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    Professional Nursing Practice

    Profession - is a group (vocational or occupational) that requires specialized education and intellectual knowledge.

    As professionals, nurses are accountable for providing quality care.

    Accountability is the process in which individuals are answerable for their actions and have an obligation (or duty) to

    act.

    Professional Nursing Practice

    1. A profession must satisfy an indispensable social need and must be based upon well established and socially accepted

    scientific principles

    2. It must demand adequate pre-professional and cultural training3. It must demand the possession of a body of specialized and systematized training

    Professional Nursing Practice

    4. It must give evidence of needed skills which the public does not posses; that is, skills which are partly inherent and

    partly acquired

    5. It must have developed a scientific technique which is the result of tested experience

    Professional Nursing Practice

    6. It must require the exercise of discretion and judgment as to time and manner of the performance of duty. This is in

    contrast to the kind of work which is subject to standardization in terms of unit performance or time element

    7. It must have a group of consciousness designed to extend scientific knowledge in techninal language

    Professional Nursing Practice

    8. It must have sufficient self-impelling power to retain its members throughout life. It must not be used as a mere

    stepping stone to other occupations

    9. It must recognize its obligations to society by insisting that its members live up to an established code of ethics

    Definition of a Professional Nurse

    A person who has completed a basic nursing education program and is licensed in his/her country or state to practice

    professional nursing

    License to Practice

    LICENSE

    A legal document given by the government that permits person to offer to the public his/ her skills and knowledge in a

    particular jurisdiction, where such practice would otherwise be unlawful without a license.

    Registration

    Recording of names of persons who have qualified under the law to practice their respective professions.

    Purposes of LicensureTo protect the health of the people by establishing minimum standards which qualified practitioners must meet.

    Discourages certain persons who may be tempted to misrepresent themselves as nurses.

    Most important tool for legal control and enforcement of nursing practice.

    Gather statistical data of nurses in the country.

    R.A. 9173Philippine Nursing Act of 2002

    Section 12 and 20

    license to practice nursing shall be issued to those who pass the licensure examination or by reciprocity

    Types of Registration

    1. Registration by Reciprocity

    Reciprocity : mutuality in grant and enjoyment of privileges between persons or nations

    do ut des

    - for a country to expect a favor from another, it should be willing to give a corresponding favor

    A certificate of registration/ professional license may be issued without examination to nurses registered under the

    laws of a foreign state or country: Provided, that the requirements for registration of licensing of nurses in said country

    are substantially the same as those prescribed under this Act. Provided further, that the laws of such state or country

    grant the same privileges to registered nurses in the Philippines on the same basis as the subjects or citizens of such

    foreign state or country

    Proof of such reciprocityverified by the Foreign Affairs.

    Registered nurse under the law of her country

    Requirements for registration or licensing in a foreign country is the same as those prescribed under this Act.

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    Applicant has resided in the Philippines for 3 consecutive years.

    2. Registration by Examination

    Section 12 All applicants for registration as a nurse and issuance of certificate of registration and professional

    identification care to practice shall be required to pass a written examination which shall be given by the Board in such

    places and dates as maybe designated by the Commission.

    Section 13. Qualification for Admission to the Licensure Examination

    Citizen of the Philippines

    Is of good moral character

    Holder of Bachelors Degree in NursingApplication for Board Examination

    Original transcript of records with special order from DECS/ date of graduation.

    Record of actual related learning experiences for the entire Bachelor of Science in Nursing Program (signed by the

    CN/representative, CI)

    Actual number of operating room scrubs and deliveries assisted, signed by the CN/ representative and CI

    Birth certificate; marriage certificate; alien certificate of naturalization, clearance showing dismissal of the case.

    Section 14. Scope of Examination

    Fundamentals of Nursing

    Maternal and Child Nursing

    Community Health Nursing

    Nursing Adolescents, Adults and Aged

    Psychiatric Nursing

    Physiology, Anatomy, Pharmacology and Therapeutics, Microbiology and Diet Therapy

    Divided into four parts organized around the four major goals in nursing:

    Promotive

    Preventive

    Curative

    Rehabilitative

    Rating of the Nurses Licensure Examination

    Examinee must obtain a general average of at least 75% with no rating below 60% in any subject.

    Examinee who obtains an average rating of 75% or higher but gets below 60% in any subject must take the examination

    again but only in the subjects where she rated below 60%

    To pass the succeeding examination75% in any subject/s repeated.Issuance of Certificate of Registration/ Professional License and Professional Identification Card

    Renewal of Nurses License:

    Every 3 years with the PRC

    Not later than due date indicated (birth date)

    Revocation and Suspension of License

    Suspension:

    Nurse is not allowed to practice temporarily until final judgment of the case against him is rendered.

    License is not confiscated

    Revocation:

    License to practice is confiscated either temporarily or permanently

    Revocation and Suspension of LicensePNA 2002 RA 9173 Section 23

    1. Any of the cause mentioned in Section 22 of RA 91732. Unprofessional and unethical conduct3. Gross incompetence or serious ignorance4. Malpractice or negligence in the practice of nursing5. Use of fraud, deceit or false statements in obtaining a certificate of registration/ professional license or a

    temporary/ special permit.

    6. Violation of this Act, the implementing rules and regulations, Code of Ethics for nurses and code of technical

    standards for nursing practice, policies of the Board and the Commission, or the conditions and limitations for the

    issuance of temporary permit.

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    7. Practicing her profession during her suspension from such practice.

    Prohibitions in the Practice of Nursing

    Any person practicing nursing in the Philippines:

    1. Without certificate of registration/ PRC license/ special/ temporary permit2. Who uses as her own certificate of registration/ professional license/ special or temporary permit of another3. Who uses invalid certificate of registration/ professional license, a suspended or revoked certificate of

    registration/ professional license, or an expired or cancelled special/ temporary permit

    4. Who gives false evidence to the Board in order to obtain a certificate of registration/ professional license or special

    permit5. Who falsely poses or advertises as a registered and licensed nurse or uses any means to convey the impression that

    she is a registered nurse.

    6. Who appends BSN/RN or any similar appendage to her name without having been conferred said degree/ registration

    7. Who as a registered/ licensed nurse abets or assists the illegal practice of a person who is not lawfully qualified to

    practice nursing.

    Licensing Board

    Composition of the Board

    a chairperson

    6 members representing the three areas of nursing

    Nursing Education

    Nursing Service

    Community Health Nursing

    Appointed by the President and confirmed by the Commission on Appointments by:

    Regular appointment

    Philippine Nurses Associationappoint 12 candidate (possess required qualifications)

    Ranked accordingly

    Forwarded to the commissioner of PRC

    Commissioner submits first six to the President

    President will appoint the Board members

    Confirmed by Commission on Appointment

    Ad Interim Appointment

    Board member is appointed in the meantime to fill in a vacancy or perform the duties of the office.

    Doctrine of Hold-OverMember of the Nursing Board is permitted to continue to exercise the functions of the office after the end of her lawful

    term until replaced.

    Qualifications of Chairperson and Members to the Nursing Board

    Natural born citizen and resident of the Phils.

    A member of good standing of accredited professional organization of nurses.

    Registered nurse, and holder of masters degree in nursing, education or other allied medical profession by the

    government

    Have at least 10 years of continuous practice of the profession prior to the appointment

    Must not have convicted of any offense involving moral turpitude

    Membership shall represent the three areas of nursing

    Requirements Upon Qualifications as Chairperson and Member of the BoardImmediately resign from any teaching position in any school, college, university or institution offering Bachelor of

    Science in Nursing and review program

    Immediately resign from any office or employment in the private/ government sector

    Not have pecuniary offering BSN including review classes.

    Powers and Duties of the Board

    Section 9 The Board shall supervise and regulate the practice of the nursing profession in the Philippines

    1. Conducts the licensure examination for nurses;2. Issue, suspend or revoke certificates of registration for the practice of nursing3. Monitor and enforce quality standards of nursing practice in the Philippines

    4. Ensure quality nursing education by examining the prescribed facilities of universities/ colleges of nursing.

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    5. Conduct hearings and investigations to resolve complaints against nurse practitioner.

    6. Adopt and promulgate a Code of Ethics and a Code of Technical Standards for the practice of nursing.

    7. Recognize nursing specialty organization.

    8. Prescribe, adopt, issue and promulgate guidelines, regulations.

    9. Submit annual report to the Commission.

    10. Initiate, undertake and conduct studies on health human research production and utilization and development.

    Different Fields of NursingHospital or Institutional Nursing

    Public Health Nursing or Community Health Nursing

    Private Duty Nursing

    Nursing Education

    Military Nursing

    Industrial or Occupational Nursing

    Clinic Nursing

    School Nursing

    Independent Nursing Practice

    Institutional/ Hospital Nursing

    Nursing in hospitals and related facilities such as extended care facilities, nursing homes.

    Educational Qualifications:

    Bachelor of Science in Nursing degree

    With current PRC license

    Advantages

    Presence of supervisor who you can consult

    Updated with new trends in medicine and nursing care

    Undergo rotation to different units (medicine, pedia, OB-Gyne, surgery, etc)

    Chance to get promoted

    Salary increase are given periodically

    They are considered important member of the health care team

    More staff development program available

    Disadvantages

    Great possibility of understaffing which may require to put staff in overtime work.

    Bulk of work

    Night duty

    Public Health Nursing

    Community health nursing

    Deeper involvement and close cooperation with all members of the health teams

    Physician, nurse, epidemiologists, nutritionists, health educators, social workers, community and barangay leaders

    Advantages

    Focus of nursing care is only on the family and community health rather than on individual basis.

    Gives nurse better perspective of the health of the community and health programs conceived and implemented by thegovernment

    Advantages

    Enables the nurse to utilize various community resources

    Focus of care is more on educational and preventive aspects

    Individuals, family and communities are motivated to assume responsibility for their own health care.

    Disadvantages

    Cases are limited, mostly chronic and communicable

    More hazards (exposure to element, heat of sun, rain, dog or snake bites, accidents, etc)

    Not fixed hours

    Practice or skills may be limited

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    Not a place for introverts

    No immediate supervisor to consult case of emergency

    Private Duty Nursing

    Qualifications

    Registered nurse in the Philippines

    With current: Professional Tax Receipt; PRC card; Resident Certificate

    Have at least 2 years on bedside nursing

    Have undergone Critical Care Nursing Course

    Certified IV Nurse therapist by the ANSAP (Association of the Nursing Science Administration of the Philippines)Advantages

    Opportunity to make real friends through close association with patient and family

    Chance to travel abroad

    Ability to own time, adjust work and private life satisfactorily

    Chance to keep abreast with new knowledge and procedures which provide exciting and stimulating experience

    Challenge in giving best in providing care

    Disadvantages

    Patient become totally depended on them

    Have not upgraded their knowledge

    Minimizes opportunity for developing good relationships with other hospital personnel

    Little assistance by the head nurse

    Little participation in professional activities

    No retirement, insurance and medicare benefit unless the PDN provide these for themselves

    Independent practitioner

    Nursing Education

    Qualifications

    Registered nurse in the Philippines

    Have at least 1 year of clinical practice in the field of specialization

    Be a member of good standing in accredited professional organization for nurses

    Be a holder of masters degree in nursing, education and other allied medical & health sciences conferred by a college/

    univ. duly recognized by the govt of RP

    School Health Nursing

    Nurse who works in the school to ensure that health programs are properly implemented.Emphasize health promotion, prevention of disease and follow-through of any findings that may indicate a need for

    medical care & treatment

    Advantages

    No shift duty

    Have the opportunity to watch children in advance from grade to grade in school health

    Disadvantages

    Many do not update themselves on current issues in nursing

    Should be able to work with children and with others to achieve their objectives

    Clinic Nursing

    Nurse works in the clinic of the doctor

    Acts as receptionist, answers the phone, does the billing, takes x-ray and ECG, changes dressings, gives injection(vaccines), assists in physical examination.

    Independent Nursing Practice

    Nurse is self-employed and provides professional nursing services to client/s and their families

    Set up their own clinic near the hospital (Psychiatric Nursing Specialists, Inc.)

    Guidelines in Choosing a Field of Nursing

    Qualifications

    What are your educational qualifications?

    Years of Experience and Training

    What are your experiences and training?

    Age and Physical Condition

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    How much physical energy required for a job?

    Can you work long hours without tiring easily?

    Emotional Stability and Goals in Life

    How is your emotional self?

    Can you be calm even under stress?

    Do you get along with people?

    What is your primary aim in going nursing?

    Factors in Selecting a Field of Nursing

    Kind of work to be performedAre your prepared for the job?

    Can you work under stress?

    Do you get along well with people?

    Are you interested in it?

    What kind of skills are needed?

    Is it hazardous?

    Availability of work

    Will you choose a field of nursing that is crowded?

    Or where there is a shortage of workers?

    Hours of work

    How many hours a day/ week do you go on duty?

    Is your work rotated in shifts?

    Will you be paid for extra hours of duty you will perform?

    Qualifications

    What are the requirement - educational qualifications?

    Experience/ training?

    Opportunities for advancement

    Will they allow you to go to school if you so desire?

    Method of entering

    Do you need an examination to enter?

    Earning

    How much is the initial salary?

    Fringe BenefitsHow many days are vacation/ sick leaves are given?

    Maternity leaves?

    Educational leaves?

    Other Benefits

    Insurances, medicare, retirement benefits

    Resume

    Is a brief summary of your background, training, and experience as well as your qualifications for a position.

    It is an important screening tool used by employers for selection of applicants.

    Guidelines for Resume Preparation

    Gets the employers interest

    Identified critical areas such as education, work experience and special qualifications.Should be tailored to the employers needs.

    Creates a favorable first impression about you and your abilities

    Communicates that you are someone who is a good fit for the position.

    Is visually appealing

    Elements of a Resume

    Identifying information/ Heading

    Career objective

    Employment data/ Professional experience

    Military experience

    Formal education and special training

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    Professional Organizations & Membership

    Awards and honors (optional)

    References

    Application Letter

    It enables the employer to judge the applicantsscholarship ability

    Pointers in Making a Letter of Application

    Use clean, white unlined paper

    Use ink or ballpen in writing

    Use proper salutationObserve proper margin and paragraphing

    Write in a courteous manner

    Enclose return postage

    Elements of an Application Letter

    Source and purpose

    1stparagraphsourcevacancy; intention to apply

    Qualification

    2nd

    & 3rd

    schoolgraduated; experience; training

    Request for a personal Interview

    Interview

    A face to face conference between two people about something

    Personal Interview

    Make an appointment either by mail or telephone

    Be at the place at the appointed time

    Know something about the institution where you will apply

    Be at your best

    Knock before you enter

    Bring credentials such as your registration card, residence certificate, tax account number, etc.

    Ask questions about the job

    Thank the interviewer for giving you some of his or her time

    If the prospective employer does not answer, you may write a follow-up letter stating your interest in the position.

    Retaining a Position

    Have adequate knowledge and preparation for the job.Have a well-developed personality.

    Develop good interpersonal relationship with your co-workers by:

    Being enthusiastic in and dedicated to your work

    Being tactful and dependable

    Developing ability to adhere to social amenities and being socially compatible

    Having self-confidence and being cheerful

    Offering help when needed

    Develop proficiency in communication

    Be able to adjust to working conditions and to life patterns characteristic of particular occupations and communities.

    Keep abreast with advances in medicine, nursing and related sciences by reading professional literature and attending to

    seminars.Membership to Nursing Organizations

    PNAPhilippine Nurses Association

    MCNAPMother and Child Nurses Association of the Philippines

    ADPCN- Association of Deans of Philippine Colleges of Nursing

    ORNAP- Operating Room Nurses Association of the Philippine

    PDNA- Private Duty Nurses Association

    CNGPCatholic Nurses Guild of the Phils

    ANSAPAssociation of the Nursing Service Administrators of the Phils

    LGNAP- League of Govt Nurses Association of the Philippines

    OHNAPOccupational Health Nurses Asso. Of the Phils

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    CCNAPCritical Care Nurses Asso. Of the Phils

    MNAP- Military Nurses Asso. Of the Phils