DAFORMFILLABLE.COM | DA FORM 5441-45 Fillable – Army Pubs 5441-45 PDF – DA FORM 5441-45 – Evaluation Of Clinical Privileges – Cardiovascular Surgery is an essential document used within the United States Army Medical Department to evaluate the clinical privileges of professionals in the field of cardiovascular surgery. This form ensures that surgeons meet the necessary qualifications and maintain high standards of practice. Published on February 1, 2004, and still active, it is a critical tool for maintaining the quality of care in military medical facilities.
DA FORM 5441-45 – Evaluation Of Clinical Privileges – Cardiovascular Surgery
| Form Number | DA Form 5441-45 |
| Form Title | Evaluation Of Clinical Privileges – Cardiovascular Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Importance of DA FORM 5441-45
DA FORM 5441-45 serves as a comprehensive evaluation tool for cardiovascular surgeons. It assesses various competencies and skills, ensuring that only qualified professionals are granted clinical privileges. This evaluation is crucial for:
- Maintaining high standards of patient care
- Ensuring the competency of cardiovascular surgeons
- Providing a structured assessment process
Components of DA FORM 5441-45
General Information
The form begins with general information, including the Pub/Form Number (DA FORM 5441-45), Pub/Form Date (02/01/2004), and the Pub/Form Title (Evaluation Of Clinical Privileges – Cardiovascular Surgery). This section is fundamental in identifying the form and understanding its purpose.
Proponent and Status
The Pub/Form Proponent (TSG) indicates the office responsible for the form. The Pub/Form Status (ACTIVE) confirms that this form is currently in use and valid for assessments.
Usage and Directives
Prescribing Directive
DA FORM 5441-45 is prescribed by AR 40-68, which outlines the policies and procedures for clinical privileges within the Army Medical Department. This directive ensures that the evaluation process is standardized and adheres to established guidelines.
Privacy and Security
Footnotes indicate that this form requires a Privacy Act Statement (AR 340-21), ensuring the protection of personal information. The form is also only produced in electronic media, making it accessible and easy to distribute while maintaining confidentiality.
Accessibility and Distribution
Distribution Code
The form’s distribution code is A, meaning it is approved for public release and distribution is unlimited. This unrestricted access facilitates the widespread use of the form across various military medical facilities.
Identification and Publication Information
- Pub/Form IDN: 990001
- Pub/Form PIN: 081286
These identification numbers help in tracking and referencing the form within the military’s documentation system.
Evaluation Criteria
DA FORM 5441-45 includes specific evaluation criteria tailored to assess the skills and competencies of cardiovascular surgeons. Key areas of assessment include:
- Technical Skills: Evaluating the surgeon’s ability to perform complex cardiovascular procedures.
- Clinical Judgment: Assessing decision-making abilities in high-pressure situations.
- Patient Care: Ensuring compassionate and effective patient management.
- Professionalism: Maintaining ethical standards and professional behavior.
Conclusion
DA FORM 5441-45 – Evaluation Of Clinical Privileges – Cardiovascular Surgery is a vital document for maintaining high standards in cardiovascular surgery within the Army Medical Department. By systematically evaluating the skills and competencies of surgeons, this form ensures that only qualified professionals are granted clinical privileges, ultimately enhancing patient care and safety. Its structured approach and adherence to privacy and security guidelines make it an indispensable tool in the military healthcare system.
DA FORM 5441-45 Fillable – Army Pubs 5441-45 PDF DOWNLOAD
