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 is the least restrictive discipline. Listed below are the meetings held for the past We can help you get there. It is not within the scope of practice of the LPN to perform any of these procedures. This education and competence must be documented initially and on an ongoing basis. 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. Change tubing on or administer IV chemotherapeutic agents. The following nurses had disciplinary action taken against their licenses. 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 consumer protection agency with authority to regulate the practice of nursing through licensure as provided for by the Mississippi State Code. The registered nurse demonstrates education and current competency in the biological, physical, behavioral, psychological and sociological sciences and of nursing theory as the basis for assessment, diagnosis, planning, intervention and evaluation of the restrained or secluded patient; demonstrates knowledge of all aspects of safe and appropriate application and use of restraints or seclusion including, but not limited to: types or techniques of restraint or seclusion used in the facility, identification of staff and patient behaviors, identification of events and/or environmental factors that may trigger behavioral changes in the patient, and recognition of and response to adverse events (e.g., signs and symptoms of physical and psychological distress); The registered nurse's education and competency are documented in facility records initially and on an on-going basis; The registered nurse communicates with (e.g., telephone, e-mail, etc.) 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. The school nurses role encompasses much more than the implementation of medications and procedures. An acceptable nursing program is one which is approved or accredited by the appropriate agency within the state. The facility/agency has policies and procedures in place to address all aspects of the issue. 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 registered nurse must document and sign the portion of the assessment which he/she completed. It is within the scope of practice of the appropriately prepared registered nurse to administer Ephedrine IV push for maternal hypotension. 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. It is not within the scope of practice of the licensed practical nurse to access the pharmacy after hours to obtain medication. 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. Independently change out chest tube bottles; B. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. There are similar state and federal regulations for other health care facilities. 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. It is within the scope of practice of the appropriately prepared registered nurse to pronounce death provided: It is not within the scope of practice of the licensed practical nurse to pronounce death or certify death. Some investigations result in disciplinary actions while others result in When is it acceptable to have after hours access to the pharmacy by a licensed nurse? The Board office receives and processes complaints regarding engineering and surveying activities. 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. The vaginal pack was not placed to stop or slow bleeding/hemorrhage; The registered nurse is educated and competent in the procedure. The nurse should follow the facility's policies and procedures on documentation of late entries. The registered nurse is educated and competent in the procedure. This would take away some of the notion of the nurse "prescribing" the medication. Pursuant to the Mississippi Board of Nursing Rules and 30 Miss. The RN shall complete a minimum of twenty (20) contact hours of accepted continuing education earned in the previous 2-year periodimmediately prior to such applicationtoward satisfying the requirement. If deep right main stem suctioning is required for the patient, a registered nurse must perform this procedure. 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. Visit Related Organizations for other healthcare regulatory agencies. Under the Compact, nurses with current, unrestricted multi-state licenses may practice in any state which is a member of the Compact. Any RN or LPN applying to change from inactive to active status must submit evidence of continuing basic nursing competencies when you have not practiced nursing for compensation or performed the function of a RN or LPN in a voluntary capacity with or without compensation with the five (5) year period immediately prior to the application. The rules and regulations for the expanded role LPN in IV therapy can be found in 30 Miss. Thus, the registered nurse may not make an independent determination to terminate or continue restraints or seclusion. 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 . 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. Upon completion of the reinstatement process, licensure may be conferred if all licensing requirements are met. In all other settings, supervision and delegation must be by a registered nurse.". The same standard applies to electronic prescriptions. Refer to theLPN and Assessment FunctionsPosition Statement. ); 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. The Board may conduct periodic audits to ensure compliance. The Mississippi State Board of Physical Therapy has provided a summary of licenses currently under disciplinary action. Admin. The licensee is restricted, usually as a result of disciplinary action, to practicing nursing in Mississippi and does not have the privilege to practice nursing in any state other than Mississippi. There are options ranging from hospital based programs focused on professionals to those of the regional mental health system. The school nurses role also includes administering medication and responding to emergencies both of which require an initial and ongoing patient assessment. The Board does not enforce laws and rules pertaining to nursing education, other healthcare professions, or healthcare facilities. The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. The registered nurse shall be held accountable for the quality of nursing care given to patients. Suite 300 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. Although the This education and competence must be documented initially and on an ongoing basis. 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 may take disciplinary action against a licensee for violation of the Nursing Practice Act. 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. Appropriate documentation of client assessment and evaluation must substantiate intervention. December 9, 2022, starting at 8 amBoard Business Meetings 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 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 Upon notification of audit by the Board, the APRN shall submit to the Board any certificates, transcripts, or other documentation evidencing compliance with these rules, within ten (10) business days of receiving such notification. 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 within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. 713 Pear Orchard Rd. The appropriately prepared registered nurse may provide specialized nail care/foot care for patients including but not limited to, diabetic patient. However, the registered nurse is held accountable for the quality of nursing care given by self or others being supervised. Assure that the parent/legal guardian is notified that in the registered nurses absence from the school, the parent/legal guardian has the option of coming to the school and providing the medication or authorizing designated school personnel to assist students with self administration of the medication. (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 is educated and competent in the procedure, in EKG interpretation, must be ACLS certified and capable to respond to adverse events. 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" It is within the scope of practice of the appropriately prepared registered nurse to apply Anodyne Therapy System Home Unit. Review and approval of educational programs for continuing education accreditation is not within the purview of the Mississippi Board of Nursing. Admin. The appropriately prepared Registered Nurse may administer IV chemotherapeutic agents. There are no participation fees. It is within the scope of practice of the appropriately prepared registered nurse to dictate history and physical, progress/consultation notes and/or discharge summaries provided the physician and/or APRN provides the nurse with the data pertinent to the formulation of the medical conclusion and the medical diagnosis. Nursing disciplinary action consists of six separate phases. legal & hearings. State regulations for hospitals state that the facility must provide nursing services for each unit sufficient to meet the needs of the patients. It is within the scope of practice of the appropriately prepared RN to perform chemical peels that do not exceed 10% strength. If a nurse is assigned to a shelter in which people are taking refuge at the last minute, the nurse should perform emergency first aid, follow applicable written protocols and contact medical control through the established mechanisms as soon as possible. Nursing administration duties include a review of nursing staffing and making adjustments for absenteeism, as necessary." There should be documentation of the initial evaluation/competency and ongoing competency evaluations; There is a medical order for the procedure(s); The nurse practices according to accepted standards of practice; and. Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. 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. The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. 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. Weve put together a selection of quick links that can help you find the most important information that you need. should be followed as they would in the home. 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 LPN Education portal provides a variety of information, from starting a new program to program outcomes. If you wish to change your name, you must complete a name change through the nurse gateway by clicking on "Edit profile", proof of name change must be provided to the BON for approval with $25.00 fee. The registered nurse is accountable for the quality of care given by self or others being supervised. Primary state of residency (PSOR) is the state that the licensee declares under penalty of perjury to be their home state. The registered nurse is educated and competent in the administration of the capsule and is knowledgeable regarding the indications, contraindications, complications, side effects and possible adverse reactions and recommended monitoring. 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. The facility has policies and procedures in place to address these issues. Consistent understaffing which endangers the health and safety of the patient should be reported to theMississippi State Department of Health, Division of Health Facilities and Licensure and Certificationat 601-576-7300. 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. You will register or enter your username & password to excess the nurse gateway to submit the online application & fee. Serious Disciplinary Actions States are required to report sanctions against health providers to the federal government. 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. However, the registered nurse remains accountable for the acts delegated. Investigation Serious Disciplinary Actions. 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. 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. 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. This education and competence are documented initially and on an ongoing basis. This education and competence must be documented initially and on an ongoing basis. The documented competencies should include hemodynamic monitoring and skills included in ACLS and basic critical care; The procedure is performed and the patient is monitored according to accepted standards of care; and. 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. 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. It is within the scope of practice of the appropriately prepared registered nurse to function as a registered nurse on an ambulance provided: Can a licensed nurse apply Anodyne therapy (monochromatic infrared photo energy)? The Mississippi Nursing Practice Law does not specify the number of hours that a nurse may work per day or week. 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. Refer to theAdministration and Management of Moderate Sedationposition statement. Mississippi has no statue that would require an individual order for vaccination or prohibit the administration of this medication in the outpatient or home settings. Attorney Robert Chelle discusses the most common board of nursing disciplinary actions. It is not within the scope of practice of the licensed practical nurse to irrigate, advance, or remove a compression drain. The nursing assessment must include monitoring of medication administration record. 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. ); 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. It is within the scope of practice of the appropriately prepared registered nurse to irrigate chest tubes, mediastinal catheters, and pericardial catheters with thrombolytics. Code Pt. Administer experimental or investigative/research drugs. A qualified physician or certified registered nurse anesthetist (CRNA) must select and order the agent to be used. 1 Filing a Complaint Any person with knowledge of a violation of the state's nurse practice act, unethical behavior, No. In the event an order clarification is needed, it should be given as a usual medical order, whereas, the licensed nurse is educated and competent, there is a medical order, the licensed nurse practices according to accepted standards of care, and the facility has policies and procedures in place to address all aspects of the issue. This requirement applies to all APRNs, irrespective of controlled substance prescriptive authority. 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. 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. Public It is within the scope of practice of the appropriately prepared registered nurse to instill medication into the chest cavity via chest tube. The Mississippi Nursing Practice Law does not mandate CEUs as a prerequisite to renewing or maintaining a RN or LPN license. This includes but is not limited to, assessing the patients needs, supervising, formulating a nursing diagnosis, planning for, implementing and evaluation of the nursing care in the promotion and the maintenance of health of each patient for whom responsibility has been accepted. Suite 300. Revocation, suspension, probation and more. No, participation in the Recovering Nurse program is a way to help you keep your license while adhering to certain limitations. 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. It is within the scope of practice of the appropriately prepared registered nurse to remove subsequent vaginal packs provided the standard requirements are met, the vaginal pack was not placed to stop or slow bleeding/hemorrhage, and the original vaginal pack has been removed postoperatively by the physician or advanced practiced nurse. The RN must provide evidence of ongoing assessment of these students andmust be available to the LPN at all timesto respond to a change or potential change in condition. Although terminology may differ, board disciplinary action affects the nurse's licensure status and ability to practice nursing in the jurisdiction. The dispensing of medication is outside of the scope of practice of the licensed nurse. Along with other operative nursing behaviors, the RNFA practices under the direct supervision of the surgeon and does not concurrently function as the scrub nurse. 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. 30 Miss. Formal Reprimand You never want to get a letter from the Nursing Board, but if you do, it would be best to receive a Formal Reprimand . It grants access to change of address, name change, online applications, printable documents and many more features.