Institutional Nursing

Refers to nursing in hospitals and related

facilities, nursing homes and neighborhood
clinics,
comprises
all
of
the
basic
components of comprehensive patient care
and family health.
Qualification:
For beginner a degree in Bachelor of
Science in Nursing
Advantages of Staff Nursing in the Hospitals:

There is always a supervisor whom

one can consult if problems exist.

Nurses are updated with new trends

in medicine and in the nursing care of
patients.

They undergo rotation to different

units and have a chance to determine
their special area of choice before
they are assigned permanently in one
area.

They have an 8-hour day and 40-hour

week duty which provide for 2 rest
days. They have provision for sick
leave, holidays and vacations with
pay.

They have the chance to get

promoted to higher positions if they
are qualified.

Salary increases are given

periodically according to merit
system thereby increasing initiative
and best efforts.

They are considered an important

member of the health team in
providing care to the patients.

More staff development programs are

available in hospitals.
Disadvantages of Staff Nursing in Hospitals

Understaffing may require nurses to

put in overtime work and sacrifice
some of their plans.

Nurses may not find time to improve

their skills because of the bulk of
work, or in far-flung hospitals, no
continuing education programs are
provided.

Administrative problems and

overwork may tend to dissatisfy the
staff nurse.
Qualifications of Nursing Service
Administrators as specified by Sec 29 of
RA 9173:

Be a registered nurse in the Phils.

Have at least 2 years of experience in

general nursing service
administration
Possess a degree of BSN with at least
9 units of management and
administration courses at the
graduate level; and
Be a member of good standing of the
accredited professional organization
of nurses.

Chief Nurses in addition should possess:

At least 5 years experience in

supervisory or managerial position in
nursing

A masters degree major in Nursing

Chief Nurses in Public Health Agencies

must have masters degree in Public
Health Nursing
Chief Nurses in Military Hospitals must
have masters degree in nursing and
completion of the General Staff Course

Nursing Specialty Certification:

Adopted by BON through Res. No. 14 series
of 1999.
Sec 29. Comprehensive Nursing Specialty
Program

this is to upgrade the level of skills and

competence of specialty nurse clinicians
in the country

beneficiaries of which are obliged to

serve the country for at least 2 years of
continuous service
Sec 33. Funding for the Comprehensive
Nursing Specialty Program

the annual financial requirement

needed to train at least 10% of the
nursing staff of the participating govt
hospitals shall be chargeable to PCSO
and PAGCOR
Benefits of Certification:

Nurses certified above min. std.

improve the quality of pt. care.

Certification measures expertise

beyond that which is measured in
basic licensure.

Certification ensures continued

competence in the changing world of
health care.

Certification is a means of confronting

the demands of health care.

It is a lifelong learning that advances
nursing skill and knowledge to move
the profession forward.
It enhances the nurses self-image
and the publics view of the
profession.

Cases found in public health nursing are limited mostly to

chronic and/or communicable diseases.

There are more hazards in public health than in hospital

nursing, such as exposure to elements (inclement
weather, heat of sun, rain, dog or snake bites, accidents,
etc.)

There are no fixed hours. The nurse may be called upon

any time of the day or night.

Some claim that public health nursing is not as exciting

nor as glamorous as hospital work.

Facilities for care of the sick are limited so that practice

or skills may also be limited.

The public health nurse may not be immediately aware

of changes or trends in the fields of medicine or nursing.

Public health nursing is not a place for introverts. A

nurse has to be outgoing to meet people.

There is no immediate supervisors to consult in case of

emergency.

With the implementation of Primary Health Care, public

health nurses are kept up-to-date through various
continuing education programs conducted by the
Department of Health and Regional Health Offices.

The entry salary of a community health nurse is the

same as that of a Senior or Head Nurse in government
hospitals.

PHN OR COMMUNITY HEALTH NURSING

Public Health Nursing is also called Community Health

Nursing

The National Health Program of the Philippines gives as

much emphasis on the promotion of health and
prevention of diseases rather than care of the sick.

It needs a deeper involvement and close cooperation

with all members of the health team.
Effective coordination can best be achieved if all
members have an understanding of, and respect for,
each others function.

Advantages of Public Health Nursing:

The focus of nursing care is only on family and

community health rather than on individual basis.

It gives the nurse a better perspective of the health

conditions of the community and the health programs
conceived and implemented by the government, and
to appreciate the nurses role in nation building.

It maximizes efforts to improvise where there are no

sufficient facilities, supplies, and equipment.

It enables the nurse to utilize various community

resources and maximize coordination with other
members of the health team.

Focus of care is more on educational and preventive

aspects.
Individual, families and communities are motivated to
assume responsibility for their own health care.

Disadvantages of Public Health Nursing:

NURSES IN IN-SERVICE EDUCATION PROGRAMS

Nurses in In-Service Education Programs
In-service education programs have been in existence
for many years both in hospitals and public health
agencies.

This is one way of improving service in these agencies.

Many tertiary hospitals and public health agencies have

nursing staff in-charge of staff development training and
research.

Nurses in In-Service Education Programs need:

skills in nursing practice, therefore they must have
experience of at least two (2) years in basic nursing
practice

understanding of skills in teaching, supervision, and

consultation;

understanding of the relationship of these persons to the

process of administration and research;

understanding of the broad problems and desirable

practices in patient-care planning;
understanding of and skill in the use of problem-solving
approach to resolve everyday problems in the practice of
nursing and in-service education in the areas of concern;
understanding of the role and functions of the revising
personnel in this area of in-service education;
understanding of self and others involved in in-service
education within the various agencies in nursing; and
Ability to plan and implement programs for different kinds
of nursing personnel.

Nursing Coordinators for Staff Development need to

have at least four (4) years of clinical practical and
research and a Masters Degree in Nursing.

Nurse Instructors for in-service training programs need

at least two (2) years of experience in clinical practice
and research and a Masters Degree in Nursing
preferably with a clinical specialization.

With the advent of Quality Assurance Programs in health

services, nurses may also be employed as Quality
Assurance Coordinators in agencies where these
programs are required. Nurses in this field need
experience in clinical nursing and research too.

and interpretation of the significance

of his findings as basis for planning
the nursing care

Working with patients family so that they

gain understanding of his illness and
cooperate towards promoting early
recovery of the patient

Utilization of laboratory and diagnostic

test in promoting progress of care and
enhancing his own usefulness as a health
teacher and counselor

. Knowledge and recognition of

pharmacological effects of drugs and
medication, their implications for nursing
actions as needed; and
. Interpretation of doctors orders
concerning medicines and treatments
and communicating the same effectively
of the patient and carrying them out
promptly and accurately with
understanding of cause and effects.
2. Private Duty Nurse Specialist

Private Duty Nursing

a.k.a. Private Duty Nurse, Private Nurse
Practitioner, Special Duty Nurse or Private
Duty Nurse Specialist

in addition to the foregoing abilities

expected
of
the
general
nurse
practitioner and as a result of his
specialized preparation, a private duty
nurse specialist also demonstrated the
following competencies:
Skill in handling, operating and
monitoring other complicated devices

-The patient may be provided care in the

hospital or in the home.
2 Categories of PDN
General Private Duty Nurse
has the capabilities for providing
basic nursing care to any type of
patient, among which are:

Identification of emotional and social

factors and relating these to signs

and symptoms observed
. Application of scientific principles in the
performance of nursing techniques

1. Private Duty Practitioner

- A registered nurse who undertakes to
give comprehensive nursing care to a
client on a one- to one ratio.
- She/ he is an independent contractor.

Assessment of the physical conditions

Skill in interpreting data gathered

from ECG, EEG, laboratory diagnostic
results and vitals signs

Skill in observing signs and symptoms

and their favorable or untoward
significance in the progress of patient
care; and

Promptness and adeptness in

certified medical center or laboratory

with chest-x-ray result, complete
blood count, urine and stool
examination

instituting appropriate nursing

measures.
Qualifications of a Private Nurse
Practitioner

Be an RN in the Philippines

Be a full time private duty nurse

Preferably have undergone a Critical
Care Nursing Course; and

Requirements of a PNP

To undergo orientation in the hospital

conducted by the Nursing Service
office

To have the complete paraphernalia

e.g. bp app, pen light, bandage
scissors, red, blue or black pens and
clipboards

To wear full white nurses uniform

(cap, stockings, closed white shoes,
I.D. pin).
Uniform blazers maybe used if required
by the hospital;

To acquire for succeeding years,

To show certification as an I.V.

Therapist by the ANSAP

The PDN is expected to follow the rules

and regulations of the hospital regarding
nursing procedures, use and
procurement of equipment and supplies,
system of medications, charting, diets,
precaution techniques and others.

As in other fields of nursing, he is

expected to adhere to the code of ethics
and practice
General Guidelines

Although a PDN is considered an

independent contractor, she is
directly under the supervision of the
nursing service in the hospital, or of
the Head Nurse in the unit.

Be a certified I.V. Therapist by the

ANSAP (Association of Nursing
Science Administrators of the
Philippines)

to give two (2) character references

certificate of three (3) seminars or

continuing education programs
attended; and

Be acceptable to the Director of

Nursing Service as suitable for
orientation to do private duty nursing;

Have the following documents for the

current year;
a. Professional Tax Receipt (PTR)
b. Professional Regulation Commission
Card (PRC)
c. Residence Certificate
Have at least two (2) years bedside
nursing experience as a professional
nurse in a general hospital
immediately prior to application

To have medical certificate from a

She is expected to make a

comprehensive verbal report to the
Chief Nurse of Supervisor when they
visit the patient and submit a written
report to the Head Nurse at the close
of the shift.
If relief is needed during meals or in
time of other necessities, the Head
Nurse should be notified so that a
reliver can be provided.

3. The PDN encompasses the patients

welfare physic ally, mentally and
spiritually. The nurse is equally
responsible for maintaining a safe,
sanitary, and healthful environment for
the patient, and for the care of
equipment used and other facilities
provided in the room.

4. The PDN shall endeavor to give complete

nursing care before going off- duty
5. While the PDN on house case is directly
responsible to the attending physician of
the patient, a regular monthly service
audit shall be given to the Director of
Nursing Service who referred her/him for
employment.
Policies and guidelines for nurses
accompanying patients out of the
country
1. Passport and other travel papers. All
expenses for fees and processing of
visa and travel papers are paid for by
the patient of his/her representative.
Passport, paid round trip ticket, and
other papers should be in the
possession of the private duty nurse at
all times.
Policies and guidelines for nurses
accompanying patients out of the
country ( Cont.)
b.

A travel and accidental insurance in

the amount of P50,000.00 shall be
provide for the private duty nurse and
paid for by the patient or his
representative effective 72 hours
before departure and throughout the
period of stay abroad while in the
employment of the patient.

c.

The corresponding amount of salary

computed at eight (8) hours multiplied
by two (2) shifts and the number of
days the patient plans to be out of the
country shall be left in the Philippines
for ready withdrawal by the private
duty nurses authorized representative
on designated dates per agreement of
parties concerned.

A daily travel allowance in addition to

the Private Duty Nurses regular
salary while out the country is
negotiable with the employer.

e. The female private duty nurse who is

caring for a male patients must be
provided a separate room for rest
periods.

f. All hotel, lodging and food expenses while

out of town or out of the country shall be
paid for by the employer.
2. The Private duty nurse is required to:

Leave with the Private Duty Nurses

Association in the Philippines her/his
possible address of destination and
tentative duration of duty;
Report presence to the nearest nursing
organization in the are; and
Report
to
the
Philippine
Nurses
Association his/her arrival in the country.
Advantages of Private Duty Practice
The chance to see life as it really is, to
study human nature and to know at close
range interesting people of different
nationalities, cultures, religion, and
status;
The opportunity to make real friends
through close association with the
patient and his family;
The chance to travel and see the world;

Advantages of Private Duty Practice

. The ability to own time, adjust work and
private life satisfactorily, and direct offduty time into enjoyable leisure;
. The chance to keep abreast with new
knowledge and procedures which provide
and exciting, stimulating experience,
with infinite variety of problems to solve
and personal satisfaction to be gleaned;
and
. The challenge of giving his/her best in
providing
care
and
having
the
satisfaction of seeing its results.
Disadvantages of Private Duty Practice

Some private duty nurses create a

situation in which the patients
become totally dependent on them.

Many private duty nurses graduated

so long ago and have not upgraded
their knowledge and skills.

There are not enough nurses for

evening and night shifts, for holiday,
week-ends, and vacation periods.
Disadvantages of Private Duty Practice
.
Being a line practitioner minimizes
opportunity for developing good relationships
with other hospital personnel.

Some private duty nurses resent

supervision by hospital staff.

Little assistance id given by the Head

Nurse when the patient is critically ill
and the private duty nurse needs help
in giving treatment or in changing the
position of the patient. The private
duty nurse sometimes goes without
meals because the Head Nurse does
not arrange for relief when the
patient cannot be left alone

.
.

Private duty nurses have very little of

no
participation
in
professional
activities. If they ever do, they do so
on their own time and expense.
Nurses who are very experienced
and well-qualified receive the same
fees as the new graduates.
Private duty nurse face problems in
private practice being independent
contractors and there is greater need
for liability insurance
There are no retirement, insurance
and Medicare benefits unless the
private duty nurses provide these for
themselves.
The Private Duty Nurses
Association
of
the
Philippines
defined the categories of the
private nursing practitioners in
1975.
In
February
1976,
it
submitted to the Philippine Nurses
Association the proposal to revise
the rates from a twelve-hour basis
to an eight-hour basis. Standard
rates for Private Duty Nursing was
approved by the Board of Directors,
Philippine Nurses Association in
February 1976.
The rates to be charged
for private duty are determined by
the Private Duty Nurses Association
of
the
Philippines.
Anyone
interested may verify from the
Philippine
Nurses
Association
Headquarters or at the Nursing
Service Office of Lourdes Hospital in
Mandaluyong City.

Nursing Education
Career opportunities in nursing education are better
now than ever before. There is a chronic teacher shortage in
all nursing education programs. Nurses who like to consider
teaching as their field of expertise will have to consider the
following qualifications.
Qualifications of the Faculty
a. be a registered nurse on the Philippines;
b. have at least one year of clinical practice in a field of
specialization;
c. be a member of good standing in the accredited professional
organization of nurses;
d. be a holder of a master's degree in nursing, education, or
other allied medical and health sciences conferred by a college
or university duly recognized by the Government of the
Republic of the Philippines.
Personal Qualities and Special Abilities of Faculty
Members
a. capability to promote interest in the subject they teach,
stimulate the minds of the students, arouse enthusiasm,
quicken imagination, and awaken ambition;
b. competence in the particular field they teach;
c. resourcefulness with infinite patience, understanding,
confidence and perseverance. They must be able to inspire
students to develop their fullest potential; and
d. expertise in providing nursing care in the chosen field aside
from the qualities of good role models.

Military Nursing
The Nurse Corps

When the famed Tandang Sora led the

nursing of the sick and wounded Katipunan
revolutionaries in 1890, military nursing in the
Philippines may be said to have begun.
However, the Nurse Corps we know today

dates back more precise about three decades

ago, shortly before the outbreak of World War
II.

Commonwealth Act No. 1, commonly known as the

National Defense Act.
Clearly provided for the establishment of a
medical service in the army of the
Philippines, However, the component corps
were not specified.
September 5, 1938, the National Defense Act was
amended by Commonwealth Act No. 385
Executive Order No. 2167, dated April 15, 1940.
> This provided for the rules of the organization of
the Philippines Army Nurse Corps Reserve
intended to be mobilized in the event the
Philippines would be involved in the impending war
in the Far East.

To emphasize the female composition of the

Corps, the term Nurse Corps as provided for
in C.A, 385, was changed to the Female
Nurse Corps, pursuant to Commonwealth Act.
569, dated June 7, 1940
For some unknown reasons, the legal basis of the
Nurse Corps existence under the Philippine
government became Executive Order No. 267, the
provision of which was very far from the benefits
given by the USAFFF.

With the aid of the Philippine Nurses

Association, the military nurses were able to
lobby at the Congress for the passage of a bill
that would be re-designate the female nurses
as a component of the Medical Service.
As Nurse Corps, the
members would be guaranteed
the same rights and privileges
as those granted the order
members of the military. This
resulted in the approval of
Republic Act No. 203 on May 12,
1948 by Pres. Elpidio Quirino ,
placing the Nurse Corps in
proper perspective among the
other military organizations.

R.A. 479 of June 10, 1950 amended R.A.203,

and gave credit to the service of military
nurses during the war. Its also provided basis
for determining the grade and rank, seniority,
and retirement of NC officers. In August 1952,
the title Army Nurse Corps Medical Service,
was changed to Nurse Corps, AFP.

Prior to 1973 the Chief Nurse was merely a

staff of the Office of the Surgeon General and
had no direct management and administrative
functions in the AFP Nursing Service.

With the activation of the Office of the Chief

Nurse in the Armed Forces of the Philippines
and the designation of the Chief Nurse as
Technical Staff of General Headquarters on
June 21, 1973, the Chief Nurse has been
afforded the prerogative to decide on matters
purely affecting the Nurse Corps and the
nursing personnel in the AFP. This position
now holds the rank of a Brigadier General.
The first military nurse to hold this rank was
Brig. Gen. Elvegia R. Mendoza.
Functions of the Nurse Corps, AFP

The functions of the AFP Nurse Corps may be

grouped into 3 broad areas:
1. to meet the nursing needs of todays
patients in AFP medical facilities;
2. to prepare each Nurse Corps Officer
(regular and reserve) for future assignments
at a higher level of responsibility in the
different stations and general hospitals in
times of peace and war; and
3. to teach and train enlisted personnel who
perform nursing functions under supervision.
Special emphasis is on ;enlisted members
who function in settings where there no
nurses.

Qualifications of the Military Nurses

Principle: The nurse consciously and
scientifically intervenes in the health and
illness environment for the purpose of
ensuring that the soldier, his family and other
significant groups will have adequate personal
care, maintenance, safety, and comfort.

Rationale: The military nurse works at

different health settings with various levels of
responsibilities. As such, he/she must have
the professional, personal and other
qualification commensurate with job
responsibilities.
Criterion I Qualification for Commission in the
Reserve Force Nurse Corps

Anyone who wants to be commissioned in the

Reserve Force Nurse Corps must
A. have a BS Nursing from a duly recognized
university/college;

B. be licensed to practice nursing;

C. be a natural born-Filipino citizen;
D. be single or has never been married for
both male and female candidates. Female
applicants must not positively be found to
have given birth to a living or still born child;
E. Be mentally and physically fit for military
service and cleared by appropriate security
agencies;
F. have a pleasing personality and a good
moral character;
G. be skillful in
1. applying the nursing process in
meeting health/nursing needs of
individuals/families/groups
/communities;
2. communicating and relating with
others;
3. making sound/rational judgment in a
given situations;

Be interested and willing to work in

both peaceful and wartime conditions;

Not e more that 32years of age at the

time of commission; and

Satisfy the following height

requirements
1. min. of 62 inches for males and
2. min. of 60 inches for females.
Characteristics of work

Nursing services in the military seeks to

provide the highest quality of nursing
care to patients.
Medical corpsmen highly trained
enlisted personnel who help in the care
of patients.
Nursing attendants unskilled non-prof,
who assist nurses and doctors in the
ward.

Mission, Vision, Core Purpose and Core Values

Mission:
The Nurse Corps, is committed to provide a
comprehensive and quality nursing care
services to all military personnel, their
dependents and authorized civilians.
The

Vision
Nurse Corps, AFP, a value-driven
organization, as the best provider of
highly specialized, proactive and relevant

military nursing services in the Armed

Forces of the Philippines. A center of
excellence where military nurses not only
commit themselves to service but in the
pursuit of personal and professional
development toward the achievement of
the goal of the AFP Nursing Service.
Core Purpose

To deliver quality nursing care to clients,

provide education and training to
nursing service personnel and conduct
relevant researches in support of the
AFP mission.
Core Values
Service above self
Accountability and Ethics
Integrity
Competence
Esprit de Corps
Different section:

Surgical Intensive Care Unit

Operating Room & the Anesthesia
Section
The Recovery Ward
OB- Gyne
Pediatrics
Neuropsychiatry
Nuclear Medicine Section
Family Planning Section

REQUIREMENTS FOR COMMISSIONSHIP IN

THE NURSE CORPS
SINGLE:
1. Natural born Filipino citizen
2. Pleasing personality and good moral
character
3. Registered nurse with a Board rating of
80% or above. Below 80% may be
admitted, but should pass a qualifying
examination to be conducted the Office
of the Chief Nurse, AFP

4. a.) Male and female applicants must be

single or never been married:
b.) For female applicants, must not be
positively found to given birth to a living
stillborn child.

5. Not more than 32 years old at the time of

commission agencies.
6. Must satisfy the following height
requirements:

Flight Nursing in the Philippines

Female - at least 5' 2

Male
- at least 5' 4"
7. Must be physically and mentally and
physically fit for military service and
cleared by the appropriate security
agencies.
MARRIED:
1. First priority shall be given to Enlisted
Personnel
a. who are registered nurses by
profession
b. with at least three (3) years of active
military service and
c. have successfully completed the Clinical
Nursing Program for ER Nurses being
con ducted by the Office of The Chief
Nurse, AFP
2. Second priority shall be given to other
applicants who have satisfied the
additional
following
additional
requirements:
a.)With at least three (3) years of current
and
continuous professional experience in
hospital/ clinic settings and or as
member of a faculty of a recognized
School of Nursing.
b.) Preferably with Master in Nursing or at
least nine (9) units of post graduate
studies leading to Master in Nursing.

general nursing theory & practice;

Must
have
knowledge
of
new
developments in the nursing fields;
Must demonstrate ability to perform
comprehensive nursing care.

Is also called Aero-space nursing.

Responsible for patients, mostly military
who have been injured and needs to be
evacuated from battle areas to the
nearest installation for treatment.
Objective: which is to conserve the
fighting strength of the troops.
Qualification for Flight Nurse

Commissioned officer of the Nurse

Corps
Has undergone special training &
instruction about flight nursing
Privileges & Benefits of a Military Nurse

High Salary rate & allowances

a. incentive pay, subsistence
allowance, clothing allowance.
b. flight pay for flight nurses
c. hazard pay
d. cold weather clothing allowance
e. overseas pay

Qualification for call to Active Duty Nurse

Must be commissioned.
Must have at least 1 year nursing
experience in a reputable health agency.
Must have been cleared by appropriate
security agency.
Must have passed the physical & mental
examinations conducted by the
appropriate authorities.
Qualification for Gen. Duty Nurse

Must have the rank of second Lieutenant;

Must have adequate knowledge of

SCHOOL HEALTH NURSING

Responsible for the schools activities in the

areas of health service, health education and
environmental health and safety.
The health program of each school is geared
toward making the students and faculty
understand those programs which emphasize
health promotion, prevention of disease &
follow-through of any findings that may
indicate a need for medical care and
treatment.

CLINIC NURSING
Must possess general skills.
- acts as a receptionist, answers the phone,
does the billing, takes x-rays and ECGs,
changes dressings, gives injections (BCG,
DPT, etc.) & assists in physical examinations,
autoclaving, keep records.
Advantages:
- favorable working hours
- efficient clinic nurses are trusted in their
judgment and share in planning the care of
the patient.
ADVANCED PRACTICE NURSING
Is synonymous with specialization.
Term for nurses who have specialized
education and experience beyond the basic
nursing program.
Requires the knowledge and supervised skills
obtained through graduate studies (Masteral
or doctoral
Independent Nursing Practice

The nurses involvement in clients family or community

will increase the nurses sensitivity and response to their
clients needs.
Improvement of health services will help prevent
serious illnesses and maintain positive community
health programs
It will provide data for nursing education, to validate
and legitimize extended role practices for nurses.

Several questions are hereby posed in this regard:

Are our present graduates prepared to do

independent nursing practice? If they are not, who
shall provide this training?

Can independent nursing practice support a

practitioner economically?

At these times when thousands of nurses are

unemployed, is independent practice an answer to
nursing unemployment?

Advanced Practice Nursing

Advanced practice nurses are, as are all registered

nurses, independently licensed and accountable for
their actions. Able to deliver services independent of
their relationship with physicians or other health care
providers. Collaborating with and referring to other
health providers is a matter of good professional
practice . Regardless of practice setting or supervision
requirements, advanced practice nurses, like most
health professionals, generally maintain a network for
referral to and collaboration with other professionals and
maintain a means to access emergency back-up.
Independent Nursing Practice

Independent - means the nurse is self-employed and

provide professional nursing to clients and their families.

The nurse reach out and offer their services rather than
expect clients to seek their help.

They perform both independent and collaborative roles.

Health assessment, formulating plans for health

maintenance, prevention strategies, continuation of
supportive activities in critical and complex health
problems.

They make referrals and collaborate with physicians

and other disciplines as needed by the client or family.
Predicted Outcomes of the New Role Nurses as Independent
Nurse Practitioners

It will encourage professional nurses to extend their

capabilities and assume greater responsibilities for
designated areas of generalized nursing practice.
The amount of health care will be more increased and
accessible to people.

Or

Occupational Health Nursing

Industrial Nursing

Occupational Health Nursing also called Industrial Nursing

Reason for few Nurses go into Occupational Health Nursing
it often work alone and must therefore possess
maturity, experience, and wise judgment
Occupational Health Nursing - is the specialty practice that
provides and delivers health care services to workers.
Practice focuses on the following
Promotion
Protection and

 Supervision of workers health within the context of a

safe and healthy work environment

It is autonomous
make Independent nursing judgements in providing
health services

Occupational Health Nurses need to be fully

informed about their legal responsibilities
First consideration is Patients Welfare
OBJECTIVES

To maintain and promote workers health and working

capacity
To improve working environment and work to become
conducive to safety and health
To develop a working organization which supports
health and safety of work
and promote positive social climate
that may enhance the productivity
DEVELOPMENTS IN OHN

Past

Public Health approach

Stereotype Nursing Care
Immediate care for illness and injury
Lack of emphasis on causation

Requirements of Occupational Health Nurses

1. Must be Bachelors Degree in Nursing
2. Special Skills
a good preparation is 1 year or more in emergency
nursing,
Helpful skills include ability to take and read ECGs,
eye screening, audiometer testing laboratory tests
and X-ray
Industrial nurses must know company policies on
personnel, insurance benefits, sick leave, pay rates,
health programs medical matters and records

Scope of Responsibilities
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Assess work environments to identify

potential or actual health problems
Render first-aid treatment , especially during
emergency cases, from simple wound
dressing to wound suturing.
Refer emergency cases to the nearest
hospital requiring more extensive medical
aid of surgical care in the absence of
company physician.

Active involvement in the Safety & Health

Committee of the company
o Monitor and record all medicines issued to
employees
o Conduct home visit to employees who were
on prolonged sick leave and those who went
on leave without permission no notifications
for verification purposes.
o Assist the company physician during
consultation and treatment.
Monitor, record and prepare industrial accident
reports, assist in filing and processing for SSS/
PH benefits
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