Mississippi Administrative Code › Title 30 - Professions and Occupations › Part 2840 - ADVANCED PRACTICE › Chapter 2 - Clinical Nurse Specialists › Rule 30-2840-2.3 - Practice Requirements

Current through June 25, 2024
The APRN shall practice :
A. According to standards and guidelines of
				the national certification organization for which he/she are certified;
				and
B. In a
				collaborative/consultative relationship with a Mississippi licensed physician
				whose practice is compatible with that of the APRN. The APRN must be able to
				communicate reliably with a collaborating/consulting physician while
				practicing. CRNAs may also collaborate/consult with licensed dentists;
				and
C. According to a
				board-approved protocol or practice guidelines:
1) APRNs practicing as nurse anesthetists
				must practice according to board-approved practice guidelines which address the
				following: Preanesthesia preparation and evaluation; anesthesia induction,
				maintenance, and emergence; postanesthesia care; perianesthetic and clinical
				support functions. There must be an agreement between CRNA, the
				collaborating/consulting physician/dentist, and the institution in which
				anesthesia services are being provided which outlines clinical privileges or
				guidelines for practice.
2) APRNs
				practicing in other specialty areas must practice according to a board-approved
				protocol which has been mutually agreed upon by the APRN and a Mississippi
				licensed physician whose practice or prescriptive authority is not limited as a
				result of voluntary surrender or legal/regulatory order.
3) Each collaborative/consultative
				relationship shall include and implement a formal quality assurance/quality
				improvement program which shall be maintained on site and shall be available
				for inspection by representatives of the Mississippi Board of Nursing and
				Mississippi State Board of Medical Licensure. The quality assurance/quality
				improvement program criteria shall consist of:
(a) Review by collaborative physician of a
				sample of charts that represent 10% or 20 charts, whichever is less, of
				patients seen by the advanced practice registered nurse every month. Charts
				should represent the variety of patient types seen by the advanced practice
				registered nurse. Patients that the advanced practice registered nurse and
				collaborating physician have consulted on during the month will count as one
				chart review.
(b) The advanced
				practice registered nurse shall maintain a log of charts reviewed which
				includes the identifier for the patients' charts, reviewers' names, and dates
				of review.
(c) Each advanced
				practice registered nurse shall meet face to face with a collaborating
				physician once per quarter for the purpose of quality assurance.
4) APRNs may not write
				prescriptions for, dispense or order the use of or administration of any
				schedule of controlled substances except as follows or as outlined in Section
				2.4.
5) APRNs may not write
				prescriptions for, dispense or order the use of or administration of any
				schedule of controlled substances except as follows:
(a) Certified nurse midwives may determine
				the need for, order, and administer controlled substances in the practice of
				nurse midwifery within a licensed health care facility as set forth in the
				board-approved protocol.
(b)
				Certified nurse anesthetists may determine the need for, order, and administer
				controlled substances in the practice of nurse anesthesia within a licensed
				health care facility as set forth in board-approved practice
				guidelines.