DAFORMFILLABLE.COM | DA FORM 5440-38 Fillable – Army Pubs 5440-38 PDF – DA FORM 5440-38 – Delineation Of Clinical Privileges – Clinical Pharmacy is a crucial document for professionals in the clinical pharmacy field. This article will provide a comprehensive overview of this form, including its purpose, usage, and key details. Understanding this form is essential for maintaining compliance and ensuring proper documentation of clinical privileges.
DA FORM 5440-38 – Delineation Of Clinical Privileges – Clinical Pharmacy
| Form Number | DA Form 5440-38 |
| Form Title | Delineation Of Clinical Privileges – Clinical Pharmacy |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Understanding DA FORM 5440-38
DA FORM 5440-38 is officially titled “Delineation Of Clinical Privileges – Clinical Pharmacy”. It was published on February 1, 2004, and remains an active form under the authority of the TSG (The Surgeon General). This form is prescribed by AR 40-68, which governs clinical privileges within the Department of the Army.
Purpose of DA FORM 5440-38
The primary purpose of DA FORM 5440-38 is to document and delineate the clinical privileges granted to clinical pharmacists. This form ensures that clinical pharmacists are appropriately credentialed and authorized to perform specific clinical tasks within their scope of practice.
Key Features and Requirements
Several key features and requirements are associated with DA FORM 5440-38:
- Privacy Act Statement: The form requires compliance with the Privacy Act, as stipulated in AR 340-21.
- Electronic Media: This form is exclusively produced in electronic media, making it easily accessible and distributable.
- Public Release: The form is unclassified and approved for public release, with no distribution restrictions.
Detailed Sections of DA FORM 5440-38
To fully understand DA FORM 5440-38, it is essential to break down its sections and the information required in each part.
Section I: Personal Information
This section collects the personal information of the clinical pharmacist, including:
- Name
- Rank
- Social Security Number
- Contact Information
Section II: Professional Qualifications
This section outlines the professional qualifications of the pharmacist, such as:
- Educational Background
- Licensure Information
- Certifications
- Previous Clinical Experience
Section III: Requested Privileges
In this section, the pharmacist requests specific clinical privileges. It includes:
- Clinical Procedures and Tasks: A detailed list of procedures and tasks the pharmacist is qualified to perform.
- Level of Competence: The level of competence for each task, categorized as competent, supervised, or not competent.
Section IV: Approval and Signatures
This final section includes the signatures of the approving authorities, verifying that the pharmacist’s credentials and requested privileges have been reviewed and approved. It requires:
- Signature of the Reviewing Officer
- Signature of the Approving Authority
- Date of Approval
Importance of DA FORM 5440-38 in Clinical Pharmacy
The DA FORM 5440-38 plays a vital role in the clinical pharmacy field by ensuring that all clinical pharmacists are appropriately credentialed and authorized to perform specific clinical tasks. This delineation of privileges helps maintain high standards of patient care and safety.
Compliance and Record-Keeping
Maintaining accurate and up-to-date DA FORM 5440-38 is crucial for compliance with AR 40-68. Proper record-keeping ensures that clinical pharmacists can provide safe and effective care, and it also protects the institution from potential legal and regulatory issues.
Enhancing Professional Accountability
By clearly defining the clinical privileges of each pharmacist, DA FORM 5440-38 enhances professional accountability. It ensures that pharmacists only perform tasks they are qualified for, thereby reducing the risk of medical errors and improving patient outcomes.
Conclusion
DA FORM 5440-38 – Delineation Of Clinical Privileges – Clinical Pharmacy is an essential document for clinical pharmacists within the Department of the Army. It ensures that pharmacists are properly credentialed and authorized to perform specific clinical tasks, thereby enhancing patient care and safety. Understanding and maintaining this form is crucial for compliance and professional accountability in the field of clinical pharmacy.
DA FORM 5440-38 Fillable – Army Pubs 5440-38 PDF DOWNLOAD
