The Nursing C BOARD OF NURSING Board Resolution No. 220 Series of 2004
PROMULGATION OF THE CODE OF ETHICS FOR REGISTERED NURSES WHEREAS, the Board of Nursing has the power to promulgate a Code of Ethics for Registered Nurses in coordination and consultation with the accredited professional organization (Sec. 9, (g), Art. III of R.A. No. 9173, known as the “Philippine Nursing Act of 2002); WHEREAS, in the formulation of the Code of Ethics for Registered Nurses, the Code of Good Governance for the Professions in the Philippines was utilized as the prinicipal basis therefor: All the principles under the said Code were adopted andintegrated into the Code of Ethics as they apply to the nursing profession; WHEREAS, the promulgation of the said Code as a set of guidelines, regulations or measures shall be subject to approval by the Commission (Sec. 9, Art. II of R.A. No. 9173); and WHEREAS, the Board, after consultation on October 23, 2003 at Iloilo City with the accredited professional organization of registered nurses, the Philippine Nurses Association, Inc (PNA), and other affiliate organizations of Registered Nurses, decided to adopt a new Code of Ethics under the afore-mentioned new Law; NOW, THEREFORE, the Board hereby resolved, as it now resolves, to promulgate the hereunder Code of Ethics for Registered Nurses:
ARTICLE I: THE PREAMBLE
SECTION 1. Health is a fundamental right of every individual. The Filipino registered nurse, believing in the worth and dignity of each human being, recognizes the primary responsibilityto preserve health at all cost. This responsibility encompasses 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/herobligation.
SECTION 2. To assume this responsibility, registered nurses have to gain knowledge and understanding of man’s cultural, social, spiritual, physiological, psychological, and ecological aspects of illness, utilizing the therapeutic process. Cultural diversity and political and socioeconomic status are inherent factors to effective nursing care.
SECTION 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.
Code of Ethics BOARD OF NURSING Board Resolution No. 220 Series of 2004
SECTION 7. Guidelines to be observed: REGISTERED Nurses must
ARTICLE II: REGISTERED NURSE AND THE PEOPLE
SECTION 4. Ethical Principles 1. Values, customs, and spiritual beliefs held by individuals shall be respected. 2. Individual freedomto 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. SECTION 5. Guidelines to be observed: REGISTERED Nurses must a. consider the individuality and totality of patients when they administer care. b. respect the spiritual beliefs and practices of patients regarding diet and treatment. c. uphold the rightsof individuals. d. 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 II: REGISTERED NURSE AND PRACTICE
SECTION 6. Ethical Principles 1. Human life is inviolable. 2. Quality and excellence in the care of the patients are the goals of nursing practice. 3. Accurate documentation of actions and outcomes of delivered care is the hallmark of nursing accountability.
a. know the definition and scope of nursing practice which are in the provisions of RA. 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). b. 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. c. acquire and develop the necessary competence in knowledge, skills, and attitudes to effectively render appropriate nursing services through varied learning situations. d. if they are administrators, be responsible in providing favorable environment for the growth and developments of Registered Nurses in their charge e. be cognizant that professional programs for specialty certification by the BON are accredited through the Nursing Specialty Certification Council (NSCC). f. g. see to it that quality nursing care and practice meet the optimum standard of safe nursing practice. h. ensure that modification of practice shall consider the principles of safe nursing practice. i. if in position of authority in a work
The Nursing C BOARD OF NURSING Board Resolution No. 220 Series of 2004
environment, be normally and legally responsible for devising a system of minimizing occurrences of ineffective and unlawful nursing practice. j. ensure that patients’ 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.
SECTION 8. Ethical Principle Registered Nurses are the advocates of the patients: they shall take appropriate steps to safeguard their rights and privileges. Guidelines to be observed: REGISTERED Nurses must a. respect the “Patients’ Bill of Rights”in the delivery of nursingcare. b. provide the patients or their families with all pertinent information except those which may be deemed harmful to their well-being. c. uphold the patients’ rights when conflict arises regarding management of their care. SECTION 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.
SECTION 11. Guidelines to be observed: REGISTERED Nurses must: a. perform their professional duties in conformity with existing laws, rules regulations. measures, and generally accepted principles of moral conduct and proper decorum. b. not allow themselves to be used in advertisement that should demean the image of the profession (i.e. indecent exposure, violation of dress code, seductive behavior, etc.). c. decline any gift, favor or hospitality which might be interpreted as capitalizing on patients. d. not demand and receive any commission, fee or emolument for recommending or referring a patient to a physician, a co-nurse or another health care worker; not to pay any commission, fee or other compensations to the one referring or recommending a patient to them for nursing care. e. avoid any abuse of the privilege relationship which exists with patients and of the privilege access allowed to their property, residence or workplace. ARTICLE II: REGISTERED NURSE CO-WORKERS
SECTION 12. Ethical Principles The Registered Nurse is in solidarity with other members of the healthcare 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.
Code of Ethics BOARD OF NURSING Board Resolution No. 220 Series of 2004
SECTION 13. Guidelines to be observed: REGISTERED Nurses must
SECTION 15. Guidelines to be observed: REGISTERED Nurses must
a. maintain their professional role identity while working with other members of the health team. b. conform with group activities as those of a health team should be based on acceptable, ethico-legal statndards c. contribute to the professional growth and development of other members of the health team. d. actively participate in professional organizations. e. not act in any manner prejudicial to other professions. f. honor and safeguard the reputation and dignity of the members of nursing and other professions; refrain from making unfair and unwarranted comments or criticisms on their competence, conduct, and procedures; or not do anything that will bring discredit to a colleague and to any member of other professions. g. respect the rights of their co-workers
a. be conscious of their obligations as citizens and, as such, be involved in community concerns. b. be equipped with knowledge of health resources within the community, and take active roles in primary health care. c. actively participate in programs, projects, and activities that respond to the problems of society. d. lead their lives in conformity with the principles of right conduct and proper decorum. e. project an image that will uplift the nursing profession at all times.
ARTICLE V REGISTERED NURSES, SOCIETY, AND ENVIRONMENT SECTION 14. Ethical Principles 1. The preservation of life, respect for human rights, and promotion of healthy environment shall be a commitment of a Registered Nurse 2. The establishment of linkages with the public in promoting local, national, and international efforts to meet health and social needs of the people as a contributing member of society is a noble concern of a Registered Nurse.
ARTICLE VI REGISTERED NURSE AND THE PROFESSION SECTION 16. Ethical Principles: 1. Maintainance of loyalty to the nursing profession and preservation of its integrity are ideal. 2. Compliance with the by-laws of the accredited professional organization (PNA), and other professional organizations of which the Registered Nurse 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 socio-economic conditions and general welfare of nurses through appropriate legislation is a practice and a visionary mission.
The Nursing C BOARD OF NURSING Board Resolution No. 220 Series of 2004
SECTION 17. Guidelines to be observed: Registered Nurses must a. be members of the AccreditedProfessional Organization (PNA). b. strictly adhere to the nursingstandards c. participate activelyin the growth and development of the nursing profession. d. strive to secure equitable socioeconomic and work conditions in nursing through appropriate legislation and other means. e. assert for the implementation of labor and work standards ARTICLE VII RADMINISTRATIVE PENALITIES, REPEALING CLAUSE, AND EFFECTIVITY SECTION 18. The Certificate of Registration of Registered Nurse shall eitherbe 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 BoardRes. No. 425, Series of 2003, the IRR. SECTION 19. The AmendedCode of Ethics promulgated pursuantto R. A. No. 877 and P.D. No. 223 is accordingly repealed or superseded bythe herein Code. SECTION 20. This Code of Ethics for Nurses shall take effect after fifteen (15) days from its full and complete publication in the Official Gazette or in any newspapers of general circulation. Done in the City of Manila,this 14th day of July, 2004.
The BON Comm • Continuing Education Committee a. Develop/implement relevant continuing education program for nurses b. Recommend to the BOG policies, programs and guidelines on continuing education/accreditation of CEP c. Accredit Continuing Education Programs (CEP) • Accreditation Committee
• Chapter Affairs Committee a. Recommend to the BOG policies, programs and guidelines of Chapter Affairs b. Process/review/evaluate applications and documents for Chapter Accreditation c. Recommend to the BOG the Chapters to be accredited
• Cultural Affairs Committee a. Develop programs/projects to enhance the national heritage b. Coordinate with other agencies/ institutions that offer relevant cultural activities and programs that would improve the nurses appreciation of the arts/humanities c. Encourage/facilitate formation of cultural groups among nurses
Code of Ethics
mittees and Their Functions • Awards and Scholarship a. Recommend to the BOG policies, programs and guidelines on awards and scholarship b. Search and process nominees and applicants for awards and scholarship c. Endorse to the BOG the results of the search and processing of nominees for the awards and scholarship d. Recommends to BOG the candidates for outstanding Chapter Awards
• Ways and Means Committee a. Recommend to the BOG policies, programs and guidelines on matters of logistical nature b. Undertake income generating projects and the like c. Coordinate with other PNA committees and chapters regarding fund raising projects/activities
• Publication and Public Relations Committee a. Recommend to the BOG policies, programs and guidelines on publication and public relations b. Plan and coordinate the Publication and Public Relation activities of the Association to project positive image of the Profession/Association
• International Program Committee a. Recommend to the BOG policies, programs and guidelines for nurses on overseas employment/ assignments b. Establish linkages with other Associations and agencies which deal with overseas contract workers c. Implement linkages with ICN and other International organizations d. Participate in pre departure orientation program for overseas in collaboration with POEA e. Implement projects from International agencies/organizations
• Disaster and Membership Committee a. Encourage all chapters to intensify membership b. Get the percentage of members with the registered nurses in a certain chapter c. Inform members their benefits d. Give updated number of membership to the different chapter presidents e. Attend to any disaster in a particular chapter f. Plan programs/activities to prevent calamities g. Solicit funds/coordinate with Ways and Means Committee re: relief during calamities
Patient Bil 1. Right to Appropriate Medical Care and Humane Treatment. - Everyone has a right to health care, tailored to their health status, without discrimination. This care should be of good quality, respecting the patient’s dignity, beliefs, and individual needs. If immediate treatment isn’t possible, the patient may be asked to wait or be referred elsewhere. Patients should be informed about any delays. Emergency patients should receive immediate care without needing to make any form of advance payment.
2. Right to Informed Consent. - Patients have the right to a clear, truthful explanation in understandable language about all proposed procedures. The practitioner must provide their name and credentials, discuss potential risks, recovery issues, success probabilities, and reasonable risks. Procedures require the patient’s written informed consent, except in certain cases: • In emergencies, when a patient is at immediate risk of injury or death if treatment is delayed, a physician can perform necessary procedures without the patient’s consent. • when the health of the population is dependent on the adoption of a mass health program to control epidemic; • when the law makes it compulsory for everyone to submit a procedure;
• When the patient is either a minor, or legally incompetent, in which case. a third party consent Is required;
• when disclosure of material information to patient will jeopardize the success of treatment, in which case, third party disclosure and consent shall be in order; • When the patient waives his right in writing. Informed consent shall be obtained from a patient concerned if he is of legal age and of sound mind. In case the patient is incapable of giving consent and a third party consent is required. the following persons, in the order of priority stated hereunder, may give consent: •
spouse;
• son or daughter of legal age; • either parent • brother or sister of legal age, or • guardian If a patient is a minor, consent shall be ottained from his parents or legal guardian. If next of kin, parents or legal guardians refuse to give consent to a medical or surgical proceoure necessary to save the life or limb of a minor or a patient incapable of giving consent, courts, upon the petition of the physician or any person interested in the welfare of the patient, in a summary proceeding,
ll of Rights may issue an order giving consent.
3. Right to Privacy and Confidentiality. TPatients’ privacy must be respected throughout their treatment. They have the right to avoid unnecessary public exposure, except when: a) their mental or physical condition is under legal dispute and a court orders an examination; b) public health and safety require it; or c) they waive this right in writing. Patients have the right to confidentiality of their care information. Health care providers can’t share this information without the patient’s consent, except when it benefits public health, is ordered by a court, the patient waives confidentiality in writing, or it’s needed for ongoing treatment or medical science advancement, subject to patient de-identification. Informing the spouse or the family to the first degree of the patient’s medical condition may be allowed; Provided That the patient of legal age shall have the right to choose on whom to inform. In case the patient is not of legal age or is mentally incapacitated, such information shall be given to the parents, legal guardian or his next of kin. 4. Right to Information. - IDuring treatment, patients or their legal guardians have the right to be informed about their disease, any additional treatments or procedures, potential complications, changes in care plans, their participation in care, expected
payments from Philhealth or other payors, any charges they may be liable for, and the healthcare practitioners involved in their care and the frequency of proposed services. • Patients or their legal guardians have the right to review and receive an itemized bill for hospital and medical services, regardless of payment method or source. They are also entitled to a thorough explanation of the bill. • Patients or their legal guardians have the right to be informed about their ongoing health care needs after discharge. This includes instructions on home medications, diet, physical activity, and other relevant information to promote health and well-being. • Upon discharge, patients are entitled to a brief summary of their illness, including history, diagnosis, treatments, and future plans, provided by the attending physician. They can view their medical records in the presence of their physician or a hospital representative. Despite financial incapacity, patients can request copies of relevant medical records at their expense. They are also entitled to a free medical certificate regarding their previous confinement.
5. The Right to Choose Health Care Provider and Facility. - Patients have the right to choose their healthcare provider and facility, unless they’re under the care of a specific facility,
Patient Bil public health and safety require otherwise, or they waive this right in writing. • Patients have the right to discuss their condition with a specialist consultant at their request and expense. They also have the right to seek second or subsequent opinions from other healthcare providers, if appropriate. 6. Right to Self-Determination. - Patients can choose recommended procedures. Mentally sound, legal adults can make an advance directive for terminal care during a terminal illness, given they understand the medical consequences, release caregivers from obligation related to their decision, and their decision doesn’t harm public health and safety. 7. Right to Religious Belief. - Patients have the right to refuse treatment that contradicts their religious beliefs, with certain limitations. However, parents cannot impose this right on their underage children in lifethreatening situations, as determined by the attending physician or medical director. 8. Right to Medical Records. - Patients are entitled to a summary of their medical history and condition. They can view their medical records, excluding psychiatric notes and thirdparty incriminatory information, with their physician explaining the contents. Upon discharge, they can obtain a
copy of these records at their expense, regardless of their financial status with the physician or institution. • The health care institution shall safeguard the confidentiality of the medical records and to likewise ensure the integrity and authenticity of the medical records and shall keep the same within a reasonable time as may be determined by the Department of Health. • The health care institution shall issue a medical certificate to the patient upon request.Any other document that the patient may require for insurance claims shall also be made available to him within forty-fIVe (45) days from request.
9. Right to Leave. - The patient has the right to leave hospital or any other health care institution regardless of his physical condition: Provided. That a) he/she is informed of the medical consequences of his/her decisionl b) helshe releases those involved in his/ her care from any obligation relative to the consequences of his decision; c) hislher decision will not prejudice public health and safety. • No patient shall be detained against hi$/her will in any health care institution on the sole basis of his failure to fully settle his financial obligations. However, he/ she shall only be allowed to leave the hospital provided appropriate
ll of Rights arrangements have been made to settle the unpaid bills: Provided. further, That unpaid bills of patients shall be considered as loss income by the hospital and health care provider/practitioner and shall be deducted from gross income as income loss only on that particular year. 10. Right to Refuse Participation In Medical Research. - The patient has the right to be advised if the health care provider plans to involve him in medical research, including but not limited to human experimentation which may be performed only with the written informed consent of the patient: Provided, That, an institutional review board or ethical review board in accordance with the guidelines set in the Declaration of Helsinki be established for research involving human experimentation: Provided, further, That the Department of Health shall safeguard the continuing training and education of fUture health care provider/practitioner to ensure the development of the health care delivery in the country: Provided, fUfthermore, That the patient involved in the human experimentation shall be made aware of the provisions of the Declaration of Helsinki and its respective guidelines. 11. RIght to Correspondence and to Receive Visitors. - The patient has the right to communicate with relatives and other persons and to receive visitors subject to reasonable limits prescribed by the rules and regulations
of the health care institution. 12. Right to Express Grievances. - The patient has the right to express complaints and grievances about the care and services received without fear of discrimination or reprisal and to know about the disposition of such complaints.Such a system shall afford all parties concerned with the opportunity to settle amicably all grievances. 13. RIght to be Informed of His Rights and Obligations as a Patient. Every person has the right to be informed of his rights and obligations as a patient.The Department of Health,in coordination with heath care providers, professional and civic groups, the media, health insurance corporations, people’s organizations,local government organizations, shall launch and sustain a nationwide information and education campaign to make known to people their rights as patients, as declared in this Act Such rights and obligations of patients shall be posted in a bulletin board conspicuously placed in a health care institution. • It shall be the duty of health care institutions to inform of their rights as well as of the institution’s rules and regulations that apply to the conduct of the patient while in the care of such institution.
My
My Holographic Will
I, Louie Jay Jabagat, a life voyager currently based at Malandag, Malungon, Sarangani Province declare this paper to be my sole testament of will. Any other document bearing my name and signature and claiming to express my intent, in any part of this earth, will be discarded . As the writer of this will, I appoint my legal representation, my lawyer, to ensure that my final act is performed according to my script. I pass on everything I own to my beloved husband, my very own better-half. May they serve as a reminder of our shared journey and provide comfort during my absence. Despite the fact that I have no dependents, I entrust my faithful pet dogs to the loving care of my husband. May their loyalty and love bring your comfort and companionship. If there are any residual Treasure in any of my account after my specific estates have been honored, I want them to find their way to my parents, if they are still alive. If they left, these keepsakes will be shared among my siblings as reminders of our shared memories. I am aware that this will must bear my handprint, my signature, and be witnessed by those who can attest to my intentions. Yours Truly, Louie Jay Jabagat
m I ready
My
Currently, I am not fully prepared. The real challenge lies outside of academia, and I wonder if I am ready for it. It’s like being a first-time surfer, riding the waves of my dreams. This moment will define my life – either I will drown or continue to ride the wave until I reach the shore. Starting my nursing career is both good and scary news. As Taylor Swift said, “The scary news is you’re on your own now, but the cool news is you’re on your own now.” Life is both happy and scary, but I will do it scared anyway. I believe I need more time to hone my skills, develop my clinical eye, improve my assessment prowess, enhance my critical thinking, and grow intrapersonally to become the ideal type of nurse that is free from errors. However, I know that these skills will develop with time. Right after graduation, I plan to focus on the things that matter most. I want to take the PNLE 2024 only once, so I must follow my timeline and laid plans. So, am I ready? Although I am scared, I am ready to face whatever challenges come my way.
y profession
ow will I Safeguard
As a nurse, it is crucial for me to maintain professional standards by following the nursing law and guidelines, treating patients with respect and dignity, and adhering to the appropriate nursing practices and responsibilities. It is also important for me to continuously improve the nursing profession and prevent burnout by prioritizing self-care and maintaining a compassionate attitude.
Protecting the nursing profession involves upholding its reputation and promoting its growth and development. It is important to recognize the emotional, mental, and physical toll that nursing can take, and to prioritize personal well-being in order to provide safe and effective care. Ultimately, safety and security start from within oneself and are reinforced by following academic concepts and laws to maintain order and uphold the nursing profession’s values.
My
The art folio of Louie Jay Jabagat, SN for Nursing Jurisprudence
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