30 Miss. Code. R. 2840-4.3 - Scope of Practice

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.

Notes

30 Miss. Code. R. 2840-4.3

Miss. Code Ann. § 73-15-17 (1972, as amended).