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  • Dod Da Form 7654 2009

Get Dod Da Form 7654 2009-2026

Middle) 2. RANK 4. UNIT MAILING ADDRESS 5. AOC 3. DATE (YYYYMMDD) 7. COMPONENT: USA ARNG USAR 6. UNIT PHONE NUMBER TO BE COMPLETED BY THE INDIVIDUAL'S RN CLINICAL SUPERVISOR: The individual named above has demonstrated the knowledge and ability to perform patient care nursing activities in an emergency care setting. This includes the ability to triage, assess, treat, administer medications, and evaluate emergency patients (of all ages). SKILLS INITIALS DATE (YYYYMMDD) RESPIRATORY 1. Ai.

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How to fill out the DOD DA Form 7654 online

Filling out the DOD DA Form 7654 accurately is essential for verifying clinical competencies in emergency nursing. This guide provides clear and supportive instructions to help users complete the form online with ease.

Follow the steps to effectively fill out the form.

  1. Click ‘Get Form’ button to access the form online and open it in the editor.
  2. Begin by entering the individual's name in the designated field as follows: Last name, First name, Middle initial.
  3. Next, fill in the rank of the individual in the appropriate field.
  4. Provide the unit mailing address to ensure accurate communication.
  5. Indicate the component (e.g., USA, ARNG, USAR) by checking the appropriate box.
  6. Fill out the unit phone number where the individual can be reached.
  7. The RN clinical supervisor must complete the section verifying the individual's competencies by entering their initials and the date of verification.
  8. Proceed to fill out each skills section as applicable, including Respiratory, Cardiovascular, Multi-Trauma/Shock, and so forth, utilizing the provided skill descriptions. Each skill should be initialized and dated by the supervising RN.
  9. Once all necessary fields and sections are completed, save your changes, and choose to download, print, or share the completed form as needed.

Complete your DOD DA Form 7654 online today to ensure proper verification of clinical competencies.

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