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Yes, it is partially this. They didn't use what was on hand because of inventory control, but they didn't care enough to buy some and sneak it into the scenario. This isn't some sort of thought out heist or something. They are most likely an addict and this is a quick easy way to get drugs while being not very likely to make things more suspicious. Users inject with tap water all the time, it is super rare for the tap water to be the reason for infection and other medical complications. So she probably didn't even realize this could be a possibility.
If it's that rare, I think the obvious inference is that she pulled the same shit on a lot more patients than just the 10 who died.
Oh guaranteed. Depending on how long her addiction out paced her income it could be 100s of patients or, maybe, dozens of patients 100s of times.
I may buy this idea for any ordinary junkie, but this is a nurse. If a nurse doesn’t know understand the need for injected things to be sterile, I’d say there’s an even bigger problem than a junkie killing people.
I have had nurses tell me shit that demonstrates a massive ignorance of what I would assume would be basic knowledge for a nurse in my life. I would not doubt that there are tons of nurses out there that think tap water, while not as stringently regulated as IV prepped fluids, would be fine. I have seen many people use for decades and none of them had this happen. All of those people primarily used tap water. Every time someone had an infection, or other disease, it was from re-used needles that weren't sanitized.