Hershel Blood v. Southwest Medical Center F/K/A/ Medical Center of Southwest Louisiana

• Court: Louisiana Court of Appeal
• Decided: November 7, 2012
• Docket: CA-0012-0450
• Status: Unknown

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

12-450

HERSHEL BLOOD

VERSUS

SOUTHWEST MEDICAL CENTER F/K/A MEDICAL CENTER OF SOUTHWEST LOUISIANA

**********

APPEAL FROM THE FIFTEENTH JUDICIAL DISTRICT COURT PARISH OF LAFAYETTE, NO. C-2010-0233 HONORABLE EDWARD D. RUBIN, DISTRICT JUDGE

ULYSSES GENE THIBODEAUX CHIEF JUDGE

Court composed of Ulysses Gene Thibodeaux, Chief Judge, Sylvia R. Cooks, and Elizabeth A. Pickett, Judges.

AFFIRMED.

Stephen Gary McGoffin Shawn A. Carter Durio, McGoffin, Stagg & Ackerman P. O. Box 51308 Lafayette, LA 70505 Telephone: (337) 233-0300 COUNSEL FOR: Defendant/Appellee - The Regional Health System ofAcadiana, LLC

David Winston Ardoin Ardoin, McKowen & Ory, LLC P. O. Box 127 Thibodaux, LA 70302 Telephone: (985) 446-3333 COUNSEL FOR: Plaintiff/Appellant - Hershel Blood THIBODEAUX, Chief Judge.

Plaintiff, Hershel Blood, filed this medical malpractice lawsuit against

Defendant, Regional Medical Center of Acadiana (“RMCA”)1 seeking damages for an

incident that occurred while he was a patient in RMCA‟s post-operative care.

Following surgery, RMCA nurses moved Mr. Blood from his bed to a reclining

surgical chair, at which point the chair suddenly and inadvertently reclined farther

than intended. Mr. Blood alleges he sustained permanent injuries to his back as a

result. RMCA filed a Motion for Summary Judgment identifying the lack of evidence

to support Mr. Blood‟s allegations regarding RMCA‟s standard of care and breach

thereof. The trial court granted RMCA‟s motion, and Mr. Blood appeals that

judgment. For the following reasons, we affirm the judgment of the trial court.

I.

ISSUE

We will consider whether the trial court erred in granting RMCA‟s

Motion for Summary Judgment.

II.

FACTS AND PROCEDURAL HISTORY

The day after Mr. Blood underwent gastric bypass surgery at RMCA,

Nurses Rachelle Sorlie and Roger Henson transferred Mr. Blood from his bed to a

reclining surgical chair. After the nurses completed the transfer, Nurse Sorlie

attempted to recline the chair, but instead of reclining into the first position, as the

nurse intended, the chair abruptly reclined farther back. Mr. Blood alleges this sudden

motion permanently injured his back. Mr. Blood filed a complaint with the Louisiana

1 Defendant‟s Brief explains that Defendant is actually Regional Health Systems of Acadiana, doing business as The Regional Medical Center of Acadiana, formerly known as Southwest Medical Center. For ease of understanding, we will refer to Defendant as RMCA. Patient‟s Compensation Fund against RMCA, and a Medical Review Panel (“Panel”)

reviewed his case. The Panel found in the hospital‟s favor regarding all of the

allegations. Specifically, the Panel found no evidence indicating that RMCA

improperly inspected or operated the surgical chair.

Mr. Blood filed a medical malpractice lawsuit alleging that RMCA failed

to properly complete the transfer of Mr. Blood from his hospital bed to the surgical

chair; failed to properly inspect or operate the surgical chair; and, failed to meet the

standard of care.2 The trial court granted RMCA‟s Motion for Summary Judgment

dismissing all claims and Mr. Blood appeals.

III.

LAW AND DISCUSSION

Standard of Review

We review a grant of summary judgment de novo “using the same

criteria that govern the trial court‟s consideration of whether summary judgment is

appropriate, i.e., whether a genuine issue of material fact exists and whether the

mover is entitled to judgment as a matter of law.” Supreme Servs. and Specialty Co.,

Inc. v. Sonny Greer, Inc., 06-1827, p. 4 (La. 5/22/07), 958 So.2d 634, 638. If the

mover will not bear the burden of proof at trial on the matter, then he must only

present evidence showing a lack of factual support for one or more elements essential

to the non-mover‟s case. La.Civ.Code art. 966(C)(2); Simien v. Med. Protective Co.,

08-1185 (La.App. 3 Cir. 6/3/09), 11 So.3d 1206, writ denied, 09-1488 (La. 10/2/09),

18 So.3d 117. Once the mover has made a prima facie case that the motion should be

granted, the non-mover must then present evidence sufficient to show a genuine issue

of material fact. Id. If the non-mover fails to present some evidence that he might be

able to meet his burden of proof at trial, the motion should be granted. Id.

2 Mr. Blood‟s petition originally alleged a fourth claim against RMCA but this was dismissed by motion in the trial court. 2 Discussion

Mr. Blood asserts that the evidence he presented to the trial court is

sufficient to overcome a grant of summary judgment. Specifically, Mr. Blood asserts

three things: that RMCA failed to completely transfer him from the hospital bed to

the chair; that he did not need expert evidence to overcome summary judgment; and

that Nurse Sorlie had a duty to visually and physically inspect the chair prior to

placing Mr. Blood in it.

RMCA’s Transfer of Mr. Blood to the Surgical Chair

Mr. Blood first alleges RMCA failed to properly complete the transfer

from his hospital bed to the surgical chair. We disagree. Mr. Blood presented no

evidence in the trial court to support this allegation. In fact, Mr. Blood‟s own

deposition contradicts his argument. The following exchange between Mr. Blood and

the deposing attorney illustrates this contradiction:

“Q. Okay. All right. So, one of them told you: „We‟re going to take you downstairs . . .‟ What happened next?

A. They got me out of bed, they put me in the chair, and I do remember that the female nurse leaned down to pick up some of the wires, or IV‟s, or whatever it was that was hanging in front of me. And when she did, the chair flipped backwards.

Q. Okay. So you were in the chair already?

A. Correct. I was sitting down in the chair.”

By Mr. Blood‟s own testimony, the nurses had completed the transfer when this

incident happened. No genuine issue of material fact exists on this issue. The trial

court, therefore, properly disposed of this claim on summary judgment.

3 Expert Evidence Mr. Blood maintains that although medical malpractice cases generally

require expert testimony to prove the standard of care, Mr. Blood himself is not

required to present such evidence for two reasons. First, he asserts that the Panel‟s

opinion should direct this court to find that he does not need to prove the standard of

care with an expert opinion. We disagree with Mr. Blood‟s interpretation of the

Panel‟s opinion and, alternatively, with his contention that we must follow it. The

Panel stated “[w]ith respect to the allegations pertaining to the alleged failure to

properly inspect and/or operate the hospital equipment, there is a material issue of

fact, not requiring expert opinion, bearing on liability for consideration by the court.”

The Panel concluded that there were “no records to indicate that the equipment was

improperly inspected or operated.” Mr. Blood asserts that the Panel was instructing

this court to find an expert opinion unnecessary. We conclude, however, that the

Panel stated that it had no medical opinion regarding the operation of the chair

because the plaintiff presented no evidence to guide the Panel‟s decision in that

regard. Further, even if we decide the Panel did indeed state that the plaintiff did not

need an expert, this court is not bound by the Panel‟s opinion.3 We find no merit in

this argument.

Mr. Blood also contends that this case falls under an exception to the

expert testimony requirement in medical malpractice cases. 4 Because we find the

evidence Mr. Blood presented, expert or not, insufficient to meet his burden on

summary judgment, we decline to address this contention.

3 Jurisprudence dictates that while the opinion of a medical review panel may be considered by a court when ruling on a summary judgment motion, such opinion is neither conclusive nor binding. McGlothlin v. Christus St. Patrick Hosp., 10-2775 (La. 7/1/11), 65 So.3d 1218. 4 Expert testimony may not be required when the case presents acts of obvious carelessness where the fact finder can infer negligence from the facts. Pfiffner v. Correa, 94-992 (La. 10/17/94), 643 So.2d 1228. Examples of such negligence include “fracturing a leg during examination, amputating the wrong arm, dropping a knife, scalpel, or acid on a patient, or leaving a sponge in a patient‟s body.” Pfiffner, 643 So.2d at 1233. 4 Standard of Care Regarding Inspection

Mr. Blood argues that the evidence is sufficient to show that Nurse Sorlie

had a duty to visually and physically inspect the surgical chair before using it. We

disagree. In its motion, RMCA pointed out the absence of evidence establishing both

the standard of care and that Nurse Sorlie had breached the standard, two elements

essential to Mr. Blood‟s claim. RMCA supported its motion with the affidavit of

Nurse Sorlie, who attested that she performed a visual inspection before placing Mr.

Blood in the chair and that the chair appeared in good working condition. Further, in

her deposition, Nurse Sorlie expressed her belief that the maintenance department

typically inspected the surgical chairs. Once RMCA sufficiently supported its motion,

the burden shifted to Mr. Blood to support his allegation that Nurse Sorlie had a duty

to inspect the chair both visually and physically before transporting him.

To prevail at trial, Mr. Blood would have to establish the standard of care

applicable to RMCA; show that RMCA breached the standard of care; and

demonstrate that a causal connection exists between RMCA‟s breach and the

plaintiff‟s resulting injury. Schultz v. Guoth, 10-0343 (La. 1/19/11), 57 So.3d 1002.

To prove the standard of care, Mr. Blood must show that Nurse Sorlie had a duty to

exercise the same degree of skill exercised by other nurses in a similar locality; that

she failed to exercise such skill; and that he suffered injuries as a result. La.R.S.

9:2794; Odom v. State ex rel. Dep’t of Health and Hosp., 98-1590 (La.App. 3 Cir.

3/24/99), 733 So.2d 91. On summary judgment, Mr. Blood had to provide some

evidence that he could meet this burden at trial. We find he has not demonstrated

such evidence.

The only evidence Mr. Blood presented in opposition to summary

judgment was an affidavit from a registered nurse, Craig Savoie, purporting to

establish the standard of care and RMCA‟s breach thereof. In his affidavit, Mr.

Savoie attests that he is a Certified Registered Nurse Anesthetist and a Registered

5 Nurse with five years of critical care experience. Mr. Savoie claims familiarity with

the specific chair used to transport Mr. Blood and states that “[p]rior to the use and

implementation of any medical device in the treatment and care of a patient; it is

necessary to perform both a visual and physical examination of the equipment;

including „automatic‟ functions;” and “[f]ailure to perform both visual and physical

examination of equipment falls below the applicable standard of care.”

Affidavits in opposition to a motion for summary judgment must be

made on personal knowledge, set forth facts that would be admissible as evidence,

and show the affiant is competent to testify as to the matters asserted. La.Code Civ.P.

art. 967. We conclude that while Mr. Savoie‟s affidavit is sufficient to establish the

standard of care, it is insufficient to establish to whom the standard of care applies.

That is, the affidavit is insufficient to establish that Nurse Sorlie herself had the duty

to physically inspect the chair.5

In his Brief submitted to this court, Mr. Blood argues that because the

nurse failed to physically inspect the chair, the hospital breached the standard of care.

Mr. Savoie‟s affidavit, however, does not support that contention. Moreover, Mr.

Blood provides no other evidence to support it either. Mr. Savoie attests that a

medical device must be physically examined; however, he does not attest that a nurse

must perform this task. The affidavit merely states that “it is necessary” to physically

inspect the chair; it does not state by whom it is necessary. In fact, Nurse Sorlie‟s

deposition testimony states that it was her belief that the hospital‟s maintenance

department inspected the chairs prior to use. Mr. Blood provided no evidence to

contradict that belief. Since establishing the standard of care applicable to Nurse

Sorlie is an essential element to Mr. Blood‟s case that he will have the burden of

proving at trial, and since he has presented no evidence that he may be able to prove

5 Mr. Savoie‟s affidavit does not provide evidence supporting the causation element of Mr. Blood‟s case. Other material in the record does provide such evidence; however, since we have decided that Mr. Blood cannot withstand summary judgment on a separate element of his claim, we decline to address the causation element. 6 that element, we affirm the trial court‟s grant of summary judgment in favor of

RMCA.

IV.

CONCLUSION

For the reasons above, we affirm the trial court‟s judgment. Costs of this

appeal are assessed against Appellant, Hershel Blood.