VI Government Hospitals and Health Facilities Corp v. Wrensford

2025 V.I. 12
CourtSupreme Court of The Virgin Islands
DecidedMay 19, 2025
DocketSCT-CIV-2024-0022
StatusPublished
Cited by1 cases

This text of 2025 V.I. 12 (VI Government Hospitals and Health Facilities Corp v. Wrensford) is published on Counsel Stack Legal Research, covering Supreme Court of The Virgin Islands primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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VI Government Hospitals and Health Facilities Corp v. Wrensford, 2025 V.I. 12 (virginislands 2025).

Opinion

For Publication

IN THE SUPREME COURT OF THE VIRGIN ISLANDS

) = me Civ Ne ae Oa Soke THE VIRGIN ISLANDS GOVERNMENT HOSPITAL AND HEALTH FACILITIES ) Sei ie CORPORATION including Roy Lester ese Tt) Schneider Hospital and Medical Center Chief ) Executive Officer Tina Commissiong; Chief ) Medical Officer George Rosenberg, M.D.; and ) Medical Executive Committee Members: Denita ) Boschulte, M.D.; Yuri Peterkin, M.D.; Leroy ) Sterling, M.D.; Frank Odlum, M.D.; Jessica ) Wilson, M.D.; and Tai Hunt-Ceasar, M.D., Appellants/Defendants ) Vv ) ) GLENDA WRENSFORD, M.D ) Appellee/Plaintiff. )

On Appeal from the Superior Court of the Virgin Islands Division of St. Thomas & St. John Superior Court Judge: Hon. Kathleen Mackay

Filed: May 19, 2025 Cite as: 2025 VI 12 BEFORE MARIA M. CABRET, Associate Justice; IVE ARLINGTON SWAN Associate Justice; and HAROLD W.L. WILLOCKS, Associate Justice APPEARANCES

Sean P. Bailey, Esq Assistant Attorney General Virgin Islands Department of Justice St. Croix, U.S.V.I Attorney for Appellants/Defendants

Glenda Wrensford, M.D Pro se St. Thomas, U.S.V.1 Appellee/Plaintiff,

OPINION OF THE COURT

WILLOCKS, Associate Justice VIGHHFC et al. v. Wrensford 2025 VI 12 S. Ct. Civ. No. 2024-0022 Opinion of the Court Page 2 of 44

qi Appellants Virgin Islands Government Hospital and Health Facilities Corporation

(hereinafter “VIGHHFC”),' including Roy Lester Schneider Hospital and Medical Center

(hereinafter “RLSH”) Chief Executive Officer Tina Commissiong, Esq.; RLSH Chief Medical

Officer George Rosenberg, M.D.; and RLSH Medical Executive Committee Members: Denita

Boschulte, M.D.; Yuri Peterkin, M.D.; Leroy Sterling, M.D.; Frank Odlum, M.D.; Jessica Wilson,

M.D.; and Tai Hunt-Ceasar, M.D. (collectively “Hospital Party”)? appeals from the Superior Court

of the Virgin Islands (“Superior Court”) March 1, 2024 memorandum opinion and the

accompanying order in which the court granted a preliminary injunction in favor of appellee

Glenda Wrensford, M.D

I. BACKGROUND

492 On May 4, 2023 at approximately 1:00 a.m., Dr. Wrensford, the on-call general surgeon

for RLSH at that time, was called to perform an emergency procedure on an emergency department

patient (hereinafter “Patient”).> Based on her review of the CT scan images of the Patient’s chest

' In 1994, the Virgin Islands Legislature enacted the Virgin Islands Government Hospitals and Health Facilities Corporation Act, 19 V.L.C. § 240 et seq., see Act No. 6012 (V.I. Reg. Sess. 1994), which “created the Virgin Islands Government Hospitals and Health Facilities Corporation.” 19 V.I.C. § 243(a). “The corporation [has] two district governing boards, one for the District of St. Croix and one for the District of St. Thomas-St. John,” and the district governing boards are required to ‘formulate and determine hospital policy and planning for health care delivery for their respective districts consistent with the hospital policy and planning established by [VIGHHFC] Board of Directors.” 19 VIC. §243(g) Roy Lester Schneider Hospital and Medical Center—a hospital on St. Thomas—and “all personnel and equipment associated therewith,” are under VIGHHFC’s jurisdiction, 19 V.I.C. § 245(c), and thus, they are under the governance of the District of St. Thomas-St. John Governing Board of VIGHHFC (hereinafter “Board”). Accordingly, RLSH and its personnel are required to comply with the Board’s by-laws, rules, and regulations in addition to RLSH’s own by laws, rules, and regulations—-of relevance here, the Board’s By-Laws, the RLSH Human Resources Department Administrative Policy and Procedure Manual, and the RLSH Medical Staff By-Laws ? Given that VIGHHFC has the power to “‘sue and be sued” and has jurisdiction over RLSH and its personnel, see 19 V.LC. §§ 244(a), 245(c), and that the remaining individuals were sued in their respective official capacities as personnel of RLSH—to wit, as officers and committee members of RLSH—rather than in their individual or personal capacities, this Court will herein refer to all the appellants collectively as the Hospital Party for the sake of simplicity and clarity 3 The parties do not dispute that Dr. Wrensford is a board-certified surgeon licensed to practice in the U.S. Virgin Islands VIGHHFC et al. v. Wrensford 2025 VI 12 S. Ct. Civ. No. 2024-0022 Opinion of the Court Page 3 of 44

that were erroneously uploaded depicting the left as the right and the right as the left, Dr

Wrensford incorrectly inserted a chest tube on the left side instead of the right side. Upon realizing

that the images were mistakenly inverted when uploaded, Dr. Wrensford immediately corrected

the tube placement by inserting another chest tube on the right side.* Dr. Wrensford left RLSH at

approximately 4:00 a.m

43 Dr. Wrensford returned to RLSH later that morning at approximately 9:00 a.m. and noticed

that the Patient’s left chest tube was not connected to suction as she had directed earlier that

morning. Dr. Wrensford inquired with an emergency department nurse and was informed that the

nurse had not gotten to it yet. At approximately 10:30 a.m., Dr. Wrensford checked on the Patient

again and noticed that the left chest tube was still not connected to suction. The emergency

department nurse and the emergency department doctor were made aware of the situation, and Dr

Wrensford left RSLH

4/4 Later that same day, the emergency department staff made multiple calls to Dr. Wrensford

requesting her to return to RLSH to evaluate the Patient due to the Patient’s painful reaction when

his chest tubes were connected to suction. When Dr. Wrensford did not immediately return as

requested, the emergency department staff called Dr. Odlum—RLSH Chief of Surgery and Dr

Wrensford’s direct supervisor—and advised him of the Patient’s condition and that Dr. Wrensford

had not returned to evaluate the Patient after being called

q5 Dr. Odlum, after he was done with his office patients, arrived at RLSH approximately 1.5

to 2 hours after the emergency department staff called him. Upon his arrival, Dr. Odlum found the

Patient stable and not in distress; Dr. Odlum proceeded to evaluate the Patient. In describing his

4 Dr. Wrensford indicated in her notes, entered on May 4, 2023 at 2:56 a.m., infer alia, that “[flurther review of CT images revealed that images were loaded in reverse/ flipped.’ VIGHHFC et al. v. Wrensford 2025 VI 12 S. Ct. Civ. No. 2024-0022 Opinion of the Court Page 4 of 44

interaction with the Patient, Dr. Odlum later testified that he “didn’t have to reinsert a tube or

anything like that,” that he “just troubleshoot[ed] the entire thing from beginning to the end to

make sure that everything was appropriate[ly] set up, and then hooked [up] a suction,” and

observed that the Patient ‘was fine” and “didn’t have any more of the discomfort.” Then, after

confirming with the Patient that the Patient was not having any pain, Dr. Odlum “walked out.” Dr

Odlum’s contact with the Patient was so minimal that it was not recorded in the Patient’s chart

{6 On the following day—May 5, 2023—several RLSH medical staff, including Dr

Wrensford, attended a root cause analysis meeting to discuss the placement of the chest tube on

the wrong side of the Patient on May 4, 2023, which was considered a “sentinel event” under the

2023 Sentinel Event Policy of The Joint Commission® that required RLSH to “complete a thorough

comprehensive systematic analysis (most commonly, a root cause analysis) to determine why the

event occurred” and then “create a corrective action plan to prevent similar events from happening

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2025 V.I. 12, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vi-government-hospitals-and-health-facilities-corp-v-wrensford-virginislands-2025.