DA FORM 5440-56 Fillable – Army Pubs 5440-56 PDF

DAFORMFILLABLE.COM | DA FORM 5440-56 Fillable – Army Pubs 5440-56 PDF – DA FORM 5440-56, titled Delineation Of Clinical Privileges – Blood Services, is a critical document used in the medical field, specifically within military healthcare services. This form, published on February 1, 2004, is instrumental in outlining the specific clinical privileges granted to healthcare providers in the area of blood services. The form is prescribed by AR 40-68 and requires a Privacy Act Statement as per AR 340-21. Here, we delve into the details of this form, its purpose, and its usage.

DA FORM 5440-56 – Delineation Of Clinical Privileges – Blood Services

Form Number DA Form 5440-56
Form Title Delineation Of Clinical Privileges – Blood Services
Form Date 02/01/2004
Form Proponent TSG

Overview of DA FORM 5440-56

DA FORM 5440-56 serves as a comprehensive record of the clinical privileges authorized for healthcare providers involved in blood services. This document ensures that only qualified individuals perform specific procedures and handle tasks related to blood services, thereby maintaining high standards of patient care and safety.

Key Features of DA FORM 5440-56

  • Publication Date: The form was published on February 1, 2004.
  • Proponent: The Surgeon General (TSG) is the proponent of this form.
  • Status: The form is currently active.
  • Prescribing Directive: The form is prescribed under AR 40-68.
  • Privacy Act Statement: Compliance with AR 340-21 is required.
  • Distribution: The form is approved for public release and distribution is unlimited.
  • Media Format: This form is only produced in electronic media.

Importance of DA FORM 5440-56 in Blood Services

DA FORM 5440-56 is crucial for delineating the clinical privileges of healthcare providers within military healthcare facilities. By specifying the competencies and authorizations, the form helps in:

  • Ensuring Competence: Only qualified and credentialed individuals are allowed to perform blood services procedures.
  • Enhancing Patient Safety: By restricting procedures to those with verified skills, the risk of errors and adverse events is minimized.
  • Standardizing Care: Establishing a uniform standard for the privileges granted, ensuring consistency across different facilities.

Completing DA FORM 5440-56

When filling out DA FORM 5440-56, it is essential to provide accurate and comprehensive information. This includes:

  • Personal Information: Details of the healthcare provider, including name, rank, and contact information.
  • Clinical Privileges: A detailed list of the specific blood services procedures the individual is authorized to perform.
  • Approval and Signatures: Authorization from the appropriate supervisory or credentialing authority, verifying the provider’s qualifications and granting the privileges.

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Conclusion

In summary, DA FORM 5440-56 – Delineation Of Clinical Privileges – Blood Services is a pivotal document in military healthcare settings. It ensures that only qualified personnel are granted the authority to perform critical blood services, thereby safeguarding patient health and maintaining high standards of medical care. Understanding the details and proper use of this form is essential for healthcare providers and administrative personnel involved in blood services within the military.

DA FORM 5440-56 Fillable – Army Pubs 5440-56 PDF DOWNLOAD

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