The Board has determined two tasks, suturing and procurement of the saphenous vein, belong solely to the RNFA. This education and competence must be documented initially and on an ongoing basis; There is a medical order for the procedure, including the type tube to be used for replacement; There are no contraindications related to the patient's condition; The licensed nurse practices according to accepted standards of practice; There is a well-healed tract without sign/symptoms of infections; and. It is not within the scope of practice of the licensed practical nurse to irrigate, advance, or remove a compression drain. No. 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. This education and competence are documented initially and on an ongoing basis. The facility has policies and procedures that address all aspects of the procedure. Recovery from substance dependency is an ongoing process that requires life changing actions and decisions made on a daily basis. Refer to theDelegationposition statement. The RNP is a program for nurses who have a substance dependency problem and have violated the nursing practice law by diverting medication, forging prescriptions, doctor shopping, and excesive use of prescribed and/or unprescribed medications, work impairment, a history of failed treatments, and the use of illict drugs. No, you must apply for license reinstatement. No, additional documentation is not required to renew LPN Expanded Therapy Role. Further the registered nurse and RNFA may not supervise an individual practicing beyond his/her scope. Admin. The facility must have policies and procedures in place to address all aspects of this issue. 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. Primary Eyecare Procedures Application attached below APPLICATION FOR PRIMARY EYECARE PROCEDURE CERTIFICATION 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 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. 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. 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Suite 300. In addition, there must be a patient specific order for the procedure. The facility has policies and procedures in place regarding all aspects of the issue. It is within the scope of practice of the appropriately prepared registered nurse to irrigate chest tubes, mediastinal catheters, and pericardial catheters with thrombolytics. 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. If you are issued a single state license only, your Mississippi license will remain active but changed to single state. The Mississippi Board of Nursing is a Mississippi state agency charged with protecting the The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. The same standard applies to electronic prescriptions. 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. Mark Lavern Burtman, M.D., Columbus, 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. Board orders can be viewed by clicking the link on the Nurse's license number or by sending a request to the Texas Board of Nursing, Enforcement Division, 333 Guadalupe 3-460, Austin, TX 78701-3944. 713 Pear Orchard Rd. Effective July 1, 2001, Mississippi entered into the Nurse Licensure Compact. 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 registered nurse may not draw medical conclusions, make a medical dianosis or sign for the physician. 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. On the renewal application simply click that you wish to renew your LPN Expanded IV Therapy along with your LPN license. 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. 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. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. The nurse has a valid multi-state compact license; The nurse still meets the multi-state licensure requirements of the state that issued the compact multi-state license; The nurse's permanent state of residence is still the state that issued the compact multi-state license, and. The vaginal pack was not placed to stop or slow bleeding/hemorrhage; The registered nurse is educated and competent in the procedure. Monitor/regulate the rate of the plain fluids being administered through a peripheral line. 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. Obtaining 20 contact hours of nursing continuing education via the internet would be acceptable contingent upon such nursing continuing education courses being currently approved, accredited, provided, or offered by a recognized credentialing agency. 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. Admin. As stated in 30 Miss. For more recent Disciplinary Action, visit Discipline. 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. The Mississippi Board of Nursing does not mandate the content/curriculum for graduate student orientation. (601) 957-6300. Evidence of the initial education and competence must be on file in the facility. G.N.). States are required to report sanctions against health providers to the federal government. The appropriately prepared registered nurse may perform intraosseous cannulation and infusion provided: There is no specific reference to or distinction between the types of devices which may be utilized to perform the procedure. Suite 300 Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. 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." 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. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. Once the initial treatment costs have been met, the only other costs are for the random drugs screens, and transportation costs to and from meetings and groups. 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 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. 2840 Chapter 3, and the Mississippi Nursing Practice Law, which can be accessed through the board's website. 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 BON may take disciplinary action on the nurses license. Remind the student when to take the medication and observe to ensure that the student follows the direction on the container; Assist a student in the self administration of medication by taking the medication in its container from an area where it is stored and handing the container, with the medication in it, to the student. The Board determined that the information submitted for review was insufficient for the Board to establish the nurses role or safety issues concerning this procedure. It is within the scope of practice of the appropriately prepared licensed practical nurse to perform the following tasks related to compression drain care (e.g., Hemovac, Jackson-Pratt): No. Upload the National Board Certification information and document PDF. The Board may conduct periodic audits to ensure compliance. Once the board of nursing staff has made a decision, the board will send the nurse a letter detailing the complaint and explaining whether or not it will investigate the claim. 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). the attending physician or advanced practice registered nurse (APRN) to report the assessment and physical findings; The registered nurse obtains an order from the attending provider to admit the patient to the hospital or discharge the patient home. 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. The Board office receives and processes complaints regarding engineering and surveying activities. Board Hearings There is documentation of this education and competence initially and on a ongoing basis; The registered nurse has determined that this task can be delegated to the licensed practical nurse; The nurse is educated and competent in the procedure. The marking of the surgical site is not within the scope of practice of the RN or LPN. You are under the jurisdiction of the regulatory Board in the state in which you practice nursing, and should contact the appropriate state board. 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.. The registered nurse is educated and competent in the procedure. 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). The facility/agency has policies and procedures in place to address all aspects of the issue. 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. 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. Documentation of all nursing activities should be clear, concise, complete and contemporaneous with the activity/observation. When you are practicing nursing in another Compact state you must abide by the Nursing Practice Law and Rules and Regulations of that state. The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. "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. The 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 RN must perform the initial assessment of all students. 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. 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. 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. licensees and applicants. The licensed practical nurse is educated and competent in the procedure. This education and competence must be documented initially and on an ongoing basis. Pursuant to Miss. 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. There must be documentation that the licensed practical nurse is educated and competent. 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. 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 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. 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. 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. 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. The registered nurse is accountable for the quality of care given by self or others being supervised. 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. In accordance with the Nurse Practice Law, the board may issue a temporary permit to practice nursing to a graduate of an approved school of nursing pending the results of the first licensing examination in Mississippi, and to a qualified applicant from another state, territory or possession of the United States, or District of Columbia, or pending licensure procedures as provided for elsewhere in this article. The Mississippi Board of Nursing is a consumer protection agency Serious Disciplinary Actions. The nurse may not sign the nurse's name or the name of the individual authorizing the prescription on the prescription. The registered nurse may delegate the observation and recording of a patient's ongoing or subsequent status to the appropriately educated and competent licensed practical nurse. This education and competency must be documented initially and on an ongoing basis; The ordering physician or advanced practice registered nurse must have expertise in the specific therapy and be readily available for consultation and able to respond to any question or adverse event; The ordering physician or advanced practice registered nurse perform and documents an initial assessment prior to treatment and as needed during the course of therapy; The registered nurse practices according to accepted standards of nursing practice; The procedure is performed according to national standards for the specific therapy; Necessary resources are available; and. Failure to comply with this rule may subject the APRN to disciplinary action or other administrative sanction. 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. If your primary state of residence is Mississippi your license will be designated as MULTI-STATE. 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). 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. Board Action January 2010. 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 facility has policies and procedures in place addressing all aspects of this issue. The nurse should follow the facility's policies and procedures on documentation of late entries. (601) 957-6301. The nurse has not had a Mississippi compact privilege or license denied, revoked, suspended, surrendered or restricted. If you are being investigated, you should hire a professional license defense attorney at this point . Federal and state regulations contain mandates and regulate healthcare staffing. (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. The registered nurse must document and sign the portion of the assessment which he/she completed. 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.". As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. State regulations for hospitals state that the facility must provide nursing services for each unit sufficient to meet the needs of the patients. The school nurses role also includes administering medication and responding to emergencies both of which require an initial and ongoing patient assessment. 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 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 Department of Health is responsible for enforcement of federal and state regulations for healthcare facilities. 30 Miss. 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. Please refer to theMedical Ordersposition statement. (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. Thus, the registered nurse may not make an independent determination to terminate or continue restraints or seclusion. 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. 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. Code, Part 2810, Chapter 4, Rule 4.6, licensees holding inactive licensure will need to apply for reinstatement of an active license. The nursing assessment must include monitoring of medication administration record. 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. 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 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. 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. New graduates may only sign off on paperwork using the initials to signify they are a graduate nurse (i.e. (Policies should specifically address protocols related to elective versus accidental dislodgment of tracheostomy.). 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. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. Refer to thePatient Abandonmentposition statement. 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 in the RNP are monitored for a period of 60 months. 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. 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." Refer to theSafety to Practiceposition statement. The staff of the board will want a response, either written or verbal. The practice of Nursing does not mandate the content/curriculum for graduate student.... 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