CONTROLLED SUBSTANCE SHIFT LOG - cabinets PACU / 5E
Night shift 2026-10-17 1900 to 2026-10-18 0700

#1 1900 Orwenby, R.: shift opened, CS keys received
#2 1941 Valden Kirtlow: removed 1 tab oxy 5mg tab 5E for room 539 - dose 2.5mg; waste 5 mg witnesed by Caddowen RN
#3 1951 C. Nunwick: 5 East cabinet screen cleaned, touch calibration ok
#4 2103 Nunwick, C.: pulled hydromorph 2 mg/mL qty 1 from PACU for bay 12, for a 1.5 mg/0.75 mL dose; remaining 0.5mg (0.25mL) wasted, wit. V. Kirtlow RN
#5 2119 Q. Bramscott: charge RN reviewed open items on PACU with pharmacy
#6 2137 Bramscott, Q.: removed x 2 morph 4mg PACU for bay 11 - dose 1.5 mL
#7 2139 Halvene Treharne: #2 oxyCODONE waste discrepancy reviewed with RN, resolved
#8 2202 Valden Kirtlow: cabinet keys handed to relief RN for break, back at the cart
#9 2215 Ambrecht, J.: refilled Dilaudid in PACU, 14 added
#10 2231 Q. Bramscott: bay 11: morphine 4mg/mL 1 carpuject pulled from PACU; for 3mg (0.75mL) dose
#11 2253 V. Kirtlow: transfer 2 fent 50 mcg/mL 5 East to PACU
#12 2310 Q. Bramscott: remainder of #10 wasted (1mg), witnessed by R Orwenby
#13 2335 Kirtlow, V.: withdrew morph qty 1 (5E cab) for pt 516, for 0.25ml dose
#14 2345 Tobrin Gastrell: withdrew oxy IR 5mg tab 1 tab (5 East cab) for pt 531, giving 5 mg
#15 2347 Halvene Treharne: loaded 12 midazolam into PACU
#16 0005 Kirtlow, V.: remainder of #13 wasted (0.75 mL), witness R Orwenby
#17 0036 Selbourne, I.: took 1 tab oxycodone-APAP 5/325 from 5 East for room 521. gave 5mg
#18 0052 Orwenby, R.: biomed called, PACU drawer 3 sticking, still usable
#19 0101 Valden Kirtlow: 5E: wd hydromorph 2 mg/1 mL qty 1 rm 521 (gave 0.25ml)
#20 0119 Bramscott, Q.: took x2 Sublimaze 100mcg/2mL from PACU for bay 11. giving 3ml. remaining half the vial (50 mcg) wasted, wit. Halvene Treharne
#21 0143 V. Kirtlow: remainder of #19 wasted (1.5mg, 0.75mL), wit. C Nunwick
#22 0149 Jessaly Ambrecht: 5E: fentanyl 100 mcg vial x1 out to PACU (transfer)
#23 0221 Q. Bramscott: withdrew morphine 4mg/1mL x 1 (PACU cab) for bay 4, for 2 mg/0.5 mL dose
#24 0239 Caddowen Nunwick: PACU - fentaNYL 100 mcg vial x 2 out for bay 11, for 150mcg dose
#25 0247 Quorra Bramscott: transfer #22 in: fent 100 mcg vial x1 to PACU pocket
#26 0256 Q. Bramscott: PACU - Sublimaze x 1 out for bay 12
#27 0257 V. Kirtlow: took x2 morphine 4mg/1mL from 5 East for pt 530. for 6mg (1.5mL) dose, 2 mg waste in rx destroyer, witness I Selbourne
#28 0304 Quorra Bramscott: remainder of the bay 4 morphine wasted (half the carpuject, 2 mg), wit. Rhosyn Orwenby
#29 0312 Caddowen Nunwick: wasting half the vial (50 mcg) left from my 0239 pull. wit. R Orwenby
#30 0315 J. Ambrecht: 5E refill - 13 oxy IR 5mg loaded to pocket
#31 0325 Valden Kirtlow: took 1 carpujet MSO4 from 5 East for room 530. gave 2mg (0.5mL). 2mg wasted, w/ C Nunwick
#32 0352 Bramscott, Q.: PACU - midazolam 2 mg/2 mL 1 vial out for bay 1, giving 1 mg (1 mL). waste 1 mL Halvene Treharne RPh witnessed
#33 0452 Q. Bramscott: pulled fentaNYL 100 mcg vial x2 from PACU for bay 4, dose 150 mcg; waste half the vial (50 mcg) witness Nunwick
#34 0500 Caddowen Nunwick: bay 12: morphine x 1 pulled from PACU; giving 1mg
#35 0534 Caddowen Nunwick: wasted 3 mg from the bay 12 morph, no second RN free, cosign later
#36 0546 V. Kirtlow: removed 2 tabs oxy IR 5mg 5E for pt 530 - for a 5mg dose
#37 0546 Ambrecht, J.: 5E restock oxycodone-APAP 5/325mg +14
#38 0622 Ambrecht, J.: PACU cabinet rebooted after network blip, back up 2 min later
#39 0623 Quorra Bramscott: removed x 1 Versed PACU for bay 9 - gave 1 mL, wasted 1 mg, w/ Nunwick
#40 0635 I. Selbourne: rm 516: oxycodone/APAP x2 pulled from 5E; dose 5mg
#41 0651 Selbourne, I.: return to stock one tab perc (the rm 516 oxy/APAP)
