Wettlaufer was called 'angel of death' by colleague, public inquiry hears

Elizabeth Wettlauferwas referred to as an "angel of death' while she worked at a Woodstock, Ont., nursing home,a former colleague told a public inquiry on Wednesday.

"Bethe would spend a lot of time with palliative patients, and someone overheard her telling a patient, 'It's OK to die,'" nurse Karen Routledgesaid.

"I didn't think that was an appropriate thing to be telling a patient. It's not a nurse's place."

Counselling patientson death should be left to families, not nurses, shetestified.

Although Routledge said she never called Wettlauferan "angel of death," she knew of another nurse or personal support worker at the Caressant Care nursing home doing so.

A lawyer representing several of the families of Wettlaufer's victims, Alex Van Kranlingen, said the morbid moniker is just another signthat red flags were missed over the years at the Caressant Care nursing home.

"I think what is happening here is that we are starting to add up all the pieces. Any individual piece alone may not trigger anything but, certainly, the accumulation of them would have shown that there is a large problem at this home," he said.

There was no immediate indication from Routledge'stestimony that anyone knew Wettlaufer was poisoning people.

Wettlaufer killed seven people while working at Caressant Care for seven years. Her crimes went undetected.

Routledgeis a registered nurse who worked withWettlauferand acted as her union representative during frequent meetings aboutWettlaufer'sabsenteeism, tardiness, treatment of staff and patients, and medication errors.

There wasn't much to stop nurses from tampering with insulin doses at the Caressant Care home in Woodstock, Routledgetold thepublic inquiry Tuesday.

"At Caressant Care, there was no double-check on insulin," said Routledge. "Physically, geographically, there was one nurse on second floor for 32 residents, you didn't have that availability of another registered staff."

The insulin was kept insidelocked medication rooms, but nurses like Wettlaufer had full access. There was no system of oversight to make sure nurses gave the right dose to patients.

Routledge will continue her testimony at the public inquiry today.

Coroner didn't investigate deaths

Routledgealso testified Tuesday that the coroner didn't do an autopsy on one of Wettlaufer'svictims, Maureen Pickering, 79, even though her symptoms were sudden.

The coroner was told but didn't seem concerned, so the death was not listed as "sudden or unexpected."

Wettlaufer's killing spree began in 2007 and continued until 2016, when she finally confessed to a psychiatrist and a social worker. Until then, her employers, police and Ontario's licensing body for nurses had no idea eight patients had been murdered and six more poisoned all with injections of massive doses of insulin.

Colleagues to testify

Wettlaufer confessed her killing spree to a social worker and psychiatrist and was charged. She pleaded guilty in court to the murders and attempted murders and was sentenced June 26, 2017, to life in prison with no chance of parole for 25 years.

The inquiry will hear from another colleague of Wettlaufer's and from the president of a home-care company where Wettlaufer worked after leaving Caressant Care.

There are 17 groups or organizations with standing at the inquiry, including the profession's union, the Ontario Nurses Association, and theCollege of Nurses of Ontario, the profession's regulatory body.