EDP-FRM-003: Clinical advice and escalation record

Standards › Standard 7 › Forms

Form · EDP-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 7.9

Purpose

Records each request for clinical advice, the advice given and its outcome.

How to complete

• Complete for each request.
• Record the advice exactly.
• Record the outcome.

Checks

Check	Entry
Call ID and time	Yes
Reason for the request	Yes
Advice given	Yes
Clinician name	Yes
Outcome	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

• Emergency Escalation for the Remote Patient (TM-04)
• Medical Emergency Protocol Development (MED-01)

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)