OK
Oklahoma Senate Bill SB459

Oklahoma 2023 Regular Session

Oklahoma Senate Bill SB459 Compare Versions

Only one version of the bill is available at this time.
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5353 STATE OF OKLAHOMA
5454
5555 1st Session of the 59th Legislature (2023)
5656
5757 SENATE BILL 459 By: Stanley
5858
5959
6060
6161
6262
6363 AS INTRODUCED
6464
6565 An Act relating to the practice of nursing; amending
6666 59 O.S. 2021, Section 353.1, as amended by Section 6,
6767 Chapter 288, O.S.L. 2022 (59 O.S. Supp. 2022, Section
6868 353.1), which relates to definitions used in the
6969 Oklahoma Pharmacy Act ; modifying definitions;
7070 amending 59 O.S. 2021, Section 353.1a, which relates
7171 to prescriptive authority of Adv anced Practice
7272 Registered Nurses; modifying prescriptive authority
7373 of Certified Nurse-Midwives; amending 59 O.S. 2021,
7474 Section 567.3a, which relates to definitions used in
7575 the Oklahoma Nursing Practice Act; modifying
7676 definitions; amending 59 O.S. 2021, Section 567.4a,
7777 which relates to prescriptive authority; eliminating
7878 supervision requirement for Certified Nurse-Midwife;
7979 providing for independent practice; directing the
8080 Oklahoma Board of Nursing to promulgate certai n
8181 rules; amending 59 O.S. 2021, Section 567.5a, which
8282 relates to Advanced Practice Register ed Nurse
8383 license; providing for independent prescri ptive
8484 authority by endorsement for Certified Nurse-Midwife;
8585 amending 63 O.S. 2021, Section 2-312, as amended by
8686 Section 2, Chapter 184, O.S.L. 2022 (63 O.S. Supp.
8787 2022, Section 2-312), which relates to controlled
8888 dangerous substances; eliminating supervision
8989 requirement for Certified Nurse-Midwife; and
9090 providing an effective date .
9191
9292
9393
9494
9595 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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147147 SECTION 1. AMENDATORY 59 O.S. 2021, S ection 353.1, as
148148 amended by Section 6, Chap ter 288, O.S.L. 2022 (59 O.S. Supp. 2022,
149149 Section 353.1), is amended to read as follows:
150150 Section 353.1. For the purposes of the Ok lahoma Pharmacy Act:
151151 1. “Accredited program” means those seminars, classes,
152152 meetings, work projects, and oth er educational courses approved by
153153 the Board State Board of Pharmacy for purposes of continuing
154154 professional education;
155155 2. “Act” means the Oklahoma Pharmacy Act;
156156 3. “Administer” means the direct application of a drug, whether
157157 by injection, inhalation, ingestion or any other m eans, to the body
158158 of a patient;
159159 4. “Assistant pharmacist” means any person presently license d
160160 as an assistant pharmacist in the State of Oklahoma by the Board
161161 pursuant to Section 353.10 of this title and fo r the purposes of the
162162 Oklahoma Pharmacy Act shal l be considered the same as a pharmacist,
163163 except where otherwise specified;
164164 5. “Board” or “State Board” means the State Board of Pharmacy;
165165 6. “Certify” or “certification of a prescription ” means the
166166 review of a filled prescription by a licensed pharmac ist or a
167167 licensed practitioner with dispensing authori ty to confirm that the
168168 medication, labeling and packaging of the filled prescription are
169169 accurate and meet all requirements prescribed by state and federal
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221221 law. For the purposes of this paragraph, “licensed practitioner”
222222 shall not include optometrists wit h dispensing authority;
223223 7. “Chemical” means any medicinal substance, whether simple or
224224 compound or obtained through the process of the science and art of
225225 chemistry, whether of organic or inorganic ori gin;
226226 8. “Compounding” means the combining, admixing, m ixing,
227227 diluting, pooling, reconstituting o r otherwise altering of a drug or
228228 bulk drug substance to create a drug. Compounding includes the
229229 preparation of drugs or devices in anticipation of prescript ion drug
230230 orders based on routine, regularly observed pre scribing patterns;
231231 9. “Continuing professional education” means professional,
232232 pharmaceutical education in the general areas of the socioeconomic
233233 and legal aspects of health care; the properties and actions of
234234 drugs and dosage forms; and the etiology, char acteristics and
235235 therapeutics of the diseas ed state;
236236 10. “Dangerous drug”, “legend drug”, “prescription drug” or “Rx
237237 Only” means a drug:
238238 a. for human use subject to 21 U.S.C. 353(b)(1), or
239239 b. is labeled “Prescription Only”, or labeled with the
240240 following statement: “Caution: Federal law restricts
241241 this drug except for use by or on the order of a
242242 licensed veterinarian.”;
243243 11. “Director” means the Executive Dir ector of the State Board
244244 of Pharmacy unless context clearly indicates otherwise;
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296296 12. “Dispense” or “dispensing” means the interpretation,
297297 evaluation, and implementation of a prescription drug order
298298 including the preparation and delivery of a drug or devic e to a
299299 patient or a patient ’s agent in a suitable container appropria tely
300300 labeled for subsequent ad ministration to, or use by, a patient .
301301 Dispense includes sell, distribute, leave with, give away, dispose
302302 of, deliver or supply;
303303 13. “Dispenser” means a retail pharmacy, hospital pharmacy, a
304304 group of chain pharmacies under c ommon ownership and control th at do
305305 not act as a wholesale distributor, o r any other person authorized
306306 by law to dispense or adm inister prescription drugs, and the
307307 affiliated warehouses o r distributions of such entities und er common
308308 ownership and control t hat do not act as a wholesale distributor.
309309 For the purposes of this para graph, “dispenser” does not mean a
310310 person who dispenses only products to be used in animals in
311311 accordance with 21 U.S.C. 360b(a)(5);
312312 14. “Distribute” or “distribution” means the sale, purchase,
313313 trade, delivery, handling, storage, or receipt of a product, and
314314 does not include the dispensing of a product pursua nt to a
315315 prescription executed in accordance with 21 U.S.C. 353(b)(1) or the
316316 dispensing of a product approved under 21 U.S.C. 360 b(b); provided,
317317 taking actual physical possession of a product or title s hall not be
318318 required;
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370370 15. “Doctor of Pharmacy” means a person licensed by the Board
371371 to engage in the practice of pharmacy. The terms “pharmacist”,
372372 “D.Ph.”, and “Doctor of Pharmacy” shall be interchangeable and s hall
373373 have the same meaning wherever they a ppear in the Oklahoma Statutes
374374 and the rules promulgated by the Board;
375375 16. “Drug outlet” means all manufacturers, repackagers,
376376 outsourcing faciliti es, wholesale distributors, third -party
377377 logistics providers, pharm acies, and all other facilities which are
378378 engaged in dispensing, delivery, distribution or storage of
379379 dangerous drugs;
380380 17. “Drugs” means all medicinal subst ances and preparations
381381 recognized by the United States Pharmacopoeia and National
382382 Formulary, or any revision thereof, and all substances an d
383383 preparations intended for external and/or internal use i n the cure,
384384 diagnosis, mitigation, treatment or prevention of disease in humans
385385 or animals and all substances and preparations, other than food,
386386 intended to affect the structure or any function of t he body of a
387387 human or animals;
388388 18. “Drug sample” means a unit of a prescription drug packaged
389389 under the authority an d responsibility of the manufac turer that is
390390 not intended to be sold and is intended to promote the sale of the
391391 drug;
392392 19. “Durable medical equipment” has the same meaning as
393393 provided by Section 2 of this act;
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445445 20. “Filled prescription” means a packaged prescription
446446 medication to which a label has been affixed which contain s such
447447 information as is requi red by the Oklahoma Pharmacy Act;
448448 21. “Hospital” means any institution licensed as a hospital by
449449 this state for the care and treatment of patients, or a pharmacy
450450 operated by the Oklahoma Department of Veterans Affairs;
451451 22. “Licensed practitioner” means:
452452 a. an allopathic physician,
453453 b. an osteopathic physician,
454454 c. a podiatric physician,
455455 d. a dentist,
456456 e. a veterinarian or,
457457 f. an optometrist, or
458458 g. a Certified Nurse-Midwife,
459459 licensed to practice and authorized to prescribe dangerous drugs
460460 within the scope of practice of such p ractitioner;
461461 23. “Manufacturer” or “virtual manufacturer” means with respect
462462 to a product:
463463 a. a person that holds an application appr oved under 21
464464 U.S.C. 355 or a license issued under 42 U.S.C. 262 for
465465 such product, or if such product is not the subject of
466466 an approved application or license, the person who
467467 manufactured the product,
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519519 b. a co-licensed partner of the person described in
520520 subparagraph a that obtains the product directly from
521521 a person described in this subpa ragraph or
522522 subparagraph a of this paragraph,
523523 c. an affiliate of a person described in subpara graph a
524524 or b who receives the product directly from a person
525525 described in this subpar agraph or in subparagraph a or
526526 b of this paragraph, or
527527 d. a person who contracts with another to manufacture a
528528 product;
529529 24. “Manufacturing” means the production, preparation,
530530 propagation, compounding, conversion or processing of a device or a
531531 drug, either directly or indirectly by extraction from substances of
532532 natural origin or independently by means of chemic al or biological
533533 synthesis and includes any packaging or repackaging of the
534534 substances or labeling or relabeling of its container, and the
535535 promotion and marketing of such drug s or devices. The term
536536 “manufacturing” also includes the preparation and promoti on of
537537 commercially available produc ts from bulk compounds for resale by
538538 licensed pharmacies, licensed practitioners or other persons;
539539 25. “Medical gas” means those gases including those in liquid
540540 state upon which the manufacturer or distributor has placed one of
541541 several cautions, such as “Rx Only”, in compliance with federal l aw;
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593593 26. “Medical gas order” means an order for medical gas issued
594594 by a licensed prescriber;
595595 27. “Medical gas distributor ” means a person licensed to
596596 distribute, transfer, wholesale, deliver or sell medical gases on
597597 drug orders to suppliers or oth er entities licensed to use,
598598 administer or distribute medical gas and may also inclu de a patient
599599 or ultimate user;
600600 28. “Medical gas supplier” means a person who dispe nses medical
601601 gases on drug orders only to a patient or ultimate user;
602602 29. “Medicine” means any drug or combination of drugs which has
603603 the property of curing, preventing, tr eating, diagnosing or
604604 mitigating diseases, or which is used for that purpose;
605605 30. “Nonprescription drugs ” means medicines or drug s which are
606606 sold without a prescription and which are prepackaged for use by the
607607 consumer and labeled in accordance with the r equirements of the
608608 statutes and regulati ons of this state and the federal gov ernment.
609609 Such items shall also include medical and d ental supplies and
610610 bottled or nonbulk chemicals which are sold or offered for sale to
611611 the general public if such articles or p reparations meet the
612612 requirements of the Federal Food, Drug and Cosmetic Act, 21
613613 U.S.C.A., Section 321 et seq.;
614614 31. “Outsourcing facility” including “virtual outsourcing
615615 facility” means a facility at one geographic location or address
616616 that:
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667667
668668 a. is engaged in the compounding of sterile dru gs,
669669 b. has elected to register as an outsourcing facility,
670670 and
671671 c. complies with all requirem ents of 21 U.S.C. 353b;
672672 32. “Package” means the smallest individual saleable un it of
673673 product for distribution by a manufact urer or repackager that is
674674 intended by the manufacturer for ultimate s ale to the dispenser of
675675 such product. For the purposes of this paragraph, “individual
676676 saleable unit” means the smallest container of a produc t introduced
677677 into commerce by the manufactur er or repackager that is intended by
678678 the manufacturer or repackager fo r individual sale to a dispenser;
679679 33. “Person” means an individual, partnershi p, limited
680680 liability company, corporation or association, unles s the context
681681 otherwise requires;
682682 34. “Pharmacist-in-charge” or “PIC” means the pharmacist
683683 licensed in this state responsible for th e management control of a
684684 pharmacy and all other aspects of the practice of pharmacy in a
685685 licensed pharmacy as defined by S ection 353.18 of this title;
686686 35. “Pharmacy” means a place regularly licensed by the Board of
687687 Pharmacy in which prescriptions, drugs, medicines, chemicals and
688688 poisons are compounded or dispe nsed or such place where pharmacists
689689 practice the profession of ph armacy, or a pharmacy operated b y the
690690 Oklahoma Department of Veterans Affairs;
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742742 36. “Pharmacy technician”, “technician”, “Rx tech”, or “tech”
743743 means a person issued a Technician permit by the State Board of
744744 Pharmacy to assist the pharmacist and perform nonj udgmental,
745745 technical, manipulative, non-discretionary functions in the
746746 prescription department under the immediate and direct supervi sion
747747 of a pharmacist;
748748 37. “Poison” means any substance which when introduced into the
749749 body, either directly or by absorpti on, produces violent, morbid or
750750 fatal changes, or which destroys living tissue with which such
751751 substance comes into contact;
752752 38. “Practice of pharmacy” means:
753753 a. the interpretation and evaluation of prescription
754754 orders,
755755 b. the compounding, dispensing, adm inistering and
756756 labeling of drugs and devices, except labeling by a
757757 manufacturer, repackager or distributor of
758758 nonprescription drugs a nd commercially packaged legend
759759 drugs and devices,
760760 c. the participation in drug selection and drug
761761 utilization reviews,
762762 d. the proper and safe storage of drugs and de vices and
763763 the maintenance of proper r ecords thereof,
764764 e. the responsibility for advising by counseling and
765765 providing information, where professionally necessary
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817817 or where regulated, of therapeutic values, content,
818818 hazards and use of drugs and devices,
819819 f. the offering or performing of those ac ts, services,
820820 operations or transactions necessary in t he conduct,
821821 operation, management and control of a pharmacy, or
822822 g. the provision of those acts or services that are
823823 necessary to provide pharmaceutical care;
824824 39. “Preparation” means an article which may or may not contain
825825 sterile products compounded in a licensed pharmacy pursuant to the
826826 order of a licensed prescriber;
827827 40. “Prescriber” means a person licensed in this state w ho is
828828 authorized to prescribe dangerous drugs withi n the scope of practice
829829 of the person’s profession;
830830 41. “Prescription” means and includes any order for drug or
831831 medical supplies written or signed, or transmitted by word of mouth,
832832 telephone or other mean s of communication:
833833 a. by a licensed prescriber,
834834 b. under the supervision of an Oklahoma licensed
835835 practitioner, an Oklahoma licensed advanced practice
836836 registered nurse or an Oklahoma licensed a supervising
837837 physician, by a physician assistant, Certified Nurse
838838 Practitioner, or Clinical Nurse Spec ialist licensed in
839839 this state, or
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891891 c. by a Certified Nurse-Midwife licensed in this state,
892892 or
893893 d. by an Oklahoma licensed wholesaler or distributo r as
894894 authorized in Section 353.29.1 of this title;
895895 42. “Product” means a prescription drug in a finished dosage
896896 form for administration to a patient w ithout substantial further
897897 manufacturing, such as ca psules, tablets, and lyophilized products
898898 before reconstitution. “Product” does not include blo od components
899899 intended for transfusion, radioactive drugs or biologics and med ical
900900 gas;
901901 43. “Repackager”, including “virtual repackager”, means a
902902 person who owns or operates an establishment that repac ks and
903903 relabels a product or package for further sale or distribution
904904 without further transaction;
905905 44. “Sterile drug” means a drug that is intended for parenteral
906906 administration, an ophthalmic or oral inhalation drug in aqueous
907907 format, or a drug that is required to be sterile under state and
908908 federal law;
909909 45. “Supervising physician ” means an individual holding a
910910 current license to practice as a physician from the State Board of
911911 Medical Licensure and Supervision, pursuant to the provisions of the
912912 Oklahoma Allopathic Medical and Surgical Licensure and Supervision
913913 Act, or the State Board of Osteopathic Examiners, pursuant to t he
914914 provisions of the Oklahoma Osteopathic Medicine Act, who supervises
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966966 an advanced practice registered nurse a Certified Nurse Practitioner
967967 or Clinical Nurse Specialist as defined in Section 567.3a of this
968968 title, and who is not in training as an intern, resident, or fell ow.
969969 To be eligible to supervise an advanced practice registered nurse,
970970 such The supervising physician shall remain in compliance with the
971971 rules promulgated by the State Board of Medical Li censure and
972972 Supervision or the State Board of O steopathic Examiners;
973973 46. “Supportive personnel ” means technicians and auxil iary
974974 supportive persons who are regularly paid employees of a pharma cy
975975 who work and perform tasks in the pharmacy as authorized by Section
976976 353.18A of this title;
977977 47. “Third-party logistics provider ” including “virtual third-
978978 party logistics provider ” means an entity that provides or
979979 coordinates warehousing, or other logi stics services of a product in
980980 interstate commerce on beh alf of a manufacturer, wholesale
981981 distributor, or dispenser of a product but does not take ownership
982982 of the product, nor have res ponsibility to direct the sale or
983983 disposition of the product. For the purposes of this paragraph,
984984 “third-party logistics provid er” does not include shippers and the
985985 United States Postal Service;
986986 48. “Wholesale distributor” including “virtual wholesale
987987 distributor” means a person other than a manufacturer, a
988988 manufacturer’s co-licensed partner, a third-party logistics
989989 provider, or repackager engaged in wh olesale distribution as defined
990990
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10411041 by 21 U.S.C. 353(e)( 4) as amended by the Drug Supply Chain Security
10421042 Act;
10431043 49. “County jail” means a facility operated by a county for the
10441044 physical detention and c orrection of persons charged with, or
10451045 convicted of, criminal o ffenses or ordinance violations or persons
10461046 found guilty of civil or criminal contempt;
10471047 50. “State correctional facility ” means a facility or
10481048 institution that houses a p risoner population under the jurisdiction
10491049 of the Department of Corrections;
10501050 51. “Unit dose package” means a package that contains a single
10511051 dose drug with the name, strength, control number, and expiratio n
10521052 date of that drug on the label; and
10531053 52. “Unit of issue package” means a package that provides
10541054 multiple doses of the same drug, but each drug is individually
10551055 separated and includes the name , lot number, and expiration da te.
10561056 SECTION 2. AMENDATORY 59 O.S. 20 21, Section 353.1a, is
10571057 amended to read as f ollows:
10581058 Section 353.1a. A. Prescribing 1. Prescriptive authority
10591059 shall be allowed as provided by Section 2-312 of Title 63 of the
10601060 Oklahoma Statutes, under the medical direction of a supervising
10611061 physician, for an advanced practice nurse a licensed Advanced
10621062 Practice Registered Nurse recognized by the Oklahom a Board of
10631063 Nursing in one of the following categori es: advanced registered
10641064 nurse practitioners, clinical nurse speciali sts, or certified nurse -
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11161116 midwives as a Certified Nurse Practitioner or Clinical Nurse
11171117 Specialist.
11181118 2. Prescriptive authority shall be allowed as provided by
11191119 Section 2-312 of Title 63 of the Oklahoma Statutes, independent of
11201120 the medical direction of a supervising physician, fo r a licensed
11211121 Advanced Practice Registered Nurse recognized by the Oklahoma Board
11221122 of Nursing as a Certified Nurse-Midwife.
11231123 B. The advanced practice nurse Advanced Practice Registered
11241124 Nurse may write or sign, or transmit by word of mouth, telephone or
11251125 other means of communication an order for drugs or medical supplie s
11261126 that is intended to be filled, compounded, or dis pensed by a
11271127 pharmacist. The supervising physician, if applicable, and the
11281128 advanced practice nurse prescribing Advanced Practice Registere d
11291129 Nurse shall be identified at the time of origination of the
11301130 prescription and the name of the advanced practice nurse prescribing
11311131 Advanced Practice Registered Nurse shall be printed on the
11321132 prescription label.
11331133 B. C. Pharmacists may dispense prescriptions for non -controlled
11341134 prescription drugs authorized by an advanced practice nurse Advanced
11351135 Practice Registered Nurse or physician assistant, not located in
11361136 Oklahoma this state, provided that they are licensed in the state in
11371137 which they are actively prescribing.
11381138 C. D. 1. Pharmacists may only d ispense prescriptions for
11391139 controlled dangerous substances prescribed by an advanced practice
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11911191 nurse or physician assistant Advanced Practice Registered Nurse
11921192 licensed in the State of Oklahoma and supervised by an Oklahoma -
11931193 licensed practitioner this state who meets the criteria in paragraph
11941194 1 or 2 of subsection A of this section.
11951195 2. Pharmacists may only dis pense prescriptions for controlled
11961196 dangerous substances prescribed by a physician assistant license d in
11971197 this state and supervised by a supervising physician licensed in
11981198 this state.
11991199 SECTION 3. AMENDATORY 59 O.S. 2021, Section 567.3a, is
12001200 amended to read as follows:
12011201 Section 567.3a. As used in the Oklahoma Nursing Practice Act:
12021202 1. “Board” means the Oklahoma Board of Nursing;
12031203 2. “The practice of nursing ” means the performance of services
12041204 provided for purposes of nursing diagnosis and treatment of human
12051205 responses to actual or potential health problems consistent wit h
12061206 educational preparation. Knowledge and skill are the basis fo r
12071207 assessment, analysis, planning, intervention, and evaluation used in
12081208 the promotion and maintenance of healt h and nursing management of
12091209 illness, injury, infirmity, restoration or optimal func tion, or
12101210 death with dignity. Practice is based on understanding the human
12111211 condition across the human lifespan and understanding the
12121212 relationship of the individual within th e environment. This
12131213 practice includes execution of the medical regime including th e
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12651265 administration of medications and treatments prescribed by any
12661266 person authorized by state law to so prescribe;
12671267 3. “Registered nursing” means the practice of the full scop e of
12681268 nursing which includes, but is not limited to:
12691269 a. assessing the health status of individuals, families
12701270 and groups,
12711271 b. analyzing assessment dat a to determine nursing care
12721272 needs,
12731273 c. establishing goals to meet identified health care
12741274 needs,
12751275 d. planning a strategy of care,
12761276 e. establishing priorities of nursing intervention to
12771277 implement the strategy of care,
12781278 f. implementing the strategy of care,
12791279 g. delegating such tasks as may safely be performed by
12801280 others, consistent with educational preparation and
12811281 that do not conflict with the provisions of the
12821282 Oklahoma Nursing Practice Act,
12831283 h. providing safe and effective nursing care rendered
12841284 directly or indirectl y,
12851285 i. evaluating responses to interventions,
12861286 j. teaching the principles and practice of nursing,
12871287 k. managing and supervising the practice of nursing,
12881288
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13391339 l. collaborating with other health profess ionals in the
13401340 management of health care,
13411341 m. performing additiona l nursing functions in accordance
13421342 with knowledge and skills acquired beyond basic
13431343 nursing preparation, and
13441344 n. delegating those nursing tasks as defined in the rules
13451345 of the Board that may be pe rformed by an advanced
13461346 unlicensed assistive person;
13471347 4. “Licensed practical nursing” means the practice of nursing
13481348 under the supervision or direction of a registered nurse, licensed
13491349 physician or dentist. This directed scope of nursing practice
13501350 includes, but is not limited to:
13511351 a. contributing to the assessment of the h ealth status of
13521352 individuals and groups,
13531353 b. participating in the development and modification of
13541354 the plan of care,
13551355 c. implementing the appropriate aspects of the plan of
13561356 care,
13571357 d. delegating such tasks as may safely be performed by
13581358 others, consistent with ed ucational preparation and
13591359 that do not conflict with the Oklahoma Nursing
13601360 Practice Act,
13611361 e. providing safe and effective nursing care rendered
13621362 directly or indirectly,
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14141414 f. participating in the eva luation of responses to
14151415 interventions,
14161416 g. teaching basic nursing skills and related principles,
14171417 h. performing additional nursing procedures in accordance
14181418 with knowledge and skills acquired through education
14191419 beyond nursing preparation, and
14201420 i. delegating those nursing tasks as defined in the rules
14211421 of the Board that may b e performed by an advanced
14221422 unlicensed assistive per son;
14231423 5. “Advanced Practice Registered Nurse ” means a licensed
14241424 Registered Nurse:
14251425 a. who has completed an advanced practice registered
14261426 nursing education program in preparation for one of
14271427 four recognized advanced practice registered nurse
14281428 Advanced Practice Registered Nurse roles,
14291429 b. who has passed a national certif ication examination
14301430 recognized by the Board that measures the advanced
14311431 practice registered nurse Advanced Practice Registered
14321432 Nurse role and specialty competencies and who
14331433 maintains recertification in the role and specialty
14341434 through a national certification program,
14351435 c. who has acquired advanced clinical knowledge and
14361436 skills in preparation for providing both direct and
14371437 indirect care to patients; howeve r, the defining
14381438
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14891489 factor for all Advanced Practice Re gistered Nurses is
14901490 that a significant component of the edu cation and
14911491 practice focuses on direc t care of individuals,
14921492 d. whose practice builds on the competencies of
14931493 Registered Nurses by demonstrating a gre ater depth and
14941494 breadth of knowledge, a greater synt hesis of data, and
14951495 increased complexity of skills and inte rventions, and
14961496 e. who has obtained a license as an Advanced Practice
14971497 Registered Nurse in one of the following roles:
14981498 Certified Registered Nurse An esthetist, Certified
14991499 Nurse-Midwife, Clinical Nurse Specialist, or Certified
15001500 Nurse Practitioner.
15011501 Only those persons who hold a license to practice advanced
15021502 practice registered nursing in this s tate shall have the right to
15031503 use the title “Advanced Practice Re gistered Nurse” and to use the
15041504 abbreviation “APRN”. Only those persons who have obtained a license
15051505 in the following disciplines shall have the r ight to fulfill the
15061506 roles and use the applicabl e titles: Certified Registered Nurse
15071507 Anesthetist and the abbrev iation “CRNA”, Certified Nurse-Midwife and
15081508 the abbreviation “CNM”, Clinical Nurse Specialist and the
15091509 abbreviation “CNS”, and Certified Nurse Prac titioner and the
15101510 abbreviation “CNP”.
15111511 It shall be unlawful for any person to assume the role or use
15121512 the title Advanced Practice Registered Nurse or use the abbrevi ation
15131513
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15641564 “APRN” or use the respective specialty role titles a nd abbreviations
15651565 or to use any other titles or abbreviations that would reasonably
15661566 lead a person to believe the user is an Advanced Practice Regist ered
15671567 Nurse, unless permitted by the Oklahoma Nursin g Practice Act. Any
15681568 individual doing so shall be guilty o f a misdemeanor, which shall be
15691569 punishable, upon conviction, by imprisonment in the county jail for
15701570 not more than one (1) year or by a fine of not less than One Hundred
15711571 Dollars ($100.00) nor more th an One Thousand Dollars ($1,000.00), or
15721572 by both such imprisonment and fine for each offense;
15731573 6. “Certified Nurse Practitioner” is means an Advanced Practice
15741574 Registered Nurse who performs in an expanded ro le in the delivery of
15751575 health care:
15761576 a. consistent with advanced educational preparation as a
15771577 Certified Nurse Practitioner in an area of specialty,
15781578 b. functions within the Certified Nurse Practi tioner
15791579 scope of practice for the selected area of
15801580 specialization, and
15811581 c. is in accord with the standards for Certif ied Nurse
15821582 Practitioners as identified by the certifying bo dy and
15831583 approved by the Board.
15841584 A Certified Nurse Practitioner shall be eligible, in accordance
15851585 with the scope of practice of the Certified Nurse Pra ctitioner, to
15861586 obtain recognition as authorized by t he Board to prescribe, as
15871587 defined by the rules promulgated by the Board pursuant to this
15881588
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16391639 section and subject to the medical direction of a su pervising
16401640 physician. This authorization shall not include d ispensing drugs,
16411641 but shall not preclude, subject to federal regulations, the receipt
16421642 of, the signing for, or the dispensing of professional samples to
16431643 patients.
16441644 The Certified Nurse Practitioner accepts res ponsibility,
16451645 accountability, and obligation to prac tice in accordance with usual
16461646 and customary advanced practice registered nursing standards and
16471647 functions as defined by the scope of practice/role definition
16481648 statements for the Certified Nurse Practitioner;
16491649 7. a. “Clinical Nurse Specialist ” is means an Advanced
16501650 Practice Registered Nurse who holds:
16511651 (1) a master’s degree or higher in nursing with
16521652 clinical specializati on preparation to function
16531653 in an expanded role,
16541654 (2) specialty certification from a national
16551655 certifying organization recognized by the Board,
16561656 (3) an Advanced Practice Registered Nurse license
16571657 from the Board, and
16581658 (4) any nurse holding a specialty certificati on as a
16591659 Clinical Nurse Specialist valid on January 1,
16601660 1994, granted by a national certifying
16611661 organization recognized by the Board, shall be
16621662 deemed to be a Clinical Nurse Specialist under
16631663
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17141714 the provisions of the Oklahoma Nursing Practice
17151715 Act.
17161716 b. In the expanded role, the Clinical Nurse Specialist
17171717 performs at an advanced practice level which shall
17181718 include, but not be limited to:
17191719 (1) practicing as an expert clinician in the
17201720 provision of direct nursing care to a selected
17211721 population of patients or clients in any s etting,
17221722 including private practice,
17231723 (2) managing the care of patients or clients with
17241724 complex nursing problems,
17251725 (3) enhancing patient or client c are by integrating
17261726 the competencies of clinical practice, education,
17271727 consultation, and research, and
17281728 (4) referring patients or clients to other services.
17291729 c. A Clinical Nurse Specialist in accordance with t he
17301730 scope of practice of such Clinical Nurse Special ist
17311731 shall be eligible to obtain recognition as authorized
17321732 by the Board to prescribe, as defined by the rules
17331733 promulgated by the Board pursuant to this section, and
17341734 subject to the medical direction of a sup ervising
17351735 physician. This authorization shall not i nclude
17361736 dispensing drugs, but shall not preclude, subject to
17371737
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17881788 federal regulations, the receipt of, the signing fo r,
17891789 or the dispensing of professional samples to patients.
17901790 d. The Clinical Nurse Specialist acc epts responsibility,
17911791 accountability, and obligation to practice in
17921792 accordance with usual and customary advanced practice
17931793 nursing standards and functions as define d by the
17941794 scope of practice/role definition statements for the
17951795 Clinical Nurse Specialist;
17961796 8. “Nurse-Midwife” is means a nurse who has received an
17971797 Advanced Practice Registered Nurse license from the Oklahoma Board
17981798 of Nursing who possesses evidence of certif ication according to the
17991799 requirements of the American College of Nurse-Midwives.
18001800 A Certified Nurse-Midwife in accordance with the scope of
18011801 practice of such Certified Nurse -Midwife shall be eligible to obtain
18021802 recognition as authorized by the Board to prescr ibe, as defined by
18031803 the rules promulgated by the Board pursuant to this section and
18041804 subject to the medical direction of a supervising physician Section
18051805 567.4a of this title and as provided by Section 2-312 of Title 63 of
18061806 the Oklahoma Statutes . This authorization shall not include the
18071807 dispensing of drugs, but shall not preclude, subject to federal
18081808 regulations, the receipt of, the sig ning for, or the dispensing of
18091809 professional samples to patients.
18101810 The Certified Nurse-Midwife accepts responsibility ,
18111811 accountability, and obligation to practice in ac cordance with usual
18121812
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18631863 and customary advanced practice registered nursing standards and
18641864 functions as defined by the scope of practice/role definition
18651865 statements for the Certified Nurse-Midwife;
18661866 9. “Nurse-midwifery practice” means providing management of
18671867 care of normal newborns and women, antepartally, intrapartally,
18681868 postpartally and gynecologicall y, occurring within a health care
18691869 system which provides for medi cal consultation, medical management
18701870 or referral, and is in accord with the standards for nurse-midwifery
18711871 practice as defined by the American College of Nurse -Midwives;
18721872 10. a. “Certified Registered Nurse Anesthetist ” is an
18731873 Advanced Practice Registered Nurs e who:
18741874 (1) is certified by the National Board of
18751875 Certification and Recertification for Nurse
18761876 Anesthetists as a Certified Registered Nurse
18771877 Anesthetist within one (1) year following
18781878 completion of an approved certified registered
18791879 nurse anesthetist Certified Registered Nurse
18801880 Anesthetist education program, and continues to
18811881 maintain such recertification by the National
18821882 Board of Certification and Recertification for
18831883 Nurse Anesthetists, and
18841884 (2) administers anesthesia in collaboration with a
18851885 medical doctor, an osteo pathic physician, a
18861886 podiatric physician or a dentis t licensed in this
18871887
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19381938 state and under conditions in w hich timely onsite
19391939 consultation by such doctor, osteopath, podiatric
19401940 physician or dentist i s available.
19411941 b. A Certified Registered Nurse Anesthetist, in
19421942 collaboration with a medical doctor, osteopathic
19431943 physician, podiatric physician or dentist licensed in
19441944 this state, and under conditions in which timely, on -
19451945 site consultation by such medical docto r, osteopathic
19461946 physician, podiatric physician or dentist is
19471947 available, shall be authorized, pursuant to rules
19481948 adopted by the Oklahoma Board of Nursing, to order,
19491949 select, obtain and administer legend drugs, Schedules
19501950 II through, III, IV, and V controlled substances,
19511951 devices, and medical gases only when engaged in the
19521952 preanesthetic preparation and evaluation; anesthesia
19531953 induction, maintenance and emergence; and
19541954 postanesthesia care. A Certified Registered Nurse
19551955 Anesthetist may order, select, obtain and adminis ter
19561956 drugs only during the perioperative or periobstetrical
19571957 period.
19581958 c. A Certified Registered Nurse Anesthetist who applies
19591959 for authorization to order, select, obtain and
19601960 administer drugs shall:
19611961
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20122012 (1) be currently recognized as a Certified Registered
20132013 Nurse Anesthetist in this state,
20142014 (2) provide evidence of completion, wit hin the two-
20152015 year period immediately preceding the d ate of
20162016 application, of a minimum of fifteen (15) u nits
20172017 of continuing education in advanced pharmacology
20182018 related to the administration of anes thesia as
20192019 recognized by the National Board of Certification
20202020 and Recertification for Nurse Anesthetists, and
20212021 (3) complete and submit a notarized application, on a
20222022 form prescribed by the Board, accompanied by the
20232023 application fee established pursuant to this
20242024 section.
20252025 d. The authority to order, select, obtain and administe r
20262026 drugs shall be terminated if a Certified Register ed
20272027 Nurse Anesthetist has:
20282028 (1) ordered, selected, o btained or administered drugs
20292029 outside of the Certified Registered Nurse
20302030 Anesthetist scope of practice or ordered,
20312031 selected, obtained or administered drugs for
20322032 other than therapeutic purposes, or
20332033 (2) violated any provision of state laws or rules or
20342034 federal laws or regulations pertaining to the
20352035
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20862086 practice of nursing or the authority to order,
20872087 select, obtain and administer drugs.
20882088 e. The Oklahoma Board of Nursing shall notify the Board
20892089 of Pharmacy after terminatio n of or a change in the
20902090 authority to order, select , obtain and administer
20912091 drugs for a Certified Registered Nurse Anesthetist.
20922092 f. The Board shall provide by rule for biennial
20932093 application renewal and reautho rization of authority
20942094 to order, select, obtain and administer drugs for
20952095 Certified Registered Nurse Anesthetists. At the time
20962096 of application renewal, a Certified Registered Nurse
20972097 Anesthetist shall submit documentation of a minimum of
20982098 eight (8) units of con tinuing education, completed
20992099 during the previous tw o (2) years, in advanced
21002100 pharmacology relating to the administration of
21012101 anesthesia, as recognized by the Council on
21022102 Recertification of Nurse Anesthetists or the Council
21032103 on Certification of Nurse Anesthetis ts.
21042104 g. This paragraph shall not prohibit the admini stration
21052105 of local or topical anesthetics as now pe rmitted by
21062106 law. Provided further, nothing in this paragraph
21072107 shall limit the authority of t he Board of Dentistry to
21082108 establish the qualifications for dentis ts who direct
21092109 the administration of anesthesia.
21102110
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21602160
21612161 h. As used in this paragraph, “collaboration” means an
21622162 agreement between a medical doctor, osteopathic
21632163 physician, podiatric physician or dentist performing
21642164 the procedure or directly involved with the procedur e
21652165 and the Certified Registered Nurse Anesthetist wo rking
21662166 jointly toward a common goal providing servi ces for
21672167 the same patient. This collaboration involves the
21682168 joint formulation, discussion an d agreement of the
21692169 anesthesia plan by both parties, and the coll aborating
21702170 medical doctor, osteopathic physician, po diatric
21712171 physician or dentist performing the proced ure or
21722172 directly involved with the procedure and that. The
21732173 collaborating physician shall re main available for
21742174 timely onsite consultation during the deliver y of
21752175 anesthesia for diagnosis, consultation, and tr eatment
21762176 of medical conditions;
21772177 11. “Supervising physician” means an individual holding a
21782178 current license to practice as a physi cian from the State Board of
21792179 Medical Licensure and Supervision or the State Board of Osteopathic
21802180 Examiners, who supervises a Certified Nur se Practitioner, or a
21812181 Clinical Nurse Specialist, or a Certified Nurse-Midwife, and who is
21822182 not in training as an intern, resident, or fellow. To be eligible
21832183 to supervise such Advanced Practice Registered Nurse, such The
21842184 supervising physician shall remain i n compliance with the rules
21852185
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22362236 promulgated by the State Board of Medical Licensure and Supervision
22372237 or the State Board of Osteopathic Examiners;
22382238 12. “Supervision of an Advanced Practice Registered Nurse with
22392239 prescriptive authority ” means overseeing and accept ing
22402240 responsibility for the ordering and transmission by a Certified
22412241 Nurse Practitioner, or a Clinical Nurse Specialist, or a Certified
22422242 Nurse-Midwife of written, telephonic, electronic or oral
22432243 prescriptions for drugs and oth er medical supplies, subject to a
22442244 defined formulary; and
22452245 13. “Advanced Unlicensed Assistant” means any person who has
22462246 successfully completed a certified training program approved by the
22472247 Board that trains the Advanced Unlicensed Assistant to perform
22482248 specified technical skills identified b y the Board in acute care
22492249 settings under the direction and supervision of the Registered Nurse
22502250 or Licensed Practical Nurse.
22512251 SECTION 4. AMENDATORY 59 O.S. 20 21, Section 567.4a, is
22522252 amended to read as follows:
22532253 Section 567.4a. A. The Oklahoma Board of Nursing may grant
22542254 prescriptive authority through the Advanc ed Practice Registered
22552255 Nurse license to Certified Nurse Practitioners, Certified Nurse-
22562256 Midwives, and Clinical Nurse Specialists who meet the requirements
22572257 for prescriptive authority identified by law, including but not
22582258 limited to Section 2-312 of Title 63 of the Oklahoma Statutes, and
22592259 in the rules of the Board.
22602260
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23112311 B. Beginning on the effective da te of this act, a Certified
23122312 Nurse-Midwife shall not be required to prac tice under the medical
23132313 direction of a supervising physician to be eligible for prescriptive
23142314 authority recognition by the Board.
23152315 C. The rules regarding prescriptiv e authority recognition
23162316 promulgated by the Oklahoma Board of Nursing pursuant to paragraphs
23172317 6 through 9, 11 and 12 of Section 567.3a of this title sha ll:
23182318 1. Define For a Certified Nurse Practitioner or Clinical Nurse
23192319 Specialist, define the procedure for documenting supervision by a
23202320 supervising physician licensed in Oklahoma to pract ice by the State
23212321 Board of Medical Licensure and Supervision or the Stat e Board of
23222322 Osteopathic Examiners . Such procedure shall include a written
23232323 statement that defines appropriate referral, consultation, and
23242324 collaboration between the Advanced Practice Registered Nurse,
23252325 recognized to prescribe as defined in paragraphs 6 through 9, 11 and
23262326 12 of Section 567.3a of th is title, and the supervising physician .
23272327 The written statement shall include a method of assuri ng
23282328 availability of the supervising physician through direct contact,
23292329 telecommunications or other appropriate electronic means for
23302330 consultation, assistance with medical emergencies, or patient
23312331 referral. The writte n statement shall be part of the initial
23322332 application and the renewal application submitted to the Board for
23332333 recognition for prescriptive authority for the Advanced Practice
23342334 Registered Nurse. Changes to the written statement shall be filed
23352335
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23862386 with the Board within thirty (30) days of the change and shall be
23872387 effective on filing;
23882388 2. Define minimal requirements for initia l application for
23892389 prescriptive authority which shall include, but not be limited to,
23902390 evidence of completion of a minimum of forty -five (45) contact hours
23912391 or three (3) academic credit hours of education in
23922392 pharmacotherapeutics, clinical application, and use of
23932393 pharmacological agents in the prevention of illness, and in the
23942394 restoration and maintenance of health in a program beyond basic
23952395 registered nurse preparation, approved by the Board. Such contact
23962396 hours or academic credits shall be obtained within a time period of
23972397 three (3) years immediately preceding the date of application for
23982398 prescriptive authority;
23992399 3. Define minimal requirements for applic ation for renewal of
24002400 prescriptive authority which shall include, but not be limit ed to,
24012401 documentation of a minimu m of:
24022402 a. fifteen (15) contact hours or one (1) academic credit
24032403 hour of education in pharmacotherapeutics, clinical
24042404 application, and use of phar macological agents in the
24052405 prevention of illness, and in the restoration and
24062406 maintenance of health in a program be yond basic
24072407 registered nurse preparation, and
24082408 b. two (2) hours of education in pain management or two
24092409 (2) hours of education in opioid use or ad diction,
24102410
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24612461 unless the Advanced Practice Registered Nurse has
24622462 demonstrated to the sa tisfaction of the Board that the
24632463 Advanced Practice Registered Nurse does not currently
24642464 hold a valid federal Drug Enforcement Administration
24652465 registration number,
24662466 approved by the Board, within the two-year period immediately
24672467 preceding the effective date of a pplication for renewal of
24682468 prescriptive authority;
24692469 4. Require that beginning July 1, 2002, an Advanced Practice
24702470 Registered Nurse shall demonstrate demonstrates successful
24712471 completion of a master’s degree or higher in a clinical nurse
24722472 specialty one of the four Advanced Practice Registered Nurse roles
24732473 in order to be eligible for initial application for prescriptive
24742474 authority under the provisions of the Oklahoma Nursing Practice Ac t;
24752475 5. Define the method for communicating authority to prescribe
24762476 or termination of same, and the formulary to th e Board of Pharmacy,
24772477 all pharmacies, and all registered pharmacists;
24782478 6. Define terminology used in such rules;
24792479 7. Define the parameters for t he prescribing practices of the
24802480 Advanced Practice Registered Nurse;
24812481 8. Define the methods for termination of pre scriptive authority
24822482 for the Advanced Practice Registered Nurse; and
24832483 9. a. Establish a Formulary Advisory Council that shall
24842484 develop and submit to the Board recommendations for an
24852485
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25362536 exclusionary formulary that shall list drugs or
25372537 categories of drugs that shal l not be prescribed by
25382538 Advanced Practice Registered Nurse recognized to
25392539 prescribe by the Oklahoma Board of Nursing. The
25402540 Formulary Advisory Cou ncil shall also develop and
25412541 submit to the Board recommendations for practice -
25422542 specific prescriptive standards for each category of
25432543 Advanced Practice Registered Nurse recognized to
25442544 prescribe by the Oklahoma Board of Nursing pursuant to
25452545 the provisions of the Oklahoma Nursing Practice Act.
25462546 The Board shall either accept or reject the
25472547 recommendations made by the Council. No amendments to
25482548 the recommended exclusionary formulary may be made by
25492549 the Board without the approval of the Formulary
25502550 Advisory Council.
25512551 b. The Formulary Advisory Council shall be composed of
25522552 twelve (12) members as follows :
25532553 (1) four members, to include a pediatrician, an
25542554 obstetrician-gynecological physician, a general
25552555 internist, and a family practice physician;
25562556 provided that three of such member s shall be
25572557 appointed by the Oklahoma State Medical
25582558 Association, and one shall be appointed by the
25592559 Oklahoma Osteopathic Association,
25602560
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26112611 (2) four members who are registered pharmacists,
26122612 appointed by the Oklahoma Pharmaceutical
26132613 Association, and
26142614 (3) four members, one of whom shall be a Certified
26152615 Nurse Practitioner, one of whom shall be a
26162616 Clinical Nurse Specialist, one of wh om shall be a
26172617 Certified Nurse-Midwife, and one of whom shall be
26182618 a current member of the Oklahoma Board of
26192619 Nursing, all of whom shall be appoint ed by the
26202620 Oklahoma Board of Nursing.
26212621 c. All professional members of the Formular y Advisory
26222622 Council shall be in ac tive clinical practice, at least
26232623 fifty percent (50%) of the time, within their defined
26242624 area of specialty. The members of the Formulary
26252625 Advisory Council shall serve at the pleasure of the
26262626 appointing authority for a term of three (3) years.
26272627 The terms of the members shall be staggered. M embers
26282628 of the Council may serve beyond the expiration of
26292629 their term of office until a successor is appointed by
26302630 the original appointing authority. A vacancy on the
26312631 Council shall be filled fo r the balance of the
26322632 unexpired term by the original appointing au thority.
26332633 d. Members of the Council shall elect a chair and a vice -
26342634 chair from among the membership of the Counci l. For
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26862686 the transaction of business, at least seven members,
26872687 with a minimum of two members present from each of t he
26882688 identified categories of phys icians, pharmacists and
26892689 advanced practice registered nurses Advanced Practice
26902690 Registered Nurses, shall constitute a quorum. The
26912691 Council shall recommend and the Board shall approve
26922692 and implement an initial exclusionary formu lary on or
26932693 before January 1, 199 7. The Council and the Board
26942694 shall annually review the approved exclusionary
26952695 formulary and shall make any nece ssary revisions
26962696 utilizing the same procedures used to develop the
26972697 initial exclusionary formulary.
26982698 SECTION 5. AMENDATORY 59 O.S. 2021, Section 567.5a, is
26992699 amended to read as follows:
27002700 Section 567.5a. A. All applicants for a license to practice as
27012701 an Advanced Practice Registered Nurse shall be subject to Section
27022702 567.8 of this title.
27032703 B. An applicant for an initial license to practice as an
27042704 Advanced Practice Registered Nurse shall:
27052705 1. Submit a completed written application and appropriate fees
27062706 as established by the Board;
27072707 2. Submit a criminal history records check tha t complies with
27082708 Section 567.18 of this title;
27092709 3. Hold a current Registered Nurse license in this state;
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27612761 4. Have completed an advanced practice registered nursing
27622762 education program in one of the four advanced practice registered
27632763 nurse Advanced Practice Re gistered Nurse roles and a specialty area
27642764 recognized by the Board. Effective January 1, 2016, the applicant
27652765 shall have completed an accredited graduate level advanced practice
27662766 registered nursing education program in at least one of the
27672767 following population foci: family/individual across the lifespan,
27682768 adult-gerontology, neonatal, pediatrics, women’s health/gender-
27692769 related, or psychiatric/mental health;
27702770 5. Be currently certified in an ad vanced practice specialty
27712771 certification consistent with educational pre paration and by a
27722772 national certifying body recognized by t he Board; and
27732773 6. Provide any and all other evidence as required by the Board
27742774 in its rules.
27752775 C. The Board may issue a license b y endorsement to an Advanced
27762776 Practice Registered Nurse licensed under t he laws of another state
27772777 if the applicant meets the qualif ications for licensure in this
27782778 state. An applicant by endorsement shall:
27792779 1. Submit a completed written application and approp riate fees
27802780 as established by the Board;
27812781 2. Hold a current Registered N urse license in this state ;
27822782 3. Hold recognition as an Adv anced Practice Registered Nurse in
27832783 a state or territory;
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28352835 4. Have completed an advanced practice registered nursing
28362836 education program in one of the four roles and a specialty area
28372837 recognized by the Board. Effective January 1, 2016, the applicant
28382838 shall have completed an accredited graduate level advanced practice
28392839 registered nursing education program in at least one of the
28402840 following population foci: family/individual across the lifespan,
28412841 adult-gerontology, neonatal, pediatric s, women’s health/gender-
28422842 related, or psychiatric/mental health;
28432843 5. Be currently certified in an advanced practice specialty
28442844 certification consistent with educ ational preparation and by a
28452845 national certifying body recognized by the Board;
28462846 6. Meet continued competency requirements as set forth in Board
28472847 rules; and
28482848 7. Provide any and all other evidence as required by the Board
28492849 in its rules.
28502850 D. The Board may issue prescriptive authority recognition by
28512851 endorsement to an Advanced Pract ice Registered Nurse licen sed as an
28522852 APRN-CNP, APRN-CNS, or APRN-CNM under the laws of another state if
28532853 the applicant meets the requirements set forth in this section.
28542854 Prescriptive authority re cognition by endorsement shall be s ubject
28552855 to the provisions of Section 2 -312 of Title 63 of the Oklahoma
28562856 Statutes. An applicant for prescriptive authority recognition by
28572857 endorsement shall:
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29092909 1. Submit a completed written application and appropriate fees
29102910 as established by the Board;
29112911 2. Hold current Registered Nurse and Advanced Practice
29122912 Registered Nurse licenses (APRN-CNP, APRN-CNS, or APRN-CNM) in the
29132913 state;
29142914 3. Hold current licensure or recognition as an Advanced
29152915 Practice Registered Nurse in the same role and specialty with
29162916 prescribing privileges in another state or territory;
29172917 4. Submit documentation verifying successful c ompletion of a
29182918 graduate level advanced practice registered nursing education
29192919 program that included an academic course in pharmacotherapeutic
29202920 management, and didactic and clinical pr eparation for prescribing
29212921 incorporated throughout the program;
29222922 5. Submit If the Advanced Practice Registered Nurse is licensed
29232923 as a Certified Nurse Practitio ner or Clinical Nurse Spe cialist,
29242924 submit a written statement from an Oklahoma licensed a physician
29252925 licensed in this state supervising prescriptive authority as
29262926 required by the Board in its rules;
29272927 6. Meet continued competency requirements as set fo rth in Board
29282928 rules; and
29292929 7. Provide any and all other evidence as required by the Board
29302930 in its rules.
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29822982 E. An Advanced Practice Registered Nurse licen se issued under
29832983 this section shall be renewed concurrently with the registered nurse
29842984 license provided that qualifying criteria continue to be met.
29852985 F. The Board may reinstate a license as set forth in Board
29862986 rules.
29872987 SECTION 6. AMENDATORY 63 O.S. 2021, Section 2-312, as
29882988 amended by Section 2, Chapter 184, O.S.L. 2022 (63 O.S. Supp. 2022,
29892989 Section 2-312), is amended to read as follows:
29902990 Section 2-312. A. A physician, podiat rist, optometrist or a
29912991 dentist who has complied with the registration requ irements of the
29922992 Uniform Controlled Dangero us Substances Act, in good faith an d in
29932993 the course of such person ’s professional practice only, may
29942994 prescribe and administer controlled dang erous substances, or may
29952995 cause the same to be administered by medical or p aramedical
29962996 personnel acting under the dire ction and supervision of the
29972997 physician, podiatrist, optometrist or de ntist, and only may dispense
29982998 controlled dangerous substances pursuant t o the provisions of
29992999 Sections 355.1 and 355.2 of Title 59 of the Oklahoma Statutes.
30003000 B. A veterinarian who has compli ed with the registration
30013001 requirements of the Uniform Controlled Dangerous Substances Act, in
30023002 good faith and in the course of the profes sional practice of the
30033003 veterinarian only, and not for use by a human being, ma y prescribe,
30043004 administer, and dispense contr olled dangerous substances and may
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30563056 cause them to be administered by an assistant or orderly under the
30573057 direction and supervision of the veterinarian.
30583058 C. 1. An advanced practice nurse Advanced Practice Registered
30593059 Nurse who is recognized to prescribe by the Oklahoma Board of
30603060 Nursing as an advanced registered nurse pract itioner, clinical nurse
30613061 specialist or certified nurse-midwife a Certified Nurse Practitioner
30623062 or Clinical Nurse Specialist , who is subject to medical d irection by
30633063 a supervising physician, pursu ant to Section 567.3a of Title 59 of
30643064 the Oklahoma Statutes, and who has complied with the registration
30653065 requirements of the Uniform Cont rolled Dangerous Substances Act, in
30663066 good faith and in the course of professiona l practice only, may
30673067 prescribe and adminis ter Schedule III, IV, and V controlled
30683068 dangerous substances.
30693069 2. An Advanced Practice Registered Nurse who is recognized to
30703070 prescribe by the Oklahoma Board of Nursing as a Certified Nurse-
30713071 Midwife and who has complied with the registration requirements of
30723072 the Uniform Controlled Dangerous Substances Act, in good faith and
30733073 in the course of professional practice only, may prescribe and
30743074 administer Schedule III, IV , and V controlled dangerous substances.
30753075 D. An advanced practice nurse Advanced Practice Registered
30763076 Nurse who is recognized to order, select, obtain and administer
30773077 drugs by the Oklahoma Board of Nursing as a certified registered
30783078 nurse anesthetist Certified Registered Nurse Anesthetist pursuant to
30793079 Section 353.1b of Title 59 of the Oklahoma Statutes and who has
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31313131 complied with the registration requirements of the Uniform
31323132 Controlled Dangerous Substances Act, in good faith and in the course
31333133 of such practitioner ’s professional practice only, may order,
31343134 select, obtain and administer Schedules II through, III, IV, and V
31353135 controlled dangerous substances in a preanesthetic prepara tion or
31363136 evaluation; anesthesia induction, maintenance or emergence; or
31373137 postanesthesia care setting only. A certified registered nurse
31383138 anesthetist Certified Registered Nurse Anesthetist may order,
31393139 select, obtain and administer such drugs only during the
31403140 perioperative or periobstetrical period.
31413141 E. A physician assistant who is recognized to prescribe by the
31423142 State Board of Medical Licensure and Supervis ion under the medical
31433143 direction of a supervising physician, pursuant to Section 519.6 of
31443144 Title 59 of the Oklahoma Statutes, and who has complied with the
31453145 registration requirements of the Uniform Controlled Dangerous
31463146 Substances Act, in good fai th and in the course of profession al
31473147 practice only, may prescribe and administer Schedule II through V
31483148 Schedules II, III, IV, and V controlled dangerous substances.
31493149 SECTION 7. This act shall become effective November 1, 202 3.
31503150
31513151 59-1-226 DC 1/17/2023 11:10:01 AM