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Stacy L. Deane v. Pocono Medical Center
142 F.3d 138
3rd Cir.
1998
Check Treatment

*1 Stacy DEANE, Appellant, L. CENTER.

POCONO MEDICAL

No. 96-7174. Appeals,

United States Court

Third Circuit.

Argued Jan. 1997.

Reargued En Banc Jan. 1998. April

Decided May

As Amended *2 (Argued), A. Daniel Benci- Jensen

Debra Lurie, Galfand, Berger, Brigham, Ja- venga, Jensen, Ltd., Swan, cobs, Phila- & Jurewiez PA, Stacy L. Appellant Deane. delphia, for (Argued), & Sidney Steinberg Post R. PA, Schell, P.C., Appellee Philadelphia, Medical Center. Pocono Yonier, McKinley, McKinley and Lorrie PA, PhilaPOSH, PA AFL- Philadelphia, Advocacy, PA CIO, PA Protection Injured Cu- Workers —Amicus Federation riae. Earle, Project,

Thomas Law question Disabilities the en banc court to settle the PA, Philadelphia, for PA Protection original and Ad- panel divided the —whether vocacy, Inc.—Amicus Curiae. plaintiffs, con- order ADA, sidered under must Stewart, Counsel, Gregory C. General J. *3 they perform show that are able to all of Jr., Counsel, Terry, Ray Deputy General just position the functions of the relevant Reams, Gwendolyn Young Associate General functions, with or without ac- Counsel, Davis, Lorraine C. Assistant Gener- panel commodation. The decided that Counsel, Gregory, Attorney, al Robert J. must be able to all of the func- Equal Employment Opportunity Commis- court, tions. Before the en banc neither sion, DC, Washington, Equal Employ- party supported position, and we now Opportunity ment Commission—Amicus Cu- reject it, concluding plain language that the riae. requires proof only plain- of the ADA of a 31,1997. Argued Jan. ability tiff position’s ‘s essen- tial functions. ROTH, Before: BECKER and Circuit BARRY, Judges, Judge.* District This conclusion forces us to determine 29,1998. Reargued En whether Deane Banc Jan. has adduced sufficient evi- dence to create a issue of material SLOVITER, Judge, Before: Chief respect fact with to two elements BECKER, STAPLETON, MANSMANN, misper- case: whether PMC GREENBERG, SCIRICA, COWEN, disabled; being ceived Deane as NYGAARD,ALITO, ROTH, LEWIS,** individual”, whether Deane is a McKEE, RENDELL, Judges. Circuit decision that turns on whether is an nursing essential function of Be- PMC. THE OPINION OF COURT cause we conclude that Deane has adduced BECKER, Judge.*** Chief regarding sufficient evidence both of these appeal by Stacy This is an L. Deane matters, summary we judgment hold that granting from order the district court inappropriate. Accordingly, judg- summary judgment employer, to her former ment of the district court will be reversed (“PMC”), Pocono Medical Center on De- proceed- and the case remanded further ane’s claim under the Americans with Dis- ings. (“ADA” “Act”), abilities Act panel question addressed a second seq. enacting 1201 et In greater difficulty “regarded much ADA, Congress scope intended that the —whether plaintiffs must be accommodated their the Act would extend those who employers meaning within the of the ADA. It disabled, but also to individuals be, panel well as two members of the wrongly regarded employers concluded, that after the is disa- nurse, disabled. sued improper perception bused of its of the indi- ADA PMC under the as such a disability, vidual’s there is no reason to af- to redress PMC’s failure to ac- treatment, any special ford the commodate her a manner that would en- position employee statutorily hence the following able her to retain her entitled injury employer. to accommodation work-related that affected her from the How- heavy ever, lifting.1 to do The case came before as resolution of that issue is not neees- * Maryanne Barry, Trump alleges improperly Honorable United States 1. Deane also that PMC termi- Judge Jersey, District for the District of New nated violation of the Reha- sitting by designation. 1973, seq., §§ bilitation Act of 29 U.S.C. 701 et ** Pennsylvania Judge argument and the Human Act Relations Lewis heard in this matter but ("PHRA”), §§ opinion seq. was unable to clear the due 43 Pa. to illness. Cons.Stat. Ann. 951 et *** Those claims are not before us. Becker, Honorable Edward R. States United Circuit, Judge Circuit for the Third assumed Judge February Chief status on previous appeal, position. we will her Hann then

sary disposition of this asked Car- final Clarke, Nursing, it. ol PMC’s Vice President of not decide Stine, Nursing and Susan PMC’s Director of I. Services, Care to review Resources/Patient request to return to PMC and hired Deane as April In explore possible her. accommodations for primarily on the registered nurse to work 1991, Both Clarke Stine concluded medical/surgical On floor. June previous not be in her could accommodated patient, a resistant she sustained while medical/surgical as a nurse on the floor right causing her cartilage tear in her wrist any year other available approximately one of work. to miss hospital. Finally, Manges, a Hann asked Marie Werk- Deane and Barbara June *4 heiser, Recruiter, assigned compen- workers’ PMC’s Nurse nurse to Deane’s case, any telephoned prospective PMC and advised there were current or sation McCool, openings PMC’s Benefits Coordina- for nurses at Ac- Charlene PMC. tor, Werkheiser, return to work cording that Deane intended to no such were According to De- certain restrictions. openings with at that time. ane, that she un- she informed McCool was As a result of the collective determination pounds per- 15-20 able lift more than in that Deane not could be accommodated typing, such as repetitive form manual tasks previous job any other available Osterman, physician, Dr. had but that her position hospital, PMC sent Deane an duty” “light return to work.2 released her to 7,1992. August on “exit interview” form On that, explained further to McCool Deane 10, 1992, August by Hann notified Deane light a not be accommodated in she could telephone that she could not return to work floor, duty position medical/surgical “handicap”, litigation and because of her willing to move to another area she was accepted In March ensued. Deane long could remain in hospital, as she registered nurse at a care non-acute nursing. Unfortunately, telephone call May facility, she until where remained only meaningful with interaction PMC’s by a employed Deane has been different non- during it could assessed Deane which have facility July 1993. acute care since Neither possible severity of or accommodation heavy lifting, positions require bath- of these injuries. requested PMC never addition- ing patients, the like. physicians, from Deane or her al information Deane,

and, according to when she subse- argued to the court that she Deane district attempted to on several quently contact PMC actually result of was both disabled occasions, rudely by she was McCool treated by injury perceived to and that she was be so again. not call and told judgment, re- summary the court PMC. On jected and held that Deane was speaking Manges, Deane and both theories After Hann, by regarded nor her em- PMC’s neither disabled McCool advised Barbara Vice that, Resources, ployer being disabled and even if she of Human of Deane’s President were, work, meet failed to defini- request to return of her attendant she restrictions, disability. with a need for tion of a work her stated considering court’s Shortly appealed Deane has not the district after accommodation. actually conveyed by that she was dis- McCool and af- determination information Indeed, job description “[i]n abled. she now concedes that comparing ter it to the in this medical/surgical light Hann deter- decisional trends Circuit nurse others,” not now and never was return to she. is mined that Deane was unable to wrist. believe tive motion of her She does In a letter dated June the contents Mang- nursing which were Deane and can some and I would communicated she return to telephone pediatric during suggested conversa- agree es McCool tion, their with this. She has opined Dr. Osterman as follows: nursing, nursing possibly even neonatal hospital apparent- the cancer unit at the do return unrestrict- [Deane] I not think ly lifting patients. All nursing place does involve lifting ed I limit i.e. would acceptable. repeti- pounds on unrestricted would limit and, nursing disabled functional consequently, approach, but which nurses perception PMC’s erroneous of her actual perform only types nursing would certain impairment, have no claim she would under tasks; Hoyer use of lift to move the ADA. patients. Deane maintains that also she could have been to another transferred unit left, then,

What is are Deane’s contentions pedia- within the medical center such as the that she was disabled under the terms of the trics, units, nursery ADA regard- oncology, virtue of the fact that PMC which would ed her far limitations as worse than required lifting. heavy not have In the alter- were, that PMC failed to ac- native, that she can submits restriction, commodate her and that previous of her eventually she was terminated on account of medical/surgical without floor accommo- perception PMC’s that she was disabled. dation because not an essential func- claim, support Deane relies nursing. jurisdiction tion of forth our We set “laundry on a allegedly list” of PMC’s erro- in margin.3 and standard of review perceptions. According neous PMC believed that was unable to lift II. pounds, push pull

more than anything, ten situations, patients assist emergency move *5 The core anti-discrimination section patients daily or assist in the activities of provides of the ADA that: living, perform any patient care at PMC any CPR, hospital, perform or other use the entity No shall covered discriminate body patients, rest her to assist work with against qualified a individual with a disabil- patients, psychiatric equip- or use medical ity because of the of such individ- ment. percep- Deane refutes each these in regard job application procedures, ual or, view, misperceptions in her tions — —and advancement, hiring, discharge or was, fact, injury contends that her rela- employees, employee compensation, tively minor in nature. Deane further con- terms, conditions, training, and other responsible tends that be held PMC should privileges employment. misperceptions they for these because were “snap judgment” the result of PMC’s arrived § 42 U.S.C. 12112. In order to make out a making good analysis, at without faith a in- ADA, case under facie vestigation, or assessment the nature of (1) must be able to that he establish or she injury. (2) “disability” has a ais individu- (3) al” employ- has adverse suffered Finally, Deane maintains that she disability. ment action because of See requires and is to accommodation for entitled Inc., 576, Gaul v. Lucent Techs. 134 F.3d 580 regard, In this restriction. (3d Cir.1998). contends that she could be accommodated previous position either in her as a nurse on medical/surgical through floor reas A. signment to another would not Turning prong pri- to the first

require former, heavy lifting. As to the De- case, ma we must determine whether suggested following ane has accommoda (1) Deane is disabled the terms of help tions: use of an assistant under the Act. (2) implementation patients; “disability” move or lift The ADA of a defines a as: ord, jurisdiction light appellate We have 3. over the district when viewed in the most favorable to grant summary judgment pursuant court's shows that is no § 28 U.S.C. our standard Because of re- material fact and that PMC was entitled to sum plenary, Kelly University, view is v. Drexel 94 See, mary judgment e.g., as a matter of law. 102, Cir.1996), (3d apply F.3d we 104 the same Catrett, 317, 322-23, Corp. Celotex 477 U.S. applied test the have district court should in the 2548, 2552-53, (1986); 106 S.Ct. 91 L.Ed.2d 265 first instance. v. General Electric See Olson Ast- 242, Lobby, Liberty Anderson v. 947, (3d Cir.1996); rospace, 101 F.3d 951 Helen 2510-11, 106 91 S.Ct. L.Ed.2d202 DiDario, (3d Cir.1995). L. v. 46 F.3d Olson, (1986); 101 F.3d at 951. therefore, determine, We must whether the rec- (1) impairment physical or mental (A) impairment [h]as mental physical substantially or more of the substantially major limits one limit life that does not individual; major of such life activities by entity treated a covered activities but is (B) impairment; or such an limitation; a record of constituting such (C) having an im- regarded as such being (2) physical impairment [h]as mental pairment. major substantially limits life activi- 12102(2); 1680.2(g).4 42 U.S.C. attitude of ties as a result is not actu- concedes that she Because Deane impairment; toward others such disabled, only “regard- ally but that she was disabled, impairments none of the defined being [h]as direct our focus to we ed (h)(1) definition. paragraph tier of this section the third tier, conjunction with the first Read entity hav- but is treated covered disability, the third tier actual defines an substantially limiting impairment.6 ing whether PMC re- requires us to determine 1630.2(l). H.R.Rep. also No. having impairment garded Deane as (1990) (“House 101-485(11), Re Labor perceived impairment, port”), reprinted in 1990 U.S.C.C.A.N. substantially limited one or have would 335; Judiciary Report reprinted House major life activities.5 De- of Deane’s more therefore, in 1990 at 452. Common U.S.C.C.A.N. is of no impairment, ane’s actual analysis. requirement definition consequence to our each impairment fact individual not have an Regulations, Turning EEOC others, misperceptions of absent provide an individual major activity. life substantially limit a would if he or she: disabled "regard- many [the The rationale for this third test define Because the ADAdoes not *6 terms, Regula- guided by prong] the Act the ed as” as used in Rehabilitation pertinent we are 1973, by Equal Employment Opportu- by Supreme the Court of was articulated tions issued the ("EEOC”) County implement Title nity I in Board Nassau v. Arline. Commission School of (requiring although § the that an individual the Act. See 42 U.S.C. 12116 The Court noted of Regulations); implement may impairment said that does not in fact EEOC to have Regulations activity, substantially major § as are entitled 1630.2. such these life the re- limit Chevron, U.S.A., disabling. just See prove to substantial deference. as of others actions Council, Inc., impairment might v. Inc. Natural Resources “Such an not diminish Defense 837, 844, 2778, 104 S.Ct. 81 capabilities, 467 U.S. person's physical or mental but Bacon, (1984); per- Blum v. 457 U.S. substantially L.Ed.2d 694 limit that could nevertheless 2361, 132, 141, 2355, 72 L.Ed.2d 728 negative 102 S.Ct. ability the to work a result of son's as DiDario, 325, (1982); 46 331-32 L. v. F.3d impairment.” Helen of others to the reactions (3d Cir.1995). including The Court concluded test, acknowledged society's “Congress ac- that disability myths and fears about Congress cumulated prong, "regarded chose With the handicapping as are the are as diseases protections of ADA individu- to extend im- physical that flow from actual limitations disability. primary actual als who have no pairment.” misperceptions motivation the inclusion 30, 101-485(111)(1990) reprinted H.R.Rep. at No. statutory definition was that disabilities in, 445, ("House 453 Judicia- 1990 U.S.C.C.A.N. myths "society's and fears about accumulated omitted). (footnotes ry Report”) handicapping as and diseases are physical flow from actual limitations that 1630.2(h) "physical 6.29 C.F.R. defines app. pt. impairment.” 29 See (EEOC's impairment” as: 1630.2(1) "Interpretive mental Guidance” to ADA) County (citing v. School Bd. Nassau disorder, condition, (1) [a]ny physiological Arline, 1123, 1129, 107 S.Ct. af- disfigurement, loss or anatomical cosmetic (1987)). 94 L.Ed.2d 307 following body fecting or more of one musculoskeletal, neurological, special systems: history legislative also confirms The limited (including speech or- organs, respiratory enacting sense Congress's primary concern that cardiovascular, reproductive, digestive, gans), "regarded was individ- prong of the ADA skin, lymphatic, who, genito-urinary, hemic no but because of uals with limitations endocrine; or prevented non-limiting impairment, are some disorder, (2) [a]ny psychological mental obtaining employment as result societal retardation, syn- organic brain Report provides: such as mental prejudices. As the final House pretive Deane contends that she satisfies Guidance make clear that even an erroneously nothing misperception the first definition innocent based on because PMC perceived simple nature and extent more than mistake of fact as to the existence, physical impairment “substantially severity, very limited” or even the anof “work”, ability impairment her which is included with individual’s sufficient in the “major satisfy perceived EEOC’s of a life of a definition definition Olson, activity”.7 generally pt. disability. app. 101 F.3d See 29 C.F.R. 953-55; Lines, Inc., (describing, example MacDonald v. Delta one Air 1630.2® (10th Cir.1996); Bridges employee, F.3d “regarded as” disabled an individ- (5th City Bossier, F.3d high pressure 333-34 ual with controlled blood Cir.1996). rejected substantially limiting, The district court De- who nonetheless perceived disability reassigned ane’s claim three on to less strenuous work because First, found, grounds. employer’s court as a matter of the unsubstantiated fear that fact, attack). undisputed regarded employee PMC De- will a heart suffer impairment Thus, limiting only ability ane’s her or not was PMC motivated myth, work surgieal/medical prejudice as a nurse fear determinative floor, ability not her to work as a nurse Deane’s as” claim. Next, general. court determined ground The second Deane’s subse- —that generally pre Deane could not have been quent nursing the field of because, working cluded from in her field substantially demonstrated she was not following her termination from major activity limited in the life of working— positions held two as a nurse. her impairment confuses actual with PMC’s concluded, Finally, the court as a matter misperception subsequent thereof. Deane’s law, that PMC’s im could, most, history work reflect her lack pairment by “myth, was not motivated fear disability, an actual it therefore sheds therefore, and, stereotype” was not action whether, light no whatever on at the time of disagree able under the ADA. all We termination, regarded impair- rationales, discussing

three of the court’s substantially limiting ment as them reverse order. work. legislative Although history contrary indi Finally, to the district court’s con- clusion, Congress cates about concerned has adduced sufficient evi- *7 eliminating myths, fears, society’s stereo dence to create a issue of material prejudices types, respect regarded and with to the fact as her PMC as disabled, Regulations substantially major Inter- activity EEOC’s and limited in the life drome, illness, specif job emotional mental and not does constitute a substantial limitation in learning major activity working.” ic disabilities. life of Id. In mak- determinations, ing these courts consider: include, Major life activities but are not limited (A) geographical [t]he area to which the in- to, oneself, caring per- "functions such as access; dividual has reasonable tasks, forming walking, hearing, seeing, manual (B) [t]he from which individual has learning, working," speaking, breathing, and disqualified impairment, been because of an 1630.2(i), § "sitting, C.F.R. as well as stand- jobs types utilizing and the number of and ing, lifting, reaching." pt. [and] training, knowledge, similar skills or abili- 1630.2(i); § app. Report at House Labor ties, area, geographical within that from 334; reprinted in 1990 U.S.C.C.A.N. at House disqualified also which individual be- Judiciary Report reprinted at in (class impairment jobs); cause U.S.C.C.A.N. and/or (C) Where, here, [t]he from which the individual major activity has as life disqualified impairment, working, been because of an "substantially the term limited” is types jobs and number and of other "significantly ability defined as restricted in the utilizing training, knowledge, jobs range similar skills or a either class broad abilities, area, jobs geographical compared within that to the various classes average person having training, disqualified comparable which the is also from individual Olson, (broad range impairment because of the skills and abilities.” 101 F.3d at 952 Thus, classes). (citing 1630.2(j)(3)(i)). jobs § 29 C.F.R. various "inability § perform single, particular 1630.2(j)(3)(ii). mere 29 C.F.R. impaired regarded First, deposition Deane working. testi- documenting confu- compared impair-

mony from PMC officials with her actual level physical of Deane’s ment, to the extent sion as and of De- whether PMC’s pulling, pushing, capacity, regard with “significante ] restriction] ane constituted also evidence that PMC lifting. There is either a class [Deane’s] exaggerat- fundamentally misunderstood jobs jobs range or a broad in various injury im- that the wrist ed the limitations compared average person classes as to the Moreover, apparent PMC’s posed on Deane. training, comparable having skills abili- in line other testi- misunderstanding is 1630.2(j)(3)(i). § has ties.” 29 C.F.R. Deane mony did not evaluate that PMC that PMC thus adduced sufficient evidence independently re- physicians, her contact substantially regarded physical- more records, but rather relied view medical was, ly impaired than she and that it had telephone conversation solely on one correct, misperception, PMC’s would satis- with Deane. Therefore, fy 1630.2(j)(3)(i) threshold. produced the affidavit and re- also summary judgment inap- on this issue was Rappucci, ex- her vocational port of Daniel propriate.8 explained import of PMC’s pert, who injury. Rappucci con- perception of B. impaired to the had Deane been cluded allegedly perceived extent element of Deane’s The second precluded from consider- been would have requires case under the ADA her to her cho- employment, both within ation individu demonstrate that she is range wide profession sen and within a The this term as an indi al”. ADA defines region. Rappuc- jobs geographic within “who, ac with or without reasonable vidual opined that Deane would have ci further commodation, perform the essential performing precluded been employment position functions of jobs service-produc- available many of the holds or desires.” 42 U.S.C. such individual industries, (including transportation, ing 12111(8). Interpretive Guidance estate, wholesale/retail, finance, hospi- real Regulations inquiry divides this the EEOC industries, services, tality pro- medical First, prongs. into two a court must deter services), up which made 83% fessional req mine whether the individual satisfies 41,000 jobs non-agricultural in Deane’s skill, experience, education and other uisite residence, of the county of but also most job-related requirements of the (con- jobs goods-producing industries such holds or desires. construction, mining, manufactur- tract 1630.2(m). pt. app. remaining of See ing), comprised the 17% Second, the indi it must determine whether positions. with the available PMC counters vidual, attempted to reasonable accommo argument that it accommodate with or without *8 light-duty dation, by placing in other functions of perform can the essential available, id.; if positions when and became sought. see position held or did not suggests that PMC and that this Wayne Newspapers, also Bombard Fort to be disabled. PMC submits (7th believe Deane Cir.1996); 560, 563 Benson 92 F.3d only that PMC con- its actions indicate Airlines, Inc., 62 F.3d v. Northwest incapable performing to be sidered Deane (8th Cir.1995). not Because PMC does precluded from certain functions qualifications a dispute general nursing. returning to nurse, on the need not dwell we analy clear, step “qualified first individual” makes preceding discussion As however, disputes over how sis. factual there are Thus, vein, according to suggest that modation at face value. PMC seems to

8. In a related PMC, relationship discharged its between the al- because of there is no causal Deane was leged discharge misperception and Deane’s a misperception. is also But there original well, statement PMC took Deane's III. Parts II.B.2 and of fact here as infra major accom- could do no and needed Determining whether an individual can, with or without reasonable accommoda prohibits ADA a “covered enti The tion, perform the essential functions of the ty” discriminating against “qualified a position sought, pro step held also a two disability.” individual with a cess, First, relatively straightforward. is a 12112(a). 12111(8), Section which defines court consider must whether the individual term, the latter reads: perform job can the essential functions of the so, “qualified without The term with a accommodation. If the individual individual dis- (and, qualified fortiori, ability” is a to means an individual a entitled with disabil- accommodation). who, not, ity with If then a must or without reasonable ac- court commodation, perform look perform to whether the individual can the essential job employment position a functions of the functions of with so, reasonable If such individual holds or For accommodation.9 the indi desires. not, qualified. purposes subehapter, vidual If is the individual has consideration necessary given employer’s judgment failed to set out a shall be to the element of the essential, what case. as to functions of are employer prepared an has a written majority opinion, panel The in decid description advertising before or inter- ing satisfy reasoned that viewing applicants job, for the this de- step, first must scription shall be considered evidence of showing make that he she could job. the essential functions of the (with all the or without accommodation), 12111(8) just its plain unambiguous. essential func Section section, tions. PMC disassociated itself from the first sentence of that makes it position panel’s before phrase the en banc court. As clear that the “with or without rea- construction, issue is one of directly sonable accommodation” refers step “first interpreting Indeed, a statute “essential functions”. noth- language ing sentence, determine whether the at issue has in the other than “essential plain functions”, unambiguous meaning with re to which “with or without reason- gard particular dispute to the Moreover, the ease.” able accommodation” could refer. Co., 337,-, Robinson v. Shell Oil nowhere else in Act does it state (1997). individual”, 117 S.Ct. 136 L.Ed.2d be a an individual must [mjodifications general, (ii) any change "In an adjustments accommodation is to the environment, way things in the work environment or in the work or to the manner or cir- customarily done that with enables cumstances under held or disability enjoy equal employment opportu- customarily performed, desired is that en- 1630.2(o). pt. app. § nities." 29 C.F.R. qualified able individual with a provides The text of the ADA that "reasonable posi- of that essential functions may accommodation" include— tion; or (iii) [mjodifications adjustments that en- (A) making existing by em- facilities used entity’s employee a covered able with a dis- readily ployees to and accessible usable equal enjoy privileges disabilities; benefits and individuals enjoyed of similarly as are its other (B) job restructuring, part-time or modified employees situated schedules, without disabili- reassignment posi- work tion, to vacant ties. acquisition equip- or modifications of 1630.2(o)(l). devices, appropriate adjustment ment or right examinations, An individual’s to reasonable accommo- training modifications ma- however, subject, dation limi- policies, certain provision terials or example, For tations. is not re- interpreters, readers or and other similar *9 quired provide to if it accommodation would accommodations for individuals with disabil- impose hardship” employer an "undue on the ities. 12111(9) added). § 1630.2(p). in 29 (emphasis defined C.F.R. An Regulations required provide also is not The EEOC further define to accommodation if "reason- poses able the individual a "direct accommodation” to include threat” to the himselfyherself (i)[mjodifications adjustments job safety to a health or others un- process application qualified that enable a less such accommodation would either eliminate applicant acceptable with a to be considered such risk or reduce it to an level. 29 desires; 1630.2(r). position applicant for the such heavy lifting doing of the she is restricted ability perform all prove or her to his job the Act job, and nowhere in is an essential function of a nurse. of the functions per- profession actual distinguish nursing it between as a does Deane describes skill, intellect, of the threshold in terms primarily ceived disabilities and focusses Therefore, if an qualifications. showing of knowledge. conceding lifting con- While functions perform the essential duties, individual can part of she submits stitutes a nurse’s job as to those accommodation without part. that it is small individ- functions, regardless of whether the contentions, again support In of her Deane job of the perform ual the other functions can Rappucci’s report. Rap- affidavit and offers (with accommodation), that indi- or without care, patient heavy pucci opines ADA. is under the vidual lifting patients, is the function of essential history confirms this view. of the ADA evidence, registered nursing. As he refer- accompanied reports that In the committee Department Dictionary of Labor’s ences ADA, spoke directly to the Congress Descriptions Occupational Job Titles adopted in the stat- qualifications standard (“DOL Dictionary”), which details four criti- Congress stated that Repeatedly, ute. nurse, duty general none of cal tasks of individ- qualifications turned on the standard (1) heavy lifting: involves administer- func- ability perform the “essential ual’s (2) treatments, prepar- ing and medications job. e.g., House Labor tions” of the aiding during ing equipment physicians and 55, reprinted, in 1990 Report at U.S.C.C.AN. patients, observing pa- the treatment 32-33, 337; Judiciary Report at House significant recording conditions tients and at 455. reprinted in 1990 U.S.C.C.AN. Con- treatments, sig- drugs, and reactions to on an Act focused gress explained that the incidents, taking tempera- nificant perform func- “essential individual’s ture, pressure, pulse, and other vital blood persons with disabilities to ensure that tions” from normal signs to detect deviations inability disqualified of the because “not patient. Rappucci assess the condition of the marginal func- perform non-essential nursing professional is a occu- also notes job.” Judiciary Report at House tions of the compares orderly pation, and he it with work at 454. reprinted 1990 U.S.C.C.A.N. exemplify the two the differences between report, pur- As in one committee stated nursing positions. example, For is whereas qualifications ADA’s standard pose of the Department of Labor classified continue to employers can “ensure labor, skilled, orderly duty work is medium employees, require applicants that all semi-skilled, heavy-duty labor. classified disabilities, including are able those Also, general criti- none of a nurse’s whereas functions, i.e., the non- perform the essential Dictionary descrip- under the DOL cal tasks job question.” marginal of the orderly description of lifting, the tion include 55, reprinted in 1990 Report Labor House “lift[ing] patients onto and enumerates work added). (emphasis at 337 U.S.C.C.AN. five. This as critical task number from bed” orderly because, according profession- position the nurse exists to assist rejected Having panel’s or her duties. performance of his al in the showing that to make a that Deane needed that, recognizing Finally, points out Deane of the functions she can all heavy lifting, difficulty of unassisted job, determine whether former we must now lifting approach to the a team PMC uses has, fact, sufficient evi adduced re- in routine matters patients, both summary judgment on the dence to survive emergency sponding situations.10 the essen question responds that essential accommoda of the without tial functions support, PMC cites function of nurse. Deane claims that tion as to those functions. in that with function this confuses method that PMC misdefines Rappucci also contends task, accomplishing rath- position (e.g., is a method of the nurse the essential functions specific job in relation to bags "major function including lifting laundry er than as a *10 nursing. Rappucci argues responsibility”). duty task and job description, which its details under the ment as to are essential” and which functions TASKS, heading job descriptions “MAJOR DUTIES AND prepared “written before ad- that one of the vertising applicants” RESPONSIBILITIES” interviewing are two reg- “WORKING for a staff CONDITIONS” possible types determining of evidence for “[f]requent nurse is of lifting istered the position, the a that essential functions of but patients.”11 PMC also notes that Deane con- given greater is be such evidence not to job description ceded that the “an PMC weight simply because it is the included tasks, of accurate reflection the duties and non-exclusive list set out responsibilities qualifications, well as the 1630.2(n)(3). § pt. app. See 29 C.F.R. physical requirements working and condi- 1630.2(n). Thus, not, job description the is registered [PMC],” a tions of nurse at and contends, as PMC incontestable evidence among that her “critical demands” patient lifting is an unassisted essential (1) placement patients in PMC were: the of Moreover, job. function of Deane’s the closets, gurneys, water the tub chairs or Regulations provide EEOC also while changing patients, of the and “inquiry into is the essential functions lifting laundry bags. pieces These of evi- guess employer’s intended to second an busi- dence, multiple contends constitute ad- judgment regard production ness with to by lifting missions Deane that is essential standards,” particular a function whether is registered of a staff function nurse at PMC. essential “is a factual determination Finally, consequences PMC asserts that the by a [based must made on case ease basis inability of a nurse’s to patients lift could upon] (emphasis all relevant evidence.” Id. dangerous hospital create a situation in the added). Finally, import the of the rest of for patients. Deane and her admissions, (e.g., alleged PMC’s evidence etc.) apply by We disputed decline conclusive effect is Deane. For all these reasons, job description judg- either or PMC’s we find that there is heavy lifting ment as to whether is essential of material fact the issue whether De- job. Interpretive to Deane’s qualified EEOC’s ane was a individual under employer’s judg- Guidance indicates that “the ADA.12 job description Rappucci employers criticizes for uti- from their as are disabled lifting that, lizing language incorrect plaintiffs. just describe She reasons as we found requirements. example, according For plain reading only requires that a ADA Labor, Department "frequent pa- plaintiffs they perform show can es- performed task tients” means that the is 33% job, plain reading sential of the functions of the day, approximately 3-5 66% the hours over "qualified definition of individual" demonstrates eight hour work shift. Deane contends that "regarded long as” is so inaccurate) (and description implausible perform as she can the essential functions with testimony. conflicts other For exam- reasonable accommodation. See 42 U.S.C. ple, Campagna, registered Joan staff nurse at 12111(8) (defining "qualified individual” as since swore in her affidavit that “who, one dation, with or without reasonable accommo- typically spends only day per PMC nurse minutes of the beds, repositioning patients transferring in their employment position that such individual holds versa, patients gurney from bed to or vice desires”); 1630.2(m). also moving patients into out of wheelchairs. Moreover, plain reading Deane submits that Moreover, Campagna notes that these tasks are by Supreme of the statute is buttressed nearly always accomplished by people two Arline, Court's decision 480 U.S. at orderlies, employs practical that PMC licensed that, (holding 107 S.Ct. at 1131-32 under the nurses, and nurses aides whose duties are to Act, employers have Rehabilitation an affirmative patient assist in all care nurses activi- obligation to make reasonable accommodations ties, including transferring pa- employees perceived are who to be handi- tients. capped). importantly, according More conclusion, failure to mandate reasonable accommodations view this wc need not reach "regarded plaintiffs as” would undermine the question pan- the more difficult addressed ferreting disability plays role the "regarded plaintiffs ADA out el as” disabled must because, employment. employers discrimination This be accommodated their can- following logic, "regarded prong jobs. essential functions their premised upon of the Deane contends a matter of definition is reality interpretation, “regarded plaintiffs disability, socially enti- reinforced, destroy, tled to the same reasonable difficult accommodations constructed and

149 deeision, importance highlighted the we C. cooperation communication and between em- can easi Finally, that Deane we find ployers employees seeking reasonable prong of her ly third establish the Specifical- See id. accommodations. August call The case. that, in ly, we noted the context the Reha- of her terminating Deane because Hann Act, parties duty have a bilitation “both direct evidence “handicap” is uncontroverted appropriate in the search for reason- assist an adverse Deane suffered good act able accommodation and to employer’s perception action because of ease, single at 420. In this the faith.”13 Id. Kinney disability. v. of her See Martinson telephone interaction between Deane and (4th Cir.1997) 683, 104 F.3d 686 Corp., Shoe hardly our McCool at PMC satisfies standard (“When concededly discharges an employer make “reasonable efforts disability, the em employee because of employee], to communicate with [the assist nothing meet the prove more to ployee need faith, good impede him in to not his test.”). prima facie prong of the third (cita- employment].” investigation Id. [for omitted). may turn out tions While it III. im- reasonable accommodation for reasons, foregoing For (or required she is a possible because be re of the district court will judgment nevertheless, plaintiff), an em- to the district the case remanded versed and ployer engage fails to in the interactive who proceedings for further consistent court it process a serious risk that will erro- runs ground not a of our opinion. Although neously opportunity overlook an accommo- decision, opportunity to observe take this we statutorily employee, and date a disabled (and ongoing) very much protracted thereby Id. at 420-21. violate the ADA. unnecessary likely have been litigation would GREENBERG, Judge, dissenting. Circuit seriously precepts parties taken had respectfully recognize, I I Mengine v. dissent. opinion Run in our announced Cir.1997). course, with a (3d In that a yon, 114 F.3d 415 cases, informing plaintiff merely employ- ed as" who cannot and most enough. job is accommo- not entitled to misperception will not be its er of (and to be rein- therefore does not have dation position, countering PMC notes Deane's stated), necessarily or she need not be without he plaintiff’s "regarded preliminarily that a might remedy. be entitled to still response employer’s irrational discrimination, injunctive against relief future illusory Under these circum- condition. 1539, Goodyear Aerospace, 813 F.2d v. EEOC stances, simply makes no sense it reasons Cir.1987) (9th injunctive (listing benefits 1544 any physical im- talk accommodations for relief, including: instructing employers to definition, because, pairments impair- law, (2) subjecting employ- comply with federal plain- cause of ments are not the power contempt of the federal courts ers to the interpretation disability. Adopting Deane’s tiff's violations, (3) reducing the chill- for future would, (1) permit view: the ADA in PMC’s discrimination); alleged ing employers’ effect to, (or litigation healthy employees through Airlines, Inc., 738 F.2d King v. Trans World litigation) changes in their demand threat Cir.1984), (8th punitive compensatory guise "reason- under the work environments 1981a, v. damages see Johnson 42 U.S.C. under for based disabilities able accommodations" Agency, 459- Railway Express misperceptions; create a windfall upon 1716, 1719-20, 44 L.Ed.2d 295 95 S.Ct. employees legitimate "regarded as” disabled Waddle, (1975) (punitive damages); Mahone who, employers disabusing of their their after (3d Cir.1977) (compensatory dam- 564 F.2d 1018 misperceptions, would nonetheless be entitled ages), under U.S.C. to counsel fees and/or similarly co- situated that their accommodations 1988(b). not, non-disabling admittedly workers conditions. interpretations Mengine, 13. As we noted in acknowledge force the considerable While we "reasonable accommoda- Act's Rehabilitation argument, especially point, PMC's latter analysis of our provisions are relevant to tion” express no on the accommodation we Con- because ADA and vice versa issue, Op- Equal Employment note that the gress section of the Rehabilitation amended portunity has not taken official Commission in- defining "reasonable accommodation” Equal Op- Act position yet Brief for the either. See corporate of the ADA. the standards at We portunity note, however, as Amicus Curiae Commission 794(d)). (citing & n. 4 "regard- at 420 that a F.3d that if it turns out *12 actually disability” impair- Maj. need not have an lifting accommodate her restriction.” substantially all, ment that limits one more of Op. majority explains, After as the major life activities as it is requires sufficient “Deane maintains that and is she regards having employer the her as such an lifting entitled to accommodation for her re- 12102(2)(C). impairment. Thus, Maj. U.S.C. Op. striction.” at 142. But no matter employer against if a covered discriminated misconceptions what PMC have had such an individual in a manner barred the about requested it was Deane who Act, Thus, Americans Disabilities it would vio- the accommodation. even if PMC re- 12112(a). Act. 42 garded late the substantially impaired more was, actually than misperception she But, ease, Ias see this the issue here is does not matter for she was not entitled to out, majority pointed different. As the has any accommodation. It is critical to remem- the district court found that Deane was not ber that this is not a case in actually appealed disabled and she has not employer perceived employee to be dis- is determination. The issue then wheth- abled and then refused make the accom- person actually er a who is not disabled can modation which it she believed needed. demand a reasonable accommodation an employer. After it Deane all who majority gen- The indicates there is to need claimed restriction and dispute uine regarding material fact repetitive who claimed that had she to avoid heavy lifting is an essential function manual tasks. To me the has to be answer job. agree former I is a there employee no. I cannot understand how an genuine dispute heavy of fact as to whether actually who is not disabled can indicate that job. is an essential function of the she must have an for her accommodation But, just dispute regarding fact work, then, the employer when takes her matter, PMC’s of Deane does not grant at her but word declines the accom- heavy lifting dispute neither does be- modation, assert a valid cause action cause it is not material. See Anderson against employer under the ADA. Con- Liberty Lobby, gress pass ADA permit per- did (1986). S.Ct. 91 L.Ed.2d 202 In- sons without demand accom- disabled, actually asmuch as is not Deane modations. right has no to an accommodation whether or helpful following hypo- It is consider impact the accommodation would Let employees thetical. us assume that the essential functions of heavy industry construction in the ordi- job. Furthermore, employer an de- nary employment regularly of their course it termine what are the believes essential very heavy applicant lift loads. An for em- particular job elements for a without concern ployment who is not disabled indi- might challenged its determination employer cates to the that she cannot lift person under the ADA who heavy requests but loads accommodation actually disabled. lifting. prospective employ- to avoid the The view, my In quite straightfor- ease is er refuses make the accommodation. complicated. ward but somehow has become view, my does not violate respectfully I dissent as I would affirm ADA, analyzed when case it summary judgment. too, She, not different. was not disabled but asked for accommodation. majority genu- believes there is

ine fact issue material as to “whether misperceived disabled.”

Maj. Op. at that dispute 140. But does not

matter, critical is not how PMC simply

viewed Deane because no

escape that an from the fact essential ele-

ment of Deane’s failed ease is “PMC

Case Details

Case Name: Stacy L. Deane v. Pocono Medical Center
Court Name: Court of Appeals for the Third Circuit
Date Published: May 11, 1998
Citation: 142 F.3d 138
Docket Number: 96-7174
Court Abbreviation: 3rd Cir.
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