DAFORMFILLABLE.COM | DA FORM 5440-54 Fillable – Army Pubs 5440-54 PDF – DA FORM 5440-54, titled Delineation of Clinical Privileges – Thoracic Surgery, is an essential document used in the medical field to specify the clinical privileges granted to thoracic surgeons. This article will provide a comprehensive overview of the form, its purpose, and how it is used within the military medical system.
DA FORM 5440-54 – Delineation Of Clinical Privileges – Thoracic Surgery
| Form Number | DA Form 5440-54 |
| Form Title | Delineation Of Clinical Privileges – Thoracic Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5440-54?
DA FORM 5440-54 is a form used by the U.S. Army to outline the specific clinical privileges that are authorized for thoracic surgeons. These privileges define the scope of medical procedures and treatments that a surgeon is allowed to perform. This form ensures that only qualified professionals carry out certain medical tasks, maintaining high standards of patient care.
Key Details of DA FORM 5440-54
- Pub/Form Number: DA FORM 5440-54
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation of Clinical Privileges – Thoracic Surgery
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: Active
- Prescribed Forms/Prescribing Directive: AR 40-68
- Footnotes:
- 42-Item only produced in electronic media
- 14-Requires Privacy Act Statement (AR 340-21)
- Authority: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 081326
Purpose and Importance of DA FORM 5440-54
The primary purpose of DA FORM 5440-54 is to ensure that thoracic surgeons operate within their certified areas of expertise. This form delineates specific procedures and medical actions that a surgeon can perform based on their training, experience, and competency. This detailed documentation helps in maintaining a high standard of care and ensures patient safety.
Why is Delineation of Clinical Privileges Necessary?
- Patient Safety: By clearly defining the clinical privileges of surgeons, the risk of medical errors is reduced, ensuring that patients receive the highest quality of care.
- Professional Accountability: The form holds surgeons accountable for their scope of practice, aligning their responsibilities with their qualifications.
- Regulatory Compliance: It ensures that medical practices comply with Army regulations, particularly AR 40-68, which governs clinical privileges.
Completing DA FORM 5440-54
Sections of the Form
DA FORM 5440-54 is divided into several sections, each designed to capture specific information about the surgeon’s privileges:
- Identification Information: This includes the surgeon’s name, rank, and medical specialty.
- Requested Privileges: A detailed list of the procedures and treatments the surgeon requests to perform.
- Approval Signatures: Signatures from medical board officials or commanding officers who review and approve the requested privileges.
Privacy and Security
Given that DA FORM 5440-54 contains sensitive personal and professional information, it includes a Privacy Act Statement as required by AR 340-21. This ensures that the information is handled with the utmost confidentiality and in accordance with privacy regulations.
Distribution and Accessibility
DA FORM 5440-54 is approved for public release with unlimited distribution. However, it is primarily available in electronic media, ensuring easy access and efficient handling within the military medical system. The form is unclassified, making it accessible for review and use by authorized personnel.
Conclusion
DA FORM 5440-54 – Delineation of Clinical Privileges – Thoracic Surgery is a crucial document in the military medical field. It delineates the specific clinical privileges of thoracic surgeons, ensuring that they operate within their certified capabilities. This form plays a vital role in maintaining high standards of patient care, professional accountability, and regulatory compliance. Understanding and correctly utilizing DA FORM 5440-54 is essential for medical professionals within the U.S. Army.
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DA FORM 5440-54 Fillable – Army Pubs 5440-54 PDF DOWNLOAD
