Profession Adjustment
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Transcript of Profession Adjustment
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Professional Adjustment
Profession OCCUPATION or CALLING Requires: Advanced training and Experience
What does it use: Specific or specialized body of knowledgeCharacteristics of a Profession Altruism Autonomy Authority Accountability Code of Ethics Distinct Identity and Subculture
Criteria for a Profession Discretion and judgement
Code of Ethics Training Retention Needs
Professional Nursing (Definition) 1) Person 2) Completed Basic Nursing Education 3) Licensed to Practice
Professional NursingNurse Practice Law (RA 9173 )
Purpose: More responsive nursing profession Changed: RA . 7164, "the Philippine Nursing act of 1991" Contains: general statements of appropriate nursing actions
Professional NursingNurse Practice Law (RA 9173 )
Contains the following: Requirements for the Boards of Nursing Guidelines for
examination registration revocation, suspension and renewal of license education and practice
Scope of Nursing PracticeRA 9173
Who: Person
http://www.chanrobles.com/republicactno7164.htmhttp://www.chanrobles.com/republicactno7164.htmhttp://www.chanrobles.com/republicactno7164.htmhttp://www.chanrobles.com/republicactno7164.htm -
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With Others Does what: give nursing services To whom: Individuals
FamiliesCommunities
Where: Any health care setting
Scope of Nursing Practice As an independent practitioner
Primary level of prevention Health promotion Disease prevention
As a member of the health care team Secondary
Curative Tertiary
RehabilitativeScope of Nursing Practice
RA 9173 When: conception
labordeliveryinfancychildhoodtoddler pre-schoolschool-ageadolescenceadultold-age
GENERALIST VS SPECIALIST Generalist Broader and wider Diverse population Different health needs Wide range of settings Broad knowledge and skills Specialist Specific but in depth Specific population Specific needs
Duties of the Nurse (RA 9173)Service, Teach, Research, Community, HRD1) Give nursing service Nursing process
Usual Services
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Traditional New Therapeutic Communication Primary health care Comfort measures
Health teaching Tx as prescribed Delivery
Unusual Services Internal Examination during labour IF WITHOUT BLEEDING Suturing of perineal laceration
Duties of the Nurse (RA 9173)2) GUTS to students3) Connects community resources to health care team4) Nursing and Human Resource Development, Training and ResearchService, Teach, Research, Community, HRD
3 Personal Qualifications of a Professional Nurse BSN Paper
License Reciprocity Temporary Permit
Fit (Physical and mental)Who are the persons who are NOT allowed to be Registered Nurses???
Immoral Criminals Crazy
Educational Qualifications of a Professional Nurse BSN-4 year course Graduate Nursing-Phase out AHSE-2 year program 1998-1999
Whao can Change the Nursing Curriculum DAN
Dept of Education ADPCN Nurse practicioners
CHED-curriculum approvalBSN: Characteristics (4C)
Competency-based 4 years Goal:
Prepare Nurses to enter ENTRY LEVEL positions in ANY health care setting
GENERALIST and NOT SPECIALISTLicense: Characteristics
Legal document
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Permits a person to offer to the public his services and knowledge In a particular jurisdiction
Professional Regulations Commission Authority to
ADMINISTESR
IMPLEMENTENFORCEWhy must we be licensed?
NUMBER 1 REASON: Protect the public
HOW? Minimum Standards of Practice
Registration Recording of names of qualified persons to practice
3 Ways to become an RN (TER)
EXAMINATION Filipino BSN Good moral character
TEMPORARY PERMIT (short term) Foreigner RN For a fee or free Medical mission Exchange Profs
RECIPROCITY Not a Filipino Same requirements Same benefits Residence: 3 yrs
DO UT DESWays to become an RN
Examination Application Fees Original TOR with DECS Special Order unless Level II Accredited Nursing
Program Actual RLE
Chief nurse or rept Dean Clinical Instructor
OR Cases Delivery Cases Reciprocity
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Application Fees Certification from Commission on Immigration and Deportation
(residence ) Copy of law or petition of reciprocal practice
Copy of BSN curriculumWritten Examination TOPICS
Fundamentals of Nursing MCN CHN Nursing of adolescents, adults and aged Mental Health
Integrated Anatomy and Physiology Pharmacology
Therapeutics Microbiology Diet Therapy
Citizenship Requirements Natural Born
Jus sanguine Jus Soli
Naturalization Adopting a foreigner
Special Cases Female married to alien Lost citizenship
How do I know if I have passed the Exam??? A general average of at least 75% No rating below 60%
What happens if I get an average of higher than75% but my Preventive Care islower than 60%?Retake the examOnly in the subjects that is rated below 60%You must get a score of at least 75%When are exams reconsidered?
4 Possible Cases (ME) Malfeasance in rating Mechanical error Clerical Errors Clear Errors
File with PRC within 90 dayDo I have to join the Oathtaking ???
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All candidates who passed the exam is REQUIRED by LAW to take an oath of professions before the Board or any government official authorized to administeroaths BEFORE entering nursing practice.
All nurses whose names appear at the roster of nurses shall be automatically orIPSO FACTO registered as nurses
Items Issued To Nurses Who Pass The Board Exam Certificate of Registration or Professional License Professional Identification Card
Items Issued To Nurses Who Pass The Board Exam Certificate of Registration or Professional License
An earned temporary right; A privilege An evidence of basic skill, knowledge and attitude to qualify for
nursing practiceItems Issued To Nurses Who Pass The Board Exam
Certificate of Registration or Professional License
Contains the following: Full name of the nurse Serial number Signature of the Members of the Board Official seal of the commission
Items Issued To Nurses Who Pass The Board Exam Professional Identification Card
Duly signed by the chairperson of the commission Must bear the date of the registration , license number and the date of
issuance and expiration
When can a license be revoked, suspended or cancelled? Unprofessional unethical conduct Gross Incompetence Serious ignorance Malpractice or Negligence in Nursing Use of fraud, deceit or false statements in obtaining a certificate/ license/ permits Violation of the Act Practicing the profession during suspension
Prohibitions in the Practice of Nursing No certificate Used another persons certificate Invalid, suspended, expired or revoked certificate False evidence to get the license Implied RN even if NOT BSN/RN in name without passing Assists in illegal nursing practice
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Requirements For The Re-issuance Of Revoked Certificates And Replacement OfLost Certificates
Expiration of a maximum of 4 years from the date of revocation of a certificate The cause for revocation has disappeared or has been cured and corrected
Proper application Payment of the required feesBasics of Nursing Practice
Nursing EducationTerminal Competencies of Graduate Nurses
C ommunicator Accountable M anager Personal and P rofessional Growth Participates in solutions to health or social problems
Terminal Competencies of Nursing Graduates
Communicates effectively at all levels of healthcare in various settings therapeutic use of self. Documents effectively Relates well with patient and team
Terminal Competencies of Nursing Graduates Utilizes the elements of management in any health care setting
Uses management process Formulates and implements policies Works independently and or in collaboration Evidence based research in care
AREAS WHERE A NURSE MAY WORK Industries:
Occupational Health Nurse Local Health Agencies:
Public Health Nurses School:
School Health Nursing Home:
Private Duty NursingAREAS WHERE A NURSE MAY WORK
Hospital: Hospital Nursing
Self-employed: Independent Practitioner
Military: Military nursing
Nursing Colleges: Nursing education
Doctors clinic: Clinic nurse
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EXPECTATIONS FOR THE NURSE Observe the Code of Ethics and the Code of Technical Standards Uphold the Standards of Care for safe nursing practice
Maintain professional competence by continual learning through ContinuingEducationCONTINUE to Stand and CODEBoard of NursingOrganization of the Board of Nursing
1 Chair Person 6 Members
Nursing Education Nursing Service Community Health Nursing
Who is the boss of our boss?
PRC Who picks them? President
Who confirms? Commission on appointment
Term of Office: every 3 years; may be reappointedBoard of Nursing
Regular Appointments 12 candidates from PNA To commissioner of PRC First 6 to President President appoints Commission on appointments confirmed
Board of Nursing Ad Interim Appointment
Temporary replacement No definite term
Doctrine of Hold-Over Permitted to continue to exercise the function after the end of his or her
lawful term until replacedQualifications of Chairperson
Filipino (Born here) Resident (Lives here) RN MAN or allied Good standing in Prof org
Majority should be MAN Chairperson: MAN
Qualifications of Chairperson
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10 years of continuous practice Last 5 in the Philippines No crimes of moral turpitude
Board of Nursing When appointed
Resign immediately in school and review programs Resign from any employment or office
No administrative supervision in BSN inc review classes No pecuniary interests
BON Term of office: 3 years 2 terms only Oath
BON: Dismissal Neglect Incompetence
Commission or toleration of regularities in Licensure examination Unprofessional, immoral or dishonorable conductPowers, Functions And Duties Of The Board Of Nursing
Give licensure examination Issue, suspend or revoke certificates of registration for the practice of
nursing Monitor and enforce quality standards of nursing practice in the Philippines Ensure quality nursing education Conduct hearings and investigations to resolve complaints against nurse
practitioners
Powers, Functions And Duties Of The Board Of Nursing issue subpoena ad testi f icandum and subpoena duces tecum to secure the
appearance of respondents and witnesses and the production of documents and punish with contempt person obstructing, impeding and or otherwise interferingwith the conduct of such proceedings, upon application with the court.
Promulgate a code of ethics in coordination with the accredited professionalorganization
Recognize nursing specialty organizations in coordination with the accredited professional organization
Nurse SpecialistsQualifications Of Nursing Service Administrators
BSN-RN 2 years exp in Gen Nurs Serv Admin 9 units in management Good standing of accredited professional org of nurses
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Chief Nurse or directors must 5 yrs of supervisory experience MAN in Nursing (Hosp) MPH (Public Health agencies)
Nursing Specialty Certification Adopted by BON
Resolution 19, Series 1999 Purpose: upgrade the level and competency of specialty nurse Critical Care Oncology Renal And others
Nursing Specialty Program Required
2 years of service in Philippine hospitals Benefits
Improve quality of patient care
Measures expertise beyond the license Ensures competence in changing world Lifelong learning that advances nursing knowledge Improves nurses self imag e
Qualifications Of Faculty Of Nursing RN 1 year of clinical practice in specialization Be a good member of professional organization of nurses MAN or other allied health ______ Post-MA or Doctorals
Qualifications Of Deans Of Colleges Of Nursing
In addition to the aforementioned Have an MA in Nursing Have at least 5 years of experience in Nursing
Qualifications For Chief Nurses In Military Hospitals Masters degree in public or community health nursing are priority Completion of General Staff Course
Military Nursing Second leiutenant Flight pay for flight nurse Hazard pay Cold weather clothing for those in Cold regions Overseas pay Hospitalization benefits for relatives
RE-ENTRY TO PRACTICE For those who are of 5 YEARS OF NONE-PRACTICE 1 month of didactic training and 3 months of practicum under accredited
hospitals
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Role of Regulating Bodies Nursing Associations
Representation for its members in legislative, political and practice matters
Provides a central voice for its professional nurse membership Assists the BON in adopting a Code of Ethics Lobbies and provides leadership for a specific nursing group
The Philippine Nurses Association The only nursing association accredited by the PRC The official accredited professional organization Purpose
Attain optimal level of professional standards To work for the welfare of nurses To respond to the changing health needs of the Philippine society ]to
establish linkages with government, non-government, local or national andinternational agencies in the attainment of health goals
Philippine Nurses AssociationCode of EthicsConcepts
Health is a fundamental right of every individual Therefore the nurse is responsible to preserve health at all cost. Basic to nursing is the understanding and knowledge of man Standards of practice vary in different setting Respect for the rights and dignity of individuals is also basic to the practice of the
profession Nurses and Practice
Nurses are Responsible for their own nursing practice Responsible or personal and professional growth and development Advocates of patients Maintain or modify standards of care within the reality of any given
situation Quality of care is their goal Advocates of their patients Aware that their actions have professional, ethical, moral and legal
dimensions
Nurses and Co-workers Nurses
Must maintain collaborative working relationships with their coworkersand other members of the health team
Must recognize their capabilities and limitations, accepting responsibilitiesand those of their co-workers when delegating responsibilities to them
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Nurses and Colleagues Expected to be able to get along smoothly with colleagues Should be able to adjust themselves t0 the organization and to now its policies and
procedures Must know their placement in the organization
Must report incompetent or below quality care practices Nurses and the Profession Expected to be members of the Nursing Professional Organization Help determine desirable standards of care in practice and educat ion Participate actively in the development and growth of the nursing profession
International Council of Nursing Organization through which nurses all over the world collaborate in strengthening
nursing service, education and ethics Founded in July 1899 Founders: Ethel Fenwick (London) Sponsors: Matrol Circle of Great Britain and Ireland
Founding members: Us, Canada, England, New Zealand, Australia and DenmarkICN: Objectives To provide a medium through which national nurses association may share
common interest by working together to develop the contribution of nursing to the promotion of health and the care of sick people
International Red Cross Principles
Humanity : A desire to bring assistance without discrimination Impartiality : No discrimination to race, religious beliefs or political
opinion. Neutrality : No sides in hostilities Independence: Autonomous Volunteeer service: Unity: One red cross/ country Universality: equal status and equal responsibility
RA 9173
The Philippine Nursing Act of 2002RA 7164
The Philippine Nursing Act of 1991RA 2493
1915 The first law affecting nursing practice. It provided for the examination and
registration of nurses in the PhilippinesRA 6136
1970 Authorizes registered nurse to administer IV and other injection under the
direction a in the presence of the physician. This does not apply to nursingstudents who perform services under the supervision of their clinical instructor.
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RA 7610 "Special Protection of Children Against Child Abuse, Exploitation and
Discrimination Act.RA 7160
Devolution of Health Services
RA 8981 PRC Modernization actRA 8187
"Paternity Leave Act of 1996".RA 6758
the Compensation and Position Classification Act of 1989.RA 3753
Civil Registrar LawLOI 949
Primary Health Care 1979
RA 7659 Death Penatly Act Amendments of the Revised Penal CodeRA 7877
Anti-Sexual Harassment Act of 1995 ."RA 8353
The Anti-Rape Law of 1997."
RA 7305 The Magna Carta of Public Health Workers
RA 8749
Philippine clean air act of 1999