even failing her daughter and her son.
The killing continues
Babies continued to die on her 3pm - 11pm shift and it became known as The Death Shift. One nurse drew up a chart showing the number of mortalities on the late shift and took it to her superior, but the superior decided the death rate was not unreasonable. After all, it was an intensive care ward. Some of the nurses who directly or indirectly challenged Genene would later find threatening anonymous notes in their lockers at the hospital - Genene was known as a formidable enemy.
Then a three-week-old baby, Rolando, was admitted with possible pneumonia. Within six days of Genene’s care he had two heart attacks, two seizures and episodes where he urinated uncontrollably. The doctors stabilised him and for three days he grew stronger. Then Genene took over his care again and within hours he was bleeding from various injection sites. This bleeding would start, then stop, then start again, to the other nurses dismay.
A doctor sent the child’s blood for analysis and it came back saying that the blood contained heparin, an anti-coagulant. Shocked and bewildered, the man spoke to various nurses, trying to find out if this was an accident.
They again stabilised the baby but the next day, on Genene’s shift, he started to bleed from his eyes, mouth, nose, ears, rectum and even his penis. Fearingthat heparin was implicated again, the doctor injected its antidote. Genene left the room looking displeased. The doctor persevered with his hunch but found he had to inject even more antidote as the baby had been contaminated with a colossal amount of heparin, well over a hundred times the safe dose. The doctor then had Rolando removed to a different part of the hospital where he rallied within four days and was allowed to go home.
Another child died in Genene’s care and she baptised it with water from a syringe. (She told her colleagues that she placed great value on running a good Christian household.) Other nurses noted that Genene insisted on carrying each dead baby in her arms to the mortuary, wailing the entire time.
By now the hospital authorities were conducting an internal investigation. When yet another of her patients died unexpectedly a new member of the medical team withdrew blood, intending to send it for toxicology reports. A nurse fitting Genene’s description offered to take the blood to the lab for him. Needless to say, it never arrived.
As babies continued to die, the hospital admitted to themselves that they had a staffing problem but decided they didn’t have enough evidence to implicate any one person. They therefore decided to get rid of all of their Licenced Vocational Nurses and instead employ only more qualified Registered Nurses in the PICU.
Genene was let go - but given a good reference. Some doctors had found her histrionic and said that both she and her family had problems of instability, but this information wasn’t passed on to her new employer.
A new start
Genene’s new boss was called Kathleen Holland. The two women had worked together very briefly in a hospital environment before and Kathleen had been impressed at how well the LVN responded to a Code Blue emergency, fighting to save each dying baby. Now Kathleen was setting up her own private pediatric clinic in Kerrville, Texas and asked Genene to be her nurse.
The move to Kerr County Clinic also involved Genene moving house and Kathleen offered to rent her house space. Genene and Kathleen were joined by Genene’s two children, now aged nine and five, and by a pregnant friend of Genene’s who babysat full time. The nurse spent her few leisure hours trying to make the place look homely and seemed full of admiration for Kathleen, a qualified pediatrician. Kathleen had the credentials and the authority that Genene herself pretended to have and clearly craved.
Genene was now given a badge that said Pediatric Clinician and revelled in this grandiose title. She would later act so
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