Page 3 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023

Table of Contents

Chapter 1 Foreword ................................................................................ 3
Chapter 2 Acknowledgement from Editorial Board ................................ 10

Chapter 3 Introduction .......................................................................... 15
Chapter 4 Objective & Scope of Service ............................................... 17
Chapter 5 Manpower Requirement ....................................................... 18

Chapter 6 Medication ............................................................................ 20
Chapter 7 Terminal Discharge Pathway ................................................ 23

Process & Workflow of Terminal Discharge ....................................... 23
Patient Selection (Criteria) ................................................................. 24

Workflow and Descriptions for Medication ......................................... 26
Algorithm 1 Overview of Terminal Discharge Process ....................... 27
Algorithm 2 Preparation of Medication for Terminal Discharge .......... 28
Algorithm 3 Workflow for Preparation of Subcutaneous Medication ... 29

Documentation Terminal Discharge Toolkit........................................ 30

7.1 Terminal Discharge Check List – Doctor / Nurse / Pharmacist .. 31
7.2 Terminal Discharge Consent ..................................................... 35
7.3 Authorization Slip for Medication Collection .............................. 39

7.4 Medication for Terminal Discharge............................................ 40
7.5 Medication Information Sheet for Patient & Caregiver ............... 42
7.6 Medication Diary ....................................................................... 44

7.7 Medication Storage, Disposal, Return and Refill ....................... 45
7.8 Letter for Terminal Discharge .................................................... 46
7.9 Medication Refill Record ........................................................... 48
7.10 Return of Medication ............................................................... 49

Chapter 8 References ........................................................................... 50
Chapter 9 Appendix .............................................................................. 52

9.1 Contacts of Hospices around Klang Valley .................................. 52
9.2 Medication Use and Safety .......................................................... 53

Chapter 1 Foreword

HOSPITAL KUALA LUMPUR 3
TERMINAL DISCHARGE GUIDELINE 2023