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Understanding the Missouri Nurse Practice Act: Rules Every Nurse Should Know

The Missouri Nurse Practice Act (RSMo §335.016–335.106) establishes the scope of nursing practice and sets forth disciplinary authority for the MSBN. Every nurse in Missouri is subject to its provisions, whether you work in a hospital, clinic, or long-term care facility. Violations include incompetence, negligence, unprofessional conduct, substance abuse, and criminal convictions. Even off-duty conduct can fall […]

The Missouri Alternative Program for Nurses: A Second Chance at Practice

The Missouri Alternative Program for Nurses (MAP), authorized by RSMo § 335.066(9), represents the state’s recognition that addiction is a treatable condition—not always grounds for permanent discipline. For nurses in recovery, MAP offers a path to continued practice through structured monitoring rather than punitive revocation. Participation is voluntary but must be negotiated before the Board files formal […]

How to Respond to a Missouri State Board of Nursing Investigation

When a Missouri nurse receives a letter from the Missouri State Board of Nursing (MSBN), everything can feel like it’s unraveling overnight. Under RSMo § 335.066, the Board has broad power to investigate and discipline nurses for violations that may endanger public safety or reflect on professional integrity. In my experience defending nurses across Kansas City, St. Louis, […]

Can A DUI Can Impact Your Missouri Nursing License

Many Missouri nurses are surprised to learn that a single DUI arrest—even before conviction—can threaten their professional license. Under RSMo § 335.066(7), any conduct involving moral turpitude or impairment may prompt Board review. The MSBN considers alcohol-related offenses indicators of potential unsafe practice, particularly if a nurse works in a safety-sensitive environment. Once you’re arrested, you must […]

Understanding the Missouri Nurse Practice Act: Rules Every Nurse Should Know

Every nurse licensed in Missouri operates under the Missouri Nurse Practice Act (RSMo §§ 335.011–335.101). It defines the legal boundaries of nursing, outlines the Board’s disciplinary powers, and governs ethical standards. Too few nurses realize how easily a routine workplace issue can become a statutory violation. The Act grants the MSBN authority to discipline for unprofessional […]

Defending Against Substance-Abuse Allegations Before the Missouri Board of Nursing

Substance-related allegations are among the most serious threats to a nursing license. Under RSMo § 335.066(7), the Board can discipline a nurse whose ability to practice safely is impaired by alcohol, controlled substances, or medications. But impairment is not always addiction—and not every accusation is true. Often, allegations arise from coworker reports, missing medication counts, or […]

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