The Philippine Nursing ACT of 2002

[REPUBLIC ACT NO. 9173]

AN ACT PROVIDING FOR A MORE RESPONSIVE
NURSING PROFESSION, REPEALING FOR THE
PURPOSE REPUBLIC ACT NO. 7164, OTHERWISE
KNOWN AS “THE PHILIPPINE NURSING ACT OF
1991” AND FOR OTHER PURPOSES
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
• 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.
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
.It includes, but not limited to, nursing care
during conception, labor, delivery, infancy,
childhood, toddler, pre-school, school age,
adolescence, adulthood and old age. As
independent practitioners, nurses are primarily
responsible for the promotion of health and
prevention of illness.
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
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. It shall
be the duty of the nurse to:
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
(a) Provide nursing care 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,
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
and administration of written prescription for
treatment, therapies, oral, topical and
parenteral medications, internal examination
during labor in the absence of antenatal
bleeding and delivery. In case of suturing of
perineal laceration, special training shall be
provided according to protocol established;
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
b) Establish linkages with community resources
and coordination with the health team;
• (c) Provide health education to individuals,
families and communities;
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
(d) Teach, guide and supervise students in
nursing education programs including the
administration of nursing services in varied
settings such as hospitals and clinics; undertake
consultation services; engage in such activities
that require the utilization of knowledge and
decision-making skills of a registered nurse; and
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
(e) Undertake nursing and health human
resource development training and research,
which shall include, but not limited to, the
development of advance nursing practice;
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
Provided, That this section shall not apply to
nursing students who perform nursing functions
under the direct supervision of a qualified
faculty: Provided, further, That in the practice of
nursing in all settings, the nurse is duty-bound
to observe the Code of Ethics for nurses and
uphold the standards of safe nursing practice.
 ARTICLE VI Nursing Practice
• SEC. 28. Scope of Nursing
The nurse is required to maintain competence
by continual learning through continuing
professional education to be provided by the
accredited professional organization or any
recognized professional nursing
organization: Provided, finally, That the program
and activity for the continuing professional
education shall be submitted to and approved
by the Board.
2012 NATIONAL NURSING CORE COMPETENCY
STANDARDS WHEREAS:
Professional Regulatory Board of Nursing Amend
Res. No. 112 Series of 2005 “Revisiting” of the
same standards in 2007 In accordance with Sec.
9 (c), Art. III of R.A. 9173.
Three roles of the entry level nurse
1. Beginning Nurse’s Role on Client Care.
2. Beginning Nurse’s Role on leadership and
Management
3. Beginning Nurse’s Role on Research
BEGINNING NURSE’S ROLE ON CLIENT
CARE
• Responsibility no.
1. Practices in accordance with legal principles
and the code of ethics in making personal
and professional judgement.
2. Utilizes the nursing process in the
interdisciplinary care of clients that
empowers the clients and promotes safe
quality care
 BEGINNING NURSE’S ROLE ON CLIENT CARE

3. Maintain complete and up to date recording

and reporting system
4. Establishes collaborative relationship with
colleagues and other members of the team to
enhance nursing and other healthcare services.
5. Promotes professional and personal growth
and development.
BEGINNING NURSE’S ROLE ON LEADERSHIP
AND MANAGEMENT
1. Demonstrates management and leadership
skills to provide safe and quality skills
2. Demonstrate accountability for safe nursing
practice.
3. Demonstrate management and leadership
skills to deliver health programs and services
effectively to specific client’s group in the
community settings.
 BEGINNING NURSE’S ROLE ON
LEADERSHIP AND MANAGEMENT
4. Manages a community/village based
facility/component of a health program or a
nursing service
5. Demonstrates ability to lead and supervise
nursing support staff.
6. Utilizes appropriate mechanism for
networking, linkage building and referrals.
 BEGINNING NURSE’S ROLE ON
RESEARCH
Responsibility No.
1. Engages in nursing or health related research
with or under the supervision of an
experienced researcher.
2. Evaluates research study/report utilizing
guidelines in the conduct of a written
research critique
 BEGINNING NURSE’S ROLE ON
RESEARCH
3. Applies the research process in improving
client care in partnership with a quality
improvement /quality assurance/ nursing audit
team.
 PATIENT’S BILL OF RIGHTS
1) Right to considerate and respectful care
2) Right to be informed about the illness,
possible treatments, likely outcome and to
discuss this information with the physician.
3) Right to know the names and roles of the
persons who are involved in care
 PATIENT’S BILL OF RIGHTS

4. Right to consent or refuse a treatment

5. Right to have an advance directive
6. Right to privacy
7.Right to expect that medical records are
confidential
8. Right to review the medical record and to
have information explained
 PATIENT’S BILL OF RIGHTS

9. Right to expect that the hospital will provide

necessary health services
10. Right to know if the hospital has
relationships with outside parties that may
influence treatment or care
11. Right to consent or refuse to take part in
research
 PATIENT’S BILL OF RIGHTS
12. Right to be told of realistic care alternatives
when hospital care is no longer appropriate
13. Right to know about hospital rules that
affect treatment and about charges and
payment methods.
 MAINTAINING PATIENT’S
CONFIDENTIALITY
 Avoid discussing client issues with other
clients or uninvolved staff in the client’s care
Do not share health care information with
others without the client’s consent
Keep all information about a client private
and not relieving it to someone not directly
involved in care
Share client information only in private and
secluded areas
 MAINTAINING PATIENT’S
CONFIDENTIALITY

Protect the medical record from all

unauthorized readers
Share client information only in private and
secluded areas
Protect the medical record from all
unauthorized readers.
 SITUATIONS INDICATING INVASION OF
PRIVACY
 Taking photographs of the client
Release of medical information to an
unauthorized person without the client’s
permission
Use of the clients name or picture for the
health care agency’s sole advantage
Allowing individuals to observe a treatment
or procedure without the clients consent
 SITUATIONS INDICATING INVASION OF
PRIVACY
Intrusion by the health care agency regarding
clients affairs
Publication of information about the client
Publication of embarrassing facts
Public disclosure of private information
 Leaving curtains or doors open during
treatment or procedure
 SITUATIONS INDICATING INVASION OF
PRIVACY
Leaving a confused or agitated client sitting
in the nursing unit hallway
Interviewing a client in a room with only a
curtain between clients or where
conversation could be overheard.
Assessing medical records when not
authorized to do so
 COMMON LEGAL ISSUES IN NURSING
INFORMED CONSENT
informed consent may be EXPRESS or
IMPLIED
obtaining the informed consent is a
responsibility of who will perform the
procedure
nurse can sign as a witness
reasonable amount of information must be
given before client will decide
 COMMON LEGAL ISSUES IN NURSING
INFORMATION REQUIRED TO BE GIVEN TO
PATIENT
Diagnosis requiring treatment
Purpose of treatment
What to expect during or after
Intended benefits
Possible risks or negative outcomes
Advantages and disadvantages of alternatives
including no treatment
ELEMENTS OF AN INFORMED CONSENT
Voluntary
Capacity and competence to understand
Enough information is given
GROUPS WHO CANNOT PROVIDE CONSENT
Minors
Unconscious
Injured in such a way unable to give consent
Mentally ill
 .
NURSE AS COURT WITNESS
A nurse may be asked to testify in a legal
action
A nurse may be asked to testify as an expert
witness
LICENSURE
All nurses must have license to practice
nursing
 CODE OF ETHICS
formal statement of a group’s ideals and
values
CHARACTERISTICS OF A CODE OF ETHICS
shared by members of the group
reflects their moral judgment over time
standard for professional actions
 CODE OF ETHICS FOR FILIPINO NURSES
(DEVELOPED BY DEAN JULITA V. SOTEJO)
NURSES AND PEOPLE

Values, customs and spiritual beliefs held by

the individuals are to be respected
 Nurses hold in strict confidence personal
information acquired in the process of giving
nursing care
 .
NURSES AND PRACTICE
Nurses are accountable for their own nursing
practice
Nurses maintain or modify standards of practice
within the realm of any given situation. Quality care
is their goal
Nurses are advocates of the patients. They take
appropriate steps to safeguard the patients’ rights
and privileges.
 .
NURSES AND PRACTICE
• Nurses are aware that their actions have
professional, ethical, moral and legal
dimensions. They strive to perform their work
in the best interest of all concerned.
 .
• NURSES AND CO-WORKERS
• Nurses maintain collaborative working
relationships with their co-workers and other
members of the health team. They recognize
their capabilities and limitations and those of
their co-workers in accepting or when
delegating responsibilities to the team
members.
 NURSES AND SOCIETY
Nurses are contributing members of the
society. They assume responsibilities
inherent in being members and citizens of
the community / society in which they live /
work
Nurses recognize the need for change and
initiate, participate in and support activities
to meet the health and social needs of the
people
 NURSES AND PROFESSION

Nurses are expected to be members of

professional organizations of nurses. Inherent
in this is the responsibility to support and
uphold their constitution and by-laws.
Nurses help to determine and implement
desirable standards of nursing practice and
nursing education. Nursing standards should
be developed exclusively by nurses and
implementation should be strictly adhered
to.
SANCTIONS

A nurse who have violated shall be guilty of

unprofessional and unethical conduct and
shall suffer the sanction of censure or
reprimand suspension or revocation of his /
her certificate of registration.
Thank you
 Title
• Lorem ipsum dolor sit amet, consectetuer
adipiscing elit. Vivamus et magna. Fusce sed
sem sed magna suscipit egestas. Lorem ipsum
dolor sit amet, consectetuer adipiscing elit.
Vivamus et magna.
Title
• Lorem ipsum dolor sit amet,
consectetuer adipiscing elit.
Vivamus et magna. Fusce sed sem
sed magna suscipit egestas.
• Lorem ipsum dolor sit amet,
consectetuer adipiscing elit.
Vivamus et magna. Fusce sed sem
sed magna suscipit egestas.