Defendants appeal by leave granted from that portion of an order denying their motion for summary disposition of plaintiffs gross negligence claim. We reverse.
Defendants are emergency medical technicians employed by the City of Detroit. On August 30, 1985, they transported plaintiffs decedent, who was in respiratory distress, from her home to a local hospital. The decedent went into full cardiac arrest in the ambulance and died eight days later.
Plaintiff filed this suit against defendants on April 21, 1988. Count i of plaintiffs complaint alleged negligence; count n alleged gross negligence. Defendants moved for summary disposition on the grounds of failure to state a claim and governmental immunity. The trial court granted defendants’ motion for summary disposition of the negligence count, but denied their motion with respect to the gross negligence claim. In denying the latter, the court apparently relied on the definition of individual immunity and gross negligence set forth in § 7 of the governmental tort liability act as amended by
On appeal, defendants contend that the trial court improperly applied the definitions of individual immunity and gross negligence set forth at MCL 691.1407; MSA 3.996(107), as amended by
Before
Lower level officials, employees, and agents are immune from tort liability only when they are
1) acting during the course of their employment and acting, or reasonably believe they are acting, within the scope of their authority;
2) acting in good faith; and
3) performing discretionary, as opposed to ministerial acts. [420 Mich 633 -634.]
The Supreme Court has applied this test to claims of liability for gross negligence, as well as ordinary negligence. See, e.g., Ross, supra, pp 638, n 45, 639.
Here, there is no question that defendants were acting during the course of their employment and within the scope of their authority when they *371 transported the decedent. Plaintiff has not alleged that defendants were acting in bad faith. Therefore, the only determination necessary is whether defendants were engaged in discretionary acts entitling them to immunity under Ross.
Discretionary acts involve significant decision making and entail personal deliberation, decision, and judgment.
Ross, supra,
pp 634, 635. Ministerial acts involve the execution of a decision with only minor decision making.
Id.
Although the execution of a medical decision may at times entail a series of medical decisions requiring personal deliberation and judgment, each of those decisions must entail significant decision making to be considered discretionary.
Green v Berrien General Hosp Auxiliary, Inc,
Defendants’ activities in this case involved more than obedience to routine procedure or minor decision making. They had to assess the degree of the decedent’s respiratory distress, determine whether her condition required oxygen therapy, and make a judgment with regard to the amount of physical exertion she was medically able to tolerate. Each of these determinations involved significant medical judgment rather than minor decision making. Defendants therefore were engaged in discretionary activity and were entitled to immunity under Ross. Neither plaintiff’s negligence nor gross negligence claim should have survived summary disposition.
Plaintiff argues that the trial court reached the right result in denying summary disposition of her gross negligence claim. Specifically, plaintiff contends that former § 20737 of the emergency medi
*372
cal services act, MCL 333.20737; MSA 14.15(20737), now MCL 333.20965; MSA 14.15(20965), set forth a statutory exception to individual immunity as defined in
Ross
and that this case falls within that exception. While our Supreme Court recently held that a governmental
agency
may be held vicariously (but not directly) liable under the emergency medical services act,
Malcolm v City of East Detroit,
Reversed.
