all ,'';

•

...-

.

2828 Capitol Blvd.
PO 8011 -10911
Olympi.... WA ')8504-11') 11

STATE OF WASHINGTON

(360) 586-1-181

FAX (360) ;53-0139

PERSONNEL APPEALS BOARD

September 15, 1997

CERTIFIED P·360-112-992
P-360·ll2·993
John R. Arthur
Attorney at Law
10900 NE 811l Street Suite 850
Bellevue, WA 98004

RE:

Annette Belden v. Department of Corrections, Reduction in Salary Appeal &
Disability Separation Appeal, Case Nos. RED-95-00~ & DSEp·96-00 16

Dear Mr. Arthur:
Enclosed is a copy of the order of the Personnel Appeals Board in the above·referenced
matter. The order was entered by the Board on September 15, 1997.
Sincerely,

Q~h-~~
Kenneth J. Latsch
Executive Secretary

KJL:lh
Enclosure
cc:

Annette M. Belden
Michael Sellars, AAG
Jennie Adkins, DOC

I

BEFORE THE PERSONNEL APPEALS BOARD
STATE OF WASHINGTON

2

3

ANNETTE BELDEN,
4

Appellant,

~ Case No. RED-95-0060 and DSEP-96-0016

vs.

~

5
6

7

8

)
)

DEPARTMENT OF CORRECTIONS,
Respondent.

ORDER OF DISMISSAL

)
)
)
)
)

9
10

These matters came before the Personnel Appeals Board, JUDITH MERCHANT, Chair; HOWARD
11

N. JORGENSON, Vice Chair; and ROGER F. SANFORD, Member, pursuant to WAC 358-30-084.
12
13

WAC 358-30-084 provides in relevant part:
14
15

16
17

18

19
20

21
22
23

24

(1) In all appeals filed with the personnel appeals board:
(a) Where the parties have indicated that the case has been settled and ready
for dismissal and where there has been no action by the parties during the preceding
thirty days; or
(b) When the board deems it appropriate for lack of timeliness or any other
jurisdictional matter where there is no question of fact; or
(c) When a party refuses to participate in a prehearing conference pursuant to
WAC 358-30-026(4); or
(d) When the board is unable to contact the appellant at the last address and
telephone number provided by the appellant, the executive secretary or his/her
designee may mail notice to the appellant or the appellant's representative and to the
respondent or the respondent's representative that the appeal will be dismissed by the
board unless within fifteen days following the date of service of the notice a written
request is made to the board and good cause is shown why the appeal should be
continued as a pending case.
(2) If no request is made, the matter will be brought before the board for
dismissal.

25

26

Personnel Appeals Board
2828 Capitol Boulevard
Olympia. Washington 98504

The appeals of Annette Belden fall within the categories covered by the rule. Specifically, on July
2

16, 1997, the Personnel Appeals Board (PAB) was informed that Ms. Belden had decided to drop

3

her appeals before the PAB. By letter dated July 22, 1997, the PAB contacted the Appellant's

4

Attorney and requested that the appeals be withdrawn. Subsequent to the July 22, 1997, letter from

5

PAB, there had been no action taken by either party to these appeals.

6
1

Therefore, on August 25, 1997, the PAB served the parties with a Notice of Potential Dismissal.

8

The notice stated that the appeals would be dismissed, unless, within fifteen days following the date

9

of service, the Board received a written request showing good cause why the appeals should be

to

continued as a pending case. Appellant received a copy of the notice by certified mail on August

II

26, 1997. Neither of the parties to this appeals have submitted a written request showing good

12

cause why the appeals should be continued as a pending case.

13

14

The Board having reviewed the files and records herein, being fully advised in the premises, now

15

enters the following:

16

ORDER

11

NOW, THEREFORE, IT IS HEREBY ORDERED that the appeals of Annette Belden are

18

dismissed.

19

DATED this

20

. -W....:.lJ~411 day of

$¢rnJJlJ0

, 1997.

SHINGTON STATE PERSONNEL APPEALS BOARD

21

22
23

24
25
26

Personnel Appeals Board
2828 Capitol Boulevard
Olympia. Washington 98504
2

BEFORE THE PERSONNEL APPEALS BOARD
STATE OF WASHINGTON

2
3

ANNETTE BELDEN,
4

Appellant,

~ Case No. RED-95-0060 and DSEP-96-0016

vs.

~

5
6
7

8
9

)
)

DEPARTMENT OF CORRECTIONS,
Respondent.

NOTICE OF POTENTIAL
) DISMISSAL

)
)
)
)

---------------)

10

II

Pursuant to the provisions of WAC 358-30-084, notice is hereby given that the above-referenced

12

matters have been noted for dismissal by the Personnel Appeals Board.

13
14

15

16

17
18
19

20

21

22
23
24

WAC 358-30-084 provides in relevant part:
(1) In all appeals filed with the personnel appeals board:
(a) Where the parties have indicated that the case has been settled and ready
for dismissal and where there has been no action by the parties during the preceding
thirty days; or .
(b) When the board deems it appropriate for lack of timeliness or any other
jurisdictional matter where there is no question of fact; or
(c) When a party refuses to participate in a prehearing conference pursuant to
WAC 358-30-026(4); or
(d) When the board is unable to contact the appellant at the last address and
telephone number provided by the appellant, the executive secretary or his/her
designee may mail notice to the appellant or the appellant's representative and to the
respondent or the respondent's representative that the appeal will be dismissed by the
board unless within fifteen days following the date of service of the notice a written
request is made to the board and good cause is shown why the appeal should be
continued as a pending case.
(2) If no request is made, the matter will be brought before the board for
dismissal.

25

26

Personnel Appeals Board
2828 Capitol Boulevard
Olympia. Washington 98504

It appears that the appeals of Annette Belden fall within the categories covered by the rule.
2

Specifically, on July 16, 1997, the Personnel Appeals Board (PAB) was infonned that Ms. Belden

3

has decided to drop her appeals before the PAB. By letter dated July 22, 1997, the PAB contacted

4

the Appellant's Attorney and requested that the appeals be withdrawn.

s

1997, letter from PAB, there has been no action taken by either party to these appeals.

Subsequent to the July 22,

6
7

Therefore, the appeals will be dismissed unless, within fifteen days following the date of service of

8

this notice, the Board receives a written request showing good cause why the appeals should be

9

continued as pending cases.

10
II

DATED AND MtVLED this

jj!J day of I1I!'f_w_f

,1997.

12

WASH

GTON STATE PERSONNEL APPEALS BOARD

13
14
15
16

cc:
17
18

Annette Belden, APP
John R. Arthur,.AIT
Michael Sellars, AAG
Jennie Adkins, DOC

19

20
21

22
23

24

25
26

Personnel Appeals Board
2828 Capitol Bouh:vard
Ol~..mpia. Washington 98504

2

2828 Capitol Blvd.
PO Box 40911
Olympia, WA 98504-0911

STATE OF WASHINGTON

PERSON NEL APPEALS BOARD

(360) 586-1481
FAX (360) 753-0139

July 22, 1997

Jolm R. Arthur
Attorney at Law
10900 NE 8th Street, Suite 850
Bellevue, WA 98004
RE:

Annette Belden v. Department of Corrections
PAB Case Nos. RED-95-0060 and DSEP-96-0016

Dear Mr. Arthur:
On July 16, 1997, you informed a mediator for the Personnel Appeals Board that Ms. Belden had
decided to drop her appeals before the Board. However, the Board has not yet received a formal
withdrawal of the appeals.
Before we can close our files on Ms. Belden's appeals, we must receive a formal notification of
withdrawal. In order to assist you with submitting the withdrawal, I have enclosed a withdrawal
form. Please sign, date and return the form to us as soon as possible so that we can close our
files on the matters.
.
Sincerely,

~ ,6.,....\,).~.~\
Holly Galloway
Senior Special Assistant to the Board
Enclosure
cc (without enclosure):
Michael P. Sellars, AAG
Jennie Adkins, DOC
Annette Belden, APP

o

:
"f

WASHlNGTON STATE
PERSONNEL APPEALS BOARD

• • • .i • •

,

,

.......

APPEAL STATUS REPORT
(To be completed by.MedillJon)

..

,

Date:

--cr;.~~bJ

Appeal Name:

_"-,,,6~()(clo. A

Appftl
Number:
.
.

BED

,qcr3:

I =f,

_

0 () c...

V

-9~

-C6t06

The status ofthe above-captioned appeal is as follows:

CI

The appeal was settled and a copy of the withdrawal order is attached.

CI

The appeal was settled and the parties are going to withdraw.

CI

Appellant called to advise that he/she would withdraw.

CI

The appeal has been settled but final paperwork has not been c,?mpleted.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ should be contacted by
_ _ _ _ _---l. 19_ to be sure that the withdrawal is forthcoming.

o
o

The appeal was not settled in mediation. The case should now be set for
pre-hearing conference and hearing by the board.
The mediation case has not been scheduled, and the case is being
returned to the Board for re-assignment.
Other

PtdS.(' rtH.i::9__
Q;,o t aQ. 1\
So "'.}. (;:\:1,0 r do to d :r - ((0 -q:l
j Ad i ('g.:\ i n..3 ..P>o ,C\ 0
on ! d d it> Ora f
..:rob.!I\ Ac-£~()

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('#& l,b

D<>~
Sigxla~

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Mi/rator's

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LU<+§&
Date
.-

JOHN R. ARTHUR
A1iORNEY AT LAW
10900 N.E. 8TH STREET SUITE 850
BELLEVUE. WASHINGTON 98004
(206) 455·2022

16 July 1997
Jennifer Woods
Att6rney at Law
715 North 193rd Place
Seattle, Washington 98133
Copy to:

(1)
(2)

Client
File

Dear Ms. Woods:
Annette Belden has decided to drop her appeals before
the Board and will pursue her discrimination claims with the
Washington State Human Rights Commission. This decision is
based upon the fact that the Commission can award
reimbursement of her attorney fees. I understand that Mr.
Sellers has requested a meeting. If he still wishes to meet
after being informed of this letter, he can contact me
directly. I would not object to your assistance at such a
meeting.
Sincerely,

QM1L-jf(l[~
_J1rm R. Arthur
(7'

CERTJJ:1CATE OF SERVICE
I ccnify Ihall served a ecp)'
s document on all parties or their counsel of
..Frd on l2OP/96 as foller...
,r. 1 I •
(I
1 L'
h- US Mail PoslaBe Prepaid
~ \. \.l. '\..
Il \J rt i I :l lL.
_ ABCJLegal Messenser
_ Swe Campus Delivery
_ Hand delivered by
//"'

1"

1

2

10

/

t

Y.

n

I ccnify umIer penally otpetjury lIllder lbc laws oflhe Swe ofWlIShinglon Ihal
\he foregoing is IlUC and eoittcL
,
Dated: Deccmbcr?,tt 1 'Olympia. W A ' J
" ~J /'

I.e i1. 71

I ")( {IT

-, .

RECEIVED
DEC 2 4 1996
~tBb~

3
4

BEFORE THE PERSONNEL APPEALS BOARD
STATE OF WASHINGTON

5
6

ANNETTE M. BELDEN,

7

8
9

Appellant,

12

13
14
15
16

NOTICE OF APPEARANCE

v.
DEPARTMENT OF CORRECTIONS,
Respondent.

10
11

NO. DSEP-96-0016

TO:
AND TO:

KENNETH LATSCH, Executive Secretary, Personnel Appeals Board;
ANNETTE BELDEN, Appellant;

PLEASE TAKE NOTICE that the Respondent, Department of Corrections, without
waiving objection as to the sufficiency of service of process or jurisdiction of this Board, does
hereby enter its appearance in the above-entitled action, by and through its attorneys,
CHRISTINE O. GREGOIRE, Attorney General, and MICHAEL P. SELLARS, Assistant

17
18
19

20
21

22
23
24

25
26
ATTORNEY GENERAL OF WASHINGTON

NOTICE OF APPEARANCE -1-

Labor & Personnel Division
905 Plum Street SE, Bldg. 3
PO BOX 40145
Olympia, KA 98504-0145
(3601 664-4167

JENNIFER WOODS
Attorney at Law
715 North 193rd Place
Seattle, WA 98133
(206) 546-9081

. . . U;;~ lJr

,"

C·~·.··

o·

I'll

{j '/-- -

1996

"''::PSO~EL
:. .,:.
-_

~'Jf"
.J
•

September 30, 1996

John R. Arthur
Attorney at Law
10900 NE 8th Street, #850
Bellevue, WA 98004
Re:

Michael P. Sellars
Assistant Attorney General
P.O. Box 40145
Olympia, WA 98504-0145

Belden v. Dept. of Corrections
PAS Case No. RED-9S-0060

Dear Counsel:
I have been in touch with both of you concerning the mediation
of the above referenced appeal which is scheduled for October 7,
1996. You both maintain that in light of some ongoing negotiations
between Ms. Belden and DOC concerning reasonable accommodation
issues, this mediation should be postponed. As such, the October
7, 1996 mediation is postponed.
I will contact you both in a couple of weeks to check on the
status of this case.
At that time, I will need to either
reschedule this appeal for mediation, or, if you believe that would
be fruitless, we can move directly to a pre-hearing conference.
I encourage you to explore the possibility of settling this
appeal as you are working on the reasonable accommodation issues if
it makes sense to work out one big package solution.
Very truly yours,

(7 ,
Jenni\:..er Woods

cc:

Kenneth Latsch

JENNIFER WOODS
Attorney at Law
715 North 193rd Place
Seattle, WA 98133
(206) 546·9081

~~©~~W~lliJ
JUL

:~

5 1996

July 24, 1996

Annette Belden
12304 227th Avenue S.E.
Monroe, WA 98272

Re:

Belden v.

Dep~.

Michael P. Sellars
Assistant Attorney General
P.O. Box 40145
Olympia, WA 98504-0145
of

Correc~ions

PAS Case Ro. RED-95-0060

Dear Ms. Belden and Mr. Sellars:
The mediation in the above referenced matter will be held
Monday, October 7, 1996 at 10: 00 a .m. at the Washington State
Reformatory, Monroe, Washington.
The purpose of the mediation is to settle the appeal to the
mutual satisfaction of the parties without the need for a hearing
before the Personnel Appeals Board. In the event that a settlement
is not reached, we will hold a pre-hearing conference to set a firm
hearing date, set dates for the exchange of witness and exhibit
lists, discovery cut-offs and other pre-hearing matters.
I look forward to meeting with you in October.

cc:

Kenneth Latsch

WPEA
The Washington Public Employees Association • 1-800-544-WPEA
Headquarters • 124 10th Ave SW
Olympia WA 98501 • (360) 943·1121
FAX (360) 357-7627
Toll Free (800) 544-9732

Monroe Office • 20014 Hwy 2·E • Unit C
Monroe WA 98272 • (360) 794-0733
FAX (360) 794-6986
Toll Free (800) 794-9732

Walla Walla Office • 401 W Main • Suite B
Walla Walla WA 99362 • (509) 529-8632
FAX (509) 525-5487
Toll Free (800) 529-9732

~~©~~w~~
July 15, 1996
Kenneth Latsch, Executive Secretary
WA State Personnel Appeals Board
PO Box 40911
Olympia WA 98504-0911
Re:

JUL 1 {' 1996
PERSONNEL
p, p~ E,:.1.LS BOARr'

Annette Belden Vs. DOC, RED-95-Q060

Dear Mr. Latsch:
This letter confirms that WPEA will not be representing the above-named
employee in this appeal. Further correspondence on this issue can be directed
to the employee at their home address: 12304 227th Street SE, Monroe, WA
98272.
Thank you for attending to this issue.
Sincer

yours,

~£

Katherine E. Cunningham
WPEA Corrections Program Director
(svl2kathy96llatsc714107-15-96)

cc:

Annette Belden
Mark Lyon, WPEA General Counsel
Diane Leigh, Manager Human Resources
Jennifer Woods, Attorney at Law

JENNIFER WOODS
AttorDey at Law
715 North 193rd Place
Seattle, WA 98133
(206) 546·9081

IRl \U~ \U IW ~
JUN 11 1996

... '. 1_-.

June 11, 1996

Kathleen Cunningham
WPEA
21004 Highway 2-E, Unit C
Monroe, WA 98272
Re:

>'

"'-

~

Michael P. Sellars
Assistant Attorney General
P.O. Box 40145
Olympia, WA 98504-0145

Belden v. Dep~. of Correc~ions
Case No. RED-95-0060

PAS

Dear Ms. Cunningham and Mr. Sellars:
My understanding is that WPEA has not determined yet whether
it will be representing Ms. Belden in the above referenced appeal.
I would like to go ahead and at least set a tentative date for
the mediation in this matter. My understanding is that Mr. Sellars
is available for this mediation Oc~ober 7, 1996. Please hold this
date on your calendars for this mediation and I will do the same
with the hope that Ms. Belden's representative will be available
that day as well.
Thank you for' your help in getting this scheduled.
Very truly yours,

cc:

Kenneth Latsch

2-

~~~~~w~~
NOV 1 3 1995

1

PERSO~Ij\jEL

2

apP=~1 ~

RfiARD

3

4
5

BEFORE THE PERSONNEL APPEALS BOARD
STATE OF WASHINGTON

6
7

ANNETIE BELDEN,

8

Appellant,

NOTICE OF APPEARANCE

v.

9

10

NO. RED-95-0060

STATE OF WASHINGTON,
DEPARTMENT OF CORRECTIONS,

11

Respondent.

12

14

KENNETH LATSCH, Executive Secretary, Personnel Appeals Board;
ANNETTE BELDEN, Appellant;
JOHN H. COLLINS, Washington Public Employees Association.

15

PLEASE TAKE NOTICE that the Respondent, State of Washington, Department of

16

Corrections, without waiving objection as to the sufficiency of service of process or jurisdiction

17

of this Board,

18

attorneys, CHRISTINE O. GREGOIRE, Attorney General, and MICHAEL P. SELLARS,

19

Assistant Attorney General, and requests that all further pleadings herein be served upon said

20

Respondent at the Office of the Attorney General at the address given below.

13

21

TO:

do~s

hereby enter its appearance in the above-entitled action, by and through its

DATED t h i s ?

day of November, 1995.
CHRISTINE O. GREGOIRE
Attorney General

22
23

c-----~

MICH~EL P. SELLARS

24

ASsista~Attorney General

25

WSBA 0.21331
(360) 6 -4188

26

AlTORNEY GENERAL OF WASHINGTON
Labor Ie PmcMeI Divisicn
905 Plum St. SE, Bld~. 3
PO Box 40145

NOTICE OF APPEARANCE -1-

Olympia. WA ~145
~) 664-4167

2828 Capilol Blvd.
PO Ball 40911
Olympia. WA 98504-0911

STATE OF WASHINGTON

PERSONNEL APPEALS BOARD

(360) 586·1481
FAX (3601 753·0139

October 27, 1995

John Collins
Washington Public Employees Association
21004 Hwy 2-E Unit C
~onroe, WA 98272
RE:

Annette Belden v. Department of Corrections, Reduction in Salary Appeal,
Case No.: RED-95-0060

Dear Mr. Collins:
This letter is to acknowledge receipt of the above entitled appeal by the Personnel Appeals Board
on October 26, 1995.
.
Sincerely,

~J~
J7U~"­

Kenneth
Executive Secretary

KJL:tmp
cc:
Annette Belden
Linda A. Dalton, AAG
Jennie Adkins, PO

z.:\tmp\newappl\Be\de\\.~

.

~.

WPEA
The Washington Public Employees Association • 1-800-544-WPEA
Headquarters • 124 10th Ave SW
Olympia WA 98501 • (360) 943-1121
FAX (360) 357-7627
'Ibll Free (800) 544-9732

Monroe Office • 20014 Hwy 2-E • Unit C
Monroe WA 98272 • (360) 794-0733
FAX (360) 794-6986
Toll Free (800) 794·9732

October 26, 1995

Walla Walla Office • 401 W Main • Suite B
Walla Walla WA 99362 • (509) 529-8632
FAX (509) 525-5487
Toll Free (800) 529·9732

~1E~IEHWIEW
OCT 27 1995

% HN

/t):~ !tt.5

PERSONNEL:

APPEALS BOARD

Kenneth Latsch, Executive Secretary
Washington State Personnel Appeals Board
PO Box 40911
Olympia WA 98504-0911
Re: Annette Belden, RN - WSR
Enclosed is the appeal and evidentiary documents regarding the appeal of the
above named employee, covered by the WPEA-DOC CONTRACT.
Please contact me through the WPEA Monroe office for scheduling or request
for further information.
Sincerely,

ce~:(~~~
Employee Relations Specialist
(svljohnlbeld1 026/1 0.26-95)

cc: Annette Belden
Phil Archibald, WPEA-WSR President
Mark Lyons, WPEA General Counsel

APPEAL FORM
WASHINGTON STATE PERSONNEL APPEALS BOARD
2828 Capitol Blvd.

PH:

P.O. Box 40911

FAX:

Olympia, WA 98504·0911

SCAN 321·1481
(360) 586-1481
(360) 753·0139

~is (ann will help YO~ provide neceSsary. information to Ihe Personnel Appeals Boa"rd when you file an appeal. You are Il2l required to use
tbls fo:m; however, appealS!l:!lli1 be filed In accordance with the requirement as set fonh in Chapter 358·2G WAC.
'
If the space 00 the fl?rm_ is insu~cient or ify~ :-Vis.~ t.o pro.vide a£ic!_ili~na.1 i.~f'?~3:t!"!l, you Tay anac~ additi~al pages.
PRINT OR TYPE - SIGN ON PAGE 2

PART 1.

APPELLANT JDENTIFICA TION

NAME:----'B~e~d~e;;;;'fi;;;_;A~n~n~e~t~e'1.;;;;;;;----------------_ffP.'f'__7'_7__1&
(L:lS1 name. firsl name, middle initial)
HOME AOORESS,

12304 227th Avenue S E

PERSONNEL:
APPEALS BOARD

(':IIumber and streel)

Monroe

WA

98272

(Cify, mle and ZIP eode)

PHONE NUMBERS,
(Include are3. eooe)

WORK,

(360)

794-2600

HOME,

(360)

794-4132

Nashington State Reformatory

EMPLOYfNG AGENCY OR rNSTITUTION:

AGE>JCY OR INSTITUTION THAT TOOK ACTION YOU ARE APPEALING,_ _'::.<"S::.R
PART 11.

REPRESENTATIVE'S NAYfE. ADDRESS

A~D

_

TELEPHONE NuMBER:

John H. Collins,
NPEA Employee Relations Specialist
1 (360) 794-0733
20014 HWY 2-E Unit #C
1 (800) 794-9732
Monroe WA 98272

act

Ao appeUaot rna>' authorize a representative ro
aD bis:her behalf.
represenlation.
'.. , "_"_}
PART Ill.

The Board must be notified orany cbange in

TYPE OF APPEAL

CHECK ONE OF THE FOLLOWING TO fNDICATE THE TYPE OF APPEAL YOU ARE FILING:

--.U- a. Disciplinary: (check applicable action(s).
Dismissal,
_ _Suspension,

---

___Demotion,

--x--x--ReduClion in S;I[a0';

b. Disabiliry Separation;
c.

Rule or Law Violation (complete Pan IV. of this fonn);

d.

Reduction in ForcelLayoff{complete Pan IV. of this form);

e, Allocation (position classification) (complete Part V. oflhis form):
_ _ f.

Declaratory Ruling (see WAC 358-20-050):

-----------------------

--------

PART IV.

RULE VIOLA TION OR

lUCTION-IN-FORCE APPEALS ONLY

W'hat Rule(s) or Law(s) do you believe were violated?

Explain the particular circumstances of the alleged violation:

How were you adversely affected by

we alleged violmion?

What remedy are you requesting in this case?

PARTV.

ALLOCATION APPEALS ONL Y

Has there been a review of your allocation':'

Y,,--

No_ _

Ifso, by whom??

.

_

What is your present classification?'

_

To which class do you think

_

~our

position should be allocated?,

11.7 /7 5
DATE

Of I\PPELLANT OR I\EPRESENTAT

--------

SIG~ED

-

:!-(o\SE RIVElAND
Secrelary

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
WASHINGTON STATE REFORMATORY
P.O. Box 777 • Monroe, Washington 98272-0777

September 28, 1995
PERSONA£ DELIVERY
Annette Belden
12304 227th Avenue S.E.
Monroe, WA
98272
Mrs. Belden:
This is official notification that you will be reduced in pay ten
percent for a period of one year within your present class of
Registered Nurse 3, salary range 49N, step P, $4.074.00 per month to
step L, $3690.00 per month, effective October 16, 1995 through
October 15, 1996.
This disciplinary action is taken pursuant to the civil Service Law
of Washington State, chapter 41.06, revised Code of Washington, and
the Merit System Rules, Title 35, Washington Administrative Code
Section 356-34-010 (l-a) Neglect of Duty, (l-c) Incompetence, (l-d)
Insubordination, (l-h) Gross misconduct, and 356-34-020 Reduction
in Salary - Demotion - Procedure.
This action has become necessary because. of your unacceptable
behavior which is enumerated and specified in the following:
1) You neglected your duty, committed an. act of gross
misconduct, and were insubordinate in that on March 27,
1995 it was discovered that you failed to comply with my
written directive for you to provide me copies of
documents which you attached to nine (9) complaints
you filed with the Washington State Board of Practical
Nursing. You had submitted, as an agent of the Department,
a complaint to the Board of Nursing against Jayne Morse,
a Licensed Practical Nurse under your supervision. Upon
Ms. Morse's rebuttal to your allegations, I directed you to
provide me with all copies of documents which you had
submitted to the Board of Nursing. Although you had
provided numerous Departmental documents to the
Board, you failed to provide me with the same information.
Although you submitted some material, the following
documents were not provided me as I had directed: (a) Page
005, Letter of Reprimand dated 7/12/95; (b) Page 006, Memo
Prescription pickups dated 3/30/94; (c) Page 013, Page from
PT file Warneking dated 3/19/94; (d) Page 014, Valley
General ER Sheet; (e) Page 032, Statement regarding
evaluation; (f) Page 033, Evaluation page 2 dated 5/4/94;
(g) Page 034, Evaluation Additional sheet; (h) Page 035,

, recycled paper

Page Two
September 28, 1995
Evaluation page 3; (i) Page 040, Notes of staff meeting
dated 12/8/93; (j) Page 055, May Phenobarb sheet McGinnis
dated 6/94; (k) Page 063, Marc log dated 6/94;
(1) Page 064, Log dated 7/94; (m) Page 065, Narc log dated
7/94; (n) Page 072, Accident/incident dated 2/14/94;
(0) Page 075, Lab slip LeBlanc dated 3/2/94; (p) Page 083,
Letter from AB to Lt. Pearson dated 4/1/94; (q) Page 087,
Chart Note DY W.M. dated 3/15/94. (Attachment #1)
You knowingly did not comply with my February 6, 1995
directive. Even though my instruction to you was very
clear, you failed to advise me of any confusion you may
have had. As an employee and supervisor of the Department,
you have a duty to comply with all directives I issue.
Your failure to obey an order by the highest ranking
official at the Washington State Reformatory is considered
neglect of duty, gross misconduct and insubordination and
illustrates your unwillingness to accept direction.
Furthermore, your insubordination demonstrates your failure
to accept authority and supervision. I must be able to
rely upon subordinate staff to perform in accordance with
my directives and policies.
2) You committed a second act of gross misconduct and
neglected your duty in that on March 27, 1995 it was
discovered that .you had allowed your Registered Nurse
license to expire. Your license was expired between
October 25, 1994 and December 22, 1994, yet you continued
to perform nursing functions. practicing as a Registered
Nurse without a license is unlawful. You have a duty to
maintain the required license and to take all necessary
actions to ensure that it be current. Licenses for all
health care professionals expire on their birthday in order
that it be easily remembered. Your actions of misconduct
have sUbjected the Department to sUbstantial liability for
your disregard in maintaining a current license while
caring for patients in our charge. (Attachment #2)
3) You have been incompetent in accomplishing your duties as
evidenced by an employee performance evaluation which
covers the period from January 3, 1995 to June 23, 1995.
(Attachment #3) This special evaluation reflects that you
fail to meet minimum requirements in all six (6)
performance dimensions. This evaluation is laden with
examples of substandard performance and behavior which
cannot be tolerated especially at a Registered Nurse 3
level. Your inability to perform at an acceptable and
satisfactory level as the head of nursing personnel cannot
be tolerated.

Page Three
September 28, 1995
Additionally, in reviewing your personnel file, I find the
following documents of more unacceptable performance and
unacceptable behavior:
A) A memorandum dated June 15, 1995 by Norma Gray,
Health Care Manager, in which an incident with an
Licensed Practical Nurse was brought to your
attention. You had failed to provide the post
exposure package following a nursing personnel's
expose to blood and body fluid; (Attachment #4)
B) A memorandum dated June 15, 1995 by Norma Gray,
Health Care Manager, in which she addressed
your failure to properly supervise a Registered Nurse
who had been incorrectly prepouring narcotics,
performing lab draws and working with IV lines without
using gloves; (Attachment #5)
C) A memo dated June 15, 1995 by Norma Gray in which she
reminded you of a June 1, 1995 instruction to you to
advise nurses on the night shift to identify patients
on narcotics and to then ensure that the inmates be
placed on "Sports lay in"; (Attachment #6)
D) A memo dated June 16, 1995 from Norma Gray in which
she instructed you to perform lab draws on inmates and
to pass medications during a complete med line.
(Attachment #7)
Copies of the two Employee Conduct Reports, the Employee
Performance Evaluation, and memoranda from Norma Gray, Health Care
Manager, are attached hereto and incorporated herein.
(Attachments 1 - 7)
In conclusion, based on my review of your prior performance and the
more recent incidents of neglectful and unacceptable behavior, I
have determined to reduce your salary.
Norma Gray, Health Care
Manager, will assist you in meeting standards of performance and
will identify your skills which must be improved. Your performance
will be monitored and evaluated quarterly. You will be appraised,
via discussions with your supervisor and employee performance
evaluations will reflect how your performance meets the standards
established by your supervisor. Formal quarterly meetings with you
should further provide you with the guidance you require. I am in
hopes that significant improvement in your behavior/performance
will be evident. You are also placed on notice that any future
actions of wrongdoing may result in disciplinary action up to and
including dismissal.

Page Four
September 28, 1995
Under the provisions of the Washington Administrative Code
358-20-010 and 040, you have the right to appeal this action to the
Personnel Appeals Board. Your appeal must be filed in writing to
the Office of the Executive Secretary, Personnel Appeals Board,
2828 Capitol Boulevard, Olympia, Wa 98504, within thirty 930) days
after the effective date stated in paragraph one of this letter or
you have the right to file a grievance under the provisions of
Article 10 of the Collective Bargaining Agreement between the
Department of Corrections and the Washington Public Employees
Association.

e,

uper1ntendent
Reformatory

KDC:jh
Attachments
cc: Jennie Adkins, Director, Division of Human Resources
Eldon Vail, Assistant Director, Division of Prisons
Kathy L. Dalton, Assistant Attorney General
Cheryl Landers, Northwest Area Personnel Manager
L. Nani McLaughlin, Personnel Supervisor
Personnel File

...

CHASE RIVELAND
Secrelaty

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
TO:

DATE:

Annette Belden, RN 3

6/15/95

~

FROM: Norma L •. GraNHOI 2

SUBJECT: Jayne Morse, LPN

Yesterday, June 14, 1995 Jayne Morse, LPN reported a needle stick
to you that occurred earlier in the Dialysis Room. At the time
Jayne reported to you we were in the fourth floor hospital morning
report, at which time you left the room to go get Jayne an exposure
packet. As the nursing supervisor it is your responsibility not
only to provide the post exposure' package following any such
incident, but you are also expected to explain to the nurses how
they fill out the paperwork and what procedures they should follow.
This was not done with Jayne and she states that you told her she
would have to take sick leave to go down to see her physician.
Anytime an employee has
exposure to blood and body fluid they
should be instructed to either see their own physician within 24
hours or they should be sent to Valley General Hospital to be
checked. These visits are not at the employees expense nor are they
expected to use sick leave to make these appointments.
Please review the post exposure packet and the Infection Control
Manual to update yourself on the proper procedures to follow if
incidents like this occur in the future.
cc:

K. DUCharme, Superintendent

onn&~lt£ir.

Jayne Morse personne~fl1e
two file

,

NLG/cm

ATI:d.CHMENT #
PAGE
DOC 2·1101111891

---tf-+----_

---tl--OF--7/.·.

_

CHASE AIVELANO
Secretary

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
TO:

Annette Belden, RN 3

FROM;' Norma L. Gra*CM 2

DATE:

6/15/95

SUBJECT: Dorothy Stithem, RN 2

It was brought to my attention today that Dorothy Stithem, RN 2 has
been prepouring narcotics, putting them in unmarked paper fluted
cups, and then placing them in an unmarked drawer in the medcart.
This is an unsafe and unacceptable practice.
It was also brought to my attention that she has been doing lab
draws and working with IV lines without using gloves. In one
incident she assisted in securing the IV line on an HIV positive
patient without the use of gloves. According to OSHA, WISHA, and
the Department of Health the institution could be fined $5,000.00
dollars per nurse if this practice were reported to the Department
of Health.
Please discuss these two issues with Dorothy and prepare a letter
of counseling outlining the proper technique she should be using.
I will review the letter of counseling on Tuesday, June 20th, 1995
prior to you issuinq it to her.
cc:

K. DUCharme, Superintendent
~ftJt'fJ'6lf1.."
coroEny:stithem personnel file
file

NLG/C1D

An:~CHMENT # _ _~>_)""-~GE
DOC 2.110111/191

OF~

_

_

CHASE RIVELANO
Secretary

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM

TO:

Annette Belden,

..

DATE:

RN 3

6/15/95

~

FROM: Norma L.·

Gray~CM 2

SUBJECT: Memos

On 6/1/95 I instructed you to write a memo to the niqht shift RN'S
requestinq them to look up all patients currently on narcotics and
then to check their chart to see if they had been put on a sports
layin. As of this date I have received nothing from you or the
night shift nurses. Please follow through and I will expect a
current list in my mailbox no later ~han June 19, 1995.
cc:

---

K. OuCharme, Superintendent
fJ.le

NLG/cm

"

An,~CHMENT # _ _~tO-,--

_

PAGE _ _-/.J__ oF_+I_ _
DOC 2·\101111191

~HASE

AIVELANO
Secretary

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
TO:

Annette Belden, RN 3

17l1AJUl.4~

;t

FROM: Norma -'L-: Gray, HCM 2

DATE:

6/16/95

SUBJECT: Lab draws and med1ine

Earlier this week I asked you if you had performed any lab draws on
inmates or if you had passed meds at one medline. You stated that
you had observed a couple of med1ines and that you had practiced
lab on four staff members but had not done any labs on inmates.
During this next week of June 19 through the 23rd, 1995 I will
expect you to do all the labs on one day and pass medications
during one complete medline. If you have any questions regarding
these instructions, please see me.
cc:

K. DUCharme, Superintendent
file

~r.d'a1'lnat·!I:jtl;Je

NLG/C1D)
- \ IV

.';...

~§~f2:IIIV1I~fO]
JUN 1 r; 199J -PERSONi'lEl OFFICE
WASi, iI~,r;U ..y:~1"A...t:-=

- "'.......
. .,-"•.".

~,-r."
~

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ATTACHMENT #
PAGE
DOC 2.110 Ill/a"

Z'--

('....

---tl-- oF I

_

..
EMP~~YEE

DEPARTMENT OF CORRECTIONS

CONDUCT REPORT

THIS FORM TO BE USED IN COMPLIANCE WITH POLICY DIRECTIVE NO. 857.005
INSTRUCTIONS AND TIME LIMITS:
1. The person making the report shall provide a clear description of the incident under "Description of Incident"

and. with any witness(es) or person(s) having knowledge. shall sign in the space provided and submit to the
supervisor of the involved employee within fourteen (14) calendar days after the date of discovery of an
employee's alleged misconduct.

2. The form shall be submitted to the employee involved who shall complete the "Employee's Statement" and
return the report to his I her supervisor within seven (7) calendar days following the date of receipt.

3. The appropriate supervisor shall review the facts of the incident, complete the "Supervisor's Report" and
submit the report to the Office Head within seven (7) calendar days following the date of receipt.
4. The Office Head or designated representative shall review and within thirty (30) calendar days following the
date of receipt determine whether misconduct has occurred. This shall be reported under "Administrative
Comments" and shared with the employee. When the supervisor and Office Head are the same person, the
supervisor's supervisor shall complete the Administrative Comments.
ORGANIZATIONAL UNIT

,p~OYEE INYO~ YEO

WSR Health Services

Annette Belden

OATE OF INCIDENT

:smONTI~E

RN 111

3/27/95

I

TIME OF INCIDENT

0 AM 0

PM

DESCRIPTION OF INCIDENT:

It was brought to my attention on 3/27/95 through written and verbal communication from
the Washington State Nursing Board of Licensing that your RN license was expired from
10/25/94 to 12/22/94. During that period of time you continued to function as the RN 111

at Washington State Reformatory. You failed to notify anyone that you were unlicensed
even though your licensure is reQuired to perform your duties as a RN 111.

IATED BY:
(P~EASE PRlHTl

orma L. Gray
'lIESSIES):

I I Health

POSITION TITLE

n

Care Manager 11

POSITION 1I1\.E

\I

POSl1ION TITLE

3~(J/9~
,

~;A
-X'LI~,
,
....-x
ATIACHMENT#
$IGNATUR

DATE

SIQNATUA

DATELL

PAGE.

J

I

01:

,

..... ,.. .... Vlct :JI;)' .... CMt.N'

I have received and read t'

ECR dated 3/30/95 and I disagr

with its contents

as wri tten.

Signature of
Employee:
PERVISOR'S REPORT:

DATE RECEIVED BY SUPERVISO

BY:

Per the memo of Acting Superintendent Mike Williams, dated April 10, 1995,
the time frame for· completion of the Supervisor's Report section of this
Employee Conduct Report was suspended, with due date of May 1, 1995.

See attached investigation report.

Date:

~./C-.Mm~
NISTRAnVE COMMENTS: DATE RECEIVED BY OFFICE HEAD

-

,

... -..-..

__

....

S":- J -

9:r

BY:

;.

Signature of •
Office Head:

;\
ClSTR18UTION-

ORlOlNAL-EIo4P\,OYEE'S PERSONNEL FILE
OHE COPY-EMP\,OYEE

Date:

~ -/9'- fS"

~"':.IVeLAND
'A~ll'IY
STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
):

Annette Belden,

,
:OM:

~~:ma

L.·

RN 3

G~a:yfHCM 2

DATE:

6/15/95

SUBJECT: Memos

On 6/1/95 I instructed you to write a memo'to the niqht shift RN'S
requestinq them to look up all patients currently on narcotics and
then to check their chart to see if they had been put on a Sports
layin. As of this date I have received nothing from you or the
night shift nurses. Please follow through and I will expect a
current list in my mailbox no later 'tQan June 19, 1995.
cc:

K. DUCharme, Superintendent

Annette Belden personnel file
file

NLG/c:m

,,
,

'-t"

OC 2·\101111191

~

/'

~ERIVELAND
Secrelary

/.
STATE OF. WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
TO:

NIGHT SHIFT

DATE:

6/1/95

~

FROM: Annette Belden, RN 3/143

SUBJECT: Sports lay-ins for patients
on narcotics

Please look up all patients on narcotics. Check chart to see if
they have a sports lay-in on a HSR. If not, please do one and leave
in my mail box.
Thank you.
cc:
AS/em

DOC 2·110111/891

Norma L. Gray, HCM 2
file

.Ii: RIVEL."-NO

I

Secretarj'

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
J: Shift Sargent

DATE:

Mary Yepez, RN II.,4-;

6/26/95

SUBJECT:

Sports Lay Ins for Analgesics

The following is a current list of inmates on prescribed analgesics, who should
be restricted from sport activities. in compliance with their prescribed treatment.
This list needs to be updated by telephone calls at the noted date of prescriDtic~
aX~lratlon, and added to as others receive prescriptlons.
Pledse dis~ributc .~
:he ~lock officers and supervising staff in the soor~s anc aC:1vity centers.
NAME

DOC 1/

EXPIRATION DATE

McGinnis. Earl
powell. Ford
LeBlanc, Byron
Bovat. ~'arc
Braud, Cl ; fford
Delmarter, Dennis

929181
235359
702036
974343
623428
247356

7/4 (prob, indefinite)

718 (prab. indefinite)
7/4 (prob. indefinite)
6/29
7/12

A-339
A-416
A-317
A-418
A-312
A-239

Fanninng, Michael

288319

9/9

B-234

Dewyer, John
Early, Llyod
Horn, John

967818 "
937574
975475

7/21 (prab. indefinite)
9/21 (prob. indefinite)
6/31

C-408
C-118
C-316

12/95

Culbertson, Pat
Thornton. Curtis
Verdusco. Ignaci 0

622329
624308
710811

7/9 (prob. indefinite)
Z/9 Lprob. indefinite)
7/14

0-213
0-129
0-214

MacDonnovan, Jesse
Dyer. Donald
Ccndon ," Steve
Doss. Everett

988659
264782
978256
979827

6/31
8/1 (prob. indefinite)
7/20 (prob. indefinite)
9/12

3A
3A-04

cc:

:x:

HOUSE

2·\ 10 (W891

Annette Belden, RN III
Narma Gray, HCM

3A-09

3A-05

"Norma-L. -Gray,- HCM 2

5/25/95

....
"

Response to your memo of
5/17/95

Monitoring Medication Cards.
I have monitored cards monthly in a timely fashion. I have
instructed staff in improving each month according to the
deficiencies that I noted. The med cards have improved 100%. Last
month the last, remaining issue I saw was DC correctly. I have
scanned the cards and see an improvement already.
The monthly staffschedule·has been done on time. A continuing
problem is requests given to me after the schedule is done. On the
same day I hung the current schedule I made 4 changes. I have a new
format and it looks good.
St:aft are aware
working on th~m.
any questions., I
as new needs are

ot their special assignments and are doing or
I talked to staff individually to see if they had
will monitor that program. I will update the list
recognized and new staff come on boar~.

I wrote the ManDown Protocol for custody and medical. The response
from S9t Hall and Captain Evans was good job.
I have' established a new needle and syringe audit system. You
approved it. I am disappointed in the system and will make changes
as you suggested.
I tri~to keep you verbally updated on a daily basis regarding
progress on goals or expectations.
I have devised an audit sheet for chart review. Its a good start
but I think I will have to revise it.
I have reviewed and submitted all medication reports, as we
discussed. I have difficulty in getting the MLP
to do their

\.

I
I

."'!

portion of, dot. 'As you recently suggested, I will have the report
complete up to my portion and give you a copy and put them in the
HLP's mail.
",,~.

; ;' . .; .. 1'11 ,:..

Iddld observeftthe nurses in the new sick call and gave them support
as they needed it.
r...t':'"'-\~.

.

I am schedu~ed with-Dr. saetrum tomorrow and hope to complete both
the Emergency boxes and review the existing Disaster Inventory and
make cpanges accordingly.
I have observed both the morning and noon medication line. L.
Creighton did the AM line and Dru Meloche did the afternoon line.
Both were .equally organized and followed accepted standards of
nursing practice. The inmates were quiet and orderly and behaved
well.
!,

I have observed the diabetic line. It is very efficient. Most of
the diabetics do their own sugars and Insulin. I have done the
diabetic line myself.
I have worked a 4 hour period on the IPU unit. I expect to do more
in that area.
.
I have put the nursing protocols in place. I hope to write more.
They are being used correctly.
I have successfully done 5 blood draws as you requested and would
like to do more •
. I ha,,?e interviewed RN's and hired 3 intermittents. I have kept
overtime to a minimum with intermittent scheduling.
The crash cart inventory is accurate, however we will soon be
changing both the contents and the box. The big test was that we
pass~d
the state Inspection with flying colors because I
continually instructed staff on requirements and checked them
myself.
I have communicated verbally with you on all the requirements you
have expected and yet in your memo you say you have not been
informed.
,.'

.

;.: ..
":

.,:'"

-----_._-~

-

..

._.

I feel that' I have made a tremendous effort to comply with your
style of management and will continue to do so. I am a good
supervisor but it seems to me that you came in with preconceived
judgements and plans. I feel we can resolve these issues. I have
alwa~~_en~oyed.my job •
•

",

(1. " .

• il. •

••

cc:

K. DUCharme, Superintendent
Personnel file
Vicki Howell
file'
....
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----

cHAse RIVELANO
Secretary

STATE OF WASHINGTON

".

DEPARTMENT OF CORRECTIONS
MEM0AA.NDUM

TO:

Norma L. Gray, HCM 2
~

DATE:

6/16/95

'.
(;)

FR0"1: . Annette Belden, RN 3
.
..

.

SUBJECT: Dorothy Stithem, RN 2
'.

'.

On 6/12/95 we discussed in your office that I needed to put Dorothy
stithem on the 3rd floor because with the Inpatient Unit at a
census of 12 that gives only 4 patients apiece.
oriqinally in May I told you I planned to schedule Dorothy on the
3rd floor. You became upset and yelle~ -at me to put her on the 4th
floor. I felf that was a poor decision because there is more
experience to be.gained on the 3rd floor.
You insisted she work the 4th floor and she has, I have remained
with her a full day and observed her setting up, connecting and
running IV meds. I observed her give regUlar medications and
narcotics. I have seen her charting and have her notes to compare
the charting for accuracy and compliance. She worked very well with
other staff. On 6/14/95 we discussed the above and told you that a
little slowness so far is her problem. Then we both agreed that
this would no~ ~atter on night shift.
On 6/14/95 I told you that on Tuesday I would like Dorothy on the
3rd floor to observe Dorothy doing a lab draw and dressing change.
You will receive a written'report of her progress as agreed on
6/14/95.

cc:

K. Ducharme, Superintendent
Annette Belden personnel file
yicki Huett, WPEA
file

•

"

•

ex Z,lI0 CIlIl"

CHASE RIVELANO
Secretary

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM
TO:

DATE:

Dorothy stithem, RN 2 "

.""
FROM:

Annet~e Belden, RN 3

MJ

6/23/95

SUBJECT: Performance

You have been working day shift for a month. It has given me the
opportunity to observe your work.
Inpatient

~nit

summary:

You were assigned daily patients. 'You were able to care for them
satisfactorily .

.

Your patients were complimentary about your care.
You gave medications appropriately with the exception of one
incident of prepouring narcotics inappropriately.
You were noted to have handled blood products without gloves.
Since then I have observed you utilizing proper aseptic technique
in blood draws and IV preparation and dressing changes.
Your observations and charting were good.
Your verbal report was excellent.
outpatient unit summary:

.

My general observation is that OPU day shift is to fast paced for
you to accomplish.
Medication line was very difficult for you and you could not adapt
well.
You were able to perform Block 3 medication line effectively.
You were able to do the diabetics satisfactory.

DOC 2.110 (l 11891

Sick call was fast paced for you.

.

Yo~

-

,

did blood
draws appropriately •
..

Summary:
In general the day shift was to fast paced for you. However, you
successfully demonstrated those procedures necessary for night
shift. You will return to night shift July 1, 1995.
cc: Norma L. Gray, HCM 2
Personnel file
AB/cm
,

-IttkiJ

o/.1¥fr

,

CHASE RIVELAND
Secretary

.

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
MEMORANDUM

TO:

Annette Belden, RN 3

.'

DATE:

6/15/95

.~

FROM: Norma L.

Gra~HCM 2

SUBJECT: Jayne Morse, LPN

Yesterday, June 14, 1995 Jayne Morse, LPN reported a needle stick
to you that occurred earlier in the Dialysis Room. At the time
Jayne reported to you we were in the fourth floor hospital morninq
report, at which time you left the room to qo qet Jayne an exposure
packet. As the nursing supervisor it is your responsibility not
only to provide the post exposure-, package following any such
incident, but you are also expected to explain to the nurses how
they fill out the paperwork and what procedures they should follow.
This was not done with Jayne and she states that you told her she
would have to take sick leave to go down to see her physician.
Anytime an employee has exposure to blood and body' fluid they
should be instructed to either see their own physician within 24
hours or they should be sent to Valley General Hospital to be
checked. These visits are not at the employees expense nor are they
expected to use sick leave to make these appointments.
Please review the post exposure packet and the Infection Control
Manual to update yourself on the proper procedures to follow if
incidents like this occur in the future.
K. DUCharme, Superintendent
Annette Belden personnel file
Jayne Morse personnel file
two file

cc:

NLG/cm
~

DOC 1·1\01\ 111191

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Norma L. Gray, HeM 2

6/21/95

Annet~e

Response to your memo of
6/15/95
regarding
Jayne
Morse, LPN J

..
Belden, RN J

Miss Morse has had another incident that required her filling out
the Post Exposure Form in the past. She was well acquainted with
it. I asked her if she knew how to do it, she said yes I'll just
fill it out. I told her to call m~ if she had any questions. I
asked he~ if she had checked the patients c~art, she said yes, he
was clean. I asked if she had called a doctor; she said she would.
r overheard her making an appointment with the doctor. I did no~
tell he~ to take sick time but I did tell her she could go when she
had to.
do not understand why you automatically send me accusatory memos
without even asking me about the situation in question. I feel as
though i'oU solicit every morsel of gossir; from malcom:ents ar.d
write me as though it is true. It doesn't seem to matter whether
the incident is a year or two old.
I

I feel as though you are deliberately discriminating against me and
this has adversely affected by health.
. also feel that yet.:
continually undermine my position.

cc: K. Ducharme, Superintendent
Personnel file
Vickie Howell, WPEA
File
AB/cm

WPEA
The Washington Public Employees Association • 1.800-544-wPEA
HeadquarteR • 124 10th Ave SW
Olympia WA 98601 • (360) 943·1121

Monroe Office • 20014 Hwy 2·E • Unit C
Monroe WA 98212 • (360) 794-0733

Walla WaDa Otnee • 401 WMaln • Suite n

'IbU Free (800) 544-9732

Toll Free (800) 794-9732

'IbU Free (800) 529-9732

F~(380)367·1621

FAX

F~(360)7~986

Walla Walla WA 99382 • (509) 529-8632
F~(509)52S-S487

W~~~~W~ID)
OCT 26 1995
PERSONNE~

APPEALS BOARD
Proms

faxphane:

cc:

[JUIpI

o

Por)'OUfMYtcW

0

RqJly ASAP

•

WPEA
The Washington Public Employees Association • 1-800·544·WPEA
Headquarters • 124 10Lh Ave SW
Olympia WA 98601 • (360) 949·1121
FAX (360) 357-'1627
1011 Free (800) 644·9732

Monroe Office • 20014 Hwy 2-K • Unit C
Monroe WA 98272 • (360) 794-0793
FAX (360) 794-6986
1011 Free (800) 794·9732

Walla WaUa omcc • 401 W Main • SuJt4:

FAX (509) 526-54A7
'Ibll lorec (800) 529-9732

October 26, 1995
Kenneth Latsch, executive Secretary
Washington State Personnel Appeals Board
PO Box 4091'
Olympia WA 98504-0911
Re: Annette Belden, RN • WSR

Enclosed Is the appeal and evidentiary documents regarding the appeal of the
abOve named employee, covered Dy the WPEA-DOC CONTRACT.

Please contact me through the WPEA Monroe office for scheduling or request
for furthor Infonnallon..

Sincerely,

eP~7Iaa~4~
John H. Collins
Employee Relations Specialist
(.Y~102Cll1o-zo.~)

cc: Annetto Belden
Phil ArchlDald, WPEA-W5R President
Mark Lyons, WPEA General Counsel

D

Wana Walla WA 99362 • (509) 529-8632

APlEAJ,. FORM
VASHlNOTON STATE PERSONNEL APPEALS !SOARD
821 Capital Blvd.
..0. Box 409 II

I'H:

)J~mpl.. WA '1$04-091 t

fAX:

SCAN 321-1481
(360) S86-14H I
(360) 753-0 I39

PJUNT ok TYPE - SION ON PAoe 2
APPELLANT IDENTIFICATION

ART I.

NAM!;,_ _","~e~l::"~e::n~'ii:;'~a~nlfJD~e~t~t~eb:l."""
I........... dn.._ .......

HOME ADORESS~

----~....,..,._.....I

"'hl~J

~

1e,@t€qrt\ID

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12304 22?th Avenue S E
(NlImbcr WllleCl)

;:::;:~H~Q~n~r~Q~e:-::"j~wtl.lA:l..---'lCJUIlQt.,t;2,-,7~2

0C" 2 6 '9

(CII1, tUIiC IftCI ZIP code)

PHONE NUMBERS:

PE.RSONNE~

WORK: (360) 794-2600

APPEp.j..S BOARD

(In"". alea ~)

HOME:

95

(360) 791-4132

EMPLOYING AGENCY OR rNSTlTUTION:

wash1ngcon Sf-ate Reformatory

AGENCY OR INSTITUTION THAT TOOK ACTION YOU ARE APP!ALINO:._ _W;.;.;9;;.:R:.:....-

PART II.

REPRESENTATIVE'S NAME, ADOfl£SS AND TELEPHONE NliMBER:

John H. Collins,

20014 HWY 2-E
Monroe

WA

WPEA Employee RelacloDs

Unit #C

Speclalis~

1 (360) 794-0733

98272

1 (800) 794-9732

TYPE OF APPEAL.

PARTUJ.

CHECK ONE OF THE FOl.LOWrNCi TO INDICATE TH~ T'(~E OF APP~AL YOU AItE PILINO:

xx
_

a. Disciplinary: (~hc~k appllcablc aCtlon(s).
_ _ Dismissal,
Suspension,
b. Dlsabl1ll)' Sep.ratlon;

_ _ Co

_

_ _Demotion.

Rule or Law Violation (complete Part IV. otahls ronn);

d. Reduction In Forc:cJLayof1'(complctc Pan IV. orchis tOnn);
Co

Allocation (position ~lassifiealion) (completc Part V. of this runn);

r.

Declaralor)' Ruting (see WAC 3'8-20-0'0);

,.

Excmptlon or Position.

-.xx-Reduction in S3lary;

_

\RTIV.

RULE VIOLATION OR REt

nON·IN-FORCE APPEALS ONLY

What Rulc(s) or Llw(s) do you bellcve wcrc violated'

Explain the particular circumstances of the alleged violation:

How were )Iou advenel)' affeCtcd by the allcged violation'

----------------------------------_•..Wb.c remedy are you requesting In lhls ,u.,

PART V.

ALLOCATION APPEALS ONLY

Has lhere bten a review of )'our allocation?

Vel_

1(50, by whom'?

_

Whal is your prescnt c:lasslficBllon?

_

To which class do you think your position should be allocBlcd'?

_

/tl.