"8.10am – LL made a nursing note: ' noted to be pale in cot by myself at 03:20hrs … apnoea alarm in situ and had not sounded. On examination centrally white, minimal shallow breaths followed by gasping observed.'"
This is a very interesting nursing note.
She's recorded the events as the designated nurse says they happened.
"and had not sounded", shows (without a shadow of a doubt IMO) that she knew that the apnoea/not breathing event happened before she noted the pallor from the doorway.
There's no reason to make a record of an alarm not sounding before the event that would make it sound. She wouldn't know that unless she already knew baby I stopped breathing before she noted she was pale.
This is the second time in 3 weeks (baby G, 21 Sep) that she discovered babies requiring resuscitation without alarms sounding, while not reporting it to managers, and not mentioning it to her friend when she texted her about baby G.
All MOO