Standards › Standard 24 › Forms
Form · MTR-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 24.3
Purpose
Records the interpreter used for consent, treatment discussion and discharge, and the language the patient reads.
How to complete
- Record the language the patient reads.
- Record the interpreter for each discussion.
- Record the consent given in that language.
Checks
| Check | Entry |
|---|---|
| Patient language and reading (yes or no) | Yes |
| Interpreter (name, competence checked) | Yes |
| Discussion (consent, treatment, discharge) | Yes |
| Date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Patient Safety Curriculum Guide (2011) and the NICE guidance on venous thromboembolic diseases (NG158, 2020). |
| 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 |
E-learning for this document
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)