PSY-FRM-003: Psychiatric medicine monitoring record

Standards › Standard 52 › Forms

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

Supports: 52.4

Purpose

Records the interaction check and each monitoring test for a psychiatric medicine.

How to complete

• Record the interaction check at the start of the prescription.
• Record each monitoring test due and done.
• Record the result and the action taken.

Checks

Check	Entry
Medicine and interaction check (done and result)	Yes
Monitoring test due	Yes
Monitoring test done and date	Yes
Result and action taken	Yes

Evidence

Reference	Note
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

• Medication Safety: Operating SOP-MED-01 End to End (T-08)

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)