Fundamentals of nursing transnotes

NURSING AS AN ART 3) Resourcefulness and creativity as well

as well-balanced emotional condition;
Profession- a calling requiring specialized 4) Capacity and ability to work
knowledge and often long and intensive cooperatively with others;
academic preparation”
C. Personal Qualities and Professional
⎯ a calling requiring specialized Proficiency
knowledge and often long and 5) Initiative to improve self and others;
intensive academic preparation” 6) Competence in performing work
through the use of nursing process;
CRITERIA OF A PROFESSION 7) Skill in decision-making,
(William shepard) communicating, and relating with
others and being research oriented;
1. A profession must satisfy an and
indispensable social need and must 8) Active participation in issues
be based upwell-established and confronting nurses and nursing.
socially accepted scientific principles.
2. It must demand adequate pre- Fields of Nursing
professional and cultural training.
3. It must demand the possession of a CLASSIFICATION OF Fields of Nursing IN
body of specialized and systematized GENERAL
training. 1. Hospital or Institutional Nursing
4. It must give evidence of needed skills 2. Public Health Nursing or Community
which the public does not possess; Health Nursing
that is, skills which are partly inherent 3. Private Duty or Special Duty Nursing
and partly acquired. 4. Industrial or Occupational Health
5. It must have developed a scientific Nursing
technique which is the result of tested 5. Nursing Education
experience. 6. Military Nursing
6. It must recognize its obligations to 7. School Nursing
society by insisting that its members 8. Clinic Nursing
live up to an established code of 9. Independent Nursing Practice
ethics.
Republic Act No.9173
Personal and Professional
Qualities of a Nurse
Republic Act No. 9173 October 21, 2002
A. Professional Preparation
1) Have a license to practice nursing in AN ACT PROVIDING FOR A MORE
the country RESPONSIVE NURSING PROFESSION,
2) Have a Bachelor of Science degree in REPEALING FOR THE PURPOSE
Nursing; and REPUBLIC ACT NO. 7164, OTHERWISE
3) Be physically and mentally fit KNOWN AS "THE PHILIPPINE NURSING
ACT OF 1991" AND FOR OTHER
B. Personal Qualities and Professional PURPOSES
Proficiency
1) Interest and willingness to work and ARTICLE I
learn with individuals/groups in a Title
variety of settings; Section 1. Title. - This Act shall be known as
2) A warm personality and concern for the "Philippine Nursing Act of 2002."
people;

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 Fundamentals of nursing transnotes

Section 28. Scope of Nursing. - A person

shall be deemed to be practicing nursing (e) Undertake nursing and health human
within the meaning of this Act when he/she resource development training and research,
singly or in collaboration with another, initiates which shall include, but not limited to, the
and performs nursing services to individuals, development of advance nursing practice;
families and communities in any health care
setting. It includes, but not limited to, nursing Provided, That this section shall not apply to
care during conception, labor, delivery, nursing students who perform nursing
infancy, childhood, toddler, preschool, school functions under the direct supervision of a
age, adolescence, adulthood, and old age. As qualified faculty: Provided, further, That in the
independent practitioners, nurses are primarily practice of nursing in all settings, the nurse is
responsible for the promotion of health and duty-bound to observe the Code of Ethics for
prevention of illness. nurses and uphold the standards of safe
nursing practice.
A members of the health team, nurses shall
collaborate with other health care providers for The nurse is required to maintain competence
the curative, preventive, and rehabilitative by continual learning through continuing
aspects of care, restoration of health, professional education to be provided by the
alleviation of suffering, and when recovery is accredited professional organization or any
not possible, towards a peaceful death. It shall recognized professional nursing
be the duty of the nurse to: organization: Provided, finally, That the
program and activity for the continuing
(a) Provide nursing care through the utilization professional education shall be submitted to
of the nursing process. Nursing care includes, and approved by the Board.
but not limited to, traditional and innovative
approaches, therapeutic use of self, executing HOSPITAL OR INSTITUTIONAL
health care techniques and procedures, NURSING
essential primary health care, comfort
measures, health teachings, and
Section 29. Qualification of Nursing
administration of written prescription for
Service Administrators. - A person
treatment, therapies, oral topical and
occupying supervisory or managerial positions
parenteral medications, internal examination
requiring knowledge of nursing must:
during labor in the absence of antenatal
bleeding and delivery. In case of suturing of
(a) Be a registered nurse in the Philippines;
perineal laceration, special training shall be
(b) Have at least two (2) years experience in
provided according to protocol established;
general nursing service administration;
(c) Possess a degree of Bachelors of Science
(b) establish linkages with community
in Nursing, with at least nine (9) units in
resources and coordination with the health
management and administration courses at
team;
the graduate level; and
(d) Be a member of good standing of the
(c) Provide health education to individuals,
accredited professional organization of nurses;
families and communities;
Provided, That a person occupying the
(d) Teach, guide and supervise students in
position of chief nurse or director of nursing
nursing education programs including the
service shall, in addition to the foregoing
administration of nursing services in varied
qualifications, possess:
settings such as hospitals and clinics;
undertake consultation services; engage in
(1) At least five (5) years of experience in a
such activities that require the utilization of
supervisory or managerial position in
knowledge and decision-making skills of a
nursing; and
registered nurse; and
(2) A master's degree major in nursing;

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 Fundamentals of nursing transnotes

Provided, further, That for primary hospitals, Public Health Nursing or Community
the maximum academic qualifications and Health Nursing
experiences for a chief nurse shall be as
specified in subsections (a), (b), and (c) of this
• Emphasis on promotion of health and
section: Provided, furthermore, That for chief
prevention of diseases
nurses in the public health nursing shall be
• Deeper involvement and close
given priority. Provided, even further, That for
cooperation wilth all members of the
chief nurses in military hospitals, priority shall
health team: physicians, nurses,
be given to those who have finished a
epidemiologists, dentists, sanitary
master's degree in nursing and the completion
inspectors, sanitary engineers,
of the General Staff Course (GSC): Provided,
nutritionists, health educators, social
finally, That those occupying such positions
workers, the community, and the
before the effectivity of this Act shall be given
barangay leaders.
a period of five (5) years within which to
qualify.
ADVANTAGES DISADVANTAGES

Staff Nursing in the Hospitals ∎Clearly see the total ∎Limited case finding
picture of family and to chronic or
ADVANTAGES DISADVANTAGES community health communicable
∎ Presence of ∎Great possibility of rather than individual diseases
supervisor understaffing basis
∎More hazards in
∎ Updated with new
∎Bulk work deprives ∎Gives better public health due to
trends in medicine and
them for continuing perspective of health exposure to elements
nursing practice
conditions and (inclement weather,
∎ Undergo rotation in education
programs for the heat of sun, rain),
different units, chance community dog or snake bites,
to determine special ∎Administrative
problems accidents, etc.
area of choice ∎Maximizes efforts
∎ Variations of duty to improvise where ∎No fixed hours of
hours ∎Overwork
there are no sufficient work (on call
∎ Benefits: rest days, facilities, supplies anytime, day or night)
sick leaves, holidays, and equipment
vacations with pay ∎Some claims it is
∎ Chance for ∎Promotes healthy not as exciting nor as
promotion to higher citizenry specially glamorous as
positions among the rural poor hospital work
∎Salary increases
Considered important ∎Motivates ∎Limited facilities;
member of the health individuals, families practice of skills is
team and communities limited as well
∎Available staff responsibility for their
development program own health ∎May not be
immediately aware of
changes or trends in
medicine or nursing

∎Not a place for

introverts

∎No immediate
supervisor to consult
in case of emergency

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 Fundamentals of nursing transnotes

Private Duty or Special Duty Nursing promoting early recovery of the

• Expected to be expert clinicians as patient
well as expert generalists in nursing ➢ Utilization of laboratory and
diagnostic tests in promoting
• Titles used: Private Duty Nursing,
progress of care and enhancing
Private Nurse Practitioner, Special his/her own usefulness as a health
Duty Nurse or Private Duty Nurse teacher and counselor
Specialist
Private duty practitioner
▪ Registered nurse who undertakes to
give comprehensive nursing care to a PRIVATE DUTY NURSE SPECIALIST
client on a one-to-one ratio ➢ Skill in handling, operating, and
▪ She/he is an independent contractor; monitoring other complicated
patient may be provided care in the devices
hospital or in the home
➢ Skill in interpreting data gathered
Private duty practitioner: from ECG,EEG, laboratory
diagnostic results and vital signs
two categories
➢ Skill in observing signs and
GENERAL PRIVATE DUTY NURSE symptoms and their favorable or
▪ Has capabilities for providing untoward significance in the
basic nursing care to any type of progress of patient care; anD
patient:
➢ Assessment of the physical
conditions and interpretation of the ➢ Promptness and adeptness in
significance of his/her findings as instituting appropriate nursing
basis for planning the nursing care measures

➢ Identification of emotional and

social factors and relating these to QUALIFICATIONS OF A PRIVATE
signs and symptoms observed
NURSE PRACTITIONER

➢ Application of scientific principles in 1. Be a registered nurse in the

the performance of nursing Philippines
techniques
2. Have the following documents for
GENERAL PRIVATE DUTY NURSE the current year:
➢ Working with patient’s family so that ➢ professional tax receipt (PTR)
they gain understanding of his/her ➢ Professional regulation commission
illness and cooperate towards card (PRC), and
promoting early recovery of the ➢ Residence certificate
patient
3. Have at least two (2) years of
➢ Utilization of laboratory and bedside nursing experience as a
diagnostic tests in promoting professional nurse in a general
progress of care and enhancing
hospital immediately prior to
his/her own usefulness as a health
teacher and counselor application

4. Be acceptable to the Director of

➢ Working with patient’s family so that
they gain understanding of his/her Nursing Service as suitable for
illness and cooperate towards orientation to do private duty
nursing

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 Fundamentals of nursing transnotes

∎Chance to keep
5. Be a full time private duty nurse abreast with new Little assistance is
knowledge and given by head nurse
6. Preferably have undergone a procedures
Critical Care Nursing Course; and ∎Have little or no
∎Challenge of participation in
7. Be a certified I.V. Nurse therapist giving his/her best in professional
providing care and activities
by the ANSAP (Association of
having the
Nursing Service Administrators of
satisfaction of ∎Receive the same
the Philippines) seeing its results fees as the new
graduate
REQUIREMENTS

1. To undergo orientation in the hospital ∎Increase need for

liability insurance
as conducted by the Nursing Service
Office
∎No retirement,
2. To have the complete paraphernalia insurance, and
3. To wear full white nurse’s uniform medical care
4. To have medical certificate from a benefits
certified medical center
5. To give two (2) character references
6. To acquire, for succeeding years,
certificate of three (3) seminars or
continuing education programs
attended; and INDUSTRIAL OR OCCUPATIONAL
7. To show certification as an I.V. HEALTH NURSING
therapist by the ANSAP
❑ Often work alone, hence must
PRIVATE DUTY PRACTICE possess maturity, experience, and
wise judgement
ADVANTAGES DISADVANTAGES
∎Chance to see life ∎Some patients ❑ Provide and deliver health care
as it really is and may become totally services among workers
know interesting dependent
people of different ❑ Focuses on promotion, protection, and
nationalities, ∎Many have not supervision of worker’s health
cultures, religion, upgraded their
❑ Must possess advanced nursing
and status knowledge and skills
knowledge and skills
∎Opportunity to ∎No enough nurses ❑ Must know company policies,
make real friends for evening/night insurance benefits, sick leave, pay
through close shifts, holidays,
rates, health programs, medical
association with the week-ends, vacation
matters and records
patient and his periods
family ❑ Custodian of employees’ health
Minimizes records, counselors and advisers of
opportunity for
workers, interpreters of company
∎Chance to travel developing good
policies, health and safety teachers as
and see the world relationships with
other hospital well first aiders to the injured
∎Ability to own time, personnel
adjust work and
private life ∎Some resent
supervision by
hospital staff

5|FUNDAMENTALS OF NURSING
 Fundamentals of nursing transnotes

Military Nursing- Military nurses have a

number of the same responsibilities as
NURSING EDUCATION traditional nurses. However, they are not only
educated in basic nursing skills, but they’re
RA9173
also trained on how to work with military
ARTICLE V patients and how to work in a military
environment.
Nursing Education
FUNCTIONS OF THE NURSE CORPS,
Section 25. Nursing Education Program. -
AFP
The nursing education program shall
provide sound general and professional 1. To meet the nursing needs of today’s
foundation for the practice of nursing. The patients in AFP medical facilities
learning experiences shall adhere strictly
to specific requirements embodied in the 2. To prepare each Nurse Corps Officer
prescribed curriculum as promulgated by (regular and reserve) for future
the Commission on Higher Education's assignments at a higher level of
policies and standards of nursing responsibility in the different stations
education. and general hospitals in times of
peace and war; and

3. To teach and train enlisted personnel

Section 27. Qualifications of the Faculty. - A who perform nursing functions under
member of the faculty in a college of nursing supervision. Special emphasis is on
teaching professional courses must: enlisted members who function in
(a) Be a registered nurse in the Philippines; settings where there are no nurses.

(b) Have at least one (1) year of clinical School Nursing-Responsible for the school’s
practice in a field of specialization; activities in the areas of health service, health
education, and environmental health and
(c) Be a member of good standing in the safety
accredited professional organization of nurses;
and RESPONSIBILITIES OF SCHOOL
NURSE
(d) Be a holder of a master's degree in
nursing, education, or other allied medical and 1. Organizing and implementing the
health sciences conferred by a college or school health program;
university duly recognized by the Government 2. Coordinating school health programs;
of the Republic of the Philippines. In addition 3. Undertaking functions directly related
to the aforementioned qualifications, the dean to pupil’s health;
of a college must have a master's degree in 4. Evaluating school health programs;
nursing. He/she must have at least five (5) and
years of experience in nursing. 5. Carrying out functions related to the
health of school personnel.
PERSONAL QUALITIES AND SPECIAL
ABILITIES OF FACULTY MEMBERS

1. Capability to promote interest in the SCHOOL NURSING

subject they teach
ADVANTAGES DISADVANTAGES
2. Competence in their particular field
• Affords the • Many do not
3. Resourcefulness, infinite patience,
opportunity update
understanding, confidences and
to watch themselves
perseverance; inspiring children on current
4. Expertise in chosen field; good role advance
model

6|FUNDAMENTALS OF NURSING
 Fundamentals of nursing transnotes

from grade issues in ▪ Efficient clinic nurses are trusted in

to grade in nursing their judgment and share in planning
school • Should the care of the patient
health enjoy
• Hours are working with DISADVANTAGE:
usually good children to
and achieve ▪ Receives slightly lower salary than
• there is no their hospital nurses
shift duty objectives
Independent Nursing Practice
• Should
accept the ➢ Independent means, “self-employed”
educational
functions of ➢ Provides professional nursing services
the school to clients/patients and their families
and
• Be ➢ Performs both independent and
committed collaborative roles
to the
promotion of ➢ Scope of practice includes
health assessment, formulating plans for
through health maintenance, prevention
education strategies, continuation of supportive
activities in critical and complex health
problems
CLINIC NURSING
➢ Makes referrals and collaborate with
❑ Requires that a nurse possesses physicians and other disciplines as
general skills needed by the client or family
❑ Acts as a receptionist, answers
phone, does the billing, takes x-rays
and ECGs, changes dressings, gives A. Caring
injections, and assists in physical B. Communicating
examinations C. Teaching
❑ May also do autoclaving of
instruments, keep records, order and
store supplies, make follow up calls
and referrals of patients
❑ Teaching patients and families
❑ Must have excellent teaching and
communication skills, exhibit
organizational and leadership ability,
possess good assessment skills, and
have good insight in order to
anticipate and interpret the needs of
their patients

ADVANTAGES:

▪ Favorable working hours

▪ Satisfaction of working with people

they know and like and who know
and like them in return

7|FUNDAMENTALS OF NURSING