Community Health Nursing 2 Finals PDF

Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI A group cannot be expected to function well right from the time it is formed. Forming a group is just TOPIC OUTLINE...

Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI A group cannot be expected to function well right from the time it is formed. Forming a group is just TOPIC OUTLINE like maintaining a relationship. It takes time, 1 STAGES OF GROUP DEVELOPMENT: patience, requires support, efforts and members often go through recognizable stages as they change A. Orientation, structure direction from being a collection of strangers to a united group B. Process, Negotiate and resolving with common goals. conflicts Bruce Tuckman (2011) has developed one of the most well-referenced models in which there are five 2 PUBLIC HEALTH LAWS consistent stages of group development: the stage of orientation and dependency, the stage of conflict,  Magna Carta for Health Workers the stage of cohesiveness, the work group stage, and  Sanitation Code the termination stage. He describes succinctly the  Clean Air Act characteristics and the behavioral patterns of the group by stage of development.  Generic Act  National Health Insurance Act The Stage of Orientation (Forming)  Laws on Notifiable Diseases Typical Behaviors:  National Blood Services Act  Senior Citizen Law The polite stage; focus on getting acquainted and feeling comfortable.  Revised Dangerous Drugs Law Act on Cheaper Medicines Conflict is low, suppressed; need for approval high. Verbal members tend to dominate. Ability to accomplish group tasks and stay focused is low. STAGES OF GROUP DEVELOPMENT Little listening; high distortion of what is heard. A. Orientation, structure direction Watchful; guarded; personal feelings kept hidden. B. Process, Negotiate and resolving conflicts Much giving of/asking for information and data. FIVE STAGES OF GROUP DEVELOPMENT Some inclusion/exclusion issues with "new" and "old" group members. Implications for team leaders and facilitators: Use climate-setting activities to break the ice. Help group members identify and prioritize their goals. Use brainstorming processes to surface hopes, fears, and expectations of members. Identify group-directed procedures and establish ground rules. Have everyone identify the roles needed and begin defining roles and responsibilities. BSN 3E 1 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Help the groups set norms for communicating, Expect conflict. Encourage group members to resolving conflicts, and presenting ideas. express their frustrations and anxieties, and then focus on defining and organizing tasks. Have the group reflect on what worked well in the group and what didn't. The Stage of Cohesiveness (Norming) The Stage of Conflict (Storming) Typical Behaviors: Typical Behaviors: Authority/leadership issues discussed and resolved. Subgroups and individuals attempt to influence Issues, not people, confronted. ideas, values, and opinions. Cohesion among group members begins; Competition for attention, recognition, and subgroups disappear. influence. Members actively listen to each other. People confront each other; interpersonal conflict. Appreciation and acceptance of alternative points Polarization; lack of shared vision. of view. Members may opt out and/or cliques/alliances Risky issues/process issues brought up in meetings. form. Ability to remain focused on task at hand. Unsolicited comments; opinions. Quiet people now contributing more in the group. Sense of feeling struck; frustrated. Values and assumptions begin to get discovered Emotional reaction to task or misperceptions about and discussed. task. Relevant questions are asked. Process issues discussed outside of meeting. Air of complacency may develop. Quick fix: address symptoms, skirt problems. Individuals move beyond blame to responsibility. Power inequities, struggle as members "jockey for position." Implications for team leaders and facilitators: Implications for team leaders and facilitators: Identify the "hidden" norms and invite the group to evaluate them or set new norms. Assist the group Try to surface underlying issues and legitimate to develop a positive group identity via team building concerns; encourage the expression of thoughts and activities. feelings. Challenge the boundaries of the group: bring in Use collaborative interventions (e.g., brainstorming, outsiders and /or newcomers periodically. consensus building) and work on defining roles to Redefine or reestablish goals by focusing on support collaborative teamwork. desired results. Form subtask/problem teams that cut across Coach the group to use problem solving methods subgroup boundaries. wisely (e.g., nominal group, data dump). Focus on major issues with the entire group. Use consensus-building interventions and explore Model reflective listening and coach members on the areas of actual difference. skills. Encourage open communication when members Reinforce respectful listening and communications "close up" and appear reluctant to share. during group discussion. BSN 3E 2 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Invite input when people are reluctant to address May be apprehension over the impending loss of issues that might result in conflict. group identity and friendships. The Work Group Stage (Performing) Cleaning up the group's undone tasks and removing symbols of the group. Typical Behaviors: Evaluating the results and producing final reports. Members try new behaviors and accept new ideas. Saying goodbye. Members relate with honesty, respect, authenticity. Implications for team leaders and facilitators: Problems and difficult issues are dealt with, handled creatively. Establish closing procedures with the group. Diversity is affirmed and welcomed. Help design closing ritual or ceremonies. Member resourcefulness is utilized to energize Discuss endings with members and encourage each other. them to talk about how they feel. Decision-making process to be used is understood. Provide a vehicle for people to say what they appreciate about each other. Frequent review of process issues. End with a celebration that honors the group and Clarity on how members experience each other. its members. Outside help/resources welcomed. Differences bridged with integrity. Commitment to work toward common goals. Implications for team leaders and facilitators: Use problem-solving and consensus building processes to facilitate group work. Do nothing, join in and comment on what's going well. Experiment with group structures and explore process improvements. Help the group critique itself. Your role as leader becomes less active. Arrange appropriate ceremonies/rituals for celebration of accomplishments. Use or suggest inclusion activities that give new members a sense of acceptance. The Termination Stage (Adjourning) Typical Behaviors: The sense of the group is that the work is done. BSN 3E 3  Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI PUBLIC HEALTH LAWS night-shift differential (10% of overtime rate for each hour of work)  Magna Carta for Health Workers other additional compensations  Sanitation Code  Clean Air Act Hazard allowance - 25% of monthly basic salary  Generic Act  National Health Insurance Act Subsistence Allowance - 3 meals/day  Laws on Notifiable Diseases Longevity pay - 15% of the monthly basic pay after  National Blood Services Act 5 years of continuous, efficient and meritorious  Senior Citizen Law service (after 5 yrs, May dagdag sa pay 15%)  Revised Dangerous Drugs Law Act on Cheaper Medicines Laundry Allowance - Clothing allowance PUBLIC HEALTH LAWS Highest Basic Salary Upon Retirement three months prior to the compulsory retirement Magna Carta for Health Workers grade higher than his/her basic salary retirement → MAGNA CARTA benefits thereafter "Health Workers" shall mean all persons who are the retirement age is 65, but PHW can already had engaged in health and health-related work an optional retirement when they've reached 60 age Security of Tenure Health Human Resource regular employees who are unjustly dismissed Development/Management Study from work shall be entitled for reinstatement adequacy of facilities and supplies without loss of seniority rights to grow and develop their potentials and Discrimination is Prohibited experience gender, civil status, creed, religious or political postgraduate studies beliefs and ethnic groupings o entitled to an upgrading in their position or raise in No Understaffing/Overloading of Health Staff pay health students and apprentices shall be allowed only for purposes of training and education Sanitation Code Duties and Obligations PD 856 discharge his/her duty humanely with conscience ➔ OBJECTIVE and dignity ◆ protection and promotion of the health of our perform his/her duty with utmost respect people Normal Hours of Work ➔ PURPOSE not exceed eight (8) hours a day or forty (40) hours a ◆ sanitation requirements for food establishments week ◆ refuse collections and disposal system Additional Compensation ➔ FEATURES overtime work ◆ Empower the Department of Health with the work during rest day following powers and functions: BSN 3E 4 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI promotion and preservation of the health of the ◆ 2 — Water Supply people ◆ 3 — Food Establishments extend maximum health services ◆ 4 — Sanitary Permit Requirements develop, administer and coordinate various health activities and services ◆ 5 — Markets and Abattoirs ◆ 6 - Public Laundry upgrade the standards of medical practice ◆ 7 - School Sanitation and Health Services assist local health agencies ◆ 8 — Industrial Hygiene issue permits to establish and operate government and private health facilities ◆ 9 — Public Swimming or Bathing Places prescribe standard rates of fees ◆ 10 — Rest Areas for Service Stations ◆ The Secretary of the Department of Health is ◆ 11 — Camps and Picnic Grounds empowered to promulgate rules and regulations and standards ◆ 12 - Dancing schools, halls, and nightclubs ◆ The standard cover requirements of the ◆ 13 - Tonsorial and Beauty Establishments acceptable values for the determined parameters ◆ 14 - Massage Clinics and Sauna Bath (microbiological, physical, chemical, radiological) in Establishment measuring water quality ◆ 15 — Hotels, Motels, Loading, Boarding or ➔ SIGNIFICANT CONTRIBUTORS IN THE Tenement houses and Condominiums DEVELOPMENT OF THE CODE ◆ 16 — Port Airport Vessel and Aircraft Sanitation ◆ Regional Provincial and City Health Offices ◆ 17 4 Vermin Control ◆ National Environmental Protection Commission ◆ 18 — Sewage Collection and Disposal, Excreta ◆ Metropolitan Water and Sewage System Disposal and and Drainage ◆ Population Commission ◆ 19 — Refuse Disposal ◆ Labor ◆ 20 4 Nuisance and Offensive Trades and ◆ Natural Resources Occupations ◆ Agriculture ◆ 21 — Pollution of the Environment ◆ Education ◆ 22 - Disposal of Dead Persons ◆ Finance ➔ VIOLATIONS ◆ Philippine Public Health Association ◆ imprisonment for a period not exceeding six months or by a fine of not exceeding one thousand ◆ League of Public Health Engineers pesos ◆ Philippine Society of Sanitary Engineers Clean Air Act ➔ CHAPTERS RA 8749 ◆ 1 - General Provisions ➔ SECTION 2. DECLARATION OF PRINCIPLES BSN 3E 5 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI ◆ balanced and healthful ecology Department of Energy (DOE) ◆ promote and protect the global environment Administration (SAS, Geophysical and Astronomical Service ◆ recognizes the responsibility of cleaning the habitat and environment Philippine Nuclear Research Institute (PNRI) ◆ "polluters must pay" Department of Education (DepEd) clean and healthy environment is for the good of → SECTION 47. FINES AND PENALTIES FOR all VIOLATIONS OF OTHER PROVISIONS IN THE ACT "Air Pollutant" means any matter found in the Php 10,000 ≤ fine ≤ Php 100,000; 6 months to 6 atmosphere that is detrimental to health or the years of imprisonment environment If the offender is a juridical person, the president, WHAT ARE COVERED BY THE CLEAN AIR ACT manager, directors, trustees, the pollution control officer or the officials directly in charge of the all potential sources of air pollution operations shall suffer the penalty all emissions must be within the air quality Generic Act standards mobile sources refer to vehicles RA 6675 – Generic Act of 1998 point sources refer to stationary sources → SECTIONS area sources refer to sources of emissions other than the above 1 — Title → SECTION 3. DECLARATION OF POLICIES "An Act to Promote, Require and Ensure the the State shall pursue a policy of balancing Production of an Adequate Supply, Distribution, Use development and environmental protection and Acceptance of Drugs and Medicines Identified by their Generic Names" formulate national program of air pollution Approved: September 13, 1988 encourage cooperation and self-regulation among citizens and industries 2 - Statement of Policy focus primarily on pollution prevention use of generic terminology public information and education enforce a lowest possible cost system of accountability available free for indigent patients : sirenizing → SECTION 4. RECOGNITION OF RIGHTS duplication in medications rights of citizens 3 — Definition of Terms mandates these following various government Generic terminology → manufacture, marketing agencies and sales of drugs and medicines particularly those in the essential drug list The Department of Environment and Natural Resources (DENR) Active Ingredient → chemical component Department of Transportation and Chemical Name → description of chemical structure Communication (DOTC) of the drug/medicine Department of Trade and Industry (DTI) | Drug Product → finished product form BSN 3E 6 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Drug Establishment → any organization or company National Health Insurance Act involved RA 7875 – National Health Insurance Act of 1995 Drug Outlets → drugstores, etc. → SECTIONS Essential Drug List → list of drugs prepared or periodically updated by the DOH 1 — Title Core List → list of drugs that meets the health care "An act instituting a national health insurance needs program for all Filipinos and establishing the Philippine health insurance corporation for the Complementary List → list of alternative drugs purpose" used when there is no response to the core essential drug Approved: February 14, 1995 Brand Name → proprietary name given by the 2 — Guiding Principles manufacturer Public Health Services, Quality of Services, Cost Generic Drugs → drugs not covered by patent Containment, Fiduciary Responsibility, Care for the protection Indigent, Allocation of National Resources, Informed Choice for Health, Maximum Community The label of all drugs and medicines shall have the Participation, Professional Responsibility of Health, following: Compulsory Coverage, Social Solidarity, Care Providers, Effectiveness, Universality, Equity, Cost Name and country of manufacturer Sharing, Responsiveness, Devolution, Innovation Dates of manufacture and expiration 3 — Objectives The quality of such generically labeled drugs to gain financial access to health services Medicines shall be duly certified by the to help the people pay for health care services Department of Health prioritize and accelerate the provisions of health 12 — Penalty services 1st conviction Philippine Health Insurance Corporation penalty of reprimand (PhilHealth) 2nd conviction 10 — Benefit Package fine > two thousand pesos (P2,000)| Inpatient hospital care 3rd conviction Outpatient care five thousand pesos (P5,000) < fine < ten thousand Emergency and transfer services pesos (P10,000) Health care services that the Corporation shall suspension of license to practice for thirty days determine to be appropriate and cost effective 4th and subsequent convictions fine > ten thousand pesos (P10,000) suspension of license to practice one year or longer BSN 3E 7 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Laws on Notifiable Diseases due to mutant or resistant strains RA 11332 once were major health problems in the country An act providing policies and prescribing Epidemic/outbreak → more cases of disease, procedures on surveillance and response to specific place notifiable diseases, epidemics, and health events of public health concern Epidemiologic investigation → inquiry Approved: April 26, 2019 * Heath event of public health concern - a public health emergency or public → POLICIES Infectious disease → clinically manifested disease protect and promote the right to health, instill health consciousness Mandatory reporting → obligatory reporting of a condition to local or state health authorities protect the people from public health threats Notifiable disease → must be reported to the emerging and re-emerging infectious diseases public health authorities diseases for elimination and eradication Public health authority epidemics, and health events including chemical Epidemiology Bureau radio-nuclear and environmental agents of public Disease Prevention and Control Bureau health concern Bureau of Quarantine and International Health effective response system Surveillance recognizes epidemics and other public health Health Emergency Management Bureau emergencies as threats Food and Drug Administration recognizes disease surveillance and response system of the Department of Health (DOH) and its Government hospitals local counterparts (first line of defense) Research Institute of Tropical Medicine → DEFINITION OF TERMS Other National Reference Laboratories Emerging or Re-Emerging Infectious Diseases DOH Regional Offices have not occurred before Local Health Office (provincial, city, or municipality) have occurred previously but affected only small numbers Or any person directly authorized to act on behalf of the DOH or the local have occurred throughout human history but have recently been recognized health office previously undetected or unknown BSN 3E 8 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI → OTHER PROVISIONS adequate assistance to institutions promoting voluntary blood donation and providing non-profit Notifiable Disease and Health Events of Public blood services Health Concern require all blood collection units and blood Mandatory Reporting of Notifiable Disease and banks/centers to operate on a nonprofit basis Health Events of Public Concerns scientific and professional standards Declaration of Epidemic or Public Health regulate and ensure the safety of all activities Emergency require upgrading of blood banks/centers Establishment of Epidemiology and Surveillance → DEFINITIONS Units (ESU) Blood/blood product → human blood Prohibited Acts Blood bank/center → laboratory or institution Penalties Commercial blood bank → exists for profit Appropriation Hospital-based blood bank → located within the premises of a hospital Implementing Rules and Regulation Blood collection unit → institution or facility authorized by the Department of Health National Blood Services Act Voluntary blood donor → one's own volition or → REPUBLIC ACT 7719 initiative An act promoting voluntary blood donation, Department → DOH providing for an adequate supply of safe blood, Blood transfusion transmissible diseases → regulating blood banks, and providing penalties for diseases which may be transmitted violation thereof Secretary of Health → Francisco Duque Ill or Maria Approved: May 15, 1994 (Pres. Fidel V. Ramos) Rosario Vergeire → POLICIES Walking Blood Donor → ready to donate blood promote and encourage voluntary blood donation when needed in his/her community provision of blood for transfusion is a professional medical service → OTHER PROVISIONS inform the public of the need for voluntary blood National Voluntary Blood Services Program donation Upgrading of Services and Facilities benefits and rationale of voluntary blood donation Phase-out of Commercial Blood Banks mobilize all sectors of the community to participate Non-Profit Operation mandate the Department of Health to establish and organize a National Blood Transfusion Service Regulation of Blood Sciences Network Importation of Blood Bank Equipment, Blood Bags and Reagents BSN 3E 9 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI → RULES AND REGULATIONS PENALTIES c. motivate and encourage the senior citizens to contribute to nation building any blood bank/center that collects charges and fees greater than the maximum prescribed by the d. apply the valued Filipino traditions of caring for Department the senior citizens have its license suspended or revoked e. provide a comprehensive health care and rehabilitation system for senior citizens imprisonment of not less than one (1) month nor more than 6 months f. recognize the importance role of the private and then non-government sector in the improvement of fine of not less than five thousand pesos (PS, 00) the welfare of senior citizens nor more fifty thousand pesos (P50,000) Section 3. Amended Definition of Terms without securing any license to operate or fails to comply with the standards Senior citizen or elderly — sixty (60) years old or above imprisonment of not less than twelve (12) years and one (1) day nor more than 20 years Benefactor - provides care or who gives any form of assistance to him/her fine of not less than fifty thousand pesos (P50.000) nor more than 500,000 Geriatrics — study about elderly Senior Citizen Law Gerontology - determining answers about the normal aging process rather than the diseases of old RA 9994 Expanded Senior Citizen Act of 2010 age → "Expanded Senior Citizens Act of 2010" Identification Document An Act Granting Additional Benefits and Privileges - Senior Citizens' Identification Card to Senior Citizens, further Amending Republic Act No. 7432 of 1992 as Amended by Republic Act No. 9257 - The Philippine passport of 2003 - Other valid documents that establish the senior → ARTICLES AND SECTIONS citizen or elderly person as a citizen of the Republic Article I. Title - Driver's license, Voters ID, SSS/GSIS ID, PRC card, Postal ID Article IV. Declaration of Policies and Objectives Section 1 Section 4. Privileges For The Senior Citizen b. social justice, values the dignity of every human person Article 6. OSCA — issued Senior Citizens' Identification Card c. make essential goods, health, social services available at affordable costs for the underprivileged availment of benefits and privileges sick, elderly, disabled, women and children MEDICAL RELATED PRIVILEGES Section 2 Medicine and Drug Purchases a. proper place in society and make them a Essential Medical Supplies, Accessories and concern of the family Equipment b. full support to the improvement of the total Medical and Dental Services in the Private Facilities well-being of the elderly BSN 3E 10 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Professional Fees of Attending Physician/s Section 4. Death Benefit Assistance Professional Fees of Licensed Health Workers Death benefit assistance of a minimum of Two Providing Home Health Care Services thousand pesos (Php 2,000.00) shall be given to the nearest surviving relative who took care of the DOMESTIC TRANSPORTATION PRIVILEGES deceased senior citizens Air and sea Transportation Privileges Revised Dangerous Drugs Law Act on Public Land Transportation Privileges Cheaper Medicines HOTELS, RESTAURANTS, RECREATIONAL CENTERS RA 6425 Dangerous Drugs Act of 2002 AND PLACES OF LEISURES, AND FUNERAL SERVICES → DECLARATION OF POLICY Restaurants to protect the youth from any harmful effects of OTHER PRIVILEGES dangerous drugs INCOME TAX EXEMPTION → ARTICLES AND SECTIONS EXEMPTION FROM TRAINING FEES Section 1. Short Title FREE MEDICAL AND DENTAL SERVICES IN Article I. Definition of Terms GOVERNMENT Section 2. Definitions FACILITIES Article II. Prohibited Drugs FREE VACCINATION FOR INDIGENT SENIOR CITIZENS Section 3. Importation of Prohibited Drugs EDUCATIONAL PRIVILEGES Section 4. Sale, Administration, Delivery, Distribution and Transportation of Prohibited Drugs EXPRESS LANES PRIVILEGES Section 5. Maintenance of a Den, Dive or Resort for UTILITY DISCOUNT Prohibited Drug Users Five (5%) Discount Section 6. Employees and Visitors of Prohibited Drug Den ARTICLE 15. HEALTH Section 7. Manufacture of Prohibited Drugs ARTICLE 16. SOCIAL SERVICES Section 8. Possession or Use of Prohibited Drugs ARTICLE 17. HOUSING Section 9. Cultivation of Plants Which are Sources ARTICLE 18. ACCESS TO PUBLIC TRANSPORT of Prohibited Drugs ARTICLE 20. ADDITIONAL GOVERNMENT Section 10. Records of Prescriptions, Sales, ASSISTANCE Purchases, Acquisitions and/or Deliveries of Section 1. Social Pension Prohibited Drugs monthly stipend amounting to Five hundred pesos Section 11. Unlawful Prescription of Prohibited (Php 500.00) Drugs Section 2. Mandatory PHILHEALTH Coverage Section 12. Unnecessary Prescription of Prohibited Drugs All indigent senior citizens shall be covered by the national health insurance program of PhilHealth. BSN 3E 11 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI Section 13. Possession of Opium Pipe and Other Section 27. Criminal Liability of Possessor or User Paraphernalia for Prohibited Drugs of Dangerous Drugs During Social Gatherings Article III. Regulated Drugs Article V. Educational Measures Section 14. Importation of Regulated Drugs Section 28. Heads, Supervisors and Teachers of Schools Section 15. Sale, Administration, Dispension, Delivery, Transportation and Distribution of Section 29. Dangerous Drugs as Part of School Regulated Drugs Curricula Section 16. Possession or Use of Regulated Drugs. Article VI. Rehabilitative Confinement and Suspension of Sentence Section 17. Records of Prescriptions, Sales, Purchases, Acquisitions and/or Deliveries of Section 30. Voluntary Submission of a Drug Regulated Drugs Dependent to Confinement, Treatment and Rehabilitation by the Dependent Himself or Through Section 18. Unlawful Prescription of Regulated His Parent, Guardian or Relative Drugs. Section 31. Compulsory Submission of a Drug Section 19. Unnecessary Prescription of Regulated Dependent to Treatment and Rehabilitation After Drugs Arrest Article IV. Provisions of Common Application to Section 32. Suspension of Sentence for First Offenses Penalized under Articles Il and Ill Offense of a Minor Section 20. Confiscation and Forfeiture of the Section 33. Violation of Confidential Nature of Proceeds or Instruments of the Crime Records Section 21. Attempt and Conspiracy Article VII. Treatment and Rehabilitation of Drug Section 22. Additional Penalty if Offender is an Section 34. Treatment and Rehabilitation Center Alien for Drug Dependents Section 23. Criminal Liability of Officers of Article VIII. Dangerous Drugs Board Partnerships, Corporations, Associations and other Juridical Persons; Liability in Cases Where Vehicles, Section 35. Creation and Composition of the Board Vessels or Aircraft or Other Instruments are used to Section 36. Powers and Duties of the Board Commit a Crime Article IX. Appropriation, Management of Funds Section 24. Penalty for Government Officials and and Annual Report Employees and Officers and Members of Police Agencies and the Armed Forces. Section 37. Appropriation Section 25. Records Required of Pharmacists, Section 38. Management of Funds Under this Act; Physicians, Veterinarians or Dentists Dispensing or Annual Report by the Board Prescribing Dangerous Drugs, and of Importers, Manufacturers, Wholesalers, Distributors, Dealers Article X. Jurisdiction Over Dangerous Drug Cases and Retailers of Dangerous Drugs Section 39. Jurisdiction of the Circuit Criminal Section 26. Penalty for a Person Importing Court Dangerous Drugs by Making Use of a Diplomatic Section 40. Reclassification, Additions or Removal Passport of Any Drug from the List of Dangerous Drugs BSN 3E 12 Community Health Nursing 2 FINALS / MS. VERONICA LEGASPI ARTICLE XI. Final Provisions Health professional's behaviors on prescribing and dispensing medicine Section 41. Separability Clause Information asymmetry Section 42. Repealing Clause Exercising informed choice Section 43. Effectivity Pricing → SANCTIONS Supply and distribution 1st Offense Procurement system person apprehended or arrested, who is found to be positive six months rehabilitation Respect for patient right 2nd Offense Quality assurance imprisonment ranging from six (6) years and one (1) → HOW CAN THE LAW AND ITS IRR MAKE day to twelve (12) years MEDICINE ACCESSIBLE & AFFORDABLE TO FILIPINOS fine ranging from Fifty Thousand pesos (P Provision 50,000.00) to Two hundred thousand pesos (P Intervention to Improve Competition 200,000.00) Intervention to improved Availability Any person who shall plant, cultivate or culture marijuana, opium poppy or any other plant Cost containment measures regardless of quantity life imprisonment to death Interventions to improve Professional behavior to fine ranging from Five hundred thousand pesos (P serve the needs of the poor and vulnerable 500,000.00) to Ten million pesos (P 10,000,000.00) Intervention to regulate prices Upon the practitioner, who shall prescribe any dangerous drug → WHAT HAPPENED TO VIOLATORS OF THE LAW? imprisonment ranging from twelve (12) years and Administrative sanctions imposed by the Secretary one (1) day twenty (20) years of Health to violators. fine ranging from One hundred thousand pesos (P Separate from any criminal or civil liability that may 100,000.00) to Five hundred thousand pesos (P be incurred upon filling of appropriate changes in the 500,000.00) count of law revocation of his/her license → WHAT IS PARALLEL IMPORTATION & HOW DOES IT BRING DOWN THE PRICES OF MEDICINE? RA 9502 Cheaper Medicine Act Applied to the local setting is when a parallel drug → assuring that quality medicines are accessible and is brought into the country by Government or any affordable private third party even without the consent of the patent holder as long as any of the 2 conditions is → FACTORS/ISSUES TO ADDRESS OF ACCESS TO met. MEDICINE Has been introduced in the Phil. by patent holder Rational drug use Has been introduced anywhere in the world by Public perception on generics patent owner BSN 3E 13