A licensed nurse may only hold one multistate license at a time. Code Pt. Registered nurses and licensed practical nurses may not certify death or sign the death certificate. Refer to the Removal of Chest Tubes Position Statement. The nurse is educated and competent in the procedure. In addition, Healthcare employers within our State as well as national stakeholders have recommended the following restrictions for New Graduate assignments (this is not an all inclusive list as facilities may implement other restrictions until the Graduate Nurse becomes an RN or LPN): No. 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. The licensee must be able to provide acceptable forms of proof residency upon request from the Board of Nursing. The Mississippi State Board of Physical Therapy has provided a summary of licenses currently under disciplinary action. Admin. 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. "Drop" standard IV fluid from bag into buretrol (cannot hang new bag); Monitor patient receiving intermittent antibiotic infusion provided it is not the first dose. 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. License or practice privilege denial, revocation or suspension: All licenses will be checked through Nursys and/or the Board of Nursing. Admin. Administration and Management of Moderate Sedation, Role of the Licensed Practical Nurse in Nasogastric Tube Insertion. 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. 2830, Chapter 1, R 1.3: The RN shall be held accountable for the quality of nursing care given by self or others being supervised. ); The procedure is a generally accepted standard of practice; The procedure is performed and the patient monitored according to accepted standards of practice; All necessary resources including, but not limited to, essential monitoring and emergency equipment are available; and. This is the least restrictive discipline. The licensed practical nurse is educated and competent in the procedure. It is within the scope of practice of the appropriately prepared registered nurse to instill medication into the chest cavity via chest tube. In situations regarding consistent understaffing, the nurse should be aware of federal and state regulations regarding the facility's responsibility to assure safe staffing and avenues to report this situation when the nurse feels that it endangers the patient's health and safety. 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 appropriately prepared registered nurse may function in the role of RNFA according to the position statement adopted by the Association of Peri-operative Registered Nurses (AORN). A Condition of Participation in the Federal Regulations governing hospital services mandates that the "hospital have an organized nursing service that provides 24 hour nursing services." The employment restrictions are designed to provide the participants with safe boundaries for a successful return to practice. Furthermore, the registered nurse is accountable for the quality of nursing care given by self or others being supervised. Code Pt. As stated in 30 Miss. The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. It is within the scope of practice of the licensed practical nurse to administer respiratory nebulizer/aerosol treatments. The Mississippi Nursing Practice Law does not specify the number of hours that a nurse may work per day or week. A qualified physician or certified registered nurse anesthetist (CRNA) must select and order the agent to be used. If interventions other than those covered by existing medical prescriptions/ orders are necessary or a question concerning existing medical prescriptions/orders arise, the nurse should provide necessary first aid and contact medical control through the mechanisms which are established by the State Department of Health. Manage renal dialysis or access devices used for renal dialysis. 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 Read More. The facility has policies procedure in place addressing all aspects of the issue. The Board's law and code provide minimum qualifications for licensure, define fundamentals for scope of practice, and provides disciplinary processes all in the interest of public protection. The MNVP was established to assist nurses who are impacted as a result of substance abuse and/or mental health issue(s). 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 licensed practical nurse is educated and competent in the procedure. 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. 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. It was determined that it is within the scope of practice of the appropriately prepared registered nurse to perform ear stapling provided: It was further determined that it is not within the scope of practice of the licensed practical nurse to perform ear stapling as treatment for obesity, migraine headaches, insomnia, etc. The record should be clear that the licensed practical nurse is only verifying the pump setting and is not initiating or regulating the PCA infusion. 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. Verify: Search for an individual within a profession by license number, full name, last name, or partial name. Nursing administration duties include a review of nursing staffing and making adjustments for absenteeism, as necessary." The administration of Fentanyl and Versed (midazolam) are not prohibited by the RN provided: The Board does not maintain a listing of each medication/anesthetic agent which a nurse can administer. The Medication Administration Record must include the date, identity of school personnel providing the medication and documentation of missed doses (i.e. ); There is a medical order for the procedure; The procedure is reviewed periodically to assess changes in the patients condition; All necessary resources including, but not limited to, essential monitoring and emergency equipment, are available; The procedure is performed and the patient monitored according to accepted standards of practice; and. Disciplinary Action Archive Alabama Board of Nursing / Disciplinary Action Archive Disciplinary Action reports prior to 2012 are accessible below in PDF format. (601) 957-6300. Provide a Medication Administration Record for documentation of all doses of medication provided in the school setting. States are required to report sanctions against health providers to the federal government. A large component of the school nurses role is providing student, parental, and community education which requires a thorough assessment/evaluation of the family/student physical status, knowledge-level, dynamics and resources. The Board does not mandate the number of hours or days per year that you must work to maintain an active license. In all other settings, supervision and delegation must be by a registered 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. (601) 957-6301. It is within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. The Compact defines "primary state of residence" as "the state of a person's declared fixed permanent and principal home for legal purposes." 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. In addition, the RN may perform these procedures provided: It isnotwithin the scope of practice of the registered nurse or licensed practical nurse to perform laser vascular lesion removal, sclerotherapy for varicose veins, or Botox injections. The Gateway provides a single, secure portal to manage their licenses and certificates. 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. Combined with attendance and participation in twelve stop programs and periodic therapeutic groups, these principles have been shown to have the most success in supporting and sustaining long term recovery in individuals suffering from this disease. 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. Title 30 Mississippi Administrative Code, Part 2815: Continuing Education was repealed by the Board in February 2020. It is within the scope of practice of the appropriately prepared registered nurse to administer blood or blood components in the home setting. Visit Related Organizations for other healthcare regulatory agencies. The Gateway is used to submit all license and certificate applications. It is within the scope of practice of the licensed practical nurse to insert and to discontinue a nasogastric tube. 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. The registered nurse is educated and competent in the procedure. There are similar state and federal regulations for other health care facilities. Is it within the registered nurse scope of practice to work on an ambulance? LPNs with an active or inactive license that expire December 31st of the immediately prior two years within odd numbered years. It is within the scope of practice of the following advanced practice registered nurses: FNP, PNP, ANP, NNP, CNM, FPNP, OBGYNNP, WHCNP and ACNP. It is within the scope of practice of the licensed practical nurse to perform tracheostomy care, nasopharyngeal suctioning and to suction secretions from a trach/endotracheal tube. 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. It is within the scope of practice of the appropriately prepared registered nurse to administer blood or blood components in the home setting. 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.. No, additional documentation is not required to renew LPN Expanded Therapy Role. The facility has policies and procedures in place to address all aspects of the issue. Code, Part 2810, Chapter 4, Rule 4.7, may be considered by the Board on an individual basis. This education and competence must be documented initially and on an ongoing basis; and. Any registered nurse or licensed practical nurse applying for a license by endorsement, renewal of an active license, reinstatement of a lapsed license or change from inactive to active status must submit evidence of continuing basic nursing competencies when such nurse has not practiced nursing for compensation or performed the function of a registered nurse or licensed practical nurse in a voluntary capacity with or without compensation within the five (5) year period immediately prior to such application for a license, renewal, reinstatement, or change of status. This education and competency must be documented initially and on an on-going basis; All necessary resources are readily available; and. The Board decided that the registered nurse, acting in accordance with the provisions of the Mississippi Nursing Practice Law, Rules and Regulations of the Board of Nursing and other Mississippi laws concerning abortion, may administer these and other medications to the gravid female provided: It should be further noted that, in accordance with Section 73-15-5 (2) of the Mississippi Nursing Practice Law, it is outside of the scope of practice of the registered nurse to make a medical diagnosis or to draw medical conclusions. ***(A nurse whose primary state of residence is another Compact state is not eligible for licensure in Mississippi. The nurse has not had a Mississippi compact privilege or license denied, revoked, suspended, surrendered or restricted. This information is a matter of public record. 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. The Board of Nursing does not maintain a listing of specific medications acceptable for administration by registered nurses and licensed practical nurses. Regarding late entries, a specific time limit or time frame for late entries into the clinical record is not suggested in resources consulted. Educational preparation, continuing education and competency evaluations must be in accordance with stated national standards and maintained on file at the facility; There are medical orders for the procedure, to include control settings and length of therapy; The physician or nurse practitioner must be present in the facility at all times during the hyperbaric oxygen therapy/treatment. 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 facility has policies and procedures in place addressing all aspects of this issue, including a quality assurance component. The physician or dentist may provide supervision in the medical or dental office. If you declare another state your primary residence, you must apply for licensure in your new home state. Nursing disciplinary action consists of six separate phases. The medical provider makes the "medical judgment" as to the specific medication and dosage. 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 facility has policies and procedures in place to address these issues. Mark Lavern Burtman, M.D., Columbus, The same standard applies to electronic prescriptions. If you have held a Mississippi license at some point, you will need to apply by reinstatement. The facility has policies and procedures in place regarding all aspects of the issue. The 2830, Chapter 2. Some investigations result in disciplinary actions while others result in 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. Telephonic case referrals and case management (on-site and telephonic) are not within the scope of practice of the licensed practice nurse in Mississippi. 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. These protocols or standing orders should contain provisions to treat adverse vaccine events including, but not limited to, medication administration and emergency transfer. 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. Failure to comply with this rule may subject the APRN to disciplinary action or other administrative sanction. Assign specific nursing duties and/or patient treatments to other qualified personnel based on educational preparation, experience, knowledge, credentials, competency, and physical and emotional ability to perform the duties. 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. Nurses are asked to fill out an interest form, a release of information, a questionnaire and agree to pay for an assessment with a professional who meets the boards criteria. The Mississippi Board of Nursing is a Mississippi state agency charged with protecting the There must be documentation that the licensed practical nurse is educated and competent. Disciplinary Actions per Board Meeting The Board of Nursing meets 12 times a year and takes disciplinary actions during each meeting. Upload the National Board Certification information and document PDF. 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. The registered nurse practices according to generally accepted standards or practice; The registered nurse is educated and competent in the administration of the medication, including but not limited to actions, adverse reactions, monitoring criteria and emergency management procedures; The registered nurse administers the medications and monitors the patient according to accepted standards of practice; and. The Mississippi State Board of Optometry serves as the licensing and regulatory arm of the optometric profession by formulating rules and regulations that govern and enforce the laws that grant the privilege to practice optometry. Click Here to download Complaint Form. The nurse may not sign the nurse's name or the name of the individual authorizing the prescription on the prescription. Getting accurate information can be one of the most important tools in driving your professional experience. Furthermore, the appropriately prepared licensed practical nurse may replace a tracheostomy provided: It is within the scope of practice of the appropriately prepared registered nurse to administer TPA for the purpose of declotting central lines. There should certainly be some consultation with the physician to initiate a standing order particularly if the signs/symptoms are deviations from the patient's norm. The registered nurse is educated and competent in the procedure; The registered nurse's education and competence are documented initially and on an ongoing basis; There is an emergent situation necessitating that the registered nurse performs intraosseous cannulation; The registered nurse is the most qualified person available; The facility or agency has policies and procedures in place addressing all aspects of this issue to include, but not limited to: The registered nurse is educated and competent in the procedure. Standing orders are certainly not to be used in lieu of medical consultation/intervention. 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. Primary state of residency (PSOR) is the state that the licensee declares under penalty of perjury to be their home state. In all other settings, supervision and delegation must be by a RN. 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 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 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. Effective July 1, 2001, Mississippi entered into the Nurse Licensure Compact. Refer to theSafety to Practiceposition statement. Although the The registered nurse is educated and competent in the procedure. Provide an eight (8) hour educational in-service to the designated school personnel to include but not be limited to the information set forth in the Assisted Self Administration Curriculum approved by the Board of Nursing. However, the registered nurse remains accountable for the acts delegated. 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. There is direct supervision by the physician or advanced practice registered nurse (that is, the physician or advanced practice registered nurse is physically present); The registered nurse has knowledge of the techniques of endoscopic manipulation, understands the complications associated with endoscopy, is competent to identify the associated symptoms and will initiate appropriate interventions as directed by the physician or advanced practice registered nurse; The nurse has full view of the lumen (via teaching adapter or video screen) throughout the entire manipulation process; Another registered nurse is responsible for monitoring the patient if the patient is sedated (that is, the same registered nurse may not accept responsibility for manipulation of the endoscope and monitoring a sedated patient); and. The Mississippi Board of Nursing is legislatively created to issue licenses and to regulate qualified individuals in the practice of nursing. The Administrative Code outlines more specifically those qualifications and scope of practices. The following are the rules used to safeguard the life and health of the public. The Nurse Practice Committee further determined that it is not within the scope of practice of the licensed practical nurse to remove the initial post-surgical vaginal pack. Thus, a licensed practical nurse may not function in the role of school nurse.. The facility must have policies and procedures in place addressing all aspects of this issue. 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. The Board of Nursing does not have specific regulations or require special certification for the administration or reading of a TB skin test. 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. Documentation of all nursing activities should be clear, concise, complete and contemporaneous with the activity/observation. Getting to Know Your Licensing Board: the North Carolina Board of Nursing at a Glance; What Nurses need to know about Informatics, Social Media, and Security! The registered nurse has satisfactorily completed a documented special education and training program on applicable techniques and laser safety, which includes supervised practice and clinical skills competency. 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. 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." 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. Code Pt. 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. It is not within the scope of practice of the LPN to perform any of these procedures. Admin. There is a $20 fee for record retrieval and the first 50 pages. Medical orders concerning administration of medications at home which are evidenced by pill bottles or IV bags etc. This includes, but is not limited to, assessing the patient's needs, formulating a nursing diagnosis, planning for, implementing and evaluating the nursing care in the promotion and maintenance of health of each patient for whom responsibility has been accepted. The registered nurse may assign nursing duties to other qualified personnel; assign duties of medication administration of patient medications to other licensed nurses only except as set out in Part 2860, Rule 1.3(a)(2)of the Administrative Code; and assign duties for giving patient treatments to licensed nurses and/or auxiliary workers based upon knowledge of their educational preparation and experienced. The Board of Nursing may take disciplinary action against a licensee for violation of the Nursing Practice Act. 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For the quality of Nursing may take disciplinary action Archive disciplinary action reports prior to 2012 are accessible below PDF... * ( a nurse may not sign the death certificate all aspects of the nurse. Blood components in the home-health/hospice setting this Rule may subject the APRN to disciplinary action reports to! It is within the scope of practices with this Rule may subject the APRN to disciplinary action against licensee. Further determined it is within the scope of practice of the appropriately prepared nurse... Of substance abuse and/or mental health issue ( s ) should be clear, concise, complete and with... Active license and/or the Board in February 2020 be by a RN and to regulate qualified individuals in the setting... The Board further determined it is within the scope of practice of the individual authorizing the prescription on prescription. Who are impacted as a result of substance abuse and/or mental health issue ( s ) name... Administration Record must include the date, identity of school nurse ( CRNA ) must and! Upon request from the Board further determined it is within the scope practice... Lieu of medical consultation/intervention Part 2815: Continuing education was repealed by the Board of Nursing care given self... At a time the date, identity of school personnel providing the medication administration Record for documentation all...