Setting the Precedent: Nurses Fired for Being Sick

Nurses spend their day taking care of patients, helping them get on the road to better health. But what happens to the nurse if she/he gets sick? There have been some very public cases of when a nurse was fired because they were sick. While we know this is ethically and morally wrong, what is the reality? Nurses General Nursing News

I have not personally been fired for being sick, but I have witnessed other nurses suffering that fate. I felt bad for them and I can’t imagine what they must have gone through. We want things to be fair and just, and to be able to trust the company that we work for to do the right thing. However, employers aren’t always fair. I’m sure many of you reading this will be able to relate to the story highlighted in this article.

A nurse from Nolensville, Tennessee, Chrissy Ballard was fired this summer after being off from work to begin treatment for her stage 2 hormone-receptor negative (can’t be treated with hormones because it doesn’t have hormone receptors), and HER2+ breast cancer (tests positive for the protein human epidermal growth factor receptor 2 which encourages the growth of cancer cells). Chrissy worked with dying patients in Hospice care for a company called Caris Healthcare. This past March, Chrissy was diagnosed with the terrifying diagnosis of breast cancer. She must now face her own truth of mortality, after helping patients do the very same thing. Caris Healthcare fired her in the middle of her cancer treatment. Her termination letter states that the reason for her firing was due to “health reasons”, but that she was eligible for rehire. Caris Healthcare’s mission statement is to “Hospice with Compassion and Hospice with Grace”. Their actions towards Chrissy does not line up with their mission statement.

Not one person on earth is immune to being diagnosed with cancer, or some other diagnosis that threatens our life and well being. If the day comes that we need to take time off from work for an illness, we hope to be able to take the needed time off to have surgery and other treatments without retribution from our employer.

The Family and Medical Leave Act of 1993 (FMLA) that was initiated by President Bill Clinton, allows employees to take 12 unpaid weeks off from work for qualified reasons while their jobs remain secure. The employee must have been at the institution for 12 months in order to qualify and have worked 1250 hours during that time. Chrissy was fired just before the 12-month deadline. While Chrissy’s case is being fought in the legal arena, Chrissy and her husband say that they regret not putting her request in writing. Lawyers suggest that when you are going to be out for qualified reasons, put it in writing as to why you are asking for time off.

After reading about Chrissy’s situation, I pulled up the policy for attendance at my facility. The policy stated that an “Absence”, in which the employee must take an unscheduled absence over 4 days be referred to FMLA with a written note from a physician. Under the “organizational rights” in the policy, it tells us that the business has the right to authorize or refuse the request to be off, and are able to investigate absences to determine whether the reason is justifiable.

In the employee handbook at my place of employment, it gives the following reasons an employee can use FMLA for pregnancy-related issues such as complications, birth, and care after birth or adoption, care of a family member with a serious illness, and a serious health condition that inhibits the employee from doing their job. FMLA is also granted for military reasons including allowing the employee to take off 26 weeks for a special leave related to care for a covered service member. FMLA allows the employee to come back to work to an original or equivalent position, same pay and benefits.

In a perfect world, we would be able to take off the amount of time that we need and be able to keep the same job. However, employers have to protect themselves as well. Some employers engage in shady practices that put their employees in jeopardy. It is our job to know the law and our employers’ policies regarding time away from work. We should never assume anything. When applying for a job, make sure to check into whether they provide short term disability, long term disability, insurance, and that they fit the qualifiers to provide FMLA.

Chrissy’s surgery was successful, and now she is in the middle of her radiation treatments. The Equal Employment Opportunity Commission is investigating her case for improper firing. Her case can and will set a precedent for nurses in the United States.

Like I stated earlier, I’m sure there are nurses reading this who have experienced good and bad issues regarding their employer when faced with a life-changing event. Share your experience if you wish, or give advice to those who may be facing this in their lives right now. Below is the link to the article about Chrissy Ballard if you would like to read more about her.

A Hospice Nurse Started Chemo. Then Her Employer Fired Her.

Losing health insurance just when you need it most. ?

Specializes in CRNA, Finally retired.

Nurses will be abused as long as we fail to control our numbers.

Specializes in Orthopedics, Med-Surg.

My employer set up a system where we were not allowed more than 4 absences in a calendar year. You could stay out two contiguous days and it would count as one absence, but woe betide the person who called in one day, felt better and worked the next, then relapsed and called in on the third. Two occurrences!

Well, they made up the rules. I merely played by them. I had a bulletin board in my kitchen at home. On it was a sheet of paper where I'd faithfully record each absence and its date.

Before I called in, I checked the board to make sure I wasn't over the limit for the past 12 months. Then no matter what, I took both days off. As a date expired on the list, I'd mark through it, leaving only those in the 12 months up to that particular day I was contemplating staying home.

Nobody wants to be around a sick nurse, though the administration was dishonest about their policy. If they truly wanted to encourage us to stay home when we were sick and potentially infectious, they wouldn't have punished us when we did. But hey: I can take a hint. They really wanted Nurse Typhoid to come in no matter what. They'd have banned sick days entirely if they could have gotten away with it.

Some days I was "sick of" rather than actually "sick" but I took full advantage of my four times a year. Over 12 years there, I used every opportunity without once stepping over the line to earn a write up.

Specializes in Gastrointestinal Nursing.
On 11/14/2019 at 7:35 PM, stimpie777 said:

Happened to me. I was being tested for a very high WBC. Seeing a hematologist and employer was notified. I had to take off early because i had to drive an hr and a half or so to my doctor every month. Also had migraines and nasal surgery. Treated me crappy for all of it. And yeah, they fired me. Kaiser is awesome. Wanted me to be seen by their doctors because they didn't believe me.

How is it not a HIPPA violation for the hematologist to notify your employer? That alone seems illegal

Specializes in Gastrointestinal Nursing.
1 hour ago, JayHanig said:

My employer set up a system where we were not allowed more than 4 absences in a calendar year. You could stay out two contiguous days and it would count as one absence, but woe betide the person who called in one day, felt better and worked the next, then relapsed and called in on the third. Two occurrences!

Well, they made up the rules. I merely played by them. I had a bulletin board in my kitchen at home. On it was a sheet of paper where I'd faithfully record each absence and its date.

Before I called in, I checked the board to make sure I wasn't over the limit for the past 12 months. Then no matter what, I took both days off. As a date expired on the list, I'd mark through it, leaving only those in the 12 months up to that particular day I was contemplating staying home.

Nobody wants to be around a sick nurse, though the administration was dishonest about their policy. If they truly wanted to encourage us to stay home when we were sick and potentially infectious, they wouldn't have punished us when we did. But hey: I can take a hint. They really wanted Nurse Typhoid to come in no matter what. They'd have banned sick days entirely if they could have gotten away with it.

Some days I was "sick of" rather than actually "sick" but I took full advantage of my four times a year. Over 12 years there, I used every opportunity without once stepping over the line to earn a write up.

Wow is all I have to say. Hard to believe some of the absentee rules out there.

1 hour ago, Brenda F. Johnson said:

How is it not a HIPPA violation for the hematologist to notify your employer? That alone seems illegal

Hematologist didn't tell them anything. Kaiser wanted me to see one of their doctors bc they didn't believe me. And i told them no, so when i finally got scheduled for a bone marrow biopsy- they decided to just let me go and a day before my birthday.

6 hours ago, subee said:

Nurses will be abused as long as we fail to control our numbers.

numbers of what?

6 hours ago, subee said:

Nurses will be abused as long as we fail to control our numbers.

as long as we fail to UNIONIZE

Specializes in Home Health & Hospice.

The best action we can take is to VOTE!
Most states have done away with unions and have created “right to work” laws, which means that an employer can fire an employee “at will” - without explanation or notice. It also allows an employee to quit “at will” without notice.

Find out what the laws in your state say about this. Then vote out the legislators that support it. I don’t know how one would go about trying to become unionized, but it might be helpful to look at other states and see how it was done.

On the flip side, I was threatened by a company that threatened to report me to the BON because I gave them 5 day’s notice instead of 2 weeks. They said they could report it as “unprofessional conduct.” I reminded them that Texas is an “at will” state and that it is also specifically highlighted in my contract. I also reminded them that I doubt I would have been given any notice if they had decided to fire me. They were lucky they got any notice. It was like working in a sweatshop!

In a nutshell, we have to fight at the ballot box if we want real change. Your state BON is a great source for what’s going on in your state regarding nursing laws and legislation. That’s a good place to start.

good advice

However, it is considered standard professional practice to give 2 weeks' notice.

How did it go after your talk with them?

A lot of people give 2 weeks' notice, then burn up their sick time instead of coming to work. otherwise, they would not be able to use it.

Specializes in Child Abuse particularly child SA.

I am going through similar right now. I've been in the same job, same position since 1994. Have gone to conferences regularly to continue getting the current trends and information regarding STI/STDs, learning more about how victims feel especially those that have been involved with trafficking etc. My psych nursing experience has always been a very important factor. Now, my spine has been degenerating and I have Fibromyalgia. I still can do my job, but am a little slower, can't run and hop with the kids anymore and some days when there isn't a medical scheduled in the early morning, I'll call in and report that I will be late d/t arthritis being very painful and fibromyalgia issues. I am being forced to retire. They began writing me up for bogus reasons. HR recommended that I go on Intermittent FMLS and I did; however, my Director continues to make this a hostile working place for me. I have worked since I was 15, and have never been written up for anything before. They just want me gone, so I decided to retire so I wouldn't lose my pension. I needed to work another year for better SS benefits. Now, they act like I am important. They had me help decide who would replace me and are getting worried that there won't be enough time for me to teach her 24 years of knowledge and experience. I have been so loyal to my career here and the work we do and I feel like I've been betrayed by them now. I believe my spine has been degenerating because of the lifting I do and the fibromyalgia is from the stress of seeing children hurt in so many ways. I still am very glad I've dedicating a chunk of my life to my job and have helped many children and their families to heal. It has been very rewarding. We have had a new, younger Director for several years now. I keep wondering if she just wants "thirty something's" here. My children are older than my Director. Could this possibly be one of the issues?

Specializes in SICU, trauma, neuro.
On 11/18/2019 at 10:19 AM, Grammy Nurse said:

Now, are getting worried that there won't be enough time for me to teach her 24 years of knowledge and experience.

You won’t... their loss. I’m sorry this is happening ?