Our library is on a very spread out site. We work with three points of access, two satelite cupboards (kept topped up by the eq. lib. nurse) and the library itself. Out of hours acces is by either the porters or the nurses themselves. We have found it impossible to keep track of equipment. Even when we knew where it went to from the library, it would then get moved around the wards without our knowledge, especially with transfers of patients around the hospital. We no longer keep track of equipment but with the way the nurses use the equipment it generally comes back to us fairly regularly.