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" Mississippi Interactive, LLC | Proprietary and Confidential, The APRN is required to register for a basic user account with. 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. 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. In addition, Healthcare employers within our State as well as national stakeholders have recommended the following restrictions for New Graduate assignments (this is not an all inclusive list as facilities may implement other restrictions until the Graduate Nurse becomes an RN or LPN): No. The nurse is educated and competent in the procedure. 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. 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. It is not within the scope of practice of the licensed practical nurse to irrigate, advance, or remove a compression drain. The appropriately prepared Registered Nurse may administer IV chemotherapeutic agents. When administering any medications, the registered 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, Drug Enforcement Administration, the Mississippi Board of Pharmacy, and the Mississippi Board of Nursing. Click Here to download Complaint Form. The appropriately prepared registered nurse may insert an external jugular line in the emergency setting provided: It is within the scope of the appropriately prepared registered nurse to remove a femoral arterial sheath or a femoral venous sheath provided: The registered nurse may not delegate the removal of arterial or venous sheaths to unlicensed personnel. Such expanded perioperative nursing concepts and perioperative nursing behaviors using the nursing process as the basis for providing nursing care to patients experiencing surgical intervention may be assumed only by the RNFA. It is within the scope of practice of the appropriately prepared registered nurse to administer Ephedrine IV push for maternal hypotension. The Mississippi State Board of Physical Therapy has provided a summary of licenses currently under disciplinary action. This is the least restrictive discipline. 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. C.Manipulate, advance, irrigate, milk or remove a chest tube. Pursuant to 30 Miss. Licensing Nursing Program Approval Enforcement Information. The Board's law and code provide minimum qualifications for licensure, define fundamentals for scope of practice, and provides disciplinary processes all in the interest of public protection. 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. 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. 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. Initially participants have no narcotic access, limited work hours, and no return to critical care areas, emergency room or independent settings. 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. The monitoring staff of the RNP refers to a wide array of treatment centers from which there has been a history of positive outcomes. The facility has policies and procedures in place to address all aspects of the issue. Admin. Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. There are similar state and federal regulations for other health care facilities. If the student is physically unable to open the container, the designated school personnel may open the container for the student and assist the student in taking or applying the medication. 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 licensed practical nurse is educated and competent in the procedure. 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. Refer to theSurgical Site Marking position statement. Signing as a R.N. "Drop" standard IV fluid from bag into buretrol (cannot hang new bag); Monitor patient receiving intermittent antibiotic infusion provided it is not the first dose. The 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 Board does not enforce laws and rules pertaining to nursing education, other healthcare professions, or healthcare facilities. No. This education and competence are documented initially and on an ongoing basis. legal & hearings. The nurse has not had a Mississippi compact privilege or license denied, revoked, suspended, surrendered or restricted. The nurse is educated and competent in the procedures. 1. Independently change out chest tube bottles; B. Because state boards are in charge of licensing, they are also responsible for investigating complaints. While nursing mistakes or misconduct may lead to other consequences, such as employer reprimands, terminations, civil suits, or criminal charges, nurse disciplinary action directly affects a nurse's license. Please access the link for Forms and follow the instructions. 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 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. It is within the scope of practice of the appropriately prepared registered nurse to administer blood or blood components in the home setting. Code Pt. On July 27, 2007, the Board of Nursing's Nurse Practice Committee determined that it is within the scope of practice of the appropriately prepared registered nurse to discontinue a femoral nerve block catheter. The registered nurse shall be held accountable for the quality of nursing care given to patients. However, it is not within the scope of practice of the licensed practical nurse to perform deep right main stem suctioning. 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. Suite 300. When administering any medication, the nurse should be knowledgeable of and comply with all applicable state and federal laws, rules, regulations and guidelines pertaining to the specific medication including, but not limited to, those of the Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), the Mississippi Board of Pharmacy and the Board of Nursing. If you choose to renew your license has inactive you will submit the $25.00 fee to put your license in an inactive status for that renewal period. Medical orders concerning administration of medications at home which are evidenced by pill bottles or IV bags etc. Refer to theInsertion, Maintenance, and Removal of Peripherally Inserted Central Cathetersposition statement. This would take away some of the notion of the nurse "prescribing" the medication. 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. 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. If deep right main stem suctioning is required for the patient, a registered nurse must perform this procedure. Other disciplinary actions can include probation, temporary suspension, and indefinite suspension. holiday, out of medication, school absence, illness). 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. It is the state of a person's declared fixed permanent and principal home for legal purposes. 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. 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. Code, Part 2810, Chapter 4, Rule 4.5, inactive licensure means that you are not engaged in the active practice of nursing but desire to maintain licensure. It is recommended that medication orders be patient/condition specific even if prescribed PRN. The Board of Nursing does not maintain a listing of specific medications acceptable for administration by registered nurses and licensed practical nurses. Furthermore, the registered nurse is accountable for the quality of nursing care given by self or others being supervised. It was determined that it is within the scope of practice of the appropriately prepared registered nurse to perform ear stapling provided: It was further determined that it is not within the scope of practice of the licensed practical nurse to perform ear stapling as treatment for obesity, migraine headaches, insomnia, etc. 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. Situations in which licensed practical nurses are functioning within their scope in the school setting include those in which: After an RN makes an initial assessment of students, the RN may assign care of these students to a LPN who has been determined by the RN to be appropriately trained, educated and competent. The fee shall not exceed Twenty-five Dollars ($25.00). It is within the scope of practice of the licensed practical nurse to suction secretions from a tracheostomy. Standing orders are certainly not to be used in lieu of medical consultation/intervention. 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. (601) 957-6301. 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. Suite 300. 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 following nurses had disciplinary action taken against their licenses. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. The licensee has the privilege to practice nursing in all states which have adopted and implemented the Nurse Licensure Compact. Title 30 Mississippi Administrative Code, Part 2815: Continuing Education was repealed by the Board in February 2020. The facility has policies and procedures in place to address all aspects of this 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. There is direct supervision by the physician or advanced practice registered nurse (that is, the physician or advanced practice registered nurse is physically present); The registered nurse has knowledge of the techniques of endoscopic manipulation, understands the complications associated with endoscopy, is competent to identify the associated symptoms and will initiate appropriate interventions as directed by the physician or advanced practice registered nurse; The nurse has full view of the lumen (via teaching adapter or video screen) throughout the entire manipulation process; Another registered nurse is responsible for monitoring the patient if the patient is sedated (that is, the same registered nurse may not accept responsibility for manipulation of the endoscope and monitoring a sedated patient); and. 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