Standards › Standard 42 › Forms
Form · AFT-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 42.4
Purpose
Records that the warning signs and the urgent help route were given, and that the patient understood them.
How to complete
- Record the warning signs given.
- Record the out-of-hours route given.
- Record the patient’s repeat-back check.
Checks
| Check | Entry |
|---|---|
| Warning signs given (yes or no) | Yes |
| Out-of-hours route given | Yes |
| Patient repeat-back check | Yes |
| Leaflet language | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Global Patient Safety Action Plan 2021–2030 for transitions of care, the WHO Emergency Care Systems framework for urgent help, and the ASF Hospital standard for discharge and aftercare. |
| 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)