Legalities in Nursing Practice PDF
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Sacred Heart College of Lucena City
Deirdre C Culhi
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This document provides an overview of legal concepts relevant to nursing practice in the Philippines. It covers different types of laws and legal procedures associated with the field, encompassing public and private law aspects.
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PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN o...
PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN o Warrant of Arrest LEGALITIES IN THE NURSING PRACTICE o Search Warrant FOUR SOURCES OF LAW o Warrantless Arrest CONSTITUTIONAL LAW ▪ Caught in the act Supreme law of a country SUBPOENA (AD TESTIFICANDUM) Creates legal rights and responsibilities Requires a person to testify as a witness Foundation of a system of justice SUBPOENA (DUCES TECUM) LEGISLATION LAW (STATUTORY LAW) Documents / papers in his possession Enacted by any legislative body SUMMONS The regulation of nursing is a function of state law Complaint made against him ADMINISTRATIVE LAW It creates rules and regulations to enforce the statutory law NURSES AS WITNESS From statutory law PRIVILEGED COMMUNICATION DepEd, PRC, DOH EXCEPTIONS: COMMON LAW / CASE LAW 1. Criminal Case Laws evolving from court decisions 2. With the patient’s consent Interpreting and applying the constitutional or statutory law 3. Patient sued doctor for damages Make use of all court decision from all laws / cases 4. Death and insanity (secret remains a secret) TWO DIVISIONS OF LAWS FELONIES PUBLIC LAW Acts or omissions punishable by law People of the Philippines against Juan Dela Cruz Elements: Criminal Laws / Cases o Deceit (dolo) o Felony (abortion) o Fault (culpa) – due to imprudence, negligence o Misdemeanor Stages of Felonies PRIVATE LAW All elements executed CONSUMMATED Juan vs Pedro With successful results Tort Laws / Contract Laws All elements executed FRUSTRATED o Civil Case No successful result ▪ Assault, Battery, False Imprisonment, Tort Not all elements executed ATTEMPTED No successful result LAWSUITS IN NURSING PRACTICE A. CRIMINAL ACTION CLASSIFICATION OF PERSONS CRIMINALLY LIABLE Types: 1. PRINCIPAL 1. FELONY a. Doer of the act punished by law (Revised Penal Code) b. Inducement 2. OFFENSE c. Indispensable cooperation By a special law 2. ACCOMPLICE 3. INFRACTION a. Cooperation By an ordinance 3. ACCESSORY Parties: Plaintiff and Accused a. Profits Evidenced required: Proof beyond reasonable doubt b. Conceals / destroys evidence B. CIVIL ACTION c. Assist in escape of principle Types: 1. TORTS CIRCUMSTANCES AFFECTING CRIMINAL LIABILITY (JEMAA) Intentional Tort – assault, battery, false imprisonment Defense Quasi – Intentional Tort – invasion of privacy, defamation of 1. JUSTIFYING Fulfillment of a duty character, slander and libel (DFA) Act of obedience Unintentional Tort – negligence and malpractice Performance of a lawful act 2. BREACH OF CONTRACT Rationality (state of mind 🡪 lucid Law: Civil Code 2. EXEMPTING interval) Parties: Complainant and Defendant (PRUF) Under 15 years old, force, fear Evidenced required: preponderance of evidence (mas Force majeure (act of God 🡪 convincing ang evidence) calamities) C. ADMINISTRATIVE CASE Voluntary Surrender Disciplinary action for an administrative offense Intellectual Maturity (Below 18 and Law: 3. MITIGATING above 70) o Government Employees: (VIAND) Accidental killing / injury ▪ Civil Service Code: PD 807 – passer of the Neurologic Disorder PRC License, no need to take a exam in Civil Deaf / Dumb / Physical Deformity Service Strength / position Poison ▪ Code of Conduct for Public Officials and 4. AGGRAVATING Evident premeditation Employees - RA 6713 (SPECCT) Cruelty ▪ Anti – Graft Law - RA 3019 Calamity o Private Employees Treachery ▪ Labor Code – PD 442 Relationship Author: Marcos Sr. 5. ALTERNATING Intoxication Parties: Complainant and Respondent (RID) Degree of instruction / education Degree of Evidence: Substantial Evidence COURT ORDERS CRIMES INVOLVING KILLING WARRANT 6 La Familia PARRICIDE Presented by an arresting officer 1. Father R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN 2. Mother FALSE IMPRISONMENT ILLEGAL DETENTION 3. Siblings Restraint Hospital stays 4. Grandparents 5. Grandchildren RESTRAINING OF PATIENT 6. RESTRAINT POLICY HOMICIDE Killing of a human being outside parricide o Restraints Killing with any of the aggravating ▪ Are protective devices used to limit the MURDER circumstances physical activity of the client or part of the Killing of an infant less than 3 days old or 72 body INFANTICIDE ▪ Purpose: to prevent the client from injuring hours (sakto 3 days is homicide) Giving assistance to suicide 🡪 giving the self or others SUICIDE ▪ EPIKIA – exception to the rule means to end one’s life o 3 Kinds of Restraints ▪ Physical – tinatali ang patient EUTHANASIA ▪ Chemical – sedatives Has consent of the patient or family ▪ Environment – seclusion, kinukulong In the Philippines 🡪 Do not Resuscitate o Priority, Next and Last - process Mercy Killing – is the intentional taking of the life of an ailing PRACTICE GUIDELINES FOR RESTRAINT APPLICATION person (OCARLD) Reasons: o Ensure the ORDER is provided ⇒ Incurability of illness o Obtain a CONSENT ⇒ Unbearable physical or emotional pain o ASSESS the restraint every 30 minutes ⇒ Unbearable financial burden ▪ Skin integrity – check every 30 minutes Active or Direct Euthanasia – the active taking of steps by the o RELEASE restraint at least 2 hours physician or the caregiver to end the life of the patient ▪ Every 2 hours - release Passive or Indirect Euthanasia – the intentional omission or o NEVER LEAVE patient unattended if restraint is non – administration of medical treatment to cause or hasten removed the death of the patient (e.g., remove from the respiratory) o PROPER DOCUMENTATION ⮚ Voluntary Euthanasia – with patient’s consent QUASI – INTENTIONAL TORTS ⮚ Involuntary Euthanasia – without patient’s consent DEFAMATION INVASION OF PRIVACY Slander – oral defamation Breach of Confidentiality ABORTION Libel – written defamation Termination of pregnancy UNINTENTIONAL TORTS When will termination of pregnancy be called abortion NEGLIGENCE punishable by law? o An act of omission or commission A First Trimester o Breach of Duty B 20 weeks age of gestation o Omission C Moment of conception ▪ “Failure of duty” D 7 months pregnancy ▪ walang ginawa o Commission TYPES OF ABORTION ▪ “Did it, but wrongfully done” 1. SPONTANEOUS ABORTION ▪ Ginawa mo, pero mali ang ginawa a. Miscarriage, kind that occurs without medical or some MALFEASANCE MISFEASANCE NONFEASANCE other kind of intervention Is the performance COMMISSION i. Complete – all content in uterus expelled OMISSION of some act which Is the improper ii. Incomplete – part or entire placenta is retired Is the omission of out NOT BE DONE performance of iii. Missed Abortion – fetus is retained in the some act which some act which uterus for a period of time after its death ought to be Professional might lawfully be 2. DIRECT, INDUCED, PROCURED ABORTION performed Negligence done a. Elective or therapeutic abortion o “Professional Negligence” i. Early Uterine Evacuation or Vacuum ▪ a person who has license (Staff Nurse) Aspiration – suctioning ▪ Resulted to injury or death ii. Dilatation and Evacuation, Dilatation and Nursing Aides – simple negligence Curettage (D&C) Staff Nurse – medication error, no iii. Prostaglandin and Saline Injection – through information to doctor 🡪 no injury or amniotic sac death iv. Hysterectomy o 3 ESSENTIAL CONDITIONS FOR ACTIONABLE 3. INDIRECT ABORTION NEGLIGENCE: (1 or 2 🡪 no case ; if 3 is present: a. Necessary result of another medical procedure actionable negligence) ▪ Existence of a duty TORTS ▪ Failure to perform / breach of duty INTENTIONAL TORTS ▪ Injury resulting from such failure o Fraud, assault and battery, invasion of privacy, false It becomes a criminal 🡪 CULPA imprisonment, defamation CRIMINAL (with imprisonment) UNINTENTIONAL TORTS o No imprisonment 🡪 payment for damage only o Negligence and Malpractice o 3 LATIN DOCTRINES UNDER NEGLIGENCE ▪ DOCTRINE OF “RES IPSA LOQUITOR” ASSAULT The thing speaks for itself Imminent threat of harmful / offensive body contact Nurse na nagkamali BATTERY No additional evident → look at the Intentional, unconsented touching of another person injury of the patient R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN ▪ DOCTRINE OF “RESPONDEAT SUPERIOR” TELEPHONE ORDERS Principal answers for the acts of its Kung talagang di makapunta ang doctor only if emergency din agents Kapag may tumawag na doctor, 2 nurses should be present Hindi nawawala ang liability ng because one will be a witness gumawa (e.g., nurse) Write it on the doctor’s order sheet in patient’s chart Nurse and Employer 🡪 liable Doctor should sign within 24 hours “Does not shift liability to employer o kapag di napermahan and something happens to the or master” patient, the nurse na tumanggap will be liable “CAPTAIN OF THE SHIP DOCTRINE” NURSES AND CONTRACTS o Liability of a surgeon as CONTRACT head of the team in the o Agreement between at least two parties which creates operating room an obligation recognized by law o Only inside the OR this o Validity of a contract is different from legality of a doctrine is applied contract ▪ FORCE MAJEURE VALIDITY OF A CONTRACT INCLUDES: 3As Act of God fortuitous event o Agreement (meeting of minds) o Acceptance by both parties MALPRACTICE o At least 2 parties involved o Practice beyond scope of authority ESSENTIAL REQUISITES: COC ▪ Section 28 of RA 9173 o Consent (implied or expressed) o When we give out prescriptions o Objects certain o When we do suturing o Cause or consideration ▪ Perineal Suturing is allowed but you must 5 TYPES OF CONTRACTS have a special training (EPISIORRHAPHY) 1. IMPLIED a. Terms are inferred from actions of contracting 3 PENALTIES IF PROVEN: parties 1. Criminal Liability 2. EXPRESSED 2. Damages a. Verbal / written, terms are specified 3. Ground for suspension and revocation of license b. Needs a lot of witnesses 3. VOID or INEXISTENT Nurse Alvin is assigned to a cranky and demanding patient suffering from a. Inexistent from the very beginning peripheral neuropathy. One day the patient was chilling and needed blankets and hot water bag. Nurse Alvin placed the HWB without cover directly to the patient's b. Contrary to Law foot. The patient suffered 2nd degree burns. Nurse Alvin may be sued for i. E.g., marijuana na binili pero di binayad, A Breach of Duty di makakasuhan kasi prohibited to law B Negligence 4. ILLEGAL or UNENFORCEABLE C Justice a. Consent obtained through fraud, undue, or D Malpractice duress The facilitator gave an example of a nurse who gave the wrong medication to a patient. The result was severe allergic reaction. The nurse could be sued for: i. E.g., may nakatutok na baril para A Battery permahan, napilitan makipagkontrata B Malpractice dahil pinilit o niloko, hindi pwedeng C Negligence inenforce sa court D Assault 5. VOIDABLE or ANNULABLE Rene was a staff nurse assigned in the medical ward. The physician ordered 20 units of insulin injection to a client with diabetes. Nurse Rene administered 20 cc of a. One of the parties is incapable of giving consent Insulin instead. After 30 minutes the client developed hypoglycemia and died. Nurse i. Minor or insane is liable for: ACCORDING TO FORMAT A Negligence o FORMAL CONTRACT B Tort C Malpractice ▪ Required to be in writing by special laws D Assault ▪ Marriage Contract, Morgages, Deed of Sales o INFORMAL CONTRACT SIX KINDS OF CIVIL LIABILITY ▪ The law does not require the same to be in For physical suffering, mental writing (not written) MORAL M anguish, anxiety, sleepless nights, DAMAGES humiliation A person entered the clinic of a doctor for treatment. What type of contract? A Formal By way of example for the public EXEMPLARY / B Implied good C Informal E CORRECTIVE Nagkamali then ginamit na D Expressed DAMAGES “example” A nurse and a pregnant woman agreed that the nurse will do home delivery for a Vindication or recognition of legal fee. What type of contract? A Informal NOMIMAL right N B Implied DAMAGES “I invoke my right to C Expressed [verbal contract] self-incrimination” D Formal Pecuniary (involves money - stafa) TEMPERATE / loss but amount cannot be proved BREACH OF CONTRACT T MODERATE with certainty Failure without legal excuse to perform any promise which forms DAMAGES Estimate the money because there is the contract no presented evidence A civil law that requires to pay for the damages but not ACTUAL / Losses actually sustained by plaintiff imprisonment A COMPENSATOR May evidence to prove the actual Y DAMAGES amount WILL LIQUIDATED Agreed upon by parties to a contract An act whereby a person is permitted the disposition of an L DAMAGES in case of breach thereof estate to take effect after his death R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN Different from the living will, this pertains to the last will and testament because nurses can be witnesses PHILIPPINE NURSING LAW TERMS o Decedent REPUBLIC ACT 9173 ▪ Person whose property is transmitted through PREVIOUS NURSING LAW succession Philippine Nursing act of 1991 ▪ A person has properties to dispose RA 7164 Does not govern the practice of nursing o Testator The old RA 9173 ▪ A decedent who left a will Philippine Nursing Act of 1953 ▪ Gumawa na ng will RA 877 First republic act to become a Philippine o Heir Nursing Law ▪ A person called to a succession Philippine Nursing Act of 1919 ▪ Tagapagmana ACT # 2808 First true nursing law ▪ Compulsory Heir: Legal Spouse (Asawa and Implementing Rules and Regulations (IRR) of RA 9173 was Legitimate Children) passed through BON Resolution 425, s 2003 Legally Adopted Child (Illegitimate Child ¼ of the portion of the The Philippine Nursing Law was promulgated on October 21, 2002 legitimate child) TYPES OF SUCCESSION INCOMING PROPOSED NEW LAW: o Testate The house of representatives has just unanimously approved on ▪ A person dies leaving a will third and final reading House Bill No. 9389 or the New o Intestate Philippine Nursing Practice Act ▪ A person dies without leaving a will Among the salient features of HB 9389 include, among others: ▪ Namatay na walang last will and testament o The minimum base pay of ALL NURSES, whether they hindi nalaman kung saan nakalagay ang will are working in the public sector, in private healthcare and testament facilities, in industrial or community settings SHALL TWO KINDS NOT, UPON ENTRY, BE LOWER than the rate o Notarial Will assigned to SALARY GRADE 15 (SG 15) in the ▪ Acknowledged before a notary public, with government service. attestation clause ▪ Salary Grade 15 = 33, 800 (34k) ▪ There should be at least 3 witnesses to be Among nursing incentives and benefits are: valid o Free hospital care ▪ Ginagawa sa harap ng abogado o Scholarship grants ▪ Dadaan sa korte o Other non – cash benefits for nurses and their o Holographic Will dependents subjects to existing regulations ▪ Entirely written, dated, and signed in the o For general units, the maximum number of patients that handwriting of the testator a nurse may effectively and safely handle at any given ▪ Dadaan rin sa korte, to prove: na siya talaga time is TEN (10). Thus, the minimum safe staffing ratio ang nagsulat standard for general units 1:10 WHO MAKES WILLS o Those not expressly prohibited by law BOARD OF NURSING ▪ Example: Erap Case o 18 years old and above o Sound mind WHO COULD BE WITNESSES o Sound mind o 18 years old and above o Not blind, deaf or dumb o Able to read and write NURSE’S OBLIGATION IN THE EXECUTION OF A WILL o Note the soundness of client’s mind ▪ Only a conscious client can make his / her last will and testament o Note that the will is signed by the testator ▪ If hindi pwede magsulat, thumbmark pero Composition: Chairperson and 6 Members (7) dapat makita na siya talaga o The BON is composed of 7 members o Note that the witnesses shall be present at the time ▪ DO NOT ANSWER AN EVEN NUMBERS and sign in the presence of testator ▪ One should always break the tie GIFT MORTIS CAUSA (Latin Doctrine) o All are members of the BON o Legal heirs first before the nurse or other person o Most important body ▪ Legal heirs – wife, children (legitimate and Appointment illegitimate) o PNA Nominates (3 per vacancy) [hardest: first and last o Will only be valid by the death of the giver examination they prepared] o LIMITATIONS o PRC recommends 2 per vacancy ▪ Limited to personal properties o Appointment by the President of the Philippines Real Property / Personal Property BON SHALL REPRESENT 3 AREAS OF NURSING (Sec. 4) Example: No to house and lot (CNN) (personal property) C Community Health Nursing ▪ Acceptance by the recipient N Nursing Education ▪ Gifts are revocable and subject to the claims N Nursing Service of creditors Pwedeng bawiin Elsie A. Tee - MS and Pharmacology R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN Carmelita C. Divinagracia - MS and Perioperative, Cardiac REQUIREMENTS UPON QUALIFICATION (RN) Nursing (Founder of the OR nurses of the Philippines) RESIGN immediately Lea Paquis - Ethics R Teaching position – school / review center Elizabeth C. Lagrito Office or employment – public / private Marylou B. Ong NO pecuniary interest Merle L. Salvani Not owner of review center Zenaida C. Gagno N Not owner of college of nursing Because it involves money matters and can cause BON QUALIFICATIONS conflict of interest B Be natural born citizen and resident Of good standing in the PNA Kung sinong nagappoint (President), siya lang din ang magtatanggal O Accredited for membership 🡪 PNA ng BON At least 10 years continuous practice A Last 5 years shall be in the Philippines (not outside REMOVAL / SUSPENSION (ICU) of the country I Incompetent / continuous neglect of duty RN with Master’s Degree C Commission / tolerance of irregularities in the board exam There are 3 kinds of master degree: Example: Leakage in 2006 ⇒ Education U Unprofessional, immoral and dishonorable conduct ⇒ Nursing R ⇒ Any of the allied sciences (Sociology, Psychology, etc) Chairperson: the only allowed master’s degree is NURSING PRACTICE nursing POSITION IN THE NURSING PRACTICE D Does not have conviction of any offense (moral turpitude) YEARS OF POSITION MA QUALIFICATION EXPERIENCE MA (Education, Nursing, FUNCTIONS OF BON BON 10 years experience Allied Sciences) Forward guidelines, regulations and F Quasi - Legislative MA (Education, Nursing, measures Faculty 1 year clinical practice Allied Sciences) Undertake hearings and investigation U Quasi - Judicial MA in Nursing only (may issue subpoena) 5 years administrative Dean Teaching and supervised Necessary powers to enforce quality position N Executive nursing program standards Chief Nurse Conduct Licensure examination for MA in Nursing only (Nursing 5 years administrative Nurses Supervisory or C Executive Service position GIVES: PRC managerial position Director) PREPARES:BON 9 units management and 2 years general nursing To promulgate Code of Ethics (BR Supervisor T Quasi - Legislative administration course administrative position 220, series of 2004) Chief Nurse Issue, suspend, revoke certificate of 9 units management and 2 years general nursing (Primary I registration (BON) Executive administration course administrative position Hospital) ISSUANCE: BON Staff Nurse None None Observe and ensure quality education O BON: Recommendatory power Executive 3 COMMON QUALIFICATIONS PRESENT IN EVERY POSITION CHED: Close Filipino Citizen Nursing Specialty Organization Registered Nurse recognized PNA Member RENEWAL: Every 3 years (trainings N Executive given by organization duly recognize by PRIORITY IN APPOINTMENT the Board of Nursing and accredited by Chief Nurse in Public Health Agencies – Master’s Degree in PNA) Public Health / CHN Submit annual reports to the Chief Nurse in Military Hospitals – Master’s Degree in Nursing S Executive Commission and Completion of General Staff Course *Anything pertaining to the making of laws for the nursing profession, “Legislative” *Since di sila kongreso talaga, “Quasi” means as if they are also people from congress SCOPE OF NURSING PRACTICE (PPPC) Provides nursing care: different stages of life (from conception P TERM OF OFFICE to old age) 1 term = 3 years Practitioner – Promotion of health and prevention of o Mayor, Governor, Congressman illnesses P o Eligible for reappointment Nursing Practitioner / Independent Nurse Practitioner Maximum of 2 terms (6 years) ⇒ Should engage advanced Unexpired portion of term Performs nursing services – Individual, Family, Community o If the event of vacancies P (IFC) o Example: 1 year lang natapos, nagkasakit and C Collaborate with other health care providers nagresign, the person taking over will serve for 2 years then eligible na for reappointment because DIFFERENT DUTIES they are given maximum of 2 terms Do utilize nursing process D Development of advance nursing practice The chairman and members of the board shall hold office for: Undertake consultation services A 6 years U B 5 years Nursing diagnosis not medical diagnosis) C 3 years Trainings and seminars (CPE) D 10 years T 15 CPE Units second renewal, should be accredited by PNA R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN Teaching, guide, supervise nursing students a. Danaya,RN, 30 years old, who works as a counsellor in a family planning clinic Juris of a Nurse Sec 38, RA 9173 b. Pirena, RN, 25 years old, working in a Center for Special Children Interlinkages with community resources c. Alena, BSN, RM, 23, who works in a well family care clinic d. Amihan, RN, 63 years old, who works as a coordinator in a review center DOH – outreach programs, medical mission after retirement I Internal Examination 6. Under the current law, there are seven members of the Board. The membership shall Exception: to determine cause of antenatal bleeding, represent which of the following? a. Nursing Education only the doctor b. Nursing Service E Educate IFC c. Community health nursing S Suturing of Perineal laceration - Episiorrhaphy d. Mother and Child nursing e. Mental health and psychiatric nursing 7. Which of the following does not govern practice of nursing in the Philippines? INACTIVE NURSES a. Board resolution on Standards of safe nursing practice b. Code of Ethics for Registered Nurses in the Philippines Nurses who have not actively practiced the profession for c. RA 7164 FIVE (5) CONSECUTIVE YEARS can return to practice after d. RA 9173 Kapag hindi nakakapagrenew at hindi nagagamit ang 8. Which of the following duties and responsibilities are considered within the scope of lisensya, your name will be delisted in the registered nurse the nursing practice? a. applies sublingually nitroglycerine to a hypertensive patient then refer to the doctor REQUIREMENT TO REACTIVATE = 1:3 b. does internal examination to determine cause of antenatal bleeding ONE MONTH didactic training c. does episiotomy [episiorrhaphy] d. attends to normal deliveries o Lectures and seminars to upgrade knowledge 9. Which of the following foreign licensed nurse may be allowed to practice nursing in the THREE MONTHS practicum Philippines? o Voluntary work in an accredited government a. Filipinos who are educated and licensed in a foreign country but decides to work in the Philippines hospital b. those who were born in the Philippines but has acquired Canadian citizenship c. those who participate in medical missions for less than a month REGISTRATION BY RECIPROCITY d. those who are foreign nationals but married to Filipino citizens For long – term employment in the Philippines 10. Which of the following provisions is embodied in RA 9173? Foreign Licensed Nurse a. students entering nursing must belong to the upper 40% of high school graduating class Nurses na licensed sa ibang bansa b. a refresher course is required for those who failed three times A FLN to be employed in Philippine must comply c. the board recognizes nursing specialty organizations 1. Requirement for registration is substantially the same d. the Board is composed of five members including the chairman 2. Same privileges given to registered nurses of the Philippines PRACTICE THROUGH SPECIAL PERMIT (MOP) EXAMINATION AND REGISTRATION QUALIFICATION (Admission to Licensure Examination) For short – term employment in the Philippines [CPB] 1. Medical Mission o Citizen of the Philippines Nagpapadalang doctors / nurses o Person of good moral character 2. Outstanding Expert o BSN Holder (school: complies with the standards of Author ng book ay gustong maging speaker nursing education) – duly RECOGNIZED 3. Professor on exchange employment ▪ Mandatory, dapat meron ang school, bigay Pwedeng magpadala ng clinical instructors sa ibang ng CHED, kapag wala hindi pwede mag – bansa at may pupunta din dito board exam; accreditation ay pwede naman i-apply lang COMPREHENSIVE NURSING SPECIALTY PROGRAM CITIZEN OF THE PHILIPPINES (Scholar of the Government o By birth Purpose: Areas of Specialty identified: o By election Upgrade level of skills 1. Critical Care ▪ Jus Soli – by territory / place (pinanganak and competence of 2. Oncology sa ibang bansa) specialty nurse 3. Renal Care ▪ Jus Sanguinis – by blood (as long as Funding: 4. Other recommended by the Filipino ang magulang, Filipino pa din) [age of PCSO BON majority] PAGCOR o By naturalization – foreign to Filipino *You cannot leave the country, o By repatriation – originally Filipino serve for 2 years ▪ Example: nag – asawa ng Afam, naging 1. Which of the following qualifications are required for a Dean of a College of Nursing? American Citizen, if gustong maging filipino a. Supervisory and teaching experience in nursing education for 5 years ulit, apply for repatriation b. Master's degree in nursing ⮚ Old law – 18 years old is the minimum requirement to take the c. Member of the Assoc of Deans of Philippines (kapag dean na) d. Colleges of nursing board exam e. Member of the PNA ⮚ Now, there is no minimum age requirement f. Currently paid annual registration fee ⮚ To practice nursing, it starts at 18 years old 2. Which of the following qualifications are required for a chief nurse or Nursing Service RATING Director? a. RN in the Philippines o General average: 75% b. At least two years experience in nursing administration o No grade below 60% in any subject c. with atleast 9 units in mgt course in the graduate level ▪ Removal examination – the score below d. Master's Degree in Nursing e. Have atleast 5 years experience in nursing administration 60%, you should retake it within 2 years, if 3. Which of the following are the requirements for a chief nurse of a primary hospital? not, take all the exam a. RN CERTIFICATE OF REGISTRATION b. 2 years experience in general nursing service administration c. 5 years experience in nursing administration o Full name of the Professional d. Master's Degree in Nursing o Serial Number e. Member of Accredited professional organization o Signature of the chairperson of the commission and 4. Which are the qualifications of a faculty of Nursing? a. MA degree in nursing members of the board b. MA degree in Education ▪ There should be 8 signatures: c. MA in Health Education (1) PRC Commissioner d. MA degree in business administration 5. Who among the following is prohibited to practice nursing in the Philippines? (7) Members of the BON R.C.S.J., RN 2024 PROFESSIONAL ADJUSTMENT ATTY. DEIRDREE C. CULHI, RN ▪ In reality, 3 signatures includes: PRC Commissioner, Chairperson of BON, anyone of the members o Official seal of the commission o Scanned Picture PROFESSIONAL IDENTIFICATION CARD o Full name of the professional o License number o Date of registration o Date of Issuance and expiration ▪ On or before of your birthday on the 3 year ▪ Example: on or before June 12, 2027 o Signature of the chairperson o Bar Code o Picture of the RN OATH TAKING o priority after passing the boards PRC Identification Card o Renewal every three years o Continuing Profession Education Unit – 15 contact hours Suspension – Temporary Revocation – More permanent Re issue of revocation – Wait period is minimum of 4 years SUSPENSION / REVOCATION OF CERTIFICATE OF REGISTRATION / LICENSE G Gross incompetence / serious ignorance Unprofessional / unethical conduct U Pinaka mababa is negligence and practice First: Ethical Conduct M Malpractice / negligence Fraudulent Misrepresentation F starts the moment you apply for board exam, the requirement should be true and accurate Illegal Practice If suspended, you are supposed to stop practicing I nursing Kapag nalaman ng BON na nagpapapractice ka pa din, it will lead to permanent revocation Conviction of any criminal offense C Accused is being not convicted *Insanity declared by the doctor and the court is a ground of suspension and revocation* R.C.S.J., RN 2024