Review| Professional Adjustment

COLLEGE OF NURSING – | BATCH 2022 🔥 important 💗 test taking skill

DAY 15: July 18, 2022 - 115 days until boards

ETHICAL PRINCIPLES Nonmaleficence

● Autonomy ● “Do no harm”

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● Benfice ● Action that promotes the SAFETY of
● Non-maleficence the patient
● Confidentiality ● avoiding harm as a consequence of
● Justice doing good
● Veracity I.e
● Fidelity ● restraining a suicidal patient
● Raising side rails of a seizure patient
Autonomy ● Vaccination for covid 19
● the patient has the right to refuse
treatment Privacy
● Eligibility/ Applies to: ● more on the body parts
○ Legal age (>18 unless ● Protection of client’s body from
emancipated) unwanted exposure
○ Sound mind: ● Exposing only the needed parts for the
● If patient is not eligible, the guardian procedure
will decide ● NO Taking photos/videos of the patient
(unless expressly consented for
Paternalism purpose of educational or research)
● “Paternalism,” principle of parents ● Drapes, closing curtains, etc
knowing best for children/deciding on
behalf of their children Confidentiality
● The opposing principle of autonomy ● not discussing client issues with other
● If patient is dead or unable to decide/ clients or staff uninvolved in the client’s
applied dif the client is care
incapitated/vulnerable ● Not sharing health care information
1. Children with others without the client’s consent
2. Minors (includes family members or friends of
3. Intoxicated the client and social networking sites)
4. Mental illness ● Keeping all information about a client
5. Coma private, and not revealing it to someone
6. Delirium/dementia not directly involved in care
● Discussing client information inly in
Beneficence private and secluded areas
● “doing good” actively ● Protecting the medical record from all

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● Action that promotes client’s unauthorized readers
WELFARE (NOT protection, even if ● Who owns the patient chart? The
the action itself is good) institution/hospital
I.e ● Who owns the patient’s chart
● Responding to an emergency information? The PATIENT
situation— that action is for pt welfare

1
 ● Seal of secrecy of patient is LIFETIME/
forever
EXCEPTIONS
1. Consent of the patient
○ Implied, verbal, and expressed
consent are different
2. Court order
○ Court order: SUBPOENA
○ Ad testificandum is
testification of a witness, when
the nurse is invited to testify
○ Duces tecum is a court order for
the nurse to bring all necessary
documents about the patient
(chart, etc)
3. Medico legal cases
○ Rape victims, Abuse victims
○ First thing to do is REPORT to
authorities
4. Threat to the public: communicable
diseases
○ Inform the healthcare team
5. Compromised safety
○ I.e suicidal patients
EMR/ Nursing Informatics
● in opd/public waiting rooms, only The four circumstances
announce the surname or cue number
(do not announce diagnosis)
● There must be a personal password for
computers and always log out
whenever leaving the nurses station!!!!
1. Access & password
Giving assistance to suicide
● Warning signs: suicidal plan,
verbamizes they will commit suicide
● Intervention: confront the client directly
(lethality assessment). Ask further, how
when
○ Establish sucide precaution— 1 Mitigating circumstances
on 1 supervision and remove all
articles (such
metal/sharps/cords/blankets/poi
sons that can be used for self
harm)
Crimes concerning nurses
● Look for signs of substance abuse:
nurses are at high risk due to
accessibility
○ Narcotics, morphine,
the benzodiazepines— an impaied
nurse is a drug abuser
○ Usually night shift, medication
nurse
○ Assigned patient complains of
unrelieved pain
○ Inconsistencies in med cabinet
○ Initial management is REPORT
to nurse manager because you
are not in a position to confront
them
● In workplace violence (lateral violence)
the first is to confront the co worker
before reporting
● 3 persons criminally held liable:
Principle, accomplice, and accessory
● Justifying circumstances, rightful and
lawful
● Exempt[ting crime but no criminal
● Mitigating lessens penalty
● Aggravating public position
Justifying
● Does not commit a crime in the eye of
the law
Exempting circumstances
● An imbecile or insane
● Under 9 years old
● Leassens penalty
as ● Deaf, dumb, blind or suffering from
defect
2
 ● Illness that diminish willpower
Section 9. Powers and duties of the board
Aggravating circumstances
● Public position
● In contempt of authority
● With abuse if confidence
● Committed during calamity
● Committed at night
● Committed in consideration of reward
● Committed by means of fire, poison
● With evident premeditation
○ Murder is heavier than homicide
because there is intent to kill
● Committed after unlawful entry
Qualifications: board of nursing (RNMAN)
● MAN, MAEd or MA in other allied
medical and health sciences
● Member of good standing of the
accredited professional organization of
nurses
● Natural born citizen and resident of the
philippines
● Registered nurse in the philippines
● Last 5 years must be spent in the Section 10. Annual report
philippines
Section 5. Requirements upon qualification as
member of the BON
● Resign immediately from current
employment
● No pecuniary interest
Section 6. Term of office
I. Regular appointment (3 years)
II. Ad interim (substitution of a member)
III. Hold over
Section 7. Compensation of the board
members
● Same with other professional
regulatory boards
● Conduct the Nurse Licensure
Examination, BUT the date is set by
PRC
● Obliged to make new set of questions
for board exams
● Issue, suspend, or revoke license
● Monitor quality of nursing practice in
the ph
● Ensure quality nursing education
○ BON cannot close a nursing
school if it is failing– CHED has
that power, but BON can
recommend
● Conducts hearings & investigations
● Promulgate a code of ethics in
coordination with APO
● Recognize nursing specialty
organizations in coordination with APO
● Prescribe, adopt, issue and promulgate
guidelines for the improvement of
nursing profession
● Quasi-judicial power: conduct hearings
and investigations
● Submit an annual report to the
president of the philippines regarding
accomplishment, proceedings, and
recommendations of improvement for
the profession
Section 11. Removal from the board
●
Section 12. NLE
● RA 8981 :PRC modernization act of
2000” makes computerized board
exam
Section 14. Scope of the exam
● Broad areas in nursing (chn, mcn, med
surg, psych) funda
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 ● 100 questions each, 2 hours
○ NP 1 pure chn
○ NP 2 pure ob/pedia
○ NP 3-4 med surg
○ NP 5 psych
○ Where is
research/laws/leadership
management? Incorporated in
all the exams

Section 15. Board ratings

● GWA at least 75% ratings
● No subject lower than 60%
● If only 1 exam is failed, take a removal
exam (take only the test you failed)