Institutional Nursing accredited professional organization
Refers to nursing in hospitals and related
facilities, nursing homes and neighborhood
clinics, comprises all of the basic
components of comprehensive patient care
and family health.
Qualification:
For beginner – a degree in Bachelor of
Science in Nursing
Advantages of Staff Nursing in the Hospitals:
There is always a supervisor whom one can
consult if problems exist.
Nurses are updated with new trends in
medicine and in the nursing care of
patients.
They undergo rotation to different units and
have a chance to determine their
special area of choice before they are
assigned permanently in one area.
They have an 8-hour day and 40-hour week
duty which provide for 2 rest days.
They have provision for sick leave,
holidays and vacations with pay.
They have the chance to get promoted to
higher positions if they are qualified.
Salary increases are given periodically
according to merit system thereby
increasing initiative and best efforts.
They are considered an important member of
the health team in providing care to
the patients.
More staff development programs are
available in hospitals.
Disadvantages of Staff Nursing in Hospitals
Understaffing may require nurses to put in
overtime work and sacrifice some of
their plans.
Nurses may not find time to improve their
skills because of the bulk of work, or
in far-flung hospitals, no continuing
education programs are provided.
Administrative problems and overwork may
tend to dissatisfy the staff nurse.
Qualifications of Nursing Service
Administrators as specified by Sec 29 of
RA 9173:
Be a registered nurse in the Phils.
Have at least 2 years of experience in
general nursing service
administration
Possess a degree of BSN with at least 9 units
of management and administration
courses at the graduate level; and
Be a member of good standing of the
of nurses.
Chief Nurses in addition should possess:
At least 5 years experience in supervisory or
managerial position in nursing
A master’s degree major in Nursing
Chief Nurses in Public Health Agencies must
have master’s degree in Public Health
Nursing
Chief Nurses in Military Hospitals must have
master’s degree in nursing and
completion of the General Staff Course
Nursing Specialty Certification:
Adopted by BON through Res. No. 14 series
of 1999.
Sec 29. Comprehensive Nursing Specialty
Program
this is to upgrade the level of skills and
competence of specialty nurse clinicians
in the country
beneficiaries of which are obliged to serve
the country for at least 2 years of
continuous service
Sec 33. Funding for the Comprehensive
Nursing Specialty Program
the annual financial requirement needed to
train at least 10% of the nursing staff of
the participating gov’t hospitals shall be
chargeable to PCSO and PAGCOR
Benefits of Certification:
Nurses certified above min. std. improve the
quality of pt. care.
Certification measures expertise beyond that
which is measured in basic licensure.
Certification ensures continued competence
in the changing world of health care.
Certification is a means of confronting the
demands of health care.
It is a lifelong learning that advances nursing
skill and knowledge to move the
profession forward.
It enhances the nurse’s self-image and the
public’s view of the profession.

PHN OR COMMUNITY HEALTH NURSING
Public Health Nursing is also called
Community Health Nursing
The National Health Program of the
Philippines gives as much emphasis on
the promotion of health and prevention
of diseases rather than care of the sick.
It needs a deeper involvement and close
cooperation with all members of the
health team.
Effective coordination can best be achieved
if all members have an understanding of,
and respect for, each other’s function.
Advantages of Public Health Nursing:
The focus of nursing care is only on family
and community health rather than on
individual basis.
It gives the nurse a better perspective of the
health conditions of the community
and the health programs conceived
and implemented by the government,
and to appreciate the nurse’s role in
nation building.
It maximizes efforts to improvise where there
are no sufficient facilities, supplies,
and equipment.
It enables the nurse to utilize various
community resources and maximize
coordination with other members of the
health team.
Focus of care is more on educational and
preventive aspects.
Individual, families and communities are
motivated to assume responsibility for
their own health care.
Disadvantages of Public Health Nursing:
Cases found in public health nursing are
limited mostly to chronic and/or
communicable diseases.
There are more hazards in public health
than in hospital nursing, such as
exposure to elements (inclement
weather, heat of sun, rain, dog or snake
bites, accidents, etc.)
There are no fixed hours. The nurse may be
called upon any time of the day or night.
Some claim that public health nursing is not
as exciting nor as glamorous as hospital
work.
Facilities for care of the sick are limited so
that practice or skills may also be
limited.
The public health nurse may not be
immediately aware of changes or trends
in the fields of medicine or nursing.
Public health nursing is not a place for
introverts. A nurse has to be outgoing to
meet people.
There is no immediate supervisors to
consult in case of emergency.
With the implementation of Primary Health
Care, public health nurses are kept up-
to-date through various continuing
education programs conducted by the
Department of Health and Regional
Health Offices.
The entry salary of a community health
nurse is the same as that of a Senior or
Head Nurse in government hospitals.
NURSES IN IN-SERVICE EDUCATION
PROGRAMS
Nurses in In-Service Education Programs
In-service education programs have been in
existence for many years both in
hospitals and public health agencies.
This is one way of improving service in these
agencies.
Many tertiary hospitals and public health
agencies have nursing staff in-charge of
staff development training and research.
Nurses in In-Service Education Programs
need:
skills in nursing practice, therefore they
must have experience of at least two (2)
years in basic nursing practice

understanding of skills in teaching,
supervision, and consultation;
understanding of the relationship of these
persons to the process of administration
and research;
understanding of the broad problems and
desirable practices in patient-care
planning;
understanding of and skill in the use of
problem-solving approach to resolve
everyday problems in the practice of
nursing and in-service education in the
areas of concern;
understanding of the role and functions of
the revising personnel in this area of in-
service education;
understanding of self and others involved in
in-service education within the various
agencies in nursing; and
Ability to plan and implement programs for
different kinds of nursing personnel.
Nursing Coordinators for Staff Development
need to have at least four (4) years of
clinical practical and research and a
Master’s Degree in Nursing.
Nurse Instructors for in-service training
programs need at least two (2) years of
experience in clinical practice and
research and a Master’s Degree in
Nursing preferably with a clinical
specialization.
With the advent of Quality Assurance
Programs in health services, nurses may
also be employed as Quality Assurance
Coordinators in agencies where these
programs are required. Nurses in this
field need experience in clinical nursing
and research too.
Private Duty Nursing
a.k.a. Private Duty Nurse, Private Nurse
Practitioner, Special Duty Nurse or Private
Duty Nurse Specialist
Private Duty Practitioner
- A registered nurse who undertakes to
give comprehensive nursing care to a
client on a one- to one ratio.
- She/ he is an independent contractor.
-The patient may be provided care in the
hospital or in the home.
2 Categories of PDN
General Private Duty Nurse
has the capabilities for providing basic
nursing care to any type of
patient, among which are:
Assessment of the physical conditions and
interpretation of the significance of
his findings as basis for planning the
nursing care
Identification of emotional and social factors
and relating these to signs and
symptoms observed
. Application of scientific principles in the
performance of nursing techniques
. Working with patients family so that they
gain understanding of his illness and
cooperate towards promoting early
recovery of the patient
. Utilization of laboratory and diagnostic
test in promoting progress of care and
enhancing his own usefulness as a health
teacher and counselor
. Knowledge and recognition of
pharmacological effects of drugs and
medication, their implications for nursing
actions as needed; and
. Interpretation of doctors’ orders
concerning medicines and treatments
and communicating the same effectively
of the patient and carrying them out
promptly and accurately with
understanding of cause and effects.
2. Private Duty Nurse Specialist
- in addition to the foregoing abilities
expected of the general nurse
practitioner and as a result of his
specialized preparation, a private duty
nurse specialist also demonstrated the
following competencies:
Skill in handling, operating and monitoring
other complicated devices
Skill in interpreting data gathered from ECG,
EEG, laboratory diagnostic results and
vitals signs
Skill in observing signs and symptoms and
 their favorable or untoward
significance in the progress of patient
care; and
Promptness and adeptness in instituting
appropriate nursing measures.
Qualifications of a Private Nurse
Practitioner
Be an RN in the Philippines
Have the following documents for the current
year;
a. Professional Tax Receipt (PTR)
b. Professional Regulation Commission
Card (PRC)
c. Residence Certificate
. Have at least two (2) years bedside
nursing experience as a professional
nurse in a general hospital
immediately prior to application
Be acceptable to the Director of Nursing
Service as suitable for orientation to
do private duty nursing;
Be a full time private duty nurse
Preferably have undergone a Critical Care
Nursing Course; and
Be a certified I.V. Therapist by the ANSAP
(Association of Nursing Science
Administrators of the Philippines)
Requirements of a PNP
To undergo orientation in the hospital
conducted by the Nursing Service
office
To have the complete paraphernalia e.g. bp
app, pen light, bandage scissors, red,
blue or black pens and clipboards
To wear full white nurse’s uniform (cap,
stockings, closed white shoes, I.D.
pin).
Uniform blazers maybe used if required
by the hospital;
To have medical certificate from a certified
medical center or laboratory with
chest-x-ray result, complete blood
count, urine and stool examination
to give two (2) character references
To acquire for succeeding years, certificate
of three (3) seminars or continuing
education programs attended; and
To show certification as an I.V. Therapist by
the ANSAP
The PDN is expected to follow the rules and
regulations of the hospital regarding
nursing procedures, use and
procurement of equipment and supplies,
system of medications, charting, diets,
precaution techniques and others.
As in other fields of nursing, he is expected
to adhere to the code of ethics and
practice
General Guidelines
Although a PDN is considered an
independent contractor, she is
directly under the supervision of the
nursing service in the hospital, or of
the Head Nurse in the unit.
She is expected to make a comprehensive
verbal report to the Chief Nurse of
Supervisor when they visit the
patient and submit a written report to
the Head Nurse at the close of the
shift.
If relief is needed during meals or in
time of other necessities, the Head
Nurse should be notified so that a
reliver can be provided.
3. The PDN encompasses the patients
welfare physic ally, mentally and
spiritually. The nurse is equally
responsible for maintaining a safe,
sanitary, and healthful environment for
the patient, and for the care of
equipment used and other facilities
provided in the room.
4. The PDN shall endeavor to give complete
nursing care before going off- duty
5. While the PDN on house case is directly
responsible to the attending physician of
the patient, a regular monthly service
audit shall be given to the Director of
Nursing Service who referred her/him for
employment.
Policies and guidelines for nurses
accompanying patients out of the
country
1. Passport and other travel papers. All
expenses for fees and processing of
visa and travel papers are paid for by
the patient of his/her representative.
Passport, paid round trip ticket, and
other papers should be in the
possession of the private duty nurse at
all times.
Policies and guidelines for nurses
accompanying patients out of the
country ( Cont.)

b. A travel and accidental insurance in
the amount of P50,000.00 shall be
provide for the private duty nurse and
paid for by the patient or his
representative effective 72 hours
before departure and throughout the
period of stay abroad while in the
employment of the patient.
c. The corresponding amount of salary
computed at eight (8) hours multiplied
by two (2) shifts and the number of
days the patient plans to be out of the
country shall be left in the Philippines
for ready withdrawal by the private
duty nurse’s authorized representative
on designated dates per agreement of
parties concerned.
A daily travel allowance in addition to the
Private Duty Nurse’s regular salary
while out the country is negotiable
with the employer.
e. The female private duty nurse who is
caring for a male patients must be
provided a separate room for rest
periods.
f. All hotel, lodging and food expenses while
out of town or out of the country shall be
paid for by the employer.
2. The Private duty nurse is required to:
Leave with the Private Duty Nurse’s
Association in the Philippines her/his
possible address of destination and
tentative duration of duty;
Report presence to the nearest nursing
organization in the are; and
Report to the Philippine Nurses Association
his/her arrival in the country.
Advantages of Private Duty Practice
The chance to see life as it really is, to study
human nature and to know at close
range interesting people of different
nationalities, cultures, religion, and
status;
The opportunity to make real friends through
close association with the patient and his
family;
The chance to travel and see the world;
Advantages of Private Duty Practice
. The ability to own time, adjust work and
private life satisfactorily, and direct off-
duty time into enjoyable leisure;
. The chance to keep abreast with new
knowledge and procedures which provide
and exciting, stimulating experience,
with infinite variety of problems to solve
and personal satisfaction to be gleaned;
and
. The challenge of giving his/her best in
providing care and having the
satisfaction of seeing its results.
Disadvantages of Private Duty Practice
Some private duty nurses create a situation
in which the patients become totally
dependent on them.
Many private duty nurses graduated so long
ago and have not upgraded their
knowledge and skills.
There are not enough nurses for evening and
night shifts, for holiday, week-ends,
and vacation periods.
Disadvantages of Private Duty Practice
. Being a line practitioner minimizes
opportunity for developing good
relationships with other hospital personnel.
Some private duty nurses resent supervision
by hospital staff.
Little assistance id given by the Head Nurse
when the patient is critically ill and
the private duty nurse needs help in
giving treatment or in changing the
position of the patient. The private
duty nurse sometimes goes without
meals because the Head Nurse does
not arrange for relief when the
patient cannot be left alone
. Private duty nurses have very little of
no participation in professional
activities. If they ever do, they do so
on their own time and expense.
. Nurses who are very experienced and
well-qualified receive the same fees
as the new graduates.
. Private duty nurse face problems in
private practice being independent
contractors and there is greater need
for liability insurance
. There are no retirement, insurance
and Medicare benefits unless the
private duty nurses provide these for
themselves.
The Private Duty Nurses
Association of the Philippines
defined the categories of the
 private nursing practitioners in
1975. In February 1976, it
submitted to the Philippine Nurses
Association the proposal to revise
the rates from a twelve-hour basis
to an eight-hour basis. Standard
rates for Private Duty Nursing was
approved by the Board of Directors,
Philippine Nurses Association in
February 1976.
The rates to be charged for
private duty are determined by the
Private Duty Nurses Association of
the Philippines. Anyone interested
may verify from the Philippine
Nurses Association Headquarters or
at the Nursing Service Office of
Lourdes Hospital in Mandaluyong
City.
Personal Qualities and Special Abilities
of Faculty Members
a. capability to promote interest in the
subject they teach, stimulate the minds of
the students, arouse enthusiasm, quicken
imagination, and awaken ambition;
b. competence in the particular field they
teach;
c. resourcefulness with infinite patience,
understanding, confidence and
perseverance. They must be able to inspire
students to develop their fullest potential;
and
d. expertise in providing nursing care in the
chosen field aside from the qualities of good
role models.

Military Nursing
The Nurse Corps

Nursing Education When the famed Tandang Sora led the nursing of
the sick and wounded Katipunan
revolutionaries in 1890, military nursing in the
Career opportunities in nursing Philippines may be said to have begun.
education are better now than ever before. However, the Nurse Corps we know today
There is a chronic teacher shortage in all dates back more precise about three decades
nursing education programs. Nurses who like ago, shortly before the outbreak of World War
to consider teaching as their field of II.
expertise will have to consider the following
qualifications.

Qualifications of the Faculty

Commonwealth Act No. 1, commonly known as the
National Defense Act.
a. be a registered nurse on the Philippines; Clearly
pro
b. have at least one year of clinical practice vide
in a field of specialization; d
for
c. be a member of good standing in the the
accredited professional organization of est
nurses; abli
sh
d. be a holder of a master's degree in me
nursing, education, or other allied medical nt
and health sciences conferred by a college or of a
university duly recognized by the me
Government of the Republic of the dica
Philippines. l
 ser Quirino , placing the Nurse
vice Corps in proper perspective
in among the other military
the organizations.
arm
y of R.A. 479 of June 10, 1950 amended R.A.203, and
the gave credit to the service of military nurses
Phil during the war. Its also provided basis for
ippi determining the grade and rank, seniority, and
nes retirement of NC officers. In August 1952, the
, title Army Nurse Corps Medical Service, was
Ho changed to Nurse Corps, AFP.
wev
er,
the Prior to 1973 the Chief Nurse was merely a staff of
co the Office of the Surgeon General and had no
mp direct management and administrative
one functions in the AFP Nursing Service.
nt
cor
ps With the activation of the Office of the Chief Nurse
wer in the Armed Forces of the Philippines and
e the designation of the Chief Nurse as
not Technical Staff of General Headquarters on
spe June 21, 1973, the Chief Nurse has been
cifie afforded the prerogative to decide on matters
d. purely affecting the Nurse Corps and the
September 5, 1938, the National Defense Act was nursing personnel in the AFP. This position
amended by Commonwealth Act No. 385 now holds the rank of a Brigadier General.
The first military nurse to hold this rank was
Executive Order No. 2167, dated April 15, 1940. Brig. Gen. Elvegia R. Mendoza.
> This provided for the rules of the organization of Functions of the Nurse Corps, AFP
the Philippines Army Nurse Corps Reserve
intended to be mobilized in the event the
Philippines would be involved in the impending war The functions of the AFP Nurse Corps may be
in the Far East. grouped into 3 broad areas:
To emphasize the female composition of the 1. to meet the nursing needs of today’s
Corps, the term Nurse Corps as provided for patients in AFP medical facilities;
in C.A, 385, was changed to the Female
Nurse Corps, pursuant to Commonwealth Act. 2. to prepare each Nurse Corps Officer
569, dated June 7, 1940 (regular and reserve) for future assignments
For some unknown reasons, the legal basis of the at a higher level of responsibility in the
Nurse Corps’ existence under the Philippine different stations and general hospitals in
government became Executive Order No. 267, the times of peace and war; and
provision of which was very far from the benefits
given by the USAFFF. 3. to teach and train enlisted personnel who
With the aid of the Philippine Nurses Association, perform nursing functions under supervision.
the military nurses were able to lobby at the Special emphasis is on ;enlisted members
Congress for the passage of a bill that would who function in settings where there no
be re-designate the female nurses as a nurses.
component of the Medical Service.
As Nurse Corps, the members would Qualifications of the Military Nurses
be guaranteed the same rights Principle: The nurse consciously and scientifically
and privileges as those granted intervenes in the health and illness
the order members of the environment for the purpose of ensuring that
military. This resulted in the the soldier, his family and other significant
approval of Republic Act No. 203 groups will have adequate personal care,
on May 12, 1948 by Pres. Elpidio maintenance, safety, and comfort.
Rationale: The military nurse works at different
health settings with various levels of
responsibilities. As such, he/she must have
the professional, personal and other
qualification commensurate with job
responsibilities.
Criterion I – Qualification for Commission in the
Reserve Force Nurse Corps
Anyone who wants to be commissioned in the
Reserve Force Nurse Corps must
A. have a BS Nursing from a duly recognized
university/college;
B. be licensed to practice nursing;
C. be a natural born-Filipino citizen;
D. be single or has never been married for
both male and female candidates. Female
applicants must not positively be found to
have given birth to a living or still born child;
E. Be mentally and physically fit for military
service and cleared by appropriate security
agencies;
F. have a pleasing personality and a good
moral character;
G. be skillful in
1. applying the nursing process in meeting
health/nursing needs of
individuals/families/groups
/communities;
2. communicating and relating with others;
3. making sound/rational judgment in a
given situations;
Be interested and willing to work in both
peaceful and wartime conditions;
Not e more that 32years of age at the time
of commission; and
Satisfy the following height requirements
1. min. of 62 inches for males and
2. min. of 60 inches for females.
Characteristics of work
Nursing services in the military seeks to
provide the highest quality of nursing
care to patients.
Medical corpsmen – highly trained enlisted
personnel who help in the care of
patients.
Nursing attendants – unskilled non-prof, who
assist nurses and doctors in the ward.
Mission, Vision, Core Purpose and Core Values
Mission:
The Nurse Corps, is committed to provide a
comprehensive and quality nursing care
services to all military personnel, their
dependents and authorized civilians.
Vision
The Nurse Corps, AFP, a value-driven
organization, as the best provider of
highly specialized, proactive and relevant
military nursing services in the Armed
Forces of the Philippines. A center of
excellence where military nurses not only
commit themselves to service but in the
pursuit of personal and professional
development toward the achievement of
the goal of the AFP Nursing Service.
Core Purpose
To deliver quality nursing care to
clients, provide education and training
to nursing service personnel and
conduct relevant researches in support
of the AFP mission.
Core Values
Service above self
Accountability and Ethics
Integrity
Competence
Esprit de Corps
Different section:
Surgical Intensive Care Unit
Operating Room & the Anesthesia Section
The Recovery Ward
OB- Gyne
Pediatrics
Neuropsychiatry
Nuclear Medicine Section
Family Planning Section
REQUIREMENTS FOR COMMISSIONSHIP IN
THE NURSE CORPS
SINGLE:
1. Natural born Filipino citizen
2. Pleasing personality and good moral
character
3. Registered nurse with a Board rating
of 80% or above. Below 80% may be
admitted, but should pass a qualifying
examination to be conducted the Office
of the Chief Nurse, AFP
4. a.) Male and female applicants must be
 single or never been married:
b.) For female applicants, must not be
positively found to given birth to a living
stillborn child.
5. Not more than 32 years old at the time of
commission agencies.
6. Must satisfy the following height
requirements:
Female - at least 5' 2“
Male - at least 5' 4"
7. Must be physically and mentally and
physically fit for military service and
cleared by the appropriate security
agencies.
MARRIED:
1. First priority shall be given to Enlisted
Personnel
a. who are registered nurses by
profession
b. with at least three (3) years of active
military service and
c. have successfully completed the Clinical
Nursing Program for ER Nurses being
con ducted by the Office of The Chief
Nurse, AFP
2. Second priority shall be given to other
applicants who have satisfied the
additional following additional
requirements:
a.)With at least three (3) years of current
and
continuous professional experience in
hospital/ clinic settings and or as
member of a faculty of a recognized
School of Nursing.
b.) Preferably with Master in Nursing or at
least nine (9) units of post graduate
studies leading to Master in Nursing.
Qualification for call to Active Duty Nurse
Must be commissioned.
Must have at least 1 year nursing experience
in a reputable health agency.
Must have been cleared by appropriate
security agency.
Must have passed the physical & mental
examinations conducted by the
appropriate authorities.
Qualification for Gen. Duty Nurse
Must have the rank of second Lieutenant;
Must have adequate knowledge of general
nursing theory & practice;
Must have knowledge of new developments
in the nursing fields;
Must demonstrate ability to perform
comprehensive nursing care.
Flight Nursing in the Philippines
Is also called Aero-space nursing.
Responsible for patients, mostly military who
have been injured and needs to be
evacuated from battle areas to the
nearest installation for treatment.
Objective: which is to conserve the fighting
strength of the troops.
Qualification for Flight Nurse
Commissioned officer of the Nurse Corps
Has undergone special training & instruction
about flight nursing
Privileges & Benefits of a Military Nurse
High Salary rate & allowances
a. incentive pay, subsistence
allowance, clothing allowance.
b. flight pay for flight nurses
c. hazard pay
d. cold weather clothing allowance
e. overseas pay
SCHOOL HEALTH NURSING
Responsible for the school’s activities in the areas
of health service, health education and
environmental health and safety.
The health program of each school is geared
toward making the students and faculty
understand those programs which emphasize
health promotion, prevention of disease &
follow-through of any findings that may
 indicate a need for medical care and
treatment.
CLINIC NURSING
Must possess general skills.
- acts as a receptionist, answers the phone,
does the billing, takes x-rays and ECG’s,
changes dressings, gives injections (BCG,
DPT, etc.) & assist’s in physical examinations,
autoclaving, keep records.
Advantages:
- favorable working hours
- efficient clinic nurses are trusted in their
judgment and share in planning the care of
the patient.
ADVANCED PRACTICE NURSING
Is synonymous with specialization.
Term for nurses who have specialized education
and experience beyond the basic nursing
program.
Requires the knowledge and supervised skills
obtained through graduate studies (Masteral
or doctoral
Independent Nursing Practice
Advanced Practice Nursing
Advanced practice nurses are, as are all
registered nurses, independently
licensed and accountable for their
actions. Able to deliver services
independent of their relationship with
physicians or other health care
providers. Collaborating with and
referring to other health providers is a
matter of good professional practice .
Regardless of practice setting or
supervision requirements, advanced
practice nurses, like most health
professionals, generally maintain a
network for referral to and collaboration
with other professionals and maintain a
means to access emergency back-up.
Independent Nursing Practice
Independent - means the nurse is self-
employed and provide professional
nursing to clients and their families.
The nurse reach out and offer their services
rather than expect clients to seek their
help.
They perform both independent and
collaborative roles.
Health assessment, formulating plans for
health maintenance, prevention
strategies, continuation of supportive
activities in critical and complex health
problems.
They make referrals and collaborate with
physicians and other disciplines as
needed by the client or family.
Predicted Outcomes of the New Role Nurses
as Independent Nurse Practitioners
It will encourage professional nurses to
extend their capabilities and assume
greater responsibilities for designated
areas of generalized nursing practice.
The amount of health care will be more
increased and accessible to people.
The nurse’s involvement in client’s family or
community will increase the nurse’s
sensitivity and response to their clients’
needs.
Improvement of health services will help
prevent serious illnesses and maintain
positive community health programs
It will provide data for nursing education, to
validate and legitimize extended role
practices for nurses.
Several questions are hereby posed in this
regard:
Are our present graduates prepared to do
independent nursing practice? If they
are not, who shall provide this
training?
Can independent nursing practice support a
practitioner economically?
At these times when thousands of nurses are
unemployed, is independent practice
an answer to nursing unemployment?

Occupational Health Nursing
Or Industrial Nursing
Occupational Health Nursing also called
Industrial Nursing
Reason for few Nurses go into Occupational
Health Nursing
 it often work alone and must
therefore possess maturity,
experience, and wise judgment
Occupational Health Nursing - is the
specialty practice that provides and delivers
health care services to workers.
Practice focuses on the following
 Promotion
 Protection and
 Supervision of worker’s health within
the context of a safe and healthy work
environment
 It is autonomous
 make Independent nursing
judgements in providing health
services
 Occupational Health Nurses need to
be fully informed about their legal
responsibilities
 First consideration is Patient’s
Welfare
OBJECTIVES
 To maintain and promote workers
health and working capacity
 To improve working environment and
work to become conducive to safety
and health
 To develop a working organization
which supports health and safety of
work
 and promote positive social climate
 that may enhance the productivity
DEVELOPMENTS IN OHN
Past
• Public Health approach
• Stereotype Nursing Care
• Immediate care for illness and injury
• Lack of emphasis on causation
Requirement’s of Occupational Health
Nurses
1. Must be Bachelor’s Degree in Nursing
2. Special Skills
• a good preparation is 1 year or more
in emergency nursing,
• Helpful skills include ability to take
and read ECGs, eye screening,
audiometer testing laboratory tests
and X-ray
• Industrial nurses must know company
policies on personnel, insurance
benefits, sick leave, pay rates, health
programs medical matters and records
Scope of Responsibilities
o Assess work environments to
identify potential or actual
health problems
o Render first-aid treatment ,
especially during emergency
cases, from simple wound
dressing to wound suturing.
o Refer emergency cases to the
nearest hospital requiring more
extensive medical aid of
surgical care in the absence of
company physician.
o Active involvement in the Safety
& Health Committee of the
company
o Monitor and record all
medicines issued to employees
o Conduct home visit to
employees who were on
prolonged sick leave and those
who went on leave without
permission no notifications for
verification purposes.
o Assist the company physician
during consultation and
treatment.
● Monitor, record and prepare
industrial accident reports, assist in
filing and processing for SSS/ PH
benefits