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NURSE PRACTICE ACT
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LAWS
those rules made by humans that regulate socialconduct in a formally prescribed and legally
binding manner.
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Concept of Law
the sum total of rules, and regulations by
which society is governed
rule of conduct pronounced by controlling
authority
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Three Essential Characteristics of a
Law
Authority or the right to declare that the rule
exists
Pronounced or expressed and the source can
be identified ( must be declared in writing)
Right to enforce the same
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Principal Sources of Law:
Constitution
Statutes or legislations (Republic Acts)
Regulations issued by the Executive Branch of
the government (Executive Orders)
Case decisions or judicial opinions
Presidential decrees
Letters of Instructions
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Nursing Legislation
The making of laws or the body of laws already
enacted affecting the science and the art andpractice of nursing
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NURSE PRACTICE ACT
Law regulating the practice of nursing in acountry or state.
Serves to define nursing and give guidancewithin the scope of practice issues.
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PURPOSES:
Protects the public at large from unsafe
practitioners
Sets standards for nursing profession.
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CONTENTS
Contains general statements of appropriate
professional nursing actions.
Contains general provisions which gives
guidance to acceptable acts.
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ELEMENTS
1. Definition of Professional Nursing
2. Requirements for Licensure
3. Exemptions
4. Licensure Across Jurisdiction
5. Disciplinary Action and Due Process
Requirements6. Creation of Board of Nursing
7. Penalties for Practicing Without A License
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Historical Perspectives of Philippine
Nursing Law
1915 Act 2493 regulated the practice ofmedicine and provided for the examination andregistration of nurses in the Philippine islands
1919 Act 2808 the First true Nursing Law waspassed, creating a Board of Examiners for Nurses
-An Act Regulating the Practice of the
Nursing Profession in the Philippine Islands 1920 - first board examination for nurses was
given
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March 8, 1922 Act 3025- provided for theregistration of Red Cross aids and welfare workers.
November 28, 1928Act 3438
changing the
dates of exam from second Monday of April and
October to second Monday of April and the fourth
Monday of October of each year.
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December 5, 1932 Act 4007TheReorganization Law of 1932
- the conduct of board examinations was
placed under the direct supervision of the Bureau of
Civil Service.
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Historical Perspectives
RA 546 (June 1950)
Recognized and placed all the Boards of Examiners
under the direct supervision of the President of thePhilippines.
Appointment of Board of Examiners by the Presidentof the Philippines
Prescribed general procedure for appointing Board ofExaminers.
Vested in BEN the power to set professional standardsin Nursing Practice and prescribe the collegiate course
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Historical Perspectives
June 19, 1953- R.A. 877 -The Philippine NursingLaw was passed.
-more comprehensive nursing law inthe Philippines
Provisions:
organization of the Board of Examiners
provisions regarding nursing schools and colleges
examination and registration of nurses
sundry provisions relative to the practice of nursing
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Historical Perspectives
June 1966 RA 4704 Amended portions of RA 877 Board membership increased from 3 to 5
Members of the Board appointed by the President approved by the
COA no longer upon the Commissioner of Civil service Required academic degree of Masters degree for board members.
Disqualifying age is 65 years old
Maximum total compensation of P18,000/year
Academic Qualifications of Deans, Directors and Principals of schoolsof Nursing was raised to Masters degree
Areas of study: generalized curriculum (physical, biological, social &behavioral; humanities, chemistry, psychology, zoology)
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Historical Perspectives
Scope of Nursing Practice:
Reporting, recording and evaluation of patients care
Supervision of persons contributing to nursing care of patients
Execution of nursing procedures and techniques
Direction and education to secure physical and mental care
Application and execution of MDs orders concerning treatmentsand medications.
Dates of holding nurses exams- no longer fixed
Minimum required age lowered from 21 to 18 but permitted topractice only when he/she reaches 21 years old.
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Historical Perspectives
Aug 1970 RA 6136 amended part of Sect 17
of RA 877.
Broadened the scope of professional functions of RN in
the application and execution of MDs orders
Authorized the RN to administer parenteral
medications provided the act is done under the
direction of and in the presence of a physician.
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July 1, 1972 Act 6511amended RA 465 whichstandardized the examination and registration fees
charged by the various boards of examiners.
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Historical Perspectives
R. A. 7164 known as The Philippine Nursing Act of 1991codified and revised all the laws regulating the practice ofnursing in the Philippines
Salient Features:
Redefinition of the scope of nursing practice
Educational qualification of masters degree for faculty anddeans of colleges of nursing
Educational qualifications of administrators of nursing services
Inclusion of the phrase unethical conduct as one of the reasonsfor revocation and suspension of certificate of registration
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Historical Perspectives
R.A. 9173 otherwise known as Philippine Nursing Act of2002 repealed R.A. 7164
Salient Features:
Increases the composition of the Board to 7
Recognizes the specialty certification program
Requires those inactive in practice to undergo I month didacticand 3 months practicum
Provides for incentives and benefits system for nurses anddependents
Upgraded the salary of government nurses to SG15.
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Historical Perspectives
BON Resolution No. 425, series of 2003- also known as theImplementing Rules and Regulations of the PhilippineNursing Act of 2002
Issued pursuant to Section 38, Article IX of RA No. 9173,
entitled An Act Providing for a More Responsive NursingProfession, Repealing for the Purpose RA No. 7164.
Mandating the BON, PRC, APO, DOH, DBM and otherconcerned govt agencies to formulate the rules andregulations that will effectively implement the provisions of
the law.
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Comparison Between
RA 7164 and RA 9173
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ARTICLE RA 7164
ARTICLE III-Organization of the BON
1. Components 5 members
2. Qualifications Masters degree
of the Board in Nursing
RA 9173
7 members; shall represent3 areas of Nursing:education, service &community
Masters Degree in Nursing,
Education or other relatedmedical profession;majority shall be Mastersdegree in Nursing and thechairperson shall be holderof Masters Degree in
Nursing
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RA 7164
3. Requirements Resign from any upon
quali- teaching position, cation as
review program, member of
employment in the any
government board office
or itssubsidiary.
4. Power and Recommend Duties of
the for opening of Board
schools.
RA 9173
In addition to provisions of
RA 7164 to resign fromprivate sector.
- Recommend opening ofschools of Nursing.
- Promulgate Code ofEthics.
- Recognize NursingSpecialty organizations.
RA 7164 RA 9173
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RA 7164
ARTICLE IV-Examination and Registration
1. Examination/
Registration Refresher Courseafter 3rd failure
2. Oath No Provision
3. Practice thru No Provision
special ortemporary
permit
RA 9173
No refresher course
To be conducted by theboard or authorized
government official.
With provision in thenew law.
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RA 7164
ARTICLE V: NURSING EDUCATION
1. Requirement for No provision inactivenurses
returning to
practice
2. General entrance Upper 40% ofrequirementthe graduating
class.
3. Qualification of Faculty must have thefaculty at least 3 yrs of
clinical practice.
Deans must have
3 yrs of clinical
practice.
RA 9173
Requires inactive nurses
for 5 years to undergo 1month didactic trainingand 3 monthspracticum.
Deleted in the new law.
Faculty must have at least1 yr of clinical practice.
Deans must have 5 yr ofpractice.
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RA 7164
ARTICLE VI: NURSING PRACTICE
1.Scope1.1 Clientele Stages of
development of
clientele not
specified.
1.2 Nursing Special Training Carefor IV;motivation
of individuals,families and
communities.
RA 9173
Clientele is inclusive of allthe stages ofdevelopment fromconception to old age.
Training for suturing ofperineal lacerations.Provide health educationto individual, families andcommunities.
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RA 7164
1.3 Additional
Provisions
2. Qualifications of Masters degree NursingService major in Nursing
Administrators ServiceAdministration
RA 9173
Duty bound to observe Codeof Ethics and uphold the
standards of Safe NursingPractice. Maintaincompetence by continuallearning thru CPE,Development of Advanced
Nursing Practice.
Masters degree in Nursing;
Chief Nurse in Public Health-Masters degree in Public
Health or CHN; Chief nurse inMilitary Hospital- Mastersdegree & completion ofGeneral Military course.
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RA 7164
ARTICLE VII: HEALTH HUMANRESOURCES
1. Composition of No Provision
Nursing Health
Programs
2. Salary No Provision
3. Funding for No ProvisionComprehensive
Specialty Nursing
RA 9173
To develop comprehensive NursingSpecialty programs. Beneficiariesof this program shall serve at least2 years of continuous service.
Minimum basic pay of nurses inpublic health institution is notlower than grade 15.
10% of the Nursing staff shall betrained annually with funding fromPCSO & PAGCOR.