Vance R. Johnson v. Sheriff R.L. Butch Conway , 688 F. App'x 700 ( 2017 )


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  •              Case: 16-12129   Date Filed: 05/15/2017   Page: 1 of 26
    [DO NOT PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 16-12129
    Non-Argument Calendar
    ________________________
    D.C. Docket No. 1:13-cv-00524-RWS
    VANCE R. JOHNSON,
    Plaintiff-Appellant,
    versus
    SHERIFF R.L. BUTCH CONWAY,
    CHRISTOPHER REVELS,
    SO#692,
    ROBERT BAILEY,
    SO#893,
    TOCHI DAVIS,
    SO#1145,
    CORIZON HEALTH, INC.,
    a.k.a. Corizon, Inc.,
    Defendants-Appellees,
    C. LUCAS, et al.,
    Defendants.
    Case: 16-12129      Date Filed: 05/15/2017   Page: 2 of 26
    ________________________
    Appeal from the United States District Court
    for the Northern District of Georgia
    ________________________
    (May 15, 2017)
    Before TJOFLAT, WILLIAM PRYOR, and ROSENBAUM, Circuit Judges.
    PER CURIAM:
    Vance Johnson filed this civil-rights lawsuit under 42 U.S.C. § 1983 and
    Georgia state law arising out of his detention at the Gwinnett County Jail in
    February 2011.         Johnson claims that medical staff administered a test for
    tuberculosis without his consent and that detention officers disciplined him and
    used excessive force against him in retaliation for his refusal to consent to the test.
    Pertinent to this appeal, Johnson sued Deputies Christopher Revels, Robert Bailey,
    and Tochi Davis (“the detention officers” or the “officers”), asserting federal-law
    claims of excessive force under the Fourteenth Amendment and state-law claims of
    battery; Sheriff R.L. Butch Conway, asserting that Conway was liable as a
    supervisor under § 1983 for maintaining a policy which allowed excessive force to
    be used; Nurse Susan Fajardo, asserting a federal-law claim of First Amendment
    retaliation and state-law claims of medical negligence and battery; and Corizon
    Health, Inc. (“Corizon”), Fajardo’s employer, asserting a state-law claim of
    vicarious liability.
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    The district court granted summary judgment to the detention officers and
    the Sheriff (collectively, the “County defendants”), concluding that the detention
    officers were protected by qualified immunity under federal law and by official
    immunity under Georgia state law and that the Sheriff was not liable as a
    supervisor under § 1983. The claims against Fajardo and Corizon (collectively, the
    “medical defendants”) were tried before a jury, which returned a verdict in their
    favor.
    On appeal, Johnson contends that sufficient evidence precluded summary
    judgment on his claims against the County defendants and that the district court
    gave an erroneous jury instruction for his medical-negligence claim against the
    medical defendants. After careful review, we agree with the district court that the
    detention officers were entitled to qualified and official immunity and that the
    Sheriff is not liable as a supervisor, and we conclude that Johnson has not
    established plain error regarding the jury instruction. Accordingly, we affirm.
    I. Factual Background
    The relevant facts, presented in the light most favorable to Johnson for
    purposes of reviewing the summary-judgment ruling, are these. See Moore v.
    Pederson, 
    806 F.3d 1036
    , 1041 (11th Cir. 2015), cert. denied, 
    136 S. Ct. 2014
    (2016).     Johnson was arrested and booked into the Gwinnett County Jail in
    February 2011. During the admission process, he underwent medical screening by
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    nurses employed by Corizon, which had contracted to provide medical services at
    the jail. Johnson was asked to sign a form consenting to receive medical treatment
    while detained at the jail. Believing that he would soon be released, Johnson stated
    that he would not require medical treatment and refused to sign the consent form.
    Instead, Johnson signed a Refusal of Clinical Services form.
    After Johnson signed the refusal form, detention officers and nurses made
    multiple attempts to give Johnson a pure protein derivative test (“PPD test”) to test
    for the presence of tuberculosis. In a PPD test, a small needle is inserted just
    underneath the skin. The PPD test is part of the admission process for the jail in
    order to control the spread of tuberculosis, which is highly contagious. Johnson
    refused the PPD test three times.
    At some point, Nurse Fajardo made a fourth attempt to administer the PPD
    test to Johnson. Johnson sat in front of Fajardo, who told him to put his arm down,
    wiped off his arm, and administered the PPD test. According to Johnson, he told
    Fajardo that he had signed a refusal-of-medical-treatment form, but she
    administered the test, anyway. Fajardo testified that she was unaware of Johnson’s
    refusal-to-consent form and that he had verbally consented to the test.
    A few hours later, Fajardo asked Johnson to sign documentation stating that
    he had authorized the jail to give him the PPD test only. Johnson refused to sign
    the form. Fajardo conferred with Deputy Revels, who was in the room at the time.
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    Revels came over and told Johnson that “he was going to jump on [Johnson’s] ass”
    if Johnson did not sign the paperwork. Revels also threatened to call the “attack
    squad,” apparently referring to the Jail’s Rapid Response Team (“RRT”), and
    warned that Johnson would receive a “failure to comply” disciplinary report if he
    refused to sign the document. Johnson steadfastly refused to sign the form.
    Ultimately, Revels did not call the RRT. Instead, Revels spoke with his
    supervisor, who advised that Johnson would have to receive a disciplinary report
    for failure to comply if he did not sign. At the supervisor’s instruction, Revels
    asked two detention officers, Deputies Bailey and Davis, to move Johnson from his
    cell to the disciplinary unit. Revels told them that Johnson “had refused to sign
    some medical paperwork and was being charged with a failure to comply
    infraction.” Revels also told them that Johnson was compliant and not resistant.
    Gwinnett County Department of Corrections’s standard practice for moving
    an inmate to the disciplinary unit for failure to comply with an officer’s
    instructions involves having the inmate get down on the floor and put his hands
    behind his back so that he can be handcuffed. The escorting officers then assist the
    inmate to his feet and escort him to the assigned destination at the inmate’s pace.
    Davis explained that a detainee who is being transferred for discipline is walked
    backward so he cannot see where he is going. Davis stated that deputies on either
    side of the detainee walk arm in arm with the detainee as he is being transferred.
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    Bailey and Davis instructed Johnson to lie face down on the floor with his
    hands behind his back. Johnson complied, and the deputies handcuffed him and
    then pulled him up from the ground. Johnson testified that they put the handcuffs
    on so tight that his hands started feeling numb. Johnson stated that “[b]oth of them
    just grabbed [him], started bending [his] arms all the way back, bending [his] wrist,
    dislocating [his] arm from [his] shoulder, [and] started dragging [him].” Though
    Johnson testified that he was “dragged” backward by the deputies throughout the
    jail, he also indicated that he was able to stay on his feet. Bailey and Davis took
    Johnson to a solitary-confinement cell. The officers both described the transfer as
    uneventful and in accordance with normal procedures.
    Besides the above descriptions, Johnson’s testimony is not clear on the
    precise details of the deputies’ actions, but Johnson testified that the actions caused
    him “excruciating pain.” Johnson stated that he received medical treatment after
    he was released from jail and that he was diagnosed with a shoulder injury. Based
    on the pain and injury he experienced, Johnson argues that a reasonable jury could
    infer that the deputies used excessive force against him.
    Conway has been Sheriff of Gwinnett County since 1997. He is responsible
    for the overall administration of the Sheriff’s Office, including the jail. The jail’s
    Use of Force Policy directs staff to “use only that force which is necessary to
    maintain the security and safety” of all persons within the jail.           The policy
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    authorizes detention officers to use certain levels of force to ensure that inmates
    comply with lawful orders or directions. The policy also directs staff to avoid
    resorting to physical force if possible.             The defendants acknowledged that a
    detention officer would violate the Use of Force Policy if he were to “use force to
    make an inmate sign a document he had a right to refuse to sign.”
    II. Procedural History
    Johnson filed suit in the United States District Court for the Northern
    District of Georgia in February 2013. He filed the operative second amended
    complaint in September 2013.1 The district court granted summary judgment to
    the detention officers (Revels, Davis, and Tochi), finding that they were entitled
    both to qualified immunity with respect to Johnson’s § 1983 excessive-force
    claims under the Fourteenth Amendment and to official immunity with respect to
    his battery claims under Georgia state law. As for Johnson’s § 1983 claim against
    Sheriff Conway, the court concluded that Johnson’s claim amounted to one based
    on respondeat superior, which is not a viable theory of supervisor liability under
    § 1983.
    1
    Besides the claims at issue in this appeal, Johnson raised additional claims in the district
    court, including claims of negligence and First Amendment retaliation against Revels, Bailey,
    and Davis, an excessive-force claim against Fajardo, and similar claims against another nurse.
    Johnson does not address these claims on appeal, so we deem them abandoned. See Sapuppo v.
    Allstate Floridian Ins. Co., 
    739 F.3d 678
    , 680 (11th Cir. 2014) (issues not raised on appeal are
    abandoned).
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    The district court denied summary judgment to the medical defendants,
    finding genuine issues of material fact as to whether Fajardo obtained Johnson’s
    consent before administering the PPD test.           Johnson’s claims against these
    defendants were tried before a jury over two days.
    On the second day of trial, the jury retired to begin its deliberations after
    receiving its instructions from the district court. Soon after, Johnson’s counsel
    raised for the first time the issue of whether the medical negligence instruction
    should be amended. The instruction, to which counsel appears to have jointly
    agreed at the charge conference, told jurors that expert testimony was necessary to
    establish causation. Counsel stated that expert testimony was not necessary in this
    case because the issue to be tried was simply the factual question of consent.
    Nevertheless, counsel acknowledged that the instruction was “a correct statement
    of the law” and “probably not error per se,” and he did not request any corrective
    action at that time. Rather, counsel merely suggested that they “might need to
    think about how to deal with it” if the jury comes back with a question.
    Later, when the jury sent a note asking for clarification of the negligence
    instruction, Johnson’s counsel asked the court more directly to remove the
    language about expert testimony when giving the jury a rephrased instruction. The
    court denied the request, expressing concern about changing the instruction after
    the jury had begun its deliberations. The jury returned a verdict in favor of Fajardo
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    and Corizon on all claims. Following entry of judgment, Johnson brought this
    appeal.
    We address separately the claims against the County defendants and the
    claims against the medical defendants.
    III. Claims against the County Defendants
    We review de novo a district court’s grant of summary judgment, including
    on grounds of qualified immunity. Holmes v. Kucynda, 
    321 F.3d 1069
    , 1077 (11th
    Cir. 2003).    Summary judgment is appropriate only when the moving party
    demonstrates that no disputed issue of material fact exists. Carter v. Butts Cty.,
    Ga., 
    821 F.3d 1310
    , 1318 (11th Cir. 2016). In reviewing a ruling on a summary-
    judgment motion, we accept the non-movant’s version of the facts as true and draw
    all reasonable inferences in his favor. 
    Id. We may
    affirm a district court’s grant of
    summary judgment on any ground supported by the record, even if that ground was
    not relied on by the district court. Feliciano v. City of Miami Beach, 
    707 F.3d 1244
    , 1252 (11th Cir. 2013).
    A.    Section 1983 Claim for Excessive Force under Fourteenth Amendment
    1.      Nature of the Claim
    Johnson claims that Deputies Revels, Bailey, and Davis used excessive force
    against him while he was detained at the Gwinnett County Jail following his arrest.
    The Supreme Court instructs that in deciding whether force deliberately used
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    against a pretrial detainee is constitutionally excessive in violation of the
    Fourteenth Amendment, “a pretrial detainee must show only that the force
    purposely or knowingly used against him was objectively unreasonable.” Kingsley
    v. Hendrickson, 576 U.S. ___, 
    135 S. Ct. 2466
    , 2473 (2015). A showing of the
    officer’s state of mind or subjective awareness that the force was unreasonable is
    not required in this analysis. See 
    id. at 2472–73.
    Thus, the standard we previously
    used to determine whether a defendant used excessive force under the Fourteenth
    Amendment—which required the plaintiff to show that the defendant applied the
    force “maliciously or sadistically for the very purpose of causing harm,” see
    Bozeman v. Orum, 
    422 F.3d 1265
    , 1271 (11th Cir. 2005)—has been abrogated by
    Kingsley.
    The Supreme Court instructs that “objective reasonableness turns on the
    facts and circumstances of each particular case.” 
    Kingsley, 135 S. Ct. at 2473
    (internal quotation marks omitted). Considerations bearing on the reasonableness
    of the force used include “the relationship between the need for the use of force
    and the amount of force used; the extent of the plaintiff’s injury; any effort made
    by the officer to temper or to limit the amount of force; the severity of the security
    problem at issue; the threat reasonably perceived by the officer; and whether the
    plaintiff was actively resisting.” 
    Id. The objective-reasonableness
    determination
    must be made “from the perspective of a reasonable officer on the scene,” and it
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    must account for the legitimate interests of the institution by “appropriately
    deferring to ‘policies and practices that in th[e] judgment’ of jail officials ‘are
    needed to preserve internal order and discipline and to maintain institutional
    security.’” 
    Id. (quoting Bell
    v. Wolfish, 
    441 U.S. 520
    , 540, 547 (1979)). A pretrial
    detainee can prevail by showing “that the challenged governmental action is not
    rationally related to a legitimate governmental objective or that it is excessive in
    relation to that purpose.” 
    Id. at 2473–74.
    2.     Qualified Immunity
    A public official sued in his or her individual capacity may assert the
    defense of qualified immunity.      Qualified immunity aims to strike a balance
    between “the need to hold public officials accountable when they exercise power
    irresponsibly and the need to shield officials from harassment, distraction, and
    liability when they perform their duties reasonably.” Pearson v. Callahan, 
    555 U.S. 223
    , 231 (2009).      The defense generally protects government officials
    engaged in job duties from individual liability unless they violate “clearly
    established [federal] statutory or constitutional rights of which a reasonable person
    would have known.” Keating v. City of Miami, 
    598 F.3d 753
    , 762 (11th Cir. 2013)
    (alteration in original) (internal quotation marks omitted). The protection is for
    “all but the plainly incompetent or one who is knowingly violating the federal
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    law.” 
    Carter, 821 F.3d at 1319
    (quoting Lee v. Ferraro, 
    284 F.3d 1188
    , 1194
    (11th Cir. 2002)).
    Officials asserting qualified immunity must first establish that they were
    acting within the scope of their discretionary authority at the time of the alleged
    misconduct. 
    Id. There is
    no dispute that Revels, Bailey, and Davis met their
    burden in this regard. Thus, the burden shifted to Johnson to overcome the defense
    of qualified immunity by showing “both that the officer’s conduct violated a
    constitutionally protected right and that the right was clearly established at the time
    of the misconduct.” Id.; see 
    Pearson, 555 U.S. at 232
    . The requirement that the
    right be “clearly established” ensures “that a reasonable official would understand
    that what he is doing violates that right.” Hope v. Pelzer, 
    536 U.S. 730
    , 739 (2002)
    (internal quotation marks omitted). “We may consider whether the plaintiff has
    satisfied his burden in any order.” 
    Carter, 821 F.3d at 1319
    .
    3.     Discussion
    Here, like the district court, albeit for different reasons, we do not reach the
    question of whether Johnson’s constitutional rights were violated because he has
    not shown that the detention officers violated a clearly established right. See
    
    Feliciano, 707 F.3d at 1252
    .
    We evaluate whether a right was clearly established “in light of the specific
    context of the case, not as a broad general proposition.” Coffin v. Brandau, 642
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    26 F.3d 999
    , 1013 (11th Cir. 2011) (en banc) (internal quotation marks omitted).
    Therefore, “[f]or the law to be ‘clearly established,’ case law must ordinarily have
    been earlier developed in such a concrete and factually defined context to make it
    obvious to all reasonable government actors, in the defendant’s place, that what he
    is doing violates federal law.” Priester v. City of Riviera Beach, Fla., 
    208 F.3d 919
    , 926 (11th Cir. 2000). If there is no precedent that, in factual terms, has staked
    out a “bright line,” the defendant is usually entitled to qualified immunity. Hoyt v.
    Cooks, 
    672 F.3d 972
    , 977 (11th Cir. 2012).
    Because excessive-force claims are inherently fact specific, “generally no
    bright line exists for identifying when force is excessive; we have therefore
    concluded that unless a controlling and materially similar case declares the
    official’s conduct unconstitutional, a defendant is usually entitled to qualified
    immunity.”    
    Priester, 208 F.3d at 926
    .      Put differently, “[c]oncrete facts are
    generally necessary to provide an officer with notice of the hazy border between
    excessive and acceptable force.” Fils v. City of Aventura, 
    647 F.3d 1272
    , 1291
    (11th Cir. 2011) (internal quotation marks omitted).
    Identifying a materially similar case is not the only way to show that a right
    is clearly established, however. Occasionally, “[a]uthoritative judicial decisions
    may establish broad principles of law that are clearly applicable to the conduct at
    issue.” Singletary v. Vargas, 
    804 F.3d 1174
    , 1184 (11th Cir. 2015) (internal
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    quotation marks omitted); see 
    Coffin, 642 F.3d at 1014
    –15 (stating that a “general
    constitutional rule already identified in the decisional law may apply with obvious
    clarity to the specific conduct in question”). But “if a broad principle in case law is
    to establish clearly the law applicable to a specific set of facts facing a
    governmental official, it must do so ‘with obvious clarity’ to the point that every
    objectively reasonable government official facing the circumstances would know
    that the official’s conduct did violate federal law when the official acted.” Vinyard
    v. Wilson, 
    311 F.3d 1340
    , 1351 (11th Cir. 2002). In excessive-force cases, the
    plaintiff “must show that the official’s conduct was so far beyond the hazy border
    between excessive and acceptable force that [the official] had to know he was
    violating the Constitution even without caselaw on point.” 
    Priester, 208 F.3d at 926
    –27 (alteration in original) (internal quotation marks omitted).
    Johnson expressly does not rely on a controlling and materially similar case
    to show that the detention officers’ conduct clearly violated his right to be free
    from excessive force.     Instead, he asserts that this Court’s case law clearly
    established a broader principle of law that applies with obvious clarity in this case.
    As Johnson indicates, we have established that “[p]rison officials step over
    the line of constitutionally permissible conduct if they use more force than is
    reasonably necessary in an existing situation or if they summarily and maliciously
    inflict harm in retaliation for past conduct.” Ort v. White, 
    813 F.2d 318
    , 325 (11th
    14
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    Cir. 1987). Ort also established that a constitutional violation “occurs . . . where
    prison officers continue to employ force or other coercive measures after the
    necessity for such coercive action has ceased.” 
    Id. at 327;
    see also Danley v. Allen,
    
    540 F.3d 1298
    , 1309 (11th Cir. 2008) (“Once a prisoner has stopped resisting there
    is no longer a need for force, so the use of force thereafter is disproportionate to the
    need.”); Williams v. Burton, 
    943 F.2d 1572
    , 1576 (11th Cir. 1991) (“The basic
    legal principle is that once the necessity for the application of force ceases, any
    continued use of harmful force can be a violation of the Eighth and Fourteenth
    Amendments.”).2
    2
    Kingsley was decided after the incident giving rise to this case and so is not directly
    relevant to the inquiry of whether the law was “clearly established at the time of the
    misconduct.” See 
    Carter, 821 F.3d at 1319
    . For this inquiry we look to our pre-existing law,
    which applied the subjective-malice standard abrogated by Kingsley. See 
    id. The district
    court
    concluded that, because the evidence was insufficient to meet the subjective standard (and
    therefore to prove a constitutional violation under the prior precedent), the officers could not
    have been on notice that their conduct was unlawful.
    Appearing to concede that he cannot meet the subjective-malice standard, Johnson
    contends that Kingsley “did nothing to change the standard of conduct for detention officers” and
    that pre-existing law in this Circuit clearly established an objective standard of conduct that
    applies with obvious clarity in this case. See Kingsley v. Hendrickson, 
    801 F.3d 828
    , 832–33
    (7th Cir. 2015) (holding that “before and after the Supreme Court's decision in [Kingsley], the
    standards for the amount of force that can be permissibly employed remain the same”). For
    instance, since before the time of this incident, as both parties appear to agree, this Circuit
    applied the same objective factors to Fourteenth Amendment excessive-force claims as the
    Supreme Court articulated in Kingsley. See Cockrell v. Sparks, 
    510 F.3d 1307
    , 1311 (11th Cir.
    2007). Likewise, the broad principles of law articulated in Ort, Danley, and Williams, are largely
    the same as those articulated in Kingsley. Accordingly, we assume without deciding that
    Johnson is correct that an objective standard of conduct was clearly established by pre-existing
    case law. Cf. 
    Kingsley, 135 S. Ct. at 2474
    –75 (explaining that “the use of an objective standard
    adequately protects an officer who acts in good faith”). It makes no difference to the ultimate
    outcome, however, because Johnson has not shown that the broad principles of law on which he
    relies clearly established the objective unreasonableness of the detention officers’ conduct, nor
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    Here, the facts construed in Johnson’s favor show that Bailey and Davis
    tightly handcuffed a compliant Johnson, causing his hands to go numb, and pulled
    him up off the ground in order to transport him to a disciplinary cell for a failure-
    to-comply infraction. According to Johnson, “[b]oth of them just grabbed [him],
    started bending [his] arms all the way back, bending [his] wrist, . . . [and] started
    dragging [him].” This caused Johnson “excruciating pain” because it felt as if the
    officers were “dislocating [his] arm from [his] shoulder.” He received medical
    treatment for his shoulder upon his release from jail.
    Johnson has not shown that every reasonable officer would conclude that the
    force used was plainly unlawful “in light of the specific context of the case, not as
    a broad general proposition.” 
    Coffin, 642 F.3d at 1013
    ; see 
    Priester, 208 F.3d at 926
    –27. First, the force used was related to a legitimate institutional objective.
    Johnson had been charged with a disciplinary infraction for failure to comply. For
    that infraction, as Johnson acknowledges, jail policies instructed that he be
    handcuffed and escorted by detention officers during transfer to another part of the
    jail. See 
    Bell, 441 U.S. at 547
    (stating that courts should defer to the policies and
    practices that in the judgment of jail officials are needed to maintain order and
    institutional security); Appellant’s Br. at 15 (“[T]he deputies were authorized by
    has he shown that the evidence is sufficient to meet the subjective “malicious or sadistic”
    standard.
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    policy to use force to move Johnson from his cell . . . to disciplinary segregation.”).
    To effectuate that transfer, the detention officers, as he admits, were permitted to
    use some degree of force or coercive measures.           See Appellant’s Br. at 14
    (“[S]ome minimal use of force might have been appropriate in response to
    Johnson’s alleged disciplinary infraction.”). Nothing in the record indicates that
    the officers used force other than during the process of moving him. Accordingly,
    the officers did not use force “after the necessity for such coercive action ha[d]
    ceased.” See 
    Ort, 813 F.2d at 327
    .
    To the extent Johnson attempts to show that the detention officers acted with
    malicious intent, so as to satisfy our old subjective “malicious or sadistic”
    standard, we are unpersuaded. Even assuming some of Revels’s comments to
    Johnson—threatening to call the “attack squad” and to “jump on [his] ass”—could
    be construed as malicious, Revels himself did not use any force against Johnson.
    Only Bailey and Davis did. Nor is there evidence that Revels directed Bailey and
    Davis to do anything other than transfer Johnson because he was being charged
    with a disciplinary infraction for “refus[ing] to sign some medical paperwork.”
    Moreover, Bailey’s and Davis’s conduct was broadly consistent with established
    prison procedures for transferring detainees for disciplinary infractions. See Sims
    v. Mashburn, 
    25 F.3d 980
    , 986 (11th Cir. 1994) (“[C]ompliance with established
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    prison procedures . . . is evidence of the exercise of ‘good faith’”). Accordingly,
    the record does not support a finding that Bailey and Davis acted in bad faith.
    Nor has Johnson shown that the amount of force used was clearly excessive
    in relation to the need for such force. See 
    Ort, 813 F.2d at 325
    ; 
    Bell, 441 U.S. at 538
    . Plainly the need for force was low because Johnson was not resisting and, as
    the County defendants acknowledge, he “did not pose a physical threat to the
    deputies.” And Johnson’s testimony that he was handcuffed tightly, suffered a
    shoulder injury, and experienced “excruciating pain” from the detention officers’
    conduct certainly suggests that the officers were rougher than they needed to be
    under the circumstances.           Johnson contends that based on this testimony,
    particularly about his injury, a jury could find that the force used was excessive.3
    However, we cannot conclude that the detention officers’ “conduct was so
    far beyond the hazy border between excessive and acceptable force that [the
    officers] had to know [they] w[ere] violating the Constitution even without caselaw
    on point.” See 
    Priester, 208 F.3d at 926
    (internal quotation marks omitted). As
    mentioned above, Johnson does not dispute that some “minimal use of force might
    have been appropriate in response to Johnson’s alleged disciplinary infraction,”
    despite his lack of resistance. See Fennell v. Gilstrap, 
    559 F.3d 1212
    , 1218 (11th
    3
    Johnson’s speculative inferences from the detention officers’ testimony—that they
    denied using force at all because they knew that the force used was excessive—are insufficient to
    create a triable issue.
    18
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    Cir. 2009) (“[O]ur precedent permits the use of force even when a detainee is not
    physically resisting.”). While the extent of injury is relevant to the excessive-force
    analysis, permissible levels of force may nevertheless cause some pain and injury.
    See Cockrell v. Sparks, 
    510 F.3d 1307
    , 1311 (11th Cir. 2007) (open-handed shove
    of boisterous inmate was reasonable even though the inmate suffered “relatively
    extensive” injuries); cf. Brown v. City of Hunstville, Ala., 
    608 F.3d 724
    , 740 (11th
    Cir. 2010) (stating, in the related context of Fourth Amendment excessive-force
    claims arising out of arrests, that “[f]or even minor offenses, permissible force
    includes physical restraint, use of handcuffs, and pushing into walls.”); Rodriguez
    v. Farrell, 
    280 F.3d 1341
    , 1351–52 (11th Cir. 2002) (“Painful handcuffing, without
    more, is not excessive force in cases where the resulting injuries are minimal.”).
    Here, it is reasonable to expect that the normal way in which detainees at the
    Gwinnett County Jail were transferred for disciplinary infractions—being
    handcuffed and walked backward arm in arm with detention officers—would cause
    some pain and discomfort to the detainee. And Johnson’s testimony does not
    provide any specific details about the deputies’ actions that could distinguish
    reasonable coercive measures from an excessive use of force. See Walker v.
    Darby, 
    911 F.2d 1573
    , 1576–77 (11th Cir. 1990) (party opposing summary
    judgment “must set forth specific facts showing that there is a genuine issue for
    trial”); cf. Davis v. Williams, 
    451 F.3d 759
    , 767–68 (11th Cir. 2006) (holding that
    19
    Case: 16-12129    Date Filed: 05/15/2017   Page: 20 of 26
    force used during an arrest was excessive where “there were at least three incidents
    of [the officer] intentionally grabbing, pushing, or pulling [the plaintiff’s]
    shoulder—after he was handcuffed and after [the plaintiff] informed [the officer]
    that he had a sore shoulder—and forcing him to the ground by intentionally
    applying stress to the shoulder”). The relatively minor nature of the injury—a
    muscle strain accompanied by “excruciating pain”—does not, on this record,
    compel a conclusion that the detention officers’ conduct was obviously unlawful.
    It bears repeating that “generally no bright line exists for identifying when
    force is excessive; we have therefore concluded that unless a controlling and
    materially similar case declares the official’s conduct unconstitutional, a defendant
    is usually entitled to qualified immunity.”      
    Priester, 208 F.3d at 926
    .      No
    “materially similar case” declares the detention officers’ conduct unconstitutional,
    and the broad principles of law on which Johnson relies do not apply with
    “obvious clarity” to the specific situation facing the detention officers.       See
    
    Vinyard, 311 F.3d at 1351
    .
    Because Johnson has not shown that the detention officers violated a clearly
    established right in the specific context of this case, we affirm the grant of
    qualified immunity to Revels, Bailey, and Davis.
    B.    Supervisory Liability of the Sheriff under § 1983
    20
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    Next, Johnson contends that Sheriff Conway is liable as a supervisor
    because a reasonable jury could find a causal connection between the use of
    excessive force against him and the jail policy allowing detention officers to
    discipline detainees for refusing to sign a medical form that they have a right to
    refuse to sign.
    Supervisors cannot be held liable under § 1983 on the basis of vicarious
    liability or respondeat superior. Keith v. DeKalb Cty., Ga., 
    749 F.3d 1034
    , 1047
    (11th Cir. 2014). “Instead, to hold a supervisor liable a plaintiff must show that the
    supervisor either directly participated in the unconstitutional conduct or that a
    causal connection exists between the supervisor’s actions and the alleged
    constitutional violation.” 
    Id. at 1047–48.
    A plaintiff may prove such a causal
    connection in several ways, including, as Johnson claims here, when the
    supervisor’s policy or custom results in deliberate indifference to constitutional
    rights. 
    Id. at 1048.
    The standard for holding a supervisor individually liable for
    the actions of a subordinate is “extremely rigorous.” Cottone v. Jenne, 
    326 F.3d 1352
    , 1360 (11th Cir. 2003).
    To establish deliberate indifference of a supervisor, the plaintiff must show
    that the supervisor disregarded a known, substantial risk of harm to an inmate. See
    
    Keith, 749 F.3d at 1047
    –48. Johnson claims that the Sheriff’s policies created a
    risk that excessive force would be used in circumstances where no discipline
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    should even have been imposed. But the jail policies themselves do not authorize
    discipline for refusing to consent to medical treatment or authorize force, let alone
    excessive force, when a detainee exercises the right to refuse medical treatment.
    Moreover, Johnson has produced no evidence establishing Sheriff Conway’s
    subjective knowledge either that the policies permitted discipline for exercising a
    right or that such discipline would be carried out with excessive force, in violation
    of the Use of Force policy. See 
    id. at 1049.
    As far as the evidence in this case
    shows, this was an isolated and unusual incident where a detainee refused to
    provide written consent after medical staff had administered a necessary test for
    tuberculosis as part of the jail’s intake procedures.
    Because Johnson has not shown that the Sheriff was subjectively aware of a
    substantial risk that excessive force would be used against inmates simply for
    exercising their right to refuse medical treatment, he has not established that the
    Sheriff was deliberately indifferent to his constitutional rights.4                  Accordingly,
    Sheriff Conway is not liable as a supervisor under § 1983, and we affirm the grant
    of summary judgment in his favor.
    4
    We note, however, that the jail’s policies may now be constitutionally suspect in one
    respect. In Jacoby v. Baldwin County, 
    835 F.3d 1338
    (11th Cir. 2016), we held that pretrial
    detainees may not be placed in disciplinary segregation without first having been afforded a due-
    process hearing. 
    Id. at 1347–49.
    Thus, Johnson’s immediate transfer to solitary confinement
    after being charged with a disciplinary infraction appears to contravene the holding of Jacoby.
    Nevertheless, Johnson does not raise a due-process claim in this appeal, and, as Jacoby makes
    clear, the law in this regard was not clearly established at the time of the incident. So, even if he
    had raised such a claim, the Sheriff (along with the detention officers acting pursuant to that
    policy), would still be entitled to qualified immunity.
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    C.    Battery under Georgia State Law
    Finally, Johnson argues that reasonable jurors could find that Revels, Bailey,
    and Davis committed a battery against him. The defendants respond that they are
    entitled to official immunity under Georgia state law.
    Georgia law provides state officers and employees with “official immunity,”
    which means that they are generally “immune from individual liability for
    discretionary acts undertaken in the course of their duties and performed without
    willfulness, malice, or corruption.” Reed v. DeKalb Cty., 
    589 S.E.2d 584
    , 587 (Ga.
    Ct. App. 2003). An arresting officer is not liable unless he “act[ed] with actual
    malice or with actual intent to cause injury in the performance of [his] official
    functions.” Ga. Const. Art. 1, § 2, ¶ IX(d); 
    Reed, 589 S.E.2d at 588
    . “Actual
    malice” means “a deliberate intention to do wrong.” Merrow v. Hawkins, 
    467 S.E.2d 336
    , 337 (Ga. 1996).
    Here, the detention officers are entitled to official immunity. As discussed
    above, Bailey and Davis were permitted to use some degree of physical coercion
    during the process of transporting Johnson for a disciplinary violation, and the
    record does not support a finding that these officers acted with a deliberate
    intention to do wrong or cause harm. Moreover, Johnson’s testimony reflects that
    Revels did not use any force against him, so his state of mind is largely irrelevant;
    but even if it were relevant, Revels’s comments reflect “frustration, irritation, and
    23
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    possibly even anger,” which are generally “not sufficient to penetrate official
    immunity.”       Selvy v. Morrison, 
    665 S.E.2d 702
    , 706 (Ga. Ct. App. 2008).
    Accordingly, we affirm the district court’s grant of summary judgment on this
    claim.
    IV. Claims against Medical Defendants
    Finally, Johnson asserts that the district court at trial erroneously instructed
    the jury that expert testimony was necessary to establish the element of causation
    for his medical-negligence claim that Nurse Fajardo administered the PPD test for
    tuberculosis without his consent. Because the “element of causation turned solely
    on a simple fact question of consent,” Johnson argues, there was no need for expert
    testimony and the jury may have been misled by the instruction.
    Rule 51, Fed. R. Civ. P., governs objections to jury instructions and
    preserving a claim of error for appeal. For an objection to be timely under Rule
    51, it must be made “before the instructions and arguments are delivered.” See
    Fed. R. Civ. P. 51(b)(2) & (c)(2)(A). “We interpret Rule 51 strictly, and require a
    party to object to a jury instruction or jury verdict form prior to jury deliberations
    in order to preserve the issue on appeal.” Farley v. Nationwide Mut. Ins. Co., 
    197 F.3d 1322
    , 1329 (11th Cir. 1999) (emphasis in original). That requirement ensures
    that the trial judge has an opportunity to correct any error before a jury has begun
    its deliberations. 
    Id. “A party
    who fails to raise an objection to a . . . jury
    24
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    instruction prior to jury deliberations waives its right to raise the issue on appeal,”
    unless the appellant can satisfy plain-error review. 
    Id. Reversal for
    plain error in this context “will occur only in exceptional cases
    where the error is so fundamental as to result in a miscarriage of justice.” 
    Id. (internal quotation
    marks omitted) (emphasis omitted). The appellant must prove
    that the challenge instruction was an incorrect statement of law and that it likely
    affected the outcome of the proceedings. See 
    id. at 1329–30.
    Moreover, “[w]e
    repeatedly have held that we will not find that a particular instruction constitutes
    plain error if the objecting party invited the alleged error by requesting the
    substance of the instruction given.” 
    Id. at 1331
    (internal quotation marks omitted)
    (alteration adopted).
    Plain-error review applies because Johnson did not timely object to the
    challenged instruction before the beginning of jury deliberations. See 
    id. at 1329.
    And this is not an “exceptional case” in which “the error is so fundamental as to
    result in a miscarriage of justice.” 
    Id. For starters,
    Johnson’s counsel appears to
    have jointly submitted the negligence instruction, and he expressly conceded that
    the instruction was an accurate statement of the law. Nor, upon first raising the
    issue, did counsel ask the court to take any corrective action.             Such actions
    arguably amount to invited error.
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    More importantly, we agree with the medical defendants that the record
    gives no indication that the instruction had any prejudicial effect at trial. The
    verdict in favor of the medical defendants on the battery claim required the jury to
    find that Fajardo had not administered the test without Johnson’s consent. See
    Prince v. Esposito, 
    628 S.E.2d 601
    , 603 (Ga. Ct. App. 2006) (“An action for
    battery arises in the medical context when a medical professional makes
    unauthorized contact with a patient during examination, treatment, or surgery. A
    patient who consents to a medical touching, however, cannot sustain a battery
    claim.”) (footnotes and internal quotation marks omitted). That finding would
    likewise preclude Johnson from prevailing on his claim for medical negligence
    based on a lack of consent. Accordingly, Johnson has not established plain error
    based on an erroneous jury instruction.
    V. Conclusion
    For the reasons stated, we affirm the grant of summary judgment to the
    County defendants (Revels, Bailey, Davis, and Sheriff Conway). We likewise
    affirm the judgment in favor of the medical defendants (Fajardo and Corizon).
    AFFIRMED.
    26