Ward v. OREGON STATE BOARD OF NURSING

502 P.2d 265, 11 Or. App. 353
Court of Appeals of Oregon·Decided January 18, 1973·No. 370-781·Published·Cited by 7 cases

Opinions

FOLEY, J.

This is an appeal by the Oregon State Board of Nursing from an order of the circuit court for Multnomah County setting aside an order of that Board, revoking respondent’s license to practice professional nursing in Oregon. . : .

[355] The State Board of Nursing filed a complaint in which it was alleged that respondent had committed the following acts: (1) Employed her daughter, Karen Ryan (aka Karen Metko), as a registered nurse and permitted her to “perform the duties and serve as a registered nurse” at the Oregon City Nursing Home when Karen Ryan was not licensed in Oregon as a registered nurse and respondent “knew or had reason to know” that she was not so licensed; (2) employed and supervised Karen Ryan as a registered nurse and .“permitted and instructed” her “to perform the duties and serve as a registered nurse” at the Gladstone Convalescent Hospital when Karen Ryan was not licensed in Oregon as a registered nurse and respondent “knew or had reason to know” of this fact; (3) recommended the employment of Karen Ryan as a registered nurse at Hillhaven Nursing Home in Portland when Karen Ryan was not licensed in Oregon as a registered nurse and respondent “knew or had reason to know” of this fact; and (4) recommended the employment of Karen Ryan as a registered nurse at Hearthstone Convalescent Center in Medford, Oregon, when Karen Ryan was not licensed in Oregon as a registered nurse and respondent “knew or had reason to know” of this fact.

The complaint further alleged that this conduct •was in violation of ORS 678.111(7), in that respond[356] ent’s acts “were and are conduct derogatory to the standards of professional nursing.”

Respondent moved at the administrative hearing to dismiss the complaint on the grounds that ORS 678.111(7) is so vague and indefinite as to be incapable of interpretation, and also that the complaint failed to allege facts sufficient to constitute a cause of action. Respondent’s motion was overruled, and a hearing was held. Following the hearing, the Board made written findings of fact and concluded from these findings that respondent’s acts were “derogatory to the morals and standards of professional nursing and violated ORS 678.111(7).” The Board then entered its order revoking respondent’s license.

Respondent appealed to the circuit court for Multnomah County pursuant to ORS 678.121. After [357] a hearing at which respondent called five witnesses, the court set aside the Board’s Findings, Conclusions, and Order. The court found that respondent’s motion to dismiss the complaint should have been granted, that there was insufficient evidence to support any of the charges in the complaint, and that ORS 678.111(7) is unconstitutional. The Board appeals.

The trial court did not prepare an opinion in this case and thus it is difficult to ascertain on exactly what basis ORS 678.111(7) was found to be unconstitutional. The only indication appears in paragraph six of the Conclusions of Law, where the court states that the subsection “standing alone is ambiguous and incapable of interpretation, is too broad and undefined terms (sic) and is unconstitutional.” Apparently, the trial court felt that unless the Oregon State Board of Nursing had previously adopted administrative rules specifically defining respondent’s alleged conduct as derogatory to the standards or morals of professional nursing, the statute amounted to an unconstitutional delegation of legislative power. The trial court erred in this conclusion.

In Board of Medical Examiners v. Mintz, 233 Or 441, 378 P2d 945 (1963), defendant’s license was revoked by the board after a hearing which determined that defendant’s acts (an attempt to commit an abortion) were contrary to ORS 677.190(1), which provided that the board might revoke a physician’s license for “[unprofessional or dishonorable conduct.” On appeal the circuit court held that the board’s complaint failed to state sufficient grounds for action because the board had not specifically defined defendant’s conduct as “unprofessional” or “dishonorable,” and the board appealed from that holding.

[358] The Supreme Court reversed, holding that the .prior promulgation of rules specifying the acts which would constitute “unprofessional or dishonorable con.duct” is unnecessary. Following Matter of Bell v. Board of Regents, 295 NY 101, 65 NE2d 184, 163 ALR 900 (1945), the Minis court cited the need for practicality and flexibility in laying down standards in areas involving administrative complexity:

“* * * Admittedly, the term ‘unprofessional conduct’ does not have precise contours circumscribing its meaning. The limits between good and bad professional conduct can never be marked off by a definite line of cleavage. And the variety of forms which unprofessional conduct may take makes it infeasible to attempt to specify in a statute or regulation all of the acts which come within the meaning of the term. The fact that it is impossible to catalogue all of the types of professional misconduct is the very reason for setting up the statutory standard in broad terms and delegating to the board the function of evaluating the conduct in each case. * * *” Board of Medical Examiners v. Mintz, supra, 233 Or at 448.

The Mints court stated that the standards of conduct generally accepted by practitioners in the community are an adequate guide for the administrative body. We are persuaded that the rationale of Mints is equally applicable to professional nursing. Therefore, we hold that “[c]onduct derogatory to the morals or standards of professional nursing” is an adequate statutory standard, and that prior promulgation of administrative rules was not a condition precedent to proceeding against respondent under the statute.

A necessary corollary to the need for flexibility in statutory language is recognition of the fact that the Board’s discretion is not without controls. The [359] standards which are accepted by tbe practitioners in the community must be ascertained at the hearing through expert opinion, except in the clearest of cases. Board of Medical Examiners v. Mintz, supra. The trial court found that there was insufficient evidence produced at the hearing before the Board to establish what activities constitute the duties of a registered nurse in Oregon, particularly in the nursing home context. We agree.

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Ward v. OREGON STATE BOARD OF NURSING, 502 P.2d 265, 11 Or. App. 353 (Or. Ct. App. 1973).

502 P.2d 265 (Ward v. OREGON STATE BOARD OF NURSING) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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