Susan Mulderick’s Command
Five Days at MemorialSusan Mulderick’s path from trusted emergency leader to contested decision-maker traces the burdens and ambiguities of authority at Memorial.
increasing
Bearing strength in each event
decreasing
The Experienced Manager

The Experienced Manager
Years at Baptist
Susan Mulderick had spent decades at the hospital and led nursing departments through major institutional change. Her experience made her a natural figure of authority during a hurricane.
Preparedness Responsibility
She chaired emergency planning and had managed an earlier storm scare. Yet the hospital’s plans did not prepare her for the combination of flooding, power failure, and evacuation that followed.
Incident Commander

Incident Commander
Taking Charge
When windows broke and the storm damaged the hospital, Mulderick directed staff, moved patients, and relocated the command center. Her authority came from both her role and decades of institutional knowledge.
Growing Responsibilities
After floodwater surrounded Memorial, she had to coordinate scarce resources and consider the safety of patients, staff, and families. The job became larger than the plans she had inherited.
The Evacuation Order

The Evacuation Order
Survival Decisions
Mulderick told colleagues the hospital expected deep floodwater and that evacuation might be necessary. She helped mobilize transport and passed information to Tenet executives.
Authority Without Control
She could direct staff inside Memorial but could not command aircraft, outside agencies, or corporate resources. The distinction between responsibility and actual control grew increasingly stark.
A Disputed Request

A Disputed Request
Comfort or Hastened Death
Mulderick later said she had asked Anna Pou to relieve suffering. Other witnesses interpreted remarks about euthanasia and patient survival differently.
A Central Question
Whether Mulderick’s words authorized, encouraged, or merely sought comfort care remained disputed. Her leadership gave the conversation significance even though she denied intending to hasten death.
After the Hospital

After the Hospital
Legal and Public Scrutiny
Mulderick faced questions from investigators and media while dealing with the trauma of the evacuation. She denied discussing euthanasia and said her focus had been getting everyone out.
A Reputation Contested
Colleagues and families interpreted her conduct differently. The case exposed how a crisis leader could become the focus of blame for decisions made in a fragmented system.
Before August 2005
August 29, 2005
August 30, 2005
September 1, 2005
2005–2007