NORA JUNE STEPIEN ET AL., APPELLANTS,
v.
BAY MEMORIAL MEDICAL CENTER ET AL., APPELLEES

Fla. 1st DCA | 1981-04-02
No. XX-294
SHIVERS, J., and WOODIE A. LILES (Ret.), Associate Judge, concur.
397 So. 2d 333 Florida District Court of Appeal, First District (1981) Positive Treatment
Cited by 3 cases

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Synopsis

A patient fell and fractured her hip while hospitalized and sued for negligence. The trial court granted directed verdict for the hospital, but the appellate court reversed, finding the evidence presented a jury question regarding whether the hospital failed to exercise reasonable care given the patient's known vulnerable condition.


Holding

The court held that the evidence presented a factual issue precluding directed verdict. Although expert medical testimony is required when a medical professional's judgment is at issue, here the case involved only common sense and ordinary judgment regarding reasonable precautions for a vulnerable patient, which a jury could determine without expert testimony.


Headnotes

[1] A directed verdict is precluded when the evidence presented raises a factual issue for the jury's determination.

[2] In a medical negligence action, expert testimony is not required where the case involves only the exercise of common sense and ordinary judgment.

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Key Quotes

“Considering the evidence in the light most favorable to appellant, as we are required to do upon this directed verdict...it was established that appellant was receiving medications which included various sedatives, that she had a temperature in excess of 100°, that she was disoriented, and that she had previously displayed suicidal 'ideations' which were known to the hospital staff.”

Establishes the factual circumstances demonstrating appellant's vulnerable condition known to the hospital

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Facts & Procedural History

Appellant Stepien was a patient at Bay Memorial Medical Center wearing a full cast from a previous fall at the facility. She was on sedative medicatio…

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Opinion of the Court
WENTWORTH, Judge.

WENTWORTH, Judge.

Appellant seeks review of a judgment entered upon directed verdict in favor of appellee Medical Center. We find that the evidence presented a factual issue for the jury’s determination, so as to preclude a directed verdict, and reverse the order appealed.

Appellant brought this negligence action for injuries, including a fractured hip, sustained during a fall while a patient at the Medical Center. At the time of this incident appellant had a full cast on her left leg due to a previous fall at the Center. Considering the evidence in the light most favorable to appellant, as we are required to do upon this directed verdict, Rodi v. Florida Greyhound Lines, 62 So. 2d 355 (Fla.1953), it was established that appellant was receiving medications which included various sedatives, that she had a temperature in excess of 100°, that she was disoriented, and that she had previously displayed suicidal “ideations” which were known to the hospital staff. It was hospital policy that such patients be watched closely and provided a medical bed with side rails, but on the night of her injury appellant was moved from such a bed into a darkened room, without any night lighting or an operative nursing attendant call system, and with a bed which did not have side rails. All room lighting and hallway lighting had been turned off when appellant awoke in the early morning darkness and fell while attempting to use the bathroom, and appellant testified that she would have attempted to call a nurse for assistance had. there been an operative call system in her room.

Where a plaintiff in a medical negligence action does not establish what standard of care existed under the circumstances of the case, and therefore is unable to show a breach of such care, a directed verdict is appropriate. Memorial Hospital South Broward Hospital District v. Doring, 106 So. 2d 565 (Fla.2d DCA 1958). But where only the exercise of common sense and ordinary judgment are required, a medical negligence action may be proved without the aid of expert medical testimony. Atkins v. Humes, 110 So. 2d 663 (Fla.1959); Reynolds v. Burt, 359 So. 2d 50 (Fla. 1st DCA 1978). A hospital is bound to exercise such reasonable care as a patient’s known condition may require, South Miami Hospital v. Sanchez, 386 So. 2d 39 (Fla.3d DCA 1980); Sprick v. Northshore Hospital Inc., 121 So. 2d 682 (Fla.2d DCA 1960), and although appellant’s physician’s instructions may have .been fully complied with, the present case nevertheless involved a factual issue, which the jury could have determined without the aid of expert testimony, as to whether appellee Medical Center failed to exercise such reasonable care as the Center’s knowledge of appellant’s physical condition may have warranted.

The order appealed is reversed and the cause remanded to the trial court for further proceedings.

SHIVERS, J., and WOODIE A. LILES (Ret.), Associate Judge, concur.


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Citator

Cited By

  • Fla. Patient's Comp. Fund v. Tillman, 453 So. 2d 1376 (Fla. 4th DCA 1984)
    …ight to conclude that it is negligence ... to fail to sterilize surgical instruments before performing an operation .... ” Id. at 666 (citing Lanier v. Trammell, 207 Ark. 372, 180 S.W. 2d 818 (1944)). See also Stepian v. Bay Memorial Medical Center, 397 So. 2d 333 (Fla. 1st DCA), pet. for review dismissed, 402 So. 2d 607 (Fla.1981). Finally, St. Mary’s asserts that even if the hospital failed to notice the femoral component, its failure did not cause any injury to the plaintiff. According to St. Mary’s, the…
  • Pivar v. Baptist Hosp. OF Miami, Inc., 699 So. 2d 273 (Fla. 3d DCA 1997)
    …held that the question of whether a medical center failed to exercise such reasonable care as the ceriter’s knowledge of a patient’s physical condition may have warranted involved a factual issue for the jury. Stepien v. Bay Memorial Medical Center, 397 So. 2d 333, 334 (Fla. 1st DCA 1981). Baptist Hospital offered no testimony regarding the condition of the bathroom floor at the time the incident occurred. The hospital did offer testimony that in the interim between the shower and the fall their records indi…
  • Est. of McCall v. United States, 663 F. Supp. 2d 1276 (N.D. Fla. 2009)

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