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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 13 › Forms

Form · MOB-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 13.2

Purpose

Records the check of the equipment, medicines and emergency items before each deployment.

How to complete

Checks

Check Entry
Emergency items present (oxygen, airway, adrenaline, resuscitation equipment) Yes
Medicines present and in date Yes
Cold chain working (where used) Yes or N/A
Clinical equipment working Yes
Missing or expired items 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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References

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