CONTROLLED SUBSTANCE SHIFT LOG - cabinets ICU / PACU / 5E
Day shift 2026-02-08 0700 to 1900

#1 0700 Rhosyn Bramscott: shift opened, CS keys received
#2 0740 Halvene Elsworthy: PACU: wd morph x 1 bay 11 (gave 0.5ml); remaining 2mg (0.5mL) wasted, w/ Grenhalt RN
#3 0753 L. Mossop: refilled Versed 2 mg/2 mL in PACU, 5 added
#4 0805 M. Esterby: pulled fentaNYL 100 mcg vial qty 1 from ICU for bed 9, for 2 mL dose
#5 0813 Wenna Grenhalt: pulled fentanyl 100 mcg/2 mL 1 vial from PACU for bay 9, gave 25 mcg (0.5 mL). wasted 75 mcg (1.5 mL), w/ Halvene
#6 0813 Mossop, L.: refilled MSO4 in PACU, 10 added
#7 0848 T. Brightmore: 5E - fentaNYL two vials out for pt 525, 3 mL ordered
#8 0921 Brockless, B.: bed 9: Ativan 1 vial pulled from ICU; for a 1 mg/0.5 mL dose
#9 0921 Corrander, L.: pulled HM x1 from 5E for pt 538, giving 1.5 mg
#10 0925 Elsworthy, H.: PACU: wd morphine x 1 bay 2 (for 1 mL dose)
#11 0931 Halvene Elsworthy: withdrew morphine 4mg/mL one carpuject (PACU cab) for bay 2, dose 4mg
#12 0936 Brightmore, T.: waste from the room 525 fentaNYL: 2 mL, wit. Morvenna Esterby RN
#13 0938 L. Corrander: wasted 0.5 mg/0.25 mL HYDROmorphone from #9, w/ Esterby RN
#14 0939 Ulvenne Ivarsen: removed x1 perc 5E for room 511 - for 5mg dose
#15 0945 B. Brockless: remainder of entry 8 wasted (0.5 mL), wit. R. Bramscott
#16 0950 Lavisse Mossop: transferring three morphine from PACU over to 5 East
#17 1001 Grenhalt, W.: PACU cabinet rebooted after network blip, back up 2 min later
#18 1003 Halvene Elsworthy: #11 entered in error (dup of #10), disregard
#19 1005 Ulvenne Ivarsen: rm511: perc x1 pulled from 5E; for 5mg dose
#20 1014 Brisande Brockless: pharmacy notified that 5E is low on par, will check at next run
#21 1033 H. Elsworthy: PACU - midazolam 2 mg/2 mL qty 1 out for bay 9, dose 1 mg; waste half the vial (1 mg) witnessed by Morvenna Esterby
#22 1104 B. Brockless: withdrew dilaudid one carpuject (ICU cab) for bed 14, giving 1 mg
#23 1119 R. Bramscott: #16 morphine: transfer discrepancy reviewed and resolved
#24 1120 Brisande Brockless: my 1104 hydromorph waste - 0.5 mL, wit. M Esterby
#25 1132 Elsworthy, H.: withdrew hydromorphone x1 (PACU cab) for bay 6, giving 1 mL
#26 1133 Bramscott, R.: correction to #12: waste should be 50mcg, not 100mcg
#27 1147 M. Esterby: took one vial lorazepam 2 mg/mL from ICU for bed 3. giving 1 mg
#28 1148 R. Bramscott: void #19 - duplicate of #14
#29 1156 L. Mossop: PACU: Versed x2 out to ICU (transfer)
#30 1157 L. Corrander: late entry, actual time 1022. took qty 1 morphine 4mg/1mL from 5 East for rm 528.
#31 1222 Tobrin Brightmore: took x 1 fentanyl 100mcg/2mL from 5E for rm528. dose 50 mcg
#32 1222 B. Brockless: transfer entry 29 in: midazolam 2mg/2mL x2 to ICU pocket
#33 1223 Morvenna Esterby: wasted 1 mL LORazepam from entry 27, witness U. Ivarsen LPN
#34 1238 Lorrin Corrander: took 1 vial Sublimaze from 5E for rm525. for a 50 mcg (1 mL) dose, half the vial (50 mcg) waste in rx destroyer, wit. R. Bramscott
#35 1252 B. Brockless: pulled LORazepam 2mg x1 from ICU for bed 9, for a 2mg dose
#36 1302 Halvene Elsworthy: took x1 hydromorphone 2 mg/mL from PACU for bay 3. giving 0.25mg (0.125mL)
#37 1302 Tobrin Brightmore: wasting 50mcg left from #31. witness R. Bramscott
#38 1317 H. Elsworthy: unit huddle, nothing for the log
#39 1319 Elsworthy, H.: remainder of #36 wasted (1.75mg, 0.875mL), w/ Wenna RN
#40 1320 Esterby, M.: pulled fent 100mcg/2mL 1 vial from ICU for bed 6, giving 50 mcg (1 mL)
#41 1326 B. Brockless: line #35 waste - 1.5mg, w/ Rhosyn Bramscott
#42 1335 Morvenna Esterby: remainder of entry 40 wasted (half the vial, 50 mcg), witness Brockless
#43 1407 Brisande Brockless: correction #35 - dose 0.5 mg/0.25 mL (not 2mg)
#44 1429 Brockless, B.: took one carpuject HYDROmorphone from ICU for bed 6. held, pt refused
#45 1442 B. Brockless: entry 44: one HYDROmorphone into the return bin, sealed
#46 1446 Mossop, L.: ICU printer jammed, label paper replaced
#47 1454 Ulvenne Ivarsen: rm 525: Roxicodone 1 tab pulled from 5E; for 5mg dose
#48 1459 Tobrin Brightmore: 5 East: wd morphine 4mg/1mL 1 carpuject rm520 (dose 0.75ml); remaining 1mg wasted, witnessed by Morvenna Esterby
#49 1459 U. Ivarsen: took 1 tab Roxicodone 5mg tab from 5 East for room 525. 5mg ordered
#50 1514 Brightmore, T.: fire drill on the floor, cabinets locked during drill
#51 1527 Lavisse Mossop: refilled morphine 4mg/1mL in 5E, 7 added
#52 1533 Grenhalt, W.: PACU: wd morph 4mg/1mL one carpuject bay 2 (for a 1 mL dose)
#53 1548 W. Grenhalt: PACU - Versed one vial out for bay 3, giving 1mg
#54 1554 Esterby, M.: pulled Sublimaze one vial from ICU for bed 9, for 75 mcg (1.5 mL) dose; waste 25 mcg w/ B. Brockless
#55 1559 Brightmore, T.: 5E - Roxicodone 5 mg 1 tab out for pt 517, for 5mg dose
#56 1601 M. Esterby: ICU - versed 1mg/mL 1 vial out for bed 6, 1 mg (1 mL) ordered, waste 1ml witness Bramscott
#57 1603 Brisande Brockless: pulled Versed 2 mg/2 mL 1 vial from ICU for bed 20, for a 0.5mg (0.5mL) dose; waste 1.5mg (1.5mL) witnessed by Morvenna RN
#58 1605 Grenhalt, W.: transfer 1 morphine 4 mg carpuject PACU to ICU
#59 1627 R. Bramscott: void #49 - duplicate of #47
#60 1633 Elsworthy, H.: withdrew morph 4mg/1mL x1 (PACU cab) for bay 1, 2mg ordered. wasted 2mg (0.5mL), Grenhalt RN witnessed
#61 1635 W. Grenhalt: wasting 1 mL left from #53. witness R. Bramscott RPh
#62 1714 Brockless, B.: RPh paged about the tube station on 5 East, working again
#63 1745 B. Brockless: late entry, actual time 15:06. pulled morphine x1 from ICU for bed 9, 1ml ordered
#64 1756 L. Mossop: ICU restock Ativan +15
#65 1803 B. Brockless: ICU received 1 morph 4mg from PACU, transfer entry 58
#66 1837 L. Corrander: withdrew oxy 5 mg 2 tabs (5E cab) for room 529, gave 5 mg, waste 3.75 mg witness M. Esterby
