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Palliative Symptom Relief Kit (SRK) Prescription – Hospice Palliative Care (HPC) Teams

POLICY

  1. This is a Physician / Nurse Practitioner (NP) order to be implemented by a Registered Nurse (RN) / Registered Practical Nurse (RPN) when symptoms require urgent intervention to facilitate a comfortable home death.
  2. The attending Physician/NP is to be notified as soon as possible regarding change in patient’s condition and need for ongoing prescription(s).
  3. DNR and plan for expected death should be in place.
  4. Completed prescription to be FAXED back to Ontario Health atHome at 416-222-6517 or 905-952-2404
File Type: pdf
Categories: Forms
Tags: Central
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