I am reaching out to inquire if any organizations currently using Epic have a system solution to prompt the appropriate transfer of medications when patients change level of care within the hospital?
Currently, within our organization the onus is on the responsibility of the out-going RN to ensure medications, whether patient own supply used during their stay or medications sent from pharmacy and stocked within the Omnicell patient specific bin (PSB) being transferred to the receiving unit.

Due to some recent events, we are re-evaluating the procedure for hospital-to-hospital transfers.

Currently, the procedure is to discharge/readmit the patient to the new facility (rather than "transfer"). This comes with 2 main issues that we have identified:

1. Although orders may be re-ordered from the previous discharge facility, they only include medications and potentially an incomplete list of orders. Safety banners and nursing orders that are tied to diagnoses or previous drugs administered (e.g., systemic thrombolytics) do not follow the patient.