CMO No 14 S (1) .2009 - Nursing

Republic of the Philippines
OFFICE OF THE PRESIDENT

COMMISSION ON HIGHER EDUCATION
CHED MEMORANDUM ORDER (CMO)

No. 14
Series of 2009
SUBJECT: POLICIES AND STANDARDS FOR BACHELOR
OF SCIENCE IN NURSING (BSN) PROGRAM
In accordance with pertinent provisions of Republic Act (RA) No. 7722, otherwise
known as the Higher Education Act of 1994 and pursuant to Commission en Banc
Resolution No. 170 dated April 19, 2009, and for the purpose of rationalizing Nursing
Education in the country to provide relevant and quality health services locally and
internationally, the following policies and standards for Bachelor of Science in Nursing
(BSN) program are hereby adopted and promulgated by the Commission.
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
1
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.
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.
2
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 fouryear BSN program offered by a college or university duly recognized by the Commission
on Higher Education.
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.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Medicine
Dentistry
Optometry
Physical Therapy/Occupational Therapy
Pharmacy
Public Health
Medical Technology
Radiologic Technology
Respiratory Therapy
Nutrition and Dietetics
3
k.
l.
Midwifery
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
A. Safe and
Quality
Nursing
Care
Core Competency
Core Competency 1:
Demonstrates
knowledge based on
the health /illness
status of individual /
groups
Core Competency 2:
Provides sound
decision making in the
care of individuals /
families/groups
considering their
beliefs and values
Core Competency 3:
Promotes safety and
comfort and privacy of
clients
Core Competency 4:
Sets priorities in
nursing care based on
clients needs
Core Competency 5:
Ensures continuity of
care
Core Competency 6:
Administers
medications and other
health therapeutics
Indicators
Identifies the health needs of the clients
(individuals, families, population groups
and/or communities)
Explains the health status of the clients/
groups
Identifies wellness potential and/or health
problem of clients
Gathers data related to the health condition
Analyzes the data gathered
Selects appropriate action to
support/enhance wellness response;
manage the health problem
Monitors the progress of the action taken
Performs age-specific safety measures in all
aspects of client care
Performs age-specific comfort measures in
all aspects of client care
Performs age-specific measures to ensure
privacy in all aspects of client care
Identifies the priority needs of clients
Analyzes the needs of clients
Determines appropriate nursing care to
address priority needs/problems
Refers identified problem to appropriate
individuals / agencies
Establishes means of providing continuous
client care
Conforms to the 10 golden rules in
medication administration and health
therapeutics
4
Core Competency 7:
Utilizes the nursing
process as framework
for nursing
7.1 Performs
comprehensive and
systematic nursing
assessment
7.2 Formulates a
plan of care in
collaboration with
clients and other
members of the health
team
7.3 Implements
planned nursing care
to achieve identified
outcomes
7.4 Evaluates
progress toward
expected outcomes
B. Manage ment of
Resources
and
Environment
Core Competency 1:
Organizes work load
to facilitate client care
Obtains informed consent

Completes appropriate assessment forms
Performs appropriate assessment techniques
Obtains comprehensive client information
Maintains privacy and confidentiality
Identifies health needs
Includes client and family in care planning

Collaborates with other members of the
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
Explains interventions to client and family
before carrying them out to 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
Monitors effectiveness of nursing
interventions
Revises care plan based on expected
outcomes
Identifies tasks or activities that need to be
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
5
Core Competency 2:
Utilizes financial
resources to support
client care
Core Competency 3:
Establishes
mechanism to ensure
proper functioning of
equipment
Core Competency 4:
Maintains a safe
environment
From Competency 5
C. Health
Education
Identifies the cost-effectiveness in the

utilization of resources
Develops budget considering existing
resources for nursing care
Plans for preventive maintenance program
Checks proper functioning of equipment
considering the:
- intended use
- cost -benefit
- infection control
- safety
- waste creation and disposal storage
Refers malfunctioning equipment to
appropriate unit
Complies with standards and safety codes
prescribed 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.
Obtains learning information through
interview, observation and validation
Analyzes relevant information
Completes assessment records appropriately
Identifies priority needs
Core Competency 1:
Assesses the learning
needs of the clients/
partner/s
Core Competency 2:
Develops health
education plan based
on assessed and
anticipated needs
Considers nature of learner in relation to:

social, cultural, political, economic,
educational and 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, teachinglearning resources and evaluation parameters
Provides for feedback to finalize the plan
Develops information education materials
appropriate to the level of the client
Applies health education principles in the
development of information education
materials
Core Competency 3:
Develops learning
materials for health
education
Core Competency 4:
Implements the health
education plan
D. Legal
Responsibility
Core Competency 5:
Evaluates the
outcome of health
education
Core Competency 1:
Adheres to practices
in accordance with the
nursing law and other
relevant
legislation
including
contracts,
informed consent.
Core Competency 2:
Adheres to
organizational policies
and procedures, local
and national
Core Competency 3:
Documents care
rendered to clients
E. Ethico-moral
Responsibility
Core Competency 1:
Respects the rights of
individual / groups
Core Competency 2:
Accepts responsibility
and accountability for
own decision and
Provides for a conducive learning situation

in terms of time and place
Considers client and familys 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 familys responses to
health education
Utilizes evaluation parameters
Documents outcome of care
Revises health education plan based on
client response/outcome/s
Fulfills legal requirements in nursing practice
Holds current professional license
Acts in accordance with the terms of
contract of 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
Articulates the vision, mission of the
institution where one belongs
Acts in accordance with the established
norms of conduct of the institution /
organization/legal and regulatory
requirements
Utilizes appropriate client care records and
reports.
Accomplishes accurate documentation in all
matters concerning client care in
accordance to the standards of nursing
practice.
Renders nursing care consistent with the
clients bill of rights: (i.e. confidentiality of
information, privacy, etc.)
Meets nursing accountability requirements
as embodied in the job description
Justifies basis for nursing actions and
7
actions
F. Personal
and
Professional
Development
Core Competency 3:
Adheres to the
national and
international codes of
ethics for nurses
Core Competency 1:
Identifies own learning
needs
Core Competency 2:
Pursues continuing
education
Core Competency 3:
Gets involved in
professional
organizations and
civic activities
Core Competency 4:
Projects a
professional image of
the nurse
Core Competency 5:
Possesses positive
attitude towards
change and criticism
Core Competency 6:
Performs functions
according to
professional
standards
G. Quality
Improvement
Core Competency 1:
Gathers data for
quality improvement
judgment
Projects a positive image of the profession
Adheres to the Code of Ethics for Nurses
and abides by its provisions
Reports unethical and immoral incidents to
proper authorities
Identifies ones strengths, weaknesses and

limitations
Determines personal and professional goals
and aspirations
Participates in formal and non-formal
education
Applies learned information for the
improvement of care
Participates actively in professional, social,
civic, and religious activities
Maintains membership to professional
organizations
Support activities related to nursing and
health issues
Demonstrates good manners and right
conduct at all times
Dresses appropriately
Demonstrates congruence of words and
actions
Behaves appropriately at all times
Listens to suggestions and
recommendations
Tries new strategies or approaches
Adapts to changes willingly
Assesses own performance against
standards of practice
Sets attainable objectives to enhance
nursing knowledge and skills
Explains current nursing practices, as the
situation arises
Identifies appropriate 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
8
Core Competency 2:
Participates in nursing
audits and rounds
Core Competency 3:
Identifies and reports
variances
Core Competency 4:
Recommends
solutions to identified
problems
H. Research
Core Competency 1:
Gathers data using
different
methodologies
Core Competency 2:
Analyzes and
interprets data
gathered
Core Competency 3:
Recommends actions
for implementation
Core Competency 4:
Disseminates results
of research findings
Core Competency 5:
Applies research
findings in nursing
practice
I. Records
Management
Core Competency 1:
Maintains accurate
and updated
Shares with the team relevant information

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
Reports to appropriate person/s significant
variances/changes/occurrences immediately
Documents and reports observed variances

regarding client care
Gives an objective and accurate report on
what was observed rather than an
interpretation of the event
Provides appropriate suggestions on
corrective and preventive measures
Communicates solutions to appropriate
groups
Specifies researchable problems regarding
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
Analyzes data gathered using appropriate
statistical tool
Interprets data gathered based on significant
findings
Recommends practical solutions appropriate
to the problem based on the interpretation of
significant findings
Shares/presents results of findings with
colleagues / clients/ family and to others
Endeavors to publish research
Submits research findings to own agency
and others as appropriate
Utilizes findings in research in the provision
of nursing care for individuals / groups /
communities
Makes use of evidence-based nursing to
enhance nursing practice
Completes updated documentation of client
care
9
documentation of
client care
Core Competency 2:
Records outcome of
client care
Core Competency 3:
Observes legal
imperatives in record
keeping
Core Competency 1:
Establishes rapport
with clients, significant
J.
Communication others and members
of the health team
Applies principles of record management

Monitors and improves accuracy,
completeness and reliability of relevant data
Makes record readily accessible to facilitate
client care
Utilizes records system ex. Kardex or
Hospital Information System (HIS)
Uses data in decision and policy making
activities
Maintains integrity, safety, access and
security of 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
Creates trust and confidence

Spends time with the client/significant others
and members of the health team to facilitate
interaction
Listens actively to clients concerns/significant
others and members of the health team
Core Competency 2:
Identifies verbal and
non-verbal cues
Interprets and validates clients body

language and facial expressions
Core Competency 3:
Utilizes formal and
informal channels
Makes use of available visual aids

Utilizes effective channels of communication
relevant to client care management
Core Competency 4:
Responds to needs of
individuals, families,
groups and
communities
Core Competency 5:
Uses appropriate
information
technology to facilitate
communication
Provides reassurance through therapeutic

touch, warmth and comforting words of
encouragement
Provides therapeutic bio-behavioral
interventions to meet the needs of clients
Utilizes telephone, mobile phone, electronic
media
Utilizes informatics to support the delivery of
healthcare
10
K.
Collaboration
and
Teamwork
Core Competency 1:
Establishes
collaborative
relationships with
colleagues and other
team
Core Competency 2:
Collaborates plan of
care with other
team
Contributes to decision making regarding

clients needs and concerns
Participates actively in client care
management 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
Refers clients to allied health team partners
Acts as liaison / advocate of 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.
11
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;
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.
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.
12
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
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
quality improvement, research, management of resources and environment, and records
management.
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.
13
Section 8. Curriculum Outline

A. Outline of Total Units of General Education (GE) Courses:
Courses
Language and Humanities
English 1 & 2 (Communication Skills)
English 3 (Speech and Communication)
Filipino 1 & 2
Philosophy of Man
Logic and Critical Thinking
Mathematics, Natural Sciences & Information Technology
Mathematics (College Algebra)
Biostatistics
General Chemistry 3/2
Biochemistry 3/2
Physics 2/1
Informatics 2/1
Health Sciences
Anatomy & Physiology 3/2
Microbiology & Parasitology 3/1
Social Sciences
General Psychology
Sociology/Anthropology
Humanities [ World Civilization & Literature]
Economics with Taxation & Land Reform
Bioethics
Mandated Subjects
Life, Works and Writings of Rizal
Philippine History, Government & Constitution
PE 1 to 4 [2 units each]
National Service Training Program 1& 2
B. Outline and Units of Professional Courses
Theoretical Foundations in Nursing
Health Assessment (2/1*)
Community Health Nursing (3/2*)
Nutrition and Diet Therapy (3/1)
Health Education
Pharmacology
Nursing Research I (2/1)
Nursing Research II
Competency Appraisal I
Competency Appraisal II
Elective I**
Elective II**
NCM 100 Fundamentals of Nursing Practice (3/2*)
NCM 101 -- Care of Mother, Child and Family (4/4*)
87 Units
Units
21
6
3
6
3
3
22
3
3
5
5
3
3
9
5
4
15
3
3
3
3
3
20
3
3
8
6
115 Units
3
3
5
4
3
3
3
2
3
3
2
2
5
8
14
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:
Courses
Health Assessment
Community Health Nursing
Nursing Research I
Nursing Research II
Nursing Care Management 100
Nursing Care Management 107-B
Intensive Nursing Practicum
Total
Skills Lab
Clinical
1
0
0.5
1.5
1
0
2
0
2
0
1
3
1
5
1
5
1
3
0
2
2
3
0
3
0
8
12.5
33.5
46 RLE Units
RLE Contact Hours

(1 credit unit =51
hours)
51
102
51
102
102
204
306
306
204
102
255
153
408
2,346 hours
At the end of the B. S. Nursing program, the total number of laboratory units/hours
shall comprise the following courses:
Laboratory Units
Laboratory Hours
Courses
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
15
Section 9. Program of Study

BACHELOR OF SCIENCE IN NURSING
Prototype 4-Year Curriculum
FIRST YEAR
First Semester
Course
Code
Course Name
English 1
Communication Skills I
Filipino 1
Komunikasyon sa Akademikong
Filipino
Chem 1
General Chemistry (Organic &
Inorganic)
TFN
Theoretical Foundations in Nursing
Math 1
College Algebra
Psych
General Psychology
PE 1
Physical Education 1
NSTP 1
National Service Training Program
Total
Second Semester
Course
Code
Course Name
English 2
Communication Skills II
Filipino 2
Pagbasa at Pagsulat Tungo sa
Pananaliksik
Ana/Physio
Anatomy and Physiology
NCM 100
Fundamentals of Nursing Practice
Chem 2
Biochemistry
PE 2
NSTP 2
National Service Training Program
Total
Lec
Lab
RLE
Units
3
3
0
0
SL
0
0
C
0
0
3
3
3
3
3
3
2
3
23
2
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
3
3
3
2
3
25
Lec
Lab
RLE
3
3
0
0
SL
0
0
3
3
3
2
3
20
2
0
2
0
0
4
0
2
0
0
0
2
Units
C
0
0
3
3
0
0
0
0
0
0
5
5
5
2
3
26
SUMMER
Course
Code
Physics
Logic
HA
Lec Lab
Course Name
Physics
Logic and Critical Thinking
Health Assessment
2
3
2
7
1
0
0
1
RLE
SL
0
0
1
1
Units
C
0
0
0
0
3
3
3
9
16
SECOND YEAR
First Semester
Course Code
NCM 101
CHN
Micro/Para
Philo
Bioethics
PE 3
Course Name
Care of Mother, Child and Family
Microbiology and Parasitology
Philosophy of Man
Bioethics
Total
Lec
Lab
RLE
4
3
3
3
3
2
18
0
0
1
0
0
0
1
Lec
Lab
11
3
3
3
2
16
1
0
0
0
1
0
0
0
0
1
0
0
0
0
5
4
3
3
2
23
Lec
Lab
3
2
3
8
0
1
0
1
SL
1
0.5
0
0
0
0
1.5
CL
3
1.5
0
0
0
0
4.5
Units
8
5
4
3
3
2
25
Second Semester
Course Code
NCM 102
NuDiet
Pharma
Socio/Anthro
PE 4
Course Name
Care of Mother, Child, Family and
Population Group At-risk or With
Problems
Nutrition and Diet Therapy
Pharmacology
Sociology with Anthropology
RLE
SL CL
Units
SUMMER
Course Code
HealthEd
Info
English 3
RLE
Units
Course Name
Health Education
Informatics
Speech Communication
Total
SL
0
0
0
0
C
0
0
0
0
3
3
3
9
17
THIRD YEAR
First Semester
Course Code
NCM 103
Biostat
Econ
Humanities
Rizal
Course Name
Care of Clients with Problems in

Oxygenation, Fluid & Electrolyte
Balance, Metabolism and Endocrine
Biostatistics
Economics with Taxation & Land
Reform
Humanities [World Civilization and
Literature]
Life, Works and Writings of Rizal
Total
Lec
Lab
RLE
SL
C
Units
14
3
3
0
0
0
0
0
0
3
3
3
20
0
0
0
1
0
5
3
26
Lec
Lab
Second Semester
Course
Code
Course Name
RLE
SL
C
Units

NCM 104
Inflammatory
and
Immunologic
5
0
1
3
Response,
Perception
and
Coordination
NCM 105
Care of Clients with Maladaptive
4
0
0
2*
Patterns of Behavior
PhilHist
Philippine History, Government &
3
0
0
0
Constitution
Nres 1
Nursing Research 1
2
0
1
0
Elective 1
Elective Course 1
2
0
0
0
Total
16
0
2
5
*The clinicals in NCM 105 may be done in Summer for Cross affiliation purposes.
9
6
3
3
2
23
18
FOURTH YEAR
First Semester
Course
Course Name
Code
NCM 106
Cellular Aberrations, Acute Biologic
Crisis including Emergency and
Disaster Nursing
CA 1
Competency Appraisal 1
NCM 107-A
Nursing Leadership and Management
(Lecture)
Nres 2
Nursing Research 2
Elective 2
Elective Course 2
Total
Second Semester
Course
Course Name
Code
INP
CA 2
Competency Appraisal 2
NCM 107-B
Nursing Leadership and Management
(RLE)
Total
SL - Skills Laboratory
C - Clinicals
Lec
Lab
RLE
SL
C
11
3
4
0
0
0
0
0
0
3
4
0
2
15
0
0
0
2
0
4
0
0
3
2
2
22
Lec
Lab
0
3
0
0
0
0
RLE
SL
C
0
8
0
0
0
3
0
11
Units
Units
8
3
3
14
19
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;
c. Holder of Masters 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.
b.
c.
d.
e.
f.
g.
h.
Prepares short term and long term plans;

Initiates curriculum development programs;
Plans a rational faculty, academic and non-academic load;
Leads in the faculty and staff development programs;
Manages human, financial and physical resources;
Manages student development programs;
Manages department/college office operations;
Leads development and utilization of instructional resource
materials;
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.
20
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 Masters 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 masters 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 masters 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.
11.3
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 masters degree in nursing, shall be employed.
21
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) Posses appropriate professional training.
22
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 librarys book collection but should not
be considered a replacement for the same.
a. Opening of new BSN program shall have at least 3,000 total number of
books accessioned, 30% of which shall consist of professional books. 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
For every 250 students
No. of copies of
Periodicals
5 copies per title
23
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.
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 RA 6541,
The National Building Code of the Philippines and Presidential Decree 856, Code of
Sanitation of the Philippines. List of required and recommended equipment are listed in
each course requirement.
A system for identification of laboratory equipment, supplies and models should
be observed.
24
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.
25
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.
Base Hospital. The base hospital is 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 maybe 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
26
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 nonprofessional 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
27
(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 students 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.
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.
28
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
to one (1) unit RLE
e.9 Ratio of student to clientele depends upon the objectives and the
capacity of the student.
The ratio of student to clientele shall be:
Level
I
II
III
IV
1st Semester
NA
1:1
1:2-3
1:5
2nd Semester
1:1
1:2
1:3-4
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 for RLE (Skills Laboratory) shall be:
Level
I
II
III
IV
1st Semester
NA
1:8-10
1:10-12
1:12-15
2nd Semester
1:8-10
1:8-10
1:10-12
1:12-15
Summer
1:8-10
NA
NA
NA
29
The ratio of faculty to student for RLE (Clinicals in Hospital/Community

setting) shall be:
1st Semester
NA
1:8-10
1:10-12
1:12-15
Level
I
II
III
IV
2nd Semester
NA
1:8-10
1:10-12
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.
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
30
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.
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.
31
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.
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.
EMMANUEL Y. ANGELES
Chairman
Quezon City, Philippines
April 28, 2009
32
Annex A
COURSE SPECIFICATIONS
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Placement
Course
Objectives:
:
:
Course Outline
THEORETICAL FOUNDATIONS IN NURSING

TFN
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.
3 units
54 lecture hours
1st Year, 1st Semester
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
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
33
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
Course Code
Course
Description
Course Credit
Contact
Hours/sem
Pre-requisite
Placement
Course
Objectives:
:
:
:
:
:
:
:
ANATOMY AND PHYSIOLOGY

Ana/Physio
This course deals with the physiologic concepts, principles and basic
anatomical structure.
3 units lecture, 2 units lab
54 lecture hours, 108 lab hours
None
1st year, 2nd semester
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
34
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
35
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
36
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
37
Laboratory
:
Supplies and
Equipment
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/Sem
Prerequisite
Co-requisite
Placement
Course
Objectives:
:
:
:
:
1. Male Reproductive System

a. Parts
b. Physiology of male reproduction
2. Female Reproductive System
a. Parts
3. Physiology of the female reproduction
Anatomical models, charts
Sphygmomanometer
Videos and CD ROMs
Stethoscope
Preserved specimens and slides
Microscope
Reflex hammer
FUNDAMENTALS OF NURSING PRACTICE
NCM 100
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.
3units lecture, 2units RLE (Skills Lab)
54 hours lecture, 102 RLE hours Skills Lab
General Chemistry, Theoretical Foundations of Nursing
Anatomy & Physiology, Biochemistry
1st Year, 2nd semester
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
38
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
39
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
40
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
Provides opportunity to demonstrate the various nursing procedures
learned.
Guide for RLE
Provides opportunity to care for a healthy/well client.

:
Office Supplies such as:
Laboratory
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
Course Code
Course
Description
Course Credit
Contact
Hours/sem
Prerequisite
:
:
Placement
:
:
HEALTH ASSESSMENT
HA
The course deals with concepts, principles & techniques of history
taking using various tools, physical examination (head to toe), psychosocial assessment and interpretation of laboratory findings to arrive at
a nursing diagnosis on the client across the lifespan in community and
hospital settings.
2 units lecture, 1 unit RLE
36 lecture hours, 51 RLE hours
Theoretical Foundations of Nursing, General Psychology, AnatomyPhysiology, Chemistry 2 & NCM 100
1st year, Summer
41
Course
Objectives:
Course Outline
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.
:
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
42
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
Guide for RLE

Laboratory
:
Supplies and
Equipment
IV. Diagnostic tests (routine laboratory exams)

V. Appropriate nursing diagnosis
Provides opportunity to demonstrate the various nursing procedures
learned.
Provides opportunity to care for clients.
Assessment forms
Patients chart
Ophthalmoscope
Watch with second hand
Otoscope
Sphygmomanometer
Flashlight or penlight
Stethoscope
Tongue depressor
Gloves and lubricant
Ruler & tape
Vaginal speculum and equipment for cytological
Thermometer
bacteriological study
Tuning fork
Reflex hammer
Safety pins
Paper, pen and pencil
Cotton
43
Course Name
Course Code
Course
Description
COMMUNITY HEALTH NURSING
CHN
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
Contact
Hours/sem
Prerequisite
Placement
Course
Objectives:
:
:
:
:
3 units lecture; 2 units RLE (0.5 Skills Lab; 1.5 Clinicals)

54 lecture hours; 102 RLE hours
NCM 100, Theoretical Foundations of Nursing, Health Assessment
2nd
Year, 1st semester
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.
Course Outline
4. Share leadership/relate effectively with others in work situations

related to nursing and health.
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 disease44
II.
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
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
45
III.
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
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. Describing population size
ii. Describing population
composition
iii. Describing spatial distribution
c. Sources of demographic data
2. Vital and health statistics
46
IV.
a. Definition and uses of vital and health

statistics
b. Common vital and health statistical
indicators
i. Fertility rates
ii. Mortality rates
iii. Morbidity rates
3. Epidemiology
a. Definition and uses of epidemiology
b. Epidemiologic concepts and principles
i. Multiple Causation Theory or
Ecologic Concept of Disease
1. Agent-Host-Environment
2. Models: web, wheel and
triad
ii. Natural history of disease
iii. Levels of disease prevention
iv. Concept of causality and
association
c. Epidemiologic approach focusing on:
i. Descriptive epidemiology
ii. Analytical epidemiology
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
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. National health programs of the DOH
i. Family health services
47
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 noncommunicable disease prevention program
2. Programs for the prevention of other noncommunicable 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. RabiesControl 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
48
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.
Guide for RLE
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 Reports
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
Materials
(these could be
found
in
nursing
skills
lab and in the
community)
CHN Bag complete with relevant equipment and supplies
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Prerequisite
Placement
:
:
:
:
MICROBIOLOGY AND PARASITOLOGY

Micro/Para
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.
3 units lecture, 1 unit laboratory
54 lecture hours, 54 lab hours
General Chemistry, Anatomy and Physiology
2nd year, 1st semester
49
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
Course Code
Course
Description
:
:
:
Course Credit
CARE OF MOTHER, CHILD AND FAMILY

NCM 101
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.
4 units lecture, 4units RLE [1unit Skills Lab/3units Clinical]
50
Contact
Hours/Sem
Prerequisite
Co-requisite
Placement
Course
Objectives:
:
:
:
:
Course Outline

FNP, Health Assessment, Anatomy and Physiology
Microbiology and Parasitology
2nd year, 1st semester
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 ones 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,
4. Relate effectively with clients, members of the health team and
others in work situations related to nursing and health
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
51
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
nd
2. 2 level assessment: determining familys 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 chang3e/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
52
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. Leopolds 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
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 womans partner and family of the
stresses of pregnancy, labor and delivery & puerperium
53
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
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, Billings 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, Ballards score, Review of systems,
Anthropometric measurements (weight, head, chest,
abdomen circumference, length, other relevant
measures)
2. Vital signs, patent airway
54
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:
- moral
- psychosexual
- 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
55
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
development
4. Promotion of health during toddlerhood
F. The Preschooler and the Family
2. Growth & development- biologic, developmental milestone,
psychosocial, cognitive, social & moral development
development
4. Promotion of health
G. The Schooler and the Family
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
H. The Adolescent & the Family
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
56
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
Materials
[these could be
found
in
nursing
skills
lab,
base
hospital,
affiliating
centers]
Delivery set, delivery table, functional birthing model, pelvic model,

newborn with placenta, weighing scale for infants, Doppler apparatus,
fetoscope, perineal flushing tray, breast care tray, perilight, nipple
shield, breast pump.
Babys Layette, cord dressing tray, oil bath tray, ophthalmic ointment,
Vitamin K, injection, babys 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
57
Course Name
Course Code
Course
Description
Course Credit
Contact
Hours/Sem
Prerequisite
Co-requisite
Placement
Course
Objectives:
Course Outline
: CARE OF MOTHER, CHILD, FAMILY AND POPULATION GROUP
AT-RISK OR WITH PROBLEMS

: NCM 102
: 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.
: 5 units lecture, 6 units RLE [1unit Skills Lab/5units Clinical]
:

: Care of Mother, Child and Family
: Pharmacology; Nutrition with Diet Therapy
: 2nd year, 2nd semester
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,
4. Relate effectively with clients, members of the health team and
others in work situations related to nursing and health
: 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 (Hmole), incompetent cervix, spontaneous abortion, placenta
58
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) brow presentation
b) face presentation
c) sincipital presentation
2) Breech presentation
a) types
b) maternal risks
c) vaginal evolving of breech
d) external/podalic version
3) Shoulder presentation
a) Compound presentation
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
59
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
60
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)
61
Guide for RLE

Equipment and
Materials
[these could be
found
in
nursing
skills
lab,
base
hospital,
affiliating
centers]
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
Provide opportunity for actual clinical hospital and community
experiences to ensure competencies are developed.
Baby model for resuscitation, video on resuscitation, rubber bulb, infant
suction catheter, suction apparatus, IV set (microdrip), infant feeding
tubes
62
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Prerequisite
:
:
Placement
Course
Objectives:
Course Outline
NUTRITION AND DIET THERAPY

NuDiet
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.
3 units lecture, 1 unit laboratory
54 lecture hours, 54 laboratory hours
General Chemistry, Biochemistry, Anatomy and Physiology,
Micro-Parasitology
2nd year, 2nd semester
At the end of the course, given relevant situations/conditions, the
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
A. Introduction to nutrition
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
c. Food sources
3. Fats and waters
a. Functions
c. Food sources
4. Vitamins and Minerals
a. Functions
c. Food sources
63
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
64
! 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 :
Laboratory
:
Laboratory
Equipment
&
Supplies
Provide opportunity for actual preparation of the prescribed therapeutic

dietary regimen (to include evaluation and computation)
Weighing scale, food pyramid/chart, IEC materials for diet, osteorizer,
demonstration table, calorie counter
Laboratory Guide/Manual
Reference
Course Name
Course Code
Course
Description
Course Credit
:
:
PHARMACOLOGY
Pharma
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.
3 units lecture
65
Contact
Hours/Sem
Prerequisite
Placement
Course
Objectives
:
:
:
:
:
Course Outline
54 lecture hours
Math 1, General Chemistry, Anatomy & Physiology, NCM 102
2nd year, 2nd semester
At the end of the course and given relevant actual or simulated
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
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
66
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 c oagulation
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
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Prerequisite
Placement
Course
Objectives
:
:
Course Outline
:
:
:
HEALTH EDUCATION
HealthEd
The course includes discussions on health education concepts,
principles, theories and strategies as they apply in the clinical and
classroom situations.
3 units lecture
54 lecture hours
None
2nd year, Summer
At the end of the course, given relevant situations/conditions, the
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
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
67
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. Penders Health
Promotion Theory, Banduras Self Efficacy Theory, Health
Belief Model, Greens 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
68
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
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Prerequisite
Placement
Course
:
:
:
:
INFORMATICS
IT
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.
2 units lecture; 1 unit laboratory
36 lecture hours; 54 laboratory hours
College Algebra
2nd Year, Summer
At the end of the course and given relevant actual or simulated
69
Objectives
Course Outline

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
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. Consumers 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
70
H. The future of informatics

1. Future directions
Course Name
Course Code
Course
Description
Course Credit
Contact
Hours/sem
Prerequisite
Placement
Course
Objectives
Course Outline :
CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID

AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM
AND ENDOCRINE
NCM 103
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.
8 units lecture, 6 units RLE (1 unit Skills Lab; 5 units Clinical)
144 hours lecture and 306 hours RLE
NCM 102
3rd year, 1st semester
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 clients condition ad
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.
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 nonmodifiable
2. Fluid and electrolyte potential factors for exceeding renal
reserve capacity, dietary habits to include salt intake,
71
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
72
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:
- Pulmonary: e.g. sputum microscopy, chest x-ray,
pulmonary function tests, smoke analyzer
Fagerstrom test standardized degree of nicotine
dependence
- Cardiac: ultrasound, ECG, 2-D echo, stress test,
- Vascular: doppler ultrasonography
- Blood: pulse oximeter .
! Invasive:
- Pulmonary: bronchoscopy, ABG, thoracentesis,
pulmonary angiography
- Cardiac: CO determination, cardiac catheterization,
CVP, hemodynamics monitoring, enzyme levels,
Serum, Cholesterol,
- Vascular: angiography,
- Blood: CBC and bone marrow biopsy
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, Radioiodine 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
73
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; hypoand 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
74
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
! Rehabilitation
3. Oxygen carrying capacity of the blood
! Blood component replacement
75
! O2 therapy
! Drug therapy
! Hydration
! Rehabilitation
4. Fluid Volume Deficit
! Determination and management of cause
! Hydration
! Blood transfusion as needed
! Drug therapy - electrolyte
! Supportive management
! Prevention of complication
! Rehabilitation
5. Fluid Volume Excess
! Drug therapy diuretics, electrolytes
! Dietary restriction - sodium
! Rehabilitation
6. Electrolyte Deficit hyponatremia, hypokalemia, hypocalcemia,
hypomagnesemia, hypophosphatemia
! Drug therapy electrolyte replacement
! Dietary management
! Rehabilitation
7. Electrolyte Excess- hypernatremia, hyperkalemia,
hypercalcemia, hypermagnesemia, hyperphosphatemia
! Drug therapy electrolyte replacement
! Rehabilitation
8. Metabolic Alkalosis Base bicarbonate excess
! Drug therapy ! Dietary management
76
! Rehabilitation
9. Metabolic Acidosis base bicarbonate deficit
! Drug therapy
! Rehabilitation
10. Respiratory Alkalosis carbonic acid deficit
! Drug therapy
! Rehabilitation
11. Respiratory Acidosis carbonic acid excess
! Determination of cause
! Drug therapy
! Rehabilitation
12. Disturbances in ingestion
! Hydration
! Drug therapy
! Rehabilitation
13. Disturbances in digestion
! Hydration
! Drug therapy
! Rehabilitation
77
14. Disturbances in absorption

! Hydration
! Drug therapy
! Rehabilitation
15. Disturbances in elimination
! Hydration
! Drug therapy
! Rehabilitation
16. Disturbances in hepatic, biliary and pancreatic functions
! Hydration
! Drug therapy
! Rehabilitation
17. Disturbances in endocrine hypo-function
! Rehabilitation
18. Disturbances in endocrine hyperfunction
! Rehabilitation
78
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
79
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,
80
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
Guide for RLE
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
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
VARIED SURGICAL CASES IN THE HOSPITAL SETTING
ONLY
81
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
Materials
[these
could
be found in
nursing skills
lab,
base
hospital,
affiliating
centers]
Alteration in Oxygenation: Oxygen (O2) tank, O2 regulator, humidifier,

monkey wrench, O2 tubings, O2 cannula/catheter, O2 masks, croupette,
O2 tent, suction catheters, suction machine, suction catheters, oxymeter,
peak flow meter, ventilatory support equipments, nebulizer, one-way/twoway/three-way water seal 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)
82
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Prerequisite
Placement
Course
Objectives
:
:
Course Outline
:
:
:
BIOSTATISTICS
Biostat
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.
3 units lecture
54 lecture hours
College Algebra
3rd Year, 1st semester
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.
A. Introduction
1. Definition
2. Branches/kinds of statistics
3. Symbols used
B. Statistical data collection
1. Health care overview
2. Data collection
2. 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
83
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
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Placement
Course
Objectives
:
:
Course Outline
:
:
ECONOMICS WITH TAXATION AND LAND REFORM

Econ
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.
3 units lecture
54 lecture hours
3rd Year, 1st Semester
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.
I. Introduction to Economics
3. The Concepts of Economics
a. Mans work against scarcity
b. General economics resources: land, labor, capital &
technology
84
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:
85
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
86
Course Name:
Course Code
Course
Description
:
:
Course Credit
Contact
Hours/Sem
Prerequisite
Placement
Course
Objectives
:
:
:
:
CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND

IMMUNOLOGIC
RESPONSE
AND
PERCEPTION
AND
COORDINATION
NCM 104
This course deals with the concepts, principles and theories of human
behavior and the care of the sick client across the lifespan with
emphasis on the adult and the older person, population group
experiencing alterations in Inflammatory and Immunologic Response
and perception and coordination in varied settings.
5 units lecture, 4 units RLE (1unit skills lab, 3 unit clinicals)
90 Lecture Hours/ 204 RLE Hours
NCM 103
3rd Year, 2nd Semester
At the end of the course, and given actual clients, population group,
with problems in inflammatory and immunologic response and
perception and coordination, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in
community and hospital settings.
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 clients condition ad
outcomes of care.
2. Ensure a well-organized and accurate documentation system.
appropriately.
4. Observe bioethical concepts/ principles and core values and
nursing standards in the care of clients.
Course Outline
: I. Alteration in inflammatory and immunologic response

A. Risk factors assessment and screening procedures among
clients that contribute to the development of problems in
inflammatory and immunologic reaction
B. Significant subjective data from client relevant information
based on chief complaints, functional patterns, including
psychosocial and behavioral assessment
2. Alterations in perception and coordination
87
clients that contribute to the development of problems in

perception and coordination
psychosocial and behavioral assessment
children & adults and deviations from normal in perception &
coordination
1. Inflammatory and immunologic reactions
a. Inspection color, lesions, masses
b. Palpation turgor, tenderness, masses, body
temperature, tenderness
2. Neurologic assessment
a. Inspection: loss of consciousness (LOC), hearing, sight ,
papillary changes, gait, posture, ADL, muscle strength,
discharge
b. Palpation: tenderness, muscle strength
c. Percussion: reflexes
3. Visual and auditory assessment
a. Inspection: hearing, sight, papillary changes, discharge,
bleeding
b. Palpation: pain, tenderness, presence of mass/lesions
4. Locomotion assessment
a. Inspection: posture and gait, ADL, swelling, atrophy,
deformity, deformity, muscle strength, discharge
b. Palpation: deviation/limitation in range of motion (ROM),
tenderness, deformity of joints, muscle size and strength,
crepitation on movement of joints, presence of
subcutaneous nodules
c. Palpation: turgor, tenderness, masses, body
temperature, tenderness
D. Results and implications of diagnostic/laboratory examinations of
1. Inflammatory and immunologic reaction
a. Diagnostic tests
! Non-invasive: urinalysis, culture and sensitivity tests,
x-ray
! Invasive CBC, antistreptolysin titer, biopsy, blood
Chemistry, CSF, Gram Staining, ELISA, Western Blot,
tests for emerging infections e.g. SARS
2. Perception and coordination
a. Neural regulation
! Non-invasive diagnostic procedures:
skull x-ray, electroencephalogram (EEG),
magnetic resonance imaging (MRI), ultrasound,
! Invasive diagnostic procedures:
cerebral angiography, lumbar puncture, CT scan
88
ventriculogram
b. Visual Auditory
visual acuity, visual field testing, ophthalmoscopy,
slit lamp, audiometry
CT scan, electronystagmography, ear culture,
sensitivity
c. Locomotion
electromyogram (EMG)
biopsy, cerebrospinal & synovial fluid determination,
serum calcium, phosphorus, alkaline phosphatase
determination
E. Pathophysiologic mechanisms of Alterations in perception and
coordination
1. Inflammatory and Immunologic reactions
a. Inflammatory reactions
b. Bacterial conditions
c. Bullous diseases
d. Infestation and parasitic diseases
e. Vaccine-preventable infectious diseases
f. Others AIDS, STDs
2. Immunologic reactions
a. Hypersensitivity reactions
b. Immunodeficiency
c. Autoimmune disorders
3. Neural regulation
a. Motor disturbances
b. Seizures
c. Sensory deviations
d. Head ache ad pain
e. Altered state of consciousness
4. Visual and Auditory
a. Disturbances in visual perception: blindness,
inflammatory disturbances: neoplastic disturbances,
traumatic interferences with visual perception,
absence of visual perception, congenital and neonatal
visual disturbances,
b. Disturbances in auditory perception: deafness/hearing
loss, inflammatory /infection, trauma, menieres
syndrome, degenerative changes, disturbances of
hearing, obstructive problems
5. Locomotion
a. Infections/Inflammatory disorders
b. Abnormalities in the curvature of the spine
c. Degenerative disorders
89
d. Traumatic injuries
e. Congenital disorders
f. Bone tumors
F. Nursing diagnoses taxonomy pertinent to problems/ alteration
in perception and coordination
a. Impaired skin integrity
b. Activity intolerance
c. Potential for infection
d. Disturbances in self-concept
e. Ineffective family coping
f. Social isolation
a. Altered cerebral tissue perfusion
b. Impaired verbal communication
c. Impaired swallowing
d. Potential for injury
e. Activity intolerance
f. Ineffective individual coping
g. Knowledge deficit
3. Visual and auditory perception
a. Alteration in sensory perception: visual/auditory
b. Potential for infection
c. Self esteem disturbance
d. Potential for injury
e. Knowledge deficit
4. Locomotion
a. Alteration in comfort: pain/pruritus
b. Knowledge deficit
c. Impaired physical mobility
d. Disturbance in self-concept
e. Altered nutrition
G. Principles of Management for altered Perception coordination
a. Determination and management of cause
b. Drug therapy
c. Prevention of infection
d. Supportive management
e. Prevention of complications
f. Rehabilitation
b. Airway patency
c. Oxygen therapy
d. Adequate ventilation
e. Drug therapy
f. Hydration
g. Removal of secretion
90
h. Prevention of infection
i. Psychosocial interventions
j. Seizure precaution
k. Increased ICP precaution
l. Prevention of complications
m. Rehabilitation
b. Drug therapy
c. Supportive management for visual/auditory impaired
d. Prevention of infection
e. Psychosocial interventions
f. Prevention of complication
g. Rehabilitation
4. Locomotion
b. Drug therapy
c. Supportive management: immobility precaution
d. Removal of secretion
e. Prevention of infection
f. Prevention of complications
g. Rehabilitation
H. Pharmacologic actions, therapeutic use, side effects, indications,
contraindication, and nursing responsibilities for perception and
coordination
1. Inflammatory and Immunologic reactions
a. Antibiotics
b. Antifungal agents
c. Keratolytic agents
d. Anticholinergic agents
e. Adrenergic agents
f. Antihistamines
g. Anti-inflammatory agents
h. Corticosteroids
i. Immunologic agents
j. Vaccines
a. Anti-convulsants
b. Osmotic diuretics
c. Corticosteroid
d. Antibiotics
e. Antipyretics
f. Anti-inflammatory agents
a. Miotic agents
b. Corticosteroids
c. Mydriatic agents
d. Antibiotics
91
4. Locomotion
a. Antibiotics
b. Anti-inflammatory agents
c. Corticosteroids
I. Purpose, indications, nursing responsibilities for the following
surgical and special procedures in perception and coordination
a. Surgical procedures debridement, incision and
drainage, excision
b. Special procedures - universal precaution, reverse
isolation, medical asepsis/surgical asepsis
a. Surgical procedures: craniotomy, cranioplasty,
ventriculo- peritoneal shunt
b. Special procedures: ICP monitoring, seizure precaution
a. Surgical procedures: iridectomy, cataract procedures,
enucleation, keratoplasty, mastoidectomy,
tympanoplasty, myringotomy, fenestration
b. Special procedures: instillation of otic solution, external
auditory canal irrigation, hearing aide device
4. Locomotion
a. Surgical procedures: internal/external fixation,
amputation, bone resection, open reduction,
tenorrhaphy, spinal fusion,
b. Special procedures: application of casts, tractions,
braces, crutch walking
J. Safe and comprehensive perioperative nursing care
1. Assessment ad 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
4. Nursing responsibilities during the perioperative period
K. Steps/pointers in decision making and prioritization with client/s
having problems in perception coordination, adjustment or
adaptation
L. Principles, concept and application of bioethics in the care of
clients
M. Developing outcome criteria for clients with problems in
in perception coordination and adjustment/adaptation
N. Appropriate discharge plan including health education
O. Accurate recording and documentation
Guide for RLE
Provide opportunities to demonstrate the procedures for inflammatory

and immunologic response, perception and coordination.
92
In the event that the required intra-operative competencies in NCM

103 are not achieved within the allotted hours/weeks, the nursing
student/s shall be made to complete the competencies in this course.
To standardize documentation, a prescribed form shall be completed
right after the related clinical experience.
Provide opportunities for actual clinical hospital and community
experiences to ensure competencies are developed.
Equipment and
Materials
(these could be
found
in
nursing
skills
lab,
base
hospital,
affiliating
centers)
Alterations in inflammatory and immunologic reactions: hand washing

facility, isolation barrier techniques and materials, needles and
syringes for skin testing.
Alterations in neural regulation: flashlight/penlight, tongue depressor,
cotton, safety pin, reflex hammer, watch with second hand.
Alterations in visual and auditory: ophthalmoscope, otoscope, penlight,
ear irrigating device, Snellen chart, tuning fork, hearing augmentation
device.
Alterations in locomotion: sand bag, splints, types of traction, types of
casts, orthopedic bed/appliances, crutches, walker
Videos on exercises, neurologic assessment
Course Name
Course Code
Course
Description
:
:
Course Credit
Contact
Hours/Sem
Prerequisite
Co-requisite
Placement
Course
Objectives
:
:
:
:
:
CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF

BEHAVIOR
NCM 105
The course is designed to focus on health and illness across the
lifespan of clients, population groups with acute and chronic psychosocial difficulties and psychiatric illnesses.
4units lecture ; 2units RLE (2units Clinical)
72 Lecture hours; 102 RLE hours
General Psychology, NCM 103
NCM 104
3rd Year; 2nd semester
At the end of the course, and given actual clients with maladaptive
patterns of behavior, the student shall be able to:
1. Utilize the nursing process in the care of individuals, families
in community and hospital settings.
- Assess client/s with his/her/their condition through
mental status examination, physical examination,
interpretation of diagnostic procedures.
93
Course Outline
Identify actual and potential 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 clients condition
and outcomes of care.
2. Apply knowledge and understanding of maladaptive patterns
of behavior in providing safe and quality care to clients.
3. Increase self-awareness and therapeutic use of self in the
care of clients.
4. Ensure a well-organized and accurate documentation
system.
appropriately.
6. Observe bioethical concepts/ principles, core values and
nursing standards in the care of clients.
I. Overview of psychiatric nursing
A. Evolution of mental health-psychiatric nursing practice
B. The mental health nurse
1. Role
2. Essential qualities
C. Interdisciplinary team
D. The mental health illness continuum
II. Mental health-psychiatric nursing practice
A.
Personality theories and determinants of
psychopathology: Implications for mental
health-psychiatric nursing practice
1. Psychoanalytic
2. Behavioral
3. Interpersonal
4. Cognitive
5. Humanistic
6. Psychobiologic
7. Cognitive
8. Psychosocial
9. Psychospiritual
10. Eclectic
B. General assessment considerations
1. Principles and techniques of h-Psychiatric nursing
interview
2. Mental status examination
3. Diagnostic examinations specific to psychiatric
patients
C. Building nurse-client relationship
1. Nurse-client interaction vs. nurse-client relationship
2. Therapeutic use of self
94
3. Therapeutic communication
a. Characteristics
b. Techniques
4. Goals in the one-to-one relationship
5. Phases in the development of nurse-client relationship
D. Documentation in psychiatric nursing practice
1. Problem-oriented recording
a. SOAP
2. Narrative recording
3. Process recording
E. Therapeutic modalities, psychosocial skills and nursing strategies
1. Biophysical /somatic interventions
a. Electroconvulsive and other somatic therapies
b. Psychopharmacology
2. Supportive Psychotherapy
a. Nurse-patient relationship therapy
b. Group therapy
c. Family therapy
3. Counseling
4. Mental health teaching/client education
5. Self-enhancement, growth/therapeutic groups
6. Assertiveness training
7. Stress management
8. Behavior modification
9. Cognitive restructuring
10. Milleu therapy
11. Play therapy
12. Psychosocial support interventions
13. Psychospiritual Interventions
14. Alternative Medicine/Therapies
F. Concept of Anxiety
1. Defining characteristics of Anxiety
2. Levels of Anxiety
3. Manifestations of Levels of Anxiety
a. Physiologic
b. Psychologic
4. Ego Defense Mechanisms
a. Four levels of Defense
G. Crisis
1. Types of crisis
2. Phases of Crisis Development
3.Characteristics of Crisis
4. Crisis Intervention
III. Care of clients with maladaptive patterns of behavior across the
lifespan (childhood, adolescent, adulthood)
A. The Nursing Process applied to Psychiatric Nursing Practice:
1. Assessing human response to the different maladaptive
patterns of behavior
95
2.
3.
4.
a. Self-awareness and Use of Self

b. Bio-Psycho-Social and Behavioral data
Nursing Diagnosis and Outcome identification
Planning and implementing nursing intervention
a. Biological
b. Psychosocial
Evaluation and treatment outcomes
B. Maladaptive Patterns of Behavior

1. Age-Related Maladaptive Patterns: Disorders Across the
Lifespan
2. Anxiety-Related Disorders
a. Anxiety disorders across the lifespan
! Panic Disorder
! Phobias
! Post traumatic stress disorder
! Acute Stress disorder
! Obsessive-compulsive disorder
! Generalized Anxiety Disorder
b. Somatoform disorders
! Somatization disorder
! Conversion disorder
! Hypochondriasis
! Pain disorder
! Body Dysmorphic disorder
c. Dissociative disorders
! Depersonalization
! Psychogenic Amnesia
! Psychogenic Fugue
! Dissociative Identity Disorder/ Multiple
Personality disorder
3. Psychophysiologic Response and Sleep
4. Personality Disorders
a. Childhood Personality disorders
! Conduct disorder
! Oppositional Defiant Behavior
b. Odd/eccentric behaviors
! Paranoid personality disorder
! Schizoid personality disorder
! Schizotypal personality disorder
c. Dramatic, emotional, erratic behaviors
! Antisocial personality disorder
! Borderline personality disorder
! Narsicistic personality disorder
! Histrionic personality disorder
d. Anxious, fearful behaviors
! Obsessive compulsive personality disorder
! Dependent personality disorder
96
6.
! Avoidant personality disorder

e. Passive aggressive
Substance-related disorders: substance abuse, dependence,
intoxication, withdrawal and polysubstance dependence
a. Central nervous system depressants
! Alcohol
! Sedatives-hypnotics and anxiolytics
! Opioids
b. Central nervous system stimulants

! Caffeine
! Nicotine
! Amphetamine and cocaine
c. Hallucinogens
d. Cannabis
e. Inhalants
f. Nursing Issues
7. Mood disorders
a. Reactive attachment disorder
b. Bipolar I disorder
c. Bipolar II disorder
d. Cyclothymic disorder
e. Dysthymic disorder
f. Major depressive disorder
g. Clients at risk for suicidal and self-destructive behavior
8. Schizophrenia and other Psychoses
a. Schizophrenia
! Catatonic type
! Paranoid type
! Undifferentiated type
! Disorganized type
! Residual type
b. Other Psychotic disorders
! Schizophreniform disorder
! Schizoaffective disorder
! Delusional disorder
! Brief psychotic disorder
! Shared psychotic disorder
9. Cognitive disorders
a. Fetal alcohol syndrome
b. Attention deficit hyperactive disorder
c. Autism
d. Delirium
e. Dementia
f. Alzheimers disease
g. Diffuse Lewy body disease
h. Korsakoffs disease
i. Huntingtons disease
97
j. Picks disease
k. Vascular and multi-infarct dementia
10. Eating disorders
a. Pica
b. Rumination
c. Feeding disorders
d. Anorexia nervosa
e. Bulimia nervosa
11. Psychosexual disorders
a. Gender identity disorder
b. Sexual dysfunctions
c. Paraphilias
12. Abuse and violence
a. Victims of violent behavior
! Child
! Spouse
! Elderly
b. Torture and ritual abuse
c. Rape and sexual assault
C. Legal issues affecting mental health nursing
D. Future trends and issues in mental health nursing practice
E. Community-based mental health programs
Guide for RLE
Course Name
Course Code
Course
Description
Course Credit
Contact
Hours/Sem
Prerequisite
Placement
Course
Objectives
Provide opportunities to care for actual clients in the hospital and

community to ensure competencies are developed.
:
:
:
BIOETHICS
Bioethics
This course deals with the application of ethico-moral and legal
concepts and principles to issues that affect the practice of nursing.
These provide the basis for appropriate decision making given varied
situations, to prepare the learner to render effective, efficient and safe
nursing care. Furthermore, related learning experiences provide
opportunities to concretize commitment to nursing. The critical thinking
process shall be used in the unit with the objective of developing the
intellectual capacity to conceptualize and contextualize what students
know about particular ethico-moral and legal issues.
3 units lecture
:
:
:
:
54 lecture hours
Logic, Philosophy of Man
3rd Year, 2nd Semester
At the end of the course and given actual and relevant simulated
situations/ conditions, the student will be able to:
1. Explain the concepts, theories and principles of bioethics in nursing
and health.
98
Course Outline
2. Apply relevant bioethical principles in nursing and health related

situations.
A. Definition of terms
1. Ethics
2. Biology
3. Bioethics
4. Health ethics
5. Professional ethics
6. Prevalence of bioethical issues
! Abortion
! Euthanasia
! Suicide
! Determination of death
! (Biological and clinical death)
! In-vitro fertilization
! Stem cell technology
B. The human person
1.The personhood
2. Human acts & acts of man
a. knowledge
b. freedom
c. conscience
C. Types of ethical thoughts
1. Cantian
2. Rawls ethics
3. St. Thomas Aquinas
4. Ross ethics
! actual/ prima-facie duty
! duty of fidelity
! duty of reparation
! duty of gratitude
! duty of justice
! duty of beneficence
! duty of improvement
! duty of non-maleficence
D. The calling of the health care provider
1. The health care profession
2. The client
3. The health care provider
4. Health care provider-client relationship
E. The Qualities and responsibilities of a good health care provider
to the client, society and its profession
F. Virtues, vices, & habits of a health care provider
1. Virtues
2. Vices
3. Habits
a. Types of good habits
b. Types of bad habits
99
4. Virtues of the health care provider

! Fidelity
! Honesty
! Integrity
! Humility
! Respect
! Compassion
! Prudence
! Courage
5. Vices of the health care
! Fraud
! Pride
! Greed
G. Basic ethical principles
! Stewardship
! Totality
! Double effect
! Cooperation
! Solidarity
H. Major bioethical principles
! Respect for person & justice
! Non-maleficence
! Beneficence
I. Application of bioethical principles to the care of the sick
1. Functions of informed consent
! Protective and participative
2. Rights of a patient
Course Name
Course Code
Course
Description
Course Credit
Contact
Hours/Sem
Prerequisite
Placement
:
:
:
NURSING RESEARCH I
NRes I
This is an introductory course intended to equip the nursing students
with concepts, principles in research starting from an overview of the
major phases of the research process. The course will include
discussions from formulation to dissemination of research findings,
focus on the formulation of a research problem to the selection of the
research design, planning and choosing the appropriate research tools
for data gathering. This course will require the student of group to
present a research proposal in a colloquium with the application of
knowledge and demonstration of skills and attitude in the
conceptual, design and planning phases of the research process.
2 units lecture 1unit RLE
:
:
:
36 lecture hours; 51 RLE hours

Biostatistics
3rd
year, 2nd semester
100
Course
Objectives
Course Outline
At the end of the course and given actual situation, the student will be
able to:
1. Discuss the major phases of the research process.
2. Present a group research proposal based on an identified
clinical/situational problem.
A. Introduction to nursing research
1. Definition of nursing research
2. The importance of research in nursing
3. Roles of nurses in research
4. Evolution of nursing research
5. Purposes of nursing research
B. Overview of the research process in quantitative and qualitative
studies
1. Major phases of a research process
a. The conceptual phase
! Formulating and delimiting the problem
! Sources of research problem
! Criteria in evaluating research problem
! Criteria for stating research problem
b. Reviewing the related literature
! Purpose of literature review
! Categories of references
! Locating relevant literature for research review
c. Defining the framework and developing conceptual
and theoretical frameworks
d. Definition of important terms: concept, construct,
conceptual models and statistical models
e. Formulating hypotheses
! Purpose of research hypotheses
! Types of hypotheses
! Criteria considered when stating hypotheses
2. The Design and planning phases
a. Selecting a research design
b. Major categories of research design
! Experimental designs
! Non-experimental designs
! Qualitative designs
c. Characteristics of research designs
d. Identifying the population to be studied
! Differences between total & target populations
! How to determine sample
e. Designing the sampling plan
! Methods of sampling
f. Specifying methods to measure variables
101
Primary methods
- Self report/questionnaire
- Observation
- Interviews
- Bio-physiologic measurements
! Secondary methods
C. Ethical aspects of nursing research
1. Ethical principles for protecting study participants
a. Beneficence
b. Respect of human dignity
c. Justice
2. Procedures for protecting study participants
a. Informed consent
b. Risk/benefit assessment
c. Confidentiality procedures
d. Debriefings and referrals
e. Treatment of vulnerable groups
f. Institutional reviews, boards and external reviews
D. Steps of writing a good research proposal
!
Course Name:
Course Code
Course
Description
:
:
Course Credit
Contact
Hours/sem
Prerequisite
:
:
Placement
Course
Objectives
CARE OF CLIENTS WITH PROBLEMS IN CELLULAR

ABERRATIONS, ACUTE BIOLOGIC CRISIS, EMERGENCY AND
DISASTER NURSING
NCM 106
It deals with the principles and techniques of nursing care
management of sick clients across the lifespan with emphasis on the
adult and older person with alteration/problems in cellular aberration,
acute biologic crisis, including emergency and disaster nursing and IV
Therapy.
6units lecture, 5units RLE (2units Skills Lab ; 3units Clinical)
108 lecture hours, 255 RLE Hours
NCM 104-Care of clients with problems in inflammatory and
immunologic response, perception and coordination
NCM 105-Care of clients with maladaptive patterns of behavior
4th Year, 1st Semester
At the end of the course, and given actual clients with problems in
cellular aberrations, acute biologic crisis and emergency, the student
should be able to:
1. Utilize the nursing process in the care of individuals, families
in community and hospital settings.
102

laboratory findings
Identify actual and potential nursing diagnosis.
Plan appropriate nursing interventions with client/s and
Implement plan of care with client/s and family
Evaluate the progress of his/her/their clients condition ad
outcomes of care
2. Ensure a well organized and accurate documentation system

appropriately
4. Observe bioethical concepts/ principles, core values and
nursing standards in the care of clients
5. Promote personal and professional growth of self and others
Course Outline
I. The Individual across the lifespan

clients that contribute to the development of cellular aberration
lung, breast, uterine, prostate, colorectal and skin
psychosocial and behavioral assessments
children, adults, deviations from normal:
1. Cellular aberration
a. Inspection vasculature, symmetry, movement,
nodules, discharges, masses
b. Auscultation heart sounds, breath sounds, bowel
sounds, vascular sounds, friction rub
c. Palpation masses, tenderness, nodules, lesions,
distention
d. Percussion gas patterns, areas of flatness and
dullness, liver span, masses, ascites
3. Acute biologic crisis or life threatening situation
Standard assessment of the critically ill (focused on
history-taking, discriminating PE - airway, breathing
circulation, including hemodynamics status )
D. Results and implications of diagnostic/laboratory examinations of
a. Screening: BSE, pap smear, rectal examination,
b. Non-invasive: MRI, CT scan, bone scan, ultrasound,
thyroid scan
c. Invasive: biopsy, digital rectal examination, cyst
103
aspiration, cystoscopy, lymph angiography, cerebral

arteriography
2. Acute biologic crisis/multiorgan problem
a. Non-invasive: ECG, cardiac rhythms,
b. Invasive: ABG, hemodynamic monitoring, CVP,
pulmonary capillary wedge pressure (PCWP)
E. Pathophysiologic mechanisms:
1. Cellular aberrations
a. Solid tumors lung cancer, breast, uterine cancer,
prostate cancer, colorectal, brain cancer
b. Liquid tumors lymphomas, leukemias
2. Acute biologic crisis /multiorgan system
dysfunction/ emergency
! Cardiac failure
! Acute myocardial infarction
! Acute pulmonary failure
! Acute renal failure
! Stroke
! Increased intracranial pressure
! Metabolic emergencies e.g. DKA/HHNK
! Massive bleeding
! Extensive surgeries
! Extensive burns
! Poisoning
! Emerging illnesses (SARS, Avian Flu)
! Multiple injuries
F. Nursing Diagnoses taxonomy pertinent to problems/ alteration in:
a. Potential for infection
b. Alteration in tissue perception
c.
Activity intolerance
d. Potential for alteration in nutrition less than body
requirement
e. Alteration in oral mucous membrane integrity
f.
Alteration in comfort: pain/pruritus
g. Fluid volume deficit
2. Acute biologic crisis/ multi-organ failure
a. Impaired gas exchange
b. Inability to sustain spontaneous ventilation
c. Dysfunctional ventilatory weaning response
d. Decreased cardiac output (CO)
e. Altered tissue perfusion systemic
f. Alterations in nutrition less than body requirement
g. Fluid volume deficit
h. Activity intolerance
G. Principles of various modalities of management
1. Health promotive
104
2. Disease preventive
3. Curative
4. Restorative
H. Principles of management for altered
b. Definitive management; surgery, chemotherapy, radiation
therapy, biotherapy
c. Blood component replacement
d. O2 therapy
e. Drug therapy
f. Hydration
g. Prevention of infection
h. Supportive management
i. Prevention of complications
j. Rehabilitation
2. Acute biologic crisis / multi-organ failure
b. Life saving interventions: basic life support, advanced
cardiac life support, first aid measures, fluid
resuscitation
c. Life maintaining interventions: airway management
and care of patients with ventilator, parenteral fluid
administration including blood and blood component
therapy, interventions for cardiac output problems,
pharmacologic interventions for hemodynamic
instability, continuous hemodynamic monitoring,
interventions for neural regulation, fluid and
electrolyte problems, nutrition and perioperative
problems
d. Psychosocial and behavioral interventions: measures
to relieve anxiety, fear, depression, critical care
concerns life: immobility, sleep deprivation, sensory
overload, body image alterations, grieving,
sexuality, spirituality
e. Supportive management
f. Prevention of complication
g. Rehabilitation pulmonary, cardiac, neurologic
I. Pharmacologic actions, therapeutic use, side effects, indications,
contraindication, and nursing responsibilities:
1. Cellular aberrations
a. Anticancer agent
b. Analgesics
c. Narcotics
d. Corticosteroids
e. Antibiotics
f. Antipruritus
g. Analgesics, opioids
105
3. Acute biologic crisis/multiorgan failure

a. Analgesics
b. Narcotics
c. Corticosteroids
d. Antihypertensive
e. Vasopressors
f. Antibiotics
g. Parenteral fluids
J. Purpose, indications, nursing responsibilities for the following
surgical and special procedures
a. Major surgical procedures: lobectomy, pneumonectomy.
mastectomy, nephrectomy, prostatectomy, colectomy,
colostomy, bone marrow transplant, urinary diversion
b. Special procedure: brachytherapy, radiation therapy
Reverse isolation, chemotherapy,
2. Acute biologic crisis/multiorgan failure
a. Surgical procedure coronary bypass, angioplasty, skin
grafting,
b. Special procedures advanced life support, parenteral
hyperalimentation, ventilatory support, fluid
resuscitation, first aid measure including emergency
wound and trauma management, IV therapy
K. Safe and comprehensive perioperative nursing care
a. Assessment and care during the perioperative period
b. Techniques in assisting the surgical team during the
operation
c. Principles of safety, comfort and privacy during the
perioperative period
d. Nursing responsibilities during the perioperative period
L. Steps/pointers in decision making and prioritization with client/s
having problems in inflammatory and immunologic reaction,
cellular aberration, acute biologic crisis/multiorgan failure,
including emergency an disaster preparedness
M. Principles, concept and application of bioethics in the care of
clients
N. Developing outcome criteria for clients with problems in
inflammatory and immunologic reaction, cellular aberration,
acute biologic crisis/multiorgan failure, including emergency an
disaster preparedness
O. Appropriate discharge plan including health education
P. Accurate recording and documentation
III. Disaster & emergency
A. Definition of emergency
B. Types of emergency
C. Triage
106
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
1. Objectives
2. START triage
3. Military triage
Hospital emergency incident command system
Incident command education
Hospital operations plan
Personal protective equipment
Hazardous materials
Decontamination
Biological warfare and biological agents
Blast injuries
Natural disasters
Stress reactions
! Post traumatic
! Stress disorder critical incident stress management
! Debriefing
Nurses role in disaster and emergency
IV. Intravenous parenteral therapy

A. Basic foundation of IV therapy
Philosophy
Historical background of IV therapy
Standards and competencies of IV therapy
B. Content
Review of anatomy and physiology of the vascular
Peripheral and integumentary system
Fluid and electrolyte therapy
Venipuncture technique on adult and children
Complications of IV therapy
Infection, control & microbiology
Demonstration of procedure
Documentation activity
C. Performance scale for IV therapy
Guide for RLE
Provide opportunities to demonstrate procedures needed in acute

biologic crisis.
Acute Biologic Crisis: Provide opportunities for actual experience to
ensure competencies in caring for clients with acute biologic crisis and
those with emergency situations are developed.
For Disaster Situations: You may provide simulated scenarios/
situations for these experiences
IV Therapy:
Faculty member handling the course must have a current
certificate as IV Therapist
Provide opportunities for demonstration/return demonstration
107
through the use of an IV dummy arm and one-on one

intravenous insertion
Equipment and
Materials
[these could be
found
in
nursing skills
lab,
base
hospital,
affiliating
centers]
Cellular Aberration: Breast examination model, cervical examination

model, safety guidelines for chemotherapy and radiotherapy, safety
barriers, for chemotherapy and spill kits.
Acute Biologic Crisis: Cardiac monitor, EKG machine, oxymeter,
ventilatory support equipment, endotracheal tubes, tracheostomy tube,
airway, BP apparatus, stethoscope, oxygen tank, O2 regulator,
humidifier, monkey wrench, O2 tubings, O2 cannula/catheter, O12
masks, croupette, O2 tent, suction catheters, suction machine, cardiac
arrest board, gloves, peak flow meter, tongue depressor, microscope,
glass slide, one-way/two-way/three-way water seal drainage, CVP
manometer and tubing, peritoneal dialysis set, dialyzing solution,
hemodialysis machine (optional), incubator, Billi light, Isolette, Model
for basic and advance life support, including equipment and materials
for NCM 104 and NCM 105.
IV Therapy: IV arm dummy, IV injection tray, IV needles, cotton and
alcohol
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact
Hours/sem
Pre-requisite
:
:
:
Co-requisite
Placement
Course
Objectives
:
:
Course Outline
NURSING LEADERSHIP AND MANAGEMENT (Lecture)

NCM 107-A
This course deals with the concepts, principles, theories and methods
of developing nursing leaders and managers in the hospital and
community-based settings. It also includes ethico-moral/legal aspects
of health care and nursing practice and the nurses responsibilities for
personal and professional growth.
4units lecture
72 lecture hours
NCM 104-Care of Clients with Problems in Inflammatory and
Immunologic Response, Perception and Coordination
NCM 105-Care of Clients with Maladaptive Patterns of Behavior
NCM 106-Care of Clients with Problems in Cellular Aberrations, Acute
Biological Crisis, Emergency and Disaster Nursing
4th Year, 1st semester
At the end of the course, the student shall be able to:
1. Discuss principles of leadership and management
2. Apply the principles learned in organizing and conducting a
seminar
A. Management
1. Definition/description
2. Universal principles of management.
3. Theories of management
4. Management process.
108
a. Roles that managers fulfill in an organization

5. Strategic planning process
b. Vision/mission/philosophy/objectives/core values
6. Standards of nursing practice
B. Management functions
1. Planning
2. Organizing
a. organizational structure
b. staffing (selection, orientation, job description)
c. patient classification system
d. scheduling
e. modalities of care
! case method
! primary nursing
! team nursing
! modular nursing
! functional nursing
! modified method
3. Directing/leading
a. Leadership theories
b. Leadership styles
c. Leadership skills
! Case analysis
! Decision making
c. Bases for power
d. Principles of delegation
e. Communication
f. Motivation theories
g. Time management
h. Conflict management
4. Controlling
a. budgeting
! types of budgeting
! costing of nursing services
b. performance evaluation/appraisal
! feedback
c. staff development
d. quality improvement /quality management
! nursing audits & rounds
! variance reports
! solutions to identified problems
C. Professional and Personal Development
1. Ethico moral aspects of nursing
a. Code of Ethics for Nurses in the Philippines
b. International Council of Nursing (ICN) Code of Ethics for
Nurses
2. Legal Aspects of Nursing
a. RA 9173 or The Nursing Act of 2002
109
b. Legal Responsibilities of Nurses

c. Other Laws Affecting Nursing Profession and the Nurse
(e.g. Magna Carta for Public Health Workers, Labor
Code, Rooming In and Breastfeeding Act, Milk Code,
Senior Citizens Act, Sexual Harassment, Clean Air
Act, Local Government Code, Dangerous Drugs Act,
etc. )
d. Malpractice and Negligence Act
e. Contracts/Wills/ Testaments
f. Legal protections in the nursing service
3. Personal /professional
a. Positive image of a professional nurse
! Self assessment
! Self awareness
b. Roles and responsibilities of beginning nurse practitioner
! Benners theory
! Nurse practitioner
c. Career Planning
! Beginning a job search
! Sources of job leads
! Developing a resume
- Elements
- Types
- Writing a cover letter
- Developing an electronic resume
! Tracking job leads
! Dressing for a successful interview
! Answering interview questions
! Resigning from a nursing position
d. Emerging opportunities
! Fields of specialization
! Expanded roles of nurses
! Balancing personal and professional needs
e. Issues and trends in nursing practice/education
[migration, aging population, complementary therapy,
medical tourism, evidencebased practice, etc.]
f. Nursing associations
! Accredited professional organization
! Interest groups
! Specialty organizations
4. Leadership in community development
a. Application of concepts, approaches, methodologies,
strategies and tools in community development discussed
in NCM 100
b. The Community as a client
! Community diagnosis definition, types, components,
phases
! Definition of health problems, nursing problems
110
D.
! Priority setting based on selected criteria

! Strategies in people participation
! Programs for basic health services (maternal and
child health, family planning, medical care,
environmental sanitation, communicable disease
control) and the nursing components of these
programs
! Existing government and non-government programs
! Community organization definition, principles and
mechanics
! Leadership training principles and process
! Specific programs and projects of DOH
! Concepts and principles of networking and linkagebuilding
! Evaluation of programs and services
! Recording and reporting system (vital statistics,
notifiable disease, services provided to family and
community)
Seminars on issues and trends in nursing and health related
fields
1.Planning
a. Identify issues and trends
b. Map out priority/relevant issues and trends
c. Assign specific topics to the respective groups
d. Prepare schedule for the seminars
e. Formulate objectives for the seminar
2. Organizing/Leading
a. Identify working committees for the seminar
b. Define functions of each committees
c. Assign committee members
d. Delegate functions and responsibilities to the
committee members
e. Prepare schedule of activities
3.Controlling
a.Prepare budget for the seminar
b.Develop an evaluation tool
c.Monitor implementation of the scheduled activities
d.Post seminar evaluation
Course Name
Course Code
Course
Description
:
:
:
NURSING LEADERSHIP AND MANAGEMENT (RLE)

NCM 107-B
This course deals with the application of the concepts, principles,
theories and methods of developing nursing leaders and managers in
the hospital and community-based settings. It also includes ethico111
Course Credit
Contact
Hours/sem
Pre-requisite
Placement
Course
Objectives
:
:
:
:
:
moral/legal aspects of health care and nursing practice and the nurses
responsibilities for personal and professional growth.
3units RLE (3 units Clinical)
153 RLE hours
NCM 107-A
4th Year, 2nd semester
At the end of the course, given a group of clients with varied
conditions, the student should be able to:
1. Utilize the nursing process in the care of individuals, families,
population group, in hospital and community settings.
1.1 Assess with client/s his/her/their condition/health status
through interview, physical examination and interpretation of
laboratory findings
1.2 Identify actual and at-risk nursing diagnosis
1.3 Plan appropriate nursing interventions with client/s and
1.4 Implement plan of care with client/s and family
1.5 Evaluate the progress of the clients condition and
outcomes of care;
2. Ensure a well organized and accurate documentation and
reporting system;
3. Demonstrate leadership and competence in the performance of
her responsibilities as a beginning nurse practitioner in the
hospital or community setting
4. Observes bioethical principles, core values, and standards of
nursing care while practicing nursing
5. Promote personal and professional growth for self and others
RLE shall be offered simultaneously with Intensive Nursing Practicum
Guide for RLE

Provide opportunities for actual head nursing experience in the
hospital to ensure competencies are developed.
Provide opportunities to demonstrate managerial and leadership
functions with the community as the client.
Course Name
Course Code
Course
Description
NURSING RESEARCH II
NRes II
This course is a continuation of Nursing Research 1 which

112
includes collection of data, analysis, interpretation, summary and

conclusion and recommendation. Advising is done throughout the
practicum sessions.
The course will provide the student/group an opportunity to undergo
the final research defense process to appreciate data gathering,
analyze and interpret study results disseminate the findings and make
recommendations based on the results of their respective studies.
Course Credit
Contact
Hours/Sem
Prerequisite
Placement
Course
Objectives
Course Outline
2 units RLE
:
:
102 RLE hours

Nursing Research I
4th year, 1st semester
At the end of the course and given actual situation, a group of student
will be able to:
1. Undertake a final research defense process (from data gathering,
analysis and interpretation of study results, dissemination of the
research findings to making appropriate recommendations based on
the results of their respective studies)
2. Submit a written group research study
3. Critique a research study based on stated guidelines
4. Observe ethical concepts/ principles and standards in research
:
:
:
A. The empirical phase

1. Measurement and the assessment of quantitative data
a. Definition of measurement
b. Levels of measurement
c. Advantages of measurement
2. Reliability
a. Three important aspects of reliability (stability, internal
consistency and equivalence)
3. Validity
a. Three important aspects of validity (content validity,
criterion- related validity & construct )
b. Sensitivity and specificity
B. The Analytical phase
1. Analyzing the quantitative and qualitative data
a. Descriptive data analysis
b. Inferential data analysis
c. Classification of statistics
d. Criteria for selecting statistical tool
C. The dissemination phase
a. Communicating the research findings
b. Using research in evidence-based nursing practice
D. Writing the final research report (handout on research
report)
113
(Format will be given to the students during the discussion)

E. Critiquing of research reports
a. Guidelines for use in critiquing reports
Course Name
Course Code
Course Credit
Contact
Hours/sem
Prerequisite
Placement
Course
Objectives
:
:
:
:
Course Outline
:
:
:
COMPETENCY APPRAISAL I
CA I
3 units lecture
54 lecture hours
NCM 105, Nursing Research 1
At the end of the course, given relevant simulated situations involving
health promotion, disease prevention, health maintenance, risk
reduction, curative and rehabilitative aspects of care for the mother,
child and family, population group and community, the student will be
able to:
1. Apply the nursing process in the care of individuals, families,
population groups in selected settings.
1.1 Assess client/s condition/health
status
through data
derived from case scenarios (history, physical examination,
interpretation of laboratory findings).
1.2 Identify actual and at risk nursing diagnosis.
1.3 Plan appropriate nursing interventions with client/s and
1.4 Implements plan of care with client/s and family
1.5 Evaluates the progress of his/her/their clients condition
and outcomes of care
2. Ensure a well organized and accurate documentation system
3. Utilize bioethical concepts/ principles, core values and nursing
standards in the care of clients
4. Integrate the various competencies in the various key areas of
responsibilities in the care of selected clients.
A. Overview
1. Core competencies under the 11 key areas of responsibility
2. Terminal competencies per nursing care management
courses [NCM 100-104]
B. Nursing clinical scenarios integrating the nursing process, levels
of care/prevention in the nursing management of the following:
1. Healthy/at risk/sick mother and child
2. Sick individual with alterations in oxygenation, fluid and
electrolyte balance, metabolism and endocrine
functioning, inflammatory and immunologic response,
perception and coordination, pain including the
perioperative concept,.
3. Family
4. Population group
114
5. Community
C. Nursing scenarios [integrating communication, health education,
ethico-moral/legal responsibilities and research in various settings]
1. Hospital
2. Home
3. Community
4. School
Course Name
Course Code
Course
Description
Course Credit
Contact Hours
Prerequisite
Placement
Course
Objectives
:
:
:
COMPETENCY APPRAISAL II
CA II
This course deals with the application of the concepts, principles and
processes basic to the practice of nursing with emphasis on health
promotion, health maintenance, preventive, risk reduction, curative
and rehabilitative aspects of care of sick individual with alterations in
cellular aberrations, adjustment problems and maladaptive patterns of
behavior, acute biologic crisis, disaster and emergency. It includes the
utilization of the nursing process and the core competencies under the
eleven (11) key areas of responsibility.
3units lecture
:
:
:
:
90 lecture hours
Competency Appraisal I, NCM 106, Research 2
4th Year, 2nd Semester
At the end of the course, given relevant simulated situations involving
health promotion, health maintenance, preventive, risk reduction,
curative and rehabilitative aspects of care of sick individuals with
alterations in cellular aberrations, adjustment problems and
maladaptive patterns of behavior, acute biologic crisis, disaster and
emergency, the student will be able to:
1. Apply the nursing process in the care of individuals, families,
population group in selected settings.
1.1 Assess client/s condition/health status through data derived
from case scenarios (history, physical examination, interpretation
of laboratory findings).
1.2 Identifies actual and at risk nursing diagnosis
1.3 Plans appropriate nursing interventions with client/s and
1.4 Implements plan of care with client/s and family
1.5 Evaluates the progress of his/her/their clients condition and
outcomes of care
2. ensure a well organized and accurate documentation system
3 utilize bioethical concepts/ principles, core values and nursing
standards in the care of clients
115
Course Outline
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact Hours
Prerequisite
Placement
Course
Objectives
:
:
:
:
4. integrate the various competencies in the various Key Areas of

Responsibility in the care of selected clients
A. Overview
1. Core competencies under the 11Key Areas of Responsibility
2.Terminal Competencies per nursing care management
courses [NCM 105-107]
B. Nursing Clinical Scenarios integrating the nursing process, levels
of care/prevention in the nursing management of the following:
1. Sick individual with alterations in cellular aberrations,
adjustment problems and maladaptive patterns of behavior,
acute biologic crisis, disaster and emergency.
C. Nursing Scenarios integrating leadership and management,
management of resources and environment, records
management, collaboration and teamwork, quality improvement,
ethico-moral/legal responsibility and research in various settings]
Hospital
Home
Community
School
INTENSIVE NURSING PRACTICUM

INP
Actual application of the theories, principles and concepts of clinical
nursing practice to groups of clients in varied settings to refine nursing
skills in the different basic nursing services including community.
Emphasis is placed on integrating the multiple roles of professional
nursing as a vehicle to enhance critical thinking and communication
skills.
8 Units RLE
408 hours Clinicals (24 RLE hours per week)
All Professional subjects
4th year, 2nd semester
1. Apply the nursing process in the care of groups of clients across
the lifespan with varied conditions and the community.
a. Assess the clients total condition and resources
b. Formulate nursing diagnosis based on the data gathered
c. Develop a plan of care for individual, family and community.
d. Implement plan of care applying appropriate interventions
e. Evaluate outcome of care.
2. Demonstrate competencies of a beginning staff nurse, head
nurse, researcher and leader.
3. Observe bioethical principles, core values, and standards of
nursing care.
4. Organize seminars on issues and trends in nursing and healthrelated fields.
5. Promotes personal and professional growth.
116
Course Outline
I. Assignment in the clinical areas:

1. Staff Nurse experience in the ward
! Case Method
! Primary Nursing
2. Public Health Nurse experience in the Rural Health
Unit/Health Centers and Community based Practicum
Case load Management
Participatory approach to developing community
competence
II. Focus of Clinical Experience
A. Nursing process applied in the care of individual, groups of
clients, families and community: Case Load Management,
Conducting Health Programs/Services, Developing Community
Competence
B. Primary nursing elements
C. Standards of care
D. Interpersonal and managerial concepts and strategies.
1. Unit management
2. Staff development
E. Evidence-based practice
III. Conduct:
1. Case presentations
2. Seminar on trends in patient care
Guide for RLE
Planning for the RLE of INP and NCM 107 shall be done
simultaneously within the semester to be reflected in one clinical
rotation.
Provide opportunities for actual hospital experiences applying the
primary nursing and the case method of assignment to ensure
competencies are developed.
Provide opportunities for actual experiences with community as a
client.
117
Nursing Electives: Students shall choose at least two Electives [Elective I and Elective II]
to Complete the BS Nursing Program.
Elective I is taken in the 3rd Year 2nd Semester. Choices for Elective I are as follows:
1. Parent-Child Nursing
2. Spiritual Care Nursing
3. Hospice Palliative Care
Elective II is taken in the 4th Year, 1st Semester. Choices for Elective II are as follows:
1. Acute/Critical Care Nursing
2. Quality Health Care and Nursing
3. Care of the Chronically ill and the Older Person
Course Name:
Course Code
Course
Description
:
:
:
Course Credit
Contact Hours
Prerequisite
Placement
Objectives
:
:
:
:
Course Outline
ELECTIVE I: PARENT CHILD NURSING

Elec I
Nursing interventions/strategies for the prevention and/or management
of behavioral problems of children arising from parent-child
relationships.
2 units
36 hours
NCM 101, NCM 102
At the end of the course, given actual scenarios/situations, the student
will be able to:
1. Explain the developmental tasks of the family as a unit and of
parents;
2. Discuss strategies to address marital relationship problems
based on relevant laws; and
3. Discuss strategies to address parent-child relationship problems
that are age-appropriate and based on relevant laws.
1. The Family as a unit
family developmental tasks
2. Choosing a partner
factors influencing the choice of a spouse
dating and courtship
3. Roles of Married couples
4. Ways of maintaining love and respect between husband and wife
marital relationship
sexual adjustments
power, decision-making and communication
5. Special problems in marital relationships
non-marital relationship/live-in partnership
marital infidelity
domestic violence
6. Law affecting marital relationship
118
Family Code EO 209

7. The Parents
Developmental tasks of parents-to-be: mothering and fathering
Mercers theory and Rubins theory
Behavior and needs of expectant mothers
Mothering role
Fathering role
Selected situational crises affecting parental assumption of their
role:
a. single parenthood
b. birth of handicapped child
c. adopting a child
d. separation/divorce
e. hospitalization/death of a spouse
f. working mother/absentee parent(s)
8. Effects of childless marriage
9. Child Abuse including laws protecting children:
RA 8043 An Act Regulating Inter-country Adoption,
RA 8552 An Act Regulating Domestic Adoption
RA 9231 Special Protection of Children Against child abuse,
exploitation and discrimination
RA 9262 An Act Defining Violence Against women and their
children providing for protective measures for victims
10. Parenting an Infant
Common behavioral problems of infants
Role of the nurse in the care of a family with healthy/ill infant
11. Parenting a Toddler
common behavioral problems
a. bed wetting
b. thumb sucking
c. temper tantrums
accident prevention
role of the nurse in the care of a family with healthy/ill toddler
12. Parenting a Preschooler
Preparing the child for school
Sex awareness/sex education
Common behavioral problems
a. sibling rivalry
b. middle child complex
role of the nurse in the care of a family with a
healthy/ill preschool child
13. Parenting a Schooler
Common behavioral problems
a. under achievement
b. attention deficit hyperactivity syndrome
role of the nurse in the care of a family with
healthy/ill schooler
119
Course Name
Course Code
Course
Description
:
:
:
ELECTIVE I: SPIRITUAL CARE NURSING

Elec I
The course deals with the history, philosophy, theories, principles,
process, modes and interventions of spiritual care. Emphasis is made
on the process of spiritual formation and the role of nurses in
providing spiritual care.
Course Credit
Contact
Hours/sem
Pre-requisite
Placement
Course
Objectives:
:
:
2 units lecture
:
:
36 hours lecture
None
Given relevant situations/conditions, the student will be able to:
1. Apply principles, theories and strategies of spiritual care in
understanding the spiritual needs of the clients.
2. Demonstrate traits and characteristics that reflects the holistic
development of a nurse.
:
Course Outline
1. History of Spiritual Care in Nursing

1.1 Pre-Christian Era
1.2 Christian Era
1.3. Post-Reformation Era
2. The Nature of Spirituality
3. The Spiritual Need
Distinction between Spiritual Needs and Psychosocial
Needs
3.2 Clarifying Spiritual Needs in Terms of Three Dimensions
3.2.1 Physical or Biological Dimension
3.2.2 Psychosocial Dimensions
3.2.3 Spiritual Dimensions
4. How Nursing Today View Spiritual Care
5.1 For a long time, spiritual care was frankly Religious
functions and Intervention limited (at least officially) to
calling the hospital chaplain
5.2 1960-1970 - a growing interest in the spiritual, psychosocial
and Emotional aspects of nursing care
4.3 1971 - The nurse ministering to the whole person
4.4 Spiritual Care- a natural part of total care which fits easily
into the nursing process (e.g Spiritual Assessment and
care)
6. Concepts, theories and applications in the care of the human
Spirit
5.1. Virginia Henderson
5.2 Faye Abdellah
5.3 Joyce Travelbee
120
5.4 Betty Newman

5.5 Parse, Peterson and Zderad
5.6 Jean Watson
6. Ethics in Spiritual Care Nursing
7. The Nurses Role in Spiritual Care
7.1 Nurses Spirituality
Understanding own and the degree to which ones
spiritual needs are being met
Resolving ones spiritual concerns and distress
7.2 Recognizing the nurses own limitations
7.3 Mobilising the patients spiritual resources and
patients expressed needs
7.4 Developing a relationship of trust between the nurse
and the patient
7.5 Awareness and respect of the patients culture, social
and spiritual preferences
7.6 Referral or utilise members of the team is as
important for spiritual care as it is for other aspects of
care
7.7 Documenting spiritual care
8. Patients Needing Spiritual care
8.1 Patient with acute illness
8.2 Chronically Ill Patient
8.3 Children and Families
8.4 Older Adult
8.5. Dying and Bereavement
8.6 During disasters
8.7 During emergencies
9. Personal Spiritual Development: Theological Reflection
10. Meeting the Challenge
10.1 The therapeutic use of the self in meeting the needs of the
human spirit:
The need for love and relatedness, meaning and purpose
and hope
10.2 Attending on going education courses and workshops
dealing with spiritual care in nursing, reading relevant literatures,
interacting with colleagues, liaising with hospital chaplains
Course Name
Course Code
Course
Description
Course Credit
Contact Hours
Prerequisite
Placement
Objectives
:
:
:
:
:
:
:
:
ELECTIVE I: HOSPICE PALLIATIVE CARE

Elec I
This course includes the concepts, principles and theories of hospice
palliative care.
2 units lecture
36 hours
None
At the end of the course, given actual or simulated
situations/conditions in terms of providing quality of life of the person in
121
Course Outline
Course Name
Course Code
Course
Description
:
:
:
Course Credit
Contact Hours
near death situation, the student will be able to:

1. Differentiate the stages of death and dying.
2. Assess the needs of client and family members/carers
3. Identify and prioritize the appropriate nursing intervention
of the client/family/carer at any stage of the life situation.
4. Implement with client/family/carer the most relevant
intervention at present time taking into consideration the
principles and techniques of desired actions.
5. Follow with respect the bioethical and cultural beliefs and
practices of the client/family/carer
6. Relate effectively with clients/family/carer and members
of the health team and others to fulfill the quality of life.
B. Principles of Palliative Care:
1. Affirms life and regards dying as a normal process
2. Neither hastens nor postpones death
3. Provides relief from pain and other distressing symptoms
4. Integrates the psychological, ethical, legal, and spiritual
aspects of care
5. Offers a support system to help patients live as actively
as possible until death
6. Offers a support system to help patients families cope
during the patients illness and in their own bereavement
II. Essential Components of Palliative Care
1. Symptom control
2. Effective communication
3. Rehabilitation
4. Continuity of care
5. Terminal care
6. Support in bereavement
7. Education
8. Research
I. Nurses Role
a.
Providing direct care
b.
Advocate
c.
Counselor
d.
Collaborative Role
II. Issues and Trends in Hospice Palliative Care
ACUTE/CRITICAL CARE NURSING
Elec II
This course is designed to introduce the student to care for critically ill
patients. Emphasis is on rapid assessment, setting priorities, rapid
decision-making and appropriate nursing interventions. The course
may include cases with cardiovascular, pulmonary, renal, neurologic,
and multisystem alterations.
2units lecture
36 lecture hours
122
Prerequisite
Placement
Course
Objectives
:
:
:
All Professional Subjects

4th year, 2nd semester
At the end of the course, students should be able to:
1. Utilize the nursing process in the care of patients with
acute/critical condition.
2. Identify trends and issues related to the care of acutely/critically
ill patients.
3. Apply principles of decision-making, critical thinking and
independent judgment to the care of patients in acute/critical
condition.
4. Observe bioethical principles, core values, and standards of
nursing care.
7. Promote personal and professional growth.
Course Outline
1. Critical care nursing concept

2. Characteristics of acute illness and injury
3. Nursing process applied to acutely/critically ill patients
- Health Assessment
- Correlation of pathophysiology to nursing assessment and
management
4. Trends in the management of acute and critically ill patients
5. Psychosocial concerns in acute illness [e.g. role transition,
sleep deprivators, sensory overload, powerlessness, altered
body image]
6. Critical thinking
- Self-directed decision-making skills
- Critical thinking skills
Course Name
Course Code
Course
Description
:
:
:
QUALITY HEALTH CARE AND NURSING

Elec II
This course deals with the concepts, principles and dimensions of
quality health care, quality standards for Health Provider Organizations
is and implementing a Performance Improvement/management
program in the health care system.
2 units lecture
Course Credit
Contact
Hours/Sem.
Prerequisite
Course
Objective
36 lecture hours
At the end of the course, and given actual health care management
and clinical case scenario, the student will be able to:
1. Implement the PhilHealth Quality Standards.
2. Apply Performance Improvement Program utilizing the rationale
and steps for performance improvement and TQM.
3. Utilize the documentation-Evaluation Action Trend using as
framework the Plan-Do-Check-Act (PDCA) Cycle.
4. Select/use appropriately Quality Improvement Tools.
123
Course Outline
5. Form Quality Circles and Quality Teams.

6. Implement Quality Improvement activities
C. Quality Standards for Health Provider Organizations
1. Patient Rights and Organizational Ethics.
2. Patient Care Standards
3. Leadership and Management
4. Human Resource Management
5. Information Management
6. Safe Practice and Environment
7. Improving Performance
D. Rationale and Steps for Performance Improvement
E. TQM Program Implementation Steps.
F. The Documentation Evaluation Action Trend.
1. Documentation
Safety
Consistency of purpose
Standardization
Improvement
2. Evaluation
Reflection and analysis
Integrative
3. Action
Improved performance based on the information
G. The Plan-Do-Check-Act (PDCA) cycle
H. Quality Improvement Tools:
1. Problem Identification Tools
Affinity Diagram
Brainstorming
Flowchart
Nominal Group Technique
2. Problem Description Tools
Bar Graph
Check Sheet
Force File Analysis
Line Graph
Pareto Chart
Pie Chart
3. Problem Analysis Tools
Fishbone Diagram
Matrix Diagram
Scatter plot Diagram
4. Solution Development Tools
Prioritization matrix
Process Decision program Chart (PDPC)
Tree Diagram
5. Quality Monitoring Tools
Control Chart
124
Histogram
Radar Chart
I. Quality Circles and Quality Teams
J. Quality Improvement Activities
Clinical Practice Guidelines
Clinical Pathways
Medical/Nursing Audit
Utilization Review
Complaints Analysis
Morbidity and mortality meetings
Sentinel Events Monitoring
Credentialing and Clinical Privileging
Variance Reporting and Analysis
Course Code:
Course Code
Course
Description
Course Credit
Contact Hours
Prerequisite
Placement
Objectives
:
:
:
Course Outline
:
:
:
:
CARE OF THE CHRONICALLY ILL AND THE OLDER PERSON

Elec II
It deals with the concepts, principles and techniques of nursing care
management of those with chronic illness and the older persons
2units lecture
36 hours
None
4th Year, 2nd Semester
At the end of the course, given scenarios/situations, the student should
be able to:
1. Utilize the nursing process in the care of patients with chronic
illness and care of the older person
2. Discuss special concerns, issues and trends in caring for the
chronically ill and the older person
III.Chronic Illness
A. Key Problem Areas Experienced By Patients With Chronic
Illness
B. Review of the Pathophysiology of selected chronic
conditions:
Heart
Disease,
Hypertension,
Chronic
Obstructive Pulmonary Disease Diabetes, Cancer,
Dementia, Stroke
C. Specific assessment focus and management of the above
conditions
D. Health Education in Chronic Illness
E. Behavioral Management in chronic illness
Coping
interventions
for
powerlessness,
hopelessness, sensory deprivation, sleeplessness
etc.
Social Support System and family in Chronic illness
F. Issues and Trends in Chronic Care
125
IV. Care of the Older Persons

A. Factors that affect normal functioning of the older persons
Demographics of Aging
Theories of Aging
Socioeconomic Aspects of Aging
The Aging Family The Well Older Person Changes in the
Older person and their Implications to Care
Physical/ Physiological/Biological
Social and Psychological Emotional
B. Cultural factors/ethnicity such as regard for elders, perception of
health
C. Risk factors associated with chronic illness
D. Patterns of Illness of the older persons
E. Comprehensive geriatric assessment
F. Nursing Diagnosis related to Wellness, & chronic illness
G. Problems related to the older persons
Physiologic functioning
Behavioral
Safety
H. Needs for Self-care, life support, health maintenance
I. Health problems in chronic illness
J. Levels of care
K. Principles in the care of the older persons
Wellness
Health promotion
Chronic illness
Recovery and rehabilitation
Quality of Life
L. Nursing Interventions for specific problems of the older persons
include care that support:
Wellness
Nutrition support
Activity and exercise
Stress management
Physiologic functioning
Activity & exercise
Nutrition support
Respiratory management
Tissue perfusion management
Electrolyte and acid-base balance management
Skin/wound management
Physical comfort promotion
Behavioral
Coping assistance
Patient education
Spiritual care
126
Safety
Risk reduction activities
Management of the environment
Bioethical components of care
M. Community resources for care of older persons
N. Criteria for evaluation
Indicators for wellness
Responses to care
O. Gerontological nursing concepts, standards of care
P. Ethical aspects in the care of the older person
Q. Current trends and issues in the care of the older person
R. Evidence based interventions in the care of older persons
127
Annex B
GUIDELINES FOR IMPLEMENTING RELATED LEARNING EXPERIENCES
The Bachelor of Science in Nursing (BSN) curriculum is a competency-based and
community-oriented curriculum. The teaching-learning process is composed of the
theoretical/didactic and experiential/RLE. The Related Learning Experiences (RLEs) is
composed of Clinicals and Skills Laboratory. The RLE activities are carefully selected to
develop competencies utilizing the nursing process in varying health situations.
Hence, the challenges depend greatly in the preparedness and ability of the
faculty to organize the learning experiences in the classroom or various health situations
based on the clearly-defined objectives.
The RLE is viewed in terms of changes in the behavior of the students and not
just in terms of content. The faculty must be competent in selecting RLE that will provide
for continuity, sequence and integration of principles, concepts, skills and values that
have been previously learned in the classroom and other situations.
In coming up with the proposed formula for determining cost of RLE per student,
considerations were given to (a) Rules and Standards of Nursing Education and the
prescribed units and hours for the RLE in the BSN Curriculum, (b) faculty preparation,
and competence. The following should be considered:
1.
A class is composed of 48-50 students.

Faculty-student Ratio for RLE (clinicals in hospital/community setting) per
semester and year level shall be:
2nd Year level 1:8 students to a group (1st Semester)
1:8 students to a group (2nd Semester)
3rd Year level 1:10-12 students to a group (1st Semester)
1:10-12 students to a group (2nd Semester)
th
4 Year level 1:12-15 students to a group (1st Semester)
1:12-15 students to a group (2nd Semester)
3.
Related Learning Experiences hours required

for the whole program . . . . . . . . . . . . . . . . . . . . . ttt 2, 346 hours
128
`
Courses
Health Assessment
Nursing Research I
Nursing Research II
Total
4.
Skills Lab
Clinical
1
0
.5
1.5
1
0
2
0
2
0
1
3
1
5
1
5
1
3
0
2
2
3
0
3
0
8
12.5
33.5
46 RLE Units
RLE Contact Hours

(1 credit unit =51
hours)
51
102
51
102
102
204
306
306
204
102
255
153
408
2,346 hours
Basis for Computation to Determine RLE Fee:

Number of hours assigned to faculty X hourly rate = RLE Fee
Hourly rate shall be specified in the Guidelines for Affiliation
promulgated by the Department of Health
5.
Computation of RLE Hours: 1 unit = 51 hours
129

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Republic of the Philippines

OFFICE OF THE PRESIDENT

CHED MEMORANDUM ORDER (CMO)

e. Commitment (commitment to a culture of excellence, discipline,

Section 5. Graduates of Bachelor of Science in Nursing program must be able to

Obtains informed consent

Includes client and family in care planning

Identifies the cost-effectiveness in the

Considers nature of learner in relation to:

Provides for a conducive learning situation

Identifies ones strengths, weaknesses and

Shares with the team relevant information

Documents and reports observed variances

Applies principles of record management

Creates trust and confidence

Interprets and validates clients body

Makes use of available visual aids

Provides reassurance through therapeutic

Contributes to decision making regarding

Specifically, the student shall:

Section 8. Curriculum Outline

RLE Contact Hours

Section 9. Program of Study

Care of Clients with Problems in

Care of Clients with Problems in

Prepares short term and long term plans;

The following conditions for employment must be observed:

11.4 Upon appointment, a faculty member should have a duly notarized

At least 126 square meters or approximately two (2) classrooms shall be

13.2. Classroom Requirements:

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

13.4. Clinical Facilities and Resources:

environment conducive for the attainment of the teaching-learning objectives. The

Related Learning Experience (clinicals) shall be offered simultaneously

c. A documented RLE rotation plan showing distribution of students and

The ratio of faculty to student for RLE (Clinicals in Hospital/Community

Section 16. Recognition and Accreditation

THEORETICAL FOUNDATIONS IN NURSING

Different views of person, health, environment and nursing by

14. Ida Jean Orlando

ANATOMY AND PHYSIOLOGY

VI. The Digestive System

1. Male Reproductive System

8. Communicating with people who are

4. Self-awareness/concept (Who am I?)

Guide for RLE

Provides opportunity to care for a healthy/well client.

Hospital forms and logbook

I. Review of the Nursing Process

C. Techniques in physical assessment

Guide for RLE

IV. Diagnostic tests (routine laboratory exams)

COMMUNITY HEALTH NURSING

3 units lecture; 2 units RLE (0.5 Skills Lab; 1.5 Clinicals)

4. Share leadership/relate effectively with others in work situations

preventive strategies over curative

c. Community organizing towards community participation in

a. Definition and uses of vital and health