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  1. 1. CHAPTER-IV DEFFIRENT FIELDS OF NURSINGCLASSIFICATION OF FIELDS OF NURSING IN GENERALThe fields of Nursing may be classified according to the following:Institutional Nursing1. Hospital or Institutional Nursing2. Public Health Nursing or Community Health Nursing3. Private Duty or Special Duty Nursing4. Industrial or Occupational Health Nursing5. Nursing Education6. Military Nursing7. School Nursing8. Clinic Nursing9. Independent Nursing PracticeI. INSTITUTIONAL NURSINGNursing in hospitals and related health facilities such as extended care facilities, nursing homes,and neighborhood clinics, comprises all of the basic components of comprehensive patient careand family health. The concept of the modern hospital as a community health center where inpatient and out patient are continuous describes the goal of medical care in most general hospitalAdvantages of Staff Nursing in Hospital1. There is always a supervisor whom one can consult if problem exist.2. Nurses are updated with new trends in medicine and in the nursing care of patients.3. They undergo rotation to different units and have a chance to determine their special area ofchoice before they are assigned permanently in one area.4. They have an eight hour day and forty-hour week duty which provide for two days of rest awayfrom duty.5. They have a chance to be promoted if they are qualified.6. Salary increases are given periodically according to merit system7. They are considered an important member of the health team8. More staff development programs are available in the hospital.
  2. 2. Diadvantages of staff Nursing in Hospital1. There is a great possibility of understaffing which may require nurses to put in overtime work.2. Because of the bulk of work, some nurses do not find time to improve their skills throughcontinuing education programs.3. Administrative problems and overwork may tend to dissatisfy the staff nurse.Section 29. Qualification of Nursing Service Administrators. - A person occupying supervisoryor managerial positions requiring knowledge of nursing must:(a) Be a registered nurse in the Philippines;(b) Have at least two (2) years experience in general nursing service administration;(c) Possess a degree of Bachelors of Science in Nursing, with at least nine (9) units in managementand administration courses at the graduate level; and(d) Be a member of good standing of the accredited professional organization of nurses;In addition to the foregoing qualifications, possess:(a) At least five (5) years of experience in a supervisory or managerial position in nursing; and(b) A masters degree major in nursing;Provided, further, That for primary hospitals, the maximum academic qualifications andexperiences for a chief nurse shall be as specified in subsections (a), (b), and (c) of this section:Provided, furthermore, That for chief nurses in the public health nursing shall be given priority.Provided, even further, That for chief nurses in military hospitals, priority shall be given to thosewho have finished a masters degree in nursing and the completion of the General Staff Course(GSC): Provided, finally, That those occupying such positions before the effectivity of this Actshall be given a period of five (5) years within which to qualify.Nursing Specialty CertificationSEC.29 Comprehensive nursing specialty program within 90 days from the effectivity of this act,the board in coordination with the accredited professional organization, recognized specialtyorganizationsand the department of health is hereby mandated to formulate and develop acomprehensive nursingspecialty program that would upgrade the level of skill and competence ofspecialty nurse clinicians inthe country, such as but not limited to the areas of critical care,oncology, renal and such other areas asmay be determined by the board.The beneficiaries of thisprogram are obliged to serve in any philippine hospital for a period of at leasttwo(2)years ofcontinuous service.
  3. 3. SEC.33 funding for the comprehensive nursing specialty program the annual financialrequirementneeded to train at least ten percent 10% of the nursing staff of the participatinggovernment hospitalshall be chargeable against the income of the philippine charity sweepstakesoffice and the philippineamusement and gaming corporation, which shall equally share in the costsand shall be released to thedepartment of health subject to accounting and auditing procedures:provided, that the department of health shall set the criteria for the availment of this programBenefits of certification1.Nurses certified above minimum standards improve the quality of patient care2.2.Certification measures expertise beyond which is measured in basic licensure3.3.Certification ensures continued competence in the changing world of health care4.4.Certification in means of confronting the demands of health care5.5.It is a lifelong learning that advances nursing skill and knowledge to move theprofessionforward6.6.It enhances the nurses self image and the publics view of the professionII.PUBLIC HEALTH/COMMUNITY HEALTH NURSINGThe National League of philippines government nurses, in developing the standards of Public Health Nursing Practices in the Philippines 2006a) Public Health Nursing refers to the practice of nursing in the local,national and city health department which include health centers and public schools.b) Community health nursing is broader as it encompasses nursing practice in a variety of roles,which at time include independent nursing practice.Advantages of Community Health Nursing1. The focus of nursing care is on family and community health rather than on an individual basis.2. It gives the nurse a better perspective of the health conditions of the community and the healthprograms conceived by the government.3. It maximizes efforts to improvise where there are no sufficient facilities, supplies and equipment.4. It enables the nurse to utilize various community resources and maximize coordination with othermembers of the health team.5. Focus of care is more on educational and preventive aspects.6. Individuals, families and communities are motivated to assume responsibility for their own healthcare.
  4. 4. Disadvantages of Community Health Nursing1. Cases found in public health nursing are limited mostly to chronic and communicable diseases.2. There are more hazards in public health than in hospital nursing.3. There are no fixed hours of work.4. Some claim that it is not as exciting nor as glamorous as hospital work.5. Facilities for care of the sick are limited so that practice are also limited.6. The PHN may not be immediately aware of changes or trends in the field of nursing.7. It is not a place for introverts.8.There is no immediate supervisor to consult in case of emergency.NURSING IN IN-SERVICE EDUCATION PROGRAMNurses in this field need:1. Nursing practice at least two years experience in basic nursing practice2. Understand of skills in teaching,supervision, and consultation3. Understand of relationship of these persons to the process of administration and research4. Understanding of the broad problems5. Understand of and skill in the use of problem-solving approach to resolve everyday problems inthe practice of nursing and in-service education in the areas of concern6. Understand of the role and functions of the revising personel in this area if in-service education7. Understanding of self and others involved in in-service education within the various agencies innursing8. Ability to plan and implement programs for different kinds of nursing personnelIII. PRIVATE DUTY NURSINGNurses in private practice are expected to be expert clinicians as well as expert generalist innursing. They use the title Private Duty Nurse, Private Nurse Practitioner, Special Duty Nurse orPrivate Duty Nurse Specialist.A registered nurse who undertakes to give comprehensive nursing care to a client on a one on oneratio. TWO CATEGORIES1. General Private Duty Nurse - providing basic nursing care to any type of patient.2. Private Duty Nurse Specialist- skills in complicated devices, interpreting, observing signsand symptoms.Qualifications of a Private Nurse Practitioner
  5. 5. A private nurse practitioner must1. Be a registered nurse in the philippines2. Have the following documents for the current years: a. Professional Tax Receipt (PTR) b. Professional Regulation Commission Card (PRC) c. Resident Certificate3. Have atleast two years of bedside nursing experience as a professional nurse in a general hospitalimmediately prior to application4. Be acceptable to the director of nursing service as suitable for orrientation to do private dutynursing5. Be a full time private duty nurse6. Preferably have undergone a Critical Care Nursing Course7. Be a certified I.V.Nurse therapist the ANSAP (Association of Nursing Science Administrators ofthe philippines)RequirementsAprivate nurse practioner is required1. To undergo orientation in the hospital2. To have the complete paraphernalia3. To wear full white nurses uniform4. To have a medical certificate5. To give two character references6. To acquire,for succeeding years,certificate of three seminars of continuing education programaattended7. To show certification as an I.V Therapist by the ANSAPGeneral Guidelines1. She or He is directly under the supervision of the nursing service in the hospital or of the HeadNurse Unit2. The private duty nurse id responsible for the nursing care of the patient
  6. 6. 3. The private duty Nurse shall endeavor to give complete nursing care before going off-duty4. While the private duty nurse on house case is directly responsible to the attending physician ofthe patient,a regular monthly service audit shall be given to the director of nursing service whorefferred her/him for emploment.Policies and guidelines for nurses accompanying patients out of the country1. Passport and other travel papers All expenses for fees and processing of visa and travel papers are paid for by the patient orhis/her representatives2. The private duty nurse is required to a. leave with the private duty nurses association in the philippines her/his possible address ofdestination and tentative duration of duty b. report presence to the nearest nursing organization in the are c. report to the philippines nurses association his/her arrival in the countryAdvantages of Private Duty Practice1. Chance to see life as it really is, to study human nature and to know close range interestingpeople of different nationalities.2. The opportunity to make real friends3. Chance to travel and see the world4. The ability to own time, adjust work and private life, direct off duty.5. The chance to keep abreast with the new knowledge and procedures.6. The challenges of giving his best in providing care .Disadvantages of Private Duty Practice1. Some patients become totally dependent on the nurse.2. Many private duty nurses graduated so long ago and have not upgraded their knowledge andskills.3. There are not enough nurses for evening and night shift, holiday, week-ends.4. Little assistance is given by the Head Nurse when the patient is critically ill.5.There are no retirement, insurance and medicare benefits unless he provide these for himself.
  7. 7. IV. IV. OCCUPATIONAL HEALTH NURSING OR INDUSTRIAL NURSINGFew nurses go into occupational health nursing. This is because they often work alone, and musttherefore possess maturity, experience, and wise judgment.Occupational health nursing is the specialty practice that provides and delivers health care servicesof workers. The practice focuses on promotion, protection, and supervision of workers healthwithin the context of a safe and healthy environment.V. NURSING EDUCATIONQualifications of the Faculty:1. Be a registered nurse in the Philippines2. Have at least one year of clinical practice in a field of specialization3. Be a member of good standing in the accredited professional organization of nurses4. Be a holder of masters degree in nursing, educationA dean in a collage of nursing should possess a Masters Degree in Nursing and must have at leastfive (5) years of experience in teaching and supervission as per R.A 9173.VI. MILITARY NURSINGFunction of the Nurse Corps,AFPProvides comprehensive and quality nursing care to all military personel,their depends andauthorizes relativesThree broad areas:1. To meet the nursing needs of today’s patient in AFP medical facilities2. To prepare each Nurse Corps Officer for future assignments at a higher level of responsibility inthe different stations and general hospital in time of peace and war3. To teach and train enlisted personnel who perform nursing functions under supervision.Qualification of the Military NursePrincipleThe Nurse consciously and scientifically intervenes in the health and illness environment for theporpuse of ensuring the soldier,his family and other significant groups will have the adequatepersonal care, maintain,safety,and comfortRationaleThe military nurses works at different health settings with various levels of responsibilities
  8. 8. Criterion I – Qualifications for Commission in the Reserve Force Nurse Corps1. Have a BSN from duly recognized university/college2. Be licensed to practice nursing3. Be a natural born Filipino citizen4. Be single or has never been married5. Be mentally and physically fit and cleared by appropriate security agencies6. Have a pleasing personality and good moral character7. Be skillful in applying nursing process, communicating with others, making sound/ rationaljudgment8. Be interested and willing to work in both peaceful and wartime conditions9. Height requirements: for Males: minimum of 62 in. for Females: minimum of 60 in.Qualification for Gen. Duty Nurse1. Must have the rank of second Lieutenant;2. Must have adequate knowledge of general nursing theory & practice;3. Must have knowledge of new developments in the nursing fields;4. Must demonstrate ability to perform comprehensive nursing care.Qualification for call to Active Duty Nurse ( CAD)1. Must be commissioned.2. Must have at least 1 year nursing experience in a reputable health agency.3. Must have been cleared by appropriate security agency.4. Must have passed the physical & mental examinations conducted by theappropriate authorities.Qualification for Flight NurseCommissioned officer of the Nurse Corps Has undergone special training & instructionabout flight nursingPrivileges & Benefits of a Military NurseHigh Salary rate & allowancesa. incentive pay, subsistence allowance, clothing allowance.b. flight pay for flight nursesc. hazard payd. cold weather clothing allowancee. overseas pay
  9. 9. VII. SCHOOL HEALTH NURSINGSchool health nurses often work alone, out of touch with other nurse, the hospital and allprofessional supports they have known. They are responsible for the school activities in the areasof health service, health education and environmental health and safetySome Responsibilities of the school nurse:1. Organizing and implementing the school health program2. Coordinating school health programs3. Undertaking functions directly related to pupils health4. Evaluating school health program5. Carrying out functions related to the health of school personnelAdvantages1. School nursing affords one the opportunity to watch children advance from grade to grade inschool health.2. Hours are usually good and there is no shift duty.Disadvantage1. Many school nurses do not update themselves on the current issues in nursing making themunaware of changes in the nursing practice.CLINIC NURSINGMust possess general skills.- acts as a receptionist, answers the phone, does the billing, takes x-rays and ECG’s,changes dressings, gives injections (BCG,DPT, etc.) & assist’s in physical examinations,autoclaving, keep records.Advantages1. favorable working hours2. efficient clinic nurses are trusted in their judgment and share in planning the care ofthe patient.INDEPENDENT NURSING PRACTICEAs the term implies, “independent” means the nurse is self employed and provides professionalnursing services to the clients and their families. While some independent nursing practitioners setup their clinics near a hospital, most of them are community based. The nurses reach out and offertheir services rather than expect clients to seek their help.
  10. 10. CHAPTER-V NURSING OPPORTUNITIES ABROADNew nurses are advised to serve the country first before planning to go abroad.the reason for thisare for 1. to acquire a better perspective of the actual health status of the people in the country 2. to be able to participate in and contribute to the implementation of the national health programs for the people 3. to develop skills not only in the cure and preventive aspects of care but also in the art of good working relationships with the health team and the community 4. to gain more experience in a variety of situations and enable them to be more mature in judgement 5. to acquire the satisfaction of having been able to serve our people first before serving other. TWO IMPORTANT DOCUMENTS 1. Pass Port 2. Visa a. Tourist visa b. Working c. Student d. ImmigrantGreen card visaA green card is a document showing evidence of your lawful permanent resident status in theUnited States. When you become a permanent resident, you receive a green card.ImmigrantA person migrates to another country CLASS DESCRIPTIONFirst Class Unmarried sons and daughters of United States citizenSecond Preference Spouses and unmarried sons and daughters of aliens lawfully admitted for permanent residenceThird Preference Members of the profession or person of exceptional ability in the sciences or artsFourth Preference Married sons and daughters of United States
  11. 11. citizenFifth Preference Brother and sisters of United States CitizenSixth Preference Skilled or unskilled workers in short supplySeventh Preference RefugeesWays to go Abroad 1. Direct hiring 2. POEA 3. Recrutment Reasons why to go abroad 1. Financial reason 2. Fastest way of recovering expences 3. Opportunity and see other places 4. No enough Position Basic benefits 1. Free Transpotation to and from the ditenition 2. Free room and board 3. Vication and sick leave Remember Always 1. Maintain dignity and professionalism 2. Loyal to her country and people 3. Respect the law tradition and costums of the host country 4. Aware of their nursing law 5. Maintain good traits that represent our true filipinoCGFNS- (Commission on Graduates of foreign Nursing Schools) An examination that required for nurses who are set to work in the United StatesNCLEX-(National Council Licensure Examination) is an examination for the licensing of nurses inthe United States.
  12. 12. CHAPTER-VI CHOOSING,RETAINING,RESIGNING AND DISMISSAL FROM A POSITIONGuidelines in choosing a field of nursing 1. Make a self –evaluation 2. They need to consider their capacities, interests, qualifications and goalsFactors in selecting a field of nursing1. Kind of work to be performed2. Availability of the work3. Hours of works4. Qualifications5. Opportunities for advancement6. Method of enteringPersonal Interview1. Make an appointment either by mail or telephone2. Be at place at the appointment3. Know something about the institution where you will apply so that you can answer questionsintelligently4. Be at your best5. Know before you enter6. Bring credentials such as your registration card, residence certificate, tax account number and thelike.
  13. 13. STUDY OUTLINE forProfessional Adjustment Submitted by: Prescy Marey J. Lozada BSN-IV Submitted to: Vinilo Hermoso, RN Clinical Instructor