PROFESSINAL ADJUSTMENT
by Atty. Ace Reblora, RN JD
RA 9173 Philippine Nursing Act of 2002
RA 11332 Mandatory Reporting of Notifiable
Diseases
Category 1 Immediate Notification
(ex. COVID)
Category 2 Weekly Notification
A. BASIC CONCEPTS AND PRINCIPLES
The Philippine Government = Democratic and
Republical State
The 1987 Constitution (Supreme Law of the
Land) should be basic and comprehensive,
hindi palagi dapat binabago
Direct people make decisions
Indirect -
3 branches of the Government
= are separate distinct and co-equal
= Job: to check and balance each other
Executive = carries out the law or
implements the law; implementing
rules and regulations
President = chief executive (either
approve, veto/reject or
deadma deadma for 30 days can
make the pending law a law)
Cabinet members, secretaries = alter
ego of the president other self
Legislative
; legislative department:
congress refers to both senate and
HOR(house of representative)
Upper house = senate
Lower house = HOR
Judiciary = to interpret laws; can
declare the law if it is unconstitutional
or invalid(check and balance), supreme
court and all the other lower courts
Head of supreme court = chief justice
Code of Ethics for Registered Nurses (Research)
The Department of Health
Secretary = Sec. Francisco Duque III
Vision:
Filipinos are among the healthiest people in
Southeast Asia by 2022, and Asia by 2040.
Mission:
To lead the country in the development of a
productive, resilient, equitable and people-
centered health system
Roles
Leadership in health = overall technical
authority on health, the national
regulatory institution, national policy
maker related to health
Enabler and capacity-builder = innovate
new strategies in raising awareness,
implementation of health
programs/projects
Administration of services = manage
referral centers (big hospitals)
Primary Goal of the DOH
Universal Health Care (Kalusugang
Pangkalahatan) = UHC Act = RA 11223
General Objective = ensure all Filipinos are
guaranteed equitable access to quality and
affordable health care goods and services, and
protected against financial risk
Affordable = less out of pocket expenses; the
government is contributing/subsidizing to the
health financial protection to the people
Insurance = take the risk Philippine Nursing Act of 2002 = RA 9173
Health Insurance of the Government = PRC = Professional Regulation Commission =
PhilHealth; shield you from financial risk PRC Modernization Act = RA 8981

UHC Cube and RA 11223 Head of the PRC = Chairperson with 2

3 Dimensions commissioners (7 years term of office)
president appoints them
Population = automatic enrolling
2 types of members of PhilHealth Functions = Regulates profession in the
Direct contributors = paying Philippines
members; a person who is gainfully
Quasi-Legislative (creating laws)
employed (all professionals,
business owners, voluntary
Quasi-Judicial (conduct hearings and
contributors)
trials, investigations)
Indirect contributors = nonpaying
members but still has access to
Summons VS Subpoena
benefits (poor; those who cannot
Summon = defendant; requiring to
provide for own basic needs, senior
answer the allegations in the complaint
citizens)
against
Subpoena = witness; present an
Service = access to full spectrum
evidence or testify in court
(preventive, promotive, curative,
(documentary, object, testimony =
rehabilitative, palliative services,
subpoena ad testificandum)
physiological, psychological, emotional,
Contempt of Court = a crime if I deadma
financial needs)
ra ang summon ug subpoena
Financial = government-financed
services
PRB = Professional Regulatory Board
a) Population-based = communities
Board of Nursing
(ex. Vaccination, disease
1 chairperson + 6 members ( 3 years
surveillance, vector control) the
term of office)
funding would come from
Qualifications
DOH/National Government
PH citizen and resident
b) Individual-based = individual
Principles of citizenship
services (ex.
Jus Sanguinis = by blood (used in
Chemotherapy) funded by
PH; either mother or father is a
PhilHealth
Filipino)
Jus Soli = by land/soil
Universal Health Care Goal = Strengthening of Member of good standing of the PNA
Health Care Facilities; Primary, Secondary and (Philippine Nurses Association)
Tertiary APO = Accredited Professional
Organization
PRB = BON
APO = PNA
 RN and Master Degree (Chairperson
and majority of members should have
10 years practice of the profession
Not have been convicted (not have
been convicted of a crime involving
moral turpitude = inherently evil)
Accused = presumed innocent until
proven guilty
Convicted = already guilty and there is
already a final judgment
Robbery = with force
Theft = secretly
Murder = aggravating circumstances
(ex. Evident premeditation, Treachery)
Homicide = killing of one person by
another
Parricide = kills; parents, child
regardless if illegitimate or legitimate,
any ascendants (lolo, lola), descendants
(mga apo), and spouse
Infanticide = killing of a child, 3 days of
age or less
Abortion = killing of a child before birth;
intrauterine either intentional or
unintentional
Greatest Penalties in PH
Reclusion perpetua = life imprisonment (20-40
years)
Reclusion temporal = 12-20 years imprisonment
Three different types of appointment
of officials in BON
Regular
Appointment Process
Nomination by the PNA =
nominate 3 person for every
vacant seat
Recommendation by the PRC =
from top3 to top2 (pipili lang
ng dalawa)
Appointment by the President
of the PH
If the 3 year term cannot be finished
(ex. Illness, death, resignation,
retirement), the President will appoint
a replacement
Ad Interim = replacement to serve the
unexpired portion of the term
Doctrine of Hold-Over = continue until
replaced (opposite to Ad Interim)
BON Power= very limited to NURSES ONLY
Quasi-Legislative
Quasi-Judiciary
Functions;
Conduct licensure examination
Issue guidelines and regulations
Suspension and revocation of license
BON Resolution 220 Series of 2004 = Code of
Ethics
Primary Purpose of Licensure
= to protect the public; to give confidence to
the public that the nurse giving nursing care is
competent, he/she has the knowledge and the
skills
Requirements:
Citizenship
Foreigner must prove 2 things to take
the board exam
- In their country, same privileges are
given to Filipinos
- The same laws and requirements
Good moral character
- NOT convicted by final judgment of
any criminal offense involving
Moral Turpitude
- NOT guilty of
Immoral/Dishonorable Conduct
- NOT declared to be of Unsound
Mind
Judge who declares a person to be
 mentally incapable; declaring the
person to be insane
BSN

Modes of Registration
By examination
By reciprocity (Foreigner na RN)
ONLY applies to those who;
Came from a country/state
which gives the same
privileges to Filipino nurses
as those accorded to its
subjects or citizens
Registered under the law of
his/her state or country
Substantially the same
requirements
In renewing of PIC after 3 years; The
Resided in the Philippines
date is always on your birth month or a
for 3 consecutive years
month before
By special temporary permit (it only
Pay Fines/Penalty = if delay of
lasts for a certain period)
renewal
Internationally well-known
If 5 years lapse from the
specialists or outstanding
renewal = license will be
experts
suspended
On free medical mission
Employed exchange
COR = Certificate of Registration
professors
(permanent; not renewable)
To be RN, there are 3 steps
Pass the Boards
Oath Taking (Mandatory)
Register in PRC

After RN, you will be given 2 documents from

PRC;

PIC = Professional Identification Card

Looks like a Diploma
(renewable every 3 years)
4:59:20 (AFTER LUNCH)
RENEWAL OF LICENSE
Continuing Professional Development (CPD)
RA10912 Continuing Professional
Development Act of 2016 (July 21,2016)
= For professional to renew his/her
license, you are required to acquire
certain number of CPD units and these
CPD units can be get from seminars,
trainings, conventions and formal
education and conducting research.
PURPOSE= To promote and upgrade
the practice of professions in the
country. This is also to make sure that
the competency of Filipno professionals
are on the same level of those in other
countries in order to make trading of
professionals inter-country much
easier.
CPD Units Required =45 units
Supreme Court suspended the
implementation of RA10912 because
they wanted the IRR to be fixed first by
the PRC.
During transition period (at the
moment as the IRR is being fixed by the
PRC), CPD units reduced to 15.
Exempted from CPD requirements:
Newly Licensed Nurses and OFW
(PWD, senior citizen, and OFWs are
discounted to 10 units)
Suspension = Temporary
Revocation = Can be permanent but
NOT ALL THE TIME. There are instances
that revoked license may still be
reinstated (Reinstatement). Suspension
can be long. Max of 4 years.
Requirements for reinstatement of a
revoked license:
of a max of 4 years from
revocation,
of equity and justice,
cause for the revocation has
disappeared
application submitted to PRC
BON
Grounds for suspension of suspension
or revocation of license
1. Violation of RA9172
2. Violation of the codes of ethics
3. A crime involving moral
turpitude
4. If you are guilty of immoral or
dishonorable conduct
5. Unprofessional and unethical
conduct
6. Gross incompetence/ serious
ignorance / malpractice/
negligence
7. Using FALSE statements
8. Practicing while license is
suspended
Criminal Liability/Penalty =
imprisonment, payment of fines (multa)
Civil Liability/Penalty = Payment of
damages such as physical and moral
damages
Administrative Liability/Penalty =
License/ suspension of your profession
Suspension and revocation of license =
ADMINISTRATIVE penalty.
MORAL FRAMEWORKS/THEORIES
Principle-based -Focuses on rights and
what wrong is wrong
Consequences-based -Looking at the
end result. If the outcome is good, then
 the action is good. Example is the act of
Robinhood.
Relationship-based -Focuses on the
relationship. If the action is maintaining
and nurturing relationships, then the
action is good.
ETHICAL APPROACHES
Deontological -a duty-based approach.
the right thing
to do.
Divine Command Ethics -The
commandments of a supreme being.
Whatever is found on the
commandments that you follow is
ethical.
Teleological -Looks on the outcome.
The ends justifies the
means.Utilitarianism: a variation of
Teleological, whichever outcome
benefits the most.
Virtue Ethics -Focuses on the intention.
If the intention is good then the action
is good.
MORAL PRINCIPLES
Golden Rule -Do not do unto others
what you do not want others do unto
you. What goes around comes around.
Two-fold Effect -If an action can result
to good and bad effect, the good should
outweigh the bad.
Princple of Totality -The whole is
greater than the sum of its parts. Ex. if
the pt needs to be amputated due to
diabetes, his/her life is more important
than the body part so ok rag putlon. :)
Epikia -In every rule there is an
exemption. Ex. Restraining patients.
When the pt becomes a danger to
himself and to other people ok ra siya e
restrain. Ex2, Revealing pt confidential
information is allowed IF: the pt
permits, there is a court order or
subpoena, if the health disease is
notifiable communicable diseases that
can jeopardize public safety.
Never reveil confidentiality of pt over
the phone.
BIOETHICAL PRINCIPLES
Non-maleficence -doing no harm
(protecting/preventing). Human life is
inviolable.
Beneficence -doing good
Autonomy -self determination/self
right to make a
decision.
Veracity -truth telling. Opposite of
veracity is false reassurance.
Loyalty/Fidelity -keeping promises.
Justice -fairness. Those who have less in
life should be more in law.
Autonomy -**In the board exam** if
the pt in the situation is asked to mae a
decision, most likely the bioethical
principle is Autonomy.
Informed Consent -Agreement by a client to
accept a course of treatment or a procedure
after being provided complete information,
including the benefits and risks of treatment,
alternative to the treatment, and prognosis if
not treated by a health care provider.
Primary Role of the nurse in securing an
Informed Consent
To be a client/patient advocate. How? Be the
(assist -ended
questions allowing the pt to verbalize).
Notify the physician if the pt does not
understand
Two (2) types of Patient Consent:
1. Express Consent: Written or verbal
2. Implied Consent: Nonwritten/
nonverbal (gestures)

ELEMENTS OF INFORMED CONSENT

Voluntarily given
By one who has the capacity and
competence to understand

age)
If not legal age: (based on proper
order)
Parents Court/judicially-appointed
guardian Siblings of legal age Nearest
relative The state/government (social
worker, medical director) ANS: D

If Mentally incompetent na married

but not minor: (based on proper
order)
Legal spouse Children of legal age
Parents Judicially appointed guardian
Siblings of legal age Nearest relative
The state/government.
If Illiterate no read, no write: Use
thumbmark
ANS: D

That he must be given enough

information to be the ultimate decision
maker.

ANS: D

ANS: C. Implied Consent

Advanced Directives -Include a variety of legal
and lay documents that allow persons to specify
aspects of care they wish to receive should they
become unable to make or communicate their
preferences. (Ex. if ma comatose ang pt, or
unable to make cognitive decisions)

Types of Advance Directives:

Living Will -provides specific instructions
about what medical treatment the client
chooses to omit or refuse (e.g.,
ventilatory support) in the event that the
ANS: B call the physician
client is unable to make those decisions.
DNR ORDERS. Generally written
when the client or proxy has expressed
the wish for no resuscitation in the
event of a respiratory or cardiac arrest.
Written to indicate that the goal of
treatment is a comfortable, dignified
death and that further life-sustaining
measures are not indicated.

Health care proxy -Durable power of

attorney for health care. Notarized or
witnessed statement appointing someone ANS: A
else (e.g., a relative or trusted friend) to
manage health care treatment decisions
when the client is unable to do so.

ANS: D
 3. Active III Registered nurses and
practice

Accurate documentation

Decline gifts or favors which may be

interpreted as capitalizing on pts

ANS: B for referrals

4. Article IV Registered nurses and Co-

workers

5. Article V RN, society, and environment

Be involved in community concerns
Actively participate in programs that
respond to problems of society

6. Article VI RN and the profession

ANS: D Obey PNA by-laws

7. Article VII Penalties

Suspension and Revocation
BON RESOLUTION NO. 2022

Iloili City
BON
PNA

Code of Ethics (7 articles)

1. Article I Preamble
fundamental right of every
individual
-To preserve
health at all cost.

relationships

2. Article II Registered Nurses and People

Respect values, customs and spiritual