Hitch v. Ohio Department of Mental Health

662 N.E.2d 106, 75 Ohio Misc. 2d 15, 1995 Ohio Misc. LEXIS 75
CourtOhio Court of Claims
DecidedNovember 13, 1995
DocketNo. 93-14368
StatusPublished
Cited by2 cases

This text of 662 N.E.2d 106 (Hitch v. Ohio Department of Mental Health) is published on Counsel Stack Legal Research, covering Ohio Court of Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hitch v. Ohio Department of Mental Health, 662 N.E.2d 106, 75 Ohio Misc. 2d 15, 1995 Ohio Misc. LEXIS 75 (Ohio Super. Ct. 1995).

Opinion

J. Warren Bettis, Judge.

On July 11,1995, this action came before the court for trial on the sole issue of liability. The trial on the issue of damages commenced on July 27, 1995. Plaintiff, Rosemarie Hitch (“Hitch”), Administrator of the Estate of Benedict (“Ben”) Wolanski, Jr., filed this action alleging that defendant, Ohio Department of Mental Health (“ODMH”), negligently failed to provide Ben Wolanski with competent, safe and acceptable care and treatment, and that the lack of treatment resulted in Ben Wolanski’s death. Defendant denies that it was negligent and asserts that it cannot be held liable for the negligent acts of Ben Wolanski, as such acts were the intervening, superseding, and active proximate causes of Ben Wolanski’s death. Further, defendant asserts that Ben Wolanski was contribu-torily negligent.

The court, having considered the totality of evidence and testimony, renders the following findings of fact and conclusions of law.

FINDINGS OF FACT

1. Ben Wolanski was born on March 19, 1959, and died on December 8, 1992, at the age of thirty-three.

2. During Ben’s lifetime, he was hospitalized on nineteen occasions for a psychiatric condition.

3. On August 26, 1988, Ben was detained at the Western Reserve Psychiatric Hospital pursuant to an order issued by the Cuyahoga County Probate Court. On November 29, 1988, Ben became a voluntary patient at Western Reserve and discharged himself from Western Reserve on June 28,1991.

4. On June 28, 1991, Ben became a resident of the Miles Park Residential Facility (“Miles Park”).

5. Miles Park is a residential care facility maintained by the Aftercare Residential Services (“ARS”). Miles Park receives funding from the state indirectly: ODMH provides funding to the Cuyahoga County Mental Health [18]*18Board which, in turn, provides financial support directly to Miles Park. Residents at Miles Park receive case management services from Northeast Ohio Health Services (“NEOHS”), a private organization. Residents at Miles Park also receive care and treatment, provided by defendant through State Operated Services (“SOS”).

6. Throughout 1992, Linda Sosenko, R.N., was a state employee, employed by SOS.

7. On November 13, 1992, Ben Wolanski was seen by Dr. Daksha Trivedi, M.D., a psychiatrist employed under contract with NEOHS. Ben was accompanied by his sister, Rosemarie Hitch. Dr. Trivedi evaluated Ben and concluded that Ben suffered from an organic personality disorder. Dr. Trivedi also concluded that Ben functioned at a borderline IQ level.

8. During her examination, Dr. Trivedi designed a course of treatment for Ben that would include use of anti-neuroleptic medicine. Because Ben also suffered from a seizure disorder (epilepsy), Dr. Trivedi prescribed an anti-neuroleptic with “less chance of lowering [Ben’s] seizure threshold.”

9. Thus, Dr. Trivedi ordered Ben to decrease the dosage of Mellaril, an anti-neuroleptic he had been taking over a two-week period. Following this two-week period, which began on November 28, 1992, Ben was to begin taking a new drug, Navane. However, Dr. Trivedi advised Ben to continue taking Tegretol, an anti-seizure medication that had been prescribed by Dr. Tucker, Ben’s neurologist.

10. Dr. Trivedi also advised Ben to see his treating neurologist, Dr. Tucker, regarding Ben’s seizure disorder for a “follow-up.” Dr. Trivedi further instructed Ben to continue his supportive counseling, provided by SOS.

11. Nurse Sosenko visited Miles Park on a weekly basis. During these visits, she would meet with Ben to educate him and to discuss his drug monitoring. Nurse Sosenko testified that the frequency of these visits was decreased to a biweekly schedule during the late summer of 1992. Nevertheless, Nurse Sosenko also conducted frequent “spot checks” on Ben, usually once per week. Thus, Nurse Sosenko monitored Ben at least once per week.

During Nurse Sosenko’s spot checks, she would check Ben’s medicine cassette to determine whether or not Ben was taking his medication. If Ben forgot to take his medicine, Nurse Sosenko would remind (or “prompt”) him to take his medicine. She could not, however, force Ben to take his medicine.

12. On Nurse Sosenko’s regularly scheduled visit on November 17, 1992, she learned from Ben that his medication had been changed. Following Nurse Sosenko’s visit, Rosemarie Hitch called Nurse Sosenko and also conveyed the information about Ben’s medication change. Nurse Sosenko then called Dr. Trivedi and confirmed Ben’s medication change. Further, Dr. Trivedi relayed [19]*19precise orders to Nurse Sosenko that Ben was to take 4 mg. of Navane. Linda Sosenko’s notes of November 18, 1992, indicate that Ben’s “Mellaril [will be] decreased to 200 mgm [at] bedtime only for two weeks, then [Dr. Trivedi] was going to start him on Navane * * * [sic ].” Thus, Nurse Sosenko knew that on November 28,1992, Ben was to begin taking Navane.

13. To help monitor Ben’s medication compliance, Nurse Sosenko designed a medication monitoring log for Ben. In the log, Ben would initial a box under the date and time after he took each of his pills. For example, in November 1992, Ben took 325 mg. of iron three times a day. Thus, Ben would initial his name in the log after he took his iron pill at 8:00 a.m., 12:00 p.m. and 8:00 p.m. each day in November.

14. On November 28, 1992, Ben was to begin taking Navane. Thus, Ben’s logs should have been changed prior to November 28, 1992, to comport with his new medication, Navane. Nurse Sosenko did not change Ben’s logs.

15. Instead, Nurse Sosenko decided that Ben would not begin taking his new medication until December 1, 1992, and by doing so, she did not have to change the log until she inserted new sheets for the month of December. Therefore, by waiting until December 1, 1992, to change Ben’s medication, Nurse Sosenko violated Dr. Trivedi’s order that Ben begin taking Navane on November 28,1992.

16. On December 1, 1992, Ben, on Nurse Sosenko’s instructions, was to begin taking Navane. However, Ben never took his Navane. Instead, his medication cassette box remained full.

17. On Tuesday, December 1, 1992, Nurse Sosenko made a regularly scheduled visit to Miles Park. She observed Ben properly filling his medication cassette with his new medication and noted that he was complying with her instructions and schedule to take his medication. She testified at trial that the next regularly scheduled visit would -have occurred on December 15, 1992. However, in accordance with Ben’s treatment plan, Nurse Sosenko was required to conduct visits on a weekly basis. Nevertheless, Nurse Sosenko indicated that she would be returning to visit Ben on December 8, 1992, for a spot check.

18. On Thursday, December 3, 1992, Ben did not take his evening dosage of Tegretol. On Friday, December 4, 1992, Ben did not take either his 4:00 p.m. or 8:00 p.m. doses of Tegretol. In fact, Ben did not take any medication from Saturday, December 5,1992, through the morning of Tuesday, December 8,1992, when he died.

19. Regardless of Nurse Sosenko’s contention that she was to conduct biweekly visits, Nurse Sosenko testified that she did visit Ben once a week. Thus, Nurse Sosenko’s next visit following the December 1, 1992 visit would have occurred on December 8,1992.

[20]*2020.

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662 N.E.2d 106, 75 Ohio Misc. 2d 15, 1995 Ohio Misc. LEXIS 75, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hitch-v-ohio-department-of-mental-health-ohioctcl-1995.