OPALA, Justice.
The dispositive issue on certiorari is whether the trial court
erred
in dismissing the plaintiffs’ claim for failure to state a cause of action? We answer
in the affirmative.
I
THE ANATOMY OF LITIGATION
Judy Dyke [Dyke], a nurse employed by defendant St. Francis Hospital [Hospital], alleged that before October 1986 she was
exposed to hepatitis
in the course of her employment. The hospital directed her to the employee health department, where she came under the care of the defendant doctors, Robert G. Tompkins, Joe LeBlanc, George B. Caldwell, Stanley N. Schwartz and Robert Jordan [Doctors]. These physicians treated Dyke with a series of three vaccines (Heptavax-B). After receiving two more shots of Heptavax-B, Dyke became seriously ill with Guillain-Barré syndrome.
Dyke and her husband
brought a malpractice action against the doctors and hospital on
March SO, 1990.
Dyke alleged that the physicians were “associated with”
the employee health department and had been “designated by” the hospital to administer medical care to the hospital’s employees. According to Dyke, the defendant doctors were “agents, servants and employees” of the hospital and were “acting within the scope of their agency, service and employment” at “all times material” to the lawsuit.
The doctors and the hospital separately moved to dismiss for failure to state a claim upon which relief may be granted. They advanced
lack of subject matter jurisdiction
based on the
exclusivity
of Oklahoma’s
compensation remedy.
The trial court took the case under advisement and later dismissed the suit
against the hospital and the doctors.
The Court of Appeals reversed the dismissal order. It held the “dual persona” doctrine
available to provide Dyke with a tort remedy against the hospital and the named physicians. The appellate court reasoned that when the hospital — acting through the doctors — sought to treat Dyke for her exposure to hepatitis, it assumed obligations
unrelated
to those of the employer, which in turn gave rise to distinct duties. The opinion concludes that Dyke
could prove
a set of facts that would bring her claim within the dual persona doctrine and would entitle her to tort recovery against the doctors.
We hold that the district court
erred
in dismissing the action for failure to state a claim
both against
the doctors and the hospital. Since the judgment roll of Dyke’s compensation claim was
not
before the district court when it considered the dismissal motions, the nisi prius court had
no
opportunity to assess the defendants’ claim to immunity based either on the exclusivity provisions of the Workers’ Compensation Act
or on the law’s bar against relit-igation of an adjudged compensation claim as a tort remedy.
We granted certiorari because, even if the dual persona doctrine
were viable
in Oklahoma, the record in this case gives no support to its application.
II
DYKE’S PETITION STATES A CLAIM UPON WHICH RELIEF CAN BE GRANTED AGAINST THE DEFENDANTS
The applicable test for appraising the sufficiency of a pleading challenged for failure to state a claim upon which relief may be granted teaches that
no dismissal
may be effected unless it should appear
beyond doubt
that the plaintiff can prove no set of facts in support of the claim which would entitle her to relief.
Under
our pleading regime,
if the dismissal motion also tenders for consideration materials
dehors
the pleadings, summary judgment procedure must be utilized.
Dyke argues that she stated a claim against the hospital under the dual persona doctrine, and against the doctors either as employees or independent contractors. She alleges that her injuries were caused by the hospital — acting through the physicians as its health care providers — when the defendants negligently administered a vaccine in her treatment for exposure to hepatitis. According to Dyke, the doctors had been designated by the hospital to administer medical care to its employees and in doing so were acting
qua
the hospital’s “agents, servants and employees.” She argues that her allegation that the doctors were
“agents, servants and employees”
of the hospital at the time of the injurious event is sufficient to withstand a motion to dismiss and she complains that
she should have been permitted to discover the true nature of the relationship between the doctors and hospital.
Dyke maintains
the defendants’ dismissal quest was prematurely reached for disposition.
Moreover, she urges error in the trial court’s failure to allow her to amend her pleading.
The hospital and doctors support the nisi prius dismissal order with the argument that the trial court
lacked subject matter jurisdiction because Dyke had filed a workers’ compensation claim.
The hospital
attached
to its
trial-court
brief a copy of
Dyke’s first notice of accidental injury and claim for compensation (Form 3),
which had been filed with the Workers’ Compensation Court.
On appeal
the hospital also
appended
to its answer brief a
copy of Dyke’s compensation award.
Dyke’s nisi prius briefs neither addressed the exclusivity-of-compensation argument nor acknowledged that a compensation claim had been filed. On appeal
she concedes only that a compensation claim is pending.
None of the materials attached to the trial and appellate paperwork is available to invoke the claimed protection of the §§ 12 and 122 immunity
from tort suit. The Form 3 appended to the hospital’s trial-court brief does not by itself demonstrate the district court’s lack of cognizance over Dyke’s tort claim. Nor does the record indicate that the trial court transformed the dismissal process into summary judgment proceedings by viewing the attachment as evidentiary material under Rule 13, Rules for the District Court.
Even if the trial judge had so considered that attachment, the Form 3 by itself does not in this case rise to proof of the hospital’s immunity from tort liability..
As for the later attachment of the award, a party cannot supplement the record on appeal by injecting into it material
that was not before the trial court
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OPALA, Justice.
The dispositive issue on certiorari is whether the trial court
erred
in dismissing the plaintiffs’ claim for failure to state a cause of action? We answer
in the affirmative.
I
THE ANATOMY OF LITIGATION
Judy Dyke [Dyke], a nurse employed by defendant St. Francis Hospital [Hospital], alleged that before October 1986 she was
exposed to hepatitis
in the course of her employment. The hospital directed her to the employee health department, where she came under the care of the defendant doctors, Robert G. Tompkins, Joe LeBlanc, George B. Caldwell, Stanley N. Schwartz and Robert Jordan [Doctors]. These physicians treated Dyke with a series of three vaccines (Heptavax-B). After receiving two more shots of Heptavax-B, Dyke became seriously ill with Guillain-Barré syndrome.
Dyke and her husband
brought a malpractice action against the doctors and hospital on
March SO, 1990.
Dyke alleged that the physicians were “associated with”
the employee health department and had been “designated by” the hospital to administer medical care to the hospital’s employees. According to Dyke, the defendant doctors were “agents, servants and employees” of the hospital and were “acting within the scope of their agency, service and employment” at “all times material” to the lawsuit.
The doctors and the hospital separately moved to dismiss for failure to state a claim upon which relief may be granted. They advanced
lack of subject matter jurisdiction
based on the
exclusivity
of Oklahoma’s
compensation remedy.
The trial court took the case under advisement and later dismissed the suit
against the hospital and the doctors.
The Court of Appeals reversed the dismissal order. It held the “dual persona” doctrine
available to provide Dyke with a tort remedy against the hospital and the named physicians. The appellate court reasoned that when the hospital — acting through the doctors — sought to treat Dyke for her exposure to hepatitis, it assumed obligations
unrelated
to those of the employer, which in turn gave rise to distinct duties. The opinion concludes that Dyke
could prove
a set of facts that would bring her claim within the dual persona doctrine and would entitle her to tort recovery against the doctors.
We hold that the district court
erred
in dismissing the action for failure to state a claim
both against
the doctors and the hospital. Since the judgment roll of Dyke’s compensation claim was
not
before the district court when it considered the dismissal motions, the nisi prius court had
no
opportunity to assess the defendants’ claim to immunity based either on the exclusivity provisions of the Workers’ Compensation Act
or on the law’s bar against relit-igation of an adjudged compensation claim as a tort remedy.
We granted certiorari because, even if the dual persona doctrine
were viable
in Oklahoma, the record in this case gives no support to its application.
II
DYKE’S PETITION STATES A CLAIM UPON WHICH RELIEF CAN BE GRANTED AGAINST THE DEFENDANTS
The applicable test for appraising the sufficiency of a pleading challenged for failure to state a claim upon which relief may be granted teaches that
no dismissal
may be effected unless it should appear
beyond doubt
that the plaintiff can prove no set of facts in support of the claim which would entitle her to relief.
Under
our pleading regime,
if the dismissal motion also tenders for consideration materials
dehors
the pleadings, summary judgment procedure must be utilized.
Dyke argues that she stated a claim against the hospital under the dual persona doctrine, and against the doctors either as employees or independent contractors. She alleges that her injuries were caused by the hospital — acting through the physicians as its health care providers — when the defendants negligently administered a vaccine in her treatment for exposure to hepatitis. According to Dyke, the doctors had been designated by the hospital to administer medical care to its employees and in doing so were acting
qua
the hospital’s “agents, servants and employees.” She argues that her allegation that the doctors were
“agents, servants and employees”
of the hospital at the time of the injurious event is sufficient to withstand a motion to dismiss and she complains that
she should have been permitted to discover the true nature of the relationship between the doctors and hospital.
Dyke maintains
the defendants’ dismissal quest was prematurely reached for disposition.
Moreover, she urges error in the trial court’s failure to allow her to amend her pleading.
The hospital and doctors support the nisi prius dismissal order with the argument that the trial court
lacked subject matter jurisdiction because Dyke had filed a workers’ compensation claim.
The hospital
attached
to its
trial-court
brief a copy of
Dyke’s first notice of accidental injury and claim for compensation (Form 3),
which had been filed with the Workers’ Compensation Court.
On appeal
the hospital also
appended
to its answer brief a
copy of Dyke’s compensation award.
Dyke’s nisi prius briefs neither addressed the exclusivity-of-compensation argument nor acknowledged that a compensation claim had been filed. On appeal
she concedes only that a compensation claim is pending.
None of the materials attached to the trial and appellate paperwork is available to invoke the claimed protection of the §§ 12 and 122 immunity
from tort suit. The Form 3 appended to the hospital’s trial-court brief does not by itself demonstrate the district court’s lack of cognizance over Dyke’s tort claim. Nor does the record indicate that the trial court transformed the dismissal process into summary judgment proceedings by viewing the attachment as evidentiary material under Rule 13, Rules for the District Court.
Even if the trial judge had so considered that attachment, the Form 3 by itself does not in this case rise to proof of the hospital’s immunity from tort liability..
As for the later attachment of the award, a party cannot supplement the record on appeal by injecting into it material
that was not before the trial court
at the decisional stage of the case.
Our review of a nisi prius ruling on a dismissal motion must be rested on the record which was
then properly
before the court rather than on one that could have been assembled in a summary judgment process.
An appellate court will not make first-instance determinations of law or fact. That is the role of a trial court.
The hospital’s attempt to cure the deficient appellate record by attaching to its brief the compensation award
did not supplement the record for review.
Considering all allegations in the nisi pri-us pleadings and disregarding, as we must, the defendants’ immunity argument which rests on an insufficient record, we hold that, for the reasons to be explained, the petition
is not fatally defective for want of facts upon which relief may be granted.
Ill
APPLICABILITY OF THE DUAL PERSONA DOCTRINE AGAINST THE HOSPITAL
QUA
HEALTH CARE PROVIDER
Dyke urges that the court adopt the dual persona doctrine.
She asserts that it applies here because the employer had assumed
another
persona — that of health care provider. She argues that the doctrine supports the hospital’s tort liability because she was initially injured on the job by exposure to hepatitis, and the treatment for this harm (the hepatitis vaccine) caused a new injury, the Guillain-Barré syndrome. The new injury, she adds, was caused by negligent medical care provided by the employer
qua
health care provider. In our effort to offer guidance for the proceedings to be conducted upon remand, we consider in Part III the dual persona doctrine’s applicability to this ease and discuss there the reach of the compensation law’s immunity.
A.
The Dual Persona Doctrine
According to the dual persona doctrine, an employer shielded from tort exposure by the compensation law’s exclusivity provisions may nonetheless become liable to the employee
ex delicto
if, when inflicting the harm, the employer was acting in
some different capacity.
The test for dual persona responsibility calls for ascertaining if the employer assumed a second persona which is so completely and distinctly independent from its status of employer that the law should recognize the employer’s other persona as a separate entity.
While this court has rejected the doctrine’s application for cases where common-law liability was sought to be imposed upon the employer as a product manufacturer,
we have noted that situations might arise which
would preclude an employer from interposing its §§ 12 and 122 immunity
from tort suit.
Under the California version of the dual persona doctrine, an employer who administers health care services to an employee could be liable both in workers’ compensation and in tort for its negligence as health care provider.
For the dual persona doctrine to apply, the injurious consequences must be severable — i.e., the original harm must have arisen when the employer was acting
qua
employer and some later harm when the employer was acting as a health care provider. In other words, there must be an antecedent accidental (compensable) injury, later to be followed by medical treatment administered in a different capacity, which either aggravated the on-the-job condition or caused a new injury.
The dual persona doctrine cannot be applied if the undenied facts indicate that at the critical time of injury for which recovery is sought the employer was acting in only one
capacity,
Assuming, without deciding, that the dual persona distinction is available in Oklahoma, it is clear that in order to benefit from the doctrine Dyke must show the existence of an
earlier compensable injury
for which the hospital treated her
qua
health care provider in a manner that was negligent in either aggravating the on-the-job injury or causing a new one.
B.
Exposure To An Infectious Disease
Dyke alleged that she was
exposed
to hepatitis in the course of her employment at the hospital and that she was harmed
when the doctors later treated her for this exposure.
She urges on certiorari that this case is appropriate for application of the dual persona doctrine because
her pretreatment on-the-job exposure to hepatitis constitutes a compensable injury,
with the added harm occurring when the hospital negligently acted in the capacity of health care provider. Dyke’s contention does not garner support in Oklahoma’s extant jurisprudence.
Mere exposure
to an infectious disease, no matter how threatening, is not enough to constitute a compensable event — it is not “accidental injury”. An on-the-job exposure must pass through the incubation period and develop into an infectious disease
before
it may be viewed as an accidental injury compensable by the employer.
An employer’s apprehension of
an employee’s exposure to a disease, even when followed by the act of administering prophylactic vaccination, cannot be translated into compensation liability for an “accidental personal injury.” One who provides to its employee
preventative medical services
unrelated to
an antecedent industrial injury
does not appear to be discharging duties imposed by 85 O.S.1981 § 14 of the Workers’ Compensation Act.
For treatment ordered to be administered
dehors
§ 14 the employer
clearly would stand liable, if at all, solely
in tort as a health care provider but not in compensation
qua
employer.
We next discuss the effect of the employer’s claim to immunity based on the compensation law’s exclusivity.
C.
The Pryse Monument “Election-of-Remedies” Rule
Under the teachings of
Pryse Monument Co. v. District
Court
an employee who has two remedies for the same injury and has prosecuted one of them to conclusion (securing an award or judgment), is barred from resort to the other remedy. This rule, which in essence erects a res judicata bar, is applicable to compensation claimants who may also press a tort remedy.
The dual persona doctrine does not sanction multiple recovery through two remedies for the same harm.
It merely allows an apportionment so that harm caused by the employer as health care provider
may be separated
from the on-the-job injury for tort recovery.
If Dyke did indeed
secure compensation for the harm caused by the hospital’s negligence as health care provider,
she may no longer have a dual persona tort claim for the employer’s lack of due care in treating her.
The law provides but one method to avoid the
Pryse Monument
bar. If the employer used fraud or coercion to induce an employee to bring a claim in compensation, the employee may proceed in a district court suit to set aside the award for extrinsic fraud.
Barring this relief, which is the
sine qua non
of a later tort redress, the award must be given its full res judicata effect.
D.
The Legal Effect Of The Compensation Award On The Tort Claim
An inquiry into the meaning and legal effect of a judgment is confined to the face of the “judgment roll” (in an administrative tribunal, or in a court other than the district court, the inquiry must be made by an “inspection” of the “face of the
proceedings”).
Once a compensation award has become final for want of an appeal or in consequence of an appellate court’s decision, any controversy over its meaning and effect must be resolved by resort to
“the face of the entire proceedings
”. The meaning of an award is hence to be divined from the terms of its text, to be construed with the other parts of the judgment roll.
Although a trial judge, if called upon to do so, may take judicial notice of any record in the court on which he (or she) sits,
such notice cannot be taken of another court’s record.
A judgment from another court must be established by competent evidence. The judgment roll or the entire “face of the proceedings” constitutes the
sole method
for proving the effect or meaning of a judgment or award. An appellate court cannot take judicial notice of material which (a) was legally available for judicial notice of the trial court but has not been incorporated into the record on appeal
or (b) was not before the trial court when the decision was made.
While appellate scrutiny is generally confined strictly to the record of proceedings below,
a well-recognized exception allows an appellate tribunal to consider those after-occurring facts, transpiring during the pendency of an appeal,
which adversely affect the reviewing court’s cognizance
or its capacity to administer effective relief.
This case does not fall within the narrow exception. Our cognizance of this case
is unaffected by Dyke’s mid-appeal proceedings for the compensation award. The hospital’s attachment of the compensation award to its answer brief is but an ineffective attempt to supplement the record on appeal.
E.
The Liability of Defendant-Physicians
Since this cause must be remanded for re-consideration of the hospital’s dismissal motion based on its claim to immunity, we need not further comment on the liability of the doctors except to observe that in
German v. Chemray, Inc.
the earlier doctrine,
which made the employer vicariously liable for medical malprac
tice of physicians who treated the employee’s on-the-job injury, is now abolished. A physician can no longer be absolved of professional tort liability solely on the grounds of the employer’s compensation-law immunity.
SUMMARY
In sum,
this record, when confined to its rightful legal contents, does not show, and we cannot hold,
that (a) Dyke sustained
any
on-the-job injury; (b) the harm she allegedly suffered from medical treatment administered for her exposure to hepatitis was remediable
solely
in the Workers’ Compensation Court; and (c) Dyke
secured
a compensation award that would bar her present action or
any
other
ex delicto
recovery by affording the hospital or the defendant-physicians a shield from tort liability based either on the §§ 12 and 122 immunity or on the teachings of
Pryse Monument.
It is for these reasons that the dismissal order must be reversed and the cause remanded
for reconsideration of Dyke’s claim against the hospital and the defen-dan t-physicians.
CERTIORARI PREVIOUSLY GRANTED; THE OPINION OF THE COURT OF APPEALS IS VACATED, THE TRIAL COURT’S DISMISSAL ORDER IS REVERSED AND THE CAUSE REMANDED FOR RECONSIDERATION OF THE CLAIMS AGAINST THE HOSPITAL AND DOCTORS IN A MANNER CONSISTENT WITH THIS PRONOUNCEMENT.
LAVENDER, V.C.J., and HARGRAVE, ALMA WILSON and SUMMERS, JJ„ concur.
HODGES, C.J., and KAUGER and WATT, JJ., concur in result.
SIMMS, J., concurs in judgment.