Mississippi Administrative Code
Title 30 - Professions and Occupations
Part 2840 - ADVANCED PRACTICE
Chapter 4 - Expanded Role for the Licensed Practical Nurse in Hemodialysis
Rule 30-2840-4.3 - Scope of Practice
Universal Citation: MS Code of Rules 30-2840-4.3
Current through September 24, 2024
A. The LPN certified in hemodialysis may:
1) Initiate
and discontinue hemodialysis via fistula needles in the peripheral fistula or
graft;
2) Inject intradermal
lidocaine in preparation for dialysis and access;
3) Initiate and discontinue hemodialysis via
catheter;
4) Administer heparin
intravenously, including:
(a) Draw up and
administer heparin (1:1000 strength) for initial and continued administration;
and
(b) Loading and activating the
constant infusion pump and/or intermittently injecting the prescribed
dose.
5) Administer
saline intravenously, including:
(a)
Administration of a saline bolus during a hypotensive episode (this must be in
accordance with an agency protocol and with RN supervision and consultation);
and
(b) Administration and
regulation of a normal saline solution for purpose of maintaining the fluid
plan that is established by the RN.
6) Draw up and administer erythropoietins
intravenously.
7) Draw up and
administer synthetic vitamin Ds intravenously.
8) If dually certified in IV therapy the
expanded role hemodialysis LPN may administer approved IV fluids and
medications as indicated in Part 2840, Chapter 3, Rule 3.3 A. 1)
(b).
B. The LPN certified in hemodialysis may function in this role and scope of practice only under the direct supervision of a registered nurse.
C. The LPN certified in hemodialysis may function in this role only in hemodialysis facilities which are certified by the Mississippi State Department of Health, Division of Licensure and Certification, or its successor agency.
D. The LPN certified in hemodialysis may NOT:
1) Administer or add the following except as
specified in 4.3a:
(a) IV medications;
or
(b) Blood, blood components,
plasma, plasma expanders; or
(c)
Hypertonic solutions; or
2) Determine or regulate the dosage of
heparin; or
3) Perform hemodialysis
in the home setting.
Miss. Code Ann. § 73-15-17 (1972, as amended).
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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