Nursing Leadership and Management

BS NURSING / FOURTH YEAR

STUDENT ACTIVITY SHEET
Session # 11

LESSON TITLE: LAWS GOVERNING THE PRACTICE OF Materials:

NURSING (PART 2)
Book, pen and notebook, and index card/class list
LEARNING OUTCOMES:
References:
Upon completion of this lesson, the nursing student can:
Lydia M. Venzon RN, MAN, FPCHA
1. Define Law; Ronald M. Venzon RN MAN (2010), Professional
2. Enumerate the different Laws Governing the Practice of Nursing In The Philippines 11th Edition: C & E
Nursing; and, Publishing, Inc. 839 EDSA, South Triangle,
3. Recognize the Implementing Rules and Regulations of RA Quezon City
9173.

LESSON PREVIEW/REVIEW
Based on the previous lesson, enumerate 5 laws governing the practice of nursing.
1.
2.
3.
4.
5.

MAIN LESSON

Presidential Decree No. 69 limits the number of children to four (4) for tax exemption purposes.

Presidential Decree No. 965 requires that couples intending to get married must first undergo a family planning and
responsible parenthood instruction prior to the issuance of a marriage license.

Republic Act No. 1054 requires the owner, lessee or operator of any commercial, industrial or agricultural
establishment to furnish free emergency, medical and dental attendance to his employees and laborers.

Republic Act 4226, known as the Hospital Licensure Act, requires all hospitals in the Philippines to be licensed before
they can offer to serve the community. The licensing agency is the Office for Hospital and Medical Services, Department of
Health.
Nurses working in agencies with 100-bed capacity and/or above ' and are working in an area of one million population
are supposed to work only forty (40) hours a week per R.A. 5901.

Presidential Decree 442 known as the Labor Code of the Philippines provides workers the right to self-organization
and collective bargaining. It promotes the rights and welfare of workers.

Presidential Decree 603, Child and Youth Welfare Code, protects and promotes the rights and welfare of children and
youth. Employment of children below 16 years of age is limited to performing light work not harmful to their safety, health or
normal development and which is not prejudicial to their studies.

Presidential Decree 651 decrees the registration of birth of a child within 30 days with the Civil Registrar.

ILO Convention No. 149 provides for the improvement of life and work conditions of nursing personnel.

Employees insured with the GSIS and SSS are entitled to hospitalization privileges under Program I of the Philippine
Medical Care (MEDICARE) Act (R.A. 6111 of 1969). Medicare benefits of GSIS members or their legal dependents must be
filed with the GSIS Medicare Claims Department.

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 Following are the features of Medicare under Program I:
1. Benefits are extended only in cases of actual confinement in hospital due to illness or bodily injury.
2. There is freedom of choice of hospital or physician and drugstore concerned.
3. Benefits are paid directly to the hospital, attending physician and drugstore concerned.
4. The member is entitled to 45 days hospitalization per year while their legal dependents are entitled to a total of 45
days among them.
5. Hospitalization privileges include medical and surgical services. Vasectomy and caesarean section are included
while cosmetic surgery, optometric services, psychiatry, normal delivery and diagnostic services on an out-patient
basis are not included.
Dependent parents of single members are given Medicare benefits if they are 60 years old and above.

Presidential Decree 1519 gives Medicare benefits to all government employees regardless of status of appointment.
Retirees, regardless of age, are also entitled to Medicare privilege by virtue of their membership in the GSIS or SSS.
Effective January 1980, Presidential Decree No. 1636 requires compulsory membership in the GSIS or SSS
Retirement Fund.

Presidential Decree No. 626 or the Employee Compensation and State Insurance Fund provides benefits to
workers covered by SSS or GSIS for immediate injury, illness or disabilities.
Salient aspects in the Constitution of the Philippines affecting the practice of nursing include full respect for human
rights; recognition of the sanctity of family life; protection and promotion of the rights to form unions, associations or
societies; making health services available to the people at affordable cost; protection of working women; rights of people's
organizations; and recognition of the family as the foundation of the nation.

Republic Act 6675 or the Generics Act of 1988 is an act to promote, require and ensure the production of an adequate
supply, distribution, use and acceptance of drugs and medicines identified by their generic names. Medicines are prescribed
in generics.
Nurses are the patient's advocates. Their role is not only as drug administrators but also as educators by giving
information; as evaluators through monitoring, verifying and reporting of usage and problems encountered, and as
coordinators with physicians, pharmacists, dentists, and concerned groups.

Republic Act 6758 standardizes the salaries of government employees which include the nursing personnel." Their
new position titles, salary grades and schedules are found in Appendix V. However, these are still under negotiation so that
positions of equal importance will have the same salary grade levels and schedules.

Republic Act No. 6713, known as the "Code of Conduct and Ethical Standards for Public Officials and
Employees", upholds a time-honored principle that public office is a public trust. It is the policy of the State to promote a high
standard of ethics in public service. Public officials and employees shall discharge their duties with utmost responsibility,
integrity, competence and loyalty, and shall act with patriotism and justice. They must lead modest lives and uphold public
interest over personal interest.

Republic Act 7160 or the Local Government Code transfers responsibility for delivery of basic services and facilities of
the national government to local government units. This involves devolution of powers, functions and responsibilities to the
local government both provincial and municipal.

Another law approved by Pres. Corazon C. Aquino on March 26, 1992, and authored by Senator Edgardo Angara, is
R.A. 7305 entitled "Magna Carta for Public Health Workers". Its significant objectives are:
a. to promote and improve the social and economic well-being of health workers;
b. to develop their skills and capabilities; and
c. to encourage those qualified and with abilities to remain in government service.

Republic Act 7600 or the Rooming-in and Breastfeeding Act of 1992 provides that babies born in private and
government hospitals should be roomed-in with their mothers to promote breastfeeding and ensure safe and adequate
nutrition to children. This is enforced by the Milk Code (Executive Order No. 51).

Republic Act 7432 or the Senior Citizen's Act gives honor and justice to our people's long tradition of giving high
regard to our elderly. It entitles the elderly to a twenty percent (20%) discount in all public establishments such as
restaurants, pharmacies, public utility vehicles and hospitals. It also entitles the elderly to free medical and dental check-up
and hospitalization in all government hospitals.

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 Republic Act 9173 - Change in the Philippine Nursing Act of 2002 from R.A. 7164, The Philippine Nursing Act of 1998,
taken from the Implementing Rules and Regulations of RA 9173.
1. Composition of the Board of Nursing - The Board is now composed of a Chairman and six (6) members instead of
a Chairman and four (4) members.
2. Submission of names of qualified nominees by the Accredited Professional Organization (APO) to the
Commission, three (3) nominees per vacancy, not later than three months before the vacancy.
3. The Commission submits to the office of the President two (2) nominees per vacancy not later than two months
before the vacancy occurs. The appointment must be issued not later than thirty (30) days before the scheduled
licensure examination.
4. Qualifications of Board Members
4.1 Educational requirement for members of the Board is not limited to registered nurses with Master's degree in
nursing but also to registered nurses with master's degrees in education, or other allied medical profession
provided that the Chairperson and majority of the members are holders of a Master's degree in nursing.
4.2 Of the ten years of continuous practice of the profession prior to appointment, the last five (5) years must be in
the Philippines. This was not specified in RA 7164.
4.3 The section that states that the Board member must not be a green card holder (Art III Sec. 5e R.A. 7164) does
not appear in the new law.
5. Powers and Duties of the Board, Art. II Sec. 11 added:
5.1 Adopt and regulate a Code of Ethics and Code of Technical Standards for the practice of nursing within one
year from the effectivity of this Act.
5.2 Recognize specialty organizations in coordination with accredited professional organizations.
6. Licensure Examination and Registration
6.1 Specific Dates of examination has been deleted (RA 7164 Sec. 14). Specific dates of examination - not earlier
than one (1) month and not later than two months after the closing of each semestral term.
6.2 Specific age of applicants to take the examination to be at least eighteen years (18) of age has been deleted
(RA 7164 Sec. 13b).
7. Ratings, Sec. 15 RA 9173
7.1 Specific number of times an examinee may take the licensure examination has been deleted (RA 7164 Sec. 16
3rd paragraph).
7.2 Added: Removal examination shall be taken within two (2) years after the last failed examination.
8. Revocation and Suspension of Certificate of Registration
8.1 Added: Sec. 23f for violation of RA9173, the Implementing Rules and Regulations, the Code of Ethics, the
Code of Technical Standards for Nursing Practice, and policies of the Board and of the Commission.
8.2 Sec. 23g. Added: For practicing the profession during the period of suspension.
8.3 Period of suspension of the certificate of registration/ professional license not to exceed four (4) years.
9. Rule IV, Nursing Education
9.1 Sec. 26, Rule 1 - Added: requirement for inactive nurses returning to practice - Nurses who have not actively
practiced the profession shall undergo one (1) month of didactic training and three (3) months of practicum.
9.2 Sec. 27, Qualifications of Faculty — Requirement of clinical experience in a field of specification has been
reduced from three (3) years to one (1) year in a field of specialization.
9.3 The Dean of the College of Nursing must have at least five (5) years of experience in teaching and supervising
a nursing education program. Note: An increase from three (3) years as specified in RA 7164.
10. Rule V, Nursing Practice
10.1 Scope of Nursing — Duties and Responsibilities of the Nurse:
a. Deleted: Special training in intravenous injection
Note: Nursing Service Administrators still require formal training in this aspect for the safety of the
patient, the protection of the nurse and of the agency/institution where the patient is being treated or
confined.
b. Added: Special training for suturing the "Lacerated Perineum" Sec 25a
Note: This is being undertaken by the Association of Nursing Service Administrators of the Philippines
(ANSAP) with the Maternal and Child Association of the Philippines (MCNAP).
c. Added: Observe the Code of Ethics and the Code of Technical Standards for Nursing Practice. Maintain
competence through continual
professional education.
10.2 Qualification of Nursing Service Administrators.
a. Sec. 30. Priority in Appointment
a.1 For appointment as Chief Nurse in a Public Health Agency, priority shall be given to those who have
Master's degree in Public Health/ Community Nursing.
a.2 For appointment as Chief Nurse in Military Hospitals, shall be given to those who have a Master's
Degree in Nursing and completion of a General Staff Course (GSC).

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 11. Rule VI, Health Human Resource Production and Utilization Additions:
11.1 Sec. 32. Comprehensive Nursing Specialty Program. The Board is mandated to formulate and develop a
comprehensive nursing specialty program that would upgrade the level of skills and competency of specialty nurse
clinicians in the country.
11.2 Sec. 33. Salary. Minimum base pay of nurses in public health institutions shall not be lower than the first step
or hiring rate prescribed for Salary Grade 15 pursuant to RA 6758, otherwise known as the "Compensation and
Classification Act of 1989". For nurses working in Local Government units, adjustments in salaries shall be in
accordance with Sec. 10 of the same Act.
11.3 Sec. 34. Funding for the Comprehensive Nursing Specialty Program. The annual financial requirement to
train at least ten (10) percent of the nursing staff of the participating hospital shall be chargeable against the
incomes of the Philippine Charity Sweepstakes.
11.4 Sec. 35. Incentives and Benefits. Incentives and benefits shall be limited to non-cash benefits such as free
hospital care for nurses and their dependents, and scholarship grants. As part of the improved working condition of
nurses, the government and private hospitals are mandated to maintain the standard nurse-patient ratio set by the
Department of Health.
12. Rule VII. Penal and Miscellaneous Provisions
12.1 Penalty for violation of this Act in fines has been increased (from not less than ten (10) thousand pesos
(P10,000) nor more than forty thousand pesos (P40,000) as specified in RA 7164) to not less than fifty thousand
pesos (P50,000) nor more than one hundred thousand pesos (P100,000).
Imprisonment of not less than one (1) year nor more than five (5) years from RA 7164 increased from not less
than one (1) year or more than six (6) years, or both fine and imprisonment upon the discretion of the Board.
Penalty and fine are not only for those who practice nursing under circumstances prohibited by the Act but also for
persons or employers of nurses of judicial entities who undertake review classes for foreign or local examination
without permit from the Board; or violate the minimum base pay of nurses, incentives and benefits; or any provision of
this Act as implemented by its IRR.

PRC Resolution No. 2004-17 Series of 2004 re-implemented continuing Professional Education requiring sixty
(60) credit units for three (3) years for professionals with bachelor's degree. Any excess unit earned cannot be carried
on to the next three-year period except for units earned for doctoral and master's degrees.
The total CPE units for registered professionals without baccalaureate degrees shall be thirty (30) units for three
(3) years Any excess shall not be carried on to the next three-year period.

PRC Board of Nursing Resolution No. 14 Feb. 8, 1999 promulgated the guidelines for the implementation of a
Specialty Certification.

PRC Board Resolution No. 2003-166 amended the filing of application of various licensure examinations in the
regional offices from twenty (20) days to thirty (30) days before the first day of examination to give sufficient time for the
Boards in Charge in the Central Office to tally the report, review the qualifications, check the completeness and
accuracy of the documents thereby ensuring strict compliance with the "no deferent" policy.

PRC Board of Nursing Resolution No. 2004-200 series of 2004 - requires applicants in the licensure
examination to submit transcript of records with scanned pictures and with the remarks "For Board Examination
Purposes only."

PRC Resolution No. 2004-189 series of 2004 - forfeits the examination fees paid by the examinee who failed to
report and take the scheduled examination.
Executive Order No. 566 Sept. 8, 2006 directs the Commission on Higher Education to regulate the
establishment and operation of review centers and similar entities.

CHED Memorandum Order No. 49 series of 2006 implements the rules and regulations governing the operation
of review centers pursuant to Executive Order 266.

CHED Memorandum Order No. 13 - series prohibits higher education institutions from forcing their students and
graduating students to enrol in their own review centers and/or review centers of their own preferences.

This document and the information thereon is the property of PHINMA

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CHECK FOR UNDERSTANDING
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 20 minutes for this activity:

Multiple Choice

1. Limits the number of children to four (4) for tax exemption purposes:
a. PD 69
b. PD 965
c. RA 1054
d. RA 4226

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

2. Requires the owner, lessee or operator of any commercial, industrial or agricultural establishment to furnish free
emergency, medical and dental attendance to his employees and laborers:
a. PD 69
b. PD 965
c. RA 1054
d. RA 4226

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

3. Requires that couples intending to get married must first undergo a family planning and responsible parenthood
instruction prior to the issuance of a marriage license:
a. PD 69
b. PD 965
c. RA 1054
d. RA 4226

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

4. Known as the Hospital Licensure Act:

a. PD 69
b. PD 965
c. RA 1054
d. RA 4226

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________

5. Promulgated the guidelines for the implementation of a Specialty Certification:

a. PRC Board of Nursing Resolution No. 14
b. PRC Board Resolution No. 2003-166
c. PRC Board of Nursing Resolution No. 2004-200 series of 2004
d. PRC Resolution No. 2004-189 series of 2004

ANSWER: ________

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RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

6. Amended the filing of application of various licensure examinations in the regional offices from twenty (20) days to thirty
(30) days before the first day of examination:
a. PRC Board of Nursing Resolution No. 14
b. PRC Board Resolution No. 2003-166
c. PRC Board of Nursing Resolution No. 2004-200 series of 2004
d. PRC Resolution No. 2004-189 series of 2004

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

7. Re-implemented continuing Professional Education requiring sixty (60) credit units for three (3) years for professionals
with bachelor's degree:
a. PRC Board of Nursing Resolution No. 14
b. PRC Board Resolution No. 2003-166
c. PRC Board of Nursing Resolution No. 2004-200 series of 2004
d. PRC Resolution No. 2004-17 series of 2004

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

8. Forfeits the examination fees paid by the examinee who failed to report and take the scheduled examination:
a. PRC Board of Nursing Resolution No. 14
b. PRC Board Resolution No. 2003-166
c. PRC Board of Nursing Resolution No. 2004-200 series of 2004
d. PRC Resolution No. 2004-189 series of 2004

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

9. Series prohibits higher education institutions from forcing their students and graduating students to enrol in their own
review centers and/or review centers of their own preferences:
a. PRC Resolution No. 2004-189 series of 2004
b. Executive Order No. 566 Sept. 8, 2006
c. CHED Memorandum Order No. 49 series of 2006
d. CHED Memorandum Order No. 13

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

This document and the information thereon is the property of PHINMA

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10. Implements the rules and regulations governing the operation of review centers pursuant to Executive Order 266:
a. PRC Resolution No. 2004-189 series of 2004
b. Executive Order No. 566 Sept. 8, 2006
c. CHED Memorandum Order No. 49 series of 2006
d. CHED Memorandum Order No. 13

ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.

1. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
2. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
3. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
4. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
5. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
6. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
7. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
8. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
9. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________
10. ANSWER: ________
RATIO:_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________

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LESSON WRAP-UP

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Strategy: Do Now Strategy

This activity is to evaluate what the students learned after the discussion and the activity.
Give the changes from RA 7164 to RA 9173.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

This document and the information thereon is the property of PHINMA

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