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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