PROFESSIONAL ADJUSTMENT

NURSING IS A PROFESSION
Defined by PNA adapted from ANA
A calling which its members profess to have acquired a unique body of
knowledge and skills for purpose of guiding and caring others
Calling service oriented
Unique special body of knowledge
Members RN
Others patients recipient of care

CHARACTERISTICS OF NURSING PROFESSION
A accountability liability of own actions
A autonomy PRC, BON
C caring profession CENTRAL FOCUS; core of nursing practice
C competency continuing education to update KSA
E ethics under BON Res 220; 1982
S service oriented or Altruism genuine service, not profit oriented
S specialized scientific body of knowledge and skills

DEFINITION OF PROFESSIONAL NURSE
Completed a basic nursing program (BSN)
Licensed in the country to practice nursing

PROFESSIONAL DUTIES OF A NURSE (RA 9173)
INDEPENDENT FUNCTIONS
Promotive, Preventive, Curative, Rehabilitative in all health care settings
Health education
Utilizes nursing process (ADPIE)
Links patients in different health care services or community resources
Collaborate with other health care providers for continuity of pt care
Training of nursing students and supervision of subordinates
Observation of S/S provide proper intervention
Accurate recording and reporting
Perennial Suturing after training
Perform IE if antenatal bleeding is absent and before full delivery

DEPENDENT FUNCTION
Execution of valid doctors order
RN cant give meds w/o doctors order otherwise will be held liable for
malpractice.
A doctors order is valid when giving medication is when it is put into writing
and signed by the physician. Whatever is not put into writing is considered not
ordered by the physician.

GOOD SAMARITAN ACT
Universal law that protects any person who give an aid to another person whose life
is in danger.
During emergency, national calamity, national epidemic if there is no doctor around
the life or the patient is in possible danger, you can give drugs alone provided you
know the drugs for the patient.

RA 8344
No deposit policy during emergency cases only
Emergency care first before asking for deposit

AREAS OR FIELDS OF NURSING PRACTICE
INSTITUTIONAL NURSING
H ospital Based Venue
D Duties are routinary and supervised
A Acquired different learning and technical skills
C Coordination with HCT
S Specialized areas
o Nurse Specialist staff nurse
First Level Position: staff nurse




General Staff Nurse
o General Wards, Surgical Ward, Medical Ward, Pedia Ward, OB Ward
Nurse in Special Areas
o ER Nurse, ICU Nurse, OR Nurse, Nurse Anesthetist, DR Nurse,
Nursery, Diagnostic Nurse, Psychiatric Nurse, Hemodialysis Nurse,
Post Mortem Nurse, CD Nurse, Ortho Nurse

PUBLIC HEALTH NURSING / COMMUNITY HEALTH NURSING
Practice of nursing in local, national, and city health departments including
health centers and public schools. It also includes parish nursing.
PUBLIC SCHOOL NURSE
PUBLIC HEALTH NURSE
o Nurse Generalist cater on all types of pt; broader; variety of roles
o Focus of Care
Promotion of Health and Prevention of Illness because this is
the mandate of Primary Health Care Law
Family and Community Health especially among RURAL POOR
o 1st PHC
1978 in Alma Ata, Russia
Local version of F. Marcos after 1yr of Alma Ata
LOI 949: all public workers to have a duty of promotive and
preventive care for the patient.
PROMOTION OF PUBLIC HEALTH
o PD 8976 MICRONUTRIENT SUPPLEMENTAL ACT
Vit. A, iron supplements, iodine
o PD 825 (ENVIRONMENTAL SANITATION LAW OF THE PHILS)
Cleanliness of environment outside institution (ex. proper
disposal of excreta and drainage system
o PD 856 (SANITATION CODE OF THE PHILS.)
Proper sanitation inside institution that engage in food and water
supply (canteen, mineral water store, public market, Sex shop:
ADONIS, PEGASUS, CHICOS) not applicable to private sex
practitioners)

PREVENTION OF DISEASES
o PD 996 (EPI law)
Compulsory Immunization of children below 9 y/o
o RA 7160 (Local Autonomy Code or Local Government Code)
Decentralization or devolution of care.
DOH together with DILG and local government units (brgy,
provincial) together with community participation they made a
local health board which is the MAYOR.
Purpose of local health board : makes quality health care
available, accessible and proximal for all

INDUSTRIAL OR OCCUPATIONAL HEALTH NURSING
Industrial or Company Health Nurse
Provides healthcare to labourers
1
st
Occupational Nurse: Magdalena Valenzuela
Duties
o Promotive/Preventive
N nutritional
S safety and sanitation
C Counseling
o Curative/Rehabilitative
C care for sick/injured labourers
R Referral
V Visit and ff. ups (home visits)

IN SERVICE EDUCATION
Training and devt of nurses in hospitals and improve quality of service in own
institution

PRIVATE DUTY NURSING
Self employed and reach out and offer their service
Make referrals and collaborates with Physicians



NURSING EDUCATION (NURSE EDUCATOR)
Academic teaching nurse education programs (BSN) in schools
Career Ladder: CIs Dean of a College of Nursing

MILITARY NURSING
Founder: Col. Pearl Tucker
Started before the outbreak of WW II
NURSE CORPS, AFP
o Foundation Day: Sept 5
o 1
st
Military Nurse Brigadier General: Elvegia Mendoza
o Need to study in military for 6 mos (GSC-General Staff Course) Rank of
2
nd
Lieutenant
o High Salary according to rank
o Hospitalization and free medical benefits to parents and dependents

FLIGHT NURSING / AEROSPACE NURSING
For patients, military, or otherwise, who have been evacuated from battle areas
Commissioned officer in Nurse Corpse - assigned in Philippine Air Force (PAF)
NURSE ENTREPRENEUR nursing homes, review centers
NURSE RESEARCHER

NURSING ORGANIZATIONS OR ASSOCIATIONS IN THE PHILIPPINES
ALUMNI ASSOCIATIONS 1st association upon graduation which fosters loyalty
among members
Raise money - endow room in hosp for sick members
Put up scholarships
Acquaint or assist students
Conduct scientific meetings for updates
Publish newsletters

PROF ORGANIZATION: PHILLIPPINE NURSES ASSOCIATON (PNA)
Former Name : Filipino Nurses Association
Date founded : 10-22- 22
Founder: Anastacia Guiron Tupas
First President: Rosario Delgado
First Editor in Chief: Socorro Diaz; 1
st
Publication: The Message
Journal: The Filipino Nurse The Phil. Journal of Nursing
Purposes
o P professional growth to attain highest standards of nursing (AIM)
o U - unity
o P Promotes reciprocity even outside RP
o A advancement of knowledge and skills of nurse
o E ethics promulgation
Other Professional Org: ANSAP, CCNAPI, IRNUP, ORNAP, ONAP
PHILLIPINE NATIONAL RED CROSS (PNRC)
Blood Letting, relief operations, assists in disasters, calamities, and
emergencies, first aid during special occasions (ex. holy week, fiesta)
Disaster Nursing nursing curriculum BLS, CPR; ACLS

BRIEF HISTORY OF PHILIPPINE NURSING LAW
1915 RA 2493 PHILIPPINE MEDICAL ACT
Regulated medical practice
1
st
law that mentioned nursing
provided examination and registration of nurses

1919 RA 2808 FIRST TRUE NURSING LAW
created 3 BON under Department of Interior
o Chairman: Doctor Juan Cabarus
o Nurses: Anastacia Giron Tupas, Belen Del Rosario
Examination date on 2
nd
Monday of June and December

1920 FIRST OFFICIAL BOARD EXAM
Theoretical exam held in amphitheater of college of medicine &surgery in UP
Practical exam held in library of PGH
Topnotcher : Anna Dahlgen 93.5%

1950 RA546 - Examination for nurses under the Office of Pres



1953 RA 877 PHILIPPINE NURSING LAW
1
st
Comprehensive Nursing Law
Required registration of nurses before they can practice
Penal provisions for those nurses practicing without COR
Provisions of nursing schools and colleges, examinations

1966 RA 4704 - amended RA877
Increased BON to 5 members
BON appointed by President
BON educational qualification: Masteral Degree
BON age limit of 65 y/o
Lowered minimum age of applicants to NLE from 21 to 18 yo

1970 RA 6136
Abolished GN program (3yr) BSN (4yr)
Allowed nurses to perform IM injections w/o MDs supervision

1973 PD 223 - PRC

1991 RA 7164 PHILLIPINE NURSING ACT (OLD)
Introduced by Sen. Heherson Alvarez and approved by Pres. Cory Aquino
Only students who are among top 40% of graduating class can be admitted in a
nursing course
Expanded role of nurses: IVT training
BON
M MAN
A Accredited Nursing Org (PNA)
F five MAN team (1 chairman, 4 members)
S 65 y/o 1 year interim period
N Not convicted of any crime
P Pecuniary interest (Absence)
T 10 years nursing practice
C- Citizen of R.P.


2002 - RA 9173 PHILIPPINE NURSING ACT OF 2002
Approved by President Arroyo

I. BOARD OF NURSING
Composition: 7 members (1 chairperson, 6 members)
Appointment: president of the republic of the phils.
Qualifications
R RN, Masters
N Not connected in any moral turptitude
M Member of PNA
A At least 10 yrs in nursing, last 5 yrs in RP
N Natural born citizen and resident of RP
Requirements upon qualification
Immediately resign upon appointment in any teaching position in any
institution, government or private employment.
Absence of Pecuniary Interest or administrative supervision in any
institution offering BSN or review classes.
Shall represent 3 areas of nursing
CHN, Nursing Education, Nursing Service
Term of office
Appointed for 3 years, reappointment (max of 2yrs or terms)
Salary: QUANTUM MERUIT as much as they deserve
Powers, functions and duties
L licensure exam
I Issue, suspend or revoke COR
M monitor standards of nursing practice
E ensure quality nursing education
C code of ethics promulgation
H hear and decides cases of negligence and malpratice
A accredits different nursing organizations
G guides nursing practice in Phil



Grounds for Removal or suspension of a member
o I ncompetence or neglect of duty
o C ommission or tolerance of irregularities in NLE
o U nprofessional, immoral, and dishonourable conduct

II. EXAMINATION AND REGISTRATION
QUALIFICATION FOR ADMISSION TO NLE
Citizen of RP or by Reciprocity
BSN degree holder from school or university whose curriculum is
approved by CHED
DOCUMENTS REQUIRED
Original TOR
RLE certificate
List of cases (scrubs and deliveries assisted)
NSO Birth Certificate
Marriage Certificate, if applicable
EXAM FEE: P900
LAST DAY OF APPLICATION AT PRC: 10 days prior NLE
SCOPE OF EXAM
BON formulated the exam
5 board areas
o NP1 Funda, Prof Ad, Leadership and Mgt, Nsg Research
o NP2- CHN, MCN, Copar
o NP3- Respi, Cardio, GIT
o NP4 Oncology, Immunology, ABC, Emergency, Trauma Nursing
o NP5- Neuro, EENT, PsychiaTRIC
RATINGS
General average at least 75% with rating of not < 60% in any subjects
If >75% but with a subject <60%, must repeat that subject with a rating
> 75%
Renewal of exam shall be taken within 2 years after last failed exam
Reconsideration of ratings request may be entertained only on grounds
of mechanical, clerical, or clear errors. Should be filed with the PRC within
90 days from the date of the official release of the exam results
OATH TAKING OF PASSERS- --- 15 days upon the release of NLE
ISSUANCE OF COR OR PROFESSIONAL LICENSE
Issued by BON
In having a license, its PRIVELEGE not a right
a. Bearing of COR
o full name of the registrant
o serial number
o signature of the Chairperson and members of the Board
o official seal of the Commission and the Board
b. Bearing of PRC CARD
o Date of Registration
o License Number
o Date of Issuance and Expiration Date
RENEWAL OF LICENSE: Every 3 years on birth month
GROUNDS FOR REVOCATION OR SUSPENSION OF COR OR LICENSE
Conviction of any moral turptitude
Unprofessional or unethical conduct
Gross incompetence or serious ignorance
Malpractice or negligence
Use of fraud, deceit or false statements in obtaining COR
Violation of RA 9173, Code of Ethics for nurses BR 220
Practicing profession during suspension


RA 1080 CIVIL SERVICE ACT
automatic civil service eligible once you pass PRC NLE exam

RA 8981 PRC MODERNIZATION / COMPUTERIZATION ACT
after 5 days, result of board will come out



REGISTRATION BY RECIPROCITY
DO UT DES: for the country to expect favor from another it should be willing to
give correspond favor
Conditions before RNs in a foreign country can practice in RP
Registration in their country are substantially same in our country
Under their laws, Filipino nurses are granted the same privileges and on the
same basis as their citizens.
applicant is a nurse registered in his country
applicant has resided in the Phil. for at least 3 consecutive year

SPECIAL OR TEMPORARY PERMIT TO PRACTICE FOR LICENSED FOREIGN NURSES:
well-known specialists or outstanding expert or lecturer
on a medical mission
exchange professors
** Permit valid for the duration of the project, mission or employment contract.

Other Licensure Exams
US RN Nclex
KSA Prometric
UK / Australia NMC / UKCC
UAE HAAD

III. NURSING PRACTICE
SCOPE OF NURSING PRACTICE
Provide nursing care from delivery up to old age
Promotion of health
Prevention of illness
initiate and perform nursing services in any health care setting
collaborates with other members of health team
DUTIES OF NURSES

IV. NURSING EDUCATION
Inactive nurses for a period of Five (5) Consecutive years can return to practice
after one month didactic training and three months of practicum.
The Board shall accredit hospitals to conduct said training.
RA 7164 RA9173
To be a Faculty
At least 3 yrs clinical experience
1 year clinical experience
Masters
To be a Dean
3 yrs teaching supervision and teaching
of nursing education program
Masters
Same with faculty +
5 years in teaching and supervising a
nursing education program

Penalty for practicing w/o license
o P10,000 P40,000

Imprisonment
o 1-6 yrs

P50,000 P100,000


1-6 yrs

QUALIFICATIONS OF NURSING ADMINISTRATORS

Supervisor/Manager

Community

Military Hosp
o B BSN, RN
o A Accredited professional Org
of nurses (PNA)
o N 9 units in management and
administration
o T 2 yrs in nursing
administration

Chief Nurse/Director
o BANT
o Masteral
o 5 yrs supervisory/managerial
position
(N.B. if primary hosp)
+ masters
in PHN or CHN
+ completion of
Gen. Staffing Course
(GSC)


V. COMPREHENSIVE NURSING SPECIALTY PROGRAM
10% of staff shall be trained in nursing competency program
Funds: PCSO, PAGCOR
DOH will set criteria
Beneficiaries are:
Issued a Certificate of Completion
Must serve in any Phil. Hospital for at least 2 years of continuous service
Incentives and benefits
free hospital care for nurses and their dependents
scholarship grants

VI. PENAL AND MISCELLANEOUS PROVISIONS
Imprisonment 1 6 yrs
Fine: P50 P100K
Practicing without COR or License
Using other license as your own
Using Invalidated, revoked, suspended COR or license
Falsification of documents (diploma, experiences))
Falsely poses that he is an RN
Appends BSN, RN without authority
Assists illegal practice of a non-qualified person
Underwaging
Review centers not accredited by government