CON 3: Professional Adjustment in Nursing and Nursing Jurisprudence PDF

CON 3: Professional Adjustment in Nursing and Nursing Jurisprudence ETHICS AND MORALITY S.Y 2024 -2025 (2nd Sem) TRANSCRIBED BY: Angela ♡ ETHICS PRINCIPLE OF ETHICS A set of principles of right or good...

CON 3: Professional Adjustment in Nursing and Nursing Jurisprudence ETHICS AND MORALITY S.Y 2024 -2025 (2nd Sem) TRANSCRIBED BY: Angela ♡ ETHICS PRINCIPLE OF ETHICS A set of principles of right or good conduct conceived with values and morality. 1. AUTONOMY Systematic study of what a person's conduct and actions It involves self-determination and freedom to choose and ought to be with regard to self, other human beings, and the implement one’s decision environment. The science of morality of human behavior, both of the What are the 4 elements of autonomy? human acts and acts of man. ○ respect for others ○ ability to determine personal goals HUMAN ACTS VS. ACTS OF MAN ○ complete understanding of choices Human Acts ○ freedom to implement the choice/plan Actions that involve the use of both freewill and intellect, these are actions performed with the use of reason. Are performed consciously and knowingly. 2. NON-MALEFICENCE Always work within the scope of nursing practice. Acts of Man Never give information or perform duties you are not Actions that does not involve use of intellect and freewill, qualified to do. these are actions done unconsciously and without reason, Observe all safety rules and regulations. Are performed unknowingly and unconsciously Update the nurses skills. ETHICAL THEORIES 3. BENEFICENCE Is to produce benefit, to do good, to always act in best 1. DEONTOLOGY interests of the patient: Aka Duty-Oriented Theory ○ whatever is done or said must be for the patient's Actions are based on moral rules and unchanging principles. good. An ethical person must always follow the rules, even if doing ○ includes being honest with patients, which in nearly so causes a less desirable outcome. all circumstances will be of benefit to the patients. ○ patients should not be subjected to unnecessary 2. TELEOLOGY investigation. Aka Utilitarianism A person must take those actions that lead to good 4. JUSTICE outcomes. Refers to the right to demand to be treated justly, fairly and equally. 3. VIRTUE ETHICS Treat all patients equally, regardless of status or background. Virtues such as truthfulness and trustworthiness are developed over time. 5. CONFIDENTIALITY A person’s character must be developed so that by nature Keep privileged information private. and habit, the person will be predisposed to have virtuously Exceptions: protecting one person's privacy harms another or threatens social good (direct threat to another person). 4. JUSTICE AND EQUITY drug abuse in employees, elderly children and abuse. A “veil of ignorance” regarding who is affected by a decision should be used by decision makers because it allows for 6. FIDELITY unbiased decision making. Duty to be faithful to one’s commitments (promise keeping); to keep one’s promise or word. 5. RELATIVISM Includes implicit and explicit promises: There no universal ethical standards, such as “murder is Implicit — those promises that are implied, not verbally always wrong” communicated. Ethical standards are relative to person, place, and culture. Explicit — those that we verbally communicate. whatever a person thinks is right, is right. 7. PATERNALISM TYPES OF ETHICS When one individual assumes the right to make decisions for another. 1. PROFESSIONAL ETHICS Limits freedom of choice. Concerned with obligations that a member of the profession. Think about parents making decisions for children. owes to the public. 8. RESPECT FOR PERSONS 2. HEALTHCARE ETHICS Promotes the ability of individuals to make autonomous Relates to human health. choices and should be treated accordingly. Autonomy is preserved thru advance directives 3. BIOETHICS Focuses on moral issues in the field of health care. 9. SANCTITY OF LIFE Life is the highest good 4. DIVINE COMMAND ETHICS All forms of life, including mere biologic existence, should A supreme or divine being that sets down the rules to take precedence over external criteria for judging quality of provide guidance to moral decision. life. 5. NURSING ETHICS 10. ADVOCACY Related to all the principles of right conduct as they apply to The obligation to look out for or speak up for the right of the profession. others. Provide patients with complete and accurate information. 11. VERACITY The obligation to tell the truth and not to lie or deceive others. 12. STEWARDSHIPS Being grateful, responsible stewards of the gifts we receive from God.  MORALITY Derived from Greek work “moralis” which refers to social consensus about moral conduct for human beings and society. According to Joseph Fletcher, morality is what you believe is right and good. Morals Are fundamental standards of right and wrong, learned and internalized in early childhood. Are often based on religious beliefs. MORAL VIRTUES JUSTICE Is the virtue that allows him to give his neighbor what rightfully belongs to him. TEMPERANCE Is the virtue that moderates the possible over-indulgence of the concupiscible appetite. FORTITUDE Is the virtue that gives courage to man in times of overwhelming odds. When a man is faced with hardships, fortitude enables man to be strong and persist for the attainment of his goals. PRUDENCE Is the virtues of knowing how things are to be done rightly and well. Tact is closely related to this virtue. Prudence enables man to act and speak properly and correctly in different situations. CONDITIONS AFFECTING MORALITY IGNORANCE Is the absence of intellectual knowledge in man. CONCUPISCENCE Are the passions of man which include love, hatred, joy, grief, desire, aversion or horror, hope, despair, courage or daring, fear and anger which make man frail and prone to evil. VIOLENCE/COERCION Is external force applied to a person for the purpose of compelling him to perform an act which is against his will. HABIT Refers to operative habit which is a lasting readiness and facility, born of frequent repeated acts. For acting in a certain manner.  CON 3: Professional Adjustment in Nursing and Nursing Jurisprudence CODE OF ETHICS S.Y 2024 -2025 (2nd Sem) TRANSCRIBED BY: Angela ♡ CODE OF ETHICS Be aware of the duties and responsibilities in the practice of A set of principles, established by a profession, to guide an their professions. individual practitioner. Acquire and develop the necessary competence in A formal statement of the ethical values and principles that knowledge, skills and attitudes. are shared by members of a group. It provides standard for Administrator is responsible for providing an environment for professional actions. the growth and development of RN. BRIEF CODE OF ETHICS FOR FILIPINO NURSES 1982 → developed by Dean Julita V. Sotejo RN AND PRACTICE 1984 → Res. No 633 “promotion of spiritual environment” as 5th fold Specialty certification are accredited through the Nursing responsibility of nurse. Specialty Certification Council of BON 1989 → promulgated by PNA and approved by PRC under Board Quality nursing care and practice meet the optimum Resolution No. 1995 standard of safe nursing practice. Oct. 25, 1990 → approved in the general assembly of the PNA during Modification of practice shall consider the principle of safe the Nurses Week Convention. nursing practice. Oct 23, 2003 (IloIlo) → adopted by RA 9173 and promulgated by Be normally and legally responsible for devising a system of BON under Res. No 220 Series of 2004 last July 14, 2004. minimizing occurrences of ineffective and unlawful nursing practice The new Code of Ethics for Registered Nurses was promulgated by Records shall be available to professionals who have directly the Board of Nursing in coordination with the Philippine Nurses in their care when they are required by law. Association Respect the “patients bill of rights” Provide all pertinent information Uphold patients right when conflict arises Perform duties in conformity with existing laws, rules, regulations, measures and generally accepted principles of moral conduct and proper decorum. Not allow themselves to be used in advertisements that should demean the image of the profession. Decline any gift, favor or hospitality which might be interpreted as capitalizing on patients. Avoid any of the privilege relationships which exists with patients and of the privilege access allowed to their property, residence or workplace. Not demand and receive any commission, fee or emolument for recommending or referring patient; and not to pay any commission, fee or other recommending a patient to them for nursing care. RN AND CO-WORKERS Maintain professional role/identity Conform with group activities based on acceptable ICN CODE OF ETHICS ethico-legal standards Health is a fundamental right of every individual. The Filipino Contribute the professional growth and development RN, believing in the worth and dignity of each human being, Actively participate in professional organizations. recognizes the primary responsibility to preserve health at all Not act in any manner prejudicial to other professions. cost. Assistance towards peaceful death shall be her Honor and safeguard the reputation and dignity of the obligation. members, To assure this responsibility, RN have gain knowledge and Respects the rights of co-workers. understanding of man’s cultural, social, spiritual, Be conscious of their obligations as citizens physiological and ecological aspects of illness utilizing the Be equipped with knowledge of health resources within the therapeutic process. Cultural diversity and political and community, and take active roles in PHC socioeconomic status are inherent factors to effective Actively participate in programs, projects and activities that nursing care. respond to the problems of society. FUNDAMENTAL PRINCIPLE OF RN RN, SOCIETY AND ENVIRONMENT 1. Promotion of Health Lead their live conformity with the principle of right conduct 2. Prevention of illness and proper decorum 3. Alleviation of suffering Project an image that will uplift the nursing profession at all 4. Restoration of health times. 5 FOLDS RESPONSIBILITY OF NURSES RN AND THE PROFESSIONS 1. Nursing university Be members of the Accredited Professional Organizations 2. Scope of service rendered by the nurses (PNA) 3. Responsibilities to people Strictly adhere to nursing standards 4. Responsibilities to practice, to society, to their co-workers, Participated actively in the growth and development of the and to the professions nursing profession. 5. Promotion of spiritual environment Strive to secure equitable socio-economic and work conditions in nursing through appropriate legislation and RN AND PEOPLE other means Consider the individuality and totality of patients when they Assert for the implementation of labor and work standards. administer care. Respect the spiritual beliefs and practices of patients regarding diet and treatment. Uphold the rights of individuals. Know the definition and scope of nursing practice (RA 9173 and IRR)  WHAT IS THE PATIENT’S BILL OF RIGHTS MORAL AND SPIRITUAL RESPONSIBILITIES OF THE NURSE The patient has the right to: 1. The Golden Rule Considerate and respectful care. ○ Do unto others what you would like others do unto To obtain from physicians and other direct caregivers you”. relevant, current and understandable information concerning diagnosis, treatment and prognosis. 2. The Two-Fold Effects Make decisions about ○ Basis of action ○ The plan of care prior to and during the course of i. The action must be morally good. treatment ii. The good effect must be willed and bad ○ To refuse a recommended treatment or plan of effect merely allowed. care to the extent permitted by law and hospital iii. The good effect must be not come from policy an evil action but from the initial action ○ To be informed of the medical consequences of itself directly. this action. iv. The good effect must have a greater ○ Have an advance directive (living will, health care) effect than the bad effect. concerning treatment or designating a surrogate decision maker with the expectation that the 3. The Principle of Totality hospital will honor the intent of that directive to the ○ The whole is greater than any of its parts. extent permitted by law and hospital policy. Every consideration of his privacy. 4. Epikia ○ Case discussion ○ “Exception to the general rule” ○ Consultation, ○ Examination and treatment 5. One who acts through an agent is himself responsible Expect that all communications and records pertaining to his/her care should be treated as confidential by the hospital, 6. No one is obliged to betray himself/herself expect in cases such as suspected public health hazards 7. The end does not justify the means where reporting is permitted or required by law. Review the records pertaining to his/her medical care and to 8. Defects of nature may be corrected have the information explained or interpreted as necessary except when restricted by law. 9. If one is willing to cooperate in the act, no injustice is Expect that, within its capacity and policies, a hospital will done to him/her. make reasonable response to the request of a patient for appropriate and medically indicated care and services. 10. A little more or less does not change the substance of Ask and be informed of the existence of business an act relationships among the hospital, educational institutions, other health care providers, or prayers that may influence 11. The greatest good for the greatest number the patients treatment and care. Consent to or decline to participate in propose research 12. No one is held to the impossible studies or human experimentation affecting his care and treatment or requiring direct patient involvement, and to have 13. The morality of cooperation those studies fully explained prior to consent. Expect reasonable continuity of care when appropriate and 14. Principle relating to the origin and destruction of life. to be informed by physicians and other caregivers of “Thou shall not kill” available and realistic patient care options when hospital care is no longer appropriate. CODE OF GOOD GOVERNANCE Be informed of hospital policies and practices that relate to June 23, 2003- under E.O. No.220 adopts its policies with patient care, treatment, and responsibilities. regards to the professional standard and principles designed to enhance and maintain high professional, technical and RIGHTS OF THE PATIENT ethical standards in the practice of the professions. Privacy promote ethical awareness and competency among Filipino Autonomy professionals Treatment Refusal keep abreast with modern trends and technology thereby Information assuring the highly qualitative and globally competitive Education professional services, Not to be restrained and secure the safety and protection of the public To be treated with confidentiality Services GENERAL PRINCIPLE OF PROFESSIONAL CONDUCT NURSES BILL OF RIGHTS Ethical Awareness Right to practice in a manner that fulfills their obligations to ○ refers to the ability to discern between right and society and those who receive nursing care. wrong. Right to practice in environment that allow them to act in accordance with professional standards and legally Ethical Competency authorized scopes of practice ○ pertains to the ability to engage in sound moral Right to a work environment that supports and facilitates reasoning and consider carefully the implications of ethical practice, in accordance with the Code of ethics for alternative actions Nurses. Right to freely and openly advocate for themselves and their SPECIFIC PRINCIPLES OF PROFESSIONAL CONDUCT patients without fear of retribution. Right to fair compensation for their work, consistent with their 1. SERVICE TO OTHERS knowledge, experience and professional responsibilities Committed to a life of service to others. Right to a work environment that is safe for themselves and Protect life, property and public welfare their patients Serve others; prepared for heroic sacrifice and genuine Right to negotiate the condition of their employment, either selflessness as individuals or collectively in all practice setting 2. INTEGRITY AND OBJECTIVITY Maintain and broaden public confidence by performing their responsibilities with higher sense of integrity and imbued with nationalism and spiritual values. Maintain objectivity at all times, be free of conflicts of interest and refrain from engaging in any activity that would prejudice their abilities. Avoid making any representation that would likely cause a reasonable person to misunderstand or be deceived.  3. PROFESSIONAL COMPETENCE Keep up with new knowledge and techniques Continually improve their skills and upgrade their level of competence and take part in a lifelong CPE 4. SOLIDARITY AND TEAMWORK Spirit of solidarity – each member should put the broader interest of the profession above one’s personal ambition and preference. Teamwork – each member shall effectively observe ethical practices and pursue continuing professional development as well as deepen one’s social and civic responsibility 5. SOCIAL AND CIVIC RESPONSIBILITY Serve clients with professional concerns and in a manner consistent with their responsibilities to society. Actively contribute to the attainment of the country’s national objectives. 6. GLOBAL COMPETITIVENESS Remain open to the challenges Rise up to global standards and fully aligned with global best practices 7. EQUALITY OF ALL PROFESSIONS Treat colleagues with respect No one group of professionals is superior or above others Treat other professionals with respect and fairness THE NURSES PLEDGE In full knowledge of the obligations I am undertaking, I promise before God and this assembly, to care for the sick with dedication, and with all the skills and understanding I possess, without regard to race, creed, color, politics, or social status, sparing no effort to conserve life, to alleviate sufferings and promote health. I will respect at all times, the dignity and religious belief of patients under my care, holding in confidence all personal information’s entrusted to me and refraining from any action, which might endanger life or health. I will endeavor to keep my professional knowledge and skills at the highest level, and to give loyal support and cooperation to all members of the health team. I will do my utmost, to honor the International Code of Ethics applied to nursing, and uphold the integrity of the professional nurse.  CON 3: Professional Adjustment in Nursing and Nursing Jurisprudence LAWS GOVERNING THE PRACTICE OF NURSING S.Y 2024 -2025 (2nd Sem) TRANSCRIBED BY: Angela ♡ LAWS PHASES OF DUE PROCESS A rule of civil conduct prescribe by the supreme power in a Pre Trial state commanding what is right and prohibiting what is eliminate matters not in dispute, agree on issues or settle wrong. procedural matters. Sum total of rules and regulation by which a society is governed. Trial 3 ESSENTIAL CHARACTERISTICS OF EVERY LAW facts are presented and determined; law applied at the end. Authority or the right to declare the rule exists. Rule is pronounced or expressed and its source can be WRITTEN ORDERS OF COURT identified. Writ — legal notes from court A right to enforce the same must be provided. Subpoena PRINCIPLE OF LAW an order in court Justice and Fairness duces tecum (papers) — bring documents, objects, Change materials, charts to court. Judgement based on: universal standards of what is similarly ad testification (person) — testify as witness at a specified trained, reasonable and prudent person would have done time and place. rather than in similar circumstances. Each individual has rights and responsibilities. Summon a writ commanding an authorized person to notify a party to CLASSIFICATION OF LAW appear in court to answer a complaint made against him. Public Law for the welfare of the general public; relationship between individuals and the government and government agencies. WARRANT ‘ a writing from a competent authority in pursuance of law, Private Law directing the doing of an act addressed to a person deals with relationship among private individual. competent to do it. WARRANT OF ARREST a court order to arrest or detain a person. SEARCH WARRANT a court order to search for properties. Sample of arrest warrant and search warrant TYPES OF LAW COURT An agency in the government wherein the administration of justice is delegated. LAWS THAT PROMOTE THE WELFARE AND WELL-BEING OF LEGAL RIGHT NURSES A claim which can be enforced by legal means against a P.D. 442 — labor code person whose duty is to respect it. P.D. 807 — civil service law R.A. 7305 — magna carta of public health workers COURT MECHANISM R.A. 8344 — “no deposit policy” Lawsuit — proceeding in court for a purpose. Purpose: (1) enforce a right (2) redress a wrong BRIEF HISTORY OF PHILIPPINE NURSING LAW Act No. 2493 (Feb. 05, 1915) — Act Regulating the Practice of PARTIES TO A CASE Medicine Complainant vs Defendant: Civil case Plaintiff vs Accused: Criminal case Act No. 1651 (1915) — act provided for the examination and Witness — an individual held upon to give necessary details registration of nurses in the Philippine Island. either for the accused or against the accused application shall: At least 20 years old DUE PROCESS Submit evidence of good physical health A fair and orderly process which aims to protect and enforce Good moral character a person’s right. Graduates of a recognized school of nursing Had dormitory residence FUNDAMENTAL REQUIREMENTS OF DUE PROCESS Apply to the Director of Health for COR as RN 1. Right to be informed 2. Right to remain silent Act No. 2008 (March 1, 1919) — First True Nursing Law in the 3. Right to competent counsel Philippines. This act created a Board of Examiners for Nurses (3 4. No use of violence, threat, torture members; 1 is physician and 2 members are RN with 5 years 5. Right to know the witness face to face experience). 1920 — first board examination in the Philippines was given. Act No. 3025 (March 8, 1992) — the changed of dates of nurses Teach, guide and supervise student in nursing education examination: from 2nd Monday of June and December to 2nd program Monday of April and October Undertake nursing and health human resource development training and research. Act No. 3438 (Nov.28, 1928) — changed of dates of nurses Suturing of perineal laceration – provided with special examination: from 2nd Monday of April and October to 2nd training. Monday of October of each year. Nurses are required competence by continual learning. Act No. 4007 (Dec. 5, 1932) — “The Reorganization Law of PHILIPPINE NURSING ACT OF 2002 1932”, the conduct of board of examination was placed under RA 9173 the direct supervision of the Bureau of Civil Service. ARTICLE I: Title Act No. 430 (Jan. 7, 1941) — 5 BON were transferred to the Section 1: Title jurisdiction of the DOH and Public Welfare. This Act shall be known as the “Philippine Nursing Act of RA No. 465 (June 1950) — standardized the examination and 2002”. registration fee charged by the examining board. (P/20 for exam and P/ 10 for registration with an annual registration fee ARTICLE II: Declaration of Policy of P/1.00) Section 2: Declaration of Policy Assume responsibility for the protection and improvement of RA No. 546 (June 1950) — placed all of the Board of Examiners the nursing profession under the direct supervision of the President of the Philippines. Delivery of quality basic health services RA No. 877 (June 19, 1953) — otherwise known as the Philippine ARTICLE III: Organization of the Board of Nursing Nursing Law. Section 3: Creation and Composition of the Board Provisions: 1 chairperson Board of Examiners 6 members 3 members appointed by the President of RP from among 2 Upon recommendation of Commission of Civil Service recommendees, per vacancy Requirement must be BSN No age limit to be disqualify Section 4: Qualifications of the Chairperson and Members of the Salary of P/12,000 per annum Board NLGN and PNA – recommend candidate natural born citizen and resident of the Philippines member of good standing of the accredited professional RA No. 4704 (June 18, 1966) — amendment on certain organization of nurses; portions of RA 877. RN and holder of a master's degree in nursing, education or Provisions: other allied medical profession Board of Examiners 10 years of continuous practice of the profession prior to 5 members appointment (last five (5) years of which shall be in the Appointed by the President with consent of the Commission Philippines) on Appointments Not have been convicted of any offense involving moral Requirement: Masters Degree (MSN/MAN) turpitude Age limit to 65 years old BON represents (3) areas of nursing, namely: nursing Salary: P/18,000 per annum as provided by RA No. 4648 education, nursing service and community health PNA – recommend candidates as appointed by PRC nursing. RA No. 6511 (July 1, 1972) — amend RA No.465 which Section 5: Requirements upon Qualification as Member of the standardized the examination and registration fees Board of Nursing charged by various BOE. Immediately resign from any teaching position Increased exam fee from P/50 – 75, registration fee from He/she shall not have any pecuniary interest in or P/20 – P/40. administrative supervision over any institution offering Statutory fee (for registration of nurses w/o exam) of exam Bachelor of Science in Nursing including review classes. fee P/75 and registration fee of P/40 for a total of P/115. Annual registration fee: from P/1.00 – P/5.00, failure to pay Section 6: Term of Office on or before Jan.20 of the year will entail surcharge of 20% Hold office for a term of three (3) years and until their and addt’l charge every year. successors shall have been appointed and qualified: Non-payment fee lasted for 5 consecutive years and if not Provided, That the Chairperson and members of the Board suspended and removal of name from the annual roster is may be re-appointed for another term being done. Each Member of the Board shall take the proper oath of office prior to the performance of his/her duties. RA No. 6136 (August 31, 1970) – further amended subparagraph (7) of Sec 17 of RA No.877 as amended by RA No.4704. Section 7: Compensation of the Board Members authorized the nurses to administer intravenous and other Compensation and allowances comparable to the injections, provided the Act is done under the direction and compensation and allowances received by the Chairperson in the presence of physician. and members of other professional regulatory boards. RA No. 7164 ( Nov.21, 1991) “The Philippine Nursing Act of 1991”. Section 8: Administrative Supervision of the Board, Custodian of Changes: its Records, Secretariat and Support Services Redefinition of the scope of Nursing Practice. All records of the Board, including applications for Requiring faculty members who is appointed to the BON to examinations, administrative and other investigative cases resign from his/her teaching position at the time of conducted by the Board shall be under the custody of the appointment. Commission. Updating a faculty’s educational qualifications requiring The Commission shall designate the Secretary of the Board masters degree in nursing or related fields of specialization. and shall provide the secretariat and other support services. Specifications of administration of nursing services Inclusion of phrase “Unethical Conduct” as one of the Section 9: Powers and Duties of the Boards reasons for revocation and suspension of COR. Conduct the licensure examination for nurses; IVT Training – provided with special trainings Issue, suspend or revoke certificates of registration for the practice of nursing; RA No.9173 (July 22, 2002) – The Philippine Nursing Act of 2002. Monitor and enforce quality standards of nursing practice in Scope of Nursing Practice: the Philippines and exercise the powers necessary to ensure Nursing Care Plan – from womb to tomb the maintenance of efficient, ethical and technical, moral and Establish linkages with community resources and professional standards in the practice of nursing taking into coordination with the health team account the health needs of the nation; Health education learning. Ensure quality nursing education by examining the prescribed facilities of universities or colleges of nursing or  departments of nursing education and those seeking A certificate of registration/professional license may be permission to open nursing courses. issued without examination to nurses registered under the Conduct hearings and investigations to resolve complaints laws of a foreign state or country: against nurse practitioners for unethical and unprofessional Provided, That the requirements for registration or licensing conduct and violations of this Act. of nurses in said country are substantially the same as those Promulgate a Code of Ethics prescribed under this Act. Recognize nursing specialty organizations in coordination with the accredited professional organization; and Section 21: Practice Through Special/Temporary Permit Prescribe, adopt issue and promulgate guidelines, RN from foreign countries whose service are either for a fee regulations, measures and decisions as may be necessary or free if they are internationally well-known specialists or for the improvements of the nursing practice outstanding experts in any branch or specialty of nursing; RN from foreign countries on medical mission whose Section 10: Annual Report services shall be free in a particular hospital, center or clinic; Submit an annual report to the President of the Philippines and giving a detailed account of its proceedings RN from foreign countries employed by schools/colleges of accomplishments during the year nursing as exchange professors in a branch or specialty of making recommendations nursing; Section 11: Removal or Suspension of Board Members Section 22: Non-Registration and Non-Issuance if Certificates of Continued neglect of duty or incompetence Registration/Professional License or Special/Temporary Permit Commission or toleration of irregularities in the licensure Criminal offense involving moral turpitude or any person examination guilty of immoral or dishonorable conduct Unprofessional, immoral or dishonorable conduct unsound mind ARTICLE IV: Examination and Registration Section 23: Revocation and Suspension of Certificates of Section 12: Licensure Examination Registration/Professional License and Cancellation of Applicants for license to practice nursing shall be required to Special/Temporary Permit pass written examination by BON in such places and dates Any of the causes mentioned in the preceding section as may be designated by the Commission Unprofessional and unethical conduct Gross incompetence or serious ignorance Section 13: Qualification for Admission to the Licensure Malpractice or negligence in the practice of nursing; Examination Use of fraud, deceit, or false statements in obtaining a Citizen of the Philippines, or a citizen of subject of a country, certificate of registration/professional license or a Good moral character temporary/special permit Holder of a Bachelor’s Degree in Nursing from a college or Practicing his/ her profession during his/her suspension from university that complies with the standards of nursing such practice education duly recognized by the proper government agency Section 24: Re-Issuance of Revoked Certificates and Section 14: Scope of Examination Replacement of Lost Certificates The scope shall be determined by the Board. The Board may, after the expiration of a maximum of four (4) The Board shall take into consideration the objectives of the years from the date of revocation of a certificate, nursing curriculum, the broad areas of nursing and other A new certificate of registration/professional license to related disciplines and competencies in determining the replace the certificate that has been lost, destroyed or subjects of examinations. mutilated may be issued, subject to the rules of the Board. Section 15: Ratings ARTICLE V: Nursing Education General average of at least 75% with a rating not below 60% Section 25: Nursing Education Program in any subject. The nursing education program shall provide general and 75% but gets a rating below 60% in any given subject must professional foundation for the practice of nursing. take the examination again but only in the subject where he promulgated by the Commission on Higher Education’ or she is rated below 60%. (obtain a rating at least 75% in policies and standards of nursing education. the subject or subjects repeated.) Removal examination shall be taken within 2 years after the Section 26: Requirements for Inactive Returning to Practice last failed exam. Not actively practiced the profession for five(5) years consecutively Section 16: Oath Undergo one(1) month of didactic training and three (3) Required to take an oath of profession before the Board or months practicum any government official authorized to administer oaths prior to entering upon the nursing practice. Section 27: Qualification of the Faculty RN in the Philippines Section 17: Issuance of the Certificate of 1 year of clinical practice in a field of specialization; Registration/Professional License and Professional Identification Member of a good standing in the accredited professional Card organization of nurses COR shall be issued to an applicant who passes the Holder of a master’s degree in nursing education or other examination upon payment of the prescribed fees. allied medical and health sciences It includes the ff: In addition to the aforementioned qualifications, the dean of the full name of the registrant a college must have : the serial number Master’s degree in nursing the signature of the Chairperson of the Commission and of Have at least five (5) years of experience in nursing, the Members of the Board the official seal of the Commission. ARTICLE VI: Nursing Practice date of registration, Initiates and performs nursing services (individuals, families license number, and communities) in any health care setting. date of issuance and expiration It includes, but not limited to, nursing care during conception, Section 18: Fees for Examination and Registration labor, delivery, infancy, childhood, toddler preschool, school Applicants for licensure and for registration shall pay the age, adolescence, adulthood, and old age. prescribed fees set by Commission. Nurses are responsible for : Promotion of health and prevention of illness Section 19: Autonomic Registration of Nurses Collaborate with other health care providers for the curative, All nurses whose names appear at the roster of nurses shall preventive, and rehabilitative aspects of care, restoration of be automatically or ipso facto registered as nurses under this health, alleviation of suffering, and when recovery is not Act upon its effectivity. possible, towards a peaceful death. Section 20: Registration by Reciprocity  Scope of Nursing Practice: Gives any false evidence to the Board in order to obtain a Provide nursing care through the utilization of the nursing certificate of registration/professional license, a professional process. identification card or special permit; or Established linkages with community resources and Falsely poses or advertises as a registered and licensed coordination with the health team. nurse or uses any other means that tend to convey the Provide health education to individuals, families and impression that he/she is a registered and licensed nurse; or communities. Appends B.S.N./R.N. (Bachelor of Science in Teach, guide and supervise students in nursing education Nursing/Registered Nurse) or any similar appendage to programs his/her name without having been conferred said degree or Undertake nursing and health human resource development registration; or training and research. RN abets or assists the illegal practice of a person who is not lawfully qualified to practice nursing. Section 29: Qualification of Nursing Service Administrators B. Any person or the chief executive officer of a judicial entity RN in the Philippines who undertakes in-service educational programs or who 2 years experience in general nursing service administration conducts review classes for both local and foreign Bachelors of Science in Nursing, with at least nine (9) units examination without permit/clearance from the Board and in management and administration courses at the graduate the Commission; or level C. Any person or employer of nurses who violate the Member of good standing of the accredited professional minimum base pay of nurses and the incentives and benefits organization of nurses D. Any person or the chief executive officer of a juridical entity violating any provision of this Act and its rules and Chief Nurses of Director of Nursing Service Qualification regulations. 5 years of experience in a supervisory or managerial position in nursing managerial position in nursing ARTICLE IX: Nursing Practice Master's degree major in nursing Section 36: Enforcement of this Act Master's degree major in nursing It shall be the primary duty of the Commission and the Board chief nurses in the public health nursing shall be to effectively implement this Act. given priority. chief nurses in military hospitals, priority shall be Section 37: Appropriation given to those who have finished a master's degree in Include in its program and issue such rules and regulations nursing and the completion of the General Staff Course to implement the provisions of this Act (GSC) at least 5 years. Section 38: Rules and Regulations ARTICLE VII: Health Human Resources Production,Utilization and ninety (90) days after the effectivity of this Act, the Official Development Gazette or in any newspaper of general circulation. Section 30: Studies for Nursing Manpower Needs, Production, Utilization and Development Section 39: Reparability Clause initiate undertake and conduct studies on health human resources production, utilization and development. Section 40: Repealing Clause Section 31: Comprehensive Nursing Specialty Program Section 41: Effectivity (Approved: October 21, 2002 formulate and develop a comprehensive nursing specialty program that would upgrade the level of skill and CHAIRMAN AND MEMBERS OF BOARD OF NURSING competence of specialty nurse clinicians in the country (areas of critical care, oncology, renal and such other areas determined by the Board) Section 32: Salary Not be lower than salary grade 15 prescribes under Republic Act No. 6758, otherwise known as the "Compensation and Classification Act of 1989 Section 33: Funding for the Comprehensive Nursing Specialty Program The annual financial requirement needed to train at least ten percent (10%) of the nursing staff shall be chargeable against the income of the Philippine Charity Sweepstakes Office and the Philippine Amusement and Gaming Corporation. Section 34: Incentives and Benefit Free hospital care for nurses and their dependents scholarship grants, and other non-cash benefits. The government and private hospitals are hereby mandated to maintain the standard nurse-patient ratio set by the Department of Health. ARTICLE VIII: Penal and Miscellaneous Provisions Section 35: Prohibition in the Practice of Nursing A fine of not less than Fifty thousand pesos (P50,000.00) nor more than One hundred thousand pesos (P100,000.00) or imprisonment of not less than one (1) year nor more than six (6) years, or both, upon the discretion of the court, shall be imposed upon: A. Any Person Practicing Nursing in the Philippines within the Meaning of this Act: Without a certificate of registration/professional license and professional identification card Uses as his/her own certificate of registration/professional license and professional identification card or special temporary permit of another; or Uses an invalid certificate of registration/professional license, a suspended or revoked certificate of registration/professional license, or an expired or cancelled special/temporary permits; or