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13730677 Palmer Complete Edited Royal Pentagon

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    Pentagon Professional Adjustment, Legal Management, Ethics & Research in Nursing

    NURSING RESEARCH

    Nursing Research

    Kerlinger - the systematic, empirical, controlled and critical investigation of a

    hypothetical proposition in relation to a natural phenomena/ problem

    Conducted to affirm or deny a hypothesis

    Phenomenon.

    everyday phenomenon that affects the nurse (eg. bacteria, drugs, physician)

    Phenomenon + hypothesis research problem !"(educated guess/scientific/ tentative ans#er)$ithout hypothesis there is no research problem, only a problem

    Major Characteristics of a Good or Major Research

    Systematic

    o conduct research in a step by step process or procedure

    Emiricalo ob%ective data should be observable/measurable or readily collected

    using your senses

    Controlled! maniulated

    o &ethods/tool of controlling is research design

    Critical in"estigation!fact finding in"estigation

    o 'n order to ans#er the data is by using facts.

    o ooing for human beings #ho can give us facts

    Purose of Research in Nursing Profession #$EE$%

    $escriti"e

    o

    observe, describe and recordo gain richer familiarity regarding the phenomena

    o * no#n to

    Eloratory

    o 0plore to those areas that are unno#n

    o 1bserve more

    o 2-2 (2no#n to nurses and 2 unno#n to the nurses

    Eerimental

    o 3ctive intervention, active manipulation

    o $ant to find out cause 4 effect

    o 5one something before observing results

    $e"elomentalo 6o improve the system of care for the your patient.

    o 5evelop and improve e0isting system

    Conducting research is for the benefit the pt or patient care/pt focus

    1

    'lorence Nightingale

    7irthplace 8 'taly

    6raining 9round 8 9ermany

    9reatest Contribution 8 environmental 6heory, training s in Crimean

    $ar

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    Ethics of a Researcher

    S8 Scientific ()jecti"e8 conductive research for a good purpose or ob%ect for

    your pt

    C8 Cooeration and Consent. 5o not conduct data/e0periment #/o a consent

    (legally the patient o#ns the chart. ;o#ever the hospital o#ns the chart)

    *8 *ntegrity8 #ored hard on the research

    E8E+uita)le8 acno#ledging #ors or contribution of others

    N8No)ility8 protect the rights of your sub%ects

    o Right not to )e harmed

    (physical, mental, moral harm) usually done during e0perimental

    research Physical arm! Negligence - undeliberate physical harm

    Commission8 done outside the standard practice of

    nursing (eg. urinary catheter placed on the nose of the pt)

    (mission8 from the very start, you did not do something

    about it. Moral arm

    Assault8 mental fear/threat #ithout physical harm

    -attery8 physically you harm the pt

    estraint is never an independent nursing order physical restraint 8 eg.

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    o Characteristics of a research problem

    G8 general applicability and use

    Re8 esearchable

    '8 easible and measurable

    ' 0 actors of a feasible research B

    time, money, e0perience of the researcher, instruments,

    population

    *8 importance to nursing profession N8 novelty/originality

    Plagiarism/illegal replication 8 unauthoriDed use of

    anotherEs literary #or #ithout any consent or permission S 8 significance to nursing

    o 1 tyes of research according to use

    )asic!ure research

    only the research benefits the research

    't is only for your personal necessity

    3ns#ers your o#n @uestion

    Alied research

    problem solving :olving the problems of the patient.

    o 2aria)le8 sub%ect to change

    3inds of "aria)le

    *ndeendent "aria)le

    o use this to stimulate a target population

    $eendent "aria)le!Effectual "aria)le

    o results of the effects of the study

    *nter"ening 2aria)le

    o Comes bet#een dependent and independent

    o 0ampleB orghanism variable, internal factor, se0,

    gender, color Etraneous 2aria)le

    o 0ternal infuences that can be changed

    o 0ampleB citiDenship, educational status

    $ichotomous 2aria)le

    o F choices/ F results

    o 0ampleB &ale/ emale

    Polychotomous 2aria)le

    o &ultiple choices

    o 0ampleB Preferred foods 8 Chinese,

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    this sho#s a relationship bet#een t#o or more

    independent variable from t#o or more dependentvariable.

    g. Gilipino nurses #ho #ored for 2yrs and passed the

    C9:, 61, 6:, C> has greater opportunities in? as compared to those in &anila

    $irectional hyothesis

    specifies the direction of the relationship bet#een variables

    g. Gilipino urses #oring in the :3 has moreprofessional opportunities than those #oring in the Phils.H

    Non.directional

    only predicts the relationship, but has no specific direction

    bet#een variables.

    g. G6here is a big difference bet#een a ilipino urses

    #oring in :3 than those #oring in the Phils.H

    Selecting research design

    o :ystematic controlled plan for finding the ans#er to a problem

    o oadmap, blueprint of the study

    o :hould have a proper resign design

    o 'f improper research design, there #ill be improper collection of datao PuroseB ey or tool for proper collection of data

    o /yes

    According to Alication

    -asic! Pure

    o or personal no#ledge, curiosity

    Alied

    o 7ased on problem solving approach

    According to Methods

    Eerimental

    o performing active manipulation, observe and record

    the result.o /yes of Eerimental Reseach

    control

    divide grp into F.

    9roup a 8 control/comparison grp 8

    #ill use the same soap everyday

    9roup b 8 e0perimental grp 8 those

    #ho #ill use the sample soap randomi8ation

    using sample by chance.

    Choose randomly to avoid

    redundancy of result Maniulation

    Performing intervention

    2alidation

    comparison of the effects

    9uasi.eerimental

    false e0periment.

    o control sample.

    5

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    Non.eerimental

    o o manipulation is done. 1nly observation,

    describe and record do#n the result.o /yes of non.eerimental research design

    )ase on time element Retrosecti"e :E Post 'acto;

    9etting actual e0perience

    :tudies a group of people after its

    occurrence, e0perience or facts. 0perience of people in the past

    $escriti"e

    1bserve, describe 4 record.

    :tudy of current events.

    Prosecti"e

    :tudy of research about future

    occurrence or future events. istorical

    Past that is #ritten, documented,

    published and recorded

    Primary $atao 1bserve

    o *sthand information

    o person himself

    Secondary $ata

    o Fnd;and 'nformation

    3bout the past using records,

    %ournals, boos.

    :tudy of the dead people thru his

    #ritten materials, factso according to data

    +uantitati"e data base on numerical

    interpretation, datas that aremeasurable, using your senses, datathat are observable.

    +ualitati"e

    sub%ective data, feelings, perception,

    beliefs, culture, attitudeo Sur"ey Research $esign

    9roup

    :mall

    ace to face arge 8 not good result

    &ethods

    &ailed survey

    ace to face

    6elephone survey

    o According to /ime (rientation

    Cross Sectional

    6

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    3pplicable to F or more identical

    group

    :hort term

    or comparison

    Longitudinal

    * group only

    #ith initial and follo# up survey

    long term study

    for developmental study

    Selecting your oulation and samles

    o samle

    part of population, data is collected.

    6he recipient of the e0perimental treatment in e0perimental design

    or the individuals to be observed in a non-e0perimental designo /yes of samling

    Pro)a)ility- e@ual presentation/ chances in the population.

    Simle random techni+ue

    o sed a single/identical group.

    o ish bo#l techni@ue

    Stratified random samling

    o ?ou #ill first going to create a sub population from

    the #hole population before doing randomiDation.o 1ne population, you divide it.

    Cluster random samling

    o ?ou #ill first create a sub area in a population

    before doing the randomiDation. 'n one population,you mae it smaller

    Systematic random samling

    o choosing a sample every nth name in the

    population.

    o &ultiple of * nameso Samling frame8 list of names appearing as your

    population Non.ro)a)ility samling8 you are not choosing by chance.

    Accidental! con"enience samling

    o 7ase on the accessibility/availability of your

    sample.o Kung sino pinaamalapit syo, yun ang uunin mo.

    Purosi"e!judgmental samling

    o base on the common no#ledge or popular

    no#ledge.

    Sno5.)all samlingo get sampling base on last referral

    9uota Samling

    o :etting criteria and getting samples fitting the

    criteria

    Conducting ilot studies

    Collecting data

    o types B

    7

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    @uestionnaires 8 use of pen and paper method

    dichotomous 8 divided into t#o. g. true or false. ?es or no

    rating scale 8 poor *, good F, better I, best J

    multiple choice

    'ntervie# 8 use of oral method of collection of data. se of active

    listening

    :tructured 8 #ith checlist, formal tal, list of @uestion

    nstructured 8 informal tal, no pattern, anything goes

    records 8 pre e0isting data

    observation 8 use of ocular method using your senses

    participant observation

    non-participant observation

    Problems B

    o ;a#thorneEs effects

    6he data you get from your sample is not

    accurate. 6he sample has a problem

    :olution B double blind research 8 they

    should not be conscious that they are beingstudied

    o ;alo effect

    6he researcher has a problem.

    ;e is manipulating the data collection.

    't is affected by special feelings/treatment

    bet#een the researcher and the sample.

    Analysis of $ata

    o part of research #hen the researcher is forming a body of no#ledge out

    of data collected for the purpose of affirming or denying your hypothesiso Methods

    Nominal method

    get data by means of categories. eg. male, female, income

    (rdinal method8 base on ran eg. mild, moderate, severe

    *nter"al

    base on the distance bet#een F numerical values

    eg. 7P 8 *2/* 8 *F/L, #t, circumference, ht

    ratio8 IB* children are malnourish

    *nterretation of $ata

    o 1 Methods

    +uantitati"e method8 base on numerical or graphical standards

    +ualitati"e method8 use of narrative #ords

    Communicating your conclusiono 0plaining the results of your #or to the public

    o Conclusion 8 final ans#er to your research

    o ecommendation 8 suggestion to others

    o 5issemination of 'nformation

    &ethods B

    thesis/boo 8 #ritten form

    symposia/symposium 8 oral presentation

    8

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    E 0 Eloitati"e )eha"ior' 0 ferocious )eha"ior, to coerce or compel the group to follo# him

    o not a good style of leadership but only best style during emergency or

    intensive crisis

    Permissi"e, ultra.li)eral, laisse8 faire, free.rein

    o oose style of nursing leadership.

    o 9iving e0cess freedom or liberality to#ards your subordinates if to lenient

    in your subordinates, there #ill be M control and po#er N negligence

    $emocratic!articiati"eo best style of leadership. &utual style of nursing leadership

    7 Po5er of a Good Leader

    Legitimate! 'ormal! eclusi"e Po5er

    o 0ercise because you are appointed to a higher position

    Eert Po5er

    o ?ou ac@uire e0tra 8 ordinary sills, talent or ability

    Referent Po5er

    o Charisma and charm

    Re5ard Po5er

    o + po#er for the part of the leadero gives re#ards, bonus, promotion, compensation

    Coerci"e Po5er

    o 8 po#er on the part of the leader

    o reprimand, suspend, terminate

    A-C>s s6ills, +ualities and a)ilities

    A 0 Authority

    o basis of the leader to delegate tass, responsibilities, %obs to be

    performed by his subordinateso 1 tyes of authority

    Centrali8ed8 top to bottom for proper management $ecentrali8ed8 7ottom, to manage directly

    - 0 -eha"ioral

    o S8 specialiDed body of no#ledge and sills to do safe care

    o P8 patient centered

    o A8 accountability 8 liable for the results of your actions

    o C8 confidentiality 8 nurse-patient relationship

    0ceptions to confidentiality of the contract B

    P8 patient consent, if there is

    *8 inform/report to healthcare team for purpose of

    precautionary measures

    C8 Communicable disease

    o RA =7?= a# on otifiable 5isease

    o FJ 8 Polio/ &easle

    o * $ee 8 :35/ ;'=/6etanus eonaturom

    C 0 Crimes

    o Child 3buse JL hours, 7aranggay, 91

    E8 ethics

    10

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    '= 6;3P':6B 1ld, 6raining, 2 'nsertion, 3:3P

    e#, 6raining

    C 0 Communication s6ill

    o transfer of information #ith understanding

    o Communication barriers/communication baclog 8 eg. 5ialect differences,

    noise, deaf, high level of an0iety, hallucinating

    $ 0 $ecision ma6ing s6ills

    o :teps identify the problem

    identify person affected

    gather options/alternative

    brainstorming

    delphitechni@ue 8 gathering solutions outside the group

    (eg. specialiDed nurse) choose and implement

    valuation

    E 0 Ethics

    o Princiles

    o Princile of Autonomy independent %udgment or decision maing

    in all situation the pt himself is the one #ho should decide for his

    o#n care Consent

    respect the decision of the pt

    e0plain the ris to the patient/:1

    #aiver - a legal doc #hen the pt refuse for treatment.

    o Princile of 2eracity

    telling the truth to the patient

    O* the patient has the right to no# from the P;?:'C'3 (not the

    nurse)o Princile of $ou)le Effects

    if the pt is made to choose bet#een F e@ual danger and he only

    needs to choose one, choose the one that #ill produce one goodeffect and less evil effect.

    o Princile of -eneficence

    doing good to the patient (eg. providing therapeutic

    communication, providing privacy)o Princile of Non.Maleficence

    do no harm

    I types of ;arm

    Physical 8 negligence by commission &ental 8 assault and battery

    &oral 8 slander and libel

    o Princile of @ustice

    PrioritiDe the needs of the patient.

    6o be able to provide nursing care to the patient, provide the

    nursing process. ursing Process characteristics B

    11

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    3 8 acceptable universally

    7 - based patients assessment needs

    C 8 client focused

    5 8 dynamics 8 base on the ever changing needs of the pt

    8 e@uitable care

    8 familiarity/rapport to the patient

    9 8 goal directed to#ards solving the assess needs of the

    patient (:&36)o Princile of Resect!*n"iola)ility of life

    :uicide and abortion is violation of this principle

    ' 0 'ace!sol"e Conflicts

    o any clash of ideas resulting to crisis

    o Methods of resol"ing conflict

    a"oidance8 by paying attention

    smoothing8 appealing to ones conscience and indness

    unilateral action8 use of forced fear or threat

    negotiation8 best method in resolving conflict. 6he head nurse

    should offer negotiation bet#een conflicting parties.

    12

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    NURSING MANAGEMENT

    N

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    5elegation of responsibility

    Proer Comensation of 5or6ers

    o RA ?=D7 :Magna Carta La5;8 salary grade 2 P*I,/month

    o ("ertime ay8 additional of F2/hr

    o Night $ifferential8 additional of */hr

    o Legal holiday8 0 F

    o Philhealth- 7enefit of #orer both related and non-related #or

    (aesthetic, dental and cosmetics are not included)o Maternity lea"e8 days leave is :5, QLdays if C: only to first J

    pregnancy only to legitimate spouseo Paternity lea"e8 Qday/*#ee leave

    o Senior Citi8en>s Act8 F discount

    7 stes in Management Process Planning stage

    o looing ahead of time.

    o ormulating future goals/ob%ective

    o /yes of lan

    Standard!(erational Plan :NCP;

    plans for everyday or ordinary activities

    Strategic!Contingency Plan

    plan used during sudden or acute crisis

    Long.range!future Plan

    plans #hich you canEt evaluated immediately.

    sually last months or yrs.

    sed for chronic pt #hich re@uires longer period of care.

    o Stages of Planning Process

    Mission8 present reason #hen established your organiDation

    2ision - statement of your future purpose of your future

    organiDation

    Philosohy8 set of values and beliefs of your organiDation Goal8 general statement of your purpose

    ()jecti"es8 more specific statement of your purpose

    Policies 0 set of rules and regulations in your organiDation

    Procedures

    -udgeting8 proper allocation of your resources

    o = tyes

    Personnel

    Compensation for salaries of

    #orers (erational

    everyday use of e@uipment andfacilities (gloves, #ater, electricity)

    Caital

    long term use e@uipment (&', C6

    :can, hospital beds, hospitalbuildings)

    (rganiDing

    o stages

    14

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    (rgani8e your team RN Su)ordinates

    5uties of the

    1nly assessment can perform the nurse

    1nly the nurse can perform ;6

    1nly the nurse should e0plain the procedure to the patient

    Preparation, administration, treatment of drugs to the

    patient

    6he nurse can only perform evaluation

    6he nurse can only do %udgment

    $elegate /as6

    6hey can only delegate to subordinates the outinary tas

    (standard, unchanging procedure) eg. monitoring of '41,bathing, ambulating, toileting, shampooing, transporting,feeding, clothing, #iping

    :table patient - predictable outcome (eg. postmortem care

    #ith direct supervision of the nurse only)

    :upervision 8 need guidance

    Staff Schedule! Staffing

    :chedules (;o# many hours)

    o 6raditional 8 Lhrs a day/Jhrs/#o 6en hour shift/J days a #ee

    o 7aylor plan 8 it consist of t#o shifting nurses

    traditional 8 mon-fri Lhrs

    Fnd shift 8 *Fhr shift during #eeends

    o Part-time #or 8 fe#er #oring hours per day and

    may choose the day or #or. ess than Lhrs %obo 1n 8 call 8 during shortage of nurses/staff but

    increase in the number of patients. Methods of Nursing care $eli"ery

    $ifferent Methods

    o Primary 0 1hrs a day Primary nurse is the only nurse #ho is

    responsible to mae a care plan of thepatient from the moment of admission till themoment of discharge. (eg. private dutynurse or special nurse)

    o 'unctional Method

    51; format/government hospitals

    3ssign nurse B

    $uty/tas

    (ne nurse, one tas

    ighly recommended during aperiod of shortage of nurses andbudget

    poorest method of delivery because

    communication is hinderedo Case &ethod/Case ursing

    provide total care #ithin your shift. sed in

    'C department C 8 Case &ethod

    15

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    6 8 total care to the patient

    1 8 one is to one ratio

    $irecting/5elegation stage

    o a %ob or a tas is done or performed by another perform for you

    o $hat you cannot delegateB

    you cannot delegate total control of the procedure

    you canEt delegate discipline of subordinates or staff members.

    Confidential tas

    6echnical tas

    &edical tas performing surgical procedure is done by the doc not

    the nurse Coordination/Collaboration

    o the nurse needs to collaborate to other members of the health care team.

    o &ulti-interdisciplinary approach 8 to be able to provide holistic approach

    to the patient.o /yes of Colla)oration

    *nterersonal!*ntradeartmental

    1ne patient, one unit.

    Collaboration bet#een one nurse to another healthcare

    team in one unit/department g. &' patient - nurse, dietary, specialiDed in cardio

    *nterdeartmental

    J units in one hospital.

    Coordination of the patients care bet#een F-more

    units/departments but still under one same hospital orinstitution

    g. patient due for appendectomy is transferred to the 1

    *nter Agency!*nstitutional

    Coordination of patientEs care bet#een F or more

    hospitals/health care institution for the benefit of the patient

    g. lying 8 in due for C/: and #as transferred to a hospital Evaluation/Controlling

    o stage #herein you determine #hether or not your plans for your patient is

    met or achievedo Methods of e"aluating staff erformance

    Chec6list

    it is being evaluated higher than you. (eg. nurse

    manager/supervisor or head nurse) Nursing rounds

    it is being evaluated higher than you. (eg. urse

    manager/supervisor or head nurse)

    Psychiatric #ard is not done by nursing rounds Peer re"ie5

    same ran or level is being evaluated you

    poor method

    Performance araisal

    the patient evaluates you

    best method in evaluation

    16

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    PROFESSIONAL ADJUSTMENT AND NURSING JURISPRUDENCE

    Professional

    3 calling in #hich its members profess to have ac@uired special values,no#ledge, training or by e0perience so that they may guide others in thatspecial field.

    Nursing is a rofession

    Calling 8 service oriented

    1thers 8 patients

    Characteristics )y rofession

    A8 accountability/liability for the result

    C8 caring profession Central ocus

    C8 competent E8 ethics

    S8 service oriented

    S8 specialiDed scientific body of no#ledge and sills

    PR('ESS*(NAL $

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    Areas of Nursing PracticeI *nstitutional Nursing

    ;ospital 7ased =enue

    5 8 5uties are routinary and supervised

    3 8 3c@uired different learning and technical sills

    C- Coordination #ith ;C6

    : 8 :pecialiDed areas

    o urse 9eneralist 8 community nurse

    o urse specialist 8 staff nurse

    1I Pu)lic ealth Nursing

    1nce a Public nurse in the community, you are focus on the preventive and

    promotive of health because this is the mandate of Primary ;ealth Care a#.

    st PC

    o 5ate B *RQL

    o Place B 3lma 3ta

    o Country B ussia

    o ocal version of . &arcos after *yr of 3lma 3ta

    o ConferenceB etter of 'nstruction RJR that mandates that all public

    #orers to have a duty of promotive and preventive care for the patient. Promotion of Pu)lic ealth

    o P5 LRQ 8 &icronutrient :upplement 3ct

    =it. 3, iron supplements, iodine

    o P$ H17 :En"ironmental sanitation la5 of the PhilsI;

    't is cleanliness of the environment. 1utside the institution (eg.

    proper disposal of e0creta, proper drainage system)o P$ H7J :sanitation code of the PhilsI;

    'nvolves proper sanitation of an institution that engage in food and

    #ater supply. 'nside the institution. (eg. canteen, mineral #aterstore, public maret, :e0 shop B 351':, P93::, C;'C1:)

    not applicable to private se0 practitioners. Pre"ention of $isease

    o P$ FFJ :EP* la5;

    Compulsory 'mmuniDation of children belo# R y/o

    Psychological and social adjustments )ecause you 5ill )e ta6ing care of

    numerous clientso RA ?JD :local go"ernment code;

    decentraliDation or devolution of care. 6he 51; together #ith

    5'9 and local government units (brgy, provincial) together #ithcommunity participation they made a local health board #hich isthe &3?1.

    Purpose of local health board B it maes @uality health care

    available, accessible and pro0imal for all

    Particiation is maintained 5ith all mem)ers of the community, health care

    team and family

    =I (ccuation ealth Nursing

    industrial or company health nurse

    $uties 4

    o Curati"e!reha)ilitati"e

    18

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    C 8 care for sic/in%ured laborers

    8 eferral

    = 8 =isit and ff. ups (home visits)

    o Promoti"e!Pre"enti"e

    8 nutritional

    : 8 safety and sanitation

    C 8 Counseling

    I Clinical *nstructoro 9ualifications 4

    A8 accredited nursing 1rg

    M8 &3 in nursing or other health courses

    (8 1ne yr clinical e0perience

    R8 ..

    P*L*PP*NE N

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    &entally capacitated (absence of insanity and imbecility)

    'f belo# *L y/o and mentally incapacitated a pro0y consent B in chronological

    ordero Parents

    o 9uardian

    o physician (if parents and guardian are dead)

    9uardian 3d item 8 social #orer or :urgeon

    Nurses and *llegal $etention it happens if someone #ill limit the freedom of the patient to move or travel from

    one place to another.

    ;'= Patient 8 should be ept in one room

    o elacio 8 oral se0 8 most fastest mode of transfer

    o Cannalingus 8 tongue on clitoris

    o 3nalingus 8 tongue on anus 8 least mode of transfer

    Last ill and /estament

    3ct #hereby a person is permitted by the la# to have control in the manner of

    disposing/ giving his estate but #ill tae effect at the time of his death

    6estate :uccession 8 son or daughter #ill inherit the last #ill of the parents 'ntestate :uccession 8 #ithout last #ill and testament

    1 tyes of Last ill and /estament

    o Proerty

    Notarial! (rdinary ill

    Chec 1C

    Chec proper location of the signature 8 end part of all the

    pages at the side

    urses can be a #itness

    olograhic ill

    5uring emergency cases

    o #itness involved call a persdon #ho no#s and familiar#ith the hand#ritten of the testator

    ntire last #ill and testament is hand #ritten dated and

    signed by the testatoro Life -ody

    Ad"ance $irecti"es

    espectful death

    5irection/ instruction of the patient in advance

    5, donate organ, cremation

    Medications and rescrition

    only registered medical, dental and veterinary practitioners are authoriDed toprescribe drugs

    I information

    o name of the 3&5, address of his clinic/hosp and P6C license O

    o name of the pt, age, se0

    o drug name, fre@uency, duration of the drug

    RA JJ?7 Generic Act

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    o all prescribe drug must be #ritten in generic and brand name or generic

    name but never the brand name alone)o Purpose B for the pt to choose #hat brand name they #ant

    emember the * Es of medication

    ight patient name by checing the pt #rist tag

    =erbal or telephone 8 only done during emergency

    doubts or error 8 in case there is doubt in medication, refer to the physician

    '= drugs 8 in proper training

    $ocumentation, recording and charting

    Patient Chart8 absolutely legal

    Purose of a atient Chart

    o Communication and conitinuity of care

    o Assurance of @uality of care

    o Research

    o Legal document

    o Statistics of disease

    Su)oena8 order coming from the court

    o :ubpoena 5uces 6ecum 8 any documents, ob%ects, papers, materials

    o :ubpoena 3d 6estificandum 8 person #ho #ill testify (#itness)

    $o>s in Charting

    o '8 full, factual and ob%ectively accurate

    o L8 legible

    o *8 immediate

    o P8 Personal

    Adendum8 late entry/late documentation

    $on>ts in charting

    o L8 language, %argons or #ords #hich are unacceptable

    o *8 improper corrections

    o S8 :paces and sips

    o Abbreviation

    LEGAL $(C/R*NES *N N

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    o fetal aberration/ abnormal delivery

    o prior to complete delivery

    Crimes affecting nurses

    6ypes of crime B

    Manner of Commission

    o $(L(8 crimes committed #ith deceit. Crime #ith real criminal intention

    o C

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    R8 referral (if father is the rapist, refer to 5:$5)

    A)ortion

    is the e0pulsion or termination of a product of conception before the stage of

    viability. (I-month/*F-FJ#ees)*nfanticide

    ill the person in less than Idays or QFhrs of life.

    Parricide illing another person to #hom you have a relationship (mother, father, husband)

    omicide

    unintentionally illing another person #ithout any relationship (eg. negligence in

    giving meds)Murder

    intentionally illing another person #ithout any relationship

    Simulation of )irth

    committed by any person #ho shall substitute one child to another child or alter

    his identities for the purpose of losing his civil status. (eg. the mid#ife failed toreport the birth of the baby, giving #rong information of the gender of the baby)

    P$ J7 :-irth registration act;

    la# any person #ho assist in giving birth to report #ithin I days to the ocal

    Civil egistration 1ffice

    La5 Affecting Nurses

    Act 1HDH :yrI FF;8 first true nursing la#

    o 't removed from the doctor the control of nurses #ith I man team (*

    chairman and F members all nurses)

    F1D8 *st official board e0am

    st nursing school :Jmonths;

    o 'loilo &ission ;ospital (*R)

    o P9; :chool of ursing (*RQ)

    o :t. ueEs school of nursing (*RQ)o &ary

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    o 3 8 3ccredited ursing 1rg (P3)

    o : 8 Q &3 team (* chairman, members)

    o ' 8 immediately resigned upon appt.

    o 8 ot convicted of any crime

    o P 8 Pecuniary interest (3bsence)

    o 6 8 * years nursing practice but 2 yrs must be in the

    Phils.o C- CitiDen 4 resident of .P.

    ho formulates the +uestion of the -oard EamK8 7oard ofursing

    'n having a license it is a Privilege not a ight

    7oard of ursing issues the license

    PC issues the certificate of registration

    C;5 are the ones #ho has the po#er to open and close a

    nursing school 71 %ust inspects 2 consecutive years of belo# L passing rate,

    the school #ill be closed Po5ers and 'unctions of -(N

    o L8 icensure e0am

    o *8 'ssue C1o M8 &onitor standards of nursing practice

    o E8 ducation

    o C8 Code of ethics

    o 8 ;ear and decides cases of negligence and malpractice

    o A8 3ccredits different organiDations

    o G8 9uides ursing Practice in the phils

    o $ean

    ..,A&3

    2 years nursing e0perience

    o Clinical *nstructor

    3 8 allied in nursing or any allied health courses & 8 member of P3

    1 8 * yr e0perience

    8 ..

    o Nursing Administrator

    Suer"isor!Manager Community Military os

    7 8 7:

    3 8 3ccredited 1rg

    8 R units

    6 8 F yrs

    Chief/5irector

    + &3 +2 yrs supervisore0perience(.7. if primaryhosp)

    3dd onlymasterEs inP; orC;

    &3 +9:C(9en.:taffingCourse)

    24

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    o Eaminees

    C9& (9ood &oral Character)

    Proofs of =alid ;older of ilipino CitiDenship

    Proofs of valid holder of a 7: 5egree only from schools #hose

    curriculum is approved by the C;5 I docs sub to PC

    certificate

    61 #ith :canned picture ist of cases

    0amination fee is PR

    ast day 's B

    1ther related la#s

    P$ 11= 0 PRC Act

    RA DHD8 Civil :ervice e0am Cum aude, 7oard passer 8 eligible in taing C:

    RA J17 0 $angerous drugs Act

    o unisha)le 5ith 1 chemical su)stances

    Prohi)ited drugs

    chemical substance totally, abosultely canEt be consumedby human being (eg. :habu, &ariana, Cocaine, 1pium)

    Regulated drugs

    you can use this drug provided the pt has the prescription

    and the 3&5 has appropriate license coming from the735 or 5angerous 5rugs

    RA ?JDD 0 -a)y 'riendly ositalI

    o arly bonding for mother is arly ooming in and early baby breast

    techni@ue for early bonding arly bonding for father is thru cuddling

    EI(I 7 0 Mil6 Code :-reast Mil6;

    o 3void manufactured or formula mil

    o5 to )e an RINI under F?=o ;ave all @ualifications

    o tae the e0am

    o ac@uire the re@uired ratings

    o 'n order to pass the e0amination, an e0aminee must obtain a general

    average of at least Q2 #ith a rating of not belo# si0ty percent () inany sub%ect

    o 3n e0aminee #ho obtains an average rating of Q2 or higher but gets a

    rating belo# in any sub%ect must tae the e0amination again butonly in the sub%ect or sub%ects #here he/she us treated belo# (). 'n order to pass the succeeding e0amination, an e0aminee mustobtain a rating of at least Q2 in the sub%ect or sub%ects repeated.H

    RA HFH 0Moderni8ation ActI

    or every 2,, results #ill be released after 2days

    PC rating 3&

    6e0t to FI (smart) FII (globe)

    hat are the grounds for nurse not to )e registeredK

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    o $8 5ishonorable conduct

    o


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