CONTROLLED SUBSTANCE SHIFT LOG - cabinets ICU / 6N / 5E
Night shift 2026-10-04 1900 to 2026-10-05 0700

#1 1901 Lavisse Wimbourne: CS log opened for shift
#2 1923 Wimbourne, L.: pharmacy restock: 5E oxyCODONE x9
#3 1941 Orwenby, A.: took 1 vial Ativan from ICU for bed 10. 1 mg ordered
#4 1959 S. Lorrimer: transfer 4 HYDROmorphone 2 mg/mL 6 North to ICU
#5 2001 Arvelle Orwenby: took x 1 Dilaudid from ICU for bed 6. gave 0.125ml. remaining 0.875ml wasted, w/ Dunsevick
#6 2002 Dunsevick, L.: removed qty 1 versed 2 mg/2 mL ICU for bed 6 - gave 1 mg (1 mL), half the vial (1 mg) waste in rx destroyer, witnessed by A. Orwenby
#7 2007 Dunsevick, L.: removed two carpujects morph 4 mg ICU for bed 13 - held, pt refused
#8 2042 Esmery Selbourne: took x1 Dilaudid from 6N for pt 632. giving 0.5 mL; waste 1 mg/0.5 mL witness Dorrell
#9 2043 L. Dunsevick: 2 morphine to return bin (from the bed 13 MSO4)
#10 2101 Arvelle Orwenby: bed 13: fent 100mcg x2 pulled from ICU; 150 mcg (3 mL) ordered
#11 2106 Esmery Selbourne: Late entry (1938): withdrew LORazepam x 2 (6N cab) for rm 638, for a 1mg dose
#12 2111 Arvelle Orwenby: wasted 1 mL fentaNYL from #10, witness E. Dorrell
#13 2111 Dunsevick, L.: transfer entry 4 in: hydromorphone 2 mg/1 mL x4 to ICU pocket
#14 2114 E. Selbourne: entry 11 waste - 0.5ml, wit. Yselle Esterby
#15 2116 L. Dunsevick: unit huddle, nothing for the log
#16 2150 R. Hollenby: withdrew morphine 4 mg x1 (5E cab) for room 535, for 0.5 mL dose
#17 2156 Hollenby, R.: ICU printer jammed, label paper replaced
#18 2158 Selbourne, E.: LATE ENTRY for 21:17: removed two carpujects MSO4 6 North for rm 632 - for 6 mg dose. wasted half the carpuject (2 mg), wit. Y Esterby
#19 2201 R. Hollenby: fire drill on the floor, cabinets locked during drill
#20 2203 Hollenby, R.: waste from #16: 2 mg/0.5 mL, cosign pending
#21 2217 Selbourne, E.: 6N - MSO4 4mg/mL x 1 out for rm 627, giving 1 mL
#22 2218 Dorrell, E.: withdrew oxy IR 1 tab (6N cab) for pt 632, giving 2.5 mg, half tab waste in rx destroyer, witnessed by Elvarra
#23 2223 Elvarra Dorrell: removed x 2 ativan 2mg vial 6N for pt 624 - giving 1 mg/0.5 mL, 0.5 mL waste in rx destroyer, w/ Yselle
#24 2232 Selbourne, E.: pulled lorazepam 2mg vial 1 vial from 6N for room 632, giving 0.5 mg/0.25 mL. wasted rest (1.5mg), wit. Wimbourne
#25 2234 Dunsevick, L.: *late* 20:24 - ICU - dilaudid 2mg/mL x1 out for bed 9
#26 2241 E. Dorrell: removed one vial lorazepam 2mg vial 6N for rm 632 - 0.5 mg/0.25 mL ordered
#27 2246 E. Dorrell: wasted 1.5mg (0.75mL) lorazepam from line #26, wit. E. Selbourne RN
#28 2255 E. Dorrell: amend #22: witness Esmery Selbourne
#29 2303 Ivarra Zellwood: witnessing waste #20 for R. Hollenby
#30 2306 Rhosyn Hollenby: LATE ENTRY for 2030: took 2 tabs oxyCODONE 5mg tab from 5 East for rm 528. 10 mg ordered
#31 2310 Ivarra Zellwood: removed 2 tabs Roxicodone 5E for pt 524 - for 10mg dose
#32 2345 Saffrel Lorrimer: ICU restock lorazepam 2 mg/mL +15
#33 2351 L. Wimbourne: correction to #23: number pulled should be 1, not 2
#34 0003 Orwenby, A.: ICU: wd fentanyl 100mcg x1 bed 10 (gave 1 mL). wasted rest (50mcg), no second RN free, cosign later
#35 0048 Ivarra Zellwood: LATE ENTRY for 2340: 5E: wd MSO4 one carpuject rm 524 (0.5ml ordered)
#36 0056 Esmery Selbourne: #11 number pulled was charted as 2 in error, correct number pulled is 1
#37 0101 Lorrin Dunsevick: bed 17: MSO4 qty 1 pulled from ICU; 0.5ml ordered. waste 2 mg witnessed by A Orwenby
#38 0101 I. Zellwood: line #35 waste - 0.5ml, wit. A Orwenby RN
#39 0107 Arvelle Orwenby: removed x1 versed 2 mg/2 mL ICU for bed 5 - for a 1ml dose, wasted rest (1 mL), Lavisse witnessed
#40 0110 L. Dunsevick: late cosign - I witnessed the waste at #34
#41 0154 Elvarra Dorrell: transferring two morph 4 mg carpuject from 6 North over to ICU
#42 0213 Ivarra Zellwood: RPh paged about the tube station on ICU, working again
#43 0220 Dunsevick, L.: took qty 1 ativan 2mg vial from ICU for bed 17. giving 1mg (0.5mL)
#44 0223 R. Hollenby: removed qty 1 morphine 4mg/1mL 5E for rm529 - 3mg (0.75mL) ordered; 1 mg waste in rx destroyer, witnessed by Ivarra
#45 0229 Esmery Selbourne: removed qty 1 morphine 6N for room 633 - pt refused
#46 0245 L. Dunsevick: waste from my 0220 LORazepam: 1mg, wit. Lavisse
#47 0246 Esmery Selbourne: return to stock one carpuject morphine (#45)
#48 0306 Dunsevick, L.: ICU: wd LORazepam x1 bed 7 (dose 0.5 mL)
#49 0329 L. Wimbourne: resolved discrepancy #48 lorazepam after review with nurse, no count change
#50 0339 Dunsevick, L.: ICU: wd midaz 1mg/mL x1 bed 17 (dose 0.5ml)
#51 0349 Elvarra Dorrell: 6N - ativan 2 mg/mL x 2 out for rm627, giving 1 mL
#52 0349 E. Selbourne: withdrew midazolam 2 mg/2 mL 1 vial (6N cab) for rm 633
#53 0407 Lorrin Dunsevick: took qty 1 MSO4 from ICU for bed 7.
#54 0416 E. Selbourne: pt 633: midaz 2mg vial one vial pulled from 6 North
#55 0419 L. Dunsevick: wasting 1.5 mg/1.5 mL left from entry 50. w/ L Wimbourne RPh
#56 0436 Elvarra Dorrell: 6N - midazolam x1 out for pt 632, for 1 mg dose. wasted rest (1mg, 1mL), wit. L. Wimbourne
#57 0450 Lorrimer, S.: loaded 15 morphine 4 mg into 5 East
#58 0502 Lorrin Dunsevick: removed x1 Ativan 2mg vial ICU for bed 10 - for 0.5ml dose
#59 0520 Selbourne, E.: LATE ENTRY for 0455: 6 North - morphine 4mg/mL x 1 out for rm627
#60 0525 Esmery Selbourne: void #54, charted twice
#61 0525 R. Hollenby: withdrew oxycodone 5mg tab x2 (5 East cab) for pt 528, for a 10mg dose
#62 0541 Hollenby, R.: withdrew oxycodone-APAP 1 tab (5 East cab) for rm 531, 5 mg ordered
#63 0544 Saffrel Lorrimer: ICU refill - 8 morph 4 mg carpuject loaded to pocket
#64 0602 Dorrell, E.: 6N cabinet screen cleaned, touch calibration ok
#65 0603 L. Wimbourne: pharmacy restock: 6 North morphine x12
#66 0613 Selbourne, E.: 6 North: wd morph 4mg/1mL one carpuject rm633 (4mg ordered). wasted 0.5 mL, w/ A Orwenby
#67 0626 Hollenby, R.: 5E: wd dilaudid 2mg/mL one carpuject room 528 (giving 1mg), wasted 1mg, witnessed by Arvelle Orwenby RN
#68 0648 Elvarra Dorrell: correction to #51: quantity should be x1, not x2
