UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #21

[katydid23]

12:26pm
The neonatal schedule for February 16-17 is shown to the court.

Letby is involved in the care of her two designated babies up to 12.30am, plus a baby in room 1 at 12.51am, 'assisting with cares'.

Letby cares for her designated babies up to 2am, and assists in the medication of a fourth baby at 2.04am and 2.14am.

The chart shows Letby's records with her designated babies up to 3.30am, when - at that time - observations are made and a feed given to one of the designated babies.

Letby says 3.30am would be a "rough time" of when it happened. The feed, observations, and a nappy change, could take half an hour - the quickest '20 minutes', the longest "up to an hour".

She says in this case, this could have taken "15-20 minutes".

Letby is asked if, by doing this, she had any reason to be in room 1 at that time. Letby says she would not have had a reason.

Letby is then recorded, on the neonatal schedule, as caring for Child K after the event has taken place. The first recorded activity is for morphine administration, with Joanne Williams signing for the medication and Letby being a co-signer. Letby says this was because Child K was being reintubated and required morphine.

She does not recall being called to the nursery room.

She does not recall being involved in the subsequent events for Child K.

Letby is asked about a Facebook search for the surname of Child K, made on April 20, 2018, at 11.56pm.

Letby says: "You still think of patients you've cared for."

She says she does not recall why she looked up the name at that point.

Letby says that night "was a busy shift" but, asked whether she had done anything that night to merit questions about it years later, Letby says: "No."

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

WHOA????? Is Leyby calling Dr Jayaram a liar when he claims she was in the room with Baby K when she was collapsing??>???


Here is what Dr J says happened at the 3:50 am desaturation of Baby K:

Dr Jayaram is now being asked about Child K's desaturation at 3.50am.
Dr Jayaram said he was "happy" with how Child K was "very very settled", having had to make only minor adjustments to the ventilator settings.
An infusion chart for the morphine is shown to the court, with a start time of 3.50am. He confirms that 3.50am would be the time that would be administered.

Dr Jayaram says he was aware Joanne Williams was going to the labour ward to update the parents on Child K.
He said he was sitting at a desk, around the corner from the entrance to nursery room 1. He says he was writing in notes, or waiting for the transfer team to come back to him regarding arrangements.

He said he had been told Lucy Letby would be 'babysitting' at the time - a common term used by the hospital to describe a neonatal nurse temporarily looking after a baby in the absence of its designated nurse.
He says, at this point, in February 2016, he was aware of 'unexpected/unusual events' that had happened recently, and that Lucy Letby had been present.
He said: "I felt extremely uncomfortable [with Lucy Letby being there alone in the room with Child K]
"You can call me hysterical, completely irrational, but because of this association...
"This thought kept coming into my head. After two, two and a half minutes...I went to prove to myself that I was being ridiculous and irrational and got up.
"I think it was 2.5, 3 minutes after Jo had gone to the labour ward.

"I had not been called to review [Child K], I had not been called because alarms had gone off - I would have heard an alarm. I got up and walked through to see [Child K]."

Dr Jayaram entered nursery room 1 through the entrance doors closest to his desk. Child K was at the far side of the nursery room, with Lucy Letby present.

He said: "I saw Lucy Letby standing by the incubator. I saw her, and looked up at the monitor, and K's saturations were dropping, in the 80s and continued to drop. The ventilator was not giving out an alarm.

"I recall looking up and saying 'what's going on?' and Lucy said something along the lines of 'She's having a desaturation'."
Asked what Letby was doing, Dr Jayaram replied: "Nothing."
He says Letby didn't say anything to Dr Jayaram until he had walked over and he had asked her what was going on.


Dr Jayaram said he was looking at Child K. He disconnected the ventilator from the ET Tube and he tried to give breaths via the ET Tube, but Child K's chest was not moving.
He said he switched into 'professional mode' to resolve the situation, and it 'didnt make sense why the tube was dislodged'
He said he removed the tube - which wasn't blocked - and put a face mask to ventilate Child K. As soon as that was done, Child K's chest went up and down, without too much difficulty.
He says he does not remember anything else Lucy Letby said. He says he was probably telling her to bring equipment.



OKAY, SO IT SEEMS LIKE DR J IS PUTTING LETBY IN BABY K'S ROOM AT ABOUT 3:52 or 3:53, just as the collapse began?

But here is LL's testimony today about that ^^^^^same time period:


The chart shows Letby's records with her designated babies up to 3.30am, when - at that time - observations are made and a feed given to one of the designated babies.

Letby says 3.30am would be a "rough time" of when it happened. The feed, observations, and a nappy change, could take half an hour - the quickest '20 minutes', the longest "up to an hour".

She says in this case, this could have taken "15-20 minutes".

Letby is asked if, by doing this, she had any reason to be in room 1 at that time. Letby says she would not have had a reason.

Letby is then recorded, on the neonatal schedule, as caring for Child K after the event has taken place. The first recorded activity is for morphine administration, with Joanne Williams signing for the medication and Letby being a co-signer. Letby says this was because Child K was being reintubated and required morphine.

She does not recall being called to the nursery room.

She does not recall being involved in the subsequent events for Child K.



SO IS SHE DENYING SHE WAS IN THAT ROOM WHEN DR J WALKED IN AND FOUND BABY K COLLAPSING ?

 

[ColourPurple]

She does not recall being called to the nursery room.

She does not recall being involved in the subsequent events for Child K.



SO IS SHE DENYING SHE WAS IN THAT ROOM WHEN DR J WALKED IN AND FOUND BABY K COLLAPSING ?

And yet she also admitted to searching Baby K's parents on Facebook two years later!

Letby is asked about a Facebook search for the surname of Child K, made on April 20, 2018, at 11.56pm.

Letby says: "You still think of patients you've cared for."

She says she does not recall why she looked up the name at that point.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

 

[Diddly1]

Oh <modsnip> Nurse Lucy is always right, but I am curious as to why she didn’t put in a formal complaint if she was as concerned about the NN looking after the baby with the stoma.
And now she is saying that Dr Jayaram is a liar.

 

[ColourPurple]

1:01pm
Letby recalls being involved with the care of the twin boys, and looked after one of the twins in the transfer to the neonatal unit.

The twins were placed in nursery room 1, and Letby cared for Child L that first day.

The following day, April 9, Child M was in a different place in room 1, following admission of other babies overnight. Child L and Child M were in adjacent beds in room 1, the court hears.

Letby tells the court a baby's blood sugar levels are checked "within the first hour of life".

Child L's first blood sugar reading is "low" - 1.9.

The baby would be offered "a milk feed" via a bottle or NG tube, and the blood sugar would be checked after another hour.

This did not happen with Child L, and he was administered 10% dextrose [sugar infusion], which Letby says was outside the guidelines, a decision made by Dr Bhowmik.

Letby's notes: 'Advised by Dr Bhowmik to commence 10% glucose...'

Letby added in the notes that she and the shift leader advised this deviated from the usual policies. A glucose bag was hung up for Child L.

Letby said she cannot recall who hung up the bag - she said it would either have been herself or nurse Amy Davies. Child L had normal blood sugar levels the rest of the day.

She tells the court she would have ended her shift at about 8pm.

Mr Myers says for April 9, 2016, there are no recordings of blood sugar for 3am, 4am or 5am. A 10am reading of 1.9 is "too low". It is 1.6 at noon. 2pm it is 2.

Letby had come on duty at 7.30am. The infusion rate has been changed at noon.

A 10% dextrose bolus is administered at 3.40pm. Letby says she cannot recall who was involved in that administration.

At 4pm, the blood sugar level is 1.5. At 4.30pm, a 12.5% dextrose bag is administered by two nurses including Ashleigh Hudson.

The readings remain "low" up to midnight. On April 10, at 2am, the reading is 2.1, then a new 15% glucose bag is administered. 4am it is 2.3, 6am 2.2, at 2pm it is 3 - "an adequate level", but then drops for the rest of the day.

A 15% glucose bag's rate is changed early on April 11, and a new bag is administered that day. The readings are 2.7, 2.9, 2.8 throughout that morning. At 3pm it is 3.5, and blood sugar is said to have stabilised.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

 

[Diddly1]

Now it’s Dr Bhowmik’s fault, all these members of staff getting things wrong

 

[marynnu]

WHOA????? Is Leyby calling Dr Jayaram a liar when he claims she was in the room with Baby K when she was collapsing??>???


Here is what Dr J says happened at the 3:50 am desaturation of Baby K:

Dr Jayaram is now being asked about Child K's desaturation at 3.50am.
Dr Jayaram said he was "happy" with how Child K was "very very settled", having had to make only minor adjustments to the ventilator settings.
An infusion chart for the morphine is shown to the court, with a start time of 3.50am. He confirms that 3.50am would be the time that would be administered.

Dr Jayaram says he was aware Joanne Williams was going to the labour ward to update the parents on Child K.
He said he was sitting at a desk, around the corner from the entrance to nursery room 1. He says he was writing in notes, or waiting for the transfer team to come back to him regarding arrangements.

He said he had been told Lucy Letby would be 'babysitting' at the time - a common term used by the hospital to describe a neonatal nurse temporarily looking after a baby in the absence of its designated nurse.
He says, at this point, in February 2016, he was aware of 'unexpected/unusual events' that had happened recently, and that Lucy Letby had been present.
He said: "I felt extremely uncomfortable [with Lucy Letby being there alone in the room with Child K]
"You can call me hysterical, completely irrational, but because of this association...
"This thought kept coming into my head. After two, two and a half minutes...I went to prove to myself that I was being ridiculous and irrational and got up.
"I think it was 2.5, 3 minutes after Jo had gone to the labour ward.

"I had not been called to review [Child K], I had not been called because alarms had gone off - I would have heard an alarm. I got up and walked through to see [Child K]."

Dr Jayaram entered nursery room 1 through the entrance doors closest to his desk. Child K was at the far side of the nursery room, with Lucy Letby present.

He said: "I saw Lucy Letby standing by the incubator. I saw her, and looked up at the monitor, and K's saturations were dropping, in the 80s and continued to drop. The ventilator was not giving out an alarm.

"I recall looking up and saying 'what's going on?' and Lucy said something along the lines of 'She's having a desaturation'."
Asked what Letby was doing, Dr Jayaram replied: "Nothing."
He says Letby didn't say anything to Dr Jayaram until he had walked over and he had asked her what was going on.


Dr Jayaram said he was looking at Child K. He disconnected the ventilator from the ET Tube and he tried to give breaths via the ET Tube, but Child K's chest was not moving.
He said he switched into 'professional mode' to resolve the situation, and it 'didnt make sense why the tube was dislodged'
He said he removed the tube - which wasn't blocked - and put a face mask to ventilate Child K. As soon as that was done, Child K's chest went up and down, without too much difficulty.
He says he does not remember anything else Lucy Letby said. He says he was probably telling her to bring equipment.



OKAY, SO IT SEEMS LIKE DR J IS PUTTING LETBY IN BABY K'S ROOM AT ABOUT 3:52 or 3:53, just as the collapse began?

But here is LL's testimony today about that ^^^^^same time period:


The chart shows Letby's records with her designated babies up to 3.30am, when - at that time - observations are made and a feed given to one of the designated babies.

Letby says 3.30am would be a "rough time" of when it happened. The feed, observations, and a nappy change, could take half an hour - the quickest '20 minutes', the longest "up to an hour".

She says in this case, this could have taken "15-20 minutes".

Letby is asked if, by doing this, she had any reason to be in room 1 at that time. Letby says she would not have had a reason.

Letby is then recorded, on the neonatal schedule, as caring for Child K after the event has taken place. The first recorded activity is for morphine administration, with Joanne Williams signing for the medication and Letby being a co-signer. Letby says this was because Child K was being reintubated and required morphine.

She does not recall being called to the nursery room.

She does not recall being involved in the subsequent events for Child K.



SO IS SHE DENYING SHE WAS IN THAT ROOM WHEN DR J WALKED IN AND FOUND BABY K COLLAPSING ?

I know. What on earth....?

 

[katydid23]

Prosecution evidence, February 15th 2023, Day 55 - Live Updates LIVE: Lucy Letby trial, Wednesday, February 15

Twins - Child L [and Child M]

Child L was admitted to the neonatal unit at 10.30am, and had observations taken by Lucy Letby, with a blood sugar reading of 1.9 recorded at 10.58am.
He was treated with a 10% dextrose (sugar) infusion.



Lucy Letby's note, written in retrospect at 5.42pm, noted the blood sugar reading of 1.9, with the registrar commencing dextrose and expressed breast milk.
At 12.14pm, the blood sugar reading had risen to 2.5.



Lucy Letby records communication with Child L and Child M's parents: "Parents were shown babies in theatre and had a quick cuddle....Photographs given and visiting hours discussed. Daddy visited the unit and had cuddles."



For Child L, a blood sugar reading of 5.8 is recorded at 4pm.



Letby records for Child L at birth "Initially had some recession with a raised respiratory rate, quickly normalised and remained self ventilating in air. Blood gases good...
"2 Hourly feeds, NG/bottle. Minimal aspirates obtained..."
Recording communication with the parents: "Parents updated by myself on CLS and photograph taken....fully updated on care by myself and reg Bhowmik. Aware of need for septic screen..."
A 6pm blood gas reading records blood sugar of 3.3


Letby messages a colleague at 6.15pm - "Unpacking! Stuff everywhere lol! May do an extra shift this weekend x"
The court previously heard Letby had recently moved into a home near the hospital.
Letby messages her mother: "Think Im going to do tomorrow [Saturday, April 9] as an extra but go in a bit later."
Child L's blood sugar reading at 9pm is 2.3.
Letby's colleague Sophie Ellis messages her: "How's the house pal? *advertiser censored*"
Letby: "Hey, it feels a bit weird having a whole house but it's good thanks, although stuff everywhere as moved in properly on Tue and been at work Wed, Thurs and today...", followed by a monkey emoji with its hands over its eyes.
Sophie Ellis: "...it'll feel more homely once you've sorted everything out." She also asks about how busy the unit is.
Letby: "...Unit is busy, no-one particularly unwell just volume and few people off sick. I prefer 4 days to 4 nights..."
Letby adds: 'We've got nice mix of babies at the mo really. Shift goes quick anyway!'



Child L's blood sugar reading is 2.2 at 10pm, then 3.6 at midnight.
Further medications are administered throughout the night.
Agency nurse Tracey Jones records notes for Child L from the night shift, noting the cannula was knocked out by the baby boy during the night so was reinserted. There had been no contact with the parents during the night.



For the day shift on April 9, 2016, Lucy Letby is a designated nurse for two babies in nursery 1. Mary Griffith is the designated nurse for Child L and Child M, who are the other two babies in room 1.
Four babies are in room 2, three in room 3 and four in room 4. There are seven designated nurses for the neonatal unit babies in total.



Child L records a blood sugar reading of 1.9 at 10am, pre-feed.
Nurse Mary Griffith records notes, written retrospectively, saying the IV dextrose [infusion] was increased for Child L.


Letby messages colleague Alisa Simpson at 10.34am, wishing her good luck at picking the horses at the Grand National that day, and that her feet don't get too sore.
Child L's blood sugar reading is 1.6 at 11am.



A handwritten entry for hypo screen results at noon, not attributed to a name, record results for Child L.
Child L's blood sugar reading is 1.6 at noon, pre-feed.
Letby co-signs a 10% dextrose infusion for Child L, around noon.
Notes for Child M record that designated nurse Mary Griffith took a break around 12.30pm.
Letby is engaged in messaging people between 11.12am and 12.33pm.
Letby messages Alisa Simpson shortly afterwards: "Oh good hope you have a fab time. Im in work doing an extra! x"
Letby also messages her mother, asking if her father was betting on the Grand National, and if so, to put a bet on grey horses for her. Her mother replies that has already been done.



The court hears Letby continues to be involved in messaging, including a group message to colleagues and friends: "Sorry guys mad 4 busy days in work..." then invites the three people to crash at hers, apologising she hasn't fully unpacked yet.
She adds: "Got magnum prosecco and vodka woop. No disco ball but sure we can manage. x"

Child L's blood sugar reading is recorded as 2.0 at 2pm, and 1.5 at 3pm.
Letby is a co-signer for the administration of medication at 3.35pm.
Mary Griffith records a blood sample was taken from Child L at this time, which was taken to the Royal Liverpool Teaching Hospital for analysis.
The prosecution say the blood sample had a very high insulin level recorded, and a low level of C-peptide.
Child L was also given a bolus of dextrose, prescribed at 3.35pm and administered at 3.40pm.

A note from the hospital's pathology department records the blood specimen sample for Child L.
The blood was "taken for lab but due to emergency not poded at once", nurse Mary Griffith records.
That one emergency identified in the neonatal unit, the prosecution tells the court, was for the twin brother, Child M's "dramatic collapse".



Child L's blood sugar reading at 4pm is 1.5.
Child M's collapse is recorded at this time. A crash call is put out.
Friends message Lucy Letby around this time, saying they can have "an unpacking party".
For Child L, the dextrose administration is increased to 12.5%, from 10%.
Child L's blood sugar reading at 5pm is 1.7, which was "still very low", the prosecution say.



Letby's mother messages Letby at 5.28pm telling her: "You've won rule the world :-D xx"
Child L's blood sugar reading at 6pm is 1.9.
Letby responds to a colleague at 6.01pm: "Haha why not!! Work has been s***e but...I have just won £135 on Grand National!!"
She also sent a group message: "Unpacking party sounds good to me with the flavoured vodka...Just won the Grand National!"



The pathology records the lab specimen of a blood sample for Child L. Among the blood test results sought for the sample are insulin and C-peptide.
The insulin level is recorded as 1,099, and the C-peptide is recorded as 264. These readings are entered into the system on April 14, having obtained the results from Liverpool.
The C-peptide "should be 5-10 times the level of insulin", but the ratio is recorded as 0.2.

Child L is recorded to have hypoglacaemia [low blood sugar].
Doctors record the hypoglacaemia continued despite the regular infusions of dextrose throughout the day.



Child L has a blood sugar reading of 2.0 at 8pm.
Child L's blood sugar at 9pm is 2.4.
Letby records notes for Child M at 9.22pm.



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 receives 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.



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".

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".



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.

Child L continued to be cared for at the hospital's neonatal unit until May 3, and was then discharged.

 

[marynnu]

The prosecution are going to have a field day with Baby J, IMO.

 

[Tortoise]

The prosecution are going to have a field day with Baby J, IMO.

Took the words right out of my mouth! I was just about to write I sense a field day coming. Only not just with baby J, with all of it.

 

[Tortoise]

Dan O'Donoghue

@MrDanDonoghue
·
5m

We're back after a break for lunch. Mr Myers is continuing to ask Ms Letby about twins Child L and M

 

[marynnu]

Took the words right out of my mouth! I was just about to write I sense a field day coming. Only not just with baby J, with all of it.

Indeed. Babies O, P & Q might prove interesting too.

 

[Tortoise]

2:19pm

The trial is resuming following its lunch break.
Benjamin Myers KC is continuing to ask Lucy Letby questions in the cases of twins Child L and Child M.
The infusion therapy prescription sheet is shown for Child L, with prescriptions for April 8-9.
The first entry is for April 8, 11am, for a 500ml, 10% dextrose infusion, via the IV line. Dr Bhowmik authorised the prescription and the bag additive. Lucy Letby and Amy Davies set up the infusion.
The first two infusion prescriptions have a line through them as, Lucy Letby explains, the rate of infusion was changed twice. It went from 4.2ml/hr to 3.6ml/hr to 4.4ml/hr. The 4.4ml/hr rate was started, using the same bag, at noon.
The bags were stored in a cupboard in room 1. This was in a separate room from the insulin bags in a cupboard in a corridor.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

 

[Tortoise]

2:25pm

Mr Myers asks how commonly dextrose is used on the unit. Letby says "very commonly", adding that a 10% dextrose solution would be administered 'all the time'. They would be used "for generic use".
Letby sent a message to her mother on April 8: "Think Im going to do tomorrow as an extra but Go in a bit later. Extra money and Sat pay xX"
This was to be Letby's fourth long day shift in a row (April 6-9), the maximum normally allowed for Countess staff at the unit, the court hears.
For the April 9 long day, Letby was designated nurse for two babies in room 1, and Mary Griffith was designated nurse for Child L and Child M, also in room 1.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

Lucy Letby was not scheduled to work on 9 April 2016 but tells the court she was asked to come in the previous evening due to staffing shortages, having already worked three long days shifts.

She says due to the number of babies on the Countess of Chester neonatal unit they needed another intensive care nurse on duty.

Letby says four long days in a row is the maximum a member of staff should do.

"Had you been expecting to?" asks Ben Myers KC.

"No," Letby says.

Lucy Letby trial: Facebook searches of nurse accused of murdering babies read out in court

Lucy Letby, a former neonatal nurse, has been back in court for another day of cross-examination by the prosecution on Friday. She is accused of the murder of seven babies and the attempted murder of 10 others, and denies all the charges.

news.sky.com

 

[Cluedoneit]

If I was on the jury, I’d want Letby to answer why if the only interaction she’d had with baby k was co signing for morphine and had very little independent recall of them, why the baby was so memorable it warranted a Facebook search? On one hand, she didn’t care for baby k, other nurses did, on the other she’d cared for baby k enough to still remember 2 years later? Innocent or guilty , that explanation does not add up!

 

[Tortoise]

reminder of her texts the day before while she was still at work on her long day shift-

6.15pm – LL messages a colleague - "Unpacking! Stuff everywhere lol! May do an extra shift this weekend x"

Time? – LL messages her mother: "Think Im going to do tomorrow [Saturday, April 9] as an extra but go in a bit later."

Recap: Lucy Letby trial, Wednesday, February 15

 

[Tortoise]

2:34pm

Child L's 10% dextrose bag was changed on April 9 to a new 10% dextrose bag, at noon, signed by Letby and Mary Griffith.
That bag "would have come from the generic bags in room 1", Letby says. She does not recall who would have put it up for Child L.
The equipment involved in setting it up would come from nursery room 1.
Mr Myers says prior to this, Child L had a blood glucose reading of 1.9 at 10am.
Letby says the initial infusion bag would still have been in place at this time. She says she cannot explain why that reading was low, and did not do anything to cause that low blood sugar reading.
She adds she did not do anything to cause the later recorded insulin levels to be high for Child K. [my note, think he means child L]
Mr Myers: "Had you done anything to affect insulin?"
Letby: "No."
Letby says as well as herself and Mary Griffith being the two designated nurses in that day, there were other nurses 'coming and going' in room 1, along with parents "present throughout the day".
Nursing notes for one of Letby's designated babies - a high-dependency baby - are shown to the court. They include: 'Parents visiting carrying out feeds and cares....At 1600 parents were asked to leave the nursery due to a sick baby needing treatment, parents were understanding of this and left for the evening.'
Letby says this was when Child M had deteriorated. She said this would be "common practice" to ask parents to leave in such an event.
Letby adds the visiting times were 24 hours and parents would visit throughout the day.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

 

[Tortoise]

Dan O'Donoghue

@MrDanDonoghue
·
7m

Mr Myers takes the court through Child L's blood sugar readings from April 2016. He asks Ms Letby if she had 'any involvement with insulin' and Child L, she says 'no, not at all'. She says she cannot explain Child L's low blood sugar levels

 

[Tortoise]

Lucy Letby is asked by Ben Myers KC, defence lawyer, if she had any involvement with insulin on 9 April as far as Child L and M were concerned.

"No, none at all," she replies.

She says she can't explain why Child L's blood sugar levels were so low when readings were taken.

Lucy Letby trial: Facebook searches of nurse accused of murdering babies read out in court

Lucy Letby, a former neonatal nurse, has been back in court for another day of cross-examination by the prosecution on Friday. She is accused of the murder of seven babies and the attempted murder of 10 others, and denies all the charges.

news.sky.com

 

[Jazmania]

2:34pm

Child L's 10% dextrose bag was changed on April 9 to a new 10% dextrose bag, at noon, signed by Letby and Mary Griffith.
That bag "would have come from the generic bags in room 1", Letby says. She does not recall who would have put it up for Child L.
The equipment involved in setting it up would come from nursery room 1.
Mr Myers says prior to this, Child L had a blood glucose reading of 1.9 at 10am.
Letby says the initial infusion bag would still have been in place at this time. She says she cannot explain why that reading was low, and did not do anything to cause that low blood sugar reading.
She adds she did not do anything to cause the later recorded insulin levels to be high for Child K. [my note, think he means child L]
Mr Myers: "Had you done anything to affect insulin?"
Letby: "No."
Letby says as well as herself and Mary Griffith being the two designated nurses in that day, there were other nurses 'coming and going' in room 1, along with parents "present throughout the day".
Nursing notes for one of Letby's designated babies - a high-dependency baby - are shown to the court. They include: 'Parents visiting carrying out feeds and cares....At 1600 parents were asked to leave the nursery due to a sick baby needing treatment, parents were understanding of this and left for the evening.'
Letby says this was when Child M had deteriorated. She said this would be "common practice" to ask parents to leave in such an event.
Letby adds the visiting times were 24 hours and parents would visit throughout the day.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk

So am I right in thinking that they are saying that the initial dextrose bag on the 8th couldn't have been contaminated with insulin, as glucose levels remained normal afterwards? Then the 10am low glucose reading was before the new dextrose bag was started?

I can't remember, which bag did the prosecution argue was contaminated?

 

[Tortoise]

2:47pm

Nursing notes by Mary Griffith record, for Child M on April 9: '...at 12.15 noted that his stomach was a little distended and his work of breathing was increased. Was then sent for my break and [colleague] did the 12.30 feed...had an aspirate of 5mls...temp returned to normal and baby settled.
'At 1600 baby went apneoic and had a profound brady and desat. Full resus commenced at 1602...care handed over to SN L Letby.'
Letby tells the court Mary Griffith was, at this point, not trained for the type of intensive care Child M required, which was why care was handed over to her.
A prescription chart shows Lucy Letby is involved, with Mary Griffith, in the administration of antibiotics for Child M at 3.45pm. Letby says the line would also be 'flushed' after this is administrated.
Letby says at the time of Child M's deterioration, Child L was requiring further dextrose.
A chart shows Letby was involved in administering a 4.3ml, 10% dextrose bolus at 3.35pm, administered at 3.40pm.
A 12.5% dextrose infusion is made up by nursing staff "in response to ongoing low blood sugars", which begins at 3.35pm and the infusion starts at 4.30pm. The infusion start is administered by Belinda Simcock and Ashleigh Hudson.
Letby says she and Mary Griffith had been "preparing a bag" for Child L. She says Mary Griffith was the "sterile nurse" and Letby was assisting her between 3.45pm and 4pm.
Asked when she first became aware of a problem, Letby said the alarm went off and Child M was "not breathing" and "clearly struggling".
Mary Griffith and another nurse were in there. Letby recalls asking parents to leave.
Letby says she began initiating Neopuff "straight away", but because it didn't reach, the face mask fell on the floor, and Letby asked for another face mask for Child M.
She adds she and Mary Griffith "abandoned" the making up of the bag, and "the focus was on [Child M]". Two other nurses 'started the procedure from the beginning' [of making up a new dextrose bag for Child L].
Letby said that would be "standard practice", to make sure staff were sure the new bag had the correct, required concentrations.

Recap: Lucy Letby trial, Tuesday, May 16 - defence continues

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…

www.chesterstandard.co.uk