A completed medical history/physical must be on file prior to the implementation of the hyperbaric oxygen therapy; There is a registered nurse present in the unit responsible for the nursing assessment, planning, and implementation of the patient's plan of care; The nurse practices according to accepted standards of practice; Necessary resources are readily available; and. The documentation should be done as soon as possible after the activity is performed, medication is administered, etc. Specialized foot care for the diabetic patient is outside the scope of practice of the licensed practical nurse due to the assessment skills and knowledge of the disease process required for this procedure. 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. 713 Pear Orchard Rd. Refer to theInsertion, Maintenance, and Removal of Peripherally Inserted Central Cathetersposition statement. No, participation in the Recovering Nurse program is a way to help you keep your license while adhering to certain limitations. The nurse should follow the facility's policies and procedures on documentation of late entries. The policies should include specific medications to be used for the particular procedure(s) and should be developed with input/expertise from all involved parties, based on accepted standards of practice. The Board may conduct periodic audits to ensure compliance. G.N.). The LPN working under the direct supervision of a RN who is physically present on the premises at all times the LPN is on duty. Evidence of the initial education and competence must be on file in the facility. Admin. Upon receipt of the assessment, the monitoring staff will contact the nurse about treatment options. The language used to describe the types of disciplinary actions available to BONs varies according to state law. 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. It is within the scope of practice of the appropriately prepared registered nurse to insert a peripheral arterial line for the purpose of blood pressure monitoring. If you are issued a single state license only, your Mississippi license will remain active but changed to single state. In all other settings, supervision and delegation must be by a RN. A large component of the school nurses role is providing student, parental, and community education which requires a thorough assessment/evaluation of the family/student physical status, knowledge-level, dynamics and resources. When is it acceptable to have after hours access to the pharmacy by a licensed nurse? Further the registered nurse and RNFA may not supervise an individual practicing beyond his/her scope. 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. publications & forms. 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. The facility has policies and procedures in place regarding all aspects of the issue. It is within the scope of practice of the appropriately prepared registered nurse to instill medication into the chest cavity via chest tube. 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. However, it is not within the scope of practice of the licensed practical nurse to perform deep right main stem suctioning. Code, Part 2810, Chapter 4, Rule 4.7, may be considered by the Board on an individual basis. 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. 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. It is the position of the Board of Nursing that a registered nurse should administer medications to students. The facility/agency has policies and procedures in place addressing all aspects of this 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. The Mississippi Board of Nursing requires that graduates are also fingerprinted by the Mississippi Board of Nursing prior to sitting for the licensing exam (NCLEX-RN). The facility has policies and procedures in place to address all aspects of this issue. Effective July 1, 2001, Mississippi entered into the Nurse Licensure Compact. The Medication Administration Record must include the date, identity of school personnel providing the medication and documentation of missed doses (i.e. There are similar state and federal regulations for other health care facilities. As part of its responsibilities, the Board implements the Mississippi Nurse Practice Law by issuing rules and regulations through the Administrative Code. 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 would otherwise be jeopardized (emphasis added), such drug may be obtained from the pharmacy in accordance with the requirements of this subsection. Issuing a temporary permit to a New Graduate allows that New Graduate to practice within their respective education and training. 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. This education and competence are documented initially and on an ongoing basis. 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. Issuance of a single-state license may be issued if the nurse does not meet all of these requirements. 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. It is not within the scope of practice of the LPN to perform any of these procedures. For more recent Disciplinary Action, visit Discipline. These protocols or standing orders should contain provisions to treat adverse vaccine events including, but not limited to, medication administration and emergency transfer. 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 registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. The date/time of the late entry must be current and reflect the date and time for which the entry is being made. The nurse may practice in Mississippi if: Under the Compact, only the RN and LPN roles will be recognized among all the Compact states. In all other settings, supervision and delegation must be by a registered nurse.". If deep right main stem suctioning is required for the patient, a registered nurse must perform this procedure. The facility has policies procedure in place addressing all aspects of the issue. You are under the jurisdiction of the regulatory Board in the state in which you practice nursing, and should contact the appropriate state board. Refer to theSafety to Practiceposition statement. Giving out drug samples is considered dispensing. 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. Excessive and inappropriate use of drugs and alcohol impairs the users judgments, performance, insight and ability to function at their highest level of competence. Serious Disciplinary Actions. Ridgeland, MS 39157. It is not within the scope of practice of the licensed practical nurse to access the pharmacy after hours to obtain medication. Change tubing on or administer IV chemotherapeutic agents. 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 nurse may not sign the nurses name or the name of the individual authorizing the prescription on the prescription. The facility must have policies and procedures in place to address all aspects of this issue. Independently change out chest tube bottles; B. These are the different steps the Board can potentially take, from least to most restrictive. Complete a minimum of five (5) contact hours of continuing education directly related to controlled substances per State Certification Period. Code Pt. The facility/agency has policies and procedures in place to address all aspects of the issue. The registered nurse may not delegate the task of specialized nail/foot care to the licensed practical nurse. Primary state of residency (PSOR) is the state that the licensee declares under penalty of perjury to be their home state. Other member states of the Emergency Management Assistance Compact are Alabama, Alaska, Arizona, Arkansas, Colorado, Congress Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia and Wisconsin. 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. It is recommended that medication orders be patient/condition specific even if prescribed PRN. 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. If you have held a Mississippi license at some point, you will need to apply by reinstatement. ); 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. 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. It is within the scope of practice of the appropriately prepared registered nurse and licensed practical nurse to write the patient demographic information, as well as the drug, dosage, frequency and number of refills on a medication prescription as pursuant to a medical order. This would take away some of the notion of the nurse "prescribing" the medication. Manage renal dialysis or access devices used for renal dialysis. The Board of Nursing has no guidelines prohibiting the appropriately prepared licensed nurse from implementing a drug order that has a dosage range. (Policies should specifically address protocols related to elective versus accidental dislodgment of tracheostomy.). The Board of Nursing does not maintain a listing of specific medications acceptable for administration by registered nurses and licensed practical nurses. Can a registered nurse administer blood or blood components in the home setting? 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. 713 Pear Orchard Rd. 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. 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. See temporary permits for New Graduates under Licensure and Practice). 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 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. Information regarding educational requirements and the RNFA role can be obtained from AORN, 10170 East MS Avenue, Denver, Colorado 80231, Telephone: (303) 755-6300. telephone, e-mail, 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. 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. The nursing assessment must include monitoring of medication administration record. 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. , Mississippi entered into the nurse should administer medications to students individual authorizing the prescription on the prescription the... Suctioning is required for the patient, a registered nurse should follow the facility it acceptable to have hours! Soon as possible after the activity is performed, medication is administered, etc hours to obtain medication into nurse. For which the entry is being made nurse practice law by issuing and. A Mississippi license will remain active but changed to single state has been a history of positive outcomes under and. Nail/Foot care to the pharmacy by a registered nurse. ``, and Removal Peripherally. 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