CHED Memorandum Order No. 014-09

April 28, 2009

CHED MEMORANDUM ORDER NO. 014-09

SUBJECT

Policies and Standards for Bachelor of Science in Nursing (BSN) Program

In accordance with pertinent provisions of EDATSI

ARTICLE I

Introduction

SECTION 1. A person is a unique bio-psycho-socio-cultural and spiritual being who is always in constant interaction with the environment. These interactions affect individuals, families, population groups and societal health status.

The nurse assumes the caring role in the promotion and restoration of health, prevention of diseases, alleviation of suffering and, when recovery is not possible, in assisting patients towards a peaceful death. The nurse also collaborates with other members of the health team and other sectors to achieve quality healthcare. Moreover, the nurse works with individuals, families, population groups, communities and society, as a whole, in ensuring active participation in the delivery of holistic healthcare.

Within the context of Philippine society, nursing education, with caring as its foundation, subscribes to the following core values which are vital components in the development of a professional nurse and are therefore emphasized in the BSN program:

1.1 Love of God

1.2 Caring as the core of nursing

a. Compassion

b. Competence

c. Confidence

d. Conscience

e. Commitment (commitment to a culture of excellence, discipline, integrity and professionalism)

1.3 Love of People

a. Respect for the dignity of each person regardless of creed, color, gender and political affiliation.

1.4 Love of Country

a. Patriotism (Civic duty, social responsibility and good governance)

b. Preservation and enrichment of the environment and culture heritage

A strong liberal arts and sciences education with a transdisciplinary approach, enhances this core values. The BSN program therefore, aims to prepare a nurse, who, upon completion of the program, demonstrates beginning professional competencies and shall continue to assume responsibility for professional development and utilizes research findings in the practice of the profession. The following are the Key Areas of Responsibility for which a nurse should demonstrate competence in:

1. Safe and quality nursing care

2. Management of resources and environment

3. Health education

4. Legal responsibility

5. Ethico-moral responsibility

6. Personal and professional development

7. Quality improvement

8. Research

9. Record Management

10. Communication

11. Collaboration and teamwork

ARTICLE II

Authority to Operate

SECTION 2. All private higher education institutions (PHEIs) intending to offer the Bachelor of Science in Nursing program must first secure proper authority from the Commission in accordance with existing rules and regulations. State universities and colleges (SUCs) and local colleges and universities (LCUs) should strictly adhere to the provisions of these policies and standards. cTSDAH

The BSN program shall be offered by HEIs with strong liberal arts education, offering at least six (6) baccalaureate programs, preferably in a university-based setting. In the case of colleges and universities with less than six (6) baccalaureate program offerings, a Memorandum of Agreement MOA shall be entered between and among higher education institutions with strong liberal arts education [e.g., AB Psychology, BS Biology, AB English, BS Engineering, BS Math, BS Economics] or hire qualified faculty to teach the General Education courses.

ARTICLE III

Program Specifications

SECTION 3. Degree Name.

The degree name shall be Bachelor of Science in Nursing (BSN). To ensure the quality of the nursing graduate, the degree is conferred upon completion of at least four-year BSN program offered by a college or university duly recognized by the Commission on Higher Education. cSEAHa

SECTION 4. Program Description.

The BSN is a four-year program consisting of general education and professional courses. Professional courses begin in the first year and threads through the development of competencies up to the fourth year level. The BSN program provides an intensive nursing practicum that will refine clinical skills from the first year level to ensure basic clinical competencies required of a beginning nurse practitioner.

4.1 Objective: The BSN program aims to produce a fully functioning nurse who is able to perform the competencies under each of the Key Areas of Responsibility as enumerated in Article IV Section 5 herein.

4.2 Specific Careers/Professions/Occupations. Graduates of this program as beginning nurse practitioner may pursue the following career paths but not limited to:

a. Clinical Nursing

b. Community Health Nursing

c. Private-duty Nursing

d. Occupational Health Nursing

e. School Nursing

f. Military Nursing

g. Health Education

h. Research

i. Entrepreneurship

4.3 Allied Programs. The BSN program is allied to the following health related programs:

a. Medicine

b. Dentistry

c. Optometry

d. Physical Therapy/Occupational Therapy

e. Pharmacy

f. Public Health

g. Medical Technology

h. Radiologic Technology

i. Respiratory Therapy

j. Nutrition and Dietetics

k. Midwifery

l. Speech Pathology

ARTICLE IV

Competency Standards

SECTION 5. Graduates of Bachelor of Science in Nursing program must be able to apply analytical and critical thinking in the nursing practice. The nurse must be competent in the following Key Areas of Responsibility and its respective core competency standards and indicators:

	Key Areas of
	Responsibility	Core Competency		Indicators

A.	Safe and Quality	Core Competency 1:		Identifies the health needs
	Nursing Care	Demonstrates knowledge		of the clients (individuals,
		based on the health/illness		families, population groups
		status of individual/groups		and/or communities)
				Explains the health status of
				the clients/groups
		Core Competency 2:		Identifies wellness potential
		Provides sound decision		and/or health problem of
		making in the care of		clients
		individuals/families/groups		Gathers data related to the
		considering their beliefs		health condition
		and values		Analyzes the data gathered
				Selects appropriate action
				to support/enhance wellness
				response; manage the health
				problem
				Monitors the progress of the
				action taken
		Core Competency 3:		Performs age-specific safety
		Promotes safety and		measures in all aspects of
		comfort and privacy of		client care
		clients		Performs age-specific
				comfort measures in
				all aspects of client care
				Performs age-specific
				measures to ensure privacy
				in all aspects of client care
		Core Competency 4:		Identifies the priority needs
		Sets priorities in nursing		of clients
		care based on clients' needs		Analyzes the needs of
				clients
				Determines appropriate
				nursing care to address
				priority needs/problems
		Core Competency 5:		Refers identified problem
		Ensures continuity of care		to appropriate
				individuals/agencies
				Establishes means of
				providing continuous client
				care
		Core Competency 6:		Conforms to the 10 golden
		Administers medications		in rules medication
		and other health therapeutics		administration and health
				therapeutics
		Core Competency 7:		Obtains informed consent
		(Utilizes the nursing		Completes appropriate
		process as framework		assessment forms
		for nursing		Performs appropriate
				assessment techniques
				Obtains comprehensive
				client information
				Maintains privacy and
				confidentiality
		7.1	Performs comprehensive	Identifies health needs
			and systematic nursing
			assessment
		7.2	Formulates a plan of	Includes client and family
			care in collaboration	in care planning
			with clients and other	Collaborates with other
			members of the health	members of the
			team	health team
				States expected outcomes of
				nursing intervention
				maximizing clients'
				competencies
				Develops comprehensive
				client care plan maximizing
				opportunities for prevention
				of problems and/or
				enhancing wellness
				response
				Accomplishes
				client-centered discharge
				plan
		7.3	Implements planned	Explains interventions to
			nursing care to	client and family before
			achieve identified	carrying them out to
			outcomes	achieve identified
				outcomes
				Implements nursing
				intervention that is safe
				and comfortable
				Acts to improve clients'
				health condition or
				human response
				Performs nursing activities
				effectively and in a timely
				manner
				Uses the participatory
				approach to enhance
				client-partners empowering
				potential for healthy life
				style/wellness
		7.4	Evaluates progress	Monitors effectiveness of
			toward expected	nursing interventions
			outcomes	Revises care plan based on
				expected outcomes

B.	Management of	Core Competency 1:		Identifies tasks or activities
	Resources and	Organizes work load		that need to be
	Environment	to facilitate client care		accomplished
				Plans the performance of
				tasks or activities
				based on priorities
				Verifies the competencies
				of the staff prior to
				delegating tasks
				Determines tasks and
				procedures that can
				be safely assigned to other
				members of the team
				Finishes work assignment
				on time
		Core Competency 2:		Identifies the
		Utilizes financial		cost-effectiveness in the
		resources to support		utilization of resources
		client care		Develops budget
				considering existing
				resources for nursing care
		Core Competency 3:		Plans for preventive
		Establishes mechanism to		maintenance program
		ensure proper functioning		Checks proper functioning
		of equipment		of equipment considering
				the:
				-	intended use
				-	cost-benefit
				-	infection control
				-	safety
				-	waste creation and
					disposal storage
				Refers malfunctioning
				equipment to appropriate
				unit
		Core Competency 4:		Complies with standards
		Maintains a safe		and safety codes prescribed
		environment		by law
				Adheres to policies,
				procedures and protocols
				on prevention and control
				of infection
				Observes, protocols on
				pollution-control (water, air
				and noise)
				Observes proper disposal of
				wastes
				Defines steps to follow in
				case of fire, earthquake and
				other emergency situations.
C.	Health Education	Core Competency 1:		Obtains learning
		Assesses the learning		information through
		needs of the clients/partner/s		interview, observation and
				validation
				Analyzes relevant
				information
				Completes assessment
				records appropriately
				Identifies priority needs
		Core Competency 2:		Considers nature of learner
		Develops health		in relation to: social,
		education plan based		cultural, political,
		on assessed and		economic, educational and
		anticipated needs		religious factors.
				Involves the client, family,
				significant others and other
				resources in identifying
				learning needs on behavior
				change for wellness,
				healthy lifestyle or
				management of health
				problems
				Formulates a
				comprehensive health
				education plan with the
				following components:
				objectives, content, time
				allotment, teaching-learning
				resources and evaluation
				parameters
				Provides for feedback to
				finalize the plan
		Core Competency 3:		Develops information
		Develops learning		education materials
		materials for health		appropriate to the level of
		education		the client
				Applies health education
				principles in the
				development of information
				education materials
		Core Competency 4:		Provides for a conducive
		Implements the health		learning situation in terms
		education plan		of time and place
				Considers client and
				family's preparedness
				Utilizes appropriate
				strategies that maximize
				opportunities for behavior
				change for wellness/healthy
				life style
				Provides reassuring
				presence through active
				listening, touch, facial
				expression and gestures
				Monitors client and family's
				responses to health
				education
		Core Competency 5:		Utilizes evaluation
		Evaluates the outcome		parameters
		of health education		Documents outcome of care
				Revises health education
				plan based on client
				response/outcome/s
D.	Legal Responsibility	Core Competency 1:		Fulfills legal requirements
		Adheres to practices		in nursing practice
		in accordance with the		Holds current professional
		nursing law and other		license
		relevant legislation		Acts in accordance with the
		including contracts,		terms of contract of
		informed consent.		employment and other rules
				and regulations
				Complies with required
				continuing professional
				education
				Confirms information given
				by the doctor for informed
				consent
				Secures waiver of
				responsibility for refusal
				to undergo treatment or
				procedure
				Checks the completeness of
				informed consent and other
				legal forms
		Core Competency 2:		Articulates the vision,
		Adheres to organizational		mission of the institution
		policies and procedures,		where one belongs
		local and national		Acts in accordance with the
				established norms of
				conduct of the institution/
				organization/legal and
				regulatory requirements
		Core Competency 3:		Utilizes appropriate client
		Documents care		care records and reports.
		rendered to clients		Accomplishes accurate
				documentation in all
				matters concerning client
				care in accordance to the
				standards of nursing
				practice.
E.	Ethico-moral	Core Competency 1:		Renders nursing care
	Responsibility	Respects the rights of		consistent with the
		individual/groups		client's bill of rights: (i.e.,
				confidentiality of
				information, privacy, etc.)
		Core Competency 2:		Meets nursing
		Accepts responsibility		accountability requirements
		and accountability for		as embodied in the job
		own decision and actions		description
				Justifies basis for nursing
				actions and judgment
				Projects a positive image of
				the profession
		Core Competency 3:		Adheres to the Code of
		Adheres to the national		Ethics for Nurses and
		and international codes		abides by its provisions
		of ethics for nurses		Reports unethical and
				immoral incidents to
				proper authorities
F.	Personal and	Core Competency 1:		Identifies one's strengths,
	Professional	Identifies own learning		weaknesses and
	Development	needs		limitations
				Determines personal and
				professional goals and
				aspirations
		Core Competency 2:		Participates in formal and
		Pursues continuing		non-formal education
		education		Applies learned information
				for the improvement of care
		Core Competency 3:		Participates actively in
		Gets involved in		professional, social,
		professional organizations		civic, and religious
		and civic activities		activities
				Maintains membership to
				professional organizations
				Support activities related to
				nursing and health issues
		Core Competency 4:		Demonstrates good manners
		Projects a professional		and right conduct at all
		image of the nurse		times
				Dresses appropriately
				Demonstrates congruence
				of words and actions
				Behaves appropriately at all
				times
		Core Competency 5:		Listens to suggestions and
		Possesses positive		recommendations
		attitude towards		Tries new strategies or
		change and criticism		approaches
				Adapts to changes willingly
		Core Competency 6:		Assesses own performance
		Performs functions		against standards of
		according to professional		practice
		standards		Sets attainable objectives to
				enhance nursing knowledge
				and skills
				Explains current nursing
				practices, as the situation
				arises
G.	Quality Improvement	Core Competency 1:		Identifies appropriate
		Gathers data for		quality improvement
		quality improvement		methodologies for clinical
				problems
				Detects variations in
				specific parameters i.e.,
				vital signs of the client from
				day to day
				Reports significant changes
				in clients' condition/
				environment to improve
				stay in the hospital
				Solicits feedback from
				clients and significant
				others regarding care
				rendered
		Core Competency 2:		Shares with the team
		Participates in nursing		relevant information
		audits and rounds		regarding clients' condition
				and significant changes in
				clients' environment
				Encourages the client to
				verbalize relevant changes
				in his/her condition
				Performs daily check of
				clients' records/condition
				Documents and records all
				nursing care and actions
				implemented
		Core Competency 3:		Reports to appropriate
		Identifies and reports		person/s significant
		variances		variances/changes/
				occurrences immediately
				Documents and reports
				observed variances
				regarding client care
		Core Competency 4:		Gives an objective and
		Recommends solutions to		accurate report on what was
		identified problems		observed rather than an
				interpretation of the event
				Provides appropriate
				suggestions on corrective
				and preventive measures
				Communicates solutions to
				appropriate groups

H.	Research	Core Competency 1:		Specifies researchable
		Gathers data using		problems regarding
		different methodologies		client care and community
				health
				Identifies appropriate
				methods of research for a
				particular client/community
				problem
				Combines quantitative and
				qualitative nursing design
				through simple explanation
				on the phenomena observed
		Core Competency 2:		Analyzes data gathered
		Analyzes and interprets		using appropriate
		data gathered		statistical tool
				Interprets data gathered
				based on significant
				findings
		Core Competency 3:		Recommends practical
		Recommends actions		solutions appropriate to the
		for implementation		problem based on the
				interpretation of significant
				findings
		Core Competency 4:		Shares/presents results of
		Disseminates results		findings with colleagues/
		of research findings		clients/family and to others
				Endeavors to publish
				research
				Submits research findings
				to own agency and others as
				appropriate
		Core Competency 5:		Utilizes findings in research
		Applies research		in the provision of nursing
		findings in nursing		care for individuals/groups/
		practice		communities
				Makes use of
				evidence-based nursing to
				enhance nursing practice

I.	Records	Core Competency 1:		Completes updated
	Management	Maintains accurate and		documentation of client
		updated documentation		care
		of client care		Applies principles of record
				management
				Monitors and improves
				accuracy, completeness and
				reliability of relevant data
				Makes record readily
				accessible to facilitate client
				care
		Core Competency 2:		Utilizes records system ex.
		Records outcome of		Kardex or Hospital
		client care		Information System (HIS)
				Uses data in decision and
				policy making activities
		Core Competency 3:		Maintains integrity, safety,
		Observes legal imperatives		access and security of
		in record keeping		records
				Documents/monitors proper
				record storage, retention
				and disposal
				Observes confidentially and
				privacy of the clients'
				records
				Maintains an organized
				system of filing and keeping
				clients' records in a
				designated area
				Follows protocol in
				releasing records and
				other information

J.	Communication	Core Competency 1:		Creates trust and
		Establishes rapport		confidence
		with clients, significant		Spends time with the
		others and members		client/significant others
		of the health team		and members of the health
				team to facilitate interaction
				Listens actively to client's
				concerns/significant
				others and members of the
				health team
		Core Competency 2:		Interprets and validates
		Identifies verbal and		client's body language and
		non-verbal cues		facial expressions
		Core Competency 3:		Makes use of available
		Utilizes formal and		visual aids
		informal channels		Utilizes effective channels
				of communication relevant
				to client care management
		Core Competency 4:		Provides reassurance
		Responds to needs of		through therapeutic
		individuals, families,		touch, warmth and
		groups and communities		comforting words of
				encouragement
				Provides therapeutic
				bio-behavioral interventions
				to meet the needs of clients
		Core Competency 5:		Utilizes telephone, mobile
		Uses appropriate		phone, electronic media
		information technology		Utilizes informatics to
		to facilitate communication		support the delivery of
				healthcare

K.	Collaboration	Core Competency 1:		Contributes to decision
	and Teamwork	Establishes collaborative		making regarding
		relationships with		clients' needs and concerns
		colleagues and other		Participates actively in
		members of the health		client care management
		team		including audit
				Recommends appropriate
				interventions to improve
				client care
				Respects the role of other
				members of the health team
				Maintains good
				interpersonal relationships
				with clients, colleagues and
				other members
				of the health team

		Core Competency 2:		Refers clients to allied
		Collaborates plan of		health team partners
		care with other members		Acts as liaison/advocate of
		of the health team		the client
				Prepares accurate
				documentation for efficient
				communication of services

ARTICLE V

Curriculum

SECTION 6. Curriculum. Higher education institutions offering the Bachelor of Science in Nursing program must conform to the standard curriculum embodied in this CMO, provided that program innovations shall be subject to prior review by the Commission.

SECTION 7. Level Objectives. The student shall be given opportunities to be exposed to the various levels of health care (health promotion, disease prevention, risk reduction, curative and restoration of health) with various client groups (individual, family, population groups and community) in various settings (hospital, community). These opportunities shall be given in graduated experiences to ensure that the competencies per course, per level and for the whole program are developed.

Before graduation, the student shall approximate the competencies of a professional nurse as they assume the various roles and responsibilities. For each year level, the following objectives should be achieved:

7.1 At the end of the first year, the students shall have acquired an understanding and awareness of themselves as an individual and as a member of the family, the community, and the world with emphasis on personal, societal and professional values responsibilities, rights, and an awareness of physical, social and cultural milieu.

The student shall have an awareness of the competency-based approach in the curriculum and the core competencies under the 11 key areas of responsibility: safe and quality nursing care, communication, collaboration and teamwork, health education, legal responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, management of resources and environment, and record management.

Specifically, the student shall:

a. develop a deeper understanding of himself/herself and the multi-factorial dimensions of the individual which can affect health and well being;

b. recognize his/her duty in improving the quality of life not only for himself/herself but for others as well;

c. develop a deeper awareness of his/her rights, duties and responsibilities to God, country and the world;

d. demonstrate beginning skills in the use of the nursing process in caring for healthy individuals;

e. explain the theoretical foundation of nursing with the four meta-paradigms as guide to his/her nursing practice;

f. apply the scientific method to his activities wherever possible;

g. imbibe the values cherished by the nursing profession such as teamwork, respect, love of God, integrity and caring; HCacDE

h. discuss the competency based BSN program and the core competencies under the 11 key areas of responsibility; and

i. demonstrate critical thinking skills in relating with self and others.

7.2 At the end of the second year, the student shall have acquired the holistic understanding of the human person as a bio-psycho-cultural being focusing on the concept of health and illness as it is related to the care of the mother and child in varied settings. The student shall be able to demonstrate the competencies in the following key areas of responsibility such as safe and quality nursing care, communication, collaboration and teamwork, health education, legal responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, management of resources and environment, and records management.

Specifically, the student shall:

a. describe the health care delivery system and the role of the nurse in it;

b. demonstrate ethico-moral, legal responsibilities in the care of individual family and community;

c. demonstrate the beginning skills in the provision of independent and collaborative nursing functions;

d. relate the stages of growth and development in the care of clients;

e. demonstrate beginning skills in the preparation of healthy and therapeutic diets in varied client cases;

f. explain the dynamics of the disease process caused by microbes and parasites and the environment;

g. imbibe the core values cherished by the nursing profession such as love of God, country and people, and caring;

h. design a plan that will focus on health promotion and risk reduction to clients; and

i. utilize the nursing process in the care of the high risk mother and child in the family.

7.3 At the end of the third year, given actual clients/situations with various physiologic and psychosocial alterations, the student shall be able to demonstrate the competencies in the following key areas of responsibility such as safe and quality nursing care, communication, collaboration and teamwork, health education, legal responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, management of resources and environment, and records management.

Specifically the student shall:

a. utilize the nursing process in caring for clients across the lifespan with problems in oxygenation, fluid and electrolyte balance, metabolism and endocrine functioning, inflammatory and immunologic reactions, perception coordination and maladaptive patterns of behavior;

b. apply the research process in addressing nursing/health problems to improve quality of care;

c. integrate the role of culture and history in the plan of care;

d. apply principles of good governance in the effective delivery of quality health care;

e. observe the core values cherished by the nursing profession such as love of God, country and people, and caring and the bioethical principles in the care of clients;

f. apply a nursing theory in the management of care of a client for case study; and,

g. discuss the roles of economics as it impacts on health and illness;

7.4 At the end of the 4th year, given actual clients/situations the student shall be able to demonstrate competencies in all the key areas of responsibility such as safe and quality nursing care, communication, collaboration and teamwork, health education, legal responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, management of resources and environment, and records management.

Specifically, the student shall:

a. utilize the nursing care process in caring for clients across the lifespan with problems in cellular aberrations and acute biologic crisis, disaster/emergency situations;

b. apply a nursing theory in the management of care of a client for case study;

c. observe the core values cherished by the nursing profession such as love of God, country, people and caring, and the bioethical principles and legal dimensions in the care of clients; and,

d. demonstrate leadership and management skills in the care of a group of clients in the community and hospital setting utilizing research findings. aTEAHc

SECTION 8. Curriculum Outline.

A.	Outline of Total Units of General Education (GE) Courses:			87 Units

	Courses		Units

	Language and Humanities			21
		English 1 & 2 (Communication Skills)	6
		English 3 (Speech and Communication)	3
		Filipino 1 & 2	6
		Philosophy of Man	3
		Logic and Critical Thinking	3
	Mathematics, Natural Sciences & Information Technology			22
		Mathematics (College Algebra)	3
		Biostatistics	3
		General Chemistry 3/2	5
		Biochemistry 3/2	5
		Physics 2/1	3
		Informatics 2/1	3
	Health Sciences			9
		Anatomy & Physiology 3/2	5
		Microbiology & Parasitology 3/1	4
	Social Sciences			15
		General Psychology	3
		Sociology/Anthropology	3
		Humanities World Civilization & Literature	3
		Economics with Taxation & Land Reform	3
		Bioethics	3
	Mandated Subjects			20
		Life, Works and Writings of Rizal	3
		Philippine History, Government & Constitution	3
		PE 1 to 4 2 units each	8
		National Service Training Program 1& 2	6

B.	Outline and Units of Professional Courses			115 Units

	Theoretical Foundations in Nursing		3
	Health Assessment (2/1*)		3
	Community Health Nursing (3/2*)		5
	Nutrition and Diet Therapy (3/1)		4
	Health Education		3
	Pharmacology		3
	Nursing Research I (2/1)		3
	Nursing Research II		2
	Competency Appraisal I		3
	Competency Appraisal II		3
	Elective I**		2
	Elective II**		2
	NCM 100 Fundamentals of Nursing Practice (3/2*)		5
	NCM 101 Care of Mother, Child and Family (4/4*)		8
	NCM 102 Care of Mother, Child, Family and Population
	Group At-risk or with Problems (5/6*)		11
	NCM 103 Care of Clients with Problems in Oxygenation,
	Fluid & Electrolyte Balance, Metabolism and Endocrine (8/6*)		14
	NCM 104 Care of Clients with Problems in Inflammatory and
	Immunologic Response, Perception and Coordination (5/4*)		9
	NCM 105 Care of Clients with Maladaptive
	Patterns of Behavior (4/2*)		6
	NCM 106 Care of Clients with Problems in Cellular
	Aberrations, Acute Biologic Crisis including Emergency
	and Disaster Nursing (6/5*)		11
	NCM 107 Nursing Leadership and Management (4/3*)		7
	Intensive Nursing Practicum (8*)		8

	* Related Learning Experience

		Grand Total Number of Units = 202

At the end of the B. S. Nursing program, the total number of related learning experiences, skills laboratory/clinicals shall include the following:

			RLE Contact Hours
Courses	Skills Lab	Clinical	(1 credit unit =51
			hours)

Health Assessment	1	0	51
Community Health Nursing	5	1.5	102
Nursing Research I	1	0	51
Nursing Research II	2	0	102
Nursing Care Management 100	2	0	102
Nursing Care Management 101	1	3	204
Nursing Care Management 102	1	5	306
Nursing Care Management 103	1	5	306
Nursing Care Management 104	1	3	204
Nursing Care Management 105	0	2	102
Nursing Care Management 106	2	3	255
Nursing Care Management 107	0	3	153
Intensive Nursing Practicum	0	8	408
		12.5	33.5
Total	46 RLE Units		2,346 hours

At the end of the B. S. Nursing program, the total number of laboratory units/hours shall comprise the following courses:

Courses	Laboratory Units	Laboratory Hours
		1 unit lab = 54 hours

General Chemistry	2	108
Anatomy & Physiology	2	108
Biochemistry	2	108
Physics	1	54
Microbiology & Parasitology	1	54
Nutrition with Diet Therapy	1	54
Informatics	1	54
TOTAL	10 units	540 hours

SECTION 9. Program of Study.

BACHELOR OF SCIENCE IN NURSING

Prototype 4-Year Curriculum

FIRST YEAR

First Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

English 1	Communication Skills I	3	0	0	0	3
Filipino 1	Komunikasyon sa Akademikong	3	0	0	0	3
	Filipino
Chem 1	General Chemistry (Organic &
	Inorganic)	3	2	0	0	5
TFN	Theoretical Foundations in Nursing	3	0	0	0	3
Math 1	College Algebra	3	0	0	0	3
Psych	General Psychology	3	0	0	0	3
PE 1	Physical Education 1	2	0	0	0	2
NSTP 1	National Service Training Program	3	0	0	0	3
	Total	23	2	0	0	25

Second Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

English 2	Communication Skills II	3	0	0	0	3
Filipino 2	Pagbasa at Pagsulat Tungo sa	3	0	0	0	3
	Pananaliksik
Ana/Physio	Anatomy and Physiology	3	2	0	0	5
NCM 100	Fundamentals of Nursing Practice	3	0	2	0	5
Chem 2	Biochemistry	3	2	0	0	5
PE 2	Physical Education 2	2	0	0	0	2
NSTP 2	National Service Training Program	3	0	0	0	3
	Total	20	4	2	0	26

SUMMER

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

Physics	Physics	2	1	0	0	3
Logic	Logic and Critical Thinking	3	0	0	0	3
HA	Health Assessment	2	0	1	0	3
		7	1	1	0	9

SECOND YEAR

First Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	CL	Units

NCM 101	Care of Mother, Child and Family	4	0	1	3	8
CHN	Community Health Nursing	3	0	0.5	1.5	5
Micro/Para	Microbiology and Parasitology	3	1	0	0	4
Philo	Philosophy of Man	3	0	0	0	3
Bioethics	Bioethics	3	0	0	0	3
PE 3	Physical Education 3	2	0	0	0	2
	Total	18	1	1.5	4.5	25

Second Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	CL	Units

NCM 102	Care of Mother, Child, Family and
	Population Group At-risk or with	5	0	1	5	11
	Problems
NuDiet	Nutrition and Diet Therapy	3	1	0	0	4
Pharma	Pharmacology	3	0	0	0	3
Socio/Anthro	Sociology with Anthropology	3	0	0	0	3
PE 4	Physical Education 4	2	0	0	0	2
		16	1	1	5	23

SUMMER

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

HealthEd	Health Education	3	0	0	0	3
Info	Informatics	2	1	0	0	3
English 3	Speech Communication	3	0	0	0	3
	Total	8	1	0	0	9

THIRD YEAR

First Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

NCM 103	Care of Clients with Problems in
	Oxygenation, Fluid & Electrolyte	8	0	1	5	14
	Balance, Metabolism and Endocrine
Biostat	Biostatistics	3	0	0	0	3
Econ	Economics with Taxation & Land	3	0	0	0	3
	Reform
Humanities	Humanities [World Civilization and	3	0	0	0	3
	Literature]
Rizal	Life, Works and Writings of Rizal	3	0	0	0	3
	Total	20	0	1	5	26

Second Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

NCM 104	Care of Clients with Problems in
	Inflammatory and Immunologic	5	0	1	3	9
	Response, Perception and
	Coordination
NCM 105	Care of Clients with Maladaptive	4	0	0	2*	6
	Patterns of Behavior
PhilHist	Philippine History, Government &	3	0	0	0	3
	Constitution
Nres 1	Nursing Research 1	2	0	1	0	3
Elective 1	Elective Course 1	2	0	0	0	2
	Total	16	0	2	5	23

* The clinicals in NCM 105 may be done in Summer for Cross affiliation purposes.

FOURTH YEAR

First Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

NCM 106	Care of Clients with Problems in
	Cellular Aberrations, Acute Biologic	6	0	2	3	11
	Crisis including Emergency and
	Disaster Nursing
CA 1	Competent Appraisal 1	3	0	0	0	3
NCM 107-A	Nursing Leadership and Management	4	0	0	0	4
	(Lecture)
Nres 2	Nursing Research 2	0	0	2	0	2
Elective 2	Elective Course 2	2	0	0	0	2
	Total	15	0	4	3	22

Second Semester

Course		Lec	Lab	RLE
Code	Course Name			SL	C	Units

INP	Intensive Nursing Practicum	0	0	0	8	8
CA 2	Competency Appraisal 2	3	0	0	0	3
NCM 107-B	Nursing Leadership and Management	0	0	0	3	3
	(RLE)
	Total	3	0	0	11	14

SL Skills Laboratory

C Clinicals

ARTICLE VI

Other Requirements

SECTION 10. Program Administration.

10.1 The College shall be administered by a full-time dean with the following qualifications:

a. Filipino citizen;

b. Registered Nurse in the Philippines with current and valid PRC ID; EaHcDS

c. Holder of Master's degree in Nursing (MAN, MN, MSN) conferred by a college or university duly recognized by the Commission on Higher Education;

d. Has at least one (1) year experience of clinical practice and a total of at least five (5) years experience in teaching, administration and supervision of nursing education;

e. Physically and mentally fit;

f. Of good moral character;

g. Has no other teaching assignments or administrative functions in other public/private institutions or higher education institutions;

h. Member of accredited professional nursing organization of good standing;

i. Upon appointment, he/she must be an active member of good standing of the Association of Deans of Philippine College of Nursing (ADPCN); and,

j. Upon appointment, he/she should have a duly notarized employment contract of at least one (1) academic year renewable annually. The contract should specify the academic rank.

10.2 The Dean shall have the following functions and responsibilities:

a. Prepares short term and long term plans;

b. Initiates curriculum development programs;

c. Plans a rational faculty, academic and non-academic load;

d. Leads in the faculty and staff development programs;

e. Manages human, financial and physical resources;

f. Manages student development programs;

g. Manages department/college office operations;

h. Leads development and utilization of instructional resource materials; ScaHDT

i. Pursues personal and professional development;

j. Collaborates with the health services, affiliation agencies and other academic units in the implementation of instructional programs;

k. Monitors proper implementation of the programs;

l. Initiates research and community extension projects/programs;

m. Establishes internal and external linkages;

n. Obtains recognition/accreditation of the nursing program; and

o. Evaluates the performance results of the nursing program.

10.3 The Dean shall have a teaching load not exceeding a total of six (6) units of lecture in a semester.

SECTION 11. Faculty Qualifications/Requirements.

11.1 The faculty shall have academic preparation appropriate to his/her teaching assignment. In addition to being a Filipino citizen and having good moral character, the following qualifications must be observed:

For faculty members teaching professional courses:

a. Registered Nurse in the Philippines with current/valid PRC ID;

b. Holder of Master's degree in Nursing (MAN, MN, MSN), Education or other allied medical and health sciences conferred by a college or university duly recognized by the Commission on Higher Education;

c. At least one (1) year of clinical practice;

d. A member of accredited professional nursing organization of good standing.

For faculty members teaching other courses:

e. At least a master's degree holder of other allied medical and health sciences as specified under Section 4.3 of this CMO for those teaching health science courses;

f. At least a master's degree holder in their area of specialization for faculty members teaching general education courses and should only teach courses in their area of specialization;

11.2 When vacancies occur in the teaching force of the college during the school year, substitute or replacement with similar or higher qualifications shall be employed.

11.2 ^*The following conditions for employment must be observed:

a. The salary of faculty shall be commensurate to his/her academic rank.

b. Full time faculty member who teaches professional courses shall be responsible for both classroom and Related Learning Experiences (RLEs).

11.4 Upon appointment, a faculty member should have a duly notarized employment contract of at least one (1) academic year, renewable annually specifying academic rank in accordance with his academic training and clinical expertise. The recognized ranks are: instructor, assistant professor, associate professor and professor.

11.5 For the initial operation of the BSN program with two (2) sections of not more than 50 students per section, a minimum of four (4) qualified faculty members teaching professional and health science courses, two (2) of whom must be at least holders of a master's degree in nursing, shall be employed.

11.6 The College of Nursing shall have an updated five-year faculty development program (FDP). The FDP consists of written activities and programs toward the development of the faculty for intellectual, personal, and professional as well as moral and spiritual growth. The program may be in the form of:

a. graduate studies

b. scholarship and research grants

c. in-service and continuing training programs

d. clinical skills enhancement on official basis for at least two weeks per year

11.7 Teaching Load. The teaching load of faculty members should be as follows:

a. Full-time faculty members may carry a combined RLE and teaching load of not more than thirty-six (36) units per semester which include consultation hours and other activities related to RLE instruction, research and extension services. One hour of RLE supervision is equivalent to one (1) unit credit.

b. Nurses who are employed in government and private institutions and at the same time who serve as part time faculty or clinical instructors must secure permit from the employer/s to be given a maximum teaching load of nine (9) units, provided they will render services after office hours. Moreover, the Chief Nurse/Training Coordinator/Supervisor/Head Nurse should not assume any administrative and clinical supervisory function in any nursing school.

11.8 The college of nursing must have a faculty manual containing information and policies on all matters pertaining to the faculty.

11.9 There must be a faculty clinical orientation on policies, standards, guidelines and expectations on the course of affiliating agencies. Likewise, nurses from affiliating agencies employed as preceptors or clinical instructors must be oriented on the BSN Curriculum and the expectations on the course.

SECTION 12. Library.

12.1 Policy. Library services shall provide the instructional and research needs of the staff and students making it one of the most important service units within a higher education institution. It is for this reason that libraries should be given special attention by the administrators of the institution. Libraries should be maintained it with a wide and up-to-date collection, qualified staff, communications and connectivity portals.

12.2 Library Staff. The Head librarian should be:

a) A registered librarian;

b) Masters' degree holder in Library Science; and,

c) Possess appropriate professional training.

The library should be staffed with one full time registered librarian for every 1,000 students and a ratio of 1 librarian to 2 staff/clerks.

12.3 Library Holdings. Library holdings should conform to existing requirements for libraries. There should be five (5) book titles per professional subject found in the curriculum at a ratio of one (1) volume per fifteen (15) students enrolled in the program. Book titles must be of recent edition, published within the last five (5) years. The Higher education institutions HEI are encouraged to maintain periodicals and other non-print materials relevant to the nursing program to aid the faculty and students in their academic works. CD-ROMs may complement a library's book collection but should not be considered a replacement for the same. IEHScT

a. Opening of new BSN program shall have at least 3,000 total number of books accessioned, 30% of which shall consist of professional book. Ten percent (10%) of the total professional book collection shall be of Filipiniana collection.

b. The library collection during the recognition of the BS Nursing program shall double the book collection specified in 12.3.a.

12.4 Journals. For the opening of new BS nursing program, the HEI shall have a regular and updated subscription to at least seven (7) professional foreign nursing journals and at least two (2) local journals in the following areas:

a. Maternal and Child Nursing

b. General Nursing

c. Nursing Research

d. Psychiatric Nursing

e. Nursing Management/Leadership

f. Pediatric Nursing

g. Medical-Surgical Nursing

For the recognition of the BS nursing program, the subscription of foreign nursing journals should be regularly updated and maintained. The number of copies of these journals shall be increased depending upon the student population.

In addition to the core book collection, a core periodical collection of current and relevant titles (local and foreign) shall also be provided. Periodicals shall include serials, magazines and newspapers. A minimum of five (5) titles are required. The recommended number of periodicals based on enrollment is as follows:

Enrollment	No. of copies of
	Periodicals

For every 250 students	5 copies per title

12.5 Regular weeding out program shall be undertaken to keep the collections relevant and up-to-date within the last five (5) years. Archived collections shall not be more than 30% of the total collections.

12.6 Stamping of Library Collections. For purposes of identification, the library collection including general education books, professional books, reference materials, journals and similar other collections shall be stamped with the name of college/university and the campus where the institution is located.

12.7 Internet Access. Internet access is encouraged but should not be made a substitute for book holdings.

12.8 Space Requirements. The following are the minimum requirements for the library:

a. At least 126 square meters or approximately two (2) classrooms shall be required for the library.

b. At any one time, a library space should accommodate at least five per cent (5%) of the total enrollment.

c. It should include space for collections, shelving areas, stockroom, reading area and office space or lounge for staff. The facilities shall be designed to attract and provide safety and promote operational efficiency and effectiveness of use. In addition, provision for future expansion should be made. aIcDCT

12.9 Finance. All library fees should be used exclusively for library operations and procurement for collections, furniture and fixtures, equipment and facilities, maintenance and staff development.

12.10 Networking. School libraries shall participate in inter-institutional activities and cooperative programs whereby resource sharing is encouraged.

12.11 Accessibility. The library should be accessible to all and should be open to serve the needs of users even beyond class hours. Users include members of the faculty, students and employees of the institution.

SECTION 13. Facilities and Equipment.

13.1 Laboratory Requirements:

Laboratories should conform to existing requirements as specified in

A system for identification of laboratory equipment, supplies and models should be observed.

13.2 Classroom Requirements:

a. For regular lecture class, the class size shall have a maximum of 50 students.

b. For science laboratory class, the class size shall have a maximum of 25 students.

c. For special lectures, a class size of more than 45 students may be allowed as long as the required facilities are provided.

The classroom area shall have at least 7 meters x 9 meters or 63 square meters.

13.3 Nursing Skills Laboratory:

The nursing skills laboratory must be well-lighted and well-ventilated. Its demonstration room and practice area for return demonstration must have an area of at least 8m. x 14m. or 112 sq.m. The nursing skills laboratory simulates major areas in hospital setting and equipped with basic instruments, equipment and supplies, to aid in the development of the competencies in performing nursing procedures. Specifically, the nursing skills laboratory shall have:

a. An amphitheater-style demonstration room that can accommodate a maximum of 50 students at one time with lavatory and running water;

c. Ratio of bed to practicing students is 1:2 or a practice area for return demonstration where there is one (1) bed to two (2) students at any given time;

d. At least two (2) doors which will serve as an entrance and exit;

e. At least one (1) fire extinguisher placed outside the door in each science laboratory/nursing skills laboratory. The fire extinguisher must have a record of refill and expiry date attached to the unit;

f. Basic demonstration models namely:

1. Birthing model

2. Newborn Model

3. Adult bisexual model with the following contraptions for:

3.1 basic life support

3.2 tracheostomy care

3.2 colostomy care

3.3 catheterization

3.4 enema

3.5 parenteral/intravenous (IV)

g. Equipment

1. Electrocardiogram (ECG) monitoring demonstration

2. Suction apparatus

h. Ratio of demonstration models to practicing students is 1:10, to facilitate learning.

13.4 Clinical Facilities and Resources:

Related Learning Experiences (RLEs) are teaching-learning opportunities designed to develop the competencies of students utilizing processes in various health situations. These could be sourced from, but not limited to: lying-in clinics, schools, industrial establishments, community, out-patient clinics and general and specialty hospitals. HTSaEC

Base Hospital. The base hospital in a health facility utilized by a higher education institution with nursing program offering as a source of basic or primary related learning experiences. The hospital may be independent or owned or operated by the institution or utilized by the institution in accordance with an effective and duly notarized Memorandum of Agreement between the institution and the base hospital which clearly specifies the responsibilities of each party.

The base hospital of a nursing school should meet the following requirements:

a. Has current accreditation by the DOH-Bureau of Licensing and Regulation as Level IV Hospital (Tertiary Care/Teaching/Training Hospital). However, Level III Hospitals (Secondary Care Hospitals) may be considered provided that the hospital can provide the following:

a.1 adequate case load for the number of students enrolled as stipulated in Article VII, Section 15-e. 9.

a.2 adequate facilities for the teaching and learning needs of the students.

b. Has minimum capacity of 100 beds with general services and minimum bed occupancy of eighty percent (80%);

c. Should be accessible and located within the region where the nursing school is situated. In the case of nursing schools located in Metro Manila, the base hospital should be located within Metro Manila.

d. Sixty per cent (60%) of the total bed capacity of the base hospital shall be used for the RLEs of students.

e. Should have a master rotation plan indicating the schedule/areas of all the schools utilizing the hospital for training of students.

Affiliation Hospital is a health facility being utilized by the higher education institution in specialized areas for supplementary clinical learning of students such as mental, orthopedics and communicable diseases. A Contract of Affiliation shall be used as a legal document to show the terms of references among involved parties. Parties to the contract of affiliation should provide and maintain an environment conducive for the attainment of the teaching-learning objectives. The nursing school and the hospital agency should establish effective coordination and cooperation. Open communication should exist among the medical staff and the school personnel.

Cross regional affiliations will not be allowed unless in cases where specialty areas cannot be found in the region.

The base hospital/s, affiliation hospital/s and community health agency/ies being used by the students for RLEs either conducted in urban or rural community should have the following facilities:

a. classroom for conference

b. library

c. comfort room

d. dressing room

e. lounge

f. locker

Provision should be made for adequate physical facilities, supplies and equipment for effective nursing care and learning experiences of students.

The nursing service should be provided with a designated training coordinator and the required staffing composed of qualified professional and non-professional personnel.

The faculty and the nursing service personnel of the affiliation agency should work together in the planning, implementation and evaluation of the related learning experiences of students.

There should be an adequate number of patients varying in age, sex, level/acuity and types of illness desired for teaching-learning experience of different curricular levels.

13.5 Virtual Nursing Skills Laboratory:

Higher education institutions are encouraged to put up Virtual Skills Laboratory to supplement and complement the related learning experiences prior to actual experience.

ARTICLE VII

Instructional Standards

SECTION 14. Standard of Instruction. The institution must maintain a high standard of instruction, utilizing appropriate and updated course syllabi/references and instructional methods/strategies taking into consideration the key areas of responsibility (safe and quality nursing care, health education, communication, collaboration & teamwork, legal responsibility, ethico-moral responsibility, personal & professional development, research, quality improvement, records management and management of resources and environment) that contribute to quality nursing education. The following should be strictly observed:

a. Professional nursing subjects should be offered with the corresponding RLEs taking into consideration the pre-requisites, sequencing, continuity and integration requirements.

b. Credit for the completion of the course shall be based on the fulfillment of curricular requirements. The grades on professional courses shall be based on the course credit (i.e., lecture units and RLE units).

c. The ratio of faculty to student in science laboratory class is 1:25 while regular classroom is 1:50. The institution shall provide for a systematic and continuing plan of evaluation of the student's progress through a marking system that is consistent and congruent with set objectives.

d. A system of academic evaluation shall be instituted and implemented for monitoring and evaluating students and teacher performance.

e. There shall be a regular academic audit on instructional resources such as syllabi, textbooks, modules, audiovisual materials and others such as software.

f. Academic records of faculty members must be properly kept and maintained in the college of nursing.

g. The competency standards for nursing practice in the Philippines must be an integral part of the nursing education process, therefore, the Philippine Nursing Core Standards shall serve as the framework for the development of instructional standards of the BS Nursing curriculum as provided by the PRC-BoN Resolution No. 112 s. 2005 and future amendments consistent thereto; as well as PRC-BoN Memorandum No. 01 s. 2009 dated April 14, 2009 entitled, "Policy Guidelines on Intrapartal, Immediate Care of the Newborn and Intra-operative Care".

SECTION 15. The teaching-learning process is composed of the theoretical/didactic and experiential/RLE. The Related Learning Experience (RLE) is composed of Clinicals and Skills Laboratory. The RLE activities are carefully selected to develop competencies utilizing the nursing process in varying health situations. The following conditions must be observed:

a. Related Learning Experience (clinicals) shall be offered simultaneously or immediately after the lecture. Classroom and RLE activities must be congruent with the objectives of the course. TDcEaH

b. Faculty teaching the lecture shall supervise students in their RLE. In the case of team teaching, there should be close coordination and collaboration between the lecturer and the clinical faculty.

c. A documented RLE rotation plan showing distribution of students and faculty supervision in each clinical area of base hospital and affiliation agencies shall be made available.

d. Faculty compensation shall be based on the computation that one (1) hour RLE is equivalent to one (1) lecture hour.

e. Effectiveness and efficiency of the Related Learning Experience, shall consider the following factors:

e.1 Quality of supervision of clinical instructors and teaching-learning process.

e.2 Readiness and capability of the learner.

e.3 Quality of the learning resources both in institutions and communities.

e.4 Adequate number and variety of clientele.

e.5 Utilization of appropriate feedback mechanism.

e.6 Adequate number of qualified nursing staff and other personnel.

e.7 Quality of nursing care services.

e.8 Compliance with the required equivalence of fifty one (51) hours to one (1) unit RLE.

e.9 Ratio of student to clientele depends upon the objectives and the capacity of the student. IcHSCT

The ratio of student to clientele shall be:

Level	1st Semester	2nd Semester

I	NA	1:1
II	1:1	1:2
III	1:2-3	1:3-4
IV	1:5	1:6

The ratio depends upon the client group, e.g., ICU 1:1-2; Psych 1:1; Community-based experience 1:1 Family; 1:1 Population Group per catchment area; 1-2:1 Community (depending on the size of the barangay).

The ratio of faculty to student ratio for RLE (Skills Laboratory) shall be:

Level	1st Semester	2nd Semester	Summer

I	NA	1:8-10	1:8-10
II	1:8-10	1:8-10	NA
III	1:10-12	1:10-12	NA
IV	1:12-15	1:12-15	NA

The ratio of faculty to student ratio for RLE (Clinicals in Hospital/Community setting) shall be:

Level	1st Semester	2nd Semester

I	NA	NA
II	1:8-10	1:8-10
III	1:10-12	1:10-12
IV	1:12-15	1:12-15

SECTION 16. Recognition and Accreditation.

a. For government recognition, an increase in student population shall be subject to proportionate increase in resources both in classroom and clinical area, subject to CHED approval. For this purpose, CHED Regional Offices shall strictly monitor compliance herein.

b. Nursing schools that are in existence for a period of five (5) years are encouraged to undergo program accreditation.

ARTICLE VIII

Research Requirements

The administration shall encourage and support research among its students and faculty and promote utilization of research findings to guide and improve nursing practice, educational management and other aspects of the nursing program. aEDCAH

All students shall complete a research project during the course of study.

Faculty research outputs and publications shall be considered in faculty promotions and academic ranking. Strict adherence to ethics in research must be observed.

There shall be an adequate budget allocated for research and publication. A functional research committee or office should support research and publication activities.

ARTICLE IX

Admission, Selection and Retention of Students

The school shall have a well-defined admission, selection, promotion and retention policy published and made known to students and reflected in the Student Handbook. In addition, the college shall administer entrance examination to incoming freshmen students covering the following areas:

a. English

b. Science

c. Mathematics

d. Inductive Reasoning

The number of students admitted to the College of Nursing shall be based on the following:

a. qualified faculty

b. teaching/learning resources

c. resources of the base hospital/affiliation agencies based on:

clientele

staffing

facilities/services

number of student affiliates

Records and evidences of actual implementation of these policies must be made available.

A student is allowed to enroll a course after he/she has satisfactorily passed all its pre-requisite courses.

A student shall be allowed to enroll only the regular semestral load. However, academic load for graduating students must be guided by appropriate CHED issuances. AEHCDa

All students in the BS Nursing program shall strictly adhere to the regular rotation of RLE and schedule of classes. The Special BS Nursing program provided in CMO No. 9 s. 2004 shall no longer be allowed.

ARTICLE X

Residency Requirements

As a general rule, a candidate for graduation must have taken the last curricular year level in the college. The student shall be evaluated according to the criteria or system of evaluation required by the college to determine proficiency in all professional courses.

ARTICLE XI

Sanctions

Non-compliance with the provisions of this CMO shall, after due process, cause the Commission to revoke government permit/recognition or deny issuance of authority to operate the nursing program.

The average national passing percentage in the Philippine Nurses Licensure Examination from 2004 to 2008 is 45.91%. Two thirds (2/3) of 45.91% is thirty percent (30%), the, basis for the implementation of gradual phase-out.

Thus, in the initial implementation of the gradual phase out of the nursing program, an average of below 30% for a three-year period (SY 2010-2011, 2011-2012, 2012-2013) in the Philippine Nurse Licensure Examination starting from 2013 shall be implemented by the CHED, subject to the following guidelines:

1. The official results of the Nurse Licensure Examination issued by the Board of Nursing of the Professional Regulation Commission shall be the basis in phasing-out of nursing programs.

2. The performance of the school shall be based upon the average rating obtained within the schoolyear, namely, ratings in the June and December examinations. If the school has only one examination undertaken in a year, this shall be considered the annual rating.

3. The average passing rate obtained by HEIs for the past three (3) years shall be the basis in phasing-out the program.

4. The computation of the 30% shall only involve the ratings of the examinees who took the Nurse Licensure Examination for the first time.

ARTICLE XII

Transitory Provision

Higher education institutions that have been granted permit or recognition to offer the BS Nursing program are required to fully comply with all the requirements in this CMO within three (3) years after the date of effectivity. There shall be close monitoring of nursing programs by the Commission.

ARTICLE XIII

Separability and Repealing Clause

Any provision of this Order, which may thereafter be held invalid, shall not affect the remaining provisions.

All CHED issuances, rules and regulations or parts thereof that are inconsistent with the provisions of this CMO are hereby repealed. CDTHSI

ARTICLE XIV

Effectivity Clause

Higher education institutions HEIs that opted to implement CMO No. 30 s. 2001 shall allow their students to the finish BSN curriculum under CMO No. 30 s. 2001 while those HEIs that opted to implement CMO No. 5 s. 2008 during the SY 2008-2009 shall allow their students to graduate under CMO No. 14 s. 2009.

This CMO shall take effect starting Schoolyear 2009-2010, fifteen (15) days after its publication in the Official Gazette or in a newspaper of national circulation.

Quezon City, Philippines, April 28, 2009.

(SGD.) EMMANUEL V. ANGELES
Chairman
Commission on Higher Education

ANNEX A

Course Specifications

Course Name	:	THEORETICAL FOUNDATIONS IN NURSING
Course Code	:	TFN
Course Description	:	This course deals with the meta concepts of a person, health,
		environment and nursing as viewed by the different theorists.
		Likewise, it includes non-nursing theories such as systems,
		developmental and change theories. It presents how these concepts
		and theories serve as guide to nursing practice. It further deals with
		health as a multifactorial phenomenon and the necessary core
		competencies that the nurse needs to develop.
Course Credit	:	3 units
Contact Hours/sem	:	54 lecture hours
Placement	:	1st Year, 1st Semester
Course Objectives	:	At the end of the course and given simulated conditions/situations,
		the student will be able to:
		1.	differentiate views given by various nursing theorists on
			person, health, environment and nursing
		2.	describe the various non-nursing theories as applied to nursing
		3.	utilize selected nursing theories and non-nursing theories in the
			care of clients
		4.	demonstrate selected competencies under the eleven key areas
			of responsibilities pertinent to nursing
Course Outline	:	I.	Overview
			1.	Definition of concept, theory, principle
			2.	Characteristics of a theory
			3.	Components of a theory
			4.	Purposes of nursing theory
			5.	Nursing paradigm
		i. *	Different views of person, health, environment and nursing
			by various nursing theorists
			1.	Florence Nightingale
			2.	Ernestine Weidenbach
			3.	Virginia Henderson
			4.	Faye Glenn Abdellah
			5.	Jean Watson
			6.	Dorothea Orem
			7.	Myra Estrine Levine
			8.	Martha Rogers
			9.	Dorothy Johnson
			10.	Callista Roy
			11.	Betty Neuman
			12.	Imogene King
			13.	Hildegard Perplau
			14.	Ida Jean Orlando
			15.	Joyce Travelbee
			16.	Madelline Leininger
			17.	Rosemarie Rizzo Parse
			18.	Joyce J. Fitzpatrick
			19.	Anne Boykin and Savina Schoenhoffer
			20.	Margaret Neuman
			21.	Josephine E. Paterson
			22.	Loretta Zderad
		III.	Different Views of Non-nursing Theories:
			1.	Systems Theory
			2.	Change Theory
			3.	Developmental Theory
		IV.	Health as a Multifactorial Phenomenon
		V.	Interlinking Relationships of Factors Affecting Health
		VI.	Care Enhancement Qualities including Core Values
		VII.	Competency-based Approach to the BSN Curriculum
		VIII.	Core competencies under the 11 Key Areas of Responsibility
Course Name	:	ANATOMY AND PHYSIOLOGY
Course Code	:	Ana/Physio
Course Description	:	This course deals with the physiologic concepts, principles and basic
		anatomical structure.
Course Credit	:	3 units lecture, 2 units lab
Contact Hours/sem	:	54 lecture hours, 108 lab hours
Pre-requisite	:	None
Placement	:	1st year, 2nd semester
Course Objectives	:	At the end of the course and given specific situations/conditions, the
		student should be able to:
		1.	describe the anatomic structures and physiologic
			mechanisms/processes/systems involved in the following
			physiologic concepts:
			1.1	locomotion
			1.2	fluid transport
			1.3	gas exchange
			1.4	fluid and electrolyte, acid/base dynamics
			1.5	nutrition metabolism
			1.6	chemical regulation
			1.7	neural regulation
			1.8	sensory intake
			1.9	protection
			1.10	awareness and response to the environment
			1.11	reproduction
		2.	utilize basic anatomical facts and physiological concepts and
			principles in the nursing care of individuals
Course Outline	:	I.	Anatomy
			A.	Definition
				1.	Types of Study
					a.		Systematic Anatomy
					b.		Regional Anatomy
					c.		Surface Anatomy
			B.	Physiology
				1.	Definition
				2.	Types of Study:
					a.		According to the organism involved
					b.		According to levels of organism within a given
							organism
			C.	Structural and Functional organization
				1.	Seven Structural Levels
					a.		Chemical
					b.		Organelle
					c.		Cell
					d.		Tissues
					e.		Organ
					f.		Organ System
					g.		Organism
			D.	Characteristics of Life
				1.	Organization
				2.	Metabolism
				3.	Responsiveness
				4.	Growth
				5.	Development
				6.	Reproduction
			E.	Homeostasis
				1.	Negative feedback
				2.	Positive feedback
			F.	Terminology and the Body Plan
				1.	Directional Terms
				2.	Planes/Sections
				3.	Body Regions
				4.	Body Cavities
				5.	Serous Membranes
		II.	Cells, Tissues, Glands and Membranes
			A.	Cells
				1.	Cell Structure and Function
				2.	Whole Cell Activity
			B.	Tissues
				1.	Basic Tissue Types
					a.		Epithelial tissue
					b.		Connective tissue
					c.		Muscle tissue
					d.		Nervous tissue
					e.		Membranes
					f.		Inflammation
					g.		Tissue repair
			C.	The Chemistry of Life
				1.	Basic Chemistry
				2.	Chemical Reactions
				3.	Acids and Bases
				4.	Water
				5.	Organic Molecules
		III.	The Respiratory System
			A.	Anatomy of the Respiratory System
				1.	Nose & Nasal Cavities
				2.	Pharynx
				3.	Larynx
				4.	Trachea
				5.	Bronchi & smaller air passages
				6.	Lungs
				5. *	Pleural cavities
			B.	Ventilation and Lung Volumes
				1.	Phases of Ventilation
				2.	Mechanisms of Ventilation
				3.	Collapse of the Lung
				4.	Pulmonary volumes and capacities
			C.	Gas Exchange
			D.	O2 and CO2 transport in the Blood
			E.	Modification of Ventilation
		IV.	The Cardio Vascular System
			A.	The Heart
				1.	The Blood Vessels and Circulation of Blood
					a.		Structure & Function
					b.		Blood Vessels of the Pulmonary Circulation
					c.		Blood Vessels of the Systemic Circulation
					d.		The Physiology of Circulation
					e.		Control of Blood Vessels
					f.		Regulation of Arterial Pressure
			B.	The blood
				1.	Function
				2.	Composition of Blood
					a.		Plasma
					b.		Cellular Content
					c.		WBC or Leukocytes
					d.		Platelets or Thrombocytes
				3.	Preventing Blood Loss
		V.	The Lymphatic System and Immunity
			1.	Functions
			2.	Lymphatic Vessels
			3.	Lymphatic Organs
			4.	Immunity
		VI.	The Digestive System
			1.	Activities in the Digestive System
			2.	Trunks or Layers of the Digestive Tract
			3.	Organs and Functions of the Digestive System
			4.	Movements and Secretions in the Digestive System
			5.	Metabolism
		VII.	The Endocrine System
			1.	Hormones
			2.	The Endocrine Glands and their Hormones
			3.	Other Hormones
		VIII.	The Urinary System and Fluid Balance
			1.	Structure and function
			2.	Kidney
			3.	Ureters
			4.	Urinary Bladder
			5.	Urethra
		IX.	Fluids and Electrolytes
			1.	Body Fluid Compartments
			2.	Composition of Fluid in the body Fluid Compartments
			3.	Exchange between Body fluid Compartments
			4.	Regulation of Extracellular Fluid Composition
			5.	Regulation of Acid-Base Balance
			6.	Alterations in the Buffering Mechanism
		X.	The Integumentary System
			1.	Structure of the Skin
			2.	Accessory Skin Structures
		XI.	The Nervous System
			1.	Division of the Nervous System
			2.	Cells of the Nervous System
			3.	Central Nervous System
			4.	Peripheral Nervous System
			5.	Autonomic Nervous System
		XII.	The Special Senses
			1.	Major Groups
			2.	General Sense
			3.	Special Senses
		XIII.	The Skeletal System
			1.	Major Components
			2.	Connective Tissue
			3.	General Feature of Bone
			4.	General Classification of Bone Anatomy
		XIV.	The Muscular System
			1.	Characteristics of Skeletal muscle
			2.	Smooth Muscle Anatomy
			3.	Skeletal Muscle Anatomy
		XV.	The Reproductive System
			1.	Male Reproductive System
				a.	Parts
				b.	Physiology of male reproduction
			2.	Female Reproductive System
				a.	Parts
			3.	Physiology of the female reproduction
Laboratory	:	Anatomical models, charts					Sphygmomanometer
Supplies and		Videos and CD ROMs					Stethoscope
Equipment		Preserved specimens and slides					Microscope
		Reflex hammer
Course Name	:	FUNDAMENTALS OF NURSING PRACTICE
Course Code	:	NCM 100
Course Description	:	This course provides the students with the overview of nursing as a
		science, an art and a profession. It deals with the concept of man as a
		holistic being comprised of bio- psycho- socio and spiritual
		dimensions. It includes a discussion on the different roles of a nurse
		emphasizing health promotion, maintenance of health as well as
		prevention of illness utilizing the nursing process. It includes the
		basic nursing skills needed in the care of individual clients.
Course Credit	:	3 units lecture, 2 units RLE Skills Lab
Contact Hours/Sem	:	54 hours lecture, 102 RLE hours Skills Lab
Prerequisite	:	General Chemistry, Theoretical Foundations of Nursing
Co-requisite	:	Anatomy & Physiology, Biochemistry
Placement	:	1st Year, 2nd semester
Course Objectives	:	At the end of the course and given actual or simulated
		situations/conditions, the student will be able to:
		1.	utilize the nursing process in the holistic care of client for the
			promotion and maintenance of health
			1.1	Assess with the client his/her health status and risk factors
				affecting health
			1.2	Identify actual wellness/at risk nursing diagnosis
			1.3	Plan with client appropriate interventions for the
				promotion and maintenance of health
			1.4	Implement with client appropriate interventions for the
				promotion and maintenance of health
			1.5	Evaluate with client outcomes of a healthy status
		2.	ensure a well-organized recording and reporting system
		3.	observe bioethical principles and the core values (love of God,
			caring, love country and of people)
		4.	relate effectively with clients, members of the health team and
			others in work situations related to nursing and health; and,
		5.	observe bioethical concepts/principles and core values and
			nursing standards in the care of clients
Course Outline	:	I.	Nursing as a Profession
			A.	Profession
				1.	Definition
				2.	Criteria
			B.	Nursing
				1.	Definition
				2.	Characteristics
				3.	Focus: Human Responses
				4.	Personal and professional qualities of a nurse
			C.	History of Nursing
				1.	In the world
				2.	In the Philippines (include the history of own nursing
					school)
			D.	Development of modern nursing
			E.	Growth of Professionalism
				1.	Profession
					a.		Specialized education
					b.		Body of knowledge
					c.		Ethics
					d.		Autonomy
				2.	Carpers four patterns of knowing
					a.		Nursing science
					b.		Nursing ethics
					c.		Nursing esthetics
					d.		Personal knowledge
			F.	Overview of the Professional Nursing Practice
				1.	Level of Proficiency according to Benner
					(Novice, Beginner, Competent, Proficient, Expert)
				2.	Roles and Responsibilities of a Professional nurse
				3.	Scope of Nursing Practice based on RA 9173
				4.	Overview of the Code of Ethics for Nurses/Filipino
					Bill of Rights/Legal Aspects
				5.	Professional/legal and moral accountability/
					responsibility
			G.	Different Fields in Nursing
				1.	Institutional nursing (hospital staff nursing)
				2.	Community health nursing (school nursing /industrial
					nursing/public health nursing)
				3.	Independent nursing practice
				4.	Nursing in education
				5.	Nursing in other fields
			H.	Communication Skills
				1.	Effective communication
				2.	Purposes of therapeutic communication
				3.	Components of communication
				4.	Criteria for effective verbal communication
				5.	Guidelines for active & effective listening
				6.	Guidelines for use of touch
				7.	Developmental consideration in communication
				8.	Communicating with people who are:
					a.		Physically challenged
					b.		Cognitively challenged
					c.		Aggressive
				9.	General guidelines for trans-cultural therapeutic
					communication
			I.	Nursing Process
				1.	Assessment
				2.	Nursing Diagnosis (as a concept and process)
				3.	Planning (long-term, short-term, priority setting,
					formulation of objectives)
				4.	Intervention (collaborative, independent nursing
					interventions)
				5.	Evaluation (formative, summative)
				6.	Documentation of plan of care/reporting
			J.	Health and Illness:
				1.	Recall concepts learned about man as an individual
					and as a member of the family
				2.	Define health, wellness and illness
				3.	Explain the dimensions of wellness
				4.	Discuss the Health-Illness Continuum
				5.	Enumerate the stages of wellness and Illness
				6.	Describe the three levels of Prevention
			K.	Levels of Care
				1.	Health promotion
				2.	Disease prevention
				3.	Health maintenance
				4.	Curative
				5.	Rehabilitative
			L.	Basic Interventions to Maintain
				1.	Healthy lifestyle
				2.	Oxygenation
				3.	Fluid and electrolyte balance
				4.	Nutrition
				5.	Elimination
				6.	Temperature regulation
				7.	Mobility and exercise
				8.	Hygiene and comfort
				9.	Safety, security and privacy
				10.	Psychosocial and Spiritual Concerns
			M.	Meeting needs related to death and dying/grief and
				grieving
				1.	Concept of death and dying/grief and grieving
				2.	Care of the terminally ill patients and their families
				3.	Post mortem care
		II.	Nursing as an Art
			1.	Definition of Arts
			2.	Why is nursing an art?
			3.	Concepts related to the art of nursing
			4.	Self-awareness/concept (Who am I?)
			5.	Self enhancement (How do I become a better person?)
			6.	Caring : An Integral Component of Nursing
			7.	Nursing Client relationship
			8.	Therapeutic communication
			9.	Focus of nursing
		III.	Health and Illness:
			1.	Recall concepts learned about man as an individual and as
				a member of the family
			2.	Define Health, Wellness and Illness
			3.	Explain the dimensions of wellness
			4.	Discuss the Health-Illness Continuum
			5.	Enumerate the stages of Wellness and Illness
			6.	Describe the three levels of Prevention
Guide for RLE	:	Provides opportunity to demonstrate the various nursing procedures
		learned.
		Provides opportunity to care for a healthy/well client.
Laboratory	:	Office Supplies such as:
Supplies and
Equipment		Hospital forms and logbook
		Equipment such as surgical instruments, hospital equipments like bed
		pan, urinal, surgical beds, stethoscope, non-mercurial BP apparatus,
		etc.
		Fixtures such as chart rack, medicine and treatment cards rack
		Audio visual equipments such as mannequin, models, videos, CD,
		etc.
		Appliances such as footstool, wheel chair, stretcher etc.
		Hospital linens
Course Name	:	HEALTH ASSESSMENT
Course Code	:	HA
Course Description	:	The course deals with concepts, principles & techniques of history
		taking using various tools, physical examination (head to toe),
		psycho-social assessment and interpretation of laboratory findings to
		arrive at a nursing diagnosis on the client across the lifespan in
		community and hospital settings.
Course Credit	:	2 units lecture, 1 unit RLE
Contact Hours/sem	:	36 lecture hours, 51 RLE hours
Prerequisite	:	Theoretical Foundations of Nursing, General Psychology, Anatomy-
		Physiology, Chemistry 2 & NCM 100
Placement	:	1st year, Summer
Course Objectives	:	At the end of the course and given simulated and actual
		conditions/situations, the student will be able to:
		1.	Differentiate normal from abnormal assessment findings;
		2.	Utilize concepts, principles, techniques and appropriate
			assessment tools in the assessment of individual client with
			varying age group and development; and,
		3.	Observe bioethical concepts/principles and core values and
			nursing standards in the care of clients.
Course Outline	:	I.	Review of the Nursing Process
		II.	Health History Guidelines
			A.	Interview
				1.	Purpose
				2.	Structure
				3.	Guidelines of an effective interview
		III.	Health History
			A.	Personal profile
				1.	Chief complaint of present illness
				2.	Past health history
				3.	Current medications
				4.	Personal habits & patterns of living
				5.	Psychosocial history
					a.	Mental status assessment
							Children and adolescent
							Adults
			B.	Functional assessment
				1.	Adults
				2.	Physical activities of daily living (PADC)
				3.	Instrumental activities of daily living (IADL)
			C.	Functional Assessment Tests
				1.	Newborns Apgar scoring system
				2.	Infants & children MMDST
				3.	Adults
					a.	Katz Index of Independence in ADL
					b.	Barthel index
			D.	Review of systems (symptoms)
			E.	Assessment in pregnancy (e.g., LMP, EDC)
			F.	Pediatric additions to health history (e.g., head
				circumference, weight, height, immunization)
			G.	Geriatric additions to the Health History (e.g.,
				immunization, current prescription medications, over the
				counter medications, ADL, social support, etc.)
		III.	Physical Examination
			A.	Preparation guidelines
			B.	PE guidelines
			C.	Techniques in physical assessment
				1.	Inspection
				2.	Auscultation
				3.	Percussion
				4.	Palpation
			D.	Continuing assessment
				1.	Pain
				2.	Fever
			E.	Pediatric adaptation
				1.	General guidelines
				2.	Specific age groups
			F.	Geriatric adaptations
				1.	General guidelines
				2.	Modifications
			G.	Cultural considerations
				1.	Sequence of PE (adult/pedia/geriatric adaptations)
					a.	Overview
					b.	Integument
					c.	Head
					d.	Neck
					e.	Back
					f.	Anterior Truck
					g.	Abdomen
					h.	Musculoskeletal system
					i.	Neurologic system
					j.	Genitourinary system
			H.	Clinical alert
			I.	Documentation of findings
			J.	Patient & family education & home health teaching
		IV.	Diagnostic tests (routine laboratory exams)
		V.	Appropriate nursing diagnosis
Laboratory	:	Assessment forms Patient's chart
Supplies and		Ophthalmoscope Watch with second hand
Equipment		Otoscope					Sphygmomanometer
		Flashlight or penlight					Stethoscope
		Tongue depressor					Gloves and lubricant
		Ruler & tape			Vaginal speculum and
		Thermometer			equipment for cytological
		Tuning fork			bacteriological study
		Safety pins			Reflex hammer
		Cotton					Paper, pen and pencil
Course Name	:	COMMUNITY HEALTH NURSING
Course Code	:	CHN
Course Description	:	This course focuses on the care of population groups and community
		as clients utilizing concepts and principles in community health
		development. It also describes problems, trends and issues in the
		Philippine and global health care systems affecting community health
		nursing practice.
Course Credit	:	3 units lecture; 2 units RLE (.5 Skills Lab; 1.5 Clinicals)
Contact Hours/sem	:	54 lecture hours; 102 RLE hours
Prerequisite	:	NCM 100, Theoretical Foundations of Nursing, Health Assessment
Placement	:	2nd Year, 1st semester
Course Objectives	:	At the end of the course, the student will be able to:
		1.	Apply concepts and principles of community health
			development in the care of communities and population groups.
		2.	Utilize the nursing process in the care of communities and
			population groups.
			a.	Assess the health status of communities and population
				groups to identify existing and potential problems.
			b.	Plan relevant and comprehensive interventions and
				programs based on identified priority problems.
			c.	Implement appropriate plan of care to improve the health
				status of the communities and population groups.
			d.	Evaluate the progress and outcomes of community health
				nursing interventions and programs.
		3.	Ensure a well-organized recording and reporting system.
		4.	Share leadership/relate effectively with others in work
			situations related to nursing and health.
Course Outline	:	I.	Overview of Community Health Nursing
			a.	Community Health Nursing as a Field of Nursing Practice
				i.	The hallmark of community health nursing is that it is
					population- or aggregate-focused.
				ii.	CHN is a synthesis of nursing and public health
					practice
					1.	emphasis on the importance of the "greatest good
						for the greatest number"
					2.	assessing health needs planning, implementing
						and evaluating the impact of health services on
						population groups
					3.	priority of health-promotive and disease-
						preventive strategies over curative interventions
					4.	tools for measuring and analyzing community
						health problems; and
					5.	application of principles of management and
						organization in the delivery of health services to
						the community
				iii.	Basic concepts and principles of community health
					nursing
					1.	The family is the unit of care; the community is
						the patient and there are four levels of clientele in
						community health nursing.
					2.	The goal of improving community health is
						realized through multidisciplinary effort.
					3.	The community health nurse works with and not
						for the individual patient, family, group or
						community. The latter are active partners, not
						passive recipients of care.
					4.	The practice of community health nursing is
						affected by changes in society in general and by
						developments in the health field in particular.
					5.	Community health nursing is part of the
						community health system, which in turn is part of
						the larger human services system.
				iv.	Roles of the nurse in caring for communities and
					population groups
				v.	Brief history of community health/public Health
					nursing practice in the Philippines
		II.	Community Health and Development Concepts, Principles and
			Strategies
			a.	Primary Health Care Approach
				i.	Definition; PHC as a philosophy, approach, structure
					and services
				ii.	Legal Basis of PHC in the Philippines
				iii.	Components of PHC
			b.	Health Promotion
				i.	Concept of health promotion (as embodied in the
					Ottawa Charter, November 1986)
				ii.	Health promotion strategies:
					1.	Build healthy public policy
					2.	Create supportive environments
					3.	Strengthen community action
					4.	Develop personal skills
					5.	Reorient health services
				iii.	Examples of Theories/Models of Health Promotion:
					Pender, Bandura, Green
			c.	Community organizing towards community participation
				in Health
				i.	Definition of Community Organizing
					1.	CO Characteristics
					2.	Process
					3.	Phases
					4.	Goal
				ii.	Community participation in health: levels of
					community participation, factors affecting community
					participation
			d.	Capacity-building for sustainable community health
				Development towards community competence
				i.	Concept of a sustainable community health
					development: integrated, community-based,
					comprehensive
				ii.	Capacity-building strategies: health education,
					competency-based training for community health
					workers, supervision of lower level health workers
			e.	Partnership building and collaboration
				i.	Networking
				ii.	Linkage-building
				iii.	Multi-sectoral collaboration
				iv.	Interdisciplinary collaboration
				v.	Advocacy
		III.	The Community Health Nursing Process
			a.	Assessment of Community Health Needs
				i.	Components of community needs assessment:
					1.	health status
					2.	health resources
					3.	health action potential
				ii.	Community Diagnosis
					1.	Definition
					2.	Types of community diagnosis: comprehensive,
						problem-oriented or focused
					3.	Steps in conducting the community diagnosis
				iii.	Tools used in community diagnosis: demography,
					vital and health statistics, epidemiology
					1.	Demography
						a.	Definition and uses of demography
						b.	Components of demography
							i.
							ii.
							iii.
						c.	Sources of demographic data
					2.	Vital and health statistics
						a.	Definition and uses of vital and health
							statistics
						b.	Common vital and health statistical indicators
							i.
							ii.
							iii.
					3.	Epidemiology
						a.	Definition and uses of epidemiology
						b.	Epidemiologic concepts and principles
							i.

							Agent-Host-Environment
							Models: web, wheel and triad
							ii.
							iii.
							iv.
						c.	Epidemiologic approach focusing on:
							i.
							ii.
			b.	Planning of Community health nursing services
				i.	Principles in community health planning
				ii.	Bases for developing a community health plan
					1.	health status
					2.	health resources
					3.	health action potential
				iii.	Steps in making a plan: the planning cycle
				iv.	Context in developing the community health plan
					1.	Philippine health care delivery system
						a.	Executive Order 102 (The Department of
							Health)
						b.	RA 7160 (Local Health Systems)
						c.	Levels of Health Care and Referral System
					2.	Global health situation (Millennium Development
						Goals)
					3.	National health situation (FOURmula One)
					4.	Primary health care as an approach to health care
						delivery
		IV.	Implementing the community health nursing services
			a.	Components of program implementation
				i.	Coordinating the health program
				ii.	Monitoring health programs
				iii.	Supervising the program staff
			b.	Public health programs of the DOH
				i.	Family health services
					1.	Maternal health
					2.	Family planning
					3.	Child health
						a.	Infant and young child feeding
						b.	Expanded program on immunization
						c.	Integrated management of childhood illness
					4.	Nutrition program
					5.	Oral health program
					6.	Essential health packages for the adolescent, adult
						men and women and older Persons
				ii.	Control of non-communicable diseases
					1.	Integrated community-based non-communicable
						disease prevention program
					2.	Programs for the prevention of other non-
						communicable diseases
						a.	National prevention of blindness
						b.	Mental health and mental disorders
						c.	Renal disease control program
						d.	Community-based rehabilitation program
				iii.	Control of communicable diseases
					1.	National TB Program-Directly Observed
						Treatment, short-course (NTP-DOTS)
					2.	National Leprosy Control Program
					3.	Schistosomiasis Control Program
					4.	Filariasis Control Program
					5.	Malaria Control Program
					6.	Rabies Control Program
					7.	Dengue Control Program
					8.	Sexually-Transmitted Infections and AIDS
						Control Program
				iv.	Environmental Health
					1.	Water supply sanitation
					2.	Proper excreta disposal
					3.	Solid waste management
					4.	Vector control
					5.	Food sanitation
					6.	Air pollution
					7.	Proper housing
			c.	Specialized fields of community health nursing
				i.	School health nursing
				ii.	Occupational health nursing
				iii.	Community mental health nursing
		V.	Evaluating community health nursing services
			a.	Definition of evaluation
				i.	Types of evaluation: quantitative, qualitative
				ii.	Aspects of evaluation: process, impact and outcome
				iii.	Methods and tools of evaluation
				iv.	Evaluation indicators
			b.	Quality Assurance: Sentrong Sigla Movement
		VI.	Recording and Reporting
			a.	Family Health Service Information System
			b.	Components of FSHIS
				i.	Family Treatment Record
				ii.	Target Client List
				iii.	Reporting Forms
				iv.	Output Resorts
Guide for RLE	:	Provide opportunity to practice bag technique and other nursing
		procedures
		Provide for actual care of individual, family, population group and
		community as client. Requires competencies with emphasis on health
		promotion and disease prevention
Equipment and	:	CHN Bag complete with relevant equipment and supplies
Materials (these
could be found
in nursing skills
lab and in the
community)
Course Name	:	MICROBIOLOGY AND PARASITOLOGY
Course Code	:	Micro/Para
Course Description	:	This course is designed to assist students in the study of important
		microorganisms and parasites. It explains the physiology and
		pathogenic properties of bacteria, fungi and viruses as an introduction
		to disease causation, their biology, the infections they cause, host
		response to these infections and their mode of transmission,
		prevention, treatment and nursing responsibilities.
		The laboratory experiences provide specimen collection, handling
		and processing of specimens for isolation and identification of
		microorganisms and parasites involved in the infectious processes.
Course Credit	:	3 units lecture, 1 unit laboratory
Contact Hours/sem	:	54 lecture hours, 54 lab hours
Prerequisite	:	General Chemistry, Anatomy and Physiology
Placement	:	2nd year, 1st semester
Course Objectives	:	At the end of the course and given simulated/actual situations/
		conditions, the student will be able to:
		1.	Apply the concepts and principles of microbiology and
			parasitology in the care of individuals.
		2.	Utilize principles and techniques in the collection, handling of
			specimens and identification of microorganisms and parasites
			involved in the infectious processes.
Course Outline	:	I.	Scope of Microbiology
			1.	Organisms that make up the microbial world and the
				development of microbiology
			2.	Microorganisms
			3.	Division of microbiology
			4.	Significance of microbiology
			5.	Practical applications of microbiology
			6.	Evolution of microbiology
			7.	Basic laboratory equipment and procedures in the study
				of bacteria
		II.	Microbial Control
			1.	Techniques for controlling pathogenic microorganisms
			2.	Surgical and medical asepsis
			3.	Antimicrobial agents in therapy
		III.	Infection and Host Resistance
			1.	Infection and bacterial invasion
			2.	Host response to infection
				a.	Non-specific host resistance
				b.	Specific host resistance
				c.	Vaccines in the elimination of disease
		IV.	Pathogenic Microorganisms and Parasitic Helminthes
			1.	Normal human microbial flora and microorganisms
				pathogenic to man
			2.	Protozoan and helminthes diseases of man
		V.	Microbial Disease of the Different Organ System
			1.	Skin and eye
			2.	Nervous system
			3.	Cardiovascular system
			4.	Respiratory system
			5.	Digestive system
			6.	Urinary and reproductive system
Course Name	:	CARE OF MOTHER, CHILD AND FAMILY
Course Code	:	NCM 101
Course Description	:	Principles and techniques of caring for the normal mothers, infants,
		children and family and the application of principles and concepts on
		family and family health nursing process.
Course Credit	:	4 units lecture, 4 units RLE 1 unit Skills Lab/3 units Clinical
Contact Hours/Sem	:	72 lecture hours, 204 RLE hours
Prerequisite	:	FNP, Health Assessment, Anatomy and Physiology
Co-requisite	:	Microbiology and Parasitology
Placement	:	2nd year, 1st semester
Course Objectives	:	At the end of the course, given actual or simulated
		situations/conditions involving the client (normal pregnant woman,
		mother, and/or newborn baby, children and the family), the student
		will be able to:
		1.	Utilize the nursing process in the holistic care of client for the
			promotion and maintenance of health:
			1.1	Assess with the client his/her health condition and risk
				factors affecting health
			1.2	Identify wellness/at risk nursing diagnosis
			1.3	Plan with client appropriate interventions for health
				promotion and maintenance of health
			1.4	Implement with client appropriate interventions for health
				promotion and health maintenance taking into
				consideration relevant principles and techniques
			1.5	Evaluate with client the progress of one's health condition
				and outcomes of care.
		2.	Ensure a well-organized recording and reporting system
		3.	Observe bioethical principles and the core values (love of God,
			caring, love country and of people)
		4.	Relate effectively with clients, members of the health team and
			others in work situations related to nursing and health
Course Outline	:	I.	The Family and Family Health
			1.	Concepts/Definition of family
			2.	Family structure and functions
			3.	Universal characteristics of families
			4.	Characteristics of a healthy family
			5.	Family stages and tasks
			6.	Levels of prevention in family health
		II.	The Family Health Nursing Process
			1.	Definition of family health nursing & family nursing
				process
			2.	Principles of family nursing process
			3.	Steps of the family health nursing process
			4.	Initial assessment/data base for family nursing practice
			5.	Family structure/characteristics/dynamics
			6.	Social, economic & cultural factors
			7.	Health status of each family member
			8.	Values & practices on health promotion
		III.	Methods of Data Gathering
			1.	Health assessment of each family member
			2.	Observation
			3.	Interview
			4.	Review of records/reports & laboratory results
			5.	Assessment of home & environment
			6.	Tools used in family assessment: genogram, ecomap,
				initial database, family assessment guide
		IV.	Typology of Nursing Problems in Family Nursing Practice
			1.	1st level assessment: identify health threats, foreseeable
				crisis, health deficits & wellness potential/state
			2.	2nd level assessment: determining family's ability to
				perform the family health tasks on each health threat,
				health deficit, foreseeable crisis or wellness potential
		V.	Statement of a Family Health Nursing Problem health
			problem and cause/contributing factors or health condition and
			factors related with non-performance of family health tasks
		VI.	Developing the Care Plan
			1.	Priority setting: criteria
			2.	Defining/setting goals/objectives
			3.	Specifying intervention plan
			4.	Developing the evaluation plan, specifying methods/tools
		VII.	Categories of nursing interventions in family nursing practice
			include:
			1.	Human becoming: methods/processes
			2.	Competency-based teaching
			3.	Motivation-support for behavior change/lifestyle
				modification
		VIII.	Categories of health care strategies and intervention
			1.	Preventive
			2.	Curative
			3.	Rehabilitative
			4.	Facilitative
			5.	Facilitation
			6.	Direct
		IX.	Evaluation
			1.	Qualitative & quantitative data for evaluation
			2.	Methods & sources of evaluative data
			3.	Steps in evaluation
			4.	Evaluation criteria
			5.	Evaluation in family nursing practice
		X.	Records in Family Health Nursing Practice
			1.	Importance & uses
			2.	Types of records & reports
		XI.	Mother and Child Health
			1.	Procreative health
				a.	Definition and theories related to procreation
				b.	Process of human reproduction
				c.	Risk factors that will lead to genetic disorders
				d.	Common tests for determination of genetic
					abnormalities
				e.	Utilization of the nursing process in the prevention of
					genetic alteration and in the care of clients seeking
					services before & during conception
		XII.	Antepartum/Pregnancy
			1.	Anatomy & physiology of the male and female
				reproductive system
			2.	Physiology of menstrual cycle
			3.	The process of conception
			4.	Fetal circulation
			5.	Milestones of fetal development
			6.	Estimating the EDC
			7.	Common teratogens and their effects
			8.	Health history: past, present, potential, biographical data,
				menstrual history, current pregnancy (EDD, AOG, gravid,
				para), previous pregnancies & outcomes (TPAL score),
				gynecologic history, medical history, nutritional status
			9.	Normal changes during pregnancy
				a.	Local & systematic physical changes including vital
					signs, review of systems
				b.	Emotional changes including 'angers in pregnancy'
				c.	Leopold's maneuver
			10.	Danger signs of pregnancy
			11.	Normal diagnostic/laboratory findings & deviations
					Pregnancy test
					Urine test
					Blood test (CBC)
					ultrasound
			12.	Appropriate nursing diagnoses
			13.	Addressing the needs and discomforts of pregnant mothers
			14.	Prenatal exercises
			15.	Preparation for labor and delivery
		XIII.	Intrapartum (Process of Labor & Delivery)
			1.	Factors affecting labor & delivery process passenger,
				passage, power (primary and secondary) and placenta
			2.	Functional relationships of presenting part
			3.	Theories of labor onset
			4.	Common signs of labor
			5.	Stages of labor & delivery
			6.	Common discomforts of the woman during labor and
				delivery
			7.	Danger signs during labor & delivery
			8.	Appropriate nursing diagnoses
			9.	Care of clients experiencing labor & delivery process
			10.	Physical & psychological preparation of the client:
					Explanation of the procedure, Securing informed
					consent, provision of safety, comfort & privacy
					(proper positioning, draping, constant feedback,
					therapeutic touch)
			11.	Monitoring of progress of labor delivery
			12.	Provision of personal hygiene, safety & comfort measures
				e.g., perineal care, management of labor pain, bladder and
				bowel elimination
			13.	Coping mechanisms of woman's partner and family of the
				stresses of pregnancy, labor and delivery & puerperium
			14.	Preparation of the labor & delivery room
			15.	Preparation of health personnel
		XIV.	Post Partum
			1.	Definition
			2.	Specific body changes on the mother
			3.	Psychological changes on the mother
			4.	Phases of puerperium
					Taking In
					Taking Hold
					Letting Go
			5.	Monitoring of vital signs, uterine involution, amount &
				pattern of lochia, emotional responses, responses to drug
				therapy, episiotomy healing
			6.	Possible complications during post partum: bleeding &
				infection
			7.	Appropriate nursing diagnoses
			8.	Nursing care of mothers during post partum
				a.	Safety measures: limitations in movement, protection
					from falls, provision of adequate clothing, wound care
					e.g., episiotomy
				b.	Comfort measures: exercises, initiation of lactation,
					relief of discomforts like breast engorgement and
					nipple sores, hygienic measures, maintaining adequate
					nutrition
				c.	Measures to prevent complication: ensuring adequate
					uterine contraction to prevent bleeding, adequate
					monitoring, early ambulation, prompt referral for
					complications
				d.	Support for the psychosocial adjustment of the mother
				e.	Health teaching needs of mother, newborn, family
				f.	Accurate documentation and reporting as needed
			9.	Health beliefs & practices of different cultures in
				pregnancy, labor delivery, puerperium
			10.	Current trends in maternal and child care
			11.	Family planning
				a.	Natural methods Standard Days Method (SDM)
					with cycle beads, Billing's Method, sympto-thermal
					method, lactation amenorrhea method (LAM)
				b.	Artificial methods use of hormones, intra-uterine
					device, barrier methods, tubal ligation, vasectomy
		XV.	The Newborn
			A.	Profile of the newborn
				1.	Physiologic function & appearance
						APGAR score, Ballard's score, Review of
						systems, Anthropometric measurements (weight,
						head, chest, abdomen circumference, length, other
						relevant measures)
				2.	Vital signs, patent airway
				3.	Behavioral assessment & other significant information
				4.	Newborn screening
			B.	Nursing care of the newborn
				1.	Establishment of respiration
				2.	Maintaining patent airway
				3.	Water/oil bath, tub bath, changing of diapers
				4.	Eye prophylaxis
				5.	Cord care
				6.	Vitamin K administration
				7.	Regulation of temperature
				8.	Sensory stimulation (audio & tactile)
				9.	Vestibular stimulation
				10.	Breast feeding
				11.	Burping
				12.	Elimination
				13.	Cuddling
			C.	Concept on Growth & Development
				1.	Definition
				2.	Principles of growth & development (GD)
				3.	Major factors influencing GD
				4.	Foundations of GD
						Age Periods.
						Methods of studying GD cross-sectionals,
						longitudinal
						Patterns of GD
						Individual differences
				6. *	Biologic growth & development
				7.	Development of mental function & personality
					development
				8.	Theories:
					- psychosexual		- moral
					- psychosocial		- relational
					- cognitive		- behaviorism
				9.	Development of self-concept- body image, self-esteem
				10.	Development of sexuality
			D.	The Infant and Family
				1.	Definition of terms
				2.	Growth & development of the infant
						biologic proportional changes & maturation of
						systems, development milestones fine & gross
						motor, language, psychosocial development,
						cognitive development, social development,
						development of social image, temperament
				3.	Coping with concerns related to normal growth &
					Development, e.g., separation anxiety, teething, etc.
				4.	Promotion of health during infancy
				5.	Prevention of injury
			E.	The Toddler & the Family
				1.	Definition
				2.	Growth & development of the toddler biologic,
					developmental milestone, psychosocial, cognitive,
					social, spiritual, sexuality, and body image
					development
				3.	Coping with concerns related to normal growth &
					development
				4.	Promotion of health during toddlerhood
				5.	Prevention of injury
			F.	The Preschooler and the Family
				1.	Definition of terms
				2.	Growth & development biologic, developmental
					milestone, psychosocial, cognitive, social & moral
					development
				3.	Coping with concerns related to normal growth &
					development
				4.	Promotion of health
				5.	Prevention of injury
			G.	The Schooler and the Family
				1.	Definition of terms
				2.	Growth & development biological, psychosocial,
					cognitive, moral, spiritual, social & self-concept
					development
				3.	Coping with concerns related to normal growth and
					development
				4.	Promotion of health during school age period
				5.	Prevention of injury
			H.	The Adolescent & the Family
				1.	Definition of terms
				2.	Growth & development biologic, psychosocial,
					cognitive, moral, spiritual and social development
				3.	Promotion of health during adolescence
			I.	Adulthood
				1.	Early adulthood
					a.	Theories, physiological, cognitive, moral &
						psychosocial development
					b.	Nursing implications
				2.	Middle adulthood
					a.	Physical, cognitive, moral and psychosocial
						development
					b.	Nursing implications
				3.	Late adulthood
					a.	Viewpoints on aging
					b.	Theories of aging
					c.	Biologic, sociologic, psychologic changes
					d.	Needs of older persons
					e.	Nursing implications
Guide for RLE	:	Provide for actual hospital and community experiences to ensure that
		competencies are developed in the following:
			Prenatal
			Intrapartal
			Post partal
			Immediate care of the newborn
		Provide the opportunity to do the following related clinical
		experiences:
			AT LEAST THREE (3) ACTUAL DELIVERIES properly
			supervised in any of these settings:
				Lying-in/Birthing Centers
				Hospitals (any category)
				One home/domiciliary delivery may be allowed as long as
				the two others are done in any of the above settings first.

			AT LEAST THREE (3) NEWBORNS GIVEN IMMEDIATE
			CARE in settings where actual deliveries are performed.

		In the event that the required competencies are not developed within
		the allotted hours/weeks, the nursing student/s shall be made to
		extend his/her Related Learning Experience (RLE) exposure until
		the expected competencies are satisfactorily achieved.
		To standardize documentation, a prescribed form shall be completed
		right after the related clinical experience.
		Provide opportunities to participate in Expanded Program of
		Immunization EPI

Equipment and	:	Delivery set, delivery table, functional birthing model, pelvic model,
Materials [these		newborn with placenta, weighing scale for infants, Doppler
could be found in		apparatus, fetoscope, perineal flushing tray, breast care tray, perilight,
nursing skills lab,		nipple shield, breast pump.
base hospital,
affiliating centers]		Baby's Layette, cord dressing tray, oil bath tray, ophthalmic
		ointment, Vitamin K, injection, baby's bath tub, feeding bottle,
		immunization tray, MMDST kit and manual.
		Visual aids on family planning methods, breast feeding, growth
		charts, immunization schedules, developmental landmarks, video on
		actual delivery

Course Name	:	CARE OF MOTHER, CHILD, FAMILY AND POPULATION
		GROUP AT-RISK OR WITH PROBLEMS
Course Code	:	NCM 102
Course Description	:	This course deals with the concept of disturbances & pre-existing
		health problems of pregnant women and the pathologic changes
		during intrapartum and post partum periods. This course further deals
		with the common problems occurring during infancy to adolescence
		stage.
Course Credit	:	5 units lecture, 6 units RLE 1 unit Skills Lab/5 units Clinical
Contact Hours/Sem	:	90 lecture hours, 306 RLE hours
Prerequisite	:	Care of Mother, Child and Family
Co-requisite	:	Pharmacology; Nutrition with Diet Therapy
Placement	:	2nd year, 2nd semester
Course Objectives	:	At the end of the course, given actual or simulated
		situations/conditions involving individual client (mother, newborn
		baby, children) and family at risk/with problem, the student will be
		able to:

		1.	Utilize the nursing process in the holistic care of client for the
			promotion and maintenance of health in community and
			hospital settings.

			1.1	Assess with the client his/her health condition and risk
				factors affecting health
			1.2	Identify actual/at risk nursing diagnosis
			1.3	Plan with client appropriate interventions for identified
				problems
			1.4	Implement with client appropriate interventions for
				identified problems
			1.5	Evaluate with client the progress of their condition and
				outcomes of care.

		2.	Ensure a well-organized recording and reporting system
		3.	Observe bioethical principles and the core values (love of God,
			caring, love country and of people)
		4.	Relate effectively with clients, members of the health team and
			others in work situations related to nursing and health

Course Outline	:	I.	Mother

			A.	High-Risk Prenatal Client
				a.	Identifying Clients at Risk
					1.	Assessment of risk factors
					2.	Screening procedures
					3.	Diagnostic tests and laboratory exams
				b.	Pre-gestational conditions such as rheumatic heart
					disease, diabetes mellitus, substance abuse,
					HIV/AIDS, Rh Sensitization, anemia
				c.	Gestational condition such as hyperemesis
					gravidarum, ectopic pregnancy, gestational
					trophoblastic disease (H-mole), incompetent cervix,
					spontaneous abortion, placenta previa, abruptio
					placenta, premature rupture of membranes,
					pregnancy-induced hypertension

			B.	Nursing Care of the client with high-risk labor & delivery
				& her Family

				1.	High-Risk factors:
					(may happen at anytime during the course of labor to a
					client who has been otherwise been healthy
					throughout her pregnancy & may be related to
					stress/stressor; adaptive process):
						passenger or fetus
						passage way or pelvic bones & other pelvic
						structure
						powers or uterine contractions
						placenta
						clients' psyche or psychologic state

				2.	Problems of the Passenger
					a.	Fetal malposition
						1.	Types of fetal malposition
						2.	Nursing care
						3.	Medical Management
					b.	Fetal malpresentation
						1)	Vertex malpresentation
							a)
							b)
							c)
						2)	Breech presentation
							a)
							b)
							c)
							d)
						3)	Shoulder presentation
							a)
						4)	Nursing care of client with malpresentation
					c.	Fetal distress
						1)	causes
						2)	signs/symptoms
						3)	nursing interventions
					d.	Prolapse umbilical cord
						1)	cause
						2)	contributing factors
						3)	assessment & nursing diagnoses
						4)	nursing interventions
				3.	Problems with the passageway
					a.	abnormal size or shape of the pelvis
					b.	cephalopelvic disproportion
					c.	shoulder dystocia
					d.	nursing care of client with problems of the
						passageway
				4.	Problems with the Powers
					a.	dystocia or difficult labor
							hypertonic uterine dysfunction
							hypotonic uterine dysfunction
							abnormal progress in labor
							retraction rings
					b.	premature labor
					c.	precipitate labor and birth
					d.	uterine prolapse
					e.	uterine rupture
				5.	Placental problems
					a.	Implantation in the lower uterine segment
					b.	Premature detachment of placenta
				6.	Problems with the psyche factors
					a.	Inability to bear down properly
					b.	Fear/anxiety
			C.	Nursing Care of the High-Risk Postpartal Client
				1.	Postpartal hemorrhage
					a.	Early postpartal hemorrhage
					b.	Late postpartal hemorrhage subinvolution
				2.	Postpartal puerperal infection
					a.	Endometritis
					b.	Wound infection
					c.	UTI
				3.	Thromboembolic disorders
				4.	Postpartal psychiatric disorder
			D.	Care of couple with problems of infertility
				1.	Causes of infertility in males and females
				2.	Diagnostic tests
				3.	Nursing interventions
		II.	Child
			A.	Nursing care of the high-risk newborn to maturity
				1.	Problems related to maturity
					a.	Prematurity
					b.	Postmaturity
				2.	Problems related to gestational weight
					a.	Small for gestational age (SGA)
					b.	Large for gestational age (LGA)
				3.	Acute conditions of the neonates such as:
					a.	Respiratory distress syndrome
					b.	Meconium aspiration syndrome
					c.	Sepsis
					d.	Hyperbilirubinemia
					e.	Sudden death syndrome (SDS)
			B.	Common health problems that develop during infancy
				example: intussusception, failure to thrive, sudden infant
				death syndrome, colic, trisomy 21, cleft palate,
				imperforated anus, hirchsprung's disease, spina bifida,
				hydrocephalus, otitis media, meningitis, febrile seizures,
				autism/ADHD
			C.	Health problems common in toddlers
				example: burns, poisoning, child abuse, cerebral palsy
			D.	Health problems common in preschooler
				example: leukemia, wilm's tumor (nephroblastoma),
				asthma, urinary tract infection (UTI)
			E.	Health problems most common in school aged children
				example: diabetes mellitus, rheumatic fever, rheumatic
				arthritis, scabies, pediculosis, impetigo
			F.	Health problems common in adolescent
				example: scoliosis, bone tumors, accidents
				(trauma/injury), STD, amenorrhea, dysmenorrhea, obesity,
				anorexia nervosa, substance abuse, suicide
		III.	Family
			A.	The family with health problems
				1.	Assessment of the family capability to perform health
					tasks
					a.	Primary assessment
					b.	Secondary assessment
				2.	Family health problem identification
					a.	Determination of categories of family health
						problems
							Health deficits
							Health threats
							Foreseeable crisis/stress points
							Enhanced capability for health promotion
				3.	Definition of contributing risk factors
							Predisposing factors
							Enabling factors
							Reinforcing factors
				4.	Criteria of setting priorities among family health
					problems:
							Nature of the problem
							Magnitude of the problem
							Modifiability of the problem
							Preventive potential
							Salience
				5.	Tool of analysis
							Social determinants of health
			B.	Planning of individual & family health nursing care
				1.	Concepts, principles, phases and components in
					planning family health interventions
				2.	Programs and services that focus on primary &
					secondary prevention of communicable and
					non-communicable diseases
					a.	Examples of DOH programs:
							National Tuberculosis Program Direct
							Observed
							Short Course Treatment (NTP-DOTS)
							Integrated Management of Childhood
							Illness (IMCI)
							Control of Diarrheal Diseases (CDD)
				3.	Identification of goal of care for priority problems
				4.	Parameters for selecting nursing interventions:
					a.	Applicable, appropriate and available to the home
						community setting
					b.	Promotes client safety, comfort & hygiene
					c.	Standards of care & interventions that address
						acute and chronic illness
				5.	Principles of collaboration and advocacy to be
					considered to ensure continuity of care
			C.	Implementation of Individual & Family Health Nursing
				Care
				1.	Component of care in acute and chronic illness
					a.	Health promotion
					b.	Disease prevention
					c.	Restorative
					d.	Curative
					e.	Rehabilitative care
				2.	Bio-behavioral interventions and holistic care for
					individuals & Family with specific problems in
					oxygenation, fluid and electrolyte balance, metabolic
					and endocrine function
				3.	Strategies in meeting health problems of family
					a.	Promoting behavior change
					b.	Creating a supportive environment towards
						healthy lifestyle
				4.	Principles of behavior change
				5.	Referral system
				6.	Concept & principles of collaboration & advocacy
			D.	Evaluation of progress and outcome of care
				1.	Methods & tools in evaluating effectiveness of family
					health interventions
				2.	Sources of evaluative data
				3.	Alternative strategies & approaches for specific
					problems & objectives
			E.	Ensuring a well organized & accurate documentation &
				reporting
				1.	Standard format
				2.	Legal principles involved in documentation

Guide for RLE	:	Provide opportunity for actual clinical hospital and community
		experiences to ensure competencies are developed.

Equipment and	:	Baby model for resuscitation, video on resuscitation, rubber bulb,
Materials [these		infant suction catheter, suction apparatus, IV set (microdrip), infant
could be found in		feeding tubes
nursing skills lab,
base hospital,
affiliating centers]
Course Name	:	NUTRITION AND DIET THERAPY
Course Code	:	NuDiet
Course Description	:	This course deals with the study of food in relation to health. It
		covers nutrients and other substances and their action, and interaction
		and balance in relation to health and diseases and the process by
		which organism ingests, digests, absorbs, transports, utilizes and
		excretes food substances. It will also focus in the therapeutic and
		food service aspects of the delivery of nutritional services in hospitals
		and other healthcare institutions.
Course Credit	:	3 units lecture, 1 unit laboratory
Contact Hours/sem	:	54 lecture hours, 54 laboratory hours
Prerequisite	:	General Chemistry, Biochemistry, Anatomy and Physiology,
		Micro-Parasitology
Placement	:	2nd year, 2nd semester
Course Objectives	:	At the end of the course, given relevant situations/conditions, the
		student will be able to:
		1.	Apply appropriate principles and techniques to assist clients in
			maintaining nutritional health
		2.	Utilize knowledge of diet therapy in assisting clients needing
			dietary modifications
Course Outline	:	A.	Introduction to nutrition
			1.	Definition of terms
			2.	Nutrition concepts
			3.	Classification of nutrients
		B.	Basic Tools in nutrition
			1.	FNRI & USDA Food Guide Pyramid
			2.	10 NGF
			3.	RDA or RENI
			4.	FEL
			5.	Food Labeling
		C.	Six essential nutrients
			1.	Carbohydrates
				a.	Functions
				b.	Deficiencies/toxicity
				c.	Food sources
			2.	Protein
				a.	Functions
				b.	Deficiencies/toxicity
				c.	Food sources
			3.	Fats and waters
				a.	Functions
				b.	Deficiencies/toxicity
				c.	Food sources
			4.	Vitamins and Minerals
				a.	Functions
				b.	Deficiencies/toxicity
				c.	Food sources
		D.	Dietary computations
			1.	Body mass index and classification
			2.	Desirable Body Weight (DRW) Determination
			3.	Total Energy Requirement (TER) & distribution of TER
			4.	Application to Food Exchange List (FEL) & sample menu
		E.	Nutrition throughout the lifespan
			1.	Pregnancy
				a.	Stages
				b.	Nutritional problems and interventions
				c.	Recommended diet
			2.	Lactation
				a.	Common nutritional problems and interventions
				b.	Recommended diet
			3.	Infancy
				a.	Nutritional problems and intervention
				b.	Factors affecting nutritional status
				c.	Guidelines in feeding
				d.	Recommended diet
			4.	Pre-Schoolers & Schoolers
				a.	Nutritional problems and interventions
				b.	Guidelines in feeding
				c.	Recommended diet
			5.	Adolescents
				a.	Nutritional problems and intervention
				b.	Recommended Diet
			6.	Adulthood
				a.	Nutritional problems and interventions
				b.	Recommended diet
		F.	Diet Therapy
			1.	General diets
						Regular/full Diet
						High fiber diet
						Vegetarian diets
						Therapeutic diets
			2.	Diets modified in consistency
						Clear liquid
						Full liquid
						Cold liquid/T&A diet
						Soft sland
						Mechanical soft
						Soft bland
						Bland
						Residue restricted
						Low fiber
			3.	Diets Modified in Composition
						Low calorie
						High calorie
						High protein
						Low protein
						Low fat
						Low cholesterol
						Low carbohydrate
						Low salt/sodium restricted
						Low potassium
						Low purine/purine restricted
			4.	Tube feeding
				a.	Enteral feeding
						Types
						Indications & contraindications for use
						Complications and problems
				b.	Types of enteral formulas
						Intact
						Hydrolyzed
						Modular
				c.	Feeding administration
						Continuous drip
						Bolos
						Combination
				d.	Parenteral Feeding
						Indications & contraindications for use
						Complications & problems
		G.	Dietary management of some common medical conditions
			including computations and preparations and their rationale
Guide for	:	Provide opportunity for actual preparation of the prescribed
Laboratory		therapeutic dietary regimen (to include evaluation and computation)
Laboratory	:	Weighing scale, food pyramid/chart, IEC materials for diet,
Equipment &		osteorizer, demonstration table, calorie counter
Supplies
Reference	:	Laboratory Guide/Manual
Course Name	:	PHARMACOLOGY
Course Code	:	Pharma
Course Description	:	This course deals with pharmacodynamics, pharmakokinetics,
		clinical/therapeutic uses and toxicology of drugs. Emphasis is given
		on how a drug works to anticipate when giving a drug to a patient are
		of paramount importance since nursing responsibilities include
		administering drugs, assessing drug effects, intervening to make a
		drug more tolerable, and providing teaching about drugs and the drug
		regimen.
Course Credit	:	3 units lecture
Contact Hours/Sem	:	54 lecture hours
Prerequisite	:	Math 1, General Chemistry, Anatomy & Physiology, NCM 102
Placement	:	2nd year, 2nd semester
Course Objectives	:	At the end of the course and given relevant actual or simulated
		situations/conditions, the student will be able to:
		1.	Apply concepts and principles of pharmacology to ensure safe
			and proper use of drugs
		2.	Explain the actions, therapeutic uses, preparations, dosages,
			modes of administration of selected drugs and medicinal plants
		3.	State precautionary measures to be observed in the
			administration of selected drugs
		4.	Discuss the role and responsibility of the nurse in
			pharmacology
Course Outline	:	A.	Introduction to Nursing Pharmacology
			1.	Introduction to drugs
				a.	Drugs and the body
				b.	Toxic effects of drugs
				c.	Nursing management
				d.	Dosage calculations
			2.	Chemotherapeutic Agents
				a.	Anti-infective agents
				b.	Antibiotics
				c.	Antiviral agents
				d.	Antifungal agents
				e.	Antiprotozoal agents
				f.	Antihelmintic agents
				g.	Antineoplastic agents
			3.	Drugs acting on the immune system
				a.	Anti-inflammatory agents
				b.	Immune modulators
				c.	Vaccines and sera
			4.	Drugs acting on the CNS and PNS
				a.	Anxiolytic and hypnotic agents
				b.	Antidepressant agents
				c.	Psychotherapeutic
				d.	Antiepileptic agents
				e.	Antiparkinsonism agents
				f.	Muscle relaxants
				g.	Narcotics and anti-migraine drugs
				h.	General and local anesthetics
				i.	Neuromuscular blocking agents
			5.	Drugs acting on the ANS
				a.	Adrenergic agents
				b.	Adrenergic blocking agents
				c.	Cholinergic agents
				d.	Cholinergic blocking agents
			6.	Drugs acting on endocrine system
				a.	Hypothalamic and pituitary agents
				b.	Adrenocortical agents
				c.	Thyroid and parathyroid agents
				d.	Antidiabetic agents
			7.	Drugs acting on the cardiovascular system
				a.	Anti-hypertensive drugs
				b.	Cardiotonic agents
				c.	Anti-arrhythmic agents
				d.	Antianginal agents
				e.	Lipid lowering agents
				f.	Drugs affecting blood coagulation
				g.	Drugs used to treat anemia
			8.	Drugs acting on Renal System
				a.	Diuretics such as potassium-sparing,
					potassium-losing, osmotic diuretics, parenteral
					fluids (hypotonic, hypertonic, isotonic), electrolytes
					(sodium, potassium chloride)
			9.	Drugs acting on the respiratory system
				a.	Bronchodilators
				b.	Expectorants
				c.	Antitussive
			10.	Drugs acting on the Gastrointestinal System

Course Name	:	HEALTH EDUCATION
Course Code	:	HealthEd
Course Description	:	The course includes discussions on health education concepts,
		principles, theories and strategies as they apply in the clinical and
		classroom situations.
Course Credit	:	3 units lecture
Contact Hours/sem	:	54 lecture hours
Prerequisite	:	None
Placement	:	2nd year, Summer
Course Objectives	:	At the end of the course, given relevant situations/conditions, the
		student will be able to:
		1.	Apply principles, theories and strategies of health education in
			assisting clients to promote and maintain their health
		2.	Develop an instructional design to meet the learning needs of
			clients
Course Outline	:	A.	Health education perspective
			1.	Historical development in health education
			2.	Issues and trends in health education
				2.1	Health issues and the biological, psychological, and
					sociological aspects of health and disease
				2.2	Contemporary health and the promotion of optimal
					health throughout the lifespan
			3.	Theories in health education (e.g., Pender's Health
				Promotion Theory, Bandura's Self Efficacy Theory,
				Health Belief Model, Green's Precede-Proceed Model)
		B.	Perspective on teaching and learning
			1.	Overview of education on health care
			2.	Concepts of teaching, learning, education process vis-a-vis
				nursing process, historical foundations for the teaching
				role of the nurse
			3.	Role of the nurse as a health educator
			4.	Hallmarks of effective teaching in nursing
			5.	Principles of good teaching practice in undergraduate
				education
			6.	Barrier to Education and Obstacles to Learning
			7.	Applying learning theories to health care practice
				a.	Principles of learning
				b.	Learning theories
				c.	Types of learning
				d.	Learning styles of different age groups
			8.	Planning and conducting classes
				a.	Developing a course outline/syllabus
				b.	Formulating course objectives
				c.	Selecting content
				d.	Selecting teaching methods
				e.	Choosing a textbook/references
				f.	Conducting the class
		C.	Characteristics of the learner
			1.	Determinants of Learning
				a.	Learner's characteristics
				b.	Assessment of the learner
				c.	Assessing learning needs
			2.	Motivation and behavior of the learner
				a.	Learning principles
				b.	Motivation and behavior change theories
			3.	Literacy and readability
				a.	Reading levels of clients
				b.	Assessing literacy
				c.	Teaching strategies for low literate patients
				d.	Developing printed educational materials
		D.	Teaching strategies and methodologies for teaching and
			learning
			1.	Traditional teaching strategies
				a.	Lecturing
				b.	Discussion
				c.	Questioning
				d.	Using audio visuals
				e.	Interactive lecture
			2.	Activity-based strategies
				a.	Cooperative learning
				b.	Simulations
				c.	Problem-based learning
				d.	Self-learning modules
			3.	Computer teaching strategies
				a.	Computer-assisted instructions
				b.	Internet
				c.	Virtual reality
			4.	Distance learning
				a.	Interactive television classes
				b.	Via internet
			5.	Teaching psychomotor skills
				a.	Approaches to teaching skills
				b.	Assessment of psychomotor skill learning
			6.	Clinical teaching
				a.	Purpose of clinical laboratory
				b.	Models of clinical teaching
				c.	Preparation for clinical instruction
				d.	Conducting a clinical laboratory session
		E.	Assessment and evaluation
			a.	Learning assessment of clients
			b.	Methods of evaluation
			c.	Qualities of good measurement
			d.	Interaction process analysis/process recording

Course Name	:	INFORMATICS
Course Code	:	IT
Course Description	:	This course deals with the use of information technology system and
		data standards based on nursing informatics principles/theories. It
		further deals with the utilization of clinical information systems in the
		management and decision-making of patient care. A laboratory
		session shall be provided for practice application.
Course Credit	:	2 units lecture; 1 unit laboratory
Contact Hours/sem	:	36 lecture hours; 54 laboratory hours
Prerequisite	:	College Algebra
Placement	:	2nd Year, Summer
Course Objectives	:	At the end of the course and given relevant actual or stimulated
		situations/conditions, the student will be able to:
		1.	Apply concepts, theories and principles of informatics in
			nursing and health care
		2.	Discuss issues and trends in informatics relevant to nursing and
			health
Course Outline	:	A.	Computers and nursing
			1.	Computers and nursing
			2.	Historical perspectives of nursing and the computer
			3.	Electronic health record from a historical perspective
		B.	Computer system
			1.	Computer hardware
			2.	Computer software and systems
			3.	Open source and free software
			4.	Data processing
			5.	The internet: a nursing resource
			6.	PDA and wireless devices
			7.	Incorporating evidence: use of computer-based clinical
				decision support system for health professionals
		C.	Issues in informatics
			1.	Nursing informatics and healthcare policy
			2.	The role of technology in the medication-use process
			3.	Healthcare data standards
			4.	Electronic health record systems: U.S. federal initiatives
				and public/private partnerships
			5.	Dependable systems for quality care
			6.	Nursing minimum data set systems
		D.	Informatics theory
			1.	Theories, models and frameworks
			2.	Advanced terminology systems
			3.	Implementing and upgrading clinical information systems
		E.	Practice application
			1.	Practice application
			2.	Critical care applications
			3.	Community health applications
			4.	Ambulatory care systems
			5.	Internet tools for advanced nursing practice
			6.	Informatics solutions for emergency preparedness and
				response
			7.	Vendor applications
		F.	Consumer's use of informatics
			1.	Consumer and patient use of computers for health
			2.	Decision support for consumers
		G.	International perspectives
			1.	Nursing informatics in Canada
			2.	Nursing informatics in Europe
			3.	Pacific Rim
			4.	Nursing informatics in Asia
			5.	Nursing informatics in South America
		H.	The future of informatics
			1.	Future directions

Course Name	:	CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION,
		FLUID AND ELECTROLYTE BALANCE, NUTRITION AND
		METABOLISM AND ENDOCRINE
Course Code	:	NCM 103
Course Description	:	This course deals with the principles and techniques of nursing care
		management of sick clients across lifespan with emphasis on the adult
		and the older person, population group in any setting with alterations/
		problems in oxygenation, fluid and electrolyte balance, nutrition and
		metabolism and endocrine function.
Course Credit	:	8 units lecture, 6 units RLE (1 unit Skills Lab; 5 units Clinical)
Contact Hours/sem	:	144 hours lecture and 306 hours RLE
Prerequisite	:	NCM 102
Placement	:	3rd year, 1st semester
Course Objectives	:	At the end of the course, and given actual clients with problems in
		oxygenation, fluid and electrolyte balance, nutrition and metabolism,
		and endocrine function, the student should be able to:
		1.	Utilize the nursing process in the care of individuals, families
			in community and hospital settings.
			-	Assess with client/s his/her/their condition/health status
				through interview, physical examination, interpretation of
				laboratory findings
			-	Identify actual and at-risk nursing diagnosis
			-	Plan appropriate nursing interventions with client/s and
				family for identified nursing diagnosis
			-	Implement plan of care with client/s and family
			-	Evaluate the progress of his/her/their client's condition and
				outcomes of care
		2.	Ensure a well organized and accurate documentation system;
		3.	Relate with client/s and their family and the health team
			appropriately;
		4.	Observe bioethical concepts/principles, core values and nursing
			standards in the care of clients; and,
		5.	Promote personal and professional growth of self and others.

Course Outline	:	I.	The individual client with problems in oxygenation, fluid &
			electrolyte balance, nutrition and metabolism & endocrine
			function:
			A.	Risk factors among clients that contribute to the
				development of problems in the following:
				1.	Oxygenation cardiovascular risk factors
					(modifiable and non-modifiable)
				2.	Fluid and electrolyte potential factors for
					exceeding renal reserve capacity, dietary habits to
					include salt intake, hypertension, infection, diabetes
				3.	Nutrition and metabolism risk factors related to
					malnutrition, obesity
				4.	Endocrine function risk factors related to endocrine
					hypo or hyper-functioning
			B.	Identifies significant subjective data from the client
				history related to problems in oxygenation, fluid
				electrolyte, nutrition and metabolism and endocrine
				function
				1.	Chief complaints
				2.	Relevant information, to include eleven functional
					patterns
						Health Perception management pattern
						Nutritional/metabolic pattern
						Elimination pattern
						Activity/exercise patterns
						Cognitive/perceptual pattern
						Sleep-rest pattern
						Self perception-self concept pattern
						Role relationship pattern
						Sexuality-reproductive pattern
						Coping-stress tolerance pattern
						Value-belief pattern
			C.	Principles and techniques of physical examination in
				newborn, children, adults, deviations from normal:
				1.	Oxygenation
					a.	Inspection gas exchange; perfusion
					b.	Palpation gas exchange; perfusion
					c.	Percussion gas exchange
					d.	Auscultation gas exchange heart sound,
						breath sound, deviations; fluid transport
				2.	Fluid and electrolyte balance
					a.	Inspection signs of dehydration, overhydration
					b.	Palpation edema, ascites, neck vein filling,
						hand vein filling, neuromuscular irritability,
						characteristic of pulse
					c.	Percussion abdomen for presence of air, fluid
					d.	Auscultation rates
				3.	Gastrointestinal Function IPPA
					a.	Inspection color, texture of skin, mucous
						membrane, growth patterns, scars, masses
					b.	Ausculation bowel sounds, bruits
					c.	Palpation focus on GIT for presence of masses,
						ascites, rebound tenderness, distention
					d.	Percussion liver span, masses, ascites
				4.	Metabolism and endocrine function (focus on GIT,
					systemic effects of endocrine malfunction) IPPA
					a.	Inspection color, texture of skin, mucous
						membrane, growth patterns, obesity
					b.	Ausculation bruit, heart sounds, breath sounds
					c.	Palpation organ thyroid enlargement,
						masses, edema
					d.	Percussion fluid, edema
					e.	Others weight, delayed healing of wounds
			C. *	Results and implications of diagnostic/laboratory
				examinations of clients with reference to problems in:
				1.	Oxygenation:
					a.	Screening procedure peak flow meter
					b.	Diagnostic procedures
							Non-invasive:
							-




							-

							-
							-
							Invasive:
							-

							-





				2.	Fluid and Electrolyte Balance:
					a.	Diagnostic tests
							Non-invasive: electrolyte determination,
							intake and output, KUB-IVP and ultrasound
							Invasive biopsy
					b.	Weight, VS
				3.	Gastrointestinal function
							Non-invasive: ultrasound of the abdomen,
							stool culture

							Invasive: to include: barium swallow,
							esophagoscopy, biopsy, cytology examination,
							gastric secretion analysis, endoscopy
							(gastroscopy, duodenoscopy),
							proctosigmoidoscopy and rectal examination

				4.	Metabolic and endocrine function
					a.	Screening: glucose tolerance test
							Non-invasive: e.g., GI x-ray, ultrasound
							abdomen, Radio-iodine assay (RAI), protein
							bound iodine (PBI), thyroid scan, free
							thyroxin level, basal metabolic rate (BMR),
							thyroxin stimulating hormone (TSH) test,
							OGTT (Glucose tolerance test) urinalysis
							(glycosuria, ketonuria)
							Invasive: e.g., percutaneous transhepatic
							cholangiogram, liver function test, derum
							thyroxine and triiodothyronine test, Iodine
							131 uptake, blood sugar tests (fasting blood
							sugar (FBS)), random blood sugar (RBS),
							glycosylated hemoglogin (Hgb), two-hour
							post prandial blood glucose, endocrine assay
			D.	Pathophysiologic Mechanisms:

				1.	Alterations in oxygenation
					a.	Alteration in gas exchange ventilatory
						dysfunction, impaired diffusion, impaired
						perfusion
					b.	Alteration in cardiac performance heart rate
						problems, Impaired stroke volume secondary to
						altered preload, afterload, myocardial contractility
					c.	Alteration in vascular integrity transport
						network impairment
					d.	Alteration in oxygen carrying capacity of the
						blood decreased circulating erythrocytes
						(anemia), increased circulating erythrocytes
						(polycythemia)

				2.	Fluid electrolyte imbalances
					a.	Volume impairment fluid volume deficit, fluid
						volume excess, third space fluid shift
					b.	Osmotic imbalances hyponatremia,
						hypernatremia
					c.	Ionic concentration problems hypo- and
						hyperkalemia; hypo- and hypercalcemia; hypo and
						hyperchloremia; hypo- and hypermagnesemia;
						hypo- and hyperphosphatemia
					d.	Acid and base imbalances metabolic acidosis
						and alkalosis; respiratory acidosis and alkalosis

				3.	Alterations in GIT function

					a.	Disturbances in ingestion problems in buccal
						cavity and esophagus
					b.	Disturbances in digestion peptic acid disease,
						gastritis and gastric cancer
					c.	Disturbances in absorption malnutrition,
						malabsorption syndrome and inflammatory bowel
						conditions
					d.	Disturbances in elimination bowel obstruction,
						hemorrhoids, diarrhea and constipation

				4.	Alterations in endocrine function

					a.	Hypo- and Hyperfunction of the pituitary organ
					b.	Hypo- and Hyperfunction of the hypothalamus
					c.	Hypo- and Hyperfunction of the thyroid organ
					d.	Hypo- and Hyperfunction of the parathyroid organ
					e.	Hypo- and Hyperfunction of the adrenal organ
					f.	Hypo- and Hyperfunction of the gonads
					g.	Problems in glucose metabolism hypoglycemia
						and hyperglycemia (IDM, NIDDM)

			E.	Nursing diagnoses taxonomy pertinent to problems/
				alteration in:

				1.	Oxygenation
					a.	Ineffective breathing pattern
					b.	Ineffective airway clearance
					c.	Impaired gas exchange
					d.	Inability to sustain spontaneous ventilation
					e.	Dysfunctional ventilatory weaning response
					f.	Decreased cardiac output (CO)
					g.	Altered tissue perfusion systemic
					h.	Impaired gas exchange related to altered O2
						carrying capacity of blood due to decreased
						erythrocytes/hemoglobin
					i.	Activity intolerance related to malnutrition, tissue
						hypoxia

				2.	Fluid and electrolyte imbalance
					a.	Risk for fluid volume deficit
					b.	Fluid volume deficit
					c.	Fluid volume excess
					d.	High risk for injury related to electrolyte
						deficit/excess
					e.	High risk for injury related to acid/base imbalance
					f.	Altered urinary elimination
					g.	Impaired integumentary integrity

				3.	Gastrointestinal function
					a.	Alteration in nutrition less than body requirement
					b.	Alteration in nutrition more than body
						requirement
					c.	Alteration in oral mucous membrane integrity
					d.	Alteration in comfort: epigastric pain/abdominal
						pain
					e.	Fluid volume deficit
				4.	Endocrine function
					a.	Alterations in nutrition less than body requirement
					b.	Fluid volume deficit
					c.	Activity intolerance
			F.	Principles of various modalities of management
				1.	Health promotive
				2.	Disease preventive
				3.	Curative and restorative
			G.	Principles of management
				1.	For altered pulmonary function
						Airway patency
						Oxygen therapy
						Adequate ventilation
						Drug therapy
						Hydration
						Removal of secretion
						Prevention of infection
						Prevention of complications
						Prevention of psychosocial problems
						Rehabilitation
				2.	For cardiac function
						Hemodynamics monitoring
						O2 therapy
						Drug therapy
						Hydration
						Prevention of infection
						Prevention of complications
						Prevention of psychosocial problems
						Rehabilitation
				3.	Oxygen carrying capacity of the blood
						Blood component replacement
						O2 therapy
						Drug therapy
						Hydration
						Prevention of infection
						Prevention of complications
						Prevention of psychosocial problems
						Rehabilitation
				4.	Fluid Volume Deficit
						Determination and management of cause
						Hydration
						Blood transfusion as needed
						Drug therapy electrolyte
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				5.	Fluid Volume Excess
						Determination and management of cause
						Drug therapy diuretics, electrolytes
						Dietary restriction sodium
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				6.	Electrolyte Deficit hyponatremia, hypokalemia,
					hypocalcemia, hypomagnesemia, hypophosphatemia
						Determination and management of cause
						Drug therapy electrolyte replacement
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				7.	Electrolyte Excess hypernatremia, hyperkalemia,
					hypercalcemia, hypermagnesemia, hyperphosphatemia
						Determination and management of cause
						Drug therapy electrolyte replacement
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				8.	Metabolic Alkalosis Base bicarbonate excess
						Determination and management of cause
						Drug therapy
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				9.	Metabolic Acidosis base bicarbonate deficit
						Determination and management of cause
						Drug therapy
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				10.	Respiratory Alkalosis carbonic acid deficit
						Determination and management of cause
						Drug therapy
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				11.	Respiratory Acidosis carbonic acid excess
						Determination of cause
						Drug therapy
						Dietary management
						Supportive management
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				12.	Disturbances in ingestion
						Determination and management of cause
						Hydration
						Drug therapy
						Dietary management
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				13.	Disturbances in digestion
						Determination and management of cause
						Hydration
						Drug therapy
						Dietary management
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				14.	Disturbances in absorption
						Determination and management of cause
						Hydration
						Drug therapy
						Dietary management
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				15.	Disturbances in elimination
						Determination and management of cause
						Hydration
						Drug therapy
						Dietary management
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				16.	Disturbances in hepatic, biliary and pancreatic
					functions
						Determination and management of cause
						Hydration
						Drug therapy
						Dietary management
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				17.	Disturbances in endocrine hypo-function
						Determination and management of cause
						Drug therapy diuretics, electrolytes
						Dietary restriction sodium
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
				18.	Disturbances in endocrine hyperfunction
						Determination and management of cause
						Drug therapy diuretics, electrolytes
						Dietary restriction sodium
						Supportive management
						Prevention of infection
						Prevention of complication
						Prevention of psychosocial problems
						Rehabilitation
			H.	Pharmacologic actions, therapeutic uses, side effects,
				indications, contraindications, and nursing
				responsibilities:
				1.	Pulmonary
						Bronchodilators
						Expectorants
						Antitussives
						Antihistamines
				2.	Cardiac
						Sympathomymetic agents
						Sympatholytic agents
						Anti-anginal agents
						Anti-arrhythmic agents
						Angiotensin converting enzyme inhibitors
						Antilipemic agents
						Anticoagulant agents
						Thrombolytics
						Peripheral vascular agents
				3.	Blood
						Hematinics
						Vitamin supplements
				4.	Fluid
					a.	Parenteral fluids
						hypotonic
						hypertonic
						isotonic solutions
				5.	Electrolyte
						Sodium
						Potassium
						Calcium
						Magnesium
						Phosphate
				6.	Diuretics
						Potassium-sparing
						Potassium-losing
						Osmotic diuretics
				7.	Vitamin D supplements
				8.	Gastrointestinal, hepato-biliary and pancreatic
					function
						Antiemetics
						Anticoagulant
						Hematinics agents
						Laxatives and stool softeners
						Antipruritus
						Vitamin supplement
						Antacids
						Antihyperlipidemics
						Antispasmodics
						Antidiarrheal
				9.	Endocrine function
						Corticosteroids
						Alpha-adrenergic blocking agents
						Alpha-adrenergic blocking agents
						Beta-adrenergic blocking agents
						Tyrosine inhibitors
						Dopamine receptor antagonists
						Glucocorticoids
						Parathyroid hormone agents
						Thyroid hormone agents
						Insulin
						Oral hypoglycemic agents
				10.	Perioperative care
						Preoperative pre-operative medications
						Intraoperative anaesthetic agents
						general, spinal, blocks
						Postoperative analgesics, opioids,
						antipyretics, antibiotics
			I.	Purpose, indications, nursing responsibilities for the
				following surgical and special procedures:
				1.	Pulmonary
					a.	Surgical procedures tracheostomy,
						thoracostomy, lung resection, lobectomy,
						pneumonectomy, thoracoplasty, decortication
					b.	Special procedures endotracheal/tracheal
						suctioning and care, humidification, IPPB,
						ventilatory assist
				2.	Cardiac
					a.	Surgical procedures coronary artery bypass,
						pacemaker insertion, valve replacement, repair of
						congenital abnormality, insertion of ventricular
						assist device, heart transplant
					b.	Special procedures laser therapy, basic life
						support, advance life support
				3.	Vascular
					a.	Surgical procedures endarterectomy,
						aneurysmectomy, insertion of intravascular stents
					b.	Special procedures application of antiembolic
						stockings
				6. *	Blood forming organs
					a.	Surgical procedures bone marrow aspiration,
						bone marrow transplant
					b.	Special procedures blood component
						transfusion, reverse isolation
				5.	Renal dysfunction
					a.	Major surgical procedures nephrectomy,
						nephrostomy, cystectomy, ureterostomy, renal
						transplants, urinary diversion
					b.	Special procedures peritoneal dialysis,
						hemodialysis, bladder training, cystoclysis/bladder
						irrigation
				6.	Gastrointestinal dysfunction
					a.	Surgical procedures gastrostomy, gastrectomy,
						colostomy, hemorrhoidectomy, gastrointestinal
						bypass, ileostomy
					b.	Special procedures parenteral
						hyperalimentation; feeding per nasogastric,
						jejunostomy, gastrostomy tubes; colostomy care
						and irrigation, dietary planning for common GT
						and endocrine problems; administering
						medications via NGT, J tube, G tube; hot sitz bath
				7.	Endocrine dysfunction
					a.	Surgical procedures
							Thyroidectomy
							Parathyroidectomy
					b.	Special procedures
							monitoring of blood glucose levels
							maintenance of blood glucose diet,
							exercise, drugs
			J.	Safe and comprehensive perioperative nursing care
				1.	Assessment and care during the perioperative period
				2.	Techniques in assisting the surgical team during the
					operation
				3.	Principles of safety, comfort and privacy during the
					perioperative period
				1. *	Nursing responsibilities during the perioperative
					period
						Preoperative physical, psychological, spiritual
						preparation
						Intraoperative circulating nurse functions,
						scrub nurse functions
						Postoperative airway, breathing, circulation
						priorities. Meeting the physical, psychological and
						spiritual needs of the client.
			K.	Steps/pointers in decision making and prioritization with
				client/s having problems in oxygenation, fluid and
				electrolyte balance, metabolic and endocrine function
			L.	Principles, concepts and applications of bioethics in the
				care of clients
			M.	Developing outcome criteria for clients with problems in
				oxygenation, fluid and electrolyte balance, metabolic and
				endocrine function
			N.	Appropriate discharge plan including health education
			O.	Accurate recording and documentation

Guide for RLE	:	Provide opportunities to demonstrate the procedures for oxygenation,
		fluid electrolytes balance, nutrition and metabolism, endocrine
		functions, and intra-operative care
		Regarding the intra-operative care experience, provide opportunities
		for the following:
			1.	Act as a circulating nurse in THREE (3) MAJOR
				SURGICAL CASES IN THE HOSPITAL SETTING
			2.	Act as a scrub nurse in AT LEAST THREE (3) MAJOR
				SURGICAL CASES IN THE HOSPITAL SETTING
				ONLY
			In the event that the required competencies are not developed
			within the allotted hours/weeks, the nursing student/s shall be
			required to extend his/her Related Learning Experience (RLE)
			exposure until the expected competencies are satisfactorily
			achieved.
			To standardize documentation, a prescribed form shall be
			accomplished upon completion of the related clinical
			experience.
		Provide opportunities for actual hospital and community experiences
		to ensure that competencies are developed.
Equipment and	:	Alteration in Oxygenation: Oxygen (O2) tank, O2 regulator,
Materials [these		humidifier, monkey wrench, O2 tubings, O2 cannula/catheter, O2
could be found in		masks, croupette, O2 tent, suction catheters, suction machine,
nursing skills lab,		suction catheters, * oxymeter, peak flow meter, ventilatory support
base hospital,		equipments, nebulizer, one-way/two-way/three-way water seal
affiliating centers]		drainage, microscope, glass slide, BP apparatus, stethoscope,
		basic life support model, cardiac monitor, EKG machine cardiac
		arrest board, gloves, tongue depressor, Blood transfusion set,
		hemoglobin test
		Alteration in fluid electrolyte balance weighing scale, tape
		measure, stethoscope, IV tubings, different types of IV fluids
		(hypotonic, hypertonic and isotonic), peritoneal dialysis set, dialyzing
		solution, hemodialysis machine
		Alteration in nutrition and metabolism body weight, tape measure,
		BMR, body fat analyser, antrophometric measurement, special diets,
		nasogastric or gastrostomy feeding, enterostomal care (colostomy,
		ileustiomy), hot Sitz bath
		Alteration in endocrine function blood glucose monitoring, ketone
		determination, diet therapy computation for diabetics, insulin
		injection
		Pain measurement of pain perception
		Perioperative care pre-operative care (physical, psychological and
		spiritual preparation) intraoperative: (gowning, gloving, simulated
		OR table, scrubs etc.); postoperative care: (suction apparatus, oral
		airway, endotracheal tube, nasogastric/gastrostomy tubes, different
		types of dressings)

Course Name	:	BIOSTATISTICS
Course Code	:	Biostat
Course Description	:	This course is designed to meet the introductory statistical needs of
		students in the health related disciplines. The study includes topics on
		collection and presentation of the different statistical data used in
		health administration, frequency, distribution, measures of central
		tendencies, measures of variability, normal distribution and
		hypothesis testing.
Course Credit	:	3 units lecture
Contact Hours/sem	:	54 lecture hours
Prerequisite	:	College Algebra
Placement	:	3rd Year, 1st semester
Course Objectives	:	At the end of the course and given relevant simulated situations/
		conditions, the student will be able to apply the concepts, theories
		and principles of biostatistics (from collection and presentation of
		the different statistical data used in health administration, frequency,
		distribution, measures of central tendencies, measures of variability,
		normal distribution and hypothesis testing) in nursing and health
		related disciplines.
Course Outline	:	A.	Introduction
			1.	Definition
			2.	Branches/kinds of statistics
			3.	Symbols used
		B.	Statistical data collection
			1.	Health care overview
			2.	Data collection
			3.	Uses of data
		C.	Common statistical data used in health administration
			1.	Population census
			2.	Percentage of occupancy
			3.	Mortality/morbidity rates
			4.	Autopsy rules
			5.	Length of stay/discharge
			6.	Miscellaneous rates
		D.	Data presentation
			1.	Tabular presentation
				a.	Table gormats *
				b.	Frequency distribution table
				c.	Graphical presentation
				d.	Data presentation via computer
		E.	Measures of central tendencies
			1.	Mean
			2.	Median
			3.	Mode
			4.	Ranks/quantiles
		F.	Measures of variability
			1.	Range
			2.	Average deviation
			3.	Quartile deviation
			4.	Variance
			5.	Standard Deviation
		G.	Normal distribution
			1.	Normal curve
			2.	Normal curve areas
			3.	Application of the normal curve areas
		H.	Hypothesis testing
				Definition of terms
				Types/kinds of test
				Steps in testing hypothesis
				Common statistical tests used
		I.	Validity and reliability testing

Course Name	:	ECONOMICS WITH TAXATION AND LAND REFORM
Course Code	:	Econ
Course Description	:	This course is an introduction to economics, the basic concepts of
		microeconomics, money and banking, economic growth and
		development and international economics and its implication to
		nursing. Also discussed are the basic concepts of taxation and land
		reform. cTESIa
Course Credit	:	3 units lecture
Contact Hours/sem	:	54 lecture hours
Placement	:	3rd Year, 1st Semester
Course Objectives	:	To introduce the students to the concepts of economics applied to
		health and enable them to appreciate and apply the principles in
		health program, decision-making and development. At the end of the
		course, the student shall be able to:
		1.	Appreciate the basic concepts and rationale of economics.
		2.	Discuss the concept of health with emphasis on the use of
			health outcomes.
		3.	Apply the basic concepts of the law of supply and demand to
			health related issues.
		4.	Discuss the various roles of the different health sectors and in
			the provisions of health goods and services and analyze how
			the government and private health sectors finance health care.
		5.	Describe the basic principles of evaluating health programs and
			projects.
Course Outline	:	I.	Introduction to Economics
			3. *	The Concepts of Economics
				a.	Man's work against scarcity
				b.	General economics resources: land, labor, capital &
					technology
				c.	The universal objective of attaining the maximum
					output out of a given input
				d.	Three components of economics: alternative choices,
					the choices and their costs, the effect of choices on the
					future
		II.	General economic concepts: the law of supply and demand
			1.	The demand curve
				a.	Characteristics of the demand curve; the law of
					downward sloping demand
				b.	Relationships between the price of goods and the
					quantity demanded
				c.	Economic factors which affect the demand curve
				d.	Demand shift
			2.	The Supply curve
				a.	Characteristics of the supply curve
				b.	The Law of upward sloping supply: relationship
					between the price of goods and the quantity of
					procedures are willing to supply
				c.	Economic factors which affect the supply of goods
				d.	The supply shift
			3.	The supply and demand inter-relationships
				a.	Price, demand and supply
				b.	The equilibrium point
				c.	Elasticities
		Case No. 1: Cases on law of supply and demand apply to healthcare
		policy making
		III.	Introduction to the concept of health
			1.	Definition of health
			2.	How is "health" objectively measured?
			3.	What determines health? The underlying and proximate
				determinants of health
		IV.	Economics and the health care sector
			1.	Demand for health care: determinants of health seeking
				behavior:
				a.	Economic variables which affect the demand for
					health care
				b.	Demographic variables which affect the demand for
					health care
				c.	Why are health services and commodities different
					from other consumer goods?
			2.	The supply of health services
				a.	Factors which affect the supply of health manpower
				b.	Trade-off between high quality manpower and
					abundant supply
				c.	Experiences from manpower substitution
				d.	Experiences from other input substitution
			3.	Concept of demographic transition
					Changes in age, health risks and health-stock and its
					effect on:
					a.	Probability of getting ill
					b.	The type of illnesses experienced
					c.	The type of health care commodities demanded
				3.2 *	Population composition, demographic transition
					and its applications on health program planning
		Case No. 2: "Where do we put our money?" A case on demographic
		transition, population, composition, and comprehensive health
		programs of Japan and the Philippines
		V.	Economic evaluation of health programs
			1.	Health cost concepts
				Type of costs: direct and indirect costs, recurrent and
				capitalized costs
			2.	Cost minimization description
			3.	Cost benefit analysis description
			4.	Cost utility analysis description
		VI.	Description of the health care sector
			Reaction Paper: "Health Status of the Philippines and Asia"
		VII.	Health finance and managed care
			1.	Current trends and growth of alternative moods of
				healthcare financing in the Philippines
					Out-of-pocket/fee-for service
					Medical insurance
					Health maintenance organizations and other managed
					care organizations
			2.	Out-of-pocket healthcare financing: advantages and
				disadvantages
			3.	Concepts: medical insurance
					Costs and pricing of medical insurance: actuarial
					(medical) costs and administrative costs
			4.	Health maintenance organizations: an off-shoot of medical
				insurance and emphasis on preventive and promotive
				healthcare
					Growth and trends of the HMO industry
					Conceptual framework of the organization of HMOs
			5.	Other managed-care organizations: description and
				concepts
					Changing roles of physicians, nurses and allied
					medical professionals under a managed-care system
					Emphasis on efficiency outcomes
		VII-A.	Descriptive study on Philippine health maintenance
			organizations

			1.	Trends in Philippine HMOs
			2.	Examples of HMO plan benefit coverage
			3.	A glimpse on the financial/operational performance of
				HMOs

		VIII.	Taxation
		IX.	Land reform

Course Name	:	CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY
		AND IMMUNOLOGIC RESPONSE AND PERCEPTION AND
		COORDINATION
Course Code	:	NCM 104				<