DAFORMFILLABLE.COM | DA FORM 5179-1 Fillable – Army Pubs 5179-1 PDF – DA FORM 5179-1, officially titled Intraoperative Document, is a crucial component in maintaining accurate and comprehensive medical records during surgical procedures. Published on October 1, 1987, and still active, this form plays a significant role in the documentation process within medical facilities under the jurisdiction of the TSG (The Surgeon General).
DA FORM 5179-1 – Intraoperative Document
| Form Number | DA Form 5179-1 |
| Form Title | Intraoperative Document |
| Form Date | 10/01/1987 |
| Form Proponent | TSG |
Purpose of DA FORM 5179-1
The Intraoperative Document is designed to capture detailed information about surgical procedures, ensuring that all critical aspects are meticulously recorded. This form is prescribed by AR 40-66 and is only produced in electronic media, as indicated by footnote 42.
Key Features of DA FORM 5179-1
Comprehensive Documentation
DA FORM 5179-1 serves as an extensive record-keeping tool that includes information such as:
- Patient identification and demographics
- Date and time of the surgery
- Surgical team members involved
- Type of anesthesia administered
- Surgical procedure details, including the type of surgery performed and the specific steps taken
- Intraoperative findings and any complications that may arise
- Postoperative care instructions
Ensuring Accuracy and Continuity
The form ensures that every aspect of the surgical process is documented, providing a clear and accurate account that is essential for:
- Postoperative care and follow-up
- Legal and regulatory compliance
- Quality control and improvement in surgical practices
- Continuity of care among healthcare providers
Usage and Implementation
Accessibility and Distribution
DA FORM 5179-1 is classified as UNCLASSIFIED and carries a distribution restriction code A, meaning it is approved for public release and its distribution is unlimited. This accessibility ensures that medical personnel can easily obtain and utilize the form as needed.
Electronic Media
The form is exclusively produced in electronic format, facilitating ease of use and integration into modern electronic health record (EHR) systems. This transition to electronic media supports efficient data entry, storage, and retrieval, enhancing the overall functionality of the document.
Compliance and Proponent
Prescribing Directive
The use of DA FORM 5179-1 is mandated by AR 40-66, which outlines the policies and procedures for medical record-keeping within the Army Medical Department.
Proponent and Authority
The Surgeon General (TSG) is the proponent for this form, ensuring its relevance and alignment with current medical practices and regulatory requirements.
Conclusion
In summary, DA FORM 5179-1 – Intraoperative Document is an indispensable tool for surgical documentation. Its comprehensive nature, ease of electronic access, and strict adherence to regulatory standards make it a vital resource for medical professionals. By ensuring detailed and accurate recording of surgical procedures, this form supports high-quality patient care, legal compliance, and continuous improvement in medical practices.
DA FORM 5179-1 Fillable – Army Pubs 5179-1 PDF DOWNLOAD
