Page 34 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023

Chapter 7
Terminal Discharge Pathway

PHARMACIST OR DOCTOR

Tick if Sign/
No Category
done Stamp/ Date
1 Check Medication Prescription
To countercheck medication prescription with clinical notes:
• Patient’s Identity: Name, NRIC/ID & MRN
• Medication: Drug name, dose, frequency, quantity & expiry date
2 Medication Counselling
• To family and/or caregiver
• Emphasise the importance of correct administration
• Explanation using documents from Toolkit:
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
3 Refill of medication
• Only if follow up is by primary team or palliative care team from
Hospital Kuala Lumpur
• Only appointed authorised medication collector to collect during
office hour by appointment after consultation with the treating
doctor

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

HOSPITAL KUALA LUMPUR 34
TERMINAL DISCHARGE GUIDELINE 2023