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, IJltroduced by Senator Antonio "Sonny" F. Trillanes IV 
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EXPLANATORY NOTE 
! ! The p4s*ge of Republic Act 9173 otherwise known as the Philippine Nursing Act of 2002, was 
envisage4 to respond to the emerging pressures of globalization vis-a-vis the nursing profession. 
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! H;owevftf, more th1,lU: ten years thereafter, the nursing sector sees the inadequacies of said 
professiohal regulatorY law in providing an adequate nursing personnel system in the country 
,that w$,l'~nsure the ?elivery of quality bas~c health services to its ~eople and in meeting the 
Imphe4: demands commg from the MillennIUm Development Pact Signed by the government. 
:Nursin~ ,bractice in, the country must be strategically positioned and allow itself to respond 
proactire;y to local avd global demands and developments. 
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Hence, 'this bill seeks to repeal the ten-year old nursing law and to propose the following 
reforms, ~mong other~: 
, 
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I. '~~panding the roles and responsibilities of Filipino nurses and equipping them towards 
~W~rP.en\len~' practice.' fro~ primary health care to the more ~pecialized and advan~ed 
p~itctIce of nursmg m vanous health care settmgs by expandmg the scope of nursmg 
p~actice t9 enCompass not only nursing education and nursing service but also research, 
le~dershipahd governance as inherent areas of the practice; 
2. ,S¢tting of a national minimum base pay for Filipino Registered Nurses for both 
"g~vernment and private institutions in order to address the profeSSional welfare concerns, 
ierll1ance: cO'~lP-itment to service, and preserve professionalism amongst Filipino 
R!:lgistert~d Nu~ses; 
3. :Promulgating [quasi-legislative powers ofthe Board of Nursing by including the power to 
'c~~ate task; forces/committees and offices to better organize itself and facilitate its 
i11:hctions and ~ursue its programs. 
it is h4~~d that:th,e ~assage of this bill shall provide mechanisms that will result in relevant 
nursin~epucation, hUmane working conditions, better career prospects and a dignified existence 
of our 1flltses. , ' 
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In viewd~the fO~!:lgdil}g, immediate passage of this bill i earnestly sought. 
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"S NN "F. TRILLANES IV 
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SIXTEENTH CONGRESS OF THE 
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REPPJilLIC OF :rHE PHILIPPINES ) 
First I{egular Session 
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JUL 22 f' 2 :14 
SENATE 
____ ~--~~,_--~~-S-.N-o-.~~~1~~O~O---9~~~-----R~l~,,-'f-;;-\-.. _U_B_Y_:~~ 
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b.trl)duced by Senator Antonio "Sonny" F. Trillanes IV 
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,AN ACT 
, 
INSTITUTING REFORMS TO FURTHER PROTECT AND DEVELOP THE NURSING 
PROFEI.lSION, REPEALING FOR THE PURPOSE REPUBLIC ACT NUMBERED 
NINE1;Y,-ONE fIUNDRED AND SEVENTY-THREE, OTHERWISE KNOWN AS THE 
,"PHILIP-INE NURSING ACT OF 2002." 
Be it enacted in the 'Senate and the House of Representatives of the Philippines in Congress 
assembled: 
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ARTICLE I 
TITLE 
SECTION 1. Short Title. This Act snall be known as the "Philippine Nursillg Practice 
Refornj Act of 2qI3. ~i 
ARTICLE II 
DECLARATION OF POLICY 
S~C. 2. Decl4~atioll of Policy. Publio health safety demands a high level of competency 
among Filipino nurse~. It is hereby declared the polioy of the State to guarantee universal access 
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to the Q:e)ivery of ba~ic quality health services through an adequate nursing personnel system 
lhrOUgh'o~t the c6u~try. The State recognizes nurses as prime movers of national development 
lind contfibutors to international cooperation and understanding. As such, the State assumes 
, 
responsibility fo\ thei protection, improvement and development of the nursing profession by 
instituting measrlres \hat will result in relevant and quality nursing practice, humane working 
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conditions, better career prospects, and a dignified existence for nurses to ensure high level of 
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wel1ness fU1d well-being. 
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ARTICLE III 
DEFINITION OF TERMS 
S;EC. 3. For purposes of this Act,the following terms are hereby defmed: 


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:.R:pgulatorjy Commission (PRC), to practice the profession of Nursing. The nurse may als~ 
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be referred tb as Professional Nurse, Registered Nurse, Professional Registered Nurse, or 
'R'iN 
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(b) P~ofessionallRegulation Commission (PRC) - is the government agency described 
1.l~der Re~ublic No. 8981 or as may hereafter be amended or repealed and shall 
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,effective1y be referred to in this law as "the Commission"; 
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(c) Professional Regulatory Board of Nursing (PRBON) - is the administrative body 
created by law to supervise and regulate the practice of the nursing profession in the 
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P~ilippines. As such, the PRBON shall be the ultimate authority in the practice of the 
, 
profession in the Philippines and shall hereinafter be referred to as the Board; 
(d) jA~credittjd' Professional Organization (APO) - a professional organization of nurses 
duly accredlted by the Professional Regulation Commission as per R.A. No. 8981, 
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hereinafter referred to as APO; 
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(e) il'\.blic Health Institution - any government-led, owned or controlled institutions which 
'pursues and realizes the lofty goals and objectives of providing/managing safe, efficient, 
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effective 'and quality public health programs and services and advocacies for health, in all 
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.lekrels of the Health Care Delivery System (HCDS - national to local) which include 
~ali:iong others: Rural Health Units (RHUs/Barangay Health Centers); Research Facilities 
e.,g. Rese~rch Institute for Tropical Medicine, etc.; Training Resource Facilities e.g. the 
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University o~the Philippines College of Public Health and State or Local Colleges and/or 
!upiversiti~s offering Health-Related Programs; the Department of Health and all retained 
lI~alth Facilities, and the like; 
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(1) ,!Ckrtification/Credentialing -
a process undertaken by an individual nurse to be 
ir¥cognized to practice in a specifically defined professional tract i.e. General Nursing, 
,"Nwsing Specialty/Advanced Practice, Nursing Education, 
and Leadership and 
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\GOvernance. The board confers the certification or credential after a validation process 
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IMsed on profllulgated guidelines and mechanisms. 
(g) C~mmissio~ on Higher Education (CHED) - the government agency created to lead, 
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'p~omote"and regulate ,"Higher/Tertiary Education" in the Philippines created under 
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"RFPublic ,Act No. 7722, hereinafter referred to as CHED. 
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(h) 'Bachelor 'of Science in NUrsing (BSN) - refers to the tertiary/higher education program 
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IWhich provides graduates with a Baccalaureate Nursing Degree and shall hereinafter be 
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'jStmdards, 
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as BSN. This program is effectively promUlgated under enabling Policies, 
and Guidelines (PSG) issued by the Commission on Higher Education 
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ARTICLE IV 
SCOPE OF NURSING 
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' 'is,EC. 4. Scope of Nursing Practice. A person shall be deemed to be practicing nursing 
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":1;),' ,: 5 "1itl,lin ~I)~ meaning of this Act"when singly or in collaboration with another, with compensation 
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b*!a fe~,lthe person assumes any or all of the three roles: (1) provider of direct client care, (2) 
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11j«mig~r ;:and leader, and (3) researcher. Clients include individuals with varying age groups, 
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I':~({j:iji~ " :4~altl' !~!}te settidk! Nursing encompasses care of clients in the various stages of human growth 
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'e,l,~~. lopment which covers conception, labor, delivery, infancy, childhood, toddler, 
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Nurses:: are priularily responsible for the promotion of health and prevention of illness. As 
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preven~,'ive, curative and rehabilitative aspects of care, restoration of health, 
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~~) pr~~ipe, nursing care through the utilization of the nursing process. Basic nursing care is 
.' 'rlf :~' I "holi~~if care which includes but not limited to the provision of physiologic, psycho-social, 
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'i' ern<>H4na~ an~ spiritual care. This shaH comprise any or combination of essential primary 
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ren4e~ing health care techniques and procedures, safety and comfort measures, health 
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,education, health counseling, and administration of written prescription for treatment, 
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:: ther~~\es, oral~ topical and parenteral medications, perform peripartal care covering pre-intra-
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'; pos~p~/ium cate Including the performance of internal examination during labor in the absence 
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of ~-rllbnatal bleeding, attend to normal delivery and suturing of perineal laceration and 
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imillediate cm;e of the newDorn; perform perioperative care covering pre-intra-post surgical 
':'/!':;,J!IH :.: ,~,:carelhjterventi?n~; care during emergency \lnd disasters; and end-ot~life care; 
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'! (b)' pro~!4e speclali~ed, expanded, and advanced nursing care based on standards promulgated by 
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m afl~!4ealth caresettmg; 
:'1' Ii::i,l~~" "(d) proyi~e health equcation and health counseling to empower individuals, families, population 
,ll1'i'~!I'~ . , grou~~ and cqmmunities to maintain, attain, restore and sustain optimal health and quality 0 f 
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'te~c~, guidif and supervise students in nursing education programs including the 
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adm/itfstratiOil of nursing services in varied settings such as hospitals, clinics, and other health 
indu~t~y settings where the practice of the nursing profession exists; 
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(I) unde~take cOI)su)tation services and engage in such services that require the utilization of 
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know\i\dge and decision-making skills of a Nurse; 
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health¢are services in varied settings; 
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: (NN,p~,S) and engaging in Continuing Professional Development (CPD) and lifelong learning 
, witl'~l'the context of the national nursing career progression program (NNCPP); 
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(i)' obs~rye at all times, the Code of Ethics for Nurses promulgated by the Board, uphold the 
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I' stan4~ds of stfe ~nd quality nursing practice, and demonstrate responsible citizenship; 
, (j~, un~take Il,ursing and health human resource development, training, and research for 
'"1,, ',con~1~ous quality improvement and evidence-based practice. 
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refers to the healthcare servICes provided by nurses in 
: a2cordl~~e withJ\rticle IV, Section 4 hereof and adheres to the core competency standards 
~re,scri(e~ bytrel ~~ard. N).lrsing Services include provision of beginning, specialized, 
eFl?ande~, and/or ,advanced practice of nursing including nursing management in various 
Ih~~lth~M~' industry-settings such as institutions (hospitals, clinics, schools, or companies, public 
; ,~t~lth j~f:titution,s, eti') or communities where the competencies of a nurse are required. 
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'I, I: ' ':; 'i j' (II) Graduated from a.Bachelor of Science in Nursing from a college or university 
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' duly recognized by the CHED; 
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(2) pcissess a certificate ofregistration and current professional identification card 
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issU(;d by the,Commission; 
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'I' 'j:i 1~~'~,1dv~nced Nursing Practice - is the provision, by nurses, of safe, holistic, and quality 
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(3) p,hydically, mentally, and psychologically fit to practice nursing; 
(4) Not convicted of any crime involving moral turpitude; and 
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(5) A member of the APO for nurses. 
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or hjgherlevel competencies in the deli;very of health care services independently or 
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colla'boratively or as part of the healthcare team. 
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i, i Adv~nced, Practice Nurses (APN) are lJ:urses with the following qualifications over 
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and above the General Practice Nurse requirements: 
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(If) A graduate 'Yith relevant master's degree from a university duly recognized 
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cd) Certified/ cred~ntialed based on standards promulgated by the Board; 
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(3) Demonstrate the requisite experience in the field of specialization/advance 
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practice. 
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(4) Member of iheAPO and the appropriate PRBON-Recognized Specialty 
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. ,,' Nursing Orgflnization relevant to one's specialty/advance practice; 
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1ft) Nu':~ing Service M{lna~ement - refers to the Management and Administration of 
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Nur~ing &ervices by Nurses equipped with the necessary competencies on 
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governance and leadership characterized to wit: 
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(1) first Level Manager, who takes responsibility directly for the physical setup 
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unit, structure, and ,other human resources for healthcare provision; 
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(4) Nlid~le Level Manager, is responsible for the department or section handling 
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than one qr two units, takes care of the financial, logistics, operational functions and 
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(3.) TopLevel Manager, oversees all nursing units in terms of financial and human 
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resoDcrce-rtiquirements for health such as nurses and nursing assistances/adjuncts. 
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Nursing Service Managers are nurses with the following qualifications over and 
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abov~ the 'General Practice Nurse requirements: 
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(1): FQ~ first level managerial position in nursing -
18 units of nursmg 
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ir\anageplent and, clinical subjects in the Master of Arts/Master of Science in 
Nhrsin~', at least three,(3) years of clinical/work experience, and participated in at 
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le~st one (1) research project to improve quality of care.; 
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(2~ For middle level managerial position in nursing -
Masters Degree in Nursing 
a~d at. jeast thtee (3) years, of clinical/work experience, two (2) years of 
m'tmagement experience, and mitiated at least one (1) research project to improve 
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q) Fo~ top level managerial position in nursing - Master's Degree in Nursing 
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arid at least three (3) years of clinical/work experience and five (5) years of 
m~n~g~~ent experience; and initiated at least two (2) research projects to 
impro~e quality of care; 
(4) In all managerial positions - present the necessary Certificate of Proficiency 
(COP) from the Board in observance of the Nursing Leadership and Governance 
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Cflrtifi?ation Pro!,'fatu (Nurse Administrator I, Nurse Administrator II, Nursing 
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(5) . M~st be a member of good standing of the Accredited Professional 
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(APO) ard the appropriate PRBON-Recognized Nursing organization relevant to 
one's NJrsing Management and Leadership Practice. 
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T~e above qualifications shall apply to all nurses occupying managerial positions 
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. I" (lC;0SS all health facilities. 
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iH(~) Ba&alaureate Nursing Program-refers to the nursing education program which 
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Ii L: 'Ii . envisions, woviding sound liberal and professional education and equips basic 
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nursjng students with the necessary competencies for entry-level safe and quality 
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': I : i! ' ::, nursing pnlctice . 
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il,,' 'h.' i. Ad~\s~i~n ,to the baccalaureate nursing program shall require passing a National 
?r;' >:,}': NurSing 1\dmissionTest (NNAT). 
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'~*i~!.li.' i'!I:i~ i Th~;,Cq~k~lum an~ the Related Learning Experiences (RLE) shall be in accordance 
1~ .,1:/;"( i. It: withlthe'l')Iational Nursifig Core Competency Standards promulgated by the Board 
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:' I'ill I," and ~imJleinented through the Policies, Standards and Guidelines (PSG) of the 
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:li;coiu~~Sion on Higher Education (CHED). 
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I· I:. " :!J~~). Gr«kuate, .~ursing iEducation Program-refers to the post baccalaureate nursing 
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progtam which builds on the experiences and skills of a nurse towards mastery, 
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exp'~rt.i~e, and leadership in practice, research, and education. It includes a master's 
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:.::~II.' '1' 'I'!!i' deg~f~ and doctorate degree in nursing founded on the philosophies, scientific body 
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ofki.toWledg,eand p.' ractice. 
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"Ii, !,' Gra4uate Nursing Education Programs and post-graduate courses shall be offered 
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:Iiii,r only I in colleges with Level III Accredited Baccalaureate Nursing Programs in 
:!il!i: 1\ccordl\nce with COJ?111ission on Higher Education (CHED) Policies, Standards and 
,,I,,i{:!,PUi1eliI)FS (PSG) 011 Graduate Education. 
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!(~), Qu.alijicq(ion of FacultyiMembers. 
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Ii::, 1, (1) Fb~Baccalaureilie N\lrsing Education - A faculty member in a college of nursing, 
~ lillt~aiChing professional courses must: 
": tl'(a) b'~: a'holder of a certificate of registration and a current professional identification 
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c~rdissued by the Commission; 
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(br1 ~ave at leasttpree,(3) years of clinical practice in a field of specialization; 
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('j) a me1[nber of good standing in the APO of nurses; 
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(J~ ~ .hdlder ofa, master's degree in nursing education or other allied health 
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s~ietlc,eJ:,conferred' by a college or university duly recognized by the Commission 
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(~:present the ~ecessary Certificate of Proficiency (COP) from the Board in 
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°wservanqe of the Nunsing Edu,cation Certification Program . 
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(2) p'IJr Post-BaccalilUreate NursiI).g Education 
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a i faculty I mep1ber teaching Post-Baccalaureate courses must fo lIow 
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~~t?s~ripdons (a)? ~b), (c), (d), and (e) above; and 
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~ a iJ,urse tel\ching "pro fessional courses" should preferably be one (1) 
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a¢ademic degree higher conferred by a college or university duly recognized by 
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t~e Comlfission 90 Higher Education. 
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l~) Qua,lifif~tiO~ ofthe,Deq~- the Dean of the Baccalaureate Nursing Program must: 
r;1 (1) ,:~ hp,\der ofa m~st~"s degree in n~rsing. 
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i :'[:' curr¢lnt ,professiomil: identification card issued by the Commission. 
II ',ii' (3)~aVe at least three (3) years of clinical practice in a field of specialization. 
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(4) 'fave at, least: tlyee (3) years of nursing education program management 
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'experienceor three (3) y~, ars ofmanagement in any health-related institution. 
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(5) 1)ndergo progressive I training for deans according to set standards and possess 
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! the ne~essa1}' COP :by the Board in keeping with a Nursing Education Certification 
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Program. 
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In a<i/dltion to the requirements for the dean of the Baccalaureate Nursing Program, 
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the 4ean of a Graduate Nursing Progr~m must be a holder of a doctorate degree in 
nursi,n~:conferred by a C()llege ofUnlversity duly recognized by the CHED. 
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ARTICLE V 
ORQ~IZAlll0N OF THE PROFESSIONAL REGULATORY BOARD OF NURSING 
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'iSEC.5. 'Creation and Composition of the Board. There shall be created a Professional 
"~~l~~~ Boa}ct of Nursing' (PRBON), referred to as the Board, to be composed of a 
diilirp~~on and: six (6) members. They shall be appointed by the President of the Republic of 
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\' !t~\l Ph~rj~pines ~om among tl)~ee (3) recommendees per vacancy by the Commission, chosen 
',' 11d rarlli~d fromla:~jstoffive (5) nominees per vacancy by the APO of nurses in the Philippines 
,:, ia1d w'~tx>ssessr~ QUalificatio:ns prescribed in Section 6 of this Act. 
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,\$:f;C. 6. Qu~lifl'Cations ojthi! Chairperson and Members of the Board. The Chairperson 
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i.Jd m~~bers of ~he Board shall" at the time of their appointment possess the following 
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'(~WBej~'fnemb~ of good standing qfthe APO of nurses; 
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Ii :;jlro~e~sionalidertificationca~d issued by the Commission; 
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'I' (4):j$~:~ holder d~ 4 master's degre\l,in nursing and preferably with a doctorate degree conferred 
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'"'"",,n,',,' !,\.',,:' ',~y:fq~llege ~r riversity duly reoognized by the CHED; 
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(S~ H~~e\ at least, f,en (10) years of contmuous practIce of the nursmg profeSSIon pnor to 
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J I <1' l;IIi: ?!rtment,!P~viqed, however,that the last five (5) years shall be in the Philippines; and 
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(6~,N¢ :ci:mvictejl bfany offense:involving moral turpitude; 
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TI~ tr~bersh~1? t~ the. Board: ~hal~ represent the three (3) major areas of nursing, namely: 
'.: ~fsiJJlf~ducatt~n,Nursmg Ser~lCe,:and Commumty Health Nursmg. 
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, ",I:li:'Hstc. 7.~i#lui~~ments Upon Qualification as Member of the Board of Nursing. 
Any 
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, :;i~~r:~:f\~t~Ointed:~ Chairpersof ot member of the Board shall immediately resign from any 
"POS\~i~~ir'any sfr;,ol,':coJlege, university or ,institutions offering Bachelor of Science in Nursing 
, ,~P/~~ rfriew p(p~am: for the Philippine Nurse Licensure Examination or training hospitals or 
, 'h~~it11 fa~l~ities ritt nursing affiliates. An appointee shall not have any pecuniary interest in or 
'aath\tli~t~ative SUflervision over,' any institutions offering Bachelor of Science in Nursing 
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in~IUdij reviewl6lasses. 
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I:::~'S~: Ie. 8.\'Te~m of Office. The Chairperson and members of the board shall hold office f~r 
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a ten?;ljlo!,three :(3) ye\lrs and until their successors shall have been appointed and qualified: 
. ,p~qVl*!dJ,i That the c;:hairperson, and members of the board may be reappointed for another term 
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, Ot, ~ Ii:\~l\Unum oJ sill (6) years. • 
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, ,: 1)fy~~,cl~ncy i~:"j;he Board occurring within the tenn of a member shall be filled for the 
!Iri~x~,lt~4"!portiop ?f the term only. Each member of the Board shall take the proper oath of 
, , !91~c,I~~j~~ to t~~ p~rtormance of duties. 
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: t~¢, i~~tbent ~fairperson and' members 0 f the Board shall continue to serve for the remainder 
'ofth~~ t~rl)1 under Re!JUblic Act No. 9173 or the "Philippine Nursing Act of2002" until their 
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: I'tia:~tts ha~e been appointed by the President and shall have been duly qualified. 
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~: ~i$~C. 9.~, Compensatio~. The chairperson and members of the Board shall receive 
c~mpF:i~~~i~n a~~ allowances ~mparable to the compensation and allowances received by the 
I c~ai~i~~n and ln~tnhers of otl1er professional regulatory boards. 
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., ;, ! s1fre~i,i;~t and;ful'fop( Services. The Board shall be under the administrative supervision 0 f the 
, ': C~~'?~o'n. Aii' re~ords of th~ Board, including applications for examinations, administrative 
, 'I' ~4, :4t~~ 'investigafive cases 'conducted by the Board shall be under the custody of the 
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i I ~\1m!js~ij?~. T¥e iCommission shall designate the Secretary of the Board and shall provide the 
, ~e,?re~Ji\it!!and otp~t s~pport services to implement the provisions of this Act. 
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! " ,r!SFC, 11;: Powers and Duties of the Board. The Board shall supervise and regulate the 
, , ~~~ctr~:~)1e n~rsing ~rofessi9n and shaH have the following powers, duties and functions: 
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.'(/'(~iIIR#~ure tl/eproper co~~'4ct of the Philippine Nurse Licensure Examination (PNLE) 
I'~;' nF~~lder1g the processes and systems of the PRC, which include, but not limited to 
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~, l~a~Wicati~n, testdevelo~ment, examination, correction and release of results. The use of 
(lil;!~~OPri,e tecJmology/modalities during the conduct of the PNLE is encouraged to 
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, ,: Pf~llnce ~ ,clertcy w 1 e up 0 mg mtegnty; 
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C~lilr~~.ue, suspe~d, .revoke. or ~eissue certi~cates o~ registration for the practice of nursing and 
,j:Jen~ure the WIdest publtcatlon through electromc and wntten medm; 
, '. :H~JE,~force \)nd ~onitor safe, and quality standards of nursing practice in the Philippines and 
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! d!!?~Jl.f~clse Jhe powers necessary to ensure the mamtenance of effiCIent, ethlco-moral, 
/': !IIHtllk~ical;ll~d professiol1~1 standards in the practice of nursing towards optimal health and 
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i' ';·\"pl'e'comnton gobd of the nation' 
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; , : I ,I (d?:r~~sure ~ua,lity nursin$ education by exammmg and monitoring higher education 
':1 ,', l!i stituti0j)s \HEls) offering nursing programs and those seeking permission to open 
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,I: ,f ,'rsmg Cptjrses to enSUre that the NNCCS are properly complied with and maintained at 
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, 11ft) i[times::' ,The authority to open and close nursing education programs offered by HEl, 
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;i !~~~l be ~bstt.1d on the CijED, subject to nursing practice standards set by the Board; 
'i: (e)',' !\C:~~duct jlh~arings and investigations, to resolve complaints against actively practicing 
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";ih~1,ses fOti up~thical and unprofessional conduct and violations of this Act, or its rules and 
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i Jr~gulatio1l,s :~rd in connection therewith, issue subpoena ad testificandum and subpoena 
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)~~~es tec'ui:n to require the appearance of respondents and witnesses and the production of 
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,jdR\,~men!s ~nd penalize with contempt persons obstructing, impeding and/or otherwise 
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: lWfffering with the conduct of such proceedings, upon application with the Board or the 
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(~'l~,~'!~:m~lg~~e'~' ~bde of Ethics that is re~ponsive to the needs of the nur~ing profe~sion in 
"l~o~dmatfor(lth the APO of nurses 'Y1thm one (I) year from the effectlVlty of thIs Act 
(g) 1~~~~itute,JU1~: regulate the National Nursing Career Progression Program (NNCCP) in 
, "I~tr~inglo epsure quality continuing professional development of Filipino nurses, 
.r' , i;F:¥~i~~pe~i,alty nursing organizations, create the Council for Nursing Advancement, 
.1~t¢ognit10n, aryl Specialization as well as the various Nursing Specialty Boards to assist 
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ltH~; Board for this purpose; 
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, : (h)r::¥e de~isi<lnd to influence authorities/agencies on matters that directly affect nurses' 
. :d [lfare; 
" (i) jJ:l::sure p~rfotmance of In an dated duties and functions with the provision of operational 
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·.Iri ,1l>urce~' i/l~)uding hu~an resource, physical space and budget to ensure the 
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I:~fiden~~alit~ ~/1d sane~:ity of their functions as provided through the annual budget of 
h. e COml)1i~siQn'as promulgated in the General Appropriations Act; 
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(j) (1$ ur~e and utilize funds earlf\arked for national nursing development; and 
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(k:)~~I;~,~Qrib~ addpt: issue and promulgate guidelines, regulations, measures and decisions as 
. (~y" be':~~cessary for; ~he improvement of nursing practice, advancement of the 
. !~~~:fessio~, ~nd,for th~ pr?per and full enforcement of this Act subject to the review and 
!11).~prOva1;by C01TIm1SSlon. 
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.I~lf~' 12;; A,nnual Report. The Board shall, at the close of its calendar year, submit an 
:: )rinual~ep~rt to~h~l~reSident o~the Philippines through the Commission giving a detailed 
. . accounfqliits pro,cdddings and the accomplishments during the year and making 
i '(ecoJ~,~~ti04 ~;~ tli!ladopticln of measun~s that will upgrade and improve the conditions 
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.affect1~:n~'pr1Jrt:~: of the nUfS!ng profession. 
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s;' ~per~ ~~y mewberofthe Board, after due process, on the following grounds: 
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. ":'!;' ;::I(~;conti~U~neglect of duty or incompetence; 
:,1 ! t:" )J~)~ com1is~~on or toleration of irregularities in the licensure examination; and 
,j ,~~) unpr()fesslOnal, nnmoral or dishonorable conduct. 
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ARTICLE VI 
EXAMINATION AND REGISTRATION 
,1::1 tc. 14. Philippine Nurse Licensure Examination (PNLE). All applicants fur 
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'i: ,P: i.i"'!rrn ohtgist:ation to practicenursiI)g shall be required to pass a written examination, 
!:;~:' ,c'tl~l} be~l~~,I) ,by the Board 111 such places and dates as may be deSignated by the 
, 1 , :F'::iTW~~1t°n: Pr~]Jided,'That it shall be in accordance with existing PRe law. 
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,e~:!trJ~~ii~on for~ntir~es, an applicant, from the time of graduation, must file immediately an 
~1r~i91~n and jst(i.bliSh to the satisfaction oflhe Board that the applicant is: 
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a ,!Citizen of the Philippines, or a .citizen or subject of a country which permits 
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ri~r~'ys t<l, practict( within its t~rritoriallimits on the same basis as the subject or 
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citiz!ill\ 0 f such ~ountry; Provided, That the requirements for the registration Qr 
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li~~~~,in!l ~f nur~e~:in said cou~tries are substantially the same as those prescribed 
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0,£ good moral character; and 
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a,?older 'of a Bachelor of Science in Nursing degree from a college or university 
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that complies with the standards of nursing education duly recognized by the 
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S~~!(Ji~t,: eterm,ed:by the Board taking into consideration the core competencies required of 
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'Inr#se~.l:; rf.sidediJ~,the objectives of the nursing curriculum in response to the needs of society 
a1:'d"hclit tt~industtydemands. The PNLE shall be based on a competency-based test framework. 
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, s~y,e~t~f~ye (75,%)'i,~ftested areas of competencies. An unsuccessful examinee shall be given a 
c~,~nf~fr"l,take th:(PNrE only fQr a maximum of three (3) times, 
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'/, :rj~~c. ls/(;)~t!z ofProfes~ion. All suc~essful examinees shall be required to take an oath 
.' 9£ pr~~~'fjon be~rty' the Board or any government official authorized to administer oaths prior to 
. ~ :·1~istt~Mn and 1ptyall'ractice of the profession . 
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i: .'\$fC. 19.ifssuance of Certificate of Registration/Professional License and Professional 
l~ent~H~ion C1~d. A certificate of registrationlprofessionallicense as a nurse shall be issued to 
, 8!) apriliq~nt whi!l p1)Sses the examination ard upon payment of the prescribed fees. 
Every 
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certifid\:~t ofreg\stra,iionlprofessionallicense shall show the full name of the registrant, the seri'al 
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.n~mb¢ti!tl~e signature of the Chairperson of the Commission and the members of the Board. The 
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c:~ifiC~~ I shall ~ear the logo of the Board and the official seal ofthe Commission. 
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kipro1~~fonal ige~t~~cation card is proof that the holder possesses a valid professional license. 
It is dti1Y!'signed';bY t,he Chairperson of the Commission, bearing the date of registration, number 
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,.:id tl).~:I~~e Of~S,su,~ce and expiration thereof sh~\l likewise be issued to every registrant upon 
~'" 1',yme~~~fthe r~q1;lJffld fees. 
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0rly 1l-~~rsatistacti~n,of all r~gistration req~irements shall a registrant be allowed to affix the 
.'" :initial$!linl.N. a~er, oi1e~s nam~whenever and wherever the signature as nurse is required 
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: in' iel\ti*~?ffici~l pefformanceof dllties and functions as a nurse. 
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'I: ~¥. c. 2~i, F:. ees for EX.f':'. ination and .8.elfistratl."on.. Applicants for licensure and for 
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Isttqtl*n shal~]Pl\Y the preSCribed .fees set by the CommISSIOn . 
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IS "'C. 21, Automatic Registration of Nurses. All those whose names appear in the roster 
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oe"pas~1 .' exaniln~~s;' 'under the PRC Compllter A;~tomated System (CAS) and procedures shall 
ipso fa$i: be registered as protessionainnrses. Sili;de roster of nurses may automatically be used 
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:b)fthe·,::.,'p as blj.si~ for enlistnjent of members foll(lcwing APO-specific membership procedures. 
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. ! .,I~~c. 22~!4~~istl"ation by~('ciproci~~ A'ctrlificate of registration/professional license 
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'II' ",' fay b"!il!f,rued:fth~ut examinahon to nurses registered under the laws of a foreign state or 
" ... ! ?~unt ',;} ".provi~ed". 'fhat the. reql1.irements for r!'Jgistration or licensing 0 f nurses in said 
:Wunt1t.itf 'are s~bf~~ntiallY the ~ame as those pre~~.ribed under this Act: Provided. further. That 
the lav.lsrlf sucli:, country/ies grant .the same privileges to nurses of the Philippines on the same 
, b~sis a~ith~ subJ&,d§ or citizens otsuch foreig~stat~'or country. 
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·'l~fc. 23f1'fciice Throug~ speciallTe~~~rary Permit 
A special/temporary permit 
,mllY bi :~~.' ~ued ~~ tq.~ following p~rsons based OA!.:.qualification standards as determined by the 
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B;ard ,', '~ appr9Ye,d,bY the Commission, The SP~fialltemporary permit shall be effective only 
. ,fpr the~ '~ation qfthe project, ~edical missio~ or ~ijgagement contract. To wit: 
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'1~ 'D Liceri)~e1 ~u~ses froM foreign countrie~~~tates whose services are either for a fee or 
~!~Ii 1 free i'f' tltey are interl/ationally well-kn~,wn specialists or outstanding experts in any 
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or specialty 0r,nursing; 
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, ~f~~ Licenre1 nm-ses froty foreign countri~~/states on medical mission whose services 
li i;i, shall be ;free ,in a pa1icular hospital, ceIi~~r or clinic; 
It) Licenled. ,mrrses fr6m foreign count*,'~es/states engaged by colleges/universities 
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'll : I offer' g nursing as ekchange professors~in a branch or specialty of nursing; and 
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til~, ::~ Licen~ed:~u~ses froJ!fo~eign countries/,f.:'iate who come to aid during declared disaster 
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iStC.:.h4.· , Non-retistration 
and M Non-Issuance 
of 
Certificates 
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R~gist~~i~n/pr~e~sio~al Licehse or Specia(;Te~~Orary Permit. No person convicted by final 
jtirtgm1~' pf any). c~\l11inal offenfe involving moral:;furpitude or any person guilty of immoral or 
diShon@1:~'ible co#d~cr 9r any ~erson declared b)-Jthe court to be of unsound mind shall be 
r~gistel; ii: and b~ ik,sUff a certihcate of registrati~fProfessional license or a special/tempora,ry 
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: The B,J~~ shall )fp~nish the applicant a writt~n st~~:;~ent setting forth the reasons for its actions, 
which '~~11 be i¢biporfited in the records oflhe B9:~rd. 
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~S~c. 25" ~e~~cation 'and Suspension;:~f Certificate of Registration/Professional 
l,icens~i,:~nd C(("c~II'ution of Special/Temporary':~ermit. The Board shall have the power to 
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sU~fe;d' the 
ce~ificate of regiSf~atiOniProfessional license or cancel the 
specia1trpora1 pennit of a nl,lfse upon any 0 fth~tollowing grounds: 
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I(~ For apy:qfthe applicable causes mentio#ed in the preceding section, 
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;~) For Ujlprofessional and unethical cpndui\it, 
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k ¢) For g;'oss ihcompetence or serious ignorlmce, 
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!(?? For ~alpractice or negligence in the pra?,tice of nursing, 
l~~! For trye hse:offraud; !deceit or fals~ stat~ents in obtaining a certificate of 
t:,:;. registtationiprofessiQnallicense or, a. te~porarylspecial permit, 
~~~ For viol~tion of this :Act, ,the rules andi~gUlations, the Code of Ethics for nurses and 
};.' technical standards for' nursing praQtice, the Policies of the Board and the 
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,ll .j, Co~i~sion, or the, ¢onditionsa~d limitations for the issuance 
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'!It t.emp~r~. Ispecial permit,:qr 
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tl~) For practicing the profession during on~\!s suspension from such practice. 
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, 1tevie,~ "tf case~ involving penalties of revocati~r of certificates of registration/professional 
',li4ens~~\!y be ~ndeI'taken after jfour (4) years of~!fectivity upon favorable action by the Board 
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p~ app~a~ for suqp. review following prevailin¥ Ad~inistrative Rules ofthe PRe. 
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ii,: ' '~~fC' 26, Re,[ssuance of Revoked Certifi;~ates and Replacement of Lost Certificates. 
f~e BiJ~~ may,;after t~e eX~ir1;ition of a maXimu~:;o~ four (4). ye~rs from the date of revocation 
0lr, a ~lficate '!ofreg1strahon, for reasons of'~,4ulty and Justice, and when the cause for 
r9,vocajiwt has di~appeared or has been cured and ~brrected, upon proper application thereof and 
f~~pa~Fnt oft~erequired fees! issue another co~t ofthe certificate ofregistration/professional 
Iidense!II' 
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, I Rne\Vi~,,,;tificatl~f~egistratiQn/professional ilice~~'e to replace the certificate that has been lost, 
i hpstro~e~, or m11,hlitti:d may be issued, subject to tl1~ rules of the Board. 
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ARTICLtVII 
::,HU~N RESOVRCES FOR HEALTH(~) PRODUCTION, UTILIZATION AND 
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DEVELOpiUENT 
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'd~~c. 27;iStlidies and Int,!YVentions Jo;', ii}jrsing Human Resource Needs, Production, 
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:' ,I v.1,~iJi~f1ii~r" andfJl, elvelopment. . The Board shal1;idl coordination with relevant nursing and other 
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' '. g~lYe ,,' '~Iit and holi,government agencies: 
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; ;;: :,:'!J~ condJ~t8tudies on h~alth human res()J~ce production, utilization and development; 
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" 'i' ',JiB) causeth,~ implementa~ion ofHRH deve'~pment strategies for nurses to achieve highly 
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,,:',it::i motivated and productive nursing workffrce for the Philippines. 
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!i ; I, 'I'e '~~c. 281' ~urse-patien(:'J1atio - bothg~~~~ment and private healthcare institutions are 
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,: hetebrlr1Jlandated to maintain t~e nurse-pati~nt~a~o standard set by the Department of Health 
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, : , (~?~1~!# close ()ollaboration with the Board: 
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:ti, /:jpi)Jn ho~ril~ls 
- ~ase4 on the acuit*j;itnd authorized bed capacity 
I"IJ~) In comrq~nity healtl:J!,~ based on need, p*pulation, and geography 
,: ," ,rt~) In OccuPftional sett~g .'... based on relevrt legal in~truments 
II lf~) In sc~~~tHealth Settmgs~ based on rel;evant legal mstruments 
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'The ~~$il for the ratio of nur~e-to-patient shall ~e regularly reviewed and updated based on 
tljrre~~t ':'1 d ratio~al health human resource needs with the end 0 f providing safe and quality care 
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to red i~ ts of health care. 
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yl~~c. 29; Institutionalikatiofl of a Nati4pal Nursing Career Progression Program 
1':(.NNJ.JiJ There ~hall be an institutionalized Na~ional Nursing Career Progression Program as 
, ,p~~sc~l~~ in A~icle V, Section 11 (g) of this Aoi:t In the implementation of the NNCPP , the 
~tlar~;,~~~ll coord~ate with the Civil Servi~e C~mmission (CSC), Department of Labor and 
:Empl?f~ent (DPLE), Department Gf Health (Dqrr), Department af Budget and Management 
(DBM11i~nd any) ar all gavernment ~nd nan-goverhment agencies far the effective and efficient 
)mple~~~tation ,pf this program allawing Filip~o nurses to, mave up to, varying levels af 
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profes,,\opal nur~ing practice accarding to, the fo119wing progression-tracks as: General Nursing 
practi~,jTrack, [Nursing Specialty/Advanced Pr4btice Track, Nursing Education Track, and 
Leade~1k1p and povernance Track, all geared tq0ards obtaining the highest level of standards 
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[@r th{!n~hilippiqe Nursing workforce for· in:country and global responsiveness and relevam;e. 
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, :rpwa~4~:lthis end" Nursing Specialty Organi~atiG*~ and organized Advanced Practice Nursing 
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grouPs'i:~~all be,,:r~~OgniZed and' professianal pra¢tItianers certified/credentialed by the Board 
!cpnsid1f~g natl<\nit,l and internayanally benclunar~ed standards af education and practice. 
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Vor pu~(":' '~es of'b~rtificationlcredentialing speciali~ed and advanced practice nurses, assessment 
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mecha~isjtns in~\uding administratiO,n af specia1t~, and advance Baard Examinatians may be 
require!J:l The duncil referred t6 in:ArticJe V, S~~tion 11 (g) and the various Nursing Specialty 
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Board~: ~SB) shall be an integr[ll arm af tbe apard in aur cauntry's effort to, upgrade and 
c6ntin~p,~ly upscale the knowledge, skills, and p~~fessianal attitudes and values af our Nurses 
for daIll,~$tic and!global camparability and camp<1tl~iveness. 
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l$~C. 30; Compensation. It:! arder to e~ance the general welfare, cammitment and 
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highe+~rin oiiprofessional s:ervice to, cou~try~rd peaple, the minimum base pay af nurses 
I,w~rkiri~"h. ~ot~!P~bliC and pri;ate health and ~parth-related institutians shall be in accardance 
'With pre1alimg salary standards set by law and sl:iall regularly be appraised by Congress of the 
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,Republ1cl'of the Philippines cognizaJ;lt af the'prqftt~sianal nature and significant natianal health 
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:,sEC. 31'., IlIc;entives anq Benefits. To, the ~~tent passible and as may be provided by law, 
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,mechadisms shaH oantinuously be explored and,:~ystems develaped by the proper government 
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, and nd~,'govem:inent agencies and instrumentalities, to provide incentives and benefits to 
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, Filipin~,i'Nurses serving in bath gavermnent, and i:'private sectar. The Magna Carta far Public 
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Hea1th'f~\)rkers ~nd the Philippine'Labor Code shaH also be regularly appraised by Congress of 
tfe Re~~lic oftre Philippines ~q respond to work ~d life conditions of nurses in the country. 
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' j~;fCC. 32)Requirement~! for Inactive Nurses Returning to Practice. Nurses are deemed 
! ,t~ be ,W~ctive jhen they are' not utilizing nursing competencies as defined in the scope 0 f 
:~tacticti~ereoffor five (5) consecutive years; 
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i ',iIrlactiy"\linurses 'shall be required' to 
undertak~, appropriate "assessment mechanisms" to 
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:' ~ 'level pf competencies and undergo, a~' necessary, a refresher course following the 
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establif'~d mechanisms by the Board for accreditation ofthe provider and the refresher course. 
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ARTlCL~ VIII 
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PENAL AND MISCELLA~EOUS PROVISIONS 
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:;.f~frC' 33., Prohibition i1the Practice of ~ursing. A fine of not less than One Hundred 
ThoU~~~:i Pesos:: (PhPIOO,OO:.bO)" nor 
more f than Three 
Hundred Thousand 
Pesos 
(~hP3$'!POoo.Oq) or imprisonment of not less tha~ one (1) year nor more than six (6) years, or 
, qoth';~\(),!n, the discretion of the 'court, shall be i)11posed upon the following classification of 
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(a)£~H~ prejudicial to the Practice ofProfessiQl1al Nursing: 
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:" 11l'" violations against the Code of Ethics; , ,. 
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,,' '~~wr,rfs by any person practJcmg nursmg m th~ Phlhppmes wlthm the meamng of tins Act:' 
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:, i1: i~i. without a certificate ~f registrationlprof~ssionallicense and professional identification 
, " !i!.t", card or special/temporary permit or' without having been declared exempt from 
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, I' ',ii;,;.:i:examination in accorc\ance with the pro~ision of this Act; or 
'I' !:!~. who uses as his/her own certificat,es of registration/professional license and 
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. .II ),' iii professional Identit1.qation Card or speG(al/temporary permit of another; or 
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I;i;~: who uses an invalid certificate of registration/professional license, a suspended or 
,I ,I! 'III,i ,revoked certificate Qf registration/pr0f~ssional license, or an expired or cancelled 
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,1 FI] special/temporary pe~mit; or 
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license, 
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professional 
Identification 
Card 
or 
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" ii,ll] ;;:1 who falsely poses or rtdvertises as.a re~lstered/licensed nurse or uses any other means 
1, '''I!~,'iI that tend to convey the impression that.~e/she is a registered/licensed nurse; or 
, I! ,'1!16:who appends B.S.N.; R.N., or any similar appendage to hislher name without having 
'" , ,! 1";1, been conferred said degree or registratiqn; or 
!,' :~,1.'Who as a registered/licensed nurse, abet~ or assists the illegal practice ofa person who 
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«r!Ahy person or chief ex\?cutive officer o:f,a juridical entity who undertakes in-service 
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, ',i: 'l~l'lc~tio~al program or .who conductsi,review classes for both local and foreign 
') i¢)iammation WIthout pel1ll1t/clearance frorn'the Board and the CommIssIon; or 
(J i~t' y person or employer ~fnurses who viOlate the minimum base pay of nurses and the 
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,: ~io, entives and benefits tj"lat should be acc~tded them as specified in Sections 31 and 31, 
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);~icle VI ofthis Act; I ' ' 
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(~,:lA~Y person or the Chief, Executive OfficeriQf a juridical entity violating any provisions of 
::i'ih~s Act. . 
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,II 
ARTICLE IX 
FINAL PRdvISIONS 
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, ": 1~ll:C. 34. Enforcement of this Act. It shall be the primary duty of the Commission and 
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,: the BJilfcfto effectively implem~nt this Act. Lawi~:nforcement agencies and officers of national, 
': pi~v~11~t, city or municipal governments shall,~pon the call or request of the Commission or 
the Bb,'!I~~,'ShalJ render assistanc'e in enforcing tti,e provisions of this Act and to prosecute any 
:, persoJ* io lating the same. 
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, , ,:ii$~c. 35. Appropriations. The chairman of the Commission shall immediately include in 
its prJ~~k~ and issue such rules and regulations .to implement the provisions of this Act, the 
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1i.llldni~l~ifwhich shall be included in the annual Gt)neral Appropriations Act. 
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, : il,SEC. 36: [mplementif!g Rules and Regulation~~ 
Within ninety (90) days after the 
effect~~it,~ of this Act, the B~ard and the ComJission, in coordination with the Accredited 
, Profegdl~hal Organization (APO) and other Profe~sional Nursing Organizations, the Department 
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, qf H~,!.1;ltB. (DOH), the Department of Budget and Management (DBM), the Civil Service 
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, ·10~F1()n (CSC), and otherco1,lcemed government agencies, shall formulate the implementing 
rules ~~i:!hegulations necessary to carry out the provisions of this Act. The implementing rules 
an,d re~J.lations shall be published III the Official Gazette or in a newspaper of general 
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circulaH6lu. 
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; 1~.\i;C. 37. Separability Clause. If any part of this Act is declared unconstitutional, the 
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rema4t* parts not affected the~eby shall continue to be valid and operational. 
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!~~C. 38. Repealing Cl~use. Republic Actlno. 9173, otherwise known as the "Philippine 
Nursin~,,}ct of 202" is hereby ,repealed. All otlkr laws, decrees, orders, circulars, issuances, 
, niles af~iTegUlations and parts \hereof which are inconsistent with the amendatory or repealing 
provis~H~ of this Act are hereby ,amended, repealed, or modified accordingly. 
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: I:$~C. 39. Effectivity clause. This Act s~all rake effective fifteen (15) days after its 
:Ipublic,a,ii~n in the Official Gazette or in two (2) national newspapers of general circulation. 
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