Standards › Standard 13 › Policies
Policy · MOB-POL-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.1
At a glance
- Each site is assessed before the first session, using MOB-FRM-001.
- The assessment covers safety, access, privacy, infection control, power, water and waste.
- A site that fails a safety item is not used until the item is fixed or another site is chosen.
- The assessment is reviewed each year, or when the site changes.
- Stop and get help straight away if: a site with a failed safety item is used, or patients are seen with no site assessment.
1. Purpose
To make sure each site is safe for patients and staff before the service starts (13.1).
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 each site is safe for patients and staff before the service starts (13.1).
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Outreach lead | Owns the assessment and approves the site | Clinician |
| Team leader on the day | Checks the site on arrival | 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. Assess.
- Complete MOB-FRM-001 for each site before the first session.
Key point: Before the first session.
Step 2. Decide.
- Use the site only if every safety item passes, or record the fix that is in place.
Key point: Pass, or fix first.
Step 3. Review.
- Review the assessment each year and whenever the site changes.
Key point: Yearly, and on change.
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 |
|---|---|---|---|---|
| Sites with a signed assessment before first use | 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-001 | Site assessment record | Record |
17. Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the Sphere Handbook, Humanitarian Charter and Minimum Standards in Humanitarian Response (2018). |
| 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
No e-learning course is linked to this document yet.
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)