Standards › Standard 26 › Forms
Form · DIA-FRM-006 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 26.8
Purpose
Records each rehearsal of the emergency response during dialysis, the team present and the result.
How to complete
- Rehearse each scenario with the team on shift.
- Record the time to response.
- Record each gap and the action taken.
Checks
| Check | Entry |
|---|---|
| Scenario (low pressure, air, allergy, cardiac arrest) | Yes |
| Team present (roles) | Yes |
| Time to response | Yes |
| Gap found and action taken | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on ISO 23500:2019 (fluids for haemodialysis) and the KDIGO Clinical Practice Guideline for Hemodialysis Adequacy (2015 update). |
| 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)