SDN Members don't see this ad. (About Ads) Hi everyone - I'm an MSI working on a patient safety case that hinges upon an ER encounter early in a patient's (eventually fatal) hospital experience. Does anyone know what the protocol is for the passing of information? Specifically, the patient in this case had an order for heparin put in by the ER doctor on duty, but it wasn't filled until four hours later. She had been admitted during that time period but the management of her medication slipped through the cracks. The hospitalist in the neuro ward where the patient wound up also put in a heparin order that was not immediately filled, but I am more interested in the mechanism by which someone is moved out of the ER. Are you familiar with any hospital policies that ensure ER orders are filled before patient transfer, or is the process highly variable? Thanks for the information - I'll take whatever I can get!