DAFORMFILLABLE.COM | DA FORM 5441-52 Fillable – Army Pubs 5441-52 PDF – DA FORM 5441-52, titled Evaluation of Clinical Privileges – Critical Care Medicine, is a critical document used within the United States Army Medical Department to assess the clinical competencies and privileges of healthcare professionals specializing in critical care medicine. This article provides an in-depth understanding of DA FORM 5441-52, its purpose, and its utilization within the military medical system.
DA FORM 5441-52 – Evaluation Of Clinical Privileges – Critical Care Medicine
| Form Number | DA Form 5441-52 |
| Form Title | Evaluation Of Clinical Privileges – Critical Care Medicine |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5441-52?
DA FORM 5441-52 is a standardized evaluation form used to document the clinical privileges of medical personnel in critical care medicine. This form, issued by the The Surgeon General (TSG), ensures that healthcare providers are competent and qualified to perform specific medical procedures and deliver care within their specialty.
Key Details of DA FORM 5441-52
- Pub/Form Number: DA FORM 5441-52
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation of Clinical Privileges – Critical Care Medicine
- Pub/Form Proponent: TSG
- Pub/Form Status: ACTIVE
- Prescribed Forms/Prescribing Directive: AR 40-68
- Footnotes:
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)
- Security Classification: UNCLASSIFIED
- Distribution Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
- Pub/Form IDN: 990001
- Pub/Form PIN: 081293
The Purpose of DA FORM 5441-52
The primary purpose of DA FORM 5441-52 is to evaluate and document the clinical privileges of healthcare providers in critical care medicine. This form is part of the comprehensive credentialing and privileging process mandated by AR 40-68, which outlines the standards for medical care within the Army.
Importance of Clinical Privileges in Critical Care Medicine
Clinical privileges are essential for ensuring that medical professionals possess the necessary skills and qualifications to perform specific medical procedures and provide care. In critical care medicine, where patients often require complex and high-stakes interventions, the thorough evaluation of clinical competencies is crucial. DA FORM 5441-52 serves as a tool to verify that healthcare providers meet the required standards and can deliver high-quality care in critical settings.
Completing DA FORM 5441-52
Healthcare professionals undergoing evaluation must provide comprehensive information about their clinical experience, training, and qualifications. The form includes sections for detailing specific procedures and treatments that the provider is competent to perform. Supervisors and credentialing authorities use this information to make informed decisions about granting clinical privileges.
Compliance and Privacy Considerations
When completing DA FORM 5441-52, compliance with the Privacy Act (AR 340-21) is mandatory. The form contains sensitive personal and professional information, and appropriate measures must be taken to protect this data. Additionally, the form is produced only in electronic media, ensuring streamlined and secure data handling.
Distribution and Accessibility
DA FORM 5441-52 is classified as UNCLASSIFIED and is approved for public release, meaning there are no restrictions on its distribution. This ensures that all relevant personnel have access to the form when needed. The form’s electronic availability simplifies distribution and accessibility, facilitating its use across various medical facilities.
Conclusion
DA FORM 5441-52 – Evaluation Of Clinical Privileges – Critical Care Medicine is a vital component in the credentialing process within the Army Medical Department. By ensuring that healthcare providers in critical care medicine meet stringent standards, this form plays a crucial role in maintaining the quality and safety of medical care. Understanding the purpose, importance, and proper completion of this form is essential for medical professionals and administrative personnel involved in the evaluation and granting of clinical privileges.
DA FORM 5441-52 Fillable – Army Pubs 5441-52 PDF DOWNLOAD
