2:22pm
The cross-examination continues in the case of Child P.
Letby agrees there were 'no problems' at the time of the handover for Child P on the night of June 23. She recalls the x-ray taken shortly after that handover.
The x-ray report said: 'NG tube in satisfactory position...gas-filled bowel loops throughout the abdomen, through to the lower rectum, with no evidence of obstruction and no plain film signs of perforation'
Letby denies pumping Child P with air.
She agrees this was a deterioration for Child P.
Medical expert witness Dr Owen Arthurs had previously told the court this image was "quite unusual" for a baby of that gestation.
Letby says she cannot comment how the gas got there, only that she did not put it there.
2:24pm
A 14ml aspirate is recorded for Child P at the time of handover at 8pm.
NJ: "That was your doing, wasn't it?"
LL: "No."
NJ: "On your way home, you were sowing the seeds with your colleagues?" Mr Johnson refers to the 'Worry as identical' text message Letby had sent. "You were feeding a false narrative, trying to divert attention away from your homicidal activites?"
LL: "No."
2:32pm
5ml of air and 2ml of milk is aspirated from Child P at 7am.
"How much milk had [Child P] been fed overnight?"
Letby said Child P had been fed prior to midnight. She says if the NG Tube is in the stomach, air would come out.
Letby disagrees that Child P was well at the morning handover time, as Child P was 'nil by mouth'.
A police interview had earlier said Letby saying Child P was stable and well.
Mr Johnson suggests Letby is deliberately making the appearance of Child P worse now than at the time she gave her police interview.
LL: "No."
2:34pm
The day shift for June 24 is shown to the court. Student nurse Rebecca Morgan is on the rota. Lucy Letby is the designated nurse for Child P in room 2. The other surviving triplet is also in room 2, with designated nurse Christopher Booth. Child Q is in room 1 with two other babies. Three babies are in room 3, and three babies are in room 4.
2:36pm
Letby rules out staffing levels as a contributory factor in Child P's collapse and death.
She also rules out staffing mistakes.
She says there were "some issues with the chest drain", but "cannot say" how much of an effect that had on Child P.
2:40pm
By 0639, Sophie Ellis’ nursing note recorded that “abdo has been soft and non distended. 25ml of air aspirated by SNP Kate Ward. NGT placed on free drainage”.
Mr Johnson says Letby created a false nursing note at 8am to say: "...abdomen full - loops visible, soft to touch." He says that is not the picture from 6.39am.
Letby agrees that is not the same as Sophie Ellis' note.
Sophie Ellis's note for June 23 for Child O: 'Abdo looks full slightly loopy...abdo soft.'
Letby says her observation for Child P that morning was what she saw. She informed a doctor an hour later about the abdomen observation. She denies a suggestion by Mr Johnson that she is lying.
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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