Brown v. StarMed Staffing, L.P.

• Decision Date: 16 July 1997
• Docket Number: Nos. A97A0658,s. A97A0658
• Citation: 227 Ga.App. 749,490 S.E.2d 503
• Parties: , 97 FCDR 2875 BROWN v. STARMED STAFFING, L.P. DeKALB MEDICAL CENTER, INC. v. BROWN. SIMMONS v. BROWN. ATLURI v. BROWN. to A97A0661.
• Court: Georgia Court of Appeals

Page 503

490 S.E.2d 503

227 Ga.App. 749, 97 FCDR 2875

BROWN v. STARMED STAFFING, L.P.

DeKALB MEDICAL CENTER, INC. v. BROWN.

SIMMONS v. BROWN.

ATLURI v. BROWN.

Nos. A97A0658 to A97A0661.

Court of Appeals of Georgia.

July 16, 1997.

Reconsideration Denied July 30, 1997.

Hart & McIntyre, George W. Hart, Bonnie M. Wharton, Thomas W. Thrash, Jr., Atlanta, for Brown.

Long, Weinberg, Ansley & Wheeler, Robert G. Tanner, Stephen R. Chance, Atlanta, for StarMed Staffing and Simmons.

Sullivan, Hall, Booth & Smith, Henry D. Green, Jr., Atlanta, for DeKalb Medical Center, Inc.

Gleaton, Scofield, Egan & Jones, Frederick N. Gleaton, Marla M. Eastwood, Atlanta, for Atluri.

McMURRAY, Presiding Judge.

These four appeals arose from the same medical malpractice action. About 8:30 p.m. on October 20, 1992, James R. Brown was admitted to the emergency room at DeKalb Medical Center, Inc. ("the hospital"). His tongue was swollen, and he had difficulty swallowing. Emergency room personnel medicated Mr. Brown and called his regular physician, Alan O. Feingold. The physician handling Dr. Feingold's after-hour calls, Revati Atluri, arrived at the emergency room two and one-half to three hours later and determined that Mr. Brown had more than likely experienced an allergic reaction to his blood pressure medication. Dr. Atluri ordered intensive care and directed Mr. Brown's "wife[, Willie W. Brown,] to [go home and] call [the nurses' station] with his blood pressure medicines, names, and doses...." Dr. Atluri then entered the term, "NPO," on Mr. Brown's hospital chart. To medical professionals, this notation means to give the patient nothing by mouth.

Mrs. Brown went home, retrieved all of her husband's medicine, returned to the hospital and gave the medication to a nurse at the nurses' station. Mrs. Brown then returned to the emergency room waiting area. A few hours later, at about 4:00 a.m., Emergency Room Nurse Michael Simmons gave Mr. Brown the blood pressure medicine that Dr. Atluri thought may have caused Mr. Brown's allergic reaction. According to Nurse Simmons, Dr. Atluri verbally directed him to give Mr. Brown his regular doses of blood pressure medicine. ¹

Later that day (about 12:00 p.m. on October 21, 1992), Dr. Feingold arrived at the hospital and examined Mr. Brown. Dr. Feingold informed the Browns that Mr Brown's allergic reaction was probably caused by a blood pressure medication Mr. Brown was taking, "Zestril." Mrs. Brown informed Dr. Feingold that the hospital had given Mr. Brown "Zestril" earlier that morning and asked if this dose would harm her husband. Dr. Feingold told Mrs. Brown, "he'll be all right, see me in the morning." Dr. Feingold then took Mr. Brown's "Zestril," scheduled him for an office visit the next morning and discharged Mr. Brown from the hospital. Mr. Brown never made it to Dr. Feingold's office the next morning.

Mr. Brown experienced another allergic reaction at 5:00 in the morning on October 22, 1992. Mrs. Brown woke up when she heard her husband gagging for breath. Unable to revive Mr. Brown, Mrs. Brown called for emergency medical assistance. But it was too late. Mr. Brown had choked to death on his grossly swollen tongue.

Willie W. Brown, individually and as administratrix of her husband's estate, brought a medical malpractice action against Alan O. Feingold, M.D., Alan O. Feingold, M.D., P.C., Revati Atluri, M.D., DeKalb Medical Center, Inc., Michael Simmons, R.N. and StarMed Staffing, L.P. ("StarMed"), the medical personnel staffing service that contracted with the hospital for Nurse Simmons to work in the hospital's emergency room. Mrs. Brown pertinently alleged the reckless administration of "Zestril" to Mr. Brown, while Dr. Atluri and Nurse Simmons were aware that "Zestril" may have caused Mr. Brown's allergic reaction, was a proximate cause of her husband's death. Mrs. Brown alleged Dr. Feingold was negligent in failing to immediately treat Mr. Brown for an allergic reaction after learning that his patient had recently ingested (at the hospital) the suspected allergen, "Zestril." Mrs. Brown asserted that the hospital and StarMed are responsible for Nurse Simmons' alleged negligence based on the doctrine of respondeat superior.

The trial court granted StarMed's motion for summary judgment based on a finding that the doctrine of respondeat superior does not cover StarMed because Nurse Simmons was the hospital's "borrowed servant" at the time of the nurse's alleged negligence. The trial court denied the hospital's motion for summary judgment and also denied Nurse Simmons' and Dr. Atluri's motions for partial summary judgment as to punitive damages. Mrs. Brown filed a direct appeal in Case No. A97A0658. The hospital filed a cross-appeal in Case No. A97A0659. Nurse Simmons filed a cross-appeal in Case No. A97A0660. And Dr. Atluri filed a cross-appeal in Case No. A97A0661. Held:

Case No. A97A0658

1. Mrs. Brown contends the trial court erred in granting StarMed's motion for summary judgment, arguing that the three-prong test for establishing that Nurse Simmons was a "borrowed servant" was not met. "The definitive test for determining whether an employee is a 'borrowed servant' was set forth in U.S. Fidelity, etc., Co. v. Forrester, 230 Ga. 182, 183, 196 S.E.2d 133 (1973). The evidence must show that '(1) the special master had complete control and direction of the servant for the occasion; (2) the general master had no such control, and (3) the special master had the exclusive right to discharge the servant.' Id. In Six Flags Over Ga. v. Hill, 247 Ga. 375, 377-378(1), 276 S.E.2d 572 (1981), the Supreme Court further refined this test by indicating that all three prongs of the test must focus on 'the occasion when the injury occurred' rather than the work relationship in general." Stephens v. Oates, 189 Ga.App. 6, 7(1), 374 S.E.2d 821. We are compelled to apply this narrow standard in the case sub judice.

Although StarMed paid Nurse Simmons' wages, provided him with health insurance and workers' compensation coverage, and required Nurse Simmons to abide by its rules, the hospital's rules as well as all applicable professional standards, it is undisputed that the hospital had complete supervisory control over Nurse Simmons while he was watching over Mr. Brown and that the contract between StarMed and the hospital provided the hospital with exclusive right to discharge Nurse Simmons if his "performance does not meet the standards established for all professionals in the Hospital's employ." StarMed's contract with the hospital provides only that the "[h]ospital will forward to [StarMed] documentation of [any such] termination." Mrs Brown, nonetheless, argues that Nurse Simmons was not the hospital's "borrowed servant" when he gave Mr. Brown the allegedly fatal dose of "Zestril" because there is proof that Dr. Atluri--not the hospital--ordered Nurse Simmons to administer this medication. This assertion is without merit because the critical undisputed fact (with regard to StarMed's vicarious liability) is that StarMed did not control Nurse Simmons' conduct when he administered "Zestril" to Mr. Brown.

Under the law set forth by the Supreme Court of Georgia in Six Flags Over Ga. v. Hill, 247 Ga. 375, 377(1), 276 S.E.2d 572, supra, the undisputed circumstances in the case sub judice reveal that Nurse Simmons was the hospital's "borrowed servant" at the time of his alleged negligence. The trial court therefore did not err in granting StarMed's motion for summary judgment.

Case No. A97A0659

2. Citing Hoffman v. Wells, 260 Ga. 588, 589, 397 S.E.2d 696, and Parker v. Hosp. Auth. of the City of Bainbridge, etc., 214 Ga.App. 113, 114(2), 446 S.E.2d 766, the hospital contends the trial court erred in denying its motion for summary judgment based on the "borrowed servant" doctrine because Nurse Simmons was Dr. Atluri's "borrowed servant" at the time of the nurse's alleged negligence. These assertions are without merit because, unlike the circumstances in Hoffman and Parker, there is evidence in the case sub judice that Nurse Simmons was not acting under the direction and control of Dr. Atluri when he gave Mr. Brown the allegedly fatal dose of "Zestril." Apparently conceding this factual distinction, the hospital cites Moore v. Carrington, 155 Ga.App. 12(1), 270 S.E.2d 222, alternatively urging that it cannot be liable for Nurse Simmons' alleged negligence because he exercised professional judgment in deciding--on his own--to give Mr. Brown blood pressure medication.

In Moore v. Carrington, 155 Ga.App. 12, 270 S.E.2d 222, supra, this Court held that a " 'hospital is liable for the negligence of its nurses, orderlies and other employees, in the performance of mere administrative or clerical duties which, though constituting a part of the patient's prescribed medical treatment do not require the application of specialized technique or the understanding of a skilled physician or surgeon and which duties are not performed under the direct supervision of the attending physician.' Porter v. Patterson, 107 Ga.App. 64(1)(a), 129 S.E.2d 70 (1962). See also Su v. Perkins, 133 Ga.App. 474, 211 S.E.2d 421 (1974); Miller v. Atkins, 142 Ga.App. 618, 236 S.E.2d 838 (1977)." Id. at 12-13(1), 270 S.E.2d 222. There is no conclusive evidence in the case sub judice answering why Nurse Simmons gave Mr. Brown blood pressure medication at 4:10 a.m. on October 21, 1992. Indeed, the current state of facts in the case sub judice may authorize a jury's finding that Nurse Simmons exercised no judgment at all when he gave Mr. Brown his daily dose of blood pressure medication. To this extent, there was no clear prohibition in Mr. Brown's hospital chart not to give Mr. Brown his normal daily dose of blood pressure medicine. Dr. Atluri...