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International Accreditation of Healthcare Facilities

Standards › Standard 29 › Standard operating procedures (SOPs)

Procedure · HC-SOP-012 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 29.40

At a glance

  • When a caregiver’s work authorisation changes, the service gives transition time and support.
  • Client care is covered before the caregiver’s last day.
  • No caregiver is stopped the same day without a transition plan.
  • The change and the support given are recorded.
  • Stop and get help straight away if: a caregiver’s permit expires and they stop work the same day, leaving a client alone.

1. Purpose

To handle a caregiver’s status change with support, not abruptly (29.40).

2. Scope

Applies to Clinical and support staff in the home care service
Locations All client homes and the service’s offices
When Whenever the activity described is carried out
Does not apply to Activities covered by another document listed in section 16

3. Definitions

Term Meaning
Work authorisation The permit or approval that allows a staff member to work in the service.
Transition period The time given before a change in a caregiver’s status takes effect.
Transition plan The written plan for client cover and support when a caregiver’s status changes.
Client cover Arrangements that keep a client’s care in place while a caregiver is unavailable or leaving.
Credential verification Staff credential verification and recheck, as set out in STF-SOP-001 (section 16).
Duty clinical lead The clinical lead on duty at the time, who receives serious problems first.
Escalation Passing a serious problem at once to the duty clinical lead, and to the clinical director the same day.

4. Background

A caregiver whose own work permit is about to expire can lose their job suddenly, which leaves the client without care. Planning ahead for a change in status protects both.

5. Responsibilities

Role Responsibility Competence
Home care service lead Owns the transition rule Clinician or manager
HR or recruiting manager Arranges the transition and records it Manager

6. Materials and equipment

Item Requirement Condition
Records and forms named in this document Current version Checked before use

7. Safety

8. Before you start

9. Procedure

Step 1. Identify early.

  • Track permit and authorisation dates for each caregiver.

Key point: Tracked.

Step 2. Plan transition.

  • Arrange client cover and a transition period before the change takes effect.

Key point: Planned.

Step 3. Record.

  • Record the support and the cover in place.

Key point: Recorded.

10. Decision points

11. Special situations

Situation Action
Out of hours Follow the same steps.

12. Escalation

13. Monitoring

Measure Target Frequency Owner If not met
Authorisation changes with a transition plan 100% Monthly Home care service lead Escalate to medical director

14. Records

Record Kept in Retention
Record named in this document Client record or the area file the period set by the facility’s records policy (in years)

15. Training

16. Related documents

ID Title Use
STF-SOP-001 Staff credential verification and recheck (existing, reused) Procedure

17. Evidence

Reference Note
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

18. Change history

Version Date What changed Approval
1.0 — Initial release Approved by the ASF Expert Committee

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References

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