Professional Regulation Commission

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Volume 7 Sept. 20, 2010
Inside this issue:
March 2010 Oath Taking
Developments in Nsg. Roadmap

Board of Nursing

The Board of Nursing shall administer the Oath of Professionals to successful passers of the July 3 and 4, 2010 Nurse Licensure Examination (NLE) which was administered in 15 testing centers throughout the country. This event will be held on September 20 and 21, 2010 at the SMX Convention Center, Pasay City. The oath taking ceremony is chaired by Honorable Leonila A. Faire, member of the Board of Nursing, Professional Regulation Commission. A total of 91,008 hopeful graduates took the Nurse Licensure Examination and after 42 working days, the results were released by the Professional Regulation Commission where 37, 679 or 41.40 % passed. Rayan Abogado Oliva of Ateneo De Naga topped the Examination with a rating of 86.80 %. The Board of Nursing, in collaboration with the Philippine Nurses Association (PNA) prestige to the occasion. Signififor logistical support, and the cantly, the president of the ADPCN, Association of Deans of Philip- Dr. Carmelita Divinagracia, will pine Colleges of Nursing commit the successful new nurses (ADPCN) for program implemen- to the public as they legally comtation, worked together to ensure mence their practice of safe and a meaningful and efficient con- quality nursing. During this occasion duct of this Oath Taking Cere- the new nurses will be inducted to mony. Sor Paz Marfori DC, a the Philippine Nurses Association, highly respected nurse luminary the accredited professional associaand recipient of the Most Out- tion for nurses, by Dr. Teresita I. standing Professional Nurse of Barcelo, PNA national president. the Year award given by the The cream of the crop Professional Regulation Com- the top three performing schools in mission last June 2010 is the each of the two categories: with 100 KEYNOTE SPEAKER to gener- and more and 30 to 99 ously inspire the new nurses. Cont. in Page 2 The PRC Chair Hon. Nicolas Lapeňa Jr., Commissioners Hon. Nilo Rosas and Hon. Antonio Adirano will likewise be present to give their message and to add honor and Our new RNs taking their Oath as Professionals during the March
2010 Oathtaking Ceremony at SMX


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Oathtaking Ceremony Cont
Glimpse of the last Oath taking

Nursing Law Review Revisiting the Nursing Mental Health Psychiatric Nursing Education Devt. Research Update Legally Nursing PRC on the Its 37th Year Sor Paz Marfori, DC NCPP and Nsg. Specialty Nursing Education Cont.. Who is Caring for the RNs Nursing Roadmap Cont Productivity & Growth

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On March 24, 2010, in a Governance Forum organized by the Institute for Solidarity in Asia (ISA), Dr. Carmencita M. Abaquin, Chairperson of the Board of Nursing, presented the Nursing Roadmap to a panel of experts for a ―Revalida‖ to qualify for Proficiency status, the third of four phases in the Performance Governance System (PGS) of ISA, a program where the Nursing Profession is a partner. The nursing profession shall have fulfilled all t h e r e q u i r e m e n t s t o be ―Proficient‖, with the establishment of a fully functional Office of Strategy Management (OSM). The goal is to reach the fourth phase which is the Institutionalization of the Nursing Roadmap 2030. With the Vision, Mission, Objectives of the Nursing Roadmap six perspectives serve as the bases for developing a balanced scorecard of the profession. These perspectives are: The Filipino Nurse, Collaborative Partnership, Service Excellence, Competency Enhancement, Linkages and Networking, and Social Impact. Strategic objectives have been operationalized into specific Initiatives and projects where nurses, individually and collectively, can actively participate to achieve the mission and vision of Philippine Nursing. The extent of implementation of the Initiatives shall be reported as scorecards at the different levels of the nursing profession. The Initiatives are grouped into five clusters: 1) Professionalism and SelfRegulation with 5 Initiatives: Cont. in Page 9 BON EDITORIAL BOARD
Hon. Carmencita M. Abaquin Hon. Perla G. Po CONTRIBUTORS : Hon. Yolanda C. Arugay Hon. Leonila A. Faire Hon. Betty F. Merritt Hon. Amelia B. Rosales Hon. Marco Antonio C. Sto. Tomas Dr. Leah Primitiva S. Paquiz

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examinees, and the top ten examinees who garnered an average rating of 84.60% to 86.80%, shall be honored through the awarding of certificates of recognition. The top 3 examinees will also be given medals for their distinctive performance. Regional oath taking will follow after the mass oath taking ceremony in Manila. The areas assigned to the seven members of the Board are as follows:

The Oathtaking Ceremony for the new nurses was held for the 6th time at SMX in collaboration with the PNA and ADPCN last March 8 & 9, 2010. The Over-all Chair for this affair was Hon. Perla G. Po. The Keynote Speaker for all the 4 sessions was PRC Commissioner Hon. Ruth RaňaPadilla. She truly inspired and challenged our new nurses. A meeting with the Deans, faculty members and other stake holders was held in the afternoon of the first day to discuss their concerns and the developments on the nursing roadmap. A memorable event indeed.



SEPT. 25, 2010 SEPT. 26, 2010 OCT. 2, 2010 SEPT. 25, 2010. OCT. 8, 2010 OCT. 15, 2010 SEPT. 25, 2010 SEPT. 29, 2010 OCT. 2, 2010 OCT.7, 2010 SEPT. 27, 2010 OCT. 1, 2010 OCT. 7, 2010 OCT. 8, 2010 SEPT. 23, 2010 SEPT. 27, 2010 OCT. 1, 2010 OCT. 10, 2010 SEPT 23, 2010






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OCT.1, 2010

The BON with the Keynote Speaker, PRC Com. Hon. Ruth Raňa Padilla.

The Nursing Act of 2002 (Republic Act 9173) is currently undergoing review with Hon. Leonila A. Faire from the Board of Nursing as the project lead and the following as members of the core committee: BON Chair Hon. Carmencita M. Abaquin, Hon. Yolanda C, Arugay, Hon. Betty F. Merritt, Hon. Perla G. Po, Hon. Amelia B. Rosales, and Hon. Marco Antonio C. Santo Tomas, Dean Carmelita C.Divinagracia (ADPCN), Dr.Teresita I. Barcelo (PNA), Mrs. Ma.Therese A. Pacabis (ANSAP), Dean Remedios L.Fernandez, and Dean Grace A. Agustin (former members of the Board of Nursing) Dr. Marilyn E. Lorenzo (UPM CPH) and Dr. Leah P. S. Paquiz. The thrust to revisit the Nursing Law is in accordance with President Aquino’s call for review of existing laws. This project also significantly impacts the objectives of the Roadmap of the Nursing Profession. Since the Nursing Law is 8 years old and in the light of historical events, new developments and current ―environment‖ affecting the practice of nursing, the review of the Nursing Law is timely. One of the major reasons for the revisit of the Law is the desire of nursing leaders to address the present needs of the profession which are not tackled nor covered in R.A. 9173. There are many issues and concerns from the nursing sector that have not been aired and these should be prioritized. Hence, consultation with various groups and chapters of the different nursing organizations is encouraged. It is expected that these issues and concerns will be discussed during conventions and assemblies so that through the organizations’ leadership everyone will have a voice in the crafting of the amendments to the existing law. The Core Committee members identified the steps that will be pursued in the creation of the amendments to the Nursing Law: 1) organize core group/ technical working group (TWG) to review and identify provisions that need amendment, 2) Benchmark with nursing laws of other countries and other health professions in the Philippines, 3) list the issues and concerns that are compatible with possible legislative action ( to include those not covered in the current law like independent nursing practice and others), 4) Consultative meetings with law experts/ centers, 5) Develop a clean list of amendatory provisions for inclusion according to prescribed format, 6) Identify and dialogue with prospective sponsors in Congress and the Senate, 7) Prepare a final draft of the Bill , 8) Conduct Nurses’ forum on the proposed bill, 9) Lobby in collaboration with the Nurse Watch for the speedy passage of the Bill, 10) Attend hearings regularly and diligently, 11) Enactment of the Law.

The culmination of the project with the enactment of the Law is expected to extend to 2012 at the earliest. It is an ambitious project but the committee is determined to work for an improved and responsive Nursing Law.

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The Board of Nursing, in collaboration with its partners in the nursing profession started to revisit the core competencies at the basic level and specify the competencies at advance levels of practice through field validation methods and tools, to capture realities and requisites of varied work settings in nursing practice. This project has been ongoing for almost a year now. Phase I of the project focused on the Work Setting Scenario Analysis. Phase II-A Seminar Workshop was held last June 17-19, 2010 focusing on the Presentations of Field Validation Results of Nurse Competencies by Role Category and Work Setting. There were three groups of presentors: Professor Luz Barbara Dones and Miss Weny Udtuhan for Community Health Nursing (Manila Health Department); Prof. Mila Delia Llanes, Dr. Barcelo, and Mrs. Rita Tamse for Tertiary Hospital (PGH), Dean Grace M. Valderrama for her study on Identification and Validation of the Nurses’ Role at the First Level of Skills Development using Benner’s Theory of Role Development. For uniformity of methodology/ strategies to be used, a guideline has been developed by the group. Likewise, a model has been developed to facilitate submission of Project Proposals for Field Validation. Clarificatory discussion was held to facilitate better understanding of the process being undertaken Other field validation studies are currently being undertaken by our partners. They will present the results during the next seminar/workshop. We hope that further field validation will be done on other work Settings and role categories.

Chinese Proverb

Grow rice if you are planning for a year. Grow trees if you are planning for a generation. Grow people if you are planning for centuries
The BON with Nursing leaders during the Core Competency Seminar Workshop at PNA

As a nursing specialty, mental health psychiatric nurses have taken the initial steps to form a group that will look into the needs and concerns of their clientele and the practitioners. In collaboration with the PRC Board of Nursing, a forum entitled Psychiatric Mental Health Nursing: ―New Imperatives and Directions Towards Meaningful Practice and Service to the People‖ was held Last August 18, 2010, sponsored by the PSYCHIAT RIC MENTAL HEALT H NURSES ASSOCIATION of the PHILIPPINES (PMHNAP), at the St. Thomas Aquinas Research Complex of the University of Sto. Tomas. The topics were: ― Psychiatric Mental Health Nursing Practice: A Nursing Specialty Relevant in Philippines Society Yesterday, Today and Tomorrow‖ by Hon. Betty F. Merritt; ―The National Career Progression Program and the Psychiatric Nurses of the Philippines‖ by Hon. Perla G. Po; and ―Social Enterprise as a Tool Towards Meaningful Practice of Psychiatric Mental Health Nurses‖ by Hon. Marco A. C. Sto. Tomas. In another development, a general assembly of the Psychiatric Nurses Association of the Philippines (PNAP) composed of psychiatric nurses from the National Center for Mental Health (NCMH), Deans, Clinical Instructors and students affiliating with NCMH and others, was held last August 20, 2010 at the Activity Rehabilitation Center/ New Sports Complex of the NCMH. Hon. Perla G. Po gave a talk on ―National Career Progression Program ―. With these two groups working together as one, having a great combination of enthusiasm, expertise and experience of its members, Mental Health Psychiatric Nursing as a Specialty Group will move forward.

Combined effort of these two organizations will help put together the work that need to be done: setting of standards for Mental Health Psychiatric Nursing Practice, planning and organizing to establish program courses and training to be certified by the Nursing Specialty Certification Council (NSCC). In unity, more can be achieved towards the recognition of Mental Health Psychiatric Nursing as a specialty group in the nursing profession.

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the next few years specifically, about: the three themes: Rationalization, Quality and Access. For the first theme: Rationalization, she talked on: First, aligning higher education with Philippine development goals – CHED will review recommendations for reforms that have been forwarded in many studies done in the past. Second, tackling the huge number of higher education institutions in the country. There should be rational typology of HEIs with proper and meaningful categories. Not all HEIs should aspire to be universities; too many universities and the term ―university‖ has somewhat become questionable. Third, confronting the proliferation of State Universities [SUCs] and Local Universities & Colleges [LUCs] - higher education is predominantly in the hands of private institutions. In recent decades, more SUCs and LUCs were established with resources stretched thinly by a growing population, quality suffered; increased budget spending for higher education, channels limited resources from basic education as well as from advanced training in well-selected centers of excellence; constructive dialogue with Congress, with PASUC, the DILG will help in this aspect of rationalization. Fourth point, harmonizing the roles of public and private HEIs for less duplication and better synergy. Rationalization also entails levelling the playing field between private and public institutions – CHED and PASUC Cont. on p 8

The new CHED Chairperson, Dr. Patricia B. Licuanan, and the Commissioners met the chairs of the various Technical Panels last Sept. 1, 2010. She stated the background for the work to be done at CHED given the mandate of CHED and from President Benigno C. Aquino III who was elected for the promise of hope and change. She added that the country is given another chance to get things right and that everybody is given the chance to do his/her job. She cited the tasks to be tackled in

The results of the pilot study entitled, ―A Retrospective Study of the Nurse Licensure Examination Performance of Graduates of Philippine Colleges of Nursing‖, a research project conducted under the leadership of the Board of Nursing in collaboration with the Philippine Nursing Research Society (PNRS) and the Association of Deans of Philippine Colleges of Nursing (ADPCN), with the help of research assistant, Joseph Alvin Santos, were presented last August 19, 2010 at the Professional Regulation Commission Conference Room. Dr. Erlinda Palaganas, President of the PNRS, presented the results of the pilot study to the group composed of : Chairperson Carmencita M. Abaquin, members of the Board of Nursing, namely: Hon. Yolanda C. Arugay, Hon. Leonila A. Faire, Hon. Betty F Merritt, Hon. Perla G. Po, and Hon. Amelia B. Rosales; PRC Commissioner Nilo Rosas; PRC Consultants, Dr. Milagros Ibe, Dr. Leticia Azusano and Miss Desiree Lyn de Ramos; President of ADPCN, Dr. Carmelita Divinagracia; and Treasurer of ADPCN, Dean Glenda Vargas. The pilot study used the November 2009 Nurse Licensure Examination (NLE) performance of graduates of Philippine Colleges of Nursing. The results of the pilot study determined the following: 1) percentages of passers in the November 2009 NLE grouped according to their schools’ accreditation status, ownership and location; the test centers where the examination was taken; test subjects and whether the passers were first timers or repeaters; 2) relationship between the average passing percentage and variables such as: school accreditation status, school ownership, school location, total number of examinees per school and testing center; and 3) significant differences in the performance of the examinees in terms of passing percentage and average rating in the NLE when grouped according to previously mentioned variables. Since the study is intended to determine factors that affect performance of graduates of Philippine Colleges of Nursing in the NLE using data from December 2006 to November 2009, it was suggested that a prediction regression be used instead of just a descriptive correlational study. Highly significant from the various comments and suggestions given during the presentation was the recommendation to treat data on a year by year basis due to historical and cultural events from 2006 to 2009, as well as variations in institutional development. Furthermore, since the results of the July 3 & 4, 2010 NLE will be released soon, it was also suggested that the study include the results of the July 2010 licensure examination. Considering all the suggestions for the improvement of the research paradigm and methodology, the research project was scheduled for completion in December 2010. A brief summary of the highlights of the results of the pilot study will be presented during the ADPCN Annual Convention in October 2010 It is expected that the results of this research project will help establish specific measures to improve not only the development of the NLE and its administration but also be able to determine improvements in nursing education. Intrapartal, and Immediate Care of the Newborn Competencies of Nursing Students of Colleges of Nursing in the Philippines”, the Board of Nursing wishes to obtain reports regarding related research studies conducted The researchers specifically recommended that the study be replicated, extended and expanded. Findings of related studies may improve the existing intrapartal, immediate care of the newborn and intraoperative competency checklist as well as improve the implementation of the PRC-BON Memorandum No. 01 Series 2009 dated April 14, 2009 entitled ― Policy guidelines on Intrapartal , Immediate Care of the Newborn and Intraoperative Care‖ as stipulated in the Policies and Standards for Bachelor of Science in Nursing (BSN) Program contained in CHED Memorandum Order No. 14, Series 2009.

For inquiries and comments regarding the Board of Nursing initiated research projects, please communicate concerns to Dr. Amelia B. Rosales, Board of Nursing Research Project Lead, In relation to the previous through e-mail to research project on “Intraoperative

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The Board of Nursing (BON) is given powers, duties and functions under R.A. 9173, Art. 3, Sec.9: e) conduct hearings and investigations to resolve complaints against nurse practitioners for unethical and unprofessional conduct and violations of this Act xxx. PRC Resolution no. 06-342 Series of 2006 “New Rules of Procedure in Administrative Investigations in the Professional Regulation Commission and the Professional Regulatory Boards” Art. 1,Sec.2. These rules are issued in the exercise of the quasi-judicial powers and functions of the Commission and the Boards pursuant to R.A. No. 8981, and the laws regulating the various professions in relation to cases filed against examinees…, professionals registered with the Commission, holders of temporary or special permits….. As of August 31,2010, statistics of cases docketed at the Legal Division of the Professional Regulation Commission show that there are five hundred seventy one (571) administrative cases under the jurisdiction of the BON. Of the total cases, 281 ( 49.21 %) were decided and 290 (50.78%) are pending. Majority of the charges filed against nurses were dishonourable/ unethical/ unprofessional conduct comprising 55.68% of the total cases. The following summaries are samples of the types of cases that the BON investigates when complaints reach the level of formal hearings until decisions are promulgated. The presentation is intended to inform the public and the profession about outcomes of complaints. For purposes of maintaining anonymity and confidentiality, identification of persons involved and some identifying marks such as dates are withheld . Case 1 Immoral and/or Dishonourable Conduct

respondent contracted marriage with her husband. The respondent is a registered nurse with Certificate of Registration/ Professional License and Professional Identification Card No. ______ dated _______. Complainant alleged that before she and her husband were married, they lived together as husband and wife for six years and were blessed with two children. Six years after they were married, when she went to the province where her husband worked to get his salary, she learned from her cousin that her husband married the respondent. When she inquired from the local civil registrar of the province, she discovered that her husband and the respondent were actually married. The respondent averred that she contracted marriage with complainant’s husband in good faith, not knowing that he is a married man; that she has only one child born before she learned that her husband was married to another woman and that after knowing the truth about her husband, she decided to end relationship with him and advised him to return to his wife. Findings: 1. The respondent was found guilty of immoral acts when despite her knowledge of the previous marriage, she maintained and/or continued the relationship with the complainant’s husband. Testimony of the respondent that she stopped seeing her husband after she learned that he is married to the complainant is contradicted by the evidence of birth of the 2nd and 3rd children of the respondent dent. Records showed that the father of her 2 offspring was the complainant’s husband and that their dates of birth were beyond the date when the respondent testified that she stopped seeing the complainant’s husband.

2. The Board believed that the conduct of the respondent constituted dishonourable conduct and that the respondent was no longer fit to enjoy the privilege to practice as a nurse, as ―good moral character‖ is a condition sine qua non not only for those who are seeking admission into the practice of nursing but also for those who are in the actual practice of the same.
Decision: The BON suspended the respondent from the practice of nursing for a period of two (2) years effective from the date the decision became final and executory and to continue for the same period from the time the respondent surrenders to the Board her Certificate of Registration/ Professional License and Professional Identification Card as a registered nurse. Case 2 Gross Negligence And/ Or Incompetence The respondent is a registered Nurse with Certificate of Registration/Professional License and Professional Identification Card No. ____dated___. The complainant alleged that her husband has been on a respirator for 13 days while confined in the intensive care unit of the hospital. One morning, the respondent informed her that her husband will be brought to the X Ray room for examination. The respondent arranged for the transfer of her husband from his bed to a ―wheelbed‖ but the respirator was removed. When she questioned the respondent, He said ‖there is no need for it.” While in the X Ray, complainant alleged, the respondent left the patient unattended. The complainant further alleged that while her husband was inside the X Ray room, the attending X Ray personnel told her that her hus-

suddenly suffered breathing emergency and entered into a coma. The respondent did not submit his counter affidavit as ordered. Thus, the Board declared the respondent to have waived the submission of his counter-affidavit or verified answer and accordingly allowed the complainant to present her evidence ex-parte. Hearing was conducted. Complainant testified and identified the complaint she filed before the Board. She subsequently affirmed and confirmed the contents of the same document. Findings: The act of the respondent in removing the respirator of an intensive care unit patient is reckless and clearly imprudent. This was done despite the objection of the complainant as stated: ―Upon learning that my husband will be moved out of his room without the oxygen supply and respirator, I immediately questioned Nurse _ why it was removed. Nurse _ answered that “there is no need for it.” The negligence of the respondent showed further when under his care, he allowed the patient to wait for a long period of time without respirator. It was pointed out by the complainant that the patient was confined in the intensive care unit. The name of the unit will clearly show the standard of care that should be provided by the respondent. With the action of the respondent, he clearly failed miserably. Furthermore, silence of the respondent as regards this case is similar to admission of guilt. Rule 130 of the rules of Court provides: ...Silence is assent as well as consent, and may, where a direct and specific accusation of crime is made, be regarded under some circumstances as a quasi-confession…. ― He who remains silent when he ought to speak cannot be heard to speak when he should be silent.‖ (31C.J.S. 494) Continued on page 6

The complainant claimed that the

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The Professional Regulation Commission celebrated its 37th Founding Anniversary with the theme: ―Convergence of Filipino Professionals Towards Global Challenges‖ through a variety of activities during the Professional Regulation Week from June 16 – 22, 2010. The Professional Regulation Commission (PRC) was created on June 22, 1973 by virtue of Presidential Decree No. 223. The enactment of Republic Act No. 8981 on December 20, 2000, the PRC Modernization Act of 2000, re-defined the directions of PRC as a government agency tasked to ensure the competence of the professionals by regulating and supervising their practice. Pursuant to its mandate, the PRC promotes and sustains the development and continuing professional education of a corps of professionals towards global challenges; administers licensure examinations, certifies the competence and regulates the practice of the professionals. The PRC covers more than three (3) million registered professionals in the forty four (44) Professional Regulatory Boards (PRB). The PRC, under Chairman Nicolas P. Lapeňa Jr., former Court of Appeals Justice, continues its modernization programs to sustain the direction of the Commission through a systems of policies, rules, and regulation for the development, operation and administration of the institution. The nursing profession benefits from the PRC through its delivery of services to the professionals. The weeklong celebration started with a thanksgiving mass followed by the launching of Citizen Charter, Central Office, Regional Office & PRB Manuals and Research Output of the PRBs. Program of activities for the week included: ―PRC Expo‖, Seminar for PRC employees and members of the regulatory boards, Recognition Day Program. The highlight of the celebration of PRC week was the awarding ceremonies for the outstanding professionals, those with distinguished service and accredited professional organizations held at the Manila Hotel.

Every year the Professional Regulation Commission honors outstanding professionals. This award is bestowed upon a professional recommended by peers for having aptly demonstrated the highest degree of professional competence and conducted himself/ herself with integrity in the exercise of the profession. For 2010, Sor Paz T. Marfori, DC, was chosen as Outstanding Professional Nurse of the Year. Her remarkable achievements paved the way in attaining the seal of professionalism in nursing. Among her achievements are: the establishment of Master of Arts in Nursing at the University of Sto. Tomas, the opening of the graduate program for Nurses at the Sacred Heart College, Graduate School, Lucena City, the conversion of San Juan De Dios Hospital to San Juan de Dios Educational Foundation, Inc. At her age of 83, Sor Paz is very active in her work with the clients of the Hospicio de San Jose. Her dedication and selfless leadership has been manifested in the top executive positions she held as president, dean, and administrator of various colleges of nursing hospitals and medical centers. She greatly contributed to the advancement of the nursing profession as an untiring adviser and examiner for MA thesis writers in Nursing and her participation in various professional organizations, and for her acts of compassion and charity. The conferment of the highest recognition as Outstanding Professional Nurse of the Year to Sor Paz is a valuable legacy that serves as inspiration to the future generation of nurses who may wish to accomplish more in their career.

Sor Paz T. Marfori, DC, The Outstanding Nurse of the Year (2010)

The BON during the PRC Awards Night held at the Manila Hotel

Cont. from page 5 Decision:

Thus, the Board found the respondent guilty of gross negligence and accordingly suspended him from the practice of the Nursing profession for a period of two (2) years effective from the date the decision became final and executory. Res-

pondent was warned to desist from the practice of his profession during the period of suspension under pain of criminal prosecution. And finally, he was warned that a repetition of the same or similar misconduct in the future will be dealt with more severely.

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On December 21, 2009, Resolution 22, Series 2009 was promulgated by the Board of Nursing to adopt a National Career Progression Program that provides for a unified and harmonized direction in line with the profession’s pursuit of professional relevance, quality, global comparability, competitiveness and excellence which is in keeping with the State Policy of promoting ―better career prospects and dignified existence for our Filipino nurses.‖ The objectives of Res. 22, S 2009 are: 1) adoption of a National Career Progression Program aimed at promoting global comparability and competitiveness of Filipino nurses through acquisition of progressive/ developmental nursing competency standards at the post-basic, graduate and postgraduate levels; 2) provision of the necessary harmonization policy frameworks to promote continual/ progressive learning by every Filipino Professional Nurse through carefully designed training .and Continuing Professional Education (CPE) Programs synchronous with the identified Professional Competencies in the National Career Progression Program for Filipino Nurses; 3) creation of the appropriate structures, mechanisms and processes to best facilitate the institutionalization of rational career development pathways for the Filipino Nurse Professional comparable with those of other economies of the world. Patricia Benner’s conceptual framework and the ANSAP model of 2002 ―Career Pathway for Nurse Practitioners Program‖ are adopted in the career pathway for these areas in nursing: 1) general nursing practice, 2) nurses in service administration, 3) independent nursing practice, 4) nursing education. Using the National Core Competency Standards for Nursing with the 11 key areas of responsibility as the basis of nursing practice, core competency standards for each step of progression, starting as advanced beginner, moving on to competent, proficient and expert practitioner, MUST EMERGE in the career pathway to serve as framework for horizontal movement /advancement in the profession. CRITERIA IN DESIGNATING NURSING SPECIALTIES As the nurse moves through the career pathway, specialization becomes a natural outcome and nurses with the same interests/specialty band together to form specialty groups Culled from several sources, the following criteria are used in designating Nursing Specialties in the Philippines (Res. 22, S 2009 Annex A). The specialty: 1) defines itself as nursing and subscribes to its overall purpose, functions and ethical standards; 2) is sufficiently complex and advanced so that it is beyond the scope of general or basic nursing practice; 3) has a demand and a need for its services; 4) focuses on a defined population with recurrent problems…, 5) is based on a core body of nursing knowledge continually expanded and refined by research; 6) has established education and practice standards congruent with those of the profession and set by recognized nursing bodies; 7) adheres to the Licensure /Registration requirements for the generalist nurse; 8) expertise is obtained through professionally approved advanced education program administered by a nurse that leads to a recognized qualification; 9) has a credentialing process determined by the profession in accordance with the national practice with other professions; 10) has practitioners who are organized and represented within a specialty association in the Philippines The new nursing groups that have just been organized need to look at the above mentioned criteria to see if their group qualifies as a nursing specialty group.

Recognizing the need to understand technicalities governing legal cases filed at the Professional Regulation Commission Legal Division, the Board of Nursing invited Attorney Eugene Riego to a two day session involving instructions and discussions with question and answer period to have better appreciation of the processes during the conduct of hearings on administrative cases filed against Registered nurses . The sessions were held on July 12 and August 3, 2010 and focused on ―New Rules of Procedure in Administrative Investigation in the Professional Regulation Commission and the Professional Regulatory Boards‖. These included topics on rules of procedure, due process, pre-trial conference, trials, counter affidavit , order of default, presence of the board members during hearings, appeals, pleading, judgment, imposed penalty and many other technical rules of procedure. The enhanced understanding and knowledge of the legal rules of procedure will assist the Board of Nursing in its impartial hearing and decision of administrative cases filed against registered nurses.

All inquiries regarding validation/ verification of license as a requirement for CGFNS or NCLEX application, renewal of lost PRC ID (Nurse license), release of Certificates of registration and other informations regarding application and schedule of Nurse Licensure Examination should be directed to the following: Registration Division Professional Regulation Commission P. Paredes Street, Sampaloc, Metro Manila

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Cont from page 4 have agreed to work together for a Manual of Operations for SUCs similar to that for private Institutions. CHED will also confront the education/jobs misalignment. Improve the system by making quality basic education available to all, giving young people real choices among three [3] tracks/alternatives = 1] go directly to a job; 2] go to technical vocational training or 3] go to college. For Quality, she said that CHED can do something about the proliferation of certain types of professional schools and programs and their poor performance. She believes that it is immoral to keep them open – raising false expectations, promising a future beyond which people and their families do not get if the schools are of questionable quality with a poor track record. Hence, CHED has to dictate quality and standards very seriously – in the case of granting COE/COD, permits to offer programs, autonomous and deregulated; evaluation of programs and in conversion to a university. Thus, CHED intends to be less regulatory, less prescriptive & more developmental & supportive For Access, Tuition is skyrocketing, beyond the reach of students; but from the point of view of schools, quality of education has not changed. The proliferation of SUCs and LUCs is an attempt to make education available to students who cannot afford higher education . It is a good intention but the strategy has to be reformed. There has to be a quantum leap in assistance to poor but deserving students by rationalized and expanded financing systems of scholarships, grants, loans, through which assistance is given directly to students allowing them freedom of choice – so they can choose where they want to spend/use their scholarships. CHED will also work on liberalizing access by providing alternatives to conventional HEIs The CHED Chair promised to be supportive, consultative, collegial – she will be fair and decisive. BON Chairperson represented the Technical Panel for Nursing Education during the consultative meeting and a workshop followed where the following issues were discussed by the technical panel chairs and reps: 1) CHED bebeing too prescriptive by including sample curriculum in the Policies, Standards and Guidelines for different programs; 2) Organization of the Technical Panel. 3) On Structure or System to be set up to meet the goal of integrity and transparency in CHED; 4) On the declaration of moratorium on the opening of Undergraduate and Graduate programs that are oversubscribed and with poor performance in the Board Examinations being conducted by PRC. The Technical Panel for Nursing Education, chaired by Dr. Carmelita Divinagracia with its members— Dr. Carmencita M. Abaquin, Dr. Teresita I. Barcelo, Dr. Lorenza Serafica Dr. Marilyn D. Yap, (Dr. Milabel Ho was absent) met last Sept. 9, 2010 to finalize the guidelines for school visitation using the unified CHED-PRC Monitoring Tool, review schedule of visitation of non-performing nursing schools They are scheduled to review Policies and Standards for Graduate Nursing Programs.

The Philippine Nursing Act of 2002 (Republic Act No. 9173, Article II, Section 2 - Declaration of Policy) stipulates: ―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, humane working conditions, better career prospects and a dignified existence for our nurses.‖ The nurse’s main objective as a professional is to give quality, safe care to Filipinos. But who is taking care of the nurses’ issues and concerns? It is recognized that adequate, proactive, accurate, and timely responses need to be instituted through appropriate mechanisms to address professional, technological, socioeconomic and cultural issues and concerns in the light of domestic and global developments which impact Philippine Nursing. During the consensus building last July 2010 on the current issues in nursing, thru the leadership of the Board of Nursing, Hon. Marco Antonio Sto. Tomas was tasked to write a resolution for the creation of a National Nursing Oversight TASK FORCE referred to as ―NURSE WATCH PHILIPPINES‖. The Resolution states that the duties of this Task Force are to: 1) actively anticipate and identify potential and actual issues and concerns affecting Philippine Nursing and obtain evidences or cues thereof; 2) keep watch over prevailing issues and concerns affecting nursing education and service as well as other concerns of nurses in private or government positions; 3) develop action programs to address issues and concerns through the formulation of position papers, organizing a Public Relations Bureau, holding press conferences, creating lobby groups in support of or against issues and concerns affecting Philippine Nursing and its propeople health advocacies, improve the image of the profession, as well as inform the public of timely and relevant health and nursing issues; 4) monitor and alert concerned organizations and agencies both government and private on possible courses of action and healthy responses for Philippine Nursing; 5) evaluate all action programs engaged in for nursing’s professional growth and productivity. With these duties of the Task Force, it was resolved that NURSE WATCH PHILIPPINES shall: 1) organize itself and establish a functional machinery to undertake the above tasks especially that of putting in place a sound inter-intra-organizational and agency FEEDBACK mechanism; 2) be composed of ―volunteer‖ nursing leaders with unquestionable personal and professional integrity who have deep awareness and understanding of professional, technological, socio-economic, and cultural issues and concerns that affect Philippine Nursing; 3) have the following as initial composition without prejudice to expanding membership as necessary in order to respond to the demands stipulated in this resolution: Hon. Marco Antonio C. Sto. Tomas, Dr. Teresita I. Barcelo, Dr. Leah P. Samaco-Paquiz, Dr. Marilyn Yap, Former Dean Lydia Palaypay. The Resolution further states that the first undertaking that the Nurse Watch Task Force must establish is the adoption and commitment to a ―Code of Ethical Conduct‖ to ensure moral ascendancy, professional acceptability, and unquestionable support especially towards achieving cooperation for its flagship programs in accordance with its mandate. Please send issues and concerns to

Volume 7

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Cont. from page 1 Core Values Program, Positive Practice Environment Program, Nurse Watch, State of Philippine Nursing and Nursing Image; 2) Nurse-led Centers with 2 Initiatives: Primary Health Care and Independent Nursing Practice; 3) Nursing Human Resource Management Program with 6 Initiatives: Competency Enhancement for Education, Competency Enhancement for Service, Functional Integration between Education and Service, National Career Progression Plan, Nursing Management Information System (NMIS), and Nursing Deployment Program; 4) Regulation of Nursing Practice with 2 Initiatives: Nursing Law Amendment and Nursing Practice Standards; 5) Center for Nursing Governance with 3 Initiatives: Fully functional Office of Strategy Management (OSM), Nursing Organizations’ Roadmap & Scorecard Alignment and Resource Generation for Philippine Nursing Development. The balanced scorecard which serves as the framework for the performance governance system underscores strategy focus as an adaptive and proactive means to create the future of Philippine Nursing to be globally competitive. On September 9, 2010, a HISTORIC meeting of representatives (Multi-Sectoral Group Coalition) from various nursing organizations met at the Philippine Heart Center to seriously address the challenge of creating a FULLY FUNCTIONING OFFICE of STRATEGY MANAGEMENT (OSM) which shall be tasked with the monitoring of the strategic performance of the profession, its regular operations and strategy reviews. After an intensive discussion on what is entailed in the operation of a ―fully functioning OSM‖ such as having a fully equipped office, personnel, OSM Head, regular source of funding and others; and realizing that the profession will be made stronger by the ownership of the Philippine Nursing Roadmap 2030 by all nurses, individually and collectively as organizations, the Multi-Sectoral Group Coalition (MSGC) approved the motion to form an alliance of nursing organizations with the SINGLE PURPOSE and INTENT of implementing the blue print spelled out in the Roadmap. It was agreed that this alliance is solely for the purpose stated and that member organizations will be on equal footing and duly represented in the corporation that will be formed and that its board of Directors will rotate in leadership so that all organizations are given equal chances to serve. It was also suggested and agreed upon that the incorporators for the new alliance of nursing organizations will be from the initial group of nursing organizations who were involved in crafting the nursing roadmap from its inception in 2007. A task force/ committee was formed to consult with lawyers on legal aspects to ensure that the purpose and intent of the alliance is reflected in its articles of incorporation and its by- laws. Possible names for this group were suggested. With such enthusiasm and determination, from the nursing groups to pursue this course, it is expected that this move will be completed as soon as possible. The Board of Nursing extends its gratitude and appreciation to the nursing organizations for its support and dedication to see this project through. With the continuing strong and unified support of nursing leadership, Filipino nurses CARING FOR THE FILIPINO AND THE WORLD are emboldened to keep on the journey to transform and strengthen the nursing profession.

The BON with Nursing leaders right after the “Revalida” for the PGS Proficient Level held last March 24, 2010 at Dusit Hotel

The ISA Chair Dr. Jesus B. Estanislao and ISA President Mr. Francisco Eizmendi with the BON and Nursing Leaders during Awarding of the PGS Proficient Status during the ISA Forum held last March 25, 3010. at Dusit Hotel.

The BON with our Nursing Colleagues who participated during the Sept. 9, 2010 MSGC Meeting on the Philippine Nursing Profession Roadmap.

APPLICANTS as CPE PROVIDERS please inquire from PRC CENTRAL or REGIONAL OFFICES regarding requirements and forms needed or DOWNLOAD from Existing CPE PROVIDERS who wish to apply for programs: please use new CPE PROGRAM APPLICATION FORM for NURSING which can be downloaded from the BON website: All submitted documents are evaluated by the CPE Council for Nursing only after these have been processed and logged by the CPE Division of PRC. Please be guided accordingly.

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Volume 7

In 1992, the Philippines and other ASEAN countries started preparations towards GLOBALIZATION (ASEAN, APEC, GATTS) to provide long term growth and development in the region, including global competitiveness of professionals, among others. In anticipation of how globalization will impact Philippine Nursing as an industry, the Board of Nursing promulgated the creation of a National Nursing Specialty Certification Program in February 1999, in accordance with the powers and functions of the BOARD under Republic Act No. 7164. Upon its repeal and the implementation of R.A. 9173 in 2002, the Nursing Specialty Certification (NSC) program was put in motion and in 2005, certain organizations and nurse specialists/clinicians were certified. From the perspective of nursing employment, it is anticipated that by 2010/2020, there will remain a pronounced need and demand for nurses particularly from the 1st World Economies to meet the ―very specific nursing needs‖ of their ―graying population‖. This imposes a new demand to import foreign nurses, however, a major cause of ―apprehension‖ for Philippine Nursing is the demand for experienced nurses with training to provide specialized/ highly specialized nursing services to match the health care demands of the progressive economies in the world. Foreign countries require at least 1-2 years of ―actual experiences‖ in areas of nursing practice like Gerontological Care, Renal, Cardiovascular, Surgical, Critical Care nursing and others. There is a need, therefore, for Nursing Specialty Groups through the Nursing Specialty Certification Council and the Continuing Professional Educ cation Council to approve carefully thought out program offerings to train and increase the skills of nurses and for Colleges of Nursing to offer formal courses that lead to post-graduate degrees in fields of specialization. The impact of the Global Financial Crisis from 2008 to the present time has shifted the way in which health care is managed worldwide resulting in a dramatic decrease in demand for less experienced nurses. Thus, we see a glut in the supply of Filipino nurses where it is projected that by October -December 2010, nursing unemployment figures would hit over 200,000 prompting many nurses to provide ―cheap labor‖ to those who are willing to ―hire‖ them. Resorting to ―volunteer‖ work or ―engaging in more training‖ post-licensure to the point of ―abusive practices‖ is a disservice to nurses in particular and the nursing sector as a whole. This also implies that our newly licensed RNs do not stand a chance in penetrating the international job market because they lack the required actual nursing experience. Current Concerns in Nursing are being addressed through government and privatesector led initiatives. In response to the need for specialization in Nursing, Resolution No. 22, Series 2009 on adopting a National Career Progression Program (NCPP) and Harmonized Policy Framework…for Continuing Professional Education/ Development (CPE/D) of All Filipino Nurses was passed on Dec. 21, 2009. For accurate statistical data about various information on nurses, a National Data Base of Information will be set up for advanced planning and programming purposes through the Board of Nursing Licensure Examination ―NURSING MANAGEMENT INFORMATION SYSTEM (NMIS) ONLINE APPLICATION PROGRAM (OLAP)‖ and provide the necessary Mechanisms towards merging into the over-all LICENSURE EXAMINATION and REGISTRATION INTEGRATION SYSTEM (LERIS) of the Professional Regulation Commission. Private-sector led initiatives may help provide employment for nurses. NURSING COOPERATIVES, given support infrastructure, policy framework and regulatory mechanisms, can provide and empower Filipino nurses to practice nursing as entrepreneurs or through other productive means guided by ethical-practice principles. These may be executed as independent nurse practitioners, or collectively in group nursing or allied health practices. Such activities can stir economic action from within the nursing community to generate income and employment and build wealth and security for oneself, families and the nursing profession in this country. This is a tangible ―internallydriven‖ contribution of Philippine Nursing to economic stability of the country other than the ―externally prompted‖ contribution via overseas nursing remittances. PROJECT ENTREPRENURSE, actively espoused by Hon. Marco Sto. Tomas, is the product of efforts to adopt a FRAMEWORK OF SOCIOECONOMIC EMPOWERMENT and infuse a consciousness of PROFESSIONAL PRODUCTIVITY and GROWTH through SOCIAL ENTERPRISE movements, emphasizing proactive job creation rather than just waiting for employment. From a multitude of entrepreneurial activities that a nurse can engage in, provision of health related services like NURSE LED clinics, emergency medical services and training facilities stand out. As a result of the all out effort to promote Project ENTREPRENURSE, NURSING HEALTH SEVICE COOPERATIVES have started to emerge nationwide in the following areas: Davao, Cavite, Cebu, Siquijor, Butuan/CARAGA, Bacolod/Negros Occidental, SOCSARGEN, Quezon City-Marikina, Manila-Parañaque-Las Piñas, Makati-Pasig, Roxas, PIN O Y _ N U R S E S VOX.COOPERATIVE NETWORK. Strong domestic linkages have emerged and continue to develop in an effort to provide employment/deployment of nurses. Government agencies that the Board of Nursing has linked with are: DoLE – on Project NARS, ENTREPRENURSE and the Health Human Resource Development Network focusing on employment concerns; POEA; DFA; DILG; CHED; DoH; Law Enforcement Agencies e.g. NBI, PNP, AFP OFFICE OF THE CHIEF NURSE; and other government agencies still in the beginning stages of collaboration. Private-Sector linkages include: WHO WP Regional Office; 25 Nursing Specialty and Interest Organizations; Health Information Management Outsourcing Association of the Philippines; UP Manila National Telehealth Center; Manpower Resources of Asia, Inc. (with POEA); CHEERS; Media Partners; Publishing Houses, Immigrant Visa Center and AMERIKA ATBP; CGFNS International; NCSBN, U.S.A; .NIHONGO CENTER FOUNDATION, INC. Everything is a ―workin-progress‖... and these carry an entirely different paradigm. With all these are challenges and obstacles which are worthy of achieving ... KAYA NG PINOY NURSE ITO!!

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