Standards › Standard 13 › Policies
Policy · MOB-POL-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.2
At a glance
- Each deployment has a defined list of the equipment, medicines and emergency items for the services offered.
- The list is checked before the vehicle leaves (MOB-FRM-002).
- Medicines are carried and stored as the medicines rules require (PTR-REG-002).
- A missing item stops the service it supports, or the service is changed.
- Stop and get help straight away if: a deployment leaves without its emergency items, or a service runs without the item it needs.
1. Purpose
To make sure the unit carries what it needs for the services it offers, away from a hospital (13.2).
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 the unit carries what it needs for the services it offers, away from a hospital (13.2).
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Outreach lead | Owns the list for each service | Clinician |
| Driver or team member | Checks the vehicle against the list | Driver |
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. Set the list.
- Define the equipment and medicines list for each service offered.
Key point: A list for each service.
Step 2. Check before leaving.
- Check the vehicle against the list on MOB-FRM-002 before departure.
Key point: Before departure.
Step 3. Record the gap.
- Record any missing item and the action taken.
Key point: Gap recorded.
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 that left with a complete list | 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-002 | Deployment equipment and medicines check | Record |
| PTR-REG-002 | Vehicle maintenance, equipment and medicines check register (existing, reused) | Register |
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)