DAFORMFILLABLE.COM | DA FORM 5441-38 Fillable – Army Pubs 5441-38 PDF – DA FORM 5441-38, officially titled Evaluation Of Clinical Privileges – Clinical Pharmacy, is a critical document used within the military medical community. This form is essential for evaluating and documenting the clinical privileges of personnel within the field of clinical pharmacy. Published on February 1, 2004, by the proponent TSG (The Surgeon General), this form ensures that clinical pharmacists meet the required standards for their roles.
DA FORM 5441-38 – Evaluation Of Clinical Privileges – Clinical Pharmacy
| Form Number | DA Form 5441-38 |
| Form Title | Evaluation Of Clinical Privileges – Clinical Pharmacy |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose of DA FORM 5441-38
Evaluation and Documentation
The primary purpose of DA FORM 5441-38 is to evaluate and document the clinical privileges of pharmacists. This process involves assessing the pharmacist’s competencies, skills, and qualifications to ensure they are fit to perform specific clinical duties. The form is an essential tool for maintaining high standards within military medical facilities.
Compliance with Regulations
The form is prescribed under AR 40-68, which outlines the policies and procedures for clinical privileges and credentialing within the Army. This ensures that all evaluations are conducted according to standardized regulations, maintaining consistency and fairness in the evaluation process.
Key Features of DA FORM 5441-38
Privacy and Security
According to AR 340-21, DA FORM 5441-38 requires a Privacy Act Statement. This statement is necessary to inform individuals about the privacy and security measures in place to protect their personal information during the evaluation process. The form is unclassified and approved for public release, with distribution being unlimited.
Electronic Format
One notable feature is that DA FORM 5441-38 is only produced in electronic media. This facilitates easier distribution and completion, allowing for efficient processing and record-keeping within the military’s medical systems.
Completing DA FORM 5441-38
Sections of the Form
The form is divided into several sections, each designed to capture specific information about the pharmacist’s qualifications and competencies. These sections typically include:
- Personal Information: Details about the pharmacist being evaluated.
- Clinical Privileges Requested: Specific clinical duties and privileges the pharmacist is seeking.
- Evaluation and Recommendations: Assessment by a supervising authority, including recommendations for granting or denying privileges.
Importance of Accurate Information
It is crucial to provide accurate and comprehensive information when completing DA FORM 5441-38. Inaccurate or incomplete data can lead to delays in the evaluation process or incorrect assessment outcomes, potentially impacting the pharmacist’s ability to perform their duties.
Utilizing DA FORM 5441-38 in Clinical Settings
Ensuring Competence
The evaluation conducted through DA FORM 5441-38 ensures that only competent and qualified pharmacists are granted clinical privileges. This is vital for maintaining high standards of patient care and safety within military medical facilities.
Record-Keeping and Accountability
The form serves as an official record of the evaluation process, providing accountability and transparency. It allows for easy reference and review, ensuring that any issues related to clinical privileges can be addressed promptly and efficiently.
Conclusion
DA FORM 5441-38 – Evaluation Of Clinical Privileges – Clinical Pharmacy is an indispensable tool for maintaining high standards within the military’s clinical pharmacy field. By ensuring that all evaluations are conducted according to standardized regulations and documented accurately, this form plays a crucial role in safeguarding patient care and enhancing the overall effectiveness of military medical services.
For more information or to access DA FORM 5441-38, refer to the appropriate military medical regulations or contact your supervising authority.
DA FORM 5441-38 Fillable – Army Pubs 5441-38 PDF DOWNLOAD
