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ETHICO-LEGAL
AND MORAL
CONSIDERATIONS
IN NURSING
LEADERSHIP
MANAGEMENT
LIST OF CONTENT
PRESENTATION
01 A. ETHICO-MORAL ASPECTS OF NURSING
Code of Ethics for Nurses in the Philippines
ICN Code of Ethics for Nurses.

02
B. LEGAL ASPECTS
The Nursing Act of 2002 (RA 9173)
Legal Responsibilities of Nurses
Malpractices, Negligence, Tort, and Crimes
Contracts/Wills/Testament
Labor Law
Magna Carta for Public Health Workers
Salary Standardization Law
GSIS/SSS/Philhealth/Pag-ibig/Unified ID System
INTRODUCING BRIAN ROI, PEREGRINO
OUR BEST TEAM

JEHADAH ABDULLAH ROLANDO, MACADINI

DATU ALMANSUR, DATANG SUHARTO SANDUYOGAN


ETHICO-LEGAL AND MORAL
CONSIDERATIONS IN
NURSING LEADERSHIP
MANAGEMENT
ETHICO-MORAL
ASPECTS OF NURSING
INTERNATIONAL COUNCIL FOR NURSES
(ICN)
THE ORGANIZATION THROUGH WHICH NURSES ALL OVER THE WORLD
COLLABORATE IN STRENGTHENING NURSING SERVICE, NURSING EDUCATION,
AND PROFESSIONAL ETHICS.
IT IS COMPOSED OF THE NATIONAL NURSING ASSOCIATION OF EACH MEMBER
COUNTRY.
IN 1929, PNA BECAME A MEMBER OF ICN.
BOARD OF NURSING (BON)
SUPERVISES AND REGULATES THE PRACTICE OF THE NURSING PROFESSION.

PROFESSIONAL REGULATION COMMISSION


(PRC)
THE AGENCY THAT HAS THE POWER TO REGULATE ESTABLISHED PROFESSIONS
IN THE PHILIPPINES AND TO EXAMINE APPLICANTS TO PRACTICE THE SAME.
CODE OF ETHICS

CODE OF ETHICS IS A SET OF ETHICAL PRINCIPLES THAT ARE ACCEPTED BY ALL


MEMBERS OF A PROFESSION.
A PROFESSION’S ETHICAL CODE IS A COLLECTIVE STATEMENT ABOUT THE
GROUP’S EXPECTATIONS AND STANDARDS OF BEHAVIOR .
PURPOSE
CODE OF ETHICS SERVES AS A MEANS OF SELF-REGULATION AND A SOURCE OF
GUIDELINES FOR INDIVIDUAL BEHAVIOR AND RESPONSIBILITY.
IT CAN BE USED TO PREVENT A NURSE FROM PRACTICING IF HER/HIS CONDUCT IS POOR
AND CLEARLY BELOW THE STANDARDS SET BY THE CODE.
IT CAN BE USED TO PROTECT THE NURSE WHO IS FALSELY ACCUSED OF DOING SOMETHING
WRONG.
IT HELPS TEACHERS TO KNOW WHAT MUST BE TAUGHT IN THE EDUCATION OF THE NURSE.
IT CAN ALSO BE USED AS A GUIDE FOR DIRECTION WHEN A LEGAL ACTION MUST BE TAKEN
IN A LAW SUIT.
PURCODE OF ETHICS FOR NURSES IN THE
PHILIPPINESPOSE
OVERVIEW OF THE CODE OF ETHICS FOR NURSES
NURSING, AS A PROFESSION, HAS ESTABLISHED STANDARDS OF BEHAVIORS THAT GOVERN
THE PRACTICE. THESE STANDARDS ARE CALLED CODES OF ETHICS.
CODES SERVE AS GUIDELINES TO ASSIST NURSES WHEN CONFLICT OR DISAGREEMENT
ARISES ABOUT CORRECT PRACTICE OR BEHAVIOR.
THE CODE OF ETHICS FOR NURSING SETS FORTH IDEALS OF NURSING CONDUCT AND
PROVIDES A COMMON FOUNDATION FOR NURSING EDUCATION.
ALTHOUGH A CODE IS NOT A LAW, IT IS THE STANDARD BY WHICH NURSING ACTIONS ARE
JUDGED THROUGHOUT THE PROFESSION.
SANCTIONS CAN BE IMPOSED AGAINST A NURSE WHO IS FOUND TO BE PRACTICING OUTSIDE
THE FRAMEWORK OF THE CODE
CODE OF ETHICS FOR FILIPINO NURSES
THE PROFESSIONAL CODE OF ETHICS FOR FILIPINO NURSES STRONGLY EMPHASIZES THE
FOUR-FOLD RESPONSIBILITY OF THE NURSE, THE UNIVERSALITY OF NURSING PRACTICE,
AND THE SCOPE OF THEIR RESPONSIBILITIES TO THE PEOPLE THEY SERVE, TO THEIR
COWORKERS, TO SOCIETY AND THE ENVIRONMENT, AND TO THEIR PROFESSION.
THE CODE OF ETHICS USED BY FILIPINO NURSES PRIOR TO 1984,WAS THE CODE
PROMULGATED BY THE INTERNATIONAL COUNCIL FOR NURSES.
IN 1982, THE PNA SPECIAL COMMITTEE DEVELOPED A CODE OF ETHICS FOR FILIPINO
NURSES, BUT WAS NOT IMPLEMENTED.
IN 1984, THE BOARD OF NURSING (BON) ADOPTED THE CODE OF ETHICS OF THE ICN,
ADDING “PROMOTION OF SPIRITUAL ENVIRONMENT” AS THE FIFTH-FOLD RESPONSIBILITY
OF THE NURSE.
CODE OF ETHICS FOR FILIPINO NURSES
IN 1989, THE CODE OF ETHICS PROMULGATED BY THE PNA WAS APPROVED BY THE
PROFESSIONAL REGULATION COMMISSION AND WAS RECOMMENDED FOR USE. THIS WAS
APPROVED ON OCTOBER 25, 1990, BY THE GENERAL ASSEMBLY OF THE PNA.
ON JULY 14, 2004, A NEW CODE OF ETHICS FOR FILIPINO NURSE WAS ADOPTED UNDER R.A.
9173 AND WAS PROMULGATED BY THE BON.
THE CODE OF ETHICS FOR FILIPINO NURSES EMBODIES ETHICAL PRINCIPLES AND
GUIDELINES TO BE OBSERVED, STIPULATED UNDER SEVEN (7) ARTICLES.
ARTICLE I
PREAMBLE
SEC. 1. HEALTH IS A FUNDAMENTAL RIGHT OF EVERY INDIVIDUAL.

THE FILIPINO REGISTERED NURSE BELIEVES IN THE WORTH AND DIGNITY OF EACH HUMAN BEING,
RECOGNIZES THE PRIMARY RESPONSIBILITY TO PRESERVE HEALTH AT ALL COST.

THIS RESPONSIBILITY ENCOMPASSES THE PROMOTION OF HEALTH, PREVENTION OF ILLNESS,


ALLEVIATION OF SUFFERING, AND RESTORATION OF HEALTH. HOWEVER, WHEN THE FOREGOING
ARE NOT POSSIBLE, ASSISTANCE TOWARDS A PEACEFUL DEATH SHALL BE HIS/HER OBLIGATION.
SEC 2. TO ASSUME THIS RESPONSIBILITY, REGISTERED NURSES HAVE TO GAIN
KNOWLEDGE AND UNDERSTANDING OF A MAN’S CULTURAL, SOCIAL, SPIRITUAL,
PSYCHOLOGICAL, AND ECOLOGICAL ASPECTS OF ILLNESS, UTILIZING THE
THERAPEUTIC PROCESS.

CULTURAL DIVERSITY AND POLITICAL AND SOCIOECONOMIC STATUS ARE INHERENT


FACTORS TO EFFECTIVE NURSING CARE.
SEC 3. THE DESIRE FOR THE RESPECT AND CONFIDENCE OF CLIENTELE,
COLLEAGUES, CO-WORKERS, AND THE MEMBERS OF THE COMMUNITY PROVIDES
THE INCENTIVE TO ATTAIN AND MAINTAIN THE HIGHEST POSSIBLE DEGREE OF
ETHICAL CONDUCT.
ARTICLE II
REGISTERED NURSES AND PEOPLE
SEC. 4. ETHICAL PRINCIPLES

1. VALUES, CUSTOMS, AND SPIRITUAL BELIEFS HELD BY INDIVIDUALS SHALL BE


RESPECTED.
2. INDIVIDUAL FREEDOM TO MAKE RATIONAL AND UNCONSTRAINED DECISIONS
SHALL BE RESPECTED.
3. PERSONAL INFORMATION ACQUIRED IN THE PROCESS OF GIVING NURSING
CARE SHALL BE HELD IN STRICT CONFIDENCE.
SEC. 5. GUIDELINES TO BE OBSERVED

REGISTERED NURSES MUST:


CONSIDER THE INDIVIDUALITY AND TOTALITY OF PATIENTS WHEN THEY ADMINISTER
CARE;
RESPECT THE SPIRITUAL BELIEFS AND PRACTICES OF PATIENTS REGARDING DIET AND
TREATMENT;
UPHOLD THE RIGHTS OF INDIVIDUALS; AND
TAKE INTO CONSIDERATION THE CULTURE AND VALUES OF PATIENTS IN PROVIDING
NURSING CARE. HOWEVER, IN THE EVENT OF CONFLICTS, THEIR WELFARE AND SAFETY
MUST TAKE PRECEDENCE.
ARTICLE III
REGISTERED NURSES AND
PRACTICE
SEC. 6. ETHICAL PRINCIPLES
1. HUMAN LIFE IS INVIOLABLE.
2. QUALITY AND EXCELLENCE IN THE CARE OF PATIENTS ARE THE GOALS OF
NURSING PRACTICE.
3. ACCURATE DOCUMENTATION OF ACTIONS AND OUTCOMES OF DELIVERED
CARE IS THE HALLMARK OF NURSING ACCOUNTABILITY.
SEC. 7. GUIDELINES TO BE OBSERVED
REGISTERED NURSES MUST:
KNOW THE DEFINITION AND SCOPE OF NURSING PRACTICE WHICH ARE IN THE PROVISIONS
OF R. A. NO. 9173, KNOWN AS THE “PHILIPPINE NURSING ACT OF 2002” AND BOARD RES.
NO. 425, SERIES OF 2003, THE “RULES AND REGULATIONS IMPLEMENTING THE PHILIPPINE
NURSING ACT OF 2002,” (THE IRR);
BE AWARE OF THEIR DUTIES AND RESPONSIBILITIES IN THE PRACTICE OF THEIR
PROFESSION AS DEFINED IN THE “PHILIPPINE NURSING ACT OF 2002” AND THE IRR;
ACQUIRE AND DEVELOP THE NECESSARY COMPETENCE IN KNOWLEDGE, SKILLS, AND
ATTITUDES TO EFFECTIVELY RENDER APPROPRIATE NURSING SERVICES THROUGH VARIED
LEARNING SITUATIONS;
SEC. 7. GUIDELINES TO BE OBSERVED
CONT...
IF THEY ARE ADMINISTRATORS, BE RESPONSIBLE FOR PROVIDING A FAVORABLE
ENVIRONMENT FOR THE GROWTH AND DEVELOPMENT OF REGISTERED NURSES IN THEIR
CHARGE;
BE COGNIZANT THAT PROFESSIONAL PROGRAMS FOR SPECIALTY CERTIFICATION BY THE
BON ARE ACCREDITED THROUGH THE NURSING SPECIALTY CERTIFICATION COUNCIL (NSCC);
SEE TO IT THAT QUALITY NURSING CARE AND PRACTICE MEET THE OPTIMUM STANDARDS OF
SAFE NURSING PRACTICE;
ENSURE THAT MODIFICATION OF PRACTICE SHALL CONSIDER THE PRINCIPLES OF SAFE
NURSING PRACTICE;
SEC. 7. GUIDELINES TO BE OBSERVED

CONT...
IF IN THE POSITION OF AUTHORITY IN A WORK ENVIRONMENT, BE NORMALLY AND LEGALLY
RESPONSIBLE FOR DEVISING A SYSTEM OF MINIMIZING OCCURRENCES OF INEFFECTIVE AND
UNLAWFUL NURSING PRACTICE; AND
ENSURE THAT PATIENT’S RECORDS SHALL BE AVAILABLE ONLY IF THEY ARE TO BE ISSUED
TO THOSE WHO ARE PROFESSIONALLY AND DIRECTLY INVOLVED IN THEIR CARE AND WHEN
THEY ARE REQUIRED BY LAW
SEC. 8. ETHICAL PRINCIPLE
REGISTERED NURSES ARE THE ADVOCATES OF THE PATIENTS: THEY SHALL TAKE
APPROPRIATE STEPS TO SAFEGUARD THEIR RIGHTS AND PRIVILEGES.
SEC. 9. GUIDELINES TO BE OBSERVED
REGISTERED NURSES MUST:
RESPECT THE “PATIENTS’ BILL OF RIGHTS” IN THE DELIVERY OF NURSING CARE;
PROVIDE THE PATIENTS OF THEIR FAMILIES WITH ALL PERTINENT INFORMATION EXCEPT
THOSE WHICH MAY BE DEEMED HARMFUL TO THEIR WELL-BEING; AND
UPHOLD THE PATIENTS’ RIGHTS WHEN CONFLICT ARISES REGARDING MANAGEMENT OF
THEIR CARE.
SEC. 10. ETHICAL PRINCIPLE
REGISTERED NURSES ARE AWARE THAT THEIR ACTIONS HAVE PROFESSIONAL, ETHICAL,
MORAL, AND LEGAL DIMENSIONS. THEY STRIVE TO PERFORM THEIR WORK IN THE BEST
INTEREST OF ALL CONCERNED.
SEC. 11. GUIDELINES TO BE OBSERVED
REGISTERED NURSES MUST:
PERFORM THEIR PROFESSIONAL DUTIES IN CONFORMITY WITH EXISTING LAWS, RULES,
REGULATIONS, MEASURES, AND THE GENERALLY-ACCEPTED PRINCIPLES OF MORAL
CONDUCT AND PROPER DECORUM;
NOT ALLOWING THEMSELVES TO BE USED IN ADVERTISEMENTS THAT SHOULD DEMEAN THE
IMAGE OF THE PROFESSION (I.E. INDECENT EXPOSURE, VIOLATION OF DRESS CODE,
SEDUCTIVE BEHAVIOR, ETC.)
SEC. 11. GUIDELINES TO BE OBSERVED
CONT...
DECLINE ANY GIFT, FAVOR, OR HOSPITALITY WHICH MIGHT BE INTERPRETED AS
CAPITALIZING ON PATIENTS;
NOT DEMAND AND RECEIVE ANY COMMISSION, FEE, OR EMOLUMENT FOR RECOMMENDING
OR REFERRING A PATIENT TO A PHYSICIAN, A CO-NURSE, OR ANOTHER HEALTH WORKER;
NOT TO PAY ANY COMMISSION, FEE, OR OTHER COMPENSATION TO THE ONE REFERRING OR
RECOMMENDING A PATIENT TO THEM FOR NURSING CARE;
AVOID ANY ABUSE OF THE PRIVILEGED RELATIONSHIP WHICH EXISTS WITH PATIENTS AND
OF THE PRIVILEGED ACCESS ALLOWED TO THEIR PROPERTY, RESIDENCE OR WORKPLACE.
ARTICLE IV
REGISTERED NURSES AND
CO-WORKERS
SEC. 12. ETHICAL PRINCIPLES
THE REGISTERED NURSE IS IN SOLIDARITY WITH OTHER MEMBERS OF THE HEALTH CARE
TEAM IN WORKING FOR THE PATIENT’S BEST INTEREST.
THE REGISTERED NURSE MAINTAINS COLLEGIAL AND COLLABORATIVE WORKING
RELATIONSHIP WITH COLLEAGUES AND OTHER HEALTH CARE PROVIDERS.
SEC. 13. GUIDELINES TO BE OBSERVED
REGISTERED NURSES MUST:
MAINTAIN THEIR PROFESSIONAL ROLE/IDENTITY WHILE WORKING WITH OTHER MEMBERS
OF THE HEALTH TEAM;
CONFORM WITH GROUP ACTIVITIES AS THOSE OF A HEALTH TEAM SHOULD BE BASED IN IN
ACCEPTABLE, ETHICO-LEGAL STANDARDS;
CONT...
CONTRIBUTE TO THE PROFESSIONAL GROWTH AND DEVELOPMENT OF OTHER MEMBERS OF
THE HEALTH TEAM;
ACTIVELY PARTICIPATE IN PROFESSIONAL ORGANIZATIONS;
NOT ACT IN ANY MANNER PREJUDICIAL TO OTHER PROFESSIONS;
HONOR AND SAFEGUARD THE REPUTATION AND DIGNITY OF THE MEMBERS OF THE NURSING
AND OTHER PROFESSIONS; REFRAIN FROM MAKING UNFAIR AND UNWARRANTED
COMMENTS OR CRITICISMS OF THEIR COMPETENCE, CONDUCT, AND PROCEDURES; OR NOT
DO ANYTHING THAT WILL BRING DISCREDIT TO A COLLEAGUE AND TO ANY MEMBER OF
OTHER PROFESSIONS; AND
RESPECT THE RIGHTS OF THEIR CO-WORKERS.
ARTICLE V
REGISTERED NURSES, SOCIETY, AND
ENVIRONMENT
SEC. 14. ETHICAL PRINCIPLES
THE PRESERVATION OF LIFE, RESPECT FOR HUMAN RIGHTS, AND PROMOTION OF HEALTHY
ENVIRONMENT SHALL BE A COMMITMENT OF AN RN.
THE ESTABLISHMENT OF LINKAGES WITH THE PUBLIC IN PROMOTING LOCAL, NATIONAL,
AND INTERNATIONAL EFFORTS TO MEET THE HEALTH AND SOCIAL NEEDS OF THE PEOPLE AS
CONTRIBUTING MEMBERS OF SOCIETY IS A NOBLE CONCERN OF AN RN.

SEC. 15. GUIDELINES TO BE OBSERVED


REGISTERED NURSES MUST:
BE CONSCIOUS OF THEIR OBLIGATIONS AS CITIZENS AND, AS SUCH BE INVOLVED IN
COMMUNITY CONCERNS;
CONT...

BE EQUIPPED WITH KNOWLEDGE OF HEALTH RESOURCES WITHIN THE COMMUNITY, AND


TAKE ACTIVE ROLES ION PRIMARY HEALTH CARE;
ACTIVELY PARTICIPATE IN PROGRAMS, PROJECTS, AND ACTIVITIES THAT RESPOND TO THE
PROBLEMS OF SOCIETY;
LEAD THEIR LIVES IN CONFORMITY WITH THE PRINCIPLES OF RIGHT CONDUCT AND PROPER
DECORUM; AND
PROJECT AN IMAGE THAT WILL UPLIFT THE NURSING PROFESSION.
ARTICLE VI
REGISTERED NURSES AND THE
PROFESSION
SEC. 16. ETHICAL PRINCIPLES
1. MAINTENANCE OF LOYALTY TO THE NURSING PROFESSION AND PRESERVATION OF ITS
INTEGRITY IS IDEAL.
2. COMPLIANCE WITH THE BY-LAWS OF THE ACCREDITED PROFESSIONAL ORGANIZATION
(PNA) AND OTHER PROFESSIONAL ORGANIZATIONS OF WHICH THE RN IS A MEMBER IS A
LOFTY DUTY.
3. COMMITMENT TO CONTINUAL LEARNING AND ACTIVE PARTICIPATION IN THE DEVELOPMENT
AND GROWTH OF THE PROFESSION ARE COMMENDABLE OBLIGATIONS.
4. CONTRIBUTION TO THE IMPROVEMENT OF THE SOCIOECONOMIC CONDITIONS AND GENERAL
WELFARE OF NURSES THROUGH APPROPRIATE LEGISLATION IS A PRACTICE AND VISIONARY
MISSION.
SEC. 17.GUIDELINES TO BE OBSERVED
REGISTERED NURSES MUST:
BE MEMBERS OF THE ACCREDITED PROFESSIONAL ORGANIZATION WHICH IS THE PNA;
STRICTLY ADHERE TO THE NURSING STANDARDS;
PARTICIPATE ACTIVELY IN THE GROWTH AND DEVELOPMENT OF THE NURSING PROFESSION;
STRIVE TO SECURE EQUITABLE SOCIO-ECONOMIC AND WORK CONDITIONS IN NURSING
THROUGH APPROPRIATE LEGISLATION AND OTHER MEANS; AND
ASSERT THE IMPLEMENTATION OF LABOR AND WORK STANDARDS.
ARTICLE VII
ADMINISTRATIVE PENALTIES,
REPEALING CLAUSE AND EFFECTIVITY
SEC. 18.`THE CERTIFICATE OF REGISTRATION OF THE RN SHALL EITHER BE REVOKED OR
SUSPENDED FOR VIOLATION OF ANY PROVISIONS OF THIS CODE PURSUANT TO SEC. 23 (F), ART. IV
OF R.A. NO. 9173 AND SEC. 23 (F), RULE III OF BOARD RES. NO. 425, SERIES OF 2003, THE IRR.

ART. IV OF R.A. 9173 –EXAMINATION AND REGISTRATION

SEC. 23. REVOCATION AND SUSPENSION OF CERTIFICATE OF


REGISTRATION/PROFESSIONAL LICENSE AND CANCELLATION OF
SPECIAL/TEMPORARY PERMIT.
THE BOARD SHALL HAVE THE POWER TO REVOKE OR SUSPEND THE CERTIFICATE OF
REGISTRATION/PROFESSIONAL LICENSE OR CANCEL THE SPECIAL/TEMPORARY PERMIT OF A
NURSE UPON ANY OF THE FOLLOWING GROUNDS:
FOR ANY OF THE CAUSES MENTIONED IN THE PRECEDING SECTION;
FOR UNPROFESSIONAL AND UNETHICAL CONDUCT;
FOR GROSS INCOMPETENCE OR SERIOUS IGNORANCE;
FOR MALPRACTICE OR NEGLIGENCE IN THE PRACTICE OF NURSING;
FOR THE USE OF FRAUD, DECEIT, OR FALSE STATEMENTS IN OBTAINING A CERTIFICATE OF
REGISTRATION/PROFESSIONAL LICENSE OR A TEMPORARY/SPECIAL PERMIT;
FOR VIOLATION OF THIS ACT, THEN RULES AND REGULATIONS, CODE OF ETHICS FOR NURSES
AND TECHNICAL STANDARDS FOR NURSING PRACTICE, POLICIES OF THE BOARD AND THE
COMMISSION, OR THE CONDITIONS AND LIMITATIONS FOR THE ISSUANCE OF THE
TEMPORARY/SPECIAL PERMIT; OR
FOR PRACTICING HIS/HER PROFESSION DURING HIS/HER SUSPENSION FROM SUCH
PRACTICE; PROVIDED, HOWEVER, THAT THE SUSPENSION OF THE CERTIFICATE OF
REGISTRATION/PROFESSIONAL LICENSE SHALL BE FOR A PERIOD NOT TO EXCEED FOUR (4)
YEARS.
RULE III OF BOARD RES. NO. 425, SERIES OF 2003, THE IRR (IMPLEMENTING RULES
AND REGULATIONS
SAME AS RULE III OF BOARD RES. NO. 425, SERIES OF 2003, THE IRR EXCEPT:
FOR VIOLATION OF RA NO. 9173 AND THIS IRR, CODE OF ETHICS FOR NURSES AND CODE OF
TECHNICAL STANDARDS FOR NURSING PRACTICE, POLICIES OF THE BOARD AND THE
COMMISSION, OR THE CONDITIONS AND LIMITATIONS FOR THE ISSUANCE OF THE
SPECIAL/TEMPORARY PERMIT; OR FOR THIS PURPOSE, THE SUSPENSION OF THE
CERTIFICATE OF REGISTRATION/PROFESSIONAL LICENSE SHALL BE FOR A PERIOD NOT TO
EXCEED FOUR (4) YEARS.
ICN CODE OF ETHICS FOR
NURSES
INC CODE OF ETHICS
IT SERVES AS THE GUIDING LIGHT FOR PROFESSIONAL NURSES AS THEY PRACTICE
THEIR SKILLS IN A HOSPITAL OR COMMUNITY SETTING.
IT SERVES AS A GAUGE OF WHETHER NURSES HAVE GIVEN ETHICAL CARE THAT
ENCOURAGES HEALING OR PREVENTS ILLNESS.
ESTABLISHED IN 1953
IN 2006, IT WAS REVISED AS PEOPLE AND THE DEMANDS OF NURSING CHANGED.
THIS SERVES AS A GUIDE FOR THE RIGHT ACTIONS TOWARDS SOCIAL VALUES AND
NEEDS. THE CODE HAS BEEN THE BASIS OF WORLDWIDE PRACTICE FOR ETHICAL
PRACTICE IN NURSING.
PREAMBLE
NURSES HAVE FOUR FUNDAMENTAL RESPONSIBILITIES:
TO PROMOTE HEALTH,
TO PREVENT ILLNESS,
TO RESTORE HEALTH
TO ALLEVIATE SUFFERING.
THE NEED FOR NURSING IS UNIVERSAL.
INHERENT IN NURSING IS A RESPECT FOR HUMAN RIGHTS, INCLUDING CULTURAL
RIGHTS, THE RIGHT TO LIFE AND CHOICE, TO DIGNITY AND TO BE TREATED WITH
RESPECT.
NURSING CARE IS RESPECTFUL OF AND UNRESTRICTED BY CONSIDERATIONS OF AGE,
COLOR, CREED, CULTURE, DISABILITY OR ILLNESS, GENDER, SEXUAL ORIENTATION,
NATIONALITY, POLITICS, RACE OR SOCIAL STATUS.
CONT...
NURSES RENDER HEALTH SERVICES TO THE INDIVIDUAL, THE FAMILY AND THE
COMMUNITY AND COORDINATE THEIR SERVICES WITH THOSE OF RELATED GROUPS.

THE INC CODE OF ETHICS FOUR ELEMENTS

1. NURSES AND PEOPLE


2. NURSES AND PRACTICE
3. NURSES AND THE PROFESSION
4. NURSES AND COWORKERS
NURSES AND PEOPLE
THE NURSE’S PRIMARY PROFESSIONAL RESPONSIBILITY IS TO PEOPLE REQUIRING NURSING
CARE.
IN PROVIDING CARE, THE NURSE PROMOTES AN ENVIRONMENT IN WHICH THE HUMAN
RIGHTS, VALUES, CUSTOMS, AND SPIRITUAL BELIEFS OF THE INDIVIDUAL, FAMILY, AND
COMMUNITY ARE RESPECTED.
THE NURSE ENSURES THAT THE INDIVIDUAL RECEIVES SUFFICIENT INFORMATION ON WHICH
TO BASE CONSENT FOR CARE AND RELATED TREATMENT.
THE NURSE HOLDS IN CONFIDENCE PERSONAL INFORMATION AND USES JUDGMENT IN
SHARING THIS INFORMATION.
CONT...
THE NURSES SHARE WITH SOCIETY THE RESPONSIBILITY FOR INITIATING AND SUPPORTING
ACTION TO MEET THE HEALTH AND SOCIAL NEEDS OF THE PUBLIC, IN PARTICULAR THOSE OF
VULNERABLE POPULATIONS.
THE NURSE ALSO SHARES A RESPONSIBILITY TO SUSTAIN AND PROTECT THE NATURAL
ENVIRONMENT FROM DEPLETION, POLLUTION, DEGRADATION, AND DESTRUCTION.
NURSES AND PRACTICE
THE NURSE CARRIES PERSONAL RESPONSIBILITY AND ACCOUNTABILITY FOR NURSING
PRACTICE, AND FOR MAINTAINING COMPETENCE THROUGH CONTINUAL LEARNING.
THE NURSE MAINTAINS A STANDARD OF PERSONAL HEALTH SUCH THAT THE ABILITY TO
PROVIDE CARE IS NOT COMPROMISED.
THE NURSE USES JUDGMENT REGARDING INDIVIDUAL COMPETENCE WHEN ACCEPTING AND
DELEGATING RESPONSIBILITY.
THE NURSE AT ALL TIMES MAINTAINS STANDARDS OF PERSONAL CONDUCT WHICH REFLECT
WELL ON THE PROFESSION AND ENHANCE PUBLIC CONFIDENCE.  THE NURSE, IN
PROVIDING CARE, ENSURES THAT USE OF TECHNOLOGY AND SCIENTIFIC ADVANCES ARE
COMPATIBLE WITH THE SAFETY, DIGNITY AND RIGHTS OF PEOPLE.
NURSES AND PROFESSION
THE NURSE ASSUMES THE MAJOR ROLE IN DETERMINING AND IMPLEMENTING ACCEPTABLE
STANDARDS OF CLINICAL NURSING PRACTICE, MANAGEMENT, RESEARCH, AND EDUCATION.
THE NURSE IS ACTIVE IN DEVELOPING A CORE OF RESEARCH-BASED PROFESSIONAL
KNOWLEDGE.
THE NURSE, ACTING THROUGH THE PROFESSIONAL ORGANIZATION, PARTICIPATES IN
CREATING AND MAINTAINING SAFE, EQUITABLE SOCIAL AND ECONOMIC WORKING
CONDITIONS IN NURSING.
NURSES AND CO-WORKERS

THE NURSE SUSTAINS A COOPERATIVE RELATIONSHIP WITH CO-WORKERS IN NURSING


AND OTHER FIELDS.
THE NURSE TAKES APPROPRIATE ACTION TO SAFEGUARD INDIVIDUALS, FAMILIES AND
COMMUNITIES WHEN THEIR HEALTH IS ENDANGERED BY A COWORKER OR ANY OTHER
PERSON.
LABOR LAW
LABOR LAW
THE LABOR CODE OF THE PHILIPPINES STANDS AS THE LAW GOVERNING EMPLOYMENT
PRACTICES AND LABOR RELATIONS IN THE PHILIPPINES.
IT WAS ENACTED ON LABOR DAY OF 1974 BY PRESIDENT FERDINAND MARCOS, IN THE
EXERCISE OF HIS THEN EXTANT LEGISLATIVE POWERS.
IT PRESCRIBES THE RULES FOR HIRING AND TERMINATION OF PRIVATE EMPLOYEES;
THE CONDITIONS OF WORK INCLUDING MAXIMUM WORK HOURS AND OVERTIME;
EMPLOYEE BENEFITS SUCH AS HOLIDAY PAY, THIRTEENTH-MONTH PAY, AND
RETIREMENT PAY; AND THE GUIDELINES IN THE ORGANIZATION AND MEMBERSHIP IN
LABOR UNIONS AS WELL AS IN COLLECTIVE BARGAINING.
LABOR LAW
THE LABOR CODE OF THE PHILIPPINES STANDS AS THE LAW GOVERNING EMPLOYMENT
PRACTICES AND LABOR RELATIONS IN THE PHILIPPINES.
IT WAS ENACTED ON LABOR DAY OF 1974 BY PRESIDENT FERDINAND MARCOS, IN THE
EXERCISE OF HIS THEN EXTANT LEGISLATIVE POWERS.
IT PRESCRIBES THE RULES FOR HIRING AND TERMINATION OF PRIVATE EMPLOYEES;
THE CONDITIONS OF WORK INCLUDING MAXIMUM WORK HOURS AND OVERTIME;
EMPLOYEE BENEFITS SUCH AS HOLIDAY PAY, THIRTEENTH-MONTH PAY, AND
RETIREMENT PAY; AND THE GUIDELINES IN THE ORGANIZATION AND MEMBERSHIP IN
LABOR UNIONS AS WELL AS IN COLLECTIVE BARGAINING.
THE LABOR CODE OF THE PHILIPPINES IS A LEGAL CODE THAT DETERMINES ALL
EMPLOYMENT PRACTICES AND LABOR RELATIONS IN THE PHILIPPINES. THIS IS TO HELP
PROTECT EMPLOYEES AND EMPLOYERS- WHILE ENSURING THAT NEITHER IS SUBJECT
TO UNFAIR TREATMENT OR EXPLOITATION.

BELOW ARE SETS OF RULES THAT MAKE UP THE LABOR CODE:


WORKING HOURS IN THE PHILIPPINES
NO EMPLOYEE IN THE PHILIPPINES MUST WORK FOR OVER 8 HOURS A DAY. HE IS
WORTHY OF A 1-HOUR LUNCH BREAK DAILY, WITHOUT FAIL. HOWEVER, A WORKER IS
ONLY REQUIRED TO WORK FOR A MAXIMUM OF 8 HOURS PER DAY FROM THE OFFICE.
THERE ARE NO LAWS THAT MANDATE HIS WORKING HOURS FROM HOME.
NIGHT SHIFT.
IN CASE AN EMPLOYER REQUIRES A WORKER TO WORK DURING THE NIGHT- ANY TIME
BETWEEN 10:00 PM AND 6:00 AM- HE MUST BE PAID A MINIMUM OF 10% OVER AND
ABOVE HIS REGULAR WAGE FOR EACH HOUR.
RULES FOR OVERTIME WORK
SINCE THE MAXIMUM WORK HOURS ALLOWED IN THE PHILIPPINES ARE 8 HOURS, IN CASE AN
EMPLOYEE WORKS FOR LONGER, HE MUST BE PAID EXTRA. THIS INCLUDES ADDITIONAL
COMPENSATION OF 25% OF HIS REGULAR WORK WAGE.
THE EMPLOYER IS LIABLE TO PAY AN ADDITIONAL COMPENSATION EQUIVALENT TO THE AVERAGE 8-
HOUR PAY, INCLUDING 30% MORE IF HE HAS ASKED HIS EMPLOYEE TO WORK BEYOND 8 HOURS ON
A HOLIDAY OR REST DAY. WORKING ON A REST DAY MAY BE REQUIRED IN CASE OF AN EMERGENCY,
URGENT WORK, LOSS TO THE BUSINESS, OR AS DETERMINED BY
RULES FOR UNDER-TIME WORK
ACCORDING TO ARTICLE 88 OF THE LABOR CODE, UNDER-TIME WORK ON A BUSINESS DAY WILL
NOT INFLUENCE OVERTIME WORK ON ANY GIVEN DAY. THIS MEANS THAT IF AN EMPLOYEE LEAVES
WORK EARLY, HE CANNOT BE MADE TO WORK OVERTIME THE NEXT DAY TO MAKE UP FOR THOSE
HOURS. THIS IS BECAUSE THE RATE OF OVERTIME PER HOUR IS HIGHER THAN THE MISSED HOURS.
THE LABOR CODE ALSO STATES THAT IN CASE AN EMPLOYEE RECEIVES PERMISSION TO TAKE
LEAVE ON A SPECIFIC DAY, HIS EMPLOYER IS STILL REQUIRED TO PAY FOR ANY ADDITIONAL
COMPENSATION OR OVERTIME WORK DONE PREVIOUSLY OR IN THE FUTURE
LEAVES
ALL EMPLOYERS ARE SUBJECT TO A WEEKLY REST DAY OF A FULL 24-HOURS AFTER EVERY 6
CONSECUTIVE WORKING DAYS. THE SPECIFIC REST DAY CAN BE MUTUALLY DECIDED. HOWEVER,
AN EMPLOYEE CAN ARGUE HIS CASE IF HE PREFERS TO BE GIVEN A REST DAY BASED ON A
RELIGIOUS EVENT OR HOLIDAY.
ALL WORKERS RESERVE THE RIGHT OF HOLIDAY PAY. THIS WILL INCLUDE HIS REGULAR DAILY
WAGE. IN CASE THEY ARE CALLED INTO WORK ON A HOLIDAY, THEY MUST BE PAID TWICE THEIR
REGULAR RATE.
IF AN EMPLOYEE HAS WORKED FOR A MINIMUM OF ONE YEAR FOR HIS COMPANY, HE MUST BE
OFFERED A YEARLY SERVICE INCENTIVE LEAVE OF FIVE DAYS WITH REGULAR PAY.

IN SUMMARY, THE LABOR CODE OF THE PHILIPPINES ENSURES THAT NO WORKER IS ABUSED WHILE
GIVING AUTHORITY TO EMPLOYERS TO ASSIGN OVERTIME WORK OR WORK ON HOLIDAYS AS LONG AS
THEY PAY THE WAGES STATED BY THE LAW. TO LEARN MORE ABOUT LABOR AND COMPLIANCE IN THE
PHILIPPINES,
LABOR LAW
MAGNA CARTA FOR PUBLIC HEALTH WORKERS
ALSO KNOWN AS "REPUBLIC ACT NO. 7305"
WAS SIGNED INTO LAW ALMOST 30 YEARS AGO "TO PROMOTE AND IMPROVE THE
SOCIAL AND ECONOMIC WELL-BEING OF THE HEALTH WORKERS, THEIR LIVING AND
WORKING CONDITIONS AND TERMS OF EMPLOYMENT”.
THIS PROPOSED MEASURE SEEKS TO AMEND THE EXISTING MAGNA CARTA OF PUBLIC
HEALTH WORKERS AND ENSURE THAT PUBLIC HEALTH WORKERS ARE APPROPRIATELY
COMPENSATED AND PROVIDED WITH THEIR WELL-DESERVED INCENTIVES AND
BENEFITS. SUCH MEASURES ARE CRUCIAL IN ASSISTING AND PROTECTING OUR HEALTH
WORKERS, THEREBY STRENGTHENING THE BETTER DELIVERY OF QUALITY HEALTHCARE
SERVICES FOR ALL.
MAGNA CARTA FOR PUBLIC HEALTH WORKERS
SECTION 9. DISCRIMINATION PROHIBITED. – A PUBLIC HEALTH WORKER SHALL NOT BE
DISCRIMINATED AGAINST WITH REGARD TO SEX, SEXUAL ORIENTATION AND GENDER
IDENTITY, CIVIL STATUS, AGE, DISABILITY, [CREED;] RELIGIOUS OR POLITICAL BELIEFS
AND AFFILIATIONS, [AND ETHNIC GROUPINGS] OR ETHNICITY IN THE EXERCISE OF
HIS/HER PROFESSION.
SECTION 18. NIGHT SHIFT DIFFERENTIAL. – A) EVERY PUBLIC HEALTH WORKER SHALL
BE PAID A NIGHT SHIFT DIFFERENTIAL OF [TEN] TWENTY PERCENT [(10%)] (20%) OF
HIS/HER REGULAR WAGE FOR EACH HOUR OF WORK PERFORMED DURING THE NIGHT
SHIFTS CUSTOMARILY ADOPTED BY HOSPITALS.
CONT...
SECTION 18. HAZARD ALLOWANCE. – BY NATURE OF THEIR WORK, WHICH SUBJECT
THEM TO HEALTH HAZARDS AND OCCUPATIONAL RISKS, ALL PUBLIC HEALTH WORKERS,
REGARDLESS OF THE DEGREE OF THEIR EXPOSURE TO SUCH HAZARDS AND RISKS,
SHALL BE ENTITLED TO A MONTHLY HAZARD ALLOWANCE OF TEN THOUSAND PESOS
(P10,000.00) WITHOUT PREJUDICE TO AN INCREASE TO THIS AMOUNT AS MAY BE
DETERMINED IN THE FUTURE BY THE SECRETARY OF HEALTH.
GSIS/SSS/PAG-IBIG/UNIFIED
ID/PHILHEATH
GOVERMENT ID
IMPORTANCE
HAVING THESE RECORDS MEANS YOU DO HAVE TO GIVE UP A FRACTION OF YOUR
MONTHLY SALARY TO PAY YOUR DUES, OR IN SOME CASES, YOUR COMPANY OR
EMPLOYER WILL PAY THEM FOR YOU AND YOUR TAKE-HOME PAY WILL BE A LITTLE
SMALLER. BUT IN THE LONG RUN, THESE GOVERNMENT AGENCIES ARE MEANT TO
PROVIDE YOU SUPPORT WHEN YOU GET SICK OR OLD AND CAN NO LONGER WORK.
PHILIPPINE LABOR CODE REQUIRES AN EMPLOYER TO PROVIDE FOR THEIR EMPLOYEES
SSS, PHILHEALTH, AND PAG-IBIG (ALSO KNOWN AS HDMF). MOST COMPANIES WILL
ALREADY AUTOMATICALLY DEDUCT THESE FROM YOUR PAYCHECK, BUT IN SOME
CASES, LIKE IF YOU’RE SELF-EMPLOYED, YOU HAVE TO MAKE THE PAYMENTS
YOURSELF.
SOCIAL SECURITY SYSTEM (SSS)
THE SOCIAL SECURITY SYSTEM OR SSS IS BASICALLY INSURANCE FOR THINGS THAT CAN HAPPEN
TO YOU THROUGH THE COURSE OF LIFE, LIKE ILLNESS OR PREGNANCY. IT GUARANTEES THAT
YOU’LL HAVE ENOUGH TO GET BY CASE YOU ARE CURRENTLY OR NO LONGER ABLE TO WORK.
THESE BENEFITS CAN COME IN THE FORM OF ALLOWANCE OR PENSION; WITH COMPUTATIONS
DEPENDING ON THE GRAVITY OF THE SITUATION OR HOW MANY DAYS YOU ARE INCAPACITATED.
PHILHEALTH
PHILHEALTH, AS ITS NAME IMPLIES, IS HEALTH INSURANCE AND HEALTHCARE COVERAGE MEANT
TO SUBSIDIZE (AND IN SOME CASES PAY FOR) YOUR MEDICAL BILLS. MANY BARANGAY HEALTH
CENTERS AND HOSPITALS WILL GIVE SERVICES FOR FREE IF YOU HAVE A PHILHEALTH CARD. IT IS
A HUGE HELP FOR SETTLING ALL THE MINOR AND MAJOR BILLS JUST TO GET IN OR OUT OF THE
HOSPITAL. THEY ALSO COVER CERTAIN OUTPATIENT PROCEDURES SUCH AS DIALYSIS AND
CANCER TREATMENTS.
PAG-IBIG FUN
THE PAG-IBIG FUND IS ALSO KNOWN AS THE HOME DEVELOPMENT MUTUAL FUND. IF YOU WANT
TO BUY A HOUSE BUT CAN’T AFFORD THE FULL SUM, YOU CAN TAKE OUT A LOAN FROM THE PAG-
IBIG FUND. THINK OF IT AS A NATIONWIDE PALUWAGAN. BUT IT’S NOT JUST FOR HOUSING; IT
PROVIDES OTHER SORTS OF LOANS FOR EDUCATION AND LIVELIHOOD, FINANCIAL ASSISTANCE
PROGRAMS DURING CALAMITIES AND MEDICAL EMERGENCIES, AS WELL AS SAVINGS PROGRAMS.
UNLIKE SSS AND PHILHEALTH, YOUR CONTRIBUTION TO PAG-IBIG ISN’T DEPENDENT ON YOUR
SALARY. THE MAXIMUM MONTHLY CONTRIBUTION IS ONLY P100.
THANK YOU!

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