Arkansas State Board of Nursing v. Long

651 S.W.2d 109, 8 Ark. App. 288, 1983 Ark. App. LEXIS 818
CourtCourt of Appeals of Arkansas
DecidedJune 1, 1983
DocketCA 82-345
StatusPublished
Cited by6 cases

This text of 651 S.W.2d 109 (Arkansas State Board of Nursing v. Long) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arkansas State Board of Nursing v. Long, 651 S.W.2d 109, 8 Ark. App. 288, 1983 Ark. App. LEXIS 818 (Ark. Ct. App. 1983).

Opinion

Donald L. Corbin, Judge.

Appellant, Arkansas State Board of Nursing, charged Ina Long, appellee, a registered nurse, with violating Ark. Stat. Ann. § 72-760 (a) (3) & (6) (Repl. 1979) of the Nurse Practice Act, which authorizes disciplinary action for negligence and unprofessional conduct respectively. An adjudicatory hearing on these charges was held before the Board pursuant to the Arkansas Administrative Procedure Act. Ark. Stat. Ann. § 5-701, et seq. (Repl. 1976). The Board found that appellee had violated the Nurse Practice Act as charged and ordered her nursing license to be suspended for one year. Appellee appealed this decision to the Pulaski County Circuit Court, Fifth Division, pursuant to Ark. Stat. Ann. § 5-713 (a). The trial court reversed the Board’s decision. We affirm.

The Board contended that appellee in her capacity as administrator of Hillhaven Nursing Home was guilty of negligence and unprofessional conduct in authorizing her housekeeping staff to wax the floor leading to rooms containing twenty-four skilled care patients in such a way as to prevent any access to those patients for approximately one to one and one-half hours. Skilled care patients are those who cannot care for themselves at all. The Board also alleged that appellee failed to take adequate corrective action to give her nursing staff access to the patients. During the period of time that the waxing took place, eighty-one year old Ruth Hays, a patient in the skilled care section of Hillhaven Nursing Home died while restrained in her turned over wheelchair.

As administrator of Hillhaven Nursing Home, appellee oversaw the nursing and housekeeping staff. Appellee supervised Donna Hughes, Director of Nursing and Stella Morris, Housekeeping Director.

Stella Morris had authority over housekeeping matters, and she decided on May 28, 1982, that the floors on the skilled care unit of the fourth floor should be waxed. It was her decision to do it during the shift change. Ms. Morris approached appellee to inform her that she and her crew would be waxing one end of the fourth floor that day. When she spoke to appellee, appellee was on the phone and appellee merely assented to her statement. There was no testimony at the hearing as to the exact time this occurred. The record reveals that appellee did not order Stella Morris to wax the floor nor did she tell her how to do it. The finding of the Board of Nursing to that effect was incorrect.

Ms. Morris and her aide, Mr. Humphrey, began waxing the fourth floor where the skilled care patients resided. After it became apparent to some nurses that the whole floor was being waxed rather than part of it, they voiced their objections to Ms. Morris. Ms. Morris told only one nurse, Patsy Tilley, that the floor was being waxed on orders from appellee and that those who walked on the floor would be “written up” but she testified that she only made that statement to nurse Tilley because nurse Tilley “just wanted to be kind of smart about it.” She testified that she was not doing it on orders from appellee because it was her own decision, and she had merely told appellee about it in advance. Ms. Morris testified that her department waxed different ways at different times and that a shift change could be a logical time to wax because patients were checked right at shift change.

The nurses who objected to this method of floor waxing admitted that they did not object directly to appellee until quite some time later. Appellee testified that while waxing apparently started a little after 3:00 p.m. that day, no one voiced an objection to her until just before 4:00 p.m. when she went to Donna Hughes’ office, the Director of Nursing. As soon as appellee did learn about it, she went to the fourth floor and checked on the waxing. When she got there, the wax had already been laid and was nearly dry. She testified that.she talked with Ms. Morris and Mr. Humphrey and told them that they should no longer wax the whole hall at once — thereafter it should be done half at a time. No nurse discussed it with her then. She went back to her office and ten minutes later she received the stat call for Mrs. Hays.

Donna Hughes, the Director of Nursing, also was charged in this matter, but appellant Board of Nursing dropped the charges against her in exchange for her testimony against appellee. She testified that she knew about the waxing before it occurred, but she admitted that she did not tell appellee her concerns over the fact that the waxing would keep nurses from their patients until the meeting in her office. She testified that when she learned about the waxing, she called nurse Connie Smart on the fourth floor and asked her to check the patients before the waxing began. She never testified to a specific time when she and appellee talked. Also, no objections were made to Ms. Hughes until sometime later when she went to the fourth floor and talked to the nurses.

Judicial review of administrative findings is governed by our Administrative Procedure Act, Ark. Stat. Ann. § 5-713 (Supp. 1981) which provides in part:

(g) The review shall be conducted by the court without a jury and shall be confined to the record, except that in cases of alleged irregularities in procedure before the agency, not shown in the record, testimony may be taken before the court. The court shall, upon request, hear oral argument and receive written briefs.
(h) The court may affirm the decision of the agency or remand the case for further proceedings. It may reverse or modify the decision if the substantial rights of the petitioner have been prejudiced because the administrative findings, inferences, conclusions, or decisions are:
(1) in violation of constitutional or statutory provisions;
(2) in excess of the agency’s statutory authority;
(3) made upon unlawful procedure;
(4) affected by other error of law;
(5) not supported by substantial evidence of record;
or
(6) arbitrary, capricious, or characterized by abuse of discretion.

Upon judicial review of administrative decisions, we must review the entire record and determine whether there is substantial evidence to support the administrative findings. Snyder v. Alcoholic Beverage Control Board, 1 Ark. App. 92, 613 S.W.2d 126 (1981). Substantial evidence is evidence which is valid, legal and persuasive and such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Partlow v. Arkansas State Police Commission, 271 Ark. 351, 609 S.W.2d 23 (1980). Before a decision of the Board may be reversed on appeal, it must appear that fair-minded persons with the facts before them, could not have reached the conclusion arrived at by the Board. See, Office of Emergency Services v. Home Ins. Co., 2 Ark. App. 185, 618 S.W.2d 573 (1981).

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Bluebook (online)
651 S.W.2d 109, 8 Ark. App. 288, 1983 Ark. App. LEXIS 818, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arkansas-state-board-of-nursing-v-long-arkctapp-1983.