Avant v. County of Erie

CourtDistrict Court, W.D. New York
DecidedApril 29, 2024
Docket1:20-cv-01689
StatusUnknown

This text of Avant v. County of Erie (Avant v. County of Erie) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Avant v. County of Erie, (W.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

KRYSTAL A. AVANT, individually and as administrator of the estate of Connell A. Burrell, 20-CV-1689-LJV-HKS Plaintiff, DECISION & ORDER

v.

COUNTY OF ERIE, ERIE COUNTY HOLDING CENTER, and ERIE COUNTY SHERIFF’S OFFICE,

Defendants.

Before the Court are cross-motions for summary judgment filed by the plaintiff, Krystal A. Avant, individually and as administrator of the estate of Connell A. Burrell, Docket Item 42, and the defendants, the County of Erie (“the County”), the Erie County Holding Center, and the Erie County Sheriff’s Department, Docket Item 46. More specifically, Avant moves for partial summary judgment on the issue of liability, Docket Item 42, while the defendants move for summary judgment on all claims, Docket Item 46. The parties responded to each other’s motions, Docket Items 47 and 50, and Avant replied in support of her motion, Docket Item 51. For the reasons that follow, this Court denies Avant’s motion for partial summary judgment, Docket Item 42, and grants in part and denies in part the defendants’ motion for summary judgment, Docket Item 46. More specifically, this Court denies the defendants’ motion with respect to Avant’s failure to train claim against the County under Monell v. Department of Social Services, 436 U.S. 658 (1978), but otherwise grants the motion.

BACKGROUND1 This case concerns the tragic death of Connell Burrell. On July 31, 2019, Burrell was sentenced to 15 days’ incarceration for disorderly conduct. Docket Item 42-3 at 2.

Burrell—who was diabetic—was taken into custody at the Erie County Holding Center that day and seen by a registered nurse for an intake assessment. Id. He later was transferred to the Echo One housing unit. Id. at 3. At 9:54 that evening, Registered Nurse Natasha Strough arrived at the Echo One housing unit in response to a medical emergency call and found Burrell lying on the floor. Id.; Docket Item 42-2 at 10. Burrell’s glucose level measured 26, he appeared “confused,” and he was “unable to follow direction without multiple verbal redirections.” Docket Item 42-3 at 3. “[H]is gait was unsteady,” and he was walked over “to medical with assistance.” Id. When he arrived at medical, “Burrell was reportedly alert and speaking in full

sentences,” but his “glucose was rechecked and was recorded at a critical level of 21.” Id. Nurse Strough then instructed another nurse “to prepare a peanut butter sandwich for Burrell to eat,” and “Burrell was given juice, milk, and the sandwich.” Id. Burrell began to eat the sandwich, and security staff reported that he appeared to be choking. Id. Licensed Practical Nurse Charles Broody performed the Heimlich maneuver, and

1 On a motion for summary judgment, the court construes the facts in the light most favorable to the non-moving party. See Collazo v. Pagano, 656 F.3d 131, 134 (2d Cir. 2011). Burrell “expel[led] part of the sandwich.” Id.; Docket Item 42-2 at 13. “Burrell remained unable to follow directions.” Docket Item 42-3 at 3. The medical staff again checked Burrell’s blood glucose level and recorded it as 26. Id. “Burrell then became combative and more confused.” Id. The staff performed a

third blood glucose level check and recorded it as 31. Id. Nurse Strough then gave Burrell 1 milligram of Glucagon in his right deltoid at 10:25 p.m. Id. She gave him a second dose of Glucagon at 10:32 p.m. Id. At 10:37 p.m., Burrell became unresponsive and had no pulse. Id. The staff performed cardiopulmonary resuscitation (“CPR”) and applied an automated external defibrillator (“AED”). Id. Emergency Medical Services (“EMS”) arrived at 10:47 p.m. and found “Burrell lying supine on the ground of the infirmary, in cardiac arrest.” Id. When EMS arrived, the staff was still performing CPR and the AED was still in place. Id. The EMS staff administered Dextrose and attempted to intubate Burrell. Id.

EMS transported Burrell to Buffalo General Hospital where his “admitting diagnoses included: acute encephalopathy, acute respiratory failure with left lower lobe consolidations, pulseless electrical activity arrest secondary to hypoglycemia, anion gap metabolic acidosis secondary to lactic acidosis, and sepsis.” Id. at 3-4. The following afternoon—August 1, 2019—“at 3:05 p.m., Burrell was released from custody with time served but remained hospitalized in intensive care.” Id. at 4. The next day, “at 7:30 a.m., Burrell was pronounced dead at Buffalo General Hospital.” Id. At the time of Burrell’s death, the Erie County Holding Center had the following policy and procedure for hypoglycemic patients: If Blood Glucose (BG) is <60, notify an RN immediately for assessment. If the inmate is asymptomatic, give 2 juices/milk or oral glucose and re-check BG in 15 minutes. May repeat juice/oral glucose if necessary. If repeat BG is > 70, provide nourishment and advise him/her of signs and symptoms of low blood sugar. Repeat BG in 90 minutes.

If BG is <60, notify an RN immediately for assessment. If there is a change in [level of consciousness (LOC)], give 1 mg glucagon IM. Continue to assess inmate in medical and check BG in 15 minutes. If BG continues to be <70, or no improvement of LOC, transfer patient to Emergency Department via EMS.

If BG is <60, notify an RN immediately for assessment. If there is a change in LOC, give 1 mg glucagon IM. If repeat BG is >70 and inmate returns to baseline after 15 minutes, provide nourishment and advise him/her of signs and symptoms of low blood sugar. Repeat BG in 90 minutes. Id. Following Burrell’s death, the Erie County Sheriff’s Office conducted an investigation. Id. Based on that investigation, Nurse Strough “was found to be in violation of agency policy and procedure for hypoglycemic patients.” Id. She was subsequently terminated from her position. Id. The New York State Commission of Correction Medical Review Board also issued a report, which found that Nurse Strough “failed to perform proper rescue measures that resulted in Burrell becoming fatally hypoglycemic and going into cardiac arrest.” Id. The report also found that Strough “failed to follow agency policy and procedure for a hypoglycemic patient and ordered an unauthorized and contraindicated therapy.” Id. “Additionally, [Nurse Strough] failed to activate EMS to respond to the facility immediately when Burrell’s airway had become compromised.” Id. The Medical Review Board concluded that “[h]ad [Nurse Strough] properly recognized Burrell’s critical hypoglycemia, properly followed agency policy and procedure, and requested immediate treatment and transfer to a hospital via an advanced life support ambulance, Burrell’s death could have been prevented.” Id.

LEGAL PRINCIPLES Under Federal Rule of Civil Procedure 56, a court appropriately grants summary

judgment only “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “The movant”—that is, the party seeking summary judgment— “has the burden of showing that there is no genuine issue of fact.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 256 (1986). The movant may satisfy that burden by relying on evidence in the record, “including depositions, documents, . . . [and] affidavits,” Fed. R. Civ. P. 56

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Avant v. County of Erie, Counsel Stack Legal Research, https://law.counselstack.com/opinion/avant-v-county-of-erie-nywd-2024.