Lucy Letby says baby boy's death was unexpected shock

Nurse Lucy Letby said it was a "huge unexpected shock" erstwhile a babe lad died soon aft she started her displacement connected a neonatal unit.

The newborn twin, known arsenic Child A, died conscionable implicit 24 hours aft his commencement astatine the Countess of Chester Hospital.

Giving grounds for the 2nd day, Ms Letby, 33, said she felt similar she had "walked done the doorway into this atrocious situation" connected 8 June 2015.

Ms Letby denies murdering 7 babies and attempting to termination 10 others.

The prosecution allege Ms Letby, primitively of Hereford, was a "constant malevolent presence" astatine the hospital, sidesplitting 5 boys and 2 girls, and attempting to execution different 5 boys and 5 girls.

During the archetypal six months of her trial, the prosecution person claimed that betwixt 2015 and 2016, Ms Letby utilized assorted means to people the babies, including injecting them with aerial and poisoning them with insulin.

Under questioning from her defence lawyer Ben Myers KC, Ms Letby said she had received a substance connection successful the greeting asking if she could work.

She told the assemblage she agreed to enactment the shift, adding requests similar this happened "frequently" and she was "very flexible" and "very blessed to assistance wherever I could".

Ms Letby was fixed Child A to attraction for erstwhile she arrived connected displacement astatine 19:30 BST.

The tribunal heard Ms Letby and chap caregiver Melanie Taylor went connected to springiness Child A intravenous fluids.

Ms Letby said erstwhile the infusion had started, she had a nursing handover with Ms Taylor.

Once the handover had been completed, Ms Letby said Ms Taylor went to the machine presumption to commencement penning her notes portion she started doing instrumentality checks.

Ms Letby said she recalled different doc was besides successful the country astatine this time.

She said she noticed Child A had go "jittery" erstwhile she started doing her observations.

She told the assemblage soon aft his alarm show had sounded and helium had changed colour and was apnoeic.

Ms Letby said she noticed Child A's "hands and feet were white" truthful she started to usage a neopuff - a mechanical instrumentality specially designed for neonatal resuscitation.

Ms Letby said "very soon after" an exigency clang telephone went retired to the neonatal squad and doctors arrived connected the portion to assistance with the resuscitation.

When asked however she was feeling astatine this time, Ms Letby said: "It was a immense unexpected shock, it felt similar I virtually conscionable walked done the doorway of the displacement and this was happening."

Following Child A's death, Ms Letby assisted his parents and made a representation box.

Ms Letby said she labelled the babe boy's UVC (umbilical venous catheter) enactment and container and stored them successful the neonatal unit's sluice country aft the infant's decease arsenic she felt it should beryllium checked.

When asked again however she felt aft the events, she said: "Stunned, it was a implicit daze for each of us.

"It felt similar we'd walked done the doorway into this atrocious situation.

"It was the archetypal clip I met [Child A] and his parents… it was a immense shock."