WINSTON-SALEM, N.C. (WGHP) — Warrants go into more detail about what led to the arrest of a former nurse accused of killing at least two patients and attempting to kill a third with high doses of insulin.
Johnathan Hayes is accused of killing two women and attempting to kill another between December 2021 and January 2022 while he worked at Atrium Health Wake Forest Baptist and search warrants are going more into depth about what happened
The warrants state that, in March of 2022, detectives met with staff from Atrium Health Wake Forest Baptist in March, where they told detectives about what they believed were suspicious circumstances around the deaths of two patients.
The death of Gwen Crawford
Gwen Crawford died in intensive care on Jan. 8 after a hypoglycemic episode on Jan. 5. Warrants state that her blood was drawn and doctors verified that she had been given over 100 units of insulin.
The morning of Crawford’s episode, Hayes drew up 12 units of insulin for Crawford, which is “generally accepted” as being the highest dose of insulin given to an average patient by nursing staff, despite notes from the prior shift indicating her blood sugar had been normal and Crawford having not needed external insulin since Dec. 31, 2021.
“Medical professionals present at this meeting could offer no explanation as to why anyone would administer such a high dosage of insulin to a patient,” warrants said.
He was seen on camera taking a full vial of insulin, 300 doses, from the medicine room. When asked about the amount of insulin and he claimed he “wasted” the vial, disposing of it in the sharps container. Surveillance did not corroborate Hayes’ claim.
He made a written statement at the time acknowledging that he “may have accidentally given Crawford insulin that was meant for another patient.”
The death of Vicky Lingerfelt
Vicky Lingerfelt was a patient in January 2022, and she had a hypoglycemic episode on Jan. 22, dying on Jan. 28. When her blood was drawn, a doctor verified that her death resulted from the application of over 100 units of insulin. Lingerfelt was not diabetic and had no orders to receive insulin for any reason.
While Hayes was not the primary nurse for Lingerfelt on that day, he helped move her to a new bed earlier in the day. Lingerfelt’s hypoglycemic episode happened while her primary nurse was on lunch.
Hayes was seen on video again removing a full vial of insulin from the medication room, documenting that he needs 12 units for a different patient, and hours after her event he allegedly accessed her medical chart, which he would have no reason to do.
The assault of Pamela Little
On April 12, 2022, detectives were made aware of a third patient that suffered a hypoglycemic episode, Pamela Little.
Her episode was on Dec. 1, 2021. She was under the care of Hayes at the time of her episode and warrants state that he pulled insulin for Little, but noted in the chart that the insulin was not provided. However, she suffered a hypoglycemic episode within hours.
She was moved out of the hospital.
Detectives spoke with Little on May 3, 2022, about the episode. She confirmed that she was a type 1 diabetic and she only knew of one time she had received insulin at the hospital, from a female nurse, but that she normally didn’t take insulin. She told detectives that she was “scared of a male nurse because he was sneaky.” She said she saw him two times before her attack and said she saw him put a white pill in her IV line, but he removed it when another nurse came into the room.
Little did not recall the name but gave a description that approximately matched Hayes.
Little passed away two days after speaking with detectives, on May 5, 2022.
Hospital investigation
“Further investigation by hospital staff generated the following information about Johnathan Hayes and his usage of insulin within Atrium Health Wake Forest facilities,” according to the warrants.
Hayes was found to be the top insulin dispenser in the facility by seven times the facility average, and the highest user of insulin by any employee over a three-month period and there were discrepancies over Hayes’s record keeping.
“It was explained to detectives that insulin is a ‘high alert’ medication, thus prompting additional steps to monitor its use,” warrants said. “It was further explained that in a ‘high alert’ medication, it is requested that the administering professional draw the medication and have the type of medication and the dosage amount verified by another nursing professional. This is known as the dual verification process implemented by hospital administration.”
Detectives were told that Hates had properly documented “high-alert” medication but improperly documented it in one instance.
“This demonstrates that Johnathan Hayes is aware of how to properly document the use of these ‘high-alert’ medications, as well as his willingness to not properly document their usage.”
Hayes’s employment records showed that his resume stated he had worked, in the past 20 years, at Baptist Hospital, Novant Health, High Point Regional Hospital, Moses Cone Wesley Long Hospital, Iredell Memorial/Davis Regional Hospital and Wayne Memorial Hospital among others.
Hayes interview
Detectives interviewed Hayes, who said that he did not remember giving Crawford insulin, as she didn’t need any. He allegedly said that Crawford was “very sick” and “needed to go,” but said later he meant she needed to be transferred to the ICU.
He said he drew up the insulin for Crawford before checking records that indicated she didn’t need it and would have “wasted” the insulin as a result.
Hayes claimed most nurses pull medications for patients without checking to see if they’re needed and claimed he did not know he was supposed to use “dual verification,” which contradicts his proper use of documentation in the past.
He told detectives that “he had never given the wrong patient medication in his 20-year career. Johnathan Hayes also stated that he did not remember taking out full vials of insulin on each of these dates but stated that he had been shown a video of doing so by Risk Management.”
When he was told that 100 dosage units were given to Crawford, he responded that it was “an incredible amount” that would have had to have been administered intentionally. He denied that he injected Crawford and Lingerfelt with insulin.
Hayes also said that “it would be extremely rare that a nurse would access medical records of a patient not under their care,” denying that he accessed Lingerfelt’s records the day she had her emergency and then claimed he “may have checked to see if she ‘needed a bag'” when confronted with evidence that he had in fact accessed the records.
Then he claimed that Lingerfelt’s sister had caused her episode as they had allegedly been arguing that day. Lingerfelt’s sister works as a nurse practitioner near Lake Norman.
“Hayes stated he would not have killed somebody and he would not have tried to kill somebody,” but when asked about those two patients he allegedly said, “I guess I gave it to her, that would make sense.”
Then when pressed to tell the truth, he allegedly said that if it “made it right, then he did it” and that he “guessed he did it.”
The warrants claim that Hayes said, “If it would make it right for these people and their families to have someone to pin it on, he could live with that.”
Electronics seized
While reviewing electronic devices seized from Hayes’s home, he had texted his wife a message on March 2, 2021, that he’d sent his own fecal matter to get analyzed under a patient’s name to “see if he had worms.” He didn’t.
He also send a picture of a dead man to his wife, saying he wanted to say goodbye to his “old friend who passed away that morning” on April 4, 2021.
On Dec. 1, 2021, he sent a picture of a patient’s penis, saying he was a “dirty mess” and commenting on the patient’s smell.
There were also pictures of 25 patients’ hospital wristbands found on his phone.
A rehire eligibility request for Novant Health, dated Feb. 23, 2022, was found on his computer, and there was a condition of employment notice for Novant Health dated March 9, 2022. He had worked there from 2018 to 2020 and said he left because of a “misunderstanding” about education hours and time-clock issues, and he claimed he “had trouble scanning medications on time.”
Warrants were issued on Oct. 25, 2022, after both victims were exhumed and medical examiners noted the manner of death for both women was homicide. Hayes was charged with two counts of murder and one count of attempted murder.
