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Nursing Code Of Ethics

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Caduceus an ancient Greek or Roman herald's wand, typically one with two serpents twined round it, carried by the messenger god Hermes or Mercury. The word comes from Latin, from Doric Greek karukeion for Greek kērux ‘herald'.

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 and

integrated 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

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

responsibility to 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/her

obligation.

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 socio-economic 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.

ARTICLE II

REGISTERED NURSES AND PEOPLE

SECTION 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.

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 rights of 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 III

REGISTERED NURSES 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.

SECTION 7.

Guidelines to be observed:

REGISTERED Nurses must

a. 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).

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).

g. see to it that quality nursing care and practice meet the optimum standard

of safe nursing practice.

h. insure that modification of practice shall consider the principles of safe

nursing practice.

i. if in 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.

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

4. 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 nursing care.

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

5. 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 IV

REGISTERED NURSES AND CO-WORKERS

SECTION 12.

Ethical Principles

1. The Registered Nurse is in solidarity with other members of the healthcare team in

working for the patient's best interest.

2. The Registered Nurse maintains collegial and collaborative working relationship

with colleagues and other health care providers.

SECTION 13.

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.

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.

SECTION 15.

Guidelines to be observed:

REGISTERED Nurses must

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 VI

REGISTERED NURSES 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.

SECTION 17.

Guidelines to be observed:

Registered Nurses must

a. be members of the Accredited Professional Organization (PNA).

b. strictly adhere to the nursing standards.

c. participate actively in the growth and development of the nursing

profession.

d. strive to secure equitable socio-economic and work conditions in nursing

through appropriate legislation and other means.

e. assert for the implementation of labor and work standards.

ARTICLE VII

ADMINISTRATIVE PENALITIES, REPEALING CLAUSE, AND EFFECTIVITY

SECTION 18.

The Certificate of Registration of Registered Nurse 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.

SECTION 19.

The Amended Code of Ethics promulgated pursuant to R. A. No. 877 and P.D.

No. 223 is accordingly repealed or superseded by the 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.

(original signed)

EUFEMIA F. OCTAVIANO

Chairman

(original signed) (original signed)

REMEDIOS L. FERNANDEZ LETTY G. KUAN

Member Member

(original signed) (original signed)

ANESIA B. DIONISIO FLORENCE C. CAWAON

Member Member

ATTESTED:

(original signed)

CARLOS G. ALMELOR

Secretary, Professional Regulatory Boards

APPROVED:

(original signed)

ANTONIETA FORTUNA-IBE

Chairperson

(original signed) (original signed)

AVELINA A. DELA REA LEONOR TRIPON-ROSERO

Commissioner Commissioner

O-COMMI/D-SRB/PRB-NRS

CGA/sat/edz/ecz

ethics:doc.

CERTIFICATION

This is to certify that 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 principal basis. All the principles under this

Code are adopted and integrated in the Code of Ethics as they apply to the

nursing profession.

(original signed)

EUFEMIA F. OCTAVIANO

Chairman

(original signed) (original signed)

REMEDIOS L. FERNANDEZ ANESIA B. DIONISIO

Member Member

(original signed) (original signed)

LETTY G. KUAN FLORENCE C. CAWAON

Member Member



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