Source: http://digitalprairie.ok.gov/cdm/singleitem/collection/stgovpub/id/24670/rec/13
Timestamp: 2015-06-03 06:46:56
Document Index: 666768363

Matched Legal Cases: ['§ 567', '§ 3105', '§567', '§567', '§567', '§567']

Oklahoma Nursing Practice Act :: Oklahoma Digital Prairie: Documents, Images and Information
Oklahoma Nursing Practice Act Reference URL
Oklahoma Nursing Practice Act View Description
24960.pdf
Effective as of November 1, 2011
Unofficial Oklahoma Statutes, Title 59, Chapter 12, Section 567.1, et seq. Oklahoma Board of Nursing
Official copies of the laws may be obtained from the Statute book 2915 N. Classen, Suite 524
(405) 962-18001
OKLAHOMA NURSING PRACTICE ACT
567.1 Oklahoma Nursing Practice Act ....................................................................................... 2
567.2 Purpose of Act–Unlawful use of titles, etc ............................................................................ 2
567.3 [REPEALED]
567.3a Definitions ................................................................................................................ 2
567.4 Oklahoma Board of Nursing ........................................................................................... 6
567.4a Prescriptive authority recognition–Rules ............................................................................. 8
567.4b Formulary Advisory Council ......................................................................................... 10
567.5 Registered Nurses, licensing–Application–Examination–Licensure without examination–Use of titles and abbreviations–Violations .............................................................................................. 10
567.5a Advanced Practice Registered Nurses–Applicant requirements ................................................. 11
567.6 Practical Nurses, licensing–Application–Examination–Licensure without examination–Use of title and abbreviation–Violations .............................................................................................. 12
567.6a Advanced Unlicensed Assistants, Certification–Application–Examination–Use of titles and abbreviations–Violations .............................................................................................................. 13
567.7 Renewal or reinstatement of license or certificate–Temporary retirement from practice–Fees ............ 13
567.8 Denial, revocation or suspension of license or certification–Administrative penalties ...................... 14
567.9 Violations of Act–Penalty ............................................................................................ 16
567.10 [REPEALED]
567.11 Exceptions to application of act ..................................................................................... 16
567.12 Approved programs for registered and practical nurses ......................................................... 17
567.12a Advanced practice registered nursing education programs–Qualifications .................................... 17
567.13 Survey of nursing programs–Reports–Failure of approved program to maintain standards ................ 18
567.14 Practice without conformity with Act ............................................................................... 18
567.15 Temporary Licenses .................................................................................................. 18
567.16 [REPEALED]
567.16a Advisory committees .................................................................................................. 18
567.17 Peer Assistance Program ............................................................................................. 18
567.18 Criminal background check ......................................................................................... 19
567.19 Rescission and withdrawal of license ............................................................................... 20
567.51 [REPEALED]
575. [REPEALED]
576. [REPEALED]
Print date: October 2011
This book contains the unofficial copy of the Oklahoma Nursing Practice Act, effective on November 1, 2011. This publication, printed by The Department of Central Services, Central Printing, is issued by the Oklahoma Board of Nursing as authorized by the Oklahoma Nursing Practice Act. [59 O.S. § 567.1, et seq.] 1,500 copies have been prepared at a cost of $1,335.00. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. [74 O.S. § 3105 B] 2
BE IT ENACTED BY THE PEOPLE OF THE
§567.1 Oklahoma Nursing Practice Act
This Act shall be known and may be cited as the Oklahoma Nursing Practice Act. Laws 1953, p.265, 1.
§567.2 Purpose of Act–Unlawful use of titles, etc.
A. 1. The education, certification and licensure of registered and licensed practical nurses or advanced unlicensed assistive persons, and the practice of registered or practical nursing or advanced unlicensed assistance in this state is hereby declared to affect the public health, safety and welfare and, in the public interest, is therefore subject to regulation and control by the Oklahoma Board of Nursing.
2. It is further declared to be a matter of public interest and concern that the education of nurses and advanced unlicensed assistive persons, as such terms are defined in the Oklahoma Nursing Practice Act, and the practice of nursing and advanced unlicensed assistance merit and receive the confidence of the public and that only qualified persons be authorized to practice in this state.
3. The Board shall promulgate rules to identify the essential elements of education and practice necessary to protect the public.
B. The provisions of the Oklahoma Nursing Practice Act shall be liberally construed to best carry out these requirements and purposes.
§567.3a Definitions
As used in the Oklahoma Nursing Practice Act:
1. “Board” means the Oklahoma Board of Nursing;
2. “The practice of nursing” means the performance of services provided for purposes of nursing diagnosis and treatment of human responses to actual or potential health problems consistent with educational preparation. Knowledge and skill are the basis for assessment, analysis, planning, intervention, and evaluation used in the promotion and maintenance of health and nursing management of illness, injury, infirmity, restoration or optimal function, or death with dignity. Practice is based on understanding the human condition across the human lifespan and understanding the relationship of the individual within the environment. This practice includes execution of the medical regime including the administration of medications and treatments prescribed by any person authorized by state law to so prescribe;
3. “Registered nursing” means the practice of the full scope of nursing which includes, but is not limited to:
a. assessing the health status of individuals, families and groups,
b. analyzing assessment data to determine nursing care needs,
c. establishing goals to meet identified health care needs,
d. planning a strategy of care,
e. establishing priorities of nursing intervention to implement the strategy of care,
f. implementing the strategy of care,
g. delegating such tasks as may safely be performed by others, consistent with educational preparation and that do not conflict with the provisions of the Oklahoma Nursing Practice Act,
h. providing safe and effective nursing care rendered directly or indirectly,
i. evaluating responses to interventions,
j. teaching the principles and practice of nursing,
k. managing and supervising the practice of nursing,
l. collaborating with other health professionals in the management of health care,
m. performing additional nursing functions in accordance with knowledge and skills acquired beyond basic nursing preparation, and
n. delegating those nursing tasks as defined in the rules of the Board that may be performed by an advanced unlicensed assistive person;
4. “Licensed practical nursing” means the practice of nursing under the supervision or direction of a registered nurse, licensed physician or dentist. This directed scope of nursing practice includes, but is not limited to:
a. contributing to the assessment of the health status of individuals and groups,
b. participating in the development and modification of the plan of care,
c. implementing the appropriate aspects of the plan of care,
d delegating such tasks as may safely be performed by others, consistent with educational preparation and that do not conflict with the Oklahoma Nursing Practice Act,
e. providing safe and effective nursing care rendered directly or indirectly,
f. participating in the evaluation of responses to interventions,
g. teaching basic nursing skills and related principles,
h. performing additional nursing procedures in accordance with knowledge and skills acquired through education beyond nursing preparation, and
i. delegating those nursing tasks as defined in the rules of the Board that may be performed by an advanced unlicensed assistive person;
5. “Advanced Practice Registered Nurse” means a licensed Registered Nurse:
a. who has completed an advanced practice registered nursing education program in preparation for one of four recognized advanced practice registered nurse roles,
b. who has passed a national certification examination recognized by the Board that measures the advanced practice registered nurse role and specialty competencies and who maintains recertification in the role and specialty through a national certification program,
c. who has acquired advanced clinical knowledge and skills in preparation for providing both direct and indirect care to patients; however, the defining factor for all Advanced Practice Registered Nurses is that a significant component of the education and practice focuses on direct care of individuals,
d. whose practice builds on the competencies of Registered Nurses by demonstrating a greater depth and breadth of knowledge, a greater synthesis of data, and increased complexity of skills and interventions, and
e. who has obtained a licensed as an Advanced Practice Registered Nurse in one of the following roles: Certified Registered Nurse Anesthetist, Certified Nurse-Midwife, Clinical Nurse Specialist, or Certified Nurse Practitioner.
Only those persons who hold a licensed to practice advanced practice registered nursing in this state shall have the right to use the title “Advanced Practice Registered Nurse” and to use the abbreviation “APRN”. Only those persons who have obtained a license in the following disciplines shall have the right to fulfill the roles and use the applicable titles: Certified Registered Nurse Anesthetist and the abbreviation “CRNA”, Certified Nurse-Midwife and the abbreviation “CNM”, Clinical Nurse Specialist and the abbreviation “CNS”, and Certified Nurse Practitioner and the abbreviation “CNP”.
It shall be unlawful for any person to assume the role or use the title Advanced Practice Registered Nurse or use the abbreviation “APRN” or use the respective specialty role titles and abbreviations or to use any other titles or abbreviations that would reasonably lead a person to believe the user in an Advanced Practice Registered Nurse, unless permitted by this act. Any individual doing so shall be guilty of a misdemeanor, which shall be punishable, upon conviction, by imprisonment in the county jail for not more than one (1) year or by a fine of not less than One Hundred Dollars ($100.00) nor more than One Thousand Dollars ($1,000.00), or by both such imprisonment and fine for each offense;
6. “Certified Nurse Practitioner” is an Advanced Practice Registered Nurse who performs in an expanded role in the delivery of health care:
a. consistent with advanced educational preparation as a Certified Nurse Practitioner in an area of specialty,
b. functions within the Certified Nurse Practitioner scope of practice for the selected area of specialization, and
c. is in accord with the standards for Certified Nurse Practitioners as identified by the certifying body and approved by the Board.
A Certified Nurse Practitioner shall be eligible, in accordance with the scope of practice of the Certified Nurse Practitioner, to obtain recognition as authorized by the Board to prescribe, as defined by the rules promulgated by the Board pursuant to this section and subject to the medical direction of a supervising physician. This authorization shall not include dispensing drugs, but shall not preclude, subject to federal regulations, the receipt of, the signing for, or the dispensing of professional samples to patients.
The Certified Nurse Practitioner accepts responsibility, accountability, and obligation to practice in accordance with usual and customary advanced practice registered nursing standards and functions as defined by the scope of practice/role definition statements for the Certified Nurse Practitioner;
7. a. “Clinical Nurse Specialist” is an Advanced Practice Registered Nurse who holds:
(1) a master's degree or higher in nursing with clinical specialization preparation to function in an expanded role,
(2) specialty certification from a national certifying organization recognized by the Board,
(3) a certificate of recognition from the Board, and
(4) any nurse holding a specialty certification as a Clinical Nurse Specialist valid on January 1, 1994, granted by a national certifying organization recognized by the Board, shall be deemed to be a Clinical Nurse Specialist under the provisions of the Oklahoma Nursing Practice Act.
b. In the expanded role, the Clinical Nurse Specialist performs at an advanced practice level which shall include, but not be limited to:
(1) practicing as an expert clinician in the provision of direct nursing care to a selected population of patients or clients in any setting, including private practice,
(2) managing the care of patients or clients with complex nursing problems,
(3) enhancing patient or client care by integrating the competencies of clinical practice, education, consultation, and research, and
(4) referring patients or clients to other services.
c. A Clinical Nurse Specialist in accordance with the scope of practice of such Clinical Nurse Specialist shall be eligible to obtain recognition as authorized by the Board to prescribe, as defined by the rules promulgated by the Board pursuant to this section, and subject to the medical direction of a supervising physician. This authorization shall not include dispensing drugs, but shall not preclude, subject to federal regulations, the receipt of, the signing for, or the dispensing of professional samples to patients.
d. The Clinical Nurse Specialist accepts responsibility, accountability, and obligation to practice in accordance with usual and customary advanced practice nursing standards and functions as defined by the scope of practice/role definition statements for the Clinical Nurse Specialist;
8. “Nurse-Midwife” is a qualified registered nurse who has received a certificate of recognition from the Oklahoma Board of Nursing who possesses evidence of certification according to the requirements of the American College of Nurse-Midwives.
A Certified Nurse-Midwife in accordance with the scope of practice of such Certified Nurse-Midwife shall be eligible to obtain recognition as authorized by the Board to prescribe, as defined by the rules promulgated by the Board pursuant to this section and subject to the medical direction of a supervising physician. This authorization shall not include the dispensing of drugs, but shall not preclude, subject to federal regulations, the receipt of, the signing for, or the dispensing of professional samples to patients.
The Certified Nurse-Midwife accepts responsibility, accountability, and obligation to practice in accordance with usual and customary advanced practice registered nursing standards and functions as defined by the scope of practice/role definition statements for the Certified Nurse-Midwife;
9. “Nurse-midwifery practice” means providing management of care of normal newborns and women, antepartally, intrapartally, postpartally and gynecologically, occurring within a health care system which provides for medical consultation, medical management or referral, and is in accord with the standards for nurse-midwifery practice as defined by the American College of Nurse-Midwives;
10. a. “Certified Registered Nurse Anesthetist” is an Advanced Practice Registered Nurse who:
(1) is certified by the Council on Certification of Nurse Anesthetists as a Certified Registered Nurse Anesthetist within one (1) year following completion of an approved certified registered nurse anesthetist education program, and continues to maintain such recertification by the Council on Recertification of Nurse Anesthetists, and
(2) administers anesthesia under the supervision of a medical doctor, an osteopathic physician, a podiatric physician or a dentist licensed in this state and under conditions in which timely onsite consultation by such doctor, osteopath, podiatric physician or dentist is available.
b. A Certified Registered Nurse Anesthetist, under the supervision of a medical doctor, osteopathic physician, podiatric physician or dentist licensed in this state, and under conditions in which timely, on-site consultation by such medical doctor, osteopathic physician, podiatric physician or dentist is available, shall be authorized, pursuant to rules adopted by the Oklahoma Board of Nursing, to order, select, obtain and administer legend drugs, Schedules II through V controlled substances, devices, and medical gases only when engaged in the preanesthetic preparation and evaluation; anesthesia induction, maintenance and emergence; and postanesthesia care. A Certified Registered Nurse Anesthetist may order, select, obtain and administer drugs only during the perioperative or periobstetrical period.
c. A Certified Registered Nurse Anesthetist who applies for authorization to order, select, obtain and administer drugs shall:
(1) be currently recognized as a Certified Registered Nurse Anesthetist in this state,
(2) provide evidence of completion, within the two-year period immediately preceding the date of application, of a minimum of fifteen (15) units of continuing education in advanced pharmacology related to the administration of anesthesia as recognized by the Council on Recertification of Nurse Anesthetists or the Council on Certification of Nurse Anesthetists, and
(3) complete and submit a notarized application, on a form prescribed by the Board, accompanied by the application fee established pursuant to this section.
d. The authority to order, select, obtain and administer drugs shall be terminated if a Certified Registered Nurse Anesthetist has:
(1) ordered, selected, obtained or administered drugs outside of the Certified Registered Nurse Anesthetist scope of practice or ordered, selected, obtained or administered drugs for other than therapeutic purposes, or 6
(2) violated any provision of state laws or rules or federal laws or regulations pertaining to the practice of nursing or the authority to order, select, obtain and administer drugs.
e. The Oklahoma Board of Nursing shall notify the Board of Pharmacy after termination of or a change in the authority to order, select, obtain and administer drugs for a Certified Registered Nurse Anesthetist.
f. The Board shall provide by rule for biennial application renewal and reauthorization of authority to order, select, obtain and administer drugs for Certified Registered Nurse Anesthetists. At the time of application renewal, a Certified Registered Nurse Anesthetist shall submit documentation of a minimum of eight (8) units of continuing education, completed during the previous two (2) years, in advanced pharmacology relating to the administration of anesthesia, as recognized by the Council on Recertification of Nurse Anesthetists or the Council on Certification of Nurse Anesthetists.
g. This paragraph shall not prohibit the administration of local or topical anesthetics as now permitted by law. Provided further, nothing in this paragraph shall limit the authority of the Board of Dentistry to establish the qualifications for dentists who direct the administration of anesthesia;
11. “Supervising physician” means an individual holding a current license to practice as a physician from the State Board of Medical Licensure and Supervision or the State Board of Osteopathic Examiners, who supervises a Certified Nurse Practitioner, a Clinical Nurse Specialist, or a Certified Nurse-Midwife, and who is not in training as an intern, resident, or fellow. To be eligible to supervise such Advanced Practice Registered Nurse, such physician shall remain in compliance with the rules promulgated by the State Board of Medical Licensure and Supervision or the State Board of Osteopathic Examiners;
12. “Supervision of an Advanced Practice Registered Nurse with prescriptive authority” means overseeing and accepting responsibility for the ordering and transmission by a Certified Nurse Practitioner, a Clinical Nurse Specialist, or a Certified Nurse-Midwife of written, telephonic, electronic or oral prescriptions for drugs and other medical supplies, subject to a defined formulary; and
13. “Advanced Unlicensed Assistant” means any person who has successfully completed a certified training program approved by the Board that trains the Advanced Unlicensed Assistant to perform specified technical skills identified by the Board in acute care settings under the direction and supervision of the Registered Nurse or Licensed Practical Nurse.
§567.4 Oklahoma Board of Nursing
A. The Oklahoma Board of Nursing is hereby established in the State of Oklahoma. The Board shall consist of eleven (11) members who shall be citizens of the United States of America, and residents of Oklahoma, for at least the previous three (3) years. Six of the members shall be registered nurses, in good standing under the provisions of the Oklahoma Nursing Practice Act, currently engaged in the practice of nursing as a registered nurse and shall have had no less than five (5) years of experience as a registered nurse. At least two of the registered nurses shall be from the field of nursing education, actively associated with a recognized school of nursing in Oklahoma, and who hold an organizational role of administration/management and who are accountable for strategic, operational and/or performance outcomes. At least two of the registered nurses who hold an organizational role of administration/management and who are accountable for strategic, operational and/or performance outcomes shall represent nursing service. At least one of the registered nurses shall be currently engaged in the practice of nursing as an advanced practice nurse. Three of the members shall be licensed practical nurses in good standing under the provisions of the Oklahoma Nursing Practice Act and currently engaged in the practice of practical nursing as a licensed practical nurse and shall have had no less than five (5) years of experience as a licensed practical nurse. One of the licensed nurses must be employed in the field of long-term care. One of the licensed nurses shall be employed in the area of acute care. Two members shall represent the public and shall be eligible voters of this state, knowledgeable in consumer health 7
concerns, and shall neither be nor ever have been associated with the provision of health care, nor be enrolled in any health-related educational program. The public members shall be appointed by the Governor to serve coterminously with the Governor. At least one registered nurse Board member, one licensed practical nurse Board member and