Jarrett v. Hill

648 S.W.2d 170, 1983 Mo. App. LEXIS 3092
CourtMissouri Court of Appeals
DecidedFebruary 1, 1983
DocketNo. 45396
StatusPublished
Cited by12 cases

This text of 648 S.W.2d 170 (Jarrett v. Hill) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jarrett v. Hill, 648 S.W.2d 170, 1983 Mo. App. LEXIS 3092 (Mo. Ct. App. 1983).

Opinion

GAERTNER, Judge.

This is an appeal by appellant George Jarrett from a judgment of the Circuit Court of the City of St. Louis which affirmed a decision of the Civil Service Commission of the City of St. Louis. The Commission had upheld the determination by the Department of Health and Hospitals (the appointing authority) to suspend and subsequently dismiss Mr. Jarrett from his [172]*172position as an Emergency Medical Technician I in the classified service of the City of St. Louis.

Appellant was employed by the City of St. Louis in the classified service as an Emergency Medical Technician I (EMT I) in December, 1973. A prerequisite to employment in that capacity was appellant’s licen-sure by the State of Missouri as an Ambulance Attendant. In July, 1977, Appellant was licensed by the State as a Mobile Emergency Medical Technician — commonly referred to as a Paramedic. Such licensure was a prerequisite to employment as an Emergency Medical Technician II (EMT II). However, appellant was not promoted from EMT I to EMT II at any time after his licensure as a Paramedic.

On January 27, 1978, appellant was suspended without pay for five days. On February 21, 1978, he was dismissed. On each occasion he was given a notification form specifying the reasons for the disciplinary action. First to the Civil Service Commission, again to the Circuit Court, and now here appellant challenges the sufficiency of the evidence in support of these reasons. The scope of our review is equivalent to that of the Circuit Court, and we therefore review only the decision of the Civil Service Commission. Sandbothe v. City of Olivette, 599 S.W.2d 38 (Mo.App. 1980). In addition we are limited to a determination of whether the decision of the Commission is supported by competent and substantial evidence upon the whole record, whether it was arbitrary, capricious or unreasonable, or whether the Commission abused its discretion. § 536.140, RSMo 1978; Hermel, Inc. v. State Tax Commission, 564 S.W.2d 888 (Mo. banc 1978). Moreover, the evidence must be considered in a light most favorable to the finding of the Commission, together with all reasonable inferences which support it, and if the evidence would support either of two opposed findings, the reviewing court is bound by the Commission’s determination. Hermel, Inc., 564 S.W.2d at 894; Board of Education, Mt. Vernon Schools v. Shank, 542 S.W.2d 779, 782 (Mo. banc 1976).

Appellant’s first point on appeal is that the Civil Service Commission erred in upholding appellant’s five day suspension for the reason that the appointing authority failed to offer any evidence explaining the disparate treatment of appellant as compared with another person similarly involved in the suspension-related incident. Appellant concedes there is no serious dispute as to the specific facts of the incident. Appellant and one Matt Wynn were assigned to an ambulance which was dispatched to the Marquette Park Recreation Center to assist a young girl who had “fallen from some parallel bars and was complaining of pain in her back.” After talking with the girl, both appellant and Wynn were of the opinion that the patient’s injuries did not require the use of a back board. They allowed the patient to walk in her stocking feet over wet pavement to the ambulance.

Appellant concedes that the appointing authority was entitled to ask whether he and Wynn had erred in some way in handling this incident. Appellant further concedes that the appointing authority was also entitled to take appropriate disciplinary action, if necessary, to assure proper treatment of patients in the future.

There was evidence that as a part of training in the ambulance service, members are expected to be familiar with the text The Emergency Care and Transportation of Sick and Injured, Second Edition. On page 171 of the text, it states:

“Since the EMT at the scene of an accident can never be certain if a suspected spinal injury is safe or dangerous, he must consider all spinal injuries as potentially dangerous and treat them as such.”

Appellant testified he was familiar with this reference and that for any suspected spinal injury a back board or an immobilizing device should be used. The Medical Director for the Emergency Medical Service testified that spinal injuries sometimes present no symptoms and no pain. Therefore, patients with suspected spinal injuries should be placed on back boards for their own protection. Additionally, the Director [173]*173of Emergency Medical Service testified that appellant and Wynn had the necessary medical expertise to know that the patient should have been placed on a back board and that she should not have been allowed to walk over wet pavement to the ambulance in her stocking feet. This evidence amply supported the finding of the Commission that:

“The employee has committed an act to the prejudice of the Service, dereluction [sic] of duty, the employee walked a patient barefoot to the ambulance. Failed to use a back board on a possible back injury patient.”

In addition, appellant complains of the fact that he received a five day suspension without pay because of this incident, while Wynn received only a verbal reprimand. He contends this disparity of treatment indicates the arbitrary and capricious nature of the Commission’s determination. We do not agree.

While appellant was classified by the City as an EMT I, he held a state license as a Mobile Emergency Medical Technician Ambulance Attendant or “Paramedic.” Mr. Wynn had the same City classification of EMT I, but he was only licensed by the State as an Ambulance Attendant Driver. There is a substantial difference under State law between a Paramedic and an Ambulance Attendant Driver. A Paramedic must meet the requirements to be an Attendant plus successfully complete an emergency service training program pursuant to § 190.145.2(6), RSMo 1978. Appellant testified that if he and Wynn had disagreed on how to transport the patient, “then still by State law it’s my judgment since I possess a Paramedic license and [Wynn] does not.” Wynn testified to the same effect.

The Director of the Emergency Medical Service requested and received reports of this incident from all the participants and talked personally with appellant. It is undisputed that although appellant and Wynn did not disagree on how to transport the patient, both viewed appellant as more qualified to make medical judgments. The Director, therefore, had a rational and reasonable basis for holding appellant more accountable for a serious mis judgment in not using a back board on the patient. The decision to impose discipline on both employees, and the decision to impose a more severe sanction on the appellant than on Wynn was not arbitrary or capricious. This court has no authority to substitute its discretion for the discretion legally vested in the appointing authority. Holley v. Personnel Advisory Board, 536 S.W.2d 830 (Mo.App.1976); § 536.140.5, RSMo 1978. Appellant’s first point on appeal has no merit.

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Bluebook (online)
648 S.W.2d 170, 1983 Mo. App. LEXIS 3092, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jarrett-v-hill-moctapp-1983.