NURSING

REGULATION
 NURSING REGULATION
 Republic Act No. 877
› June 19, 1953

› The Philippines Nursing Act
 Republic Act No. 7164
› November 21, 1991
›


 Republic Act No. 9173

› Philippine Nursing Act of 2002



 NURSING REGULATION
 Republic Act No. 9173


 Four-fold responsibility of nurse:

1. promotion of health

2. prevention of illness

3. alleviation of suffering

4. restoration of health
 BOARD OF NURSING
 BOARD OF NURSING
 Primary agency responsible for the
regulation of the admission,
registration and practice of the
nursing profession.

 BOARD OF NURSING


BOARD OF NURSING
 Composition:
1 chairperson
6 members


 Nomination, Recommendation and

Appointment
 EO No. 496
Accredited Professional Organization
(APO)
PRC
President
 BOARD OF NURSING
 BON must be representatives of:
1.Nursing education
2.Nursing service
3.Community health nursing



 BOARD OF NURSING
 Qualifications
1.Natural born citizen and resident of Phil
2.Member in good standing in APO
3.RN and holder of Masters degree
4.10 years continuous practice prior to
appointment
5.No conviction of moral turpitude

 BOARD OF NURSING
Term of Office


 3 years
Reappointment for another 3 years
Oath of office


Teaching
Administrative




 BOARD OF NURSING
Term of Office


RA 6173 (The Code of Conduct and Ethical

Standards for Public Officials and
Employees)
RA 3019 (The Anti-Graft and Corrupt
Practices Act)
Secure clearances from:
1.Civil Service Commission (CSC)
2.National Bureau of Investigation (NBI)
3.Sandiganbayan
4.Office of Ombudsman

 BOARD OF NURSING
 RA No. 8981 (PRC Modernization Act)
PRC is the custodian of all records of
BON:
1.Application for exam
2.Exam paper and results
3.Minutes of meeting of Board
4.Administrative records
5.Records of administrative cases
6.Records of other cases



 BOARD OF NURSING
 Powers of BON
1.Quasi-judicial
2.Quasi-legislative
3.Police Power

 BOARD OF NURSING
 Suspension and Removal of BON
q Continued neglect of duty or incompetence
q Commission or tolerance of irregularities in NLE
q Unprofessional, immoral or dishonorable conduct

 BOARD OF NURSING
 Legal Liabilities
1.Administrative
a.President
b.Civil Service Commission (CSC) or
Ombudsman
c.PRC
2.Criminal
üSandigan Bayan
üRA. No. 3019 “Anti-Graft and Corrupt
Practices Act”
üNLE irregularities:
vImprisonment of 6yrs and 1 day – 12
years
vFine of php50,000 – 100,000
 BOARD OF NURSING


Duties and Functions

1. Conduct licensure exam
a.Administer and conduct exam
b.Determine and fix dates of exam
c.Use publicly or privately owned buildings
d.Conduct more than one exam a year
 Twice a year
July and December
 Qualifications for NLE:
1.Citizen of the Philippines
2.Person of good moral character
3.Holder of BSN


1.
2.
3.
4.
 Requirements for NLE:


1.Transcript of records (w/ special order number,

date of graduation and seal of school)
q“For Board Exam Purposes Only”
qPRC Resolution No. 2004-200
(March 24, 2004)
2.Certificate of Live Birth
qNational Statistics Office (December
1, 2003)
3.Marriage Certificate (married female
applicants)
4.4 pcs. passport size pic (complete name tag,
white background)
5.Current Community Tax Certificate
6.Submission and Attachment of RLE


Scope of Exam
1.Test I – Promotive Goal
2.Test II – Preventive Goal
3.Test IIIA – Curative Goal
4.Test IIIB – Curative and Rehabilitative
5.Test IV
6.Test V – Psychiatric Nursing


1.
q



R a tin g R u le o f E x a m
qG e n e ra l A ve ra g e R a tin g = 7 5 %
qN o su b je ct ra tin g b e lo w 6 0 %

1.

q


 BOARD OF NURSING
2. Issue, suspend and revoke certificate of
registration
qPassing the NLE
qOath taking
Ø15 days after release of
exam results
ØGeneral mass oath taking
qPayment of prescribed fees
qRegistration by reciprocity
qSpecial/temporary permit

License:


1.Full name
2.Serial number
3.Signature of chairperson of PRC
4.Official seal of the Commission
5.Bar code
6.Picture of RN
7.Date of issuance and expiration
ØThree years
ØBirth date
8.
N o n -issu a n ce o f ce rtifica te o f re g istra tio n :
1. M o ra l tu rp itu d e
qA ct co n tra ry to ju stice
qR e q u ire s co n victio n b y fin a lju d g m e n t
2. Immoral or dishonorable conduct
qNot permanent
qCan be cured or saved
3. Unsound mind
qMental incapacity
qDeclaration by court
4.

5.

6.
Revocation of certificate of registration:
1.Causes mentioned earlier
2.Unprofessional and unethical conduct

3.Gross incompetence or serious ignorance

4.Malpractice and negligence

5.Fraud, deceit, false statement

6.Violation of this Act (RA 9173)

7.Practicing profession during suspension

8.

9.

10.
Replacement and re-issuance of certificate of
registration:
1.Reasons for equity or justice
2.Cause of revocation or suspension has

disappeared
3.Cause has been cured and corrected

4.

5.

6.
Inactive nurses returning to practice:
qNot actively practiced profession in 5
consecutive years

Requirements:
q1 month didactic training
q3 months practicum in hospital
1.

2.

3.
Prohibitions in nursing practice :
qImprisonment of not less than 1 year but not more
than 6 years
qFine of 50,000 – 100,000php

1.Unauthorized practice of nursing in Philippines

2.Conducting educational and review programs without

permit from PRC-BON

3.Violation of minimum base pay of nurses and the

incentives and benefits

4.Violation of any provision of RA 9173

5.

q
1.

2.

3.
Law enforcement agencies :
1.National Bureau of Investigation (NBI)
2.Philippine National Police (PNP)

3.Department of Justice

4.

q
1.

2.

3.
BOARD OF NURSING
3. Monitor and enforce quality standards of nursing
practice
q Monitor conditions affecting nursing practice
q Adopt measures for the enhancement of the
profession


 Applicable Standards and Guidelines:

a) Standards of Safe Nursing Practice

b) Competency Standards for Nursing Practice

c) Standards for Specialty Certification Program

d) Standards for Safe Nursing Practice on

Internal Examination and Suturing Perineal

Lacerations
e) Nursing Standards on Intravenous Practice
 Standards and Guidelines of
Nursing Practice
A. Standards of Safe Nursing Practice
q PRC – BON Resolution No. 82
q Created by Task Force:
1. Association of Nursing Service
Administrators of the Philippines
(ANSAP)
2. Philippine Nurses Association (PNA)
3. Association of Deans of the Philippine
Colleges of Nursing (ADPCN)
4. National League of Government Nurses
(NLGN)



Standards and Guidelines of
Nursing Practice
B. Competency Standards for Nursing
Practice
q PRC – BON Resolution No. 112, s. 2005
q Prepared by the:
1. Committee on Core Competency Standards

Development for PRC-BON

2. Commission on Higher Education – Technical

Committee in Nursing Education (CHED-

TCNE)


q GOAL:
v Improve further the quality standards of nursing
practice in the Philippines and
v To ensure the global competitiveness of the
 Standards and Guidelines of
Nursing Practice
C. Standards for Specialty

Certification Program
 BON Resolution No.14:
qAdoption of Nursing Specialty Program
qCreation of Nursing Specialty
Certification Council (NSCC)
q


Standards and Guidelines of
Nursing Practice
D. Standards for Safe Nursing Practice on
Internal Examination and Suturing
Perineal Lacerations
E.

qPRC-BON Res. No. 20, s. 1994

qPrepared by ANSAP and Maternal and
Allied Nursing Association of the
Philippines (MCNAP)
qWithin the scope of nursing practice in RA
9173


q
 Standards and Guidelines of
Nursing Practice
 Internal Exam –
 “an examination of the female internal
reproductive organs by means of insertion of the
examiner’s gloved fingers into the vaginal
canal.”

 Suturing laceration –
 “the repair of first and second-degree
laceration in the absence of the physician.”

 Standards and Guidelines of
Nursing Practice
 Training program:
v 24-hour didactic lecture and practicum


 Requirements:
v Registered professional nurses
v Current PRC license
v 3 years experience in Labor and Delivery


 Standards and Guidelines of
Nursing Practice
 Certificate of training:
1.Written exam
2.Completion of minimum number of actual
cases
§ IE – safe and least discomfort to patient
§ Accurate assessment data for plan of
care
§ Safe suturing of lacerations
3.Completion of cases
§ 3 IE
§ 3 suturing
q
 Standards and Guidelines of
Nursing Practice
E. Nursing Standards on Intravenous
Practice


qWithin the Scope of Nursing Practice (RA

7164)
qPRC-BON Res. No. 08, series of 1994
states:
 “ RN w/o ANSAP IV training is prohibited
from administering IV injections to a
patient”

 Standards and Guidelines of
Nursing Practice
 Intravenous Therapy Program
q 24-hour didactic lecture and practicum


1. Written exam: pre and post test

2. Completion of required number of cases
a. Initiating and maintaining IV peripheral
infusion (6 cases)
b. Administering IV drugs (6 cases)
c. Administering and maintaining blood and
blood components (2 cases)


q Rating:
v 50% Didactic and 50% Practicum

 Standards and Guidelines of
Nursing Practice
IV Therapy Card:


1.IV Certificate of Training

2.Completion of cases
§ IV peripheral infusion (6 cases)
§ Administering IV drugs (6 cases)
§ Blood and blood components (2 cases)
3.Current PRC license
4.Payment of fee
5.2 pcs. 2x2 picture


qWithin 6 months after Training

qThru hospital or ANSAP
q
 Standards and Guidelines of
Nursing Practice
Duties and responsibilities:


1. Interpret doctor’s orders for IV therapy

2. Perform venipuncture, insert needles, cannulas
except cutdown and TPN
3. Prepare, monitor, terminate IV solution, meds, push
4. Administer blood and blood products as ordered
5. Recognize solution and medication incompatibilities
6. Maintain and replace sites, tubings, dressings
7. Establish flow rate
8. Intravenous equipments
9. Nursing management of TPN and out-patient IV care
10.Infection control and aseptic interventions
11.Appropriate documentation
12.

 Standards and Guidelines of
Nursing Practice
F. Ethical Standards


1.Code of Ethics for Registered Nurses

ØBoard Resolution NO. 220, s. 2004
ØPRC – BON
ØJuly 14, 2004


2.International Council of Nurses (ICN) Code of

Ethics
ØAmended 2006
 BOARD OF NURSING
4. Ensure quality of nursing education


q Authority
to open and close schools – CHED
q PRBON – ocular inspection

4.


 BOARD OF NURSING


5. Conduct hearings and investigations
q Quasi-judicialpower
q PRBON’s decisions have force and effect of
the decision of a court of law
q Issue:


1. Subpoena ad testificandum
2. Subpeona duces tecum
q
 qDue Process of Law:


1. Right to notice
2. Right to appear before court (parties

and witnesses)
3. Impartial tribunal or competent

jurisdiction
4. Decision process

5.


 qR u le o f p ro ce d u re fo r
in v e stig a tio n :
1. D o cke tin g a n d ca le n d a r
2 . Pre - tria la n d d e p o sitio n s

3 . R e ce p tio n o f e vid e n ce

4 . D e cisio n – m a kin g

5.


 BOARD OF NURSING


6. Promulgate Code of Ethics
q Quasi-legislative function


v1982 – First Code of Ethics for Filipinos

vOctober 18, 1989 – Amended Code of Ethics
 (BON Res. No. 1955)
vJuly 14, 2004 – Code of Ethics for Registered
Nurses
 (BON Res. No. 220, s.2004)
vICN Code of Ethics (2006)



 Code of Ethics for RN
q Universal Declaration of Human Rights –
 “Health is a fundamental right of every
individual”


1. Nurses and Patient

2. Nurses and Practice
3. Nurses and Co-worker
4. Nurses and Society
5. Nurses and Profession


q Adoption of Code of Good Governance

q Recognition of Patient’s Bill of Rights
C o d e o f E th ics fo r R N
1. A d o p tio n o f C o d e o f G o o d G o ve rn a n ce
2 . R e co g n itio n o f Pa tie n t’ s B illo f R ig h ts
In te rn a tio n a l C o u n cil o f N u rsin g C o d e o f
E th ics
qA p p ro ve d a n d a d o p te d b y th e IC N C o u n cilo f
N a tio n a lR e p re se n ta tive s in 1 9 5 3
qR e ce n tly a m e n d e d in 2 0 0 5
qTw o im p o rta n t u n ive rsa lp rin cip le s:
üNeed for nursing is universal
üRespect for human rights
q
1 .Nurses and Patient

2 .Nurses and Practice

3 .Nurses and Profession

4 .Nurses and Co-worker

 BOARD OF NURSING


7. Recognize nursing specialty organization
q PNA was accredited by govt - September
15, 1975
q 1922 – Filipino Nurses Association
ü Nurses Dormitory of Philippine General
Hospital
ü Presided by Ms. Anastacia Giron Tupaz
ü 1st President – Ms. Francisca Delgado
ü Member of ICN (January 1929)
q 1955– “Nurses Week” every last week of
October
ü PresidentCarlos P. Garcia
ü Proclamation No. 539
q 1962 – Philippines Nurses Association
S p e cia lty N u rsin g G ro u p s
qAssociation of Nursing Service Administrators of the
Philippines (ANSAP)
qAssociation of Private Duty Nurses Practitioners of
the Philippines (APDNPP)
qCritical Care Nurses Association of the Philippines
(CCRN)
qMilitary Nurses Association of the Philippines (MNAP)
qRenal Nurses Association of the Philippines (RNAP)
qMaternal and Child Nurses Association of the
Philippines (MCNAP)
qOccupational Health Nurses Association of the
Philippines (OHNAP)
qNICU Nurses Association of the Philippines (NICUNAP)
qPhilippine Oncological Nursing Association (PONA)
qIntegrated Registered Nurses of the Philippines (IRNP)

q
Nursing Specialty Certification Council
( NSCC )
qPRC-BON Res. No. 24, s. 1999
qCertification levels:
1 .Nurse Clinician I

2 .Nurse Clinician II

3 .Nurse Specialist

q
Nursing Specialty Certification Council
( NSCC )
qValid for 5 years from issuance
qRenewable within 30 days before expiry

Requirements:
1.Certified true copy of TOR
2.Documents on completion of requirements
q

q
qFour major groups of nursing specialties
üClinical Nurses Association of the Philippines

Community health nursing specialty

1.

qFocus: family/community/high-risk
Medical – surgical nursing specialty
1.

qFocus: cardiovascular, pulmonary, neurology,

gerontology, critical care nursing,
nephrology
Mother and child health nursing specialty
1.

qFocus: newborn, child, reproductive stage of

life, high risk
Mental health and psychiatric nursing specialty
1.

qFocus: varied group

q
qCertified Registered Nurse Practitioner
ØPhysician Assistant

qCertifications in Perioperative Nursing

ØRegistered Nurse First Assistant
q

q
 BOARD OF NURSING
8. Prescribe, adopt issue and promulgate
guidelines, regulations, measures and
decisions as may be necessary for the
improvement of nursing
9.

10. Submit annual report to the President of the

Philippines
11.

12. Initiate, undertake and conduct studies



 BOARD OF NURSING
11. Formulate and develop a comprehensive
nursing specialty program that would
upgrade the level of skill and competence of

specialty nurse clinicians in the country
q 10% of nursing staff of participating
government hospitals
q Beneficiaries must serve in Phil. hospital for
2 years
q Annual budgetary requirement:


1. Philippine Charity Sweepstakes Office

(PCSO)
2. Philippine Amusement and Gaming
Corporation (PAGCOR)
Fields of Specialization
q“such as but not limited to areas of critical
care, oncology and renal”
1. Community health nursing
2 .Medical – surgical nursing s

3 .Mother and child health nursing s

4 .Mental health and psychiatric nursing

5 .School health nursing

6 .Management

7 .Teaching

8 .Research

q
 BOARD OF NURSING
11. Establish an incentive and benefit system in
the form of free hospital care for nurses and
their dependents, scholarship grants and

other non-cash benefits


q



NURSING
PRACTICE
 Nursing Service
Administrators
 Requirements:
q RN
q 2 yrs experience in general nursing service
administration
q BSN w/ 8 units in graduate mgt and
administration
q Member of good standing in APO


 Chief Nurse:
q 5yrs exp. In supervisory/managerial position
in nursing
q Master’s degree in Nursing
q General Staff Course
 Public Health Nursing
 Areas of focus:
1.Determine health needs of individual, family
and the community
2.Assess health status
3.Implement health planning
4.Evaluate health practices
5.Providing primary health care


 Public Health Nursing
 Compensation and Classification Act of
1989
qRA 6758
qBase salary of not lower than SG15
qPhp13,500 for 1st step
qPhp15,810 for 8th step
 Public Health Nursing
 Positions and Requirements:
1.Public Health Nurse (II and III)
n BSN
n RN
2.Supervising public health nurse/Nurse supervisor
n MAN or MPH
n 5 yrs experience as Public Health
Nurse
3.Nurse Instructor II
n MAN
n 3 yrs experience as community health
nurse
n Special training on Nurse Instructor
n
Public Health Nursing
4. Regional Training Nurse
n MAN/MPH
n6 yrs nursing experience (3 yrs in nursing
education)
6. Regional Nurse Supervisor
n MAN/MPH, major in Community Health
Nursing Administration and Supervision
n 5 yrs experience in community health
nursing (2 yrs in supervisory position)
7. Nurse Program Supervisor
n MAN/MPH, major in Community Health
Nursing Administration and Supervision
n 7 yrs experience in community health
nursing
 Public Health Nursing
7. Chief Nurse
n5 yrs experience in community health
nursing (3 yrs in supervisory
position/Assistant Chief Nurse Position)
n Leadership ability

9. Assistant Chief Nurse

n5 yrs experience in community health
nursing (2 yrs in supervisory position)
n Leadership ability

11. Occupational Health Nurse Supervisor

n BSN
n RN
n Training units in Occupational Health Nursing

 Public Health Nursing
10. Occupational Health Nurse Supervisor
n BSN
n RN
n5 yrs experience in Occupational Health
Nursing

 Nursing Personnel
 Standard Criteria of Nursing Personnel
q Resolution No. 82
q September 30, 1998
q Standards of Safe Nursing Practice
Ø Outlines qualifications of nursing personnel