An A4-size piece of paper containing similarly jumbled handwritten notes was also found in the diary, the court heard.
One sentence read: 'I killed them. I don't know if I killed them. Maybe I did. Maybe this is down to me.' [...]
Other words appearing on the A4 paper were 'foreign objects', 'slander', 'tired', 'crime number', 'diagnosis compromised', 'risk factors' and, repeatedly, 'help me'. [...]
An annual leave request form from Letby - covered with untidily written jumbled words - was found in a blue folder of papers during the office search, the court heard.
Hearts were doodled on the form along with random words 'Tigger', 'Smudge', 'Bergerac' and 'Help Me'. [...]
Six pages of medical notes of children unrelated to the trial were found at her parents' home on the same date.
A total of 257 handover sheets were recovered during searches in the investigation, of which 21 included the names of babies she is alleged to have harmed.
Letby (pictured), originally from Hereford, was first arrested in July 2018 on suspicion of attacking infants in her care - two years after she worked her last shift at Chester Hospital's neo-natal unit.
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