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McClain v. University of Texas Health Center at Tyler
119 S.W.3d 4
Tex. App.
2002
Check Treatment

*1 requested that he be through attorney, his leave

paroled upon the condition he release,

Taylor Money- county. After his county

hun and was ar- returned Moneyhun’s Ruling subsequent

rested.

complaint that the order of release was

invalid, appel- the court wrote: “When release, attorney requested

lant’s he moving

became factor and cannot now advantage part

take of a void order on the county judge.” Id. facts, particular we hold

Under these

appellant invited the error he now identi-

fies. We therefore overrule his two issues.

Accordingly, judgment below is af-

firmed. McCLAIN, Syble

James H. and Wife H.

McClain and Children of James

McClain, Jacque- Mac McClain and Birdman, Appellants,

line OF TEXAS UNIVERSITY

HEALTH CENTER AT

TYLER, Appellee.

No. 12-01-00363-CV. Texas, Appeals

Court

Tyler. 9, 2002.

Oct.

Rehearing Overruled Nov. *2 Background

Procedural arising negligence suit a medical This is of James H. and care out of the treatment patient at he was a while McClain 1990, 27, Mr. McClain June Hospital. On was dis- surgery. He heart underwent 10, Hospital July on from the charged thereafter, Mr. McClain Shortly infection. surgical incision contracted hospital July to the He was readmitted until for the infection and treated 4,1990. In discharge on October his Hospital and others sued the treatment. negligence medical alleging it entity, Hospital governmental is a As the immuni- doctrine of invoked ty- jurisdic- plea to the Hospital filed as- and sever and motion to dismiss

tion petition failed serting that Mr. McClain’s had, to the Hospital pursuant show Act, govern- waived its Texas Tort Claims immunity from suit. mental jurisdic- to the granted trial court the Hos- tion, against the claims dismissed against the claims pital, and severed remaining de- against the from the claims Adkison, Wellborn, Houston, Adki- Ron fendants. LLC, Mann, Hill, son, Sadler & Henderson, Immunity appellants. for Waiver of Grounds issue, Appellants assert first In their Batsell, appellee.

Cherie granting trial court erred and dis- Hospital’s plea to GOHMERT, JR., consisted of Panel against missing the claims WORTHEN, GRIFFITH, C.J., J., and J. properly invoked the petition their because asserting jurisdiction by trial court’s WORTHEN, Justice. JIM Act’s re- the Tort Claims meeting claims govern- McClain, showing waiver Syble quirements Appellants, James H. peti- They contend McClain, immunity. McClain, Jacqueline mental Mac against the claims Birdman, or- tion described appeal from the trial court’s tangible on the use misuse against based dismissing their cause of action der that an They assert personal property. of Texas Health Center University equip- (the among the instruments item jurisdic- want of Tyler “Hospital”) for of Mr. during the course issues, ment used the trial In three assert tion. caused infected and surgery was Hospital McClain’s concluding court erred infection- by introducing the infection affirm. is immune from suit. We subject causing Appel- jurisdiction. bacteria into Mr. McClain. lacks matter subject jurisdic argue inappropri- lants that the trial court Id. The absence of matter ately jurisdictional may juris tion be raised dismissed their suit on diction, procedural as well as other grounds Hospital’s argument based on the *3 vehicles, summary such as a motion for negligence its did not cause Mr. judgment. Indep. Bland Sch. Dist. v. argument, McClain’s infection. an Such (Tex.2000). Blue, 547, 34 S.W.3d 554 assert, Be they improperly requires them to subject jurisdiction presents matter cause claim, prove the causation element of their law, a question of we review the trial they required allege when all are to do is a grant court’s a decision to the causal connection between the use of the jurisdiction Mayhew de novo. v. Town property injury. of (Tex. 922, Sunnyvale, 964 S.W.2d 928 issue, Appellants In their second assert 1998). improperly the trial court dismissed their tangible claims based the condition of reviewing juris In a to the personal property per- tangible because diction, pleadings any we review the property operate sonal used to on Mr. jurisdictional is evidence relevant was contaminated with McClain bacteria. Dep’t sue. Texas Crim. Justice v. They assert that the bacterial contamina- (Tex.2001). Miller, 583, 51 S.W.3d 587 tion equipment of the instruments and Further, the trial court must consider ev operating used room rendered these necessary ju idence when to resolve the equipment instruments inadequate Blue, risdictional issues raised. 34 inadequacy this was a condition that at 555. Because a court must not S.W.3d injured Mr. McClain. determining act without has sub so, ject jurisdiction matter to do it should issue, Appellants In their third contend necessary hear evidence as to determine the trial in dismissing court erred their proceeding the issue before with the against claims based on the Id. a determina case. at 554. Whether property, spe- use of and condition real subject tion of matter can be cifically, operating They argue room. preliminary hearing in a or should made operating room was contaminated development await a of the merits fuller bacteria, by infectious that use of that largely of the case must be left room was the cause of Mr. trial court’s sound exercise discretion. and, alternatively, McClain’s infection party suing governmental Id. The en the contamination constitutes a condition consent, tity must establish State’s property on the which caused harm. may alleged either reference which be Applicable per express legislative to a statute or to Law Jones, at 8 mission. S.W.3d Sovereign immunity is an affir jurisdictional allegations considering the pleaded mative defense that must be petition, in a are to be contained Antonio, proved. City Davis v. San 752 plaintiff’s favor. liberally construed (Tex.1988). Immunity S.W.2d 520 Air Texas Ass’n Bus. v. Texas Control from an against suit bars action the State (Tex.1993). Bd., 440, 446 expressly unless the State consents to the Trans, (the “Act”) Jones, pro- Tort Act Dep’t suit. Texas 8 Claims immu- early S.W.3d Since as vides limited waiver of that, personal injury when is “caused the law Texas has been suit, tangible personal or absent the State’s consent to a trial condition or use of “Argu- Bossley, 968 at 341. governmental if the unit ed. S.W.2d Act would, person, applications of the private it a be liable ments for were according law.” be- essentially Texas in its waiver claimant result reject- be ANN. must therefore Tex. Prac. & coming absolute Civ. Rem.Code 101.021(2) (Vernon 1997). § To sue the contrary to the Act’s fundamental ed as tort, Further, State must state while the Id. at 342. purpose.” Jones, claim the Act. under S.W.3d may now evidence on trial court consider reference the Act is 689. Mere jurisdiction, trial court is the issue Miller, 51 at 587. We enough. underlying of the not to assess merits Act, to the terms consid must look ju- determining the of action when *4 of particular the facts together ered with Blue, issue. See 34 S.W.3d at risdictional case, immunity the to determine if has 554. put Id. “Use” “to or waived. means service; or for

bring employ into action The Petition given purpose.” or a Id. at 588. apply to Appellants’ petition, VII paragraph In of use, involving the the Claims failure to or brought is they assert their suit property, of are not within the non-use Hospital to the Texas against pursuant the sovereign immunity. waiver of Id. at 587- Act, allege that Mr. Tort Claims and Further, information not consti does personal injuries caused McClain’s were personal the tangible property tute tangible personal or by a condition use of governmental immu State has not waived allege that, property. They further use, mis negligence involving party, Hospital private if the were a use, University or nonuse of information. according Appellants liable to would be York, Branch v. 871 S.W.2d Tex. Med. of X, In paragraph Appellants law. Texas (Tex.1994). 175, 179 injury was that Mr. a allege McClain’s negli- proximate direct result Act, immunity and/or Under agents, representatives gence of waived, and/or proxi be personal injury must be They further employees Hospital. mately by caused or use of condition times, that, at all the Hos- assert relevant property. County Mental tangible Dallas Appellants duty to use the pital owed v. Boss Health Mental Retardation ordinarily used care which skill and was ley, Prop 968 S.W.2d reasonably prudent rea- person and/or erty if injury does not it does provider in sonably prudent health care more than furnish the condition that circum- cases under similar similar injury possible. re Id. The makes XI, they allege paragraph stances. quirement of causation more than mere is through acts and omis- Hospital, involvement; im otherwise the waiver sions, to treat Mr. McClain failed munity virtually be unlimited. Id. accepted stan- consistent with the manner immunity To has been establish thereby patients, care for breach- dard of waived, must a cause of plaintiff allege ing duties owed him. tangible is the property action in which the 342; instrumentality of the harm. Id. at XTV entitled “Plaintiffs’ Paragraph Isabel, City Port Baston v. Defendant, University Against Claims (Tex. App.-Corpus n. 4 Christi Tyler, Based on Health Center at Texas denied). 2001, pet. Property or Real Tangible Personal Use of Paragraph XV is entitled recognize Legislature Property.” must that the We Defendant, The Against limit- to be “Plaintiffs’ Claims intended the waiver the Act University of Texas Ty- surgical Health Center at of the named instruments is the ler, Based on Misuse Tangible Personal Mr. cause of McClain’s infection Property Property.” or Real Under these property injury because does not cause if paragraphs, Appellants allege that the acts it does no more than furnish the condition Hospital prox- and omissions of the were a injury possible. that makes the 1) injuries imate cause of Mr. Hospital contended that property, the use and misuse of real being what, if any, piece not established operating surgery room and area for equipment caused Mr. McClain’s infection. 2) patients; cardiac in the use and misuse Further, argued Appel- twenty-one tangible per- named items of allegation allowing lants’ nurse Ellen property sonal in the operating room and Thompson, eventually posi- who cultured area, surgery all well as attachments tive same bacterium as Mr. 3) equipment; related the use and McClain, to work in the operating room twenty-one misuse of named items of does not amount to a use of tangible property referred to in Finally, regarding Appel- under the Act. 4) Record; Operative in the use and allegation lants’ neg- *5 tangible personal prop- misuse of items of ligent following in not infection control erty referred to and described records policies, Hospital the asserted that infor- 5) petition; attached as exhibits to the and personal mation is not tangible or real antibiotics, in the use and misuse of gloves, and, therefore, sovereign immu- masks, gauze, dressings dressing and solu- by is not waived or using, misusing, tions to treat the infection. using sup- not information. The was ported by affidavits of three defendant Plea the to Jurisdiction portions deposition and of nurses the of Hospital jurisdic- The filed a Appellants’ expert. tion and motion to dismiss and sever Hospital presented The the affidavits of based on entitlement to immuni- Thompson, Ellen a staff nurse the sur- ty under the Texas Tort Claims Act. It Gee, gery department, Pat operating room Appellants asserted that failed to state a nurse, Peters, nurse, charge and Odelia prop- claim based on a condition or use of Room, Operating Director of the and mem- Rather, erty. it argued, Appellants simply ber Infection Control Committee. asserted that Mr. an McClain contracted Hospital policies Ms. that Peters stated subsequent surgery Ap- infection and compliance infection control were with pellants point oper- to an exhaustive list of community Explaining standards. ating potential culprits. room materials as no indicia of on there were visible infection Asserting that Mr. physi- McClain was not Thompson’s person, Ms. both Ms. Peters injured cally by equipment provided the being and Ms. Gee denied aware that Ms. by Hospital operative in terms of its Thompson had a skin infection. Ms. Gee use, Hospital argued that failure to Hospital policies proce- stated use, act, failure to or non-use claims do in compliance dures were with established satisfy not the use-of-property require- that, Thompson explained guidelines. Ms. Hospital ment. The further asserted that surgery, at the time of Mr. McClain’s she any neg- failed to establish that any had to believe no evidence of or reason ligence part any employees on the of its any infection-causing bacte- was the of Mr. she had McClain’s injuries. Ap- body. surgery, ria on her Prior to she disagreed The with pellants’ completely assertion that of one or more scrubbed from hands elbows use their personnel perform an struct how with iodine betadine and antibi- and/or patients. infecting at otic wore all duties without cleanser. She scrubs times, mask, hair, her covered wore briefly in Discussion only

covered her shoes. She suite, the sterile surgical never invaded immunity is waived Hospital’s The during physical field surgery, had if Appellants’ evidence contact with Mr. McClain. that Mr. before the trial show injury, post-surgery infec McClain’s portions The presented also of, tion, or the by was caused condition Appellants’ expert, Dr. deposition of, Hospital’s personal use misuse or Zaki A. Dr. Sheikh testified that Sheikh. property. paragraph Appel VII patients infections can be incurred de- pleadings, lants’ invoked Act spite surgeons operating and all room requirements out of section setting personnel following the standard of care 101.021(2). But such reference is technique. explained sterile He also that a to state a claim under Act. sufficient patient body can bacteria Miller, Paragraphs at 586. XIV him could cause to have an infection. Ad- bare again XV make assertions ditionally, possible he that it testified Hospital’s use and misuse get an infection either the time sur- property caused and real Mr. gery or at a later if date. When asked injuries. petition operating names the bacterium, diptheroid, a can found be com- area, surgical forty-eight room and lists infection, monly an on skin without he others, items, alleg and refers countless answered, He if *6 “Probably.” agreed that ing the room and all of these items that dipther- Ms. Thompson positive for tested use of all were used and that the room and oid three weeks after Mr. McClain’s sur- proximate of these items was a developed gery, possible it is she injuries. allegations Mr. McClain’s period. sometime within that three week however, petition, not include a do condition, any description any defective Appellants’ Response any explanation of the room or how used, whom, way items were what Along response with their to to any or specific negligently item was used jurisdiction, Appellants filed Dr. misused, way any one or what explained Sheikh’s affidavit. Dr. Sheikh caused the infection. Because of its items Thompson that Ms. was tested and found generality, petition not establish does to her have on hands a bacterium which immunity has waived under type was the same as that involved Mr. or “use” of or real “condition” McClain’s infection. He that the averred provisions of the Act. We now property conduct of the individual fell defendants jurisdictional consider the evidence before practice duty below the standards of and immunity court to if trial determine community preven- in the for and control was waived. tion of in the operating infection room. affidavit, in- provides He Dr. Sheikh stated the defendants committed negligent sight Appellants’ theory acts in their into of causation and omissions care McClain, injury explaining Thompson of Mr. caused to him that Ms. suffered Mr. by failing policy to from the same infection as McClain. enforce negli- He defendants were regarding prevention the control and contends the injury by by failing gent to train and in- and caused Mr. McClain’s infection failing 101.021(2); policy § to have and enforce a Bossley, 968 S.W.2d at 343. controlling and preventing by Appellants infection and plaintiff merely assert that a is failing personnel to train and instruct in required allege to that a causal connection proper infection control methods. The af- exists between the property use of the attempt However, fidavits of the three injury. nurses requires the law Appellants’ theory Thomp- rebut that Ms. more when the of the trial son had a skin If, infection at the time of challenged. Mr. court is Appellants as- surgery sert, plaintiff and that she infected merely required were time, him. At the same attempt allege that a causal connection exists be- show that they proper procedures followed property tween the use of the and the infection control. The injury, also contrary result would be attempts Appellants’ to call theory into legislative interpretation intent. Such an doubt deposition testimony Dr. Sheikh’s of the law result in automatic waiver happen infections can even when the sovereign immunity, making waiver the standard of care is followed and contrary that the norm. This is Act’s funda- patient can infect himself. purpose mental limiting waiver. Id. at

Although presents Dr. Sheikh’s affidavit Appellants’ causation, theory of it falls To the extent contend the short explaining piece what of tangible Hospital proper faded to use sterilization personal or real property Thompson, Ms. techniques, that contention falls into the anyone or Hospital, behalf of the used category property of non-use of which is misused, or or how she did so. The mere not within the waiver of immuni allegation that a Hospital employee used Miller, ty. Appellants’ 51 S.W.3d at 587. or Appellants’ misused some item on list argument negligent proof specific insufficient. Without that a in failing implement policy and enforce a act or item of contributed to the controlling preventing in infection injury, there can be no cause. volves misuse of information. Such claims Ager See Hosp., Wichita Gen. tangible personal do not involve *7 658, 662 (Tex.App.-Fort S.W.2d Worth property and do not waiver of invoke sov 1998, pet.). assuming Even Ms. York, ereign immunity. 871 S.W.2d at Thompson was infected at the time of Mr. Appellants’ argument hospi 179. that the surgery, which is not shown properly in negligent failing tal was to record, tangible per- she is not herself personnel train not invoke waiver as does sonal or real property. Appellants have such failures in conduct do not involve the any specific submitted evidence that tangible personal property. use of or real piece of tangible property actually in a Petta, Dep’t Safety See Texas Pub. 44 contaminated condition which was the 575, Further, to S.W.3d 581 probable injuries. cause of Mr. McClain’s Appellants allege the extent that some un Appellants argue Hospital’s specified in- item on their list was unsterile or terpretation applicable law improperly contaminated and led to Mr. McClain’s infection, requires prove them to disagree the causation ele- we that “condition” is However, ment of their cause of action. such as Act. contemplated by is This discussing when requirement argument actuality the Act’s to in that the item is waiver, show causation in merely order show furnished the condition that made injury possible cases discuss evidence of such causa- and is insufficient tion. See Tex. & requirement Crv. PRAC. Rem.Code meet the causation for immu- ANN.

11 distinguish its well Bossley, attempted to be at reasoned waived. opinion in Brannon case from Firemen’s, up in a case in follow logical Conclusion felt comfortable highest which us, exactly on the record before Based application for deny 1995 enough infected, how Mr. McClain became or writ. condition, through what use or mis- in pleas of evidence Consideration prop- use of what item of or real apparently jurisdiction, is now author- as infection, conjecture. erty caused the is all many situations, ized in confuses law Thus, Appellants ask the court to assume jurisdiction pleas to the into merging Appellants have causation. not shown summary As judgment. ap- motions tangible property

what was the “instru- courts, pellate endeavor to make we should mentality of the harm.” id. 342. In See logical. Bleeding the law consistent and sum, Appellants’ arguments sup- are not concept slowly one into another can legal in ported by allegations the factual bleed the life out of the law. At time pleadings or extrinsic evidence in the rec- two, one, laymen yearn- alike lawyers ord. We overrule and when are issues law, three. ing clarity graying areas clear not acutely helpful. once were is the trial We affirm court’s order dis- missal. to, effect, litigant prove Requiring a worthy being himself court with evi- JR., GOHMERT, C.J., LOUIS con- dence on concurring. of open Though founds the notion courts. JR., GOHMERT, Justice, LOUIS Chief appropriately it ad- would seem more concurring. summary as judg- dressed a no-evidence I in the majority concur result of the matter, justification evidentiary ment opinion because it is consistent with the required now apparently in court is being latest, However, highest authority. In the a scenario as before us. bears noting opinions such case, present summary judgment motion expressed in Employ Brannon v. Pacific ruling certainly thereon would Co., ers Ins. 148 Tex. years nine understandable after (1949) including and others Firemen’s litigation a trial. without Regents, Insurance Co. v. Board vein, In another when lack (Tex.App.-Austin S.W.2d 540 writ *8 specificity, special exceptions are clarity or denied) logically were well conceived and Special exceptions might available. have stating written when that in a anticipated years ago in case as been this jurisdiction, trial ordinarily court must allegations some of the are solely base its decision pleadings. on the obscure, general, or insufficient on their Blue, Indep. Bland Sch. Dist. v. 34 exception an face. Others do involve (Tex.2000), supreme sovereign immunity. may. Some How- disapproved language ever, on a ruling this case involves the Insurance case to the ex Firemen’s Co. ruling jurisdiction. Were this it, precedent, cited limited a tent its summary there judgment, trial court’s consideration opinion, concurring but rather one deciding plea jurisdiction. Cit issue, ing opinion decision unanimous this case. damage Bland Nonetheless, the learned trial court fol-

lowed, required of it as well as our

court, ruling Bland Indep. Sch. Dist. Blue,

v.

Until such time as may the law be modi- above, again by

fied the court we must

affirm. Contreras,

Maria BURNAM and Jessica

Individually and as Next Friend of

Ashley Johnson, Child, Appel- a Minor

lants, PATTERSON, Appellee.

Lois Wallis

No. 07-01-0461-CV. Texas, Appeals

Court of

Amarillo.

Jan.

Case Details

Case Name: McClain v. University of Texas Health Center at Tyler
Court Name: Court of Appeals of Texas
Date Published: Nov 8, 2002
Citation: 119 S.W.3d 4
Docket Number: 12-01-00363-CV
Court Abbreviation: Tex. App.
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