DA Form 7654 PDF: SI M5 Emergency Nursing Guide – If you’re an Army Nurse Corps (AN) officer pursuing or maintaining the Emergency Nursing Skill Identifier (SI M5), DA Form 7654 is the official document that verifies your clinical readiness. This form ensures you can deliver high-quality emergency care across all patient age groups in high-stakes military environments, including forward operating bases, combat support hospitals, and aeromedical evacuation missions.
U.S. Army nurses and supervisors rely on DA Form 7654 for initial qualification and biennial revalidation. It directly supports AR 40-68 (Clinical Quality Management) and helps document the technical skills required for SI M5 holders. Whether you’re preparing for accession, a deployment, or career progression, understanding this form is essential.
What Is DA Form 7654?
DA Form 7654, titled Verification of Clinical Competencies for Emergency Nursing Skill Identifier (SI M5), is an official Department of the Army form published in April 2009 (still current and available on armypubs.army.mil). The Office of the Surgeon General is the proponent agency.
The form provides a standardized checklist that an RN Clinical Supervisor uses to confirm that an Army Nurse has demonstrated the knowledge and hands-on ability to:
- Triage
- Assess
- Treat
- Administer medications
- Evaluate emergency patients of all ages
It covers eight major clinical categories with detailed conditions and specific psychomotor skills. Supervisors initial and date each verified competency.
Note on SI M5 evolution: While the form retains the “Emergency Nursing” title, current Army skill identifier guidance (DA Pam 611-21) lists M5 as Enroute Critical Care Nurse (ECCN) / Flight Nursing. The competencies remain foundational for emergency and critical care in transport and austere settings.
Who Needs DA Form 7654?
- Active-duty, Army National Guard (ARNG), and U.S. Army Reserve (USAR) Army Nurse Corps officers seeking or maintaining SI M5.
- RN Clinical Supervisors responsible for verifying competencies.
- Nurses using civilian emergency department or trauma center experience for validation (with command approval).
Commanders must ensure SI M5 nurses stay clinically proficient. Completed forms are filed in the officer’s Career Activity File (CAF) and travel with them throughout their career.
Key Sections and Competencies on DA Form 7654
The form is organized by body system and includes both knowledge of conditions and demonstrated skills. Supervisors verify each item with a date and initials. Major categories include:
Respiratory
Airway management, asthma/COPD, pneumothorax, chest tubes, cricothyrotomy assistance, mechanical ventilation, end-tidal CO₂, ABGs, and more.
Cardiovascular
Dysrhythmias, MI/CHF, ACLS medications, 12-lead EKG interpretation, defibrillation/cardioversion, arterial/CV line assistance.
Multi-Trauma / Shock
Trauma triage, hemorrhagic/hypovolemic/distributive shock, burn resuscitation (Parkland formula, Lund-Browder), blood products, tourniquets, intraosseous access, decontamination.
Orthopedic / Wound Management
Fractures, sprains, compartment syndrome, splinting, wound irrigation, suturing assistance, traction devices.
Obstetrical / Genitourinary / Gynecological
Emergency delivery, postpartum hemorrhage, ectopic pregnancy, sexual assault evidence collection, fetal monitoring, urinary catheterization.
Neurological
Stroke, head/spinal injuries, Glasgow Coma Scale, ICP monitoring, spinal immobilization.
Gastrointestinal
GI bleeding, abdominal trauma, NG/OG tubes, lavage, FAST exam.
Maxillofacial / Ocular / Dental
Epistaxis, facial fractures, ocular emergencies, dental trauma (form continues with detailed sub-skills).
These align with real-world military emergency nursing demands—from mass casualty events to critical-care air transport.
Step-by-Step: How to Complete DA Form 7654?
- Individual Section — Fill in Name, Rank, Date (YYYYMMDD), Unit Mailing Address, AOC, Component (USA/ARNG/USAR), and Unit Phone.
- Supervisor Section — The RN Clinical Supervisor reviews and verifies each competency in a clinical setting (military or approved civilian).
- Documentation — Record dates and initials for every skill/condition demonstrated.
- Signatures — Supervisor signs and dates the verification.
- Retention — File in the nurse’s CAF; it follows them on PCS moves and is reviewed during promotions or assignments.
Civilian emergency/trauma experience is acceptable for initial and biennial validation when endorsed by the Deputy Commander for Nursing/Chief Nurse.
Why SI M5? (Emergency Nursing / Enroute Critical Care) Matters
Holding SI M5 demonstrates proven expertise in emergency nursing. It opens doors to:
- Critical care air transport teams
- Forward surgical teams
- Combat support hospitals
- Special operations medical support
- Enhanced promotion and assignment opportunities
It directly contributes to mission readiness and saves lives in garrison, deployed, and humanitarian operations.
Download DA Form 7654 PDF (Official & Fillable)
✅ Official current version (April 2009):
Download DA Form 7654 PDF
The form is also available in fillable XFDL and PDF formats through Army Publishing Directorate.
Tip: Always download directly from armypubs.army.mil to ensure you have the latest authorized version.
Related Resources
- DA Form 7653 — Verification of Clinical Competencies for Critical Care Nursing (SI 8A)
- AR 40-68 — Clinical Quality Management (governs use of these forms)
- DA Pam 611-21 — Personnel Selection and Classification (current SI tables)
- Army Nurse Corps accession and incentive program packets often require this form.
Frequently Asked Questions (FAQs)
Q: Is DA Form 7654 still current in 2026?
A: Yes. The April 2009 version remains the official form listed on armypubs.army.mil.
Q: Can I use civilian ED experience?
A: Yes, with endorsement from your DCN/CN or authorized designee.
Q: How often is re-verification required?
A: Biennially (every two years) to maintain the SI M5.
Q: Where is the completed form stored?
A: In your official Career Activity File (CAF).
Q: Who signs the form?
A: Your RN Clinical Supervisor (or equivalent authorized verifier).
Final Thoughts
DA Form 7654 is more than paperwork—it’s your official proof of emergency nursing excellence in the U.S. Army. Whether you’re a new accession, a seasoned flight nurse, or a supervisor verifying competencies, this form ensures every SI M5 nurse meets the rigorous standards required to care for Soldiers, families, and beneficiaries anywhere in the world.
Need the form right now?
Click here to download the official DA Form 7654 PDF
Stay mission-ready. Verify your competencies. Protect those who serve.