Okla. Stat. tit. 59, § 59-567.3a

As used in the Oklahoma Nursing Practice Act:

1. “Board” means the Oklahoma Board of Nursing;

2. “The practice of nursing” means the performance of services

provided for purposes of nursing diagnosis and treatment of human

responses to actual or potential health problems consistent with

educational preparation. Knowledge and skill are the basis for

assessment, analysis, planning, intervention, and evaluation used in

the promotion and maintenance of health and nursing management of

illness, injury, infirmity, restoration of optimal function, or

death with dignity. Practice is based on understanding the human

condition across the human lifespan and understanding the

relationship of the individual within the environment. This

practice includes execution of the medical regime including the

administration of medications and treatments prescribed by any

person authorized by state law to so prescribe;

3. “Registered nursing” means the practice of the full scope of

nursing which includes, but is not limited to:

a. assessing the health status of individuals, families,

and groups,

b. analyzing assessment data to determine nursing care

needs,

c. establishing goals to meet identified health care

needs,

d. planning a strategy of care,

e. establishing priorities of nursing intervention to

implement the strategy of care,

f. implementing the strategy of care,

g. delegating such tasks as may safely be performed by

others, consistent with educational preparation and

that do not conflict with the provisions of the

Oklahoma Nursing Practice Act,

h. providing safe and effective nursing care rendered

directly or indirectly,

i. evaluating responses to interventions,

j. teaching the principles and practice of nursing,

k. managing and supervising the practice of nursing,

l. collaborating with other health professionals in the

management of health care,

m. performing additional nursing functions in accordance

with knowledge and skills acquired beyond basic

nursing preparation, and

n. delegating those nursing tasks as defined in the rules

of the Board that may be performed by an Advanced

Unlicensed Assistant;

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4. “Licensed practical nursing” means the practice of nursing

under the supervision or direction of a Registered Nurse, licensed

physician, or dentist. This directed scope of nursing practice

includes, but is not limited to:

a. contributing to the assessment of the health status of

individuals and groups,

b. participating in the development and modification of

the plan of care,

c. implementing the appropriate aspects of the plan of

care,

d. delegating such tasks as may safely be performed by

others, consistent with educational preparation and

that do not conflict with the Oklahoma Nursing

Practice Act,

e. providing safe and effective nursing care rendered

directly or indirectly,

f. participating in the evaluation of responses to

interventions,

g. teaching basic nursing skills and related principles,

h. performing additional nursing procedures in accordance

with knowledge and skills acquired through education

beyond nursing preparation, and

i. delegating those nursing tasks as defined in the rules

of the Board that may be performed by an Advanced

Unlicensed Assistant;

5. “Advanced Practice Registered Nurse” means a licensed

Registered Nurse:

a. who has completed an advanced practice registered

nursing education program in preparation for one of

four recognized Advanced Practice Registered Nurse

roles,

b. who has passed a national certification examination

recognized by the Board that measures the Advanced

Practice Registered Nurse role and specialty

competencies and who maintains recertification in the

role and specialty through a national certification

program,

c. who has acquired advanced clinical knowledge and

skills in preparation for providing both direct and
gistered Nurse

roles,

b. who has passed a national certification examination

recognized by the Board that measures the Advanced

Practice Registered Nurse role and specialty

competencies and who maintains recertification in the

role and specialty through a national certification

program,

c. who has acquired advanced clinical knowledge and

skills in preparation for providing both direct and

indirect care to patients; however, the defining

factor for all Advanced Practice Registered Nurses is

that the education and practice focuses on direct care

of individuals,

d. whose practice builds on the competencies of

Registered Nurses by demonstrating a greater depth and

breadth of knowledge, a greater synthesis of data, and

increased complexity of skills and interventions, and

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e. who has obtained a license as an Advanced Practice

Registered Nurse in one of the following roles:

Certified Registered Nurse Anesthetist, Certified

Nurse-Midwife, Clinical Nurse Specialist, or Certified

Nurse Practitioner.

Only those persons who hold a license to practice advanced

practice registered nursing in this state shall have the right to

use the title Advanced Practice Registered Nurse and to use the

abbreviation “APRN”. Only those persons who have obtained a license

in the following disciplines shall have the right to fulfill the

roles and use the applicable titles: Certified Registered Nurse

Anesthetist and the abbreviation “CRNA”, Certified Nurse-Midwife and

the abbreviation “CNM”, Clinical Nurse Specialist and the

abbreviation “CNS”, and Certified Nurse Practitioner and the

abbreviation “CNP”.

It shall be unlawful for any person to assume the role or use

the title Advanced Practice Registered Nurse or use the abbreviation

APRN or use the respective specialty role titles and abbreviations

or to use any other titles or abbreviations that would reasonably

lead a person to believe the user is an Advanced Practice Registered

Nurse, unless permitted by the Oklahoma Nursing Practice Act. Any

individual doing so shall be guilty of a misdemeanor, which shall be

punishable, upon conviction, by imprisonment in the county jail for

not more than one (1) year or by a fine not less than One Hundred

Dollars ($100.00) nor more than One Thousand Dollars ($1,000.00), or

by both such imprisonment and fine for each offense;

6. “Certified Nurse Practitioner” means an Advanced Practice

Registered Nurse who performs in an expanded role in the delivery of

health care:

a. consistent with advanced educational preparation as a

Certified Nurse Practitioner in an area of specialty,

b. functions within the Certified Nurse Practitioner

scope of practice for the selected area of

specialization, and

c. in accord with the standards for Certified Nurse

Practitioners as identified by the certifying body and

approved by the Board.

A Certified Nurse Practitioner shall be eligible, in accordance

with the scope of practice of the Certified Nurse Practitioner, to

obtain recognition as authorized by the Board to prescribe, as

defined by the rules promulgated by the Board pursuant to Section

567.4a of this title and Section 1 of this act. This authorization

shall not include dispensing drugs, but shall not preclude, subject

to federal regulations, the receipt of, the signing for, or the

dispensing of professional samples to patients.

The Certified Nurse Practitioner accepts responsibility,

accountability, and obligation to practice in accordance with usual

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and customary advanced practice registered nursing standards and

functions as defined by the scope of practice/role definition

statements for the Certified Nurse Practitioner;

7. a. “Clinical Nurse Specialist” means an Advanced Practice

Registered Nurse who holds:
ntability, and obligation to practice in accordance with usual

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and customary advanced practice registered nursing standards and

functions as defined by the scope of practice/role definition

statements for the Certified Nurse Practitioner;

7. a. “Clinical Nurse Specialist” means an Advanced Practice

Registered Nurse who holds:

(1) a master’s degree or higher in nursing with

clinical specialization preparation to function

in an expanded role,

(2) specialty certification from a national

certifying organization recognized by the Board,

and

(3) an Advanced Practice Registered Nurse license

from the Board.

Any nurse holding a specialty certification as a

Clinical Nurse Specialist valid on January 1, 1994,

granted by a national certifying organization

recognized by the Board, shall be deemed to be a

Clinical Nurse Specialist under the provisions of the

Oklahoma Nursing Practice Act.

b. In the expanded role, the Clinical Nurse Specialist

performs at an advanced practice level which shall

include, but not be limited to:

(1) practicing as an expert clinician in the

provision of direct nursing care to a selected

population of patients or clients in any setting,

including private practice,

(2) managing the care of patients or clients with

complex nursing problems,

(3) enhancing patient or client care by integrating

the competencies of clinical practice, education,

consultation, and research, and

(4) referring patients or clients to other services.

c. A Clinical Nurse Specialist in accordance with the

scope of practice of such Clinical Nurse Specialist

shall be eligible to obtain recognition as authorized

by the Board to prescribe, as defined by the rules

promulgated by the Board pursuant to Section 567.4a of

this title and Section 1 of this act. This

authorization shall not include dispensing drugs, but

shall not preclude, subject to federal regulations,

the receipt of, the signing for, or the dispensing of

professional samples to patients.

d. The Clinical Nurse Specialist accepts responsibility,

accountability, and obligation to practice in

accordance with usual and customary advanced practice

nursing standards and functions as defined by the

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scope of practice/role definition statements for the

Clinical Nurse Specialist;

8. “Certified Nurse-Midwife” means a nurse who has received an

Advanced Practice Registered Nurse license from the Oklahoma Board

of Nursing who possesses evidence of certification according to the

requirements of the American College of Nurse-Midwives.

A Certified Nurse-Midwife in accordance with the scope of

practice of such Certified Nurse-Midwife shall be eligible to obtain

recognition as authorized by the Board to prescribe, as defined by

the rules promulgated by the Board pursuant to Section 567.4a of

this title and Section 1 of this act. This authorization shall not

include the dispensing of drugs, but shall not preclude, subject to

federal regulations, the receipt of, the signing for, or the

dispensing of professional samples to patients.

The Certified Nurse-Midwife accepts responsibility,

accountability, and obligation to practice in accordance with usual

and customary advanced practice registered nursing standards and

functions as defined by the scope of practice/role definition

statements for the Certified Nurse-Midwife;

9. “Nurse-midwifery practice” means providing management of

care of normal newborns and women, antepartally, intrapartally,

postpartally, and gynecologically, occurring within a health care

system which provides for medical consultation, medical management,

or referral, and is in accord with the standards for nurse-midwifery

practice as defined by the American College of Nurse-Midwives;

10. a. “Certified Registered Nurse Anesthetist” means an

Advanced Practice Registered Nurse who:
n, antepartally, intrapartally,

postpartally, and gynecologically, occurring within a health care

system which provides for medical consultation, medical management,

or referral, and is in accord with the standards for nurse-midwifery

practice as defined by the American College of Nurse-Midwives;

10. a. “Certified Registered Nurse Anesthetist” means an

Advanced Practice Registered Nurse who:

(1) is certified by the National Board of

Certification and Recertification for Nurse

Anesthetists as a Certified Registered Nurse

Anesthetist within one (1) year following

completion of an approved Certified Registered

Nurse Anesthetist education program, and

continues to maintain such recertification by the

National Board of Certification and

Recertification for Nurse Anesthetists, and

(2) administers anesthesia in collaboration with a

medical doctor, an osteopathic physician, a

podiatric physician, or a dentist licensed in

this state and under conditions in which timely

on-site consultation by such doctor, osteopath,

podiatric physician, or dentist is available.

b. A Certified Registered Nurse Anesthetist, in

collaboration with a medical doctor, osteopathic

physician, podiatric physician, or dentist licensed in

this state, and under conditions in which timely, on-

site consultation by such medical doctor, osteopathic

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physician, podiatric physician, or dentist is

available, shall be authorized, pursuant to rules

adopted by the Oklahoma Board of Nursing, to order,

select, obtain, and administer legend drugs, Schedules

II through V controlled substances, devices, and

medical gases only when engaged in the preanesthetic

preparation and evaluation; anesthesia induction,

maintenance, and emergence; and postanesthesia care.

A Certified Registered Nurse Anesthetist may order,

select, obtain, and administer drugs only during the

perioperative or periobstetrical period.

c. A Certified Registered Nurse Anesthetist who applies

for authorization to order, select, obtain, and

administer drugs shall:

(1) be currently recognized as a Certified Registered

Nurse Anesthetist in this state,

(2) provide evidence of completion, within the two-

year period immediately preceding the date of

application, of a minimum of fifteen (15) units

of continuing education in advanced pharmacology

related to the administration of anesthesia as

recognized by the National Board of Certification

and Recertification for Nurse Anesthetists, and

(3) complete and submit a notarized application, on a

form prescribed by the Board, accompanied by the

application fee established pursuant to this

section.

d. The authority to order, select, obtain, and administer

drugs shall be terminated if a Certified Registered

Nurse Anesthetist has:

(1) ordered, selected, obtained, or administered

drugs outside of the Certified Registered Nurse

Anesthetist scope of practice or ordered,

selected, obtained, or administered drugs for

other than therapeutic purposes, or
established pursuant to this

section.

d. The authority to order, select, obtain, and administer

drugs shall be terminated if a Certified Registered

Nurse Anesthetist has:

(1) ordered, selected, obtained, or administered

drugs outside of the Certified Registered Nurse

Anesthetist scope of practice or ordered,

selected, obtained, or administered drugs for

other than therapeutic purposes, or

(2) violated any provision of state laws or rules or

federal laws or regulations pertaining to the

practice of nursing or the authority to order,

select, obtain, and administer drugs.

e. The Oklahoma Board of Nursing shall notify the State

Board of Pharmacy after termination of or a change in

the authority to order, select, obtain, and administer

drugs for a Certified Registered Nurse Anesthetist.

f. The Board shall provide by rule for biennial

application renewal and reauthorization of authority

to order, select, obtain, and administer drugs for

Certified Registered Nurse Anesthetists. At the time

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of application renewal, a Certified Registered Nurse

Anesthetist shall submit documentation of a minimum of

eight (8) units of continuing education, completed

during the previous two (2) years, in advanced

pharmacology relating to the administration of

anesthesia, as recognized by the National Board of

Certification and Recertification for Nurse

Anesthetists.

g. This paragraph shall not prohibit the administration

of local or topical anesthetics as now permitted by

law. Provided further, nothing in this paragraph

shall limit the authority of the Board of Dentistry to

establish the qualifications for dentists who direct

the administration of anesthesia.

h. As used in this paragraph, “collaboration” means an

agreement between a medical doctor, osteopathic

physician, podiatric physician, or dentist performing

the procedure or directly involved with the procedure

and the Certified Registered Nurse Anesthetist working

jointly toward a common goal providing services for

the same patient. This collaboration involves the

joint formulation, discussion, and agreement of the

anesthesia plan by both parties, and the collaborating

medical doctor, osteopathic physician, podiatric

physician, or dentist performing the procedure or

directly involved with the procedure and that

collaborating physician shall remain available for

timely on-site consultation during the delivery of

anesthesia for diagnosis, consultation, and treatment

of medical conditions;

11. “Supervising physician” means an individual holding a

current license to practice as a physician from the State Board of

Medical Licensure and Supervision or the State Board of Osteopathic

Examiners, who supervises a Certified Nurse Practitioner, a Clinical

Nurse Specialist, or a Certified Nurse-Midwife who has not obtained

independent prescriptive authority under Section 1 of this act, and

who is not in training as an intern, resident, or fellow. The

supervising physician shall remain in compliance with the rules

promulgated by the State Board of Medical Licensure and Supervision

or the State Board of Osteopathic Examiners;

12. “Supervision” means assuring availability of the

supervising physician to a Certified Nurse Practitioner, a Clinical

Nurse Specialist, or a Certified Nurse-Midwife who has not obtained

independent prescriptive authority under Section 1 of this act

through direct contact, telecommunications, or other appropriate

electronic means for consultation, assistance with medical

emergencies, or patient referral with respect to written,

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telephonic, electronic, or oral prescriptions for drugs and other

medical supplies, subject to a defined formulary; and

13. “Advanced Unlicensed Assistant” means any person who has

successfully completed a certified training program approved by the
istance with medical

emergencies, or patient referral with respect to written,

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telephonic, electronic, or oral prescriptions for drugs and other

medical supplies, subject to a defined formulary; and

13. “Advanced Unlicensed Assistant” means any person who has

successfully completed a certified training program approved by the

Board that trains the Advanced Unlicensed Assistant to perform

specified technical skills identified by the Board in acute care

settings under the direction and supervision of the Registered

Nurse, Licensed Practical Nurse, or Advanced Practice Registered

Nurse.