·u. ..., ·
.

,
~

•

.::.

~."

~

•

<;>."
""~

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
WASHINGTON CORRECTIONS CENTER fOR WOMEN
P.D. Box 17 MS; WP-04 • 9601 Bu/acich Rd. N.W. • Gig Harcor, Washington 98335-0017

October 20, 1994

PERSONAL

DELIVERY/CONFID~~TIAL

Ms. Tra',.;eek:

This is official notification that you will be reduced in pay
within your present class of Registered Nurse 2, range N45, step
P, $3,543 per month to step L, $3,216 effective December 1, 1994
through February 28, 1995.

This disciplinary action is taken pursuant to the Civil Service
Law of Washington State, Chapter 41.06 RCW, and the Washington
Administ:r-ative Cede, Title 356'W;'.C (HSR),· and Sections 356-34-010

(1) (a) Neglect of duty; (b) inefficiency; and (h) gross
misconduct, and 356-34-020 Reduction in salary-DemotionProcedures.
Specifically, On May 14, 1994 Offenderlll,

DOC#~hO has a

hear~ disease, presented herself to y~~ith complaints of

dizziness, lightheadedness and fatigue. In response, you
admittedly took her blood pressure and found abnormally low blood
pressures (less than 60 in the second figure). Subsequently, you
failed to record the offender's complaints or blood pressures in
the medical record or chart (Primary Encounter Repor~, DOC 13435). Furthermore, you did not info~ Dr. Christopher Badger,
Medical Duty Officer, of the complaint or low blood pressures.
Instead, you dis~issed the offender from the clinic, and she
returned to her living unit without specific instructions. These
incidents are described in more detail in the Employee Conduct
Report (ECR) completed on September 8, 1994 which is attached
hereto and incorporated herein as Attachment #1.
Minimum Health Record Documentation Requirements effective
September 3, 1993 states in pertinent part:
"DEFINITION:
ENCOUNTER:
Any face-to-face contact made by a health
provider/practitioner (other than those occurring in
connection with a group session) with an offender, whether

'1. ~ ~J. _
'"'
'·0;
,

for diagnostic, therapeutic or instructional purposes, which
is sUfficiently substantive in nature to require an entry in
the clinical record, log or treatment record ••.
HEALTH RECORD:
The record which contains all healthrelated information about an offender to include, but not
limited to, medical, mental and dental health items of an
identifying nature, data bases, assessment, treatment plans,
diagnosis, treatment, progress, clinical events, and
discharge or other summaries ••.
PROCEDURE:
GENERAL DOCUMENTATION PRINCIPLES:
10.

At the conclusion of each encounter, the health care
document diagnosis, impression,
and/or· assessment. "

provider/practitione~ shall

You understood it was your responsibility to thoroughly review
each section of the health care manual as evidenced by your
signature on the signature sheet dated October 30, 1993. Your
signature on this sheet certified that you reviewed, understood
and could perform each procedure outlined in the Health Care
Manual. A copy is attached hereto and incorporated herein as
Attachment #2.
As a Registered Nurse(RN) you have a duty to work efficiently,
exercise sound medical jUdgement and comply with standard nursing
practices which are a part of any basic nurses training. A
trained RN should know that a physician should be made aware of
any or all abnormal physical condition(s) found during a patient
examination and that it is required .to record patient contact
(i.e. vital signs) in medical charts and records whenever a
patient is examined or treated. Recording requirements and
standards were reinforced by clinic practices regarding medical
record documentation as published under "Minimum Health Record
Documentation Requirements" in the nurses procedures manual at
this institution as stated above.
You neglected your duty and were inefficient when you admittedly
"forgot" to write the offender's complaints and blood pressure
readings in her medical records on May 14, 1994 in order to be in
compliance with standard nursing practices and the "Nurses
Procedure Manual" located in the clinic. "Forgetting to record
critical medical information related to the progression of a
heart patients condition and treatment places the patient at risk
for severe medical complications and thereby cannot be
tolerated.
You further neglected your duty, were inefficient and committed
an act of gross misconduct when you failed to notify Dr. Badger,
the Medical Duty Officer, of the offender's complaints and blood
pressure levels. You state that you didn't contact Or.· Badger
because the offender had shown abnormally low blood pressure in

0603

/

the past. But, according to Dr. Badger, your actions could have
had serious implications as stated in his memorandum to Donna
Horgan dated May 18, 1994. (Attachment #1, page 5 of 9) in
pertinent part:
1I • • • The occurrence of this episode is extremely disturbing
because Inmate
has significant ischemic heart disease for
which she receives a variety of medications. The level of
her blood pressure was such that she would be at risk for
life threatening complication such as a heart attack or a
••• (stroke) as injury from a syncopal episode if the low
blood pressure continued. Fortunately, Inmatelll is quite
insightful regarding her illness and its treaement. She
appropriately attributed this low pressure to her medication
changes and discontinued the Prozac on her own. Fortunately,
this was sufficient to correct the hypotension and there
were ne adverse consequences. Her blood pressure on May '16,
1994, was 110/80 ..• "
.

III

A review of your personnel file was conducted to assist me in
determining an appropriate sanction. Overall your work
performance was rated "normal" with a fe'li areas assessed as
"exceeds". Other information from your personnel record which is
pertinent to this review include:
1.) Letter of appreciation - reporting for work under
extreme weather condition.
2.) Letter of commendation - actions resulting in saving a
staff's life.
Your work performance has been good in some respects, however
there is a previous incident in which you failed to follow
established written procedures and demonstrated indifference in
complying with those reporting procedures. This incident coupled
with your present actions begins to establish a pattern in your
behavior which is of concern.
In determining the appropriate disciplinary action in this case,
I have weighted both your overall work history and your
willingness in assuming responsibility for your conduct as
expressed during our meeting on August 18, 1994. Therefore I am
persuaded that a reduction in your salary is appropriate for
these circumstances.
The delivery of poor Health Care performance which jeopardizes
patient care or safety cannot and will not be tolerated at this
institution. You are warned that future acts of this nature may
result in further disciplinary action inclUding dismissal.
Under the provisions of WAC 358-20-010 and 358-20-040, you have
the right to appeal this action to the Personnel Appeals Board.
Your appeal must be filed in writing at the Office of the
Executive Secretary, Personnel Appeals Board, 2828 Capitol
Boulevard, Olympia, Washington 98501, within thirty (30) days

0604

•
.

.

after the effective date stated in paragraph 1 of this letter. As
an alternative, You may file a grievance under the provisions of
Article 10 of the Collective Bargaining Agreement between the
Department and the Washington Public Employees Association/to
appeal this action to the Personnel Appeals Board, you'may not
pursue a grievance over the same issue.
The WACS, Department policies and Collec~ive Bargaining Agreement
are available for your review upon request.

~tf3~
Alice Payne
Superintendent
AP:rjt
Attachments
cc:

Jennie Adkins, Director, DHR (w/o/a)
Kathy Nolan, Division Chief, Labor & Personnel Division
James Blodgett, Deputy Director, Command B (w/o/a)
Donna Grazzini, Area Personnel Manager, DOC
Robert Turk, Personnel Officer, WCCW
Personnel file

c:wp\displtr\traweek.d1

-"

RECEIVED

•

JUN 0 7 1995

STATE OF WASHINGTON

DEPARTMENT Of CORRECTIONS
WASHINGTON CORRECTIONS CENTER FOR WOMEN
P.O. Box '-7 M5: WP.o4 • 9601 8ujacich Rd. N. \Iv. • Gig Harbor, Washingron 98335.0017

June 1, 1995
Jennie Adkins, Director, DHR
Kathy Nolan, Division Chief, Labor & Personnel Division
Eldon Vail, Assista~t Director, Command B
D~~#~nnel Manager, DHR

TO:

FROM:

RObe~~~sonnel

SUBJECT:

Beverly D. Traweek Disciplinary Letter dated October

Officer

20, 1994

The subject disciplinary letter has been reissued. Ms. Traweek's
pay was not reduced during the period specified in the original
letter. The attachments previously provided to you under the
original letter remain the same.
Attached is a copy of the revised letter.
RT:jm
Attachment
cc:

File

0606

..5&4i!QP.!§'it.

.( !

g t .. !2!iS.. J.

@iAMMM.A4MAM&.J#M.44M4.¥..

. . UW.4#%.4thMAA.MR.z.®.@@i},&, . . ., Q.£t.J.M.&Pt•.t.&&JA£.J.&.t.Mi

.. .itWW$4t

rr-'

STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
WASHINGTON CORRECTIONS CENTER FOR WOMEN
P.O. SOX, 7 MS:WP.c4 • 9601 aUjac:ich Rd. N. W. • Gig HartJor. WA 98335·0017

May 26, 1995
CERTIFIED MAIL/CONFIDENTIAL
No. ::z. /99 ,rr" r 3.;l.. 0

Ms. Traweek:
The disciplinary letter issued on October 20, 1994 is cancelled
and superseded by this letter. This is official notification
that you will be reduced in pay within your present class of
Registered Nurse 2, range N45, Step P, $3,548 per month to step
L, $3,216 effective June 16, 1995 through September 15, 1995.
This disciplinary action is taken pursuant to the civil Service
Law of Washington state, Chapter 41.06 RCW, and the Washington
Administrative Code, Title 356 WAC (MSR), and Sections 356-34-010
(1) (a) Neglect of duty; (b) inefficiency; and (h) gross
misconduct, and 356-34-020 Reduction in salary-DemotionProcedures.

II

Specifically, On May 14, 1994 Offender
DOC; _
who has a
heart disease, presented herself to you with com~of
dizziness, lightheadness and fatigue. In response, you admittedly
took her blood pressure and found abnormally low blood pressures
(less than 60 in the second figure). Subsequently, you failed to
record the offender's complaints or blood pressures in the
medical record or chart (Primary Encounter Report, DOC 13-435).
Furthermore, you did not inform Dr. Christopher Badger, Medical
Duty Officer, of the complaint or low blood pressures. Instead,
you dismissed the offender from the clinic, and she returned to
her living unit without specific instructions. These incidents
are described in more detail in the Employee Conduct Report (ECR)
completed on September S, 1994 which is attached hereto and
incorporated herein as Attachment #1.

06-17

Beverly Traweek
Page 2
May 26, 1995
Minimum Health Record Documentation Requirements effective
September 3, 1993 states in pertinent part:
"DEFINITION:
ENCOUNTER:
Any face-to-face contact made by a health
provider/practitioner (other than those occurring in
connection with a group session) with an offender, whether
for diagnostic, therapeutic or instructional purposes, which
is sufficiently substantive in nature to require an entry in
the clinical record, log or treatment record •••
HEALTH RECORD:
The record which contains all healthrelated information about an offender to inclUde, but not
limited to, medical, mental and dental health items of an
identifying nature, data bases, assessment, treatment plans,
diagnosis, treat~ent, progress, clinical events, and
discharge or other summaries ...
PROCEDURE:
GENERAL DOCUMENTATION PRINCIPLES:
10. At the conclusion of each encounter, the health care
provider/practitioner shall document diagnosis, impression,
and/or assessment."
You understood it was your responsibility to thoroughly review
-each section of the health care manual as evidenced by your
signature on the signature sheet dated October 30, 1993. Your
signature on this sheet certified that you reviewed, understood
and could perform each procedure outlined in the Health Care
Manual. A copy is attached hereto and incorporated herein as
Attachment #2.
As a Registered Nurse(RN) you have a duty to work efficiently,

exercise sound medical jUdgement and comply with standard nursing
practices which are a part of any basic nurses training. A
trained RN should know that a physician should be made aware of
any or all abnormal physical condition(s) found during a patient
examination and that it is required to record patient contact
(i.e. vital signs) in medical charts and records Whenever a
patient is examined or treated. Recording requirements and
standards were reinforced by clinic practices regarding medical
record documentation as published under "Minimum Health Record
Documentation Requirements" in the nurses procedures manual at
this institution as stated above.
•

06D8 .

Beverly Traweek
Page 3
May 26, 1995
You neglected your duty and were inefficient when you admittedly
"forgot" to write the offender's complaints and blood pressure
readings in her medical records on May 14, 1994 in order to be in
compliance with standard nursing practices and the "Nurses
Procedure Manual" located in the clinic. Forgetting to record
critical medical information related to the progression of a
heart patients condition and treatment places the patient at risk
for severe medical complications and thereby cannot be
tolerated.
You further neglected your duty, were inefficient and committed
an act of gross misconduct When you failed to notify Dr. Badger,
the Medical Duty Officer, of the offender's complaints and blood
pressure levels. You state that you didn't contact Dr. Badger
because the offender had shown abnormally low blood pressure in
the past. But, according to Dr. Badger, your actions could have
had serious implications as stated in his memorandum to Donna
Morgan dated May 18, 1994 (Attachment #1, page 5 of 9) in
pertinent part:
It • • • The occurrence of this episode is extremely disturbing
because Inmatetllhas significant ischemic heart disease for
which she rece~ves a variety of medications. The level of
her blood oressure was such that she would be at risk for
life threatening complication such as a heart attack or a
••• (stroke) as injury from a syncopal episode if the low
blood pressure continued. Fortunately, Inmatelll is quite
insightful regarding her illness and its treatment. She
appropriately attributed this low pressure to her medication
changes and discontinued the Prozac on her own. Fortunately,
this was sufficient to correct the hypotension and there
were no adverse consequences. Her blood pressure on May 16,
1994~ was 110/80 ••• "
.

A review of your personnel file was conducted to assist me in
determining an appropriate sanction. Overall your work
performance was rated "normal" with a few areas assessed as
"exceeds". Other information from your personnel record which is
pertinent to this review include:
1.) Letter of appreciation - reporting for work under
extreme weather condition.
2.) Letter of commendation - actions resulting in saving a
staff's life.
Your work performance has been good in some respects, however
there is a previous incident in which you failed to follow
established written procedures and demonstrated indifference in
complying with those reporting procedures.

06 J~ .

11* CONFIDENTIAL

•

•

~1E~[§aW[§Jfi'
.
l.!:J

DEPARTME'NT OF CORRECTIONS
DIS C I P L IItiCN:LA C T ION AUT H 0 R I Z A T I O!D d
Secret2JY's
-

OCT 1 71994 RECOMMENDED ACT10N=V;::jC~

~
Li

"

n ( ( OepillUII"" OJ Lorret1Klr.::

___~(0_, ,- _-l

Date Received at Hea quarters

&veltu 11'2t\Ake ~

Employee's ~

e'

,

,:--=-.

Geducnon In !~

'i

Demotion to:

I AP"'R

OCT 0 7 1994

Of ATrORNE'!~";' 1:=
&. p-:-'" ~., " _ \:EN.....AL
~N:K:' CfIJ!:iON

rP'l- "'·'x·

llJ/o!

.

..........J

m+V\.S .

~cI1.cngdll

----------(Job Classification)

r~lNL~d-

..

Suspension:

Emplo e s Job Classification
I

\/VC. C 'v~/

Dismissal:

Employee's Job Location

_

----------(Effective)

The attached disciplinary action has been reviewed as noted below, "This information is provided under the anorney/client
relationship and invokes that privilege, It should be considered CONFIDENTIAL in narure.•
lnitialslTitJe

Date

Approve

Disapprove

Comments

DHR Director

AA/;j
~
Appropriate

PLEASE HAND-DELIVER TO ALL REVIEWERS AND RETU1Uol TO KIUm WALTERS, DHR ROOR.lITH ROaR. UPON ~OMf)1jIrl

.

SUGGESTED CHANGES TO BEVERLY TRAWEEK
DISCIPLINARY LETTER
FROM LYNN WISE

.-iIiist

that

0612

TRAWEEK ECR DRAFT

Date
PERSONAL DELIVERY/CONFIDENTIAL
RECEIVED

OCT I] 4 1994
Degartr.lf{lt or ~rret.llOns
Qivision of Human Resources

Ms .; Traweek:

This is official notification that you will be reduced in pay
within your present class of Registered Nurse 2, range N45, step
P, $3,548 per month to step L, $3,216 effective November 1, 1994
through January 31, 1995.
.
This disciplinary action is taken pursuant to the civil Service
Law of Washington state, Chapter 41.06 RCW, and the Washington
Administrative Code, Title 356 WAC (MSR), and Sections 356-34-010
(1) (a) Neglect of duty; (b) inefficiency; and (h) gross
misconduct, and 356-34-020 Reduction in ~lary-Demotion­
Procedures.

III,

Specifically, On May 14, 1994 Offender
DoCI _
who has a
heart disease, presented herself to you with complaints of
dizziness, lightheadedess and fatigue. In response, you
admittedly took her blood pressure and found abnormally low blood
pressures (less than 60 in the second figure). Subsequently, you
failed to record the offender's complaints or blood pressures in
the medical record or chart (Primary Encounter Report, DOC 13435). Furthermore, you did not inform Dr. Christopher Badger,
Medical Duty Officer, of the complaint or low blood pressures.
Instead, you dismissed the offender from the Clinic, and she
returned to her living unit without specific instructions. These
incidents are described in more detail in the Employee Conduct
Report (ECR) completed on September 8, 1994 which is attached
hereto and incorporated herein as Attachment #1.
Minimum Health Record Documentation Requirements effective
September 3, 1993 states in pertinent part:

-0613

•

•

"DEFINITION:
ENCOUNTER:
Any face-to-face contact made by a heal.th
provider/practitioner (other than those occurring in
connection with a qroup session) with an offender, whether
for diagnostic, therapeutic or. instructional purposes, which
is SUfficiently substantive in nature ~o require an entry in
the clinical record, log or treatment record •••
HEALTH RECORD:
The record which contains all healthrelated. information about an offender to include, but not
limited .to, medical, mental and dental health items of an
identifying nature, data bases, assessment, treatment plans,
diagnosis, treatment, progress, clinical events, and
discharge or other summaries •••
PROCEDURE:
GENERAL DOCUMENTATION PRINCIPLES: •••

10. At the conclusion of each encounter, the health care
provider/practitioner shall document diagnosis, impression,
and/or assessment."
~e above requirements were individually distributed to all
' nurses and placed in the "Nurses Procedure Manual" located in the
\ clinic. The manual is accessible to all'clinic staff on all
<) shifts. A copy is attached hereto and incorporated herein as
i
Attachment #2.

~

Nurse(RN) you have a duty to work efficiently,
exercise sound medical judgement and comply with standard nursing
practices which are a part of ~ny basic nurses training. A
trained RN should know that a physician should be made aware of
any or all abnormal physical condition(s) found during a patient
examinatioh and that it is required to record patient contact
(i.e. vital signs) in medical charts and records whenever a

0614

•

patient is examined or treated. Recording requirements and
standards were reinforced by clinic practices regarding medical
record documentation as published under "Minimum Health Record
Documentation Requirements" in the nurses procedures manual at
this institution as stated above.
You neglected your duty and were inefficient when you admittedly
"forgot" to write the offender's complaints and blood pressure
readings in her medical records on May 14, 1994 in order to be in
compliance with standard nursing practices and the "Nurses
Procedure MaRual" located in the clinic. Forgetting to record
critical medical information related to the progression of a
$Pall! '.heart ~~ient~ condition and treatment places the
patient at risk~ severe medical complications and thereby
cannot be tolerated.
You further neglected your duty, were inefficient and committed
an act of gross misconduct when you failed to notify Dr. Badger,
the Medical Duty Officer, of the offender's complaints and blood
pressure levels. You state that you didn't contact Dr. Badger
because the offender had shown abnormally low blood pressure in
the past. But, according to Dr. Badger, your actions could have
had serious implications as stated in his memorandum to Donna
Morgan dated May 18, 1994 (Attachment #1, page 5 of 9) in
pertinent part:
" •.• The occurrence of this episode is extremely disturbing
because Inmat~ has significant ischemic heart disease for
which she receives a variety of medications. The level of
her blood pressure was such that she would be at risk for
-life threatening complication such as a heart attack or a
••• (stroke) as injury from a syncopal episode if the low
blood pressure continued. Fortunately, Inmatelll is quite
insightfUl regar~ing her illness and its treatment. She
appropriately attributed this low pressure to her medication
changes and discontinued the Prozac on her own. Fortunately,

061'5 .

•

this was sufficient to correct the hypotension and there
were no adverse consequences. Her blood pressure on May 16,
was 110/80., .• It
r. Badger considered your actions in the realm of malpractice. I
qree-;7your poor jUdgem~nt and carelessness jeopardized the '
Off~k's health and safety and placed the Department at risk of
lit·
for negligence in patient care.
of your personnel file shows that on May 18, 1993 you
received a letter of reprimand because on April 5, 1993 you .
failed to ,report an offender complaint that her pregnancy was a
result forced sex with an officer at this facility. Although this
was not a "nursing standard" per se it demonstrates your
indifference to the importance of reportin offender complaints.
To your credit is the fact that you acknowledged your error and
accepted responsibility for your actions. "This coupled with your
sustained good performance record over the past 10 years
persuaded me not to take a more severe disciplinary action.

I11III

;§

--

.. _0. _. ':'

=::: :7::a.~annot

i,,4;i:~

ield

thCQ

" r bt:ti>A ie

r,M!

~~-

- •• _.

..

•_

_

or safety ..-..

¥:Fh, b!;~
.5;:;2 .."
::

By &E is
h
J I h ea~!trl:::=:=5
and will not be tOlerated,A.a 2

S

&

c

(j

0

~

salel~.

You are warned that future acts of this
nature may result in further disciplinary action including
dismissal.

Under the provisions of WAC 358-20-010 and 358-20-040, you have
the right to appeal this action to the Personnel Appeals, Board.
Your appeal must be filed in' writing at the Office of the
Executive Secretary, Personnel Appeals Board, 2828 Capitol
Boulevard, Olympia, Washington 98501, within thirty (30) days
after the effective date stated in paragraph 1 of this letter. As
an alternative, You may file a grievance under the provisions of
Article 10 of the Collective Bargaining Agreement between the
Department and the Washington Public Employees Association/to
appeal this action to the Personnel Appeals Board, you may not
pursue a grievance over the same issue.

0616 .

•

The WACS, Department: policies and Collective Bargaining Agreement:
are available for your review upon request._

Alice Payne
Superintendent
AP:rjt

Attachments
cc:

Jennie Adkins, Director, DRR (w/o/a)
Kathy Nolan, Division Chief, Labor & Personnel Division
James Blodgett, Deputy Director, Command B (w/o/a)
Donna Grazzini, Area Personnel Manager, DOC
Robert Turk, Personnel Officer, WCCW
Personnel file

0617

CORRECTED COpy
EMPLOYEE PROFILE

DEPARTMENT OF CORREcnOHS

Page One of Two

.

Narne

TRAWEEK, BEVERLY

Classiftcatfon

o.

REGISTERED NURSE 2
Current AangelStep

Status

Amount

PID Dat~ (Alfeds?)

$3548

NA

N45/P

Permanent
PROPOSE) AcnON:

DATES

From
RANGEtSTEP

11

_

.j
_

From

.... _._.-

j

1

94 To

I

1

45N/P S3548

To

31 j 95

No. of Months

45N/L $3216

.[I]

TOTAL LOSS

(S) 332

(S)

996

A. PEASONNELIPAY AC'TtONS lInfprm at lg n obtained !rom po? Qocyments): Original date 01 hire, date(s) of agencylinstitution
transfer{s), dale(s) of prcmotion(s), date(s) of pay change(s) due to disciplinary adlon(s), etc. US: only infonnation which is relevant to

the action being pmposod.

I DISClPUNARY?

EFFEcnVE DATE I TYPE OF AC'TtON
1

8/20/84

2

6124/85

I
IProbationary Appointment

"J~____._

OATE OF HIRE

I

j---~-j

t

3

I
I
I

4

5
6

D

No

-----~_.... ~_.-

I

!J.bove sec:ion continued on Page

Two

B. EMPLOYEE PEHFORMANCE EVALUATIONS
DATES (MoIYr)
To
From

Ratings •
Excseds

RatIngs •
Far Excseds

•. I .

A

tol /31 /92

~,O

~,B.E

S

10 2(20/91

~,C

~,D,E

0

A,B,D,E·

A

"

A,B,D,E

A

D

~,B,C.E
~,C.E
14 R r

A
A

~/20/86 ta8/20/S7

8/20/86

V24/85 to,on4/Rli

,.
~

"'n.0
I='

}.bqve sec1icn continued on Page Twa

• Ust PerlrJfr'iUnc. Dlman&/on&:
A • Ac::omprlShment of Job Requirements
8 • Job Knowledge and Competene8
C • Job Rerlability
Personal Relations
E • Communicalions Skills
F • Performance as Supervisor

o•

pa,

I

B,C,D,E

a120/S7 to8120/88

D

Type Comments (Nota If EPE Is
of DIscIplinary Letter)

~

I

~/20/88 10 8/20/89

~/20/85

Ratings •
Falls MIn.

A

/31/92 tol0/1 /92

3120/89

Ratings •
MInImum

~,B,C,D,E

a120/92 to8/20/93

1/91

Ratings •
Normal

[]

• Indlest. Typa of Evaluat(on:
P • Probationary

A • Annual
T • Trial
S • Spacial

•

.
C.

Plge Two 01 Two

OTHER DOCUMENTAllON (Chronological Order)
DATE

1

EMPLOYEE PROFILE

CODe-

2
3

4/12/93

-

4

3/8/90

+

5

6/30/88

+

a. part of previous disciplinary latter)

patlent safety
Findinas--Misconduct did occur.
~et~er ~: :r.efr~fand--Failure to complete incident reoort
~pC:lllt
4/1?/Q1

-

5/26/94
5/18/93

DESCIlIPllON (Note he,.. If Included
~~K--JeOpardlzlng

'-

~T~rl-Fail~~e
report
:i Ii nne: __ Ii to cople~~rlindicent
Ii
n ...... II1'"
etter of

ADpreciation--~eport;ngfor

f.nnrlHinnc:
~etter

.-

work under extreme weather

of Commendation--Actions resulting in saving a staff's 1ife
._-

6

.

7
8

D

Above sadlon continued below.

• CODES: (+) • POSITIVE (LlIttllrs of commendation. lite.)
( .) • NEGAnVE (LattDrs of rllpninand. lItC.).
( .) • NEUTRAL DOCUMENTS (Tra!ning certificates. etc. - only if rllievant)

COMMENTS ANDIOR SECllONS CONllNUEO FROM PAGE ONE ANDIOR PAGE TWO (If nlleded) ••••

--------------------~---------_._--

THIS PRORLE PREPARED

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DI!PAAT1&ENT OF CORRECT10NS

. EMP~~YEE .CONDUCT REPORT

tHIS FORM TO BE USED IN COMPUANCE WITH POUCY DIRECTIVE NO. 857.005
INSTRUCTlONS AND TIME UMITS;

'0'

1. The person making the report ~hall provide a clear description
the incident under ';OescripUon of Incident"
and, with any witness(es) or person(s) having knowledge, shall sign in the space provided and submit to the
supervisor
the involved employee within fourteen (14) calendar days a'ter the date of discovery of ~n
employee's alleged ~isconduct.
'
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0'

2. The form shall be submitted to the employee involved who shall compiele the "Employee's Statement" and
return the report to his/her supervisor within seven (7) calendar days 'allowing 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
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.

0'

Health
Unit
IWashington Corrections
Center for llornen
I
dav shift DAM DpM
lMaY 14, 1994

~OYU lHVO\,VEO

Care

OAGAHIZAno"ALUHlT

l1QIlmu

TlloI£ CF lHC:llE"1

IlAIi OF lHC:CiIfT

Registered Nurse (RN)
ESCRIPT10N OF INCIDENT:

On Hay 14, 1994, you took a blood pressure on Inmatell, roc D ~ bas a documented
strong history of cardiac disorders, and you failed to note it on the patient's health record.

Secondly, you did not notify the Medical Duty Officer (MOO) of the blood pressure (88/54) or
of the :i.:cmate' s ccmplaints of dizziness or light-headedness.

These .acts clearly jeopardizes

patient safety and indicates indifference for patient welfare

~ch

could ultimately result

in a life threatening condition.

.

Il1ATED BY:

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DATE OB.JVEREO TO e.,. LOVEE

bris Acfdi son, mt 3,
YU"S STATEMENT:

Signature 0'

Employee:

VISOR'S REPORT:

DA TE RECClVCD BY

Date:·

SUP~VISOR

BY:

I""~D'~
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Si'••
0' SUpeNi!o!C!
nSTRAnVE COMMENTS: DATE RECEIVEO BY OFFICE HEAO

meeting was held on August 18, 1994. Present were Ms. Traweek; Julie Ann. WPEA
ob Turk, Personnel Officer; and my~elf.

ReQr~sentatjvQ;

s. Traweek admitted she forgot to log the inmate's blood pressure in the inmate's record and
n the Primary Encounter Report, DOC 13-435.
acts substantiate misconduct did occur.

:c:

Corrective/Disciplinary action will he taken

Bev Traweek

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STATE OF WASHINGTON·

DEPARTMENT OF CORRECTIONS!
DIVISION OF OffENDER PROGRAMS

!

P.o. So~ .. r '27 • Olympia, W.stlington S8~.' '21'

j

August I, ]994

!

Supervisory In\le5tigation of an ECR filed by Chris Addison, RN3 on ~ev Traweek, RN.
The ECR alleges that Nurse Traweek failed to note the blood pressure :reading on inmat~
in the patient's health record, when, in fact, the offenders history had jnc1uded cardiac
problems. In addition, it alleges that she failed to notify the medical duty officer of A blood
pressure in the log as 89/46, and in the ECR as 88/54.
~
Pinally, the ECR outlined a failure on the part of Nurse Traweek to register complaints
expressed by inmate
with regard \0 diZZiness and Iightheadedncss. It was the feeling of
"the supervising nurse that patient safety, indifference toward patient 'tIelfare, an~ a liIethreatening condition all existed ~s a result of thcs~ actions.
"

III

On the weekend ~ question, May 14 llnd 15,1994, inmate_had h~r blood pressure taken
twice on Saturday by Nurse Traweek. Initially tl reading of 54/'44 wa~ obtained. Subsequently,
Nurse Traweek used the wall mounted unit and recorded a re~ding o( 88.t54. ~ohnson
took inmate_blood pressure on Sunday, with a readin.,g of 60/52. Inma\e_
medications'h:d7ecenUY been changed, with Protac being prescribed the previous Thursday.
The inmate was concerned about her symptoms, and yet there was no documentation that she
had ever ooen seen, let alone that any blood pressures had been taken.
A memo qated May 18, 1994, by Christopher Badger, Medical Direct9r, to I?onna Morgan,
Health Care Manager, expressed his strong concerns with regard to t~e manner in which this
case had be~fl handled. Dr. Badger went on to point out that with in~l\ate_history of heart
disease, s~e was al risk for life-threatening complications, such as he~rt attack or stroke.
Inmate_herself, disconlinu'!d the Prozac which WdS prescribed (or her. Her blood pr!!Ssure
is documented as being 110/80 on May 16, 1994.
1n this particular case~ the ECR had to be sent to the employee by Certified Mail on May 26,
.1994, since she was "not able to receive it at home and had some diIfi~ulty going to the post
office for It, even though tldvised to do so by Nurse Addison. She indicates that she finally
received it Monday, June 6, 1994. Nurse Traweek indicates that during the period in question,
she was extrenlcly busy, and while she did enter her findings in the 24-hour-log., she did not
enter it in the medicZll CiJe. She raised question with regard to the seVerity of the blood pressure
problem,·since lhis particular inmate has tl chronic history low blo04 pressure and had not
been, in her mind, prescribed any medication for that problem. In r~ality, the hellrt disease
experienced by jnmat. had led lo her to be on several medicati~ns, to include: Mediprol, a
calcium blocker, "Nitrobid, and Prozac. These medications were tec~nical1y ordered for her
heart, tlnd not specifically for hypotension, but they do effect blood pressure !lnd Medjprol is
indicated for blood pressure probl~ms.
.
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Supervisory Investigation: Bev Traweek, RN
Page 2

June 10, 1994

In summary, it can be concluded that the necessity to repeat the bleod pr~sure ~t should . have led to a contact with the medical duty officer, as well as a review of the. file.in which it
would have been noted that her medications now included Prozae. The prudent course of
action was not taken in this case, and therefore it can be concluded that the patienes welfare
was~~u~e~
.
For the record, the union representative for Nuxse Traweek has asked that this ECR be
dismissed as a result of the institution's failure to meet established time frames associated with'
the report being delivered to the employee. My investigation of that situation has revealed that
institution met its obligations with regud to that issue.
'

the

Robert R. Jones, Ph.D~
Health Care Coordinator
, Division of Offender Programs

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ATIACHMENT (I) Pace

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STATE OF. WASHINGTON

DEPAATMENTOFCORAECTIONS
P. o.

May

~8,

TO:

Box

WASHINGTON CORREcnONS CENTER FOR WOMEN
t 7 MS:WP.(J4 • 9601 8ujat:ich Rd. N. W. • Gig HRtbor, WA 98335-00 t 7

1994

D~'}l'a~p~;Z:~
~re Manaqer

FROM:

~~o eriB~,

SUBJECT:

_DOC~~

M.D., Medical Director

I saw inmate~on May 16, 1994, for evaluation of her right ankle
ulcer which we are treating.
At that time she related a . e r
disturbing occurrence over the week-end. According to inmate
she came to the clinic both on Saturday, May 14, 1994, and Sun ay
May 15, 1994, complaining of dizziness, light-headedness and
fatigue.
She related that her blood pressure was taken by Bev
Traweek, RN, with the automatic machine and a reading of 54/44 was
obtained.
A repeat was 88/54. She was released from the clinic
without specific instructions. She continued to be symptomatic and
again came to the clinic on Sunday, May 15, 1994~ Cindy Johnson,
~took her blood pressure at that time and'it was 60/52.
Inmate
_
was particularly concerned about these low blood pressures
because she had had a change in medication including an increase in
a beta blocker lopressor and institution of Prozac therapy both on
May 12, 1994.
She was again dismissed from the clinic without
soecific instructions. Of partiCUlar concern is that there is no
documentation in the chart that indicates the patient was even seen
let alone these low blood pressures were taken. I was not informed
either Saturday, May 14, 1994, or Sunday, May IS, 1994, that this
had occurred.
The occurrence of this episode is extremely disturbing because
Inmate. has significant ischemic heart disease for which she
receives a variety of medications. The level of her blood pressure
was such that she would be at risk for life threatening
complication such as a heart attack or a stoke as well as injury
from a syncopal episode if the low blood pressure continued.
Fortunately, Inmatelllllis quite insightful regarding her illness
and its treatment. ~appropriately attributed this low pressure
to her medication changes and discontinued the Prozac on her own.
Fortunately, this was sufficient to correct the hypotension and
there were no adverse consequences. Her blood pressure on May 16,
1994, was 110/80.
I believe this is extremely poor nursing practice on the part of
both Nurse Traweek and Nurse Johnson.
I would consider this
malpractice.

CB: jac
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~EPARTMENTOFCORRECTIONS

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lHVES1lOA11CN ASSIOHED 10:

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a SUPEA1NT'ENOENT
a SHJFTCOr.u..cANOER

a SAFET'fOFFlCER
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Disciplinary Act-Health ProCessions

18.130.175

• p~ of this section and me persons entided to immunity
slWl inc:ludc:
"
(1) An approved monitoring tre:ument program;
(1i) The professional association oper.lling the program;
(iii) Members. employees, or agents of the progr:1m or
association;
(1v) Pelsons reponing a license holder as being impaired
or providing infonnation about the license holder's impairment; and
(v) Professionals supervising or monitoring the course
of the impaired license hol!icr's treatment or rehabilitation.
(b) The immunity provided in this section is in addition
to any other immu"nity provided by law.
(8) In addition to healm cze profession:lIs governed by
this chapter. this section also applies to phnrmacists under
chapter 18.64 RCW and plwmacy assistantS under chapter
18.64A RCW. For that purpose, the board of phannacy
shall be deemed to be the disciplining authority and the
substance abuse monitoring program shall be in lieu of
disciplinary action under RCW 18.64.160 or 18.64A.050.
The bow of p~ siiall adjust license fees to offset the
costs of this program. (1991 c 3 § 270; 1988 c 247 § 2.1

nontraditional treatment by itself shall not constitute unprofessional conduct. proVided that it does not result in injury
to a patient or cre:ue an unreasonable risk that a patient may
be luumed;
.
"
(S) Suspension. revocation. or restriction of the
individ~·~ license to practice the profession by competent
authonty In any state. federal. or foreign jurisdiction. a
c:nified copy of the order. stipUlation. or agreement being
conclusive evidence of the revocation, suspension. or
restriction;
"
(6) The possession. use. presaiption fer usc, or distribution of conuoUed substances or legend drugs in any way
other than for legitimate or therapeutic purposes. diversion
of controlled substances or legend drugs. the violation of any
drug law. or prescribing controlled substances for oneself;
(7) Violation of any state or federal Statule or administrative rule regulating the profession in question. including
any statute or rule defining or establishing standards of
patient c:u'e or professional conduct or practice;
(8) Failure to cooper:ue with the discip.lining authority
by:
(a) Not furnishing any'papers or documentS;
(b) Not furnishing in writing a full and complete
eReYIscr's DOae: The lUtII "appIOYCl1Irl::IImcnt f:ICility' was dI.1ngCl1
to "approd Irl::ltm:llt PlOcnm' by t989 c:"270 § 3. and is .Jclincd ill RCN
explanation covering the maller contained in the complaint
7o.96A.020(J).
filed wilh the disciplining authority; or
Lqlsilltive la1CDI-1988 c: ~7: 'Exi1ling law docs net provide for
(c) Not responding to subpoen:lS issued by the disciplina pIOgnm for rdlabililation of hc:lllh prof.:ssionals whose compelency may
ing
authority,
whether or nOI Ihe recipient of Ihe subpoena is
be impaired due 10 !he abuse of :alcohol md other drugs.
th~ accused in the proceeding;
II is the inlCDI of Ihe legisl:uutC I~I the disciplining :authorili.:s seck
(9) Failure to comply with an order issued by the
ways 10 identify :and suppon lhc rehabililation of he:llh profcssion3ls "'hose
pmticc or compelency may be impaired due 10 Ihe ~buse of drugs or
disciplining authority or an assur:lDce of discontinuance
aJc:cbol. 11lC legisl:llule inlends I~I such he:1hh plOfession3ls be lle:ted so
entered into with the disciplining aUlhority;
thaI Ihey C:IR return 10 or continue to pr:lcticc their profession in :a w:lY
(10) Aiding or abetting an unlic::nsed person to practice
which W'cguatds the public. The legisl:llu~ specir~ inlends I~~ lhe
when a license is required:
disciplining :authorilies CSI.:lblish an :llle:n:lIlye progr~m tD'lb~ Ir:ldlllOnal
~dminisU'aliy~ ?occ::llings :ag:ainsnucla.~pro(cssion:ls.· Il"9a~,': 2~7
(I I) Violations of rules established by any heallh
agency;
§LV
~'",.,)
(12) Practice beyond Ihe scope of pr:lC:ice 3S defined by
18.130.180 Unprofessional conduct. The ~ Owing
law or rule;
nduct. acts. Or conditions constilUtc unprofess'
conduct
(13) Misrepresentation or fraud in any aspect of the.
for y license holder or applicant under
jurisdiction of
conduct of the business or proiession;
(14) Failure 10 adequately supervise auxiliary sr.1ff lo.the
this cfia~
" (I) The-tommission--er ny act involving mOr.l1 turpiextent mat me consumer's health or safety is at risk;
tude. dishonesty. or corruption relating to me pr.1ctice of the
(15) Engaging in a profession involving cont:lCt with the
person's profession. whether me act constitutes a crime or
public while suffering from a contagious or infectious
not. If me act constitutes a crime, conviction in a criminal
dise:lSe involving serious risk to public health;
proceeding is not a condition precedent to disciplinary
(16) Promotion for personal gain of any unnec=ssary or
action. Upon such a conviction. however. the judgment and
inefficacious drug. device. treatment., proc=dure. or service;
sentence is conclusive evidence at the ensuing disciplinary
(17) Conviction of any gross misdemeanor or felony
.hearing of the guilt of the license holder or applicant of the
relating to the practice of the person's profession. For the
crime described in me indictment or information, :1nd of the
purposes of this subscction. conviction includes :111 instances
person's violation of the statute on which it is based. For
in which a plea of guilty or nolo contendere is the basis for
." the pwposes of this section. conviction includes all instances
conviction and all proceedings in which the sentence has
in which a plea of guilty or nolo contendere is the b:lSis for
been deferred or suspended. Nothing in this section abrothe conviction and all proceedings in which the sentence has
gates rights guaranteed under chapter 9.96A RCW;
been deferred or suspended. NOlhing in this section abro(18) The procuring. or aiding or abelling in procuring.
gates rights gUar3nteed under chapter 9.96A RCW;
a "criminal abonion;
(2) Misrepresentation or conce:lIment of a material fact
(19) The offering, undertaking, or agreeing to cure or
in Obtaining a license or in reinstatement thereof;
treal disease by a secret method. procedure. tre:llment, or
(3) All advertising which is false, frnudulent, or mismedicine, or the treating. operating. or prescribing for any
health condition by a method, means. or procedure which the
lcad~
~ncompetence. negligence. or malpractice which
licensee refuses to divulge upon demand of the disciplining
resultS in injury to a patienl or which creates an unre:uonauthority;
able risk that a patient may be humed. The use of a

~

(1991 La.a)

:; an '1 So. 18.130
RCW-p. 7}
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HDlDroH REALll'R RECORD

Paqe 1. of 1.0

DOCtJH:mrr~TION

REQtJ'IREHmrJ!S

PURPOSE:
1.
To serve as a basis for documentation, planning patient care

2.
3.

4.

5.
6.

7.
8.

and to insure continuity in evaluations of offender condition
and treatment.
The health record shall contain all
siqnificant health information as related to inpatient care,
outpatient care, emergency care, dental care and treatment,
mental health care/assessment, specialty consultations, other
related health information.
The record shall contain sufficient information to identify,
support the diaqnosis, justify the treatment and document the
results accurately, and in a timely manner.
To furnish documented evidence of the course of the offender's
medical/dental/mental health care treatment and changing
conditiQns during the offender's period of incarceration.
To
provide a .vehicle of communication bet"N'een the
providers/practitioners and other health care staff who
cont=ibute to the offender's well-being.
To assist and protect the legal interest of offenders, the
institution, and the Heal~~ Care Unit staff responsible for
the offender's health care.
To provide a comprehensive health infontation system and
additional health data when reauested for outside resources.
To provide data for continuing·education of Health Care Unit
staff and research for audits and studies.
To insure the maximum possible information is available for
the professional Health Care Unit staff providing care using
a unit recor~s system.

,

DUINJ:TION:

Any face-to-face contact made by a health
provider/practitioner (other than those occurring in connection
with a group session) with an offender, whether for diagnostic,
therapeutic or instructional purposes, which is SUfficiently
substantive in nature to require an entry in the clinical record,
log or treatment record. 1I
ENCOUNTER:

The parts or sUms of all actions taken to provide for·
the medical, dental, or mental health or an offender to include
preventive, assessment, and therapeutic.

HEALTH CARE:

A person licensed by the state to provide
health care or related services inclUding, but not limiteo. to,
dentist,
dental hygienist,
nurse,
optometrist, pOdiatrist,
chiropractor,
physical
therapist,
occupational
therapist,
psychologist, pharmacist, and optician.

HEALTH CARE PROVIDER:

PRACTITIONER:
(PA-C, PA, or

A licensed physician or mid-level practitioner
A&~).

06:2S
ATTACHMENT ~ ) PageL.offL .

HEAL'rH RECORD

DOCUMENTATION
6/22/93
PAGE 2 of 10
RECORD:
The record which contains all health-related
information about an offender to include, but not limited to,
medical, mental and dental health items of an identifying nature,
data bases, assessment, treatment plans, diagnosis, treatment,
progress, clinical events, and discharge or other summaries.
JDmL'rK

XBPA~~ENT:
An individual receiving room, board, and continuous
general nursing service.

otnPA~~mrr:

An
individual
recel.Vl.ng,
in
person,
sick
call/outpatient clinic based health care services for which the
Health Care Unit is responsible.

PROCEDURE:
GENERAL DOCUMENTATION PRINCIPLES:
1.
Health record shall be identified by offender, name and DOC
number.
2.
Documented notes shall include the date and time.
3.
All entries shall be documented in ~~e SOAP format.
(SUbjective, objective, assessment, and plan) .
4.
Vital signs shall be ta~en on all offenders unless being seen
only for treatment such as ear wash, dressing change, etc.
s. Weigh each offender to establish baseline weight.
6.
Time and date of laboratory tests and/or x-rays shall be
documented as well as ~~e specific tes~(s} .
'7.
Date of last tetanus shall be documented whenever there is a
break in the skin.
8.
Allergy status should be clearly identified on the problem
list of each offender, as well as on the outside of the health
record, and medication records.
9.
Note the mode of arrival and departure to the clinic when
applicable (i.e., ambulance, Wheelchair, gurney, etc.).
10. At the conclusiop of each encounter, the health care
provider/practitioner shall document diagnosis, impression,
and/or assessment.
11. Follow-up plans shall be documented and shall include any
verbal or written instructions the offender received.
12. Staff shall document disposition of offender L e., living
unit, community hospital, etc.
13. An informed consent shall be completed and signed for any
invasive procedure unless the situation is declared an
emergency.
The attending practitioner is responsible to
inform the offender of a procedure or treatment and document
this activity.
14. Offenders shall receive initial health screening at time of
entry into the facility including but not limited to:
a.
Inquiry regarding present health status.
b.
Review medical requirements.
c.
Review available health record(s).
0630

ATTACHMENT l~} Page.8.ofLL:

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HEALTH RECORD
DOCUMENTATION
6/22/93
PAGE 3 of 1.0

d.
e.

Physical assessment for recent trauma or sign of illness.
Limited
mental
status
examination
for
obvious
psychological disorders,
alterations
in
level of
conscious, or conditions needing close observation.
f.
Screen for communicable diseases.
1.5 •. Record all trips to and from outside consultants, emergency
treatments, etc. Include time left and time returned.
MEDICATION ORDERS:
1..
Transcription to medication card: The drug will be identified
by the name, strength, dose, date of order, prescriber, start
and stop date, and the initials of the transcribing nurse.
The signature identification slot must identify the nurses
initials.
2.
A prescription renewal or extension shall be considered a new
order and will be transcribed as above in section 2.
3.
Whenever a choice of doses is given i.e. 50 to 75 mg, it must
be written as two separate orders with a specific reason for
each order (i.e. Cemerol 50 mg po for pain, Demerol 75 mg po
for severe pain).
4.
All prn medications must state the reason prescribed (i.e.
Motrin 60 mg po q6h prn headache).· The Motrin may not be
administered for any other reason.
6.
All medication cards must indicate any known allergies to
medication.
7.
All medication orders must have the practitioners signature
and title within the segment of the form sent to the Pharmacy.
8.
Document sites of all medications given by injection on the
medication record.
PRACTITIONER ORDERS:
1..
All orders will be noted by a full signature and title, date
and time of the nurse "noting the order".
With multiple
orders, each order must be checked.
2.
All telephone calls to a health care provider/practitioner
regarding an offender's condition will be documented in the
progress notes or primary encounter reports with the reason
for the call. The provider's/practitioner's response will be
written as a telephone order.
Note date, time, health care
provider's/practitioner's
name
and
title,
what
was
communicated in regards to verbal orders, follow-up, etc.
3.
All verbal and telephone orders will be signed by the
practitioner within 24 hours. It is a nursing responsibility
to obtain this signature.
4.
carefully document all questions and{ or concerns on orders and
note that this has been discussed with the attending
practitioner.

ATTACHMENT (.;2.) PagQof.LL:

·.
REALm RECORD
DOCUMENTATION
6/2~/93

PAGE 4 of 10

5.

The practitioners orders must be written clearly, legibly,
and completely. The use of "renew", "repeat", and "continue
orders" are not acceptable.
.

PROGRESS NOTES OR ENCOUNTER NOTE
1.
A~~ documentation will be done in the SOAP format.
2.
All entries will be dated, timed, and signed with a full
signature and title.
3.
All entries will be written in ink (preferably black).
4.
No portion of the health record is to be obliterated, er=rl,
altered or destroyed. No white-out or correction tape will be·
used in.the medical record.
S.
No blank soaces are to be left on forms designated' for
chronologicil sequential notes.
6.
Each form must have the patient identification including last
name, first name, and DOC number. On forms perforated in
sections, each segment must be identified.
7.
All entries must identify the facility.
8.
If it becomes necessary to doc~ent out of sequence during a
normal shift, document the date, and time of occurrence as
well as the actual time of ent=y.
9.
When documenting an entry at a later cate, clearlv identifY
the date and ti::ne of the entry. Write "Late ent::'Y~t and dat~
and time of occurrence (i.e. 3/10/93 2:00 pm late entry for
3/9/93 1:00 pm).
10. Do not docUJ.L1ent an ent::y before an event occurs.
11. write a concise and accurate record of nursing care
administered. Document pertinent observations, psychosocial
and physical manifestations, incidents, unusual occurrences
and
abnor:nal
behavior.
Document non-compliance with
medications or treatments.
12. Document all refusals of t::-eat:nents on DOC for:n 13-48.
In
addition, chart on the progress notes or primary encounter
record the exact instructions given to the patient or the
likely medical consequences of the refusal. Cite the specific
medication or treatment refused.
13. Sign the bottom of every page when a progress note continues
onto a second page.
Repeat date, time and continued on the
second page.
14. Document facts;
avoid generalizations,
vague comments,
speCUlation and suppositions.
15. Avoid flippant remarks, jUdgmental remarks, and remarks
intended to settle grudges.
16. Use only approved DOC abbreviations.
17. Document precautionary, protective, or preventive measures and
teaching efforts.

0632
An~CHMENT

{QZ}

page±offt..

HEALTH RECORD
OOctlMENTATION
6/22/93
PAGE 5 of 1.0
1.8.

Document medication errors, notification of health care
provider/practitioner and patient condition and followup. Complete all reports and/ or forms required by DOC Policy
or Field Instructions.

1.9.

correcting errors.
1..
Draw single line through error.
2.
Initial and date.
3.
Chart corrected information.
4.
Do not write the word "error".
An entry is documented each time the responsible health care
provider/practitioner is contacted by telephone, requests
information from another source, etc. regarding the offender's
condition. The note shall include:
a.
Date.
b.
Time.
c.
What was communicated.
d.
Instructions given.
e.
Follow-up as appropriate.

20.

MISCELLANEOUS FO~~S AND CEARTING
1..
Initiate Health Status Report fo~ DOC 13-41 on all patients
requiring some exception to rules because of medical
condition, or for equipment issued, pre-op or post-op
instructions, discharge instructions, food handlers clearance
or health status change.
2.
Initiate communicable Infectious Disease form DOC 13-163 for
all patients on precaution and/or isolation according to DOC
policy 670.016.
3.
Initiate
Incident
Report
(DOC
23-110)
for
all
altercations,
II inmate
down"
calls,
unusual
behaviors,
accidental injuries. Also, Field Inst--uction 400.301 must be
followed and fo~s completed.
4.
Initiate Labor and Indust=ies forms and complete A Report of
Employee Personal Injury DOC 3-133 when appropriate.
5.
Initiate consultation report for inmates going to community
facilities for consultation, or emergency trips to emergency
room.
Each Consultation Request/Report shall contain a
written opinion by the requestor/consultant that reflects,
when appropriate, an actual examination of the offender and
impression/diagnosis. All diagnostic/therapeutic procedures
are recorded and authenticated in the health record. When a
Consultation Request is completed, the report shall be
reviewed and initialed by the requesting health care
provider prior to being filed in the health record.
6.
Record PPD, VORL, TB testing on problem list.
7.
A written consent DOC 13-35 is required for the release of
medical information unless otherwise authorized by the Uniform
Health Care Information Act to receive information.
0633

ATIACHMENT (.;() Page£"ofLL:

•

HEALTH RECORD
DOCUMENTATION
6/22/93
PAGE 6 of

8.

9.
~O.
~~.

~o

~3-250 must be completed prior to any
surgical
procedures.
The
attending
health
care
provider/practitioner is responsible to inform the offender of
the procedure and complete the form. Each appropriate section
of the Informed Consent form shall be completed to verify the
offender
has
been
informed
and
agrees
to
the
prccedure/treablent.
Changes on the Informed Consent form
shall be acknowledged by the offender I s signature or initials.
Health Record of Inmate in Transit 13-22 is required on all
inter-institutional transfers.
The Inf~rmed Consent fo~ DOC 13-~38 is required prior to all
HTLV III testing.
original reports of pathology, lab tests, radiology reports,
treatment reports, and other diagnostic/therapeutic reports
shall be filed in the health record.
All original reports
must
be
reviewed
and
initialed
by
the
requesting
provider/practitioner prior to being filed.

An Informed consent form

INPATIENT REQUIR~S
1.
An admission note is required by the practitione~ and nurse
for each admission.
The condition of the offender being
admitted shall be clearly described ..
a.
The admission note shall be completed by the admitting
practitioner and done at the time of admission.
b.
For administrativel custody admiss ion, f Iocr staff can
complete the necessary note.
2.
An admission note shall include, but is not limited to·:
a.
Identification of problem/mental health s~atus.
b.
Date of onset and details of present problem inclUding
the offender's emotional/behavior status.
c.
Any findings related to ~~e problem.
d.
Factual information related to the problem.
e.
Admitting diagnosis.
f.
Initial treatment plan.
3.
If the offender is being readmitted with the same diagnosis
within one month of discharge date, an interim note is
SUfficient.
4.
A complete History & Physical shall be completed for each
admission over 72 hours.
This is done by an approved
designated practitioner. If the offender is being readmitted
within one month of discharge date, an interim note is
SUfficient.
5.
For an offender on the unit less than 72 hours, the Short stay
form DOC 13-85 shall be used and completed.
6.
A discharge note, discharge summary, and face sheet, must be
completed by the attending practitioner.

0634
AlTACHMENT (t5Z.) Page.k.of //

HEALTH RECORD

DOCUMENTATION
6/22/93
PAGE 7 of 1.0
The discharge summary and face sheet are self-explanatory and
each point shall be completed for all admissions over 72
hours.
The progress note should include a concise recapitulation of
the care and response to treatment for the offender's stay.
A~~

7.

8.

9.
10.

11..

relevant diagnoses established by ~he ~ime of discharge
shall be recorded, using acceptable terminology that includes
etiology, as appropriate.
Inpatient unit staff shall also do a final discharge note.
Information should include, but is not limited to:
a.
condition of offender on discharge in terms that permit
a specific measurable comparison with the condition
on admission.
Vague, relative ter:ninology, such as
lIimproved" should be avoided.
All instructions given to ·the offender relating to
b.
physical activity, restrictions, medication, diet, and
follow-up care.
Identify the living unit the offender
is being
c.
transferred. to.
A comprehensive discharge summary is not recuired on the
patients admitted for less than 72 hours. The Short Stay for:n
DOC 13-85 should be completed inclUding the Short Stay
discharge summary.
Progress and response to treatment should be documented within
24-43 hours of admission and authenticated by the admitting
practitioner.
Progress notes should be made at least daily and more
frequently, if necessary, on serious cases and no less than
every 43 hours for patients that are under continuous care.
Offenders that are placed in the inpatient units as boarders
or for housing to accommodate special needs such as stairs,
but require little service, minimal charting will be required.
If served meals, medication, etc. charting can be done on the
flow sheet.
Entries in the progress note section should include but are
not limited to:
a.
Pertinent observations and problems.
b.
Source.
c.
Incidents.
d.
Unusual occurrences.
e.
Psychological changes.
f.
Abnormal behavior.
g.
any physical problems or significant physical findings.
h.
w~en health education is provided, it should be noted in
the progress notes.
other.
1.

"0615

AITACHMENT (,;l.} Page.1.o~/.

HEALTH RECORD

COCOMENTATION
6/22/93

PAGE 8 of 10
12.
13.
14.

15.

16.

A note

covering the transfer of responsi1:lility shall be
entered on the progress note or the inpatient orders.
All patients admitted to the inpatient unit will be seen
within 24 hours by the admitting physician and every day of
hospitalization except the day of discharge.
A provisional diagnosis or valid reason for admission shall be
recorded at the time of admission except in emergencies. In
the case of an emergency such statement shall be recorded as
soon as possible.
The attending practitioner is required to document the need
for continued hospitalization.
The documentation must
contain: a.
Written record of the reason for continued
hospitalization.
A simple reconfirmation of' the
patient's diagnosis is not SUfficient.
b.
The estimated period of time ~~e patient will need to
remain in the hospital.
c.
Plans for post-discharge care.
Patients shall be discharged only on a written order of the
provider.

INPATIENT NURSING SERVICES
1.
A complete health record will be
2.

3.

4.
5.
6.

7.

8.

9.

10.

ini~iated on all inpatient
unit admissions.
A nursing history and physical will be completed on all
admissions.
A nursing care plan will be initiated on admission.
Nursing staff will chart notes on each patient at least every
shift and whenever else necessary.
A nursing admission note will be done by the admitting nurse.
A nursing adnlission/discnarge plan will be done on the nursing
historY and assessment form.
All new admissions will have vital signs, height and weight
charted on the general purpose flow sheet DOC 13-422. If a
weight is not possible, a "stated" weight should be charted.
Obtain ~~e weight as soon as the medical condition permits.
All patients on special diets will have at least a weekly
weight recorded on the general purpose flow sheet.
All patients on antibiotics will have a temperature recorded
every shift during the course of the antibiotics and for 24
hours after the discontinuance of the medications.
All patient with intravenous fluid administration, nasogastric
feedings, or urinary catheters will have intake and output
recorded on the general purpose flow sheet.

When administering an IV the following shall be documented:
~~ount of solution/medication dose.
a.
site of injection.
b.
Type of needle or catheter.
c.
no'"
~
Medications added.
d.
'.,
JO

ATTACHMENT (~) Pagei:.ofLL.

HEALTH RECORD
DOCUMENTATION
6/22/93
PAGE 9 of 10
Rate of flow.
Changes in the rate of flow.
change of site and reason.
g.
h.
Document
vital
signs
that
are
taken
prior
to
administration of medication and changes in vital signs
as a result of medication.
changes to IV tubing, blood filters, etc. are noted by
i.
nursing s't.aff.
w~en dccumenting IV mecicacion use onlv aooroved s~ols
j .
and
abbreviations
when
char1:ina - or- - t=anscribinc:
prac;:itioners orders.
Document any adverse reaction e:cperienced as a result of
medication or IVs including but not limit2d to:
a.
Infilcration.
b.
Rashes.
c.
Othe::.
Notify t~e att=nding practitioner i~eciately if t~ere is an
adverse react:cn and cha=~ ~~is notifica~ion.

e.

When a medication er=or is made:
a.
Ooc~ment the oc=ur::ence in a fac~ual way ~n ene health
record.
b.
Document observation of the offender's condition.
c.
Doc~menc
the not~r~cation of che provide::, in t~e

11.
12.
1) •

14.

15.

16.

17.

inDa~ien;: heal~h recor~.

Res:cr~ (DOC 13-42) for:u shall al·..; ays
be completed and su~mitced to the i~ediate supervisor.
All incident report shall never be filed in t~e healt~
record.
:ie1d Inst::uc;:ion 400.301 shall ce followec to
complete the Inscitution Incident Re;ort.
All patients admitted on diuretics will have a daily ~eight
recorded on the general purpose flow sheet.
All diabetics ~ill have a r=cord of each meal recorded on the
general purpose flcw sheet.
Acid patients on hyper:::ensi'/e medication ,.... ill have at least a
daily blood pressura recorced on the general purpose flow
sheet.
All oatiencs who have goals in nursing care plans to increase
or decrease dietary inca)ce ..... ill have intake recorded on
general purpose flow sheet.
Routine vital signs will be noted on every shift and
documented on the general purpose flow sheet.
All oatients on mechanical restraints ~ill have documenta~ion
of ~ho gave the order, type, ti~e of application, observation
and removal time. Leather res~raints require every 15 minute
observation and charting.
All discharged 9atients must have a record of all discharqe
ln~t=uctions given to the patient and patients acceptance and
understanding of those instructions char~ed on the progress

c..

,)..., -,;,ccident/Inciden't.

fJ63(
ATIACHMENT (;!...) Page1..of II

HEALTH RECORD
DOCUMENTATION
6/22/93

PAGE 10 of 10

18.

notes. written instructions are given to the patient on DOC
form DOC 13-41 Heal~~ status Report.
Have patient sign the
form and place a copy in the medical record.
All prn medications or treatments given must have a
corresponding note on the progress sheet with the result of

19.

the medication or treatment as given.
All care olan revisions,
undates,
or amendments,
or
discontinuations of goals should have a corresponding note on
the patient care plan.

OUTPATIBYT NURSING SERVICES

1.

All

sic~

call

appoin~ents

and emergencies will have

v~tal

signs, bleed pressure, and weight recorded.

2.

All emergency triage will contain documentation of encounter

3.

All appoint:nents the patient does not:. keep _will have a
orocrress note entry, date, time, "no show", fu~l signature and
titie of pe=son making ent~.
.'\l! If inmate down ll situations require an incieent repor~.
Medication cards will be checked weekly for non-compliance.
A memo will be sent to the practitioner wit~ a copy to the
nu~sina suoe=visor and health care manager.
All laboratcry d=aws will be documented on t~e laboratory log

in SOAP far:nat.

4.

5.
6.

sheet.

7.

All inmat:s presen~i~g to the Out;a~ient Clinic as an
eme=gency stall have an appropriate nursing note c~ar~ed, even
if it is dec iced that no emergency ex~s~s and she is not seen
bv a cractitioner.
If recuired, the 1100 shall be contacted
for orde=s ane follow-up care.

0633
ATIACHMENT

<:Z)

?age.LL2.oftL·

..
•

,
cc:

Donna Horgan, HeaJ.th care Hanaqer
Philip Stubenrauch, He
Gary Hurlburt, PA-<
Sene Stankovic,' PA
Shelly petrinovich, RN3 Nursinq Supervisor
Chris Addison, RN3 Infection Control
Health Records staff

Gr:i;;=e Hanua~
S

1

ieeazi·

(S~

ATTACHMENT (~) PageLL.ofa:

FCEIVc.-

•

SEP 2 11995
STATE OF WASHINGTON

2S28~piIOI Blvd.

PO 10. ~"1
Olympi~ WA

Oeparunent ot Corrections
Division of Human ResQu,,·

PERSONNEL AP~ BOARD

'8504.0911

(3601 58fo.1481
FAX 13601 iS3..CJU9

~~

September 19, 1995

~/~O

Marion G. M. Leach
124 lOch Avenue S.W.
Olympia, Washingeon 96501
R~·

Beverly Traweek v. Depa=ement Of Cor=ections, ReductionIn-Sala~f Appeal, Case No. RED-95-0036

Dear Ms.

!.eac~:

Enclosed is a ccpy of che order of the Pe=sor_~el Appeals
Beard i.:l the a.bo're-refe:!':enced matte:!':. The order was entered
by che Beard en September 19, 1995.

KJ!./gmr:.

.,

E.."'lC 10 sure

cc:

Beverlv T:!':aweek, APP
Lvn..1"l

wise,

AAG

Jennie Adkins, PO
aick Hall, WPE..~

C640
_._~_.

\

1

2
3
4

BEFORE THE !lERSONNEL AP!?EALS BOARD

5

STATE OF WASHINGTON

6
7

.

BEVC'~Y

10
11

12
13
14

)
)
)
)
)
)

Appellant,

8
9

TRAWEEK,

v.
DEPARTMENT OF CORRECTIONS,
Respondent.

Case No. RED 95-0036
MOTION AND
ORDER OF DISM!SSAL

)
)
)

--------------)
The Appellant hereby notifies the !lersonnel Appeals Board
that she wishes to withdraw the above-entitled appeal.

15 I

16

.,

17

~,
.~~+
~mRION G. M. L~~~BA

18
19

Attorney for Appellant
WPEA Staff Attorney

20

21

22
23

i15201

This matter came on regularly before the Personnel Appeals

-

Board on the consideration of the request of the Appellant to
withdraw her appeal.

The Board having reviewed the files and

24

25
26

MOTION AND ORDER OF DISMISSAL - 1

0641
MARION G. M. lEAOi
WPEA Staff Attornev

Wuhmpn I'ubIic Emplo~ ~non
1:Z~IChloA_S.W.

Olympoa. \Vaollittplft <l8S01
T~'lQoml

•

1

records herein, being fully advised in the premises, and it
2

appearing to the Board that the Appellant has requested to
3

~ppeal,

withdraw her

now enters the following:

4

5
ORDER

6

NOW, THEREFORE, IT IS HEREBY ORDERED that the Appellant I s

7
I

81

requests to withdraw her appeal is granted and the appeal is

9:

dismissed.

i

10

1

I

DATED this

111
12

WASHINGTON STATE PERSONNEL

AP~EALS

BOARD

11

131
14/I
151
I

16

"

1

17
18

I

1,

II
20 II
19

21
22
23
24

,I

25

1

1
26
1

III

MOTION AND ORDER OF DISMISSAL - 2

0642
. MARION G. M tEACH
WPEA Staif Attomev

W.. hinpn PuIoIic E=oployon A~"""
114 10th A......"S.W.

Olympia. Wul>"'S"'1\ i8501
Telephonw 943-1111

....
•

l

:CEt" c._

SEP 2 11~9S
STATE OF WASHINGTON

1Ir.!8 upilOI Blvd.
PO 80_ ~CJl1
Olympi., WA 98S0o&-ll,11

PERSONNEL

APPE.~

o~~~

BOARD

(360) S86-t481
FAX (360. i330413CJ

J:.cv

Q~

\:f~

September 19, 1995
Marien G. M. teach
124 lath Avenue S.W.
Olympia, Washin~on
Re:

9aso~

Beverly Traweek v. Department Of Cor=ections, Recuction!~-Sala~! A~peal, Case No. RED-9S-0036

Dear Ms. Leac:::
E=clesec is a cc~y of t~~ cr:er of the ~ersc~~el A;~eals
Bcare. l.:l the aJ:cYe-refere::.cec mat:.~er. The or~er was encerec
by c=e 3car: en Se~temCe= 19, 1995.

cc:

Beve=ly Traweek, A?P
LV':'..!l W:'se, A.~_G
'",.:;"...•.1._
_
.... ,,", __..
~... s, 00
a~ck Hall, W:?EA
~c..:c

.-

C643
.....z -

-..
•

1

2

3
4

BEFORE THE I?ERSONNEL AP~EALS BOARD

5

STATE OF WASHINGTON

6

7

Appellant,

8

v.

9

DEPARTMENT OF CORRECTIONS,

10

Respondent.

11

12'
13

1-

1

MOTION AND
ORDER OF DISMISSAL

The Appellant hereby notifies the I?ersonnel Appeals Board
that she wishes to withdraw the above-entitled appeal.

I

1: I

Case No. RED 95-003'6

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

I

14

)
)
)
)
)
)
)
)
)

DATED

~*-~

\\

'>

I

\~ 'i ~

"

17

~<
·'4~L""
t-tAR!ON G. M~ ~"WSBA 115201

18

19

Attorney for Appellant
Wl?EA Staff Attorney

20

21
22

23

.-

T~is

matter came on regularly before the I?ersonnel Appeals

Board on the consideration of the request of the Appellant to
withdraw her appeal.

The Board having reviewed the files and

24

r64~

25
MOTION AND ORDER OF

26

D!S~SSAL

- 1
MARION G. M. lEAOi
WPEA St:aif Attorney
WuIIia\S"'" l'Wlllc =fIol-s AJIl>C&""1'
11' lCtll A_~W.
OlY'l'l'Uo \V~ 9lISOl
T........ oJU.ll:l

1

records herein, being fully' advised in the premises, and it

2

appearinq to the Board that the Appellant has requested to
3

withdraw her appeal, now enters the following:

4

5
6

71

"NOW, THEREFORE, IT IS HEREBY ORDERED that the Appellant I s

8'

requests to withdraw her appeal is granted and the appeal is

9

dismissed.
DATED this

10
11

121 1
13

WASaINGTON STATE PERSONNEL

p2~EALS

BOk~

I

141
I

I

1i-) iI

16

I
II

"

17
1

18

.-

21
22
23

i

I

24 I
I

C6f5

25
26

1'
I

I

I
"

MOTION AND ORDER OF DISMISSAL - 2

MARION G. M. LEACH
WPEA StUf Attorney
WulWlpll Public Employws ~lic:In
t:Z.llItIlA_S-W.
•
Olympia. Wulwtptt 9IS01
TolepiloM 943-1111

·RE.CEI'Vc..

SEP 2 11995
28'Z8 Capitol Blvd.
PO Boll .&0911

STATE OF WASHINGTON

Olympi4.WA985~CJll

Department of Corrections
Division of Human ReSIll-

PERSONNEL APPEALS BOARD

(360) Sl!6-1.;l1t
FAX IJ60) m-otJ9

G,u-J

September 19, 1995

'v~~
~'~J
~ ~"

Marien G. M. Leach
124 10th Avenue S.W.
Olympia, Washington 98501
Re:

Beverly Traweek v. Department Of Cor=ections,
In-Salarf Appeal, Case No. 094-177

Recuc~ion­

Dear Ms. Leac=-:
Enclosed is a copy of the or~er of the Perscr_~elA~;eals
Board in c~e above-referenced matter. The order was entered
by t~e Scard en September 19, 1995.

E.."!c lesur=
c~:

"',

Beverly Traweek, AE?
Lvr.n Wise, AAG
Jer_~ie A~~ins, PO
aid<: Hall, W?E:A

0616
··z···

•

1
2
3

4

BEFORE THE PERSONNEL APPEALS BOARD

5

STATE OF WASHINGTON

6
BEVERLY TRAWEEK,

Appellant,
v.

I

DEPARTMENT OF CORRECTIONS,

I

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

10
11:

121I
13

Respondent.

!\

14

No. 094-177
MOTION AND
ORDER OF DISMISSAL

The Appellanc hereby notifies the Personnel Appeals Board
that she wishes to withdraw the above-entitled appeal.

15
16

)
)
)
)
)
)
)
)
)

DATED

I

CSe 'P\S...........~
.,

\\ '55-S

17
1

~_~'f'n~~_

18 I

I

19

!

MARION G. M. LEA~SBA 115201
Attorney for Appellant
WPEA Staff Atcorney

I

20· "

21

This matter came on regularly before the Personnel Appeals

22

23

Board on the consideration of the request of the Appellant to
I

withdraw her appeal.

The Board having reviewed the files and

24,1
25 11
26

1

1

II11

11

MOTION AND ORDER OF DISMISSAL - l

f64i
MARION G. M. lEACH
WPEA Slaif Attomev

Wuhil\pn ~tic &lptoYftS ~noft
1%0& lath " ....... SOW.
OIY'ft!l'&o WulIiItp.. 98S01
T~.943-lIIt

•

1

records herein,' being fUlly advised in the premises, and it
2

appearing to the Board that the Appellant has requested to

3

withdraw her appeal, now enters the following:

4
5
ORDER.

6

71

NOW, THEREFOP~,

IT IS HEREBY ORDERED that the Appellant's

s'

requests to withdraw her appeal is granted and the appeal is

9

d i S m i s s e d . , J-- '
~ 1
;;;ii[
!'
//
DATED this
day of ~uJ-L.

/7' --

10

,

1995.

f./

11

WASHINGTON STATE

~ERSONNEL AP~EALS

30ARD

I
16

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19
20

21
22

23

24

0618

25
26

MO'r~ON

AND ORDER OF

DISM~SSAL

- 2

MARION G. M. LEACH
WPEA Staff Attornev

WuIwl§lDn p..IbIic Em~ .~_
124:01ll " ....... s.w,
Ol~","" W&ll""~ 'MSOI

T..~I00". ~3-1l2t

.
K E C E IVE 0
1

JUlia 1995
BEFORE THE PERSONNEL APPEALS BOARD ~::tJT.er:tofCOll'edions
Jr.".cII'I Rescurci
STATE OF WASHINGTON
•

3

l,;

4

s

BEVERLY TRAWEEK,

6

Appe~

7

) Case No. RED 95-0036

)

)
NOTICE OF SCHEDULING
)
) APPELLANT'S MOTION FOR
) SUMMARY JUDGMEJ.'IT
)
)
)

vs.
DEPARTMENT OF CORRECTIONS,

8

ResPondent.
9

----------

.....1)

10

Notice is hereby given of scheduling the hearing on the appeal before the Personnel Appeals

11

Board. The hearing will be held in the Personnel Appeals Board Hearing Room. 2828 Capitol

12

Boulevard, Olympia, Washington, on Monday, September 11, 1995, beginning at 1:30 p.m.

13
14

If the services of an interpreter are needed. notify Personnel Appeals Board staff at least two

15

weeks prior to the hearing. The hearing site is barrier free and accessible to the disabled.

16
17

DATED this 17th day of July. 1995.

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WASHINGTON STATE PERSONNEL APPEALS BOARD

19
20

KeIirieth J .!~ch, Executive Secretary
(360) 586-1481 or SCAN 321-1481

21

;

23

24
IS
26

cc:

Beverly Traweek, Appellant
Marion G.M. Leach, Attorney
Lynn Wise, AAG
Rick Hall, WPEA
Jennie Adkins, DOC

C6 :t9
Personnel Appe3ls Board
2828 CapilOllkluJevard
Olympia. Washington 98504
(360) 586-1481

2828 ~pital Blvd.
PO Boll 40911
Olympi~

WA 98504-0911

STATE OF WASHINGTON

PERSONNEL APPEALS BOARD

June 21, 1995

(360)

S~'481

FAX (360) 753.0139

/r
~~
'0Q. fP"~I2P~

Marion G. Leach
Washington Public Employees Assoc.
124 10th AVc;nue SW
Olympia, WA 98501
RE:

Beverly Traweek v. Department ofCOrrectioDS, Reduction in Salary Appeal,
Case No. RED-9S-0036

Dear Ms. Leach:
This letter is to acknowledge receipt of your appeal by the Personnel Appeals Board on
June 16, 1995.

Sincerelv ,

~r~
Executive Secretary

K1L;py
cc:
Beverly Traweek
Linda A. Dalton. AAG
Aennie Adkins, PO
Rick Hall, Rep.

0650
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JUN 16 1995

~~~~BOAEID

2828 capito! Boulevard.
P. 0. Sax 40911
Olympia, WA 98504-0911

PH:

seN

FAX:

321-1481
(206) 586-1481
(206) 753-0139

?~~3Ci

::·{:L

.~:='':-='::~ ;:·;.~RD

lI2Jis fQC1 will help ~ pl:OVide aecessarf infOJ:Da.tion

to the PeJ:::scmtel. ~ Bocu:d when
you fLle an ~ You am mt. J:eqUi.J:ed.to use this foJ:m; hc'~, appeals ~ be filed.
in ac:cqrdanc:e wi.th the requ:i.J::ement. set for-..b. in Ompt:er 358-20 vmc.
If the space on the fcC is Usu:eicieat or if you Wish to provide additiocal infoca.tion,
you may attac!:l additional pages.
:£ttm! OR 'I:!!lS - SIGN eN l'AG: 2

PARI! I.
mME: ~~TRA~w:e:.=.=El{==....._B~EyERL=-=~"='Y..lAill.:'=--_':""":"'::---:-~-:-~
(Last came, fi..::s1: came, IDiCCle i:ti.ti.al)

SON:
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Off-5ON:
(!!'.Clu:.e a..-aa ccCe)

(206) 858-4262

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Name of a~! or age.ccies ~~a:t: took ~on yell are a~ea'" "s

~~

n.

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S ~'!E, AJ::OBE:SS
MARION G. M. LEACH
WPEA ST.AFF ATTORNEY

124 10TH AVE SW

OI,WTA WA

An

~ant

~

TST·?"=:.:.cNE:

~E:3:

TELEPHONE: (360) 943-1121

Q8501

may a.ut:"'oJ:i.ze a

~..serJ::ac.ve

to act in bis/he= bebalf.

'lhe EcazC. tm.1St' be ooC.tied of aIJ:'f cbaI:;e in :t:9pLesentac.oc.

Cleek cne of 1±e follcw.i.ng t:J i
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Ciscipli..ar-,r.
(<±ec.~ applicable action(s».
Dismissal,
SUs~ion,
Demot:!.on. -'L-,.BeC.uc:t::.cn in Pay.
D::i.SabiJ ; tT sepa..""3.tion- Me.t:it: System Elule or State Civil Serdce Law Violacon
(ccm;:lets ~A.~ IV. of to"'; S fO=t)
BeC.u.ction in Force
(cc:n;:leta ~.AE!t' IV. of t.i:!.s fo=1)
Allccation (p::sit:.on classification)
(cc.;.1ets SlART V. of t."-lis foc) .
Decla.r:atol:y B1JllI:.g (see ~ 358-20-050)

0651

1

1828 Qpitol Blvd.
PO Box .uJ911
Olympia. WA 98504-4)911

STATE OF WASHINGTON

PERSON NEL APpEALS BOARD

1206) 586-1481
(SCAN) 321·1481
(FAXl753-D139

December 23, 1994

Rick Hall
Washington Public Employees Association
124 - lOth Avenue SW
Olympia, WA 98501

RE:

Beverly Traweek v. Department of Corrections, Reduction in Salary,
Case No. D94-177

Dear Mr. Hall:
This letter is to acknowledge receipt of your appeal by the Personnel Appeals Board on
December 21, 1994.
Sincerely,

bJdff

E.,,<ecutive Secretary
KJL:ph
cc:
Beverly Traweek
j>athy 1. Nolan, ~G
/Jennie Adkins, PO
.,

fS52

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DEC :.'

~FORM
~...sH!N:i'l'Qt ~

~

EBSONNEL
2828 capitor Bculev.u:d.·
P. 0. Box 40911
Olympia; WA 98504-a91~

EOAlm
~.

FAX:

10°4
.....

PER~·>.. =:~
:.~RD

SaN 321-1481
(206) 586-1481
(206)' 753-<1139

APPEJ1.LS :

'D:lis fo:m ~ help !OU p-'l'"OVide I1ecessaJ:y Urfoz:mation to the ~Ol:l:ne!. Appeals BoaJ:d when
file an appeal.. You a--e g& ~ ~ .to 1JSe this fO%::l; haNeve:, app!als ~ l:e filed
in accordance wi:t:h tbe ~""e'M"Tts set for..b. .in Cbapter 358-20 me. .

!QUo

! f the SplCe on the fOOl is ir:s'llf-=4 c:L~ or i..f :you wish to prov.i.de acCi:t:iClJal infOI:Da.ti~
you D'I2rf attach additicmal pages.
E!.~

A=o~

PARr I.
mME:

oa

'l!~S

SIGN' eN ?AGEl 2

-

:IDEm!!?!QelCN

MAWe.e, k,
(Last mme,

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("'J.J2J-€,2...L\..A"
micc' e ~t::.al)

'Came,

SON:
ECME:

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(==!.cie a-.--ea code)

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Name of agea:y 0: age::c:.es T-at tcck action you a-.-a

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ADD~S

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~UMEES:

~}~5. ;.:h';';:I~ ·&,·, :,:~:,:,/l.; ;:.,·~a. . : ;.: .,-.: :b. :.J. :. :;c,: :" ;~: :;":':.- 1~:. ;.L.: . ~.:;.; ;J;. ;e. :. .t.:;:,~. . .:.'Jk~A_.s; ;.;c:. ;.~:. ; ~:; ;.:h. . :. :-ta=-~'~!i-:-/;J. ~'f:-._lv~· .;J.:;.;-~ A~I}~t. . ;S;.•. . . : ( i~./. . J./ )"I'/~1.
....;;u..-;...J

An .Ac:el.!ant: IIli'!.V at:"""='c"" "'e a Lsc-'0"'2Se::::-...ac:.ve to act i:l bisjb.e:
'!he ECa::i must be .:oC..:5.ed of ~ ~ in ::e;rcesell;.atiC:l.

Chec.."

CIJe

of

f:","

The

cw~=.g

~ Disc;..,J ~ "a-r.

!:e;.,,.1":

to i=.C:i:::ate t=le t:,vpe of appeal yeu a--a

(c:ed~ a~c:a:cl.e act:!.oD.(s)

_

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~

'1 $S-O J

-g:

Co

.- DismiSsal
Stsoers:'''''T'1
De..":CtiCIl,
. ~CD. in ?av.
'--~
Disamli7:f Se::a..-a-c.oIl
Me..... ~ ~am B:u!.e or S'"..ate c::. vi-l Se-..-r-.ce Law Vicla~cn

d.

~on

e.

.Allocation (pesi-:::'00. c.!.ass:'.f:!.cat::i.on)
(c=....le-..a :A..~ V. of ~"'.f s ::O:=t)
Dec.la...-atcl:y lbl' ~ -13' (see WAC 358-20-050)

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in ::'o=e
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2828 Capitol Blvd.
PO Box oW911
Olympia. WA 98504-G911

STATE OF WASHINGTON

PERSONNEL APPEALS BOARD

(206)
(SCAN)

58601481
321-1481

(FAX) 753-0139

December 23, 1994

Rick Hall
Washington Public Employees Association
124· 10thAvenue SW
Olympi~ WA 98501
RE:

Robert Love v. Department of Corrections, Demotion Appeal.
Case No. 094-182

Dear NIr. Hall:
This letter is to acknowledge receipt of your appeal by the Personnel Appeals Board on
December 22, 1994.
Sincerely,

bJ~t-

Executive Secretary

KJL:ph
cc:

Robert Love
Kathy L. Nolan, AAG
~nnie Adkins, PO
"

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~~ ~ ©IE HI ~ ~

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~...sEDmQt ~

PE:aSCNNEL.
2828 capito!. EloulevaJ:d.·
P.o. BQx 40911
Ol.~ triA 98504-0911

Cr.:-'"_"

~ BOABD

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.~~~

SON 321-1481
(206) 586-1481
(206)" 753-<1139

.tis faI:Il will help !OIl pl:CVide necesscu:y infCJ::Da,tien to the !'e::som:.el A;:.peals E!oaJ::d ~
you file an appeal. You are ~ 1:eqUL""'Eld_to use tbis fcJ::D; bGwever, ~ ~ be filed
in accordance ldt:h the ~-ement:s set for-..h in 0Japl:er 358-20 WAC. .
.
! f 't:be space en tbe foz::n is ; nsu:E~~ dent: or i£ you wish to pr.Jv.i.de adC~ tiOlJal infO! 'Htion,
you may att:acl1 aCCiticml pages.
£"lUN:r OR 'l'!:E - SIGN ON

~

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SON:

2

S)z ?/-s Z. 511
i .

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I....D /2/2.. e..::-TI" . .u ~
Name of

~

or aget:.eies

~"'at

took ac"=ic; you a--s i!f.=-.....,; -g:

~J2;()A-I2.+/JU!...r!+ Or- arZ~fio~

O::1eck one of t:l.e follcwi:g to

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be.
d.

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f.

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. :t:ive to ac: i:l lot.; s /he: ::eb.al.:'
c:2I:ce in .reoi:'esem::aCc:l.
.

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of a;pea.l

ycu

a--e ..:;, ~ n~

Qisc::.::,'; "2-,r.

(Qee.'t a;:p'; caele ~qn(sJ.)-Dismissal,
~ion.
~c::. _ReC:Jc:::.oc. in ~y.
Ois--abf' ; "\:y se~a..-ation-- -Me.::.t System R1.:.le 0 : S-..ate Civil Se..-ti.ce Law Vicla:t:::.cn
(c::::::::leta ?A.~ rv. 0: ~"''' s fc:::n)

Force
(el _, ete ?A.~ rv. of t"'.is fo::n)
Allocation (;CSi t::.on classiiication)
(c=le":a :A.~ v. of to"'' s fC::l)
~onin

Decl.a-~to:y 3l1l..i::g (see WAC 358-20-050)

1

0655