12:13pm
Child L's blood sugar reading at 10pm is 2.3.
A colleague of Letby, Belinda Simcock, messages her at 10.11pm: "Thanks for listening, I'm ok x"
Letby: "Don't need to thank me, glad you felt able to tell me..."
Child L's blood sugar reading at midnight is 2.1, and remains "low" at 2.1 at 2am.
A long line is inserted, with an x-ray taken, and medication administered.
The blood sugar reading at 4am is 2.3, and 2.2 at 6am.
The glucose is further increased, but the blood sugar reading "remains stubbornly low" at 2.2 at 7am.
It remains at 2.2 at 9am.
Letby reeives a message from Yvonne Farmer asking if she wanted to do more overtime shifts on Sunday night, Monday day or Monday night, appreciating she may be tired, with Letby responding: "Sorry but need some days off now."
She adds she could be on call for nights, and would be free for Thursday day/night shifts.
Child L's blood sugar reading at 2pm on Sunday had "normalised" at 3.0.
12:16pm
Letby refers to her previous shifts as "not nice" in a message to Jennifer Jones-Key.
Jennifer Jones-Key says Letby 'hasn't got many nights' coming up on the rota, adding she likely won't see Letby as she works mainly nights herself.
"We never see each other if we do work together as always mad shifts".
12:26pm
Child L was still receiving 15% dextrose through the afternoon of Sunday.
A nursing note made by Laura Eagles that afternoon records: "Blood sugars maintained...remains on 15% dextrose via long line...very unsettled at times."
The family had been kept updated of the situation, according to a family communication note.
Child L's blood sugar levels were "normal" at 2.8 at 5pm.
Samantha O'Brien becomes the designated nurse that night for Child L, and the 15% dextrose administration continues through the night.
The blood sugar levels are 2.7 at 9pm, 2.9 at 11pm, 2.7 at 2am.
Samantha O'Brien, in her nursing note, records: "...1% glucose infusing via long line in left leg,. 3 hourly blood sugars, all have been above 2.6 so far this shift. Plan to continue [current medication administration]...
"Baby unsettled at times, settles with comfort measures."
The blood sugar level is 2.9 at 5am on Monday, April 11.
Letby messages a colleague at 8.45am, saying: "The unit is in dire way with staff," highlighting which trained staff were on duty and who else was on in the last shift, and who was off at that time.
A colleague replies, in her message: "that's terrible"
Letby replies the overall situation was "not good", "mad and poor skill mix".
12:31pm
Child L's blood sugar readings are 2.8 at 11am.
Dr Huw Mayberry, in a clinical note, records the feeds/fluids for Child L, which were increased due to low blood sugar and falling sodium levels.
Child L's blood sugar at 3pm is 3.5, remaining at 3.5 at 5pm.
Nurse Belinda Simcock said registar Mayberry was aware of the 3.5 readings, and if they continued to remain above three, then feeds would be increased.
The blood sugar increases to 4.7 at 7pm.
12:32pm
Child L continued to be cared for at the hospital's neonatal unit until May 3, and was then discharged.
12:36pm
The court is now hearing a statement from the mother of Child L and Child M, who had had a "routine pregnancy" until a stage when she was "not well".
She recalls being "surprised and shocked" at being told she had to be admitted to hospital.
She stayed there for 15-17 days and was asked if she was going to deliver naturally or via a C-section. Staff had looked through her file and were "worried", so the decision was made for the birth to take place, via c-section, on April 8.
The babies, weighing 3lb each, looked "very nice".
The family were taken to the neonatal unit to see them in room 1 the following day and the family were "happy", and at that time it was not known what they were going to be called - deciding on the names a week later.
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more, is…
www.chesterstandard.co.uk
