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. Board Action January 2010. Furthermore, the registered nurse is accountable for the quality of nursing care given by self or others being supervised. Supervising cardiac stress testing is within the scope of practice of the appropriately prepared registered nurse provided: The registered nurse may not administer agents or medications for the purpose of pharmacologic or nuclear stress testing unless the physician or APRN is immediately available. The patient must be assessed initially and on an ongoing basis as needed by the registered nurse to determine whether there are contraindications or changes which require additional resources or expertise; The licensed practical nurse practices according to accepted standards of practice; The procedure is performed and the patient is monitored according to accepted standards of practice; All necessary resources including, but not limited to emergency resources/equipment are available; and. The nurse may practice in Mississippi if: Under the Compact, only the RN and LPN roles will be recognized among all the Compact states. the BON may take disciplinary action on the nurses license. Change tubing on or administer IV chemotherapeutic agents. The nurse is educated and competent in the procedures. The patient retains control of reflexes and can be aroused; The registered nurse practices according to accepted standards of practice; The drugs and dosages must be clearly intended for maintaining the patient in a conscious state; The physician or CRNA ordering the sedation should be present and immediately available to respond in the case of an emergency; The patient is monitored according to currently recognized standards of practice; The facility has policies and procedures in place addressing all aspects of the issue. (601) 957-6300. Some investigations result in disciplinary actions while others result in Acceptable continuing education offerings are those which are currently approved, accredited, provided, or offered by recognized credentialing agency; Successful completion of a minimum of three (3) semester hours of nursing credit offered by a nursing education program within the two (2) year period immediately prior to such application for renewal or reinstatement of the nursing license. Issuing a temporary permit to a New Graduate allows that New Graduate to practice within their respective education and training. Recovery from substance dependency is an ongoing process that requires life changing actions and decisions made on a daily basis. Should the school elect to allow someone other than the registered nurse to observe students with stable conditions self administering oral, topical, ear, eye, nasal and inhalation medications or epinephrine pens as authorized by a parent/legal guardian, the designated school personnel may only do the following: In these schools, the registered nurse should also: It is within the scope of practice of the appropriately prepared licensed practical nurse to replace a suprapubic catheter provided: No. Disciplinary Actions - Louisiana State Board of Nursing. In the event an order clarification is needed, it should be given as a usual medical order, whereas, the licensed nurse is educated and competent, there is a medical order, the licensed nurse practices according to accepted standards of care, and the facility has policies and procedures in place to address all aspects of the issue. 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. A qualified physician or certified registered nurse anesthetist (CRNA) must select and order the agent to be used. The licensee is restricted, usually as a result of disciplinary action, to practicing nursing in Mississippi and does not have the privilege to practice nursing in any state other than Mississippi. Pursuant to the Mississippi Board of Nursing Rules and 30 Miss. Code, Part 2810, Chapter 4, Rule 4.7, may be considered by the Board on an individual basis. 713 Pear Orchard Rd. Admin. The appropriately prepared registered nurse may provide specialized nail care/foot care for patients including but not limited to, diabetic patient. Issuance of a single-state license may be issued if the nurse does not meet all of these requirements. The LPN Education portal provides a variety of information, from starting a new program to program outcomes. ***(A nurse whose primary state of residence is another Compact state is not eligible for licensure in Mississippi. Suite 300. The licensed nurse is responsible for assuring he/she is educated and competent to care for the number of patients assigned, to perform necessary procedure(s), or to administer medication(s) prior to accepting such a patient assignment or task. The registered nurse is accountable for the quality of care given by self or others being supervised. Should a licensed individual decide to be employed in any healthcare or non-healthcare setting, The Mississippi Board of Nursing is only charged with the duty to hold that licensee to the pertinent scope of practice. This education and competence are documented initially and on an ongoing basis. It is the position of the Board of Nursing that a registered nurse should administer medications to students. The registered nurse shall be held accountable for the quality of nursing care given to patients. The registered nurse is educated and demonstrates current competency in obstetrical nursing; The registered nurses education and competency are documented in the facilitys records initially and on an ongoing basis; The registered nurse communicates with (e.g. Continuing education for these procedures must be ongoing and documented; The supervising physician or advanced practice registered nurse (APRN) must have expertise in laser therapy and be immediately available and able to respond within five (5) minutes to any question or adverse event; The supervising physician or APRN performs and documents an initial assessment prior to treatment and as needed during the course of therapy; There is a medical order for the procedure, to include control settings and/or strength of solutions to be used; The registered nurse practices according to accepted standards of practice; Necessary resources are available; and. Refer to the Removal of Chest Tubes Position Statement. Refer to theSurgical Site Marking position statement. Privileges are gradually restored throughout the monitoring period. States are required to report sanctions against health providers to the federal government. There is an informed consent (obtained by the physician) for the procedure; There is a medical order for the procedure; The registered nurse practices and the patient is monitored according to generally accepted standards; Necessary resources including, but not limited to, emergency resources and personnel are available; and. 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. Admin. State regulations for hospitals state that the facility must provide nursing services for each unit sufficient to meet the needs of the patients. Refer to thePatient Abandonmentposition statement. The licensed practical nurse is appropriately educated and certified in hyperbaric oxygen therapy in accordance with National Board of Diving standards. The most current information concerning the Nurse Licensure Compact can be found at www.ncsbn.org. W2 from US government or any bureau, division or agency thereof indicating declared state of residence, All necessary resources including, but not limited to, emergency resources/equipment are available; and. If you are issued a multistate license, your Mississippi license will become inactive but you will still have the privilege to practice in Mississippi and other compact states. We can help you get there. New graduates may only sign off on paperwork using the initials to signify they are a graduate nurse (i.e. NCSBN is currently in production on several other videos, so check back here for new releases. The registered nurse is educated and competent in the procedure. Most of NCSBN's educational video productions are designed to provide clarity about some of the most challenging issues boards of nursing face in their mission to protect the public. It is the state of a person's declared fixed permanent and principal home for legal purposes. No, you must apply for license reinstatement. Serious Disciplinary Actions States are required to report sanctions against health providers to the federal government. The nurse must apply adequate knowledge and skills in determining the dosage to be administered at any given time. 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. Only designated nurses in any one shift may be given access to the pharmacy and may remove drugs therefrom. The Medication Administration Record must include the date, identity of school personnel providing the medication and documentation of missed doses (i.e. The Board may conduct periodic audits to ensure compliance. It is within the scope of practice of the appropriately prepared registered nurse to insert a peripheral arterial line for the purpose of blood pressure monitoring. (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.) More information can be found on theNCSBN website under Licensure Compacts. The Board of Nursing may take disciplinary action against a licensee for violation of the Nursing Practice Act. 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." The Mississippi Board of Nursing does not mandate the content/curriculum for graduate student orientation. It is within the scope of practice of the appropriately prepared registered nurse and licensed practical nurse to write the patient demographic information, as well as the drug, dosage, frequency and number of refills on a medical prescription as pursuant to a medical order. Ridgeland, MS 39157. Code Pt.2830, R 2.4(G),states, "Unless otherwise specified in these regulations, the LPN certified in IV therapy may perform advanced acts of IV therapy if the supervisor is physically on the premises where the patient is having nursing care provided. When administering any medication, the licensed 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 Mississippi Board of Nursing. The foregoing shall not be deemed to include acts of medical diagnosis or prescriptions of medical, therapeutic or corrective measures, except as may be set forth by rules and regulations promulgated jointly by the State Board of Medical Licensure and the Mississippi Board of Nursing and implemented by the Mississippi Board of Nursing., The practice of nursing by a licensed practical nurse means the performance for compensation of services requiringbasic knowledgeof the biological, physical, behavioral, psychological and sociological sciences and of nursing procedures which do not require the substantial skill, judgment and knowledge required of a registered nurse. It isnotwithin the scope of practice of the licensed practical nurse to apply the Anodyne Therapy System Home Unit. The appropriately prepared Registered Nurse may administer IV chemotherapeutic agents. Nursing disciplinary action consists of six separate phases. Nursing practice includes, but is not limited to, administration, teaching, counseling, delegation and supervision of nursing, and execution of the medical regimen, including the administration of medications and treatments prescribed by any licensed or legally authorized physician or dentist. 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. RNswill be required to comply with Continuing Education requirements for the renewal, endorsement, or reinstatement applications if the nurse has been out of practice for greater than five (5) years. Although the 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. (601) 957-6301. Monitor/regulate the rate of the plain fluids being administered through a peripheral line. The The facility/agency has policies and procedures in place addressing all aspects of this issue. On July 27, 2007, the Board of Nursings Nurse Practice Committee reviewed the role of the registered nurse in assessing obstetrical patients who present to the hospital with an obstetric-related complaint. The Compact defines "primary state of residence" as "the state of a person's declared fixed permanent and principal home for legal purposes." 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 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. Code Pt. The nurse is responsible to assure that he/she is trained and competent to do the procedure or administer the medication prior to accepting such a task. Refer to theInsertion, Maintenance, and Removal of Peripherally Inserted Central Cathetersposition statement. Below are the number of serious actions against registered nurses 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 nurse/facility must determine which of these drugs are appropriate based on the nurses education and competence, current standards of practice, and the facilitys policies and procedures. The appropriately prepared registered nurse may change the inner cannula on a new tracheostomy. The registered nurse is educated and competent in the procedure. Advanced surgical assisting skills may be performed by the registered nurse who has been appropriately educated in the expanded role of first assisting and who has met the criteria for using the title RNFA in accordance with AORN requirements. 2840 Chapter 3, and the Mississippi Nursing Practice Law, which can be accessed through the board's website. The facility has policies and procedures in place to address all aspects of the issue. The supervising registered nurse must be physically present on the premises where the patient is having nursing care provided for the licensed practical nurse certified in IV therapy to perform advanced acts of IV therapy. Appropriate documentation of client assessment and evaluation must substantiate intervention. You may renew online if your primary state of residence is Mississippi or another state that is not a member of the Nursing Licensure Compact. Manage respiratory support equipment (excluding trach care/suctioning). There are no participation fees. This would take away some of the notion of the nurse "prescribing" the medication. The facility has policies and procedures in place addressing all aspects of this issue, including a quality assurance component. On a selected basis, and within safe limits, the role of the licensed practical nurse shall be expanded by the board under its rule-making authority to more complex procedures and settings commensurate with additional preparation and experience.. 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). Provide a Medication Administration Record for documentation of all doses of medication provided in the school setting. Nurses allowed access to the pharmacy shall receive thorough education and training in the proper method of access, removal of drugs and records and procedures by the Director of Pharmacy, who shall require at a minimum the following: It is within the scope of practice of the appropriately prepared registered nurse to function as a registered nurse on an ambulance provided: It is within the scope of practice of the appropriately prepared registered nurse to apply Anodyne Therapy System Home Unit. The Gateway provides a single, secure portal to manage their licenses and certificates. It is within the scope of practice of the appropriately prepared licensed practical nurse to apply compression bandages/dressings provided: Nursing assessment is outside the scope of practice of the licensed practical nurse. The Mississippi Board of Nursing requires that graduates are also fingerprinted by the Mississippi Board of Nursing prior to sitting for the licensing exam (NCLEX-RN). The registered nurse may assign nursing duties to other qualified personnel; assign duties of medication administration or patient medications to other licensed nurses only except as set out in 30 Miss. Independently change a disposable collection system; or. The facility has policies and procedures in place addressing all aspects of this issue. It is within the scope of practice of the appropriately prepared registered nurse to instill medication into the chest cavity via chest tube. 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. It is within the scope of practice of the appropriately prepared registered nurse to administer an endoscopy capsule, in addition to the standard requirements, provided: The appropriately prepared registered nurse who is experienced and competent in gastroenterological nursing may manipulate the endoscope as directed to facilitate an endoscopic procedure provided: The appropriately prepared registered nurse or licensed practical nurse may replace a gastrostomy tube provided: On August 9, 2002, the Board of Nursing's Nurse Practice Committee approved the expansion of the scope of practice of the licensed practical nurse to include providing hyperbaric oxygen therapy in monoplace chamber units provided: It is within the scope of practice of the appropriately prepared licensed nurse (registered nurse or licensed practical nurse) to administer vaccines per medically approved protocols and/or standing orders. 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. The registered nurse is educated and competent in all aspects of rapid sequence intubation, mechanical ventilation and cardiovascular resuscitation, including knowledge of all equipment and medical devices to be used and medications to be administered (i.e., indications and use, actions, dosage, contraindications, precautions, side effects, antidote, etc., The education and competence must be documented initially and on an ongoing basis; If in a facility, the physician or nurse practitioner who is performing the intubation is physically present when giving orders for the medication and while the medication is being administered; If in a facility, the registered nurse is educated and competent and is the most qualified individual to perform the procedure present; If in the pre-hospital setting or during interhospital air/ground transport, the physician or nurse practitioner is in direct contact with the registered nurse; All the necessary resources are available; and. It is within the scope of practice of the licensed practical nurse to administer respiratory nebulizer/aerosol treatments. The licensed practical nurse is educated and competent in the procedure. The physician or dentist may provide supervision in the medical or dental office. 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. However, the nurse may only hold a license in one Compact state which is determined by the primary state of residence. The licensed practical nurse may provide patient education as indicated by the plan of care developed by the Registered Nurse. However, if you have not performed nursing in five (5) years or longer you will be required to take a refresher course. Revocation, suspension, probation and more. Therefore, it is the registered nurse's responsibility to perform the initial systems and collective assessment of the patient. They are within the scope of practice of the registered nurse. Excessive and inappropriate use of drugs and alcohol impairs the users judgments, performance, insight and ability to function at their highest level of competence. The facility and/or transportation provider has policies and procedures in place addressing all aspects of this issue. The nurse is responsible to assure that she/he is educated and competent to perform the procedure or administer the medication in question prior to accepting such a task. The same standard applies to electronic prescriptions. It is within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. The Nurse Practice Committee determined that it is within the scope of practice of the qualified obstetrical registered nurse to perform a nursing assessment of the obstetrical patient per hospital protocol and/or policy provided: On April 16, 2004, the Board of Nursing revisited the issue of administration of Pitocin, Prostin E2, prostaglandid gels, Cervidil, Hemabate and Cytotec to a gravid female. If you have held a Mississippi license at some point, you will need to apply by reinstatement. The facility has policies procedure in place addressing all aspects of the issue. 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. Therefore, you must apply for an expanded role or advanced practice certification if you apply for licensure in another state. Chest tube insertion site care/dressing change; Assist the physician, advanced practice registered nurse or registered nurse in changing bottles and/or disposable collection system. Below are the number of serious actions against registered nurses that Indiana reported in recent years, based on a ProPublica analysis of data from the Health Resources and Services Administration (see caveats). Standing orders are certainly not to be used in lieu of medical consultation/intervention. This education and competence must be documented initially and on an ongoing basis. Other disciplinary actions can include probation, temporary suspension, and indefinite suspension. There is documentation that the registered nurse has the knowledge and skills to perform this procedure; The patient is not connected to or dependent upon a life support device; There has been contact with the medical provider regarding the patients care within the preceding thirty days; The registered nurse is the most qualified person available; and. Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. The board of nursing (BON), through its statutory authority specified in the nurse practice act, is responsible for reviewing and acting on complaints in order to fulfill their mission to protect the public. is only allowed when a license is obtained as those legal credentials have title protection afforded by law. Weve put together a selection of quick links that can help you find the most important information that you need. The Federal regulations also mirror the Nursing Practice Law by state the "registered nurse must assign the nursing care of each patient to other personnel in accordance with the patient's needs and the specialized qualifications and competencies of the nursing staff available." Disciplinary Action 1/2022 Disciplinary Action 10/2021 In regard to removal of epicardial wires. The licensee may engage in the practice of nursing at the level indicated. ), The procedure is performed according to generally accepted standards; and. The nurse is educated and competent regarding the medication to include but not limited to indications, contraindications, and side effects; There is a medical order for the medication; The sample is in the original unopened package with the original label intact and unaltered or if the medication has been repackaged by a pharmacist or physician it was repackaged and labeled according to all state and federal guidelines; The facility must have policy and procedures in place regarding all aspects of this issue. should be followed as they would in the home. Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. 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. The licensed practical nurse is educated and competent in the procedure. For more recent Disciplinary Action, visit Discipline. Administration and Management of Moderate Sedation, Role of the Licensed Practical Nurse in Nasogastric Tube Insertion. (For example, Miss Code of 1972, As Amended, Title 41, Chapter 036,Determination of Death; Title 41, Chapter 037,Autopsies; Title 41, Chapter 039,Disposition of Human Bodies; and Title 41, Chapter 061,Medical Examiner. The registered nurse may not draw medical conclusions, make a medical dianosis or sign for the physician. (601) 957-6300. Continuous infusion must have been given in the hospital on an intermittent basis; For both intermittent and continuous infusions, judicious oversight of the patient by the registered nurse is required. The Board does not enforce laws and rules pertaining to nursing education, other healthcare professions, or healthcare facilities. A licensed nurse may only hold one multistate license at a time. There must be documentation that the licensed practical nurse is educated and competent. 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. The chest cavity via chest tube laws and Rules pertaining to Nursing education, other healthcare,... For a basic user account with of chest Tubes position Statement for documentation of all doses medication! Of information, from starting a new Graduate to practice within their respective and!, make a medical dianosis or sign for the physician a licensed nurse may only sign off paperwork! Other disciplinary actions can include probation, temporary suspension, and Removal of Peripherally Central! Procedure in place to address all aspects of this issue, including a quality assurance component credentials have protection. Trach care/suctioning ) or dental office can be found at www.ncsbn.org via tube! 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