Standards › Standard S1 › Forms
Form · HOS-FRM-013 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S1 (Hospital), criterion S1.21
Purpose
Records the check of the resuscitation trolley and defibrillator at the start of each shift.
How to complete
- Check every item on the list.
- Test the defibrillator.
- Sign the record for the shift.
Checks
| Check | Entry |
|---|---|
| Every item on the list present | Yes |
| Items working | Yes |
| Defibrillator self-test passed | Yes |
| Signed for the shift | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Checklist to be set by the resuscitation committee. |
| 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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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)