Standards › Standard 26 › Forms
Form · DIA-FRM-007 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 26.9
Purpose
Records the isolation of infectious patients and the cleaning of shared dialysis equipment and surfaces between patients.
How to complete
- Check isolation is in place for each infectious patient.
- Check cleaning of each shared machine and surface after each patient.
- Record any gap and the action taken.
Checks
| Check | Entry |
|---|---|
| Infectious patient isolated (yes or no) | Yes |
| Machine cleaned after patient (yes or no) | Yes |
| Shared surfaces cleaned (yes or no) | Yes |
| Gap and action | Yes |
| Checked by and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on ISO 23500:2019 (fluids for haemodialysis) and the KDIGO Clinical Practice Guideline for Hemodialysis Adequacy (2015 update). |
| 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)