notsure
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Wonder how and what mistakes were made in compiling the data material initially.
UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #4
- Thread starter sleuth777
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Agreed. I've already cut down on how much I'm reading about this case, but they have no choice.
2:12pm
The judge, Mr Justice Goss, has returned to the courtroom. The trial shall resume shortly.
2:14pm
The sequence of events, packaged in an electronic display, is presented to the courtroom and on jurors' iPads.
The first slides are the original, scanned, neonatal admission for Child A, and a typed up transcription of the doctor's notes.
2:25pm
The package records Child A was transferred to the neonatal unit at 2.41am on June 8, as a note written retrospectively recorded.
A 24-hour observation chart records Child A's heart rate, respirations and body temperature.
Clinical notes are also shown, along with Ms Hocknell's transcription.
The judge, Mr Justice Goss, has returned to the courtroom. The trial shall resume shortly.
2:14pm
The sequence of events, packaged in an electronic display, is presented to the courtroom and on jurors' iPads.
The first slides are the original, scanned, neonatal admission for Child A, and a typed up transcription of the doctor's notes.
2:25pm
The package records Child A was transferred to the neonatal unit at 2.41am on June 8, as a note written retrospectively recorded.
A 24-hour observation chart records Child A's heart rate, respirations and body temperature.
Clinical notes are also shown, along with Ms Hocknell's transcription.
2:43pm
Further medical charts are shown as part of the electronic evidence package, along with the intelligence analyst's transcribed summary.
At this stage, the full details of these charts will not be analysed. The prosecutor, Nicholas Johnson KC, explains doctors and nurses will be called into court later to provide more context on these notes.
Further medical charts are shown as part of the electronic evidence package, along with the intelligence analyst's transcribed summary.
At this stage, the full details of these charts will not be analysed. The prosecutor, Nicholas Johnson KC, explains doctors and nurses will be called into court later to provide more context on these notes.
2:47pm
One of the clinical notes includes a very basic sketch of lungs and the abdomen, to describe Child A's condition, which noted the child looked stable.
2:51pm
The medical records also show an x-ray was taken on Child A, using a portable x-ray machine.
One of the clinical notes includes a very basic sketch of lungs and the abdomen, to describe Child A's condition, which noted the child looked stable.
2:51pm
The medical records also show an x-ray was taken on Child A, using a portable x-ray machine.
3:02pm
A record labelled 'family update' is made at 7.12am about how 'dad had visited [the neonatal unit] multiple times throughout the night', with the mum not being well enough to visit the twins as she was still in recovery.
Another note, made for 7.30am, describes who was working in what role for the following shift, such as the paediatrician of the week, the on-call consultant, the registrar and other clinical staff, registered nursing staff including the shift leader, the designated nurse, and other nurses.
Other staff listed for this shift are a nursery nurse and a student placement.
A record labelled 'family update' is made at 7.12am about how 'dad had visited [the neonatal unit] multiple times throughout the night', with the mum not being well enough to visit the twins as she was still in recovery.
Another note, made for 7.30am, describes who was working in what role for the following shift, such as the paediatrician of the week, the on-call consultant, the registrar and other clinical staff, registered nursing staff including the shift leader, the designated nurse, and other nurses.
Other staff listed for this shift are a nursery nurse and a student placement.
3:07pm
The evidence also shows text messages sent between Letby and colleagues.
At 9.21am, a message is sent to Letby asking her to split her shifts. She replies: "Yes that's fine...is it busy?"
The reply: "We have 3 on CPAP...twins last night...wanted six staff on."
Letby replies: "No problem."
At 9.25am, an outgoing Whatsapp message from Letby to a friend says: "...I'm working tonight and tomorrow now as busy."
The evidence also shows text messages sent between Letby and colleagues.
At 9.21am, a message is sent to Letby asking her to split her shifts. She replies: "Yes that's fine...is it busy?"
The reply: "We have 3 on CPAP...twins last night...wanted six staff on."
Letby replies: "No problem."
At 9.25am, an outgoing Whatsapp message from Letby to a friend says: "...I'm working tonight and tomorrow now as busy."
3:12pm
Letby sends another Whatsapp message: "Will just have a quiet one today. Slept well. They have 3 30wkers on CPAP."
Her colleague replies: "It will calm down again soon then."
Further Whatsapp messages are exchanged, which go into 'a social nature', up until 10.10am.
Letby sends another Whatsapp message: "Will just have a quiet one today. Slept well. They have 3 30wkers on CPAP."
Her colleague replies: "It will calm down again soon then."
Further Whatsapp messages are exchanged, which go into 'a social nature', up until 10.10am.
3:18pm
A message from another colleague of Letby's is sent to Letby.
She replies: "I've been moved forward as busy. Doing tonight and tom."
After friendly messages are exchanged, the conversation then turned to work, and how busy work had been.
3:21pm
The evidence records an x-ray taken of Child A's chest and abdomen taken, along with notes at 1.53pm indicating no concerns with the child at that time.
3:22pm
Letby's colleague sends a Whatsapp at 2.11pm to Letby: "Oh well, you'll just have to kick me if I start nodding off."
A message from another colleague of Letby's is sent to Letby.
She replies: "I've been moved forward as busy. Doing tonight and tom."
After friendly messages are exchanged, the conversation then turned to work, and how busy work had been.
3:21pm
The evidence records an x-ray taken of Child A's chest and abdomen taken, along with notes at 1.53pm indicating no concerns with the child at that time.
3:22pm
Letby's colleague sends a Whatsapp at 2.11pm to Letby: "Oh well, you'll just have to kick me if I start nodding off."
3:27pm
The medical charts show hourly observations are made of Child A.
3:30pm
At 4pm, a cannula is tissued and Child A begins to be fed expressed breast milk for the first time.
The note for fluids also shows 10% glucose is provided at 8pm by Lucy Letby.
3:34pm
Swipe data shows the nurses coming on for their night shift. They include, at 7.22pm, Lucy Letby.
3:37pm
Child A was said to be 'stable' in a nursing note, which concludes 'Care handed over to Lucy Letby at 8pm'.
3:39pm
Letby's nursing note is written in retrospect at 7.56am the following day, after Child A had died.
Part of the note was 'care taken over at 8pm, emergency equipment checked, fluids calculated.
'[Child A] nursed on CPAP, peep 5-6cm in air. Observations stable.'
The medical charts show hourly observations are made of Child A.
3:30pm
At 4pm, a cannula is tissued and Child A begins to be fed expressed breast milk for the first time.
The note for fluids also shows 10% glucose is provided at 8pm by Lucy Letby.
3:34pm
Swipe data shows the nurses coming on for their night shift. They include, at 7.22pm, Lucy Letby.
3:37pm
Child A was said to be 'stable' in a nursing note, which concludes 'Care handed over to Lucy Letby at 8pm'.
3:39pm
Letby's nursing note is written in retrospect at 7.56am the following day, after Child A had died.
Part of the note was 'care taken over at 8pm, emergency equipment checked, fluids calculated.
'[Child A] nursed on CPAP, peep 5-6cm in air. Observations stable.'
3:47pm
A chart shows any 'major events' that took place for Child A. One was UVC lines at 1pm.
The prosecution point out the '10% glucose commenced at 8.05pm', signed by Lucy Letby, as a 'major event' on the chart for the 8pm timeslot.
A chart shows any 'major events' that took place for Child A. One was UVC lines at 1pm.
The prosecution point out the '10% glucose commenced at 8.05pm', signed by Lucy Letby, as a 'major event' on the chart for the 8pm timeslot.
3:51pm
A further retrospective nursing note, by Letby, refers to the administration of 10% glucose via a long line.
Child A was noted by Letby, to be 'jittery'.
3:57pm
Records show a nurse other than Letby is 'using the computer' at 8.14-8.15pm, where she is referring to the family of Child A and B being updated on the condition of Child B.
Lucy Letby's retrospective note recorded: 'At 8.20pm Child A's hands and feet noted to be white. Centrally pale and poor perfusion.'
A further retrospective nursing note, by Letby, refers to the administration of 10% glucose via a long line.
Child A was noted by Letby, to be 'jittery'.
3:57pm
Records show a nurse other than Letby is 'using the computer' at 8.14-8.15pm, where she is referring to the family of Child A and B being updated on the condition of Child B.
Lucy Letby's retrospective note recorded: 'At 8.20pm Child A's hands and feet noted to be white. Centrally pale and poor perfusion.'
3:59pm
Further nursing notes are shown to the court showing the registrar was called for, as Child A had become apnoeic.
He was then 'making nil respiratory effort' and, later, no heart rate was detected.
The nursing notes record that, despite 'full resuscitation efforts', Child A 'passed away at 8.58pm'.
Further nursing notes are shown to the court showing the registrar was called for, as Child A had become apnoeic.
He was then 'making nil respiratory effort' and, later, no heart rate was detected.
The nursing notes record that, despite 'full resuscitation efforts', Child A 'passed away at 8.58pm'.
12:23pm
It was 'shortly after shift change-over' at 8pm when the parents returned to the neonatal unit and had had very little sleep. The other family members had left the unit for rest.
This was the first time since that none of the family members were by Child B.
It was shortly afterwards when a nurse came in to say: "You need to come now"
The father said: "I didn't know what to think. My heart sank."
They found Child B had stabilised, after the oxygen saturation levels had fallen sharply.
The father had said the consulatant nurse had given a 'crossed-fingers' to the nurse on duty when she left, as a 'good luck - I hope the child survives]'.
www.chesterstandard.co.uk
So, after losing Child A, family members stayed beside Child B all the time except for this one small break and it is just as they take a break that the baby B gets into difficulty? Did I understand that correctly?
So difficult to read these heartbreaking stories of loss and pain.
It was 'shortly after shift change-over' at 8pm when the parents returned to the neonatal unit and had had very little sleep. The other family members had left the unit for rest.
This was the first time since that none of the family members were by Child B.
It was shortly afterwards when a nurse came in to say: "You need to come now"
The father said: "I didn't know what to think. My heart sank."
They found Child B had stabilised, after the oxygen saturation levels had fallen sharply.
The father had said the consulatant nurse had given a 'crossed-fingers' to the nurse on duty when she left, as a 'good luck - I hope the child survives]'.
Recap: Lucy Letby trial, Monday, October 17
The trial of Lucy Letby, accused of murdering seven babies and attempting to murder 10 more at the Countess of Chester Hospital neonatal unit,…
So, after losing Child A, family members stayed beside Child B all the time except for this one small break and it is just as they take a break that the baby B gets into difficulty? Did I understand that correctly?
So difficult to read these heartbreaking stories of loss and pain.
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