CONTROLLED SUBSTANCE SHIFT LOG - cabinets PACU / 4W
Night shift 2026-06-21 1900 to 2026-06-22 0700

#1 1902 Dariel Jestock: start of shift, cabinets checked online
#2 1909 Oderin Esterby: rm419: morphine x 1 pulled from 4 West; for a 1ml dose
#3 2049 R. Varcoe: 4W restock lorazepam 2mg/mL +14
#4 2106 N. Umberly: removed 1 carpuject HM PACU for bay 7 - 1 mg/0.5 mL ordered
#5 2124 O. Esterby: removed x 2 morphine 4 West for rm 414 - 6mg (1.5mL) ordered
#6 2125 Nolwen Umberly: wasting 1 mg left from the bay 7 HM. wit. Ivarra Mossop
#7 2132 Nolwen Umberly: removed one vial versed PACU for bay 4 - 2 mg (2 mL) ordered
#8 2142 O. Esterby: pulled oxy 2 tabs from 4W for rm 414, gave 10 mg
#9 2222 Ivarra Mossop: removed x 1 HYDROmorphone 2 mg PACU for bay 7 - dose 0.25mg
#10 2228 N. Umberly: PACU - versed 2mg/2mL x1 out for bay 9, for a 1 mg dose
#11 2250 Ivarra Mossop: withdrew Versed qty 1 (PACU cab) for bay 3, dose 1mg (1mL)
#12 2309 N. Umberly: bay 4: dilaudid 2 mg/1 mL qty 1 pulled from PACU; for a 1.5mg (0.75mL) dose. 0.5 mg wasted, witnessed by Tobrin Kenderdine RN
#13 2312 I. Mossop: my 2222 hydromorphone waste - 1.75mg, witnessed by Kenderdine
#14 2316 Nolwen Umberly: wasting 1mg (1mL) left from #10. w/ T Kenderdine
#15 2324 Kenderdine, T.: pulled ativan 2mg vial x 1 from 4 West for pt 431, giving 1 mg/0.5 mL. wasted rest (1mg), w/ Ivarra Mossop
#16 2329 K. Brockless: room 439: oxycodone 5mg tab two tabs pulled from 4W; 7.5 mg ordered, waste half tab witness Jestock
#17 2334 Mossop, I.: my 2250 pull waste - 1ml, witness Ivarra Mossop RN
#18 2351 Tobrin Kenderdine: pulled morphine 4mg x 2 from 4W for rm 431, gave 6mg (1.5mL)
#19 2356 Ivarra Mossop: removed 2 vials fentaNYL PACU for bay 12 - for a 150mcg dose. remaining 1ml wasted, witness to follow
#20 0002 Kenderdine, T.: #18 waste - 0.5 mL, wit. Jestock RPh
#21 0014 Tobrin Kenderdine: pulled morphine 4mg/1mL two carpujects from 4W for room 431, for 6 mg/1.5 mL dose
#22 0015 R. Varcoe: PACU restock Versed +5
#23 0034 Umberly, N.: PACU: wd Sublimaze qty 1 bay 3 (giving 2ml)
#24 0111 Mossop, I.: fire drill on the floor, cabinets locked during drill
#25 0146 D. Jestock: void #21 - duplicate of #18
#26 0154 N. Umberly: transfer 2 MSO4 4 mg carpuject PACU to 4W
#27 0202 T. Kenderdine: took 1 carpuject morphine 4mg/mL from 4W for rm 414. 0.5 mL ordered
#28 0207 Tobrin Kenderdine: cosign #19 waste
#29 0211 T. Kenderdine: remainder of the 0202 pull wasted (2mg, 0.5mL), wit. O. Esterby
#30 0232 Tobrin Kenderdine: transfer #26 in: morphine x2 to 4W pocket
#31 0254 Dariel Jestock: #17 midazolam waste discrepancy reviewed with RN, resolved
#32 0258 Mossop, I.: removed x1 versed 2mg/2mL PACU for bay 3 - 1mg (1mL) ordered; waste half the vial (1 mg) need cosign
#33 0305 T. Kenderdine: RPh paged about the tube station on 4 West, working again
#34 0319 Esterby, O.: 4 West cabinet screen cleaned, touch calibration ok
#35 0320 Nolwen Umberly: PACU: wd Versed 2mg/2mL qty 1 bay 12 (giving 1 mL); wasted 1 mg (1 mL), Ivarra witnessed
#36 0354 Kenderdine, T.: withdrew hydromorph 2 mg 1 carpuject (4W cab) for rm431, dose 1.5 mg (late entry, happened at 0302)
#37 0403 Umberly, N.: removed one vial Sublimaze PACU for bay 3 - gave 75 mcg (1.5 mL); wasted 0.5ml, w/ T. Kenderdine
#38 0433 T. Kenderdine: waste from #36: .5mg, w/ Ivarra Mossop
#39 0451 Umberly, N.: removed x1 midaz PACU for bay 8 - 2 mL ordered
#40 0522 Ivarra Mossop: PACU - fentaNYL 100 mcg vial x 1 out for bay 13, for a 50mcg dose, 50 mcg (1 mL) waste in rx destroyer, T Kenderdine RN witnessed
#41 0550 O. Esterby: discrepancy #32 versed resolved per charge RN
#42 0554 Varcoe, R.: transfer 1 Dilaudid 2mg/mL PACU to 4W
#43 0557 Esterby, O.: 4 West - perc 2 tabs out for pt 439, giving 10mg
#44 0636 I. Mossop: removed x 1 fentanyl PACU for bay 2 - gave 1 mL; wasted 1ml, Jestock RPh witnessed
#45 0645 O. Esterby: rec'd transfer entry 42: 1 HYDROmorphone into 4W
#46 0649 Ivarra Mossop: charge RN reviewed open items on PACU with pharmacy
