Nursing Practice

BSN Degree Passed the nursing licensure examination

Taken an oath as a

nurse before the Board or any officer authorized to given an

oath.

A nurse is now ready to face the real world of nursing

Scope of Nursing PracticeThe scope of nursing means the extent or range of

health care activities which a nurse can do or perform

pursuant to law.

A professions scope of nursing encompasses the activities its

practitioners are educated and authorized to perform. The overall scope

of practice for the profession sets the outer limits of practice for all

practitioners.

It is a legal nursing practice under section 28 of R.A 9173 when a licensed nurse performs:

a) Nursing services, whether singly or collaboratively, to individuals, families and communities in any health care setting.

b) Nursing care whether singly or collaboratively, during conception, labor, delivery, infancy, childhood, toddler, pre-school, school age, adolescence, adult and old age or basically in any age group/stage of development.

c) Nursing action as independent practitioners for the promotion of health and prevention of illness.

d) Collaborative work with other health care professionals for the curative, preventive and rehabilitative aspects of care, restoration of health, alleviation of suffering, and when recovery is not possible toward a peaceful death.

Duties of a nurse :

a) To provide nursing care through the utilization of the nursing process.

b) To establish linkages with community resources and coordination with the health team

c) To provide health education to individuals, families and communities.

d) To teach, guide and supervise students in nursing education programs including the administration of nursing services in varied settings such as hospitals and clinics.; undertake consultation services; engage in such activities that require the utilization of knowledge and decision making skills of a registered nurse.

e) To undertake nursing and health human resource development training and research which shall include, but not limited to the development of nursing practice.

(Section 28)(a) Provide nursing care through the utilization of the

nursing process. Nursing care includes, but not limited to, traditional

and innovative approaches, therapeutic use of self, executing health

care techniques and procedures, essential primary health care, comfort

measures, health teachings, and administration of written prescription

for treatment, therapies, oral topical and parenteral medications,

internal examination during labor in the absence of antenatal

bleeding and delivery. In case of suturing of perineal laceration,

special training shall be provided according to protocol established;

Internal Examination and Suturing of Perineal Wounds

This existing standards of safe nursing practice for internal

examination and suturing of perineal laceration was prepared by

the Association of Nursing Service Administrators of the

Philippines, Inc. and the Maternal and Allied Nursing Association

of the Philippines.

The ANSAP/ MCNAP issues a Certificate of Traning after complying with the parameters for evaluation:

Written examination

Completion of the minimum number of actual cases for each of the following competencies:

c. Safe suturing of perineal lacerations

a. Performing internal examination safely and with least discomfort to the patient

b. Collecting accurate assessment data as bases for plan of care.

Completion of the minimum number of cases for each of the following competencies.

b. 3 supervised suturing of lacerations

a. 3 correctly performed internal examinations

Intravenous Therapy

Only those registered nurses who were

adequately trained and completed the training

requirements of the Intravenous Therapy

Program prescribed by the Association of the

Nursing Service Administrators of the

Philippines.

PRC-BON Resolution NO. 08 states that:

“that a registered nurse is prohibited from administering

intravenous injections to a patient unless he/she has undergone a

special training at least under a nursing administrator who is a

member of ANSAP and who is qualified under Sec. 28, Art V of

R.A.”

It has a twenty-four hour didactic lecture ad a practicum with the following evaluation methods:

2. Completion of the required number of actual cases for each of the following terminal competencies:

1. Written examinations: pre and post tests

a. Initiating and maintaining peripheral IV infusion. (6 cases)

b. Administering intravenous drugs (6 cases) c. Administering and maintaining blood and blood components. (2 cases)

The duties and responsibilities of nurses performing intravenous therapy

a. Interpret the doctors order for intravenous therapy.

b. To perform venipuncture, insert needles, cannulas except TPN and cutdown.

d. To administer blood/blood products as ordered by the physician.

c. To prepare, monitor, terminate intravenous solution: additives, intravenous medications, intravenous push.

e. To recognize solution and medicine incompatibilities.

f. To maintain and replace sites, tubings, dressings, in accordance with the established procedures.

g. To establish flow rates of solutions, medicines, blood and blood components.

h. To utilize thorough knowledge and proficient technical ability in the use/ case, maintenance of intravenous equipment.

i. Nursing management of total parenteral nutrition, out patient intravenous care.

j. Maintenance of established infection control and aseptic nursing intervention .

k. Maintenance of appropriate documentation, associated with the preparation, administration and termination of all forms of intravenous therapy.

Standards and prospects for advanced nursing practice

R.A. 9173 authorizes a RN to administer a written prescription for

parenteral medications, on top of internal examination during labor

and delivery and suturing of perineal laceration.

Nursing service administrators

1. RN of the Philippines

2. 2 years experience in general nursing service administration

4. Be a member of a good standing of the accredited professional organization of nurses.

3. Holder of a degree of Bachelor of Science in Nursing with at least nine units in management and administration courses at the graduate level.

Minimum qualifications of nurses in government service

a. Public health (Nurse 2 and 3)

Must hold/ be a Bachelor of Science in Nursing degree.

RN of the Philippines

b. Supervising public health nurse/ nurse supervisor

BSN degree3 years masters degree in nursing or public health

RN5 years experience as a public health nurse

c. Nurse instructor II BSN degreeRNMaster degree in Nursing3 years experience as a community health nurse.Special training on the functions of the nurse instructor

d. Regional training nurse BSN degree RN MAN/public health 6 years nursing experience and 3 years of which are

training in education

Regional nurse supervisor/ regional public health nurse

BSN degreeRNMaster degree in public health MAN major in community health nursing administration and supervision.5 years experience in community health nursing, 2 year of which in a supervisory position.

Nurse Program Supervisor

BSN degreeRNMaster degree in public health MAN major in community health nursing administration and supervision.7 years experience in community health nursing/training

Chief Nurse

BSN degree

RN

Masters Degree in Community Health Nursing/ Masters

degree in public health major in community health

administration

5 years experience in community health nursing, 3 years

of which have been in supervisory position or assistant chief

nurse position and demonstrated leadership ability.

Assistant Chief Nurse

BSN degree

RN

Master degree in nursing major in community health nursing or

masters degree in public health/ nursing administration

5 years experience in community health nursing, 2 years of which

have been in supervisory position

With demonstrated leadership ability.

Occupational health nurse

BSN degree RNPreferably with training/ units in occupational health nursing.

Thank you for listening!