RESOLUTION NO. 251

National Administrative Register [ PRC BOARD OF NURSING, February 23, 1990 ]



WHEREAS, pursuant to Section 13 of Republic Act 877, otherwise known
as the Philippine Nursing Law, it is provided that a graduate nurse to
be admitted to take the nurse licensure examination, is required to
undergo the clinical experience and must have completed 10 major and 10
minor scrubs for Operating Room (OR) Experience, 10 handled, 15
assisted, 15 observed scrubs and 10 cord dressing for Delivery Room (DR)
Experience;

WHEREAS, on two (2) separate dialogues, the Deans and the Technical
Committee on Nursing Education proposed to the Board of Nursing to
modify the existing operating room and delivery room experience to two
(2) major and two (2) minor scrubs for operating room experience and two
(2) handled, two (2) assisted, two (2) observed and two (2) cord
dressings for delivery room experience;

WHEREAS, it is a firm belief of the Board of Nursing that more than
two (2) exposures of a student to operating room and delivery room
experiences, respectively, are needed to fully comprehend, internalize
and eventually integrate the competencies required particularly the
development of skills for safe practice in these areas;

WHEREAS, careful planning, well-selected learning experiences of
students based on clearly defined behavioral objectives done by the
qualified clinical instructors will provide more meaning to students’
learning of basic competencies in nursing practice;

WHEREAS, it is the observation, however, of the members of the Board
of Nursing that during its inspection of various colleges of nursing
nationwide, problems affecting the maintenance of quality nursing
education have tremendously increased.  To name a few, these are (1)
inadequate and with unqualified Deans and faculty in some nursing
schools, vis-a-vis increased enrolment; (2) ill-equipped and inadequate
schools and health facilities and (3) lack of adequate clinical
resources particularly in providing clinical experiences in operating
room and delivery room nursing;

WHEREAS, given the above objective realities on the status of nursing
education, the Board casts doubts on the ability of some colleges to
provide planned, well-selected learning experiences in the hands of
well-prepared clinical instructors, which are the foundations for the
establishment of a sound competency-based curriculum;

WHEREAS, the Board, to validate its stand, conducted an opinion
survey of 250 nurse-instructors and nursing service administrators on
the issue of reducing the OR-DR requirements to qualify for nursing
licensure examination.  One hundred eighty-five (185) or 74% recommended
to retain the existing number;

WHEREAS, since the party concerned is one of the convincing
indicators of competence, the Board similarly thru the June 1989
licensure examination, found out from 10 percent of sampled respondents
in a total populations of 10,713 examinees that mean average for them to
develop competencies are as follows:

OR Major – 9.5
OR Minor – 15.5
DR Handled  – 7.9
DR Assisted – 8.06
DR Observed – 7.62
Cord Dressing – 9.65

WHEREAS, reducing the requirement to an acceptable
reasonable number maybe warranted provided supplemental case study be
required for purposes of demonstrating ability of the students to
integrate;

NOW, THEREFORE, the Board resolved, as it hereby resolves, that the
requirements for admission in the nurse licensure examination which
includes the number of operating room and delivery room cases, cord
dressing and a case study, be recorded in the form provided for by the
Board and submitted to the same together with other credentials such
requirement shall be as follows:

Operating Room Scrubs/Cases

Major – 5
Minor  – 5

Delivery Room Scrubs/Cases

Handled – 5
Assisted – 5
Cord Dressing – 5
Family Case Study – 1

FURTHER, that the Deans and the Clinical Instructors concerned should
certify to the completion of the required number of scrubs/cases with
the names of the patient, Case No., date of operation or delivery and
the doctor or attendant at birth, the original of which must be
submitted to the Board of Nursing and the duplicate with supporting
documents filed in the school for record reference and verification.

The Board finally resolved, that after approval of this Resolution by
the Commission, the same shall take effect starting June 1990 nurse
licensure examination and the copies of the same shall be sent to all
Deans of Colleges of Nursing for dissemination and compliance.

Adopted: 23 Feb. 1990

(SGD.) RAQUEL O. CASTILLO
Chairman
(SGD.) GRACE AGUINALDO-AGUSTIN
Member
(SGD.) SISTER AGNETIA NAVAL
Member
(SGD.) ERLINDA L. ORTIN
Member
(SGD.) MILBURGA D. DIPALING-SALUDAR
Member

Approved:

(SGD.) JULIO B. FRANCIA, JR.
Commissioner
(SGD.) ROSALINDA A. VICENTE
Associate Commissioner
(SGD.) MARIANO A. MENDIETA
Associate Commissioner