DAFORMFILLABLE.COM | DA FORM 5440-51 Fillable – Army Pubs 5440-51 PDF – DA FORM 5440-51, titled Delineation Of Clinical Privileges – Neurosurgery, is a crucial document in the medical field, specifically for neurosurgeons within the military. This form, dated 02/01/2004, outlines the specific clinical privileges granted to neurosurgeons, ensuring that they are qualified and authorized to perform various neurosurgical procedures. The proponent of this form is TSG (The Surgeon General), and it is currently in active status.
DA FORM 5440-51 – Delineation Of Clinical Privileges – Neurosurgery
| Form Number | DA Form 5440-51 |
| Form Title | Delineation Of Clinical Privileges – Neurosurgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose of DA FORM 5440-51
The primary purpose of DA FORM 5440-51 is to ensure that neurosurgeons within the military are properly credentialed and authorized to perform specific surgical procedures. This form delineates the scope of clinical privileges granted to each neurosurgeon, based on their qualifications, training, and experience.
Importance of Delineating Clinical Privileges
Delineating clinical privileges is essential for maintaining high standards of patient care and safety. By clearly defining the procedures that a neurosurgeon is authorized to perform, the military healthcare system can ensure that patients receive care from qualified and competent practitioners. This process helps in:
- Maintaining quality control within military medical facilities.
- Ensuring patient safety by verifying the credentials of healthcare providers.
- Streamlining medical operations by defining clear roles and responsibilities.
Key Features of DA FORM 5440-51
Publication and Availability
DA FORM 5440-51 is only produced in electronic media and is approved for public release with unlimited distribution. This ensures that the form is easily accessible to all relevant personnel.
Privacy and Security
The form requires a Privacy Act Statement as per AR 340-21, ensuring that any personal information collected is protected and used in accordance with privacy laws. The form is classified as unclassified, making it widely accessible without security restrictions.
Prescribing Directive
The prescribing directive for this form is AR 40-68, which provides the regulatory framework for the credentialing and privileging of healthcare providers within the military. This ensures that all procedures related to the use of DA FORM 5440-51 are standardized and comply with military regulations.
How to Use DA FORM 5440-51
Filling Out the Form
To properly fill out DA FORM 5440-51, the following information must be included:
- Personal Details of the Neurosurgeon: Full name, rank, and contact information.
- Qualifications and Training: Documentation of the neurosurgeon’s education, training, and certification.
- Scope of Privileges: Specific procedures and treatments the neurosurgeon is authorized to perform.
- Approval and Signatures: Signatures from the neurosurgeon and the approving authority.
Submission and Approval Process
Once completed, the form must be submitted to the appropriate medical credentialing authority within the military. The form undergoes a thorough review process to verify the credentials and qualifications of the neurosurgeon. Upon approval, the neurosurgeon is granted the specified clinical privileges.
Conclusion
DA FORM 5440-51 – Delineation Of Clinical Privileges – Neurosurgery is an essential document in the military medical field, ensuring that neurosurgeons are properly credentialed and authorized to perform their duties. By clearly defining the scope of clinical privileges, the form helps maintain high standards of patient care and safety within military healthcare facilities. Understanding and properly utilizing this form is crucial for neurosurgeons and medical administrators alike, contributing to the overall efficiency and effectiveness of military medical operations.
By adhering to the guidelines and requirements outlined in DA FORM 5440-51, the military healthcare system can ensure that neurosurgeons are well-qualified and capable of providing the best possible care to their patients.
DA FORM 5440-51 Fillable – Army Pubs 5440-51 PDF DOWNLOAD
