#RNby2024 b.

Nurses must utilize the nursing process (ADPIE) in giving service

and care to the patients
Profession 3. RA 9173
● Specific field of practice that requires extensive training and education a. Created in the year 2002 (October 21, 2002)
Occupation b. Every 3 years nurses are duty bound to renew his professional
● “ synonymous with work or job” idenification card
c. Composed of 9 articles
CRITERIA OF PROFESSION (WILLIAM SHEPHARD) i. Article 1: Title
● Specialized body of knowledge (theories) ii. Article 2: Declaration Policy
○ 21 typology of nursing aka 21 nursing problem iii. Article 3: Board Of Nursing
● Advanced skills and training 1. Composition: 1 Chairman & 6 members
○ 5 levels of advancement (PATRICIA BENNER) 2. Requirements:
■ Novice (0 yr of experience - ex. Student nurses, nurses who a. RN
recently passed the board exam; he/she follows all the b. Member of PNA (only accredited org for
regulations and rules) nurses) established in 1922
■ Advanced beginner (1-2 yrs of experience; acceptable c. Masters degree
behavior) i. Members: nursing, education, allied
■ Competent (2 -3 yrs of experience; focus on long term health
goals) ii. Chairman: Nursing
■ Proficient (3-5 yrs of experience; focus on holistic d. 10 yrs of experience ( in hosp, academe,
approach) researcher, public health)
■ Expert (more than 5 yrs of experience; flexible fluid; breaks i. That the last 5 yrs should be
the rule) obtained in the Philippines; first 5
● S - values, behaviours and attitudes yrs can be obtained anywhere
● Service to others 3. Terms of Office:
a. BON has 1 term (3 years) but can be
reappointed for another term (maximum of 2
NURSING LAW IN THE PHILIPPINES terms)
1. Act No. 2808 b. In other words, BON can stay in the position
a. First true nursing law for 6 years
b. Created in the year 1919 4. Selection Process of the BON:
c. Year 1920 - first board exam of nursing a. Nomination - done by the PNA (PNA
d. Anna Dahlgen - first board exam passer nominates 3 person per position: total is 21
2. Republic Act 7164 person)
a. Created in the year 1991

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 b. Screening - done by the PRC (2 person per b. BSN Degree in the Phil
position) c. Good moral character
c. Appointment / signing of the paper - done by 2. Ratings:
the President of the Philippines (also has the a. Average: 75% and above without lower than
power to remove the BON) 60% in any subject
5. Duties/ Responsibilities of the BON: b. Conditional - examinees who obtained the
a. Conduct licensure examination average general percent but with exam
b. Issue suspend/ revoke licenses, COR below than 60%
c. Promulgate/ promote Code of Ethics i. Retake the failed subject and should
d. Maintain quality education among the obtain 75% and above
nursing schools 3. Sequence on how to become a registered nurse:
i. CHED has the power to close the a. Pass
nursing schools and BON will only b. Registration
do the recommendation c. Oath taking
e. Maintain quality services offered in the v. Article 5: Nursing Education
hospital 1. CI & Dean
6. Special Powers of the BON: “quasi” or false-like a. Registered Nurse
a. Quasi-Executive - approve laws b. Member of PNA
b. Quasi- Legislative - make laws c. Work experience
c. Quasi - Judiciary - make conduct hearings i. 10 yrs of experience - BON
and investigation for violations; BON can ii. 5 yrs of experience - Dean
issue subpuena or court order iii. 1 yr of experience - CI
i. ad testi ficandum - to testify under d. With Master’s degree
oath 2. Inactive Nurse - not practicing the profession for 5
ii. subpuena duces tecum - all consecutive years
necessary documents related to the a. Requirements:
case i. D1dactic training = 1 month
7. Removal/Suspension of the BON: ii. PrActicum = 3 months
a. Commission/ toleration of irregularities in the vi. Article 6: Hospital (nursing working in the hospital) aka.
licensure exam NURSING PRACTICE
b. Dishonorable/ immoral conduct 1. Nursing Administrators Reqiurements:
c. Administrative, civil, and criminal cases a. Registered Nurse
iv. Article 4: EXAM b. Member of PNA
1. Requirements to qualify to take the exam: c. Work experience
a. Filipino born citizen

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 i. 2 yrs of experience - Head ix. Article 9: Final Provisions
Nurse/Supervisor
ii. 5 yrs of experience - Chief LEGALITIES IN NURSING PROFESSION
Nurse/Nursing Director ● Civil Law - protects the rights of the society
d. All should have Master’s Degree except ○ Ex: adultery, indebtness,not delivering services as promised
head nurse/supervisor yet he/she should ○ Civil case term used: complainant vs defendant
have 9 units of managerial course ● Criminal Law - defines the nature and treatment of the different crimes
2. Scope of Nursing Practice: ○ Revised Penal Code of the Phil.
a. Utillization of nursing process ○ Ex. Murder, rape, theft, homicide, abortion, arson
b. Traditional and innovative techniques ○ Criminal case term used: plaintiff vs. accused
i. Utilization of halamang gamot in
community setting Different legalities in Nursing Profession:
ii. Carries /prepares the order of MD 1. MURDER - intentional killing of a person
iii. Conduct health teaching in all 2. HOMICIDE - unintentional killing of a person
settings 3. PARRICIDE - killing of relatives
iv. Medication administration: oral, 4. INFANTICIDE - killing of a child less than 72 hours
topical, parenteral 5. ABORTION - termination of products of conception before the age of viability
1. No IV medication (20 weeks)
administration is allowed as 6. ASSAULT - verbal/oral threat without physical contact
it requires separate training a. E.g. threatening pt without touching them
v. Nurse can perform internal 7. BATTERY - verbal/oral threat with physical injury
examination during labor and 8. DEFAMATION - paninirang puri
absence of bleeding yet no suturing a. SLANDER - oral/verbal form
of laceration b. LIBEL - written form
vi. Nurses can do consultation services 9. FALSE IMPRISONMENT/ ILLEGAL DETENTION
vii. Article 7: Health hUMAN Resources Development a. Eg. Patient na walay pambayad nga dili paulion, patient not allowed
Utilization and Production (HHRDUAP) to be visited by visitors)
1. Comprehensive Nursing Specialty Program 10. MALPRACTICE - practicing the profession outside the standards
a. To undergo specialization (funded by PCSO, a. E.g. ordering of medications, or actions resulting to major outcome
PAGCOR) - 10% of the population staff like coma, hypovolemic shock, seizure)
nurses b. 4 Ds + E: Duty, Dereliction ( Breach of Duty), Direct injuries, Direct
b. Salary grade 15 (public hospital) Damages, & Extent of Damages
viii. Article 8: Penalties 11. NEGLIGENCE - kapabayaan; commission or omission of an act that results
1. Fine charges of 50k - 100k to harm of the patients
2. Imprisonment - 1 yr to 6 years

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 a. 4 Ds: Duty, Dereliction ( Breach of Duty), Direct injuries & Direct BIOETHICS
Damages 1. GOLDEN RULE - Actions that are good/bad in nature
b. Actions resulting to minor outcome like allergies, ● Nurse’s role: Identify what actions will benefit the patient
● In everything, do to others what you would want them do unto you.
DOCTRINE OF NEGLIGENCE 2. DEONTOLOGY
● Res Ipsa liquitor - things speaks for itself “obvious injury” ○ Deos “duty”; lugos “study”
○ Eg: surgical instruments inside the body of the patient ○ All the actions of nurses are guided by “duty”
● Respondeat Superior - let the master speak for its coordinates 3. UTILITARIANISM/ TELEOLOGY
○ Bosses are liable or even the hospital ○ Actions for the greatest good for the greatest number of people
● Force Majure - acts of nature; not liable for such events
● Persona of the crimes - PRINCIPLES
○ Principal - mastermind/ source 1. BENEFICENCE - to do good; “good in nature”
○ Accessory - all the person of the cirme who has knowledge about a. Eg: providing health teaching; conducting house to house visit to the
the crime but not physically present; who conceals or destroys all community, conducting v/s
evidences of the crime 2. NON-MALEFICENCE - to do no harm; prevents harm towards the patient
○ Accomplice - side-kicks of the principal; people who helps the a. Eg: raising the side rails, application of foot rest
principal to execute the crime 3. FIDELITY - being faithful, keeping one’s promises
■ THE LAW APPLIES TO ALL - MURDER but with different a. Eg: fulfilling interventions as promised
charges and yrs of imprisonment 4. VERACITY - showing truthfulness
a. Eg: explaining the side effect of the drugs
CIRCUMSTANCES “Jurisprudence” 5. PRIVACY - preventing the patient and his body parts to be exposed in public
1. Justifying - crime without no criminal record 6. CONFIDENTIALITY - information/ details of pt
a. Eg: self-defense, defense of relatives, defense of strangers 7. AUTONOMY - independence; freedom of choice of pt
2. Exempting - crime without no criminal record yet with civil cases 8. PATERNALISM - father-like principle where other person decides in behalf of
a. Eg: minors, imbecile, insanity the patient such as doctor, nurse, and s/o
3. Mitigating - criminal act that result to lesser imprisonment 9. EPIKIA - exception to the rule; breaking the rules (the best thing to do) for
a. Eg: voluntary plea of guilty, voluntary surrender, blind and deaf the patient
4. Aggravating - criminal act that result to larger/extended imprisonment a. Eg: a nurse sharing the pt condition with STD to her partner, and
a. Eg: crimes committed during night times, crimes committed during other healthcare providers involved for the care of the pt
disaster, public servant with criminal offense, crimes using bombs 10. DOUBLE EFFECT ACTION - for every action there is a positive and
and other explosives, crimes in exchange of money/ serial killers negative result
5. Alternative circumstances - a type of circumstances that is not mitigating a. Eg: Administering morphine for a CVD pt to alleviate pain yet can
nor aggravating also lead to respiratory depression
a. Eg: lack of education, illiteracy 11. TOTALITY -
a. 1st principle: the sum of the body is greater than its parts

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 b. 2nd principle: Removing body parts of the person is approved/ okay
provided that the removal will benefit the person

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