DAFORMFILLABLE.COM | DA FORM 5440-45 Fillable – Army Pubs 5440-45 PDF – DA FORM 5440-45, titled Delineation Of Clinical Privileges – Cardiovascular Surgery, is an essential document in the medical field, particularly for cardiovascular surgeons. This form is a standardized tool used to outline and grant specific clinical privileges to cardiovascular surgeons within military medical facilities. This article provides a comprehensive overview of the form, its importance, and guidelines for its use.
DA FORM 5440-45 – Delineation Of Clinical Privileges – Cardiovascular Surgery
| Form Number | DA Form 5440-45 |
| Form Title | Delineation Of Clinical Privileges – Cardiovascular Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5440-45
Publication Details
- Pub/Form Number: DA FORM 5440-45
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation Of Clinical Privileges – Cardiovascular Surgery
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: ACTIVE
Key Features
- Prescribed Forms/Prescribing Directive: AR 40-68
- Footnotes:
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
- Security Classification: UNCLASSIFIED
- Distribution Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
- Pub/Form IDN: 990001
- Pub/Form PIN: 081317
Importance of DA FORM 5440-45
Ensuring Quality and Safety
DA FORM 5440-45 plays a crucial role in maintaining the quality and safety of cardiovascular surgical procedures within military medical facilities. By delineating specific privileges, it ensures that only qualified surgeons are authorized to perform certain procedures, thereby upholding high standards of patient care.
Compliance with Regulations
The form is mandated by AR 40-68, which governs the granting of clinical privileges. This regulation ensures that all healthcare providers in military facilities are appropriately vetted and credentialed, reducing the risk of medical errors and enhancing patient outcomes.
Components of DA FORM 5440-45
Clinical Privileges
The core of DA FORM 5440-45 is the detailed list of clinical privileges granted to a cardiovascular surgeon. These privileges are specific procedures and responsibilities that a surgeon is authorized to perform based on their training, experience, and demonstrated competence.
Privacy and Security
Given the sensitive nature of medical credentials and privileges, DA FORM 5440-45 includes a Privacy Act Statement, as required by AR 340-21. This ensures that all personal information is handled with the utmost confidentiality and security.
Electronic Media
DA FORM 5440-45 is produced solely in electronic media, which facilitates easier distribution and access while ensuring that the most current version of the form is always available.
Using DA FORM 5440-45
Filling Out the Form
When completing DA FORM 5440-45, it is essential to provide accurate and thorough information regarding the surgeon’s qualifications and the specific privileges being requested. This includes detailed descriptions of procedures and any relevant certifications or training.
Submission and Approval
Once the form is filled out, it must be submitted to the appropriate medical credentialing authority within the military facility. The authority will review the information, verify the surgeon’s qualifications, and approve the privileges as appropriate.
Conclusion
DA FORM 5440-45 – Delineation Of Clinical Privileges – Cardiovascular Surgery is a vital document that ensures only qualified surgeons perform cardiovascular surgical procedures in military medical facilities. By adhering to the guidelines outlined in this form, military healthcare providers can maintain high standards of care and compliance with regulatory requirements.
For more information or to access DA FORM 5440-45, please refer to the official military publications or the prescribing directive AR 40-68. Ensuring proper use and understanding of this form is essential for maintaining excellence in cardiovascular surgical care within the military healthcare system.
DA FORM 5440-45 Fillable – Army Pubs 5440-45 PDF DOWNLOAD
