Profession Adjustment

8/11/2019 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
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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