Standards › Standard 21 › Forms
Form · URG-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 21.2
Purpose
Records each patient with a condition the service cannot treat, the route given, and the time it was given.
How to complete
- Record the condition and that the service cannot treat it.
- Record the route given and the time.
- Record whether the patient reached the route.
Checks
| Check | Entry |
|---|---|
| Condition outside the service | Yes |
| Route given (service or hospital) | Yes |
| Time route given | Yes |
| Patient reached route (confirmed) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Emergency triage, assessment and treatment (ETAT) manual (2005) and the WHO Emergency care systems for universal health coverage (2016). |
| 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
No e-learning course is linked to this document yet.
Planned course: Defining and publishing limits of urgent care. New course planned.
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)