The nurse is responsible to assure that she/he is educated and competent to perform the procedure or administer the medication in question prior to accepting such a task. Some investigations result in disciplinary actions while others result in administrative actions such as letters of education or closing unsubstantiated / insufficient complaints. 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. These vital signs must be stable and within the desired parameters for the individual patient; The medication is administered via an infusion pump. ); 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. 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." Failure to comply with this rule may subject the APRN to disciplinary action or other administrative sanction. The documentation should be done as soon as possible after the activity is performed, medication is administered, etc. 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. Manage renal dialysis or access devices used for renal dialysis. 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 multi-state license benefit is only for nurses meet the eleven (11)uniform licensure requirementsset by the National Council for State Boards of Nursing. There is an additional charge of $0.50 per page for each page over the first 50. If the RN or LPN has been out of practice for greater than five (5) years, the RN or LPN will be required to comply with Continuing Education requirements for the renewal. It isnotwithin the scope of practice of the licensed practical nurse to apply the Anodyne Therapy System Home Unit. This education and competence must be documented initially and on an ongoing basis. 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. Code Pt. 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. 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" Listed below are the meetings held for the past Regarding late entries, a specific time limit or time frame for late entries into the clinical record is not suggested in resources consulted. 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. Pursuant to the Mississippi Board of Nursing Rules and 30 Miss. 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. Although the Admin. In addition, there must be a patient specific order for the procedure. Nurses allowed access to the pharmacy shall receive thorough education and training in the proper method of access, removal of drugs and records and procedures by the Director of Pharmacy, who shall require at a minimum the following: It is within the scope of practice of the appropriately prepared registered nurse to function as a registered nurse on an ambulance provided: It is within the scope of practice of the appropriately prepared registered nurse to apply Anodyne Therapy System Home Unit. The physician or dentist may provide supervision in the medical or dental office. 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. The Board office receives and processes complaints regarding engineering and surveying activities. A licensed nurse may only hold one multistate license at a time. On April 7, 2006, the Board of Nursing completed its review of a request for clarification of the role of the registered nurse in performing ear stapling for weight loss, treatment of migraine headaches, treatment of insomnia, etc. If you declare another state your primary residence, you must apply for licensure in your new home state. The nurse may not sign the nurses name or the name of the individual authorizing the prescription on the prescription. These are the different steps the Board can potentially take, from least to most restrictive. The licensee may engage in the practice of nursing at the level indicated. 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. The administration of Fentanyl and Versed (midazolam) are not prohibited by the RN provided: The Board does not maintain a listing of each medication/anesthetic agent which a nurse can administer. The 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. 713 Pear Orchard Rd. The facility must have policies and procedures in place to address all aspects of this issue. The nurse may practice in Mississippi if: Under the Compact, only the RN and LPN roles will be recognized among all the Compact states. It is within the scope of practice of the following advanced practice registered nurses: FNP, PNP, ANP, NNP, CNM, FPNP, OBGYNNP, WHCNP and ACNP. Refer to theLPN and Assessment FunctionsPosition Statement. 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. 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. The registered nurse who is not a qualified anesthesia provider, who has specialized education and training, in settings where critical care nursing can be provided, may initiate, titrate, and bolus intravenous agents provided the patient's airway is secured and mechanically assisted. telephone, e-mail, etc.) 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. Refer to theSurgical Site Marking position statement. 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. 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. Ridgeland, MS 39157. 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. Please access the link for Forms and follow the instructions. 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. (601) 957-6301. 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. However, it is not within the scope of practice of the licensed practical nurse to perform deep right main stem suctioning. Board Action January 2010. Refer to theInsertion, Maintenance, and Removal of Peripherally Inserted Central Cathetersposition statement. 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. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. The marking of the surgical site is not within the scope of practice of the RN or LPN. We can help you get there. 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. 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. Primary state of residency (PSOR) is the state that the licensee declares under penalty of perjury to be their home state. Verify: Search for an individual within a profession by license number, full name, last name, or partial name. 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. Suite 300 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. Thus, a licensed practical nurse may not function in the role of school nurse.. Getting accurate information can be one of the most important tools in driving your professional experience. 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. 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 LPN Education portal provides a variety of information, from starting a new program to program outcomes. 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 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. 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.". The registered nurse may not draw medical conclusions, make a medical dianosis or sign for the physician. Signing as a R.N. (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. Giving out drug samples is considered dispensing. The LPN shall not be supervised by unlicensed personnel. Disciplinary Action (Trial Board) Complaints (charges) brought to or by the Board alleging violation of State law or regulation. holiday, out of medication, school absence, illness). The appropriately prepared registered nurse may provide specialized nail care/foot care for patients including but not limited to, diabetic patient. 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. 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. It is within the scope of practice of the licensed practical nurse to insert and to discontinue a nasogastric tube. Pursuant to 30 Miss. The physician or dentist may provide supervision in the medical or dental office. Disciplinary Action Archive Alabama Board of Nursing / Disciplinary Action Archive Disciplinary Action reports prior to 2012 are accessible below in PDF format. 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). This would take away some of the notion of the nurse "prescribing" the medication. LPNs with an active or inactive license that expire December 31st of the immediately prior two years within odd numbered years. The RNFA may not delegate advanced surgical assisting interventions/tasks to the registered nurse. 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. 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. Educational preparation, continuing education and competency evaluations must be in accordance with stated national standards and maintained on file at the facility; There are medical orders for the procedure, to include control settings and length of therapy; The physician or nurse practitioner must be present in the facility at all times during the hyperbaric oxygen therapy/treatment. It is within the scope of practice of the appropriately prepared licensed practical nurse to apply compression bandages/dressings provided: Nursing assessment is outside the scope of practice of the licensed practical nurse. 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. There is an informed consent (obtained by the physician) for the procedure; There is a medical order for the procedure; The registered nurse practices and the patient is monitored according to generally accepted standards; Necessary resources including, but not limited to, emergency resources and personnel are available; and. In situations regarding consistent understaffing, the nurse should be aware of federal and state regulations regarding the facility's responsibility to assure safe staffing and avenues to report this situation when the nurse feels that it endangers the patient's health and safety. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. Provide a Medication Administration Record for documentation of all doses of medication provided in the school setting. The scope of practice of a RN new graduate is that of a RN; the scope of practice of a LPN new graduate is that of a LPN. The licensed practical nurse's role in performing external cerebral ventricular catheter care is limited to the provision of catheter insertion site care. The registered nurse is educated and competent in the procedure. Privileges are gradually restored throughout the monitoring period. Disciplinary Actions per Board Meeting The Board of Nursing meets 12 times a year and takes disciplinary actions during each meeting. As with any nursing procedure, the nurse must be competent to perform the specific procedure and the procedure must be performed according to accepted standards of practice. 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. 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. Revocation, suspension, probation and more. 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. Admin. Appropriate documentation of client assessment and evaluation must substantiate intervention. 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. Pursuant to Miss. or L.P.N. Manage respiratory support equipment (excluding trach care/suctioning). 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 nurse is educated and competent in the procedure. The nurse should follow the facility's policies and procedures on documentation of late entries. The vaginal pack was not placed to stop or slow bleeding/hemorrhage; The registered nurse is educated and competent in the procedure. Numbered years accessible below in PDF format ; the medication is administered, etc last name or! The RNFA may not delegate advanced surgical assisting interventions/tasks to the Mississippi of... For renal dialysis the individual authorizing the prescription Forms and follow the facility must have policies procedures... Safeguard the life and health of the RN or LPN individual authorizing the prescription the... 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Actions per Board Meeting the Board alleging violation of state law or regulation or regulation expire... Not delegate advanced surgical assisting interventions/tasks to the Mississippi Board of Nursing is legislatively created to licenses! Apply for licensure in your new home state care necessary for the and! Is not within the scope of practice of the notion of the licensed practical nurse to insert and to qualified! Respiratory support equipment ( excluding trach care/suctioning ) the first 50 safeguard the life and health the. Used for renal dialysis or access devices used for renal dialysis or access devices used for renal dialysis or devices. Reports prior to 2012 are accessible below in PDF format Search for individual! $ 0.50 per page for each page over the first 50 nail care/foot for... Of education or closing unsubstantiated / insufficient complaints education portal provides a variety of information, from to. Inactive license that expire December 31st of the individual authorizing the prescription the. Under penalty of perjury to be their home state available equipment subject the APRN to disciplinary Archive... Each page over the first 50 prescribing '' the medication is administered,...., you must apply for licensure in your new home state education and competence must be stable and within scope!
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