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Republic of the Philippines
                                   Professional Regulation Commission
                                        BOARD OF NURSING
                       P. Paredes St., Corner N. Reyes St., Sampaloc, Manila, Philippines 1008
                             Telephone No. (+632) 735 1534 Fax No. (+632) 735 4476
                            Web Address: www.prc.gov.ph / www.bonphilippines.org




PRC BON Memorandum No. 02 Series 2009

To             :              All Deans and Registrars, Colleges of Nursing
                              PRC Application Division, Central and Regional Offices

Subject    :                  REVISED GUIDELINES ON Deliveries (Intra-Partal), CORD CARE
                              (Immediate Care of the Newborn), and Operating/Surgery (Inta-
                              Operative) Requirements for Nursing Graduates covered by
                              CMO No. 30.

Date           :              JUNE 15, 2009



       Pursuant to Section 9 (h) of R.A. 9173, the foregoing REVISED GUIDELINES ON
Maternal Deliveries, Newborn CORD CARE, and Operating/Surgery Scrub Cases Requirements
for Nursing Graduates covered under CHED Memorandum Order No. 30.

      Earlier memoranda or issuances inconsistent with this memorandum, particularly
those referring to requirements for the filing of applications for the Nurse Licensure
Examinations, are hereby superseded.

       PRC Central and Regional Offices are hereby enjoined to provide functional support
and facilitative mechanisms at all levels to applicants for the Nurse Licensure Examinations.

       For full dissemination and guidance of all concerned.




                                                                     BOARD OF NURSING
REVISED D.R., CORD CARE, and O.R. GUIDELINES

This revised policy-guidelines shall affect only the nursing students/potential nursing graduates who
at the time of this issuance are on Level IV (BSN Batch 2010) and Level III (BSN Batch 2011)
respectively, adhering to CHED CMO No. 30. This likewise applies to Level II (BSN Batch 2012) who
opted to stay on under CMO No. 30 of which the following assumptions are made:

   1. By the time of this issuance it is assumed that:
      1.1      post Level II and now incoming Level III students (batch 2011) have already started or
               even completed their five (5) Maternal Normal Delivery (Actually Handled) Cases as well
               as five (5) Newborn Cord Care Cases; and
      1.2      post Level II and now incoming Level III students (batch 2011) are expected to continue
               on with the above RLEs until former requirements are satisfied; and
      1.3      it is likewise assumed that these incoming Level III students (batch2011) during this
               schoolyear (2010-2011) are also to begin learning and engaging to earn their five (5)
               Major Surgical Cases (Actual Scrubs) and five (5) Minor Surgical Cases; and
      1.4      FINALLY, that these nursing students still has 2 schoolyears (4 semesters and 1 summer
               or SY 2009-2010 and 2010-2011) in order to fulfil the prescribed requirements PRIOR to
               their graduation by schoolyear 2010-2011;

   2. By the time of this issuance it is assumed that:
      2.1 post Level III and now incoming Level IV students (batch 2010) have already
             accumulated, if not completed, their Maternal Delivery Cases (Actually Handled)
             equivalent to five (5) as well as five (5) Newborn Cord Care Cases; and their five (5) Major
             Surgical Cases (Actual Scrubs) and five (5) Minor Surgical Cases; and
      2.2 these incoming Level IV nursing students still have 1 school year (remaining 2 semesters)
             in order to fulfil all the above prescribed requirements PRIOR to their graduation come
             2010.

In view of the foregoing, these revised GUIDELINES are hereby issued:

   I.      GENERAL CONSIDERATIONS

           1. All nursing students, especially the incoming Level IV (batch 2010) and who have
              started fulfilling above requirements using former O.R./D.R./CORD CARE Forms are to
              continue and finish using those forms and need not be altered;

           2. All nursing students, especially the incoming Level III (batch 2011) and who have
              started fulfilling above requirements using former D.R./CORD CARE Forms are to
              continue and finish using those forms and need not be altered;

           3. Incoming Level III Nursing Students (batch 2011) who are just starting on their five (5)
              Major and five (5) Minor Surgical Scrubs are enjoined to use the “attached applicable
              forms”;

           4. All incoming Level II Nursing Students (Batch 2012) whose curriculum were kept under
              CMO No. 30 instead of CMO No. 5 then later interposed by CMO No. 14, shall follow
              the new FORMS as herewith attached;

                                                                                          Page of 4    2
5. Primary consideration in the checking of any of these forms are the following:

         4.1 only INITIALS (not the full name) of the patient shall be recorded;

         4.2 “authentic signatures”, (under the complete names) of the:

               4.2.1 O.R., D.R., and Nursery staff nurse (not applicable to lying-in and home
               deliveries)
               4.2.2 assigned Clinical Instructor
               4.2.3 School’s Clinical Coordinator
               4.2.4 College of Nursing DEAN

II.   DIRECTIVES TO HARMONIZE WITH BON Memorandum No. 3, Series 2008 TITLED:
      AMENDED GUIDELINES IN THE FILING AND PROCESSING OF ALL APPLICATIONS
      FOR THE NURSE LICENSURE EXAMINATIONS (NLE) (FOR GRADUATES OF OCTOBER 2008,
      2009, AND 2010).

      1. Section “A” of BoN Memo. No. 3, S. 2008 is hereby REPEALED to particularly revise the
         mode of submission of All O.R./D.R./Cord Care Forms to CHED as inclusion to
         requirements in obtaining “Special Orders” (s.o.) for graduation under an enabling
         Memorandum of Understanding between the PRC-Board of Nursing and the
         Commission on Higher Education (CHED) to take effect for BSN Batch 2010 and 2011
         specifically, and BSN Batch 2012 under certain circumstances;

      2. Section “B.2” (RLE EXHIBITS) of BoN Memo. No. 3, S. 2008 is hereby REPEALED to
         particularly revise the submissions of the above to only include:

         2.1   5 Major Operations (maximum of 2 similar cases, 2 students may assist a
               complicated major surgery)
         2.2 5 Minor Operations (maximum of 2 similar cases; 1 case per student; major case
               cannot be used as substitute for minor scrubs)
         2.3 5 Handled Delivery Cases – 1 student per case
         2.4 5 Assisted Delivery Cases - 1 student per case
         2.5 5 Initial Cord Care Cases - 1 student per case
         (To be submitted to CHED for seeking s.o.)

         DEFINITION. A surgical procedure is considered “major” or “minor” when it is stated as
         MAJOR or MINOR by the SURGEON and is documented in the Operating Room logbook
         as such.

         As a matter of policy, DIAGNOSTIC PROCEDURES ARE NOT CONSIDERED AS SURGICAL
         CASES.

      3. Section “B.3” and “B.4” on SIGNATORIES are effectively revised as in BoN Memo. 2
         S. 2009 (this Memorandum)


                                                                                     Page of 4   3
4. All applicable provisions of BoN Memo No. 3, S. 2008 shall remain in force and effect.



     III.     REQUIREMENTS FOR THE INTRA-PARTAL, CARE OF THE NEWBORN, AND INTRA-OPERATIVE
              CARE under the domain of CMO No. 14, Series 2009.

              For all purposes and intent ALL THOSE ENROLLED covered CHED Memorandum Order No.
              14 s. 2009 shall be guided by PRC Board of Nursing Memorandum No. 1, s. 2009
              (see related BoN Memo.) as well as the appropriate applicable Intrapartal, Immediate
              Care of the Newborn, and Intra-Operative, Competency-Based Performance Evaluation
              FORMS attached thereupon.

     SO ISSUED.

                                              BOARDOF NURSING


                                           Hon. Carmencita M. Abaquin
                                                  Chairperson



Hon. Leonila A. Faire                                                         Hon. Perla G. Po
     Member                                                                         Member




Hon. Betty F. Merritt                                              Hon. Marco Antonio C. Sto Tomas
     Member                                                                        Member




Hon. Yolanda C. Arugay                                                        Hon. Amelia B. Rosales
     Member                                                                        Member



Note: This BoN Memorandum is completed with the inclusion of :
               BoN Memo No.2-B s. 2009 – Case Form Supplements


Inclusions:       PRC BoN Memorandum No. 2-B, s. 2009 with applicable FORMS


PRC.BON Resolutions & Memos.06.15.09/mst




                                                                                                 Page of 4   4

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Prc bon memorandum-order-no-2-series-of-2009

  • 1. Republic of the Philippines Professional Regulation Commission BOARD OF NURSING P. Paredes St., Corner N. Reyes St., Sampaloc, Manila, Philippines 1008 Telephone No. (+632) 735 1534 Fax No. (+632) 735 4476 Web Address: www.prc.gov.ph / www.bonphilippines.org PRC BON Memorandum No. 02 Series 2009 To : All Deans and Registrars, Colleges of Nursing PRC Application Division, Central and Regional Offices Subject : REVISED GUIDELINES ON Deliveries (Intra-Partal), CORD CARE (Immediate Care of the Newborn), and Operating/Surgery (Inta- Operative) Requirements for Nursing Graduates covered by CMO No. 30. Date : JUNE 15, 2009 Pursuant to Section 9 (h) of R.A. 9173, the foregoing REVISED GUIDELINES ON Maternal Deliveries, Newborn CORD CARE, and Operating/Surgery Scrub Cases Requirements for Nursing Graduates covered under CHED Memorandum Order No. 30. Earlier memoranda or issuances inconsistent with this memorandum, particularly those referring to requirements for the filing of applications for the Nurse Licensure Examinations, are hereby superseded. PRC Central and Regional Offices are hereby enjoined to provide functional support and facilitative mechanisms at all levels to applicants for the Nurse Licensure Examinations. For full dissemination and guidance of all concerned. BOARD OF NURSING
  • 2. REVISED D.R., CORD CARE, and O.R. GUIDELINES This revised policy-guidelines shall affect only the nursing students/potential nursing graduates who at the time of this issuance are on Level IV (BSN Batch 2010) and Level III (BSN Batch 2011) respectively, adhering to CHED CMO No. 30. This likewise applies to Level II (BSN Batch 2012) who opted to stay on under CMO No. 30 of which the following assumptions are made: 1. By the time of this issuance it is assumed that: 1.1 post Level II and now incoming Level III students (batch 2011) have already started or even completed their five (5) Maternal Normal Delivery (Actually Handled) Cases as well as five (5) Newborn Cord Care Cases; and 1.2 post Level II and now incoming Level III students (batch 2011) are expected to continue on with the above RLEs until former requirements are satisfied; and 1.3 it is likewise assumed that these incoming Level III students (batch2011) during this schoolyear (2010-2011) are also to begin learning and engaging to earn their five (5) Major Surgical Cases (Actual Scrubs) and five (5) Minor Surgical Cases; and 1.4 FINALLY, that these nursing students still has 2 schoolyears (4 semesters and 1 summer or SY 2009-2010 and 2010-2011) in order to fulfil the prescribed requirements PRIOR to their graduation by schoolyear 2010-2011; 2. By the time of this issuance it is assumed that: 2.1 post Level III and now incoming Level IV students (batch 2010) have already accumulated, if not completed, their Maternal Delivery Cases (Actually Handled) equivalent to five (5) as well as five (5) Newborn Cord Care Cases; and their five (5) Major Surgical Cases (Actual Scrubs) and five (5) Minor Surgical Cases; and 2.2 these incoming Level IV nursing students still have 1 school year (remaining 2 semesters) in order to fulfil all the above prescribed requirements PRIOR to their graduation come 2010. In view of the foregoing, these revised GUIDELINES are hereby issued: I. GENERAL CONSIDERATIONS 1. All nursing students, especially the incoming Level IV (batch 2010) and who have started fulfilling above requirements using former O.R./D.R./CORD CARE Forms are to continue and finish using those forms and need not be altered; 2. All nursing students, especially the incoming Level III (batch 2011) and who have started fulfilling above requirements using former D.R./CORD CARE Forms are to continue and finish using those forms and need not be altered; 3. Incoming Level III Nursing Students (batch 2011) who are just starting on their five (5) Major and five (5) Minor Surgical Scrubs are enjoined to use the “attached applicable forms”; 4. All incoming Level II Nursing Students (Batch 2012) whose curriculum were kept under CMO No. 30 instead of CMO No. 5 then later interposed by CMO No. 14, shall follow the new FORMS as herewith attached; Page of 4 2
  • 3. 5. Primary consideration in the checking of any of these forms are the following: 4.1 only INITIALS (not the full name) of the patient shall be recorded; 4.2 “authentic signatures”, (under the complete names) of the: 4.2.1 O.R., D.R., and Nursery staff nurse (not applicable to lying-in and home deliveries) 4.2.2 assigned Clinical Instructor 4.2.3 School’s Clinical Coordinator 4.2.4 College of Nursing DEAN II. DIRECTIVES TO HARMONIZE WITH BON Memorandum No. 3, Series 2008 TITLED: AMENDED GUIDELINES IN THE FILING AND PROCESSING OF ALL APPLICATIONS FOR THE NURSE LICENSURE EXAMINATIONS (NLE) (FOR GRADUATES OF OCTOBER 2008, 2009, AND 2010). 1. Section “A” of BoN Memo. No. 3, S. 2008 is hereby REPEALED to particularly revise the mode of submission of All O.R./D.R./Cord Care Forms to CHED as inclusion to requirements in obtaining “Special Orders” (s.o.) for graduation under an enabling Memorandum of Understanding between the PRC-Board of Nursing and the Commission on Higher Education (CHED) to take effect for BSN Batch 2010 and 2011 specifically, and BSN Batch 2012 under certain circumstances; 2. Section “B.2” (RLE EXHIBITS) of BoN Memo. No. 3, S. 2008 is hereby REPEALED to particularly revise the submissions of the above to only include: 2.1 5 Major Operations (maximum of 2 similar cases, 2 students may assist a complicated major surgery) 2.2 5 Minor Operations (maximum of 2 similar cases; 1 case per student; major case cannot be used as substitute for minor scrubs) 2.3 5 Handled Delivery Cases – 1 student per case 2.4 5 Assisted Delivery Cases - 1 student per case 2.5 5 Initial Cord Care Cases - 1 student per case (To be submitted to CHED for seeking s.o.) DEFINITION. A surgical procedure is considered “major” or “minor” when it is stated as MAJOR or MINOR by the SURGEON and is documented in the Operating Room logbook as such. As a matter of policy, DIAGNOSTIC PROCEDURES ARE NOT CONSIDERED AS SURGICAL CASES. 3. Section “B.3” and “B.4” on SIGNATORIES are effectively revised as in BoN Memo. 2 S. 2009 (this Memorandum) Page of 4 3
  • 4. 4. All applicable provisions of BoN Memo No. 3, S. 2008 shall remain in force and effect. III. REQUIREMENTS FOR THE INTRA-PARTAL, CARE OF THE NEWBORN, AND INTRA-OPERATIVE CARE under the domain of CMO No. 14, Series 2009. For all purposes and intent ALL THOSE ENROLLED covered CHED Memorandum Order No. 14 s. 2009 shall be guided by PRC Board of Nursing Memorandum No. 1, s. 2009 (see related BoN Memo.) as well as the appropriate applicable Intrapartal, Immediate Care of the Newborn, and Intra-Operative, Competency-Based Performance Evaluation FORMS attached thereupon. SO ISSUED. BOARDOF NURSING Hon. Carmencita M. Abaquin Chairperson Hon. Leonila A. Faire Hon. Perla G. Po Member Member Hon. Betty F. Merritt Hon. Marco Antonio C. Sto Tomas Member Member Hon. Yolanda C. Arugay Hon. Amelia B. Rosales Member Member Note: This BoN Memorandum is completed with the inclusion of :  BoN Memo No.2-B s. 2009 – Case Form Supplements Inclusions: PRC BoN Memorandum No. 2-B, s. 2009 with applicable FORMS PRC.BON Resolutions & Memos.06.15.09/mst Page of 4 4