CONTROLLED SUBSTANCE SHIFT LOG - cabinets PACU / 5E / 6N
Day shift 2026-07-02 0700 to 1900

#1 0700 Edrington, G.: CS log opened for shift
#2 0705 Ambrel Chelwyn: PACU - morph x 2 out for bay 1, giving 6 mg/1.5 mL; remaining 0.5 mL wasted, Davena Orchardson RN witnessed
#3 0721 Y. Elsworthy: 6N - morphine x 1 out for rm618, giving 4mg
#4 0742 M. Marbeck: loaded 4 midazolam 2mg vial into 6N
#5 0747 S. Dorrell: PACU - midaz 2 mg/2 mL x1 out for bay 14, 0.5 mg ordered
#6 0747 Elsworthy, Y.: 6N - HYDROmorphone qty 1 out for pt 621, for a 1.5mg (0.75mL) dose. wasted 0.25ml, E. Zanetto RN witnessed
#7 0807 N. Underhay: unit huddle, nothing for the log
#8 0811 G. Edrington: 6 North printer jammed, label paper replaced
#9 0825 Elvarra Zanetto: 6 North - morph x 2 out for pt 617, giving 6mg. remaining half the carpuject (2 mg) wasted, w/ Yselle Elsworthy
#10 0826 A. Chelwyn: PACU - fent 50 mcg/mL qty 2 out for bay 9, 150 mcg ordered
#11 0837 S. Dorrell: waste from my 0747 pull: 1.5 mL, witnessed by Davena
#12 0858 Ambrel Chelwyn: bay 3: MSO4 2 carpujects pulled from PACU; pt refused
#13 0903 E. Zanetto: 6 North: wd LORazepam 2mg vial x 1 room 601 (for 1mg dose)
#14 0908 Chelwyn, A.: remainder of the bay 9 fentanyl wasted (1 mL), S. Dorrell witnessed
#15 0912 E. Zanetto: the rm 601 ativan: wasted 0.25ml, witnessed by Yselle Elsworthy
#16 0920 E. Zanetto: rm613: lorazepam 1 vial pulled from 6N; for a 1mg dose. waste: 2mg, witness Galenne
#17 0926 Orchardson, D.: Late entry (0729): pulled Dilaudid x1 from 5E for room 534, for a 0.5ml dose
#18 0938 A. Chelwyn: RB x2 MSO4, entry 12
#19 0941 D. Orchardson: rm 522: oxycodone/APAP 5/325mg x2 pulled from 5E; 5 mg ordered
#20 0953 E. Zanetto: #15 waste should read 1mg (0.5mL) (not 0.5 mg)
#21 0955 Elsworthy, Y.: 6N - morph one carpuject out for room 601, for 3mg dose, 1mg waste in rx destroyer, wit. E Zanetto RN
#22 1007 M. Gastrell: 5 East - fentaNYL x1 out for rm509, gave 50 mcg (1 mL)
#23 1007 D. Orchardson: return bin: oxycodone/APAP x1 from #19
#24 1015 Yselle Elsworthy: late entry, actual time 07:38. 6N - versed 2 mg/2 mL one vial out for rm 628, giving 2 mL
#25 1016 D. Orchardson: waste from line #17: 1mg (0.5mL), witnesed by Saffrel Dorrell
#26 1037 Yselle Elsworthy: removed qty 1 LORazepam 2mg vial 6 North for rm 601 - for 2mg (1mL) dose
#27 1038 Gastrell, M.: wasted half the vial (50 mcg) Sublimaze from entry 22, S. Dorrell witnessed
#28 1053 Orchardson, D.: transferring three Roxicodone 5mg tab from 5E over to 6 North
#29 1057 M. Marbeck: 5E refill - 9 fentaNYL loaded to pocket
#30 1118 N. Underhay: discrepancy #16 LORazepam closed after RN interview
#31 1159 Dorrell, S.: PACU: wd versed x1 bay 1 (gave 1ml)
#32 1205 Dorrell, S.: wasting half the vial (1 mg) left from entry 31. witness G Edrington RPh
#33 1216 Orchardson, D.: 5E: wd fent 100 mcg/2 mL two vials rm 521 (giving 3 mL); wasted rest (1 mL), witness to follow
#34 1216 Yselle Elsworthy: 6N received 3 oxy from 5E, transfer entry 28
#35 1219 N. Underhay: removed 1 HM from 6N for return to pharmacy (lot recall)
#36 1224 Ambrel Chelwyn: PACU: wd Dilaudid 1 carpuject bay 2 (for 2mg dose)
#37 1312 Y. Elsworthy: fire drill on the floor, cabinets locked during drill
#38 1317 Dorrell, S.: bay 3: fent 50 mcg/mL x1 pulled from PACU; gave 50mcg
#39 1325 M. Gastrell: Late entry (11:28): pulled morphine 1 carpuject from 5E for room 517, pt refused
#40 1330 D. Orchardson: late cosign - I witnessed the waste at #33
#41 1336 Elvarra Zanetto: removed 1 carpuject MSO4 6N for room 621 - for 2 mg dose, wasted 2 mg/0.5 mL, witness Y Elsworthy
#42 1342 S. Dorrell: wasting 50mcg left from #38. wit. Ambrel Chelwyn
#43 1345 Gastrell, M.: pt 521: hydromorph 2mg carpuject x 1 pulled from 5 East; 2mg (1mL) ordered
#44 1359 Morvenna Gastrell: returned 1 MSO4 to stock, unopend, from #39
#45 1401 E. Zanetto: pulled hydromorphone x 1 from 6N for room 638, dose 0.5 mL, wasted 1mg, need cosign
#46 1403 Morvenna Gastrell: RPh paged about the tube station on PACU, working again
#47 1413 Elvarra Zanetto: withdrew midaz one vial (6 North cab) for pt 618, for 1 mg dose
#48 1419 Morvenna Gastrell: withdrew hydromorphone 2mg carpuject one carpuject (5 East cab) for rm521, gave 0.5 mg
#49 1430 Dorrell, S.: took x1 versed 2mg/2mL from PACU for bay 1. giving 2mg
#50 1434 N. Underhay: pharmacy restock: PACU morph x8
#51 1438 Zanetto, E.: wasted 1 mL midazolam from line #47, wit. Dorrell
#52 1458 Y. Elsworthy: witnessing waste #45 for E. Zanetto
#53 1501 Orchardson, D.: took qty 1 morph 4 mg carpuject from 5E for rm 522. for 3mg (0.75mL) dose
#54 1503 Galenne Edrington: 6N restock morphine 4 mg carpuject +5
#55 1531 A. Chelwyn: bay 3: morphine 4mg/1mL one carpuject pulled from PACU; for a 4mg (1mL) dose
#56 1539 Orchardson, D.: 5 East: wd perc one tab pt 517
#57 1539 N. Underhay: 5 East cabinet screen cleaned, touch calibration ok
#58 1541 Orchardson, D.: rm509: perc 5/325 1 tab pulled from 5E; 5 mg ordered
#59 1543 D. Orchardson: waste from entry 53: 3mg, Edrington witnessed
#60 1611 S. Dorrell: charge RN reviewed open items on PACU with pharmacy
#61 1620 Orchardson, D.: pt 513: hydromorphone x1 pulled from 5 East; for a 0.5 mL dose
#62 1633 Elsworthy, Y.: withdrew HYDROmorphone x1 (6N cab) for pt 613, for a 1 mg/0.5 mL dose, remaining 1mg wasted, need cosign
#63 1707 Orchardson, D.: line #61 waste - 0.5 mL, witness Saffrel RN
#64 1720 E. Zanetto: 6N: wd LORazepam 2mg vial one vial rm 618 (held, pt refused)
#65 1759 A. Chelwyn: took qty 2 HYDROmorphone 2 mg/mL from PACU for bay 12. dose 0.25ml; 0.75ml wasted, witness Saffrel
#66 1759 E. Zanetto: put 1 LORazepam back in the pocket unopened - the 17:20 pull
#67 1809 Yselle Elsworthy: 6N: wd lorazepam 2mg/mL x2 room 621 (gave 1ml)
#68 1827 Galenne Edrington: correction #67 - quantity x1 (not x2)
#69 1827 Galenne Edrington: #62 hydromorphone waste discrepancy reviewed with RN, resolved
