Bakal v. University Heights Sanitarium, Inc.

277 A.D.2d 572

This text of 277 A.D.2d 572 (Bakal v. University Heights Sanitarium, Inc.) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bakal v. University Heights Sanitarium, Inc., 277 A.D.2d 572 (N.Y. Ct. App. 1950).

Opinion

Dore, J.

The issue is whether defendant, a private hospital operated for profit, is responsible for its nurse’s negligent acts, not administrative or clerical, but performed in relation to a patient’s medical care in connection with an operation performed in the hospital by the patient’s own surgeon.

Plaintiff was a paying patient in defendant’s private hospital concededly operated for profit. On October 25, 1947, an anal fistula was removed by defendant, Dr. Eisenstat, a surgeon engaged by plaintiff. During the operation • that was had under a general anesthetic, plaintiff, the patient, was severely burned by an electric plate which was connected with and operated the electrocautery knife used by Dr. Eisenstat, the operating surgeon. Before the operation, the negative electric plate was prepared and applied under the patient’s body by a regular nurse of the hospital designated for the purpose by the hospital’s supervisory nurse. The negative electric plate was a part of a Bove electrosurgical machine which was part of the hospital equipment. The doctor, in reserving a room for the patient and the operation to be performed upon her, had specified that he wished to make use of such a machine.

The negative plate is a flat plate of malleable metal heavier than ordinary tin foil attached to which is a wire connected to the negative part of the machine. To apply the plate properly without danger of burning the patient, the plate itself must be smooth and clean and must be applied to the body with an [574]*574electrolyte, in this case a current-conducting jelly which is placed on the plate in contact with the patient’s body. Plaintiff’s family doctor who assisted at the operation testified that the plate must be applied completely so that the whole surface touches the body evenly; otherwise there may be small areas not touching the body and in and around such areas electric current is concentrated and may produce burns. The plate is first placed by the nurse on the operating table and the patient put on top of the plate; the weight of the body comes down on the plate and preserves contact; the plate is usually applied by nurses as a routine matter before the doctor enters the operating room and was so applied in this case by the hospital nurse, Miss Scott. The current passes through a positive electrode which does the cutting; the positive pole or cutting device in the operating surgeon’s hand is a fine wire which gets heated and cuts and coagulates but won’t cut unless the negative pole is under the patient. The doctor who is to operate relies on the nursing personnel of the hospital to put the machine and plates in place before he starts the operation.

The patient was unconscious during the operation; some time after the operation was over, it was ascertained that the patient had sustained severe burns in that part of the body with which the plate was in contact. Dr. Eisenstat testified that it was faulty contact with the patient’s body that produced the burns.

After trial before the court and a jury, the court -submitted to the jury the following questions of fact for special verdicts thereon, and the jury brought in the answers indicated to the questions as follows:

1. Were the injuries and burns caused by the plate of the Bove machine? A. Yes.

2. Was the plate of the Bove machine properly applied to the body of the plaintiff? A. No.

3. By whom was the plate of the Bove machine applied? A. Miss Scott.

4. Should Dr. Eisenstat who performed the operation have supervised the placing of the plate against the body of the plaintiff? A. No.

5. Amount of damages.— $7,000.

The parties moved for direction of a verdict and stipulated that the court render a general verdict in accordance with the facts and the law; defendant hospital also moved to set aside the jury’s answer to special question number 5 on the ground of excessiveness.

[575]*575Thereafter the court in an opinion dismissed the complaint against Dr. Eisenstat on the ground that there was no evidence of negligence against him; reduced the jury’s verdict in favor of the plaintiff from $7,000 to $5,000 on plaintiff’s stipulation to accept the lower amount (and plaintiff so stipulated), and directed judgment for $5,000 in plaintiff’s favor. Judgment was entered accordingly against defendant hospital. The hospital appeals.

Plaintiff did not appeal from dismissal against defendant Dr. Eisenstat; the hospital did appeal, but on argument withdrew that appeal so that no issue is presented to us with regard to the dismissal against Dr. Eisenstat. The sole issue is the immunity of a private noncharitable hospital organized and conducted for profit for the negligent act of one of its regular nurses in connection with the medical treatment of the patient.

In directing judgment against the hospital, the court relied on a decision of Special Term in the second department (Post v. Crown Heights Hosp., 173 Misc. 250 [Hallinan, J.; Feb., 1940]) in which the court, after a review of the authorities, held that a private noncharitable hospital was not immune for the negligent acts of an interne, the private hospital’s regular and not special employee in the treatment of a patient; that the public interest would be more fully served if the rule of immunity applied to public or charitable hospitals were not extended to private noncharitable hospitals or those operated for profit.

The question before us was specifically left open by the Court of Appeals in Kamps v. Crown Heights Hosp. (277 N. Y. 602). In that case the Appellate Division of the second department, reversing a judgment in plaintiff’s favor against a noncharitable hospital and directing dismissal of the complaint because of the negligence of a nurse in placing a hot water bag upon her feet whereby the patient was severely burned, dismissed on the ground in part that the nurse was specially retained by the patient and paid by the patient. In affirming, the Court of Appeals said: ‘ ‘ The nurse was employed by the patient and not by the hospital. The court does not decide any other question upon this record.”

Until the Court of Appeals expressly holds otherwise, we think we should follow the rule that a hospital whether charitable or private is immune from liability by reason of the negligence of a doctor or a nurse with respect to matters [576]*576relating to the patient’s medical care and attention. In Steinert v. Brunswick Home (259 App. Div. 1018) decided in June, 1940, four months after the Special Term decision in that department in Post v. Crown Heights Hosp. (supra) the Second Department adhered to the rule that a private hospital conducted for profit is not responsible for the act of a nurse that was part of the treatment of the patient and not an administrative or clerical act citing Schloendorff v. New York Hosp. (211 N. Y. 125); Matter of Renouf v. New York Central R. R. Co. (254 N. Y. 349), and Mieryjeski v. Bay Ridge Sanitarium (237 App. Div. 851).

In the Schloendorff case (supra) it is true that defendant was a charitable non-profit-making hospital, but Cardozo, J., in his opinion mentioned two grounds for the immunity of such hospital for the negligence of physicians and nurses in the treatment of patients.

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Related

Schloendorff v. Society of the New York Hospital
105 N.E. 92 (New York Court of Appeals, 1914)
Claim of Renouf v. New York Central Railroad
173 N.E. 218 (New York Court of Appeals, 1930)
Schneider v. New York Telephone Company
13 N.E.2d 47 (New York Court of Appeals, 1938)
Kamps v. Crown Heights Hospital, Inc.
14 N.E.2d 184 (New York Court of Appeals, 1938)
Mieryjeski v. Bay Ridge Sanitarium, Inc.
237 A.D. 851 (Appellate Division of the Supreme Court of New York, 1932)
Schneider v. New York Telephone Co.
249 A.D. 400 (Appellate Division of the Supreme Court of New York, 1937)
Steinert v. Brunswick Home, Inc.
259 A.D. 1018 (Appellate Division of the Supreme Court of New York, 1940)
Post v. Crown Heights Hospital, Inc.
173 Misc. 250 (New York Supreme Court, 1940)

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Bluebook (online)
277 A.D.2d 572, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bakal-v-university-heights-sanitarium-inc-nyappdiv-1950.