UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #6

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@infinit Just wanted to reply to your previous comment over in thread #5,
I do agree with you in regards to mum being somewhere else/recovering. But even when they attended together and LL was claimed to be hovering around the machines, mum asked how baby was and for some privacy, I honestly was expecting to see *some* interaction from that in some way at least in the nursing notes. Especially as mum asked if baby was ok at this point. I found it a little unusual there is reference to dad in the notes but not that interaction tbh.
 
@infinit Just wanted to reply to your previous comment over in thread #5,
I do agree with you in regards to mum being somewhere else/recovering. But even when they attended together and LL was claimed to be hovering around the machines, mum asked how baby was and for some privacy, I honestly was expecting to see *some* interaction from that in some way at least in the nursing notes. Especially as mum asked if baby was ok at this point. I found it a little unusual there is reference to dad in the notes but not that interaction tbh.
I think the reason the prosecution called D's mom as a witness is to say that she saw LL 'hovering' over her baby the day before her death. The defence contests that Lucy was there. I assume therefore that LL wasn't D's designated nurse and had no business being there, hence not keeping notes of the interaction
 
I think the reason the prosecution called D's mom as a witness is to say that she saw LL 'hovering' over her baby the day before her death. The defence contests that Lucy was there. I assume therefore that LL wasn't D's designated nurse and had no business being there, hence not keeping notes of the interaction
You were right!

A nursing note at 7.15pm said attempts were made to get Child D off CPAP, but breathing was still 'shallow' off that, so CPAP resumed.

Swipe data showed Lucy Letby arrived at the neonatal unit at 7.26pm.

The handover note showed Letby was one of the nurses on duty that night, with a different nurse being the designated nurse for Child D, in room 1.

Letby was the designated nurse for two other babies in room 1
 
2:10pm

The court is continuing to go through the sequence of events, which is up to the afternoon of Sunday, June 21, 2015.

2:13pm

A 'family communication' note is made at 5.53pm - "Dad visiting most of the day, he is up to date with the plan of care. Mum has visited this evening."
Both parents were 'anxious' about the levels of care provided.

2:18pm

A nursing note at 7.15pm said attempts were made to get Child D off CPAP, but breathing was still 'shallow' off that, so CPAP resumed.
Swipe data showed Lucy Letby arrived at the neonatal unit at 7.26pm.
The handover note showed Letby was one of the nurses on duty that night, with a different nurse being the designated nurse for Child D, in room 1.
Letby was the designated nurse for two other babies in room 1.

2:19pm

At this time, another nurse was looking after Child B in room 3 for that night.
The court had previously heard Child B had suffered a non-fatal collapse earlier that month.

2:28pm

Further observations for Child D are documented throughout that night shift, until after 1am.

 
2:31pm

A neonatal infusion prescription chart at 1.25am, for Child D, is shown to the court. Lucy Letby is one of the two nurses to provide a signature for a saline dose prescription at that time.

2:32pm

Child D then first collapsed at 1.30am.
Mr Johnson: "This is within a very short time of the document with Lucy Letby's signature on, isn't it?"
Kate Tyndall: "Yes."

 
2:31pm

A neonatal infusion prescription chart at 1.25am, for Child D, is shown to the court. Lucy Letby is one of the two nurses to provide a signature for a saline dose prescription at that time.

2:32pm

Child D then first collapsed at 1.30am.
Mr Johnson: "This is within a very short time of the document with Lucy Letby's signature on, isn't it?"
Kate Tyndall: "Yes."

And here we go again !
 
2:34pm

A nursing note, timestamped for 1.30pm but written retrospectively, recalls: "Called to nursery ward...[Child D] had desaturated to 70s, required oral suction as was bubbly and had lost colour. Discolourations to skin observed, trunk/legs/arm/chin."

 
2:34pm

A nursing note, timestamped for 1.30pm but written retrospectively, recalls: "Called to nursery ward...[Child D] had desaturated to 70s, required oral suction as was bubbly and had lost colour. Discolourations to skin observed, trunk/legs/arm/chin."

The theme of discolurations is interesting and seems quite common in these babies. I wonder how common they are outside of these deaths.
 
You were right!

A nursing note at 7.15pm said attempts were made to get Child D off CPAP, but breathing was still 'shallow' off that, so CPAP resumed.

Swipe data showed Lucy Letby arrived at the neonatal unit at 7.26pm.

The handover note showed Letby was one of the nurses on duty that night, with a different nurse being the designated nurse for Child D, in room 1.

Letby was the designated nurse for two other babies in room 1
Perfect, thank you for clarifying
 
2:39pm

Notes of medication are made.
At 2.40am, a neonatal infusion prescription chart is recorded for a sodium chloride dose with 10% dextrose. Letby is one of the two nurses signing for it.

2:41pm

The medication administration update is made on the computer at 2.44am.
At 3am, Child D collapsed for the second time.
The nursing note recorded for 3am: '[Child D] crying and desaturated again to 70s, commenced on 100% O2 via CPAP and picked up well but skin discoloured again..

2:44pm

At 3.20am, a further neonatal infusion prescription is made, with Lucy Letby being one of the signatories.
At 3.45am, Child D collapses for the third and final time.
The nursing note recalled the alarm went off and Child D 'desaturated and then became apneoic. Called Letby...' Resuscitation efforts began but to 'no effect'.
A bleep alarm went off and doctors were called to the neonatal unit.

2:47pm

The court is shown a number of clinical notes are made by doctors for this time. These clinical notes will be discussed further when the doctors involved in them come to court to give evidence in the coming days.
They include the resuscitation efforts, administration of adrenaline doses and the decision, ultimately, to discontinue CPR.
Child D died at 4.25am.

 
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