Change tubing on or administer IV chemotherapeutic agents. Complete a minimum of five (5) contact hours of continuing education directly related to controlled substances per State Certification Period. 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. It is within the scope of practice of the licensed practical nurse to administer respiratory nebulizer/aerosol treatments. The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. It is not within the scope of practice of the LPN to perform any of these procedures. You will register or enter your username & password to excess the nurse gateway to submit the online application & fee. 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 nurse is educated and competent in the procedure. Review and approval of educational programs for continuing education accreditation is not within the purview of the Mississippi Board of Nursing. The Board office receives and processes complaints regarding engineering and surveying activities. Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. 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. If the nurse has ever had a Mississippi compact privilege or license denied, revoked, suspended, surrendered or restricted, and that disciplinary action has not been cleared, the nurse may not practice nursing in Mississippi until such time as the disciplinary action has been cleared. The registered 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. 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. When administering any medication, the licensed nurse should be knowledgeable of and comply with all applicable state and federal laws, rules, regulations and guidelines pertaining to the specific medication, including, but not limited to, those of the Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), the Mississippi Board of Pharmacy and the Mississippi Board of Nursing. It isnotwithin the scope of practice of the licensed practical nurse to apply the Anodyne Therapy System Home Unit. Perform arterial puncture or draw blood from arterial catheters. 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 addressing all aspects of this issue. 2830, Chapter 2. The appropriately prepared registered nurse may change the inner cannula on a new tracheostomy. At each stage of the Nursing Boards disciplinary process, a nurse has legal rights. Code Pt. The documentation should be done as soon as possible after the activity is performed, medication is administered, etc. However, the registered nurse is held accountable for the quality of nursing care given by self or others being supervised. The nurse is educated and competent regarding the medication to include but not limited to indications, contraindications, and side effects; There is a medical order for the medication; The sample is in the original unopened package with the original label intact and unaltered or if the medication has been repackaged by a pharmacist or physician it was repackaged and labeled according to all state and federal guidelines; The facility must have policy and procedures in place regarding all aspects of this issue. 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. 1 Filing a Complaint Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, It is within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. 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. Continuous infusion must have been given in the hospital on an intermittent basis; For both intermittent and continuous infusions, judicious oversight of the patient by the registered nurse is required. (The 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. Monitor/regulate the rate of the plain fluids being administered through a peripheral line. There should be documentation of the initial education/competency and ongoing competency evaluations; There is a medical order for the procedures; A registered nurse must be readily available to respond; The PCA pump must be programmed by either a registered nurse or registered pharmacist and must be locked to prevent rate change; Re-dosing of the PCA pump must be performed by the registered nurse; The licensed practical nurse may not change or regulate the rate but may stop the infusion if necessary; and. 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. The same standard applies to electronic prescriptions. The registered nurse is educated and competent in the procedure, in EKG interpretation, must be ACLS certified and capable to respond to adverse events. 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. 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 It is within the scope of practice of the licensed practical nurse to insert and to discontinue a nasogastric tube. When you are practicing nursing in another Compact state you must abide by the Nursing Practice Law and Rules and Regulations of that state. Pursuant to 30 Miss. It is within the scope of practice of the appropriately prepared registered nurse to apply Anodyne Therapy System Home Unit. Code Pt.2830, R 2.4(G),states, "Unless otherwise specified in these regulations, the LPN certified in IV therapy may perform advanced acts of IV therapy if the supervisor is physically on the premises where the patient is having nursing care provided. Admin. 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. Some investigations result in disciplinary actions while others result in administrative actions such as letters of education or closing unsubstantiated / insufficient complaints. 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. Please refer to theMedical Ordersposition statement. The rules and regulations for the expanded role LPN in IV therapy can be found in 30 Miss. ); The procedure is the generally accepted standard of practice; The nurse is practicing according to accepted standards of practice; Patients are evaluated on an individual basis for these procedure to be performed; There is informed consent to administer chemotherapy; All aspects of the patient's condition are monitored according to accepted standards of practice; 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 appropriately supervised; The agency/facility has policies and procedures in place regarding all aspects of this issue. 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. The Board does not mandate the number of hours or days per year that you must work to maintain an active license. 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 facility has policies and procedures in place to address all aspects of this issue. Mark Lavern Burtman, M.D., Columbus, Under the Compact, the registered nurse/licensed practical nurse license is issued by your primary state of residence (home state) will be recognized among all Compact states. 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. Getting accurate information can be one of the most important tools in driving your professional experience. Disciplinary Actions per Board Meeting The Board of Nursing meets 12 times a year and takes disciplinary actions during each meeting. There is a $20 fee for record retrieval and the first 50 pages. 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. The nurse is educated and competent in the procedures. Serious Disciplinary Actions. 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" As additional education and experience are required to obtain the necessary technical skills and knowledge to function as the assistant to the surgeon during an operation, advanced surgical assisting skills are outside the scope of practice the registered nurse. Recovery from substance dependency is an ongoing process that requires life changing actions and decisions made on a daily basis. The Board does not enforce laws and rules pertaining to nursing education, other healthcare professions, or healthcare facilities. 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. 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. Code Pt. Independently change a disposable collection system; or. Pursuant to Miss. 2840 Chapter 3, and the Mississippi Nursing Practice Law, which can be accessed through the board's website. 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. Effective July 1, 2001, Mississippi entered into the Nurse Licensure Compact. All actions are subject to the Mississippi Public Information Act; however, only disciplinary actions are reportable. Formal hearings are held during scheduled Board meetings before a three-member panel of the Board. All formal hearings are public and are open meetings. December 9, 2022, starting at 8 amBoard Business Meetings It isnotwithin the scope of practice of the licensed practical nurse to apply the Anodyne Therapy System Home Unit. The licensee may engage in the practice of nursing at the level indicated. The multi-state license benefit is only for nurses meet the eleven (11)uniform licensure requirementsset by the National Council for State Boards of Nursing. Code, Part 2810, Chapter 4, Rule 4.7, may be considered by the Board on an individual basis. The licensed nurse is responsible for assuring he/she is educated and competent to care for the number of patients assigned, to perform necessary procedure(s), or to administer medication(s) prior to accepting such a patient assignment or task. Regarding late entries, a specific time limit or time frame for late entries into the clinical record is not suggested in resources consulted. 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. 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). Primary Eyecare Procedures Application attached below APPLICATION FOR PRIMARY EYECARE PROCEDURE CERTIFICATION The facility has policies procedure in place addressing all aspects of the issue. 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. If you have held a Mississippi license at some point, you will need to apply by reinstatement. 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. The scope of practice of the licensed practical nurse certified in IV therapy is defined in 30 Miss. the attending physician or advanced practice registered nurse to report the nursing assessment and physical findings; The registered nurse obtains an order from the attending provider to continue or terminate the restraint seclusion; The registered nurse practices according to generally accepted standards of practice; The licensed practical nurse is educated and competent concerning patient education; The licensed practical nurse's education and competence are documented initially and on an ongoing basis; The licensed practical nurse is following an education program developed by the registered nurse and practices according to generally accepted standards of care; The registered nurse develops and documents an educational program for and specific to the patient and re-evaluated the patient and revises the educational program as needed; The licensed practical nurse must have successfully completed orientation to the equipment, the agent, and all aspects of related monitoring and documentation. 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. The registered nurse must have satisfactorily completed a documented special education program on applicable techniques and device safety, which includes supervised practice and clinical skills competency. The facility must have policies and procedures in place to address all aspects of this issue. 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. 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. The facility has policies and procedures that address all aspects of the procedure. Nursing disciplinary action consists of six separate phases. Admin. 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. 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. 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 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 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. There are similar state and federal regulations for other health care facilities. The title RNFA should only be used by persons prepared/educated according to AORNs requirements for RNFAs and functioning in the capacity for which they were educated. 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. 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. 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. It is not within the scope of practice of the licensed practical nurse to access the pharmacy after hours to obtain medication. The registered nurse is educated and competent in the procedure. 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. If your new home state is a compact state and you hold a Mississippi multistate license, you may continue to practice in your new home state while awaiting the issuance of your new license. Medical orders concerning administration of medications at home which are evidenced by pill bottles or IV bags etc. The patient retains control of reflexes and can be aroused; The registered nurse practices according to accepted standards of practice; The drugs and dosages must be clearly intended for maintaining the patient in a conscious state; The physician or CRNA ordering the sedation should be present and immediately available to respond in the case of an emergency; The patient is monitored according to currently recognized standards of practice; The facility has policies and procedures in place addressing all aspects of the issue. The Mississippi Board of Nursing is a Mississippi state agency charged with protecting the public through the regulation of the practice of nursing within the state. 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