Okla. Stat. tit. 43A, § 43A-4-104: Surgical operations - Notice - Emergency

Before proceeding with any major operation which in the judgment

of the executive director of the facility is advisable or necessary,

the executive director shall notify or cause to be notified the

spouse, parent or guardian or one of the next of kin residing in

Oklahoma, if the information is shown by the records on file with

the executive director. A copy of the notice shall be filed in the

records of the consumer, except in cases of grave emergency where

the medical staff feels that surgical or other intervention is

necessary to prevent serious consequences or death, authority is

hereby given to proceed with such measure.