Standards › Standard 9 › Plans and templates
Plan · FLD-PLN-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 9.5
At a glance
- Each type of care the unit cannot give has a named receiving facility and route.
- Each route is tested at least every six months.
- Each referral and evacuation is recorded with its time and the receiving facility.
- The route plan names the transport owner and the back-up route.
- Stop and get help straight away if: a patient needing care the unit cannot give has no route, or a route has never been tested.
1. Purpose
To make sure every patient who needs more care has a defined way to get it (9.5).
2. Scope
| Applies to | Clinical and support staff in the hospital |
| Locations | All wards, clinics and departments of the facility |
| When | Whenever the activity described is carried out |
| Does not apply to | Activities covered by another document listed in section 15 |
3. Definitions
| Term | Meaning |
|---|---|
| Clinical lead | The doctor or nurse in charge of the area at the time |
4. Background
A field hospital cannot treat everyone. Each patient who needs more care must have a defined route for referral or evacuation, known before it is needed.
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Field unit lead | Owns the plan and names the receiving facilities | Clinician |
| Transport lead | Tests the routes and names the back-up | Transport |
6. Materials and equipment
| Item | Requirement | Condition |
|---|---|---|
| Records and forms named in this document | Current version | Checked before use |
7. Safety
- Stop and call for help if a patient is at immediate risk. Do not delay urgent care to complete paperwork.
8. Before you start
- Confirm the forms and equipment named in this document are available and current.
9. Procedure
Step 1. Name the routes.
- List each care need, the receiving facility, the route and the transport owner.
Key point: A route for every need.
Step 2. Test the routes.
- Test each route at least every six months and record the result in FLD-REG-001.
Key point: Tested, not just written.
Step 3. Record each referral.
- Record each referral and evacuation in FLD-REG-001 with the time and the receiving facility.
Key point: Every move is recorded.
10. Decision points
- No decision points in this procedure.
11. Special situations
| Situation | Action |
|---|---|
| Out of hours | Follow the same steps. Use the on-call contact on the wall of the area. |
12. Escalation
- Any serious problem goes to the duty clinical lead at once and to the clinical director the same day.
13. Monitoring
| Measure | Target | Frequency | Owner | If not met |
|---|---|---|---|---|
| Routes tested in the last six months | 100% | Quarterly | Field unit lead | Escalate to the coordinating authority |
14. Records
| Record | Kept in | Retention |
|---|---|---|
| Record named in this document | Patient record or the area file | the period set by the facility’s records policy years |
15. Training
- Staff are trained in this document at induction and refreshed each year, with a recorded competency check.
16. Related documents
| ID | Title | Use |
|---|---|---|
| FLD-REG-001 | Referral and evacuation log | Log |
| PTR-SOP-012 | Contingency, breakdown, surge and diversion (existing, reused) | Procedure |
17. 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. |
18. Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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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)