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International Accreditation of Healthcare Facilities

Standards › Standard 9 › Forms

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

Supports: 9.12

Purpose

Records the check of each donated medicine and item before use, and any withholding.

How to complete

Checks

Check Entry
Item and quantity Yes
Source known and recorded Yes
Expiry date in range Yes
Storage condition met Yes
Approved for use Yes
Withheld (yes or no) and action Yes
Checked by and date Yes

Evidence

Reference Note
E-009 Based on WHO classification and minimum standards for emergency medical teams (2013).
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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