Da Form 5440 13 DA FORM 5440 FEB 2004 Page 2 of 2 a Arterial Pressure Lines b Central Venous Pressure Lines c Pulmonary Artery Catheter d Arterial Venous Puncture e Hypothermia Requested Approved SPECIAL PROCEDURES Requested Approved Category II Continued Requested Approved d Ankle block a Thoracic block b Lumbar block Paravertebral Blocks a
Download Printable Da Form 5440 13 In Pdf The Latest Version Applicable For 2024 Fill Out The Delineation Of Clinical Privileges general Surgery Online And Print It Out For Free Da Form 5440 13 Is Often Used In Da Forms United States Army Army United States Federal Legal Forms Legal And United States Legal Forms DA FORM 5440 13 FEB 2004 PREVIOUS EDITIONS ARE OBSOLETE Requested Approved Category I Privileges in this category are for uncomplicated surgical illness or problems that present no serious threat to life Consultation will be sought when doubt exists as to the patient s diagnosis or in cases in which improvement with treatment is not soon
Da Form 5440 13
Da Form 5440 13
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DA Forms 5440 - 5441 | Forms - Docs - 2023
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DA FORM 5440 FEB 2004 Page 2 of 2 a Arterial Pressure Lines b Central Venous Pressure Lines c Pulmonary Artery Catheter d Arterial Venous Puncture e Hypothermia Requested Approved SPECIAL PROCEDURES Requested Approved Category II Continued Requested Approved d Ankle block a Thoracic block b Lumbar block Paravertebral Blocks a
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Download Printable Da Form 5440 13 In Pdf The Latest Version Applicable For 2024 Fill Out The Delineation Of Clinical Privileges general Surgery Online And Print It Out For Free Da Form 5440 13 Is Often Used In Da Forms United States Army Army United States Federal Legal Forms Legal And United States Legal Forms
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Fillable Form DA 5440 13 DELINEATION OF CLINICAL PRIVILEGES GENERAL SURGERY FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL ONLINE Contents What is DA 5440 13 How to fill out DA 5440 13 FAQs about DA 5440 13 FILL ONLINE Related Forms DA 5441 13 da 5440 50 DA 5440 54 DA 5440 49 DA 5440 45 Purpose of DA FORM 5440 13 The Delineation of Clinical Privileges General Surgery form is designed to specify the clinical privileges granted to a general surgeon These privileges are based on the surgeon s education training experience and demonstrated competence The form ensures that each surgeon operates within their certified capabilities promoting quality healthcare and patient
DA Form 5440 13 is the Delineation of Clinical Privileges General Surgery form used to establish and document the clinical privileges of general surgery practitioners within the Department of the Army This form outlines the scope of surgical procedures and responsibilities that practitioners are authorized to perform NOTE This document is to be used in conjunction with DA Form 5440 3 Delineation of Clinical Privileges Internal Medicine or DA Form 5440 13 Delineation of Clinical Privileges General Surgery PROVIDER CODES SUPERVISOR CODES 1 Fully competent to perform 2 Modification requested Justification attached 3 Supervision requested
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Da Form 1380 ≡ Fill Out Printable PDF Forms Online
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What Is DA Form 5440 This is a military form that was released by the U S Department of the Army DA on February 1 2004 The form often mistakenly referred to as the DD Form 5440 is a military form used by and within the U S Army DA Form 5440 1 is a related form that serves a similar purpose but is specific to dentistry DA Form 5440 1 is used for the Delineation of Clinical Privileges Dentistry outlining the clinical privileges and authorized dental procedures for practitioners in the dental field Download fillable form pdf doc xls
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Da Form 5440 13 - DA Form 5440 13 is the Delineation of Clinical Privileges General Surgery form used to establish and document the clinical privileges of general surgery practitioners within the Department of the Army This form outlines the scope of surgical procedures and responsibilities that practitioners are authorized to perform