EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 21 › Forms

Form · URG-FRM-004 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 21.7

Purpose

Records each re-check of a waiting patient, the change in condition, and any escalation.

How to complete

Checks

Check Entry
Patient (ID) and re-check time Yes
Condition changed (yes or no) Yes
Reassessed at once (yes or no) Yes
Escalated (time, to whom) Yes
Checked by Yes

Evidence

Reference Note
E-009 Based on the WHO Emergency triage, assessment and treatment (ETAT) manual (2005) and the WHO Emergency care systems for universal health coverage (2016).
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.

Planned course: Waiting-room re-checks and deterioration. New course planned.

References

Download this document as PDF
© 2026 Accréditation Sans Frontières · PHIG · Sheni Network