When is it acceptable to have after hours access to the pharmacy by a licensed nurse? Getting to Know Your Licensing Board: the North Carolina Board of Nursing at a Glance; What Nurses need to know about Informatics, Social Media, and Security! Please note that when you are practicing in another Compact state, you must abide by the Nursing Practice Law of that state where you are practicing. Ridgeland, MS 39157. Any person practicing as a RN or LPN during the time the nurse holds inactive licensure shall be considered to be practicing illegally and shall be subject to disciplinary action by the Board. The following nurses had disciplinary action taken against their licenses. Any registered nurse or licensed practical nurse applying for a license by endorsement, renewal of an active license, reinstatement of a lapsed license or change from inactive to active status must submit evidence of continuing basic nursing competencies when such nurse has not practiced nursing for compensation or performed the function of a registered nurse or licensed practical nurse in a voluntary capacity with or without compensation within the five (5) year period immediately prior to such application for a license, renewal, reinstatement, or change of status. The facility has policies and procedures in place regarding all aspects of the issue. 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. These are the different steps the Board can potentially take, from least to most restrictive. The licensed nurse is responsible for assuring that he/she is educated and competent to care for the number of patients assigned, to perform the necessary procedure(s), or to administer the medication(s) prior to accepting such a patient assignment or task. Upload CE certificates in PDF format as evidence of having completed the five (5) contact hours related to controlled substances within the renewal cycle 01/01 of the odd year to 12/31 of the even year. Negligently or willfully acting in a manner inconsistent with the health and safety of the persons under the licensee's care, including, but not limited to, inappropriately delegating or accepting a patient assignment, and assuming duties and responsibilities in the practice of nursing when competency has not been maintained may compromise the health and safety of patients and are grounds for disciplinary action against the nurse's license. The board does not mandate certification as a prerequisite for the licensed practical nurse to perform this procedure. You will register or enter your username & password to excess the nurse gateway to submit the online application & fee. 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. 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 is within the scope of practice of the appropriately prepared registered nurse to administer Dobutrex (dobutamine) and Primacor in the out-patient setting provided: On April 11, 2004, the Board reviewed a request for clarification of the role of the registered nurse in the administration of Nesiritide (Natrecor) in the home-health/hospice setting. The same standard applies to electronic prescriptions. The licensed practical nurse is educated and competent in the procedure. The Board does not mandate the number of hours or days per year that you must work to maintain an active license. 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. Review and approval of educational programs for continuing education accreditation is not within the purview of the Mississippi Board of Nursing. Perform arterial puncture or draw blood from arterial catheters. The Board office receives and processes complaints regarding engineering and surveying activities. 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. Failure to comply with this rule may subject the APRN to disciplinary action or other administrative sanction. Refer to theSurgical Site Marking position statement. is only allowed when a license is obtained as those legal credentials have title protection afforded by law. The Board of nursing does not require "certification" as a pre-requisite for the nurse to provide education regarding chemotherapy or as a pre-requisite to providing care to chemotherapy patients. Refer to theAdministration and Management of Moderate Sedationposition statement. Nursing disciplinary action consists of six separate phases. 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. Once the board of nursing staff has made a decision, the board will send the nurse a letter detailing the complaint and explaining whether or not it will investigate the claim. If you declare another state your primary residence, you must apply for licensure in your new home state. 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 Mississippi Nursing Practice Law and the Administrative Code of the Board of Nursing, state negligently or willfully acting in a manner inconsistent with the health and safety of the persons under the licensee's care, including, but not limited to, inappropriately delegating or accepting a patient assignment, and assuming duties and responsibilities in the practice of nursing when competency has not been maintained may compromise the health and safety of patients and are grounds for disciplinary action against the nurse's license. However, the nurse may only hold a license in one Compact state which is determined by the primary state of residence. 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. Below are the number of serious actions against registered nurses that Wyoming reported in recent years, based on a ProPublica analysis of data from the Health Resources and Services Administration (see caveats). ); 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. The Mississippi Nursing Practice Law does not specify the number of hours that a nurse may work per day or week. The scope of practice for the LPN expanded role in IV therapy is addressed in Rule 2.4. In regard to removal of epicardial wires. The facility has policies and procedures in place addressing all aspects of this issue. 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. The Board grants licenses to licensed practical nurses (LPNs), registered nurses (RNs), advanced practice registered nurses (APRNs), and certified clinical hemodialysis technicians (CCHTs). Regarding late entries, a specific time limit or time frame for late entries into the clinical record is not suggested in resources consulted. The physician or dentist may provide supervision in the medical or dental office. 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. Although the A qualified physician or certified registered nurse anesthetist (CRNA) must select and order the agent to be used. 2830, Chapter 2. The nurse is given the latitude to use "nursing judgment" in determining the amount to be administered based on the client's clinical status. 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. 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 RN must perform the initial assessment of all students. It is within the scope of practice of the appropriately prepared registered nurse to instill medication into the chest cavity via chest tube. 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. December 5, 6, 7 & 8, 2022 The Mississippi Nursing Practice Law does not mandate CEUs as a prerequisite to renewing or maintaining a RN or LPN license. C.Manipulate, advance, irrigate, milk or remove a chest tube. 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. 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. Below are the number of serious actions against registered nurses The Board has determined two tasks, suturing and procurement of the saphenous vein, belong solely to the RNFA. 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 nurse/facility must determine which medication is appropriate for the nurse to safely administer based on the nurse's education and competence, current standards of practice, and the facility's policies and procedures. When you are practicing nursing in another Compact state you must abide by the Nursing Practice Law and Rules and Regulations of that state. 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. 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. 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. 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. 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. Documentation of one of the above options must be submitted with the application for licensure. 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. License Verification and Renewal - Mississippi State Department of Health Verify or Renew Professional Licenses Verification Use our license search feature to verify an existing license, or list all professionals with a particular license. 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. In all other settings, supervision and delegation must be by a RN. Refer to thePatient Abandonmentposition statement. Recovery from substance dependency is an ongoing process that requires life changing actions and decisions made on a daily basis. It is within the scope of practice of the appropriately prepared registered nurse to irrigate chest tubes, mediastinal catheters, and pericardial catheters with thrombolytics. The facility has policies and procedures in place to address these issues. Request for additional information concerning past discipline may be requested through ouronline license verification system. 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 However, the registered nurse is held accountable for the quality of nursing care given by self or others being supervised. This is the least restrictive discipline. The RNP is a program for nurses who have a substance dependency problem and have violated the nursing practice law by diverting medication, forging prescriptions, doctor shopping, and excesive use of prescribed and/or unprescribed medications, work impairment, a history of failed treatments, and the use of illict drugs. The documented competencies should include hemodynamic monitoring and skills include in ACLS and basic critical care; The registered nurse practices and the patient is monitored according to accepted standards or practice; All necessary resources, including emergency equipment and resources, are readily available; The facility has policies and procedures in place addressing all aspects of this issue; and. Thus, the registered nurse may not make an independent determination to terminate or continue restraints or seclusion. 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" If your primary state of residence is Mississippi your license will be designated as MULTI-STATE. The RNP provides the advocacy, structure, accountability, and repetition that assist nurses to achieve transformation of their lives. Please access the link for Forms and follow the instructions. (601) 957-6301. Independently change out chest tube bottles; B. Evidence of the initial education and competence must be on file in the facility. Nurses in the RNP are monitored for a period of 60 months. No, additional documentation is not required to renew LPN Expanded Therapy Role. ), The procedure is performed according to generally accepted standards; and. The vaginal pack was not placed to stop or slow bleeding/hemorrhage; The registered nurse is educated and competent in the procedure. 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. There are no participation fees. Thus, if you currently live in Mississippi and obtain/hold an unrestricted license here, you would have privilege to practice nursing in the other Compact states. For healing to occur, most nurses will need to be taken out of the employment environment for a period of time in order to learn appropriate coping skills and boundaries for a successful return. Disciplinary Actions - Louisiana State Board of Nursing. 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. No. Signing as a R.N. 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. Code Pt. 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. Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. 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. During renewal time you will have the option to renew your license as active or inactive. 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. Furthermore, the registered nurse may not delegate such interventions/tasks to the RDCS, medical assistant, nursing assistant or other unlicensed individual or supervise, in any capacity, the RDCS, medical assistant, nursing assistant or other unlicensed individual performing such interventions/tasks. The nurse should follow the facility's policies and procedures on documentation of late entries. 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. Revocation, suspension, probation and more. The Board decided that the registered nurse, acting in accordance with the provisions of the Mississippi Nursing Practice Law, Rules and Regulations of the Board of Nursing and other Mississippi laws concerning abortion, may administer these and other medications to the gravid female provided: It should be further noted that, in accordance with Section 73-15-5 (2) of the Mississippi Nursing Practice Law, it is outside of the scope of practice of the registered nurse to make a medical diagnosis or to draw medical conclusions. It is within the scope of practice of the appropriately prepared registered nurse to obtain a sample of CSF provided: It is within the scope of practice of the appropriately prepared licensed practical nurse to perform the following tasks related to chest tube care: The appropriately prepared licensed practical nurse may perform these tasks provided: It is not within the scope of practice of the licensed practical nurse to perform the following tasks: A. 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. 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. There is documentation of this education and competence initially and on a ongoing basis; The registered nurse has determined that this task can be delegated to the licensed practical nurse; The nurse is educated and competent in the procedure. 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. The LPN may not administer medications to a student who has not been assessed by the registered nurse prior to the administration of the medication. The facility has policies and procedures in place to address all aspects of this issue, including but not limited to, physician availability. 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. 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. The licensee is limited to practicing nursing in Mississippi and does not have the privilege to practice nursing in any other state unless he/she hold a license in that jurisdiction. New graduates may only sign off on paperwork using the initials to signify they are a graduate nurse (i.e. These vital signs must be stable and within the desired parameters for the individual patient; The medication is administered via an infusion pump. The facility has policies procedure in place addressing all aspects of the 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. The Mississippi State Board of Physical Therapy has provided a summary of licenses currently under disciplinary action. This information is a matter of public record. Although the information is believed to be accurate, the Board makes no guarantees. The Mississippi State Board of Physical Therapy disclaims liability for any errors or omissions. Perform the initial assessment of all students currently under disciplinary action taken against licenses! 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