Nội dung text COMPRE - HANDOUTS - PROF AD (Mr. Manago)
TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE HANDOUTS PROFESSIONAL ADJUSTMENT Prepared By: Mr. Raymund Kernell B. Mañago, RN, UKRN, USRN NOVEMBER 2025 Philippine Nurse Licensure Examination Review INTRODUCTION Professional Nursing Requirements: (1) Basic nursing education program (2) Professional License in PH Nursing Laws RA 9173 – Philippine Nursing Act of 2002 RA 7164 – Philippine Nursing Act of 1991 Board of Nursing Members • Chairperson + 6 members • Represents 3 areas of nursing: 1) Nursing Education 2) Nursing Service 3) Community Health Nursing Qualifications • Master’s in Nursing/ Allied Health/ Education • Chair: Master’s in Nursing • 10 yrs Continuous Practice (last 5 yrs in PH) • Member of the Accredited Professional Organization (APO) • APO: Philippine Nurses Association (PNA) • Good Moral Character • Not a faculty (conflict of interest) Appointment (1) Regular Appointment - by the PH President through Power of Appointment - when Congress is in session (2) Ad Interim Appointment - appointed in absence of regular incumbent - when Congress NOT in session (3) Doctrine of Hold-over - Holds office even beyond term until replaced Term Term: 3 years, Max: 2 terms (1 st : appointment, 2 nd : reappointment) Powers and Duties 1) Executive - Conduct board exam - Administer oaths - Issue license -Annual Report 2) Quasi-legislative - Write policies and guidelines 3) Quasi-judicial - Investigate cases - Issue subpoena (called to hearing) • Subpoena DUCes tecum: DUCument • Subpoena TESTIFicandum: TESTIFy - Suspend or revoke license (not confiscated) (confiscated) - Suspension: Cannot practice temporarily (Max: 4 years) - Revocation: Cannot practice permanently (Unless approved by BON) Board Rating Gen. ave.: 75%; each subject: 60% �� PASS Gen. ave.: 75%; subject: less than 60% � Retake failed subject (PASS if 75%) Renewal examination: Within 2 years Gen. ave: less than 75% �� FAIL Oathtaking: Final requirement before obtaining license. Professional License/Certificate of Registration (COR) - Legal document allowing person to offer skills. - Forever [unless revoked] License reissuance - When cause of revocation is corrected. Professional Identification Card (PIC) - Temporary - Renewal: q 3 years, 15 CPD units (5 CPD units per year) - CPD Law (R.A. 10912) Philippine Nurses Association (PNA) - Accredited professional organization (APO) of registered nurses - PNA Membership not required by law. Scope of Practice - Nursing care (nursing process) - Internal exam (without bleeding) - Establish linkage w/ community resources - Health Education - Supervise student nurses - Training and research * Episiorrhaphy (perineal suture): requires addtl training Ethics vs Morality Ethics - Rules of conduct based on culture - External – based on society Morality - Personal guide of right or wrong - Internal - personal Ethics Code of Ethics for Nurses • set of principles to guide nurses • BON Board Resolution No. 220, series of 2004 • Primary responsibility: Preserve health at all cost. Ethical Frameworks • Deontological (Duty-based): right or wrong is based on action, regardless of consequence • Teleological: right or wrong is based on consequence, regardless of action Ethical Principles • Most fundamental principle: Respect for people • Autonomy: voluntary decision • Beneficence: do good (medications) * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH
TOP RANK REVIEW ACADEMY, INC. Page 2 | • Non-maleficence: do no harm (asepsis) • Justice: fairness, equal risks and benefits • Veracity: complete & true info • Confidentiality: data not revealed - Anonymity: data not linked to person • Paternalism: decision-making for others (in emergency) • Fidelity: promise-keeping • Utilitarianism: greatest good for the greatest number of people Moral Principles - Double-effect: Benefits > Risks - Totality: Whole greater than Sum of Parts Sacrifice a Part for the good of the Whole. - Solidarity: Unity of Healthcare team - Stewardship: You are the steward of your own body - Epikia: Exception to the rule (e.g.: restraints, evidence needed in court) Legal Issues/Jurisprudence Civil vs Criminal vs Administrative Cases • Civil: monetary damages • Criminal: imprisonment and/or monetary damages • Administrative: suspension, revocation of license Parties: • Plaintiff: injured • Defendant: accused CIVIL CASES Torts - Legal (civil) wrong - Two types: - Unintentional - Intentional Unintentional Torts • Negligence vs Malpractice • Negligence: “hindi ginawa ang dapat; ginawa ang hindi dapat” • Malpractice: Professional negligence • Elements (4) • Duty • Breach of duty • Causation • Injury Intentional Torts • Assault vs Battery • Assault: threat • Battery: physical injury, touching without consent • False imprisonment • Unauthorized restraint of movement • Invasion of privacy • Intrusion to personal life • Defamation (paninirang-puri/ damage to reputation) • Libel: written, larger group (general public) • Slander: spoken, smaller group Reqt: 3 rd party (reputation is harmed) CRIMES/ CRIMINAL CASES Misdemeanor vs Felony • Misdemeanor: lesser crime • Felony: serious crime Circumstances in Crimes - Justifying: No civil and criminal liability - Defense of self or another person - Fulfillment of duty - Exempting: No criminal liability - Insane/Imbecile - Under 9 y/o - Under 15 y/o (w/o discernment) - d/t Irresistible force/ Force majeure - Mitigating: Reducing liability - Voluntary surrender - Provoked - <18, >70 y/o - Physical defect - Aggravating: Increasing liability - Abuse of public position - Insult to authority - Crime in times of calamity - Treachery - Premeditation Misdemeanor 1) Practicing without license - No license, using license of others - Forged documents - Revoked or suspended license - Appending “B.S.N./R.N.” to name - Assists someone in illegal practice of nursing 2) Conducting nursing review classes (local/foreign) without BON permit 3) Violates minimum base pay of nurses (Salary grade 15) Penalties: Fine: P50,000 – P100,000 AND/OR Imprisonment: 1-6 years Felony - Homicide: killing of a person, with intent to kill, without aggravating circumstances - Murder: killing of a person, with intent to kill, with aggravating circumstances - Aggravating circumstances - Evident Premeditation - Determined to commit crime - Clung to determination - Time to reflect upon consequences of act - Treachery - No opportunity to defend (John Wick 3, homicide only) - Deliberate execution - Cruelty - Additional suffering - Scoffing/Outraging at corpse: “Paglibak sa bangkay” - Prize or reward - Killed someone with promise of getting reward - Fire, explosion, poison - Parricide - Killing relatives by direct line - Father - Mother - Child - Spouse - Legitimate grandparent/grandchild - NOT included: Siblings (Not direct line) - Side note: Legitimacy - Legitimate: after marriage, adoption - Illegitimate: not married/out of wedlock - Legitimated: parents married after being born - Infanticide - Killing of a child < 3 days old - Abortion - Intentional killing of a fetus in utero Stages of Execution - Attempted – not all elements for execution are present, failed - Consummated – all elements for execution are present, succeeded - Frustrated – all elements for execution are present, but failed Conspiracy in Crimes - Principal