A nurse accused of murdering seven babies photographed a thank you card from the parents of two of her alleged victims as “something to remember”, a court has heard.
Lucy Letby, 33, said it was not unusual for her to take photos of cards she had sent and received.
She is on trial at Manchester Crown Court accused of the murders and the attempted murders of 10 other babies.
Two of her alleged victims at the Countess of Chester’s neonatal unit are said to be newborn twin boys, Child E and F.
It is alleged she murdered Child E with a fatal injection of air into his bloodstream and attempted to murder his brother, Child F, by insulin poisoning in August 2015.
Jurors have heard the boys’ parents brought in a hamper and a thank you card to the unit some three months later.
Images of the card were recovered from Letby’s phone following her arrest, the court heard.
Giving evidence on Monday, Letby said she was working a night shift in the early hours of 20 November 2015 when she decided to photograph the card at the nurses’ station.
Her barrister Ben Myers KC asked: “Why did you take a photograph of a thank you card from the (Child E and F’s parents)?”
Letby replied: “It was something I wanted to remember. I quite often take photographs of cards I have sent and received.”
Mr Myers said: “Anything unusual in you doing that?”
Letby said: “No.”
Jurors were told Letby searched the name of the twins’ mother on Facebook a total of nine times between August 2015 and January 2016.
Letby said: “Searching for people on Facebook is something I would do. Quite often (the twins’ mother) was on my mind following (Child E and Child F).”
Mr Myers said: “Is there anything unusual for you looking more than once on Facebook for someone on your mind?
Letby said: “No, that’s a normal pattern of behaviour for me.”
The defendant, from Hereford, denies all the alleged offences said to have taken place between June 2015 and June 2016.
Accusations about premature baby
Letby was next asked about Child G, an extremely premature-born girl, who she is said to have attempted to murder on three separate occasions.
The defendant said she was at the nurses’ station with a colleague in the early hours of 7 September 2015 when they heard Child G’s monitor alarm.
Letby said: “We also heard quite a loud retching noise which we thought was unusual so we both went quite quickly into nursery one.
“She was vomiting from her mouth and nose, and struggling to breathe.
“We were quite shocked as looking around the scene there was vomit adjacent to the cotside and on the floor. That is something we had not seen before.”
Read more from the Lucy Letby trial:
Letby tells court of ‘shock’ after death of child in her care
Nurse accused of murder says accusations are ‘sickening’
Letby ‘tried to murder baby within two hours of her birth’
Breathing support was given “immediately” via a face mask, she said, and the infant was stripped off “to see her abdomen”.
Letby said: “The abdomen was quite firm, distended and red.”
Mr Myers asked: “Had you been asked to look after (Child G) before the vomiting?”
“No,” said Letby.
Letby was Child G’s designated nurse on the day shift of 21 September when two more attempts on her life allegedly took place, the court heard.
During the morning Child G had two projectile vomits and briefly stopped breathing, the court was told.
Letby said she heard Child G’s monitor sound while she was in the room with two other babies.
The youngster “stabilised” when she went over, she said, and there was no need for an emergency crash call or a shout for help.
Care of Child G was transferred to a more senior nurse because she “required a high level of care from that point” and Letby had other babies to care for in the same nursery room, the court heard.
Later in the day Child G was behind a screen for her “privacy” after numerous attempts to insert a cannula, Letby said.
She went on: “I happened to catch sight behind the screen and saw that (Child G) was on her own.
“She was dusky, blue and not breathing.”
Mr Myers asked: “What did you do when you found her in that position?”
Letby said: “At this point (Child G) was on the procedure trolley, which is a flat bed with no sides, and I put her into the cot and immediately started Neopuffing (breathing support).”
Mr Myers said: “Should she have been left on the procedure trolley?”
Letby said: “No, that’s not the style of practice at all
“I was very concerned about it.
“Three issues really – we would never leave a baby unattended on a procedure trolley, unattended behind a screen or without a monitor on.
“And those three things had happened.”