King, Dominic v. Maassen, Tammy

CourtDistrict Court, W.D. Wisconsin
DecidedOctober 22, 2020
Docket3:19-cv-00382
StatusUnknown

This text of King, Dominic v. Maassen, Tammy (King, Dominic v. Maassen, Tammy) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
King, Dominic v. Maassen, Tammy, (W.D. Wis. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DOMINIC ALLEN KING, OPINION AND ORDER Plaintiff, 19-cv-382-bbc v. TAMMY MAASSEN, NURSE P. HULSTEIN and KRISTINE PRALLE, Defendants. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Pro se plaintiff Dominic King is proceeding on claims that defendants Tammy Maassen, Pauline Hulstein and Kristine Pralle violated his rights under the Eighth Amendment and state law by failing to take reasonable measures to treat his hemorrhoids. For the reasons below, I conclude that plaintiff has not submitted sufficient evidence to show that any of the defendants acted with deliberate indifference to his medical needs. Therefore, I am granting defendants’ motion for summary judgment with respect to plaintiff’s Eighth Amendment claims. I decline to exercise supplemental jurisdiction over plaintiff’s negligence claims, which I will dismiss without prejudice so that plaintiff can refile them in state court if he chooses to do so. From defendants’ proposed findings of fact and the evidence in the record, I find the following facts to be material and undisputed unless otherwise noted.

1 UNDISPUTED FACTS A. The Parties Plaintiff Dominic King has been incarcerated at the Jackson Correctional Institution,

where defendants were all employed during the events at issue in this lawsuit. Tammy Maassen is a registered nurse and the health services manager, Pauline Hulstein was a nurse clinician 2 at Jackson from April 2, 2018 to May 2020 and Kristine Pralle is a nurse clinician 4. Maassen’s position of health services manager is administrative in nature; she does not evaluate, diagnose, treat or prescribe medications for inmates and does not make referrals

or approve treatment recommendations from offsite providers. Rather, medical care is provided by the nursing staff and advanced care providers. Nursing staff are responsible for triaging, that is, assigning degrees of urgency to patients with medical problems and responding accordingly, as well as responding to health service requests, which are written communications between the health services unit and an inmate.

B. Health Service Request Procedure When an inmate has a non-urgent or non-emergency medical problem and wants to be seen, the inmate completes a health service request. All health service requests are kept and placed in an inmate’s medical record. Health service requests are first triaged by nursing staff, even when addressed to a specific staff member. This is because a health service

request may contain urgent needs that cannot wait until select staff are working in the unit or available to review requests. Nursing staff work to triage all heath service requests within 24 hours of receipt. They use their discretion and experience when triaging health service requests, as such requests contain a variety of requests or information. The response a health service request receives depends on the circumstances,

including the content and context of the information conveyed in the request. Sometimes the content of the health service request will require a face-to-face sick call with a nurse or an appointment with an advanced care provider, while at other times the content of the health service request will require no more than a simple answer to a question. Nurses must use their discretion when making initial recommendations for how quickly an inmate should be seen by a nurse or advanced care provider, but nurses have no control over an advanced

care provider’s schedule, and a nurse’s appointment recommendation may be adjusted to accommodate other, more urgent needs or the advanced care provider’s schedule. A health service request is not the appropriate method for communicating a medical emergency. Instead, an inmate is to immediately notify unit security staff, so the security staff can contact the health service unit quickly. Depending on the information relayed, the

health service staff sees the inmate as soon as possible, either by responding to the unit to assess the inmate or by bringing the inmate to the health service unit. A registered nurse and an advanced care provider are always on call after hours. Nursing staff sometimes forward a health service request to the health services manager, Maassen, for a response or to inform her of the response the nurses have given. Maassen does not see all health service requests. Whether a health service request is

3 forwarded to Maassen depends on the circumstances of the request. None of plaintiff’s health service requests were forwarded to Maassen, so she did not respond to any of them.

C. Provision of Health Care at Jackson In most cases, nursing staff conduct the initial assessment of an inmate to determine whether the inmate should be seen by an advanced care provider. Nursing staff have nursing protocols they follow as a guide for the appointment and any treatment. For pain, nurses may suggest treatment interventions such as ice therapy, activity restriction, extra pillow, ace wrap, non-prescription medications (i.e., ibuprofen and Tylenol), muscle rub and education

on PRICE measures (protect, rest, ice, compression and elevation). Like Maassen, the nursing staff do not proscribe medication, make off-site referrals or approve treatment recommendations from offsite providers. Advanced care providers are responsible for final treatment decisions and care plans. They are also responsible for writing prescriptions, making offsite referrals and approving the treatment recommendations of an

offsite provider. The nursing staff and Maassen defer to medical decisions made by advanced care providers. They do not have the authority to override or alter a medical decision made by an advanced care provider. Nurses may make an initial appointment with an advanced care provider for an inmate, but the nurses have no control over an advanced care provider’s schedule, and an initial appointment can be moved for a variety of reasons, such as more urgent medical needs

or the provider’s availability. Nurses may also ask a medical assistant to schedule an inmate 4 with a medical provider because medical assistants work directly with providers and are familiar with their schedules. Corrections often works with outside providers to help with medical diagnoses, care

and treatment plans for inmates. Only an advanced care provider may make a referral to an outside provider. When an advanced care provider makes a referral to an outside provider, the medical program assistant associate arranges the appointment with the offsite facility or specialty department. Scheduling an appointment with an offsite provider can take time because appointments are scheduled at the outside provider’s discretion and availability. Maassen, Hulstein and Pralle do not schedule appointments with outside providers.

Inmates are not informed of the date of their offsite appointments because of security risks. Anytime an inmate is taken offsite, Corrections has a duty to keep the inmate, the Jackson staff and the community safe. Trips outside Jackson are risky because the inmate may escape or attempt to escape or the inmate’s family or friends may try to meet up with the inmate. In addition, Jackson must protect an inmate from a victim or a victim’s family,

as those individuals may want to harm the inmate. In February 2018, the health services unit at Jackson Correctional Institution received a new, full-time agency advanced care provider. It often takes a new provider time to acclimate to the institution and carry a full patient load. Jackson also had two other advanced care providers who worked reduced schedules.

5 D. Plaintiff’s Treatment 1.

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King, Dominic v. Maassen, Tammy, Counsel Stack Legal Research, https://law.counselstack.com/opinion/king-dominic-v-maassen-tammy-wiwd-2020.