DAFORMFILLABLE.COM | DA FORM 5440-49 Fillable – Army Pubs 5440-49 PDF – DA FORM 5440-49, titled Delineation of Clinical Privileges – Plastic Surgery, is a crucial document utilized by the United States Army to define the specific clinical privileges granted to plastic surgeons. This form ensures that medical professionals operate within the scope of their expertise and training, maintaining high standards of patient care and safety.
DA FORM 5440-49 – Delineation Of Clinical Privileges – Plastic Surgery
| Form Number | DA Form 5440-49 |
| Form Title | Delineation Of Clinical Privileges – Plastic Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Publication and Authority
The DA FORM 5440-49 was published on February 1, 2004, and is maintained under the authority of The Surgeon General (TSG). The form is active and its use is governed by the directives outlined in AR 40-68, which pertains to the credentialing and privileging of healthcare providers in the Army Medical Department.
Purpose and Importance
The primary purpose of DA FORM 5440-49 is to delineate the clinical privileges granted to plastic surgeons. This ensures that these professionals are only performing procedures for which they are adequately trained and certified. The form is integral to the credentialing process, which is essential for:
- Ensuring patient safety: By clearly defining the procedures a plastic surgeon is authorized to perform, the form helps to minimize the risk of medical errors and enhances the quality of care.
- Maintaining professional standards: It supports the adherence to high standards within the medical profession, ensuring that only qualified surgeons carry out complex plastic surgery procedures.
- Legal compliance: The form helps in complying with regulatory requirements and standards, providing a clear record of the surgeon’s qualifications and authorized procedures.
Key Components of DA FORM 5440-49
Clinical Privileges
Clinical privileges refer to the specific activities and procedures a plastic surgeon is authorized to perform. These are based on the surgeon’s education, training, experience, and demonstrated current competence. The DA FORM 5440-49 includes detailed sections where these privileges are listed and approved by the relevant medical authorities.
Privacy and Security
The form includes a Privacy Act Statement as required by AR 340-21, ensuring that the personal information of the surgeons is protected. This is crucial for maintaining the confidentiality of sensitive data.
Distribution and Access
The form is produced exclusively in electronic media, making it easily accessible and distributable. It is classified as unclassified and has a distribution restriction code of A, meaning it is approved for public release and distribution is unlimited.
Process of Delineation
Application and Review
The process begins with the plastic surgeon applying for clinical privileges by submitting DA FORM 5440-49. This application is then reviewed by the credentialing committee, which assesses the surgeon’s qualifications and experience.
Approval
Once the review is complete, the form is signed by the appropriate medical authority, formally granting the surgeon the delineated clinical privileges. This approval process ensures that the surgeon’s scope of practice is clearly defined and regulated.
Importance for Plastic Surgeons
For plastic surgeons in the Army Medical Department, having a clearly defined set of clinical privileges is essential. It provides them with the legal and professional framework within which they can operate, ensuring they deliver high-quality care while adhering to established standards and protocols.
Conclusion
DA FORM 5440-49 – Delineation of Clinical Privileges – Plastic Surgery is a vital document in the credentialing and privileging process for plastic surgeons. By clearly outlining the specific clinical privileges, it ensures that only qualified and competent professionals perform plastic surgery procedures, thereby safeguarding patient safety and maintaining high standards of care. Understanding and properly utilizing this form is crucial for all plastic surgeons within the Army Medical Department.
By following the guidelines and directives associated with DA FORM 5440-49, the Army Medical Department ensures that its plastic surgeons are well-qualified, their privileges are well-delineated, and their practice is compliant with the highest standards of medical care.
DA FORM 5440-49 Fillable – Army Pubs 5440-49 PDF DOWNLOAD
