Bracegirdle v. State Department of Regulation & Licensing, Board of Nursing & Division of Enforcement

464 N.W.2d 111, 159 Wis. 2d 402, 1990 Wisc. App. LEXIS 1117
CourtCourt of Appeals of Wisconsin
DecidedNovember 29, 1990
Docket90-0289-FT
StatusPublished
Cited by18 cases

This text of 464 N.W.2d 111 (Bracegirdle v. State Department of Regulation & Licensing, Board of Nursing & Division of Enforcement) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bracegirdle v. State Department of Regulation & Licensing, Board of Nursing & Division of Enforcement, 464 N.W.2d 111, 159 Wis. 2d 402, 1990 Wisc. App. LEXIS 1117 (Wis. Ct. App. 1990).

Opinion

SUNDBY, J.

The Board of Nursing, Division of Enforcement, state Department of Regulation and Licensing appeals from a judgment reversing the board's order reprimanding Darlene Bracegirdle, a registered nurse, for abusing a patient, contrary to Wis. Adm. Code sec. N 7.04(4) (1985), 1 and awarding Bracegirdle costs *410 and fees under the Equal Access to Justice Act, sec. 814.245, Stats. 2 We affirm.

BACKGROUND

The board charged that Bracegirdle "used excessive force in the removal of . . . dentures from [resident] J.N.'s mouth, resulting in some bruising of the resident's face," in violation of Wis. Adm. Code sec. Ñ 7.04(4). The incident occurred at Lakeview Health Center Nursing Home, where Bracegirdle was employed as a supervising nurse. Staff made four attempts to remove J.N.'s dentures. Bracegirdle was involved in the third and fourth attempts. She was not aware of the first two attempts until after they had been made but learned that in one of those attempts, J.N.'s mouth had been injured so that he bled. Bracegirdle was charged because of her actions in the third attempt.

The examiner concluded that ”[t]he preponderance of the evidence does not show that [Bracegirdle] used excessive force in her attempt to remove dentures from the mouth of J.N." The examiner therefore proposed to dismiss the board's complaint.

The board adopted the examiner's finding that there was no credible evidence that Bracegirdle used or allowed other staff to use "excessive or inappropriate" physical or verbal methods to persuade J.N. to remove or *411 allow staff to remove his dentures. The board, however, amended the examiner's conclusions of law by striking the reference to the degree of force used by Bracegirdle and adding the following:

[Attempting by the use of verbal and physical encouragement to persuade patient J.N. to open his mouth when he declined to do so constitutes an act of force or mental pressure which reasonably could cause physical pain or injury, or mental anguish or fear, in violation of Wis. Adm. Code sec. N 7.04(4).

In its decision, the board explained that its variance from the examiner's conclusion was based on its conclusion that, where the patient was competent and there were no exigent circumstances, there is "neither reason nor excuse for physically intervening in an attempt to force the resident to act contrary to his will."

The board assessed the costs of the proceedings against Bracegirdle.

I.

THE ISSUES

(1) Was the fairness of the proceedings before the board impaired by a material error in procedure which requires, pursuant to sec. 227.57(4), Stats., that we direct the circuit court to remand the case to the board for further action? Bracegirdle claims that she was denied procedural due process because the board was not an impartial decisionmaker, and because the board did not give her fair notice of the charges against her and an opportunity to be heard.

We conclude that Bracegirdle failed to show that the board was not impartial. We further conclude, however, that the board violated Bracegirdle's right to fair notice and an opportunity to be heard when the board *412 found that she violated Wis. Adm. Code sec. N 7.04(4) by conduct not charged. Remand to the board for further action is unnecessary, however, because Bracegirdle's acts did not violate Wis. Adm. Code sec. N 7.04(4).

(2) Did Bracegirdle's verbal and physical encouragement to persuade patient J.N. to open his mouth constitute acts of force or mental pressure which reasonably could have caused J.N. physical pain or injury, or mental anguish or fear, in violation of Wis. Adm. Code sec. N 7.04(4)? We conclude that they did not.

(3) Did the circuit court abuse its discretion when it awarded Bracegirdle costs and fees under sec. 814.245, Stats., upon its finding that the board's position was not substantially justified? We conclude that it did not.

II. FAIRNESS OF THE PROCEEDINGS

Section 227.57(4), Stats., provides: "The court shall remand the case to the agency for further action if it finds that . . . the fairness of the proceedings . . . has been impaired by a material error in procedure or a failure to follow prescribed procedure."

Bracegirdle frames the fairness issue in procedural due process terms. She claims that the board violated her right to due process in two respects. First, she was denied the right to an impartial decisionmaker. Second, the board did not give her fair notice and an opportunity to be heard with respect to her conduct which the board found violated Wis. Adm. Code sec. N 7.04(4).

A.

Impartial Decisionmaker

Bracegirdle claims that her right to an impartial decisionmaker was violated because the chairperson of *413 the board acted as advisor to the prosecuting attorney in preparing the charges against Bracegirdle, and participated in oral argument before the board and in the board's deliberations and decision to reprimand Bracegirdle.

The board argues that Bracegirdle cannot raise these issues upon her petition for review because she did not raise them in the administrative proceedings. The board relies on Omernick v. DNR, 94 Wis. 2d 309, 312, 287 N.W.2d 841, 843 (Ct. App. 1979), aff'd, 100 Wis. 2d 234, 301 N.W.2d 437, cert. denied, 454 U.S. 883 (1981), which we find inapposite. In Omernick, the petitioners were aware that evidence may have been obtained by execution of an allegedly invalid search warrant. They did not raise this issue at the agency level. However, Bracegirdle could not have raised the partiality issue at the agency level. The chairperson's participation in the charging, hearing, and decisionmaking process was not evident to Bracegirdle until after the board announced its decision. Thus, she had no basis to seek to disqualify the chairperson or to move to dismiss the charges because of the chairperson's participation.

The board argues that Bracegirdle waived any objection to the chairperson's participation because she did not move the board for a rehearing under sec. 227.49(1), Stats. Under Sec. 227.49(1), any person aggrieved by an agency's final order may file a written petition with the agency for rehearing. However, " [a] petition for rehearing shall not be a prerequisite for appeal or review." Sec. 227.49(1), Stats. Therefore, Bracegirdle did not waive her right to have the fairness of the proceedings before the board reviewed. .

*414 (1)

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Bluebook (online)
464 N.W.2d 111, 159 Wis. 2d 402, 1990 Wisc. App. LEXIS 1117, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bracegirdle-v-state-department-of-regulation-licensing-board-of-nursing-wisctapp-1990.