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PROFESSIONAL ADJUSTMENT: A REVIEW

I. DEFINITION OF TERMS
 Nursing Jurisprudence- embodies all the laws, rules,
doctrines and principles, legal concerns, opinions and
decision of competent authority regarding governance and
regulation in relation with the practice of nursing
 Legislation- making of rules and principles
 Nursing Legislation- making of laws affecting the nature
and science of nursing profession
 Rights- inborn claim which a person is permitted to have, to
do and receive from others within the parameters permitted
by the law
 Legal rights- claim which can be enforced by law against a
person or community whose duty is to respect it
 Court- body where disputes are settled and where you
enforced your rights
 Jurisdiction- authority to hear and decide legal
controversies
 Venue- place where disputes are settled/suits can be held
 Legal remedy- means employ a right given by the law
(1) Ordinary remedy- ordinary action or suit filed in court of
law
(2) Extra ordinary remedy- remedies which you can file
during the hearing of the case; executed by writ
 Writ- mandatory rule of action
1. Writ of Certiorari- writ of review during the duration of the
case filed on the next higher court
a. abuse of discretion- biased
b. abuse of jurisdiction- abuse of authority
c. no way for an appeal or speedy remedy
2. Writ of Prohibition- stops a lower court from prosecuting the
case
3. Writ of Mandamus- orders somebody a duty pertaining to
his office
4. Writ of Quo Warranto- orders a recovery of an office or
franchise
(3) Provisional remedy- given temporary during the hearing
for temporary protection of the party due to its present need
1. Injunction- refrain from doing an act
2. Preliminary injunction- pendency of the case during the
hearing
3. Final injunction- granted after the case is settled
 Process- means to compel defendant/witness to appear
in court
1. warrant- order directed to a person to do an act giving him
protection from damages when he does an act
2. search warrant- searching for material/personal property to
be presented in the court
3. subpoena ad testificandum- witness to testify
4. subpoena duces tecum- witness to appear in court with
documents
5. summon- plaintiff compels to appeal in court
 Plaintiff- complaining party; used in civil cases
 Defendant- person charged of a crime
 Accuser- private party represented by the state;
used in criminal cases
 Witness- has knowledge of the fact pertaining to the
case; testify to the genuineness of the maker’s
signature in an instrument
 Expert Witness- person who is qualified to testify
based on special knowledge, skills, experience and
training regarding to the case
 Damage- loss or injury sustained
 Damages- sum of money for compensation to
injury/damage done

II. NURSING PROFESSION


 Nursing- the diagnosis or treatment of human
response to actual or potential problem (ANA)
 Profession- it is an organization of occupational
group who has expertise, knowledge and extensive
training in relation to their fields and usually
governed with ethical code and process of
certification and licensing
 Nursing Profession- performing of an act or
activities, guided by a unique body of knowledge,
training or by experience and ethical code, for a fee
or compensation of nursing services to various
clients—families, individuals and communities in all
setting and stages of development for the promotion
of health, prevention of illness, restoration of health
and alleviation of suffering through
 Use of nursing process
 Building of link between the community and its
resources and coordination of health care team
 Encouragement of family, individuals and
community through health teaching
 Teaching, supervising and guiding the
students in nursing education program
 Undertake nursing and health human resource
development training and research
 Advanced Practice Nursing-
specialization; this is a specialized
education and experiences afar from basic
nursing programs which requires
knowledge, skills and supervision attained
through graduate study in nursing
 Clinical Nurse Specialist (nurse
specialist)- is an expert in the specialized
field of nursing

CHARACTERISTICS OF A PROFESSION

Autonomy- independence and self-governace


Authority- having an expertise/competent/highly advanced skills,
knowledge or mastery not common to the general public
Accountability- being responsible to one’s own actions; liable in
the consequences of its action

FOUR FOLD RESPONSIBILITY OF A NURSE


a.Promotion of health
b.Prevention of illness
c.Alleviation of suffering
d.Restoration of health
e.Spiritual Health—holistic care

FIELDS OF NURSING
(1) Hospital or Institutional Nursing- comprises all the staff
nurses or nursing personnel giving the basic component of
comprehensive patient care and family health in the hospital or
related health facilities
(2) Public Health Nursing (Community Health Nursing)- the
focus of nursing care is more on the health promotion and health
prevention rather than care of the sick; it gives emphasis on the
care of the family and community rather than individual basis
(3) School Nursing- responsible for all school activities—
monitoring growth and development, screening health problems
concerning the school the health needs, environmental safety,
health education and health promotion of school children
(4) Occupational Health Nursing or Industrial Nursing- the
practice give emphasis on the promotion, protection and
supervision of worker’s health condition and the safety of his
working environment
(5) Maternal and Child Health Nursing- focus on the care and
safeguards the health and safety of mothers and children
(6) Nursing Education- pertains to nurses under teaching or
administrative staff of school or other educational institution
(7) Pediatric Care Nursing- nursing care for the sick child
(8) Private Duty Nursing- independently have a contract with
patient which the nurse will provide a comprehensive nursing
care in one-on-one ratio
(9) Nursing Administration- participates in the formulation of
policies and objectives in an administrative institution or similar
establishments

LEGAL RESPONSIBILITIES OF NURSES


-SUPERVISION OF PATIENTS-
1. Application of principles based upon the biological, physical
and social sciences as well as execution of nursing procedures
2. being responsible for the performance of every nursing
procedure and technique for the recovery of the patient
3. being careful and conscientious in the discharge of duties to
avoid liabilities for damages.
-OPERATION OF PATIENTS-
1. The nurse attends to the matter of securing the patient’s
signature on the form for giving consent to surgery
2. A form is called “operating permit” is usually provided by the
hospital for the purpose.
-UNAUTHORIZED DISCHARGE OF PATIENTS-
When a patient insists on leaving the hospital against the advice
of the doctor, the nurse should require him to sign a statement
whereby he assumes full responsibility for leaving the hospital
and releases the hospital personnel from any responsibility.
-CONCEPT OF ACCOUNTABILITY-
1. The accountability of the nurse to the patient, physician or to
the public has a reference to the quality of nursing care she
renders.
2. A contractual obligation which a nurse assumed exposes her
to a certain degree of accountability; the term accountability
carries the idea of sanction or penalty

 License- it is a legal document granted by


the government which permits a person,
who has knowledge and skills in a
particular field, to render services for the
public, where such practice would be
unlawful without a license.

REMEMBER: The primary purpose of registration is to


safeguard the health of the people by setting minimum
standards that should be meet by the qualified practitioners
POINTS TO PONDER:
**OATH: Oath-Taking of profession before the Board or any
authorized government officials is required to those candidates
who successfully passed the examination
**AUTOMATIC REGISTRATION: An automatic registration for
nurses shall be given provided that his/her name appear in the
roster of nurses
 Registration by Reciprocity (RA 9173
Sec 20)- a certificate of
registration/professional license may be
granted without examination to nurses
registered under the law of foreign state or
country provided that:
1. requirements in the said country are the same under this Act
2. laws of such country granted the same privileges to the
registered nurse in the Philippines
PRACTICE PROGRAM THROUGH SPECIAL/TEMPORARY
PERMIT
1.internationally known specialists, or outstanding experts
2.on medical mission
3.exchange professors

REVOCATION AND SUSPENSION OF CERTIFICATE OF


REGISTRATION/PROFESSIONAL LICENSE OR SPECIAL/
TEMPORARY PERMIT
1. unprofessional and unethical conduct
2. causes like
a. convicted by final judgment of any criminal offense
b. guilty of immoral or dishonorable conduct
c. declared by the court to be of unsound mind
3. gross incompetence of serious ignorance
4. malpractice or negligence
5. use of fraud, deceit, or false statements
6. practice during suspension
7. violation of this Act, rules and regulation, code of Ethics and
technical standards for nursing practice, policies of the
Board

REMEMBER: Suspension of the certificate of registration or


professional license shall be for a period not to exceed 4 years

 Suspension- temporarily not allowing the


nurse to practice his/her profession until
the final adjustment of the case
 Revocation- the license to practice is
cancel either temporarily or permanently

REGISTRATION BY EXAMINATION
-QUALIFICATIONS FOR ADMISSION TO LICENSURE EXAMINATION-
a. citizen of the Philippines subject of a country which permits
Filipino nurses to practice within its territorial limits on the
same basis as the subject or citizen of such country,
PROVIDED, the requirements for the registration or licensing of
nurse in said country are substantially the same as those
prescribed in this Act.
b. of good moral character
c. holder of a Bachelor’s Degree in Nursing
-REQUIREMENTS FOR EXAMINATION-
a. original transcript of records
b. record of actual related learning experiences
c. actual number of operating room scrubs and deliveries
assisted
d. certificate of live births
e. marriage contract (if married, for female applicants)
f. 4 passport size pictures with white background
g. Community tax certificate
-RATINGS-
a. must obtain a general weighted average of at least seventy
five percent (75%)
b. no rating below sixty percent (60%) in any subject

REMEMBER: If an examinee obtains a general weighted


average of 75% but has a rating below 60% in any or only
-PROFESSIONAL IDENTIFICATION
subject, the examinee CARD-
must take the examination again but
a. full name of the professional
only on the subject where he/she rated below 60%
b. license number
c. date of registration
d. date of issuance and expiration
e. signature of the chairperson
-REQUIREMENTS FOR INACTIVE NURSES RETURNING TO
PRACTICE-
(Nurses who doesn’t actively practicing the profession for 5
consecutive years)
a. one moth of didactic training
b. three months of practicum

ORGANIZATION OF THE BOARD OF NURSING


-CREATION AND COMPOSITION OF THE BOARD-
a. A chairperson and six members, appointed by the President
of the Republic of the Philippines
b. Two (2) nominees per vacancy of the PRC chosen and
ranked from a list of three (3) nominees per vacancy of the
accredited professional organization of nurses
-QUALIFICATIONS-
a. natural born citizen and resident of the Philippines
b. good standing of the accredited professional organization of
nurses
c. Registered Nurse, Master of Arts in Nursing, Master of Arts in
Education or other allied profession from university duly
recognized by the Government; provide that majority are
Master of Arts in Nursing; Chairman is Master of Arts in
Nursing holder
d. At least ten (10) years of continuous practice, the last five
(5) years in the Philippines
e. Not convicted to any offense involving moral turpitude

REMEMBER: Membership of the Board shall represent the 3


areas:
(1) Nursing Education (2) Nursing Service (3) Community Health
Nursing

REMEMBER: Any person appointed as the Chairman or


member of the Board shall immediately resign to any teaching
position, review program in any local nursing board examination
-TERM OF OFFICE-
or any office or employment in the government.
a. 3 years ; can be reappointed for another 3 years
b. any vacancy in the Board occurring shall be filled for the
unexpired portion of the term only (HOLD OVER DOCTRINE)
c. the Board shall be under the supervision of PRC
-POWER AND DUTIES OF THE BOARD-
c. QUASI-LEGISLATIVE- making laws
1. promulgate a code of ethics in coordination and
consultation with the accredited professional
organization of nurse
2. recognize nursing specialty organization with the
accredited professional organization
3. prescribe, adopt, issue and promulgate guidelines,
regulations, measures and decisions that are necessary
for the improvement of nursing practice
d. QUASI-JUDICIAL- hearing
1. conducts hearings and investigations to resolve
complaints against nurses for violations, unethical and
unprofessional conduct
2. issues subpoena ad testificandum & subpoena duces
tecum to secure appearance of respondents &
production of documents and punish with contempt for
non-compliance, impeding & or otherwise interfering
with the conduct of the proceedings
e. POLICE POWER- implementing laws
1. conduct the licensure examination
2. issue, suspend or revoke certificates of registration
3. monitor and enforce quality standards of nursing
practice
4. ensure quality nursing education
5. recognize nursing specialty organizations in
coordination with accredited professional organization
6. exercise powers necessary to ensure the maintenance
of efficient, ethical, technical and moral professional
standards in the practice of nursing taking into account
the health needs of the nation.
-REMOVAL OR SUSPENSION OF BOARD MEMBERS-
a. continued neglect of duty or incompetence
b. commission or tolerance of irregularities in the licensure
examination
c. unprofessional, immoral or dishonorable conduct

NURSING EDUCATION
-QUALIFICATIONS OF THE FACULTY-
a. RN in the Philippines
b. At least one (1) year of clinical field
c. Member of good standard in accredited professional
organization of nurses
d. Holder of Master’s degree in nursing, education or other
allied medical and health sciences
-QUALIFICATIONS OF THE DEAN-
a. Master’s degree in nursing
b. At least five (5) years experience in teaching
-QUALIFICATIONS OF NURSING SERVICE ADMINISTRATORS-
a. Registered Nurse
b. At least 2 years experience in general nursing service
administration
c. Bachelor of Science in Nursing degree holder with at least 9
units in management and administration courses at the
graduate level
d. Member of good standing of the accredited professional
organization for nurses
CHIEF NURSE/ DIRECTOR OF NURSING SERVICE: 5 yrs.
experience in supervisory or managerial position & MAN holder
MILITARY CHIEF NURSES: MAN plus completion of the
General Staff Course (GSC)

-QUALIFICATIONS OF THE CHIEF NURSE OR DIRECTOR OF


NURSING SERVICE-
a. Master’s degree Major in Nursing
b. At least five (5) years experience in supervisory or
managerial position

COMPREHENSIVE NURSING SPECIALTY PROGRAM


AIM: Upgrade the level of skill and competence or specialty nurse
clinicians not limited to the areas of critical care, oncology, renal
and other areas
-Board of Nursing with the coordination of:
a. accredited professional organization
b. Department of Health (DOH)
c. Recognized specialty organizations

REMEMBER: It is necessary to the beneficiaries of this program


to render services in the hospital in the Philippines for a period
of two (2) years of continuous service
NURSING SPECIALTY CERTIFICATION PROGRAM
-with the basis of RA 7164, known as the Philippine Nursing Act
of 1991, through Resolution No 14 of Board of Nursing, the
Nursing Specialty Certification Program was created on
February 18, 1999 to supervise the administration of new
programs by the Specialty Certification Boards
-JUSTIFICATIONS-
a. because of the increasing emphasis on the climate of
specialization, the advances in science and technology direct
an initiatives toward a high-quality performance in the field
of choice
b. due to the concept of globalization, it facilitate the removal
of the barriers in trade, industry and services
c. it impels the people to prepare in the services sector to meet
the challenges as a response to the increasing demand of
development
d. adoption of system that recognize individual and collective
efforts in terms of incentives and benefits
e. enhancing the quality nursing care through deepening and
refining of nursing practice due to the current trend of
specialization in nursing practice as recognized by the ICN
f. the need for a framework of the program and detailing the
mechanics, guidelines and procedures for its implementation
-3 PERSPECTIVES OF SPECIALTY CERTIFICATION-
a. process
b. mechanism
c. art
-LEVELS SUBJECT TO CERTIFICATION-
a. Nurse Clinician—Level I
b. Nurse Clinician—Level II
c. Clinical Nurse Specialist—Level III

SCOPE OF NURSING PRACTICE


- A person shall be deemed to be practicing nursing within the
meaning of this Act when he/she singly or in collaboration with
another, initiates and performs nursing services to individuals,
families and communities in any health care setting.
1. It includes but not limited to: nursing care during conception,
labor, delivery, infancy, childhood, toddler, pre-school, school
age, adolescence, adulthood and old age.
2. As independent practitioners, nurses are primarily responsible
for the promotion of health & prevention of illness.
3. As members of the health team, nurses shall collaborate with
other health care providers for the curative, preventive, and
rehabilitative aspects of care, restoration of health, alleviation of
suffering and when recovery is not possible, towards a peaceful
death.
4. Provide nursing through the utilization of the nursing process.
Nursing care includes but not limited to:
 traditional and innovative approaches
 therapeutic use of self
 executing health care techniques and procedures,
essential primary health care, comfort measures, & health
teachings
 administration of written prescriptions for treatment
therapies, oral, parenteral medications,
 internal examinations during labor in the absence of
antenatal bleeding
 delivery
 in case of suturing of perineal laceration, special training
shall be provided according to protocol established
5. Establish linkages with community resources and coordination
with the health team
6. Provide health education to include families and communities

-BON RESOLUTION NUMBER 20 SERIES OF 1994-


1. Stages of development shall include conception, labor,
delivery, newborn, neonatal, infancy, toddler, pre-school, school
age, adolescence, adulthood, aged and death.
2. Nursing care of individual includes:
 Supervision and care of women during pregnancy and
labor
 Performing internal examination and delivery of babies
 Suturing lacerations in the absence of a physician
 Providing first aid and emergency care
 Recommending herbal and symptomatic medicines
3. Intravenous injections shall include:
 Intravenous administration of drugs, fluids and
electrolytes, blood and blood products
 Insertion of needle butterfly in IV infusion

REMEMBER: Teach, guide and supervise students in nursing


education programs including administration of services in
varied settings such as hospitals, and clinics and undertake
consultation services; engage in such activities that require the
utilization of knowledge and decision making skills as registered
nurses

REMEMBER: Undertake nursing and health human resources


development training, which shall include but not limited to the
development of advance nursing practice

PROHIBITIONS IN THE PRACTICE OF NURSING


Any person who practices nursing
1.without certificate of registration/ professional license;
temporary permit
2.Who uses as his/her own certificate of registration/
license/permit of another
3.Who uses an invalid, suspended, revoked, expired, cancelled
certificate, license or permit
4.Who gives any false evidence to the Board in order to obtain a
cert. of registration/ license/ or permit
5.Who appends BSN/ RN or any similar appendages to his/her
name without having been conferred said degree or registration
6.Who falsely advertises as registered/licensed nurse or uses
any other means that tend to convey the impression that he/she
is a registered/licensed nurse
7.Who as a registered/licensed nurse, abets or assists the illegal
practice of a person who is not lawfully qualified to practice
nursing
Penalty: Fine of P50,000.00 but not more than P100,000.00 or
imprisonment of not less than 1 year but not more than 6 years or
both
8. any person or the CEO of a juridical entity who undertakes in-
service educational programs or who conducts review classes for
both local & foreign examination without permit/clearance from
the BON & PRC
9. any person or employer of nurses who violates the minimum
base pay of nurses and the incentives & benefits that should be
accorded as specified in RA 6758 “Compensation and
classification Act of 1989”
10.Any person or the CEO of a juridical entity violating any
provision of this Act and its rules and its rules and regulations

III. NURSES AND CONTRACTS


 Contracts- is a meeting of minds between two or more
people which establishes an agreement/obligation to
perform or render some services
-CHARACTERISTICS-
1. Obligatory- has force of law between parties
2. Autonomy- may establish agreement not contrary to law,
morals good order, public order, public policy
3. Mutuality- binding on both parties
4. Relativity- takes effect between parties, their assigns & heirs
-STAGES-
1. Negotiation- from indicate interest to time contract is
concluded
2. Perfection- birth; meeting of the mind on object and cause
3. Consummation- death; performance of respective
commitments
-KINDS-
1. Express Contract- when two parties discussed about the
terms and conditions and agree orally or written in its contents
2. Implied Contract- there is no discussion between parties but
the law implies that the contract implies that the contract exists
3. Formal Contract- the agreement is required by the law to be
in writing
4. Informal Contract- does not required by the law to be in
writing; concluded as a result of oral or written discussion
5. Illegal or Inexistent Contract- inexistent agreement therefore
may not be enforced
 object or purpose is contrary to law
 simulated or fictitious
 object did not exist
 object beyond commerce of man
 performance of an impossible service
 object cannot be determined with certainty
 expressly prohibited or declared by law as void, invalid,
ineffective
 direct result of n illegal contract
6. Void - can be annulled or voided
 One party is incapable of giving consent
 Consent is vitiated by mistake, violence, intimidation,
undue influence, fraud
-DOCTRINES-
a. duo ut des - I give that you give
b. duo ut facias - I give, you do
c. facio ut des - I do, you give
d. Facio ut facias - I do, You do
-ESSENTIAL REQUISITES OF CONTRACTS-
1. Consent
 Must be of legal age and mentally and physically
competent
 Be of sound mind
 Not under the influence of intoxicating drugs
 Not suffering from mental disability
 Emancipated minor (minors that are already married)
 Not under civil interdiction
2. Object or subject matter of the contracts
 Not outside commerce of man
 All future things and impossible things or services
 Rights which are not intransmissible
 Future inheritance in cases expressly specified by law
 All services which are not contrary to law, morals, good
customs, public order or public policy
3. Cause of Contract- consideration, material, cause, reason,
motive, price or impelling influence
 Prestation or promise of a thing or service
 Service or benefit which is to be compensated
 Mere liberality of the benefactor
 Breach of contract - failure to
perform an agreement, whether it is
expressed or implied contract without a
cause
 prevention of performance
 failure because of inconvenience or difficulty
 failure of cooperation in performance
 abandonment of duty
 substitution of performance
 failure to use due care
-LEGAL EXCUSES-
a.Material misrepresentation is made and relied upon
b.Performance is illegal
c.Performance is made impossible by reason of illness/death of
patient or nurse (force majeure-act of God)
d.Insufficient contract

IV. NURSES AND ETHICS


 Nursing Ethics- embodies the principles
of right conduct applied in the nursing
profession
 Ethics- purpose of governing conducts to
ensure the protection of individual’s right
-IMPORTANCE-
 makes clear why one act is better than another
 keep an orderly social life by having agreements,
understanding, principles or rules of procedure
 moral conduct and ethical system must be intelligently
appraised and criticized
 Seeks to point out to men the true value of life and attempts
to stimulate the moral sense, discover the true values of life
and inspire men to gain in for quest of these values.
 Bioethics (Healthcare Ethics)- encompasses
the questions of quality of life, life-sustaining
and life-altering techniques and bioscience
1. Human Acts- voluntary; full knowledge, will to do it
2. Acts of Man- involuntary actions of man
-THEORIES-
1. Utilitarian or Teleological- the end justifies the means
2. Deontological- the act itself determine whether it is right or
wrong; the end doesn’t justifies the means
3. Intuitionism- man inherently know what is right and wrong;
reason
-PRINCIPLES OF NURSING ETHICS-
1. Autonomy- independent to choose
-the person has the right to make his/her decision in
relations to his treatment/care
• Consent- voluntarily giving of permission by the client
• Informed consent- given by doctor to the patient regarding
its illness (invasive procedures)
• patient’s bill of rights
• false imprisonment/ illegal detention
• arbitrary detention- police; within 24 hours without case
• restraints-good for 24 hours with doctor’s order

REMEMBER: In death and dying:


a. right of informed refusal- right to refuse medications
b. DNR order- do not resuscitate; do not give life-sustaining
devices
c. death certificate
d. care of the body- ask the significant others
e. organ transplant
f. organ donation
g. autopsy
h. assisted suicide

REMEMBER: Nurse is the witness in signing of consent

2. Principle of Paternalism- nurse acts like a mother/father to


the patient
NURSING ALERT: TOO MUCH paternalism can cause
DEPENDENCY
3. Non-maleficence – do no harm; remove harm; prevent harm

REMEMBER: In telephone orders, it is for EMERGENCY and in


case there is NO RESIDENT-ON-DUTY. Two nurses or more must
verify the orders and must be sign by those nurses who verify
the orders. It must also be sign by the doctor within 24 hours

a. Imprudence - deficiency of action; lack of skill


b. Negligence- lack of foresight; deficiency of perception
c. Assault- any threat of harm addressed to client
d. Battery- doing the assault
4. Beneficence- to do good; client advocate
5. Justice - allocation of good and services according to (1)
equality (2) needs and (3) merit
6. Veracity- telling the truth
a. Fraud – delivering deception intended to produce unlawful
gain
b. Defamation – character assassination
-Libel - written
-Slander- verbal/oral
7. Fidelity- loyalty/ faithfulness and keeping promises
8. Confidentiality- observing the seal of secrecy; privileged
communication

REMEMBER: The seal of secrecy can be broken only if: (a) the
patient himself breaks the seal (b) patient sign the waiver
declaring the nurse can break the seal (c) subpoena in a
criminal case

REMEMBER: The nurse can be a witness when prohibition

 Morality-behavior in accordance with the


general ethical principles of health care
-PRINCIPLES OF MORALITY-
1. The Golden Rule: Do not do unto others what you do not
want others do unto you
2. Principle of Two Fold Effect: choosing the lesser evil
which may result to a greater good
 the action must be morally good
 the good action must not come from evil action
3. The Principle of Totality: The whole is greater than any of
its part
4. Epikia: Exception to the general rule
5. One who acts under an agent is himself responsible
6. Principle of Self-Preservation: No one is obliged to betray
himself
7. The end does not justify the means: Even though the
outcome is good but the action is bad, it is considered legally
and morally wrong
8. Defects of nature may be corrected
9. The greatest good for the greater number
10. No one is held to the impossible
11. The morality of cooperation: cooperates with good purpose
12. Principle relating to the origin and destruction of human life:
God is the author of life therefore no one has the right to
take it except Him
13. A little more or less does not change the substance of an act
14. If one is willing to cooperate in an act, no injustice is
done to him
 The Good Samaritan Law- a legal doctrine designed to
protect those who stop to render aid in an emergency
-the rescuer is protected from liability when assisting in an
emergency situation provided that it will not lead to
recklessness/harm to the patient
-“Love article”: If one does not act, you will be responsible
for moral negligence. Courage is doing exactly what one believes
in.”
-We are not legally bound to help people in distress but
morally bound. In emergency situation: save the life of the person
at all cost without compensation

REMEMBER: The elements of MALPRACTICE are IMPRUDENCE


and NEGLIGENCE

REMEMBER: The medical record is own by the hospital. A


medical abstract is given to patient upon discharge

REMEMBER: If the patient is in DNR (Do Not Resuscitate), you


can give medications but NO to (a) intubation (b) IV drugs (c)
chest compressions
 Dean Emeritus Julita V. Sotejo- developed a code of
ethics for Filipino Nurses
 Code of Ethics- amendment by Section 3 of Republic Act
No 877 known as the Philippine Nursing Law and Section 6
of Presidential Decree No 223
(1) NURSES AND PEOPLE
- respect to the values, customs and spiritual beliefs of each
individuals
- the nurse must hold all personal information acquired in the
process by giving nursing care with strict confidence in order
to respect the patient’s privacy
(2) NURSES AND PRACTICE
- being accountable for their own nursing practice
- the nurse is responsible for their personal and professional
growth and development
- giving of quality care through maintaining or modifying
standards of practice within any given situation
- the nurse serves as an advocate to the patient
(3) NURSES and CO-WORKERS
- maintaining a collaborative working relationship with the
members of the health care team and co-workers
- recognizing his/her capabilities and limitations in accepting
responsibilities and delegating these responsibilities to co-
workers
(4) NURSES AND SOCIETY
- nurses are contributing members of society
- recognizing the need for changes of the society and
participate in supporting these activities to meet the needs
and health of the people
(5) NURSES AND PROFESSION
- nurses are expected to be a member of professional
organizations
- contributing to the development and growth of the nursing
profession
- implementing the standards of nursing practice and nursing
education

REMEMBER: Giving of quality care related to the patient’s


condition needs regardless of his/her race, creed, color,
nationality or status is the primary responsibility of the nurse

CODE OF ETHICS FOR NURSES (ANA, 1985)


1. Provides services with respect
2. Safeguards the client’s right to privacy
3. Safeguards the client and the public
4. Assumes responsibility and accountability
5. Maintains competence
6. Exercise informed judgment
7. Contribute to ongoing development
8. Improves standard of nursing
9. Protect the public from misinformation
10. Collaborates with members of the health professions

PATIENT’S BILL OF RIGHTS


1. Right to considerate and respectful care
2. Right and is encouraged to obtain relevant, current and
understandable information concerning diagnosis, treatment
and prognosis
3. Right to make decisions and to refuse a recommended
treatment or plan to care to the extent permitted by law
4. Right to have an advance directive
5. Right to every consideration of his privacy
6. Right to expect that all communications and records
pertaining to his medical care should be treated as
confidential
7. Right to review the records pertaining to his medical care
8. Right to expect that a hospital will make reasonable
response to the request of a patient for appropriate and
medically indicated care and services
9. Right to ask and be informed of the existence of business
relationships
10. Right to expect reasonable continuity of care
V. LAWS
 Law- is the sum total of all rules and regulations
pronounced by a supreme power in which the society is
governed. It is a rule of conduct which dictates the right
and prohibits the wrong; the effort of humanity to creates
principles
-2 DIVISIONS-
1. Divine Law- laws authored by God (Ten Commandments)
2. Human Law- laws made by man
A. Public Law- applies to the people of the state
a. Criminal Law- crimes and its penalty
b. International Law- laws and relationships with other
countries
c. Political Law- politics, organization and administration
of government
B. Private Law- applies to private matters not concerning
the public at large
a. Civil Law- organizing family and regulating property
b. Commercial Law- right to property and the relations of
persons engaged in commerce
c. Remedial Law- laws define how the organization’s
rights and obligations are to be enforced and protected

VI. LEGAL ASPECTS AND THE NURSE

 Negligence- the doing of that thing


which a reasonably prudent person
would not have done or the failure to do
that thing which a reasonably prudent
person should have done; commission
or omission of an act
-ESSENTIAL CONDITIONS-
a. The existence of a duty on the part of the person charged, to
protect the complaining party from the injury received.
b. Failure to meet standard care
c. Foreseability of harm resulting from failure to meet standard
d. An injury resulting from such failure
-PROOF OF LIABILITY-
a. Duty- at the time of injury, a duty existed between nurse and
patient
b. Breach of duty
c. Proximate cause- breach was the legal cause of injury
d. Damage or injury
 Doctrine of Res Ipsa Loquitor: “Let
the thing speaks for itself”
 Doctrine of Respondeat Superior:
“Let the master answers for the acts of
the subordinate”
 Doctrine of Force Majeure: “Act of
God”
 Captain of the Ship Doctrine: the
leader of the team is the one liable in
the actions of its members
 Doctrine of Corporate Liability: it id
the liability of the hospital if in the case
a defective equipments/failure lead to
harm/injury of the patient
 Incompetence- lack of ability
 Torts- committed against a person or
property which resulted to damages.
The person who committed these acts
are held liable in a civil action
 Assault- threatening harm or offensive bodily contact
 Battery- intentional, unconsented touching of another
 False Imprisonment or Illegal Detention- detention of a
person without legal consent
 Invasion of Property and Breach of Confidentiality-
violation to the right to privacy
 Defamation- character assassination whether written (libel)
or verbal/oral (slander)

CRIMINAL LIABILITY
 Crime/Felony- an act or omission
punishable by law (revised Penal Code)
which can be done by dolo (with intent)
or culpa (without intent)
 Omission- failure to do a duty
 Intent- purpose to use a particular means to affect a result
(deliberate intent – freedom and intelligence)
 Motive- moving power which impels one to act for a definite
result
-PERSONS CRIMINALLY LIABLE-
1. Principal
 by direct participation- direct commits the crime
 by inducement- induce the performance of the crime
 by indispensable cooperation- with his presence, the crime
take place
2. Accomplice- accessory before the fact; cooperate in the
execution of the offense
3. Accessory- accessory after the fact ; having the knowledge
of the commission of the crime
 profiting themselves or assisting others to profit
 concealing, destroying body of the crime, effects,
instruments to prevent its discovery
 harboring concealing, assisting the escape of the principal
-STAGES OF EXECUTION-
1. Consummated- elements of crime have been
fulfilled/accomplished
2. Frustrated- without intention of not fulfilling the crime; some
elements are done
3. Attempted- no elements have been fulfilled
 conspiracy – two or more person agreed and committed the
felony; a means by which another person is held liable for the
commission of a crime; each criminal is responsible for the acts
of his associates provided such act is a result of a common
plan.
 proposal - a person who decided to commit a felony
proposes its execution to another

REMEMBER: In Arson and Rape—no frustrated; with


consummated and attempted

-DEGREE OF PUNISHMENT-
1. Grave Felonies- attaches to capital punishment (death) and
imprisonment ranging from 6 years to life imprisonment
2. Less Grave Felonies- correctional (from one month to 6
years)
-CIRCUMSTANCES AFFECTING CRIMINAL LIABILITY-
1. Justifying- free from criminal and civil liability
oself – defense
 unlawful aggression
 reasonable necessity of the means employed to prevent
/repel it
 lack of sufficient provocation on the person defending
himself
o defense of relatives- up to 4th degree by consanguinity
o defense of a stranger without intention or anger or revenge
owho acts in fulfillment of a duty or in a lawful exercise of a
right or office
owho acts in obedience to an order by a superior for some
lawful purpose
2. Exempting- no criminal liability but with civil liability
o mistake of fact- ( ignorantia facti excusat) must be committed
in good faith or under an honest belief
 an act or omission which is a result of a misapprehension
of facts that is voluntary but not intentional;
 the actor performed an act which would be lawful had it
been true as he believed it to be
 the accused believed to be an intruder showed mistake in
identity due to good faith
 But if there is negligence, the said mistake of fact is not
exempting, actor is liable by means of culpa (w/o intent)
oAn insane or imbecile unless acted during lucid interval
oUnder 9 years of age
oOver 9 under 15, unless acted with discernment
oWhile performing a lawful act w/ due care causes an injury by
mere accident without fault or intention of doing it
oWho acted under the compulsion of an irresistible force from a
third person
oImpulse of uncontrollable fear
 actor acts without a will; completely deprived of freedom
 it is an impulse coming from within the person of the actor
 compulsion must be of such character as to leave no
opportunity for the actor to escape
 one is compelled under the fear of death to join the rebels,
he is not liable for rebellion
oInsuperable or lawful cause
 applies to felonies committed by omission
 the law imposes a duty to perform the act, if he fails he
violates the law; if it is due to lawful or insuperable cause, he
is criminally exempt
oInstigation
 when a peace officer induces a person to commit a crime,
w/o inducement the crime will not be committed. If it is a
private person he is principal by inducement
 Ex. A policeman induced a nurse to bring to him a
prohibited drug w/c he made him believe he would buy and
when the drug was delivered he made an arrest
3. Mitigating- lowers the penalty of the crime
oUnder 18 or over 70
oNo intention to commit so grave a wrong
oSufficient provocation or threat on the part of the offended
party immediately preceded the act
oVoluntary surrender
oDeaf, dumb or blind or suffering from physical defect
oSuch illness that would diminish the exercise of his will power
4. Aggravating- increasing the penalty
oAdvantage of public position
oIn contempt or insult to public authorities
oAbuse of confidence or obvious ungratefulness
oCommitted on occasion of epidemic, conflagration, shipwreck
or other calamity or misfortune
oIn consideration of a price or reward or promise
oCommitted by means of fire, explosion, stranding of a vessel
owith evident premeditation
ocraft, fraud or disguise
5. Alternating- can be mitigating or aggravating depends on:
orelationship
o intoxication
odegree of education
VII. NURSES AND CRIMES

 Parricide- kills mother,


father, descendants, spouse
 Murder- with intent to kill
 Homicide- without intent to
kill
 Infanticide- kill infant below
3 years old
 Abortion- termination of
pregnancy before reaching
the age of viability (3 to 6
months)
 Child abuse- any form of
cruelty to a child’s moral or
metal well being or any form
of sexual attack w/c may or
may not amount to rape.
 Abused/neglected child-
suffering from serious physical
or emotional injuries inflicted
on them including
malnutrition
 Under Philippine Law,
Child Abuse refers to the
maltreatment, whether
habitual or not, of the child,
and such maltreatment
includes any of the following:
a.psychological and physical abuse, neglect, cruelty, sexual
abuse and emotional maltreatment;
b.any act, by deeds or words, which debases , degrades, or
demeans the intrinsic worth and dignity of a child as a human
being;
c.unreasonable deprivation of the child’s basic needs for
survival, such as food, shelter
d.failure to immediately give medical treatment to an injured
child, resulting in serious impairment of his growth and
development or in his permanent incapacity or death.
 Sexual harassment- words, gestures actions w/c tend to
annoy and verbally abuse another person
 Simulation of birth- crime against status by substitution of
one child with another; concealing or abandoning any
legitimate child with intent to lose civil status
 Misdemeanor- use to express every offense inferior to
felony and punishable by indictment or by particular
prescribed proceedings; not punishable by Revised Penal
Code, but by Special Law
Example
1. a person who practices nursing without certificate of
registration
2. any person assuming or using title r advertising as
registered nurse without being conferred such title
3. any person advertising any title tending to convey the
impression that she is a nurse (e.g. using nurse’s uniform and
cap)
 Malpractice - the neglect of a physician or a
nurse to apply that degree of skill and learning in
the treatment of a patient, which is customarily
applied in treating and caring for the sick or
wounded similarly suffering in the same
community.

REMEMBER: For nurses, malpractice refers to the failure to


follow a reasonable professional standard of care, thereby
resulting in injury to a patient.

VIII. NURSES AND WILLS


 Succession – mode of acquisition of
rights, property & obligation transmitted
thru will or by operation of law upon the
death of the testator.
 Decedent (without last will and
testament) - person whose property is
transmitted thru succession; testator
(with last will and testament)
 Estate - interest in hand or property to
be transmitted
 Testamentary capacity- capacity to
comprehend the nature of transaction
he is engaging that time, recollect the
property to be disposed; the persons
who would have claims to the property,
comprehend the manner in which the
instrument will distribute the property
 Wills – act whereby a person is
permitted with the formalities
prescribed by law to control to a certain
degree the disposition of his property to
take effect upon his death.
-WHO MAY MAKE A WILL-
oAll persons who are not expressly prohibited by law (minors,
mentally incapacitated; mental capacity to be determined at the
time of its execution
oMarried woman w/o the consent of the husband & w/o authority
of the court ( separate property, share of the conjugal property
or absolute community of property)
-FORMS/KINDS-
1. Notarial- 3 or more credible witnesses, attestation clause,
acknowledgement
2. Holographic – written, dated and signed by the testator
himself
3. Joint or Mutual Will – not allowed as a matter of public
policy
-WITNESSES TO WILLS-
oLegal age
oNot blind, deaf or blind
oAble to read and write
oDomiciled in the Philippines
oIs not convicted of falsification of document or false testimony
 Living will
oHealth care proxy form provided by hospitals
oForms part of hospital records
oDesignates health care representative – physical/mental
incapacity
oIncludes to accept or refuse treatment, services, procedures,
provide, withhold or withdraw life-sustaining devices; organ
donation or acceptance
oDoctors should be informed
oSigned by patient and two other persons
oIt has the force of law
 Advanced Directive / Durable power of attorney
 Document made by a competent individual to establish
desired health care for the future or give someone else the right
to make health care decision if the individual becomes
incompetent.
 Made part of the medical record
 Physician must be notified of its presence so that orders will
be consistent with client’ wishes

IX. NURSES AND NARCOTICS


 Dangerous Drug Board- was created
by RA 6425 (Dangerous Drug Act of
1972)
 Narcotic drugs- any drug which
produces insensibility, stupor,
melancholy or dullness of mind with
delusions and which may be habit
forming. Ex. opium, opium derivatives
and synthetic opiates
 Dangerous drugs- refers to prohibited
or regulated drugs
 Prohibited drugs- include opium, and
its active components and derivatives
(heroin, morphine, LSD)
 Regulated drugs- include self-inducing
sedatives (Phenobarbital,
amphetamines) RA 953 – Narcotics Drug
Law
REMEMBER: The nurse must remember that the dispensing,
administering, distribution or giving away of narcotics to a
patient by a registered physician, veterinary surgeon or other
practitioner registered under the narcotics drug law should be
in THE COURSE OF HIS PROFESSIONAL PRACTICE only
and for legitimate medical purposes. Nurse can handle narcotics
in the course of their professional practice only as agents for
practitioners of institutions under whose direction or supervision
their duties are performed.

MEDICAL ORDERS, DRUGS AND MEDICATIONS


 RA 6675 states that only
registered Medical, Dental & Veterinary practitioners whether in
private, public or corporation are only authorized to prescribe
drugs.
 RA 5921 or Pharmacy Act –
all prescription must contain the following:
 Name of prescriber
 PRC #
 Office or address
 Patient’s name, age sex, & data of prescription
 Drug must be written with its generic name

REMEMBER: Dependent and coordinated function of the nurse


and authorized personnel and only when the order is in writing
and bears the doctor’s signature does the nurse have the legal
right to follow them.

INTRAVENOUS THERAPY AND LEGAL IMPLICATIONS


 Nurses now participate in complex intravenous therapy
procedures that was once were performed by doctors.
 Legal rights to give IV injections are based on the Phil. Nursing
Act of 1991, sec. 27 Art. V
 Board of Nursing resolution No. 8 series of 1994
-SCOPE OF DUTIES AND RESPONSIBILITIES OF IVTN-
-interpret orders
 perform venipuncture except cutdown
 prepare, monitor, additives, push
 administer blood, blood products as ordered
 recognize incompatibilities
 maintain, replace in accordance with the procedure
 establish flow rate of fluids and blood
 proficient technical ability in the use, care and evaluation
 Documentation

X. THE PHILIPPINE NURSING LAW

HISTORY
 February 5,1915 – RA 2493 Practice of nursing was under
Medical and Surgical Law
-CLASSIFICATIONS OF NURSES-
Class A:
1. Graduate of 2 ½ years in Nursing
2. Clinical experience must be done in a 30 bed capacity
hospital in pediatrics, OB, Medicine, Surgery, EENT
3. Good moral character and good physical health 20 yrs. of
age
4. Registration is with the Director of Health
Class B: 2nd class nurses; nurse attendant; unregistered nurses
1. Graduate of intermediate grade
2. Good moral character and good physical health
3. Registration is with the district health officer
4. They were allowed to wear cap or uniform of class A nurses

REMEMBER: On or after January 1, 1919 it is unlawful to


practice nursing if not registered

 March 1, 1919 – RA 2808 – (First True Nursing Law) – The


Act Regulating the Practice of Nursing Profession in the
Philippines
-creation of the Board of Examiners (1 doctor as chair; 2
nurses as members) appointed by Secretary of Interior
Chair: Dr. Juan Cabarus
Members: Anastacia Giron-Tupas and Belen Del Rosario

-FUNCTIONS OF BOE-
oissuance of certificate of registration
orevoke certificate of registration
oadminister examination (practical & written
oexamines the condition affecting practice of nursing
 March 8, 1922 - RA 3025 – Registration of Red Cross Aids
& Welfare Workers
oassist people during calamities war, disaster, epidemics and
war
oexamination dates – 2nd Monday of April and October instead
of 2nd Monday of June and December
ogrant privilege of practicing nursing without examination to
nurses registered under the laws of any state or territory of the
U. S. or any foreign country
 December 5, 1932 - RA 4007 – Reorganization Act of 1932
oBOE was put under the custody of Bureau of Civil Service
 1950 – Congress passed two laws
o RA 465- Standardization of Examination & Examination Fees
o RA 546- BOE is under the direct supervision of Pres. of the Phil.
 1953 – Birth of Filipino Nurses Association (Formal
recognition)
Legislative Committee Chair: Mrs. Obdulia Kabigting
Members: Ms. Annie Sand
Ms. Conchita Ruiz
Ms. Jovita Sotejo – 1st FNA Pres.
 June 19, 1953 – Philippine Nursing Law sponsored by
former Senator Geronima T. Pecson
 November 21, 1991 - RA 7164 – Philippine Nursing
Law of 1991 - sponsored by Sen. Edgardo Angara & Sen.
Heherson Alvarez
 October 21, 2002 - RA 9173 – Philippine Nursing Act of
2002 - sponsored Sen. Juan Flavier
Philippine Nursing Act of 2002: REPUBLIC ACT 9173
-An act providing for a more responsive nursing profession,
repealing for the purpose RA 7164 known as the “Phil. Nursing Act
of 1991 and for other purposes. This act shall be known as the
“Phil. Nursing Act of 2002”

Declaration of Policy:
It is hereby declared the policy of the State to assumes
responsibility for the protection and improvement of the nursing
profession by instituting measures that will result in:
• relevant nursing education,
• humane working conditions,
• better career prospect
• a dignified existence of our nurses.
The State hereby guarantees the delivery of quality basic health
care services through an adequate nursing personnel system
throughout the country.

RA 7164 RA 9173
-upper 40% of graduating
class
-3x failure in board exam -take all you can
—repeat 4th year
-BON must be citizen -BON must be natural
(born in the Philippines citizen
with Filipino parents; jus
sanguinis and jus soli)
- no removal - with removal

LAWS AND REGULATIONS AFFECTING


NURSING/MIDWIFERY PRACTICE IN THE
PHILIPPINES

PRESIDENTIAL DECREES
PD 48 - Four (4) children with paid maternity leave privilege
PD 69 - Four (4) children for personal tax exemption
PD 110 - Creates civil service commission
PD 223 - PRC was created
PD 386 - Proposal of collective bargaining for nurses
PD 422 - Amends PD 223 ; professional regulatory code
PD 442 - New labor code
PD 491 - Nutrition program; July is nutrion month
PD 541 - Practice of former Filipino professionals in the Philippines
PD 603 - Child and youth welfare code
PD 626 - Employee compensation and state insurance fund
PD 651 - Birth registration following delivery
PD 719 - Revised population act
PD 826 - Anti-improper garbage disposal
PD 851 - 13th month pay
PD 856 - Code of Sanitation
PD 965 - Family planning and responsible parenthood instructions
prior to issuance of marriage license
PD 996 - Compulsory immunization for children below eight (8)
years old against immunizable diseases
PD 1083 - Muslim holidays
PD 1588 - Settlement of disputes at the Barangay level
PD 1636 - Compulsory SSS for self employed

REPUBLIC ACTS
Act 2808 - 1st True nursing law (1919); created 1st board of
examiner; 1st board exam (1920)
RA 1054 - Free emergency medical treatment and dental
attendance to employees/laborers of any commercial, industrial
or agricultural establishments
RA 1080 - Civil service eligibility
RA 1082 - Creation of rural health units all over the Philippines
RA 1136- TB law, reorganizing division of TB control in the DOH
RA 1612 - Privilege tax/professional tax/omnibus tax
RA 1811 - Amends 1082 Rural health unit with 8 different
categories and population groups to serve
RA 2382 - Philippine medical act
RA 2644 - Midwifery law
RA 3573- Reporting of Communicable Diseases
RA 3753- Civil Registry Law
RA 4073 - Treatment of leprosy in a government skin clinic, rural
health unit or by duly licensed physician
RA 4226- Hospital Licensure Act
RA 4704 - 1st amendment of Philippine nursing law (1966)
RA 5181 - Permanent residence and reciprocity qualifications for
examinations/registration
RA 5901 - Working hours (40 hours a week) , compensation and
agencies with 100 bed capacity
RA 6111 - Philippine medical care act (SSS and GSIS)
RA 6136 - Injection and IV should be under the direction and with
the presence of a doctor
RA 6475 - Dangerous drug act19. RA 6675 - Generics act of 1988
RA 6675- Generics Act of 1988
RA 6713 - Code of conduct and ethical standards for public
officials and employees
RA 6725- Strengthening Prohibition on Discrimination against
Women
RA 6727 - Wage rationalization
RA 6758 - Salary standardization of government employees
RA 679 -Amends PD 148 ; women and child labor law no
emplyment for 14 years old and below
RA 6809 - Age of maturity is 18 years old
RA 6972 - Day care center in every barangay
RA 7160 - Local autonomy code
RA 7170 - Legacy of donation of all or part of human body after
death
RA 7170 - Organ Donation
RA 7192 - Women in development and national building
RA 7277 - Magna carta for disabled persons
RA 7305- Magna Carta of Public Health Workers
RA 7392- Midwifery Law
RA 7432 - Senior citizens benefits and privileges
RA 7600 - Rooming –in and Breastfeeding Act of 1992
RA 7610 - Special protection of children against abuse,
exploitation and discrimination
RA 7624 - Drug education law
RA 7641 - New retirement law for employees in the private sector
RA 7658 - Law that prohibits the employment of children below 15
years of age
RA 7719 - National blood services act of 1994
RA 7875 - National health insurance act of 1995
RA 7876 - Senior citizen center for every barangay
RA 7877 - Anti-sexual harassment act of 1995
RA 7883 - Barangay health workers benefits and incentives act of
1992
RA 8042 - Migrant workers and overseas Filipino act of 1995
RA 8172 - Asin Law of the Philippines
RA 8177 - Death through lethal injection
RA 8187 - Paternity leave act of 1995
RA 8282 - Social security law of 1997 (amended RA 1161)
RA 8291 - Government service insurance system act of 1997
(amended PD 1146)
RA 8344 - Hospitals/doctors to treat emergency cases referred for
treatment
RA 8353 - Anti-Rape Law
RA 8423 - The traditional and alternative medicine act (TAMA) of
1997
RA 8424 - Personal tax exemptions
RA 8493 - Herbal drafted
RA 8749 - Clean air act of 1999
RA 8976 - National food fortification
RA 8980 -Early Childhood Care & Development Act of the
Philippines
RA 8981 - PRC modernization act of 2000
RA 9003 - The ecological solid waste management act of 2000
RA 9165 - The comprehensive dangerous drugs act
RA 9165- PRC Modernization Act of 2002
RA 9173 - The Philippine nursing act of 2002
RA 9211 - Tobacco regulation
RA 9255 - Act allowing illegitimate children to use the surname of
their father (amends RA 176 and EO 2069 - Family code of the
Philippines)
RA 9257 - Expanded senior citizen act
RA 9262 - The anti-violence against women and children act of
2004
RA 9288 - Newborn Screening Act
RA 9439 - Hospital Detention Act
RA 977 - Phil nursing law (1953)
EXECUTIVE ORDERS
EO 51 - Milk code
EO 80- Collective Bargaining Rights of government workers
EO 180 - Guidelines on the right to organize of government
employees
EO 203 - List of regular holidays and special days
EO 2069 - Family code of the Philippines (amended by RA 6809)
EO 226 - Command responsibility
EO 296- Accredited professional organization of nurses must
create a nomination committee composed of its past presidents
who will screen nominees or applicants to the BON
EO 857- Compulsory Dollar Remittance

BOARD OF MIDWIFERY/NURSING RESOLUTIONS


#557 Series 1988 - Code of ethics for midwives
#100 Series 1983 - Implementing rules and regulations of RA
7392
# 187 s. 1991- Issuance and Renewal of Professional License
# 217 s. 1992- Delisting of delinquent professionals
#633 Series 1984 - ICN code of ethics
#1955 Series 1989 - PNA code of ethics
#08 Series 1994 - Special training on intravenous injections for
the RN
#20 Series 1994- Implementing rules and regulations of RA 7164
PRC Res. #6 (July 1981) regulate review centers

PROCLAMATIONS, PRONOUNCEMENTS, LETTERS OF


INSTRUCTIONS & HOUSE BILLS
Proc. # 6- United Nations’ goal on Universal Child Immunization
by 1990
Proc. # 539- Nurses’ Week (every 3rd week of October)
LOI # 949- Legal basis of Primary Health Care
HB 4110- REPRODUCTIVE Health Care Agenda Act of 2001
HB 3744- Empowerment of Women in Vulnerable Situation Act
HB 3773- Responsible Parenthood and Population Movement Act
of 2005
Proc. #118 - Professional Regulation week -June 16-22
Proc. #1275 - Midwifery week - every 3rd week of October
LOI #1000 - Members of accredited professional organizations
given preference in hiring or attendance to seminars
ILO Convention #149 - Improvement of life and work conditions of
nursing personnel (ILO Recommendaions #157)

SALIENT ASPECTS IN THE 1987 CONSTITUTION OF


PHILIPPINES
Article II – Declaration of principles & State Policies
SECTION 11 – Human Dignity and Rights
12 – Sanctity of Family equal protection of the life
of the mother and the life of the unborn form the
conception
13 – Role of the youth in Nation Building
15 – Right to Health
16 – Right to a balanced and healthy ecology

Article III – Bill of Rights


SECTION 1 – Equal Protection of Laws and the due process of
law
3 – Privacy of Communication and correspondence
8 – Formation of Unions, associations or societies
12 – To remain silent & have counsel when under
investigation
14 – The accused person is presumed innocent until
the contrary is approved

Article IV – Citizenship
SECTION 3 – Philippine Citizenship may be lost or reacquired
in the Manner provided by law

Article XIII – Social Justice & Human Rights


SECTION 3 – Rights of all Workers of self-organization,
collective bargaining and negotiations and peaceful concerted
activities
11 – Priority for the needs of the under-privileged
sick, elderly, disabled,woman and children
13 – Special Agency for disabled persons
14 – Protection of Working Women
Article XV – The Family
SECTION 1 – Filipino Family as the foundation of the nation
2 – Marriage, as an inviolable social institution, is
the foundation of the family
4 – The family has the duty to care for its elderly
members

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