2:32pm
Mr Johnson says nursing notes showed a 'normal baby, feeding properly' in the hours before Child G's vomit on September 7. At 8pm on September 6, nursing colleagues said Child G was stable and well.
A staffing rota for the night is shown for September 6-7 - "a quiet night", and Child G received a full feed from a bottle at 11pm and was "thriving". Mr Johnson says "little babies don't take full feeds from bottles unless they are happy little babies."
He says Letby has "massaged the times", as she had done in several other cases. Mr Johnson says the prosecution suggest the vomit was at 2.30am, not 2.15am.
Nursing colleague Ailsa Simpson initially said she was with Letby when Child G projectile vomited at 2.15am, and if that was true, Letby could not have been the cause of it. In a subsequent interview, she said she didn't know where the other nurses were.
Mr Johnson says Letby's nursing note on September 7 includes: Care given from 0200 to present. [Child G] had large projectile milky vomit at 0215.'
Mr Johnson says it's an interesting line that Letby had given care from 2am. He says this note is written six-and-a-half hours later, and the jury should take that with care, especially with Letby, as she "habitually misrecorded" information.
Mr Johnson says Child G wouldn't have tolerated a 45ml milk feed under gravity if the stomach was already containing undigested milk.
He says Ailsa Simpson's original account does not correspond with the neonatal review, as Ailsa Simpson fed a different child in room 1 at 2.20am [Child G being in room 2]. That child was "demanding food", Mr Johnson says, and that takes time.
Medication was co-signed for Child G at 1.42am by Ailsa Simpson, and another child at 2.13am. Mr Johnson says all this material shows she was busy at this time, and "cannot be accurate" with the 2.15am timing of the event.
Dr Alison Ventress recorded Child G was 'called to r/v [Child G] urgently at 2.35am...[Child G] had very large projectile vomit (reaching chair next to cot and canopy)'.
Mr Johnson says Dr Ventress was called urgently as Child G suffered a catastrophic brain inury, and the doctor arrived within minutes as they would not wait around.
Mr Johnson says Ailsa Simpson was distracted in room 1, her colleague had gone on a break, and that gave Letby "the perfect time" to sabotage Child G, and misrepesent it in the notes.
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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