DAFORMFILLABLE.COM | DA FORM 7389 Fillable – Army Pubs 7389 PDF – DA FORM 7389 – Medical Record – Anesthesia is an essential document utilized in the medical field to record and manage anesthesia details during medical procedures. This article will provide an in-depth look at the form, its purpose, and its application, all while adhering to SEO best practices to ensure the information is accessible and valuable to readers seeking knowledge on this topic.
DA FORM 7389 – Medical Record – Anesthesia
| Form Number | DA FORM 7389 |
| Form Title | Medical Record – Anesthesia |
| Form Date | 2/1/1998 |
| Form Proponent | TSG |
What is DA FORM 7389?
DA FORM 7389, titled Medical Record – Anesthesia, is a standardized form used within the military healthcare system to document anesthesia administration. The form is mandated by the Army Regulation (AR) 40-66, which governs medical records administration.
Publication Details
The form was officially published on February 1, 1998, and remains active under the proponent The Surgeon General (TSG). It is classified as unclassified and is available for public release with no distribution restrictions, ensuring it can be accessed and used widely without limitation.
Key Features of DA FORM 7389
Electronic Availability
One notable feature of DA FORM 7389 is that it is produced only in electronic media. This facilitates ease of access, distribution, and completion, aligning with modern digital record-keeping practices.
Comprehensive Documentation
The form serves multiple purposes in the medical field:
- Recording Patient Information: It captures vital details about the patient receiving anesthesia.
- Anesthesia Details: Specifics about the type, dosage, and duration of anesthesia administered.
- Monitoring and Safety: Documentation of vital signs and monitoring during the procedure to ensure patient safety.
- Post-Procedure Records: Information about recovery and any immediate post-anesthesia observations.
How to Use DA FORM 7389
Pre-Anesthesia Section
The pre-anesthesia section requires the healthcare provider to document patient information, including:
- Patient’s Name
- Identification Number
- Medical History
- Allergies
This ensures that the anesthesia plan is tailored to the patient’s medical background.
Intra-Procedure Section
During the procedure, the form is used to record:
- Anesthetic Agents Used: Types and amounts of anesthesia administered.
- Vital Signs Monitoring: Regular entries of the patient’s vital signs to monitor their response to anesthesia.
- Observations: Any notable events or complications during the procedure.
Post-Anesthesia Section
Post-procedure, the form documents:
- Patient’s Recovery: Initial recovery status and vital signs.
- Post-Anesthesia Care: Any additional care or observations required after anesthesia.
Importance of Accurate Documentation
Accurate and detailed documentation on DA FORM 7389 is crucial for several reasons:
- Patient Safety: Ensures that all aspects of anesthesia administration are recorded for patient safety and future reference.
- Medical Records: Forms part of the patient’s comprehensive medical record, which is essential for ongoing healthcare.
- Legal and Regulatory Compliance: Meets the requirements set forth by AR 40-66, ensuring that medical facilities comply with regulatory standards.
Conclusion
DA FORM 7389 – Medical Record – Anesthesia plays a pivotal role in the documentation and management of anesthesia in medical settings. By providing a structured format for recording critical information, it helps ensure patient safety, effective monitoring, and compliance with regulatory standards. The form’s availability in electronic format enhances its accessibility and usability, making it a valuable tool for healthcare providers.
For those involved in medical procedures requiring anesthesia, understanding and correctly using DA FORM 7389 is essential. This guide serves as a comprehensive resource for navigating the form and ensuring its effective application in medical practice.
DA FORM 7389 Fillable – Army Pubs 7389 PDF DOWNLOAD
