Professional Adjustment PDF

Professional Adjustment Professional Adjustment Educational Preparation: The BSN Curriculum (CHED Memo #14)  The growth of the individual and the development of all  A four year program with 2 summers his capacities- physical...

Professional Adjustment Professional Adjustment Educational Preparation: The BSN Curriculum (CHED Memo #14)  The growth of the individual and the development of all  A four year program with 2 summers his capacities- physical, mental, emotional, social and  Competency-based spiritual  New Subjects: Profession o Theoretical Foundation in Nursing  An occupation or calling requiring advanced training o Health Assessment and experience in some specific or specialized body of o Research in 2 Semesters knowledge which provides service to society in that o Competency Appraisal special field o Electives: Parent Child, Hospice/Palliative *Memorize the code of ethics Care Nursing, Spiritual Care, Quality Health Care and Nursing Acute/Critical Care, Care Criteria of a Profession (Sims, Price and Ervin, 2000) of the Chronically Ill and Older Person 1. Service to human and social welfare 2. Must have a Code of Ethics Objectives of the BSN Curriculum 3. Educated in higher education institution  It aims to produce a fully functioning nurse who: o College of Nursing are regulated CHED 1. Practice legal, ethico-moral, social responsibilities, 4. Long term commitment of members accountabilities 5. Professional association - PNA 2. Practices S-K-As for the promotion of health (primary 6. Specialized knowledge and skills responsibility of the nurse), prevention of illness, o Compassionate restoration of health, alleviation of suffering; assisting o Nursing Process- tool we used in rendering clients to face death with dignity and in peace (Four- care to our patients fold Responsibility of Nurses) 7. Autonomy 3. Prepares a creative and critical thinking nurse who is o We are regulated by BON abreast with local needs and the demands of global 8. Service to human and social welfare competitiveness *Hallmark of nursing accountability- accurate documentation 4. Demonstrates caring behavior *Primary responsibility of a nurse- promotion of health or 5. Assumes responsibility for personal and professional preservation of health development 6. Utilizes research findings in the practice and Nursing development of the profession  Nursing is putting the patient in the best condition for 7. Contributes effectively to national health development nature to act upon him (Florence Nightingale) 8. Demonstrates love of God, country and profession  A helping profession and, as such, provides services which contribute to the health and well-being of Key Areas of Responsibilities people (BON Resolution #112 Series of 2005)  Assisting the patient; sick or well, in the performance of activities of daily living, which he/she could have done Safe and Quality Nursing Care Patient Care unaided, if he/she has the necessary strength, will or Communication Competencies knowledge, and if this is not possible, then assisting the Collaboration and Teamwork patient towards a peaceful death(Virginia Henderson) Health Education  Profession Legal Responsibility o Addresses the responses of individuals, families Empowering Ethico-moral Responsibility to health promotion, health maintenance and Personal and Professional health problems Responsibility  Mission/Vocation Record Management Enabling o Reverence for the gift of life Management of Resources and o Respect the dignity of each human being Environment o We should not promote procedures that Enhancing Quality Improvement disrespect the sanctity of life Research  Career *Unifying framework o Specialized in one area of nursing o Several practice areas Core Competencies in Nursing  Nursing Regulation Qualities and Abilities of a Professional Nurse o Used as a syllabus for the board exam Professional Preparation:  Nursing Education  Licensed to practice nursing in the country o CHED Memo #14  A degree of Bachelor of Science in Nursing  Nursing Practice  Be physically and mentally fit  Nursing Service Patient Care Competencies- 65% Attributes of Professional Caring (Sister Mary Simone Roach) Enabling Competencies- 10% 1. Competence – integration of knowledge, skills, Enhancing Competencies- 10% attitudes, and values Empowering Competencies- 15% 2. Commitment 3. Compassion - essence of nursing Core Values of Nursing 4. Confidence  Love of God 5. Conscience - follow legal, ethico-moral, and technical  Love of Profession- caring, integrity, excellence standards  Love of country- nationalism University of Santo Tomas – College of Nursing / JSV  Professional Adjustment Mission of the Nursing Profession  Forensic analyst  We, the Filipino nurses, responding to the needs of  society are engaged in providing humane and globally Common Areas of Nursing Practice competent nursing care 1. Acute Care/Hospital Nursing a. Staff nursing Vision 2030 b. Staff education and training  The Philippine Professional Nursing Care: The BEST for the c. Risk management Filipino and the CHOICE OF THE WORLD by 2030 d. Performance improvement Professional Nursing Association 2. Extended Care opportunities  Alumni Association a. Elderly long-term care o First professional association a nurse joins after b. Rehabilitation Nursing graduation  Philippine Nurses Association (PNA) 3. Outpatient Nursing opportunities o The only accredited professional organization a. Outpatient clinics and physician’s office (APO) of the PRC b. Outpatient surgery centers o The National Nurses Association (NNA) c. Community education accredited by International Council of Nursing (ICN) 4. Business Opportunities o Ethically required- because it is in the code of a. Insurance and managed care companies ethics b. Consultancy  Integrated Registered Nurses in the Philippines (IRNUP) c. Sales  Philippine National League of Government Nurses d. Occupational health and worker’s (PNLGN) compensation  Occupational Health Nurses Association of the Philippines (OHNAP)  Association of Deans of Philippine Colleges of Nursing, Inc. (ADPCN) Criteria in Choosing Employment Area  Association of Nursing Service Administrators of the 1. Structure Philippines (ANSAP) a. Nursing prominence  Operating Room Nurses Assoc. of the Philippines b. Open communication (ORNAP) c. Benefits  Mother and Child Nurses Assoc. of the Phil. (MCNAP) d. Diversification  Critical Care Nurses Assoc. of the Phil. (CCNAP) 2. Nursing Practice  Mental Health and Psychiatric Nurses Assoc. of the Phil. a. Professional growth (MH & PNAP) b. Currentness  Assoc. of Private Duty Nurse Practitioners of the Phil. c. Excellent skills (APDNPP) 3. Organizational Climate  Military Nurses Assoc. of the Phil (MNAP) a. Respect pride  Assoc. of Diabetic Nurse Educators of the Phil. (ADNEP) b. Teamwork  Renal Nurses Assoc. in the Phil. (RENAP) c. Ownership  Phil. Oncologic Nurses Assoc. (PONA)  Society of Cardiovascular Nurse Practitioners in the Phil. THE PHILIPPINE NURSING LAW  Phil. Society of Emergency Care Nurses Law - Sum total of rules, and regulations by which society is Fields of Nursing governed  Nursing Practice - Rule of conduct pronounced by controlling authority  Nursing Education (government)  Nursing Research  Nursing Administration Three Essential Characteristics of a Law  Military Nursing - Authority or the right to declare that the rule exists  Occupational Health Nursing - Pronounced or expressed and the source can be  Entrepreneurship identified (must be declared in writing) o Day care centers - Right to enforce the same o Clinics o Home health RA – congress/senator o Review/recruitment centers EO – government o Training centers PD – president (Marcos)  Consultancy Batasang Pambansa – since no congress/senator in Marcos’ time Roles of a Nurse  Direct care provider Principal Sources of Law  Clinical decision maker - Constitution  Client and family advocate - Statutes or legislations (Republic Acts)  Researcher - Regulations issued by the Executive Branch of the  Educator government (Executive Orders)  Counselor - Case decisions or judicial opinions  Administrator - Presidential decrees  IT consultant - Letters of instructions University of Santo Tomas – College of Nursing / JSV  Professional Adjustment o Academic degree requirement for the Nursing Legislation Members of the Board was Master’s degree - The making of laws or the body of laws already instead of BSN enacted affecting the science and the art and practice of nursing August 31, 1970 RA 6136 REPULIC ACT 9173  Amended sub-paragraph 7 of Sec 17 of RA 877, which  An act providing for a more responsive nursing provided for the application and execution of legal profession repealing for the purpose RA 7164 otherwise orders in writing of physicians including the application known as the Philippine Nursing Act of 1991 and for of hypodermic and IM injection, provided, that IV and other purposes other injections may be administered under the  Repeal- law is changed altogether direction and in the presence of the said physician  Amend- only certain parts are changed RA 7164 Concept of Law  “The Philippine Nursing Act of 1991”  Sum total of rules and regulations by which society is  Codified and revised all the laws regulating the governed practice of nursing in the Phil  Rule of conduct pronounced by controlling authority  Salient Features: o Based on the different branches of the o Redefinition of the scope of nursing practice; government not only bedside o Educational qualification of Master’s degree 3 Essential Characteristics of a Law for faculty and deans of colleges of nursing 1. Authority or the right to declare that the rule exists o Educational qualifications of administrators of 2. Pronounced or expressed and the source can be nursing service identified (must be declared in writing) o Inclusion of the phrase “unethical conduct as 3. Right to enforce the same one of the reasons for revocation and suspension of certificate of registration Principle Sources of Laws o IV therapy training is required  Constitution  LEGAL BASIS OF SPECIALTY CERTIFICATION COUNCIL  Statutes or legislations (RAs) RA 9173  Regulations issued by the Executive Branch of the  “Philippine Nursing Act of 2002” which repealed RA government (EOs) 7164/ Oct 21,2002 by Arroyo o Urgent laws  Salient Features:  Case decisions or judicial opinions o Increased composition of Board to 7: o When we are not clear about the provisions of  Carmencita Abaquin – UP – a law Onco/MS  Presidential decrees  Betty Merritt – Psych  Letters of Instructions  Perla Po – Psych  Leonila Faire – OR practical *Nursing Law – Committee on Health  Marco Antonio Santo Tomas – Historical Perspectives of Philippine Nursing Law MCN/IMCI/Legislation Santo Tomas  Amelia Rosales – TQM 1915 Act No. 2493  Yolanda Arugay - Research  Regulated the practice of medicine and provided for o Recognizes the specialty certification the examination and registration of nurses in the Phil. program Islands o Requires those inactive in practice to undergo 1 month didactic and 3 months practicum 1919 Act 2808 (not yet implemented)  The first True Nursing Law was passed, creating a Board o Suturing perineal lacerations is allowed after of Examiners for Nurses undergoing training according to protocol 1920 established (MCNAP)  First board examination for nurses was given o Provides for incentives and benefits system for nurses and dependents June 19, 1953 RA 877 o Upgraded the salary of government nurses to  “The Philippine Nursing Law” was passed SG15  Organization of Board of Examiners o Any committee head shall be headed by  Provisions regarding nursing schools and colleges BON  Examination and registration of nurses  Sundry provisions relative to the practice of nursing Declaration of the Policy  It is hereby declared the policy of the state to assume Amend – change parts of the law responsibility for the protection and improvement of the Repeal – remove completely nursing profession by instituting measures that will result in relevant nursing education, humane working June 18, 1966 RA 4704 condition, better career prospects (career progression  Amended certain portions of RA 877 which include: program/specialty programs) and a dignified existence o Membership of the Board was increased from for our nurses 3 to 5 members o Members of the Board were to appointed by the President with the consent of the Commission on Appointments University of Santo Tomas – College of Nursing / JSV  Professional Adjustment Creation and Composition of the Board Administrative Supervision of the Board  Chairperson: 1  Custodian of its Records- including applications for  Members: 6 examinations, administrative and other investigative  APPOINTMENT by the PRESIDENT of the RP cases conducted by the Board  FROM: 1 vacancy  3 nominees from APO  2  Secretariat and other support services: The commission recommendees for every vacancy by the Professional shall: Regulation Commission  President  Screened by the immediate past president of PNA and other alive PNA presidents Powers and Duties of the Board  Chairman: Carmencita Abaquin  Executive/Administrative, quasi-legislative, quasi-  Members: judiciary o Betty Merritt  Conduct license examination for nurses (executive- o Perla Po routine function) o Leonila Faire  Issue (exec), suspend and revoke (quasi-judiciary) o Marco Antonio Santo Tomas certificates of registration for the practice of nursing o Amelia Rosales  Monitor and enforce quality standards of nursing o Yolanda Arugay practice in the Phil (exec) and exercise the powers necessary to ensure the maintenance of… Qualifications of the Chairperson and Members of the Board of  Ensure quality nursing education by examining the Nursing prescribed facilities of universities, colleges, and  Be a natural born citizen and resident of the Phil institutions to ensure that they comply with standards  Be a member of good standing of the accredited  Conduct hearings and investigations to resolve professional organization of nurses (paying one’s complaints against nurse practitioners obligation)  Promulgate a code of ethics in coordination and  Be a registered nurse and a holder of a master’s consultation with the accredited professional degree in nursing, education or other allied medical organization within one (1) year form the effectivity of profession conferred by a college or university duly this Act recognized by the Government provided that the  Recognize nursing specialty organizations in chairperson shall be a holder of master’s degree in coordination with the accredited professional nursing organization  Have at least 10 years of continuous practice of the  Prescribe, adopt, issue and promulgate guidelines, profession prior to the appointment: Provided however, regulations, measures, and decisions for the that the last 5 years of which shall be in the Philippines improvement of nursing practice, advancement of  Not have been convicted of any offense involving profession, and for the proper and full enforcement of moral turpitude (if charged only, pwede pa) this Act subject to the review and approval by the  Provided, that the membership to the Board shall Commission represent the 3 areas of nursing, namely nursing education, nursing service and community health Annual Report nursing - Submitted to the president Requirements upon Qualification as Member of BON  Immediately resign from: Grounds for Removal o Any teaching position in any school, college, - President may remove or suspend any member of the university or institution offering BSN and/or Board after having been given the opportunity to review program for the local board defend himself/herself in a proper administrative examinations investigation o Any office or employment in the government  Neglect of duty/Incompetence or any subdivision, agency or instrumentality  Commission or toleration of irregularities in the thereof, including government-owned or – licensure examination controlled corporations or their subsidiaries  Unprofessional, immoral or dishonorable conduct o Those employed in the private sector  He shall not have any pecuniary (financial) interest in or Examination and Registration administrative supervision over any institution offering  Licensure Examination BSN including review classes o PRC Modernization act of 2000 (RA 8981)  Term of office: 3 years and until successors have been o Written examination given by the BON appointed and qualified  May be re-appointed for another term Qualification for Admission to the Licensure Exam  Hold-over capacity – limitless; more than 9 years  Citizen of the Philippines  Any vacancy In the Board occurring within the term of  Citizen of a country that allows Filipino nurses to a Member shall be filled for the unexpired portion of the practice within its territorial limits on the same basis as term only the subject or citizen of such country provided,  Term of Office: each member of the Board shall take o Requirements should be substantially the proper oath of office: one in PRC and one in same Malacanang o ASEAN- mutual recognition arrangement  Compensation of the Board: Shall receive (2007) (Singapore) compensation and allowances comparable to the  Good moral character compensation and allowances received by the  Holder of BSN degree from a college or university that Chairperson and members of other PRC Boards: SG28 complies with the standards of nursing education duly recognized by the proper government agency University of Santo Tomas – College of Nursing / JSV  Professional Adjustment Scope of Examination o Whose services are either for a fee or free if  Determined by BON they are internationally well-known specialists  Shall take into consideration: or outstanding experts in any branch or o Objectives of nursing curriculum specialty of nursing o Broad areas of nursing (OB, CHN, Psych, MCN) o Employed by schools, colleges of nursing as and other related disciplines (AP, Pharma, exchange professors in a branch or specialty MicroPara, Physics) of nursing o Competencies o On medical mission whose service shall be Ratings free in a particular hospital, center or clinic  General Ave: at LEAST 75% with a rating of not below  Provided however that the temporary permit shall be 60% in any subject effective only for the duration of the project, medical  Average rating of 75% or higher but gets a rating below mission or employment contract 60% in any subject must take the examination again but only in the subject or subjects where he is rated Grounds for Non-registration and Non-issuance of Certificates of below 60% Registration/Professional License or Special/Temporary Permit  In order to pass, an examinee must obtain a rating of at  Convicted by final judgment of any criminal offense least 75% in the subject or subjects repeated involving moral turpitude  Conditional status passers must take the test within 2  Guilty of immoral or dishonorable conduct years  Declared by the court to be of unsound mind Issuance of Certificates of Registration/Professional License and Grounds for Revocation and Suspension of Certificate of Professional Identification Card Registration/Professional License and Cancellation of  License shall be given to the passed applicant upon Special/Temporary Permit payment of fees  Any of the causes under non-registration o Initial registration: 400  Unprofessional and unethical conduct o 150x3year = 450  Gross incompetence or serious ignorance o ID - 100  Malpractice or negligence in the practice of nursing  Shall show the ff:  Use of fraud, deceit or false statements in obtaining a o Full name including middle name certificate of registration/professional license or o Serial number temporary/special permit o Signature of chairperson of the Commission  For violation of this Act, the rules and regulations, Code and members of the Board of Ethics for nurses and technical standards for nursing o Official seal of the Commission practice, policies of the Board and the Commission, or the conditions and limitations for the issuance of Once you have a license, you have it forever! temporary/special permit Your new ID will be renewed in 3 years on your birth month  For practicing his/her profession during his suspension (suspension shall not exceed for 4 years) Professional Identification Card  Duly signed by Chairperson of the Commission Reissuance of Revoked Certificates and Replacement of Lost  Date of Registration Certificates  License number  After expiration of a max of 4 years from the date of  Date of Issuance revocation of a certificate  Date of Expiration  For reasons of equity and justice Oath:  When the cause for revocation has disappeared or has  All successful candidates shall be required to take an been cured and corrected oath of profession before the Board or any government  Upon application thereof and the payment of the official authorized to administer oaths prior to entering required fees upon the nursing practice  A new certificate of registration/professional license to replace certificate that has been lost, destroyed or Fees for Examination of Nurses mutilated may be issued, subject to the rules of the - 900 pesos Board (majority rule) Automatic Registration of Nurses NURSING EDUCATION  All nurses whose names appear at the roster of nurses The Nursing Education Program shall be automatically or ipso facto registered as nurses  Shall provide sound general and professional under this Act upon its effectivity foundation for the practice of nursing  The learning experiences shall adhere strictly to specific Registered by Reciprocity requirements embodied in the prescribed curriculum as  License may be issued without examination to nurses promulgated by the CHED’s policies and standards for registered under laws of a foreign state or country nursing education provided o Requirements for registration or licensing Requirement for Inactive Nurses Returning to Practice should be substantially the same  Nurses who have not actively practiced the profession o Such state or country grant the same for 5 consecutive years are required to undergo: 1 privileges to RN of the Phil month didactic and 3 months practicum  The board shall accredit hospitals to conduct the said Practice through Temporary Permit training program  Granted to licensed nurses from foreign countries/states: University of Santo Tomas – College of Nursing / JSV  Professional Adjustment Qualifications for Faculty  Administration of written prescription for treatment  RN in the Phil therapies, oral, topical and parenteral medications.  At least 1 year of clinical practice in a field of LAW IS SILENT ON THE REQUIREMENT OF IV TRAINING specialization  Internal examination during labor in the absence of  Member of good standingin the APO of nurses antenatal bleeding and  Master’s degree in nursing, education, or other allied  Delivery in the case of suturing perineal lacerations, medical and health sciences conferred by a college or special training shall be provided according to university duly recognized by the Government of the RP protocol established Qualifications of the Dean Qualifications of Nursing Service Administrators:  Qualifications of faculty +  RN  Master’s degree in nursing  At least 2 years of experience in general nursing  At least 5 years of experience n teaching and administration supervision of nursing education programs  BSN with at least 9 units in management and administration courses at graduate level Scope of Nursing  Member of good standing APO  A person shall be deemed to be practicing nursing within the meaning of the Act when he: singly or in Qualifications of Chief Nurse or Director of Nursing collaboration with another, initiates and performs  In addition to the requirements for supervisory or nursing services to individuals, families and communities managerial position, in any health care setting o At least 5 years of experience of supervisory or  Includes but not limited to nursing care, during managerial position in nursing conception, labor, delivery, infancy, childhood, o Master’s degree in nursing toddler, pre-school, school age, adolescence adulthood and old age.  As member of health team: Qualificat BON Nursing Nursing Practice o Collaborate with other health care providers ion Education for the curative, preventive, and rehabilitative Ch Mem De Facult DO Manager aspects of care, restoration of health, air ber an y N alleviation of suffering RN + + + + + + Educatio MA Nursin MA Nursin MA BSN + 9 Duties of a Nurse: nal N g N g N units in  Provide nursing care through the utilization of the attainme educ, educ, managem nursing process nt allied allied ent and  Establish linkages with the community resources and medic medi admin coordination with the health team al cal courses  Provide health education to individuals, families and cours cours communities es es  Teach, guide and supervise students in nursing education programs including the administration of Qualifications for Chief Nurses for Primary Hospitals (less than 50 nursing services in varied settings such as hospitals and bed capacity) clinics  RN  Undertake consultative services  At least 2 years of experience in general nursing  Engage in such activities that require the utilization of administrators knowledge and decision-making skills of a registered  BSN with at least 9 units in management and nurse administration  Undertake nursing and health human resource development, training and research which shall include Priority in Appointments but not limited to the development of advanced  Chief Nurse in Public Health Agencies nursing practice o Master’s Degree in Public Health/CHN  The enumerated provisions shall not apply to nursing  Chief Nurse in Military Hospitals students who perform nursing functions under o MA in Nursing and completion of General supervision of a qualified RN Staff Course (GSC)  Observe the Code of Ethics and the Code of Technical Standards for nurses Studies for nursing Manpower Needs, Production, Utilization and  Maintaining competence by continual learning through Development CPE to be provided by the APO or any recognized  The Board in coordination with APO and appropriate professional nursing organization, which shall be government or private agencies shall initiate, submitted to and approved by the Board undertake and conduct human resources blah blah…. Nursing Care includes but not limited to: Comprehensive Nursing Specialty Program  Traditional and innovative approaches  With 90 days from the effectivity of this Act, the board  Therapeutic use of self with Apo, recognized specialty organizations and the  Executing health care techniques and procedures DOH to formulate specialty nursing program to develop  Essential primary healthcare the skills such as but not limited to critical care,  Comfort measures oncology, renal and such other areas determined by  Health teachings the board University of Santo Tomas – College of Nursing / JSV  Professional Adjustment Legal Bases of Nursing Specialty Certification Program Final Provisions - Must serve for 2 years in a hospital in Philippines Implementing Rules and Regulations – Bon Resolution No. 435 - Chairman of board should be BON - Clarify issues and statements in the law that are not - NSCC must have a c onsumer there 4 Major groups of Nursing Specialties - Promulgated in Oct 22,3003 - Group 1 – CHN - Published in the official gazette: Dec 15, 2003 - Group 2 – MS - Group 3 – MCN Separability Clause - Group 4 – PSYCH - If any act is unconstitutional, the remaining parts not affected thereby shall continue to be valid and Dreyfuss Model operational - Used by Patricia Benner in her theory UNLAWFUL ACTS AND PENALTIES - Level:1 Nurse Clinician I  Importation of dangerous and/or controlled precursors - Level II: Nurse Clinician II (no masters but passed and essential chemicals –life imprisonment to death compre exams) and ranging from PHP 500 000 to 10 M pesos - LevelIII: Nurse Clinician III (Clinical Nurse Specialist –  Sale, trading, dispensation, delivery, distribution and Master’s degree holder) transportation of DD and/or controlled precursors and essential elements-same as in importation Sept 23, 2005 – first national conference on advanced nursing RA 6675 – Generics Act of 1988, act to promote, require and practice ensure the production of an adequate supply, distribution, use - Certification of New Applicants and acceptance of drugs and medicines identified by their o Individuals generic names. Medicines are prescribed in generics o Specialty organizations - Presentation of draft RA 9502 – Universally Accessible Cheaper and Quality Medicines Act of 2008 or the CHEAPER MEDICINES ACT OF 2008 Salary - Minimum of salary grade 15 under RA 6758 EO 821 – prescribes Maximum Drug Retail Prices (MDRP) for “Compensation and Classification Act of 1989” selected drugs and medicines - Provided, that for nurses working in LGUs, adjustment in their salaries shall be in accordance with Sec 10 of the THE FIVE ESSENTIAL DRUGS UNDER MDRP said law  Amlodipine – for HTN  Atorvastatin – for anti-cholesterol Incentives and Benefits  Azithromycin – antibiotic/antibacterial - Free hospital care for nurses and their dependents,  Cytrabine and Doxorubicin – and all its salt form both scholarship grants, and other non-cash benefits for anti-neoplastics/anti-cancer - Government and private hospitals are mandated to maintain the standard nurse-patient ratio set by the PUBLIC HEALTH DOH  RA 1082 – created the Rural Health Units staffed with rural health personnel including nurses Penal and Miscellaneous Provisions  RA 4073 – liberalizes the treatment of leprosy Prohibitions in the Practice of Nursing  RA 8504 – Philippine AIDS prevention and control act of - 1998 Any person practicing in the Philippines within the meaning of this Act: RA 10606, Universal Health Care Act of 2013 - Without a certification of registration/ license and ID  Ensure that all Filipinos, especially the poorest of the but still practices poor, will get health insurance coverage form the - Uses own certificates of registration/license/temporary Philippine Health Insurance Corp. (PhilHealth) permit of another  The law mandates a national health insurance program - Invalid certificate of registration or an expired or (NHIP) as the means for the health to help pay for the cancelled temporary special permit care of the sick and for those who can afford medical - Who gives false evidence to the Board in order to care to subsidize those who cannot obtain a certificate of registration - Who falsely poses or advertises as a registered nurse  RA 1054 – requires the owner or lessee of any industrial, - Who appends BSN/RN in name without degree commercial or agricultural establishments to provide conferred free emergency medical and dental services to his/her - Who is a RN assists the illegal practice of a person employees or laborers - Who conducts review classes for local and foreign  RA 3573 – reporting of communicable diseases examination without permit/clearance from the Board  RA 8423 – an act creating the Philippine Institute of and the Commission Traditional and Alternative Health Care (PITACH) to - Any employer of nurses who violate the minimum base accelerate the development of traditional and pay of nurses and the incentives and benefits that alternative health care in the Philippines, providing for a should be accorded them as specified in Sec. 32 and Traditional and Alternative Health Care Development 34 Fund - Any person/chief executive who violates University of Santo Tomas – College of Nursing / JSV  Professional Adjustment OTHER HEALTH PROFESSIONS PRACTICE ACTS GOVERNMENT SERVICE  RA 7392 – Midwifery Law provides that only those who  RA 6758 – standardizes the salaries of government are licensed midwives could practice midwifery employees, which include the nursing personnel o Nurses have to pass the examination and  RA 6173 – Code of Conduct and Ethical Standards for submit twenty (20) deliveries and pay the Public Officials and Employees, upholds the time- corresponding fees for the examination and honored principle that public office is a public trust registration  EO 811 – New Salary Standardization Law 3  PD 965 – requires that couples intending to get married  RA 7160 – Local Government Code, transfers must first undergo family planning and responsible responsibility for delivery of basic services and facilities parenthood instructions prior to the issuance of a of the national government to local government units marriage license  RA 7305 – “Magna Carta for Public Health Workers”, to  RA 10354 – the responsible parenthood and promote and improve the social and economic well- reproductive health act of 2012 being of health workers; develop their skills and o Guarantees universal access to methods of capabilities; and encourage those qualified to remain contraception, fertility control, sexual in government service education and maternal care SENIOR CITIZENS ACT WOMEN AND CHILD HEALTH  RA 7432 – Senior Citizens Act, gives honor and justice to  PD 996 – requires compulsory immunization of children the elderly, giving them 20% discount in all public below 8 years old against communicable diseases establishments such as restaurants, pharmacies, public  PD 603 – Child and Youth Welfare Code, protects and utility vehicles and hospitals promotes the rights and welfare of children and youth  RA 9257 – Expanded Senior Citizens Act of 2003  PD 651 – decrees the registration of birth of a child amending RA 7432 within 30 days with the Civil Registrar  RA 7600 – Rooming-in and Breast-feeding act of 1992, PRIVILEGES FOR THE SENIOR CITIZENS provides that babies born in private and government  20% discount from all establishments relative to the hospitals should be roomed-in with their mothers to utilization of services in hotels or similar lodging promote breastfeeding and ensure safe and adequate establishments, restaurants and recreation centers, nutrition to the children purchase of medicines in all establishment for the  EO 51 – Milk code of the Philippines exclusive use or enjoyment of senior citizens including  EO 209 – Family code of the Philippines funeral and burial services for the death of senior  RA 6809 – An act lowering the Age of Majority to 18 citizens (1989)  Exception from payment of income taxes  RA 9288 – An act promulgating Comprehensive Policy  Free medical and dental services, diagnostic and and a National System for ensuring Newborn Screening laboratory fees in government facilities, 20% discount in (April 7, 2004) private o 5 disorders  20% discount in fare for domestic air and sea travel,  Congenital Hypothyroidism (CH) public railways, skyways and bus fares  Congenital Adrenal Hyperplasia  Provision for express lanes for senior citizens (CAH)  Galactosemia (GAL)  RA 9994 – Amended RA 7432, exemption from paying  Phenylketonuria (PKU) the Value Added Tax for goods and services procured  Glucose-6-Phosphate by a senior citizen Dehydrogenase (G6PD)  RA 9262 – Anti-Violence against Women and their HISTORICAL PERSPECTIVES Children Act of 2004  1982 – PNA Special Committee headed by the late  RA 9344 – Juvenile Justice and Welfare Act of 2006 Dean Emeritus Julita V. Soteho developed a Code of o Forms a welfare council under the DOJ and Ethics for Filipino Nurses. This was approved by the SWD House of Delegates during the Third annual o Children below 15 are exempted form conventions but was not implemented. criminal charges while youth offenders ages  1984 – BON Resolution 633 was issued and adopted the 15-18 could only be criminally charges if they Code of Ethics of the International Council for Nurses, committed their crime with discernment adding the promotion of spiritual environment as the fifth-fold responsibility of the nurse. This was enforced up HOSPITAL AND LABOR LAWS to 1989.  RA 8344 – An Act Penalizing the Refusal of Hospitals and  1989 – PNA promulgated a new Code of Ethics and Medical Clinics to administer appropriate initial medical was approved by the BON through its BON Resolution treatment and support in emergency cases 1955 s. 1989.  RA 9439 – Anti-Patient Illegal Detention Law  2004 – BON Resolution 220 – Promulgation of the Code o Exception: patients confined in private rooms of Ethics for Registered Nurses PREAMBLE SOCIAL SECURITY AND INSURANCE SYSTEM  Health is a fundamental right of every individual. The  PD 1636 – Requires compulsory membership in the GSIS nurse’s primary responsibility is to preserve health at all and SSS cost  PD 626 – Employee compensation and state insurance  Encompasses the promotion of health, prevention of fund provides benefits to workers covered by SSS or illness, alleviation of suffering and restoration of health GSIS for immediate injury, illness or disabilities  When the foregoing are not possible assistance  RA 7875 – National Health Insurance Act towards peaceful death shall be his/her obligation University of Santo Tomas – College of Nursing / JSV  Professional Adjustment  To assume this responsibility, RNs have to gain REGISTERED NURSES AND PATIENTS knowledge and understanding of man’s cultural social,  Ethical Principles spiritual, psychosocial, and ecological aspects of illness, o Registered nurses are advocates of the utilizing the therapeutic process patients: they shall take appropriate steps to  Cultural diversity and political and socio-economic safeguard their rights and privileges status are inherent factors to effective nursing care  The desire for the respect and confidence of clientele, PATIENT’S BILL OF RIGHTS colleagues, co-workers and the members of the  Adequate nursing care community provides the incentive to attain and  Informed consent maintain the highest possible degree of ethical  Privacy and confidentiality conduct  Disclosure of information  Choose attending nurse REGISTERED NURSES AND PEOPLE  Refuse treatment  Ethical Principles  Receive visitors o Values, customs and spiritual beliefs of  Communication individuals must be respected  Religious beliefs and practice o Individual freedom to make rational and  Express grievances unconstrained decisions shall be respected o Personal information acquired in the process  Guidelines to be observed of giving nursing care shall be held in strict confidence o Respect the Patient’s Bill of Rights  Guidelines to be observed o Provide the patients or their families with all o Consider the individuality and totality of care pertinent information except those which may o Respect the spiritual beliefs and practices of be deemed harmful to their well-being patient regarding diet and treatment o Uphold the patient’s rights when conflict arises o Uphold the rights of individuals regarding management of their care o Consider the culture and values of patients. In times of conflicts, their welfare and safety REGISTERED NURSES AND… must take precedence  Ethical Principle o RNs are aware that their actions have REGISTERED NURSES AND PRACTICE professional, ethical, moral and legal  Ethical Principles dimensions o Human life in inviolable o RNs strive to perform their work in the best o Quality and excellence in the care of patients interest of all concerned are goals of nursing practice o Accurate documentation of actions and  Guidelines to be observed outcomes of delivered care is the hallmark of o Perform their professional duties in conformity nursing accountability with existing laws, rules and regulations,  Guidelines to be observed measures and generally accepted principles o Know the definition and scope of nursing of moral conduct and proper decorum practice (RA 9173 and BON Resolution 425) o Not allow themselves to be used in o Be aware of the duties and responsibilities in advertisement that would demean the image the practice of their profession as defined by of the profession (indecent exposure, violation the law and the IRR of dress code, seductive behavior, etc.) o Acquire and develop the necessary o Decline any gift, favor or hospitality which competence in knowledge, skills and attitudes might be interpreted as capitalizing on to effectively render appropriate nursing patients services through varied learning situations o Not demand or receive any commission, fee o For administrators, be responsible in providing or emolument for recommending or referring favorable environment for the growth and a patient to a physician, a co-nurse or development of RNs in their charge another healthcare worker; not to pay any o Be cognizant that the professional program for compensation, fee or other compensations to the specialty certification by the BON are the one referring or recommending a patient accredited through the NSCC to them for nursing care o Ensure that quality nursing care and practice o Avoid any abuse or privileged relationship meet the optimum standards of safe nursing which exists with patients and of privilege practice access allowed to their property, residence or o Ensure that modification of practice shall workplace consider principles of safe nursing practice o Be normally and legally responsible for REGISTERED NURSES AND CO-WORKERS devising a system of minimizing occurrences of ineffective and unlawful nursing practice  Ethical Principles o Ensure that patient’s records shall be o RNs are in solidarity with other members of the available to those who are professionally and health team in working for the patient’s best directly involved in their care and when they interest are required by law o RNs maintain collegial and collaborative working relationship with colleagues and other health care providers University of Santo Tomas – College of Nursing / JSV  Professional Adjustment  Guidelines to be observed  Guidelines to be observed o Maintain their professional role/identity while o Be members of the accredited professional working with other members of the health organization (PNA) team o Participate actively in the growth and o Conform with group activities as those of a development of the nursing profession health team should be based on acceptable o Strive to secure equitable socio-economic ethico-legal standards and work conditions in nursing through o Contribute to the growth and development of appropriate legislation and other means other members of the health team o Assert for the implementation of labor and o Actively participate in professional work standards organizations o Not act in any manner prejudicial to the other ADMINISTRATIVE PENALTIES professions  Revocation or suspension of certificate of registration of o Honor and safeguard the reputation and an RN for violation of any provision for this Code (Sec 23 dignity of the members of nursing and other f, Art. IV of RA 9173 and Sec 23 f, Rule III of BON Res. 425 professions; refrain from making unfair and s. 2003, the IRR) unwarranted comments and criticism on their competence, conduct and procedures; or  Guidelines to be observed not to do anything that will discredit a o Know the definition and scope of nursing colleague and to any member of other practice (RA 9173 and BON Res. 425) professions o Be aware of the duties and responsibilities in o Respect the rights of co-workers the practice of their profession as defined by the law and the IRR REGISTERED NURSES, SOCIETY AND ENVIRONMENT o Acquire and develop the necessary competence in knowledge, skill and attitude  Ethical Principles to effectively render appropriate nursing o The preservation of life, respect for human services through varied learning situations rights and promotion of a healthy environment shall be a commitment of a RN o The establishment of linkages with the public in promoting local, national, and international efforts to meet the health and social needs of the people as a contributing member of society is a noble concerns of a RN  Guidelines to be observed o Be conscious of their obligations as citizens and, as such, be involved in community concerns o Be equipped with knowledge of health resources within the community, and take active role in primary health care o Actively participate in programs, projects and activities that responds to the problems of society o Lead their lives in conformity with the principles of right conduct and proper decorum o Project an image that will uplift the nursing profession at all times REGISTERED NURSES AND THE PROFESSION  Ethical Principles o Maintenance of loyalty to the nursing profession and preservation of its integrity are ideal o Compliance with the by-laws of the accredited professional organization (PNA) o Commitment to continual learning and active participation in the development and growth of the profession are commendable obligations o Contribution to improvement of the socio- economic conditions and general welfare of nurses through appropriate legislations is a practice and a visionary mission University of Santo Tomas – College of Nursing / JSV  Professional Adjustment REPUBLIC ACTS  RA 7846 – Vaccination in the NB of Hepatitis B 24 hrs  RA 1054 – Free emergency dental and medical services after birth to workers  RA 7875 – National Health Insurance Act of 1995  RA 1080 – Civil Eligibility  RA 7877 – Anti-sexual Harassment Act  RA 1082 – Creation of the Rural Health Units  RA 8187 – Paternity Leave Act  RA 1612 – Privilege Tax/Professional Tax Payments  RA 8344 – Hospitals/MDs to treat emergency cases  RA 1636 – Compulsory membership to both GSIS/SSS referred for treatment  RA 2382 – Philippine Medical Act  RA 8423 – Traditional Alternative Medicine Act  RA 3573 – Reporting of Communicable Diseases  RA 8749 – Clean Air Act  RA 4226 – Hospital Licensure Act  RA 8981 – PRC Modernization Act  RA 5181 – Permanent residency and reciprocity as  RA 9003 – Solid Waste Management Act requirements for exam and registration  RA 9173 – Philippine Nursing Law of 2002  RA 5921 – Pharmacy Act  RA 9165 – Comprehensive Dangerous Drug Act of 2002  RA 5901 – 40 working hours per week for nurses working  RA 9262 – Law on Violence Against Women and their in a hospital with at least 100 bed capacity Children  RA 6325 – Creation of the Population Commission  RA 9288 – Newborn Screening Act  RA 6425 – Old Dangerous Drug Act of 1972  RA 9344 – Juvenile Justice and Welfare Act  RA 6511 – Standardized the examination and  RA 9439 – Anti-patient’s detention law registration feeds  RA 9257 – Expanded Senior’s Citizen Act  RA 6675 – Generics Act of 1988  RA 9502 – Universally Accessible Cheaper and Quality  RA 6713 – Code of Ethics and Conduct for government Medicines Act of 2008 employees  RA 9994 – Exempting Senior Citizen’s from payment of  RA 6758 – Salary Standardization Law for government VAT for goods and services produced by them workers  RA 7160 – Local Autonomy Code (Devolution of the LGU)  RA 7164 – The Philippine Nursing Law of 1991  RA 7170 – Organ Donation  RA 7305 – Magna Carta for public health workers  RA 7432 – Senior Citizen’s Act  RA 7600 – Rooming-in and Breastfeeding Act  RA 7610 – Child Abuse and Exploitation  RA 7624 – Drug Education Law  RA 7719 – Blood Bank Act of 1994 University of Santo Tomas – College of Nursing / JSV  Professional Adjustment PRESIDENTIAL DECREES PRC and BON RESOLUTIONS  PD 48 – paid maternity leave benefits up to 4 children  BON RES. 82 – Standards for Safe Nursing Practice only  PRC RES. 90-11 – New rates or examination and  PD 69 – Claiming personal exemptions up to 4 children registration  PD 147 – National immunization day  BON RES. 220 – Code of Ethics for Filipino nurses of 2004  PD 148 – Minimum employable for women is 16 years of  BON RES. 179 – Continuing professional education units age for all professionals  PD 223 – Creation of professional regulation commission  PRC RES. 463 – Prohibitions inside the examination  PD 442 – New labor code venues  PD 541 – Allowing former Filipino professionals to  PRC RES. 425 – IRR of the New Nursing Law RA 9173 practice in Philippines  BON RES. 112 – Adoption of core competency  PD 603 – Child and youth welfare code standards for nursing practice  PD 626 – Employee and compensation as state  BON RES. 459 – Maternal and child standards for safe insurance fund nursing practice  PD 651 – Birth registration within 30 days after delivery  BON RES. 357 – Submission and attachment of  PD 825 – Anti- improper disposal of garbage documents prior to applying for PNLE  PD 851 – 13th month pay  PD 856 – Code of Sanitation  PD 965 – Family planning and responsible parenthood seminar prior to being issued a marriage license  PD 996 – Compulsory immunization for children below 8 years old  PD 1636 – Compulsory membership to either GSIS/SSS University of Santo Tomas – College of Nursing / JSV