Shank v. Board of Nursing

185 P.3d 532, 220 Or. App. 228, 2008 Ore. App. LEXIS 733
CourtCourt of Appeals of Oregon
DecidedMay 28, 2008
Docket0429; A132269
StatusPublished
Cited by6 cases

This text of 185 P.3d 532 (Shank v. Board of Nursing) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shank v. Board of Nursing, 185 P.3d 532, 220 Or. App. 228, 2008 Ore. App. LEXIS 733 (Or. Ct. App. 2008).

Opinion

*230 EDMONDS, P. J.

This case involves judicial review of an order of the Oregon State Board of Nursing that permanently revoked petitioner’s nursing license. On review, petitioner argues that the board erred in several ways, including that it improperly limited petitioner’s cross-examination of one of the board’s witnesses based on its belief that petitioner was a member of “the public” for purposes of ORS 676.175(1). That statute prohibits regulatory boards from “disclosing] to the public any information obtained by the board as part of an investigation of a licensee or applicant * * ORS 676.175(1). We agree that the board erred as a result of its incorrect construction of ORS 676.175, and we therefore remand for reconsideration.

Petitioner worked at Providence Portland Medical Center as a registered nurse from 1985 until August 2003. In August 2003, petitioner was working a swing shift on the telemetry unit, where patients are transferred after surgery or intensive care. Toward the end of her shift, one of the patients under petitioner’s care died. Following the patient’s death, petitioner was suspended by Providence and then resigned from her position. The following March, the board proposed to permanently revoke petitioner’s nursing license based on its investigation of the circumstances surrounding the patient’s death. The notice of proposed revocation alleged five bases for revoking petitioner’s license:

“[1.] On August 24,2003 you were assigned to the care of [patient C.R.] on the evening shift. C.R. had been having tarry stools. You documented that she had diarrhea and was up to the bathroom approximately 20 times on your shift. You also documented that she was clammy all shift and became progressively weaker as well as pale. After performing an initial assessment at 4:16 PM you failed to adequately assess C.R. throughout your shift, including a failure to take vital signs until the very end of the shift, despite significant changes in her condition. This failure to adequately assess is a violation of ORS 678.111(l)(f) and OAR 851-045-0015(l)(b), (2)(b), and (4)(b).
*231 “[2.] When C.R. reported pain to you on the evening of August 24, 2003, you initially removed a dose of Morphine Sulfate from the Pyxis machine for C.R.’s complaints of pain but did not administer the medication because the family told you that C.R. was not to have narcotics. You did not verify this with the physician, but gave Tylenol instead. C.R.’s pain was reported as 8 out of 10 on the pain scale. This failure to properly assist in the management of C.R.’s pain is a violation of ORS 678. 111(1)(f), and OAR 851-045-0015(2)(b), (4)(b).
“[3.] Despite C.R.’s deteriorating condition throughout the shift, you failed to notify the charge nurse or contact the physician. This failure to appropriately communicate information regarding C.R.’s condition to other members of the health care team is a violation of ORS 678.111(1)(f), and OAR 851-045-0015(1)(b), (3)(h), (4)(b).
“[4.] You administered Xanax, an anti-anxiety agent, twice during the shift and documented that C.R. was afraid to go to sleep, yet you failed to identify this as a significant concern and to take further action to assess her or to notify the charge nurse or physician. You also ignored C.R.’s request for Oxygen when she was anxious. This failure to properly identify the significance of C.R.’s concern and to take appropriate action is a violation of ORS 678.111(1)(f), and OAR 851-045-0015(1)(b), (2)(b), (3)(h), (4)(b).
“[5.] After checking C.R.’s blood pressure at 11:00 P.M. and finding it to be 80/? you told C.R.’s husband that you believed that C.R. did not look good and was going to die. It is inappropriate to provide this information to the husband of a patient and is a violation of ORS 678.111(1)(f), and OAR 851-045-0015(4)(b).”

In response to the notice of proposed revocation, petitioner requested a hearing on the allegations. Her counsel then issued a subpoena duces tecum to the board’s investigator, Hudson, requesting that Hudson bring to the hearing her entire file and any other documents pertaining to the charges or investigation. The board, in turn, moved to quash the subpoena, arguing, in part, (1) that its own procedural rules limited discovery to “a list of witnesses to be called by the parties in their case in chief and the documents that the parties intend to introduce as exhibits at the contested case *232 hearing during the presentation of their case in chief,” OAR 851-001-0005(5), 1 and (2) that state law governing confidentiality of board investigations prohibited petitioner from obtaining any of the requested information. As to the latter contention, the board relied on ORS 676.175(1) (2003), 2 which provided:

“A health professional regulatory board shall keep confidential and not disclose to the public any information obtained by the board as part of an investigation of a licensee or applicant, including complaints concerning licensee or applicant conduct and information permitting the identification of complainants, licensees or applicants. However, the board may disclose information obtained in the course of an investigation of a licensee or applicant to the extent necessary to conduct a full and proper investigation.”

According to the board’s argument, petitioner is a member of “the public” for purposes of ORS 676.175, and the board therefore was not authorized to disclose to petitioner any of the information that it obtained as a result of the investigation of her conduct.

The motion to quash was submitted to an administrative law judge (ALJ) from the Office of Administrative Hearings. The ALJ ruled in favor of petitioner, concluding (1) that the Attorney General’s model rules of procedure— and not OAR 851-001-0005(5) — governed discovery and (2) that the text and context of ORS 676.175 did not support the board’s construction of that statute. Pursuant to OAR 137-003-0640(l)(a), 3

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Cite This Page — Counsel Stack

Bluebook (online)
185 P.3d 532, 220 Or. App. 228, 2008 Ore. App. LEXIS 733, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shank-v-board-of-nursing-orctapp-2008.