Standards › Standard 35 › Forms
Form · CRT-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 35.4
Purpose
Records the sedation target, the level reached, the daily review and each delirium screen.
How to complete
- Record the sedation target when it is set.
- Record the level and the daily review.
- Record each delirium screen and its result.
Checks
| Check | Entry |
|---|---|
| Sedation target and level | Yes |
| Daily review (date and initials) | Yes |
| Delirium screen and result | Yes |
| Action taken | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the Surviving Sepsis and critical care monitoring guidance, the NEWS2 early warning score (Royal College of Physicians, 2017), the Lancet Commission on Palliative Care (2018), and the WHO Global Patient Safety Action Plan 2021–2030. |
| 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
No e-learning course is linked to this document yet.
Planned course: No e-learning course is linked to this criterion yet. A course is planned to cover it.
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)