Applications

NOTICE: CEU Renewal Notice

Advanced Practice Registered Nurses (APRNs) this includes Certified Registered Nurse Anesthetists, Certified Nurse Practitioners and Certified Nurse Mid-Wives renewing their license and certification with the Mississippi Board of Nursing (MSBON) are required to submit 40 CEU hours with a recommended 2 hours dedicated to controlled substance education by December 31, 2020. For additional information please do not hesitate to contact our office.

If you are selected for an audit regarding continuing education hours, additional information will be provided to you with directions for submission of the requested documents.

Renewal

RN RENEWAL: This application should be used by registered nurses who wish to renew their license during a current renewal period (September 1 through December 31 – even numbered years)

LPN RENEWAL: This application should be used by licensed practical nurses who wish to renew their license during a current renewal period (September 1 through December 31 – odd numbered years). Expanded Role LPNs (IV Therapy and/or Hemodialysis) must complete a LPN Expanded Role Renewal Application and submit it with the LPN Renewal Application. 
 

INACTIVE LICENSE: This application should be used by RN or LPN who wish to renew license as inactive. A nurse holding an inactive license can not practice as a licensed nurse.
 

Examination

LICENSURE BY EXAMINATION:  Application for licensure by NCLEX-RN or NCLEX-PN. This application should be used by candidates seeking licensure by examination, including those who need to repeat the NCLEX examination. View the examination registration process.

NCLEX SPECIAL ACCOMODATIONS: This application should ONLY be submitted by applicants with accommodations in their nursing program. Complete form for special accommodations. Must be completed by Primary Care Provider.

Endorsement

LICENSURE BY ENDORSEMENT: This application should be used to obtain licensure in Mississippi if a currently licensed registered nurse or licensed practical from another state has never held a Mississippi license.

CAMP NURSE: The board, Pursuant to the Miss. Code Ann. Section 75-74-8, may issue a ninety (90) day temporary permit to practice nursing at a youth camp to qualified applicants upon receipt of a completed application and fee. The applicant must hold an active and current license in another jurisdiction.
 

Reinstatement

RN REINSTATEMENT: For registered nurses who once held a Mississippi license and wish to make it active again. This application should be used by registered nurses that have allowed their license to lapse or are changing licensure status from inactive to active.

LPN REINSTATEMENT: For licensed practical nurses that once held a Mississippi license and wish to make it active again. This application should be used by licensed practical nurses that have allowed their license to lapse or are changing licensure status from inactive to active.

REORIENTATION PERMIT APPLICATION: This application is for registered nurses or licensed practical nurses that are enrolled in a reorientation/refresher course requiring a clinical component. Please contact the Board office at 601-957-6300 or e-mail tgreenlaw@msbn.ms.gov to request this application.
 

LPN Expanded Role (IV Therapy and Hemodialysis)

IV Therapy

Source: Miss. Code Ann. § 73-15-17 (1972, as amended). Part 2830

Rule 2.4 Scope of Practice - IV Therapy

A.     The LPN performing IV therapy must have successfully completed education and training provided by an IV therapy integrated accredited nursing program or Board approved IV therapy course.

B.     Evidence of education and training must be documented via official transcript and accessible for audit purposes. 

C.    The LPN who endorses a license and has successfully completed an IV Therapy training program through an IV therapy integrated accredited nursing program in another jurisdiction must complete a Board-approved IV therapy delineation course before performing acts of IV therapy.

The evidence of completion must include:

·        Original Notarized Transcript Form, or

·        Official College Transcript, and

·        Certificate of Completion

Hemodialysis

Source: Miss. Code Ann. § 73-15-17 (1972, as amended). Part 2830

Rule 2.5 Scope of Practice – Hemodialysis

A.     The LPN performing hemodialysis must have successfully completed education and training certified by the Mississippi State Department of Health and licensed as a dialysis unit, consisting of both theory and clinical for hemodialysis.

B.     The LPN that has never completed a hemodialysis training program through a licensed dialysis unit must receive education and training before being permitted to perform acts of hemodialysis.

C.    Evidence of education and training must be documented and accessible for audit purposes.

D.    The LPN who endorses a license and has successfully completed a hemodialysis training program through a licensed dialysis unit in another jurisdiction must complete a Board approved hemodialysis delineation course before performing acts of hemodialysis.

The evidence of completion must include:

·        Original Notarized Transcript Form, or

·        Official College Transcript, and

·        Certificate of Completion

IV therapy information

Hemodialysis information

 

Certified Clinical Hemodialysis Technician (CCHT) Applications

Effective July 1, 2019, the Mississippi Board of Nursing no longer regulates Certified Clinical Hemodialysis Technicians.  Pursuant to House Bill 1048, please be advised all Certified Clinical Hemodialysis Technicians are now under the jurisdiction of the Mississippi State Department of Health effective July 1, 2019.  All Hemodialysis Technicians also have the authority to administer hemodialysis under the authority of a licensed registered nurse effective July 1, 2019.  National Certification should be maintained. 

For questions concerning registration with the Mississippi State Department of Health, please contact the MSDH Professional Licensure Department at (601)-364-7360

   

Advanced Practice Registered Nurse 

Advanced Practice Registered Nurse: This application should be used to obtain APRN certification in Mississippi. Initial (you have never held a Mississippi certification) or Reinstatement (you have once held a Mississippi certification)
 

Name and/or Address Change

Login to your Nurse Gateway to submit a name and/or address change under the "My Profile" tab.