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 nurse practitioner (NP) care. State licensure law requires physician supervision for at least one element of NP practice.
59 Okl.St.Ann. § 353.1a

Regulatory Agency

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

Licensure Requirements

Requirements include 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 (CE)*

CE is established by the BON. See the BON for details.
OK Board of Nursing

Medical Staff Membership**

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

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

  • Physical Therapy: NPs are authorized to refer to physical therapy.
    59 Okl.St.Ann. § 887.17
  • Parking Permits: NPs are authorized to provide proof of disability for disabled parking permits.
    47 Okl.St.Ann. § 15-112
  • DNR: NPs are not presently authorized to sign Do Not Resuscitate orders.
    63 Okl.St.Ann. § 3131.3
  • Death Certificates: 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 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.
***Exemptions may be available. Please consult full law for guidance.
DISCLAIMER: The material contained in this fact sheet is offered as information only and not as practice, financial, accounting, legal or other professional advice. Correspondents must contact their own professional advisors for such advice.

Updated November 25, 2019

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