Profession Adjustment

Professional Adjustment 

Profession  OCCUPATION or CALLING  Requires: Advanced training and Experience  What does it use: Specific or specialized body of knowledge Characteristics of a Profession  Altruism  Autonomy  Authority  Accountability  Code of Ethics  Distinct Identity and Subculture

Criteria for a Profession  Discretion and judgement Et hics  Code of Ethics  Training  Retention   Needs Professional Professional Nursing (Definition)  1) Person  2) Completed Basic Nursing Education  3) Licensed to Practice

Professional Nursing Nurse Practice Law (RA 9173 )  Purpose: More responsive nursing profession  Changed: RA. RA. 7164, "the Philippine Nursing act of 1991"  Contains: general statements of appropriate appropriate nursing actions

Professional Nursing Nurse 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 o f Nursing Practice RA 9173  Who: Person

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With Others Does what: give nursing services To whom: Individuals Families Communities 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  Rehabilitative Scope of Nursing Practice RA 9173  When: conception labor delivery infancy childhood toddler  pre-school school-age adolescence adult old-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, HRD 1) 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 students 3) Connects community resources to health care t eam 4) Nursing and Human Resource Development, Training and Research Service, 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 approval BSN: Characteristics (4C)  Competency-based  4 years  Goal: Prepare Nurses to enter ENTRY LEVEL positions in ANY health care setting

GENERALIST and NOT SPECIALIST License: Characteristics  Legal document

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Permits a person to offer to the public his services and k nowledge  In a particular jurisdiction Professional Regulations Commission  Authority to  ADMINISTESR IMPLEMENT ENFORCE Why 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

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RECIPROCITY   Not a Filipino  Same requirements  Same benefits  Residence: 3 yrs DO UT DES Ways 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 curriculum Written 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 is lower than 60%? Retake the exam Only 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 day Do 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 administer oaths BEFORE entering nursing practice. All nurses whose names appear at the roster of nurses shall be automatically or IPSO 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 practice Items 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 person’s 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

Requirements For The Re-issuance Of Revoked Certificates And Replacement Of Lost 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 fees Basics of Nursing Practice  Nursing Education Terminal Competencies of Graduate Nurses  Communicator  Accountable  Manager  Personal and Professional 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 co llaboration  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 Nursing AREAS WHERE A NURSE MAY WORK   Hospital:  Hospital Nursing  Self-employed:  Independent Practitioner  Military:  Military nursing   Nursing Colleges:   Nursing education  Doctor’s clinic:  Clinic nurse

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 Continuing Education CONTINUE to Stand and CODE Board of Nursing Organization 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 reappointed Board 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 o f his or her lawful term until replaced Qualifications 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 conduct Powers, 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 ican dum   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 interfering with the conduct of such proceedings, upon application with the court. 

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Promulgate a code of ethics in coordination with the accredited professional organization Recognize nursing specialty organizations  in coordination with the accredited  professional organization

 Nurse Specialists Qualifications 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 know ledge  Improves nurse’s self image 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  Master’s 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

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 pro fessional 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 and international agencies in the attainment of health goals

Philippine Nurses Association Code of Ethics Concepts  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 know ledge 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 co workers and other members of the health team  Must recognize their capabilities and limitations, accepting responsibilities and those of their co-workers when delegating responsibilities to them

 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 gro wth of the nursing profession International Council of Nursing  Organization through which nurses all over the wor ld 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 Denmark ICN: 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 2002 RA 7164  The Philippine Nursing Act of 1991 RA 2493  1915  The first law affecting nursing practice. It provided for the examination and registration of nurses in the Philippines RA 6136  

1970 Authorizes registered nurse to administer IV and other injection u nder the direction a in the presence of the physician. This does not apply to nursing students who perform services under the supervision of their clinical instructor.

RA 7610  "Special Protection of Children Against Child Abuse, Exploitation and Discrimination Act. RA 7160  Devolution of Health Services RA 8981  PRC Modernization act RA 8187  "Paternity Leave Act of 1996". RA 6758  the Compensation and Position Classification Act of 1989. RA 3753  Civil Registrar Law LOI 949 

Primary Health Care1979 RA 7659  Death Penatly Act Amendments of the Revised Penal Co de RA 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