Professional Documents
Culture Documents
Professional Adjustment
Professional Adjustment
A D JU S T M E N T
RT WITH THE B ASICS!!!
LET’S STA
ELIZABETH S. VARELA, RN
WHAT IS PROFESSIONAL ADJUSTMENT?
PROFESSIONAL PREPARATION:
NURSING EDUCATION
NURSING PRACTICE
NURSING SERVICE
• THE CHED MEMORANDUM ORDER NO. 14 S. 2009 ENTITLED “POLICIES AND STANDARDS FOR THE
BACHELOR OF SCIENCE IN NURSING (BSN) PROGRAM” WAS ISSUED IN ORDER TO ATTAIN GLOBAL
COMPETITIVENESS AND TO KEEP ABREAST WITH GLOBAL STANDARDS, FAST-PACED TRENDS AND
CHANGING NEEDS OF SOCIETY
CORE VALUES OF NURSING
• LOVE OF GOD
• LOVE OF PROFESSION- CARING, INTEGRITY, EXCELLENCE
• LOVE OF COUNTRY- NATIONALISM
MISSION OF THE NURSING PROFESSION
•
• A. STAFF NURSING A. OUTPATIENT CLINICS AND PHYSICIAN’S OFFICE
• RA – CONGRESS/SENATOR
• EO – GOVERNMENT
• PD – PRESIDENT (MARCOS)
• BATASANG PAMBANSA – SINCE NO CONGRESS/SENATOR IN MARCOS’ TIME
PRINCIPAL SOURCES OF LAW
• - CONSTITUTION • - CASE DECISIONS OR JUDICIAL OPINIONS
• - STATUTES OR LEGISLATIONS (REPUBLIC ACTS) • - PRESIDENTIAL DECREES
• - REGULATIONS ISSUED BY THE EXECUTIVE • - LETTERS OF INSTRUCTIONS
BRANCH OF THE GOVERNMENT (EXECUTIVE
ORDERS)
NURSING LEGISLATION
• - THE MAKING OF LAWS OR THE BODY OF LAWS ALREADY ENACTED AFFECTING THE SCIENCE AND THE ART
AND PRACTICE OF NURSING.
RE P U B L I C A C T N O . 9 1 7 3
S IO N , R EP EA LIN G FO R TH E PURPOSE
R A M OR E R ES P O N SIVE NURSING PROFES
AN ACT PROVIDING FO E NU R S ING A CT O F 199 1” AND FOR
, OTH ER W IS E K NO W N A S “THE PHILIPPIN
REPUBLIC ACT NO. 7164 OTHER PURPOSES
REPULIC ACT 9173
• AN ACT PROVIDING FOR A MORE RESPONSIVE NURSING PROFESSION REPEALING FOR THE PURPOSE RA
7164 OTHERWISE KNOWN AS THE PHILIPPINE NURSING ACT OF 1991 AND FOR OTHER PURPOSES
• 1919
ACT 2808
• THE FIRST TRUE NURSING LAW WAS PASSED, CREATING A BOARD OF EXAMINERS FOR NURSES
• 1920
• FIRST BOARD EXAMINATION FOR NURSES WAS GIVEN
HISTORICAL PERSPECTIVES OF PHILIPPINE NURSING
LAW
• JUNE 19, 1953
RA 877
• “THE PHILIPPINE NURSING LAW” WAS PASSED
• ORGANIZATION OF BOARD OF EXAMINERS
• PROVISIONS REGARDING NURSING SCHOOLS AND COLLEGES
• EXAMINATION AND REGISTRATION OF NURSES
• SUNDRY PROVISIONS RELATIVE TO THE PRACTICE OF NURSING
HISTORICAL PERSPECTIVES OF PHILIPPINE NURSING
LAW
• JUNE 18, 1966 • ACADEMIC DEGREE REQUIREMENT FOR THE
RA 4704 MEMBERS OF THE BOARD WAS MASTER’S
• AMENDED CERTAIN PORTIONS OF RA 877 WHICH DEGREE INSTEAD OF BSN
INCLUDE:
• RA 7164
• “THE PHILIPPINE NURSING ACT OF 1991”
• CODIFIED AND REVISED ALL THE LAWS REGULATING THE PRACTICE OF NURSING IN THE PHIL
HISTORICAL PERSPECTIVES OF PHILIPPINE NURSING
LAW
• SALIENT FEATURES: • INCLUSION OF THE PHRASE “UNETHICAL
CONDUCT AS ONE OF THE REASONS FOR
• REDEFINITION OF THE SCOPE OF NURSING REVOCATION AND SUSPENSION OF CERTIFICATE
PRACTICE; NOT ONLY BEDSIDE
OF REGISTRATION
• EDUCATIONAL QUALIFICATION OF MASTER’S
DEGREE FOR FACULTY AND DEANS OF COLLEGES • IV THERAPY TRAINING IS REQUIRED
OF NURSING • LEGAL BASIS OF SPECIALTY CERTIFICATION
COUNCIL
• EDUCATIONAL QUALIFICATIONS OF
ADMINISTRATORS OF NURSING SERVICE
RA 9173
• “PHILIPPINE NURSING ACT OF 2002” WHICH REPEALED RA 7164/ OCT 21,2002 BY ARROYO
• SALIENT FEATURES:
• INCREASED COMPOSITION OF BOARD TO 7:
CARMENCITA ABAQUIN – UP – ONCO/MS
BETTY MERRITT – PSYCH
PERLA PO – PSYCH
LEONILA FAIRE – OR PRACTICAL
MARCO ANTONIO SANTO TOMAS – MCN/IMCI/LEGISLATION SANTO TOMAS
AMELIA ROSALES – TQM
YOLANDA ARUGAY - RESEARCH
RA 9173
• SALIENT FEATURES: • PROVIDES FOR INCENTIVES AND BENEFITS
• RECOGNIZES THE SPECIALTY CERTIFICATION SYSTEM FOR NURSES AND DEPENDENTS
PROGRAM
• UPGRADED THE SALARY OF GOVERNMENT
• REQUIRES THOSE INACTIVE IN PRACTICE TO NURSES TO SG15
UNDERGO 1 MONTH DIDACTIC AND 3 MONTHS
PRACTICUM (NOT YET IMPLEMENTED) • ANY COMMITTEE HEAD SHALL BE HEADED BY BON
• SUTURING PERINEAL LACERATIONS IS ALLOWED
AFTER UNDERGOING TRAINING ACCORDING TO
PROTOCOL ESTABLISHED (MCNAP)
RA 9173
• - ANY EMPLOYER OF NURSES WHO VIOLATE THE MINIMUM BASE PAY OF NURSES AND THE INCENTIVES
AND BENEFITS THAT SHOULD BE ACCORDED THEM AS SPECIFIED IN SEC. 32 AND 34
DISTRIBUTION, USE AND ACCEPTANCE OF DRUGS • THE FIVE ESSENTIAL DRUGS UNDER MDRP
AND MEDICINES IDENTIFIED BY THEIR GENERIC • AMLODIPINE – FOR HTN
• CYTRABINE AND DOXORUBICIN – AND ALL ITS SALT FORM BOTH FOR
ANTI-NEOPLASTICS/ANTI-CANCER
OTHER LAWS
• PUBLIC HEALTH • RA 10606, UNIVERSAL HEALTH CARE ACT OF 2013
RA 1082 – CREATED THE RURAL HEALTH UNITS • ENSURE THAT ALL FILIPINOS, ESPECIALLY THE POOREST OF
THE POOR, WILL GET HEALTH INSURANCE COVERAGE
STAFFED WITH RURAL HEALTH PERSONNEL
FORM THE PHILIPPINE HEALTH INSURANCE CORP.
INCLUDING NURSES (PHILHEALTH)
RA 4073 – LIBERALIZES THE TREATMENT OF • THE LAW MANDATES A NATIONAL HEALTH INSURANCE
LEPROSY PROGRAM (NHIP) AS THE MEANS FOR THE HEALTH TO
HELP PAY FOR THE CARE OF THE SICK AND FOR THOSE
RA 8504 – PHILIPPINE AIDS PREVENTION AND WHO CAN AFFORD MEDICAL CARE TO SUBSIDIZE THOSE
CONTROL ACT OF 1998 WHO CANNOT
OTHER LAWS
• RA 1054 • RA 8423
REQUIRES THE OWNER OR LESSEE OF ANY AN ACT CREATING THE PHILIPPINE INSTITUTE OF
INDUSTRIAL, COMMERCIAL OR AGRICULTURAL TRADITIONAL AND ALTERNATIVE HEALTH CARE
ESTABLISHMENTS TO PROVIDE FREE EMERGENCY (PITACH) TO ACCELERATE THE DEVELOPMENT OF
MEDICAL AND DENTAL SERVICES TO HIS/HER TRADITIONAL AND ALTERNATIVE HEALTH CARE IN
EMPLOYEES OR LABORERS THE PHILIPPINES, PROVIDING FOR A
TRADITIONAL AND ALTERNATIVE HEALTH CARE
• RA 3573 DEVELOPMENT FUND
REPORTING OF COMMUNICABLE DISEASES
OTHER HEALTH PROFESSIONS PRACTICE ACTS
• RA 7392 – MIDWIFERY LAW PROVIDES THAT ONLY THOSE WHO ARE LICENSED MIDWIVES COULD
PRACTICE MIDWIFERY
NURSES HAVE TO PASS THE EXAMINATION AND SUBMIT TWENTY (20) DELIVERIES AND PAY THE
CORRESPONDING FEES FOR THE EXAMINATION AND REGISTRATION
OTHER HEALTH PROFESSIONS PRACTICE ACTS
• PD 965
REQUIRES THAT COUPLES INTENDING TO GET MARRIED MUST FIRST UNDERGO FAMILY PLANNING AND
RESPONSIBLE PARENTHOOD INSTRUCTIONS PRIOR TO THE ISSUANCE OF A MARRIAGE LICENSE
OTHER HEALTH PROFESSIONS PRACTICE ACTS
• RA 10354
THE RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH ACT OF 2012
GUARANTEES UNIVERSAL ACCESS TO METHODS OF CONTRACEPTION, FERTILITY CONTROL, SEXUAL
EDUCATION AND MATERNAL CARE
WOMEN AND CHILD HEALTH
• PD 996 – REQUIRES COMPULSORY IMMUNIZATION OF CHILDREN BELOW 8 YEARS OLD AGAINST
COMMUNICABLE DISEASES
• PD 603 – CHILD AND YOUTH WELFARE CODE, PROTECTS AND PROMOTES THE RIGHTS AND WELFARE OF
CHILDREN AND YOUTH
• PD 651 – DECREES THE REGISTRATION OF BIRTH OF A CHILD WITHIN 30 DAYS WITH THE CIVIL REGISTRAR
• RA 7600 – ROOMING-IN AND BREAST-FEEDING 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 THE CHILDREN
WOMEN AND CHILD HEALTH
• EO 51 – MILK CODE OF THE PHILIPPINES
• EO 209 – FAMILY CODE OF THE PHILIPPINES
• RA 6809 – AN ACT LOWERING THE AGE OF MAJORITY TO 18 (1989)
• RA 9288 – AN ACT PROMULGATING COMPREHENSIVE POLICY AND A NATIONAL SYSTEM FOR ENSURING NEWBORN SCREENING (APRIL 7, 2004)
• 5 DISORDERS
CONGENITAL HYPOTHYROIDISM (CH)
CONGENITAL ADRENAL HYPERPLASIA (CAH)
GALACTOSEMIA (GAL)
PHENYLKETONURIA (PKU)
GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD)
WOMEN AND CHILD HEALTH
• RA 9262 – ANTI-VIOLENCE AGAINST WOMEN AND THEIR CHILDREN ACT OF 2004
• RA 9344 – JUVENILE JUSTICE AND WELFARE ACT OF 2006
FORMS A WELFARE COUNCIL UNDER THE DOJ AND SWD
CHILDREN BELOW 15 ARE EXEMPTED
• CRIMINAL CHARGES WHILE YOUTH OFFENDERS AGES 15-18 COULD ONLY BE CRIMINALLY CHARGES IF
THEY COMMITTED THEIR CRIME WITH DISCERNMENT
HOSPITAL AND LABOR LAWS
• RA 8344 – AN ACT PENALIZING THE REFUSAL OF HOSPITALS AND MEDICAL CLINICS TO ADMINISTER
APPROPRIATE INITIAL MEDICAL TREATMENT AND SUPPORT IN EMERGENCY CASES
• RA 6758 – STANDARDIZES THE SALARIES OF GOVERNMENT EMPLOYEES, WHICH INCLUDE THE NURSING
PERSONNEL
• RA 6173 – CODE OF CONDUCT AND ETHICAL STANDARDS FOR PUBLIC OFFICIALS AND EMPLOYEES,
UPHOLDS THE TIME- HONORED PRINCIPLE THAT PUBLIC OFFICE IS A PUBLIC TRUST
• RA 7160 – LOCAL GOVERNMENT CODE, TRANSFERS RESPONSIBILITY FOR DELIVERY OF BASIC SERVICES
AND FACILITIES OF THE NATIONAL GOVERNMENT TO LOCAL GOVERNMENT UNITS
• RA 7305 – “MAGNA CARTA FOR PUBLIC HEALTH WORKERS”, TO PROMOTE AND IMPROVE THE SOCIAL AND
ECONOMIC WELL- BEING OF HEALTH WORKERS; DEVELOP THEIR SKILLS AND CAPABILITIES; AND
ENCOURAGE THOSE QUALIFIED TO REMAIN IN GOVERNMENT SERVICE
SENIOR CITIZENS ACT
• RA 7432 – SENIOR CITIZENS ACT, GIVES HONOR AND JUSTICE TO THE ELDERLY, GIVING THEM 20%
DISCOUNT IN ALL PUBLIC ESTABLISHMENTS SUCH AS RESTAURANTS, PHARMACIES, PUBLIC UTILITY
VEHICLES AND HOSPITALS
• 20% DISCOUNT IN FARE FOR DOMESTIC AIR AND SEA TRAVEL, PUBLIC RAILWAYS, SKYWAYS AND BUS
FARES
• 1982 – PNA SPECIAL COMMITTEE HEADED BY THE LATE DEAN EMERITUS JULITA V. SOTEHO DEVELOPED A
CODE OF ETHICS FOR FILIPINO NURSES. THIS WAS APPROVED BY THE HOUSE OF DELEGATES DURING THE
THIRD ANNUAL CONVENTIONS BUT WAS NOT IMPLEMENTED.
• 1984 – BON RESOLUTION 633 WAS ISSUED AND ADOPTED THE CODE OF ETHICS OF THE INTERNATIONAL
COUNCIL FOR NURSES, ADDING THE PROMOTION OF SPIRITUAL ENVIRONMENT AS THE FIFTH-FOLD
RESPONSIBILITY OF THE NURSE. THIS WAS ENFORCED UP TO 1989.
HISTORICAL PERSPECTIVES
• 1989 – PNA PROMULGATED A NEW CODE OF ETHICS AND WAS APPROVED BY THE BON THROUGH ITS BON
RESOLUTION 1955 S. 1989.
• 2004 – BON RESOLUTION 220 – PROMULGATION OF THE CODE OF ETHICS FOR REGISTERED NURSES
PREAMBLE
• HEALTH IS A FUNDAMENTAL RIGHT OF EVERY INDIVIDUAL. THE NURSE’S PRIMARY RESPONSIBILITY IS TO
PRESERVE HEALTH AT ALL COST
• WHEN THE FOREGOING ARE NOT POSSIBLE ASSISTANCE TOWARDS PEACEFUL DEATH SHALL BE HIS/HER
OBLIGATION
• TO ASSUME THIS RESPONSIBILITY, RNS HAVE TO GAIN KNOWLEDGE AND UNDERSTANDING OF MAN’S
CULTURAL SOCIAL, SPIRITUAL, PSYCHOSOCIAL, AND ECOLOGICAL ASPECTS OF ILLNESS, UTILIZING THE
THERAPEUTIC PROCESS
PREAMBLE
• CULTURAL DIVERSITY AND POLITICAL AND SOCIO-ECONOMIC STATUS ARE INHERENT FACTORS TO
EFFECTIVE NURSING CARE
• THE DESIRE FOR THE RESPECT AND CONFIDENCE OF CLIENTELE, COLLEAGUES, CO-WORKERS AND THE
MEMBERS OF THE COMMUNITY PROVIDES THE INCENTIVE TO ATTAIN AND MAINTAIN THE HIGHEST
POSSIBLE DEGREE OF ETHICAL CONDUCT
P RO F E S S I O N A L
CO N TI N U I N G
P M E N T F O R N U RS E S I N T H E
D E V ELO
P H I LI P P I N E S
MUST KNOWS
WHAT IS CPD FOR NURSES?
• CPD STANDS FOR CONTINUING PROFESSIONAL DEVELOPMENT, WHICH REFERS TO THE ONGOING
PROCESS OF LEARNING, ACQUIRING NEW SKILLS, AND ENHANCING EXISTING ONES TO KEEP UP WITH THE
FAST-EVOLVING LANDSCAPE OF HEALTHCARE.
• CPD BUILDS ON THE RIGOROUS EDUCATION AND TRAINING NURSES UNDERGO BEFORE THEY BECOME
PROFESSIONALS, ENSURING THAT THEY REMAIN KNOWLEDGEABLE AND COMPETENT IN DELIVERING SAFE
AND EFFECTIVE CARE.
HOW MANY CPD UNITS ARE REQUIRED FOR NURSES?
• GIVEN THE COMPLEX PURPOSE OF CPD FOR NURSES, IT ENCOMPASSES A RANGE OF LEARNING ACTIVITIES
AND COVERS A VARIETY OF TOPICS.
• AS SUCH, THE PHILIPPINE BOARD OF NURSING HAS MANDATED THAT NURSES MUST EARN 15 CREDIT
UNITS EVERY THREE YEARS IN ORDER TO RENEW THEIR LICENSES. THIS MEANS THAT NURSES MUST EARN
AT LEAST FIVE UNITS EVERY YEAR.
WHAT ARE THE IMPORTANT PROVISIONS OF CPD ACT
OF 2016?
• RA 10912, OTHERWISE KNOWN AS THE CONTINUING PROFESSIONAL DEVELOPMENT ACT OF 2016, WAS
PASSED TO INSTITUTE MEASURE THAT WILL CONTINUOUSLY IMPROVE THE COMPETENCE OF FILIPINO
PROFESSIONALS AND TO MAKE THEM ATTUNED TO THE DEVELOPMENT AND ADVANCEMENTS IN THEIR
CHOSEN FIELD.
THE IMPORTANCE OF CPD FOR NURSES IN THE
PHILIPPINES
• CONTINUING PROFESSIONAL DEVELOPMENT IS NOT JUST ANOTHER REQUIREMENT FOR RENEWING A PRC LICENSE. IT
HAS NUMEROUS BENEFITS FOR NURSES, THE HEALTHCARE INDUSTRY, AND SOCIETY.
• CONTINUED LEARNING HELPS NURSES UPHOLD THE HIGHEST STANDARDS OF PROFESSIONALISM AND ETHICS,
WHICH CAN LIKELY HAVE A POSITIVE IMPACT ON PATIENT OUTCOMES.
THE IMPORTANCE OF CPD FOR NURSES IN THE
PHILIPPINES
2. GROWING AS A PROFESSIONAL
• THROUGH CONTINUED LEARNING, NURSES ACQUIRE KNOWLEDGE AND SKILLS THAT CAN ALLOW THEM TO
IMPROVE THEIR PRACTICE, WHETHER THAT’S PROVIDING CARE OR MANAGING A TEAM.
THE IMPORTANCE OF CPD FOR NURSES IN THE
PHILIPPINES
• AS YOU ALREADY KNOW, THERE IS A REQUIRED NUMBER OF CPD UNITS FOR PRC RENEWAL FOR NURSES. NURSES
WHO FAILED TO EARN THE REQUIRED UNITS CANNOT RENEW THEIR LICENSE, AND THUS CANNOT PRACTICE AS A
NURSE.
• ADDITIONALLY, THE ONLINE CPD FOR NURSES CAN BE A WAY FOR NURSES TO STAY UP-TO-DATE ON NEW NATIONAL
AND INTERNATIONAL STANDARDS AND REGULATIONS PERTINENT TO THEIR PROFESSION. THIS WAY, THEY CAN
REMAIN COMPLIANT WITH ALL RELEVANT STANDARDS AND ENSURE THE INTEGRITY OF THE NURSING PROFESSION.
THE IMPORTANCE OF CPD FOR NURSES IN THE
PHILIPPINES
• IT IS OFTEN PROACTIVE AND CAN INCLUDE ATTENDING TRAINING COURSES, WORKSHOPS, SEMINARS,
CONFERENCES, ELEARNING COURSES OR CPD CERTIFIED EVENTS. CPD ACTIVE LEARNING CAN ALSO APPLY
TO PROFESSIONALS TAKING CAREER-ORIENTATED EXAMS, HOWEVER THE STUDY AND REVISION WOULD
BE CONSIDERED SELF-DIRECTED LEARNING.