Just to confuse things - from opening speech -
Early on August 4, Child E had died. Later that day, the pharmacy received a prescription for a TPN bag for Child F, the twin brother.
A confirmation document was printed, at 12.32pm, for Child F. The pharmacist produced a handwritten correction to say it was to be used within 48 hours of 11.30pm that day.
2:30pm
The TPN bag was delivered up to the ward at 4pm that day.
On that night shift, the designated nurse for Child F, in room 2, was not Letby.
Letby had a single baby to look after that night, also in room 2.
There were seven babies in the unit that night, with five nurses working.
2:33pm
Letby and the designated nurse signed the prescription chart to record the TPN bag was started and administered via a long line at 12.25am.
A TPN chart is a written record for putting up the bags, and was used for Child F. It includes 'lipids' - nutrients for babies not being given milk.
Letby signed for the TPN bag to be used for 48 hours.
2:40pm
There are two further prescriptions for TPN bags, to run for 48 hours.
Following the conclusion of a Letby night-shift, after the administration of a TPN bag Letby had co-signed for, a doctor instructed the nursing staff to stop the TPN via the longline and provide dextrose (sugar to counteract the fall in blood sugar), and move the TPN to a peripheral line while a new long line was put in.
All fluids were interrupted at 11am while a new long line was put in.
I just hope it all becomes clearer when the doctor looking after F that day gives evidence, and the experts who reviewed all the records, particularly the professor. It seems the nurse doesn't have a clear recall.