PROFESSIONAL ADJUSTMENT HANDOUTS PDF - November 2024 Philippine Nurse Licensure Exam

COMPREHENSIVE PHASE HANDOUTS PROFESSIONAL ADJUSTMENT Prepared By: Mr. Raymund Kernell B. Mañago, RN, UKRN, USRN...

COMPREHENSIVE PHASE HANDOUTS PROFESSIONAL ADJUSTMENT Prepared By: Mr. Raymund Kernell B. Mañago, RN, UKRN, USRN NOVEMBER 2024 Philippine Nurse Licensure Examination Review INTRODUCTION - Suspension: Cannot practice temporarily (Max: 4 years) Professional Nursing - Revocation: Cannot practice permanently (Unless Requirements: approved by BON) (1) Basic nursing education program (2) Professional License in PH Nursing Laws Board Rating RA 9173 – Philippine Nursing Act of 2002 Gen. ave.: 75%; each subject: 60% 🡪 PASS RA 7164 – Philippine Nursing Act of 1991 Gen. ave.: 75%; subject: less than 60% 🡪 Retake failed subject (PASS if 75%) Board of Nursing Renewal examination: Within 2 years Members Gen. ave: less than 75% 🡪 FAIL Chairperson + 6 members Represents 3 areas of nursing: Oathtaking: Final requirement before obtaining license. 1) Nursing Education 2) Nursing Service Professional License/Certificate of Registration (COR) 3) Community Health Nursing - Legal document allowing person to offer skills. - Forever [unless revoked] Qualifications License reissuance Master’s in Nursing/ Allied Health/ Education - When cause of revocation is corrected. Chair: Master’s in Nursing 10 yrs Continuous Practice (last 5 yrs in PH) Professional Identification Card (PIC) Member of the Accredited Professional - Temporary Organization (APO) - Renewal: q 3 years, 15 CPD units (5 CPD units per APO: Philippine Nurses Association year) - CPD Law (R.A. 10912) (PNA) Good Moral Character Philippine Nurses Association (PNA) Not a faculty (conflict of interest) - Accredited professional organization (APO) of registered nurses Appointment - PNA Membership not required by law. (1) Regular Appointment - by the PH President through Power of Scope of Practice Appointment - Nursing care (nursing process) - when Congress is in session - Internal exam (without bleeding) (2) Ad Interim Appointment - Establish linkage w/ community resources - appointed in absence of regular incumbent - Health Education - when Congress NOT in session - Supervise student nurses (3) Doctrine of Hold-over - Training and research - Holds office even beyond term until replaced * Episiorrhaphy (perineal suture): requires addtl training Term Ethics vs Morality Term: 3 years, Max: 2 terms (1st: appointment, 2nd: Ethics reappointment) - Rules of conduct based on culture - External – based on society Powers and Duties Morality 1) Executive - Personal guide of right or wrong - Conduct board exam - Internal - personal - Administer oaths Ethics - Issue license Code of Ethics for Nurses -Annual Report set of principles to guide nurses BON Board Resolution No. 220, series of 2004 2) Quasi-legislative Primary responsibility: Preserve health at all cost. - Write policies and guidelines Ethical Frameworks Deontological (Duty-based): right or wrong is based 3) Quasi-judicial on action, regardless of consequence - Investigate cases Teleological: right or wrong is based on - Issue subpoena (called to hearing) consequence, regardless of action Subpoena DUCes tecum: Ethical Principles DUCument Most fundamental principle: Respect for people Subpoena TESTIFicandum: Autonomy: voluntary decision TESTIFy Beneficence: do good (medications) - Suspend or revoke license Non-maleficence: do no harm (asepsis) (not confiscated) (confiscated) Justice: fairness, equal risks and benefits TOP RANK REVIEW ACADEMY, INC. Page 1 | 3  Veracity: complete & true info - Abuse of public position Confidentiality: data not revealed - Insult to authority - Anonymity: data not linked to person - Crime in times of calamity Paternalism: decision-making for others (in - Treachery emergency) - Premeditation Fidelity: promise-keeping Misdemeanor Utilitarianism: greatest good for the greatest 1) Practicing without license number of people - No license, using license of others - Forged documents Moral Principles - Revoked or suspended license - Double-effect: Benefits > Risks - Appending “B.S.N./R.N.” to name - Totality: Whole greater than Sum of Parts - Assists someone in illegal practice of nursing Sacrifice a Part for the good of the Whole. - Solidarity: Unity of Healthcare team 2) Conducting nursing review classes (local/foreign) - Stewardship: You are the steward of your own body without BON permit - Epikia: Exception to the rule (e.g.: restraints, 3) Violates minimum base pay of nurses (Salary grade 15) evidence needed in court) Penalties: Legal Issues/Jurisprudence Fine: P50,000 – P100,000 Civil vs Criminal vs Administrative Cases AND/OR Civil: monetary damages Imprisonment: 1-6 years Criminal: imprisonment and/or monetary damages Administrative: suspension, revocation of license Felony - Homicide: killing of a person, with intent to kill, Parties: Plaintiff: injured without aggravating circumstances - Murder: killing of a person, with intent to kill, with Defendant: accused aggravating circumstances CIVIL CASES - Aggravating circumstances - Evident Premeditation Torts - Determined to commit - Legal (civil) wrong crime - Two types: - Clung to determination - Unintentional - Time to reflect upon - Intentional consequences of act Unintentional Torts - Treachery Negligence vs Malpractice - No opportunity to defend Negligence: “hindi ginawa ang dapat; (John Wick 3, homicide ginawa ang hindi dapat” only) Malpractice: Professional negligence - Deliberate execution Elements (4) - Cruelty Duty - Additional suffering Breach of duty - Scoffing/Outraging at Causation corpse: “Paglibak sa Injury bangkay” Intentional Torts - Prize or reward Assault vs Battery - Killed someone with Assault: threat promise of getting reward Battery: physical injury, touching without - Fire, explosion, poison consent - Parricide False imprisonment - Killing relatives by direct line Unauthorized restraint of movement - Father Invasion of privacy - Mother Intrusion to personal life - Child Defamation (paninirang-puri/ damage to reputation) - Spouse Libel: written, larger group (general public) - Legitimate grandparent/grandchild Slander: spoken, smaller group - NOT included: Siblings (Not direct line) Reqt: 3rd party (reputation is harmed) - Side note: Legitimacy CRIMES/ CRIMINAL CASES - Legitimate: after marriage, Misdemeanor vs Felony adoption Misdemeanor: lesser crime - Illegitimate: not married/out of Felony: serious crime wedlock - Legitimated: parents married after Circumstances in Crimes being born - Justifying: No civil and criminal liability - Infanticide - Defense of self or another person - Killing of a child < 3 days old - Fulfillment of duty - Abortion - Exempting: No criminal liability - Intentional killing of a fetus in utero - Insane/Imbecile Stages of Execution - Under 9 y/o - Attempted – not all elements for execution are - Under 15 y/o (w/o discernment) present, failed - d/t Irresistible force/ Force majeure - Consummated – all elements for execution are - Mitigating: Reducing liability present, succeeded - Voluntary surrender - Frustrated – all elements for execution are present, - Provoked but failed - 70 y/o Conspiracy in Crimes - Physical defect - Principal - Aggravating: Increasing liability - By Direct participation TOP RANK REVIEW ACADEMY, INC. Page 2 | 3  - Actually executed the act ✔ Witnesses: ensure - By Inducement validity of signature - Commanded, threatened, promised Patient – spouse – child – parent – sibling – next a reward of kin - mastermind, nag-utos 3 exceptions (CANNOT consent) - Indispensable cooperation 1) Minors: parent’s consent - “Hindi mangyayari kung wala siya.” 2) Unconscious/Injured (Emergency): implied consent - Eg. 3) Mentally ill: patient can consent in lucid intervals (periods - Avoiding security features of mental competence) - Combination number in bank vault 3) Medical Records - Provided weapons/tools Who owns? - Accomplice Record: Hospital (Pt can access - cooperated in execution of offense through a process) - Kahit wala siya, magagawa pa rin ang crime Information: Patient - Acts not as fatal as principal’s - Eg. 4) Advance Directives - Words of encouragement Health care decisions made in advance in case of - Physical acts to victim incapacity in the future. - Giving ADDITIONAL weapons Living Will: patient decides - Accessory Durable Power of Attorney: - Participated AFTER the crime Patient appoints person to decide - Profiting themselves Aka Health care proxy - Concealing evidence - Assist in escape of PRINCIPAL Liability Respondeat superior Master responsible for acts of servants Employer SHARES liability with employee Res ipsa loquitur: “The thing speaks for itself.” Obvious accident=Negligence Force majeure: acts of nature, uncontrollable forces No liability, also called “vis major” DOCUMENTATION - Hallmark of Nursing Accountability - Why? If it is not written, it didn’t happen. Privileged communication - Exchange of privileged information between two parties - Private and protected - Right to Refuse Disclosure of information - Doctor-patient, Lawyer-client, Husband-wife, Priest-communicant - Info can be disclosed if: - If client is in danger (suicide) - If client is a danger to others (threatens to kill someone) 1) Incident Reports Records of sentinel events Sentinel event: Adverse event 🡪 patient injury/death Parts Name of client Date, time, place of incident Facts only. NO interpretations/blame Client’s statements Written by: (1) committer of error OR (2) witness to error Confidential. Not part of patient’s chart (protects hospital, not patient) 2) Consent Implied vs Express Consent Implied: non-verbal Gestures/body language Express: verbal Spoken or written form (informed consent form) Informed Consent Voluntary Informed Competent: 18 y/o and above, coherent Signature: (1) patient, (2) 2 witnesses Nurse: X explains procedure TOP RANK REVIEW ACADEMY, INC. Page 3 | 3