It is wrong to be responsible for three people dying.
Karen is a nurse who is very tired but has three new patients in the ICU who need to be put on ventilators, or they will die.
Karen wants to feel more awake.
Karen puts on loud music while she hooks the new patients up to ventilators.
Karen drives home and takes a nap, waking up refreshed while the the new patients suffocate to death.
Karen is congratulated by the ICU chief for saving the lives of the three new patients.
Karen is fired and arrested for manslaughter due to medical negligence.