Professional Adjustments
PROFESSIONAL DUTIES OF A NURSE – RA 9173
• Care in all healthcare setting
• Health education
• Access of patient to healthcare services
• Nursing process – scientific care
• Charting - documenting
• Educating and training students
• Supervision of subordinates – delegation of
tasks
• Collaboration
of
patient’s
care
–
multidisciplinary care
Multidisciplinary care
• Intraprofessional collaboration
o Nurse to nurse
• Interprofessional collaboration
o nurse to doctor
• interdepartmental collaboration
o ICU to ward
• Interagency / interinstitutional
o Lying in to tertiary
**Communication – most important element
•
2.
3.
4.
Nursing Interventions
• Independent Nursing Action
- Nurse on their own, no HCT
• Dependent Nursing Action
o Execution of valid doctor’s order
o Needs order from HCT
• Interdependent
o Nurse can perform by herself but
needs to report it to the HCT
o Dressing change, IV change
1.
CRIMES AFFECTING NURSES
Professional negligence
• Physical injury without intention
• Types
➢ Commission – mali kasi may
MALI ka talagang ginawa;
crime is committed
➢ Omission – mali kasi HINDI
ginawa; no action resulting to
crime
• 4 elements of negligence
➢ Duty
5.
6.
7.
8.
➢ Breech of duty / failure to do
duty
➢ Injury / harm / death
➢ Causation – no injury if no
nurse has breach of duty
Res ipsa liquitor – let the resulting
injury be the evidence of negligence
of the nurse
Malpractice
• Doing actions outside the scope of
nursing practice
• Latest function of the nurse – can
suture perineal lacerations AFTER
training.
Rape / abuse / sexual assault
• Part 5 – accepting a patient victim of
sexual abuse – focus patient’s
SAFETY first
➢ Safety
➢ Record / Report – basis for
future legal documents
➢ Refer – DSWD
Illegal detention / false imprisonment
• Limit the patient’s movement from
one place to another
• **nurse’s liability of restraining due
to non-payment – illegal detention
• EXCEPT
➢ Court order
➢ Danger to himself / others
➢ Extremely communicable
diseases
• Restraint
➢ Chemical restraint
o Physical
o Mechanical
Abortion
• Termination
of
products
of
conception
• 12 – 24 weeks age of gestation
Infanticide
• Killing an infant within 72 hours of
birth
Parricide
• Kill a person with relationship
Homicide & Murder
•
•
Homicide: killing a person without
criminal intent
• Murder: killing a person with
criminal / evident intent
9. Simulation of birth
• Child switching
• Substitute one child to another
10. Perjury
• Falsification of documents
• Libel
• Defamation
NURSING LAWS IN THE PHILIPPINES
• Act 2808 – First Nursing Law
o Board Examiners of Nursing –
currently Board of Nursing
• 1920 – first official nursing exam
o 3-6 months school
o Type of exam – return demo – essay
• RA 9173 – Oct 21, 2002
A. Board of nursing
▪ QUALIFICATIONS
• 10
years
of
nursing practice,
the last 5 years in
the Philippines
• MAN
• Accredited
nursing
organization
• Three years term
of office in PRC
• Seven man – 1
chairman,
6
members all must
be nurses
• Immediately
resigned
upon
appointment
• Not
convicted
with any crime
• Citizen
and
resident of the
Philippines
▪ POWERS & FUNCTIONS
• Licensure exam –
formulate
questions
for
PNLE
•
•
•
•
•
•
B.
C.
Dean
▪
Issue certificate of
registration after
oath
Monitor standards
of nursing practice
– the BON can
only monitor and
inspect, but the
CHED has the
power to open and
close
nursing
schools
Education
Code of ethics
(2003)
Hear and decide
cases
of
negligence
and
malpractice
o Suspension
o Revocation –
application for
reissuance:
after 4 years of
revocation
Accredit different
nursing
organizations
Guidelines for safe
nursing practice in
the Philippines
QUALIFICATIONS
• RN
• MAN
• 5 years nursing
practice
experience
Clinical instructor
▪ QUALIFICATIONS
• Accredited
nursing
organization
• MAN / Masters in
other allied health
courses
• One-year clinical
nursing practice
• Registered Nurse
D. Nursing service administrators
▪ Refer to table below
E. Nurse Licensure Examinee
▪ MANDATORY REQS.
• Cert of good
moral (optional
• Proof of valid
holder of Filipino
Citizenship – birth
certificate
• Proof of BSN
Degree
holder,
TOR,
schools
whose curriculum
is approved by
CHED
▪ HOW TO BE RN (RA 9173)
• Submit necessary
docs
• Take the exam,
present the Notice
of Admission slip
(NOA slip)
• Acquire
the
required ratings
o Gen – 75
%
o 60% in
each
subject
• Wait for results –
RA 8981 PRC
Modernization act
– all results must
be released online,
www.prc.gov.ph
•
•
•
•
•
CHIEF DIRECTOR
RN
MAN
5 Years supervisory experience – tertiary
3 years supervisory experience – primary
BANT
Community Hospital /
Government Hospital
• RN
• Masters in Public
Military Hospital
•
•
RN
MAN
•
•
•
•
Health /
Community
Health
5 Years
supervisory
experience –
tertiary
3 years
supervisory
experience –
primary
BANT
•
•
•
NP1
60
59
NP2
100
100
NP3
100
100
NP4
100
100
NP5
100
100
61
62
63
64
65
5 Years
supervisory
experience –
tertiary
3 years
supervisory
experience –
primary
General Staff
Course / Basic
Military Training
BANT
Remarks
PASSED
CONDITIONALLY
PASSED
FAILED
** if conditionally passed, retake the failed subject but
must have a 75% average