1. CHAPTER-IV
DEFFIRENT FIELDS OF NURSING
CLASSIFICATION OF FIELDS OF NURSING IN GENERAL
The fields of Nursing may be classified according to the following:
Institutional Nursing
1. Hospital or Institutional Nursing
2. Public Health Nursing or Community Health Nursing
3. Private Duty or Special Duty Nursing
4. Industrial or Occupational Health Nursing
5. Nursing Education
6. Military Nursing
7. School Nursing
8. Clinic Nursing
9. Independent Nursing Practice
I. INSTITUTIONAL NURSING
Nursing 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 care
and family health. The concept of the modern hospital as a community health center where in
patient and out patient are continuous describes the goal of medical care in most general hospital
Advantages of Staff Nursing in Hospital
1. 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 of
choice 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 away
from duty.
5. They have a chance to be promoted if they are qualified.
6. Salary increases are given periodically according to merit system
7. They are considered an important member of the health team
8. More staff development programs are available in the hospital.

2. Diadvantages of staff Nursing in Hospital
1. 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 through
continuing education programs.
3. Administrative problems and overwork may tend to dissatisfy the staff nurse.
Section 29. Qualification of Nursing Service Administrators. - A person occupying supervisory
or 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 management
and 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 master's degree major in nursing;
Provided, further, That for primary hospitals, the maximum academic qualifications and
experiences 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 those
who have finished a master's degree in nursing and the completion of the General Staff Course
(GSC): Provided, finally, That those occupying such positions before the effectivity of this Act
shall be given a period of five (5) years within which to qualify.
Nursing Specialty Certification
SEC.29 Comprehensive nursing specialty program within 90 days from the effectivity of this act,
the board in coordination with the accredited professional organization, recognized specialty
organizationsand the department of health is hereby mandated to formulate and develop a
comprehensive nursingspecialty program that would upgrade the level of skill and competence of
specialty 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 this
program are obliged to serve in any philippine hospital for a period of at leasttwo(2)years of
continuous service.

3. SEC.33 funding for the comprehensive nursing specialty program the annual financial
requirementneeded to train at least ten percent 10% of the nursing staff of the participating
government hospitalshall be chargeable against the income of the philippine charity sweepstakes
office and the philippineamusement and gaming corporation, which shall equally share in the costs
and 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 program
Benefits of certification
1.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 the
professionforward6.
6.It enhances the nurses self image and the publics view of the profession
II.PUBLIC HEALTH/COMMUNITY HEALTH NURSING
The National League of philippines government nurses, in developing the standards of
Public Health Nursing Practices in the Philippines 2006
a) 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 Nursing
1. 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 health
programs 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 other
members 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 health
care.

4. Disadvantages of Community Health Nursing
1. 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 PROGRAM
Nurses in this field need:
1. Nursing practice at least two years experience in basic nursing practice
2. Understand of skills in teaching,supervision, and consultation
3. Understand of relationship of these persons to the process of administration and research
4. Understanding of the broad problems
5. Understand 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
6. Understand of the role and functions of the revising personel in this area if in-service education
7. Understanding of self and others involved in in-service education within the various agencies in
nursing
8. Ability to plan and implement programs for different kinds of nursing personnel
III. PRIVATE DUTY NURSING
Nurses in private practice are expected to be expert clinicians as well as expert generalist in
nursing. They use the title Private Duty Nurse, Private Nurse Practitioner, Special Duty Nurse or
Private Duty Nurse Specialist.
A registered nurse who undertakes to give comprehensive nursing care to a client on a one on one
ratio.
TWO CATEGORIES
1. General Private Duty Nurse - providing basic nursing care to any type of patient.
2. Private Duty Nurse Specialist- skills in complicated devices, interpreting, observing signs
and symptoms.
Qualifications of a Private Nurse Practitioner

5. A private nurse practitioner must
1. Be a registered nurse in the philippines
2. Have the following documents for the current years:
a. Professional Tax Receipt (PTR)
b. Professional Regulation Commission Card (PRC)
c. Resident Certificate
3. Have atleast two years of bedside nursing experience as a professional nurse in a general hospital
immediately prior to application
4. Be acceptable to the director of nursing service as suitable for orrientation to do private duty
nursing
5. Be a full time private duty nurse
6. Preferably have undergone a Critical Care Nursing Course
7. Be a certified I.V.Nurse therapist the ANSAP (Association of Nursing Science Administrators of
the philippines)
Requirements
Aprivate nurse practioner is required
1. To undergo orientation in the hospital
2. To have the complete paraphernalia
3. To wear full white nurse's uniform
4. To have a medical certificate
5. To give two character references
6. To acquire,for succeeding years,certificate of three seminars of continuing education programa
attended
7. To show certification as an I.V Therapist by the ANSAP
General Guidelines
1. She or He is directly under the supervision of the nursing service in the hospital or of the Head
Nurse Unit
2. The private duty nurse id responsible for the nursing care of the patient

6. 3. The private duty Nurse shall endeavor to give complete nursing care before going off-duty
4. While the private duty nurse 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
refferred her/him for emploment.
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 or
his/her representatives
2. The private duty nurse is required to
a. leave with the private duty nurses association in the philippines her/his possible address of
destination 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 country
Advantages of Private Duty Practice
1. Chance to see life as it really is, to study human nature and to know close range interesting
people of different nationalities.
2. The opportunity to make real friends
3. Chance to travel and see the world
4. 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 Practice
1. Some patients become totally dependent on the nurse.
2. Many private duty nurses graduated so long ago and have not upgraded their knowledge and
skills.
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. IV. IV. OCCUPATIONAL HEALTH NURSING OR INDUSTRIAL NURSING
Few nurses go into occupational health nursing. This is because they 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
of workers. The practice focuses on promotion, protection, and supervision of workers health
within the context of a safe and healthy environment.
V. NURSING EDUCATION
Qualifications of the Faculty:
1. Be a registered nurse in the Philippines
2. Have at least one year of clinical practice in a field of specialization
3. Be a member of good standing in the accredited professional organization of nurses
4. Be a holder of masters degree in nursing, education
A dean in a collage of nursing should possess a Master's Degree in Nursing and must have at least
five (5) years of experience in teaching and supervission as per R.A 9173.
VI. MILITARY NURSING
Function of the Nurse Corps,AFP
Provides comprehensive and quality nursing care to all military personel,their depends and
authorizes relatives
Three broad areas:
1. To meet the nursing needs of today’s patient in AFP medical facilities
2. To prepare each Nurse Corps Officer for future assignments at a higher level of responsibility in
the different stations and general hospital in time of peace and war
3. To teach and train enlisted personnel who perform nursing functions under supervision.
Qualification of the Military Nurse
Principle
The Nurse consciously and scientifically intervenes in the health and illness environment for the
porpuse of ensuring the soldier,his family and other significant groups will have the adequate
personal care, maintain,safety,and comfort
Rationale
The military nurses works at different health settings with various levels of responsibilities

8. Criterion I – Qualifications for Commission in the Reserve Force Nurse Corps
1. Have a BSN from duly recognized university/college
2. Be licensed to practice nursing
3. Be a natural born Filipino citizen
4. Be single or has never been married
5. Be mentally and physically fit and cleared by appropriate security agencies
6. Have a pleasing personality and good moral character
7. Be skillful in applying nursing process, communicating with others, making sound/ rational
judgment
8. Be interested and willing to work in both peaceful and wartime conditions
9. Height requirements: for Males: minimum of 62 in.
for Females: minimum of 60 in.
Qualification for Gen. Duty Nurse
1. 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 the
appropriate authorities.
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

9. VII. SCHOOL HEALTH NURSING
School health nurses often work alone, out of touch with other nurse, the hospital and all
professional supports they have known. They are responsible for the school activities in the areas
of health service, health education and environmental health and safety
Some Responsibilities of the school nurse:
1. Organizing and implementing the school health program
2. Coordinating school health programs
3. Undertaking functions directly related to pupils health
4. Evaluating school health program
5. Carrying out functions related to the health of school personnel
Advantages
1. School nursing affords one the opportunity to watch children advance from grade to grade in
school health.
2. Hours are usually good and there is no shift duty.
Disadvantage
1. Many school nurses do not update themselves on the current issues in nursing making them
unaware of changes in the nursing practice.
CLINIC NURSING
Must 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.
Advantages
1. favorable working hours
2. efficient clinic nurses are trusted in their judgment and share in planning the care of
the patient.
INDEPENDENT NURSING PRACTICE
As the term implies, “independent” means the nurse is self employed and provides professional
nursing services to the clients and their families. While some independent nursing practitioners set
up their clinics near a hospital, most of them are community based. The nurses reach out and offer
their services rather than expect clients to seek their help.

10. CHAPTER-V
NURSING OPPORTUNITIES ABROAD
New nurses are advised to serve the country first before planning to go abroad.the reason for this
are 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. Immigrant
Green card visa
A green card is a document showing evidence of your lawful permanent resident status in the
United States. When you become a permanent resident, you receive a green card.
Immigrant
A person migrates to another country
CLASS DESCRIPTION
First Class Unmarried sons and daughters of United States
citizen
Second Preference Spouses and unmarried sons and daughters of
aliens lawfully admitted for permanent residence
Third Preference Members of the profession or person of
exceptional ability in the sciences or arts
Fourth Preference Married sons and daughters of United States

11. citizen
Fifth Preference Brother and sisters of United States Citizen
Sixth Preference Skilled or unskilled workers in short supply
Seventh Preference Refugees
Ways 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 filipino
CGFNS- (Commission on Graduates of foreign Nursing Schools)
An examination that required for nurses who are set to work in the United States
NCLEX-(National Council Licensure Examination) is an examination for the licensing of nurses in
the United States.

12. CHAPTER-VI
CHOOSING,RETAINING,RESIGNING AND DISMISSAL FROM A POSITION
Guidelines in choosing a field of nursing
1. Make a self –evaluation
2. They need to consider their capacities, interests, qualifications and goals
Factors in selecting a field of nursing
1. Kind of work to be performed
2. Availability of the work
3. Hours of works
4. Qualifications
5. Opportunities for advancement
6. Method of entering
Personal Interview
1. Make an appointment either by mail or telephone
2. Be at place at the appointment
3. Know something about the institution where you will apply so that you can answer questions
intelligently
4. Be at your best
5. Know before you enter
6. Bring credentials such as your registration card, residence certificate, tax account number and the
like.

13. STUDY OUTLINE
for
Professional Adjustment
Submitted by: Prescy Marey J. Lozada
BSN-IV
Submitted to: Vinilo Hermoso, RN
Clinical Instructor