AF Form 2819-1 - Clinical Privileges - Certified Registered Nurse Anesthetist

AF Form 2819-1 - Clinical Privileges - Certified Registered Nurse Anesthetist serves as a form for documenting clinical privileges granted to Certified Registered Nurse Anesthetists (CRNAs) within the Air Force medical system.

AF Form 2819-1 includes sections for recording the CRNA's information, clinical privileges granted, and approval signatures. It is used to ensure that CRNAs have the necessary clinical privileges to administer anesthesia and provide anesthesia-related care within Air Force medical facilities.

An example scenario for using AF Form 2819-1 is when an Air Force CRNA applies for or updates their clinical privileges to administer anesthesia during surgical procedures. This form helps document and verify the CRNA's qualifications and granted anesthesia privileges.