Standards › Standard 24 › Forms
Form · MTR-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 24.9
Purpose
Records the travel-associated infection risk for each international patient, based on their journey and country of origin, and the precautions applied.
How to complete
- Ask about the journey, the country of origin and any recent travel.
- Identify the screening and precautions needed.
- Record the precautions applied and the clinician.
Checks
| Check | Entry |
|---|---|
| Country of origin and journey | Yes |
| Recent travel and exposures | Yes |
| Screening required and done (yes or no) | Yes |
| Precautions applied | Yes |
| Clinician and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Patient Safety Curriculum Guide (2011) and the NICE guidance on venous thromboembolic diseases (NG158, 2020). |
| 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
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)