[17] FINALS | SCOPES AND STANDARDS Flashcards
SCOPE OF NURSING PRACTICE
ARTICLE VI SEC. 28 OF RA 9173
The Philippine Nursing Act of 2002
RA 9173
October 21, 2002
RA 9173
AN ACT PROVIDING FOR A MORE RESPONSIVE NURSING PROFESSION, REPEALING FOR THE PURPOSE REPUBLIC ACT NO. ____, OTHERWISE KNOWN AS “THE PHILIPPINE NURSING ACT OF 1991” AND FOR OTHER PURPOSES.
AN ACT PROVIDING FOR A MORE RESPONSIVE NURSING PROFESSION, REPEALING FOR THE PURPOSE REPUBLIC ACT NO. 7164, OTHERWISE KNOWN AS “THE PHILIPPINE NURSING ACT OF 1991” AND FOR OTHER PURPOSES.
WHO’S MCN STANDARDS OF CARE
- Every woman and newborn receives routine, evidence-based care and management of complications during labor, childbirth and the early postnatal period, according to WHO guidelines.
- EBP for routine care and management complications
STANDARD 1
- The health information system enables use of data to ensure early, appropriate action to improve the care of every woman and newborn.
- Actionable Information System
- HIMS - Hospital Information Management System
STANDARD 2
- Every woman and newborn with condition(s) that cannot be dealt with effectively with the available resources is appropriately referred.
- Funtional referral system
STANDARD 3
Communication with women and their families is effective and responds to their needs and preferences.
STANDARD 4
Women and newborns receive care with respect and preservation of their dignity.
STANDARD 5
Every woman and her family are provided with emotional support that is sensitive to their needs and strengthens the woman’s capability.
STANDARD 6
For every woman and newborn, competent, motivated staff are consistently available to provide routine care and manage complications.
STANDARD 7
Are set forth in governmental laws. All the statutes and laws that lawyers point to are these. If you drive around downtown through any big city, you’ll notice parking signs all over the place telling you that you can’t park there for a long time, and they cite a city statute or code.
LEGAL STANDARDS
Don’t necessarily have a legal basis. They are based on human principles of right and wrong ( drove a car)
ETHICAL STANDARDS
ARTICLE II DECLARATION OF PRINCIPLES AND STATE POLICIES
SECTION 12
- The “b____” is a phrase used in the constitution which refers to the family as a unit.
- The f____ is a social institution (made up of several sometimes complex social relationships) in its most basic form, as all other social interactions stem from the family.
SECTION 12
- The “basic autonomous social institution” is a phrase used in the constitution which refers to the family as a unit.
- The family is a social institution (made up of several sometimes complex social relationships) in its most basic form, as all other social interactions stem from the family.
The State recognizes ____ as an inviolable social institution and the foundation of the family which in turn is the foundation of the nation.
The State recognizes marriage as an inviolable social institution and the foundation of the family which in turn is the foundation of the nation.
PUBLIC HEALTH LAWS
- R____ 2012
- Rooming-in and Breastfeeding Act of 2018 - RA ____
- V____
- S____
- M____ 2018
- C____ 2015
- C____ 2016
- C____
- E____ - The Milk Code 1986
- F____
- E____
- Responsible Parenthood and Health Law of 2012
- RA 7600
- Violence Against Women
- Save the Children
- Mandatory Infants and Children Health Immunization Act of 2018
- Children Safety on Motorcycle Act of 2015
- Children’s Emergency Relief and Protection Act of 2016
- Child and Youth Welfare Code of the Philippines
- EO 51 - The Milk Code 1986
- Food Fortification program
- Expanded Program on Immunization Children
AUTONOMY
- “Autos” - s____
- “Nomos”- g____
AUTONOMY
- “Autos” - self
- “Nomos”- governance
involves self- determination and freedom to choose and implements one decision, free from deceit, duress, constraint or coercion.
AUTONOMY
promotes doing acts of kindness and mercy that directly benefit the patient
BENEFICENCE
- telling the truth, keeping actual implicit promises
- Devotion to duties, obligations
FIDELITY
right to demand to be treated justly, fairly and equally
JUSTICE
- To prevent harm
- stated as an admonition in the negative form to remind health practitioner not to do harm.
NONMALEFICENCE
bound to tell the truth
VERACITY
OTHER BIOETHICAL PRINCIPLES THAT AFFECTS MCN
CCDSST
- STEWARDSHIP
- TOTALITY
- DOUBLE EFFECT
- COOPERATION
- SOLIDARITY
- CONFIDENTIALITY
OTHER BIOETHICAL PRINCIPLES THAT AFFECTS MCN
ABFJNV
- AUTONOMY
- BENEFICENCE
- FIDELITY
- JUSTICE
- NONMALEFICENCE
- VERACITY
- the process of working or acting together, which can be accomplished by both intentional and non-intentional agents.
- In its simplest form it involves things working in harmony
COOPERATION
Also termed as Privileged communication because it is given based on trust
CONFIDENTIALITY OF INFORMATION
Confidential information may only be revealed when:
- pt himself permits such r____ as in the case of claim for hospitalization, insurance benefits
- the case is m____ e.g. attempted suicide, gunshot wounds
- the pt is ill of ____ and public safety may be jeopardized
- given to members of the h____ if information is relevant to health care
Confidential information may only be revealed when:
- pt himself permits such revelation as in the case of claim for hospitalization, insurance benefits
- the case is medico-legal e.g. attempted suicide, gunshot wounds
- the pt is ill of CD and public safety may be jeopardized
- given to members of the health team if information is relevant to health care
Confidential Information may also be revealed as provided for by ____
LAW
Data Privacy Act of 2012 (DPA)
RA 10173
The Data Privacy Act provides for the protection of personal information. It also established the N____ as the lead agency to implement the provisions of this law and to ensure the country’s compliance with international standards of data protection.
The Data Privacy Act provides for the protection of personal information. It also established the National Privacy Commission as the lead agency to implement the provisions of this law and to ensure the country’s compliance with international standards of data protection.
Act has both good and bad effect
DOUBLE EFFECT
Doctrine of Double Effect: The intended effect of care must be ____. Any harmful effects of care should be p____ but not intended. Harmful effects of care should not be used as a way to achieve beneficial results
Doctrine of Double Effect: The intended effect of care must be positive. Any harmful effects of care should be predicted but not intended. Harmful effects of care should not be used as a way to achieve beneficial results
- To be one with others.
- One of the primary duties of a nurse is to act as patient advocate.
SOLIDARITY
- Our life (our human nature and everything in life) in this earth are gifts we have dominion over
- the careful and responsible management of something entrusted to one’s care
STEWARDSHIP
- Wholeness
- A part may only be sacrificed for the good or better function of the whole.
TOTALITY
- a choice that has the potential to violate ethical principles
- In nursing, it is often based on the nurse’s commitment to advocacy.
- A unique aspect of maternity nursing is that the nurse advocates for two individuals, the woman and the fetus
ETHICAL DILEMMA
CLINICAL EXAMPLES OF PERINATAL ETHICAL DILEMMAS
CHECK PPT!!
ETHICAL ISSUES AND CHALLENGES IN MATERNAL AND CHILD HEALTH NURSING
- A____
- S____
- F____ Therapy
- I____
- Refusal of M____
- C____
- S____ - termination of one or more fetuses in multifetal pregnancies
- I____ of Fetal Conditions
- Mandated C____ and S____
- Fetal I____
- I____ Treatment
- Abortion
- Substance Abuse
- Fetal Therapy
- Informed Consent
- Refusal of Medical Treatment
- Confidentiality
- Selective Reduction - termination of one or more fetuses in multifetal pregnancies
- Intra-uterine Treatement of Fetal Conditions
- Mandated Contraception and Surgical Sterilization
- Fetal Injury
- Infertility Treatment
PSI - Progestin-only Subdermal Implant
IUD - Intrauterine Device
ADVANCES IN GENETICS AND GENETIC TECHNOLOGY
- Expanded carrier screening panels and non-invasive cell-free fetal DNA-based screening for a____ and single-gene disorders
- ____ (CMA)
- ____ (WES)
- Tandem ____ (MS/MS)
- Carrier screening programs for ____ (TSD)
- Prenatal screening for aneuploidy and n____
- Two main mutations in the hemochromatosis gene have been identified, C____ and H____
- ____ (FVL) is a variant of factor V, a coagulation factor. This variant is associated with an increased risk of thrombosis
- ____ (MPS)
- Expanded carrier screening panels and non-invasive cell-free fetal DNA-based screening for aneuploidy and single-gene disorders
- Chromosomal microarray analysis (CMA)
- Whole-exome sequencing (WES)
- Tandem mass spectrometry (MS/MS)
- Carrier screening programs for Tay-Sachs Disease (TSD)
- Prenatal screening for aneuploidy and neural tube defects
- Two main mutations in the hemochromatosis gene have been identified, C282Y and H63D
- Factor V Leiden (FVL) is a variant of factor V, a coagulation factor. This variant is associated with an increased risk of thrombosis
- massively parallel sequencing (MPS)
REPRODUCTION W/O SEX
- F____ to extend reproductive timeline
- D____
- Freezing eggs to extend reproductive timeline
- Designer babies
DESIGNER BABIES
- C____, a tool used to “edit” the human genome with incredible precision
- Just three years after its initial development, C____ technology is already widely used by biologists as a kind of search-and-replace tool to alter DNA, even down to the level of a single letter
- By editing the DNA of these cells or the embryo itsle (g____), it could be possible to correct disease genes and pass those genetic fixes on to future generations
- CRISPR/Cas9, a tool used to “edit” the human genome with incredible precision
- Just three years after its initial development, CRISPR technology is already widely used by biologists as a kind of search-and-replace tool to alter DNA, even down to the level of a single letter
- By editing the DNA of these cells or the embryo itsle (germline engineering), it could be possible to correct disease genes and pass those genetic fixes on to future generations
THREE NEW APPROACHES TO REPRODUCTION
- Making babies with more than ____ people
- Making babies w/o e____
- Artificial w____
- Making babies with more than two people
- Making babies w/o eggs
- Artificial wombs
ALTERNATIVE METHODS OF BIRTH
- W____
- H____
- A____ and A____
- Water birth
- Hypnosis (Hypnobirthing)
- Acupuncture and Acupressure
7 COMMON REPRODUCTIVE ISSUES FOR WOMEN
- E____
- U____
- G____
- H____
- I____
- ____ (PCOS)
- ____ (STDs)
- S____
- Endometriosis
- Uterine Fibroids
- Gynecologic Cancer
- HIV/AIDS
- Interstitial Cystitis
- Polycystic Ovary Syndrome (PCOS)
- Sexually Transmitted Diseases (STDs)
- Sexual Violence
PROBLEMS R/T THE VULVA & VAGINA
- V____ - has a known association with urinary tract infections (UTIs) in girls
- N____ - include infection, an underlying medical condition, medication or hormonal imbalance
- Vulvovaginitis - has a known association with urinary tract infections (UTIs) in girls
- Non-menstrual Bleeding - include infection, an underlying medical condition, medication or hormonal imbalance
PROBLEMS R/T THE OVARIES AND FALLOPIAN TUBE
- E____
- O____
- Ectopic pregnancy
- Ovarian tumors
PROBLEMS R/T MENSTRUATION
- D____ - pain during mens
- M____ - prolonged bleeding
- O____ - infrequent mens
- A____ - absence of mens
- Dysmenorrhea - pain during mens
- Menorrhagia - prolonged bleeding
- Oligomenorrhea - infrequent mens
- Amenorrhea - absence of mens
PROBLEMS R/T REPRODUCTIVE SYSTEM
- ____ (TSS)
- ____ (STDs)
- Toxic Shock Syndrom (TSS)
- Sexually Transmitted Diseases (STDs)
The Responsible Parenthood and Reproductive Health Act of 2012
RA 10354
Implementing Health Reforms to Rapidly Reduce Maternal and Neonatal Mortality
AO 2008-0029
Guidelines Governing the Payment of Training Fees relative to the Attendance of Health Workers to Basic Emergency Obstetric and Newborn Care Skills Training Course at Duly Designated Training Centers
DEPARTMENT ORDER 2009-0084
Establishment of Basic Emergency Obstetric and Newborn Care Training Centers in Regional Hospitals and Medical Centers
AO 2011-0011
Guidelines in the Administration of Life Saving Drugs During Maternal Care Emergencies by Nurses and Midwives in Birthing Centers
AO 2015-0020
Guidelines on the Provision of Quality Antenatal Care in All Birthing Centers and Health Facilities Providing Maternity Care Services
AO 2016-0035
National Policy on the Prevention of Illegal and Unsafe Abortion and Management of Post-Abortion Complications
AO 2018-0003
EXISTING DOH PROGRAMS ON MATERNAL AND CHILD CARE
- P____
( Sept 12, 2005) was officially launched - G____ - a new global consensus setting out key action steps to save the lives of more than 10 million women and children by 2015
-
Partnership for Maternal, Newborn, and Child Health
( Sept 12, 2005) was officially launched - Global Consensus for Maternal, Newborn, and Child Health - a new global consensus setting out key action steps to save the lives of more than 10 million women and children by 2015
EXISTING DOH PROGRAMS ON MATERNAL AND CHILD CARE
- I____ and Nutrition Strategy - the health of mothers and children were placed at the center of health sector reform
- Philippine government has adopted W____ as its flagship program under the sector-wide F1 – to reduce MMR
- Integrated Maternal, Neonatal, and Child-Health and Nutrition Strategy The health of mothers and children were placed at the center of health sector reform
- Philippine government has adopted Women’s Health and Safe Motherhood as its flagship program under the sector-wide F1 – to reduce MMR
EXISTING DOH PROGRAMS ON MATERNAL AND CHILD CARE
A national mandated priority public health program to attain the country’s national health development goal
FAMILY PLANNING
EXISTING DOH PROGRAMS ON MATERNAL AND CHILD CARE
Formulates cost-effective interventions
PHILIPPINE NATIONAL STRATEGIC FRAMEWORK FOR PLAN DEVELOPMENT FOR CHILDREN. 2000-2025 (Child 21)
Early Childhood Care and Development (ECCD) Act of 2000 - Defines the ECCD system as the full range of health, nutrition, early education, and social services programs that provide for the basic holistic needs of young children from birth to age six
RA 8980
