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How to use or fill out VERIFICATION OF CLINICAL COMPETENCIES FOR EMERGENCY NURSING SKILL IDENTIFIER (SI M5). DA Form 7654, APR 2009 - apd army with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by filling in your NAME (Last, first, middle) in the designated field at the top of the form.
- Next, enter your RANK and DATE (YYYYMMDD) in the respective fields.
- Provide your UNIT MAILING ADDRESS and AOC, followed by your UNIT PHONE NUMBER.
- The RN Clinical Supervisor must complete the section confirming your competencies. Ensure they initial and date each skill listed under RESPIRATORY, CARDIOVASCULAR, MULTI-TRAUMA/SHOCK, and other categories as applicable.
- In the COMMENTS section, ensure that the supervisor verifies your overall competency for emergency care settings by signing and dating.
- If skills verification is performed by a civilian employer, include their contact information as required.
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