Page 33 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023

Chapter 7
Terminal Discharge Pathway

NURSE

Tick if Sign/
No Category
done Stamp/ Date
1 Medication Preparation
• Prepare subcutaneous medication and subcutaneous line
insertion if indicated
• To countercheck prescription with clinical notes
o Patient’s Identity: Name, NRIC/ID, MRN
o Medication: Drug name, dose & frequency

2 Oxygen
• Usage of oxygen concentrator

3 Mouth Care/ Oral hygiene
4 Respiratory Secretions
• Repositioning to reduce secretions/ Medication

5 Tube Care
• Nasogastric tube / Gastrostomy Tube / Urinary Catheter
6 Bowel Care

7 Administration of Medication
• Route: Oral, Sublingual, Subcutaneous, Transdermal
• Emphasise the importance of correct administration
• Explanation to family and/or caregiver regarding:
7.3 Authorization Slip for Medication Collection
7.4 Medication for Terminal Discharge
7.5 Medication Information Sheet
7.6 Medication Diary
7.7 Medication Storage, Disposal, Return and
Refill
7.8 Letter for Terminal Discharge
• Keep in patient’s medical records: 7.1, 7.2, 7.8
• Pass to family / caregiver: 7.2 to 7.10
• To staple it into a booklet
• 7.3 to 7.10 to return to hospital staff when returning used and
un-used medication)

8 Transport
• Guide family or caregiver to arrange own transport or private
ambulance

Family / Caregiver
Name : Signature :
NRIC / ID : Date :
Relationship :

HOSPITAL KUALA LUMPUR 33
TERMINAL DISCHARGE GUIDELINE 2023