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CODE OF ETHICS for NURSES

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8/7/2019 Report (Code of Ethics)

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CODE OF ETHICS

for NURSES

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 As adopted by the PNA House of Delegates in 1982 andamended by the Board of Nursing in its Resolution No. 1989,approved by the General Assembly of Nurses on October 25, 1990.

Pursuant to Section 3 of Republic Act. No. 877, known asthe Philippine Nursing Law and Section 6 of Presidential DecreeNo. 233 dated June 22, 1973 the House of Delegates hereby adoptsthe following amended Code of Ethics for Nurses, recommendedand endorsed by the Philippine Nurses Association (PNA) to

govern the practice of nursing in the Philippines, replacingresolution No. 633 of the Board of Nursing dated March 21, 1984.

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NURSES AND PEOPLE

 Values, customs and spiritual beliefs held by individuals are to be

respected.

*Guidelines*1. Nurses must consider the individuality and totality of their clients when

administering care.2. Nurses must respect the spiritual beliefs and practices of their clients

regarding diet and treatment.3. They must not be instruments in the violation of individual rights

Nurses hold in strict confidence personal information acquired in theprocess of giving nursing. They use discriminative judgment in sharing thisinformation.

*Guidelines*1. Nurses must hold in confidence personal matters committed to their care.2. They must take into consideration the culture and values of clients

providing nursing care but in the event of conflict, the clients welfare musttake precedence.

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NURSES AND PRACTICES

The nurses are accountable for their own nursing practice. They are

responsible for their personal and professional growth and development.

*Guidelines*

1. The definition of scope of nursing practice is that which is within provisionof the proposed Philippine Nursing Law of 1990.

2. Nurses must know their responsibilities in the practice of their profession.3. Nurses must acquire and develop the necessary competence (knowledge,skills and attitudes) to effectively render proper nursing services throughformal, non-formal, structured and under structured learning situations.

4. Continuing education aims for the achievement of competence of theindividual nurse in terms of knowledge, skills and attitudes.

5. Nurse administrators are responsible in providing of favorable environmentfor the growth and development of nurses in their charge.6. Accreditation for professional programs shall be undertaken by PRC or

PNA.7. Nurses shall be answerable for culpable negligence, malpractice and

 wrongful acts or commission in the performance of their duties.

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8. Accountability for nursing practice considers the adaptness of the nurse in

diagnosis and treatment of human responses as evidence by the patientsability to cope, with the following:

a. activities of daily livingb. developmental/maturational and adaptive functionsc. stresses, environmental, psychological and physiological

Nurses maintain or modify standards of practices within reality of any givensituation. Quality care is their goal.

*Guidelines*1. Quality nursing care is that which meet at least optimum, standard and

considers the client addressed.

2. Modification of practice shall considers the principle of safe practice.3. Nurses in position of authority in a work environment are normally and legally responsible from devising a system of minimizing occurrences of ineffectiveand unlawful nursing practice.

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Nurses are the advocates of the patients. They take appropriate steps tosafeguard the patients right and privileges.

*Guidelines*1. Nurses should respect the following patients rights when rendering care:

a. cultural and religious beliefs

b. privacy c. confidentiality of information2. Nurses provide the patients all pertinent information except those which

may deemed harmful to their well-being.3. They ensure the patients records are available only to those who areprofessionally directly involved in their care except when required by law.

4. When conflict arises regarding management of patient, care, the patientsrights are upheld.

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NURSES AND CO-WORKERS

Nurses maintain collaborative working relationships with their co- workers and other members of the health team.

They recognize their capabilities and limitations in acceptingresponsibilities and those of their co-workers when delegating responsibilitiesto them.*Guidelines*1. Nurses must establish their professional role/identity while working with

other members of the health team.

2. Conformity with group activities as those of a health team should be basedon acceptable, ethico-legal standards.

3. They contribute to the professional growth and development of theirmembers of the health team.

4. Active participation to organizations within the hospital and outside thehospital is encouraged.

5. Nurses shall not act in any member prejudicial to other professions.6. They shall honor and safeguard the reputation and dignity of other

members of nursing and other professions. They should refrain frommaking unfair and unwarranted comments or criticism on theircompetence, conduct and procedure or do anything that will bring discreditto a colleague and to any member of other professions.

7. Nurses shall respect the rights of their co-workers.

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NURSES AND SOCIETY 

Nurses are contributing members of society. They assume responsibilitiesinherent in being members and citizens of the community/society in which they live/work.

*Guidelines*

1. They must be conscious of their obligations as citizens and as such beinvolved in community concerns.2. Being equipped with knowledge of health resources within the community,

they take active roles in primary health care such as health information,dissemination, referral and rendering of actual care.

3. Nurses must actively participate in programs that answer problems of 

society.4. Nurses must lead their lives in conformity with the principles of rightconduct and proper decorum.

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NURSE AND THE PROFESSION

Nurses are expected to be members of the nursing professional organization.Inherent in this responsibility is to support and uphold its constitutions and by-laws.

*Guidelines*1. Nurses are enjoined to be members of the PNA and avail of the prevailing

continuing education unit privilege.2. Heads of Nursing Groups/Organizations shall be responsible for the PNA 

membership of the constituents.

Nurses help to determine and implement desirable standards of nursing practiceand education.

*Guidelines*1. Nursing standards shall be developed exclusively by nurses and

implementation thereof shall be strictly adhered to.

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They participate actively in the development and growth of the nursing

profession.

Nurses shall initiate and involve themselves in structured and non-structured research activities within their existing milieu.

They strive to secure equitable socio-economic and work conditions in

nursing through appropriate legislation and other means.

*Guideline*

1. Nurses shall assert for the implementation of labor standards and work forthe legislation to improve existing socio-economic conditions.

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RESPONSIBILITIES OF THE NURSE TO THE PHYSICIAN

Subparagraph seven of  Section 17 of R.A. 877, as amended by R.A. 4704 andR.A. 6136 states:

the application and execution for legal orders in writing of physiciansconcerning treatment and medication including the application of hypodermicand intramuscular injections: Provided, That intravenous and other injectionsmay be administered under the direction and in the presence of a physician;

Provided, further, That the previous order in writing of a physician shall not benecessary if the application and execution of such order is made in the presenceof the said physician.

It is therefore expected that the nurses will not carry out doctors orders buthelp plan and implement patient care as well.

If any of the medical orders were not carried out for some reason should noronly be brought to the attention of the physician but also noted properly in thepatients chart. Nurses should familiarize themselves with various routines, methods oridiosyncrasies of physicians. Nurse should remember that any medical act delegated to them is illegal.

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RESPONSIBILITIES OF THE NURSE TO THEIR COLLEAGUES

Nurses are expected to be able to get along smoothly with their colleagues.

Nurses should be able to adjust themselves to the organization and to knowits policies and procedures.

It is important that nurses know their placement in the total organization.

RESPONSIBILITIES OF

THE NURSE TOWARDS THEMSELVES

It is expected that every possible means shall be utilized by them to developtheir skills.

Their conduct should be such that would bring credit to the profession.

Especially when nurses are on duty, they should try to look neat andattractive.

The use of uniforms should be specified in the policy of the hospital/agency.

Nurses are looked upon by nursing students as their role models.

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RESPONSIBILITY OF THE NURSES TO THE PATIENT

The primary responsibility of the nurse to the patient is to give him the kindof care his condition needs regardless of his race, creed, color etc.

Nurses are advised to become familiar with and observe the patients Bill of Rights.

The patient and his family are entitled to know information of facts withinthe limits determined by the physician.

 Any information gathered by the nurse during the course of care to thepatient should always be treated confidential.

Because nurses are given compensation for their services, they should notaccept tips of expensive gifts that may induce to give more care to faovredpatients and neglect those who cannot give.

 When a nurse is engaged by a patient, or any agency, she/he should completesaid service for the length of time stipulated by the contract,