Standards › Standard 15 › Standard operating procedures (SOPs)
Standard operating procedure (SOP) · OPT-SOP-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 15 (Optical and Hearing), criterion 15.4
At a glance
- Each patient who wears contact lenses or hearing aids is taught hygiene and care for the device.
- The teaching is checked with the patient (OPT-FRM-003): they show or say back the steps.
- The teaching is repeated at each review.
- The teaching is recorded.
- Stop and get help straight away if: a contact lens or hearing aid user is given the device with no hygiene teaching recorded.
1. Purpose
To prevent infection and damage from poor device care (15.4).
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 prevent infection and damage from poor device care (15.4).
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Lead optometrist or audiologist | Owns the teaching content | Clinician |
| Dispenser or fitter | Teaches and checks | 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. Teach.
- Teach the cleaning and care steps for the device.
Key point: Every user.
Step 2. Check.
- Check the patient can show or say back the steps, and record it on OPT-FRM-003.
Key point: Shown back.
Step 3. Repeat.
- Repeat the teaching at each review.
Key point: At each review.
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 |
|---|---|---|---|---|
| Users with teaching recorded | 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-003 | Device hygiene teaching record | Record |
17. Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO World report on vision (2019) 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)