{"data":{"id":"us-ok/okla.-stat.-tit.-59-59-567.3a","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 59, § 59-567.3a","heading":"Definitions","body":"As used in the Oklahoma Nursing Practice Act:\n\n1. “Board” means the Oklahoma Board of Nursing;\n\n2. “The practice of nursing” means the performance of services\n\nprovided for purposes of nursing diagnosis and treatment of human\n\nresponses to actual or potential health problems consistent with\n\neducational preparation. Knowledge and skill are the basis for\n\nassessment, analysis, planning, intervention, and evaluation used in\n\nthe promotion and maintenance of health and nursing management of\n\nillness, injury, infirmity, restoration of optimal function, or\n\ndeath with dignity. Practice is based on understanding the human\n\ncondition across the human lifespan and understanding the\n\nrelationship of the individual within the environment. This\n\npractice includes execution of the medical regime including the\n\nadministration of medications and treatments prescribed by any\n\nperson authorized by state law to so prescribe;\n\n3. “Registered nursing” means the practice of the full scope of\n\nnursing which includes, but is not limited to:\n\na. assessing the health status of individuals, families,\n\nand groups,\n\nb. analyzing assessment data to determine nursing care\n\nneeds,\n\nc. establishing goals to meet identified health care\n\nneeds,\n\nd. planning a strategy of care,\n\ne. establishing priorities of nursing intervention to\n\nimplement the strategy of care,\n\nf. implementing the strategy of care,\n\ng. delegating such tasks as may safely be performed by\n\nothers, consistent with educational preparation and\n\nthat do not conflict with the provisions of the\n\nOklahoma Nursing Practice Act,\n\nh. providing safe and effective nursing care rendered\n\ndirectly or indirectly,\n\ni. evaluating responses to interventions,\n\nj. teaching the principles and practice of nursing,\n\nk. managing and supervising the practice of nursing,\n\nl. collaborating with other health professionals in the\n\nmanagement of health care,\n\nm. performing additional nursing functions in accordance\n\nwith knowledge and skills acquired beyond basic\n\nnursing preparation, and\n\nn. delegating those nursing tasks as defined in the rules\n\nof the Board that may be performed by an Advanced\n\nUnlicensed Assistant;\n\n4. “Licensed practical nursing” means the practice of nursing\n\nunder the supervision or direction of a Registered Nurse, licensed\n\nphysician, or dentist. This directed scope of nursing practice\n\nincludes, but is not limited to:\n\na. contributing to the assessment of the health status of\n\nindividuals and groups,\n\nb. participating in the development and modification of\n\nthe plan of care,\n\nc. implementing the appropriate aspects of the plan of\n\ncare,\n\nd. delegating such tasks as may safely be performed by\n\nothers, consistent with educational preparation and\n\nthat do not conflict with the Oklahoma Nursing\n\nPractice Act,\n\ne. providing safe and effective nursing care rendered\n\ndirectly or indirectly,\n\nf. participating in the evaluation of responses to\n\ninterventions,\n\ng. teaching basic nursing skills and related principles,\n\nh. performing additional nursing procedures in accordance\n\nwith knowledge and skills acquired through education\n\nbeyond nursing preparation, and\n\ni. delegating those nursing tasks as defined in the rules\n\nof the Board that may be performed by an Advanced\n\nUnlicensed Assistant;\n\n5. “Advanced Practice Registered Nurse” means a licensed\n\nRegistered Nurse:\n\na. who has completed an advanced practice registered\n\nnursing education program in preparation for one of\n\nfour recognized Advanced Practice Registered Nurse\n\nroles,\n\nb. who has passed a national certification examination\n\nrecognized by the Board that measures the Advanced\n\nPractice Registered Nurse role and specialty\n\ncompetencies and who maintains recertification in the\n\nrole and specialty through a national certification\n\nprogram,\n\nc. who has acquired advanced clinical knowledge and\n\nskills in preparation for providing both direct and\ngistered Nurse\n\nroles,\n\nb. who has passed a national certification examination\n\nrecognized by the Board that measures the Advanced\n\nPractice Registered Nurse role and specialty\n\ncompetencies and who maintains recertification in the\n\nrole and specialty through a national certification\n\nprogram,\n\nc. who has acquired advanced clinical knowledge and\n\nskills in preparation for providing both direct and\n\nindirect care to patients; however, the defining\n\nfactor for all Advanced Practice Registered Nurses is\n\nthat the education and practice focuses on direct care\n\nof individuals,\n\nd. whose practice builds on the competencies of\n\nRegistered Nurses by demonstrating a greater depth and\n\nbreadth of knowledge, a greater synthesis of data, and\n\nincreased complexity of skills and interventions, and\n\ne. who has obtained a license as an Advanced Practice\n\nRegistered Nurse in one of the following roles:\n\nCertified Registered Nurse Anesthetist, Certified\n\nNurse-Midwife, Clinical Nurse Specialist, or Certified\n\nNurse Practitioner.\n\nOnly those persons who hold a license to practice advanced\n\npractice registered nursing in this state shall have the right to\n\nuse the title Advanced Practice Registered Nurse and to use the\n\nabbreviation “APRN”. Only those persons who have obtained a license\n\nin the following disciplines shall have the right to fulfill the\n\nroles and use the applicable titles: Certified Registered Nurse\n\nAnesthetist and the abbreviation “CRNA”, Certified Nurse-Midwife and\n\nthe abbreviation “CNM”, Clinical Nurse Specialist and the\n\nabbreviation “CNS”, and Certified Nurse Practitioner and the\n\nabbreviation “CNP”.\n\nIt shall be unlawful for any person to assume the role or use\n\nthe title Advanced Practice Registered Nurse or use the abbreviation\n\nAPRN or use the respective specialty role titles and abbreviations\n\nor to use any other titles or abbreviations that would reasonably\n\nlead a person to believe the user is an Advanced Practice Registered\n\nNurse, unless permitted by the Oklahoma Nursing Practice Act. Any\n\nindividual doing so shall be guilty of a misdemeanor, which shall be\n\npunishable, upon conviction, by imprisonment in the county jail for\n\nnot more than one (1) year or by a fine not less than One Hundred\n\nDollars ($100.00) nor more than One Thousand Dollars ($1,000.00), or\n\nby both such imprisonment and fine for each offense;\n\n6. “Certified Nurse Practitioner” means an Advanced Practice\n\nRegistered Nurse who performs in an expanded role in the delivery of\n\nhealth care:\n\na. consistent with advanced educational preparation as a\n\nCertified Nurse Practitioner in an area of specialty,\n\nb. functions within the Certified Nurse Practitioner\n\nscope of practice for the selected area of\n\nspecialization, and\n\nc. in accord with the standards for Certified Nurse\n\nPractitioners as identified by the certifying body and\n\napproved by the Board.\n\nA Certified Nurse Practitioner shall be eligible, in accordance\n\nwith the scope of practice of the Certified Nurse Practitioner, to\n\nobtain recognition as authorized by the Board to prescribe, as\n\ndefined by the rules promulgated by the Board pursuant to Section\n\n567.4a of this title and Section 1 of this act. This authorization\n\nshall not include dispensing drugs, but shall not preclude, subject\n\nto federal regulations, the receipt of, the signing for, or the\n\ndispensing of professional samples to patients.\n\nThe Certified Nurse Practitioner accepts responsibility,\n\naccountability, and obligation to practice in accordance with usual\n\nand customary advanced practice registered nursing standards and\n\nfunctions as defined by the scope of practice/role definition\n\nstatements for the Certified Nurse Practitioner;\n\n7. a. “Clinical Nurse Specialist” means an Advanced Practice\n\nRegistered Nurse who holds:\nntability, and obligation to practice in accordance with usual\n\nand customary advanced practice registered nursing standards and\n\nfunctions as defined by the scope of practice/role definition\n\nstatements for the Certified Nurse Practitioner;\n\n7. a. “Clinical Nurse Specialist” means an Advanced Practice\n\nRegistered Nurse who holds:\n\n(1) a master’s degree or higher in nursing with\n\nclinical specialization preparation to function\n\nin an expanded role,\n\n(2) specialty certification from a national\n\ncertifying organization recognized by the Board,\n\nand\n\n(3) an Advanced Practice Registered Nurse license\n\nfrom the Board.\n\nAny nurse holding a specialty certification as a\n\nClinical Nurse Specialist valid on January 1, 1994,\n\ngranted by a national certifying organization\n\nrecognized by the Board, shall be deemed to be a\n\nClinical Nurse Specialist under the provisions of the\n\nOklahoma Nursing Practice Act.\n\nb. In the expanded role, the Clinical Nurse Specialist\n\nperforms at an advanced practice level which shall\n\ninclude, but not be limited to:\n\n(1) practicing as an expert clinician in the\n\nprovision of direct nursing care to a selected\n\npopulation of patients or clients in any setting,\n\nincluding private practice,\n\n(2) managing the care of patients or clients with\n\ncomplex nursing problems,\n\n(3) enhancing patient or client care by integrating\n\nthe competencies of clinical practice, education,\n\nconsultation, and research, and\n\n(4) referring patients or clients to other services.\n\nc. A Clinical Nurse Specialist in accordance with the\n\nscope of practice of such Clinical Nurse Specialist\n\nshall be eligible to obtain recognition as authorized\n\nby the Board to prescribe, as defined by the rules\n\npromulgated by the Board pursuant to Section 567.4a of\n\nthis title and Section 1 of this act. This\n\nauthorization shall not include dispensing drugs, but\n\nshall not preclude, subject to federal regulations,\n\nthe receipt of, the signing for, or the dispensing of\n\nprofessional samples to patients.\n\nd. The Clinical Nurse Specialist accepts responsibility,\n\naccountability, and obligation to practice in\n\naccordance with usual and customary advanced practice\n\nnursing standards and functions as defined by the\n\nscope of practice/role definition statements for the\n\nClinical Nurse Specialist;\n\n8. “Certified Nurse-Midwife” means a nurse who has received an\n\nAdvanced Practice Registered Nurse license from the Oklahoma Board\n\nof Nursing who possesses evidence of certification according to the\n\nrequirements of the American College of Nurse-Midwives.\n\nA Certified Nurse-Midwife in accordance with the scope of\n\npractice of such Certified Nurse-Midwife shall be eligible to obtain\n\nrecognition as authorized by the Board to prescribe, as defined by\n\nthe rules promulgated by the Board pursuant to Section 567.4a of\n\nthis title and Section 1 of this act. This authorization shall not\n\ninclude the dispensing of drugs, but shall not preclude, subject to\n\nfederal regulations, the receipt of, the signing for, or the\n\ndispensing of professional samples to patients.\n\nThe Certified Nurse-Midwife accepts responsibility,\n\naccountability, and obligation to practice in accordance with usual\n\nand customary advanced practice registered nursing standards and\n\nfunctions as defined by the scope of practice/role definition\n\nstatements for the Certified Nurse-Midwife;\n\n9. “Nurse-midwifery practice” means providing management of\n\ncare of normal newborns and women, antepartally, intrapartally,\n\npostpartally, and gynecologically, occurring within a health care\n\nsystem which provides for medical consultation, medical management,\n\nor referral, and is in accord with the standards for nurse-midwifery\n\npractice as defined by the American College of Nurse-Midwives;\n\n10. a. “Certified Registered Nurse Anesthetist” means an\n\nAdvanced Practice Registered Nurse who:\nn, antepartally, intrapartally,\n\npostpartally, and gynecologically, occurring within a health care\n\nsystem which provides for medical consultation, medical management,\n\nor referral, and is in accord with the standards for nurse-midwifery\n\npractice as defined by the American College of Nurse-Midwives;\n\n10. a. “Certified Registered Nurse Anesthetist” means an\n\nAdvanced Practice Registered Nurse who:\n\n(1) is certified by the National Board of\n\nCertification and Recertification for Nurse\n\nAnesthetists as a Certified Registered Nurse\n\nAnesthetist within one (1) year following\n\ncompletion of an approved Certified Registered\n\nNurse Anesthetist education program, and\n\ncontinues to maintain such recertification by the\n\nNational Board of Certification and\n\nRecertification for Nurse Anesthetists, and\n\n(2) administers anesthesia in collaboration with a\n\nmedical doctor, an osteopathic physician, a\n\npodiatric physician, or a dentist licensed in\n\nthis state and under conditions in which timely\n\non-site consultation by such doctor, osteopath,\n\npodiatric physician, or dentist is available.\n\nb. A Certified Registered Nurse Anesthetist, in\n\ncollaboration with a medical doctor, osteopathic\n\nphysician, podiatric physician, or dentist licensed in\n\nthis state, and under conditions in which timely, on-\n\nsite consultation by such medical doctor, osteopathic\n\nphysician, podiatric physician, or dentist is\n\navailable, shall be authorized, pursuant to rules\n\nadopted by the Oklahoma Board of Nursing, to order,\n\nselect, obtain, and administer legend drugs, Schedules\n\nII through V controlled substances, devices, and\n\nmedical gases only when engaged in the preanesthetic\n\npreparation and evaluation; anesthesia induction,\n\nmaintenance, and emergence; and postanesthesia care.\n\nA Certified Registered Nurse Anesthetist may order,\n\nselect, obtain, and administer drugs only during the\n\nperioperative or periobstetrical period.\n\nc. A Certified Registered Nurse Anesthetist who applies\n\nfor authorization to order, select, obtain, and\n\nadminister drugs shall:\n\n(1) be currently recognized as a Certified Registered\n\nNurse Anesthetist in this state,\n\n(2) provide evidence of completion, within the two-\n\nyear period immediately preceding the date of\n\napplication, of a minimum of fifteen (15) units\n\nof continuing education in advanced pharmacology\n\nrelated to the administration of anesthesia as\n\nrecognized by the National Board of Certification\n\nand Recertification for Nurse Anesthetists, and\n\n(3) complete and submit a notarized application, on a\n\nform prescribed by the Board, accompanied by the\n\napplication fee established pursuant to this\n\nsection.\n\nd. The authority to order, select, obtain, and administer\n\ndrugs shall be terminated if a Certified Registered\n\nNurse Anesthetist has:\n\n(1) ordered, selected, obtained, or administered\n\ndrugs outside of the Certified Registered Nurse\n\nAnesthetist scope of practice or ordered,\n\nselected, obtained, or administered drugs for\n\nother than therapeutic purposes, or\nestablished pursuant to this\n\nsection.\n\nd. The authority to order, select, obtain, and administer\n\ndrugs shall be terminated if a Certified Registered\n\nNurse Anesthetist has:\n\n(1) ordered, selected, obtained, or administered\n\ndrugs outside of the Certified Registered Nurse\n\nAnesthetist scope of practice or ordered,\n\nselected, obtained, or administered drugs for\n\nother than therapeutic purposes, or\n\n(2) violated any provision of state laws or rules or\n\nfederal laws or regulations pertaining to the\n\npractice of nursing or the authority to order,\n\nselect, obtain, and administer drugs.\n\ne. The Oklahoma Board of Nursing shall notify the State\n\nBoard of Pharmacy after termination of or a change in\n\nthe authority to order, select, obtain, and administer\n\ndrugs for a Certified Registered Nurse Anesthetist.\n\nf. The Board shall provide by rule for biennial\n\napplication renewal and reauthorization of authority\n\nto order, select, obtain, and administer drugs for\n\nCertified Registered Nurse Anesthetists. At the time\n\nof application renewal, a Certified Registered Nurse\n\nAnesthetist shall submit documentation of a minimum of\n\neight (8) units of continuing education, completed\n\nduring the previous two (2) years, in advanced\n\npharmacology relating to the administration of\n\nanesthesia, as recognized by the National Board of\n\nCertification and Recertification for Nurse\n\nAnesthetists.\n\ng. This paragraph shall not prohibit the administration\n\nof local or topical anesthetics as now permitted by\n\nlaw. Provided further, nothing in this paragraph\n\nshall limit the authority of the Board of Dentistry to\n\nestablish the qualifications for dentists who direct\n\nthe administration of anesthesia.\n\nh. As used in this paragraph, “collaboration” means an\n\nagreement between a medical doctor, osteopathic\n\nphysician, podiatric physician, or dentist performing\n\nthe procedure or directly involved with the procedure\n\nand the Certified Registered Nurse Anesthetist working\n\njointly toward a common goal providing services for\n\nthe same patient. This collaboration involves the\n\njoint formulation, discussion, and agreement of the\n\nanesthesia plan by both parties, and the collaborating\n\nmedical doctor, osteopathic physician, podiatric\n\nphysician, or dentist performing the procedure or\n\ndirectly involved with the procedure and that\n\ncollaborating physician shall remain available for\n\ntimely on-site consultation during the delivery of\n\nanesthesia for diagnosis, consultation, and treatment\n\nof medical conditions;\n\n11. “Supervising physician” means an individual holding a\n\ncurrent license to practice as a physician from the State Board of\n\nMedical Licensure and Supervision or the State Board of Osteopathic\n\nExaminers, who supervises a Certified Nurse Practitioner, a Clinical\n\nNurse Specialist, or a Certified Nurse-Midwife who has not obtained\n\nindependent prescriptive authority under Section 1 of this act, and\n\nwho is not in training as an intern, resident, or fellow. The\n\nsupervising physician shall remain in compliance with the rules\n\npromulgated by the State Board of Medical Licensure and Supervision\n\nor the State Board of Osteopathic Examiners;\n\n12. “Supervision” means assuring availability of the\n\nsupervising physician to a Certified Nurse Practitioner, a Clinical\n\nNurse Specialist, or a Certified Nurse-Midwife who has not obtained\n\nindependent prescriptive authority under Section 1 of this act\n\nthrough direct contact, telecommunications, or other appropriate\n\nelectronic means for consultation, assistance with medical\n\nemergencies, or patient referral with respect to written,\n\ntelephonic, electronic, or oral prescriptions for drugs and other\n\nmedical supplies, subject to a defined formulary; and\n\n13. “Advanced Unlicensed Assistant” means any person who has\n\nsuccessfully completed a certified training program approved by the\nistance with medical\n\nemergencies, or patient referral with respect to written,\n\ntelephonic, electronic, or oral prescriptions for drugs and other\n\nmedical supplies, subject to a defined formulary; and\n\n13. “Advanced Unlicensed Assistant” means any person who has\n\nsuccessfully completed a certified training program approved by the\n\nBoard that trains the Advanced Unlicensed Assistant to perform\n\nspecified technical skills identified by the Board in acute care\n\nsettings under the direction and supervision of the Registered\n\nNurse, Licensed Practical Nurse, or Advanced Practice Registered\n\nNurse.","path":["OK Code","Title 59"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os59.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"af57234aff01e8383168adfe27590d1061a1809385ec92b9431ce402c50846ad","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-59-59-567.31","next":"us-ok/okla.-stat.-tit.-59-59-567.4"},"notice":"GroundRules: Original legal text. Not legal advice."}