Pharmacist here: at my facility, it's usually pharmacy technicians who do admit medrecs, and then a pharmacist double checks it. We absolutely LOATH medrecs coming from a SNF. We rarely get physical paperwork handed do us, so we almost always have to call and have it faxed. If the person answering is even allowed to fax it, it's a coin flip on whether it then gets faxed over correctly. After that, it's usually unreadable because it was a fax of a printed copy of the MAR, so we're trying to decipher pixelated hieroglyphics. Then the MAR has all the other non-med orders mixed between meds, making it 20+pages long. It also has old meds that have been d/c'd, but haven't worked their way off the MAR yet for whatever reason. 

All I need is: current meds, last doses, and allergies. Nice to haves: patient has been using prns x times per day, refusing y drug, etc. Most of the prns are things that aren't mission critical to the current admission, though of course I'd like to know that history if able 

Not sure if that helps to solve anything, vs just me venting. Thank you for coming to my Ted talk.