CONTROLLED SUBSTANCE SHIFT LOG - cabinets 4W / PACU / ICU
Night shift 2026-04-23 1900 to 2026-04-24 0700

#1 1902 Brockless, J.: start of shift, cabinets checked online
#2 1908 Cadris Underhay: took x1 HYDROmorphone from 4W for pt 433. for a 1 mg/0.5 mL dose, 1mg (0.5mL) wasted, w/ Yselle
#3 1918 Hollenby, M.: pharmacy restock: ICU Dilaudid x8
#4 1947 C. Underhay: withdrew MSO4 4 mg carpuject 1 carpuject (4W cab) for room 433, for 0.75 mL dose. wasted 1 mg/0.25 mL, w/ Tregallow
#5 2010 Ivarra Bramscott: removed qty 1 MSO4 4mg/1mL ICU for bed 7 - held, pt refsued
#6 2013 U. Dorrell: ICU - hydromorph x 1 out for bed 20
#7 2035 Y. Tregallow: pulled dilaudid x1 from PACU for bay 1, dose 1ml
#8 2053 Bramscott, I.: #5: one morphine into the return bin, sealed
#9 2059 U. Gastrell: pulled dilaudid 2mg x1 from PACU for bay 14, giving 0.25ml; 1.5mg waste in rx destroyer, no witness availble, will get cosign
#10 2123 Dariel Felsham: 4 West - percocet 2 tabs out for rm 439, 5 mg ordered
#11 2125 Felsham, D.: return bin: Percocet x1 from line #10
#12 2149 Cadris Underhay: Late entry (2053): took 1 tab perc from 4W for pt 415.
#13 2201 U. Dorrell: withdrew Dilaudid 2 mg/mL 1 carpuject (ICU cab) for bed 15, dose 0.5mg
#14 2203 I. Bramscott: fire drill on the floor, cabinets locked during drill
#15 2205 Tregallow, Y.: late entry, actual time 1952. PACU - fentaNYL 1 vial out for bay 11, 75 mcg ordered
#16 2213 Ursel Dorrell: withdrew lorazepam 2 mg/mL one vial (ICU cab) for bed 18, giving 1mg. waste 1 mg wit. Brockless
#17 2221 Felsham, D.: took 1 vial ativan 2mg vial from 4W for room 415. dose 0.5ml
#18 2231 Yselle Tregallow: remainder of #15 wasted (0.5 mL), witness Cadris
#19 2232 U. Dorrell: wasting 1.5 mg/0.75 mL left from #13. witness Cadris RN
#20 2247 Dariel Felsham: remainder of entry 17 wasted (1 mg), witnessed by J. Brockless RPh
#21 2253 I. Bramscott: pulled HYDROmorphone qty 1 from ICU for bed 9, giving 0.25mg (0.125mL)
#22 2254 Cadris Underhay: transferring three hydromorph 2mg from 4W over to PACU
#23 2301 Underhay, C.: removed one carpuject hydromorph 2 mg/1 mL 4W for rm405 - gave 0.125ml
#24 2314 U. Gastrell: transferring four hydromorphone 2 mg/mL from PACU over to 4W
#25 2319 Cadris Underhay: wasted 1ml dilaudid from #23, Y Tregallow witnessed
#26 2327 D. Felsham: pulled oxy/APAP x1 from 4W for rm 402, dose 5mg
#27 2332 Bramscott, I.: #21 waste - 1.75 mg, witness Cadris
#28 2340 Yselle Tregallow: withdrew morphine x 1 (PACU cab) for bay 5, gave 4 mg (1 mL)
#29 2346 Ulvenne Gastrell: withdrew versed 2mg/2mL x1 (PACU cab) for bay 14, for 2 mg (2 mL) dose
#30 2349 Gastrell, U.: rec'd transfer entry 22: 3 Dilaudid 2mg carpuject into PACU
#31 0003 C. Underhay: 4 West - hydromorphone x1 out for room 403, dose 1 mg/0.5 mL
#32 0023 C. Underhay: #25 waste amount was charted as 2 mg (1 mL) in error, correct waste amount is 1.75mg
#33 0032 C. Underhay: waste from line #31: half the carpuject (1 mg), w/ Y. Tregallow
#34 0033 Mabriel Hollenby: 4 West lorazepam 2mg/mL x3 pulled, sent to main pharmacy - over par
#35 0040 Y. Tregallow: PACU - hydromorph 2 mg/mL qty 1 out for bay 11, for a 1mg dose; waste half the carpuject (1 mg) B Drennick witnessed
#36 0040 C. Underhay: 4W received 4 dilaudid 2 mg/mL from PACU, transfer #24
#37 0129 Ivarra Bramscott: *late* 00:31 - took x1 LORazepam 2mg vial from ICU for bed 10.
#38 0138 Y. Tregallow: correction to #35: witness should be Ulvenne, not Belisande Drennick
#39 0147 Ursel Dorrell: took qty 1 HYDROmorphone 2mg/mL from ICU for bed 7. for a 1mg dose; wasted rest (1 mg/0.5 mL), J Brockless RPh witnessed
#40 0148 U. Gastrell: PACU - morph one carpujet out for bay 11, pt refused dose
#41 0202 Mabriel Hollenby: pharmacy restock: PACU hydromorph x7
#42 0213 D. Felsham: took qty 1 Dilaudid from 4W for rm 425. gave 1mg
#43 0216 Ursel Dorrell: withdrew fent x 1 (ICU cab) for bed 10, dose 0.5ml
#44 0222 Gastrell, U.: returned 1 morph to stock, unopened, from the bay 11 MSO4
#45 0232 U. Dorrell: ICU - Sublimaze 50 mcg/mL one vial out for bed 18, for 50mcg dose. wasted 50 mcg, cosign pending
#46 0236 Felsham, D.: remainder of #42 wasted (1mg), witness Cadris Underhay
#47 0239 Tregallow, Y.: pulled midaz 2mg vial 1 vial from PACU for bay 7, gave 1 mL
#48 0239 Ursel Dorrell: ICU - morphine 1 carpuject out for bed 12, giving 3mg. wasted 1mg, witnessed by C Underhay
#49 0241 Y. Tregallow: my 0239 pull waste - 1ml, Gastrell witnessed
#50 0248 Underhay, C.: pulled Ativan qty 1 from 4W for rm 415, for a 0.5mg (0.25mL) dose; waste 0.75 mL cosign pending
#51 0258 Yselle Tregallow: PACU: wd midazolam 1mg/mL 1 vial bay 7 (gave 1mg), wasted half the vial (1 mg), no second RN free, cosign later
#52 0258 Dorrell, U.: #43: wasted 100 mcg, witness Brockless
#53 0305 Ulvenne Gastrell: PACU - versed qty 1 out for bay 11, held, pt refused
#54 0326 Ursel Dorrell: RPh paged about the tube station on ICU, working again
#55 0340 U. Gastrell: #53: one midaz into the return bin, sealed
#56 0341 Jessaly Brockless: #51 midazolam waste discrepancy reviewed with RN, resolved
#57 0348 Hollenby, M.: late cosign - I witnessed the waste at #51
#58 0353 Dorrell, U.: amend #52: waste 75 mcg (1.5 mL)
#59 0359 M. Hollenby: PACU restock versed 2 mg/2 mL +12
#60 0405 Cadris Underhay: took x1 oxy IR 5mg from 4W for pt 439.
#61 0407 C. Underhay: removed one tab oxyCODONE 4W for rm 439
#62 0433 B. Drennick: cosign #45 waste
#63 0436 Yselle Tregallow: took x1 MSO4 4 mg carpuject from PACU for bay 12. gave 4mg (1mL)
#64 0439 U. Gastrell: pulled HM one carpuject from PACU for bay 5, held, pt refused
#65 0449 U. Gastrell: return to stock one carpuject Dilaudid (the bay 5 hydromorph)
#66 0452 Hollenby, M.: removed 1 LORazepam 2mg/mL from 4 West for return to pharmacy (par change)
#67 0457 Cadris Underhay: void #61, charted twice
#68 0510 Jessaly Brockless: discrepancy #50 Ativan closed after RN interview
#69 0536 J. Brockless: 4W cabinet screen cleaned, touch calibration ok
#70 0552 Dorrell, U.: took one vial Sublimaze 100 mcg vial from ICU for bed 15. giving 75mcg; remaining 25mcg wasted, w/ Bramscott
#71 0557 Underhay, C.: 4W - oxy one tab out for rm431
#72 0603 Y. Tregallow: Late entry (0422): pulled HYDROmorphone 2mg one carpuject from PACU for bay 1, for a 0.125ml dose
#73 0605 U. Dorrell: withdrew Dilaudid one carpuject (ICU cab) for bed 18, 0.75ml ordered, remaining .5mg wasted, wit. Cadris Underhay
#74 0611 U. Gastrell: Late entry (0516): withdrew morphine 4mg x1 (PACU cab) for bay 14, giving 2mg (0.5mL)
#75 0612 Ulvenne Gastrell: wasting half the carpuject (2 mg) left from #74. witnessed by J. Brockless
#76 0625 Yselle Tregallow: waste from #72: 1.75 mg, w/ C. Underhay
#77 0633 Ursel Dorrell: took one carpuject hydromorphone from ICU for bed 12. for a 0.25 mg dose
#78 0636 Mabriel Hollenby: 4 West restock Ativan 2mg/mL +8
