It has to go in a custom footer (not html module) to work*. The source, which also has some interesting thoughts on the desirability of disabling right click, is below: *Using in a custom footer:replace all code in xslt box with this: ]]>


Saturday, July 29, 2006

500 item manuscript in a student's hands confirmed, 17,000 licenses might be revoked - Leonor Tripon Rosero

500 item manuscript in a student's hands confirmed, 17,000 licenses might be revoked - Leonor Tripon Rosero

PRC Chair Leonor Tripon-Rosero confirmed a 500 item manuscript containing all the questions in the previous board examination has landed to some student's hands and is indicative of massive widespread leakage that might compromise the licenses of almost 17,000 new board passers.

" We really do not know how the whole manuscripts landed to the students. " She said.

A week ago, several students claimed that a 500 item "LEAK" was given to them by a certain "COLLEGE" , not a review center.

Students claims that a few minutes after the examination, Some students rationalize ALL the items in the exam while showing a 50 page thick paper ONE BY ONE.

" That is IMPOSSIBLE, it will never be possible that that student can write all the questions and answer while answering the actual examination " A student said.

This issue was brought to the PRC few weeks ago, but was never included in their initial investigation. If it would have been included, it is possible that the results will never be released and all items will be nulled, opening for the grand possibility of a RETAKE.

Rosero said that everything is now at the NBI's hands. While warning all the students who passed that their license is still volatile and once the NBI confirms that a leak existed, They will not think twice to revoke all the 17,000 licenses and suspend the registration all those who took the examination, creating a WORLD RECORD of the most revoked license in a single event in the history of any profession on earth.

However, it will be rosero's own fire that might burn her in the future. Releasing the result is PRCs idea, and revoking 17,000 licenses will only prove that they have DEAF EARS for the deans who requested not to release the result until further investigation by an independent body, which was the NBI.

How NBI will point each and every student that is responsible with the leakage is a herculian task, and more likely ... Those at the topnotchers list are the first one to be investigated, the first ones where NBI's keen eyes will land upon.

Yesterday, OCTAVIANO temporarily halted the oath taking of more than 17,000 nurses who took the board.

" We better wait for the NBI investigation " she said.

Meanwhile, The national frenzy finally reached the senate and congress, both calling for a massive investigation in aid of legislation.

Surely, the future of the 17,821 newly registered nurse is at it's fragile phase. More likely that the bureau will verify the "LEAK" as it was previously verified by the commission who conducted the examination.

Yesterday, NBI said that they are looking for the "NO LEAKAGE" side, exploring all the possibility of the event's determinants, but that was the last thing the 17,000 students expect to hear.

With their license at the edge of a cliff, Students are now realizing the inevitable truth : Their Licenses gone... with the wind.

Nurses’ oath-taking stopped

Nurses’ oath-taking stopped

By Christian V. Esguerra, Michael Lim Ubac
Last updated 05:39am (Mla time) 07/29/2006

THE Professional Regulation Commission has decided to postpone indefinitely the Aug. 22 oath-taking of new nurses as it deals with lingering controversy over the integrity of the last nursing licensure examinations.

Eufemia Octaviano, the head of the PRC’s Board of Nursing, said the postponement would allow the PRC to engage in a comprehensive dialogue with the deans of nursing colleges around the country.

The academics have been insistent that the PRC resolve the question of the alleged leakage in the June nursing licensure exams before swearing in the successful examinees.

A meeting with the nursing deans has been set for Aug. 15 at the PRC office in Sampaloc, Manila.

House probe

In Congress, Surigao del Sur Rep. Prospero Pichay yesterday asked the House committee on good government to conduct an immediate inquiry into the nursing exam leakage.

Pichay said the extent of the controversy reached “far and wide, even placing in an untenable footing the chances of the country’s medical practitioners in the global workforce.”

He said the nursing exam fiasco was the last thing that the country needed.

“Now that we have great demand for nurses abroad, let’s not spoil the situation by casting doubt on the quality of nursing graduates in the country,” said Pichay, the vice chair of the Commission on Appointments.

“We have been banking on our medical practitioners to be one of our greatest assets in competing in the global market, but the issue now casts doubts on their very competency,” he said.

Pichay said the reported leakage, which the PRC had confirmed, put into question not just the integrity of the PRC and Board of Nursing but “also the essential text of the genuineness of our nursing profession’s competency and accordingly, the quality of health care given to our people.”

The House probe will look into the alleged involvement of two Board of Nursing officials and the Gapuz Review Center which has various branches nationwide.

“We should determine whether concerned government officials were guilty of misfeasance or malfeasance,” said Pichay.

The congressman said the inquiry could lead to a thorough review of relevant national laws, including the Nursing Act of 2002 and the PRC Modernization Act of 2000.

“Poor health is injurious to a nation aspiring and working for progress, hence the urgent need to underscore the high competency of the medical workers delivering these services,” he said.

The decision to defer the oath-taking came after an hour-long meeting last Thursday with the nursing deans of the University of the Philippines, University of the East and the University of Santo Tomas.

Lingering doubt

Also present at the meeting were two UP faculty members, three PRC commissioners, four Board of Nursing members, and Dr. Marilyn Lorenzo, director of the Institute of Health Policy and Development Studies of the UP-Manila National Institutes of Health.

Octaviano said the deans “unanimously” asked for the postponement because of what they said were lingering questions over the integrity of the June exams.


Senate, House seek inquiry on nursing board exam


Both the Upper and the Lower Houses seek a congressional investigation of the recent nursing board examination results said to have been rigged by Professional Regulation Board (PRC) insiders.

The said exam, given in June, was taken by a total 42,006 nursing course graduates. Forty two percent or 17,871 passed.

Sen. Richard Gordon filed Resolution 516 calling for a congressional inquiry on the leakage, noting that cheating in board exams has put the integrity of the PRC on the line.

"The rest of the world looks to the Philippines to fill the nursing shortages in their countries due to the reputation of Filipino nurses for their competence, diligence and compassion," said Gordon.

Rep. Prospero Pichay (Lakas, Surigao del Sur), on the other hand, asked the Committee on Good Government to conduct the investigation, airing concern over the adverse effects that the irregularity might cause on the country’s nursing profession and the big demand for Filipino nurses abroad.

Gordon said the recent controvery hounding the nursing board has placed the entire government system in question especially in administering state exams.

"The nursing board leakage is just the latest scandal that undermines public trust in the nurses produced by Philipine schools following allegations of loose accreditation of nursing schools and the Commission on Higher Educations’s feeble enforcement of academic standards in nursing schools," Gordon said.

In an interview, he said the Senate Committee on Civil Service will probe the matter so as to put an end to this fraud.

"These people should be prosecuted and put behind jail," he said complaining that everything now is being rigged including elections. "What will happen to our country when even medicines are being faked? Unscrupulous people who engage in unethical practices, such as cheating in professional board examinations should be punished accordingly to discourage such behavior and ensure that the professional and ethical standing to our nurses are beyond reporach."

Pichay, vice chair of the Commission on Appointments, said the extent of the controversy reaches far and wide, even placing in an untenable footing the chances of the country’s medical practitioners in the global workforce.

"This reported leakage goes deeper than the dubious integrity of the PRC and Board of Nursing (BON) but also to the essential text of the genuineness of our nursing profession’s competency and accordingly, the quality of health care given to our people," said Pichay.

Pichay said the House’s probe should look into the alleged involvement of two BON officials and a review center with various branches nationwide in the leakage of the test questions.

The congressman said the probe would also necessitate a thorough review of relevant national laws, including the Nursing Act of 2002 and the PRC Modernization Act of 2000.

The reported cheating in the nursing board was first reported when an irate examinee complained that a seatmate during the tests passed it without bothering to show up on one of the examination dates. Despite efforts by the PRC to play down the controversy, other schools have likewise launched a protest questioning the integrity of the board exams.

Other examinees have also admitted to obtaining an advance copy of answer sheets three days before the actual test date.

But this kind of controversy is not new to the nursing board. A couple of years ago, the issue of massive cheating surfaced when a relatively unheralded medical school dominated the top 10 of the said test. During investigations, it was learned that answers were also dished out to paying patrons but no one was indicted.

The National Bureau of Investigation (NBI) is now conducting its own investigation after several nursing schools complained.

A postponement of the oath taking of successful examinees was rejected by the PRC which declared that the supposed leakage had no glaring impact on the test.

Source: Manila Bulletin

- brewed

New Nurses in Limbo

New Nurses in Limbo
New nurses in Leakage controversy puts successful examinees’ oathtaking on hold

By Francis Earl A. Cueto, Researcher

The 17,871 new nurses who passed the board examinations in June that was marred by allegations of a leakage will not have their oathtaking as scheduled next month.

The Professional Regulation Commission, which gave the tests, on Friday said the oathtaking ceremony on August 22 has been postponed “until further notice.”

The PRC released the results of the exams on July 19 and its chairperson, Leonor Rosero, said the successful examinees could take their oath even before the National Bureau of Investigation finishes its inquiry into the leakage. But she added that once a leakage is determined the licenses of the examinees could be suspended or revoked.

That was before Eufemia Octaviano, chairperson of the PRC’s Board of Nursing, issued Friday’s order.

Octaviano said she made the decision after meeting with the deans of the colleges from prominent nursing schools such as the University of the Philippines, the University of the East and the University of Santo Tomas.

She said the postponement was meant to allow the PRC to hear the concerns of other deans and await the results of the NBI inquiry.

Nearly 43,000 took the exams. The controversy arose after several examinees reported that copies of the test questions were distributed at a review center in Baguio City.

The PRC said the two employees, Anesia Dionisio and Virginia Madeja, who were identified as the source of the leakage were “inhibited” from their functions and were under investigation.
Determining who among the examinees had received the leaked questions would be the job of the NBI, Rosero said.

“It’s now the job of the NBI to establish if there was really a leakage. The only evidence that we have is the manuscript of the 500 test questions. How this manuscript landed into the hands of the students we really don’t know,” she said.

The board topnotcher came from the University of Pangasinan, with an 83.20-percent score. The second placer was from the University of the Philippines in Manila.

Of the schools with more than 100 examinees, Saint Louis University in Baguio City topped the performance list.

Rosero also dismissed criticisms that the integrity of the board exams had been compromised by the leakage.

Sen. Richard Gordon called for a Senate investigation of the nursing tests.

In a Senate resolution he introduced, Gordon stressed that the “allegations could taint the credibility of the entire government-sponsored testing system and affect the image of all Filipino professionals going out of the country.”

He said the rest of the world looks to the Philippines to fill the nursing shortages in many countries due to the reputation of Filipino nurses for their competence, diligence and compassion toward their patients.

“The nursing board leakage is just the latest scandal that undermines public trust in the nurses produced by Philippine schools, following allegations of loose accreditation of nursing schools and the Commission on Higher Education’s feeble enforcement of academic standards in nursing schools,” the resolution said.

“Since nurses are charged with the health, medical needs and life of their patients, here and abroad, it is essential that the PRC ensures that licensed nurses are competent and fully equipped to perform the responsibilities of the nursing profession.”
Source: The Manila Times
- brewed

Hot Weather Risks

Hot weather is affecting the UK, Europe and the United States. While most enjoy the summer sun, high temperatures can pose a signficant risk to health.
What are the RISKS:


One of the biggest dangers of a heat wave is the increased risk of dehydration.
This is the loss of water from the body, and with it important blood salts like potassium and sodium which play a vital role in the function of organs such as the kidneys, brain and heart.
It can lead to confusion, lethargy and problems with breathing and heart rate.

Heat stroke or exhaustion:

Under normal circumstances the sweat we produce when we get hot keeps us cool when it evaporates from the surface of our skin.
However, on extremely hot days, or when we over-exert ourselves, this system can fail, and body temperature can start to climb to dangerous levels.
This leads to heat stroke or exhaustion. This can cause headaches, dizziness and muscle cramps, but it can also be life-threatening.
It is particularly dangerous because symptoms can come on very rapidly, and - unless you are watching for the signs - very little warning.


A sun tan may look nice, but it is actually a sign of damage to the skin.
Not only is sunburn painful, it can accelerate the ageing process, and increase the risk of skin cancer, including the potentially fatal form, melanoma.

What is the best way to avoid problems?

Drink lots of liquids:

As you will be losing more fluid than normal, it is important to top up your supplies.
The best way to keep yourself hydrated is to drink water, and to sip it, rather than gulp it down.
On an average day, a person weighing 58kg (128lb) should drink eight average-sized glasses of water.
As a general rule, for every 2lbs (0.9kg) of body weight, you need one fluid ounce (28.4ml) of water.
In very hot weather, consumption should be increased. However, drinking excessive amounts can bring problems of its own.
You might think a cold beer is exactly what the doctor ordered, but in fact, alcohol dehydrates the body, and consumption should be kept to a minimum.
If you can't face drinking lots of water, non-carbonated soft drinks, such as fruit juice, are a reasonable alternative.

Modify your diet:

Avoid hot, heavy food.
Salt pills are available to replace minerals lost in the sweat. However, most diets contain more than enough salt, and so this is unlikely to be necessary.

Stay out of the sun:

The best place to be on a blistering day is in the shade.
If you must sunbathe, then ensure that it is for short periods, and that you use sunscreen with a protection factor of at least 15.
If you start to feel queasy or ill then get out of direct sunlight as quickly as possible.
The sun is at its most dangerous between 11am and 3pm.

Be sensible about exercise:

Do not exercise vigorously during the hottest times of the day. Instead, run, jog or exercise closer to sunrise or sunset.
Take things slowly and adapt to the pace of life in the sun. If you feel breathless or your heart is pounding, stop what you are doing and try to cool your body down, for example, by taking a cool shower. Rest if you feel faint or dizzy.

Keep cool:

Wear light, loose-fitting clothing, such as cotton, so sweat can evaporate.
Dark, heavy clothes absorb heat, but remember that some thin materials do not provide a sufficient barrier to the sun's dangerous UV rays.
It is also a good idea to wear a wide-brimmed sunhat, preferably with vents.
Wear sunglasses to protect your eyes.

Ventilate your home:

Keep windows open all day and all night and use fans.
This is particularly important at night, when the body cools down.

Avoid heat traps:

Try to avoid anywhere where shelter is minimal, and ventilation poor. Parked cars can be a particular hazard.
If you can, try to stay in an air-conditioned environment.
If you have no alternative, but to travel in a hot, stuffy environment - for instance on the Tube - then make sure you carry a bottle of water with you.
If you face a long journey, it may be wise to plan breaks to go above ground for some fresh air.

Take special care of the vulnerable:

Those most at risk from the sun include children under four, people over 65 whose bodies adapt more slowly to the change in temperature, overweight people whose bodies tend to retain heat more and people who are ill.
Babies are particularly vulnerable to heat as their sweat glands are not well-developed.
It is important not to wrap them up in blankets or heavy clothing when it is hot - but it is equally important to ensure that they are not exposed to direct sunlight.
- brewed

Friday, July 28, 2006

NBI looks at no-leakage-at-all angle in Nursing board mess

NBI looks at no-leakage-at-all angle in Nursing board mess

By Rizal S. Obanil

The National Bureau of Investigation (NBI) is now looking into the possibility that no leakage ever took place in the recent licensure exam for Nursing.

"There might not have been any leakage in the first place. Of course, there's always that possibility. So, we are also looking into that,'' Supervising Agent Martine Cruz of the NBI Anti-Fraud and Computer Crimes Division (AFCCD) said.

Cruz said there might be some quarters who are just "circulating rumors" about the June 11-12 nursing exam so as to discredit the Professional Regulation Commission (PRC) or the Board of Nursing (BoN). ''They might be out to tarnish the image of the PRC or the BoN,'' he pointed out.

When asked why anyone would be interested in doing such things, Cruz said that ''there might be some people interested in the positions of some of officials of the PRC or the BoN.''

Cruz said that they have already interviewed six officials from the PRC and the BoN to get a clear picture of how the exams are conducted.

He also revealed that they are still verifying whether some of the officials of the PRC or BoN could be held liable for violation of the Anti-Graft and Corrupt Practices Act.

Cruz was quick to explain that some officials of both regulating bodies were merely appointed or hired as consultant and could therefore not be considered as ''government employees or officials''.

Although the no-leakage angle is being studied, they are still considering the earlier lead recommended by the PRC fact-finding committee that there were two examiners and possibly several other people involved in distributing copies of the test questionaire before the exam.

"We are looking at all possibilities," Cruz said.


WHAT WENT BEFORE Nursing Leakage

WHAT WENT BEFORE Nursing Leakage

Last updated 06:04am (Mla time) 07/28/2006

Published on Page A8 of the July 28, 2006 issue of the Philippine Daily Inquirer

JUNE 10, 2006 -- R.A. Gapuz receives a fax copy of the 18-page “leakage” [see July 18 below].

JUNE 11 AND 12 -- Nursing board exams are conducted nationwide.

JUNE 20 -- The Professional Regulation Commission denies leak of test questions following rumors and a television news report showing an examinee, who hid her face from the cameras, claiming a review center in Baguio City had given out test questions that would come out in the exams.

JUNE 22 -- Ninety-one Baguio nursing graduates petition the PRC to place members of the Board of Nursing “under preventive suspension” for test leaks allegedly distributed during the exams in Baguio. The graduates also ask the PRC to stop the release of the test results, pending an investigation of handwritten test samples obtained by examinees identified with the R.A. Gapuz Nursing Review Center owned by Ray Gapuz.

JULY 11 -- Nursing students, parents march in Baguio, carrying banners that pose the question: “Are we producing incompetent nurses nowadays?”

JULY 15 -- PDI reports that the PRC has admitted there was a leakage of test questions and has traced the leak to manuscripts of two members of the Board of Nursing. The commission refers the issue to the National Bureau of Investigation.

JULY 18 -- Gapuz admits at a press conference that his review center had given its students a document containing exam topics the day before the board exams. He says he did not know if the 18-page manuscript was a “leak.” He acknowledges that he received the fax on June 10.

JULY 19 -- Results of the nursing board are released. Gringo de Guzman San Diego of the University of Pangasinan emerged on top with a rating of 83.2 percent, besting 17,870 other successful examinees.

JULY 20 -- PRC says it had filed administrative charges against Board of Nursing members Anesia Dionisio and Virginia Madeja for “neglect of duty that gave rise to the leakage of test questions” based on the report of an independent fact-finding body formed by PRC Chair Leonor Rosero on June 28.

JULY 21 -- The University of Santo Tomas College of Nursing calls on the PRC to call off the oath-taking of those who passed the nursing exams while the controversy over the leakage remains unsolved. The PRC has scheduled the oath-taking for Aug. 22.

JULY 25 -- PDI reports that Baguio nursing schools have asked the Philippine Nurses Association to sanction its president, George Cordero, for attempting to suppress a report about the alleged test leakage in the board exams. Kate Pedroso, PDI Research


60 Item Pediatric Nursing Exam by Jeddah

60 Items Pediatric Nursing Exam by Jeddah

This is a drill exam made in pattern of the Local Nursing Licensure exam. Those questions that are in red color are question made by me, while those in black are collections of questions from the past board exam and reviewers. I’ve even added diseases diagnosed using the Newborn screening act, which I think will come out at the NLE this December. (I will post a full lecture regarding the diseases later).

I will post the answers and rationale as soon as I’m finished with them. Please feel free to post comment and answers.. This will improve your test taking strategies. Good luck and enjoy

Situation 1: Raphael, a 6 year’s old prep pupil is seen at the school clinic for growth and development monitoring (Questions 1-5)

1. Which of the following is characterized the rate of growth during this period?
a. most rapid period of growth
b. a decline in growth rate
c. growth spurt
d. slow uniform growth rate

2. In assessing Raphael’s growth and development, the nurse is guided by principles of growth and development. Which is not included?
a. All individuals follow cephalo-caudal and proximo-distal
b. Different parts of the body grows at different rate
c. All individual follow standard growth rate
d. Rate and pattern of growth can be modified

3. What type of play will be ideal for Raphael at this period?
a. Make believe
b. Hide and seek
c. Peek-a-boo
d. Building blocks

4. Which of the following information indicate that Raphael is normal for his age?
a. Determine own sense self
b. Develop sense of whether he can trust the world
c. Has the ability to try new things
d. Learn basic skills within his culture

5. Based on Kohlberg’s theory, what is the stage of moral development of Raphael?
a. Punishment-obedience
b. “good boy-Nice girl”
c. naïve instrumental orientation
d. social contact

Situation 2 Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm (6-10)

6. Baby boy Lacson’s height is
a. Long
b. Short
c. Average
d. Too short

7. Growth and development in a child progresses in the following ways EXCEPT
a. From cognitive to psychosexual
b. From trunk to the tip of the extremities
c. From head to toe
d. From general to specific

8. As described by Erikson, the major psychosexual conflict of the above situation is
a. Autonomy vs. Shame and doubt
b. Industry vs. Inferiority
c. Trust vs. mistrust
d. Initiation vs. guilt

9. Which of the following is true about Mongolian Spots?
a. Disappears in about a year
b. Are linked to pathologic conditions
c. Are managed by tropical steroids
d. Are indicative of parental abuse

10. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
a. Hypothermia
b. Decreased activity level
c. Shaking
d. Increased RR

Situation 3 Nursing care after delivery has an important aspect in every stages of delivery

11. After the baby is delivered, the cord was cut between two clamps using a sterile scissors and blade, then the baby is placed at the:
a. Mother’s breast
b. Mother’s side
c. Give it to the grandmother
d. Baby’s own mat or bed

12. The baby’s mother is RH(-). Which of the following laboratory tests will probably be ordered for the newborn?
a. Direct Coomb’s
b. Indirect Coomb’s
c. Blood culture
d. Platelet count

13. Hypothermia is common in newborn because of their inability to control heat. The following would be an appropriate nursing intervention to prevent heat loss except
a. Place the crib beside the wall
b. Doing Kangaroo care
c. By using mechanical pressure
d. Drying and wrapping the baby

14. The following conditions are caused by cold stress except
a. Hypoglycemia
b. Increase ICP
c. Metabolic acidosis
d. Cerebral palsy

15. During the feto-placental circulation, the shunt between two atria is called
a. Ductus venosous
b. Foramen Magnum
c. Ductus arteriosus
d. Foramen Ovale

16. What would cause the closure of the Foramen ovale after the baby had been delivered?
a. Decreased blood flow
b. Shifting of pressures from right side to the left side of the heart
c. Increased PO2
d. Increased in oxygen saturation

17. Failure of the Foramen Ovale to close will cause what Congenital Heart Disease?
a. Total anomalous Pulmunary Artery
b. Atrial Septal defect
c. Transposition of great arteries
d. Pulmunary Stenosis

Situation 4 Children are vulnerable to some minor health problems or injuries hence the nurse should be able to teach mothers to give appropriate home care.

18. A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:
a. Sitting up
b. With low back rest
c. With moderate back rest
d. Lying semi flat

19. A common problem in children is the inflammation of the middle ear. This is related to the malfunctioning of the:
a. Tympanic membrane
b. Eustachian tube
c. Adenoid
d. Nasopharynx

20. For acute otitis media, the treatment is prompt antibiotic therapy. Delayed treatment may result in complications of:
a. Tonsillitis
b. Eardrum Problems
c. Brain damage
d. Diabetes mellitus

21. When assessing gross motor development in a 3 year old, which of the following activities would the nurse expect to finds?
a. Riding a tricycle
b. Hopping on one foot
c. Catching a ball
d. Skipping on alternate foot.

22. When assessing the weight of a 5-month old, which of the following indicates healthy growth?
a. Doubling of birth weight
b. Tripling of birth weight
c. Quadrupling of birth weight
d. Stabilizing of birth weight

23. An appropriate toy for a 4 year old child is:
a. Push-pull toys
b. Card games
c. Doctor and nurse kits
d. Books and Crafts

24. Which of the following statements would the nurse expects a 5-year old boy to say whose pet gerbil just died
a. “The boogieman (kamatayan- the man with the scythe) got him”
b. “He’s just a bit dead”
c. “Ill be good from now own so I wont die like my gerbil”
d. “Did you hear the joke about…”

25. When assessing the fluid and electrolyte balance in an infant, which of the following would be important to remember?
a. Infant can concentrate urine at an adult level
b. The metabolic rate of an infant is slower than in adults
c. Infants have more intracellular water that adult do
d. Infant have greater body surface area than adults

26. When assessing a child with aspirin overdose, which of the following will be expected?
a. Metabolic alkalosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Respiratory acidosis

27. Which of the following is not a possible systemic clinical manifestation of severe burns?
a. Growth retardation
b. Hypermetabolism
c. Sepsis
d. Blisters and edema

28. When assessing a family for potential child abuse risks, the nurse would observe for which of the following?
a. Periodic exposure to stress
b. Low socio-economic status
c. High level of self esteem
d. Problematic pregnancies

29. Which of the following is a possible indicator of Munchausen syndrome by proxy type of child abuse?
a. Bruises found at odd locations, with different stages of healing
b. STD’s and genital discharges
c. Unexplained symptoms of diarrhea, vomiting and apnea with no organic basis
d. Constant hunger and poor hygiene

30. Which of the following is an inappropriate interventions when caring for a child with HIV?
a. Teaching family about disease transmission
b. Offering large amount of fresh fruits and vegetables
c. Encouraging child to perform at optimal level
d. Teach proper hand washing technique

Situation 5 Agata, 2 years old is rushed to the ER due to cyanosis precipitated by crying. Her mother observed that after playing she gets tired. She was diagnosed with Tetralogy of Fallot.

31. The goal of nursing care fro Agata is to:
a. Prevent infection
b. Promote normal growth and development
c. Decrease hypoxic spells
d. Hydrate adequately

32. The immediate nursing intervention for cyanosis of Agata is:
a. Call up the pediatrician
b. Place her in knee chest position
c. Administer oxygen inhalation
d. Transfer her to the PICU

33. Agata was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is:
a. Waterston-Cooley
b. Raskkind Procedure
c. Coronary artery bypass
d. Blalock-Taussig

34. Which of the following is not an indicator that Agata experiences separation anxiety brought about her hospitalization?
a. Friendly with the nurse
b. Prolonged loud crying, consoled only by mother
c. Occasional temper tantrums and always says NO
d. Repeatedly verbalizes desire to go home

35. When Agata was brought to the OR, her parents where crying. What would be the most appropriate nursing diagnosis?
a. Infective family coping r/t situational crisis
b. Anxiety r/t powerlessness
c. Fear r/t uncertain prognosis
d. Anticipatory grieving r/t gravity of child’s physical status

36. Which of the following respiratory condition is always considered a medical emergency?
a. Laryngeotracheobronchitis (LTB)
b. Epiglottitis
c. Asthma
d. Cystic Fibrosis

37. Which of the following statements by the family of a child with asthma indicates a need for additional teaching?
a. “We need to identify what things triggers his attacks”
b. “He is to use bronchodilator inhaler before steroid inhaler”
c. “We’ll make sure he avoids exercise to prevent asthma attacks”
d. “he should increase his fluid intake regularly to thin secretions”

38. Which of the following would require careful monitoring in the child with ADHD who is receiving Methylphenidate (Ritalin)?
a. Dental health
b. Mouth dryness
c. Height and weight
d. Excessive appetite

Situation 6 Laura is assigned as the Team Leader during the immunization day at the RHU

39. What program for the DOH is launched at 1976 in cooperation with WHO and UNICEF to reduce morbidity and mortality among infants caused by immunizable disease?
a. Patak day
b. Immunization day on Wednesday
c. Expanded program on immunization
d. Bakuna ng kabtaan

40. One important principle of the immunization program is based on?
a. Statistical occurrence
b. Epidemiologic situation
c. Cold chain management
d. Surveillance study

41. The main element of immunization program is one of the following?
a. Information, education and communication
b. Assessment and evaluation of the program
c. Research studies
d. Target setting

42. What does herd immunity means?
a. Interruption of transmission
b. All to be vaccinated
c. Selected group for vaccination
d. Shorter incubation

43. Measles vaccine can be given simultaneously. What is the combined vaccine to be given to children starting at 15 months?
a. MCG
b. MMR
c. BCG
d. BBR

Situation 7: Braguda brought her 5-month old daughter in the nearest RHU because her baby sleeps most of the time, with decreased appetite, has colds and fever for more than a week. The physician diagnosed pneumonia.

44. Based on this data given by Braguda, you can classify Braguda’s daughter to have:
a. Pneumonia: cough and colds
b. Severe pneumonia
c. Very severe pneumonia
d. Pneumonia moderate

45. For a 3-month old child to be classified to have Pneumonia (not severe), you would expect to find RR of:
a. 60 bpm
b. 40 bpm
c. 70 bpm
d. 50 pbm

46. You asked Braguda if her baby received all vaccines under EPI. What legal basis is used in implementing the UN’s goal on Universal Child Immunization?
a. PD no. 996
b. PD no. 6
c. PD no. 46
d. RA 9173

47. Braguda asks you about Vitamin A supplementation. You responded that giving Vitamin A starts when the infant reaches 6 months and the first dose is”
a. 200,000 “IU”
b. 100,000 “IU”
c. 500,000 “IU”
d. 10,000 “IU”

48. As part of CARI program, assessment of the child is your main responsibility. You could ask the following question to the mother except:
a. “How old is the child?”
b. “IS the child coughing? For how long?”
c. “Did the child have chest indrawing?”
d. “Did the child have fever? For how long?”

49. A newborn’s failure to pass meconium within 24 hours after birth may indicate which of the following?
a. Aganglionic Mega colon
b. Celiac disease
c. Intussusception
d. Abdominal wall defect

50. The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:
a. Grapes
b. Apple slices
c. A glass of milk
d. A glass of cola

51. Which of the following immunizations would the nurse expect to administer to a child who is HIV (+) and severely immunocomromised?
a. Varicella
b. Rotavirus
c. MMR
d. IPV

52. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following?
a. Symmetrical gluteal folds
b. Trendelemburg sign
c. Ortolani’s sign
d. Characteristic limp

53. While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate’s urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following?
a. Phimosis
b. Hydrocele
c. Epispadias
d. Hypospadias

54. When teaching a group of parents about seat belt use, when would the nurse state that the child be safely restrained in a regular automobile seatbelt?
a. 30 lb and 30 in
b. 35 lb and 3 y/o
c. 40 lb and 40 in
d. 60 lb and 6 y/o

55. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised?
a. Sucking ability
b. Respiratory status
c. Locomotion
d. GI function

56. For a child with recurring nephritic syndrome, which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care?
a. Muscle coordination
b. Sexual maturation
c. Intellectual development
d. Body image

57. An inborn error of metabolism that causes premature destruction of RBC?
a. G6PD
b. Hemocystinuria
c. Phenylketonuria
d. Celiac Disease

58. Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride?
a. Guthrie Test
b. Phenestix test
c. Beutler’s test
d. Coomb’s test

59. Dietary restriction in a child who has Hemocystenuria will include which of the following amino acid?
a. Lysine
b. Methionine
c. Isolensine tryptophase
d. Valine

60. A milk formula that you can suggest for a child with Galactosemia:
a. Lofenalac
b. Lactum
c. Neutramigen
d. Sustagen


PRC defers oath-taking of new nurses

PRC defers oath-taking of new nurses

July 28, 2006 Updated 01:56pm (Mla time) Christian V. Esguerra Inquirer

THE Professional Regulation Commission (PRC) said on Friday that it has decided to hold in “abeyance until further notice” the scheduled August 22 oath-taking of 17,871 new nurses.

Eufemia Octaviano, chair of the PRC’s Board of Nursing, said the decision was made after she met with the deans of the colleges of nursing of the University of the Philippines, the University of the East and the University of Santo Tomas.

She said the postponement was meant to allow the PRC to hear the concerns of other deans and await the results of the probe by the National Bureau of Investigation into the alleged leakage of questions in the last nursing board exams.

FROM: INQ7 Express

Philippine Board Of Nursing Course Syllabus

Board of Nursing

Foundations of Nursing Practice Including
Professional Adjustment
(Course Syllabus)

I. Description

Theories, concepts, principles and processes basic to the practice of nursing.

II. Terminal Competencies

1. Utilizes the nursing process in the care of individuals, families and communities.
2. Communicates effectively with patients/clients, families as well as other members of the health team in various settings.
3. Demonstrates leadership and management skills to ensure safe and quality nursing care.
4. Relates effectively with others in work situations.
5. Utilizes concepts, theories, principles in the care of clients.
6. Ensures a well-organized, accurate recording and reporting system.
7. Participates in research activities and utilizes research findings to improve nursing practice.
8. Observes ethico-moral values and legal responsibilities in nursing care.
9. Assumes responsibility for personal and professional growth.

III. Content Outline

1. Professional Nursing
A. Historical perspectives in nursing
B. Nursing as a profession
C. Theories in nursing
D. Health care delivery system
2. Health and Illness Behavior

A. Man as a biopsycho-socio - cultural- spiritual being
B. Factors influencing health and illness
C. Risk factors
D. Adaptation to stress and anxiety
E. Life span, cycle and development
3. Interactive Processes
A. Nurse client relationship
B. Teaching learning process
C. Documentation/recording
D. Communication
E. Therapeutic use of self

4. Safety, Comfort and Hygiene
A. Safety
B. Management of pain
C. Hygiene
D. Mobility and immobility
E. Skin integrity
F. Sensory alteration
G. Substance abuse

5. Basic Physiological Needs
A. Oxygenation
B. Nutrition
C. Rest and sleep
D. Fluid and electrolyte balance
E. Urinary elimination
F. Bowel elimination
G. Activity and exercise

6. Basic Psychosocial Needs
A. Safety and security
B. Love and belonging
C. Spiritual needs
D. Sexuality and sexual needs
E. Self concept
F. Death, grief and grieving
G. Sensory deprivation and body image
H. Crisis intervention

7. Basic Nursing Skills
A. Nursing process
B. Admission and discharge
C. Vital signs
D. Physical examination and health assessment
E. Administration of medications
F. Asepsis and infection control
G. Emergency measures
H. Wound care
I. Care of the dying and the dead
J. Perioperative care
K. Others
8. Ethico-legal Aspects
A. Nursing ethics
B. Legal aspects in the practice of nursing
C. The Philippine Nursing Law
D. Related laws affecting the practice of nursing
E. Continuing education for nurses
F. Professional organizations of nursing
9. Management and Leadership
A. Theories and principles of management
B. Standards of nursing practice
C. Elements of administration and management/functions of management
D. Leadership style
E. Organization
F. Staffing
G. Patient Care Classification System
H. Patterns/modalities of nursing care
10. Basic Research
A. Ethics and scientific research
B. The scientific approach
C. Research process
D. Research design/methodology
E. Steps in doing research


I. Description

Concepts, theories, principles and processes basic to the delivery of safe and quality nursing care of mother and child. It encompasses promotive and preventive care of mothers with normal health conditions including curative and rehabilitative care to those with disturbances in reproductive health. Further, it focuses on the nursing care to children in various stages of growth and development.

II. Terminal Competencies

1. Utilizes the nursing processes in the care of mother and child/their families and communities.
2. Communicates effectively with the clients and families as well as with other members of the health team in various settings.
3. Demonstrates leadership and management skills in promoting safe and quality nursing care to clients.
4. Utilizes concepts, theories and principles in the care of clients.
5. Utilizes research findings to improve the nursing care to clients, family and community.
6. Adheres to ethico-legal and moral imperatives of health care.
7. Recognizes his/her responsibility for personal and professional growth and development.

III. Content Outline

1. Foundation of Maternal and Child Health Nursing Practice/Biophysical Aspects of Human Reproduction
A. Philosophy, goals
B. Concepts, theories, principles and standards of care
C. Anatomy and physiology
D. Sexuality
E. Menstrual cycle
F. Responsible parenthood
G. Theories and principles of growth and development

2. Pregnancy-Antepartum
A. Stages of fetal development
B. Signs and symptoms of pregnancy
C. Nursing care
D. Birth setting and alternative methods of delivery
E. Physiological and psychological changes of pregnancy
F. Needs of pregnant women
G. Danger signs and symptoms
H. Complications of pregnancy

3. Pregnancy-intrapartum
A. Theories of labor
B. Components of labor: 3 P-s
C. Nursing care during labor
D. Analgesia and anesthesia of labor and delivery
E. Complications of labor and delivery

4. Postpartum and Newborn
A. Placental stage
B. Nursing care of the mother
C. Nursing care of the newborn
D. Breast feeding/rooming-in
E. Complications of postpartum

5. Puerperium and Infancy
A. Involution
B. Care of the mother
C. Physical, motor, cognitive, psycho-social and language development
D. Well-baby care
E. Nutrition, immunization, play activities
F. Common problems/disorders of infancy

6. Toddler
A. Physical, motor, cognitive, psycho-social, language and moral development
B. Toilet training
C. Well-baby care
D. Nutrition, immunization, play activities
E. Common problems/disorders of toddlers

7. Pre-Schooler/Schooler
A. Physical, cognitive, psycho-social and moral development
B. Sibling rivalry
C. Play activities
D. Sex education
E. Common problems/disorders of pre-schooler/schooler

8. Pre-adolescent/Adolescent
A. Physical, psycho-social and moral development
B. Sex characteristics
C. Needs and tasks
D. Common problems/disorders of pre-adolescent/adolescent

9. Problems/Disorders in Children
A. Prematurity
B. Congenital malformations
C. Nephrotic Syndrome
D. Metabolic disturbances
F. Infectious diseases

10. Problem/Disorders in Mothers including gynecologic disorders
A. High risk maternal conditions
B. Pregrancy related conditions
C. Metabolic, cardiac, hematologic aberrations in pregrancy
D. Menopause
E. Cellular aberrations of the reproductive organs
F. Degenerative disorders of women


I. Description

This course deals with health programs, services and strategies of the Department of Health; concepts, philosophy, goals and objectives of Community Health Nursing; and the basic roles, functions and responsibilities of the community health nurse. It also includes care of clients with non-communicable
and communicable diseases.

II. Terminal Competencies

1. Utilizes the the nursing process in the care of individuals, families and communities.
2. Utilizes leadership and management process as an important tool of the health care provider in varied health care settings.
3. Communicates effectively with clients, families, communities and other members of health care.
4. Conducts research and uses research findings to improve health care in the community.
5. Demonstrates appropriate attitudes/behaviors as a model health professional.
6. Implements the concepts, principles and values of primary health care as health care provider.
7. Participates in the implementation of DOH health programs, services and strategies.
8. Participates in activities related to the prevention and control of communicable diseases.
9. Assumes responsibility for personal and professional development.

III. Content Outline

1. The Philippine Health Care Delivery System
A. National Health Plan
B. Health scenarios

2. Legislations affecting Community Health Nursing Practice
A. Laws
B. Executive orders and letters of instructions
C. DOH Circulars/Memoranda

3. Primary Health Care
A. Definition
B. Conceptual framework
C. Essential elements
D. Types of PHC workers

4. Health Programs, Services and Strategies
A. Maternal and child health
B. Nutrition
C. Dental hygience
D. Environmental sanitation
E. Vital and health statistics
F. Occupational health
G. Health education

5. Care of Older Persons
A. Needs of older persons Issues and concerns
C. Common diseases affecting older persons
D. Nursing functions and responsibilities

6. Community Health Nursing
A. Definition and concepts
B. Philosophy, goals and objectives
C. Principles and process
D. Levels of care

7. Roles, Functions and Responsibilities of the Community Health Nurse
A. Nursing process
B. Nursing procedures
C. Nursing management
D. Nursing research
E. Personal and professional development

8. Nursing Care of clients with communicable diseases
A. General principles and techniques
B. Epidemiology
C. Prevention and control
D. Nursing functions and responsibilities

9. Nursing Care of clients with Non-Communicable Diseases
A. Prevalence
B. Risk Factors
C. Prevention and control
D. Nursing functions and responsibilities

10. Research in Community Health Nursing
A. Applied research
B. Utilization of research findings
C. Records and reports Field Health Services and Information System


I. Description

Nursing care of clients with alterations in health patterns throughout the life cycle utilizing the nursing process. This course also includes disaster nursing and care of clients in acute biological crises.

II. Terminal Competencies

1. Applies the nursing process to health care situations.
2. Relates the pathological changes brought about by stresses, illness, etc. to patient care.
3. Institutes health teaching strategies to help create a therapeutic environment for clients, families and communities.
4. Utilizes the different techniques of enabling the clients, families and communities to cope with illness or death.
5. Strives to continue reaffirming the dignity and worth of man through the provision of supportive comfort measures to patients, families and communities at all times and even when death is inevitable.
6. Communicates effectively with clients and members of the health team.
7. Analyzes socio-economic, cultural, political and other factors in relation to the occurrences of illness or disease conditions.
8. Integrates the socio-political, technological and economic systems and their influence on the Philippine health care delivery.
9. Conducts research and uses research studies to improve patient care.
10. Assumes responsibility for personal and professional growth.

III. Content Outline

1. Concepts of Stress and Illness
A. Health-illness continuum
B. Epidemiology of illness
C. Stress models
D. Response to stress

2. Nursing Interventions in Illness

A. Holistic approach in different stages of development stages
1. Biophysical
2. Psychosocial
B. Pharmacological therapeutics
C. Patients in surgery
D. Patients in pain
E. The dying process

3. Care of Patients with Specific Disturbances in
A. Oxygenation
B. Fluids and electrolytes . Metabolism
D. Inflammatory and immunologic responses
E. Perception and coordination . Cellular aberrations

4. Care of Patients with Peripheral Vascular Disorders
A. Structure, function and assessment
B. Arterial disorders
C. Venous and lymphatic disorders
D. Diagnostic procedures

5. Care of Patients with Urinary Disorders
A. Structures, function and assessment
B. Renal disorders
C. Diagnostic procedures

6. Care of Patients with Integumentary Disorders
A. Structure, function and assessment
B. Protection of the skin, hair and nail
C. Restoring skin structure and function

7. Care of Patients with Hematologic Disorders
A. Basic concepts of hematology assessment
B. Blood transfusion
C. Erythrocytes disorders
D. Diagnostic procedures

8. Care of Patients with Neurologic Disorders
A. Structure, function and assessment
B. Head and spinal injury
C. Diagnostic procedures

9. Care of Patients Experiencing Disorders of the Liver, Biliary Tract and Pancreas
A. Structure, functions and assessment
B. Evaluation and management

C. Diagnostic procedures

10. Nurses Role in
A. Infection control
B. I.V. therapy
C. Emergency and disaster situations
D. Life threatening conditions


I. Description

Principles, concepts and theories underlying psychiatric nursing care to individuals, families and communities in a variety of settings.

II. Terminal Competencies

1. Utilizes knowledge from the psychological, biological sciences, theories of personality and human behavior in the care of psychiatric clients.
2. Utilizes the nursing process in giving holistic nursing care to all kinds of clients.
3. Applies appropriate communication techniques with clients, families and other members of the health team in various settings.
4. Demonstrates leadership and management skills to ensure safe and quality care.
5. Works collaboratively with other members of the health team.
6. Applies the ethico-legal principles in psychiatric nursing.
7. Participates in research undertakings and utilizes findings to improve psychiatric nursing care.
8. Assumes responsibility for personal and professional growth.

III. Content Outline

1. Personality development and principles of mental health
A. Mental health as a concept
B. Principles of Psychiatric Nursing
C. Nursing process in Psychiatric Nursing
D. Research as a tool in improving psychiatric nursing care.

2. Crisis and Crisis Intervention
A. Crisis intervention
B. Common crises situations

3. Anxiety Response and Anxiety Disorders
A. Etiological theories of anxiety
B. Levels of anxiety
C. Ego defense mechanisms
D. Anxiety related disorders

4. Anxiety Disorders in Childhood and Adolescence
A. Childhood
B. Adolescence

5. Psychophysiologic disorders
A. Theories of psychophysiologic disorders
B. Predisposing factors
C. Common organ systems affected by psychological factors

D. Nursing care and psychopharmacology

6. Personality disorders
A. Psychodynamics of personality disorders
B. Predisposing factors
C. Types of personality disorders
D. Nursing care and psychopharmacology

7. Emotional responses and mood disorders
A. Psychodynamics of mood disorders
B. Predisposing factors
C. Alterations in mood
D. Treatment modalities, psychopharmacology and nursing care

8. Thought disorders (Schizophrenia and psychotic disorders)
A. Theories of etiology of schizophrenia
B. Types of schizophrenia
C. Primary and secondary symptoms of schizophrenia
D. Treatment modalities, psychopharmacology and nursing care

9. Substance abuse and related disorders
A. Alcoholism
B. Drug abuse and dependence
C. Treatment modalities, psychopharmacology and nursing care

10. Organic Mental Syndrome and Disorders
A. Etiology
B. Fundamental principles in the care of cognitively impaired person
C. Organic mental syndrome
D. Organic mental disorders
E. Treatment modalities, psychopharmacology and nursing care

Medic not yet off the hook in baby’s death

Medic not yet off the hook in baby’s death

By DJ Yap
Last updated 00:54am (Mla time) 07/28/2006

Published on Page A23 of the July 28, 2006 issue of the Philippine Daily Inquirer

THE 21-YEAR-OLD WOMAN WHOSE newborn baby suffocated to death underneath a diaper she had on while at a Quezon City hospital is still unsure whether or not to press charges against the gynecologist who attended to her, according to police.

“The doctor was a family friend, so they would probably be able to weigh things only after the wake,” said Supt. Procopio Lipana, chief of the Quezon City police criminal investigation division.

Police earlier said Dr. Glody Tolentino, a consultant at Sta. Teresita General Hospital on D. Tuazon Street, could be held liable for the death of the baby girl who was born earlier than expected and found dead underneath an adult diaper on Tuesday.

Tolentino, who also holds clinic at St. Luke’s Medical Center, had put on the diaper on 21-year-old Charlotte Hernandez hours before her delivery.

The Inquirer had been trying to reach Tolentino at her St. Luke’s clinic for comment since Wednesday, but her secretary Jane Roque said she had not reported for work since the incident.

The doctor also could not be contacted at Sta. Teresita, which she only visits when she has patients confined there, according to the hospital staff.

If the Hernandez family decides not to press charges, the police are willing to file the case in their stead, according to lawyer Rogelio Yalong, legal officer of the CID.

He said the charge should be reckless imprudence resulting in homicide, contrary to previous police statements that the case would be infanticide.

“Infanticide means there’s an intent to kill the child, which is not true in this case,” Yalong said.

The baby would have been Hernandez’s first child, police said. The infant’s father is currently working in Dubai.

Thursday, July 27, 2006

Mom loses baby after labor; medic may face charges

Mom loses baby after labor; medic may face charges

By DJ YapInquirerLast updated 01:16am (Mla time) 07/27/2006
Published on Page A17 of the July 27, 2006 issue of the Philippine Daily Inquirer

A GYNECOLOGIST IN A QUEZON CITY hospital could face criminal charges for allegedly causing a newborn baby to suffocate to death after she put on an adult diaper on the mother while in labor.

The doctor, Glody Tolentino, a consultant at Sta. Teresita General Hospital on D. Tuazon Street, could be held liable for the death of the baby girl who was born earlier than expected and found dead underneath the diaper on Tuesday.

Police believe the baby suffocated to death because of the diaper, which Tolentino had put on the baby’s mother, Charlotte Hernandez, 21, hours earlier.
Investigation showed that Hernandez was admitted to the hospital and confined in Room 205 on July 24, with Tolentino, a family friend, attending to her.

At 7 p.m., an initial intra-uterine check-up showed that Hernandez’s cervix was dilated by only three cm -- still far from the level of dilation expected for childbirth, investigators said.
The physician then placed an adult diaper on Hernandez, according to a report by PO3 Romeo Tandas and PO2 Jaime Jimena.

At around 5 a.m. the following day, another check-up of the mother’s cervix revealed that she was dilated by eight cm. The doctor also administered pain reliever shots to the mother, police said.

At this point, Tolentino told Hernandez’s mother, Maiden Dumlao, that the patient would be wheeled to the delivery room when the dilation reached 10 cm.
Tolentino returned to the room at about 7 a.m. When she removed the diaper, she and Dumlao were shocked to find that Hernandez had already given birth -- but the baby appeared lifeless, police said.

Dumlao tried to shake the baby a little before Tolentino rushed the newborn and her mother to the delivery room where she tried to revive the baby, Tandas and Jimena said.
But the baby, the patient’s first-born, was pronounced dead at 7:25 a.m. Her body was taken to the family’s house in Dasmariñas, Cavite, police said.

Investigators are trying to convince the family to file infanticide charges against the doctor. But Hernandez seemed reluctant to do so, Tandas said.

Hospital coordinator Dr. Joseph Tortona said the hospital could “not answer” why Tolentino had used a diaper, or why she did not bring the patient to the delivery room earlier. He added that doctors normally did not use diapers but a special underpad for childbirth.
Tortona said Tolentino was a visiting consultant from St. Luke’s Medical Center, and was not a resident doctor at the hospital. He also declined to comment on Tolentino’s liability, saying the hospital could not speak for her.



Hi guys,

I know that we already have this upcoming project for the NLE or the Local Board Exam. So we decided to do the same thing for the NCLEX-RN or CGFNS exam.

Since we know that there are also many Filipinos intend on going abroad and taking these exams we thought it would be helpful to at least give them insights, reviews of the different review centers offering these kind of service.

So for those who have reviewed or is currently reviewing for these exams we would love to hear from you and give us information about the review center you are in.

Feel free to email me at for any information about their style in their lectures, their lecturers, prices, ratings and any other feedback.

Hope to hear from you guys and God Bless!

PRC Schedules for New NLE Passers

PRC Schedules for New NLE Passers

DATE: Starting August 1, 2006

DETAILS: There is a fee per head (No amount disclosed yet)


DATE: Starting August 15, 2006 (by alphabetical order see schedule below)
ACTIVITY: Registration for the issuance of Professional ID and Certificate of Registration

  • Duly accomplished Oath Form
  • Current Community Tax Certificate (CEDULA)
  • 2 pcs passport size picture (colored with white background and complete name tag)
  • 2 sets of metered documentary stamps
  • 1 short brown envelope with name and profession
  • FEES:Initial Registration- P600.00; Annual Registration- P450.00 (for 2006-2009)
  • Some source tell you should also bring a 1x1 picture as well as Passport Size all w/ nametags


  • August 15: Aala to Angeles, Charites
  • August 16: Angeles, Earl to Barcelona
  • August 17: Barcenas to Cabal, Jovy
  • August 18: Cabal, Rachel to Cavite
  • August 21: Cawilan to Dapitalla
  • August 22: Daproza to Doniega
  • August 23: Donoso to Flores, Arnold
  • August 24: Flores, Beverly to Guaring
  • August 25: Guarra to Lacap
  • August 28: Lacastesantos to Mabaquiao
  • August 29: Mabasa to Melancolico
  • August 30: Melendez to Olasiman
  • August 31: Olay to Peralta, Jeffrey
  • September 1: Peralta, Kristine to Reuyan
  • September 4: Revelar to Santiago, Nerissa
  • September 5: Santiago, Noliber to Taladoc
  • September 6: Taladro to Valencia, Hernia
  • September 7: Valenciano to Zuniga

DATE: August 22, 2006, 8am
VENUE: Araneta Colliseum

All Oathtakers Must Come In The Following:
  • White gala uniform
  • Nurses cap
  • White duty shoes
  • Without earrings
  • Hair not touching the collar
  • Without corsage

Joan's Notes: Please re-check or verify with PRC the schedule there might be changes. We shall keep you posted for any changes that we find out anytime.

Former nurse gets 20 years for sexual assault

Star-Telegram Staff Writer
This report contains graphic language.

FORT WORTH -- Kenneth Wayne Downs, a former nurse accused of sexually assaulting a partially paralyzed stroke patient in a south Fort Worth hospital, fought in the first half of his trial.

But after jurors convicted him Monday, he gave up.

"Just let me rot in jail because that is what my life is worth now," Downs angrily told the judge after the verdict.

Downs, 39, then instructed defense attorney Mark Rosteet not to enter any evidence -- including testimony to prove that he is eligible for probation because he has never before been convicted of a felony -- during the sentencing phase of his trial.

After 1 1/2 hours of deliberations, the jury of five women and seven men gave Downs 20 years in prison.

The former contract nurse at Huguley Memorial Medical Center must also register as a sex offender for the rest of his life.

Downs clenched his jaw but otherwise showed no reaction after state District Judge Elizabeth Berry announced the sentence.

The victim's daughter, speaking on behalf of her mother and the rest of the family, thanked the jury in a brief statement after the trial.

"Thank you to the court and to the jury for the decision you have made," she said softly. "I appreciate it."

Earlier in the day, jurors found Downs guilty of one count of sexual assault of a disabled person but deadlocked on a second count, prompting the judge to declare a mistrial on that charge.

Prosecutor Robert Foran said he will not retry Downs.

"We're satisfied with the jury's verdict," Foran said. "We don't wish to put the victim through the emotional trauma of another trial."

During the trial, the 65-year-old victim -- who has difficulty speaking because she has suffered several strokes -- testified using primarily one-word answers. She used a doll to demonstrate for jurors how she was assaulted.

The woman testified that on the night of Oct. 21, 2003, Downs injected her with something that made her sleepy and then put an unknown object in her rectum, causing her great pain.

Later that night, she said, Downs returned to her room and rubbed lotion on her legs and fondled her before penetrating her vaginally with his finger.

Downs took the stand in his own defense last week and steadfastly maintained his innocence. He suggested that the woman was confused and felt violated because he took her temperature rectally -- a procedure that he acknowledged was against hospital policy but that he said he felt was necessary to get an accurate reading.
After deliberating about 10 hours over two days, the jury convicted Downs on the first count, which dealt with the penetration of the victim's anus. But they failed to reach a decision on the second count, which accused Downs of vaginally penetrating the woman with his finger.

Angry over the verdict, Downs chose not to testify -- or allow anyone else to testify on his behalf -- to persuade the jury to give him probation or a light sentence.
"With all due respect, I'm a convicted pervert," Downs told the judge when she questioned him about his decision. "Now that they have proven me guilty, my life is over. What is probation going to do?

"Because of these lies, I am here! A nine-year [nursing] career is gone!"
Afterward, as jurors filed into the courtroom during the punishment phase, Downs refused to stand for the panel, which is proper etiquette in Berry's court.

When the bailiff ordered him to get up, Downs snapped: "Or what? I'm going to jail anyway."

When the jury members took their seats, Downs glared at them and shouted, "Wrong!"

The jurors declined to comment after the trial.

A lawsuit against Downs, Huguley Memorial Medical Center and Medical Staffing Network, the nursing contract company that sent Downs to Huguley, is pending.


Autism Rates Decline as Mercury Removed from Childhood Vaccines

Autism Rates Decline as Mercury Removed from Childhood Vaccines

Association of American Physicians and Surgeons, Inc.

Independent Analysis Refutes Institute of Medicine Claims of “No Relationship,” While Mercury Still Used in Flu & Other Vaccines

TUCSON, AZ -- A new study shows that autism may be linked after all to the use of mercury in childhood vaccines, despite government’s previous claims to the contrary.

An article in the March 10, 2006 issue of the Journal of American Physicians and Surgeons ( shows that since mercury was removed from childhood vaccines, the alarming increase in reported rates of autism and other neurological disorders (NDs) in children not only stopped, but actually dropped sharply – by as much as 35%.

Using the government’s own databases, independent researchers analyzed reports of childhood NDs, including autism, before and after removal of mercury-based preservatives. Authors David A. Geier, B.A. and Mark R. Geier, M.D., Ph.D. analyze data from the CDC’s Vaccine Adverse Event Reporting System (VAERS) and the California Department of Developmental Services (CDDS) in “Early Downward Trends in Neurodevelopmental Disorders Following Removal of Thimerosal-Containing Vaccines.”

The numbers from California show that reported autism rates hit a high of 800 in May 2003. If that trend had continued, the reports would have skyrocketed to more than 1000 by the beginning of 2006. But in fact, the Geiers report that the number actually went down to only 620, a real decrease of 22%, and a decrease from the projections of 35%.

This analysis directly contradicts 2004 recommendations of the Institute of Medicine which examined vaccine safety data from the National Immunization Program (NIP) of the CDC. While not willing to either rule out or to corroborate a relationship between mercury and autism, the IOM soft-pedaled its findings, and decided no more studies were needed. The authors write: “The IOM stated that the evidence favored rejection of a causal relationship between thimerosal and autism, that such a relationship was not biologically plausible, and that no further studies should be conducted to evaluate it.”

As more and more vaccines were added to the mandatory schedule of vaccines for children, the dose of the mercury-based preservative thimerosal rose, so that the cumulative dose injected into babies exceeded the toxic threshold set by many government agencies. Mercury is known to damage nerve cells in very low concentrations.

The concern about vaccines may actually be underrated, as it is generally acknowledged that the voluntary reporting of such disorders has resulted in vast underreporting of new cases. For example, the Iowa state legislature banned thimerosal from all vaccines administered there after it documented a 700-fold increase in that state alone. California followed suit, and 32 states are considering doing so. Up until about 1989 pre-school children got only 3 vaccines (polio, DPT, MMR). By 1999 the CDC recommended a total of 22 vaccines to be given before children reach the 1st grade, including Hepatitis B, which is given to newborns within the first 24 hours of birth. Many of these vaccines contained mercury. In the 1990s approximately 40 million children were injected with mercury-containing vaccines.

The cumulative amount of mercury being given to children in this number of vaccines would be an amount 187 times the EPA daily exposure limit
Between 1989 and 2003, there has been an explosion of autism. The incidence of autism (and other related disorders) went from about 1 in 2,500 children to 1 in every 166. Currently there are more than a half million children in the U.S. that have autism. This disorder has devastated families.

In 1999, on the recommendation of the American Academy of Pediatrics and U.S. Public Health Service, thimerosal was removed from most childhood vaccines as a "precautionary" measure - i.e. without admitting to any causal link between thimerosal and autism.

The Geiers conclude that mercury continues to be a concern, as it is still added to some of the most commonly-used vaccines, such as those for flu:
“Despite its removal from many childhood vaccines, thimerosal is still routinely added to some formulations of influenza vaccine administered to U.S. infants, as well as to several other vaccines (e.g. tetanus-diphtheria and monovalent tetanus) administered to older children and adults. In 2004, the Institute of Medicine (IOM) of the U.S. National Academy of Sciences (NAS) retreated from the stated 1999 goal of the AAP and the PHS to remove thimerosal from U.S. vaccines as soon as possible…As a result, assessing the safety of TCVs [thimerosal-containing vaccines] is a matter of significant importance.”

CHED sets measures vs oversubscribed courses

CHED sets measures vs oversubscribed courses

THE projected teacher education graduates in the next five years is 350,000 but the country will need and can only absorb 40,000 during that period. This oversupply is true with business management, communication arts and customs administration courses.

As a result, government has moved to re-direct the course preferences of graduating high school students as well as present first year and second year college students.

Chairman Carlito S. Puno of the Commission on Higher Education (CHED) said the quantitative mismatch between what the industry needs and what higher education institutions (HEIs) produce as graduates has been in existence in Philippine Higher Education for several decades.

As guest speaker of the 131st general assembly of FUSE (Foundation for Upgrading the Standard of Education) on Tuesday (July 25), Puno outlined the commission’s program to remedy the problem, based on a highly focused and coordinated approach.

Under the program, high school graduates will take an aptitude test on what course to take. Based on the result of the exam, the student maybe given three course choices to choose from.

“At present the students rely on what they hear, what their parents will tell them and what course their ‘barkada’ will take,” Puno said.

CHED will also conduct aggressive career guidance and counseling for graduating high school students as well as first and second year college students. Since the first two years of college curriculum are general education courses, it is not yet too late for them to change their course preferences.

The agency, Puno explained, will redirect students from enrolling in oversubscribed curricular programs through rigid screening admission procedures, imposition of quota system, more liberal tuition increase to discourage students from enrolling in these courses, and moratorium or stringent requirements in the opening of more oversubscribed courses.

“The problem is evident in the failure of college graduates to get employment in their area of expertise or specialization,” Puno told the assembly held at the FUSE Learning Center for Teachers on Roxas Blvd., Manila. “We have teachers going abroad to be employed as domestic helpers, business management graduates being hired as clerks or even messengers, holders of bachelor degrees becoming drivers. Worst is when these college degree holders join the ranks of the unemployed.”

People's Tonight
7/27/2006 19:59 PM

Wednesday, July 26, 2006

BATTLE OF THE REVIEW CENTERS : Which review center is for you [SOON]

BATTLE OF THE REVIEW CENTERS : Which review center is for you [SOON] will conduct research among the top review centers for the LOCAL boards within the week. Our purpose is to provide a list of the TOP and BEST PERFORMING Review centers in the country today and what the student nurses should know about these review centers.

If you are a previous reviewee or a reviewer and wants us to learn more about your review center, Please tell us by emailing information to

Please include the rate, schedule, review center locations, track record and vital information that will make the student nurses CHOOSE YOU.

Anne Curtis: I want to be a nurse

Anne Curtis: I want to be a nurse


The young actress Anne Curtis is aspiring to become a nurse. Not because she wants to work abroad and earn dollars, but "to save lives."

What motivated Anne was the experience of seeing a nurse revive a baby after the little one momentarily stopped breathing.

"I don’t think I will have any experience as an actress as moving as that of seeing a baby come back to life. I think the only way I can have that experience again is by being a nurse myself," says Anne.

It’s a dream she will have to work very hard for to fulfill—and seemingly against all odds. Though Anne is already 21, she is just on her junior high school, having given up her studies in the past in favor of a show-biz career that began in her preteen days.

It’s her fragile looks—an interesting blend of Oriental femininity and Occidental toughness—that have always made Anne a real standout even in her childhood days.

She was only 12 when a talent scout for commercials spotted her in a burger restaurant, just a couple of days after she flew in from Australia where Anne was born and raised. Little Anne did not speak a word of Pilipino.

Her father, an Australian, at first didn’t understand the fuss over his daughter. But Anne’s Filipino mother told her husband there was nothing wrong about being a model.

So little Anne did the commercial--her ticket to show business. Right after played the role of the princess in Viva Films’ fantasy flick Magic Kingdom.

"My first step in show biz was also a moment of glory for me," Anne recalls. "It was such a beautiful movie, and I couldn’t ask for more."

Guest appearances on TV shows followed as Viva Entertainment Group signed her up into a management contract. She appeared in Filipinas with Maricel Soriano, Dawn Zulueta and Aiko Melendez. She tried comedy, too, as a mainstay for sometime on a television gag show.

In 2004 Anne moved to ABS-CBN 2 where she became the Kampanerang Kuba, a fantasy series about an ugly bell toller. Before that semi-musical bubbler, she costarred with Dina Bonnevie, Kris Aquino and Heart Evangelista on the nightly drama series Hiram. That’s besides cohosting stints on various ABS-CBN 2 shows.

Early this year, she appeared with Luis Manzano in one episode of the movie trilogy All About Love, produced by Star Cinema, a sister company of ABS-CBN 2.

There was really no time to go to school in her younger busier years, though there was time to fall in love (such as with Richard Gutierrez and with Paolo Araneta, a son of former actress Maritess Revilla) and to save a lot of money. She has earned enough to buy a sprawling lot in upscale Parañaque and build a five-bedroom, Victorian inspired three-story house.

"I might be able to move in if not late this year, then hopefully early next year in time for my 22nd birthday in February," reveals the still sweet and serene Anne.

"I’m still furnishing it and I have come to realize that Victorian furnishings are quite expensive! The ready-made ones I can’t afford, so I just have them copied," she further reveals.

With her comparatively lighter show-biz schedule these days, she has been managing to go to a regular school.

"I don’t think Nursing is offered anywhere as a home study course, so I am now training myself to go to school five days a week and do my schoolwork as seriously as all regular students are required to," she declares.

Who knows, we might really have a successful nurse in Anne Curtis someday.

From :

We need to send more nurses and scientists to earn dollars abroad

We need to send more nurses and scientists to earn dollars abroad

IN two previous articles I cited the low monthly wage here given to Pinay nurses in public and private hospitals. There are government agencies that recommended "small policies" to stop them from working abroad for the benefit of the people’s health. These agencies don’t have facts and figures, other than small logic, to support their claim of danger to our people’s health.

Nurses earn $ 2,500 to $ 3,000 in US

In RP, nurses earn less than P15,000 monthly against P140,000 ($ 2,500 plus) to P184,000 ($ 3,000 plus) as starting pay or a visible 12.27 times the pay of their kin in RP.

Before retirement not all nurses here get an average pay of R20,000 plus as basis for computing their benefits. Some of them claim their retirement benefits cannot pay off their accumulated utang over the years. Most of them retire at age 65 without a house of their own.

$ 5,000 to $ 7,000 before retirement

In the US, Pinay nurses enjoy a pay of $ 5,000 to $ 7,000 plus after working for 30 years or more (P265,000 to P371,000).

And before retirement their parents live in better surrounding after working in the US for 10 years or more. Last year, my first cousin retired as nursing supervisor earning more than ,000 monthly in Manhattan. She won’t tell me her worth — savings and benefits.

Surplus of nurses

This week, the Professional Regulation Commission (PRC) released the list of 17,821 nurses was passed the licensure test given in June, 2006 in Manila, Baguio, Cebu, Cagayan de Oro, Davao, Iloilo, Legazpi, Lucena, Tacloban, Tuguegarao and Zamboanga.

All 17,821 of them need to earn immediately to repay their parents’ utang from 5/6 bankers (earning an interest of 20 percent monthly or 240 percent yearly).

Office to find jobs for nurses abroad

According to one analyst the government should create an office to study seriously how to deploy all 17,821 nurses among the more affluent countries in North America and Europe. If only a few of them get employed how could their parents pay the 5/6 bankers?

If we don’t send a large part of their number to work abroad who can give them immediate jobs in RP?

In RP national, city and provincial hospitals are so impoverished that they cannot afford extra health personnel who need a note from politicians.

$ 100-M windfall

Our 17,821 nurses all working abroad can send at least $ 100 M a year or P5.3 B. Our bill for rice import of 1.65 M metric tons — January to June alone — is about P480 M. We have no idea how many thousands of tons RP will import from China, Thailand, and Vietnam for July to December, 2006.


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