December 9, 2022, starting at 11 am. The appropriately prepared RN or LPN may perform this procedure provided the nurse is educated and competent in the procedure. Admin. Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. The nurse should follow the facility's policies and procedures on documentation of late entries. C.Manipulate, advance, irrigate, milk or remove a chest tube. This includes but it not limited to assisting the RN in the planning, implementation and evaluation of nursing care, observing, recording, reporting, and performing procedures for which the LPN has the necessary degree of skill and judgment. The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. G.N.). These services are performed under the direction of a registered nurse or a licensed physician or licensed dentistand utilize standardized procedures in the observation and care of the ill, injured and infirmed; in the maintenance of health; in action to safeguard life and health; and in the administration of medications and treatments as prescribed by any licensed physician or licensed dentist authorized by state law to prescribe. It is within the scope of practice of the appropriately prepared registered nurse to administer blood or blood components in the home setting. As previously noted, 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 a registered nurse. 713 Pear Orchard Rd. The practice of nursing will subject a nurse to the jurisdiction of the nurse licensing board and the courts, as well as the laws, in that state. The LPN 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. 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. Independently change out chest tube bottles; B. The registered nurse may not delegate the task of specialized nail/foot care to the licensed practical nurse. 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. Thus, the registered nurse may not make an independent determination to terminate or continue restraints or seclusion. This education and competence must be documented initially and on an ongoing basis; The patient must be assessed initially and on an ongoing basis as needed by the registered nurse to determine whether there are contraindications or complications which require additional resources or expertise; The registered nurse develops and revises as necessary the patient's care plan to include, but not be limited to patient and family education; The licensed practical nurse is under the supervision of a registered nurse who is available for consultation on a 24-hour basis; The licensed practical nurse practices and monitors the patient according to accepted standards of practice; All necessary resources are available; and. The Board of Nursing may take disciplinary action against a licensee for violation of the Nursing Practice Act. It is not within the scope of practice of the licensed practical nurse to irrigate, advance, or remove a compression drain. 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. Admin. It is within the scope of practice of the appropriately prepared registered nurse to obtain a sample of CSF provided: It is within the scope of practice of the appropriately prepared licensed practical nurse to perform the following tasks related to chest tube care: The appropriately prepared licensed practical nurse may perform these tasks provided: It is not within the scope of practice of the licensed practical nurse to perform the following tasks: A. The licensed practical nurse may assist the registered nurse with collecting data for that initial assessment and must document and sign the portion of the assessment he/she did. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. Pursuant to the Mississippi Board of Nursing Rules and 30 Miss. Pursuant to 30 Miss. It is not within the scope of practice of the registered nurse to teach IV skills and/or injection of an IV contrast agent to a RDCS, medical assistant, nursing assistant or other unlicensed individual. Primary state of residency (PSOR) is the state that the licensee declares under penalty of perjury to be their home state. The registered nurse demonstrates education and current competency in the biological, physical, behavioral, psychological and sociological sciences and of nursing theory as the basis for assessment, diagnosis, planning, intervention and evaluation of the restrained or secluded patient; demonstrates knowledge of all aspects of safe and appropriate application and use of restraints or seclusion including, but not limited to: types or techniques of restraint or seclusion used in the facility, identification of staff and patient behaviors, identification of events and/or environmental factors that may trigger behavioral changes in the patient, and recognition of and response to adverse events (e.g., signs and symptoms of physical and psychological distress); The registered nurse's education and competency are documented in facility records initially and on an on-going basis; The registered nurse communicates with (e.g., telephone, e-mail, etc.) The registered nurse is educated and competent in the procedure. It is within the scope of practice of the appropriately prepared RN to perform microdermbrasion that does not exceed moderate settings. The licensed practical nurse is educated and competent in the procedure. For intermittent infusions, vital signs must be obtained every 10-15 minutes for one hour after initiation of the infusion. Disciplinary Actions per Board Meeting The Board of Nursing meets 12 times a year and takes disciplinary actions during each meeting. 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 LPN shall not be supervised by unlicensed personnel. Learn more about CE Broker and create your account. The expanded role certification recognition is not included in the multi-state license. It isnotwithin the scope of practice of the LPN or the LPN certified in the expanded role of IV therapy to perform stress tests or to administer IV Dobutamine or Adenosine. 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 medication prescription as pursuant to a medical order. Review and approval of educational programs for continuing education accreditation is not within the purview of the Mississippi Board of Nursing. Every state has its own spectrum of disciplinary actions. The RN or LPN 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. Initially participants have no narcotic access, limited work hours, and no return to critical care areas, emergency room or independent settings. If deep right main stem suctioning is required for the patient, a registered nurse must perform this procedure. Employers should verify the status of each nurse's license or privilege to practice pursuant to a license from another compact state with the Mississippi Board of Nursing using the online license status check system which is accessible through the homepage of the Board's website. (601) 957-6300. The Board of Nursing does not have specific regulations or require special certification for the administration or reading of a TB skin test. 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 documented competencies should include hemodynamic monitoring and skills included in ACLS and basic critical care; The procedure is performed and the patient is monitored according to accepted standards of care; and. 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. On April 7, 2006, the Board of Nursing completed its review of a request for clarification of the role of the registered nurse in performing ear stapling for weight loss, treatment of migraine headaches, treatment of insomnia, etc. The Mississippi Nursing Practice Law and the Administrative Code of the Board of Nursing, state negligently or willfully acting in a manner inconsistent with the health and safety of the persons under the licensee's care, including, but not limited to, inappropriately delegating or accepting a patient assignment, and assuming duties and responsibilities in the practice of nursing when competency has not been maintained may compromise the health and safety of patients and are grounds for disciplinary action against the nurse's license. The Board office receives and processes complaints regarding engineering and surveying activities. 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. These vital signs must be stable and within the desired parameters for the individual patient; The medication is administered via an infusion pump. 1 Filing a Complaint Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, The facility has policies procedure in place addressing all aspects of the issue. 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. 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. The licensed practical nurse's role in performing external cerebral ventricular catheter care is limited to the provision of catheter insertion site care. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. 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. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. The monitoring staff of the RNP refers to a wide array of treatment centers from which there has been a history of positive outcomes. December 9, 2022, starting at 8 amBoard Business Meetings Refer to theSafety to Practiceposition statement. Admin. Federal and state regulations contain mandates and regulate healthcare staffing. (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.) The facility has policies and procedures in place regarding all aspects of the issue. 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. The scope of practice of a RN new graduate is that of a RN; the scope of practice of a LPN new graduate is that of a LPN. Upon completion of treatment, the nurse meets with the monitoring staff, is oriented to and signs an affidavit and enrolls in the drug testing program. Administration and Management of Moderate Sedation, Role of the Licensed Practical Nurse in Nasogastric Tube Insertion. Assure that the parent/legal guardian is notified that in the registered nurses absence from the school, the parent/legal guardian has the option of coming to the school and providing the medication or authorizing designated school personnel to assist students with self administration of the medication. If your primary state of residence is Mississippi your license will be designated as MULTI-STATE. Suite 300. Successful completion of a Board-approved Reorientation Program for RNs or LPNs with the five (5) year period immediately prior to such application for renewal or reinstatement of the nursing license. 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 is a consumer protection agency with authority to regulate the practice of nursing through licensure as provided for by the Mississippi State Code. This information is a matter of public record. Development of Sanctioning Guidelines for Public Discipline in Nursing Regulation: The North Carolina Board of Nursing Journey; What Could Happen: The Consequences of "Practice Drift" Medical orders concerning administration of medications at home which are evidenced by pill bottles or IV bags etc. 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. 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 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. The licensee has the privilege to practice nursing in all states which have adopted and implemented the Nurse Licensure Compact. The nurse is educated and competent in the procedure. The facility/agency has policies and procedures in place addressing all aspects of this issue. There should be documentation of the initial evaluation/competency and ongoing competency evaluations; There is a medical order for the procedure(s); The nurse practices according to accepted standards of practice; and. A qualified physician or certified registered nurse anesthetist (CRNA) must select and order the agent to be used. The licensee did not renew their license within the specified time period and may not engage in the practice of nursing. The nurse/facility must determine which medication is appropriate for the nurse to safely administer based on the nurses education and competence, current standards of practice, and the facilitys policies and procedures. 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. 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. Primary Eyecare Procedures Application attached below APPLICATION FOR PRIMARY EYECARE PROCEDURE CERTIFICATION 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. Usually nurses self report or are reported by the facilities they are employed by. Weve put together a selection of quick links that can help you find the most important information that you need. Board Hearings For more recent Disciplinary Action, visit Discipline. 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 The facility must have policies and procedures in place to address all aspects of this issue. Revocation, suspension, probation and more. No. Code Ann. Code, Part 2810, Chapter 4, Rule 4.6, licensees holding inactive licensure will need to apply for reinstatement of an active license. Code, Part 2860, Chpater 1; and assign duties for giving patient treatments to licensed nurses and/or auxiliary workers based upon knowledge of their education preparation and experience. These are the different steps the Board can potentially take, from least to most restrictive. or L.P.N. is only allowed when a license is obtained as those legal credentials have title protection afforded by law. 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. Pursuant to the 30 Miss. The appropriately prepared registered nurse or licensed practical nurse may provide postmortem care provided: It is within the scope of practice of the appropriately prepared registered nurse and licensed practical nurse to communicate the physician's or advanced practice registered nurse's order to the pharmacist. 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. There are similar state and federal regulations for other health care facilities. The facility has policies and procedures in place to address all aspects of this issue, including but not limited to, physician availability. Thus, if you currently live in Mississippi and obtain/hold an unrestricted license here, you would have privilege to practice nursing in the other Compact states. There must be documentation on file of the education and competency initially and on an ongoing basis; There is documentation that the nurse has the knowledge and skills to perform the procedure; The procedure is performed in accordance with all applicable federal, state, and local laws, regulations and guidelines including, but not limited to, those pertaining to determination of death, deaths that may be under the jurisdiction of the medical examiner, and disposition of bodies. 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 ambulance provider/facility has policies and procedures in place addressing all aspects of the issue. Can a registered nurse administer blood or blood components in the home setting? This education and competence must be documented initially and on an ongoing basis (The nurse must be knowledgeable of all components related to administration of the medications; i.e., indications and use, actions, dosages, contraindications, precautions, side effects, antidote, recommended monitoring and emergency resources/equipment, etc. 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 . 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