PROF AD EDITED

8/7/2019 PROF AD EDITED

1/78

WHAT YOUR MIND CANWHAT YOUR MIND CAN

CONCEIVECONCEIVEIT CAN BE ACHIEVEDIT CAN BE ACHIEVED


2/78

PROFESSIONAL

PROFESSIONALADJUSTMENTADJUSTMENT


3/78

PROFESSIONPROFESSION

A calling by which membersA calling by which members

profess to have acquired specialprofess to have acquired specialknowledge by training, byknowledge by training, byexperience or both so that theyexperience or both so that they

may guide or advice or servemay guide or advice or serveothers in that field.others in that field.


4/78

AnAn occupationoccupation usuallyusuallyinvolvinginvolving relativelyrelatively longlongandand specializedspecializedpreparationpreparation onon thethe levellevel ofofhigherhigher educationeducation andandgovernedgoverned byby itsits ownown codecodeofof ethicsethics..


5/78

CHARACTERISTICS OF ACHARACTERISTICS OF A

PROFESSIONPROFESSION11.. SPECIALSPECIAL PREPARATIONPREPARATION OROR

TRAININGTRAINING

>> IncludesIncludes anan accurateaccurate knowledgeknowledge ofofthethe fundamentalfundamental factsfacts uponupon whichwhich

professionalprofessional actionsactions areare based,based, asaswellwell asas thethe abilityability toto applyapply thisthisknowledgeknowledge inin aa practicalpractical wayway..


6/78

22.. AA CLEARLYCLEARLY DEFINEDDEFINED ANDAND

COMP

ARATIVELYCOMP

ARATIVELYP

ERMANENTP

ERMANENTMEMBERSHIPMEMBERSHIP

33.. THETHE ACCEPTANCEACCEPTANCE OFOF THETHE

SERVICESERVICE MOTIVEMOTIVETheThe purposepurpose isis notnot toto makemake moneymoney

butbut toto promotepromote healthhealth oror knowledgeknowledgeoror goodgood lawslaws..

TheThe idealideal ofof thethe professionprofession isis publicpublic

serviceservice


7/78

ADJUSTMENTADJUSTMENT

AnAn educationaleducational processprocessreferringreferring toto changeschanges ininbehaviorbehavior towardstowards betterbetterlife,life, betterbetter relationshipsrelationshipsandand betterbetter contributioncontribution totothethe societysociety..


8/78

PROFESSIONALADJUSTMENTPROFESSIONALADJUSTMENT

TheThe growthgrowth ofof thethe wholewholeindividualindividual andand developmentdevelopment ofof

allall his/herhis/her capacitiescapacities:: physical,physical,mental,mental, socialsocial andand spiritualspiritual

towardstowards efficientefficient andand effectiveeffectiveperformanceperformance ofof his/herhis/herprofessionprofession..


9/78

WHAT IS NURSING?WHAT IS NURSING?

COMMONCOMMON FOCUSFOCUS::THETHE NEEDNEED TOTO PROVIDEPROVIDE

HUMANISTICHUMANISTIC ANDAND HOLISTICHOLISTIC CARECARE

(COMPREHENSIVE(COMPREHENSIVE ANDAND TOTALTOTALCARECARE OFOF AA PATIENT)PATIENT)

>>THE>>THE DIAGNOSISDIAGNOSIS ANDANDTREATMENTTREATMENT OFOF HUMANHUMANRESPONSESRESPONSES TOTO ACTUALACTUAL ANDAND

POTENTIALPOTENTIAL HEALTHHEALTH PROBLEMSPROBLEMS


10/78

PROFESSIONAL NURSINGPROFESSIONAL NURSING

(PNA)(PNA) TheThe performanceperformance forfor aa fee,fee,salarysalary oror otherother rewardsrewards ororcompensationcompensation ofof professionalprofessionalservicesservices..

UndertakingUndertaking responsibleresponsible carecare andand

supervisionsupervision ofof patientspatients involvinginvolving thethewholewhole managementmanagement ofof carecarerequiringrequiring applicationapplication ofof principlesprinciples ofof

biologic,biologic, ph sicalph sical andand behavioralbehavioral


11/78

ObservationObservation ofof thethe signssigns ofof

physicalphysical asas wellwell asas mentalmentalconditionsconditions andand needsneeds ofof patientspatients..

AccurateAccurate reportingreporting andand recordingrecordingofof factsfacts includingincluding evaluationevaluation ofofthethe wholewhole casecase

SupervisionSupervision ofof othersothers contributingcontributingtoto nursingnursing carecare ofof patientspatients


12/78

Execution of nursingExecution of nursing

procedures and techniquesprocedures and techniquesDirection and education toDirection and education to

secure physical mentalsecure physical mentalcarecare

Application and executionApplication and executionof legal orders concerningof legal orders concerning

treatment and medicationtreatment and medication


13/78

LEVELS OF CARE OFLEVELS OF CARE OF

NURSING PRACTICENURSING PRACTICE

Promotion of HealthPromotion of Health

Prevention of IllnessPrevention of Illness

Restoration of HealthRestoration of HealthConsolation of DyingConsolation of Dying


14/78

NURSING FUNCTIONSNURSING FUNCTIONS

INDEPENDENT FUNCTIONSINDEPENDENT FUNCTIONS

Actions the nurse initiates herselfActions the nurse initiates herself

Autonomous actions based on scientificAutonomous actions based on scientificrationale that benefit the client in arationale that benefit the client in apredicted way related to the nursingpredicted way related to the nursing

diagnosis and clientdiagnosis and client--centered goalscentered goals Can solve clients problems withoutCan solve clients problems without

consultation to other health careconsultation to other health care

professionalsprofessionals


15/78

DEPENDENT FUNCTIONSDEPENDENT FUNCTIONS

Based on the physiciansBased on the physicians

response to a medical diagnosisresponse to a medical diagnosisThe nurse carry out physiciansThe nurse carry out physicians

written orders but requireswritten orders but requires

nursing judgment or decisionnursing judgment or decisionmaking.making.


16/78

INTERDEPENDENT FUNCTIONSINTERDEPENDENT FUNCTIONS

Therapies that requireTherapies that require

the knowledge, skills andthe knowledge, skills andexpertise of multipleexpertise of multiple

health care professionalshealth care professionals


17/78

TOP TEN REASONS TOTOP TEN REASONS TO

BECOME A NURSEBECOME A NURSE

1.1. Pays better than fast food, though the hoursPays better than fast food, though the hoursarent good.arent good.

2.2. Fashionable shoes and sexy white uniformsFashionable shoes and sexy white uniforms

3.3. Needles: Its better to give than to receiveNeedles: Its better to give than to receive

4.4. Reassure your patients that all bleedingReassure your patients that all bleedingstops..eventuallystops..eventually

5.5. Expose yourself to rare, exciting and newExpose yourself to rare, exciting and newdiseasesdiseases

6.6. Interesting aromasInteresting aromas


18/78

7. Courteous and infallible doctors who7. Courteous and infallible doctors who

always leave clear orders in perfectlyalways leave clear orders in perfectlylegible handwritinglegible handwriting

8. Do enough charting to navigate8. Do enough charting to navigate

around the worldaround the world9. Celebrate all holidays with your9. Celebrate all holidays with your

friends at workfriends at work

10. Take the comfort that most patients10. Take the comfort that most patientssurvive no matter what you do tosurvive no matter what you do tothem.them.


19/78

CLASSIFICATIONCLASSIFICATIONOFOF

NURSESNURSES

IN GENERALIN GENERAL


20/78

A.ACCORDING TO FIELDSA.ACCORDING TO FIELDS

OF NURSINGOF NURSING INSTITUTIONAL NURSESINSTITUTIONAL NURSES

> those employed in the hospitals and> those employed in the hospitals andsimilar institutions.similar institutions.

1. PUBLIC HEALTH NURSES1. PUBLIC HEALTH NURSES

> Provides nursing care and counsel to> Provides nursing care and counsel topersons and families, either to individualspersons and families, either to individualsor groups in clinics, in their homes, inor groups in clinics, in their homes, inschool and at their place of work.school and at their place of work.


21/78

22.. COMMUNITYCOMMUNITY HEALTHHEALTH NURSENURSE

>> aa nursenurse whosewhose workwork combinescombines elementselements ofofbothboth nursingnursing andand publicpublic healthhealth practicepractice andandtakestakes placeplace outsideoutside thethe therapeutictherapeuticinstitutionsinstitutions..

*more*more independentindependent *more*more autonomousautonomous

*more*more forthrightforthright inin theirtheir dealingsdealings withwith

patients,patients, supervisorssupervisors andand membersmembers ofof otherotherhealthhealth carecare disciplinesdisciplines

*risk*risk takerstakers

*eager*eager toto trytry newnew waysways


22/78

PRIMARY RESPONSIBILITIESPRIMARY RESPONSIBILITIES

OF ACHNOF ACHN

1. Determine the health needs of1. Determine the health needs ofthe individual, the family and thethe individual, the family and the

communitycommunity

2. assessing health status2. assessing health status

3. implementing the health plans3. implementing the health plans4. evaluate health practices4. evaluate health practices

5. provide primary health care5. provide primary health care


23/78

33.. SCHOOLSCHOOL NURSENURSE

RNRN whosewhose dutiesduties areare totosupplementsupplement thethe workwork ofof thethe

physicianphysician inin providingproviding forfor thethemedicalmedical needsneeds ofof studentsstudents whilewhiletheythey areare inin schoolschool

ResponsibleResponsible forfor thethe healthhealth ofofchildren,children, adolescentsadolescents andand youngyoungadultsadults inin schoolschool..


24/78

4. OCCUPATIONALHEALTH4. OCCUPATIONALHEALTH

OR INDUSTRIAL NURSEOR INDUSTRIAL NURSEAA RNRN whowho isis aa membermember ofof aa team,team,

whichwhich includesincludes medical,medical, safetysafety andandindustrialindustrial hygienehygiene specialists,specialists,employedemployed toto conserveconserve andand promotepromote

thethe healthhealth andand effectivenesseffectiveness ofofworkersworkers atat theirtheir placeplace of ofemploymentemployment


25/78

5.MATERNALANDCHILD5.MATERNALANDCHILD

HEALTH NURSEHEALTH NURSE > one who cares for and safeguards the> one who cares for and safeguards the

health of mothers and childrenhealth of mothers and children

F. TB NURSEF. TB NURSE

> one who takes care of TB patients> one who takes care of TB patients


26/78

6. NURSE EDUCATOR6. NURSE EDUCATOR

>> nursenurse employedemployed inin thethe

teachingteaching oror administrativeadministrative staffstaffofof aa schoolschool ofof nursingnursing oror otherothereducationaleducational institutionsinstitutions forfornursesnurses..


27/78

B.ACCORDING TO TYPESB.ACCORDING TO TYPES

OF DUTYOF DUTY 1. GENERAL DUTY NURSE1. GENERAL DUTY NURSE

> Responsible for planning the nursing care> Responsible for planning the nursing carefor her patients; she evaluates theirfor her patients; she evaluates theirneeds, applies scientific principles inneeds, applies scientific principles incarrying out nursing procedures, performscarrying out nursing procedures, performs

prescribed therapeutic measures, andprescribed therapeutic measures, andhelps interpret them to the patients.helps interpret them to the patients.


28/78

2. PRIVATE DUTY NURSE2. PRIVATE DUTY NURSE

A nurse in private practice whoA nurse in private practice whoindependently contracts with a patientindependently contracts with a patient

and who is responsible for the totaland who is responsible for the totalpatient care of the patient during thepatient care of the patient during theperiod she is with him.period she is with him.


29/78

C.ACCORDING TO TYPES OFC.ACCORDING TO TYPES OF

POSITIONS HELDPOSITIONS HELD 11.. ADMINISTRATORADMINISTRATOR OROR ASSISTANTASSISTANT ADMINISTRATORADMINISTRATOR

>> aa professionalprofessional nursenurse whowho isis aa membermember ofof thetheadministrativeadministrative staffstaff ofof aa hospital,hospital, medicalmedical

center,center, publicpublic healthhealth agency,agency, oror aa similarsimilarinstitutioninstitution andand whowho asas aa membermember ofof thetheadministrativeadministrative staff,staff, participatesparticipates inin thetheformulatingformulating thethe policypolicy ofof thethe institutioninstitution inin

devisingdevising proceduresprocedures essentialessential toto thetheachievementachievement ofof objectivesobjectives andand inin thethedevelopmentdevelopment andand evaluatingevaluating nursingnursing servicesservices

andand programsprograms ofof nursingnursing carecare..


30/78

22.. NURSENURSE CONSULTANTCONSULTANT

>> aa consultingconsulting healthhealth workerworker whowho actsactsinin anan advisoryadvisory capacitycapacity..

33.. CLINICALCLINICAL NURSENURSE SPECIALISTSPECIALIST

>> aa nursenurse withwith particularparticular competencecompetenceinin certaincertain areas,areas, suchsuch asas ICU,ICU,cardiology,cardiology, oncology,oncology, obstetrics,obstetrics, oror

psychiatrypsychiatry >> holdsholds mastersmasters degreedegree inin nursing,nursing,

preferablypreferably withwith emphasisemphasis inin clinicalclinical

nursingnursing..


31/78

44..SUPERVISORSUPERVISOR OROR ASSISTANTASSISTANTSUPERVISORSUPERVISOR

>one>one whowho directsdirects andand evaluatesevaluates thetheperformanceperformance ofof othersothers..

>has>has thethe knowledgeknowledge andand skillsskills totoprovideprovide thethe samesame serviceservice asas thosethosebeingbeing directed,directed, suchsuch asas supervisorsupervisor ofof

maternitymaternity nursingnursing.. 55.. NURSENURSE INSTRUCTORINSTRUCTOR

>a>a nursenurse whowho teachesteaches inin aa schoolschool oror

collegecollege ofof nursingnursing


32/78

66.. HEADHEAD NURSENURSE OROR CHARGECHARGE

NURSENURSE>> aa nursenurse inin chargecharge ofof aa groupgroup ofof

patients,patients, usuallyusually aa unitunit inin aahospitalhospital oror otherother likelike institutions,institutions,andand thethe nursingnursing staffstaff requiredrequired toto

carecare forfor thethe patientspatients..77.. GENERALGENERAL DUTYDUTY NURSENURSE OROR

STAFFSTAFF NURSENURSE


33/78

D.ACCORDING TOD.ACCORDING TO

PROFESSIONAL STATUSPROFESSIONAL STATUS 11.. ACTIVEACTIVE NURSESNURSES

>> thosethose whowho areare inin actualactual practicepractice ofof nursingnursingoror thosethose actuallyactually employedemployed asas nursesnurses inin thethe

governmentgovernment oror privateprivate organizations,organizations,institutionsinstitutions oror agenciesagencies..

22.. INACTIVEINACTIVE NURSESNURSES

>> thosethose whowho areare neitherneither engagedengaged inin thethepracticepractice ofof thethe nursingnursing professionprofession nornoremployedemployed asas nursesnurses inin anyany governmentgovernment ororprivateprivate organization,organization, institutioninstitution oror agencyagency..


34/78

E. CLASSIFICATION OF NURSESE. CLASSIFICATION OF NURSES

IN THE GOVERNMENTIN THE GOVERNMENT

Nursing personnel of hospitals,Nursing personnel of hospitals,

schools of nursing and otherschools of nursing and otherinstitutions and agencies of theinstitutions and agencies of theGovernment are classifiedGovernment are classified

according to the nature and dutiesaccording to the nature and dutiesof the positions they hold.of the positions they hold.


35/78

RARA 997997,, AMENDEDAMENDED BYBY RARA 12411241

>> allall nursingnursing positionspositions inin thethegovernmentgovernment serviceservice havehave beenbeenplacedplaced underunder oneone groupgroup calledcalled

NURSINGNURSING GROUP

GROUP.... (composed(composed ofofseveralseveral classesclasses treatedtreated underunder

differentdifferent levelslevels andand givengiven appropriateappropriate

salarysalary rangesranges withwith allall positionspositionsapportionedapportioned amongamong thesethese classesclassesaccordingaccording toto thethe dutiesduties andand

responsibilitiesresponsibilities ofof thethe positionspositions..


36/78

I. NURSES IN THE DOHI. NURSES IN THE DOH

1. Nursing Consultant1. Nursing Consultant

2. Department Training Nurse II2. Department Training Nurse II

3. Department Training Nurse I3. Department Training Nurse I

4. Regional Training Nurse4. Regional Training Nurse

5. Assistant Regional Training Nurse5. Assistant Regional Training Nurse 6. Supervising Nurse Instructor6. Supervising Nurse Instructor

7. Nurse Instructor II7. Nurse Instructor II

8. Nurse Instructor I8. Nurse Instructor I


37/78

II. NURSES IN HOSPITALSII. NURSES IN HOSPITALS

AND OTHER INSTITUTIONSAND OTHER INSTITUTIONS 1. Chief Nurse IV1. Chief Nurse IV

2. Assistant Chief Nurse IV2. Assistant Chief Nurse IV

3. Chief Nurse III3. Chief Nurse III

4. Assistant Chief Nurse III4. Assistant Chief Nurse III

5. Chief Nurse II5. Chief Nurse II 6. Assistant Chief Nurse II6. Assistant Chief Nurse II

7. Chief Nurse I7. Chief Nurse I

8. Prison Nurse Supervisor8. Prison Nurse Supervisor


38/78

9. Supervising OR Nurse9. Supervising OR Nurse

10. Senior OR Nurse10. Senior OR Nurse11. OR Nurse11. OR Nurse

12. Nurse Anaesthetist12. Nurse Anaesthetist13. Supervising Nurse13. Supervising Nurse

14. Senior Nurse14. Senior Nurse15. Nurse15. Nurse


39/78

III. NURSES IN PUBLICIII. NURSES IN PUBLIC

HEALTHHEALTH 1. PUBLIC HEALTH NURSING1. PUBLIC HEALTH NURSING

SUPERVISORSUPERVISOR

2. REGIONAL NURSING SUPERVISOR2. REGIONAL NURSING SUPERVISOR

3. REGIONAL PHN3. REGIONAL PHN

4. SUPERVISING PHN II4. SUPERVISING PHN II

5. SUPERVISING PHN I5. SUPERVISING PHN I

6. SENIOR PHN6. SENIOR PHN

7. PHN7. PHN


40/78

IV. NURSES IN SCHOOLSIV. NURSES IN SCHOOLS

OF NURSINGOF NURSING 1. NURSING SCHOOL PRINCIPAL III1. NURSING SCHOOL PRINCIPAL III

2. NURSING SCHOOL PRINCIPAL II2. NURSING SCHOOL PRINCIPAL II

3. NURSING SCHOOL PRINCIPAL I3. NURSING SCHOOL PRINCIPAL I

4. NURSING SCHOOL ASSISTANT4. NURSING SCHOOL ASSISTANTPRINCIPAL IIIPRINCIPAL III

5. NURSING SCHOOL ASSISTANT5. NURSING SCHOOL ASSISTANTPRINCIPAL IIPRINCIPAL II

6. NURSING PROGRAM SUPERVISOR6. NURSING PROGRAM SUPERVISOR


41/78

F. PUBLICHEALTH NURSINGF. PUBLICHEALTH NURSING

PUBLICPUBLIC HEALTHHEALTH>> wholesomewholesome sanitarysanitary conditioncondition

ofof thethe communitycommunity atat largelarge>field>field ofof medicinemedicine thatthat isisconcernedconcerned inin safeguardingsafeguarding andandimprovingimproving thethe physical,physical, mentalmentalandand socialsocial wellwell--beingbeing ofof thethe

communitycommunity asas aa wholewhole..


42/78

*modern*modern publicpublic healthhealth movementmovementencompassesencompasses MENTALMENTAL HEALTH,HEALTH,

SOCIALSOCIAL HYGIENE,HYGIENE, ACCIDENTACCIDENTPREVENTION,PREVENTION, SCHOOLSCHOOL HEALTH,HEALTH,HEALTHHEALTH EDUCATION,EDUCATION, NUTRITIONNUTRITION

EDUCATION,EDUCATION, PARENTPARENT EDUCATION,EDUCATION,CHILDCHILD HEALTH,HEALTH, GERIATRICS,GERIATRICS,CONTROLCONTROL OFOF COMMUNICABLECOMMUNICABLE ANDAND

CHRONICCHRONIC DISEASESDISEASES SUCHSUCH ASAS TB,TB,CANCER,CANCER, STROKESTROKE ANDAND HEARTHEARTDISEASESDISEASES..


43/78

FUNCTIONS OF PHNFUNCTIONS OF PHN

11.. worksworks asas membersmembers ofof aa healthhealth teamteam totopromotepromote communitycommunity healthhealth

22.. provideprovide nursingnursing carecare andand treatmenttreatment andandhealthhealth counsellingcounselling andand organizeorganize familiesfamilies andandcommunitycommunity groupsgroups forfor healthhealth purposespurposes

33.. activitiesactivities includeinclude workwork inin thethe home,home, clinic,clinic,office,office, schoolschool oror healthhealth center,center, andand inin allall phasesphases

ofof thethe work,work, emphasisemphasis beingbeing placedplaced onon thethepreventionprevention ofof disease,disease, thethe promotionpromotion ofof healthhealthandand rehabilitativerehabilitative measuresmeasures..


44/78

CATEGORIES OF PUBLICCATEGORIES OF PUBLIC

HEALTH NURSESHEALTH NURSES 1. PUBLIC HEALTH NURSING1. PUBLIC HEALTH NURSING

SUPERVISORSUPERVISOR

2. REGIONAL NURSING SUPERVISOR2. REGIONAL NURSING SUPERVISOR

3. REGIONAL PHN3. REGIONAL PHN

4. SUPERVISING PHN II4. SUPERVISING PHN II

5. SUPERVISING PHN I5. SUPERVISING PHN I

6. SENIOR PHN6. SENIOR PHN

7. PHN7. PHN

NURSES AND IV THERAPYNURSES AND IV THERAPY


45/78

NURSES AND IV THERAPYNURSES AND IV THERAPY INTRAVENOUSINTRAVENOUS THERAPYTHERAPY

>> treatmenttreatment byby agentsagents introducedintroduced directlydirectlyintointo aa vein,vein, includingincluding injectioninjection ofof drugsdrugs ininsolution,solution, bloodblood transfusiontransfusion andand salinesaline

infusioninfusion.. >a>a formform ofof medicalmedical treatmenttreatment andand asas

such,such, anyany personperson whowho administersadministers thethe

samesame shallshall bebe deemeddeemed asas performingperforming ananactact fallingfalling withinwithin thethe scopescope ofof medicine,medicine,inin accordanceaccordance withwith SectionSection 1010(a)(a) ofof RARA

23822382..


46/78

RARA 61366136

>> intravenousintravenous andand otherother injectionsinjections maymaynownow bebe administeredadministered byby aa registeredregisterednursenurse ifif donedone underunder thethe directiondirection andand

presencepresence ofof aa physicianphysician **when**when aa nursenurse administersadministers IVIV

injectionsinjections underunder thethe directiondirection andand inin thethe

presencepresence ofof aa physician,physician, thethe physiciansphysicianspreviousprevious writtenwritten orderorder forfor thetheadministrationadministration ofof suchsuch injectionsinjections areare nono

longerlonger necessarynecessary..


47/78

A NURSE WAS VERBALLY ORDERED BY AA NURSE WAS VERBALLY ORDERED BY APHYSICIAN TO ADMINISTER AN IVPHYSICIAN TO ADMINISTER AN IV

TREATMENT TO A PATIENT, BUT DUE TOTREATMENT TO A PATIENT, BUT DUE TOABSENCE OF THE PHYSICIAN, THE NURSEABSENCE OF THE PHYSICIAN, THE NURSE

DID NOT LIKE TO ADMINISTER THEDID NOT LIKE TO ADMINISTER THE

TREATMENT..THE PATIENT DIED AND THETREATMENT..THE PATIENT DIED AND THENURSE WAS BLAMED FOR THE PATIENTSNURSE WAS BLAMED FOR THE PATIENTSDEATH AND ACCUSED THAT HAD SHEDEATH AND ACCUSED THAT HAD SHEADMINISTERED THE IV, THE PATIENTADMINISTERED THE IV, THE PATIENT

WOULD NOT HAVE DIEDMAY THE NURSEWOULD NOT HAVE DIEDMAY THE NURSEBE HELD CRIMINALLY LIABLE?CAN SHE BEBE HELD CRIMINALLY LIABLE?CAN SHE BEGUILTY OF PROFESSIONAL NEGLIGENCE?GUILTY OF PROFESSIONAL NEGLIGENCE?


48/78

THE NURSE WILL NOT BE HELDTHE NURSE WILL NOT BE HELD

CRIMINALLY LIABLE:CRIMINALLY LIABLE:> ORDERS OF A PHYSICIAN> ORDERS OF A PHYSICIAN

SHOULD BE IN WRITINGSHOULD BE IN WRITING>IV AND OTHER INJECTIONS>IV AND OTHER INJECTIONS

MUST BE DONE UNDER THEMUST BE DONE UNDER THE

DIRECTION AND IN THEDIRECTION AND IN THEPRESENCE OF A PHYSICIANPRESENCE OF A PHYSICIAN


49/78

RA 7164RA 7164

>> inin thethe administrationadministration ofof IVIV treatment,treatment,SPECIALSPECIAL TRAININGTRAINING SHALLSHALL bebe requiredrequired ofofnursesnurses whowho areare toto performperform thisthis duty,duty,

accordingaccording toto thethe guidelineguideline establishedestablished--thethe AssociationAssociation ofof NursingNursing ServiceServiceAdministrationAdministration ofof thethe PhilippinesPhilippines (ANSAP)(ANSAP)

formulatedformulated aa setset ofof nursingnursing standardsstandards ininintravenousintravenous practicepractice whichwhich willwill serveserve asasguideguide forfor thosethose whowho areare andand willwill bebepracticingpracticing IVIV nursingnursing..

THE NURSING STANDARDS ON IVTHE NURSING STANDARDS ON IV


50/78

THE NURSING STANDARDS ON IVTHE NURSING STANDARDS ON IV

PRACTICE GIVES EMPHASIS ON:PRACTICE GIVES EMPHASIS ON:

1. THE ETHICAL AND LEGAL IMPLICATIONS1. THE ETHICAL AND LEGAL IMPLICATIONSOF THE IV PRACTICEOF THE IV PRACTICE

2. BASIS OF THE PRACTICE, WHICH IS;2. BASIS OF THE PRACTICE, WHICH IS;

A. LAWFUL THERAPEUTIC PRESCRIPTIONS OFA. LAWFUL THERAPEUTIC PRESCRIPTIONS OFLICENSED PHYSICIANLICENSED PHYSICIAN

B. THOROUGH KNOWLEDGE OF THE VASCULARB. THOROUGH KNOWLEDGE OF THE VASCULARSYSTEM, THE BODY SYSTEM BEINGSYSTEM, THE BODY SYSTEM BEING

INTERRELATED WITH PROFICIENCY IN SKILL ININTERRELATED WITH PROFICIENCY IN SKILL INIV THERAPYIV THERAPY

C. RECOGNITION OF HOLISTIC APPROACH TOC. RECOGNITION OF HOLISTIC APPROACH TOPATIENT CARE

PATIENT CARE


51/78

33.. CLINICALCLINICAL SKILLSSKILLS NURSESNURSESPERFORMINGPERFORMING IVIV INJECTIONSINJECTIONS ASAS PARTPART OFOFTHEIRTHEIR PRACTICEPRACTICE AREARE EXHORTEDEXHORTED TOTO BEBECOMPETENTCOMPETENT ANDAND PROFICIENTPROFICIENT ININ ALLALLCLINICALCLINICAL ASPECTSASPECTS OFOF THETHE IVIV THERAPYTHERAPY


52/78

44.. PROCEDURESPROCEDURES IVIV NURSESNURSES AREARE TOTOPERFORMPERFORM THERAPEUTICTHERAPEUTIC PROCEDURESPROCEDURES ININ

ACCORDANCEACCORDANCE OROR CONSISTENTCONSISTENT WITHWITH THETHEPOLICIESPOLICIES ESTABLISHEDESTABLISHED BYBY THETHE ANSAPANSAPWHICHWHICH INCLUDEINCLUDE::

AA.. CARRYCARRY OUTOUT PHYSICIANSPHYSICIANS PRESCRIPTIONSPRESCRIPTIONSFORFOR IVIV TREATMENTTREATMENT

BB.. PREPARE,PREPARE, INITIATE,INITIATE, MONITOR,MONITOR, ANDANDTERMINATETERMINATE IVIV THERAPYTHERAPY

C. ADMINISTER BLOOD AND BLOODC. ADMINISTER BLOOD AND BLOODCOMPONENTS AS PRESCRIBED BY THECOMPONENTS AS PRESCRIBED BY THEPHYSICIANPHYSICIAN


53/78

FIELDS/AREASFIELDS/AREAS

OFOFSPECIALIZATIONSPECIALIZATION


54/78

INSTITUTIONAL NURSING/INSTITUTIONAL NURSING/

HOSPITAL NURSINGHOSPITAL NURSING Has wide range of specialization and areasHas wide range of specialization and areas

of workof work

OBOB TRAUMATRAUMA

SURGERYSURGERY

INTERNAL MEDICINEINTERNAL MEDICINE OR/DR/RROR/DR/RR

ICU, CCU, NICUICU, CCU, NICU

ADVANTAGES OF BEING A STAFFADVANTAGES OF BEING A STAFF


55/78

ADVANTAGES OF BEING A STAFFADVANTAGES OF BEING A STAFF

NURSE/NURSE/

INSTITUTIONAL NURSEINSTITUTIONAL NURSE There is always a supervisor whom one canThere is always a supervisor whom one can

consult if problem exist.consult if problem exist.

Nurses are updated with new trends inNurses are updated with new trends inmedicine and in nursing care of patientsmedicine and in nursing care of patients

They undergo rotation to different units andThey undergo rotation to different units andhave a chance to determine their special areahave a chance to determine their special area

of choice.of choice. They have 8 hour duty/40 hours a weekThey have 8 hour duty/40 hours a week

With chance to be promoted to higher positionsWith chance to be promoted to higher positions


56/78

SalarySalary increasesincreases areare givengiven periodicallyperiodically

accordingaccording toto meritmerit systemsystem thusthusincreasingincreasing initiativeinitiative andand bestbest effortsefforts

TheyThey areare consideredconsidered anan importantimportant

membermember ofof thethe healthhealth carecare teamteam ininprovidingproviding carecare toto thethe patientspatients..

MoreMore staffstaff developmentdevelopment programsprograms areareavailableavailable

DISADVANTAGESDISADVANTAGES


57/78

DISADVANTAGESDISADVANTAGES

ThereThere isis aa greatgreat possibilitypossibility ofofunderstaffingunderstaffing whichwhich maymay requirerequirenursesnurses toto sacrificesacrifice somesome ofof theirtheir plansplansoror putput inin overtimeovertime workwork..

SomeSome nursesnurses dodo notnot findfind timetime totoimproveimprove theirtheir skillsskills throughthrough continuingcontinuing

programprogram educationeducationAdministrativeAdministrative problemsproblems andand overworkoverwork

maymay tendtend toto dissatisfydissatisfy thethe staffstaff nursenurse..


58/78

PUBLICHEALTH NURSINGPUBLICHEALTH NURSING

Main concern is prevention of disease,Main concern is prevention of disease,promotion of health andpromotion of health and vigorvigor of the people inof the people inthe rural areas.the rural areas.

FOCUS: (Robles andFOCUS: (Robles and DionisioDionisio, 2001), 2001)

Determining the health needs of the individual,Determining the health needs of the individual,family and communityfamily and community

Assessing health statusAssessing health status Implementing health plansImplementing health plans

Evaluating health practicesEvaluating health practices

Providing PHCProviding PHC


59/78

ADVANTAGES OF PHNADVANTAGES OF PHN

TheThe focusfocus ofof nursingnursing carecare isis onon thethefamilyfamily andand communitycommunity thanthan onon ananindividualindividual basisbasis..

ItIt givesgives thethe nursenurse aa betterbetterperspectiveperspective ofof thethe healthhealth conditionsconditions

ofof thethe communitycommunity andand thethe healthhealthprogramsprograms conceivedconceived andandimplementedimplemented byby thethe governmentgovernment

ItIt maximizesmaximizes effortsefforts toto improviseimprovise wherewhere


60/78

ItIt maximizesmaximizes effortsefforts toto improviseimprovise wherewheretherethere areare sufficientsufficient facilities,facilities, suppliessupplies andand

equipmentequipment.. ItIt enablesenables thethe nursenurse toto utilizeutilize variousvarious

communitycommunity resourcesresources andand maximizemaximize

coordinationcoordination withwith otherother HCPHCP.. FocusFocus ofof carecare isis moremore onon educationaleducational andand

preventivepreventive aspectsaspects..

AllAll levelslevels ofof clientsclients areare motivatedmotivated totoassumeassume responsibilityresponsibility forfor theirtheir ownown healthhealthcarecare..


61/78

DISADVANTAGES OF PHNDISADVANTAGES OF PHN

CasesCases foundfound ininP

HNP

HN areare limitedlimited mostlymostlytoto chronicchronic and/orand/or CDsCDs..

ThereThere areare moremore hazardshazards inin PHNPHN thanthan ininhospitalhospital nursingnursing..

ThereThere areare nono fixedfixed hourshours ofof workwork..

SomeSome claimclaim thatthat itit isis notnot asas excitingexciting ororglamorousglamorous asas hospitalhospital workwork

FacilitiesFacilities forfor carecare ofof thethe sicksick areare limitedlimitedthusthus practicepractice oror skillsskills maymay alsoalso bebelimitedlimited..


62/78

PHN may not be immediatelyPHN may not be immediatelyaware of changes nor trends inaware of changes nor trends in

fields of medicine or nursing.fields of medicine or nursing.

PHN is not a place for introverts.PHN is not a place for introverts.Theres no immediate supervisorTheres no immediate supervisor

to consult in case of emergency.to consult in case of emergency.


63/78

INDUSTRIAL NURSINGINDUSTRIAL NURSING

LooksLooks afterafter thethe healthhealth ofof thetheemployeesemployees..

MaintainsMaintains aa highhigh standardstandard ofofnursingnursing serviceservice inin thethe company,company,interpret,interpret, developdevelop andand administeradminister

thethe healthhealth programsprograms emanatingemanatingfromfrom thethe healthhealth unitunit


64/78

NURSING EDUCATIONNURSING EDUCATION

Starts as a Clinical instructorStarts as a Clinical instructor

up to the Dean of College ofup to the Dean of College ofNursingNursing


65/78

ADVANTAGES OF BEING AADVANTAGES OF BEING A

MEMBER OF NURSINGMEMBER OF NURSINGEDUCATIONEDUCATION

Interesting, important andInteresting, important andchallenging fieldchallenging field

Salaries are higher than thoseSalaries are higher than those

working in the hospitalworking in the hospital


66/78

PERSONAL QUALITIES OFPERSONAL QUALITIES OF

FACULTY MEMBER/CIFACULTY MEMBER/CI Capability to promote interest in the subjectCapability to promote interest in the subject

they teachthey teach

Competence in the particular field theyCompetence in the particular field theyteachteach

Resourcefulness with infinite patience,Resourcefulness with infinite patience,understanding, confidence andunderstanding, confidence andperseveranceperseverance

Expertise in providing nursing care in theirExpertise in providing nursing care in theirchosen field and are good role models.chosen field and are good role models.


67/78

SCHOOLHEALTH NURSINGSCHOOLHEALTH NURSING

Nurses must like children a lotNurses must like children a lot

Nurses often work alone, out ofNurses often work alone, out of

touch with other nurses, the hospitaltouch with other nurses, the hospitaland professional support they haveand professional support they haveknown.known.

They are responsible for the schoolsThey are responsible for the schoolsactivities in the areas of healthactivities in the areas of healthservices, health education andservices, health education and

environmental health and safety.environmental health and safety.


68/78

ADVANTAGES OFADVANTAGES OF

SCHOOL NURSESSCHOOL NURSESOpportunity to watch childrenOpportunity to watch children

advance from grade to gradeadvance from grade to gradeHours are good and no shiftHours are good and no shift

dutyduty


69/78

DISADVANTAGES OFDISADVANTAGES OF

BEING A SCHOOL NURSEBEING A SCHOOL NURSE Most do not update themselves onMost do not update themselves on

current issues in nursingcurrent issues in nursing

Nurses should enjoy working withNurses should enjoy working withchildrenchildren


70/78

PRIVATE DUTY NURSINGPRIVATE DUTY NURSING

Nurses are expected to be expertNurses are expected to be expertclinicians as well as expert generalistclinicians as well as expert generalistin nursing.in nursing.

Nurses render comprehensive nursingNurses render comprehensive nursingcare to the client on a onecare to the client on a one--toto--oneonerationration

He is an independent contractorHe is an independent contractor

May provide care in the hospital or inMay provide care in the hospital or inthe homethe home


71/78

ADVANTAGES OF PDNADVANTAGES OF PDN

With the chance to see life as it reallyWith the chance to see life as it reallyis, to study human nature and to knowis, to study human nature and to know

at close range interesting people ofat close range interesting people ofdifferent nationalities, culture, religiondifferent nationalities, culture, religionand status.and status.

Has the opportunity to make realHas the opportunity to make realfriends through close association withfriends through close association withthe patient and SOsthe patient and SOs


72/78

The chance to travel and see theThe chance to travel and see theworldworld

Ability to own time, adjusting workAbility to own time, adjusting workand private life satisfactorily andand private life satisfactorily and

directing off duty time to enjoyabledirecting off duty time to enjoyableleisure.leisure.

Keeping abreast to new knowledgeKeeping abreast to new knowledge

and proceduresand procedures The challenge to give his best inThe challenge to give his best in

providing care and having theproviding care and having the

satisfaction of seeing its resultssatisfaction of seeing its results


73/78

DISADVANTAGES OF PDNDISADVANTAGES OF PDN

Some PDNs create a situation inSome PDNs create a situation inwhich patients become totallywhich patients become totally

dependent.dependent. Some may have graduated so longSome may have graduated so long

ago and have not upgraded theirago and have not upgraded their

knowledge and skills.knowledge and skills. No enough nurses for pm andNo enough nurses for pm and

night shifts, holidays, week endsnight shifts, holidays, week ends

and vacation periodand vacation period


74/78

With minimize opportunity for developing goodWith minimize opportunity for developing goodrelationships with other hospital personnel.relationships with other hospital personnel.

Some resent supervision by hospital staff.Some resent supervision by hospital staff. Little assistance is given by the head nurse whenLittle assistance is given by the head nurse when

patient is critically ill and needs help in treatmentpatient is critically ill and needs help in treatment

Theres little or no participation in professionalTheres little or no participation in professional

activitiesactivities Nurses who are experienced and well qualifiedNurses who are experienced and well qualified

receive the same fee as new graduatereceive the same fee as new graduate

There are no retirement, insurance and medicalThere are no retirement, insurance and medical

benefitsbenefits Standard rates for PDN was approved by the BODStandard rates for PDN was approved by the BOD

ofPNAofPNA

CLINIC NURSINGCLINIC NURSING


75/78

CLINIC NURSINGCLINIC NURSING The Nurse possesses general skillsThe Nurse possesses general skills

Usually, the doctor has been in general practice for aUsually, the doctor has been in general practice for anumber of yearsnumber of years

The nurse acts as:The nurse acts as:

ReceptionistReceptionist

Answers phoneAnswers phone

Does the billingDoes the billing Takes XTakes X--rays and ECGsrays and ECGs

Changes dressingsChanges dressings

Administers medicationsAdministers medications

Assists in physical examAssists in physical exam Autoclaves instrumentsAutoclaves instruments

Keeps recordsKeeps records

Orders and store suppliesOrders and store supplies

Makes follow up calls and referrals for patientsMakes follow up calls and referrals for patients


76/78

ADVANTAGES OF CLINICADVANTAGES OF CLINIC

NURSINGNURSING Favorable working hoursFavorable working hours

Satisfaction of working with peopleSatisfaction of working with people

they know and likethey know and like

If efficient, they are trusted in theirIf efficient, they are trusted in theirjudgement and share in planningjudgement and share in planning

patients care.patients care.


77/78

MILITARY NURSINGMILITARY NURSING

ADVANCED PRACTICE NURSINGADVANCED PRACTICE NURSING

INDEPENDENT NURSINGINDEPENDENT NURSING

PRACTICEPRACTICE


78/78

AIM HIGHAIM HIGHANDAND

FLY HIGHFLY HIGH

MIGHTY EAGLES!MIGHTY EAGLES!

PROF AD EDITED

Documents

Transcript of PROF AD EDITED