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International Accreditation of Healthcare Facilities

Standards › Standard 1 › Forms

Form · CLN-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 1.5

Purpose

Records the nutritional risk screen, the therapeutic diet and any nutrition plan.

How to complete

Checks

Check Entry
Nutritional risk screened Yes
Risk level recorded Yes
Therapeutic diet from the order Yes or N/A
Nutrition plan for patients at risk Yes or N/A
Screened by and date Yes

Evidence

Reference Note
E-009 Screening tool to follow national guidance.
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

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