10:50am
Child Q was tolerating feeds and there were "intermittent, moderate acidic" aspirates, a sign the milk was being partly digested, by the early hours of June 25.
Blood gas readings showed a drop in pH results, and nurse Samantha O'Brien noted, after the doctor's review, was for the current plan of care to be continued.
She said Child Q had been stable, and the reviewing doctor had no concerns.
Letby, designated nurse for Child Q on the day of June 25, said she was informed Child Q had large aspirates overnight, so he was not in good condition.
At about 9.10am, Child Q's alarm sounded, and he desaturated. Nurse Mary Griffith had been giving cares to another baby in the room with Letby and Child Q, with her back to Child Q.
Shortly after Letby left the room, Child Q's alarm went off. Nurse Griffith was mid-feed and could not go over immediately, and Minna Lappalainen was called over to Child Q, and began Neopuffing the baby.
Nurse Lappalainen recalled the alarm going off and could see Child Q had been sick, with mucus coming out of his mouth. She filled in the apnoea/fit/brady chart, a desat of 68 and brady of 98. "brady 98; desat 68; fit ?; baby found to be very mucousy, clear mucous from nasopharynx oropharynx removed clear fluid +++. O2 via neopuff given post suctioning...NGT used to aspirate stomach by Nurse L Letby"
10:51am
Letby noted: '[0910 Child Q] attended to by SN Lappalainen – he had vomited clear fluid nasally and from mouth, desaturation and bradycardia, mottled ++. Neopuff and suction applied...reg attended. Air++ aspirated from NG Tube'
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…
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