TONSIC Et Vir. v. Wagner

329 A.2d 497, 458 Pa. 246, 1974 Pa. LEXIS 716
CourtSupreme Court of Pennsylvania
DecidedDecember 6, 1974
DocketAppeal, 106
StatusPublished
Cited by62 cases

This text of 329 A.2d 497 (TONSIC Et Vir. v. Wagner) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TONSIC Et Vir. v. Wagner, 329 A.2d 497, 458 Pa. 246, 1974 Pa. LEXIS 716 (Pa. 1974).

Opinions

Opinion by

Mr. Justice Manderino,

Appellants, Kathryn M. Tonsic and her husband, James J. Tonsic, filed a negligence action against the appellee, Pittsburgh Hospital Association, and against Dr. J. Huber Wagner, claiming damages for injuries sustained by the appellant wife during an operation in the appellee’s hospital. A jury returned a verdict of $37,000 against Dr. Wagner, but found in favor of the appellee hospital. Appellants moved for a new trial on their claim against the appellee hospital. The motion was denied, and on appeal the Superior Court affirmed. Tonsic v. Wagner and Pittsburgh Hospital Association, 220 Pa. Superior Ct. 468, 289 A.2d 138 (1972) (Judge Hoffman filed a dissenting opinion). We granted appellant’s petition for allowance of appeal limited to the issue of whether the hospital and the operating surgeon can both be held liable for the negligence of hospital personnel during an operation.

The dissenting opinion of Judge Hoffman in the Superior Court provides the following accurate summary of the case:

“The jury verdicts followed a trial in which appellants claimed that both the Pittsburgh Hospital and Dr. Wagner were liable for damages resulting from the [249]*249failure to remove a Kelly clamp from appellant wife’s abdomen at the conclusion of a colectomy operation. Wife appellant had been admitted to appellee hospital for the performance of the surgery. A part of the hospital’s charge for services was for the use of the operating room. The operation was performed by Dr. Wagner who was assisted by nurses and an intern, who were employees of appellee hospital, and by another surgeon, Dr. Weitzel, Dr. Wagner’s associate.
“In the course of the operation a number of instruments were used. These instruments, including the Kelly clamp, were the property of the hospital. The instruments were handed to Dr. Wagner by the scrub nurse who stood by his side and were then returned by the doctor to this nurse. Neither the scrub nurse, nor the circulating nurse, nor the intern, nor the hospital itself counted the instruments or in any other way kept track of the instruments to determine if any had been allowed to remain in appellant’s abdomen. Neither of the nurses nor the intern called Dr. Wagner’s attention to the fact that a clamp was still in appellant’s abdomen, nor did any of them take any action to remove the clamp.
“At the conclusion of the testimony the trial judge, despite appellants’ counsel’s specific request, refused to permit the jury to determine whether appellee-hospital was vicariously liable for the negligence of its nurses and intern in failing to remove the clamp or cause it to be removed prior to the incision being closed with sutures. Rather the Court held that the doctor, as ‘captain of the ship’, had exclusive control over the persons in the operating room and was therefore solely liable for any negligence committed there. . . .”

In its charge, the trial court, at several points, instructed the jury that the hospital could not be liable for the negligence of hospital employees during the operation. One such reference was as follows:

[250]*250“[Wjhen a surgical operation is being performed in a hospital by a private surgeon . . . who is not an employee of the hospital itself, and the hospital furnishes . . . certain employees for his assistance in performing the operating, those servants, such as nurses, interns, and the like, become for the time being, for the duration of the operation, the servants of the surgeon in charge subject to his control as to any acts relating to the operation. And he is responsible and legally liable for any wrongful acts or negligent acts that they perform to the exelusion of the hospital, although the hospital is in general the employer of the nurses or the interns. (Emphasis added.)
“[The operating surgeon] is responsible for the negligence of any other person in,the operating room during the operation because he is the ‘captain of the ship.’ ” (Emphasis added.)

At the conclusion of the charge, the appellants’ counsel made the following objection: “I want to except to the Court’s charge as follows: The Court should have charged that the conduct of the nurses and intern can make the Hospital vicariously liable under the doctrine of respondeat superior, to the Court’s statement that in the operating room the doctor is in complete control of the hospital employees to the exclusion of the hospital; and I would like the Court to have charged that the Hospital has an affirmative duty to treat patients, to make patients well, and that the nurses and the intern in the operating room, although subject to the control of the doctor, can also be servants of the Hospital; and that would have to he up to the jury to determine whether the nurses and the intern during the operation were the servants of the Hospital and the doctor both.

“I also except to the failure of the Court to charge the jury that the nurses and the intern, who could have been found to be subject to the control of the Hospital [251]*251as servants, knew or should have known of the presence of the clamp and failed to remove the clamp. This is a matter to be determined by the jury.” (Emphasis added.)

The issue before us is whether the trial court erred in ruling as a matter of law that the appellee hospital could not be liable for the negligence of its personnel during an operation. Prior to our decision in Flagiello v. Pennsylvania Hospital, 417 Pa. 486, 208 A.2d 193 (1965), we had no occasion to consider that issue. Suits against hospitals qualifying as charities failed because such hospitals were not liable, vicariously or otherwise. See Benedict v. Bondi, 384 Pa. 574, 122 A.2d 209 (1956); Yorston v. Pennell, 397 Pa. 28, 153 A.2d 255 (1959). Since Flagiello abolished the doctrine of charitable immunity, the issue before us is no longer academic.

The trial court’s charge erroneously extended the application of the captain of the ship analogy first used in McConnell v. Williams, 361 Pa. 355, 65 A.2d 243 (1949). McConnell, in holding that a doctor in the operating room could be vicariously liable for the negligence of others during the operation, did not hold or say that the operating surgeon, as captain, was the only one who could be held legally responsible for the negligence of other persons in the operating room. Indeed, McConnell, specifically recognized a contrary “firmly established” principle of agency. McConnell noted that: “A person may be the servant of two masters, not joint employers, at one time as to one act, provided that the service to one does not involve abandonment of the service to the other. Rest. Agency, §226. Such is the case where an employee is transferred to carry on work which is of mutual interest to both of two employers and to effect their common purpose. Siidekum, Administrator, v. Animal Rescue League of Pittsburgh, 353 Pa. 408, 414, 45 A.2d 59

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Bluebook (online)
329 A.2d 497, 458 Pa. 246, 1974 Pa. LEXIS 716, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tonsic-et-vir-v-wagner-pa-1974.