Standards › Standard 30 › Plans and templates
Plan · FW-PLN-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 30.10
At a glance
- Staff are trained to recognise and respond to cardiac and other medical emergencies (HOS-FRM-013).
- The defibrillator and emergency equipment are available and checked (FW-REG-003).
- The response is rehearsed at a set interval.
- The plan names who responds and who calls for help.
- Stop and get help straight away if: a member collapses and no one knows how to use the defibrillator.
1. Purpose
To make sure staff respond to cardiac and medical emergencies during exercise (30.10).
2. Scope
| Applies to | Clinical and support staff in the hospital |
| Locations | All wards, clinics and departments of the facility |
| When | Whenever the activity described is carried out |
| Does not apply to | Activities covered by another document listed in section 15 |
3. Definitions
| Term | Meaning |
|---|---|
| Clinical lead | The doctor or nurse in charge of the area at the time |
4. Background
A member can have a heart attack or a fall during exercise. Staff who know what to do and have the equipment ready can save a life in the first minutes.
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Fitness service lead | Owns the plan and rehearsal | Clinician or manager |
| Trained staff on duty | Respond to the emergency | Staff |
6. Materials and equipment
| Item | Requirement | Condition |
|---|---|---|
| Records and forms named in this document | Current version | Checked before use |
7. Safety
- Stop and call for help if a patient is at immediate risk. Do not delay urgent care to complete paperwork.
8. Before you start
- Confirm the forms and equipment named in this document are available and current.
9. Procedure
Step 1. Train.
- Confirm trained staff are on duty for each session.
Key point: Trained.
Step 2. Equip.
- Check the defibrillator and equipment on the register.
Key point: Equipped.
Step 3. Rehearse.
- Rehearse the response at a set interval and record it.
Key point: Rehearsed.
10. Decision points
- No decision points in this procedure.
11. Special situations
| Situation | Action |
|---|---|
| Out of hours | Follow the same steps. Use the on-call contact on the wall of the area. |
12. Escalation
- Any serious problem goes to the duty clinical lead at once and to the clinical director the same day.
13. Monitoring
| Measure | Target | Frequency | Owner | If not met |
|---|---|---|---|---|
| Sessions with trained staff and a checked defibrillator | 100% | Monthly | Fitness service lead | Escalate to medical director |
14. Records
| Record | Kept in | Retention |
|---|---|---|
| Record named in this document | Patient record or the area file | the period set by the facility’s records policy years |
15. Training
- Staff are trained in this document at induction and refreshed each year, with a recorded competency check.
16. Related documents
| ID | Title | Use |
|---|---|---|
| FW-REG-003 | Defibrillator check and rehearsal register | Register |
| HOS-FRM-013 | Resuscitation record (existing, reused) | Record |
17. Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO guidance on digital health and data protection, the American College of Sports Medicine Guidelines for Exercise Testing and Prescription (11th ed., 2021), and the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care (2020). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
18. 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)