The facility must have policies and procedures in place addressing all aspects of this issue. The nursing assessment must include monitoring of medication administration record. The Board of nursing does not require "certification" as a pre-requisite for the nurse to provide education regarding chemotherapy or as a pre-requisite to providing care to chemotherapy patients. The education and competence must be documented initially and on an ongoing basis; The procedure is performed in a controlled setting where the patients are monitored according to accepted standards of practice; There is a patient specific medical order for the procedure; The initial procedure of irrigation of the mediastinal catheter and pericardial catheter is done by the physician or advanced practice registered nurse (APRN) [subsequent procedures may be performed by the registered nurse provided there are no complications]; and. Other member states of the Emergency Management Assistance Compact are Alabama, Alaska, Arizona, Arkansas, Colorado, Congress Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia and Wisconsin. When administering any medications, the registered nurse should be knowledgeable of and comply with all applicable state and federal laws, rules, regulations and guidelines pertaining to the specific medication, including but not limited to, those of the Food and Drug Administration, Drug Enforcement Administration, the Mississippi Board of Pharmacy, and the Mississippi Board of Nursing. Refer to theSafety to Practiceposition statement. See temporary permits for New Graduates under Licensure and Practice). The licensed practical nurse's role in performing external cerebral ventricular catheter care is limited to the provision of catheter insertion site care. Can a registered nurse administer blood or blood components in the home setting? should be followed as they would in the home. The multi-state license benefit is only for nurses meet the eleven (11)uniform licensure requirementsset by the National Council for State Boards of Nursing. Every state has its own spectrum of disciplinary actions. Refer to the Removal of Chest Tubes Position Statement. In addition, there must be a patient specific order for the procedure. The Board grants licenses to licensed practical nurses (LPNs), registered nurses (RNs), advanced practice registered nurses (APRNs), and certified clinical hemodialysis technicians (CCHTs). This includes assessing the patient's needs, formulating a nursing diagnosis, planning for, implementing and evaluating the patient's care" It is further stated that the licensed practical nurse "may assist the registered nurse in the planning, implementation and evaluation of nursing care by," in part, "observing, recording and reporting to the appropriate person the signs and symptoms that may be indicative of change in the patient's condition." A central line is the recommended route for administration; The patient is monitored according to accepted standards of practice; There is documentation of appropriate patient/caregiver teaching for monitoring for drug-related problems of the therapy; and. The vaginal pack was not placed to stop or slow bleeding/hemorrhage; The registered nurse is educated and competent in the procedure. If the nurse has ever had a Mississippi compact privilege or license denied, revoked, suspended, surrendered or restricted, and that disciplinary action has not been cleared, the nurse may not practice nursing in Mississippi until such time as the disciplinary action has been cleared. Mississippi Interactive, LLC | Proprietary and Confidential, Part 2840, Chapter 1: Section II Cannabis Certification, Governor Tate Reeves Announces End of Mississippi's COVID-19 State of Emergency Effective November 20, 2021. Code Pt. (Temporary permits are issued for 90 days from the date of issuance/approval. Below are the number of serious actions against registered nurses that Wyoming reported in recent years, based on a ProPublica analysis of data from the Health Resources and Services Administration (see caveats). (601) 957-6301. The licensed practical nurse gives nursing care under the direction of the RN, licensed physician or licensed dentist which does not require the specialized skill, judgment and knowledge required of a RN. Pursuant to the 30 Miss. The licensee may engage in the practice of nursing at the level indicated. Along with other operative nursing behaviors, the RNFA practices under the direct supervision of the surgeon and does not concurrently function as the scrub nurse. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. 713 Pear Orchard Rd. C.Manipulate, advance, irrigate, milk or remove a chest tube. It is within the scope of practice of the licensed nurse to hand a patient pre-packaged pharmaceutical samples with the original label and packaging intact or a medication that a physician or pharmacist has appropriately repackaged and labeled from a bulk container and meets the Board of Pharmacy, Medical Licensure Board, Food and Drug Administration (FDA), and Drug Enforcement Administration (DEA) guidelines provided: Refer to theRole of the Licensed Practical Nurse in Nasogastric Tube Insertionposition statement. Attorney Robert Chelle discusses the most common board of nursing disciplinary actions. ***(A nurse whose primary state of residence is another Compact state is not eligible for licensure in Mississippi. Therefore, the nurse must maintain a current, active Mississippi license or a current, active unrestricted multi-state license from another state participating in the Nurse Licensure Compact. The policies should include specific medications to be used for the particular procedure(s) and should be developed with input/expertise from all involved parties, based on accepted standards of practice. The licensee may engage in the practice of nursing at the level indicated. When administering any medication, the nurse should be knowledgeable of and comply with all applicable state and federal laws, rules, regulations and guidelines pertaining to the specific medication including, but not limited to, those of the Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), the Mississippi Board of Pharmacy and the Board of Nursing. Therefore, you must apply for an expanded role or advanced practice certification if you apply for licensure in another state. The appropriately prepared registered nurse may provide specialized nail care/foot care for patients including but not limited to, diabetic patient. Listed below are the meetings held for the past Formal Reprimand You never want to get a letter from the Nursing Board, but if you do, it would be best to receive a Formal Reprimand . The Mississippi Nursing Practice Law does not mandate CEUs as a prerequisite to renewing or maintaining a RN or LPN license. This would take away some of the notion of the nurse "prescribing" the medication. Federal and state regulations contain mandates and regulate healthcare staffing. Under the Compact, the registered nurse/licensed practical nurse license is issued by your primary state of residence (home state) will be recognized among all Compact states. The registered nurse must document and sign the portion of the assessment which he/she completed. The facility/agency has policies and procedures in place addressing all aspects of this issue. The marking of the surgical site is not within the scope of practice of the RN or LPN. There are no participation fees. It is within the scope of practice of the appropriately prepared licensed practical nurse to perform phlebotomy for the purpose of specimen collection provided: The licensed practical nurse who is not certified in the expanded role of the licensed practical nurse in IV therapy may not perform the phlebotomy procedure for purposes of initiating an IV. Please access the link for Forms and follow the instructions. If you are being investigated, you should hire a professional license defense attorney at this point . The registered nurse who is not a qualified anesthesia provider, who has specialized education and training, in settings where critical care nursing can be provided, may initiate, titrate, and bolus intravenous agents provided the patient's airway is secured and mechanically assisted. A licensed nurse may only hold one multistate license at a time. Monitor/regulate the rate of the plain fluids being administered through a peripheral line. The facility has policies and procedures in place addressing all aspects of this issue. Upload CE certificates in PDF format as evidence of having completed the five (5) contact hours related to controlled substances within the renewal cycle 01/01 of the odd year to 12/31 of the even year. If you wish to change your name, you must complete a name change through the nurse gateway by clicking on "Edit profile", proof of name change must be provided to the BON for approval with $25.00 fee. The appropriately prepared licensed practical nurse who is not certified in the expanded role of IV therapy may: The licensed practical nurse may perform the above referenced functions concerning IVs provided: The licensed practical nursemay not: A.Initiate a peripheral IV B. Mississippi has no statue that would require an individual order for vaccination or prohibit the administration of this medication in the outpatient or home settings. The RN shall complete a minimum of twenty (20) contact hours of accepted continuing education earned in the previous 2-year periodimmediately prior to such applicationtoward satisfying the requirement. Yes, it is within the scope of practice of the appropriately prepared RN or LPN to administer vaccines per medically approved protocols and/or standing orders. This education and competence must be documented initially and on an ongoing basis; The specimen is obtained without actively aspirating - a passive drip method could be used; The registered nurse practices according to generally accepted standards; and. The staff of the board will want a response, either written or verbal. Some investigations result in disciplinary actions while others result in Request for additional information concerning past discipline may be requested through ouronline license verification system. The Board may issue a temporary permit to any nurse during the time enrolled in a Board-approved nursing reorientation program upon submission of required application and fees; Completion of twenty contact hours of continuing education directly related to nursing practice within the two (2) year period immediately prior to such application for renewal or reinstatement of the nursing license. The practice of nursing by a registered nurse means the performance for compensation of services which requiressubstantial knowledgeof the biological, physical, behavioral, psychological and sociological sciences and of nursing theory as the basis for assessment, diagnosis, planning, intervention and evaluation in the promotion and maintenance of health; management of individuals' responses to illness, injury or infirmity; the restoration of optimum function; or the achievement of a dignified death. Information regarding educational requirements and the RNFA role can be obtained from AORN, 10170 East MS Avenue, Denver, Colorado 80231, Telephone: (303) 755-6300. The registered nurse may: The appropriately prepared registered nurse or licensed practical nurse may administer a chemotherapeutic agent (e.g., BCG) via bladder instillation provided: The Board does not maintain a listing of specific medications acceptable for administration by registered nurses and licensed practical nurses. However, the registered nurse remains accountable for the acts delegated. The facility has policies and procedures in place to address all aspects of the issue. If you are a new user please use the Register Now button to the right. Revocation, suspension, probation and more. The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. the attending physician or advanced practice registered nurse to report the nursing assessment and physical findings; The registered nurse obtains an order from the attending provider to continue or terminate the restraint seclusion; The registered nurse practices according to generally accepted standards of practice; The licensed practical nurse is educated and competent concerning patient education; The licensed practical nurse's education and competence are documented initially and on an ongoing basis; The licensed practical nurse is following an education program developed by the registered nurse and practices according to generally accepted standards of care; The registered nurse develops and documents an educational program for and specific to the patient and re-evaluated the patient and revises the educational program as needed; The licensed practical nurse must have successfully completed orientation to the equipment, the agent, and all aspects of related monitoring and documentation. It is within the scope of practice of the appropriately prepared registered nurse to remove subsequent vaginal packs provided the standard requirements are met, the vaginal pack was not placed to stop or slow bleeding/hemorrhage, and the original vaginal pack has been removed postoperatively by the physician or advanced practiced nurse. There must be documentation that the licensed practical nurse is educated and competent. In situations involving the irrigation of chest tubes, mediastinal catheters and pericardial catheters with thrombolytics, the following stipulations must be met: It is within the scope of practice of the appropriately prepared registered nurse to administer paralytic agents and/or sedative analgesics/anesthetics as part of rapid sequence intubation and for the purpose of maintaining a patient on the ventilator in critical care units, emergency departments and in prehospital/interhospital response and transportation provided: Refer to theAdministration and Management of Moderate Sedationposition statement. The provisions of the Mississippi Nursing Practice Law do not preclude a licensed practical nurse from working in the school setting if the licensed practical nurse functions within the applicable scope of practice. The registered nurse is educated and competent in the procedure. Any RN or LPN applying to change from inactive to active status must submit evidence of continuing basic nursing competencies when you have not practiced nursing for compensation or performed the function of a RN or LPN in a voluntary capacity with or without compensation with the five (5) year period immediately prior to the application. Regulations further state that "the Director of Nursing Services is responsible for the operation of the service including the types and numbers of nursing personnel as needed. Visit Related Organizations for other healthcare regulatory agencies. The Board further determined it is not within the scope of practice of the registered nurse to administer Natrecor in the home-health/hospice setting. Serious Disciplinary Actions. The scope of practice for the LPN expanded role in IV therapy is addressed in Rule 2.4. In regard to removal of epicardial wires. The licensee has the privilege to practice nursing in all states which have adopted and implemented the Nurse Licensure Compact. Please note that when you are practicing in another Compact state, you must abide by the Nursing Practice Law of that state where you are practicing. Disciplinary action: Suspension of license for 180 days from the date the Board executes the Order; during which time the licensee must comply with conditions of: $1500.00 fine; be The rules and regulations for the expanded role LPN in IV therapy can be found in 30 Miss. On April 13, 2007, the Board of Nursing's Nurse Practice Committee completed its review of a request for reconsideration of the role of the registered nurse in removing the initial post-operative vaginal pack. Admin. The fee shall not exceed Twenty-five Dollars ($25.00). Administration and Management of Moderate Sedation, Role of the Licensed Practical Nurse in Nasogastric Tube Insertion. Mississippi is a member of the Emergency Management Assistance Compact which provides that "in managing any emergency disaster that is duly declared by the Governor of the affected state, whether arising from natural disaster, technological hazard, manmade disaster, civil emergency aspects of resources shortages, community disorders, insurgency or enemy attack.Whenever any person holds a license, certificate, or other permit issued by any state party to the compact evidencing the meeting of qualifications for professional, mechanical, or other skills, and when such assistance is requested by the receiving party state, such person shall be deemed licensed, certified, or permitted by the state requesting assistance to render aid involving such skill to meet a declared emergency or disaster, subject to such limitations and conditions as the Governor of the requesting state may prescribe by executive order or otherwise.". License Verification and Renewal - Mississippi State Department of Health Verify or Renew Professional Licenses Verification Use our license search feature to verify an existing license, or list all professionals with a particular license. It is not within the scope of practice of the LPN to perform any of these procedures. Giving out drug samples is considered dispensing. Because state boards are in charge of licensing, they are also responsible for investigating complaints. While nursing mistakes or misconduct may lead to other consequences, such as employer reprimands, terminations, civil suits, or criminal charges, nurse disciplinary action directly affects a nurse's license. It is within the scope of practice of the appropriately prepared registered nurse in certain limited situations, to access the pharmacy during the pharmacists absence as provided for in the Mississippi Pharmacy Practice Regulations. It is within the scope of practice of the appropriately prepared registered nurse to function as a registered nurse on an ambulance provided: Can a licensed nurse apply Anodyne therapy (monochromatic infrared photo energy)? This education should contain all components of a formal certification course, including insertion, use, care and maintenance; The facility or agency has policies and procedures in place addressing all aspects of this issue including, but not limited to: The registered nurse is educated and competent in the procedure. legal & hearings. It is within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. Each nurse must realistically evaluate his/her abilities to determine the number of hours in which he/she can safely provide nursing care. If a nurse is assigned to a shelter in which people are taking refuge at the last minute, the nurse should perform emergency first aid, follow applicable written protocols and contact medical control through the established mechanisms as soon as possible. The law does require the nurse to maintain competency in his/her nursing practice, but that responsibility rests with each nurse as pertinent to his/her field of practice. The registered nurse may not draw medical conclusions, make a medical dianosis or sign for the physician. Last Modified: 10/14/2020 7:25 AM The Mississippi State Board of Examiners for Social Workers and Marriage and Family Therapists has provided a summary of licenses that have been revoked or suspended and are You are under the jurisdiction of the regulatory Board in the state in which you practice nursing, and should contact the appropriate state board. Initially participants have no narcotic access, limited work hours, and no return to critical care areas, emergency room or independent settings. As additional education and experience are required to obtain the necessary technical skills and knowledge to function as the assistant to the surgeon during an operation, advanced surgical assisting skills are outside the scope of practice the registered nurse. No. (601) 957-6301. 2830, Chapter I and pursuant to the Mississippi Nursing Practice Law, "The registered nurse shall be held accountable for the quality of nursing care given to patients. These are the different steps the Board can potentially take, from least to most restrictive. The documented competencies should include hemodynamic monitoring and skills include in ACLS and basic critical care; The registered nurse practices and the patient is monitored according to accepted standards or practice; All necessary resources, including emergency equipment and resources, are readily available; The facility has policies and procedures in place addressing all aspects of this issue; and. These protocols or standing orders should contain provisions to treat adverse vaccine events including, but not limited to, medication administration and emergency transfer. The registered nurse remains accountable for the acts carried out, as well as, the outcome of the acts delegated. Evidence of continuing basic nursing competencies shall include submission of the written documentation of 1, 2, or 3 below: Documentation of continuing basic nursing competencies not included in 30 Miss. This training and competence should be documented initially and on an ongoing basis; There is a medical order, emergency protocol or standing orders directing the care of the patient; The registered nurse functions according to accepted standards of practice. The Nurse Practice Committee determined that it is within the scope of practice of the appropriately prepared registered nurse to remove the initial post-surgical vaginal pack provided: As noted above, the patient who has a vaginal pack in place to stop or slow bleeding/hemorrhage is not a candidate for the packing to be removed by the registered nurse. The registered nurse may not delegate the task of specialized nail/foot care to the licensed practical nurse. You will need to apply for a Mississippi license by endorsement if you have never held a Mississippi license. The Gateway provides a single, secure portal to manage licenses and certificates. It is not within the scope of practice of the registered nurse to suture, unless the registered nurse is an advanced practice registered nurse or the registered nurse who meets the definition of a registered nurse first assistant (RNFA). These vital signs must be stable and within the desired parameters for the individual patient; The medication is administered via an infusion pump. APRNs graduating from an accredited master's degree or higher APRN program within the last two (2) years are exempt for this requirement for the first renewal of State Certification only. In situations of telephonic case referrals, telephonic case management, and field base case management in which the patient is in Mississippi, the practice occurs where the patient is located. Pursuant to the Nursing Practice Law and the Administartive Code of the Board of Nursing, the registered nurse shall be held accountable for the quality of nursing care given to patients. Independently change a disposable collection system; or. Article XXIX, Section 4, Subsection C of the regulations states, Whenever any drug is not available from floor supplies or other storage areas and such drug is required to treat the immediate needs of a patient whose health would otherwise be jeopardized (emphasis added), such drug may be obtained from the pharmacy in accordance with the requirements of this subsection. The licensee may not engage in the practice of nursing. The scope of practice of the licensed practical nurse certified in IV therapy is defined in 30 Miss. (During the certification training/process, after completion of the mandated 40 hours theory component of the educational program, the licensed practical nurse student (termed hyperbaric technologist student in program) must function under the direct supervision of a registered nurse preceptor certified in hyperbaric oxygen therapy for the required 480 hours clinical practice.) G.N.). The Board of Nursing may take disciplinary action against a licensee for violation of the Nursing Practice Act. The same standard applies to electronic prescriptions. It is within the scope of practice of the appropriately prepared registered nurse to administer Dobutrex (dobutamine) and Primacor in the out-patient setting provided: On April 11, 2004, the Board reviewed a request for clarification of the role of the registered nurse in the administration of Nesiritide (Natrecor) in the home-health/hospice setting. In which he/she completed action against a licensee for violation of the notion of the site. Accountable for the procedure of catheter insertion site care role in performing external cerebral ventricular catheter care is limited,... By endorsement if you have never held a Mississippi license by endorsement if you apply for a Mississippi license and. No return to critical care areas, emergency room or independent settings staff... 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