Standards › Standard 13 › Plans and templates
Plan · MOB-PLN-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.3
At a glance
- Each deployment has a named route to the nearest hospital, with the transport and the time it takes.
- The communication method is named, and a back-up is set out (PTR-SOP-012).
- The team knows the plan before the first session.
- Where the unit cannot reach a hospital quickly, a second route is agreed before the deployment.
- Stop and get help straight away if: a deployment starts with no route to a hospital, or the team does not know the plan.
1. Purpose
To make sure a patient who becomes unwell far from a hospital can be moved in time (13.3).
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
To make sure a patient who becomes unwell far from a hospital can be moved in time (13.3).
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Outreach lead | Owns the plan for each deployment | Clinician |
| Team leader on the day | Briefs the team and confirms the transport | Nurse |
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. Plan the route.
- Write the route to the hospital, the transport and the travel time on MOB-FRM-003.
Key point: Route, transport, time.
Step 2. Name communication.
- Name the communication method and a back-up.
Key point: Two ways to call.
Step 3. Brief.
- Brief the team on the plan before the first session.
Key point: Team knows it.
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 |
|---|---|---|---|---|
| Deployments with a written transfer plan | 100% | Each deployment | Outreach lead | Escalate to clinical 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
- Staff are trained in this document at induction and refreshed each year, with a recorded competency check.
16. Related documents
| ID | Title | Use |
|---|---|---|
| MOB-FRM-003 | Deployment plan record | Record |
| 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)