EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 39 › Policies

Policy · HUM-POL-004 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 39.5

At a glance

  • Each deployment has a staff security plan before it starts.
  • Rotation is scheduled and kept.
  • Every staff member can reach psychosocial support.
  • Each incident affecting staff is recorded and reviewed (HUM-REG-002).
  • Stop and get help straight away if: staff work in a deployment with no security plan.

1. Purpose

To keep staff safe and well during a deployment (39.5).

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

Staff working in emergencies face danger, stress and exhaustion. A security plan, rotation and psychosocial support keep them safe enough to keep working, and keep the service running.

5. Responsibilities

Role Responsibility Competence
Deployment lead Owns the security plan and the rota Operations director
Staff welfare focal point Arranges psychosocial support and checks wellbeing Deployment lead

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. Plan security.

  • Write the security plan before the deployment starts.

Key point: Planned.

Step 2. Rotate.

  • Keep to the rotation schedule and record any change.

Key point: Rotated.

Step 3. Review incidents.

  • Record each staff incident and review it (HUM-REG-002).

Key point: Reviewed.

10. Decision points

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

13. Monitoring

Measure Target Frequency Owner If not met
Deployments with a security plan before start 100% Quarterly Deployment lead Escalate to the operations director

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

16. Related documents

ID Title Use
HUM-REG-002 Staff incident register Register

17. Evidence

Reference Note
E-009 Based on the Sphere Handbook (2018) minimum standards, the IASC Six Core Principles relating to sexual exploitation and abuse (2019), and the WHO Global Patient Safety Action Plan 2021–2030.
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

E-learning for this document

References

Download this document as PDF
© 2026 Accréditation Sans Frontières · PHIG · Sheni Network