DAFORMFILLABLE.COM | DA FORM 5440-39 Fillable – Army Pubs 5440-39 PDF – DA FORM 5440-39 is an essential document used within the military medical community to specify and authorize clinical privileges for nuclear medicine practitioners. This form, officially titled “Delineation Of Clinical Privileges – Nuclear Medicine,” serves to ensure that medical professionals are adequately qualified and authorized to perform nuclear medicine procedures.
DA FORM 5440-39 – Delineation Of Clinical Privileges – Nuclear Medicine
| Form Number | DA Form 5440-39 |
| Form Title | Delineation Of Clinical Privileges – Nuclear Medicine |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5440-39
Publication Details
The DA FORM 5440-39 was published on February 1, 2004, and remains in active status. It is an official form managed by the TSG (The Surgeon General) and follows the directives outlined in AR 40-68. This form is vital for maintaining the quality and safety of nuclear medicine practices within military medical facilities.
Purpose and Importance
The primary purpose of DA FORM 5440-39 is to delineate the specific clinical privileges granted to nuclear medicine practitioners. This ensures that only qualified personnel perform complex nuclear medicine procedures, thus safeguarding patient safety and maintaining high standards of medical care.
Key Components of DA FORM 5440-39
Prescribing Directive and Privacy Act
DA FORM 5440-39 is prescribed by AR 40-68, which outlines the qualifications and procedures for granting clinical privileges. It also requires compliance with the Privacy Act Statement (AR 340-21), ensuring that all personal information is handled with the utmost confidentiality and security.
Distribution and Availability
This form is only produced in electronic media and is unclassified, making it widely accessible for authorized personnel. It is approved for public release, and its distribution is unlimited, coded as Dist Restriction Code A.
Using DA FORM 5440-39 in Clinical Settings
Granting Clinical Privileges
The process of granting clinical privileges using DA FORM 5440-39 involves a thorough review of the practitioner’s qualifications, including education, training, and experience in nuclear medicine. The form is used to document and authorize the specific procedures that the practitioner is allowed to perform.
Ensuring Compliance and Safety
By utilizing DA FORM 5440-39, military medical facilities can ensure compliance with established standards and protocols. This form helps to verify that practitioners possess the necessary skills and expertise, thereby enhancing the overall safety and efficacy of nuclear medicine services.
Benefits of DA FORM 5440-39
Standardization and Accountability
The use of DA FORM 5440-39 promotes standardization across military medical facilities, ensuring that all nuclear medicine practitioners meet consistent and rigorous criteria. This fosters accountability and transparency within the medical community.
Enhancing Patient Care
By delineating clinical privileges accurately, DA FORM 5440-39 plays a crucial role in enhancing patient care. It ensures that patients receive treatment from qualified professionals, thereby improving outcomes and maintaining trust in military medical services.
Conclusion
DA FORM 5440-39 – Delineation Of Clinical Privileges – Nuclear Medicine is a pivotal document in the realm of military medical practice. It establishes clear guidelines for the authorization of clinical privileges, ensuring that nuclear medicine procedures are performed by qualified practitioners. By adhering to the standards set forth in this form, military medical facilities can uphold the highest levels of patient care and safety.
For further information or to access DA FORM 5440-39, individuals should refer to the prescribing directive AR 40-68 and ensure compliance with the Privacy Act Statement (AR 340-21). The form remains a fundamental tool in the effective management and regulation of nuclear medicine practices within the military healthcare system.
DA FORM 5440-39 Fillable – Army Pubs 5440-39 PDF DOWNLOAD
