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Form · PED-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 16.10
Purpose
Records the check of paediatric emergency equipment and the weight-based dose reference at each point of care.
How to complete
- Check the equipment against the list for each age group.
- Check the dose reference is at the point of use.
- Record any missing or faulty item and its replacement.
Checks
| Check | Entry |
|---|---|
| Equipment checked (sizes present for each age group) | Yes |
| Weight-based dose reference at point of use (present) | Yes |
| Check date and checked by | Yes |
| Missing or faulty item and replacement | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Pocket book of hospital care for children (2013) and the UN Convention on the Rights of the Child (1989). |
| 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)