response he effectively decided to terminate
Miller:27

26 Respondent contends that the task of determining the level of dis-
cipline was assigned to the Hospital Administrator Dr. Patrick Christi-
ansen because Eileen Dobbing was a contract employee. Since Dob-
bing signed a written warning for Judy Giordano, I infer that this ex-
planation is false. Moreover, it is clear that Dr. Pasternak, not Dr.
Christiansen, made the decision to fire Miller.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1242
We need to talk about this case. We are moving to a
zero tolerance attitude toward of physicians who violate a
good citizen policy with regard to their behavior on the
premise, which I fully support, that being a good physician
and abusive individual are mutually exclusive descrip-
tions. . . . I believe the same is true of a nurse. Describing
a nurse as someone using profanity, being vindictive with
the schedule, and acting/speaking with sexual innuendos
with multiple documented episodes of intimidating and in-
appropriate behavior cannot also include describing them
as a “great OR nurse.” She may be a good technician, but
she is not a good professional. Keeping them on sends a
message of desperation and acceptance of this conduct that
I cannot support, and I don’t think the other CEOs would
want this either. . . .
(R. Exh. 25.)
Given the text of this email I infer that someone had in-
formed Dr. Pasternak of the latest example of Miller’s intimi-
dating behavior, her February email to Migliozzi. It is beyond
belief that in informing Dr. Pasternak about Miller’s intimidat-
ing behavior, that someone did not tell him about the latest
example, her email to Migliozzi on February 13.
At 8:23 a.m. Conway-Morana emailed Eileen Dobbing that,
“Just wanted you to know that Reuven is pushing termination.”
(R. Exh. 9.)
At l:46 p.m., HR Director Ken Hull emailed Julie Reitman.
He stated, “We need to close the loop with Pat tomorrow with
respect to her follow-up with Reuven. . . .” (GC Exh. 71.)
This email establishes that Hull did not know yet whether a
decision had been made to terminate Miller and was certainly
not waiting for Dr. Christiansen to make this decision, as Re-
spondent suggests. He was waiting to hear from Pat Conway-
Morana.
At 2:42 p.m. Conway-Morana emailed Dobbing, Reitman,
Ken Hull, the head of Respondent’s human resources depart-
ment and Dr. Patrick Christiansen, the administrator of the
Inova Fairfax campus, “I think we need to move forward with
termination.” (R. Exh. 25.)
On the basis of Respondent’s Exhibits 9 and 25, I find that
the decision to terminate Donna Miller was made between 8:23
a.m. and 2:42 a.m. on February 26, 2009, by Dr. Pasternak. I
infer that Dr. Pasternak and Conway-Morana communicated
during this period, possibly by telephone. Indeed (GC Exh.
71), the email from HR Director Ken Hull to HR Manager Julie
Reitman, suggests as much.
This record also establishes that Dr. Pasternak decided to
terminate Donna Miller without reviewing any of the docu-
ments of Respondent’s investigation. In fact, the only basis for
his decision was the email sent to him by Pat Conway-Morana
on February 26, at 6:04 p.m. and oral conversations about
which there is nothing in this record. There is no evidence that
he heard or was aware of Miller’s defense of her conduct when
he effectively decided to fire her. What is clear is that Dr. Pas-

27 I discredit Dr. Pasternak’s testimony at Tr. 2085 & 2102 suggest-
ing that someone other than he made the decision to terminate Donna
Miller.
ternak was aware of the 2005 discipline, cited by Conway-
Morana in her recommendation that Miller be terminated.
Moreover, I infer that he was aware of the February 13 email.
At 3:29 p.m., Dr. Christiansen instructed Ken Hull to move
forward with Miller’s termination. The email chain in Re-
spondent’s Exhibit 25 establishes that Dr. Christiansen was
merely communicating a decision that had already been made
by Dr. Pasternak.28
Dr. Pasternak testified that he rarely is involved in personnel
decisions. In fact, there is no evidence that Dr. Pasternak has
been involved with or made the decision to terminate any other
nonsupervisory employee. Respondent has offered no convinc-
ing nondiscriminatory explanation why he effectively made the
decision to terminate Miller.
As noted previously, Dobbing also kept Dr. Russell Seneca
“updated” during the period that termination of Donna Miller
was under consideration in February and March 2009. Seneca
had upheld the disciplining of Miller in 2005 for raising com-
plaints about the treatment of the ASC nurses in transferring
surgeries from the Main OR to the ASC. Dobbing met with
Seneca at least once in person and discussed Miller’s discipline
or discharge. There is no evidence as to why Dobbing met with
Seneca, what was said, or the extent of Dr. Seneca’s involve-
ment in the termination decision. Dr. Seneca did not testify in
this proceeding. Thus, there is no evidence as to whether or not
Seneca talked to Pat Conway-Morana before she recommended
to Dr. Pasternak that Miller be terminated.
I infer that Seneca’s opinion that Miller should be terminated
and his reliance on the 2005 discipline played a role in the Re-
spondent’s decision to fire her. I also infer that Seneca’s
awareness of Miller’s email to Migliozzi on February 13, and
Migliozzi’s reaction to that email, played a role in Seneca’s
recommendation to higher level management that Miller be
fired.
I draw adverse inferences from Respondent’s failure to call
as witnesses several management witnesses, who are still em-
ployees of Respondent and who have knowledge about the
reasons for Donna Miller’s termination and the process by
which Respondent decided to terminate her.
Neither Dr. Seneca, Conway-Morana, Ken Hull, nor Reitman
testified in this proceeding. I draw an adverse inference that
their testimony, if truthful, would have been damaging to Re-
spondent’s case, International Automated Machines, 285
NLRB 1122 (1987), enfd. 861 F.2d (6th Cir. 1988). All four
individuals certainly had knowledge regarding the process by
which Respondent decided to discharge Miller and the reasons
for her termination that do not appear in this record. Respond-
ent is not absolved from its responsibility for presenting a per-

28 I do not credit any of Dr. Christiansen’s testimony. First of all, it
is perfectly clear that he did not make the initial decision to terminate
Donna Miller as he testified.
Dr. Christiansen also testified that he met with Leanne Gorman and
reviewed her investigative file before deciding to terminate Miller. (Tr.
1347.) Gorman testified she did not send any materials to Dr. Christi-
ansen until the week prior to Donna Miller’s appeal meeting on March
18. Thus, Dr. Christiansen’s testimony that he made the initial decision
to terminate Miller and the reasons for the termination are inaccurate.
INOVA HEALTH SYSTEM 1243
suasive case by the exchange its counsel had with me at the
June 10, session of this trial at (Tr. 2076–2077):
[MR. DORAN] We did want to talk just a little bit more
about what might happen from this day going forward be-
cause it seems to us there could be an opportunity that this
is the last day of hearing, which I imagine might be advan-
tageous. Thinking about this and keeping in mind your
comment about the long [law of] diminishing marginal re-
turns—
JUDGE AMCHAN: Whatever it is.
MR. DORAN: —exactly, we spoke about this, and we
want to make sure you have all the evidence you think is
necessary to make a decision on the record. So we
thought about other witnesses, and we put those into two
groups.
The first group I characterize as management witness-
es. Just so you know, and I'm not sure if it's clear now, but
what our thinking was is that we've presented management
witnesses in Ms. Miller's direct chain of command. So it's
Paula Graling, her direct supervisor Eileen Dobbing, and
then up to Patrick Christiansen, and then Dr. Pasternak,
the CEO, who you will hear from today. There's obvious-
ly other people who were aware of this situation and who
weighed in, like Pat Conway-Morana, the chief nursing
executive, Julie Reitman, who Ms. Gorman consulted with
in HR and Ken Hull in HR. As we see it, those individuals
are not essential because while they participated or in
some way they weren't making the decision in the line of
command, so we didn't intend to call them, but we didn't
know if you thought it was essential that we do call them.
JUDGE AMCHAN: Well, I think it's up to you.
A similar discussion occurred regarding Paige Migliozzi. A
judge has the authority to exclude evidence that is needlessly
cumulative, or wastes time. However, it is the parties’ respon-
sibility, not the judge’s, to determine what evidence should be
introduced in order to present a persuasive case. As the Board
noted in Appendix B to its decision in Otis Elevator, 255
NLRB 235, 239–240 (1981):
We note at the outset that the purpose of a hearing is to
give all parties an opportunity to present such evidence
that will allow an administrative law judge to make certain
findings of fact. The responsibility of “making a record”
supporting one's position not only devolves upon the par-
ties, but particularly devolves upon them during the hear-
ing and before the record is closed. Thus, it is then that
each party must make its own judgment as to whether it
has presented the best possible case, so that, in the event of
a possible “misapprehension” or adverse credibility reso-
lution by an administrative law judge, the requisite evi-
dence has already been placed in the record so as to allow
the Board to consider a party's legal arguments on appeal.
Respondent Informs Donna Miller that her Employment
has been Terminated
Miller was summoned to another meeting with Paula Graling
and Leanne Gorman on March 3, 2009. Graling read from a
document and informed Miller that she was being terminated.
Graling told Miller that she was being terminated for creating a
hostile work environment, excessive sharing of the details of
her personal life and using inappropriate language. I infer that
part of the hostile work environment that Miller allegedly cre-
ated in the minds of Respondent’s decisions makers was the
February 13 email that made Paige Migliozzi “furious.”
Miller requested a copy of the document from which Graling
had read to her. Leanne Gorman informed her that it was Re-
spondent’s policy not to give it to her.
Respondent Upholds the Termination in Two
Appeals Proceedings
On March 18, 2009, Miller attended a meeting to appeal her
termination with Dr. Patrick Christiansen, the administrator of
Fairfax Inova Hospital, who is also a vice president of Inova
Health Systems. Dr. Christiansen upheld her termination.
On April 7, 2009, Miller attended another meeting to appeal
her termination with Dr. Reuven Pasternak, the chief executive
officer of Inova’s Fairfax campus, and an executive vice presi-
dent of Inova Health Systems. Dr. Pasternak also upheld her
termination. There is no evidence that Miller was aware that it
was Dr. Pasternak who had decided to fire her in the first place.
Analysis
Respondent Violated Section 8(a)(1) in Terminating
Donna Miller
In order to establish that an employer violated Section
8(a)(1) in discharging or disciplining an employee, the Board
generally requires the General Counsel to make an initial show-
ing sufficient to support an inference that the alleged discrimi-
natee’s protected conduct was a ‘motivating factor’ in the em-
ployer’s decision. Then the burden shifts to the employer to
demonstrate that the same action would have taken place even
in the absence of protected conduct, Wright Line, 251 NLRB
1083 (1980), enfd. 662 F.2d 889 (lst Cir. 1981), cert. denied
455 U.S. 989 (1982), approved in NLRB v. Transportation
Management Corp., 462 U.S. 393, 399–403 (1983); American
Gardens Management Co., 338 NLRB 644 ( 2002). Unlawful
motivation and animus are often established by indirect or cir-
cumstantial evidence.
The Board will not seek to quantitatively analyze the effect
of the unlawful cause once it has been found. “It is enough that
the employees' protected activities are causally related to the
employer action which is the basis of the complaint. Whether
that ‘cause’ was the straw that broke the camel's back or a bul-
let between the eyes, if it were enough to determine events, it is
enough to come within the proscription of the Act.” Wright
Line, supra at 1089 fn. 14; accord: Bronco Wine Co., 256
NLRB 53, 54 fn. 8 (1981).
In the instant case, all the reasons, and possibly the principal
reason, for Respondent’s discharge of Miller are not apparent
from the record. However, I find that there is a causal relation-
ship between the decision to discharge her and both the Febru-
ary 13 email and her 2005 protected activity. In this regard, it
is important to note that while Respondent was obviously build-
ing a case against Miller before February 13, no decision was
made to terminate her until after Respondent was aware of the
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1244
email, which I infer was known and discussed at the highest
levels of Respondent’s management, as a further example of
Miller’s alleged vindictiveness and creation of a hostile work
environment.
Protected Concerted Activity
Section 8(a)(1) of the National Labor Relations Act provides
that it is an unfair labor practice to interfere with, restrain, or
coerce employees in the exercise of the rights guaranteed in
Section 7. Section 7 provides that, “employees shall have the
right to self-organization, to form, join, or assist labor organiza-
tions, to bargain collectively through representatives of their
own choosing, and to engage in other concerted activities for
the purpose of collective bargaining or other mutual aid or pro-
tection. . . . [Emphasis added.]”
In Myers Industries (Myers I), 268 NLRB 493 (1984), and in
Myers Industries (Myers II), 281 NLRB 882 (1986), the Board
held that “concerted activities” protected by Section 7 are those
“engaged in with or on the authority of other employees, and
not solely by and on behalf of the employee himself.” Howev-
er, the activities of a single employee in enlisting the support of
fellow employees in mutual aid and protection is as much con-
certed activity as is ordinary group activity. Individual action is
concerted so long as it is engaged in with the object of initiating
or inducing group action, Whittaker Corp., 289 NLRB 933
(1988); Mushroom Transportation Co., 330 F.2d 683, 685 (3d
Cir. 1964).
Additionally, the Board held in Amelio’s, 301 NLRB 182
(1991), that in order to present a prima facie case that an em-
ployer has discharged an employee in violation of Section
8(a)(1), the General Counsel must establish that the employer
knew of the concerted nature of the activity.
Donna Miller engaged in protected concerted activity in
April 2005 and again on February 13, 2009, by sending the
email to Paige Migliozzi and Paula Graling on behalf of herself
and other nurses. The portion of the email asking for a week’s
hiatus between the assignment of student nurses to the various
service lines is particularly relevant to the terms and conditions
of employment of the nurses who authorized Miller to send this
email. Respondent was aware of this protected activity and
displayed animus towards it.29
Respondent’s animus towards the 2005 protected activity is
established by the discipline it issued to her as a result. The
casual relationship between the 2005 protected activity and

29 Respondent’s assertion at p. 38 of its brief, that the General
Counsel must establish direct knowledge of Miller’s protected activity
on the part of those managers who made the decision to terminate Mil-
ler, is contrary to Board precedent, Rogers Electric, Inc., 346 NLRB
508, 516 (2006). Normally, the knowledge of a supervisor or agent is
imputed to a corporate entity. However, where credible evidence estab-
lishes that the decision maker was not aware of protected activity, the
Board may find that an employer did not have that knowledge. That is
not the case here. I do not credit the testimony of Respondent’s wit-
nesses that nobody other than Graling, Gorman, and Migliozzi aware of
the February 13 email, and/or that Miller had sent a group email that
offended Migliozzi. In fact, I infer that those who decided on Miller’s
termination were aware of the February 13 email, or its contents, as
well as Miller’s 2005 discipline.
Miller’s discharge is established by Respondent’s documents
and testimony.
There is also direct evidence of Respondent’s animus to-
wards Miller as a result of the February 13 email in Paula
Graling’s responsive email and the email from Migliozzi, a
supervisor and agent of Respondent, to Leanne Gorman. Addi-
tionally, I infer animus on the part of Respondent’s manage-
ment and a causal relationship between the email and Miller’s
discharge from a number of other factors. One of these is the
clearly pretextual nature of the reasons given for her termina-
tion, which are set out in great detail below. Another factor is
the timing of Miller’s suspension. Miller was suspended (or
placed on administrative leave) on February 17, the day after
Migliozzi spoke to Gorman about the February 13 email and
Gorman spoke to Dr. Seneca about Donna Miller. As men-
tioned previously, I infer the February 13 email was discussed
by Gorman and Dr. Seneca on February 16.
I find that the General Counsel has made a prima facie case
that Donna Miller’s termination was causally related to both her
April 2005 protected activity in complaining about the working
conditions of ASC nurses and her February 13 email to Paige
Migliozzi and Paula Graling. Respondent has failed to rebut
the General Counsel’s prima facie case.
Donna Miller’s 2005 Protected Activity and its Relationship
to Her 2009 Discharge were Fully Litigated
by the Parties, Although not Pled
A causal relationship between Miller’s April 2005 protected
activity is established by the emails of Respondent’s managers
citing it as a consideration for her termination. Although, the
April 2005 protected activity is not mentioned in the complaint,
its relevance to Miller’s discharge was fully litigated. There is
no reasonable way this issue could have been tried any differ-
ently had the complaint alleged that Miller’s discharge was
related to the 2005 protected activity. Pergament United Sales,
296 NLRB 333, 335 (1989); Garage Management Corp., 334
NLRB 940, 941 (2001). The evidence establishing the protect-
ed nature of Miller’s April 2005 conduct entered this record via
Respondent’s documents and Respondent’s exhibits. (GC Exh.
17, p. 30; R. Exh. 22, Bates #1522; R. Exh. 25.)
Respondent also established the relationship of the discipline
imposed as a result of this conduct to Miller’s 2009 discharge.
Respondent never objected to testimony about Miller’s prior
discipline30 and elicited testimony on this subject from its own
witnesses, Eileen Dobbing (Tr. 1515), and Leanne Gorman (Tr.
1785–1786), and from Donna Miller (Tr. 1605–1607). Re-
spondent also mentioned the 2005 discipline and Dr. Seneca’s
reliance on it in recommending Miller’s termination in its
posttrial brief at pages 11, 20, and 37 at footnote 12.
Respondent’s documents conclusively establish that Miller
engaged in protected activity, that her activity was not such as
to forfeit the protections of the Act and that Respondent con-
sidered this protected activity in discharging Miller in February
2009. Even had the 2005 activity been mentioned in the plead-

30 For example, at Tr. 2101–2102, Respondent did not object when
Dr. Pasternak, in responding to a question from the General Counsel,
indicated that Miller’s 2005 discipline was a factor in her discharge.
INOVA HEALTH SYSTEM 1245
ings, Respondent could not have credibly contended that Mil-
ler’s conduct was something other than that set forth in its doc-
umentation, or that her outburst did not pertain to the working
conditions of herself and other ASC nurses. Her 2005 com-
plaints were clearly concerted and for the mutual aid and pro-
tection of herself and her colleagues.
Pursuant to Atlantic Steel Co., 245 NLRB 814, 816–817
(1979), an employer violates the Act by discharging or disci-
plining an employee engaged in the protected concerted activity
unless, in the course of that protest, the employee engages in
opprobrious conduct, costing him or her the Act’s protection. In
assessing the conduct, the Board assesses four factors: (1) the
place of the discussion; (2) the subject matter of the discussion;
(3) the nature of the employee’s outburst; and (4) whether the
outburst was, in any way, provoked by the employer’s unfair
labor practices.
Consideration of these factors leads me to conclude that Mil-
ler’s 2005 protected conduct does not come close to that which
would forfeit the Act’s protection. This is established by Re-
spondent’s documentation of Miller’s conduct. Merely speak-
ing loudly or raising one’s voice while engaging in protected
concerted activity generally will not deprive an employee of the
Act’s protection. Alton H. Piester, LLC, 353 NLRB 369, 374
(2008); Firch Baking Co., 232 NLRB 772 (1977). The fact that
the April 2005 protected conduct was not sufficient to forfeit
the protections of the Act is established by the fact that Re-
spondent did not terminate Miller for this conduct; it gave her a
“decision-making” disciplinary notice.
Respondent could not have contradicted its own documents
in an effort to prove that Miller’s 2005 conduct was not pro-
tected by Section 7. Similarly, it is Respondent’s evidence that
establishes the causal relationship between Miller’s 2005 pro-
tected conduct and her 2009 discharge.
The Reasons Advanced by Respondent for Miller’s Discharge
are Clearly Pretextual
As noted by the Court of Appeals for the Ninth Circuit in
Shattuck Denn Mining Corp. v. NLRB, 366 F.2d 466, 470 (9th
Cir. 1966):
Actual motive, a state of mind, being the question, it is seldom
that direct evidence will be available that is not also self-
serving. In such cases, the self-serving declaration is not con-
clusive; the trier of fact may infer motive from the total cir-
cumstances proved. Otherwise no person accused of unlaw-
ful motive who took the stand and testified to lawful motive
could be brought to book. Nor is the trier of fact-here a trial
examiner-required to be any more naïf than is a judge. If he
finds that the stated motive for a discharge is false, he certain-
ly can infer that there is another motive. More than that, he
can infer that the motive is one that the employer desires to
conceal-an unlawful motive-at least where, as in this case, the
surrounding facts tend to reinforce that inference.
Accord: Fast Food Merchandisers, 291 NLRB 897, 898
(1988), Fluor Daniel, Inc., 304 NLRB 970, 971 (1991).
I find that Respondent’s stated reasons for Miller’s discharge
are pretextual for a number of reasons. However, the motive
for Respondent’s investigation of Miller cannot be gleaned
from this record since the investigation started and was mostly
completed before Miller engaged in any protected activity that
has been established on this record, other than that in 2005. I
do not infer that the investigation was motivated solely or even
primarily by Miller’s 2005 activities.
However, I infer the stated reasons for her discharge, other
than her 2005 discipline, are not the real reasons for her dis-
charge on the basis of the following factors.
One of the reasons is the unprecedented and unsatisfactorily
explained involvement of Respondent’s highest levels of man-
agement. Dr. Pasternak is usually involved in personnel deci-
sions only if it involves an individual directly reporting to him,
such as the chief financial officer or the department chairs (Tr.
2082). In fact there is no evidence of Dr. Pasternak’s involve-
ment in the discipline or discharge of any other rank-and-file
employee.31 Respondent has not established any persuasive
nondiscriminatory explanation for Dr. Pasternak’s involvement
in the termination of Donna Miller.
A second reason I find most of the reasons advanced by Re-
spondent for Miller’s discharge to be pretextual is the biased
investigation conducted by Respondent to build a case against
her and the inconsistent and in some cases deliberately false
testimony of Respondent’s witnesses as to how this investiga-
tion was conducted.
A third reason is Respondent’s failure to discipline Miller or
warn her that she might be disciplined for her behavior prior to
terminating her employment. Eileen Dobbing clearly had au-
thority to give Miller a final written warning on the basis of
Gorman’s investigation, yet the decision regarding discipline
was given to higher level management without giving Miller an
opportunity to modify her behavior. Written discipline of this
sort would have been far more likely to get Miller’s attention
than the nondisciplinary discussion she had with Paula Graling
in December.
A fourth reason is the disparate treatment of Miller compared
with the discipline issued to employees exhibiting similar con-
duct. For example, in July 2007, Respondent issued a final
written warning to a surgical technician for showing sexually
explicit photographs of herself to other employees. Three
weeks before that the employee was issued a written warning
for not being accessible when she was on call on two different
occasions within 2 weeks. Two months earlier, in April 2007,
the employee had been counseled for not showing up for work
on 1 day and not being on time 3 days later. (GC Exh. 85.)
A fifth reason for finding Respondent’s reasons for the dis-
charge to be pretextual is the absence of any evidence of “inap-
propriate” conduct by Miller between her meeting with Paula
Graling on December 22, and her suspension on February 17,—
apart from the February 13 email.
A sixth reason is the departure from Respondent’s policies
and practices, such as Paula Graling’s call to Leanne Gorman
after her meeting with Miller on December 22, and Graling’s

31 Dr. Christiansen, when testifying inaccurately that he made the
initial decision to terminate Donna Miller, also testified that he could
not recall making an initial termination decision with respect to any
other employee. (Tr. 1364.)
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1246
forwarding of her notes of that conversation to Respondent’s
human resources department.
A seventh reason is the fact that Miller’s behavior prior to
her discharge was no different than it had been for years and
had been tolerated by Respondent.
An eighth reason is the fact that Miller’s behavior was con-
sistent with the culture of Respondent’s operating rooms and
that Respondent tolerated the same behavior by a number of
physicians who performed surgery at its facility and possibly
similar behavior on the part of other staff members. Indeed,
there is no evidence that Respondent did anything after its in-
vestigation of Miller to change the behavior of the physicians
working in the ASC—apart from disciplining Dr. Soutter for
protesting Donna Miller’s discharge.
A ninth reason is Respondent’s failure to call as witnesses
the following individuals who were involved in the delibera-
tions and/or decision to terminate Miller: Pat Conway-Morana,
Ken Hull, Julie Reitman, and Dr. Russell Seneca.
A 10th reason is the gaps in the decisionmaking process re-
lating to the termination, i.e., an explanation as to what tran-
spired between Dr. Pasternak’s email to Pat Conway-Morana
and her email instructing other managers to move forward with
termination. There is also a general absence of relevant evi-
dence regarding conversations that I infer took place among the
managers involved in Miller’s termination, including Dr. Pas-
ternak, Pat Conway-Morana, and Dr. Seneca, Ken Hull, and
Julie Reitman.
A final reason is the inconsistency of Respondent’s testimo-
nial evidence and in some cases, its clearly inaccurate nature.
In view of my finding that Respondent’s reasons for investi-
gating Miller and discharging her are pretextual, I find that it
has not met its burden of rebutting the General Counsel’s prima
facie case. It failed to prove that it would have fired Miller had
she not engaged in protected activity in April 2005 and sent the
February 13, 2009 email to Migliozzi and Graling. I thus find
that Respondent violated Section 8(a)(1) in discharging Miller
in part due to both her 2005 protected activity and the February
13, 2009 email.
Final Written Warning Issued to Judy Giordano
On March 18, 2009,32 Judy Giordano and six other nurses
from the ASC went to the human resources office to show their
support for Donna Miller. Miller met with Dr. Patrick Christi-
ansen, the administrator of Inova Fairfax Hospital, that day to
appeal her termination. Vivian Stancil, a human resources
employee, told the six nurses they could not wait for Miller in
the HR office. The six left and proceeded down a hallway
where they encountered Miller and Michelle Melito, another
HR representative.
Michelle Melito’s notes of this incident relate the following:
The meeting concluded at approximately 4:30 pm. Donna
and I walked back to the Support Services Building. As we
approached the elevator lobby, we were greeted by a group
(approximately seven) of her former coworkers with ASC.
They were waving at her and saying that they were just

32 The surveillance video, GC Exh. 30, is erroneously labeled March
19. All parties agree that the incident occurred on March 18.
kicked out of HR. We came closer to the group and someone
extended a hug to Donna. One staff member took her hand an
firmly pushed me on my left shoulder as I was passing her,
seemingly as a gesture to turn me around so she could make a
statement to me. She didn’t introduce herself, but said “listen,
we love her” pointing at Donna. She went on to talk about
how many years of experience they have combined on the
unit. . . . She said that Fairfax is making a big mistake and
continued to say that they love her. She was visibly agitated
and gestured at me with a pointed finger. I was caught off
guard by the physical contact and wasn’t clear on all that was
being said, but I did say that “there is a way to do this, but not
here/like this. . .” and shook my head. I continued to
acknowledge their collective frustration, but gestured that this
isn’t the time or place and headed back to HR.
(GC Exh. 22, Bates #01471.)
These notes were written after Melito discussed her encoun-
ter with her supervisor, Julie Reitman, and HR Manager Vivian
Stancil, possibly several hours after the event. (Tr. 2053–
2054.) Melito’s relevant testimony at trial is as follows (Tr.
2049–2051):
A. Okay. Donna and I walked back toward the sup-
port services building. That's where the elevator lobby is
and the exit to the garage. As we were walking down the
hall and basically turning the corner to where the elevators
were, there was a group of I'm assuming nurses coming
through, former coworkers of Donna, coming toward us.
They saw Donna. They were excited to see her. They
were waving, saying things like, oh, there you are, saying
that they were being kicked out of HR, and, you know,
they all just started gathering around us. And I could tell,
well, you know, I don't really have a place here anymore.
So someone came, I remember someone went to hug Don-
na, and then I was just basically going to walk through
them and go back to human resources, but one individual
approached me, took her hand and basically pushed my
shoulder. I don't know if it was to stop me or turn me
around, and then proceeded to say a number of things to
me. But she was pretty animated. I remember she was
pointing her finger, telling me things like we love her, you
know, you don't know what you're doing, we have howev-
er many years of experience among all of us, you can't get
that anywhere, you're making a mistake, we love her
again, just basically being animated, emotional. And I
remember just being taken off guard and putting my hands
up and saying something like, you know, not here, like not
the place or something like that, and then walking back.
I find that Giordano did not “push” Melito. The surveillance
video (GC Exh. 30), CD 2, of this incident shows that the entire
encounter lasted no more than 1 minute.33 The video is incon-

33 I have watched the surveillance video (GC Exh. 30, CD #2), sev-
eral times. The encounter between the nurses and Melito is visible only
on camera 8. It starts after 16:42:10 (4:42:10) and is over by 16:43:10.
The area in which the encounter takes place is very dark. Eileen Dob-
bing, who viewed the video, testified that the video was not even clear
INOVA HEALTH SYSTEM 1247
clusive but shows that Giordano may have touched Melito, who
was talking to another nurse, in order to get her attention. From
the video, it appears the Melito turned to her right to talk to
another nurse. At this point, Melito’s back was turned to
Giordano. Melito then turned around to speak with Giordano
for less than 1 minute.
I discredit statements, such as that made in Leanne Gorman’s
affidavit, that Giordano “shoved” Melito or that Melito was
“shaken up” by the encounter. I discredit Eileen Dobbing’s
testimony at Transcript 1526 that Melito was visibly upset by
the encounter or that Melito told her she was upset.34 Dob-
bing’s testimony that “Michelle was pretty afraid of Judy” (Tr.
1530), is an outright fabrication, and is further evidence of
Respondent’s determination to make Giordano’s behavior ap-
pear worse than it actually was. The surveillance video conclu-
sively establishes these statements to be false.
Melito’s facial expression, as she walked towards the camera
and away from the nurses does not indicate that she was shaken
or upset by the incident at all. In fact, her expression and gait
suggests that nothing unusual or upsetting to her had occurred.
Moreover, Melito did not testify that she was, “shaken up,”
upset or afraid of Giordano.
Melito’s notes and testimony are in part the product of her
conversations with Reitman, Stancil, and perhaps others. That
Respondent sought to depict Giordano’s conduct in the worst
possible light is established by the discipline it issued her,
which is way out of proportion to anything she might have done
and the embellishment of the incident by Leanne Gorman and
Eileen Dobbing.
Giordano did not express any animus or hostility towards
Melito or Respondent. The statements taken by Respondent
from the other six nurses who were present makes that quite
clear. (GC Exh. 28.) Moreover, Respondent knew this was the
case.
A draft of Giordano’s disciplinary form (GC Exh. 27), stat-
ed, “From reviewing the surveillance video, it is apparent that
you did touch the left should[er] of the HR Rep. This touch
was not done in an aggressive manner.” In the final version of
the warning, which was presented to Giordano (GC Exh. 26),
this language was omitted. There is no explanation for its dele-
tion and I conclude that this language was deleted because Re-
spondent was determined to discipline Giordano in such a way
as to intimidate her and Donna Miller’s other supporters.
Giordano was placed on administrative leave and was given
no information as to the level of discipline she was to receive
until March 23, 2009. I find this was done with the intent of
intimidating her and the other nurses supporting Donna Miller.
On March 23, Paula Graling, Giordano’s immediate supervisor,

enough to identify Giordano as the person addressing Melito. (Tr.
1526–1529.)
34
Dobbing may have learned about Melito’s encounter with
Giordano from HR Manager Vivian Stancil, who had already displayed
tremendous animosity towards the group of nurses who came to the
human relations office to show their support for Donna Miller on
March 18, as well as those who questioned the fairness of Respondent’s
investigation of Miller at a March 4 staff meeting.
called her and told her that she was not being fired and would
be paid for the days she was off from work.
On March 24, Eileen Dobbing in the presence of Inova’s
human resources director, Kenneth Hull, presented Giordano
with a final written warning, the last step in Respondent’s pro-
gressive discipline program short of termination. The decision
to issue this warning was made by Hull or someone above him.
From Eileen Dobbing’s testimony that she took Hull’s sugges-
tion to issue a final written warning, I infer that she did not play
any significant role in deciding to discipline Giordano. (Tr.
1531–1532.)35
The warning concluded that “inappropriate physical and ver-
bal behavior, such as these behaviors exhibited in the work-
place, is unacceptable and falls outside the Inova Standards of
Behavior” (GC Exh. 26).
In issuing a final written warning to Giordano, Respondent
relied on an incident in 2008 in which Giordano raised her
voice at Dobbing during a staff meeting.36 In that staff meeting
Giordano and other nurses complained about higher pay being
given to new nurses than to nurses that had been at Fairfax
Inova for several years.
Respondent Violated the Act in Disciplining Judy Giordano for
Engaging in Concerted Protected Activity
When Judy Giordano and other nurses went to Respondent’s
HR office to show their support for Donna Miller and persuade
Respondent to reverse its decision to terminate Miller, they
were engaged in activity protected by Section 8(a)(1) of the
Act, Central Valley Meat Co., 346 NLRB 1078, 1079 (2006).
Judy Giordano’s attempt to talk to HR representative Michelle
Melito on behalf of Miller was part of this concerted protected
activity.
Pursuant to Atlantic Steel Co., 245 NLRB 814, 816–817
(1979), an employer violates the Act by discharging or disci-
plining an employee engaged in the protected concerted activity
unless, in the course of that protest, the employee engages in
opprobrious conduct, costing him or her the Act’s protection. In
assessing the conduct, the Board assesses four factors: (1) the
place of the discussion; (2) the subject matter of the discussion;
(3) the nature of the employee’s outburst; and (4) whether the

35 On the other hand, the final written warning is signed by Dob-
bing, which seems to belie Respondent’s contention that Dobbing could
not determine the discipline for Donna Miller because she is technically
a contractor rather than an employee of Inova. (GC Exh. 26.) If Dob-
bing could administer a final written warning, the involvement of high-
er-level management, particularly, CEO Dr. Reuven Pasternak, Dr.
Seneca, and Pat Conway-Morana indicates that Respondent decided to
terminate Miller after Leanne Gorman talked to Dr. Seneca on February
16.
36 Dobbing also testified that Giordano pointed her finger and grit-
ted her teeth. (Tr. 1584–1585.) She also testified that afterwards in her
office, Giordano sat close to her and put her face close to Dobbing’s
face. However, Dobbing did not document any of this behavior and I
therefore do not credit her testimony on this point. I would also note
that if Dobbing “verbally coached” or “verbally reminded” Giordano as
she claims, it should have, per Respondent’s progressive discipline
policy been documented on a form signed by Giordano (GC Exh. 4,
Bates #1367). I credit Giordano’s testimony at Tr. 492 that she was
never told that she was being verbally warned or being disciplined.
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1248
outburst was, in any way, provoked by the employer’s unfair
labor practices.
As noted previously, merely speaking loudly or raising one’s
voice while engaging in protected concerted activity generally
will not deprive an employee of the Act’s protection. No differ-
ent result follows from the fact that Giordano may have
touched Melito. The Board has consistently found an employ-
ee’s conduct to be unprotected when he or she strikes, fights, or
even slaps a supervisor. However, even assuming that
Giordano touched Melito, she did not exhibit hostility towards
Melito or Respondent. The physical contact, if it occurred, was
extremely brief and was intended simply to get Melito’s atten-
tion, see E. I. Dupont de Nemours, 263 NLRB 159 (1982).
Applying the Atlantic Steel factors, I place great weight of
the fact that the encounter between Giordano, her fellow nurses
and Melito was happenstance. Giordano and her colleagues
went to HR to show their support for Miller, they did not seek a
meeting with Melito, who they happened to see after being told
to leave the HR office. Giordano’s behavior was not premedi-
tated; it was simply a spontaneous expression of her concern
for Miller.
Factor #1, the place of discussion weighs in Giordano’s fa-
vor. The encounter with Melito occurred in a nonwork area
and did not cause any disruption whatsoever.
Factor #2, the subject matter of the discussion, weighs heavi-
ly in favor of finding that Giordano did not lose the protection
of the Act. The subject of the discussion was the termination of
the six nurses’ long-time friend and colleague, Donna Miller,
who they believed had been unjustly terminated by Respondent.
Thus, the nurses’ concerted protest of Miller’s termination and
Giordano’s role in the protest was activity protected by Section
7 of the Act.
Factor #3, also weighs heavily in favor of finding that
Giordano did not lose protection of the Act. If Giordano
touched Melito, she did so simply to get her attention, not to
hurt her or even to display anger at Melito or Respondent.
Giordano’s “discussion” was merely a plea for Donna Miller’s
job. That Respondent knew that Giordano did not touch Melito
in an aggressive or hostile manner is established by the draft of
its disciplinary notice (GC Exh. 27).
As to factor #4, I find that Giordano’s “outburst” was clearly
a response to Respondent’s pretextual discharge of Donna Mil-
ler. As discussed, herein, I find that Miller’s discharge violated
the Act.
Finally, I find that Respondent’s decision to give Giordano a
final written warning, with its attendant threat of termination
for any other conduct Respondent found objectionable was
motivated by a generalized animus towards concerted activity
by the ASC nurses. It was also intended to intimidate them
from engaging in any sort of concerted activity in the future.37

37 I would also note that Respondent in giving Giordano a final writ-
ten warning relied on a prior incident in which Giordano’s conduct was
activity protected by Sec. 7 of the Act. She complained about wages in
concert with other nurses at a staff meeting. By raising her voice in
doing so, she would not have lost the protection of the Act, see cases
cited herein.
Failure/Refusal to Promote Cathy Gamble to the Clinical
Nurse Leader Position
In February 2009, Respondent announced that it intended to
create a clinical nurse leader (CNL) position in the ASC and it
encouraged the senior nurse specialists (SNS) in the ASC to
apply for this position. Eileen Dobbing told the SNS nurses
that the CNLs would get a $1-an-hour raise from what an SNS
was receiving. Three of the five SNS nurses applied for the
position, two, Paula Hay and Marta Porta were promoted to
CNL; one, Cathy Gamble, was not.
Hay and Porta’s names appear on the February 13, 2009
email that Donna Miller sent to Paige Migliozzi and Paula
Graling; Gamble’s does not. For this reason, Respondent ar-
gues that its failure to promote Gamble to CNL cannot possibly
be discriminatory in violation of Section 8(a)(1). It is well
established that an employer's failure to take adverse action
against all union supporters does not disprove discriminatory
motive, otherwise established, for its adverse action against a
particular union supporter, Master Security Services, 270
NLRB 543, 552 (1984); Volair Contractors, Inc., 341 NLRB
673, 676 fn. 17 (2004). The same principle applies to an em-
ployer’s failure to take adverse action against all employees
exercising Section 7 rights in a nonunion context.
Only two other nurses applied for the CNL position, Britta
Devolder and Deeb Oweis. Both were hired. Devolder had
previously worked at Georgetown University Hospital and
Oweis worked at Inova’s Alexandria, Virginia hospital. Thus,
four of the five applicants for the CNL position were awarded
the position.38 The CNLs were hired for specific service lines
in the ASC. Oweis was hired to be a CNL for general surgery
and urology, the position that would have been most appropri-
ate for Gamble. Respondent admits that Gamble is a good
nurse and was qualified for the CNL position. However, it
submits that she did not get the CNL job because Oweis was
better qualified. (Tr. 416, 2126, 2185.)
The General Counsel alleges that Gamble was not promoted
because she engaged in protected concerted activity. The spe-
cific incident at issue occurred on June 2, 2009. In September
2009, Mary Lou Sanata told Gamble that one of the reasons
that she did not get the CNL position was that she did not sup-
port management. As an example, Sanata cited Gamble’s con-
duct at a staff meeting on June 2, 2009. (Tr. 580–581, 2184;
GC Exh. 96 at pp. 12.) At that meeting, Patient Care Director
Paula Graling thanked Nurse Guna Perry for volunteering to
stay late the night before to assist Dr. Soutter in performing an
appendectomy in the ASC. (Tr. 580–581, 714–715.)
The previous evening, a laparoscopic (minimally invasive)
appendectomy for an approximately 10- or 11-year-old girl was
added to Dr. Alexander Soutter’s surgery schedule. It was
originally scheduled to be performed in the main operating
room. At about 7:40 p.m., 20 minutes before Perry was sched-
uled to leave work, Dr. Soutter asked Perry to call the main
operating room (MOR) to determine whether they were ready
for him. The charge nurse in the MOR informed Perry that Dr.

38 A sixth applicant, Sheila George, withdrew her application prior
to the August 2009 interviews.
INOVA HEALTH SYSTEM 1249
Soutter would not be able to perform this appendectomy until
much later in the evening. Dr. Soutter asked Perry and the
scrub technician if they could stay late so that he could perform
the appendectomy in the ASC. Perry agreed. Had Perry not
agreed to stay late, the MOR would have had to find staff to
assist Dr. Soutter. (Tr. 1419.)
The next day, at a staff meeting, after Paula Graling thanked
Perry for volunteering to stay late, Graling and Lou Sanata
observed Gamble and Nurse Margaret Donegan talking to Per-
ry. Gamble told Perry that she should not have volunteered to
stay late because it would create a precedent and that the main
OR would now expect the ASC nurses to stay late to assist in
surgeries scheduled for the MOR. Perry later met with Graling
and Sanata. Perry was crying and she told Graling and Sanata
she did not want working conditions in the ASC to change as
the result her decision to stay late the night before. Sanata and
Graling became aware of what Gamble and Donegan said to
Perry either on June 2 or 3.
Gamble’s Statements to Guna Perry did not Violate
Section 8(g) of the Act
Respondent argues that Gamble’s statements to Guna Perry
were unprotected because they violated Section 8(g) of the Act,
which provides in pertinent part:
[a] labor organization before engaging in any strike, picketing,
or other concerted refusal to work at any health care institu-
tion shall, not less than ten days prior to such action, notify the
institution in writing and the Federal Mediation and Concilia-
tion Service of that intention. . . . The notice shall state the
date and time that such action will commence. The notice,
once given, may be extended by the written agreement of both
parties.
I reject this argument for a multitude of reasons. First of all,
Section 8(g) applies to “labor organizations” as that term is
defined in Section 2(5) of the Act. It does not apply to individ-
ual employees, Walker Methodist Residence, 227 NLRB 1630
(1977). Gamble and Donegan are not a labor organization, they
are individuals acting in concert, who belong to an organiza-
tion, NAPS, which is not a “labor organization.” Their com-
ments to Perry were spontaneous reactions to the news that
Perry had volunteered to work late; they were not directed to
make these comments by NAPS. Finally, Gamble and Done-
gan did not engage in any activity prohibited by Section 8(g).
They did not engage in a strike, picket, or engage in a concerted
refusal to work.
NAPS is not a Labor Organization
Under the statutory definition set forth in Section 2(5), the
organization at issue is a labor organization if (1) employees
participate, (2) the organization exists, at least in part, for the
purpose of “dealing with” employers, and (3) these dealings
concern “conditions of work” or concern other statutory sub-
jects, such as grievances, labor disputes, wages, rates of pay, or
hours of employment.
The Limits of “Dealing With”
The Supreme Court held in NLRB v. Cabot Carbon Co., that
the term “dealing with” in Section 2(5) is broader than the term
“collective bargaining.” The term ‘‘bargaining’’ connotes a
process by which two parties must seek to compromise their
differences and arrive at an agreement. By contrast, the concept
of “dealing” does not require that the two sides seek to com-
promise their differences. It involves only a bilateral mecha-
nism between two parties. That “bilateral mechanism” ordinar-
ily entails a pattern or practice in which a group of employees,
over time, makes proposals to management, management re-
sponds to these proposals by acceptance or rejection by word or
deed, and compromise is not required. If the evidence estab-
lishes such a pattern or practice, or that the group exists for a
purpose of following such a pattern or practice, the element of
dealing is present. However, if there are only isolated instances
in which the group makes ad hoc proposals to management
followed by a management response of acceptance or rejection
by word or deed, the element of dealing is missing, E. I.
Dupont & Co., 311 NLRB 893, 894 (1993).
There is no evidence that NAPS “deals with” Respondent.
The General Counsel Made Out its Prima Facie Case
of Discrimination
I conclude that Respondent violated Section 8(a)(1) in failing
to promote Cathy Gamble to CNL. The General Counsel has
made a prima facie case that this decision was made to retaliate
against Gamble for her concerted activity regarding Guna Perry
on June 2, 2009. Gamble and Margaret Donegan criticized
Perry for accepting voluntary overtime and attempted to dis-
courage her from doing so in the future. A refusal to perform
voluntary work does not constitute an unprotected partial strike,
St. Barnabas Hospital, 334 NLRB 1000 (2001). Thus, it fol-
lows that is not unprotected conduct for one employee to dis-
courage another from accepting voluntary work, particularly
when the first employee has a reasonable belief that acceptance
of voluntary work will impact the terms and conditions of other
employees.
Respondent, by Mary Lou Sanata, has conceded that Gam-
ble’s discussion with Guna Perry on June 2, was a factor in the
decision not to promote Gamble to CNL. (Tr. 580–581.) I find
that Gamble and Margaret Donegan engaged in concerted pro-
tected activity in their discussion with Perry. They believed
that Perry’s action would encourage Respondent to shift more
operations from the Main Operating Room to the ASC and
force them to work longer hours. Respondent, by its observa-
tion of Gamble and Donegan, knew that they were engaged in
protected concerted activity. Respondent’s animus towards that
activity and the prima facie case for a causal connection be-
tween Respondent’s animus and its decision not to promote
Gamble is established by Sanata’s testimony.
Respondent has Failed to Rebut the General Counsel’s
Prima Facie Case
Once the General Counsel made out his prima facie case that
Gamble’s protected conduct was a factor in its decision not to
promote Gamble, the burden of proof shifted to Respondent to
prove that it would not have promoted Gamble to CNL even if
she had not engaged in protected activity. Respondent has not
met this burden. It has not established that it would not have
hired five CNLs, rather than four, in the absence of Gamble’s
DECISIONS OF THE NATIONAL LABOR RELATIONS BOARD1250
protected activity and has not proven that it would have hired
Oweis, or the very inexperienced DeVolder, rather than Gam-
ble, if it had decided on a nondiscriminatory basis to hire only
four.
Respondent did not decide to hire four CNLs until August or
September after it knew that there were only five applicants for
the position. There is no evidence as to why it decided to hire
four instead of five or some other number of CNLs. (Tr. 342–
345, 571.) Furthermore, Respondent has not established that
either DeVolder or Oweis was a superior candidate to Gamble.
DeVolder was much less experienced than Gamble. Oweis’
résumé shows a 6-year gap in employment between 1983 and
1989 and 11 years in a field unrelated to nursing from 1996 to
2007. Oweis’ management experience on which Respondent’s
witnesses relied was very brief—about 10 months when he was
hired as a CNL. Prior to being a management coordinator,
Oweis was a charge nurse for approximately 16 months. (GC
Exh. 42.)
I also find that Gamble’s alleged shortcomings are merely
posthoc and pretextual rationalizations on the part of Respond-
ent to cover-up its discriminatory motive. Respondent relies on
the fact that Gamble functioned as the scrub nurse on only a
few occasions in the year prior to the selection of CNLs. In
almost every surgery on which she worked, Gamble functioned
as the circulating nurse. Circulating nurse is a much more
skilled function than scrub nurse. A circulating nurse must be a
RN; the scrub function can be performed by a technician who is
not a nurse. Respondent has not shown how the paucity of
Gamble’s recent experience as a scrub nurse would adversely
affect her ability to function as a CNL. For example, the pre-
cepting in scrub technique can be performed by a scrub techni-
cian rather than a CNL. (Tr. 571.)
Respondent also relies on one occasion that Gamble stayed
late and did administrative work rather than work in the operat-
ing room. I credit Gamble’s testimony that she was unaware
that Respondent needed help in the operating rooms that day
and find this is a pretextual reason advanced by Respondent to
justify not promoting Gamble.39 Additionally, it had been es-
tablished that some parts of Respondent’s assessment of Gam-
ble are simply false, such as the assertion that she is “prone to
gossip.” (Tr. 581–582.)
Another reason that I find the reasons advanced by Respond-
ent to be pretextual is the disparate nature of its examination of
Gamble’s qualifications. Respondent went to great lengths to
determine the number of times that Gamble worked as a scrub
nurse after January 2009. There is no evidence indicating such
scrutiny with regard to Devolder’s and/or Oweis’ qualifica-
tions.
Respondent, by Leanne Gorman, Violated Section 8(a)(1) by
Telling Donna Miller not to Discuss Her Suspension

39 Respondent has not alleged or established that a CNL is a “super-
visor” within the meaning of Sec. 2(11) of the Act. Thus, as a remedy
for its violation of Sec. 8(a)(1), must offer Cathy Gamble a CNL posi-
tion. Even assuming that the CNL positions were “supervisory,” Re-
spondent violated the Act in failing to promote Gamble, Georgia Pow-
er Co., 341 NLRB 576 (2004).
and the Investigation of Her Conduct with Anyone
Other than Her Husband
Donna Miller testified that on February 17, 2009, HR Man-
ager Leanne Gorman told her that she was not to discuss Re-
spondent’s investigation of her or her suspension with anyone
other than her husband. (Tr. 1212.) Gorman testified that she
did not recall telling that to Miller. (Tr. 1746.) I credit Miller
in part because her testimony in this regard is consistent with
General Counsel’s Exhibit 71. This exhibit is an email from
Kenneth Hull to Julie Reitman and Gorman stating that Terry
Miller was counseled by Paula Graling at a staff meeting on
February 26, 2009, when he informed other employees why his
wife was no longer coming to work.
As a general proposition, employees have a Section 7 right to
discuss discipline or disciplinary investigations involving fel-
low employees or their own discipline. However, in determin-
ing whether an employer violates Section 8(a)(1) in prohibiting
or limiting such discussions, the Board balances the interests of
the Respondent’s employees in discussing this aspect of their
terms and conditions of employment with the Respondent’s
asserted legitimate and substantial business justifications.
Jeannette Corp. v. NLRB, 532 F.2d 916 (3d Cir. 1976), Cae-
sar’s Palace, 336 NLRB 271, 272 (2001); Westside Community
Mental Health Center, 327 NLRB 661, 666 (1999).
Respondent has not demonstrated any legitimate justification
for prohibiting Miller from discussing her suspension with her
coworkers. I find that by doing so, it violated Section 8(a)(1).
CONCLUSIONS OF LAW
1. Respondent violated Section 8(a)(1) of the Act in dis-
charging Donna Miller on March 3, 2009.
2. Respondent violated Section 8(a)(1) in telling Donna Mil-
ler that she could not discuss her suspension with other em-
ployees.
3. Respondent violated Section 8(a)(1) in disciplining Judy
Giordano in late March 2009.
4. Respondent violated Section 8(a)(1) in refusing to pro-
mote Cathy Gamble to clinical nurse leader in September 2009.
REMEDY
Having found that the Respondent has engaged in certain un-
fair labor practices, I find that it must be ordered to cease and
desist and to take certain affirmative action designed to effectu-
ate the policies of the Act.
The Respondent having discriminatorily discharged Donna
Miller, it must offer her reinstatement and make her whole for
any loss of earnings and other benefits, computed on a quarterly
basis from date of discharge to date of proper offer of rein-
statement, less any net interim earnings, as prescribed in F. W.
Woolworth Co., 90 NLRB 289 (1950), plus interest as comput-
ed in New Horizons, 283 NLRB 1173 (1987).40

40 Respondent must also pay Miller for the time between the day she
was placed on administrative leave and March 3, since it was Respond-
ent’s practice to pay employees who were placed on administrative
leave and then exonerated and recalled, for the workdays missed. (Tr.
1742.) At this point, it is purely speculative as to what, if any, disci-
INOVA HEALTH SYSTEM 1251
The Respondent having discriminatorily disciplined Judy
Giordano, it must rescind this discipline.
The Respondent having discriminatorily failed to promote
Cathy Gamble to clinical nurse leader must promote Cathy
Gamble to clinical nurse leader retroactive to the date that the
first nurses were promoted to this position and must make her

pline Miller would have received apart from Respondent’s discrimina-
tion for her protected activities.
whole for any loss of earnings and other benefits from that date
until she is promoted, plus interest as described above.
The Respondent shall also be required to remove from its
files any and all references to the unlawful discharge of Donna
Miller and the unlawful discipline of Judy Giordano, and must
notify them in writing that this has been done and that Miller’s
discharge and Giordano’s discipline will not be used against
them in any way.
[Recommended Order omitted from publication.]