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Sparger v. Worley Hospital, Inc.
547 S.W.2d 582
Tex.
1977
Check Treatment

*4 instruments, clamps, sponges. Before JOHNSON, (dissenting). SAM D. Justice began, the scrub nurse front of surgery is respectfully dissent submitted. circulating nurse counted the sponges early Ivey, As as Moore v. 264 S.W. 283 circulating out. The had been laid (Tex.Civ.App. 1924), rev’d on — Galveston Spar- recorded that count. When Dr. nurse misconduct, basis of 277 S.W. ger ready layer to close the inner 1925), courts Texas have indicated tissue, scrub nurse counted unused negligent of law as a matter circulating nurse sponges, and counted *5 foreign left sponge object or other reported by used ones. The total was the patient. Tromly, the McKinney See v. 386 tallying nurse as with the the scrub record. 1964, (Tex.Civ.App. Tyler 564 S.W.2d writ — nurse, Ensey, scrub Wanda the testified Barnard, e.); Thompson ref’d n. r. v. 142 her Sparger Dr. did not direct and Mrs. that (Tex.Civ.App. 1940), 238 S.W.2d — Waco to make Mrs. the count. aff’d, 277, (1942). 138 Tex. 158 486 S.W.2d Ensey stated that the two nurses how knew supra, Language Tromly, v. McKinney count, the it was perform to because reveals that the court’s was not decision part regulations the manual only finding based on a the facts estab- that might followed. Reasonable minds differ surgeon lished a matter of the as law that presented to the facts which the bor- as right the control the nurse. The servant rowed issue. approval quoted following court with conclude, therefore, did Bishop, as the trial Aderhold 94 language

We from v. Okl. court, 203, (1923): that should have 221 P. 752 “ Worley Hospital jury since the against instance in ‘We can conceive of no finding hospital’s it was em- made the doctrine of which the negligent. cap- who were Since the ployees respondeat superior could exercise more ship of the idea is a false issue tain and influence cases of dam- salutary than in as a that the age arising surgical operations. found fact nurses were out of helpless Dr. Sparger, patient the borrowed servants of under the influ- not Try anticipate OF THE “DUTIES SCRUB “6. needs NURSE the doctors’ your surgery progresses. starting case. “1. Dust the room before brought Any technique is to be “7. break Help circulating opening sup- nurse in “2. IMMEDIATE- doctors the attention plies. LY!! possible pull own “3. When sutures for Sponge count taken as the doctor is “8. case. peritoneum. ready ... All close the surgery least 15 “4. At minutes vaginal surgery is to count before the have a up. start to scrub and set scheduled require patient All cases leaves the room. up and set tables. doctors card “5. Check sponge count.” Sponge count is to be taken before incision is made.

587 surgeon had theory that the posed on the anaesthetic, absolutely at ence of negligent individual control the right surgeons performing mercy of the control, right to on the or, with the there was no charged if operation, negligent in injury surgeon preventable theory that no duty to see * * * right If the insist on the to control. failing to patient. to their results liable were not made surgeons operating position of than retain the historic Rather negligent performance state, appeals that of the courts of him, the working under those duties Krchnak, 422 810 in Harle v. S.W.2d fail in large measure would law in a 1967, writ Civ.App. [1st Dist.] — Houston prevent- affording a means of redress Tromly, e.), McKinney n. r. ref’d op- surgical injuries sustained able surgeon asserts that the majority supra, at 565-66. 386 S.W.2d erations.’” only of law liable as a matter may be held [Emphasis added.] conclu necessarily lead to the facts if the surgeon that a language implies This surgeon had the sion negligence occurring liable for during the nurses right to control ap- responsibility This operation. of the course many fact in to be a conceded pears adopted by applying the standard Even Jorns, Webb v. instances. most evi- examination of the majority, an relation- 407, (Tex.1972). special inevitably to in the instant case leads dence that exists between surgeon, that the the conclusion justifies patient a matter of law had Sparger, as imposition liability. of such the nurses to control the actions of relationship arises from during counts respect to patient par- of a selection conscious Indeed, in operation. of the the course patient surgeon, the reliance ticular writer, is over- of this such evidence opinion surgeon, on the skill whelming. any of patient to control inability relationship with the respect With to his occurring during surgery, the the actions nurses, as follows: testified selected will expectation that opera- “Q And course *6 patient’s expecta- operation, control tion, of treatment or or the course require oper- surgeon will tion that the charge Surgeon is in operation, proper to follow medi- ating personnel room of the patient? expectation that the sur- procedures, the cal aspects charge of all the medical “A In neg- protect patient will from the geon patient. personnel, ligence of to the Nurses “Q you issued orders And accepted by the sur- responsibility the care and in connection with proper require geon to they patient, treatment unquali- to exclude medical to follow them? supposed are personnel from the room. fied regard aspects. “A In the medical only jus- relationship is not the Now, opera- “Q connection with an imposition liability on tification for the tion, Surgeon to the issues orders negligence in the surgeon for he operation, does Nurses potential knowledge of such not? to initiate prompt will liability negli- safeguard prevent “A Correct. every possible operating room. follow gence they supposed are “Q And them? “cap- is known as Whether the doctrine Yes, sir. “A label, this ship” byor some other tain to tell the supposed are “Q you And that a would hold writer do, not to and what what to Nurses occurring any negligence liable im- Liability may be do? theater. “Q any disagree- If is conflict or there Correct, regard to the medical “A you and ment in between aspects. else, including Nurses, somebody assisting Bellamy, who even Dr. or jani- certainly wouldn’t want “Q You control, would your judgment you, tor, somebody, or a typist, or a it not? would there, up helping you in the clerk conflict, true, any “A If there is Room, Operating you? would any there is conflict— No, sir. “A words, “Q right. In other Yes. That’s Nurse, Registered don’t “Q You want a charge operation, you are you? to do everybody supposed circulation, yes. “A As far as you what tell them? somebody that has “Q you want And speaking.” right, medically “A That’s and has had train- experience, had [Emphasis added.] ing? request- that he also testified true, requirement. and it is a “A That closing perito- ed a count after Nurses, “Q you know the or did And do With prior closing the skin. neum you know the Nurses before you counts, Ensey, Mrs. respect Worley Hospital that were went technician, operating room testified operation? in this assisting you follows: Yes, sir. “A Now, the hos- you know whether “Q do Ensey, and Mrs. Hol- “Q That is Mrs. required another Regulations pital land? Spar- time that Dr. count after [the ger begun peritone- to close the “A Yes. um]? ability question their “Q you And don’t No, I think did. am “A I don’t do capabilities, or their any way, didn’t, .” . sure you? “A No. Ensey regarding testified Mrs. also

relationship between the nurses and Dr. Sparger: Now, you also told us that “Q you have the doc- “Q instructed to follow you Are Ensey either or Mrs. not ask Mrs. did times? orders at all tors’ count, but that for a one, gave you is that Yes. they voluntarily “A correct? “Q you Do follow them? pro- right, at the time of

“A That’s try my I best. “A Yes. cedure. supposed to follow all “Q you And *7 you? gives didn’t he “Q right. And —but orders All one, give you would voluntarily you “A Yes. one, certainly asked have what to do “Q you And he tells you? wouldn’t not to do? what “A Correct. “A Yes.” super- Holland, Mrs. it true that “Q right. Now isn’t All nurse, testified as registered a visor and surgical controls the your follows: beginning to end from the process got we right. Then when “Q All during operation? got to this we down down—when opera- aspects “A The medical count made at you second that tion. us you have told peritoneum, one,

about, when you counted right surgeon, only not had the bucket, Sparger, you out of came exercised such control on the with Mrs. control but also them floor counted operation. The one of the course of the Finney, neither those doctors to do that? “The state of the facts you majority asserts: directed be such as to make one in some cases may accepted you is do No, “A It sir. or borrowed servant surgeon’s employee that. law, not the that is factual matter of “Q one of those doctors ordered Neither in this case.” With all before us situation do that? you respect, precisely is situation due such just they expect you. know “A You it of case, quoted us in this and the testi- Well, asking you, one “Q I am did either clear. crystal that fact Under mony makes you order to do that? of those doctors standard, during own majority’s “A No. operation the nurses were course “Q right. fact, All In those Orders surgeon’s borrowed servants as a that control Regulations you in that law and the is matter Hospi- your Worley come from

work negligence. for their liable therefore Regulations, they? don’t tal Well, just expect you “A doctors REHEARING FOR ON MOTION sponge count for It is them. have way they expect it.

just the POPE, Justice. rehearing Worley The motion for “Q Now, in Operat- connection purpose Hospital, granted Inc. is Room, ing Surgeon, is the iswho remanding cause to the court of civil this operation, sup- he performing appeals. The cause is remanded so that give you orders posed as to what question whether the court rule on do, and know what not to do? jury’s to find that the nurses were refusal Yes, “A sir. employees of borrowed “Q supposed overwhelming you weight And to follow against great

those orders? evidence, point over jurisdiction. has no See Stanfield court Yes, “A sir. (Tex.1971). O’Boyle, question? “A Without ap- the court Yes, [Emphasis “A sir.” added.] and the cause remanded peals reversed It undisputed had Hospital for further consideration to that court procedures established standard fol- to be the evidence. the state of by lowed the nurses However, that Dr. Sparger it is obvious procedures J., to alter followed YARBROUGH, sitting. case, in this these nurses did in fact requesting

alter the a second

sponge count. testimony

From the of both nurses, it is inconceivable that the

nurses would have refused to obey an order

issued the course of the operation by operating surgeon, Dr. Sparger, on the it conflicted

grounds Hospital.

set forth therefore establish

The facts as a matter nurses, that, as to the

of law

Case Details

Case Name: Sparger v. Worley Hospital, Inc.
Court Name: Texas Supreme Court
Date Published: Mar 2, 1977
Citation: 547 S.W.2d 582
Docket Number: B-5721
Court Abbreviation: Tex.
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