Oklahoma State Policy Fact Sheet


American Association of Nurse Practitioners - Oklahoma State Policy

Nurse Practice Act: 59 Okl.St.Ann. § 567.1

Regulatory Structure: Restricted Practice

State law restricts patient access to NP care. State licensure law requires physician supervision for at least one element of NP practice.
59 Okl.St.Ann. § 353.1a

Regulatory Agencies

NP practice is regulated by the Board of Nursing.
59 Okl.St.Ann. § 567.4

Licensure Requirements

State law requires an RN license, a graduate degree in an NP role and national certification.
59 Okl.St.Ann. § 567.5a

Schedule II Controlled Substance Prescriptive Authority

NPs are currently not authorized to hold schedule II controlled substance prescriptive authority.
63 Okl.St.Ann. § 2-312

Continuing Education*

Continuing education is established by the Board. See the Board of Nursing for details.
Board of Nursing

Medical Staff Membership**

Medical staff composition is determined in accordance with a facility’s bylaws.
OK ADC 310:667-9-9

Primary Care Providers

NPs are defined in law as primary care providers.
OK ADC 317:25-7-5

Supervisory Agreement Ratio***

One physician may enter into supervisory agreements with no more than four full-time equivalent NPs or other advanced practice registered nurses (APRNs) regarding their prescriptive authority, up to a maximum of four total NPs or APRNs.
OK ADC 510:10-4-3

Signature Recognition on Items of Patient Care

  • Parking Permits: Oklahoma NPs are authorized to provide proof of disability for disabled parking permits.
    47 Okl.St.Ann. § 15-112
  • Do Not Resuscitate Orders: Oklahoma NPs are not presently authorized to sign do not resuscitate orders.
    63 Okl.St.Ann. § 3131.3
  • Death Certificates: Oklahoma NPs are not currently authorized to sign death certificates.
    63 Okl.St.Ann. § 1-317
  • Provider Orders for Life-sustaining Treatment (POLST): NPs are not authorized to sign POLST forms.
    63 Okl.St.Ann. § 3105.3

*Contact hours in specific topics may be required. Please contact your state’s Board of Nursing for current information.
**Medical staff membership refers to governing and voting privileges and is not reflective of clinical or admitting privileges within institutions.
***Waivers may be available. Please consult the full law for guidance.

Updated November 2017

Download the Oklahoma State Policy Fact Sheet