Okla. Stat. tit. 63, § 63-1-290.2: Registered nurses - Physician-approved protocols

A. Registered nurses are authorized to use physician-approved

protocols to provide public health services when performing duties

as an employee or as a contractor, as defined in Section 803 of

Title 18 of the Oklahoma Statutes, on behalf of the city-county

health departments, county health departments, and the State

Department of Health.

B. The Department shall have a designated Medical Director

responsible for maintaining the protocols to reflect the current

standard of care. Protocols shall be consistent with published

clinical practice guidelines established or endorsed by nationally

recognized professional medical organizations, societies,

associations and federal agencies. The physician-approved protocols

shall be reviewed annually and updated as needed. Physician-

approved protocols shall be approved through Department policy.

C. The establishment of a physician-patient relationship is not

necessary for the physician-approved protocol to be implemented by

the registered nurse when providing public health services on behalf

of a city-county health department, county health department or the

Department.

D. The State Department of Health shall promulgate and

implement policies and procedures to ensure the registered nurse has

proper training, education and supervision prior to and during the

provision of public health services.

E. Medical algorithms may be utilized or referenced in the

physician-approved protocols to assist in providing the public

health services.

F. The registered nurse may dispense prepackaged

nonprescription medications and recommend nonprescription

medications pursuant to the physician-approved protocols.

G. A registered nurse may orally submit a prescription

prescribed by an advanced practice registered nurse with

prescriptive authority to a pharmacy of the patient’s choosing.