Signing as a R.N. Further the registered nurse and RNFA may not supervise an individual practicing beyond his/her scope. 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 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 date/time of the late entry must be current and reflect the date and time for which the entry is being made. The appropriately prepared registered nurse may change the inner cannula on a new tracheostomy. The facility has policies and procedures in place to address all aspects of this issue, including but not limited to, physician availability. New graduates may only sign off on paperwork using the initials to signify they are a graduate nurse (i.e. However, the registered nurse remains accountable for the acts delegated. Verify: Search for an individual within a profession by license number, full name, last name, or partial name. The registered nurse shall be held accountable for the quality of nursing care given to patients. (Policies should specifically address protocols related to elective versus accidental dislodgment of tracheostomy.). 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. 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. Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. 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. 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. When administering any medication, the licensed nurse should be knowledgeable of and comply with all applicable and 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. Click Here to download Complaint Form. It is the position of the Board of Nursing that a registered nurse should administer medications to students. There are no participation fees. 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. 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. The Board is authorized to impose any of the following disciplines singularly or in combination: censure, probation, suspension, & revocation For further reference see: RsMO 335.066 . Admin. In situations of telephonic case referrals, telephonic case management, and field base case management in which the patient is in Mississippi, the practice occurs where the patient is located. 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. 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. Pursuant to the 30 Miss. There must be documentation that the licensed practical nurse is educated and competent. 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. The same standard applies to electronic prescriptions. Hang (spike) a new bag of fluid C.Regulate fluids of a central access D.Discontinue a central line E.Flush a peripheral intermittent vascular access device (Hep lock/INT). Per 30 Mississippi Administrative Code the registered nurse may assign duties of administration of patient medications to other licensed nurses only (either a registered nurse or licensed practical nurse). The appropriately prepared Registered Nurse may administer IV chemotherapeutic agents. 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. Based on the substantial knowledge required in assessing and identifying not only the diseases but also the physiological and psychological needs of the students the scope of practice of the school nurse requires the knowledge of the registered nurse. The Board of Nursing does not have specific regulations or require special certification for the administration or reading of a TB skin test. A completed medical history/physical must be on file prior to the implementation of the hyperbaric oxygen therapy; There is a registered nurse present in the unit responsible for the nursing assessment, planning, and implementation of the patient's plan of care; The nurse practices according to accepted standards of practice; Necessary resources are readily available; and. 30 Miss. 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 Medication Administration Record must include the date, identity of school personnel providing the medication and documentation of missed doses (i.e. 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. LPNs with an active or inactive license that expire December 31st of the immediately prior two years within odd numbered years. 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 You are under the jurisdiction of the regulatory Board in the state in which you practice nursing, and should contact the appropriate state board. 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 determined that the information submitted for review was insufficient for the Board to establish the nurses role or safety issues concerning this procedure. Admin. The rules and regulations for the expanded role LPN in IV therapy can be found in 30 Miss. The number of patients a nurse may care for with reasonable skill and safety should be determined by evaluation of the nurse's educational preparation, experience and competencies; acuity of the patients; layout of the facility and equipment; and other resources available for care of the patient. This education and competence must be documented initially and on an ongoing basis; and. It is within the scope of practice of the appropriately prepared registered nurse to irrigate chest tubes, mediastinal catheters, and pericardial catheters with thrombolytics. 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. Pursuant to 30 Miss. The documentation should be done as soon as possible after the activity is performed, medication is administered, etc. The Mississippi Nursing Practice Law does not mandate CEUs as a prerequisite to renewing or maintaining a RN or LPN license. It grants access to change of address, name change, online applications, printable documents and many more features. A central line is the recommended route for administration; The patient is monitored according to accepted standards of practice; There is documentation of appropriate patient/caregiver teaching for monitoring for drug-related problems of the therapy; and. 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. Some investigations result in disciplinary actions while others result in The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. 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. Issuance of a single-state license may be issued if the nurse does not meet all of these requirements. 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 marking of the surgical site is not within the scope of practice of the RN or LPN. If your primary state of residence is Mississippi your license will be designated as MULTI-STATE. 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. Every state has its own spectrum of disciplinary actions. 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. The registered nurse must document and sign the portion of the assessment which he/she completed. If you have held a Mississippi license at some point, you will need to apply by reinstatement. 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. Refer to theDelegationposition statement. 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. 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. Refer to theSurgical Site Marking position statement. This education and competence are documented initially and on an ongoing basis; The tract is well healed (for replacement); The nurse practices according to generally accepted standards; All the necessary resources are available; The patient's status does not contraindicate the procedure; and, The agency/facility has policies and procedures addressing all aspects of this issue. 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 Board office receives and processes complaints regarding engineering and surveying activities. Acceptable documents displaying your Mississippi primary address include the following: The most current listing of states participating in the Nurse Licensure Compact can be obtained from the National Council of State Boards of Nursing website atwww.ncsbn.org. The registered nurse is educated and competent in the procedure. ***(A nurse whose primary state of residence is another Compact state is not eligible for licensure in Mississippi. The Mississippi Nursing Practice Law does not specify the number of hours that a nurse may work per day or week. Administer experimental or investigative/research drugs. 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. Administration and Management of Moderate Sedation, Role of the Licensed Practical Nurse in Nasogastric Tube Insertion. The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. The licensed practical nurse may provide patient education as indicated by the plan of care developed by the Registered Nurse. 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 The provisions of the Mississippi Nursing Practice Law do not preclude a licensed practical nurse from working in the school setting if the licensed practical nurse functions within the applicable scope of practice. The 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 Regarding late entries, a specific time limit or time frame for late entries into the clinical record is not suggested in resources consulted. 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 monitoring staff of the RNP refers to a wide array of treatment centers from which there has been a history of positive outcomes. Refer to theLPN and Assessment FunctionsPosition Statement. Situations in which licensed practical nurses are functioning within their scope in the school setting include those in which: After an RN makes an initial assessment of students, the RN may assign care of these students to a LPN who has been determined by the RN to be appropriately trained, educated and competent. The licensee did not renew their license within the specified time period and may not engage in the practice of nursing. It is recommended to obtain legal counsel in Nursing Board disciplinary matters because failure to understand and/or exercise a nurses legal rights can result in unintended consequences some of which cannot be reversed. This would take away some of the notion of the nurse "prescribing" the medication. Request for additional information concerning past discipline may be requested through ouronline license verification system. Change tubing on or administer IV chemotherapeutic agents. 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. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. Privileges are gradually restored throughout the monitoring period. 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. 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. LPNs will 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. However, the nurse may only hold a license in one Compact state which is determined by the primary state of residence. Complete a minimum of five (5) contact hours of continuing education directly related to controlled substances per State Certification Period. The Board may issue a temporary permit to any nurse during the time enrolled in a Board-approved nursing reorientation program upon submission of required application and fees; Completion of twenty contact hours of continuing education directly related to nursing practice within the two (2) year period immediately prior to such application for renewal or reinstatement of the nursing license. The Mississippi Nursing Practice Law and the Administrative Code require licensed nurses in shelter settings to provide care which adheres to the law and to applicable standards of care. 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. G.N.). Serious Disciplinary Actions States are required to report sanctions against health providers to the federal government. 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. Is it within the registered nurse scope of practice to work on an ambulance? It is within the scope of practice of the licensed nurse to hand a patient pre-packaged pharmaceutical samples with the original label and packaging intact or a medication that a physician or pharmacist has appropriately repackaged and labeled from a bulk container and meets the Board of Pharmacy, Medical Licensure Board, Food and Drug Administration (FDA), and Drug Enforcement Administration (DEA) guidelines provided: Refer to theRole of the Licensed Practical Nurse in Nasogastric Tube Insertionposition statement. Perform arterial puncture or draw blood from arterial catheters. (601) 957-6300. RNs and APRNs with an active or inactive license that expire December 31st of the immediately prior to a two years within even numbered years. No, participation in the Recovering Nurse program is a way to help you keep your license while adhering to certain limitations. Initially participants have no narcotic access, limited work hours, and no return to critical care areas, emergency room or independent settings. (601) 957-6301. Pursuant to the Mississippi Board of Nursing Rules and 30 Miss. 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. The facility must have policies and procedures in place to address all aspects of this 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. It is within the scope of practice of the appropriately prepared RN to perform microdermbrasion that does not exceed moderate settings. 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. If you are being investigated, you should hire a professional license defense attorney at this point . the BON may take disciplinary action on the nurses license. 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 trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. The case is opened by an investigator and if the person admits to the actions that violated the NPL and wants to get help then they are referred to the RNP by the investigator in charge of the case. It is not within the scope of practice of the registered nurse to suture, unless the registered nurse is an advanced practice registered nurse or the registered nurse who meets the definition of a registered nurse first assistant (RNFA). In schools that opt to have designated school personnel observe students self administering medication during the nurses absence, prior to the initiation of the provision of any medication at the school, the registered nurse should: Perform an ongoing assessment of the childs status and communicate the nursing assessment to appropriate individuals. This education and competence are documented initially and on an ongoing basis; There is a medical order defining the specifics for the procedure; Administration of the medication has previously occurred in the hospital for the purpose of dose adjustment and monitoring patient response. If you declare another state your primary residence, you must apply for licensure in your new home state. Code, Part 2810, Chapter 4, Rule 4.5, inactive licensure means that you are not engaged in the active practice of nursing but desire to maintain licensure. Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. (601) 957-6301. 2830, Chapter 2. Therefore, you must apply for an expanded role or advanced practice certification if you apply for licensure in another state. This education and competence are documented initially and on an ongoing basis. 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. Its own spectrum of disciplinary actions partial name not limited to, physician availability work per day or.! Of its responsibilities, the Board of Nursing that a registered nurse may provide patient as. Accidental dislodgment of tracheostomy. ) specified time period and may not delegate surgical! 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