A registered nurse ("RN"), is a health care professional responsible for implementing the practice of nursing through the use of the nursing process in conjunction with other health care professionals. Registered nurses work as patient advocates for the care and recovery of the sick and maintenance of their health. In their work as advocates for the patient, RNs use the nursing process to assess, plan, implement, and evaluate nursing care of the sick and injured. RN's have a significantly expanded scope of practice, education and clinical training compared to that of licensed practical nurses. Nurses scope of practice is determined by each state's Nurse Practice Act. It oulines what is legal practice for registered nurses and what tasks they may or may not perform. Nurse Practice Acts also dictate the scope of practice for nurse practitioners (NPs). An example is prescriptive authority for NPs. In some states, NPs can practice completely autonomously and prescribe any category of medications. In other states, NPs cannot prescribe controlled substances and may only practice with the collaboration of a physician.
Main article: Nursing in the United Kingdom To practice lawfully as a registered nurse in the United Kingdom, the practitioner must hold a current and valid registration with the Nursing and Midwifery Council. The title "registered nurse" can only be granted to those holding such registration. This protected title is laid down in the Nurses, Midwives and Health Visitors Act, 1997.[1] First level Nurses First level nurses make up the bulk of the registered nurses in the UK. They were previously known by titles such as RGN (registered general nurse), RSCN (registered sick children's nurse), RMN (registered mental nurse) , RNLD (registered nurse learning disabilities)
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1 Second level nurses 2 Specialist nurses 3 Managers 4 Nurse education o 4.1 Pre-registration o 4.2 Post-registration 5 United States o 5.1 Educational and licensure requirements 5.1.1 Diploma in Nursing 5.1.2 Associate Degree in Nursing 5.1.3 Bachelor of Science in Nursing
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5.2 Licensure examination 5.3 Graduate nursing opportunities 5.4 Nursing board certification 5.5 The nursing shortage in the United States 5.5.1 Causes of the nursing shortage in the United States 5.5.2 Solutions to the nursing shortage 6 See also 7 References
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8 External links
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[edit] Second level nurses For more inforation, see state enrolled nurse. Second level nurse training is no longer provided, however they are still legally able to practice in the United Kingdom as a nurse. Many have now either retired or undertaken conversion courses to become first level nurses.
[edit] Specialist nurses The NHS employs a huge variety of specialist nurses. These nurses have many years of experience in their field, in addition to extra education and training (see below). They split into several major groups: •
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Nurse practitioners - These nurses obtain advanced practice training. They often perform roles similar to those of Physicians and Physician Assistants. They commonly work in primary care (e.g. GP surgeries) or A&E departments, although they are increasingly being seen in other areas of practice. Specialist community public health nurses - traditionally district nurses and health visitors, this group of practitioners now includes many school nurses and occupational health nurses. Clinical nurse specialists - nurses undertaking these roles commonly provide clinical leadership and education for the staff nurses working in their department, and may also have special skills or knowledge which ward nurses can draw upon. Nurse consultants - these nurses are similar in many ways to the clinical nurse specialist, but at a higher level. These practitioners are responsible for clinical education and training of those in their department, and many also have active research and publication activities. Lecturer-practitioners - these nurses work both in the NHS, and in universities. They typically work for 2-3 days per week in each setting. In university, they train pre-registration student nurses (see below), and often teach on specialist courses for post-registration nurses (e.g. a Lecturer-practitioner in critical care may teach on a Masters degree in critical care nursing).
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Lecturers - these nurses are not employed by the NHS. Instead they work full time in universities, both teaching and performing research.
[edit] Managers Many nurses who have worked in clinical settings for a long time choose to leave clinical nursing and join the ranks of the NHS management. This used to be seen as a natural career progression for those who had reached ward management positions, however with the advent of specialist nursing roles (see above), this has become a less attractive option. Nonetheless, many nurses fill positions in the senior management structure of NHS organisations, some even as board members. Others choose to stay a little closer to their clinical roots by becoming clinical nurse managers or modern matrons
[edit] Nurse education [edit] Pre-registration In order to become a registered nurse, and work as such in the NHS, one must complete a program recognised by the Nursing and Midwifery Council. Currently, this involves completing a degree or diploma, available from a range of universities offering these courses, in the chosen branch speciality (see below), leading to both an academic award and professional registration as a 1st level registered nurse. Such a course is a 50/50 split of learning in university (i.e. through lectures, essays and examinations) and in practice (i.e. supervised patient care within a hospital or community setting). These courses are three (occasionally four) years' long. The first year is known as the common foundation program (CFP), and teaches the basic knowledge and skills required of all nurses. The remainder of the program consists of training specific to the student's chosen branch of nursing. These are: • • • •
Adult nursing. Child nursing. Mental health nursing. Learning disabilities nursing.
Midwifery training is similar in length and structure, but is sufficiently different that it is not considered a branch of nursing. There are shortened (18 month) programmes to allow nurses already qualified in the adult branch to hold dual registration as a nurse and a midwife. Shortened courses lasting 2 years also exist for graduates of other disciplines to train as nurses. This is achieved by more intense study and a shortening of the common foundation program.[2] Student nurses currently receive a bursary from the government to support them during their nurse training. Diploma students in England receive a non-means-tested bursary of around £6000 per year (with additional allowances for mature students or those with
dependent children), whereas degree students have their bursary means tested (and so often receive less). Degree students are, however, eligible for a proportion of the government's student loan, unlike diploma students. In Scotland, however, all student nurses regardless of which course they are undertaking, receive the same bursary in line with the English diploma amount. In Wales only the Degree level course is offered and all nursing students therefore receive a non-means-tested bursary. Before Project 2000, nurse education was the responsibility of hospitals and was not based in universities; hence many nurses who qualified prior to these reforms do not hold an academic award. [edit] Post-registration After the point of initial registration, there is an expectation that all qualified nurses will continue to update their skills and knowledge. The Nursing and Midwifery Council insists on a minimum of 35 hours of education every three years, as part of its post registration education and practice (PREP) requirements.[citation needed] There are also opportunities for many nurses to gain additional clinical skills after qualification. Cannulation, venepuncture, intravenous drug therapy and male catheterisation are the most common, although there are many others (such as advanced life support) which some nurses will undertake. Many nurses who qualified with a diploma choose to upgrade their qualification to a degree by studying part time. Many nurses prefer this option to gaining a degree initially, as there is often an opportunity to study in a specialist field as a part of this upgrading. Financially, in England, it is also much more lucrative, as diploma students get the full bursary during their initial training, and employers often pay for the degree course as well as the nurse's salary.[citation needed] In order to become specialist nurses (such as nurse consultants, nurse practitioners etc.) or nurse educators, some nurses undertake further training above bachelors degree level. Masters degrees exist in various healthcare related topics, and some nurses choose to study for PhDs or other higher academic awards. District nurses and health visitors are also considered specialist nurses, and in order to become such they must undertake specialist training (often in the form of a top up degree (see above) or post graduate diploma). All newly qualifying district nurses and Health Visitors are trained to prescribe from the Nurse Prescribers' Formulary, a list of medications and dressings typically useful to those carrying out these roles. Many of these (and other) nurses will also undertake training in independent and supplementary prescribing, which allows them (as of May 1 2006) to prescribe almost any drug in the British National Formulary. This has been the cause of a great deal of debate in both medical and nursing circles.[citation needed]
[edit] United States
The scope of practice of registered nurses is the extent to and limits of which an RN may practice. In the United States, these limits are determined by a set of laws known as the Nurse Practice Act of the state or territory in which an RN is licensed. Each state has its own laws, rules, and regulations governing nursing care. Usually the making of such rules and regulations is delegated to a state board of nursing, which performs day-to-day administration of these rules, qualifies candidates for licensure, licenses nurses and nursing assistants, and makes decisions on nursing issues. It should be noted that in some states the terms "nurse" or "nursing" may only be used in conjunction with the practice of a Registered Nurse(RN)or licensed practical or vocational nurse (LPN/LVN). The scope of practice for a registered nurse is wider than for an LPN/LVN because of the level and content of education as well as what the Nurse Practice Act says about the respective roles of each. In the hospital setting, registered nurses are often assigned a role to delegate tasks performed by LPNs and unlicensed assistive personnel such as nursing assistants. RNs are not limited to employment as bedside nurses. Registered nurses are employed by physicians, attorneys, insurance companies, private industry, school districts, ambulatory surgery centers, among others. Some registered nurses are independent consultants who work for themselves, while others work for large manufacturers or chemical companies. Research Nurses conduct or assist in the conduct of research or evaluation (outcome and process) in many areas such as biology, psychology, human development, and health care systems. The average salary for a staff RN in the United States in 2007 was over $60,000.
[edit] Educational and licensure requirements [edit] Diploma in Nursing The oldest method of nursing education is the hospital-based diploma program, which lasts approximately three years. Students take between 30 and 60 credit hours in anatomy, physiology, microbiology, nutrition, chemistry, and other subjects at a college or university, then move on to intensive nursing classes. Until 1996, most RNs in the US were initially educated in nursing by diploma programs.[3] [edit] Associate Degree in Nursing The most common education for initial nursing education is a two-year Associate Degree in Nursing (Associate of Applied Science in Nursing, Associate of Science in Nursing, Associate Degree in Nursing), a two-year college degree referred to as an ADN. Some four-year colleges and universities also offer the ADN. Associate degree nursing programs have many prerequisite and co-requisite courses which ultimately stretch out the degree-acquiring process to about 3 years or greater. [edit] Bachelor of Science in Nursing
The third method is to obtain a Bachelor of Science in Nursing, a four-year degree that also prepares nurses for graduate-level education. For the first two years in a BSN program, students usually obtain general education requirements and spend the remaining time in nursing courses. Advocates for the ADN and diploma programs state that such programs have a more "hands-on" approach to educating students, while the BSN is an academic degree that emphasizes research and nursing theory. However, most states require a specific amount of clinical experience that is the same for both BSN and ADN students. Nursing schools may or may not be accredited by either the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
[edit] Licensure examination Completion of any one of these three educational routes allows a graduate nurse to take the NCLEX-RN, the test for licensure as a registered nurse, and is accepted by every state as an adequate indicator of minimum competency for a new graduate. However, controversy exists over the appropriate entry-level preparation of RNs. Some professional organizations believe the BSN should be the sole method of RN preparation and ADN graduates should be licensed as "technical nurses" to work under the supervision of BSN graduates. Others feel the hands-on skill of diploma and ADN graduates makes up for any deficiency in theoretical preparation. Regardless of this debate, it is highly unlikely that the BSN will become the standard for initial preparation any time soon, because of the nursing shortage and the lack of faculty to teach BSN students.
[edit] Graduate nursing opportunities Advanced education in nursing is done at the master's and doctoral levels. A Master of Science in Nursing or a Master of Nursing takes from one to three years of additional full-time study beyond the program of initial licensure. It prepares the graduate for specialization as an advanced practice nurse (APRN). Areas of advanced nursing practice include that of a nurse practitioner (NP), a certified nurse midwife (CNM), a clinical nurse leader (CNL), a certified registered nurse anesthetist (CRNA), or a clinical nurse specialist (CNS). Nurse practitioners work assessing, diagnosing and treating patients in fields as diverse as family practice, women's health care, emergency nursing, acute/critical care, psychiatry, geriatrics, or pediatrics, while a CNS usually works for a facility to improve patient care, do research, or as a staff educator. The CNL is an advanced generalist who focuses on the improvement of quality and safety outcomes for patients or patient populations from an administrative and staff management focus. Doctoral programs in nursing prepare the student for work in nursing education, health care administration, clinical research, or advanced clinical practice. Most programs confer the Ph.D in nursing and Doctor of Nursing Practice (DNP), but some confer the Doctor of Nursing Science (DNS or DNSc), Doctor of Science in Nursing (DSN), or the Doctor of Education (Ed.D.). Doctoral programs take from three to five years of full-time study to complete.
[edit] Nursing board certification
Professional nursing organizations, through their certification boards, have voluntary certification exams to demonstrate clinical competency in their particular specialty. Completion of the prerequisite work experience allows an RN to register for an examination, and passage gives an RN permission to use a professional designation after their name. For example, passage of the American Association of Critical-care Nurses specialty exam allows a nurse to use the initials 'CCRN' after his or her name. Other organizations and societies have similar procedures. The American Nurses Credentialing Center, the credentialing arm of the American Nurses Association, is the largest nursing credentialing organization and administers more than 30 specialty examinations.[4]
[edit] The nursing shortage in the United States Main article: Nursing Shortage RNs are the largest group of health care workers in the United States, numbering over 2.6 million. It has been reported that the number of new graduates and foreign-trained nurses is insufficient to meet the demand for registered nurses; this is often referred to as the nursing shortage and is expected to increase for the foreseeable future. There is data to support the idea that the nursing shortage is a voluntary shortage. In other words, nurses are leaving nursing of their own volition. In 2004 it was estimated that approximately 1.8 million nurses chose not to work as a nurse. [edit] Causes of the nursing shortage in the United States Among the many cited causes for the nursing shortage is the lack of qualified doctoral or master degree prepared faculty for college RN programs. Students cannot be admitted to school if there is no faculty to teach them.[5] Furthermore, there is evidence that faculty positions for RN programs do not command equivalent salaries to those of their peers in other fields. Another factor affecting the nursing shortage is that after education, Registered Nurses typically do not remain long in the profession, especially those working in more traditional hospital health care roles.[citation needed] The primary reason given for leaving the profession is poor working conditions (e.g. long and irregular hours and an absence of sufficient numbers of health care providers, such as aides). Other factors such as role-limited autonomy and physical labor demanded of clinical positions are also seen as deterrents to those considering becoming a Registered Nurse. As well, many systems and practices in nursing are heavily oriented toward the social and gender patterns and practices of women, which can hinder consideration of nursing as a profession by men. [edit] Solutions to the nursing shortage
The American Association of Colleges of Nursing (AACN) is concerned about the labor shortage in the field of nursing and has been working to enact legislation, identify strategies, and form cooperative efforts with all interested people and groups to address this problem. The AACN has also published a fact sheet containing current statistics related to the shortage
A collection of Philippine laws, statutes and codes not included or cited in the main indices of the Chan Robles Virtual Law Library. . This page features the full text of Republic Act No. 7164 "Philippine Nursing Act of 1991" AN ACT REGULATING THE PRACTICE OF NURSING IN THE PHILIPPINES
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Read full text of: Republic Act No. 9173 "Philippine Nursing Act of 2002" 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. Republic Act No. 7164 "Philippine Nursing Act of 1991" AN ACT REGULATING THE PRACTICE OF NURSING IN THE PHILIPPINES
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REPUBLIC ACT NO. 7164 .
AN ACT REGULATING THE PRACTICE OF NURSING IN THE PHILIPPINES ARTICLE I TITLE Section 1. Title. — This Act shall be known as the "Philippine Nursing Act of 1991." ARTICLE II DECLARATION OF POLICY Sec. 2. Declaration of Policy. — It is hereby declared the policy of the State to assume responsibility for the protection and improvement of the nursing profession by instituting measures that will result in relevant nursing education, and in humane working conditions, better career prospects and a dignified existence for our nurses. chan robles virtual law library
The State hereby guarantee the delivery of basic health services through an adequate nursing personnel throughout the country. ARTICLE III ORGANIZATION OF THE BOARD OF NURSING Sec. 3. Name and Composition of the Board. — There shall be created a Board of Nursing to be composed of a Chairman and four (4) members who shall be appointed by the President from a list of twelve (12) nominees who are registered nurses of recognized standing in the Philippines and who possess the qualifications prescribed in Section 5 of this Act as certified by the accredited national nurses' association to the Professional Regulation Commission.
.chan robles virtual law library Sec. 4. Power and Duties of the Board. — The Board shall have following powers, duties and functions: (a) Supervise and regulate the practice of the nursing profession; chan robles virtual law library
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(b) Describe the subjects in the licensure examination, determine the syllabi of the subjects, and their relative weight, construct the test questions, in the licensure examination, and
score and rate the examination paper. The Board shall within one hundred twenty (120) days after the examination, submit a report of the examination result which shall contain the weighted average rating of each examinee to the Office of the President for release and publication; (c) Issue, suspend, or revoke certificates of registration for the practice of nursing; (d) Study the condition affecting the nursing practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical, technical, moral and professional standards in the practice of nursing, taking into account the health needs of the nation;chan robles virtual law library (e) Examine the prescribed facilities of universities or colleges seeking permission to open colleges of nursing or departments of nursing education in order to ensure that standards and essential requirements for a qualified dean and faculty and adequate budget are property complied with and maintained at all times. The authorization to open colleges of nursing shall be based upon the favorable written recommendation of both the Board and the Department of Education, Culture and Sports; (f) Require nurses who graduate from state colleges and universities to render, after being issued the necessary board licenses, at least one (1) year of nursing service in the Philippines before they are allowed to leave for overseas jobs; (g) Investigate violations of this Act. For this purpose it may through its Chairman, with the approval of the Board, issue summons, subpoena or subpoena duces tecum to violators of this Act and witnesses thereof and to compel their attendance by the power of contempt; and chan robles virtual law library (h) Promulgate decisions or adopt measures as may be necessary for the improvement of the nursing practice, for the advancement of the profession, and for the proper and full enforcement of this Act. Sec. 5. Qualifications of Board Members. — A member of the Board shall: (a) Be a citizen and resident of the Philippines;
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(b) Be a member in good standing of the accredited national nurses' association; (c) Be a registered nurse and holder of a master's degree in nursing conferred by a college or university duly recognized by the Government; chan robles virtual law library (d) Have at least ten (10) years of continuous practice of the profession prior to appointment; (e) Not be a holder of a green card or its equivalent; and (f) Not have been convicted of any offense involving moral turpitude even if previously extended pardon by the President of the Philippines. chan robles virtual law library Sec. 6. Requirements Upon Qualification as Member of the Board of Nursing. — Any person who qualifies as Chairman or member of the Board shall automatically resign from any teaching position in any school, college or university and/or review program for the local nursing board examinations or in any office or employment in the Government or any subdivision, agency or instrumentality thereof, including government-owned or controlled corporations or their subsidiaries. He shall not have any pecuniary interest in or administrative supervision over any institution offering basic nursing education programs, including review classes.
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Sec. 7. Term of Office. — The Chairman and the members of the Board shall hold office for a term of three (3) years and until their successors shall have qualified: Provided, That a member of the Board may be reappointed for another term not exceeding three (3) years: Provided, further, That, in the event that only one (1) member of the Board is reappointed, he or she, by virtue of seniority, shall automatically become the Chairman of the new Board. However, in case two (2) or more members are reappointed, the best qualified among them, to be determined by all the members of the new Board, shall become the new Chairman of the Board: Provided, finally, That, in case all members of the old Board are reappointed or all members are new, all the members of the new Board shall determine the best qualified from among themselves who shall be recommended to the President of the Philippines to be the Chairman of the Board. Any vacancy in the Board occurring within the term of a member shall be filled for the unexpired portion of the term only. Each member of the Board shall take the proper oath of
office prior to the performance of his or her duties. chan robles virtual law library
Sec. 8. Compensation of Board Members. — The Chairman and members of the Board shall receive as compensation an amount equal to that given the Chairman and members of other government boards situated under analogous circumstances. Sec. 9. Removal of Board Members. — The President may remove any member of the Board on the following grounds after giving the member concerned an opportunity to defend himself or herself in a proper administrative investigation to be conducted under the supervision and control of the Department of Justice, upon instruction of the President: (a) Continued neglect of duty or incompetence;
.chan robles virtual law library (b) Commission or toleration of irregularities examination conducted by the Board; and
in
the
(c) Unprofessional or dishonorable conduct. chan robles virtual law library
Sec. 10.Rules and Regulations. — The Board shall promulgate such rules and regulations as may be necessary to carry out the provisions of this Act.
.chan robles virtual law library Sec. 11. Records. — All records of the Board of Nursing, including examination papers, minutes of deliberations, records of administrative cases and investigations, and examination results shall be kept by the Professional Regulation Commission under the direct custody of the person designated by the Chairman of the Commission. No record shall be removed, altered or examined without the prior authorization of the Board. Sec. 12. Examination Required. — All applicants for license to practice nursing shall be required to pass written examination by the Board of Nursing. Sec. 13. Qualifications of Applicants. — In order to be admitted to the examination for nurses, an applicant must, at the time of filing his or her application, establish to the satisfaction of the Board of Nursing that: (a) He or she is a citizen of the Philippines, or a citizen or 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, That the requirements for the registration or licensing of nurses in said country are substantially the same as those prescribed in this Act;chan robles virtual law library .chan robles virtual law library
(b) He or she is at least eighteen (18) years of age: Provided, That any underage applicant who successfully passes the examination shall not be permitted or licensed to practice nursing until he or she shall have reached the age of majority; (c) He or she is in good health and is of good moral character; and (d) He or she is a holder of bachelor's degree in nursing from a college or university duly recognized by the proper government agency. Sec. 14. Licensure Examination. — The licensure examination for the practice of nursing in the Philippines shall by given by the Board not earlier than one (1) month but not later than two (2) months after the closing of the semester prescribed by the Department of Education, Culture and Sports. The examination shall be held in the City of Manila or in such places as may be decided by the Board subject to the approval of the Professional Regulation Commission.chan robles virtual law library
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Sec. 15. Scope of Examination. — The scope of the examination for the practice of nursing in the Philippines shall be determined by the Board. The Board shall take into consideration the objectives of the nursing curriculum, the broad areas of nursing, and other related disciplines and competencies in determining the subjects of examinations. Sec. 16. Rating in the examination. — In order to pass the examination, an examinee must obtain a general average rating of at least seventy-five percent (75%) with a rating of not below sixty percent (60%) in any subject. An examinee who obtains an average rating of seventy-five percent (75%) or higher but gets a rating below sixty percent (60%) in any given subject must take the examination again, but only in the subject or subjects where he or she rated below sixty percent (60%).
In order to pass the succeeding examination an examinee must obtain a rating of at lest seventy-five percent (75%) in the subject or subjects repeated. An examinee who despite the third examination fails to obtain at least seventy-five percent (75%) in the subject or subjects repeated shall no longer be allowed to take the examination, unless he proves to the satisfaction of the Board that he/she has undergone a refresher course consisting in enrollment and passing in the regular fourth year subjects in a recognized nursing school. Sec. 17. Issuance of Certificates. — A certificate of registration as nurse shall be issued to any applicant who passes the examination upon payment of the prescribed fees. Every certificate of registration shall show the full name of the registrant, the serial number, the signature of the members of the Board, and the official seal of the Board. Sec. 18. Fees of Examination and Registration. — Applicants for licensure examination and for registration shall pay the prescribed fees set by the Professional Regulation Commission. chan robles virtual law library Sec. 19. Registration by Reciprocity. — Certificates of registration may be issued without examination to nurses registered under the laws of any foreign state or country: Provided, That the requirements for the registration or licensing of nurses in said country are substantially the same as those prescribed under this Act: Provided, further, That the laws of such state or country grant the same privileges to registered nurses of the Philippines on the same basis as the subjects or citizens of such foreign state or country. Sec. 20. Non-issuance of Certificates in Certain Cases. — No person convicted by final judgment of any criminal offense involving moral turpitude or any person guilty of immoral or dishonorable conduct shall be issued a certificate of registration. The Board shall furnish the applicant a written statement setting forth the reasons for its action which shall be incorporated in the records of the Board. Sec. 21. Revocation and Suspension of Certificates. — The Board shall have the power to revoke or suspend the
certificate of registration of a nurse upon any of the following grounds: (a) For any of the causes mentioned in the preceding section;
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(b) For unprofessional and unethical conduct; chan robles virtual law library
(c) For gross incompetence and serious ignorance; (d) For malpractice or negligence in the practice of nursing; and (e) For the use of fraud, deceit, or false statements in obtaining a certificate of registration. Sec. 22. Reissuance of Revoked Certificates and Replacement of Lost Certificates. — The Board may, for reasons of equity and justice or when the cause for revocation has disappeared or has been cured and corrected, upon proper application therefor and the payment of the required fees, issue another copy of the certificate of registration. ARTICLE IV NURSING EDUCATION Sec. 23. General Entrance Requirements. — Applicants desiring to enroll in a nursing course must belong to the upper forty percent (40%) of the graduating class of the general secondary course, as certified by the school.chan robles virtual law library .chan robles virtual law library
Sec. 24. Nursing Education Program. — The nursing education program shall provide sound academic and professional foundation for the practice of nursing. Sec. 25. Learning Experiences. — The learning experiences required in a classroom, hospital, home, community or other health/welfare agency shall adhere strictly to specific requirements embodied in the prescribed curriculum for the nursing course and in the rules, policies, and standards of nursing education. Such learning experience shall not be less than six (6) units or its equivalent. Sec. 26. Qualifications of the Faculty. — A member of the faculty in a college or school of nursing must:
(a) Be a Filipino citizen;
.chan robles virtual law library (b) Be
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(c) Have at least three (3) years of clinical practice in a field of specialization; (d) Be a member of good standing in the accredited national nurses' association; and chan robles virtual law library (e) Be a holder of a master's degree in nursing or other related fields conferred by a college or university duly recognized by the Government of the Republic of the Philippines; Provided, however, That nothing in this Act shall be construed to disqualify those who have already been considered qualified and actually occupying the position before the effectivity of this Act: Provided, further, That those occupying such position before the effectivity of this Act shall be given a period of five (5) years from the date of effectivity of this Act within which to qualify under the provisions hereof: Provided, finally, That, by the year 2000, all colleges of nursing shall only employ faculty members with a master's degree in nursing or in other related fields. In addition to the aforementioned qualifications, the dean of a college or school of nursing must have had at least there (3) years of experience in teaching and supervision in nursing education, and preferably must have a master's degree in administration and supervision of nursing education programs. ARTICLE V NURSING PRACTICE Sec. 27. Scope of Nursing. — A person shall be deemed to be practicing nursing within the meaning of this Act when he, for a fee, salary or other reward or compensation, singly or in collaboration with another, initiates and performs nursing services to individuals, families and communities in various stages of development towards the promotion of health, prevention of illness, restoration of health, and alleviation of suffering through: (a) Utilization of the nursing process, including assessment, planning, implementation and evaluation of nursing care. Nursing care includes, but not limited to, traditional and innovative approaches in self-executing nursing techniques
and procedures, comfort measures, health teaching and administration of legal and written prescription for treatment therapies, medication and hypodermic intramuscular or intravenous injections: Provided, however, That, in the administration of intravenous injections, special training shall be required according to protocol established;
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(b) Establishment of linkages with community resources and coordination of the health team; (c) Motivation of individuals, families and communities; resources and coordination of services with other members of the health team; chan robles virtual law library (d) Participation in teaching, guidance and supervision of student in nursing education programs, including administering nursing services in varied settings such as hospitals, homes, communities and the like; undertaking consultation services; and engaging in such other activities that require the utilization of knowledge and decision-making skill of a registered nurse; and (e) Undertaking nursing and health manpower development training and research and soliciting finances therefor, in cooperation with the appropriate government or private agency: Provided, however, That this provision shall not apply to nursing students who perform nursing functions under the direct supervision of qualified faculty. Sec. 28. Qualifications of Nursing Service Administrator. — A person occupying supervisory or managerial positions requiring knowledge of nursing must: (a) Be a Filipino citizen or a former Filipino citizen who was has officially declared his/her intention to reacquire Filipino citizenship; chan robles virtual law library
.chan robles virtual law library (b) Be a registered nurse in the Philippines; (c) Be a member in good standing of the accredited national organization of nurses; (d) Have at least two (2) years experience in general nursing service administration; and (e) Possess a degree of Bachelor of Science in Nursing, with at least nine (9) units in management courses at the graduate level.
Provided, That a person occupying the position of chief nurse or director of nursing service shall, in addition to the foregoing qualifications, possess: (a) At least five (5) years of experience in a supervisory or managerial position in nursing; and
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(b) A master's degree major in nursing service administration or its equivalent: Provided however, That those occupying such position before the effectivity of this Act shall be given a period of five (5) years from the date of effectivity of this Act within which to qualify: Provided, further, That, by the year 2000, only holders of a master's degree major in nursing administration shall be appointed to such position: Provided finally, That, for hospitals with bed capacity of fifty (50) and below, the minimum academic qualifications and experiences for a chief nurse shall be as specified under subsections (c), (d) and (e) of this section. ARTICLE VI HEALTH HUMAN RESOURCE DEVELOPMENT, PRODUCTION AND UTILIZATION Sec. 29. Studies for Nursing Manpower Needs, Production, Utilization and Development. — The Nursing Board shall undertake studies and initiate and/or cooperate with appropriate government or private agencies in the conduct of studies for health human resource production, utilization and development.chan robles virtual law library ARTICLE VII PENAL AND MISCELLANEOUS PROVISIONS Sec. 30. Prohibitions in the Practice of Nursing. — A fine of not less than Ten thousand pesos (P10,000.00) nor more than Forty thousand pesos (P40,000.00) or imprisonment of not less than one (1) year nor more than six (6) years, or both, in the discretion of the court, shall be imposed upon: (a) Any person practicing nursing in the Philippines within the meaning of this Act: (1) Without a certificate of registration or without having been declared exempt from examination in accordance with the provisions of this Act;
.chan robles virtual law library (2) Who uses as his/her own the certificate or registration of another; chan robles virtual law library (3) Who uses an expired, suspended or revoked certificate of registration;
(4) Who gives any false evidence to the Board of Nursing in order to obtain a certificate of registration; (5) Who falsely poses or advertises as a registered nurse or uses any other means that tend to convey the impression that he or she is a registered nurse; or chan robles virtual law library (6) Who appends B.S.N./R.N. (Bachelor of Science in Nursing/Registered Nurse) to his/her name without having been conferred said degree or registration; (b) Any person who undertakes in-service educational programs or who conducts review classes for both local and foreign examinations without permit/clearance from the Philippine Nursing Association, the Board of Nursing and the appropriate office or officer of the Department of Labor and Employment; and
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(c) Any person violating any provision of this Act. chan robles virtual law library
Sec. 31. Standard Basic Pay. — Based on current National Economic and Development Authority (NEDA) figures, the proper government office or agency shall fix a standard pay for all nurses working in either public or private health agencies. The same standard basic pay shall be increased periodically to cope with the increase in cost of living.
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Sec. 32. Enforcement of this Act. — It shall be the duty of all duly constituted law-enforcement agencies and officers of national, provincial, city or municipal governments to enforce the provisions of this Act and to prosecute any person violating the same. Sec. 33. Repealing Clause. — All laws, decrees, orders, circulars, rules and regulations, and other issuances which are inconsistent with this Act are hereby repealed, amended or modified accordingly. Sec. 34. Separability Clause. — If any part of this Act is declared unconstitutional, the remaining parts not affected thereby shall continue to be valid and operational. chan robles virtual law library
Sec. 35. Effectivity. — This Act shall take effect one (1) month after its publication in any newspaper of general circulation in
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