DAFORMFILLABLE.COM | DA FORM 5441-16 Fillable – Army Pubs 5441-16 PDF – DA FORM 5441-16, titled Evaluation Of Clinical Privileges – Nurse Practitioner, is an essential document used within the United States Army Medical Department. This form, prescribed by AR 40-68, is a standardized evaluation tool designed to assess the clinical competencies and privileges of Nurse Practitioners. This article aims to provide a comprehensive overview of DA FORM 5441-16, its purpose, and its application within the military healthcare system.
DA FORM 5441-16 – Evaluation Of Clinical Privileges – Nurse Practitioner
Form Number | DA Form 5441-16 |
Form Title | Evaluation Of Clinical Privileges – Nurse Practitioner |
Form Date | 02/01/2004 |
Form Proponent | TSG |
Purpose of DA FORM 5441-16
The primary objective of DA FORM 5441-16 is to ensure that Nurse Practitioners are evaluated consistently and fairly based on their clinical skills and competencies. This form supports the Army Medical Department in maintaining high standards of care by verifying that practitioners are qualified to perform specific clinical duties.
Key Elements of the Form
- Pub/Form Number: DA FORM 5441-16
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation Of Clinical Privileges – Nurse Practitioner
- Pub/Form Proponent: TSG
- Pub/Form Status: ACTIVE
- Prescribed Forms/Prescribing Directive: AR 40-68
- Security Classification: UNCLASSIFIED
- Dist Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
Components of DA FORM 5441-16
Clinical Privileges Evaluation
The form includes various sections that detail the specific clinical privileges a Nurse Practitioner can be granted. These privileges are categorized based on different areas of clinical practice, such as:
- Primary Care
- Acute Care
- Specialized Medical Procedures
Each section requires the evaluator to assess the practitioner’s competency in performing these duties, ensuring that only qualified individuals are granted the appropriate privileges.
Privacy and Confidentiality
Given the sensitive nature of the information recorded on DA FORM 5441-16, it is important to note the privacy act statement required by AR 340-21. This ensures that the personal and professional information of the Nurse Practitioner is handled with confidentiality and in compliance with federal privacy regulations.
Importance of DA FORM 5441-16 in Military Healthcare
Standardization of Care
By utilizing DA FORM 5441-16, the Army Medical Department ensures a standardized approach to evaluating Nurse Practitioners. This standardization helps maintain consistent levels of care across various military medical facilities, enhancing the overall quality of healthcare provided to service members and their families.
Assurance of Competency
The form serves as a vital tool for verifying the competency of Nurse Practitioners. It helps in identifying areas where practitioners excel and areas needing improvement, which can be crucial for professional development and ensuring that patients receive care from highly skilled healthcare providers.
Distribution and Accessibility
DA FORM 5441-16 is an electronic media-only document, identified by Pub/Form IDN 990001 and Pub/Form PIN 066547. Its unclassified status and unrestricted distribution code mean it is approved for public release and can be freely distributed, ensuring that all relevant personnel have access to the form when needed.
Conclusion
DA FORM 5441-16 – Evaluation Of Clinical Privileges – Nurse Practitioner is a critical component in maintaining high standards within the Army Medical Department. By providing a structured and standardized method for evaluating Nurse Practitioners, this form ensures that only qualified individuals are granted the necessary clinical privileges, thereby safeguarding the quality of care provided to service members. Understanding and properly utilizing DA FORM 5441-16 is essential for all involved in the military healthcare system, ensuring excellence and competency in medical practice.