Standards › Standard S4 › Forms
Form · LTC-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S4 (Long-term care), criterion S4.1
Purpose
Records the falls, pressure injury and nutrition screen for each resident, and the measures put in place.
How to complete
- Complete the screen at admission and at each repeat.
- Write the measure for each risk found.
- Sign and date each entry.
Checks
| Check | Entry |
|---|---|
| Falls risk screened and recorded | Yes |
| Pressure injury risk screened and recorded | Yes |
| Nutrition risk screened and recorded | Yes |
| Measure written for each risk | Yes |
| Next screen date set | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
No e-learning course is linked to this document yet.
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)
Related standard