Saturday, March 9, 2013

The truth about the Nursing Profession in Philipines

After graduation, is definitely one of the most challenging phase in one’s life. It will of course, give a peace of mind, that one will be finally free from the hustle and bustle of a student’s life.  And the thought of finally being liberated from academics responsibility is now a dream come true. But after sometime, most graduates would feel at lost, especially if they cannot find any jobs. Here in the Philippines, not only nurses suffer this kind of dilemma, many people graduates, but it seems that jobs for these individuals are hard to grasp. But to think of it, there are countless things that needs to be fixed in our own country, meaning more people are needed to work in order to have those goals achieved.

 Sad truth is, it is very hard for Filipino’s to look for what they may say good jobs. What do I mean? Well, for instance nurses like me, are unable to be designated to hospitals after graduation with righteous compensation. Even though most of these nurses’ families had already invested their family’s entire livelihood just to have their children finish with the said degree, after graduation they face the dilemma of not being hired immediately as a nurse, and must undergo the volunteer stage even though the Republic Act 9418: Volunteer Act of 2007 was promulgated a long time ago and it has been mandated by the Department of Health Secretary Enrique T. ONA to terminate all Nursing Volunteer Programs. To be honest still, most hospitals in present are not following the said mandate.  The fact that most nurses, are still volunteers, even though let’s say that it has been their choice of being volunteer nurses. But the bottom line is that, if there is a mandate that will prohibit the hospitals to keep nurses as volunteers for more than three months and giving them only specific hours of duty as volunteers, since of course they are not paid at all. It would at least be justifiable for volunteer nurses to work in such setting. But in reality, volunteer nurses are being working not at an 8-hours shift but rather 12-hours  to a 16-hour shift without pay or the worst without any allowance. And as for those who are already hired as staff nurses, it is shocking that hospitals would only compensate these professionals with unbelievable salaries, some would only range from 6,000- and if lucky around 12,000 pesos monthly or more. And to think, that these professionals are almost the levels of doctors when it comes to healthcare, they deserve a higher compensation than this. 


And as per RA 9173 From Section 32. Salary. - In order to enhance the general welfare, commitment to service and professionalism of nurses the minimum base pay of nurses working in the public health institutions shall not be lower than salary grade 15 prescribes under Republic Act No. 6758, otherwise known as the "Compensation and Classification Act of 1989": Provided, That for nurses working in local government units, adjustments to their salaries shall be in accordance with Section 10 of the said law.
And the penalty? Well, it’s clearly stated in ARTICLE VIII: Penal and Miscellaneous Provisions Section 35. Prohibitions in the Practice of Nursing. - A fine of not less than Fifty thousand pesos (P50,000.00) nor more than One hundred thousand pesos (P100,000.00) or imprisonment of not less than one (1) year nor more than six (6) years, or both, upon the discretion of the court, shall be imposed upon:
(c) any person or employer of nurses who violate the minimum base pay of nurses and the incentives and benefits that should be accorded them as specified in Sections 32 and 34…;


It is very much clear that most institutions are not following the Law, it is but dismaying to realize that these institutions are being managed by professionals as well, they should be more observant of the law. What if by any chance, they will be found out of this practice? By all means they will not be held as innocent because of their ignorance.  But rather guilty, because they should be aware of the laws that will affect their institution as a responsible citizen.
Another issue is that these health workers, who are the front-liners do not have any health insurance at all. It should be mandatory for hospitals to have all of the health workers that may be categorized as front-liners to have a health insurance. Isn’t it ironic, that those who are literally exposed face to face with pathogens and disease, do not even have any health insurance as a backup if any case they also acquire illnesses? 


However, it has been mandated by RA 9173 as well for institutions to provide free healthcare services to their nurses and their dependents as well.  Stated clearly as:
Section 34. Incentives and Benefits. - The Board of Nursing, in coordination with the Department of Health and other concerned government agencies, association of hospitals and the accredited professional organization shall establish an incentive and benefit system in the form of free hospital care for nurses and their dependents, scholarship grants and other non-cash benefits. The government and private hospitals are hereby mandated to maintain the standard nurse-patient ratio set by the Department of Health.
So again, it is very much clear that nurses have a health security in terms of being hospitalized. But is it being followed?  We’ll see.. J

 It is tragic indeed, that our country definitely has major problems when it comes to Healthcare, I would say in all aspects. Our leaders should be more vigilant in their decision, that is all I can say for now. Because what we sow, we will definitely also reap in the future.