Chapter 181 Angel of Death: Suspect
At the morning meeting, Mu Mian reported the autopsy results of the deceased Sun Guanghua.
"Sun Guanghua's cause of death was artificial injection of insulin, which produced resistance to other drugs in the body, causing the deceased's blood sugar disorder." Mu Mian paused and explained, "But the deceased did not have diabetes, and the doctor did not prescribe insulin for him."
Mu Mian continued, "We detected insulin in the drip bottle provided by the deceased's family, and the concentration of insulin is not low." Fang
Rui said, "There is a patient with diabetes in that ward. Could it be that the nurse made a mistake in their medication?"
Chen Xue retorted, "Although short-term insulin can be injected intravenously, hospitals rarely use intravenous injections. They are usually injected subcutaneously.
We have investigated and found that another patient in the ward had insulin injected subcutaneously, so the probability of getting the wrong medication is very low."
Xiao Zhang sighed, "So is this a medical accident or deliberate murder?"
After Sun Guanghua's attending physician Zhang Yingying learned the cause of Sun Guanghua's death, she was shocked: "I didn't prescribe insulin for him. How could there be abnormal insulin in his body?"
"What medicine did you prescribe for her?"
Doctor Zhang printed out the list of prescription drugs and handed it to Fang Rui and Mu Mian.
"Who was the nurse responsible for giving Sun Guanghua the injection that night?"
"Li Xiaolan. We were afraid that the family would cause trouble for her, so we let her take a leave for the past few days. If you want to question her, I can call her over."
Doctor Zhang added, "But this matter should have little to do with Li Xiaolan. The intravenous injection drugs are uniformly delivered by the Intravenous Medication Centralized Dispensing Center. If there is a problem, it is their responsibility. Police comrade, you should investigate them first."
Fang Rui and Xiao Zhang went to the Intravenous Medication Centralized Dispensing Center to understand the situation.
The dispenser there felt very aggrieved: "We dispensed the medicine according to the doctor's prescription. There was no mistake in the whole dispensing process. Insulin could not have been contained in it. Insulin is rarely injected intravenously. We could not have made such a low-level mistake. There are surveillance systems here, so you can check.
It is possible that the medicine was replaced during the transportation to the inpatient department, or it could have been replaced at the nurses' station."
The ball was kicked back to the inpatient department.
Doctor Zhang speculated: "Could it be that the patient's family injected insulin into the deceased, and then added insulin to the medicine bottle, deliberately framing our hospital and asking us for compensation? Insulin is not a controlled drug and is easy to buy. What if the family directed and acted it themselves?"
Fang Rui retorted: "When the deceased died, his family was not in the hospital, and the nurse was taking care of him."
"Could it be that the nurse deliberately..."
Fang Rui interrupted: "If the patient dies, the nurse's job will be gone, and he will have to find a new employer. What good will this do him? There are other nurses in the ward. If he tampers with the medicine, it will be easily discovered."
Fang Rui and his team have already investigated this nurse as soon as possible. This nurse has taken care of many paralyzed patients in bed. He is a professional nurse with a good reputation. Most of the patients he had taken care of died of natural causes after giving up treatment and being taken home by their families. Therefore, the motive and possibility of the nurse to kill people are not high.
This nurse is also unlikely to be the serial killer, because he only took care of this one patient in the past six months.
Doctor Zhang was speechless.
Fang Rui asked again: "Who was the nurse who went with you to Ye Jianmin's home for a home consultation?"
"Li Xiaolan. What does this have to do with Ye Jianmin?" Doctor Zhang asked puzzledly. She didn't understand why Fang Rui always mentioned that poor household.
"Call Li Xiaolan over, we have something to ask her."
Doctor Zhang asked the head nurse to call Li Xiaolan and ask her to come to the hospital to cooperate with the investigation.
The hospital also immediately initiated the medical accident investigation procedure.
Fang Rui asked nurse Chen Shu again. She was Xiao Wang's girlfriend, whom they had met before at a dinner party.
"Captain Fang, forensic doctor Mu." Chen Shu greeted Fang Rui and Mu Mian warmly.
She was cute, with big, beautiful eyes and a smile on her face. She was an outgoing girl. Mu Mian had a good impression of her.
Fang Rui asked, "Nurse Chen, are you responsible for the patient in bed 18?"
"Yes. Li Xiaolan and I are in the same group, and we take turns. This week I'm on the day shift and she's on the night shift." Chen Shu said.
"How is Li Xiaolan's work ability?"
Chen Shu said, "She has a good personality, she is carefree, talkative, and patient with patients. She gets along well with the nurses and patients in the ward.
That's right, she is a little careless. She almost caused a medical accident because she gave the wrong medicine. Fortunately, the head nurse found it. She was punished for it. If she was not a relative of the dean, she would have been fired long ago."
Other nurses also complained that Li Xiaolan's work ability was not strong and she was always complained about.
The head nurse said, "Last time we asked her to draw blood from a patient for blood gas analysis, she tried five times but couldn't find the artery, and was scolded by the patient's family. Anyway, she often has problems and is not very reliable."
Chen Shu helped to explain, "The patient was too old and it was difficult to find the veins, so it's not her fault."
"Then how can we find it? She just doesn't have the ability to work. This time she actually injected insulin into a patient whose blood sugar was already low. How is this different from intentional homicide?"
The hospital specially found an office to let Fang Rui and the medical accident investigation team question her.
Li Xiaolan is a very young nurse who has only graduated for a year. When she heard that the police wanted to question her, she was panicked.
She explained in a tearful voice: "Police comrade, I don't know what happened, he just became like that suddenly. I immediately went to find the doctor on duty..."
"Describe the situation at that time."
"That night at about three o'clock, the nurse suddenly rang the bell and said that the patient had an abnormal condition, so I immediately went to find the doctor on duty. The doctor on duty said to test the blood pressure and blood sugar first, and draw blood for routine blood tests. After I tested the blood sugar, I found that the patient's blood sugar was very low. The doctor said to give him some glucose, so I did it. I did everything according to the instructions of the doctor on duty."
The doctor on duty said: "Yes, I said so, but who knew she was stupid enough to add insulin to the infusion bottle."
"No, I didn't add insulin! I'm not ignorant. The patient had hypoglycemia, so why would I give him insulin? And the doctor didn't prescribe this medicine. Where did I find insulin to add it? Someone must have framed me!"
The doctor on duty rolled his eyes, "That's not necessarily true. You've made low-level mistakes more than once or twice. You've done all kinds of stupid things."
Li Xiaolan cried aggrievedly, "I had just graduated at that time, and you didn't teach me. How could I not make mistakes? I rarely make mistakes now."
Fang Rui asked, "Are there any other people who can touch the infusion bottle?"
"The nurses at the nurses' station can."
The police investigated the hospital's drug delivery process. The dispensing center will prepare the drugs for the day at around nine o'clock in the morning and send them to the nurses' station.
The prepared drugs are placed in the room of the nurses' station, and the nurses can touch them. In other words, the nurses in this department have the opportunity to touch these drugs and exchange them.