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International Accreditation of Healthcare Facilities

Standards › Standard S5 › Forms

Form · AMT-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: System S5 (Ambulance and patient transport), criterion S5.3

Purpose

The record of one transfer: times of each segment, crew, escort, handovers, receiver’s name and outcome.

How to complete

Record fields

Transfer ID Date Vehicle Crew Escort Segment and time (leave, arrive, handover, return) Receiver’s name Outcome Change or cancellation and reason

Evidence

Reference Note
E-009 ASF Expert Committee consensus.
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

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References

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