THE ETHICO LEGAL

ASPECTS
of Intravenous Therapy
Cardinal Santos Medical Center

Rose Ann T. Nepomuceno

Somera Case
May 26, 1929

Valentina Andaya

Dr. Bartolome

Anastacia Clemente
Consolacion Montinola

Dr. Gregorio Favis

Pedro Clemente

Basic DUTIES AND

RESPONSIBILITIES

DUTIES AND RESPONSIBILITIES

1. INTERPRET AND CARRY OUT the physician
prescriptions for IV therapy.
2. PREPARE, INITIATE AND TERMINATE IV therapy.
3. Adhere to established INFECTION CONTROL practices.
4. Perform PERIPHERAL VENIPUNCTURE
5. Determine

solution

INCOMPATIBILITIES.

and

medication

6.

DUTIES AND
RESPONSIBILITIES
Administer COMPUTED MEDICATIONS,
CHEMOtherapeutic

drugs, flow rates of

solutions,
compatible
BLOOD/BLOOD
components and PARENTERAL NUTRITION.
7. Assess all

ADVERSE REACTIONS

8. Establish NURSING CARE PLAN related to IV

Therapy.
9. Maintain proper CARE of IV equipment.

LEGAL BASIS

IV THERAPY AND LEGAL IMPLICATIONS

R.A. 7164
Board of Nursing Resolution No.8

Sec.
30
(c)
Art.VII
or
administratively under Sec.21 Art.III
R.A. 9173

That in the practice of nursing in all

settings, the nurse is duty-bound to
observe the Code of Ethics for nurses
and uphold the standards of safe
nursing practice.

CODE OF ETHICS FOR NURSES

IN THE PHILIPPINES

CODE OF ETHICS
DEFINITION:

is the study of the standards of

conduct and moral judgment.

Therefore,
NURSING ETHICS is concerned with the
principles of right conduct as they apply to the
nursing profession.

NURSES AND
PEOPLE

VALUES,
CUSTOMS
AND
SPIRITUAL BELIEFS held by
individuals
are
to
be
respected.
Nurses

hold

in

strict

CONFIDENCE
personal information acquired
in the process of giving
nursing care.

NURSES AND
PRACTICES
Nurses are ACCOUNTABLE for their
own nursing practice.
Nurses maintain or modify standards of
practice within the reality of any given
situation.
Nurses are the ADVOCATES of the
patients.
Nurses are aware that their actions have
professional, ethical, moral and legal
dimensions.

NURSES AND
THE
NursesPROFESSION
are
expected
members
PROFESSIONAL
ORGANIZATIONS

of

of nurses.

Nurses help to determine and implement

desirable standards of nursing practice and
nursing education.
Nurses
should
initiate
and
involve
themselves in structured and nonstructured
RESEARCH activities within their existing
milieu.

NURSES AND COWORKERS

COLLABORATIVE
working relationships with their coNurses

maintain

workers and other members of the heal

the team.
They recognize their capabilities and
limitations in accepting responsibilities
and those of their co-workers when
delegating responsibilities to them.

NURSES AND
SOCIETY
are
CONTRIBUTING
MEMBERS of society. They assume
responsibilities inherent in being
members
and
citizens
of
the
community/society in which they
live/work.
Nurses

Nurses

recognize the need for

CHANGE and initiate, participate,
and support activities to meet the
health and social needs of the people.

CODE OF ETHICS
The Nursing Service Administrators of the
Philippines

MISSION

Provision of efficient and effective nursing

services.
Promote quality health care for people as a
basic human right.
Be responsible for planning, organizing,
directing and controlling the programs and
activities of the Nursing Service towards
optimum quality nursing care.

ARTICLE II
THE ANSAP CREED; CORE VALUES & BELIEFS
1. The nursing profession is a commitment to God and people;
2. The nursing service is responsible and accountable for quality

nursing care;
3. The nursing service is a major function in any health care

delivery system and deserves a corresponding importance in

the organizational structure;
4. A high level of self-discipline and committed leadership are

essential factors in the effective management of health care

services;

ARTICLE II
THE ANSAP CREED; CORE VALUES & BELIEFS
6. Competence enhances the public assurance of quality

nursing care,
7. The client is the reason for the existence of the nursing

profession
8. The implementation and maintenance of approved

standards of nursing practice and nursing administration

are bases for effective and efficient nursing service;
9. Nursing service is integral in the quality of education of

students; and

ARTICLE III
NORMS OF PROFESSIONAL CONDUCT

SECTION 1. Dedication to God and people.

SECTION 2. Responsibility and accountability for
quality nursing service.
SECTION 3. Leadership and Technical Competence.
SECTION 4. Responsibility and Accountability for
Nursing Practice.
SECTION 5. Commitment to the Nursing Profession.

ARTICLE IV
GENERAL PROVISIONS
SECTION 1. Creation of Ethics
SECTION 2. Legal Force
SECTION 3. Moral Force
SECTION 4. Dissemination
SECTION 5. Sanctions
SECTION 6. Amendments
SECTION 7. Effectivity

Code of Good Governance for

the Professions in the
Philippines

E.O. No. 220

Directing the adoption of the Code of Good
Governance for the Professions in the Philippines on
June 23, 2003.

General Principle of Professional Conduct

Professionals are required not only to have an
ethical
commitment, a personal resolve to act
ethically, but also have both
ethical awareness and
ethical competency.

Specific Principles of Professional Conduct

1. Service to Others
2. Integrity and Objectivity
3. Professional Competence
4. Solidarity and Teamwork
5. Social and Civic Responsibility
6. Global Competitiveness
7. Equality of All Professions

PROFESSIONAL VALUES
CARING

is the locus of all attributes used to describe

NURSING. It is not only the main value of
NURSING but the ESSENCE. It is not only a
nursing act because to care is human and to
be human is caring.

5 C?

5 Cs of Caring
1.Compassionate
2.Committed
3.Confident
4.Conscientious
5.Competent

Related Law
Offenses

LEGAL ASPECTS AND THE

NURSE
The REPUBLIC ACT 9173 or the
PHILIPPINE NURSING ACT OF 2002 is
the best guide the nurse can utilize as it
defines the scope of nursing practice.

1. NEGLIGENCE

is a commission or
omission of an act pursuant to duty that a
reasonably
prudent
person
in
the
same
circumstance would or would not do.

2. MALPRACTICE- negligent act committed

in the course of professional performance.

3.INCOMPETENCE-

lack

of

ability,

legal

qualifications or fitness to discharge required duty.

4.ASSAULT imminent threat of harmful or

offensively bodily contact.

LEGAL
TERMINOLOGIE
S

CIVIL ACTION
a non-criminal action whereby one
seeks to protect, enforce, or declare a
right or address a civil wrong close to
him or her. When the harm occurs, the
guilty party may be required to pay
damages to the injured person.

CRIMINAL ACTION
an action brought about by a state or
federal law enforcement agency or by an
official agency on behalf of an individual, to
protect ones person or property or to
protect society in general. Punishment

DEPOSITION

discovery procedure
which is an oral question and answer
proceeding, under oath and recorded, wherein
the attorneys seek to find out what testimony
and evidence will be confronting them in a
lawsuit. It is an informal proceeding with lawyers
of all parties present.

INTERROGATORY

another discovery
procedure which is the written equivalent of a
deposition.

RULE OF PERSONAL LIABILITY

every person is liable for his own wrongdoing.

STATUTE OF LIMITATIONS

the
time limit set by each state legislature
in which civil or criminal action can be
brought.

TORT

a private wrong by act or

omission, which can result in a civil action
by the harmed person.

SUBPOENA

the process or "paper

command" by which the person served
must appear at a certain time and give
testimony to the court.

REQUIREMENTS TO BECOME AN IV
THERAPIST
1. A BSN graduate, RN, with a current license

from the PRC.

2. 3 days Basic IV Therapy Training Program
3. The IV Therapy Card is renewable every

three (3) years.

Updates equivalent to 24 CEU

4. Loss of The IV Therapy Nurse Card

Affidavit of loss
Certificate of Training
Photocopy of the official list of participants of the IV
therapy training attended
5. Cancellation of the IV Card PRC License
Any violation of Nursing Law 9173
IV Card is not renewed for more than 3 years
Violations in the Standards of IV Therapy practice

Questions?

Thank you and God Bless.

Rose Ann T. Nepomuceno