Johannesen v. Salem Hospital

82 P.3d 139, 336 Or. 211, 2003 Ore. LEXIS 947
Oregon Supreme Court·Decided December 26, 2003·No. CC 00C19280; SC S49323·Published·Cited by 5 cases

Opinions

RIGGS, J.

In this original mandamus proceeding, we are called upon to apply the legal standards governing a trial court’s decision on a motion under ORS 18.535 (2001)1 to amend a complaint to add a punitive damages claim in a medical malpractice action. In the case from which this proceeding arises, the trial court denied plaintiffs motion to amend his complaint on the ground that he had not presented “clear and convincing” evidence that defendants had acted with malice. Because we conclude that the trial court did not apply the proper test in making that determination and that plaintiffs motion satisfied the statutory requirements for amendment of the complaint, plaintiff is entitled to a peremptory writ of mandamus.

The underlying action arises out of the medical treatment of Salina Johannesen (Johannesen), plaintiffs now-deceased wife. Although plaintiff named other defendants to the action, the only claim at issue in this proceeding is the claim against Salem Hospital (defendant) as the employer of the nurses who treated Johannesen. We recount the actions of Johannesen’s doctors at some length, however, because the facts regarding overall medical care help to explain plaintiffs contention that the nursing staff should have intervened on Johannesen’s behalf.

We present the evidence submitted in support of the motion to amend in the light most favorable to the plaintiff. See ORS 18.535(3) (directed verdict standard applies). Johannesen consulted Dr. West for prenatal care. During her pregnancy, she developed preeclampsia/pregnancy-induced hypertension, a potentially fatal condition. Delivery of the child is the only definitive treatment for severe preeclampsia. After Johannesen developed symptoms of preeclampsia, West left the office for about two weeks, entrusting Johannesen’s care to a nurse practitioner who had limited experience with preeclampsia. During West’s absence, Johannesen’s condition worsened.

[215]*215Upon his return, West arranged for Johannesen to be hospitalized. She was admitted on November 8,1999, with evidence of severe pregnancy-induced hypertension. Later that day, West transferred Johannesen out of the hospital’s Labor and Delivery Unit and into the Postpartum Unit, which decreased the amount of monitoring she would receive. Johannesen suffered high blood pressure accompanied by headaches, visual disturbances, and epigastric pain, which are signs of end organ injury. West treated her with antacids and a pain killer. West did not order medication to reduce the chances of seizure until November 10, and he did not order any medication to control her blood pressure until she had lapsed into a coma.

On November 10,1999, West decided to induce labor and attempt a vaginal delivery. He did not disclose to Johannesen that she was at risk for a fatal brain hemorrhage during the six to eight hours that he planned to allow for labor. Johannesen was transferred back to the Labor and Delivery Unit at 5:35 a.m. on November 10. Johannesen had a severe headache, such severe visual disturbance that she was unable to see, and epigastric pain. Dr. Anderson, the anesthesiologist, saw her twice that morning. Alter Johannesen labored all morning without success, West transferred her to the operating room for a caesarean section at approximately 12:50 p.m. She fit all the definitional criteria of coma before the first incision was made. The doctors performed the delivery without seeking a neurological consultation. When plaintiff asked why his wife was “sleeping,” Anderson told him that his wife was tired.

Johannesen never recovered consciousness and died on November 17, 1999. The cause of death was a brain hemorrhage. Plaintiff brought this action against West, Oregon Anesthesiology Group, P.C., and defendant. Plaintiff reportedly has settled the claims against both West and the anesthesiology group, leaving only the claim against defendant.

In the trial court, plaintiff moved for leave under ORS 18.535 to amend his complaint to add a claim for punitive damages. In support of the motion, plaintiff submitted, among other things, an affidavit from an expert witness, [216]*216Dr. Mahlmeister, R.N., Ph.D., setting out what she considered to be the failures of the Salem Hospital nursing staff. The court denied plaintiffs motion. Plaintiff then brought the present proceeding seeking a writ of mandamus. He asks this court to direct the trial court to vacate its order denying the motion to amend his complaint to allege punitive damages and to require the trial court to enter an order allowing plaintiff to amend the complaint. In the alternative, plaintiff asks this court to require the trial court to reconsider plaintiffs motion in light of Bolt v. Influence, Inc., 333 Or 572, 43 P3d 425 (2002).

When interpreting statutes, this court first looks to the text and context of the statute at issue. PGE v. Bureau of Labor and Industries, 317 Or 606, 610-11, 859 P2d 1143 (1993). ORS 18.550 provides, in part:

“Punitive damages shall not be awarded against a health practitioner if:
“(1) The health practitioner is licensed, registered or certified as:
* * * *
“(g) A nurse under ORS 678.040 to 678.101; * * * and
“(2) The health practitioner was engaged in conduct regulated by the license, registration or certificate issued by the appropriate governing body and was acting within the scope of practice for which the license, registration or certificate was issued and without malice.”

That statute applies to 19 categories of health practitioners. However, as the parties acknowledge, the statute does not include a hospital, such as defendant, within the list of health practitioners to which the statute applies.

Defendant argues that, despite the fact that it is not a health practitioner under the statute, it may assert the statute’s protection against a punitive damages award because plaintiffs claim asserts that defendant is vicariously liable for harm caused by health care practitioners who defendant employed. According to defendant, it may not be [217]*217held vicariously liable for punitive damages because plaintiffs evidence is not sufficient to demonstrate that defendant’s servants — nurses who are health practitioners — acted with malice in harming Johannesen.

Defendant’s argument assumes that defendant may invoke the standards in ORS 18.550 if plaintiff relies on a theory of vicarious liability arising from the conduct of health practitioners that defendant employed. Plaintiff challenges that assumption for a number of reasons. We have no occasion in this case to decide whether defendant’s assumption is correct.

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Johannesen v. Salem Hospital, 82 P.3d 139, 336 Or. 211, 2003 Ore. LEXIS 947 (Or. 2003).

82 P.3d 139 (Johannesen v. Salem Hospital) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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