Read from bottom up
3:51pm
Letby had previously told her defence that, due to temperature concerns and aspirates, she wanted Child Q to be reviewed by doctors before feeding at 9am on June 25.
The neonatal schedule shows Letby made observations for the designated baby in room 1 at 8.30am. She also co-signed for medication at 8.32-8.34am for a baby in room 3.
At 9am, Mary Griffith is doing observations for a baby in room 2. An unsigned entry is made for Letby's designated baby in room 1 at this time.
Also at this time, Letby is recorded doing observations for Child Q.
Letby says she does not recall doing the observations or being interrupted.
Mr Johnson says he uses the word 'interrupted' as swipe data shows Mary Griffith entering the neonatal unit at 9.01am.
He suggests Letby pumped Child Q with some clear liquid while Mary Griffith was out.
Letby denies this.
3:45pm
Letby adds there had been a 'slight increase' in the lactate, and the pH reading was slightly lower, but accepts it was a good reading overall.
Letby said at the time of Child Q's handover on the morning of June 25: "There were concerns for his abdomen and his feeds." Asked who else had raised these concerns but her, Letby replies she does not know.
3:43pm
Letby says, "other than some temperature issues", the overall condition of Child Q was positive.
Child Q was looked after by Samantha O'Brien on the night of June 24-25, and Child Q was being fed 0.5ml of milk every two hours at 3am, 5am and 7am.
A blood gas reading at 6.58am was "very good", Mr Johnson says. Letby agrees.
3:40pm
Letby agrees Child Q required some breathing support at birth.
She also agrees Child Q "made good progress" after birth, according to Mr Johnson.
3:37pm
Mr Johnson says Child Q was transferred to nursery room 1.
NJ: "He was in a serious condition after that, wasn't he?
LL: "No I disagree."
NJ: "He needed one-to-one care, didn't he?
LL: "Yes, he was assessed as ITU care."
The rota for June 25, 2016, at the beginning of the shift, is shown to the court.
Child Q was in room 2, designated nurse Lucy Letby. One other baby is in room 2, with a different designated nurse.
Letby was a designated nurse for a baby in room 1. Two other babies are in room 1. Three babies were in room 3 and four babies in room 4. Nurse Mary Griffith had designated babies in rooms 2, 3 and 4.
Letby rules out staffing levels or staffing mistakes or medical incompetence as contributory factors for Child Q's collapse.
3:33pm
Medical expert witness Dr Dewi Evans was challenged by the defence on his use of the word 'crashed' for Child Q, saying that was a 'gross exaggeration'.
Letby says a more appropriate word for what happened to Child Q would be "deterioration".
A doctor colleague had referred to the event, in a message, as an 'acute deterioration'.
Letby said that would be accurate.
She said the difference would be a crash would require a crash call being put out.
3:30pm
The trial is resuming after a short break.
Mr Johnson clarifies from a text message sent to a doctor colleague, Letby did have two designated babies at the start of that shift, one of whom was Child P.
He now turns to the case of Child Q.
Letby, in her defence statement, said she cannot recall much from the shift given what had happened in the previous days.
She said she did not understand why feeding was continued for Child Q when it was not being digested.
Letby said Child Q was sick and when she arrived, from the records, she aspirated 'air+++' from Child Q. She says she does not know how that air got there, and she did not cause it.
Child Q was not put on a ventilator as there were concerns over NEC.
She did not deliberately retain a handover sheet for Child Q.
Letby says she would like to amend the statement, to say she was on duty after June 25, 2016.
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