Standards › Standard 15 › Policies
Policy · OPT-POL-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 15 (Optical and Hearing), criterion 15.3
At a glance
- Spectacles, contact lenses and hearing aids are fitted to the measured need.
- The fit is checked with the patient before they leave (OPT-FRM-002).
- A product that does not fit is adjusted or not given.
- Each fitting is recorded.
- Stop and get help straight away if: a product is given to a patient before its fit has been checked with them.
1. Purpose
To make sure each product fits the individual’s measured need (15.3).
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 each product fits the individual’s measured need (15.3).
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Lead optometrist or audiologist | Owns the fitting standard | Clinician |
| Dispenser or fitter | Fits and checks each product | Clinician |
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. Measure.
- Fit each product to the measured need.
Key point: Measured need.
Step 2. Check with the patient.
- Check the fit with the patient before they leave, and record it on OPT-FRM-002.
Key point: Before they leave.
Step 3. Adjust.
- Adjust or do not give a product that does not fit.
Key point: Not given if it does not fit.
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 |
|---|---|---|---|---|
| Fittings checked with the patient before leaving | 100% | Monthly | Lead optometrist or audiologist | Escalate to medical 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 |
|---|---|---|
| OPT-FRM-002 | Fitting and fit check record | Record |
17. Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the ASF Expert Committee consensus and the WHO World report on hearing (2021). |
| 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)