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Daniela Poggiali, 42, was initially charged with murder over the unexpected death of an elderly patient.
Rosa Calderoni had been admitted for a routine illness, but a post-mortem examination found high levels of potassium in her bloodstream.
But prosecutors believe Poggiali, from Lugo in northeastern Italy, killed more patients she found hard to treat or those with difficult relatives.
Police are reviewing 37 other deaths, with 10 of those described as “very suspicious”.
A prosecutor on the case, Rossella Materia, claimed the suspect is a sadist “who draws pleasure in provoking the death of the patients in her care”.
Since Poggiali’s arrest, a colleague described her as a “cold person who was always eager to work”.
Another co-worker has made further allegations about the nurse, claiming that she gave strong laxatives to patients as her shift ended to make work more difficult for the nurses taking over.
What do you think of this whole situation. This is absolutely disgusting in my opinion. This woman makes me sick.
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