Judge, L. & D. v. Wyoming Valley Health Care, etal ( 2015 )


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  • J-A14023-14
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    LINDA JUDGE AND DAVID JUDGE,                  IN THE SUPERIOR COURT OF
    ADMINISTRATORS OF THE ESTATE OF                     PENNSYLVANIA
    ASHLEY JUDGE, DECEASED, LINDA
    JUDGE, IN HER OWN RIGHT
    Appellants
    v.
    WYOMING VALLEY HEALTH CARE
    SYSTEM, INC.; WILKES-BARRE GENERAL
    HOSPITAL; CYNTHIA LISKOV, M.D. AND
    SAPPHIRE EMERGENCY SERVICES, P.C.
    Appellees                 No. 1274 MDA 2013
    Appeal from the Judgments Entered
    December 15, 2011 and September 3, 2013
    In the Court of Common Pleas of Luzerne County
    Civil Division at No(s): 2007-00469, 2007-01810, 2007-01902
    BEFORE: FORD ELLIOTT, P.J.E., OLSON and STRASSBURGER,* JJ.
    MEMORANDUM BY OLSON, J.:                             FILED MAY 18, 2015
    Appellants, Linda Judge and David Judge, Administrators of the Estate
    of Ashley Judge, deceased, and Linda Judge, in her own right, appeal from
    the judgments entered on December 15, 2011 and September 3, 2013.
    After careful consideration, we affirm.
    The factual background of this case is as follows.   On February 24,
    2005, 15-year-old Ashley Judge (“Ashley”) fell down 12 steps at her house.
    Hanover Township Community Ambulance Association Inc. (the “Ambulance
    Association”) dispatched an ambulance to the residence at 10:34 p.m. The
    * Retired Senior Judge assigned to the Superior Court.
    J-A14023-14
    ambulance was staffed by paramedic Keith Feschuk (“Feschuk”) and
    emergency medical technician Kareena Picton (“Picton”).              The ambulance
    arrived at Ashley’s residence at 10:43 p.m. Ashley was placed in the back of
    the ambulance and her mother, Linda Judge, sat up front in the passenger
    seat. A snowstorm was hitting the area at the time which made vehicular
    travel difficult.
    Ashley informed Feschuk that 20 to 30 minutes earlier she had
    become lightheaded while walking up the stairs and subsequently fell down
    the 12 stairs.      Ashley did not lose consciousness during the incident and
    remembered the entire episode.         Ashely complained of pain in her lower
    chest and upper abdomen and some nausea. Ashley’s blood sugar level was
    475 mg/dL both before and after being given saline. 1 At 11:07 p.m., Ashley
    was immobilized and transferred to the ambulance.             Feschuk and Picton
    planned    to    transport   Ashley   to    Wilkes-Barre   General    Hospital   (the
    “Hospital”). At 11:19 p.m., Feschuk called the Hospital for medical direction.
    This call was answered by paramedic Ronald Redmond (“Redmond”).                  Dr.
    Cynthia Liskov (“Liskov”), the medical command physician, listened to this
    telephone call. Liskov was employed by Sapphire Emergency Services, P.C.
    (“Sapphire”), which contracted with the Hospital to provide emergency
    department physicians.
    1
    Normal blood sugar for a patient such as Ashley is approximately 100
    mg/dL. See N.T., 6/11/13, at 57.
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    J-A14023-14
    Feschuk relayed to Redmond that Ashley did not have a diabetic
    history and that it was not necessary to transport Ashley to a trauma center.
    At 11:30 p.m., Feschuk again contacted the Hospital medical command and
    advised that Ashley’s right pupil had become dilated and less responsive to
    light. A nurse at the Hospital told Feschuk to divert to Community Medical
    Center (“CMC”), the nearest trauma center.       On the way to CMC, Picton
    became lost and stopped to ask for directions to CMC.         At 11:40 p.m.,
    Ashley’s   breathing   became   labored   and   she   began   drifting   out   of
    consciousness.   Around 11:45 p.m., Ashley was provided with oxygen and
    administered atropine2 and epinephrine.3    At 12:05 a.m. on February 25,
    2005, the ambulance arrived at CMC.        Seven minutes later, Dr. Andrew
    Furman (“Furman”) pronounced Ashley dead.
    The procedural history of this case is as follows. On January 12, 2007,
    Appellants filed a complaint against the Ambulance Association, Feschuk,
    Picton, Wyoming Valley Healthcare System,4 the Hospital, CMC, Community
    2
    “[A]tropine is a drug given in the hospital as kind of a resuscitative type
    drug. It’s supposed to increase the heart rate to try to establish blood
    pressure and blood flow.” Castellano v. Texas, 
    2013 WL 1258161
    , *3 n.1
    (Tex. App. Mar. 19, 2013) (internal quotation marks omitted).
    3
    “[E]pinephrine is the first drug administered when a child is dying.”
    Overton v. Texas, 
    2009 WL 3489844
    , *7 n.21 (Tex. App. Oct. 29, 2009).
    4
    Appellants filed their three lawsuits just prior to the expiration of the
    statute of limitations. In an abundance of caution, they included a plethora
    of redundant corporate entities as defendants.         This was one such
    defendant.
    -3-
    J-A14023-14
    Medical Center Healthcare System,5 and Furman. That case was docketed at
    2007-00469 (“the 469 action”).
    On February 21, 2007, Appellants commenced an action against
    Liskov, Sapphire, and Emergency Services, P.C.6 by filing a praecipe for a
    writ of summons.         That case was docketed at 2007-01810 (“the 1810
    action”). On June 4, 2007, Appellants filed a complaint in the 1810 action.
    On February 23, 2007, Appellants commenced an action against
    Hanover Community Ambulance Association,7 Wyoming Valley Health Care
    System,8 Wyoming Valley Healthcare System, Inc. (“WVHCS”) (the parent
    company of the Hospital), and WVHCS-Hospital9 by filing a praecipe for a
    writ of summons.         That case was docketed at 2007-01902 (“the 1902
    action”). On May 14, 2007, Appellants filed a complaint in the 1902 action.
    On May 14, 2008, Appellants discontinued their action against Hanover
    Community Ambulance Association in the 1902 action.           See Pa.R.C.P.
    229(a)(2). On February 17, 2010, summary judgment was granted in favor
    of Emergency Services, P.C. in the 1810 action, and CMC, Community
    Medical Center Healthcare System, and Furman in the 469 action. On June
    5
    See note 4, supra.
    6
    See note 4, supra.
    7
    See note 4, supra.
    8
    See note 4, supra.
    9
    See note 4, supra.
    -4-
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    30, 2010, Appellants filed a motion in the 469 action seeking that all three
    actions
    be consolidated to permit discovery deadlines to be entered and
    to ensure that there is only one trial with regard to liability and
    damages so as to avoid issues of res judicata, collateral
    estoppel[,] and possible inconsistent jury verdicts.
    Brief in Support of Motion for Consolidation, 6/30/10, at 3. On August 24,
    2010, the trial court granted Appellants’ motion. The trial court consolidated
    all three actions under the 469 action.    On December 15, 2011, the trial
    court granted summary judgment in favor of Picton, the Hospital, and
    Wyoming Valley Healthcare System in the 469 action and WVHCS-Hospital,
    Wyoming Valley Health Care System, and WVHCS in the 1902 action.10 See
    generally Judge v. Hanover Twp. Cmty. Ambulance Ass’n, Inc., 
    2011 WL 12526056
     (C.C.P. Luzerne Dec. 15, 2011).
    On January 15, 2012, Appellants filed a motion to reconsider the trial
    court’s December 15, 2011 order granting summary judgment.              In the
    alternative, Appellants sought certification under Pennsylvania Rule of
    Appellate Procedure 341(c).11      The trial court denied the motion for
    10
    The trial court also granted partial summary judgment to the four
    remaining defendants: the Ambulance Association and Feschuk (defendants
    in the 469 action) and Liskov and Sapphire (defendants in the 1810 action).
    11
    Rule 341(c) allows a trial court to certify as final an order disposing of
    certain claims and/or certain parties which would otherwise be deemed
    interlocutory under the rules of appellate procedure and interpretive case
    law.
    -5-
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    reconsideration on February 28, 2012. On March 15, 2012, Appellants filed
    a petition for permission to appeal the December 15, 2011, summary
    judgment order.    On April 11, 2012, this Court denied the petition as
    untimely.   See Judge v. Hanover Twp. Cmty. Ambulance Ass’n, Inc.,
    23 MDM 2012 (Pa. Super. Apr. 11, 2012) (per curiam).
    Trial commenced on June 10, 2013 against the two remaining
    defendants in the 1810 action, Liskov and Sapphire. On June 17, 2013, the
    jury found in favor of Liskov and Sapphire.     Also on June 17, 2013, the
    Ambulance Association and Feschuk settled with Appellants.12 No judgment
    was ever entered in the Ambulance Association or Feschuk’s favor and no
    discontinuance was filed with respect to those two defendants.    Instead, on
    August   23,   2013,   the   Ambulance   Association   and   Feschuk   filed   a
    supplemental new matter that raised the June 17, 2013 settlement as an
    affirmative defense.
    Appellants filed a timely post-trial motion.13      While the post-trial
    motion remained pending, Appellants filed a notice of appeal on July 12,
    12
    Picton was also a party to the settlement, despite the fact that summary
    judgment had previously been entered in her favor.
    13
    Although the trial was only against defendants in the 1810 action, almost
    all documents relating thereto, including the post-trial motion, were filed in
    the 469 action.
    -6-
    J-A14023-14
    2013.14 The notice of appeal contained the captions for all three cases and
    read, “Notice is hereby given that [Appellants] hereby appeal[] to the
    Superior Court of Pennsylvania from the [j]udgment entered in the above
    consolidated matter on the 14th day of December 2011.”15 Notice of Appeal,
    7/12/13, at 2. The notice of appeal was docketed in the 1902 action and
    later transferred to the 469 action by the trial court prothonotary.16 The trial
    court denied Appellants’ post-trial motion on August 13, 2013.17 On August
    14
    The notice was dated July 12, 2012.         The date stamp from the
    prothonotary, however, indicates that the notice of appeal was filed on July
    12, 2013.
    15
    The December 15, 2011 summary judgment order was dated December
    14, 2011; however, it was filed on December 15, 2011.
    16
    The certified record is unclear as to whether the notice of appeal was filed
    in the 1902 action and transferred to the 469 action or vice versa. This
    issue, however, does not impact our conclusion regarding our jurisdiction
    over this matter. Therefore, we decline to address it further.
    17
    On August 21, 2013, Appellants filed an application with this Court
    requesting that the notice of appeal be amended to note that it was being
    taken from the August 13, 2013 order denying their post-trial motion. On
    September 6, 2013, this Court denied the application as moot and directed
    the prothonotary to update the docket to reflect that the July 12, 2013
    notice of appeal was being taken from the “August 13, 2013 order.” Order
    Denying Application for Relief, 9/6/13. This order was legally flawed in that
    the August 13, 2013 order was not a final appealable order. See Maya v.
    Johnson & Johnson, 
    97 A.3d 1203
    , 1208 n.2 (Pa. Super. 2014) (citation
    omitted) (“An appeal to this Court can only lie from judgments entered
    subsequent to the trial court’s disposition of post-verdict motions, not from
    the order denying post-trial motions.”). This error was a breakdown in the
    judicial system. We therefore shall treat Appellants’ July 12, 2013 notice of
    appeal as having been taken from the judgment entered in the 1810 action
    (ironically entered on the 469 docket), as well as the dispositions entered in
    the 469 and 1902 actions.
    -7-
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    22, 2013, this Court ordered Appellants to have the trial court enter
    judgment in favor of Liskov and Sapphire. The trial court entered judgment
    on September 3, 2013.18
    Appellants present six issues for our review:
    1. [Did the trial court err by granting summary judgment in
    favor of the Hospital?
    2. Did the trial court err by granting summary judgment with
    respect to Linda Judge’s claim for negligent infliction of
    emotional distress (“NIED”)?
    3. Did the trial court err by failing to preclude testimony about
    mononucleosis?
    4. Did the trial court err by permitting Feschuk to appear on the
    verdict slip?
    5. Did the trial court err by failing to grant a new trial because of
    alleged jury irregularities?
    6. Did the trial court err by granting summary judgment with
    respect to Appellants’ claim for punitive damages?]
    Appellants’ Brief at 4.19
    “A threshold question is whether this Court has jurisdiction to decide
    the appeal.” Commonwealth v. Wright, 
    78 A.3d 1070
    , 1077 (Pa. 2013).
    Although the parties have only raised certain questions regarding our
    jurisdiction, we may raise subject matter jurisdiction concerns sua sponte.
    See Sheard v. J.J. DeLuca Co., 
    92 A.3d 68
    , 75 (Pa. Super. 2014) (citation
    18
    The trial court did not order Appellants to file a concise statement of
    errors complained of on appeal. See Pa.R.A.P. 1925(b).
    19
    The issues have been re-numbered for ease of disposition.
    -8-
    J-A14023-14
    omitted).    Thus, we first concentrate our attention on whether we possess
    jurisdiction over this appeal.   See Coulter v. Ramsden, 
    94 A.3d 1080
    ,
    1084 (Pa. Super. 2014), appeal denied, 403 WAL 2014 (Pa. Dec. Dec. 10,
    2014) (citation omitted). As a pure question of law, our standard of review
    in determining whether we possess jurisdiction is de novo and our scope of
    review is plenary.    See Beneficial Consumer Disc. Co. v. Vukman, 
    77 A.3d 547
    , 550 (Pa. 2013) (citation omitted).
    In general, a party invokes appellate jurisdiction by filing a notice of
    appeal within 30 days of a judgment, decision, decree, sentence or
    adjudication that disposes of all claims and all parties. See Pa.R.A.P. 903(a)
    (a “notice of appeal . . . shall be filed within 30 days after the entry of the
    order from which appeal is taken”); Pa.R.A.P. 102 (defining the term “order”
    for purposes of the appellate rules to include a judgment, decision, decree,
    sentence or adjudication); Pa.R.A.P. 341(a) and (b)(1) (providing that
    appeals as of right may be taken from “final orders” and defining that term).
    Appellants here rely upon a notice of appeal that they filed on July 12, 2013.
    As we stated in our recitation of the facts, Appellants initially filed their
    notice in the 1902 action and the prothonotary later filed a copy in the 469
    action.    Moreover, as we stated in footnote 17, we shall treat Appellants’
    notice as having been filed in the 1810 action, given their August 21, 2013
    application for relief and the erroneous order that issued in response to that
    request.
    -9-
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    To determine whether Appellants’ notice timely invoked appellate
    jurisdiction over the orders entered separately at docket numbers 469,
    1810, and 1902, we look initially to the Pennsylvania Rules of Appellate
    Procedure.    In relevant part, the note to Pennsylvania Rule of Appellate
    Procedure 341 provides:
    A party needs to file only a single notice of appeal to secure
    review of prior non-final orders that are made final by the entry
    of a final order, see K.H. v. J.R., 
    826 A.2d 863
    , 870-871 (Pa.
    2003) (following trial); Betz v. Pneumo Abex LLC, 
    44 A.3d 27
    ,
    54 (Pa. 2012) (summary judgment). Where, however, one or
    more orders resolves issues arising on more than one
    docket or relating to more than one judgment, separate
    notices of appeal must be filed. Commonwealth v. C.M.K.,
    
    932 A.2d 111
    , 113 & n.3 (Pa. Super. 2007) (quashing appeal
    taken by single notice of appeal from order on remand for
    consideration under Pa.R.Crim.P. 607 of two persons’ judgments
    of sentence).
    Pa.R.A.P. 341 note (emphasis added).
    Based upon Pennsylvania Rule of Appellate Procedure 341, we deduce
    that, because separate notices were required at each docket number, the
    timeliness of each notice must be established with reference to the order
    from which an appeal has been taken. In this case, when we compare the
    filing date of Appellants’ July 12, 2013 notice of appeal to the entry dates of
    the orders that terminated litigation between the parties, we conclude that
    Appellants timely appealed from the 469 and 1810 actions.        As discussed
    infra, the litigation at case number 469 concluded on August 23, 2013 when
    Feschuk and the Ambulance Association filed a supplemental new matter
    raising their settlement agreement with Appellants as an affirmative
    - 10 -
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    defense.20   The litigation at case number 1810 ended when the trial court
    entered judgment on September 3, 2013, following the jury’s defense
    verdict and the ensuing denial of post-trial motions.      As to these actions,
    under Pennsylvania Rule of Appellate Procedure 905(5), Appellants’ July 12,
    2013 notice is deemed timely filed from the order that ended litigation in the
    469 action and as to the final order in the 1810 action.         See Pa.R.A.P.
    905(5) (“A notice of appeal filed after the announcement of a determination
    but before the entry of an appealable order shall be treated as filed after
    such entry and on the day thereof.”).21        In the 1902 action, however,
    Appellants’ notice appears manifestly untimely.         The litigation at case
    number 1902 concluded when the trial court entered summary judgment in
    favor of the defendants on December 15, 2011, 575 days before Appellants
    filed their notice of appeal. Hence, Appellants’ notice in the 1902 action was
    filed outside the 30-day appeal period.
    This approach to determining whether Appellants properly established
    appellate jurisdiction – which compares the filing date of Appellants’ notice
    with the date of entry for each final order that terminated the cases at bar –
    20
    Recall that one of the defendants in the 469 action, Picton, was included in
    the settlement agreement despite the prior entry of summary judgment in
    her favor.
    21
    Liskov and Sapphire argue in their letter brief that the notice of appeal in
    this case was filed prematurely. Rule 905, however, addresses this issue.
    - 11 -
    J-A14023-14
    derives support not only from Pennsylvania Rule of Appellate Procedure 341
    but also our prior decision in C.M.K.
    In C.M.K., a jury convicted C.M.K. and M.W.K. of multiple counts of
    endangering the welfare of a child and simple assault.22     Both defendants
    filed notices of appeal from their respective judgments of sentence.     This
    Court consolidated their direct appeals and, ultimately, vacated the
    judgments of sentence and remanded for consideration of a Pennsylvania
    Rule of Criminal Procedure 607 motion challenging the weight of the
    evidence. After a hearing, the trial court denied that motion and imposed
    separate sentences upon the defendants in separate orders entered on
    separate dockets. Thereafter, the C.M.K. defendants filed a single notice of
    appeal from their judgments of sentence.
    This Court quashed the appeal in C.M.K., noting that Pennsylvania
    courts disapproved of the practice of submitting a single appeal from
    multiple orders.23 C.M.K., 
    932 A.2d at 112
    . We reasoned that, while some
    22
    The charges against the defendants in C.M.K. were filed and prosecuted
    at separate docket numbers but the cases were consolidated for trial.
    23
    Under the circumstances of this case, we do not believe that quashal
    serves as an appropriate remedy. In C.M.K., we quashed the appeal
    because the appellants filed a single notice of appeal purporting to challenge
    two judgments of sentence. We found this practice to be repugnant to the
    appellate rules. Here, however, we are treating Appellants’ notice of appeal
    as having been filed at all three docket numbers. Hence, our primary reason
    for discussing C.M.K. and Pennsylvania Rule of Appellate Procedure 341 is
    the idea that multiple final orders entered on multiple dockets call for
    separate notices of appeal where appellate review is sought.
    - 12 -
    J-A14023-14
    appellate issues might coincide, many appellate claims would not overlap.
    In C.M.K., the defendants proceeded to a consolidated trial, but were
    convicted individually of different charges and sentenced individually (at
    their    respective   docket   numbers    on   separate   dates)   to   different
    punishments.     Therefore, this Court concluded that the defendants should
    have filed separate notices of appeal from each of the judgments of
    sentence entered at the defendants’ individual docket numbers. 
    Id.
     at 112-
    113.
    C.M.K. illustrates application of the principle set forth in Pennsylvania
    Rule of Appellate Procedure 341, i.e. that separate notices of appeal must
    be filed when litigants seek to challenge final orders arising on more than
    one docket or relating to more than one judgment. 24         We infer from this
    sensible precept that the timeliness of each such notice should be judged by
    comparing its filing date against the entry date of the challenged order.
    While we readily acknowledge that C.M.K. was a criminal matter and that
    the present case involves a civil appeal, we see several points of alignment
    between the cases that support our approach to determining whether
    24
    We note that this Court’s decision in C.M.K. conflicts with the
    Commonwealth Court’s decision in Alma v. Monroe Cnty. Bd. of
    Assessment Appeals, 
    83 A.3d 1121
     (Pa. Cmwlth. 2014). In Alma, the
    Commonwealth Court held that failure to file notices of appeal at each case
    was a procedural defect and not a jurisdictional defect.
    - 13 -
    J-A14023-14
    jurisdiction is proper.25   Like C.M.K., in which the Commonwealth charged
    the defendants at two distinct dockets and proceeded to a consolidated joint
    25
    This is not a case in which one or more interlocutory orders entered on a
    single docket are challenged on appeal following the entry of an appealable
    order or judgment on the same docket number. See e.g. Stephens v.
    Messick, 
    799 A.2d 793
    , 798 (Pa. Super. 2002) (“As a general rule,
    interlocutory orders that are not subject to immediate appeal as of right may
    be reviewed on a subsequent timely appeal of the final appealable order or
    judgment in the case.”). Moreover, this case does not present a joint appeal
    under Pennsylvania Rule of Appellate Procedure 512. Rule 512 states:
    Parties interested jointly, severally or otherwise in any order in
    the same matter or in joint matters or in matters consolidated
    for the purposes of trial or argument, may join as appellants or
    be joined as appellees in a single appeal where the grounds for
    appeal are similar, or any one or more of them may appeal
    separately or any two or more may join in an appeal.
    Note: This describes who may join in a single notice of appeal.
    The rule does not address whether a single notice of appeal is
    adequate under the circumstances presented. Under Rule 341,
    a single notice of appeal will not be adequate to take an
    appeal from orders entered on more than one trial court
    docket. See Rule 341, Note (“Where, however, one or more
    orders resolves issues arising on more than one docket or
    relating to more than one judgment, separate notices of appeal
    must be filed.”).
    Pa.R.A.P. 512 (with notation; emphasis added).
    Appellants’ challenge to separate orders entered on three distinct dockets
    does not fall within the purview of Rule 512. See General Elec. Credit
    Corp. v. Aetna Cas. and Surety Co., 
    263 A.2d 448
    , 452-453 (Pa. 1970)
    (construing virtually identical Rule 20(A) of the former Rules of the Supreme
    Court of Pennsylvania and noting that reference to a singular ‘order’ in the
    phrase “in any order” does not displace the rule that “a single appeal is
    incapable of bringing on for review more than one final order, judgment or
    decree”); Egenrieder v. Ohio Casualty Group, 
    581 A.2d 937
    , 940 n.3 (Pa.
    Super. 1990) (Rule 512 did not apply and separate appeals were required
    where trial court denied petitioner-appellants’ motions to intervene by way
    (Footnote Continued Next Page)
    - 14 -
    J-A14023-14
    trial, Appellants here filed three separate cases and subsequently secured
    consolidation solely to obtain uniform discovery deadlines and to avoid
    multiple trials on liability and damages.26         Moreover, like C.M.K. in which
    separate judgments of sentence were imposed, the final orders terminating
    litigation between the parties in the instant cases were entered at different
    docket numbers on different dates and for different reasons.           Lastly, our
    review of the claims raised before us, by docket number, also reveals
    substantial differences among the cases in terms of the issues Appellants
    seek to litigate on appeal.27 Appellants’ first, second, and sixth claims (see
    supra at 8) involve defendants sued in the 469 action. Appellants’ second,
    third, fourth, fifth, and sixth claims involve defendants sued in the 1810
    _______________________
    (Footnote Continued)
    of separate orders on different grounds). Exercising discretion, our Supreme
    Court in General Electric and this Court in Egenrieder refrained from
    quashal. In those cases, however, all of the orders challenged on appeal
    were entered on the same docket numbers and the failure to file separate
    appeals did not raise jurisdictional concerns. See K.H., 826 A.2d at 871-
    872 & n.11 (appeal from interlocutory order is “treated as filed after [entry
    of judgment] and on the date thereof” under Pennsylvania Rule of Appellate
    Procedure 905(a) and such treatment resolves jurisdictional concerns). By
    contrast, here, as in C.M.K., the orders presented for appellate review were
    entered on different dockets. In addition, as we have stated, Appellants’
    notice of appeal was not filed within 30 days of the summary judgment order
    in the 1902 action. Hence, while General Electric and Egenrieder are
    instructive as to whether Rule 512 applies in this case, those decisions did
    not involve the jurisdictional concerns we have identified.
    26
    As we shall discuss further, this did not constitute complete consolidation
    and Appellants’ three separate actions retained their individual identities.
    27
    Appellants do not categorize their appellate claims by docket number.
    Nevertheless, through a careful review of Appellants’ brief and the certified
    record, we are able to identify the claims that relate to each case number.
    - 15 -
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    action. Lastly, Appellants’ first, second and sixth claims involve defendants
    sued in the 1902 action.      For each of these reasons, we are persuaded,
    under C.M.K., that Appellants needed to file separate notices of appeal at
    each case docket and that the timeliness of each notice must be determined
    in reference to the entry date of the challenged order.           Applying this
    approach, we lack jurisdiction over any claim involving the defendants in the
    1902 action.
    In view of the trial court’s August 24, 2010 order consolidating the
    three actions, however, we cannot end our inquiry at this juncture. We turn
    now to consider the impact of the court’s consolidation order on our
    jurisdictional analysis. Pennsylvania Rule of Civil Procedure 213(a) provides
    that:
    In actions pending in a county which involve a common question
    of law or fact or which arise from the same transaction or
    occurrence, the court on its own motion or on the motion of any
    party may order a joint hearing or trial of any matter in issue in
    the actions, may order the actions consolidated, and may make
    orders that avoid unnecessary cost or delay.
    Pa.R.C.P. 213(a).
    As our Supreme Court has explained:
    [U]nder Rule 213(a), a trial court has three options where
    pending actions involve either a common question of law or fact,
    or which arise from the same transaction: (1) ordering a joint
    trial or hearing on any matter at issue; (2) ordering the actions
    “consolidated”; and (3) issuing other orders designed to avoid
    unnecessary costs or delay.
    Kincy v. Petro, 
    2 A.3d 490
    , 493 (Pa. 2010).
    - 16 -
    J-A14023-14
    There is a difference between consolidation under Rule 213(a) and
    “complete consolidation.” As our Supreme Court explained,
    [S]eparate actions cannot be consolidated to the extent the
    actions lose their separate identities and become a single
    action[, i.e.,] “complete consolidation[,]”—unless the actions
    involve the same parties, subject matter, issues, and defenses.
    Although the language of Rule 213(a) suggests that a court may
    order actions consolidated when the actions involve a common
    question of law or fact, or arise from the same transaction or
    occurrence, . . . the second option for consolidation under Rule
    213(a) . . . is distinct from [] complete consolidation.
    Kincy, 2 A.3d at 494.
    It is clear from the record that the trial court in this matter attempted
    to achieve complete consolidation of the 469, 1810, and 1902 actions. This
    is evidenced by the wording of the trial court’s order.         See Order of
    Consolidation, 8/24/10, at 1 (the actions “are hereby consolidated under
    [the 469 action]”). However, disapproving of Keefer v. Keefer, 
    741 A.2d 808
     (Pa. Super. 1999),28 and other decisions of this Court, our Supreme
    28
    In Keefer, a wife filed two separate lawsuits against her husband which
    were eventually consolidated. Keefer, 
    741 A.2d at 810
    . The trial court
    dismissed the one action but permitted certain counts of the other action to
    proceed. When addressing whether the dismissal of one of Wife’s lawsuits
    was a final appealable order, this Court noted that “[a]n order affecting any
    one of those individual cases must be closely scrutinized to determine its
    finality. If such an order disposes of all claims and all parties in any single
    case, then the order is final and therefore proper for immediate appeal.”
    Keefer, 
    741 A.2d at 811
     (internal quotation marks omitted; emphasis
    removed). This Court ultimately decided that the cases had been completely
    consolidated. 
    Id.
     In Kincy, however, our Supreme Court repudiated this
    Court’s holding in Keefer that the actions had been completely consolidated
    because, although the parties were identical, the issues and claims were not
    (Footnote Continued Next Page)
    - 17 -
    J-A14023-14
    Court held that the language of a consolidation order is not controlling as to
    whether complete consolidation has occurred.          Kincy, 2 A.3d at 496.
    Instead, our Supreme Court held that, even if a trial court’s order appears to
    completely consolidate several cases, the order does not completely
    consolidate the cases unless the cases involve the same parties, subject
    matter, issues, and defenses. Id.
    Since the present cases do not meet these criteria, complete
    consolidation was never achieved under the test set forth in Kincy.
    Moreover, because the cases retained their separate identities, it follows that
    Appellants needed to file timely notices of appeal at each docket (upon the
    entry of a final order) in order to invoke appellate jurisdiction. Since this did
    not occur in the 1902 action, Kincy leads to the conclusion that we lack
    appellate jurisdiction over all claims pertaining to that case.           Again,
    however, we cannot end our analysis here.
    This case was held internally after oral argument because this Court
    granted reargument in Malanchuk v. Sivchuk, 
    106 A.3d 789
     (Pa. Super.
    2014) (en banc).             After this Court issued its en banc decision in
    _______________________
    (Footnote Continued)
    identical.   Thus, Keefer also shows the interplay between complete
    consolidation and finality. Specifically, our Supreme Court’s treatment of
    Keefer shows that cases retain separate identities where, despite identical
    parties, cases on different dockets have different claims, defenses, and
    issues.
    - 18 -
    J-A14023-14
    Malanchuk, we ordered all parties to file letter briefs addressing the impact
    of Malanchuk and Burkey v. CCX, Inc., 
    106 A.3d 736
     (Pa. Super. 2014).29
    In Malanchuk, the plaintiff filed a complaint against Sivchuk alleging
    claims sounding in negligence and products liability. Malanchuk, 106 A.3d
    at 791. Less than one year later, Malanchuk filed a separate action (in the
    same court) against Tsimura, asserting claims for negligence and products
    liability. Id. The actions were consolidated for trial. Id. Eventually, the
    trial court granted summary judgment in favor of Tsimura on all of
    Malanchuk’s claims. Id. The trial court also granted summary judgment in
    favor of Sivchuk on Malanchuk’s products liability claims, but denied
    summary judgment on Malanchuk’s negligence claims.             Malanchuk then
    appealed the order granting summary judgment in favor of Tsimura to this
    Court.
    On appeal, Malanchuk argued, pursuant to Kincy, that the order
    granting summary judgment in favor of Tsimura was final and appealable
    because, despite the trial court’s consolidation order, the two actions did not
    involve the same parties and thus retained their individual identities. This
    29
    The Hospital and WVHCS argue that this case is distinguishable from
    Malanchuk because the claims filed in each of the three actions in the case
    at bar were distinct. This contention misses the mark. This Court’s decision
    in Malanchuk rested only in part on the fact that the claims were similar.
    Instead, it relied upon the fact that the plaintiffs in both cases were identical
    and raised claims relating to a common set of facts. The plaintiffs in the
    469, 1810, and 1902 actions were identical and all three cases arose out of
    the events of February 24 and 25, 2005. Thus, the Hospital and WVHCS’
    efforts to distinguish Malanchuk are unavailing.
    - 19 -
    J-A14023-14
    Court disagreed and deemed the summary judgment order interlocutory,
    finding Kincy distinguishable.       In reaching this conclusion, this Court
    reasoned that if our Supreme Court in Kincy had accepted the plaintiff’s
    argument on consolidation and the merger of complaints, then it would have
    permitted amendment outside the statute of limitations. Id. at 795.30 This
    Court also observed that, if Malanchuk had named both Sivchuk and Tsimura
    in a single complaint, there would be no question that the order granting
    Tsimura summary judgment would be interlocutory and unappealable. This
    Court saw no reason to treat that order any differently simply because the
    claims against each defendant were originally filed separately and then
    consolidated for trial pursuant to Rule 213(a). Id. Lastly, this Court said
    that Kincy did not deal with the issue of what constituted a final appealable
    30
    Specifically, the Malanchuk Court concluded:
    Malanchuk’s reliance on Kincy for the proposition that because
    the actions were consolidated under Rule 213, the claims against
    each defendant retained their separate identities, thereby
    rendering summary judgment for Tsimura a final order, expands
    Kincy’s application far beyond its holding and abrogates the
    definition of a final order. Key to understanding Kincy is that by
    the time the cases were consolidated, the statute of limitations
    had expired. The accident occurred on September 13, 2003.
    Kincy filed suit on August 3, 2005, and the cases were
    consolidated on March 7, 2006. If the Kincy court had accepted
    her argument regarding merger, it would have defeated the
    statute of limitations by effectively allowing her to amend her
    complaint to include an entirely new cause of action. Such a
    result would have created a loophole in the statute of limitations.
    Malanchuk, 106 A.3d at 794-795 (internal citations and footnote omitted).
    - 20 -
    J-A14023-14
    order. Id.31 This Court therefore held in Malanchuk that when cases are
    consolidated under Rule 213(a), whether complete consolidation was
    achieved or not, an appealable order does not emerge until all claims against
    all parties in all consolidated actions have been resolved.
    This Court’s decision in Malanchuk complicates our jurisdictional
    analysis vis-à-vis the 1902 action since the present appeal raises issues that
    did not emerge in Malanchuk and that would not have emerged until
    Malanchuk resolved his claims against Sivchuk.      In other words, this case
    requires us to consider whether and how a plaintiff can eventually challenge
    the summary judgment order that dismissed his claims against a defendant
    after his claims in a companion case are resolved.            Appellants here
    challenge an adverse summary judgment ruling that was issued long before
    final orders were entered in the companion-consolidated cases.         Under
    Malanchuk, the trial court’s summary judgment ruling in the 1902 action
    was interlocutory and unappealable when it was entered.        Now, however,
    final orders have been entered in the companion cases.        But, any appeal
    from the summary judgment order at the 1902 docket clearly falls outside
    the 30-day appeal period and, to the extent it is filed at the 1902 docket,
    31
    Specifically, the Malanchuk Court concluded “Kincy is distinguishable on
    its facts and never addressed the issue of what constitutes a final appealable
    order. Kincy involved the merger of complaints filed by separate plaintiffs,
    after the statute of limitations had expired.” Malanchuk, 106 A.3d at 795.
    - 21 -
    J-A14023-14
    such an appeal challenges an order that was deemed “interlocutory” in
    Malanchuk.
    The entry of the December 15, 2011 summary judgment order in the
    1902 action resolved all claims against all parties in that action; hence, that
    order met all the criteria for “finality” because it terminated that action. In
    other words, no orders disposing of any claim and/or party could
    subsequently be entered in the 1902 action.      Malanchuk assumes that a
    future order, in either the 469 or 1810 actions, is necessary to make the
    December 15, 2011 summary judgment order final with respect to the 1902
    action.   However, Pennsylvania Rule of Appellate Procedure 341 and this
    Court’s decision in C.M.K. militate strongly against the conclusion that an
    order entered on one docket can transform an order entered on a separate
    docket into a final order.       That is why separate notices of appeal are
    required where separate orders resolve the claims pending at separate
    dockets. Since the summary judgment order in the 1902 action cannot be
    made final by a future order entered on a different docket, the December
    15, 2011 summary judgment order will forever be an interlocutory order.32
    32
    Indeed, under Pennsylvania law, with the exception of orders that meet
    the criteria of Pennsylvania Rule of Appellate Procedure 341(b)(2) (orders
    defined as final by statute) or (b)(3) (orders entered as final following
    determination that immediate appeal would facilitate resolution of entire
    case) an interlocutory order never becomes a final order for purposes of
    appeal. Instead, non-final orders become reviewable on appeal only after
    the trial court enters a final order at that docket and the appellant files a
    timely notice of appeal. See K.H., 826 A.2d at 870-871. Malanchuk cited
    (Footnote Continued Next Page)
    - 22 -
    J-A14023-14
    This case is different from those situations, typically arising in the
    criminal context, in which we say that a judgment of sentence can be “made
    final” by the entry of a subsequent order. For example, we have said that a
    judgment of sentence can be made final by the subsequent denial of a post-
    sentence motion, see Commonwealth v. Trinidad, 
    96 A.3d 1031
    , 1032
    (Pa. Super. 2014), appeal denied, 
    99 A.3d 925
     (Pa. 2014), or by an order
    designating     the      defendant      a    sexually    violent     predator.    See
    Commonwealth v. Hollingshead, 
    2015 WL 745709
    , *1 (Pa. Super. Feb.
    19, 2015). Notwithstanding these examples, however, we generally view a
    judgment of sentence as a final and appealable order within the context of a
    criminal litigation because it resolves all matters between the parties at a
    particular docket. The entry of such an order permits an immediate appeal.
    In the limited circumstances in which this is not the case, the appeal still lies
    from the judgment of sentence but must await the docketing of an order
    that resolves some ancillary issue(s), which then completes the prerequisites
    of finality.   In either case, resolution of all claims against all parties at a
    particular docket remains the hallmark of a final, appealable order.             Thus,
    even where we say that a judgment of sentence has been “made final” by a
    subsequent order, it is the entry of an order that resolves all claims in that
    same case        that    triggers    the    appellate   procedures    contemplated   in
    _______________________
    (Footnote Continued)
    no authority for expanding this single-case principle to encompass multiple
    cases filed at multiple dockets.
    - 23 -
    J-A14023-14
    Pennsylvania Rule of Appellate Procedure 341.                See Pa.R.A.P. 341
    (requiring separate notices of appeal at each docket to commence appeal
    process where more than one order resolves issues on more than one docket
    or relating to more than one judgment). Therefore, special situations that
    arise in the context of criminal litigation offer no basis to suggest that an
    order entered in one case can transform an order entered at another docket
    into a final and appealable determination.
    Since we are reluctant to conclude that Malanchuk intended to
    entirely foreclose appellate challenges to litigants who find themselves in
    Appellants’ situation, we are compelled to hold that Malanchuk permits an
    appeal from the summary judgment ruling in the 1902 action since
    Appellants filed timely notices following the entry of final orders in the
    companion-consolidated cases.      The precise mechanisms and procedural
    justifications for such a conclusion are unclear, however.
    It is evident that our holding in Malanchuck altered appellate practice
    in multi-docket cases where the trial court has ordered less-than-complete
    consolidation.   Under Kincy, cases such as the one at bar plainly do not
    meet the requirements for complete consolidation because they lack identity
    of parties, subject matter, issues, and defenses.    It would seem to follow,
    then, that a consolidation order could not strip them of their individual
    identities. It further follows that appellate review could be obtained in such
    instances only if the appellants filed timely notices of appeal at each docket
    - 24 -
    J-A14023-14
    upon the entry of a final order. Since this did not occur in this case, Kincy
    would lead us to forego review of any claims involving the 1902 action.
    Malanchuk, however, raises questions regarding this procedure in
    holding that an otherwise final order entered in a case consolidated solely for
    purposes of trial must await final resolution of all claims against all parties in
    all companion-consolidated cases before an appellate challenge can be
    lodged.    It is unclear, for example, precisely what procedures this Court
    should allow in order to permit a litigant to pursue an appeal once final and
    appealable orders have been entered, as is the case in the present litigation.
    To   illustrate   this   point,   consider   an   example   utilizing   the   facts   in
    Malanchuk.        Although the summary judgment order at issue in that case
    dismissed all claims against all parties at the Tsimura docket, this Court
    found that order to be “interlocutory” in nature. Any future appeal at the
    Tsimura docket would seem futile since a party cannot appeal from an
    interlocutory order and, as discussed above, an order entered on a separate
    docket is incapable of making that interlocutory order a final order.
    Moreover, any notice appealing the summary judgment order in the
    Tsimura case filed after the resolution of Malanchuk’s claims against Sivchuk
    would almost certainly extend beyond the 30-day appeal period. Assume,
    for example, that Malanchuk’s claims against Sivchuk are resolved on August
    1, 2016. Assume further that Malanchuk immediately files, at the Tsimura
    docket, a notice of appeal challenging the order granting summary judgment
    - 25 -
    J-A14023-14
    in favor of Tsimura. That notice of appeal would be filed 1589 days after the
    entry of the March 26, 2012 summary judgment order. Since no appellate
    court in Pennsylvania enjoys the authority to extend the time for filing an
    appeal, see Pa.R.A.P. 105(b), it is difficult to conceive of a scenario in which
    Malanchuk could permissibly appeal the order dismissing his claims against
    Tsimura. If this Court saw a notice of appeal filed 1589 days after the last
    order entered on the docket, it would quash the appeal immediately. 33
    Lastly, as we have discussed above, it is unclear how a notice of
    appeal filed at the Sivchuk docket (and within 30 days of resolution of
    Malanchuk’s claims against Sivchuk) could draw up for appellate review an
    order entered in the Tsimura litigation, given that such a practice clearly
    runs afoul of Pennsylvania Rule of Appellate Procedure 341 and our prior
    holding in C.M.K. This Court would quash an appeal challenging an order
    granting summary judgment in a case different from the one in which the
    notice of appeal was filed.
    Notwithstanding these issues, we are bound by this Court’s en banc
    pronouncement in Malanchuk. See Commonwealth v. Tejada, 
    2015 WL 33
    To further complicate matters, assume summary judgment was entered in
    favor of Malanchuk and against Tsimura in the Tsimura litigation. Pursuant
    to the holding in Malanchuk, that summary judgment order would be
    interlocutory and Tsimura could not appeal it until Malanchuk’s case against
    Sivchuk ended. As Tsimura would no longer be involved in the litigation
    once summary judgment was entered against him, he would have to keep
    checking the docket in the Sivchuk case to see when a final order was
    entered in that case so that he could make sure to file a timely notice of
    appeal within 30 days.
    - 26 -
    J-A14023-14
    62931 (Pa. Super. Jan. 6, 2015), citing Pa.R.A.P. 3103(b).               Under
    Malanchuk, we conclude that, while the 469, 1810, and 1902 actions were
    not completely consolidated within the meaning of Kincy, no final and
    appealable order was entered in this case until September 3, 2013, the date
    that judgment was entered in favor of Liskov and Sapphire pursuant to the
    jury’s verdict.   As such, Malanchuk allows appellate review of Appellants’
    claims involving the 1902 action.
    We next examine whether a final and appealable order was entered in
    the 469 action. As noted above, there was never a discontinuance filed, nor
    was judgment entered in relation to, Feschuk and the Ambulance Association
    in the 469 action.     The Ambulance Association and Feschuk settled with
    Appellants on June 17, 2013.        Instead of filing a discontinuance or a
    stipulated judgment, Feschuk and the Ambulance Association, on August 23,
    2013, filed a supplemental new matter that raised the settlement as an
    affirmative defense.    If the claims against Feschuk and the Ambulance
    Association are still pending, then a final appealable order has not been
    entered and this appeal is interlocutory in nature.
    Pennsylvania Rule of Civil Procedure 229 provides, in relevant part:
    (a) A discontinuance shall be the exclusive method of voluntary
    termination of an action, in whole or in part, by the plaintiff
    before commencement of the trial.
    (b)(1) Except [in situations not applicable here], a
    discontinuance may not be entered as to less than all defendants
    except upon the written consent of all parties or leave of court
    after notice to all parties.
    - 27 -
    J-A14023-14
    Pa.R.C.P. 229.
    We find instructive the decision of this panel in Burkey. In that case,
    a stipulation of dismissal was filed on July 26, 2013. Burkey, 106 A.3d at
    738. The trial court did not sign an order granting the stipulated dismissal
    until August 6, 2013. Id. Burkey’s notice of appeal was timely if the appeal
    period began to run on August 6 but was untimely if the appeal period began
    to run on July 26. This panel held that the appeal period began to run on
    July 26 and, therefore, Burkey’s notice of appeal was untimely.            Id. at
    739-741.    Our determination was based on the fact that the filing of the
    stipulation disposed of all claims against all parties in that particular case.
    See id. at 741. Thus, we held that the mandates of Rule 229 were satisfied,
    despite the irregular form of the pleading filed with the court. See id.
    As noted above, Feschuk and the Ambulance Association were the last
    parties remaining in the 469 action. Thus, when the settlement agreement
    between Appellants and Feschuk and the Ambulance Association was filed on
    August 23, 2013, all of the requirements of Rule 229 were satisfied and that
    ended the 469 litigation.        Because a final order was entered in the 469
    action, that case does not hinder appellate review.34         Accordingly, we
    34
    Our holding in Malanchuk arguably calls this conclusion into question. To
    demonstrate why this is so, recall our example above using the facts of
    Malanchuk. Assume further that, instead of dismissing Malanchuk’s claims
    against Tsimura, the trial court’s summary judgment order granted
    summary judgment in favor of Malanchuk. Assume further that Malanchuk
    (Footnote Continued Next Page)
    - 28 -
    J-A14023-14
    conclude that, despite the procedural irregularities present in the instant
    appeal, all claims against all parties in all three actions have been disposed
    of and we have jurisdiction to consider the merits of this appeal.
    Having concluded that we possess jurisdiction over this appeal, we
    turn now to address the merits of Appellants’ issues.      In their first issue,
    Appellants contend that the trial court erred by granting summary judgment
    in favor of the Hospital.35 This Court has explained:
    Our scope of review of an order granting summary judgment is
    plenary.   We apply the same standard as the trial court,
    reviewing all the evidence of record to determine whether there
    _______________________
    (Footnote Continued)
    ultimately resolved his claims against Sivchuk through a negotiated
    settlement. Rule 229 requires the written consent of all parties or leave of
    court after notice to all parties before a discontinuance can be entered as to
    less than all defendants. Ostensibly, one of the reasons underlying this rule
    is to give non-settling parties notice of the impending entry of an order that
    could affect their rights, including their appellate rights. By linking the
    finality and appealability of the Tsimura litigation to the resolution of the
    Sivchuk litigation, Malanchuk arguably expands the scope of the notice and
    consent obligations found in Rule 229 to include parties to all
    companion-consolidated cases. In the absence of such a duty, then a party
    in Tsimura’s position would have no notice that his appeal period had begun
    to run.
    In this case, no other party’s appellate rights were impacted by the fact that
    notice of Appellants’ settlement with Feschuk and Ambulance Association
    was not given to all litigants in all of the companion-consolidated cases.
    Thus, we find that the requirements of Rule 229 were met here.
    35
    The Hospital and WVHCS make various waiver arguments throughout their
    brief regarding Appellants’ alleged failure to comply with Pennsylvania Rule
    of Appellate Procedure 2119. As we have not been hindered by Appellants’
    brief, we decline to find waiver in our discretion. See Allegheny Office of
    Med. Exam’r v. Unemployment Comp. Bd. of Review, 
    2011 WL 10845681
    , *2 n.4 (Pa. Cmwlth. Mar. 17, 2011).
    - 29 -
    J-A14023-14
    exists a genuine issue of material fact. We view the record in
    the light most favorable to the non-moving party, and all doubts
    as to the existence of a genuine issue of material fact must be
    resolved against the moving party. Only where there is no
    genuine issue as to any material fact and it is clear that the
    moving party is entitled to a judgment as a matter of law will
    summary judgment be entered.
    Stein v. Magarity, 
    102 A.3d 1010
    , 1013 (Pa. Super. 2014) (internal
    alterations and citation omitted).
    Appellants’ complaint included three counts against the Hospital36 –
    negligence, vicarious liability, and NIED.37   The trial court found that the
    negligence and vicarious liability actions were barred by this Court’s decision
    in Riffe v. Vereb Ambulance Serv., Inc., 
    650 A.2d 1076
     (Pa. Super.
    1994). In Riffe, the medical command physician at the hospital ordered an
    emergency medical technician to administer a certain drug.       
    Id.
     at 1076-
    1077. The emergency medical technician administered 44 times the normal
    dose of the drug, resulting in the patient’s death. 
    Id.
     Eventually, a lawsuit
    was filed against the emergency medical technician, ambulance service, and
    hospital alleging that all three had been negligent with respect to the
    patient’s care. The claim against the hospital was based upon the actions of
    the medical command physician.
    36
    As WVHCS is the parent company of the Hospital, we need not address
    Appellants’ claims against WVHCS separately.
    37
    We address the NIED claim against the Hospital infra when discussing
    that claim against all defendants.
    - 30 -
    J-A14023-14
    The emergency medical technician and ambulance service settled with
    the plaintiffs.   
    Id. at 1077
    .   The case against the hospital went to trial;
    however, the trial court granted a motion for a compulsory nonsuit. 
    Id.
     On
    appeal, this Court was asked to consider whether “the hospital had an
    independent, primary[,] and concurrent duty of care to the deceased pre-
    hospital patient[.]” 
    Id.
     (internal quotation marks omitted). After review of
    the Emergency Medical Services Act, 35 P.S. §§ 6921–6938 (repealed),38
    and implementing regulations, we concluded that there was no duty on the
    part of the hospital. Riffe, 
    650 A.2d at 1077-1079
    .
    In order to prevail on a negligence claim the plaintiff must prove that
    (1) the defendant owed a duty; (2) the defendant breached that duty; (3)
    the breach was the proximate result of harm; and (4) the damages were a
    direct result of that harm. Fessenden v. Robert Packer Hosp., 
    97 A.3d 1225
    , 1229 (Pa. Super. 2014). Under Riffe, the Hospital did not owe a duty
    to Ashley or Appellants.    Therefore, Appellants failed to prove their prima
    facie case of negligence.
    Appellants attempt to distinguish Riffe by arguing that it differs from
    the case sub judice because the plaintiffs in Riffe were seeking damages
    based upon the actions of the emergency medical technician while in the
    38
    The Emergency Medical Services Act was repealed on August 18, 2009.
    See 2009 P.L. 308. That statute, however, still governs this action. See
    Wimer v. Pa. Employees Benefit Trust Fund, 
    939 A.2d 843
     (Pa. 2007)
    (substantive rights are governed by the law in place at the time of an
    incident).
    - 31 -
    J-A14023-14
    case sub judice Appellants are seeking damages based upon the actions of
    Liskov, the medical command physician.         This Court’s holding in Riffe,
    however, is much broader than the facts of that case. This Court held that a
    hospital does not owe a duty to patients before their arrival at the care
    giving facility. The case at bar fits squarely within that holding as Appellants
    are arguing that the Hospital owed a duty to Ashley, a pre-hospital patient.
    Appellants also argue that, irrespective of the Emergency Services Act,
    the Hospital assumed responsibility for the medical command physician. A
    medical command, by definition, is part of a hospital.        See 28 Pa.Code
    1001.2 (repealed).39    However, Appellants’ contention that the Hospital is
    liable for the actions of Liskov, the medical command physician, because the
    medical command is part of the Hospital stands in direct contravention of
    this Court’s decision in Riffe.   Indeed, this circumstance was present in
    Riffe but did not alter our conclusion in that case; hence, it cannot impact
    our analysis here.     Finally, we reject Appellants’ public policy argument.
    Appellants would have recovered against Liskov and Sapphire if they had
    been able to prove that Liskov had been grossly negligent.            As such,
    Appellants were not completely foreclosed from seeking damages for the
    conduct of the medical command.         Accordingly, the trial court properly
    granted summary judgment as to count V (negligence) in the 469 action.
    39
    The regulations promulgated under the Emergency Services act were
    repealed upon the repeal of the Emergency Services Act. However, the
    regulations were binding at the time this incident occurred.
    - 32 -
    J-A14023-14
    As to count VI (vicarious liability), any error in granting summary
    judgment to the Hospital was harmless. Our Supreme Court has held that
    “termination of the claim against the agent extinguishes the derivative claim
    against the principal.” Mamalis v. Atlas Van Lines, Inc., 
    560 A.2d 1380
    ,
    1383 (Pa. 1989).   Appellants’ vicarious liability claim was based upon the
    alleged negligence of Liskov, the medical command physician, and Sapphire,
    her employer.    The jury determined that Liskov and Sapphire were not
    grossly negligent and, therefore, the vicarious liability claim against the
    Hospital would have been extinguished at the end of the trial if summary
    judgment were not granted.
    In their second issue on appeal, Appellants argue that the trial court
    erred by granting summary judgment to all defendants with respect to Linda
    Judge’s NIED claim. In order to recover on her NIED claim, Linda Judge was
    required to prove that (1) the defendants negligently injured Ashley; (2)
    Linda Judge was near the scene of the traumatic event; (3) the distress
    resulted from her observation of the traumatic event and the negligence of
    the defendant; (4) she had a close relationship with Ashley; and (5) that the
    emotional distress caused physical harm.     See Sonlin ex rel. Sonlin v.
    Abington Mem'l Hosp., 
    748 A.2d 213
    , 217 (Pa. Super. 2000).          The trial
    court found that Linda Judge was unable to prove the third element of NIED
    because she did not observe the alleged negligent actions of the defendants.
    - 33 -
    J-A14023-14
    The entirety of Appellants’ brief addressing Linda Judge’s NIED claim
    focuses on how Linda Judge witnessed the alleged negligent actions of
    Picton, Feschuk, and the Ambulance Association.     These three defendants,
    however, settled with Appellants. That settlement released Picton, Feschuk,
    and the Ambulance Association from all liability relating to the events that
    occurred on February 24 and 25, 2005. Therefore, Appellants are required
    to show that Linda Judge observed the negligent acts of Liskov, Sapphire,
    the Hospital, and WVHCS in order to recover on her NIED claim.
    Linda Judge testified at her deposition that she did not see nor hear
    any actions taken by the Hospital, WVHCS, Liskov, or Sapphire. See N.T.,
    7/18/08, at 49-70. Instead, she only observed the alleged negligent actions
    of Picton, Feschuk, and the Ambulance Association. See 
    id.
     Although Linda
    Judge observed the injury allegedly caused by the negligent conduct of
    Liskov, Sapphire, WVHCS, and the Hospital (i.e., the death of Ashley), the
    law in this Commonwealth is clear that viewing the resulting injury is
    insufficient to recover on a NIED claim. Instead, the plaintiff must view both
    the negligent act and the resulting injury in order to recover on a NIED
    claim.
    Our decision in Love v. Cramer, 
    606 A.2d 1175
     (Pa. Super. 1992),
    appeal denied, 
    621 A.2d 580
     (Pa. 1992), confirms this conclusion. In Love,
    this Court discussed how the plaintiff’s observation of both the negligent
    action and the resulting injury to her loved one permitted her NIED claim to
    - 34 -
    J-A14023-14
    survive preliminary objections.   Id. at 1178-1179.    This Court noted that
    “[a]lthough it seems odd that the plaintiff must actually witness the
    negligent act itself and not just the resulting traumatic injury to the loved
    one, the law as it now stands dictates such a requirement.” Id. at 1179 n.4;
    see also id. at 1179 (Del Sole, J. concurring) (recognizing that a plaintiff
    must observe the negligent act itself in order to recover on a NIED claim but
    expressing disagreement with that rule).
    The rule requiring observation of both the negligent act and resulting
    harm was first announced by this Court in Bloom v. Dubois Reg’l Med.
    Ctr., 
    597 A.2d 671
     (Pa. Super. 1991). In Bloom, this Court observed that
    often in NIED actions, the negligent action and the resultant injury occur
    simultaneously, thereby negating the need to define exactly what the
    plaintiff must observe in order to recover on their NIED claim. 
    Id. at 682
    .
    However, in Bloom the negligent action and the resulting injury did not
    occur simultaneously. Thus, this Court had to determine exactly what the
    plaintiff had to observe in order to recover on a NIED claim. This Court held
    that in order to recover on a NIED claim, the plaintiff must observe the
    negligent action taken by the defendant as well as any resulting injury. 
    Id.
    In Tiburzio-Kelly v. Montgomery, 
    681 A.2d 757
     (Pa. Super. 1996),
    superseded on other grounds, 23 Pa.C.S.A. § 1901(a), this Court again
    emphasized the requirement that a plaintiff observe the negligent action
    itself in order to recover for NIED.       Tiburzio-Kelly, 
    681 A.2d at
    773
    - 35 -
    J-A14023-14
    (citation omitted).   Nowhere in Appellants’ brief is it averred that Linda
    Judge observed the alleged negligent actions of WVHCS, the Hospital,
    Liskov, and/or Sapphire.   As there was no material issue of fact at issue
    regarding whether Linda Judge could satisfy the third element required for
    NIED, the trial court properly granted summary judgment to Liskov,
    Sapphire, WVHCS, and the Hospital.40
    In their third issue on appeal, Appellants contend that the trial court
    erred by denying their motion in limine with respect to mononucleosis.
    Specifically, Appellants sought to preclude any mention at trial that Ashley
    had undiagnosed mononucleosis at the time of the incident.      On May 15,
    2013, the trial court denied Appellants’ motion in limine. “When reviewing a
    ruling on a motion in limine, we apply an evidentiary abuse of discretion
    standard of review. The admission of evidence is committed to the sound
    discretion of the trial court and our review is for an abuse of discretion.”
    Commonwealth v. Parker, 
    104 A.3d 17
    , 21 (Pa. Super. 2014) (citation
    omitted).
    Appellants first argue that the evidence of undiagnosed mononucleosis
    was not relevant. “Evidence is relevant if: (a) it has any tendency to make a
    fact more or less probable than it would be without the evidence; and (b)
    the fact is of consequence in determining the action.”       Pa.R.Evid. 401.
    40
    We decline to address whether the trial court erred by granting summary
    judgment with respect to Picton, Feschuk, and the Ambulance Association as
    that issue was mooted by Appellants’ settlement with those defendants.
    - 36 -
    J-A14023-14
    Liskov and Sapphire, on the other hand, argue that the undiagnosed
    mononucleosis was relevant both to negligence and causation.
    We conclude that the trial court did not abuse its discretion in
    determining that the undiagnosed mononucleosis was relevant to causation.
    Dr. Mark Cipolle, Liskov and Sapphire’s expert witness, testified that Ashley
    was going to die no matter what decisions were made and what care was
    administered prior to her arrival at a hospital. See N.T., 6/15/13, at 43241
    (“[E]ven if [Ashley] had been brought directly to [the Hospital,] she would
    have . . . still died from the splenic hemorrhage.”). This opinion was based,
    in part, on the fact that Ashley’s spleen ruptured as a result of her fall down
    the stairs. As Appellants’ own expert noted, mononucleosis is “a virus that
    infects . . . lymphatic tissue. And a lot of that tissue lives in the spleen. So
    the spleen gets much, much more swollen, and the membrane of the spleen
    gets a little bit spongy.   So it doesn’t take too much trauma to make it
    rupture.” N.T., 6/11/13, at 124.
    Thus, whether Ashley had mononucleosis was relevant to the issue of
    causation. Expert testimony showed that mononucleosis may have caused
    Ashley’s spleen to become swollen and spongy before her fall down the
    stairs. That meant that any small trauma, such as the accident here, was
    sufficient to rupture the spleen.     The spleen rupture, according to the
    41
    The notes of testimony for the entire trial are contained in one volume.
    We cite the proper date and the page number as outlined in the single
    volume of testimony.
    - 37 -
    J-A14023-14
    defense expert, meant that Ashely would have perished no matter what
    actions were taken by the defendants.
    Appellants next contend that even if mononucleosis were relevant,
    their motion in limine should have been granted pursuant to Pennsylvania
    Rule of Evidence 403.42   Rule 403 provides that, “The court may exclude
    relevant evidence if its probative value is outweighed by a danger of . . .
    unfair prejudice[.]” Pa.R.Evid. 403. “Unfair prejudice supporting exclusion
    of relevant evidence means a tendency to suggest decision on an improper
    basis or divert the jury’s attention away from its duty of weighing the
    evidence impartially.” Parr v. Ford Motor Co., 
    2014 WL 7243152
    , *9 (Pa.
    Super. Dec. 22, 2014) (en banc) (internal quotation marks and citations
    omitted).
    Appellants contend that the low probative value of the mononucleosis
    evidence and the prejudice associated with allowing the jury to speculate
    regarding the standard of care or causation means that the balance tips
    against admission.   We disagree.    As discussed above, the evidence was
    relevant.   Furthermore, it was not unduly prejudicial for the jury to hear
    42
    Liskov and Sapphire argue that Appellants’ argument is waived as it
    wasn’t raised in the trial court. Appellants’ motion in limine, however,
    specifically argued that the mononucleosis evidence should be excluded
    under Rule 403. Motion In Limine To Preclude Defendants From Making Any
    Reference To and/or Introducing Evidence of Mononucleosis, 4/22/13, at 3
    (“Moreover, even relevant evidence may be excluded if its probative value is
    outweighed by the danger of unfair prejudice. See Pa.R.E[vid]. 403.”).
    Accordingly, Appellants complied with Rule 103 by specifying the grounds for
    their objection in the trial court. See Pa.R.Evid. 103(a)(1)(B).
    - 38 -
    J-A14023-14
    about an undiagnosed medical condition which contributed to Ashley’s fatal
    injuries. Although the evidence may have been detrimental to Appellants,
    that does not make it unfairly prejudicial.       The admission of Ashley’s
    undiagnosed mononucleosis did not suggest an improper basis for decision
    or divert the jury’s attention from fairly weighing the evidence. Accordingly,
    we conclude that the trial court did not abuse its discretion by denying
    Appellants’ motion in limine with respect to mononucleosis.
    In their fourth issue on appeal, Appellants argue that the trial court
    erred by including Feschuk on the verdict slip. We review a claim that the
    trial court erred by including or excluding settling defendants on the verdict
    slip for an abuse of discretion. See Hyrcza v. W. Penn Allegheny Health
    Sys., Inc., 
    978 A.2d 961
    , 968 (Pa. Super. 2009).        A trial court does not
    abuse its discretion by permitting a settling defendant to be included on the
    verdict slip if the evidence presented at trial was sufficient to meet the prima
    facie burden of proving that the settling defendant was liable.     See 
    id. at 968-969
    .
    We first note that Appellants’ whole argument is premised on the
    assumption that Feschuk, at the time of trial, was a settling defendant.
    This, however, was not the case. Feschuk was still a party to the case until
    August 23, 2013, when Feschuk, the Ambulance Association, and Picton filed
    a supplemental new matter which included as an attachment thereto a copy
    - 39 -
    J-A14023-14
    of the signed settlement agreement.               Thus, Appellants argument fails
    because Feschuk was not a settling defendant.43
    Even if we considered Feschuk to be a settling defendant, we would
    conclude that there was a prima facie case of Feschuk’s gross negligence.
    See 35 P.S. § 6931 (repealed) (requiring evidence of gross negligence).44
    Appellants’ expert witness testified that Feschuk breached his duty of care
    and that this breach of his duty of care led to Ashley’s death.         See N.T.,
    6/11/13, at 129-132.         This testimony was very similar to the testimony
    relied upon by Appellants to show that Liskov was grossly negligent.
    Compare id. with id. at 104-109. If Appellants satisfied their prima facie
    burden with respect to Liskov then certainly a prima facie case of gross
    negligence was shown as to Feschuk.           Accordingly, the trial court did not
    error by keeping Feschuk on the verdict slip.
    In their fifth issue on appeal, Appellants argue that the trial court
    erred by denying their motion for a new trial based upon jury irregularities.
    Specifically,   Appellants     contend     that    the   second   alternate   juror
    impermissibly informed the 12 regular jurors that he believed they should
    43
    Even if we were to use the date the settlement agreement was signed, we
    would come to the same conclusion. The settlement agreement is dated
    June 17, 2013 – the same day the jury returned its verdict in this case.
    There is no evidence of record that the settlement agreement was entered
    into prior to the jury being sent out to deliberate.
    44
    See note 38, supra.
    - 40 -
    J-A14023-14
    return a verdict in favor of Liskov and Sapphire.       The trial court denied
    Appellants’ post-trial motion but offered no explanation of its ruling.
    In support of their argument that there was an extraneous influence
    on the jury, Appellants attached to their post-trial motion a document
    entitled “AFFIDAVIT.” Post-Trial Motion, 6/27/13, Exhibit 4. That document
    states that Dr. Gregory Bradshaw, Appellants’ jury consultant, discussed the
    case with six jurors after the verdict was announced.       It does not list the
    names of the jurors with whom Bradshaw spoke. Instead, it lists the juror
    numbers of the six individuals.        The document states that Bradshaw
    informed the jurors that he was recording the conversation. The document
    also states that he made the recording available to Appellants’ counsel after
    the meeting. The document does not relay the content of Bradshaw’s
    conversation with the jurors.     The signature and seal of a Texas notary
    public appears at the bottom of the document. Also attached to Appellants’
    post-trial motion was an alleged copy of the recording of Bradshaw’s
    conversation with the jurors and a purported transcript thereof.
    On appeal, Liskov and Sapphire argue that the document submitted by
    Appellants in support of their post-trial motion was not an affidavit.     They
    also argue that the attached transcript did not comply with the rules of
    judicial administration relating to transcripts.   Liskov and Sapphire argue
    that the speakers in the audio recording were not under oath nor were they
    told that their testimony would be used to attack the validity of their verdict.
    - 41 -
    J-A14023-14
    Finally, Liskov and Sapphire argue that even if there were an extraneous
    influence on the jury that it was not prejudicial to Appellants.
    The right to a trial by an impartial jury “as preserved in the Seventh
    Amendment     of   the   United   States   Constitution,   is   enshrined   in     the
    Pennsylvania Constitution, and the constitutional right to a jury trial, as set
    forth in [Article 1, Section 6] does not differentiate between civil cases and
    criminal cases.”   Pisano v. Extendicare Homes, Inc., 
    77 A.3d 651
    , 662
    (Pa. Super. 2013), appeal denied, 
    86 A.3d 233
     (Pa. 2014), cert denied, 
    134 S. Ct. 2890
     (2014) (internal quotation marks and citation omitted).              “It is
    fundamental that every litigant who is entitled to a jury trial is entitled to an
    impartial jury, free to the furthest extent practicable from extraneous
    influences that may subvert the factfinding process.” Carter by Carter v.
    U.S. Steel Corp., 
    604 A.2d 1010
    , 1015 (Pa. 1992) (citation omitted).
    Determining if a new trial is warranted because of an extraneous
    influence is a two-step process.       First, the trial court must determine
    whether there is competent evidence that there was an extraneous influence
    on the jury. See Bruckshaw v. Frankford Hosp. of Phila., 
    58 A.3d 102
    ,
    114 (Pa. 2012). Appellants argue that any extraneous influence on the jury
    is per se prejudicial. This is incorrect. In Bruckshaw, our Supreme Court
    held that “in situations where there [is] unauthorized contact with the jury
    or a juror” appellate courts “defer[] to the trial court’s discretionary finding
    of [] prejudice based on competent record evidence[.]” Id. at 114. Thus,
    - 42 -
    J-A14023-14
    the second step of the inquiry is whether an extraneous influence was
    prejudicial.
    We first examine whether there was competent evidence of record that
    there was an extraneous influence on the jury.       In Carter, our Supreme
    Court examined whether a trial court could consider testimony by a juror
    regarding the existence of an extraneous influence when determining
    whether to grant a motion for a new trial.      Our Supreme Court reiterated
    that Pennsylvania follows the majority rule and prohibits juror testimony
    regarding the content of deliberations.      Carter, 604 A.2d at 1013, citing
    Pittsburgh Nat'l Bank v. Mut. Life Ins. Co. of N.Y., 
    425 A.2d 383
     (Pa.
    1981). There is, however, a narrow exception which permits juror testimony
    regarding whether “prejudicial information not of record and beyond
    common knowledge and experience was improperly brought to the jury’s
    attention[.]” Pa.R.Evid. 606(b)(2)(A).
    Liskov and Sapphire argue that the document signed by Bradshaw was
    not proper evidence as it was not an actual affidavit.
    An affidavit is defined as:
    a statement in writing of a fact or facts, signed by the person
    making it, that either (1) is sworn to or affirmed before an
    officer authorized by law to administer oaths, or before a
    particular officer or individual designated by law as one before
    whom it may be taken, and officially certified to in the case of an
    officer under seal of office, or (2) is unsworn and contains a
    statement that it is made subject to the penalties of 18
    Pa.C.S.[A.] § 4904 relating to unsworn falsification to
    authorities.
    - 43 -
    J-A14023-14
    Pa.R.C.P. 76.
    Under Texas law, a notary public is authorized to administer oaths.
    See Tex. Govt. Code § 416.016(a)(3).            Liskov and Sapphire argue this is
    insufficient to make the document an affidavit because it does not say that it
    is given under the pain of perjury. Liskov and Sapphire confuse an unsworn
    statement pursuant to 18 Pa.C.S.A. § 4904 with a sworn statement in
    writing made before an officer authorized to administer oaths.                  See
    Pa.R.C.P. 76.    An affidavit need only be sworn to or affirmed before an
    individual authorized to administer oaths.        See Coulter v. Dep't of Pub.
    Welfare,    
    65 A.3d 1085
    ,    1087    n.4    (Pa.     Cmwlth.   2013),    citing
    Commonwealth v. Thomas, 
    908 A.2d 351
    , 354 (Pa. Super. 2006). On the
    other hand, an unsworn declaration is required to include specific language
    establishing it as having been given under the pain of perjury.               See 18
    Pa.C.S.A. § 4904; Pa.R.C.P. 76; Coulter, 
    65 A.3d at
    1087 n.4; Thomas,
    
    908 A.2d at 354
    . The law in Texas is the same.              See In re K.M.L., 
    443 S.W.3d 101
    , 109–110 (Tex. 2014) (citation omitted).              In this case, the
    document executed by Bradshaw was signed by a Texas notary public and,
    therefore, complied with the provisions of Texas and Pennsylvania law
    relating to affidavits. Accordingly, it is an affidavit.
    Although Bradshaw’s document was an affidavit, Liskov and Sapphire
    also argue that Exhibit 5 to Appellants’ post-trial motion, a transcript of the
    conversation between Bradshaw and the jurors is inadmissible as it does not
    - 44 -
    J-A14023-14
    conform to the rules of judicial administration regarding transcripts. 45   We
    need not address whether the transcript complies with the rules of judicial
    administration, however, as the actual audio recording was attached to the
    post-trial motion. Instead, we must determine whether the audio recording
    itself provided admissible evidence that could be considered by the trial
    court when determining if extraneous influences impacted the jury’s
    deliberations.
    The recording appears to begin in the hall of the courthouse with
    Bradshaw asking if anyone would like to speak about the case.           A few
    individuals can be heard agreeing to speak about the case. It appears that
    they then enter the courtroom and discuss the trial.      At one point in the
    conversation, an individual states that the jurors asked the second alternate
    his thoughts on the case before he left in order to not “discount” what he
    was going to do.46 An individual also states that the alternate juror said that
    he was for the defense.     There is no further discussion about what the
    second alternate juror said.   For example, there is no indication that the
    45
    In particular, the transcript does not have a cover page nor does it have a
    signature page identifying who transcribed the recording and attesting to the
    accuracy of the transcript. The transcript also does not have a table of
    contents. Finally, the transcript only differentiates between Bradshaw and
    “Speaker.” It does not identify the different speakers, noting only that it
    was an individual other than Bradshaw speaking. In other respects, it
    appears to be a typical transcript.
    46
    This was an apparent reference to the jury wanting to consider the second
    alternate’s views of the case.
    - 45 -
    J-A14023-14
    second alternate juror relayed his opinion on a specific issue, the credibility
    of a certain witness, or the weight of any particular piece of evidence. The
    notes of testimony indicate that the second alternate juror stayed for closing
    arguments and then was dismissed prior to the jury charge.          See N.T.,
    6/17/13, at 607, 670. Thus, Appellants hypothesize, the latest that he could
    have told the jury panel his views was after the closing arguments and
    before the jury charge.
    In Carter, our Supreme Court stated that a trial court should only
    reach the prejudice prong of an extraneous influence inquiry if “the
    existence of a potentially prejudicial extraneous influence has been
    established by competent testimony[.]”           Carter, 604 A.2d at 1016
    (emphasis added). The use of the phrase “competent testimony” indicates
    that unauthenticated testimony, such as the type that is present in the
    instant case, is insufficient to prove the existence of an extraneous
    influence. To that end, in Carter our Supreme Court relied upon testimony
    given by the jurors, under oath, to the trial court in camera. Id. at 1013.
    Competent evidence has been required to prove an extraneous
    influence for at least 190 years. In Ritchie v. Holbrook, 
    7 Serg. & Rawle 458
     (Pa. 1821), our Supreme Court considered whether an affidavit from a
    juror was sufficient evidence to find that an extraneous influence had
    impacted the jury’s deliberations.      The affidavit alleged that the jury
    foreperson had told the rest of the jury that he had a conversation with the
    - 46 -
    J-A14023-14
    plaintiff in which the plaintiff was able to explain an apparent hole in his trial
    testimony.    
    Id.
       The plaintiff objected to this affidavit being considered
    because it was hearsay. 
    Id.
     Our Supreme Court determined that it was not
    hearsay because the affidavit was offered to establish that the jury
    foreperson told the remaining jurors of an alleged conversation, not for the
    truth of the conversation between the jury foreperson and the plaintiff. 
    Id.
    As far as this case is concerned, Richie stands for the proposition that the
    evidence used to prove an extraneous influence must comport, at least in
    some respects, with the rules of evidence.
    In Friedman v. Ralph Bros., 
    171 A. 900
     (Pa. 1934), our Supreme
    Court stated, “Only in clear cases of improper conduct by jurors, evidenced
    by competent testimony, should a verdict, which is fully supported by the
    evidence, be set aside and a new trial granted.”         Id. at 901 (emphasis
    added).   Our Supreme Court relied upon testimony given by the jurors,
    under oath in the presence of the trial court, in determining that an
    extraneous influence was present.        See id.     Similarly, in Welshire v.
    Bruaw, 
    200 A. 67
     (Pa. 1938) (per curiam), our Supreme Court affirmed the
    grant of a new trial based upon testimony, given under oath, that the trial
    court’s tipstaff pressured the jury into delivering a verdict even though it had
    not finished deliberations. 
    Id.
    Finally, in Commonwealth v. Sero, 
    387 A.2d 63
     (Pa. 1978), our
    Supreme Court held that Juror A was able to testify regarding information
    - 47 -
    J-A14023-14
    that Juror B had communicated to the full jury.       Juror B had learned the
    information from her husband.        Id. at 66-67.    The testimony that our
    Supreme Court found sufficient to conclude that an extraneous influence
    impacted the jury’s deliberations was once again deposition testimony, given
    under oath. Id. at 66.
    The common theme of all of these cases involving jury irregularities is
    that the moving party must produce admissible, authenticated evidence to
    support its motion. Although the exact nature of the evidence differs, the
    consistent feature of the evidence advanced in support of the request for a
    new trial is that there is no dispute about who is giving the evidence or what
    was said. Contrast that to the case at bar in which there is a genuine issue
    as to: whether the tape recording in question is a true and accurate copy of
    Bradshaw ’s conversation; whether the individuals speaking were actually
    trial jurors; and whether those jurors would have said the same things under
    oath.
    As this Court has stated, in order to authenticate a recording there
    must be evidence from “a witness with personal knowledge who can testify
    that it fairly and accurately represents that which it purports to depict.”
    Commonwealth v. McKellick, 
    24 A.3d 982
    , 995 (Pa. Super. 2011), appeal
    denied, 
    34 A.3d 828
     (Pa. 2011) (internal quotation marks and citations
    omitted); see Commonwealth v. Fisher, 
    764 A.2d 82
    , 89 (Pa. Super.
    2000), appeal denied, 
    782 A.2d 542
     (Pa. 2001) (citation omitted) (“Tape
    - 48 -
    J-A14023-14
    recordings   are   admissible   when    they    are   properly   identified   as   a
    reproduction of what has been said and the voices are properly identified.”).
    In this case, the recording has not been authenticated.            Although
    Bradshaw states that he made a recording and then gave the recording to
    counsel, there is no indication, either by Bradshaw or Appellants’ counsel,
    that the recording attached to Appellants’ post-trial motion was a true and
    correct copy of the recording made by Bradshaw. Furthermore, there was
    no evidence that the voices in the recording are actually the voices of six of
    the jurors who served in this case. There is no information as to the identity
    of the speakers on the recording. As such, the audio recording attached to
    the post-trial motion was not properly authenticated and therefore could not
    be considered by the trial court.47
    Thus, Appellants are only left with Bradshaw’s affidavit to support their
    claim of jury irregularities. This affidavit says absolutely nothing regarding
    extraneous    influences   impacting      the    jury’s   deliberation    process.
    Furthermore, Appellants did not seek an evidentiary hearing before the trial
    court to produce further evidence relating to the alleged jury irregularities.
    Appellants could easily have proffered affidavits executed by one (or more)
    of the trial jurors that attested to the alleged statements made by the
    47
    As the recording itself was not properly authenticated, the transcript of
    the recording would also be inadmissible if Appellants overcame the
    problems inherent with the transcript.
    - 49 -
    J-A14023-14
    second alternate juror.       They also could have deposed the jurors or
    requested an evidentiary hearing where they subpoenaed one or more trial
    jurors to testify. They chose not to take these routes and instead rested on
    the affidavit of Bradshaw along with the inadmissible recording (and
    transcript thereof).    As such, Appellants have failed to meet the first
    requirement for relief – proving by competent evidence that an extraneous
    influence impacted the jury.48 Accordingly, we conclude that the trial court
    did not abuse its discretion in denying Appellants’ post-trial motion relating
    to alleged jury irregularities.
    In their final issue on appeal, Appellants allege that the trial court
    erred by granting summary judgment with respect to their claims for
    punitive damages.      However, “[a] request for punitive damages does not
    constitute a cause of action in and of itself. Rather, a request for punitive
    damages is merely incidental to a cause of action.”      Feingold v. SEPTA,
    
    517 A.2d 1270
    , 1276 (Pa. 1986). In this case, even if Appellants asserted
    causes of action that may have allowed for punitive damages, Appellants did
    not prevail on any of their causes of action and therefore they could not be
    48
    Even if we were to conclude that Appellants had proved the existence of
    an extraneous influence on the jury, we would conclude that they are not
    entitled to relief on this claim. As noted above, the second alternate juror
    did not offer his views on specific facts in question. Instead, he only offered
    his opinion that he favored the defendants. It is inconceivable that the
    entire jury decided to find for the defense solely because of one alternate
    juror’s general inclination. Thus, Appellants would be unable to prove the
    necessary prejudice to succeed on their juror irregularity claim.
    - 50 -
    J-A14023-14
    entitled to punitive damages.     Accordingly, any error in granting summary
    judgment on the punitive damages claims early in the litigation was
    harmless.
    In sum, we conclude that we have jurisdiction over this matter.
    Turning to the merits, Appellants are not entitled to relief. The trial court
    properly granted summary judgment in favor of the Hospital and WVHCS
    under Riffe. The trial court properly concluded that, since Linda Judge did
    not observe the alleged negligent actions of Liskov, Sapphire, WVHCS, and
    the Hospital, she could not recover on her NIED claim.       Whether the trial
    court erred by granting summary judgment to Feschuk, Picton, and the
    Ambulance Association on Linda Judge’s NIED claim is now moot in view of
    Appellants’ settlement with these defendants. The trial court did not abuse
    its discretion by denying Appellants’ motion in limine relating to Ashely’s
    undiagnosed mononucleosis. As Feschuk was still a party to the case, the
    trial court did not err by including him on the verdict form. Appellants failed
    to come forward with competent evidence that there had been jury
    irregularities.   Finally, any error in granting summary judgment as to the
    punitive damages claims was harmless. We therefore affirm the judgments
    entered in these three actions.
    Judgments affirmed.
    President Judge Emeritus Ford Elliott joins this memorandum.
    Judge Strassburger files a Concurring Memorandum.
    - 51 -
    J-A14023-14
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 5/18/2015
    - 52 -