DAFORMFILLABLE.COM | DA FORM 5179 Fillable – Army Pubs 5179 PDF – DA FORM 5179 – Medical Record – Preoperative/Postoperative Nursing Document is a crucial form used within the U.S. Army’s medical system. This form, published on June 1, 1991, serves as an essential tool for recording nursing care provided to patients both before and after surgical procedures.
DA FORM 5179 – Medical Record – Preoperative/Postoperative Nursing Document
Form Number | DA Form 5179 |
Form Title | Medical Record – Preoperative/Postoperative Nursing Document |
Form Date | 06/01/1991 |
Form Proponent | TSG |
Purpose and Importance of DA FORM 5179
Preoperative Documentation
The preoperative section of DA FORM 5179 ensures that all necessary preparations and assessments are meticulously documented. This includes:
- Patient assessments: Vital signs, medical history, and any allergies.
- Pre-surgery preparations: Verification of informed consent, administration of preoperative medications, and other preparatory steps.
Postoperative Documentation
In the postoperative section, nurses record critical information to monitor the patient’s recovery:
- Vital signs monitoring: Regular checks on heart rate, blood pressure, and temperature.
- Post-surgery assessments: Pain levels, wound condition, and overall recovery progress.
- Medication administration: Documentation of any medications given post-surgery, including pain management and antibiotics.
Proponent and Status
The proponent of DA FORM 5179 is the TSG (The Surgeon General), and the form is currently in active status. This ensures that it is regularly updated and used across military medical facilities.
Compliance and Prescribing Directive
DA FORM 5179 is prescribed under AR 40-66, which governs medical record administration and healthcare documentation within the Army. This ensures standardized and accurate record-keeping across all medical units.
Access and Distribution
Electronic Media
One notable feature of DA FORM 5179 is that it is only produced in electronic media. This transition to digital formats ensures ease of access, better record-keeping, and streamlined updates.
Distribution
The form is classified as UNCLASSIFIED and carries the distribution restriction code A. This means it is approved for public release and distribution is unlimited, allowing for widespread availability and use.
Utilizing DA FORM 5179 Effectively
For Healthcare Providers
Healthcare providers, particularly those in nursing roles, must be familiar with DA FORM 5179 to ensure comprehensive and accurate documentation. Proper use of this form can:
- Enhance patient safety: By ensuring all preoperative and postoperative care steps are documented and followed.
- Improve communication: Among medical staff by providing a clear and detailed record of patient care.
- Ensure legal compliance: With medical record-keeping standards as prescribed by AR 40-66.
For Patients
While DA FORM 5179 is primarily a tool for healthcare providers, understanding its purpose can also benefit patients. It ensures that their care before and after surgery is thoroughly documented, enhancing their overall treatment experience and safety.
Conclusion
DA FORM 5179 – Medical Record – Preoperative/Postoperative Nursing Document is a vital component of the Army’s medical documentation system. Its thorough and structured approach to recording nursing care ensures that patients receive safe, standardized, and efficient care throughout their surgical experience. By adhering to the guidelines set forth in AR 40-66 and utilizing the form effectively, healthcare providers can significantly improve patient outcomes and maintain high standards of medical care.