CONTROLLED SUBSTANCE SHIFT LOG - cabinets ICU / 5E / 4W
Day shift 2026-04-09 0700 to 1900

#1 0700 B. Fallbrook: start of shift, cabinets checked online
#2 0714 Fallbrook, B.: returned 2 LORazepam 2mg to pharmacy from ICU, expired
#3 0735 Morvenna Grenhalt: removed x1 oxy IR 5 East for room 526 - 5mg ordered
#4 0747 Arvelle Chelwyn: took 2 tabs Roxicodone from 4W for rm437. 5 mg ordered
#5 0751 Brightmore, N.: pt 518: HM one carpuject pulled from 5E; for 2mg (1mL) dose
#6 0803 Kirtlow, L.: ICU - morphine 4 mg carpuject qty 1 out for bed 19, pt refused dose
#7 0813 L. Kirtlow: dropped 1 unopened MSO4 in return bin - #6
#8 0825 A. Chelwyn: 1 unopened oxyCODONE back in pocket, from the 0747 pull
#9 0858 Morvenna Grenhalt: removed one carpuject MSO4 4 mg carpuject 5 East for rm 529 - dose 2 mg/0.5 mL
#10 0900 Belisande Fallbrook: loaded 7 morph 4mg/mL into 4 West
#11 0902 N. Brightmore: removed 2 tabs Roxicodone IR 5mg 5E for rm 538 - for a 5mg dose
#12 0902 Elsworthy, O.: withdrew HM 2mg qty 1 (4W cab) for pt 417, pt refused dose
#13 0907 O. Elsworthy: 1 dilaudid to return bin (from entry 12)
#14 0916 Kirtlow, L.: ICU - lorazepam 2mg 1 vial out for bed 1, for 1 mg/0.5 mL dose, wasted rest (half the vial, 1 mg), no witness available, will get cosign
#15 0916 O. Elsworthy: withdrew oxycodone/APAP 1 tab (4W cab) for rm421, dose 5 mg
#16 0917 Morvenna Grenhalt: #9 waste - half the carpuject (2 mg), witnessed by Nolwen
#17 0924 M. Grenhalt: took x 1 MSO4 from 5E for room 529. for a 2 mg dose
#18 0927 N. Brightmore: the rm 538 oxy: one oxyCODONE into the return bin, sealed
#19 0934 D. Orwenby: pharmacy restock: 5E Dilaudid 2mg carpuject x4
#20 0934 D. Orwenby: transferring four morphine 4 mg from 4W over to 5 East
#21 0941 Underhay, M.: ICU: wd midazolam 1mg/mL two vials bed 20 (gave 1mg, 1mL)
#22 0943 Mabriel Underhay: #21: wasted half the vial (1 mg), witnessed by Brightmore
#23 1028 Fallbrook, B.: void #17, charted twice
#24 1033 Oderin Elsworthy: late entry, actual time 0847. 4W - oxy/APAP 5/325 one tab out for room 404, giving 5 mg
#25 1037 Grenhalt, M.: rec'd transfer #20: 4 morphine into 5E
#26 1038 Arvelle Chelwyn: pulled perc two tabs from 4 West for room 421, giving 5 mg
#27 1046 Fallbrook, B.: RPh paged about the tube station on ICU, working again
#28 1049 Brightmore, N.: rm526: morphine x 1 pulled from 5E; gave 4 mg
#29 1056 Lorrin Kirtlow: late entry, actual time 0846. withdrew versed 1mg/mL 1 vial (ICU cab) for bed 20, gave 1mg (1mL); remaining 1mg (1mL) wasted, wit. M. Underhay
#30 1113 Chelwyn, A.: return to stock one tab percocet (#26)
#31 1129 Morvenna Grenhalt: 5E: wd dilaudid 2mg qty 1 rm 525 (dose 0.25 mL). waste: half the carpuject (1 mg), witness Morvenna Grenhalt
#32 1141 Fallbrook, B.: #21 quantity was charted as x2 in error, correct quantity is x1
#33 1141 Fallbrook, B.: #31 dose should read 1mg (not 0.25ml)
#34 1207 Morvenna Grenhalt: correction to #31: witness should be L. Kirtlow, not Morvenna
#35 1215 A. Chelwyn: pt 437: oxycodone x2 pulled from 4W; dose 7.5mg
#36 1221 A. Chelwyn: put 1 oxy IR back in the pocket unopened - my 12:15 pull
#37 1229 Arvelle Chelwyn: 4W: wd Roxicodone 5mg x2 rm 437 (dose 7.5 mg)
#38 1236 Selbourne, D.: witnessing waste #14 for Lorrin Kirtlow
#39 1251 Belisande Fallbrook: refilled Ativan 2mg/mL in ICU, 12 added
#40 1259 Brightmore, N.: pulled oxycodone/APAP 5-325 2 tabs from 5E for pt 538, for a 10 mg dose
#41 1318 Elsworthy, O.: removed 1 carpuject morphine 4W for rm401 - dose 1 mL
#42 1325 Lorrin Kirtlow: bed 20: morphine x1 pulled from ICU; dose 4 mg (1 mL)
#43 1346 Arvelle Chelwyn: void #37, charted twice
#44 1415 B. Fallbrook: ICU restock HM 2mg/mL +11
#45 1423 Arvelle Chelwyn: 4 West - MSO4 qty 1 out for rm 438
#46 1429 Grenhalt, M.: 5E - fentaNYL qty 1 out for rm502, dose 1 mL; remaining half the vial (50 mcg) wasted, B. Fallbrook RPh witnessed
#47 1439 Chelwyn, A.: re #35: dose charted 7.5 mg in error, actual 5mg
#48 1452 M. Underhay: 5E cabinet screen cleaned, touch calibration ok
#49 1503 Mabriel Underhay: pulled Versed 1mg/mL x 1 from ICU for bed 7, for a 2 mg dose
#50 1514 L. Kirtlow: withdrew ativan 1 vial (ICU cab) for bed 18, giving 0.5 mL, wasted 0.5 mL, witness Belisande Fallbrook
#51 1613 Brightmore, N.: *late* 1526 - took one tab percocet 5/325mg from 5 East for room 518. gave 5 mg
#52 1613 Grenhalt, M.: 5E: wd oxy IR 5mg x1 room 525 (2.5 mg ordered), wasted rest (half a tab), cosign pending
#53 1615 N. Brightmore: pulled Roxicodone 2 tabs from 5 East for rm525, for a 7.5mg dose; half tab wasted, wit. Belisande Fallbrook
#54 1621 Arvelle Chelwyn: rm404: oxycodone-APAP 5-325 x2 pulled from 4W; gave 10 mg
#55 1628 Chelwyn, A.: withdrew Percocet 5/325mg 2 tabs (4W cab) for rm427
#56 1630 Brightmore, N.: 5E - Percocet 5-325 two tabs out for rm 502, gave 5 mg
#57 1637 Elsworthy, O.: rm 427: Ativan x1 pulled from 4 West; for 0.5mg (0.25mL) dose. wasted 1.5mg, w/ Kirtlow RN
#58 1647 N. Brightmore: 1 unopend oxy/APAP back in pocket, from #56
#59 1725 Mabriel Underhay: ICU - morphine 4mg 2 carpujects out for bed 7, gave 6 mg/1.5 mL
#60 1727 Morvenna Grenhalt: charge RN reviewed open items on 4W with pharmacy
#61 1731 M. Underhay: remainder of #59 wasted (0.5 mL), wit. Brightmore
#62 1752 Orwenby, D.: co-sign for Grenhalt's waste at #52
#63 1800 A. Chelwyn: rm 437: morphine x 1 pulled from 4W; giving 0.75 mL; 1 mg waste in rx destroyer, w/ L Kirtlow
#64 1810 M. Grenhalt: took x 1 hydromorph 2 mg/1 mL from 5 East for pt 526. for a 2 mg dose
#65 1851 Kirtlow, L.: cabinet keys handed to relief RN for break, back at the cart
