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NURSING REGULATION

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NURSING REGULATION

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Page 1: Nursing Regulation

NURSING REGULATION

Page 2: Nursing Regulation

NURSING REGULATION

Republic Act No. 877› June 19, 1953› The Philippines Nursing Act

Republic Act No. 7164› November 21, 1991

Republic Act No. 9173› Philippine Nursing Act of 2002

Page 3: Nursing Regulation

NURSING REGULATION

Republic Act No. 9173

Four-fold responsibility of nurse:1. promotion of health2. prevention of illness3. alleviation of suffering 4. restoration of health

Page 4: Nursing Regulation

BOARD OF NURSING

BOARD OF NURSINGPrimary agency responsible for the

regulation of the admission, registration and practice of the nursing profession.

Page 5: Nursing Regulation

BOARD OF NURSING

BOARD OF NURSINGComposition:

1 chairperson 6 members

Nomination, Recommendation and Appointment EO No. 496 Accredited Professional Organization (APO) PRC President

Page 6: Nursing Regulation

BOARD OF NURSING

BON must be representatives of:1. Nursing education2. Nursing service3. Community health nursing

Page 7: Nursing Regulation

BOARD OF NURSING

Qualifications1. Natural born citizen and resident of Phil2. Member in good standing in APO3. RN and holder of Masters degree4. 10 years continuous practice prior to

appointment5. No conviction of moral turpitude

Page 8: Nursing Regulation

BOARD OF NURSING

Term of Office 3 years Reappointment for another 3 years Oath of office

Teaching Administrative

Page 9: Nursing Regulation

BOARD OF NURSING

Term of Office RA 6173 (The Code of Conduct and Ethical

Standards for Public Officials and Employees) RA 3019 (The Anti-Graft and Corrupt

Practices Act) Secure clearances from:

1. Civil Service Commission (CSC)2. National Bureau of Investigation (NBI)3. Sandiganbayan4. Office of Ombudsman

Page 10: Nursing Regulation

BOARD OF NURSING

RA No. 8981 (PRC Modernization Act) PRC is the custodian of all records of BON:1. Application for exam2. Exam paper and results3. Minutes of meeting of Board4. Administrative records5. Records of administrative cases6. Records of other cases

Page 11: Nursing Regulation

BOARD OF NURSING

Powers of BON1. Quasi-judicial2. Quasi-legislative3. Police Power

Page 12: Nursing Regulation

BOARD OF NURSING

Suspension and Removal of BON Continued neglect of duty or incompetence Commission or tolerance of irregularities in NLE Unprofessional, immoral or dishonorable conduct

Page 13: Nursing Regulation

BOARD OF NURSING

Legal Liabilities1. Administrative

a. Presidentb. Civil Service Commission (CSC) or Ombudsmanc. PRC

2. Criminal Sandigan Bayan RA. No. 3019 “Anti-Graft and Corrupt Practices

Act” NLE irregularities:

Imprisonment of 6yrs and 1 day – 12 years Fine of php50,000 – 100,000

3. Civil

Page 14: Nursing Regulation

BOARD OF NURSING

Duties and Functions1. Conduct licensure exam

a. Administer and conduct examb. Determine and fix dates of examc. Use publicly or privately owned buildingsd. Conduct more than one exam a year

Twice a year July and December

Page 15: Nursing Regulation

Qualifications for NLE:1. Citizen of the Philippines2. Person of good moral character3. Holder of BSN

Page 16: Nursing Regulation

Requirements for NLE:

1. Transcript of records (w/ special order number, date of graduation and seal of school)

“For Board Exam Purposes Only” PRC Resolution No. 2004-200 (March 24,

2004)2. Certificate of Live Birth

National Statistics Office (December 1, 2003)

3. Marriage Certificate (married female applicants)4. 4 pcs. passport size pic (complete name tag,

white background)5. Current Community Tax Certificate6. Submission and Attachment of RLE

PRC – BON Resolution No. 357, s. 2004

Page 17: Nursing Regulation

Scope of Exam

1. Test I – Promotive Goal2. Test II – Preventive Goal3. Test IIIA – Curative Goal4. Test IIIB – Curative and Rehabilitative5. Test IV6. Test V – Psychiatric Nursing

Page 18: Nursing Regulation

Rating Rule of Exam General Average Rating = 75% No subject rating below 60%

Page 19: Nursing Regulation

BOARD OF NURSING

2. Issue, suspend and revoke certificate of registration

Passing the NLE Oath taking

15 days after release of exam resultsGeneral mass oath taking

Payment of prescribed fees Registration by reciprocity Special/temporary permit

Page 20: Nursing Regulation

License:1. Full name2. Serial number3. Signature of chairperson of PRC4. Official seal of the Commission5. Bar code6. Picture of RN7. Date of issuance and expiration

Three years Birth date

Page 21: Nursing Regulation

Non-issuance of certificate of registration:

1. Moral turpitude Act contrary to justice Requires conviction by final judgment

2. Immoral or dishonorable conduct Not permanent Can be cured or saved

3. Unsound mind Mental incapacity Declaration by court

Page 22: Nursing Regulation

Revocation of certificate of registration:

1. Causes mentioned earlier2. Unprofessional and unethical conduct3. Gross incompetence or serious ignorance4. Malpractice and negligence5. Fraud, deceit, false statement6. Violation of this Act (RA 9173)7. Practicing profession during suspension

Page 23: Nursing Regulation

Replacement and re-issuance of certificate of registration:

1. Reasons for equity or justice2. Cause of revocation or suspension has

disappeared3. Cause has been cured and corrected

Page 24: Nursing Regulation

Inactive nurses returning to practice: Not actively practiced profession in 5

consecutive years

Requirements: 1 month didactic training 3 months practicum in hospital

Page 25: Nursing Regulation

Prohibitions in nursing practice: Imprisonment of not less than 1 year but not more

than 6 years Fine of 50,000 – 100,000php

1. Unauthorized practice of nursing in Philippines2. Conducting educational and review programs

without permit from PRC-BON3. Violation of minimum base pay of nurses and the

incentives and benefits4. Violation of any provision of RA 9173

Page 26: Nursing Regulation

Law enforcement agencies:

1. National Bureau of Investigation (NBI)2. Philippine National Police (PNP)3. Department of Justice

Page 27: Nursing Regulation

BOARD OF NURSING

3. Monitor and enforce quality standards of nursing practice Monitor conditions affecting nursing practice Adopt measures for the enhancement of the profession

Applicable Standards and Guidelines:a) Standards of Safe Nursing Practiceb) Competency Standards for Nursing Practicec) Standards for Specialty Certification Programd) Standards for Safe Nursing Practice on Internal

Examination and Suturing Perineal Lacerationse) Nursing Standards on Intravenous Practicef) Ethical Standards

Page 28: Nursing Regulation

Standards and Guidelines of Nursing Practice

A. Standards of Safe Nursing Practice PRC – BON Resolution No. 82 Created by Task Force:

1. Association of Nursing Service Administrators of the Philippines (ANSAP)

2. Philippine Nurses Association (PNA)3. Association of Deans of the Philippine Colleges of

Nursing (ADPCN)4. National League of Government Nurses (NLGN)

Page 29: Nursing Regulation

Standards and Guidelines of Nursing Practice

B. Competency Standards for Nursing Practice PRC – BON Resolution No. 112, s. 2005 Prepared by the:

1. Committee on Core Competency Standards Development for PRC-BON

2. Commission on Higher Education – Technical Committee in Nursing Education (CHED-TCNE)

GOAL: Improve further the quality standards of nursing

practice in the Philippines and To ensure the global competitiveness of the Philippine

RNs

Page 30: Nursing Regulation

Standards and Guidelines of Nursing Practice

C. Standards for Specialty Certification Program

BON Resolution No.14: Adoption of Nursing Specialty Program Creation of Nursing Specialty Certification

Council (NSCC)

Page 31: Nursing Regulation

Standards and Guidelines of Nursing Practice

D. Standards for Safe Nursing Practice on Internal Examination and Suturing Perineal Lacerations

PRC-BON Res. No. 20, s. 1994 Prepared by ANSAP and Maternal and Allied

Nursing Association of the Philippines (MCNAP) Within the scope of nursing practice in RA

9173

Page 32: Nursing Regulation

Standards and Guidelines of Nursing Practice

Internal Exam – “an examination of the female internal reproductive organs by means of insertion of the examiner’s gloved fingers into the vaginal canal.”

Suturing laceration – “the repair of first and second-degree laceration in the absence of the physician.”

Page 33: Nursing Regulation

Standards and Guidelines of Nursing Practice

Training program: 24-hour didactic lecture and practicum

Requirements: Registered professional nurses Current PRC license 3 years experience in Labor and Delivery

Page 34: Nursing Regulation

Standards and Guidelines of Nursing Practice

Certificate of training:1. Written exam2. Completion of minimum number of actual

cases IE – safe and least discomfort to patient Accurate assessment data for plan of care Safe suturing of lacerations

3. Completion of cases 3 IE 3 suturing

Page 35: Nursing Regulation

Standards and Guidelines of Nursing Practice

E. Nursing Standards on Intravenous Practice

Within the Scope of Nursing Practice (RA 7164) PRC-BON Res. No. 08, series of 1994 states:

“ RN w/o ANSAP IV training is prohibited from administering IV injections to a patient”

Page 36: Nursing Regulation

Standards and Guidelines of Nursing Practice

Intravenous Therapy Program 24-hour didactic lecture and practicum

1. Written exam: pre and post test2. Completion of required number of cases

a. Initiating and maintaining IV peripheral infusion (6 cases)

b. Administering IV drugs (6 cases)c. Administering and maintaining blood and blood

components (2 cases)

Rating: 50% Didactic and 50% Practicum

Page 37: Nursing Regulation

Standards and Guidelines of Nursing Practice

IV Therapy Card:1. IV Certificate of Training2. Completion of cases

IV peripheral infusion (6 cases) Administering IV drugs (6 cases) Blood and blood components (2 cases)

3. Current PRC license4. Payment of fee5. 2 pcs. 2x2 picture

Within 6 months after Training Thru hospital or ANSAP

Page 38: Nursing Regulation

Standards and Guidelines of Nursing Practice

Duties and responsibilities:1. Interpret doctor’s orders for IV therapy2. Perform venipuncture, insert needles, cannulas except

cutdown and TPN3. Prepare, monitor, terminate IV solution, meds, push4. Administer blood and blood products as ordered5. Recognize solution and medication incompatibilities6. Maintain and replace sites, tubings, dressings7. Establish flow rate8. Intravenous equipments9. Nursing management of TPN and out-patient IV care10. Infection control and aseptic interventions11. Appropriate documentation

Page 39: Nursing Regulation

Standards and Guidelines of Nursing Practice

F. Ethical Standards

1. Code of Ethics for Registered Nurses Board Resolution NO. 220, s. 2004 PRC – BON July 14, 2004

2. International Council of Nurses (ICN) Code of Ethics Amended 2006

Page 40: Nursing Regulation

BOARD OF NURSING

4. Ensure quality of nursing education

Authority to open and close schools – CHED PRBON – ocular inspection

Page 41: Nursing Regulation

BOARD OF NURSING

5. Conduct hearings and investigations Quasi-judicial power PRBON’s decisions have force and effect of the

decision of a court of law Issue:

1. Subpoena ad testificandum2. Subpeona duces tecum

Page 42: Nursing Regulation

Due Process of Law:

1. Right to notice2. Right to appear before court (parties and

witnesses)3. Impartial tribunal or competent jurisdiction4. Decision process

Page 43: Nursing Regulation

Rule of procedure for investigation:

1. Docketing and calendar2. Pre-trial and depositions3. Reception of evidence4. Decision – making

Page 44: Nursing Regulation

BOARD OF NURSING

6. Promulgate Code of Ethics Quasi-legislative function

1982 – First Code of Ethics for Filipinos October 18, 1989 – Amended Code of Ethics

(BON Res. No. 1955) July 14, 2004 – Code of Ethics for Registered

Nurses(BON Res. No. 220, s.2004)

ICN Code of Ethics (2006)

Page 45: Nursing Regulation

Code of Ethics for RNUniversal Declaration of Human Rights –

“Health is a fundamental right of every individual”

1. Nurses and Patient2. Nurses and Practice3. Nurses and Co-worker4. Nurses and Society5. Nurses and Profession

Adoption of Code of Good GovernanceRecognition of Patient’s Bill of Rights

Page 46: Nursing Regulation

Code of Ethics for RN1. Adoption of Code of Good Governance2. Recognition of Patient’s Bill of Rights

Page 47: Nursing Regulation

International Council of Nursing Code of Ethics

Approved and adopted by the ICN Council of National Representatives in 1953

Recently amended in 2005 Two important universal principles:

Need for nursing is universal Respect for human rights

1. Nurses and Patient2. Nurses and Practice3. Nurses and Profession4. Nurses and Co-worker

Page 48: Nursing Regulation

BOARD OF NURSING

7. Recognize nursing specialty organization PNA was accredited by govt - September 15,

1975 1922 – Filipino Nurses Association

Nurses Dormitory of Philippine General Hospital Presided by Ms. Anastacia Giron Tupaz 1st President – Ms. Francisca Delgado Member of ICN (January 1929)

1955 – “Nurses Week” every last week of October President Carlos P. Garcia Proclamation No. 539

1962 – Philippines Nurses Association

Page 49: Nursing Regulation

Specialty Nursing Groups Association of Nursing Service Administrators of the

Philippines (ANSAP) Association of Private Duty Nurses Practitioners of the

Philippines (APDNPP) Critical Care Nurses Association of the Philippines

(CCRN) Military Nurses Association of the Philippines (MNAP) Renal Nurses Association of the Philippines (RNAP) Maternal and Child Nurses Association of the Philippines

(MCNAP) Occupational Health Nurses Association of the

Philippines (OHNAP) NICU Nurses Association of the Philippines (NICUNAP) Philippine Oncological Nursing Association (PONA) Integrated Registered Nurses of the Philippines (IRNP)

Page 50: Nursing Regulation

Nursing Specialty Certification Council (NSCC)

PRC-BON Res. No. 24, s. 1999Certification levels:

1. Nurse Clinician I2. Nurse Clinician II3. Nurse Specialist

Page 51: Nursing Regulation

Nursing Specialty Certification Council (NSCC) Valid for 5 years from issuance Renewable within 30 days before expiry

Requirements:1. Certified true copy of TOR2. Documents on completion of requirements

Page 52: Nursing Regulation

Four major groups of nursing specialties Clinical Nurses Association of the Philippines

1. Community health nursing specialty Focus: family/community/high-risk

2. Medical – surgical nursing specialty Focus: cardiovascular, pulmonary, neurology,

gerontology, critical care nursing, nephrology

3. Mother and child health nursing specialty Focus: newborn, child, reproductive stage of life,

high risk

4. Mental health and psychiatric nursing specialty Focus: varied group

Page 53: Nursing Regulation

Certified Registered Nurse Practitioner Physician Assistant

Certifications in Perioperative Nursing Registered Nurse First Assistant

Page 54: Nursing Regulation

BOARD OF NURSING

8. Prescribe, adopt issue and promulgate guidelines, regulations, measures and decisions as may be necessary for the improvement of nursing

9. Submit annual report to the President of the Philippines

10. Initiate, undertake and conduct studies

Page 55: Nursing Regulation

BOARD OF NURSING

11. Formulate and develop a comprehensive nursing specialty program that would upgrade the level of skill and competence of specialty nurse clinicians in the country 10% of nursing staff of participating government

hospitals Beneficiaries must serve in Phil. hospital for 2

years Annual budgetary requirement:

1. Philippine Charity Sweepstakes Office (PCSO)2. Philippine Amusement and Gaming Corporation

(PAGCOR)

Page 56: Nursing Regulation

Fields of Specialization “such as but not limited to areas of critical care,

oncology and renal”

1. Community health nursing2. Medical – surgical nursing s3. Mother and child health nursing s4. Mental health and psychiatric nursing 5. School health nursing6. Management7. Teaching8. Research

Page 57: Nursing Regulation

BOARD OF NURSING

11. Establish an incentive and benefit system in the form of free hospital care for nurses and their dependents, scholarship grants and other non-cash benefits

Page 58: Nursing Regulation

NURSING PRACTICE

Page 59: Nursing Regulation

Nursing Service Administrators

Requirements:RN2 yrs experience in general nursing service

administrationBSN w/ 8 units in graduate mgt and

administrationMember of good standing in APO

Chief Nurse:5yrs exp. In supervisory/managerial position in

nursingMaster’s degree in NursingGeneral Staff Course

Page 60: Nursing Regulation

Public Health Nursing

Areas of focus:1. Determine health needs of individual, family

and the community2. Assess health status3. Implement health planning4. Evaluate health practices5. Providing primary health care

Page 61: Nursing Regulation

Public Health Nursing

Compensation and Classification Act of 1989RA 6758Base salary of not lower than SG15Php13,500 for 1st stepPhp15,810 for 8th step

Page 62: Nursing Regulation

Public Health Nursing

Positions and Requirements:1. Public Health Nurse (II and III)

BSN RN

2. Supervising public health nurse/Nurse supervisor MAN or MPH 5 yrs experience as Public Health Nurse

3. Nurse Instructor II MAN 3 yrs experience as community health nurse Special training on Nurse Instructor

Page 63: Nursing Regulation

Public Health Nursing

4. Regional Training Nurse MAN/MPH 6 yrs nursing experience (3 yrs in nursing

education)

5. Regional Nurse Supervisor MAN/MPH, major in Community Health Nursing

Administration and Supervision 5 yrs experience in community health nursing (2 yrs

in supervisory position)

6. Nurse Program Supervisor MAN/MPH, major in Community Health Nursing

Administration and Supervision 7 yrs experience in community health nursing

Page 64: Nursing Regulation

Public Health Nursing

7. Chief Nurse 5 yrs experience in community health nursing (3 yrs

in supervisory position/Assistant Chief Nurse Position)

Leadership ability

8. Assistant Chief Nurse 5 yrs experience in community health nursing (2 yrs

in supervisory position) Leadership ability

9. Occupational Health Nurse Supervisor BSN RN Training units in Occupational Health Nursing

Page 65: Nursing Regulation

Public Health Nursing

10. Occupational Health Nurse Supervisor BSN RN 5 yrs experience in Occupational Health Nursing

Page 66: Nursing Regulation

Nursing Personnel

Standard Criteria of Nursing PersonnelResolution No. 82September 30, 1998Standards of Safe Nursing Practice

Outlines qualifications of nursing personnel