PROFESSIONAL
ADJUSTMENT
E J AY M . R E A N T I L L O , M S N , R N , L P T
L E C T U R E R
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ETHICAL PRINCIPLES
Freedom
AUTONOMY
Doing
BENEFICENCE
Do no
NON-
to choose good harm
MALEFICENCE
Keep info.
CONFIDENTIALITY
Being
JUSTICE Telling
VERACITY
private fair the truth
Keep
FIDELITY
promises
AUTONOMY
ELIGIBILITY CRITERIA:
1. Legal age
2. Sound mind
PAT E R N A L I S M
Aka “Parentalism”
The father or the parent knows best
Applied if the client is
incapacitated/vulnerable:
1. Children
2. Minors
3. Intoxicated
4. Mental illness
5. Coma
6. Delirium & dementia
BENEFICENCE
“Doing Good”
Action that promotes client’s
welfare
NONMALEFICENCE
“Do No Harm”
Avoiding harm as a consequence
of doing good
Action that promotes client’s
safety
P R I VA C Y
Protection of client’s body
from unwarranted
exposure
CONFIDENTIALITY
EXEMPTION: EMR/Nursing
1. Client consent Informatics
2. Court order 1. Access & password
3. Medico-legal cases 2. Log off/lock the
4. Communicable diseases computer
5. Compromised safety
-Unconditional
positive regard
Treated the client
with right
JUSTICE
Fairness or equity
Ex: Scarcity of
resources
FIDELITY
Faithfulness/keeping
promises
VERACITY
Truthfulness
Ex: Health teachings
S T E WA R D S H I P
Valuing the gift of creation
and life
Preserve life
T O TA L I T Y
The whole is greater than
the sum of its parts
Ex: Amputation
EPIKIA
Exemption to the general
rule
DOUBLE EFFECT
Action that has a positive
and negative implications
Ex: Therapeutic abortion
on ectopic pregnancy
UTILITY
• To promote comfort and pleasure
• e.g.
• ADLs
• Elimination
• Catheterization
• Commode, Bed pan
• Positioning
LEGAL RESPONSIBILITIES
INTENTIONAL
TORTS
Unlawful
touching of
another person
without consent.
The imminent threat
of harmful or
offensive bodily
contact.
• Oral
defamation
• Defamation
by written
words
Divulging
information
from patient Individuals
to are incorrectly
unauthorized led to believe
persons they cannot
leave a place
UNINTENTIONAL
TORTS
Commission or omission
of an act, pursuant to a
duty, that a reasonably
prudent person in the
same or similar
circumstance would or
would not do.
n injury
occurred within
the
readth of duty
of the nurse
where
ause of injury is
the failure to
perform the
uty!
Failure to exercise
Failure to the degree of
report diligence which Mistaken
observation to the circumstance identity.
physician. of the case
demands.
Defects in the Medication error: Errors due to
equipment Not following the
leading to injury 10 rights of drug family
of patient. administration. assistance.
“Let the
master answer
for his/her
subordinates”
“Let the thing speaks for
itself”
Ex: scalpel left behind
after appendectomy
Event which cannot be
foreseen; an act of God;
unexpected event.
Principle of medical-
malpractice law, holding a
surgeon liable for the
actions of assistants who
are under the surgeon's
control but who are
employees of the hospital,
not the surgeon.
Unskillful and
improper discharge
of one’s duties or
professional
negligence
INCOMPETENCE
An act committed
or omitted
in violation of the
law.
Criminal
Act Criminal
Intent
•The unlawful killing of a
human being with intent to
kill.
•The killing of a human being
without intent or plan to kill.
•A crime committed by one who
kills his/her father, mother, or
child whether legitimate or
illegitimate, or any of his/her
ascendants or descendants of
his/her spouse.
•The killing of a child less than
3 days of age.
•The expulsion of the product
of conception before the age
of viability.
CLASSIFICATION OF FELONIES
According to Degree of the Acts of Execution:
1. ATTEMPTED- when the offender commences the commission of the felony directly and
does not perform all the acts of execution which should produce the effect by reason of some
causes other than his own spontaneous desistance.
CLASSIFICATION OF FELONIES
According to Degree of the Acts of Execution:
2. FRUSTRATED- when the offender performs all the act of execution which would produce a
felony as a consequence but which, nevertheless, do not produce it by reason of causes
independent of the will of the perpetrator.
CLASSIFICATION OF FELONIES
According to Degree of the Acts of Execution:
3. CONSUMMATED- when all elements necessary for its execution and accomplishment are
present.
PRINCIPAL
ACCOMPLICE
ACCESSORY
• In defense of his person or rights
• In defense of the rights of his family
• In defense of the right of a stranger
• In order to avoid an evil or injury
• In the fulfillment of a duty
• In obedience to an order by a
superior for some lawful purposes
• An imbecile or insane
• Under nine years old
• Over nine and under fifteen (unless
acted on discernment)
• While performing a lawful act with due
care, cause an injury by mere accident
without fault or intention of causing it
• Under 18 or over 70
• No intention to commit so grave a
wrong as the one committed
• There was sufficient provocation
• Acted on impulse so powerful to
have produced passion
• Voluntary surrendered
• Deaf, dumb, blind or suffering from
defect
• Illness that diminish willpower
• Public position
• In contempt of authority
• With abuse of confidence
• Committed at night time or in an
uninhabited place
• Committed in calamity
• Committed in consideration of
reward
• Committed by means of fire, poison
• With evident premeditation
• Use of superior strength
• Committed after unlawful entry
RA 9173
• An act providing for a more responsive nursing profession
• Repealing for the purpose RA 7164 (Philippine Nursing Act
of 1991)
ARTICLE I (TITLE)
Section [Link]
“Philippine Nursing Act of 2002”
ARTICLE II (DECLARATION OF POLICY)
Section 2. Declaration of Policy
For the protection and improvement of the nursing
profession
ARTICLE III (ORGANIZATION OF THE
BOARD OF NURSING)
Section 3. Creation and Composition of the Board
1 Chairman
6 Members
PNA- 3 per vacancy
PRC- 2 per vacancy
President- 1 per vacancy
Section 4. Qualifications of the Chairperson of the
Members of the Board
Nursing Education
Nursing Service
Community Health Nursing
NATURAL born CITIZEN
and resident of the
Philippines
MAN, MAEd or MA in
other allied medical and Registered nurse in the
health sciences Philippines
Member of good Last
At least510years
years
standing of the CONTINUOUS
accredited professional must be spent
practice of the
organization of nurses in the
profession prior to
Philippines
appointment
NOT CONVICTED of
any offense involving
moral turpitude
Section 5. Requirements upon Qualification as
Member of the Board of Nursing
Resign immediately
No pecuniary interest
Section [Link] of Office
1. Regular appointment
2. Ad Interim
3. Hold over
Section 7. Compensation of the Board Members
Same with other PRBs
Section 8. Custodian of Records
PRC
Section 9. Powers and Duties of the Board
Conduct Issue, suspend
or revoke
Monitor quality of
nursing practice in
NLE license the Phils.
Ensure quality Conducts Promulgate a Code
of Ethics in
nursing hearings & coordination with
education investigations APO
Prescribe, adopt, issue and
Recognize nursing specialty
promulgate guidelines for
organizations in
the improvement of
coordination with APO
nursing profession
Section 10. Annual Report
Section 11. Removal from the Board
1. Continued neglect of duty or incompetence
2. Commission or toleration of irregularities in the
licensure examination
3. Unprofessional, immoral or dishonorable conduct
ARTICLE IV (EXAMINATION &
REGISTRATION)
Section 12. NLE
RA 8981 “PRC Modernization Act of 2000”
Section 13. Qualifications for Admission to the NLE
PALMER
itizenship
1. FILIPINO CITIZEN; or
ood moral character
2. FOREIGN citizen or subject of a country which
permits Filipino nurses to practice within its territorial
limits :
a) same basis as the subject or citizen of such
country
SN Graduate
b) requirements for the registration or licensing of
nurses in said country are substantially the same
Section 14. Scope of Exam
Section 15. Board Ratings
Section 16. Oath
1. President Chairman
2. Vice president
3. Members and Secretaries of both Houses
Vice Chairman
4. Members of the Judiciary Member
5. Secretaries of Departments
6. Governors and Lt. Governors
7. Mayors
8. Directors
9. Clerks of court
Any official Any official/ officer
authorized under the
authorized by
10. Registrars of deeds Revised
the PRC
11. Constitutional officers Administrative Code
12. Notary Public
In any specified
venue in Metro
Manila or outside
Simple
Solemn
Mass oath taking
Supervised by all
PRBs
Section 17. Issuance of Certificate of
Registration/Professional License and Professional
Identification Card
Proof that you
are given the
privilege to
practice the
profession in the
Philippines.
Proof that
you met the
requirement
for the
board exam.
The method by which a state
holds the nurse
accountable for safe practice
to citizens of that state.
PALMER
LICENSURE BY LICENSURE BY
EXAMINATION ENDORSEMENT
The process by The process by which
which an individual an
who has completed individual who is duly
an approved licensed as a
nursing program registered nurse
seeks initial under the laws of one
licensure by state or country has
successfully passing his or her credentials
a standardized accepted and
competency approved by another
examination state or country.
Section 17. Issuance of Certificate of
Registration/Professional License and Professional
Identification Card
PROFESSIONAL ID CARD CERTIFICATE OF
PALMER
REGISTRATION
Full name of the professional
Photo of the professional
Official seal of the commission
Date of registration
Signature of the Chairperson of the Commission
Signed by the Chairperson Signed by the Chairperson of the
only Commission and members of the
Board
License Number Serial Number
Date of issuance and expiration -
Barcode Official Seal of the
Commission
Section 18. Fees for Examination & Registration
Section 19. Automatic Registration of Nurses
All nurses whose names appear at the roster of nurses shall
be automatically or ipso facto registered as nurses under this
Act upon its effectivity.
Requirements
Foreign countryforgrant
registration
SAME
or licensing of
PRIVILEGES tonurses are
registered
SUBSTANTIALLY
[Link] SAME.
Internationally well known specialists or
outstanding experts in any branch or
specialty of nursing.
On medical mission whose services
shall be free in a particular hospital,
center or clinic
Employed by schools/ colleges of nursing as
exchange professors in a branch or
specialty of nursing
Section 22. Non-registration and non-issuance of
COR/Professional license/Special temporary permit
1. Convicted of criminal offense
2. Guilty of immoral or dishonorable conduct
3. Unsound mind
Section 23. Revocation and Suspension of
COR/Professional License and Cancellation of
Special/Temporary Permit
Unprofessional & unethical conduct
Gross incompetence or serious
ignorance
Negligence or malpractice
Use of fraud, deceit or false
statements
Practicing during suspension
Violation of this Act
Section 24. Re-issuance of Revoked COR and
Replacement of Lost Certificates
Maximum of 4 years
- Reasons of equity and justice
- When the cause for revocation has disappeared or has
been cured and corrected
ARTICLE V (NURSING EDUCATION)
Section 25. Nursing Education Program
It shall provide sound general and professional foundation
for the practice of nursing.
Section 26. Requirement for Inactive Nurses
Returning to Practice
One (1) month- Didactic training
Three (3) months- Practicum
Section 27. Qualifications of the Faculty
1. RN in the Philippines
2. MA in Nursing/ MA in Education/ MA in other allied
medical and health sciences
3. Atleast one (1) year of clinical practice in a field of
specialization
4. Member of a good standing APO
Provide nursing Provides health
care through the education to Teach, guide and
utilization of the individuals, families supervise students in
nursing process. and communities. nursing education
programs.
Establish linkages
with community Undertake nursing and
resources and health human resource
coordination with development training
the health team. and research
Section 29. Qualifications of Nursing Service
Administrators
1. RN in the Philippines
2. Atleast 9 units of management and administration
courses at the graduate level
3. Atleast two (2) years experience in general nursing
service administration
4. Member of a good standing APO
Section 32. Salary
RA 6758 “The Compensation and Classification Act of
1989”
Salary Grade 15
Section 35. Prohibition in the Practice of Nursing
Without a COR
Who uses another COR
Who uses an expired, suspended or
revoked COR
Who gives false evidence
Who falsely advertises as an RN
Who appends BSN/RN w/o being
conferred