Third drawer, brown box, empty. The nurse found the gap while she needed the item, not while she was counting. The monthly count arrives two weeks after that moment. In those two weeks the complex either borrows from the other clinic or delays a small procedure because “we’ll order it tomorrow”.
The service is what reduces the balance
If an item is used inside a known service, it should leave the balance when the service is recorded, not when someone counts at month end. Purchasing watches the minimum. When the balance drops, the order comes from the movement, not from the nurse’s memory between two patients.
Elite Care ties the item movement to the service on the same day. The store does not wait for a book that gets opened once the shelf is already empty. Whoever sees quantities does not need the text of the diagnosis. They need to know the item left, in what quantity, and at which branch.
An item that is not tied to a service stays “we use it sometimes”. That sentence cannot raise a purchase. A purchase needs a number from a movement, even when the movement is small.