Lucy Letby Case

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If they can specifically say insulin, then it's obviously been found in pathology/autopsy reports. If the babies weren't prescribed it then it's very hard to explain why it was found if that was the case. If it had been prescribed, it's more possible for human error.
This is a key point and will be interesting to see if the 2 babies that died from insulin poisoning were not prescribed it then it was an intentional act to harm/murder them
 
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I'm mostly lurking here, but I'm appreciative of the balanced chat and open minds of everyone posting. It's a shocking case no matter what the outcome and I'm sure we've all got the babies and families in our hearts first and foremost.
 
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Someone above said it all sounds circumstantial so far (sorry can't remember who and my phone wont quote today for some reason).

Don't forget this is just the opening statement saying why they think the jury should find her guilty once they have seen all the evidence. The evidence itself will be much more in depth. Must be a lot to state though if they think even the opening statement will take 2 days, as in Star's trial, all 3 barristers did their opening statements in less than a day
Exactly. And everything is circumstantial until it becomes beyond a reasonable doubt. Look at Dr Shipman. The red flags first came about because of circumstantial evidence - the practice manager was counter signing a lot more death certificates for his patients than of other doctors in the practice. This raised concerns and then (I believe) it was only thoroughly investigated when some next of kin raised concern regarding a last minute Will change on their perfectly healthy parent who saw Dr Shipman and then seemed to drop dead very quickly after.
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
 
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So scary, when I had my son he was in neonatal for the first day and receiving IV fluids and. Antibiotics, never questioned a thing. He was pretty healthy compared to some of the wee souls in the incubators, out within 24 hours. Just cannot fathom any special baby nurses being so cruel. I was quite relaxed when he was in there as I just told myself it was the best place for him and I'd have him back in my arms soon. Will be following this with a heavy heart. Those poor families 💔
 
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Someone above said it all sounds circumstantial so far (sorry can't remember who and my phone wont quote today for some reason).

Don't forget this is just the opening statement saying why they think the jury should find her guilty once they have seen all the evidence. The evidence itself will be much more in depth. Must be a lot to state though if they think even the opening statement will take 2 days, as in Star's trial, all 3 barristers did their opening statements in less than a day
Star was just one person.

This is alleged multiple murders and attempted murders in a hospital. It will be far more complex. They are just not comparable.
 
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I'm surprised there isn't a maximum length for an opening statement. After all, it's meant to be an introduction. It seems strange to spend 2 days talking about what you're going to talk about.
Ah, quote is working this time. I reckon it's like a typical uni essay...intro says what you're going to tell them, main bit tells them what you're telling them, and conclusion concludes what you said you would tell them 🤣 (in my case, often with a lot of fluff, filler and waffle in between!!)

Edited to add... sorry, bit of gallows humour. I know this case is pretty horrible so hope I haven't offended anyone with a glib joke like this
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
Not the same but when I was in hospital they gave me some morphine which should of knocked me out but I'm ginger so need more then most people my size. A second nurse had to be with the 1st one to administer the top up.
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
From my experience, both in a ward setting and my children being in NICU prescription errors aren't uncommon. One of my babies was incorrectly prescribed caffeine and was given a higher dose than their weight indicated, and I've seen it at work. Nurses normally notice this before administering the drug and omit that round till its represcribed correctly.
That being said if you are short staffed and behind on your work you may miss this error and in turn something fatal may happen.
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
I administer medications, but not insulin as I'm not a staff nurse. But insulin is a 2 person check as it can be so dangerous, and obviously to reduce the risk of error. An insulin error should be caught on quickly and a serious adverse incident declared I would presume, so I find it hard for the same mistake to be repeated in such a short space of time. I know a medication error puts the fear of God into any staff trained to administer, myself included. I'd like to think you'd learn from your mistakes.
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
It would be very unlikely a baby would need insulin. Even if a child is born with type 1 diabetes this would typically not be diagnosed until older. HOWEVER, if a baby was to need insulin, the amount given would be based off weight and their blood sugar levels - you would do a test of blood glucose levels every single time you would administer insulin and for a baby, you would likely be checking those levels after the fact as well.
 
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From my experience, both in a ward setting and my children being in NICU prescription errors aren't uncommon. One of my babies was incorrectly prescribed caffeine and was given a higher dose than their weight indicated, and I've seen it at work. Nurses normally notice this before administering the drug and omit that round till its represcribed correctly.
That being said if you are short staffed and behind on your work you may miss this error and in turn something fatal may happen.
my son was also prescribed too much morphine whilst in NICU. He went into respiratory arrest. I must admit tho they pulled emergency buzzer extremely quickly and they also did an investigation into what went wrong which we signed. After that experience it is why I struggle to see how no one noticed.
 
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Those with nurse/insulin knowledge, what’s the likelihood of human error/incompetence if it was prescribed and the wrong dose given? Is this basic 101 stuff for nurses or could it be possible to make repeated mistakes if the hospital failures meant there were no 2 nurse checks?
I’ve been qualified 9 years and can count on one hand the amount of times I’ve given it. However in the UK we have brilliant national guidance on paediatric insulin (nice, trust level, rcpch) and it’s incredibly easy to understand and do the maths. Insulin should be prescribed in insulin charts, which contain all the information for safe prescribing, and then the drawing up process, administration/infusion is all 2nd checked. Like anything, if you don’t feel confident or competent you escalate and find someone who is.
 
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Following this thread but first time commenting

I know a woman who did this to their baby, or apparently did. If I remember rightly the baby was about one but then I'm unsure if she'd done it before as I remember her saying about her being unwell quite often, but you assume they mean with a bug or something!
I worked with her, I knew she'd had mental health issues as she talked about it a lota and and I felt for her, but she seemed happy when I knew her and she would say her baby saved her. Her daughter seemed to have helped her start her life again which I thought was amazing, she seemed a great mum, and talked about her baby all the time. She did talk about her diabetes as she was type 1.

I know one night she messaged another colleague asking what she'd do if her baby was not responding and strange things like that. Of course she said take her to hospital! But at work she would come in and just say she was fine when they next saw her.
I wasn't aware of this at first.

She then disappeared and her daughter was in hospital. It all went quiet and nobody really knew what had gone on as she never came back and all was quiet. I didn't know if she was suffering with her mental health again, but she carried on posting her daughter on social media as normal.
She was on the work schedule for a long time, a long time after that it turned out it was because she wasn't allowed back until it was all sorted and she was cleared (health care setting)

So it turned out that her daughter had been taken off her as the hospital said she was ill from insulin poisoning. Of course my colleague denied doing this but I'm gathering they must have found it in her system?

She never came back to work, since had another child which has been taken away from her. I do wonder what happened with police, but obviously social services stepped in and she obviously wasn't allowed back to work.

It's terrible all round. I do wonder if she was doing it for the attention that she got if her daughter was ill or something.
Different circumstances I know but thought I'd share.
 
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From my experience, both in a ward setting and my children being in NICU prescription errors aren't uncommon. One of my babies was incorrectly prescribed caffeine and was given a higher dose than their weight indicated, and I've seen it at work. Nurses normally notice this before administering the drug and omit that round till its represcribed correctly.
That being said if you are short staffed and behind on your work you may miss this error and in turn something fatal may happen.
It will be interesting then to see if the defence is a complete ‘it never happened/it wasn’t me’ rebuttal or whether they admit she gave the insulin (because evidence is too overwhelming it was her) but it was incompetence/stress/hospital failings type reason for error.
 
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I administer medications, but not insulin as I'm not a staff nurse. But insulin is a 2 person check as it can be so dangerous, and obviously to reduce the risk of error. An insulin error should be caught on quickly and a serious adverse incident declared I would presume, so I find it hard for the same mistake to be repeated in such a short space of time. I know a medication error puts the fear of God into any staff trained to administer, myself included. I'd like to think you'd learn from your mistakes.
Exactly. I thought this two person check was put in place because of Beverley Allitt so I don't understand how this could happen and (possibly - we don't know yet) so often...?
 
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Also, isn't insulin a controlled drug like morphine, so a nurse can't just easily access it without it being noticed?
 
So shocked at what’s already been said. I don’t know why, I guess it’s just very unnerving to know a person potentially did this to babies. I don’t think the jury being majority women will bode well for her, the prosecution will probably have been pleased about that.
 
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