FINALS

 PRC-2 per vacancy

PROFESSIONAL ADJUSTMENT  Fourteen recommendations
 To know laws governing the nursing  Will recommend two persons per
practice vacant position
 President-1 per vacancy
RA 9173  The President of the Philippines
 Current Philippine Nursing Law (2002) will sign to appoint
 An act providing for a more responsive
nursing profession Section 4. Qualifications of the
 This year—2002, is the same year Chairperson of the Members of the Board
where there was sudden inflation in  Members of the BON should come from
the number and demand of nursing diverse fields in nursing
personnel in the world  All the seven members should not come
 Repealing for the purpose RA 7164 from the same area, should be a mixture
(Philippine Nursing Act of 1991) of the three areas (academe, practice,
 Repealed: totally changed; Amend: and public health)
improved
Should represent three areas in nursing
 Old Nursing Law
 Nursing Education (Dean, Faculty)
ARTICLE I  Nursing Service (Chief Nurse, Nurse
TITLE Manager)
 Community Health Nursing (Public
Section 1. Title Health)
 “Philippine Nursing Act of 2002”
Qualifications: Board of Nursing
ARTICLE II  Natural born citizen and resident of
DECLARATION OF POLICY the Philippines
 Should be a resident in the country
Section 2. Declaration of Policy because they would work onsite in
 For the protection and improvement of PRC
the nursing profession  PRC main office is in Morayta
 Improvement of education, career  A registered nurse in the Philippines
prospects of nurses  MAN/ MSN/ MAEd, or MA in other allied
medical and health sciences
ARTICLE III  Chairperson: MAN or MSN (should have
ORGANIZATION OF THE BOARD OF NURSING a masters in nursing only)
 Speaks about what they do and what they  Members: at least four members have
can do (the scope of their masters in nursing, then the others
responsibility) may have masters in other allied
 Creates the board exam for nurses medical and health sciences
 Member of good standing of the
Section 3. Creation and Composition of the accredited professional organization of
Board nurses (PNA)
 One Chairman  At least 10 years continuous practice
 Six Members of the profession before the
 Total of Seven appointment
 PNA-3 per vacancy  The last 5 years must be spent in
 The accredited professional the Philippines
organization (APO) in nursing  The first five years can be
o To be a member of the board a practiced abroad
nurse should be a member of the  The recent years are more important
APO—PNA  Not convicted of any offense involving
 Should be a member of PNA moral turpitude
 PNA would be the one to nominate for  (-) qualification if accused of any
BON moral turpitude
 Twenty-one list of names  RN MAN
o These 21 people will be submitted  R-RN, MAN
to the PRC for further screening
  N-Natural Born Citizen & Resident of to maintain the integrity of their
the Philippines job
 M-Member of PNA  They are quarantined a week before
 A-At least 10 years of continuous the board exam (not allowed to be
practice in nursing invited as guest speakers)
 N-Not convicted of any crime or  They have deliberation a week before
moral turpitudes board exam results
 Obliged to make a new set of board
Section 5. Requirements upon Qualification exam
as Member of the Board of Nursing  There is a percentage from the old
 Resign immediately (from work) questions (test bank) in the board
 Any nursing job exam. A machine selects these
questions
 To avoid conflict of interest
 They have a lot of references in
 No pecuniary interest
making board exam questions
 No monetary interest
 The correct answer depends on the
 Should not sell books about nursing one who made the question
(compilation of questions from the
 PRC selects the date for the board
board) and should not teach in
exam
review centers
 Issue, suspend, or revoke a license
Section 6. Term of Office  Negligence
 Regular Appointment (3 years)  A revoked license can be reissued
 Terms may be extended and may be  The clinical instructor will be held
reappointed (up to two times) accountable if a student nurse makes
 Ad Interim (substitution) a medication error or negligence.
Their license may be revoked
 Will finish the number of years not
fulfilled by the former board member  Monitor quality nursing practice in the
Philippines
 Hold Over (extend position)
 Ensure quality nursing education
Section 7. Compensation of the Board  They can recommend (BON) for closure
Members of a nursing program in a university
 Same with other PRBs (Professional especially if they have a low
Regulatory Boards) passing rate
 Allowance and salary are placed in this  CHED has the power to close a
section but is not disclosed within the nursing school
law  Conduct hearings and investigations
 Administrative case (negligence,
Section 8. Custodian of Records malpractice) → PRC → BON will be the
 PRC (Philippine Regulatory Commission)- judges
custodian of all records  Issue subpoena (court order)
 Accepts all applications and o Subpoena Ad Testificandum:
requirements for board exam testify; serve as a witness
 All records needed for hearings are in o Subpoena Duces Tecum: bring
the custody of the PRC patient’s chart, documents that
will serve as evidence
 Renewal and applying for the license
are also done in PRC  Promulgate a Code of Ethics in
coordination with APO (PNA)
 PRC also sets the date for the board
exam  PNA is consulted by the BON in the
promulgation of the code of ethics
Section 9. Powers and Duties of the Board  Recognize nursing specialty
Powers and Duties of the BON: organizations in coordination with APO
 Conduct NLE (Nurse Licensure  Nursing specialty organizations
Examination) should be recognized by the APO
 Maintain the integrity of the board  Prescribe, adopt, issue, and promulgate
exam guidelines for the improvement of the
 No leakage nursing profession
 A family relative of the BON may  Quasi-Legislative Power (law-making
take the board exam as they pledge body): prescribe, adopt, issue, and
promulgate guidelines for the
 improvement of the nursing said country are substantially
profession the same
 Quasi-Judiciary Power (supreme  Good moral character
court): conduct hearings &  BSN graduate in a duly recognized
investigations institution
o Quasi: independent  Submit Transcript of Records (TOR)

Section 14. Scope of Exam

 NP 1-5
Section 10. Annual Report
 Day 1: NP 1-3
 Submit an annual report to the
o NP 1: CHN
president every end of the year
o NP 2: MCN
 BON is obligated to pass annual o NP 3: MS
reports
 Day 2: NP 4-5
 Accomplishments o NP 4: MS
 No board exam leakage, board exam o NP 5: MS w/ Psychiatric Nursing
results  Fundamentals, Research, Leadership &
 Proceedings Management are incorporated with NP
 Recommendations for improvement of the 1-5
nursing profession  Decent Work and Employment,
 Promulgation of guidelines Transcultural Nursing, & Disaster
Nursing are new and would be
Section 11. Removal from the Board included in the 2022 board exam
(suspension)
 Continued neglect of duty or Section 15. Board Ratings
incompetence (same questions in the  Ratings: GWA of at least 75% should be
board exam) met to pass the NLE
 No intervention towards rising  Rating not below 60% in any subject
numbers of negligence and  If GWA is >75%, but with a rating <60%
malpractice in the field in any of the subjects, you will be
 Commission or toleration of considered a conditional passer
irregularities in the licensure  Removal examination
examination (leakage)  You are not failed yet but you have
 Unprofessional, immoral, or to take the NP where you have a
dishonorable conduct score of <60%
 “‘wag natin mantsahan ang kaputian  This will be taken on the next board
ng ating propesyon” – sir Ejay exam; the score should be at least
75% (if the score did not reach 75%,
ARTICLE IV a person will be considered failed
EXAMINATION & REGISTRATION and will have to take the whole
board exam again)
Section 12. NLE
 RA 8981 “PRC Modernization Act of 2000” Section 16. Oath
 Multiple choice and checked by a  You cannot place the RN after your name
machine unless you have undergone oath-taking
 Essay & manual checking of NLE  Oath-taking is mandatory
before  Every passer or registrant is
required to take the oath
Section 13. Qualification for Admission to  If you are not able to attend oath-
the NLE taking led by the BON you may do oath-
 Citizenship taking with the President, Vice
1. Filipino citizen; or President, and Mayors
2. Foreign citizen or subject of a
country that permits Filipino nurses PRC Board Resolution 2012-657
to practice within its territorial  Who may administer the oath of the
limits profession?
a. Same basis as the subject or
 PRB (BON)
citizen of such country
b. Requirements for the registration  Chairman, vice chairman, member
or licensing of nurses in the  Any official authorized by the PRC
  Any official/officer authorized  Show ratings for all the NPs
under the Revised Administrative  No reciprocity: need to take other
Code country’s examination to practice
o President nursing
o Vice President  Licensure: the method by which a state
o Members and Secretaries of Both holds the nurse accountable for safe
Houses practice to citizens of that state
o Members of the Judiciary
 Licensure Process
o Secretaries of Departments
o Governors and Lt. Governors  Licensure by Examination: the
o Mayors process by which an individual who
o Congressman has completed an approved nursing
o Directors program seeks initial licensure by
o Clerks of Court successfully passing a standardized
o Registrars of Deeds competency examination
o Constitutional Officers  Licensure by Endorsement: the
o Notary Public process by which an individual who
 Where is the oath of professional held? is duly licensed as a registered
nurse under the laws of one state or
 In any specified venue in Metro
country has their credentials
Manila or outside
accepted and approved by another
 How is the oath of professional held? state or country (same curriculum
 Simple, solemn, mass, oath-taking, and requirements; has reciprocity)
supervised by all PRBs (Professional o Only applicable to RNs in other
Regulatory Boards of Nursing—all countries
BON) o If there is reciprocity: an
agreement between countries
Section 17. Issuance of Certificate of CERTIFICATE OF
PROFESSIONAL ID CARD
Registration/Professional License and REGISTRATION
Professional Identification Card Full name of the professional
Photo of the professional (1x1)
 License: proof that you are given the Official seal of the commission
privilege to practice the profession in Date of registration
the Philippines Signature of the chairperson of the commission
 Not for everyone Signed by the chairperson of the
Signed by the chairperson only commission and members of the
 Only given to a person and can be board
revoked License number Serial number
 Once a person is a license holder, Date of issuance and expiration -
Barcode Official seal of the commission
the person is allowed to practice (PRC)
nursing in the country (can also
 A certificate of registration is
practice in other countries if there different from a certificate of
is no agreement between the
passing. Certificate registration is a
countries) legitimate document that will certify
 Rights are not taken away from you. that you are already a registered nurse
Present since birth that is signed by the BON
 Professional Identification Card:
Picture, Last Name, First Name, Middle Section 18. Fees for Examination &
Initial, Registration Number (license Registration
number), Registration Date, Valid Until  Examination and registration have fees
(expiration date)
 You shall pay the prescribed fees
 PRC license is expired during the set by the PRC
birthdays of the holder
 Penalty fee: renewed beyond the
 Back: Signature of the professional and expiration date
chairman of PRC
 Renewal every 3 years Section 19. Automatic Registration of
 Renewal is obliged to continue Nurses
practice nursing  All nurses whose names appear on the
 Expired every birthday roster of nurses shall be automatically
 Certificate of Passing: proof that you or ipso facto registered as nurses
met the requirement for the board exam under this Act upon its effectivity
 Grades from NP 1-5 is >60% with a  You cannot obtain your license if you
GWA of >75% do not register

Section 20. Registration by Reciprocity
 A certificate of registration/license
may be issued without examination to
nurses registered under the laws of a
foreign country:
 Requirements for registration or
licensing of nurses (board exam) are
SUBSTANTIALLY THE SAME
o But should have the same
curriculum or requirements in
terms of licensure and
registrations
 Foreign countries grant SAME
PRIVILEGES to registered nurses
o There is an agreement between two
countries (RNs from a certain
country can work with the country
in agreement vice versa)
Section 21: Practice Through
Special/Temporary Permit
 Foreign nurses can practice nursing in
the Philippines temporarily
 Issued with special/temporary permit
(issued by the PRC)
 Internationally well-known specialists
or outstanding experts in any branch or
specialty in nursing (e.g., Patricia
Benner, Jean Watson)
 On medical mission whose services shall
be free in a particular hospital,
center, or clinic
 Employed by schools/colleges of nursing
as exchange professors in a branch or
specialty in nursing
 MIX
 M-Medical Mission
 I-Internationally well-known
 X-Exchange professors
Section 22. Non-registration and Non-
issuance of COR/Professional
License/Special Temporary Permit
 Has already passed the board exam but
PRC won’t issue a license
 Convicted of criminal offense/moral
turpitude
 Guilty of immoral or dishonorable
conduct
 Unsound mind
 Declared by the court
Section 23. Revocation and Suspension of
COR/Professional License and Cancellation
of Special/Temporary Permit
 Unprofessional and unethical conduct
 Gross incompetence or serious ignorance
 Negligence or malpractice
 Use of fraud, deceit, or false
statement
 Practicing during suspension
 But when emergencies are attended to
outside the hospital, the license
will not be revoked
 Violation of this Act (in totality)
NEGLIGENCE
 Commission or omission of an act,
pursuant to duty, that a reasonably
prudent person in the same or similar
circumstance would or would not do
 Commit: a prudent nurse does what is
not done (ginawa)
o E.g., Wrong medication
 Omit: a prudent nurse does not do
what should be done (hindi ginawa)
o E.g., Not raising side rails
during a seizure
THE ABCDs OF NEGLIGENCE
 AN injury occurred within the BREACH of
duty of the nurse where CAUSE of injury
is the failure to perform the DUTY
 E.g.,
 Duty exist: Raising side rails to a
seizure precaution patient
 Breach of duty: duty not done
 Causation: injury
 An injury or harm occurred:
injury/harm to the patient (lying
on the floor with fractures at the
shoulder)
EXAMPLES OF NEGLIGENCE
 Failure to report observation to
physician
 aggravation of the patient’s
condition
 report abnormal findings to the
doctor immediately
 Failure to exercise the degree of
diligence which the circumstance of the
case demands
 Mistaken identity
 check patient’s ID band
 ask their name and birthdate
 Defects in the equipment leading to
injury of the patient
 Medication error: not following the 10
rights of drug administration
  Traffic can be avoided by leaving
early

Captain of the Ship

 Principle of medical-malpractice law,
holding a surgeon liable for the
actions of assistants who are under the
surgeon’s control but who are employees
of the hospital, not the
surgeon
 Errors due to family assistance  Usually in the OR
 Improper health education to family  The surgeon is held
members liable
 E.g., TSB and the nurse forgot to
Damnum Absque Injuria
teach the temperature of the water
that has led to burns  Although there was physical damage,
there is no legal injury
 E.g., IV insertion: there is no
question about your competence, and a
sudden blackout caused a through and
DOCTRINES OF NEGLIGENCE through (unavoidable incident)
 Always consider the competence of the
Doctrine of Respondeat Superior nurse (if not = negligence; if a nurse
 “Let the master answer for their is competent or expert = damnum absque
subordinates” injuria)
 The head will be held accountable for  No intentional injuries
the negligence of the staff nurse
 The hospital will also be liable MALPRACTICE
 The staff nurse will be accountable as  Not in the scope of practice
well  Unskillful and improper discharge of
 The hospital, nurse assigned, & one’s duties or professional negligence
clinical instructor will be held  Stepping beyond the scope of
accountable for the negligence of a practice/qualifications
student nurse  A type of professional negligence
 may damay
MALPRACTICE vs. NEGLIGENCE
Doctrine of Res Ipsa Loquitor
 “Let the thing speak for itself” Malpractice
 E.g., a scalpel left behind after  Failure of professional action
appendectomy  mali ang pagkakagawa
 The patient complained of abdominal  e.g., removal of IV using scissors to
pain remove the tape and a sudden cut to the
 The HCPs involved during the patient’s skin was made
procedure will be held accountable
 A sponge is more common Negligence
 Let the thing serve as evidence for  Failure of judgmental perception
itself  common sense
 Usually during a surgical procedure  kapag hindi mo ginawa, may
mangyayaring masama sa pasyente
Doctrine of Force Majeure  e.g., Soaked diaper was not changed
 An event that cannot be foreseen that caused bedsores
 An act of god
Section 24. Re-issuance of Revoked COR and
 Unexpected event Replacement of Lost Certificates
 Natural disasters Maximum of 4 years
 E.g., you were not able to go to  Reasons of equity and justice
work d/t flood  When the cause for revocation has
 Exception disappeared or has been cured and
 Valid reasons corrected
 Cannot be avoided  Payment after re-issue of a license
  Promotion of health, prevention of
ARTICLE V illness, and alleviate sufferings &
NURSING EDUCATION pains
 Provide nursing care through the
Section 25. Nursing Education Program utilization of the nursing process
 It shall provide a sound general and  Establish linkages with community
professional foundation for the resources and coordination with the
practice of nursing health team
 Significance of nursing education  Provide health education to
 RLE and lecture hours should be individuals, families, and communities
completed before taking the board exam  Teach, guide, and supervise students in
nursing education programs
Section 26. Requirement for Inactive  Undertake nursing and health human
Nurses resource development training and
 Returning to Practice research
 Five consecutive years not practicing  Nurses are allowed to administer
nursing medications, so long as there is the
 One-month didactic training prescription of the doctor
 Lecture form of training  Internal examination (IE) is allowed
(simulations in mannequins) but should (-) antenatal bleeding
 Three months practicum  Nurses are allowed to suture perineal
 Done at hospitals accredited by the suturing so long as they are trained to
BON do so

Section 27. Qualifications of the Faculty Section 29. Qualifications of

 RN in the Philippines
 MA in Nursing/ MSN/ MA in Education/ MA
in other allied medical and health
sciences
 At least one year of clinical practice
in a field of specialization
 Member of a good standing APO (PNA
member)
 Fee: 500
Qualifications of the Dean
 RN in the Philippines
 MA in Nursing/MSN
 MAN: managerial and administrative
(deanship, chief nurse)
 MSN: clinical (hone skills on the
clinical side)
o Must complete number of duty
hours
o Case studies
o Specializations (cardio,
diabetes, etc.)
o Clinician approach
 Five years of clinical experience
 Member of a good standing APO
ARTICLE VI
NURSING PRACTICE
Section 28: Scope of Nursing Practice
 Encompasses what we can do as nurses
 We provide nursing care from womb to
tomb
Nursing Service Administrators
 Middle-level managers in the nursing
profession (nurse managers, head nurse,
supervisors, chief nurse)
 RN in the Philippines
 At least 9 units of management and
administration courses at the graduate
level
 Regardless if MA degree is not yet
completed
 At least two (2) years experience in
general nursing service administration
 Member of a good standing APO
Chief Nurse Qualifications
 RN in the Philippines
 Masters degree holder in Nursing
 At least 5 years experience of
supervisory/managerial position in
nursing (as head nurse or supervisor)
 Member of a good standing APO
Public Health Chief Nurse Qualifications
 Masters in Public Health
Military Chief Nurse Qualifications
 Completed General Staff Course (GSC)
 Military training
 Given with titles
Section 32. Salary
 RA 6758 “The Compensation and
Classification Act of 1989”
 Salary Grade 15 (Entry Salary/Level,
Nurse 1) – 33,575
 Nurse 2: Salary Grade 17 – 39, 986
 Nurse 3 (Head Nurse): Salary Grade
19: 48,313
 Nurse 4: Salary Grade 20: 54, 251
 Nurse 5 (Supervisor/ Assistant Chief
Nurse): Salary Grade 22: 68, 415
 Nurse 6 (Chief Nurse): Salary Grade
24: 86, 742
 In public health institutions only

Section 35. Prohibition in the Practice of

Nursing
 Fine of not less than 50, 000 and not
more than 100,000 (50,000-100,000)
 Imprisonment of not less than 1 year
and not more than 6 years (1-6 years)
 Practicing without a COR (Misdemeanor)
 Practicing with the use of another COR
(Misrepresentation)
 Minor crime
 Uses an expired, suspended, or revoked
COR
 Who gives false evidence
 Who falsely advertises as an RN
 Who appends BSN/RN without being
conferred

Additional Notes:
 RA 9173: No limit in re-taking of the
board exam (current)
 Senate (new law): maximum of three
takes; at least three years of clinical
experience for nursing educator