Oklahoma § 59-567.4 - Oklahoma Board of Nursing

§ 59-567.4. 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

Registered 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-

Oklahoma Statutes - Title 59. Professions and Occupations

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

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 one public Board member shall be appointed from a county

with a population of less than forty thousand (40,000).

B. For the purpose of nominating, appointing or reappointing

members to the Board, this state shall be divided into eight

geographical districts, consisting of counties within the districts

as follows:

District No. 1 Cimarron, Texas, Beaver, Harper, Woods, Alfalfa,

Grant, Kay, Ellis, Woodward, Major, Garfield,

Noble, Dewey, Blaine, Kingfisher and Logan;

District No. 2 Roger Mills, Custer, Beckham, Washita, Caddo,

Greer, Kiowa, Harmon, Jackson, Comanche, Tillman

and Cotton;

District No. 3 Canadian, Grady, McClain, Garvin, Stephens,

Murray, Jefferson, Carter and Love;

District No. 4 Oklahoma;

District No. 5 Lincoln, Okfuskee, Cleveland, Pottawatomie,

Seminole, Hughes, Pontotoc, Coal, Johnston,

Marshall and Bryan;

District No. 6 Creek and Tulsa;

District No. 7 Osage, Washington, Nowata, Craig, Ottawa,

Pawnee, Payne, Rogers, Mayes and Delaware; and

District No. 8 Wagoner, Cherokee, Adair, Okmulgee, Muskogee,

Sequoyah, McIntosh, Haskell, Leflore, Pittsburg,

Latimer, Atoka, Pushmataha, McCurtain and

Choctaw.

Not more than one Registered Nurse and one Licensed Practical

Nurse and one public member shall be appointed from any one

geographical district.

C. The Governor shall appoint the Registered Nurse Board

members from a list of names submitted by the Oklahoma Nurses

Association and Oklahoma chapters of nationally recognized

Registered Nurse organizations. The Governor shall appoint the

Licensed Practical Nurse Board members from a list of names

submitted by the Oklahoma chapters of nationally recognized nursing

organizations. Individuals who are members of the Oklahoma Board of

Nursing prior to September 1, 1991, shall be allowed to fulfill

their terms and be eligible for reappointment.

D. The Registered Nurse and Licensed Practical Nurse members

shall be appointed for terms of five (5) years. Upon the death,

Oklahoma Statutes - Title 59. Professions and Occupations

resignation, or removal of any member, a list from the

aforementioned organizations shall be submitted to the Governor who

shall appoint a member to fill the vacancy.

1. In addition to the grounds for removal by the Governor of

members appointed to the Board provided in Section 2 of Title 74 of

the Oklahoma Statutes, it is a ground for removal if a member:

a.

does not have at the time of appointment the

qualifications required by subsection A of this

section,

b.

is not employed in nursing for a period of twelve (12)

consecutive months during the term for which the

member was appointed,

c.

is absent from more than half of the regularly

scheduled Board meetings that the member is eligible

to attend during a calendar year, unless the absence

is excused by a majority vote of the Board, or

d.

cannot discharge the duties as a Board member for a

substantial portion of the term for which the member

is appointed because of illness or disability.

2. The validity of an action of the Board is not affected by

the fact that it is taken when a ground for removal of a Board

member exists.

3. If the president of the Board has knowledge that a potential

ground for removal exists, the president shall then notify the

Governor that a potential ground for removal exists.

E. A quorum shall be a majority of the Board which must include

at least three Registered Nurses and one Licensed Practical Nurse.

F. The members of the Board shall annually elect from their

number a president, vice-president and a secretary who shall also be

the treasurer, and other such officers as necessary to conduct the

business of the Board. It shall hold six regular business meetings

during each calendar year. Special meetings may be called by the

president or secretary with five (5) days' notice to each member of

the Board. The Board shall have a seal; it shall make and adopt all

necessary rules not inconsistent with the laws of this state, the

United States, or with the Oklahoma Nursing Practice Act; and it

shall perform the duties and transact the business required under

the provisions of the act. The Board shall cause to be kept a

record of all meetings of the Board and give notice of all meetings

in accordance with the Administrative Procedures Act and the Open

Meeting Act. A list of all persons duly licensed and qualified

under this act shall be maintained by the Board. Each member of the

Board shall receive, in addition to actual and necessary travel

expenses as provided in the State Travel Reimbursement Act,

compensation of One Hundred Dollars ($100.00) for each regular

scheduled monthly meeting attended, not to exceed more than six

meetings per year. All monies received by the Board shall be held

Oklahoma Statutes - Title 59. Professions and Occupations

by the treasurer of the Board for meeting the expenses of the Board

and for the promotion of nursing education, to employ an attorney to

assist the Board and other state and county officials in carrying

out the provisions of the Oklahoma Nursing Practice Act, and such

other purposes which the Board may determine, and shall be disbursed

as directed by the Board. The Board is authorized to adopt and

revise rules, not inconsistent with the provisions of the Oklahoma

Nursing Practice Act, as may be necessary to enable it to carry into

effect the provisions of the act, including rules establishing fees,

charges and reimbursement costs. The Board shall appoint and employ

a qualified person, who shall be a Registered Nurse to serve as

Executive Director, and shall fix the compensation, notwithstanding

any other provision of law including Section 3601.2 of Title 74 of

the Oklahoma Statutes, in an amount not in excess of the maximum

salary proposed for the Oklahoma Board of Nursing and set forth in

the most recent Compensation Report prepared by or for the Office of

Management and Enterprise Services, require a satisfactory bond, and

define the duties of the Executive Director to include:

1. The authority and responsibility for the operations and

administration of the agency and such additional powers and duties

as prescribed by the Board. As chief executive of the Board, the

Executive Director shall manage all aspects of the agency, including

personnel, financial and other resources, in support of the Oklahoma

Nursing Practice Act, its rules and policies, and the Board's

mission and strategic plan;

2. The authority to accept orders as set forth in paragraph 3

of this subsection on behalf of the Board and where ratification by

the Board is not required. The Executive Director shall report

summaries of dispositions to the Board at its regular meetings;

3.

a.

Orders issued under Section 2 of this act,

b.

Agreed disciplinary orders requiring an applicant or

licensee to enter and comply with the Peer Assistance

Program,

c.

Agreed disciplinary orders for the reinstatement or

endorsement of a license/certificate/recognition when

the applicant has practiced without an active Oklahoma

license/certificate/recognition, and

d.

Agreed disciplinary orders for the voluntary surrender

of a license/certification/recognition.

Added by Laws 1953, p. 265, § 4, emerg. eff. April 13, 1953.

Amended by Laws 1967, c. 46, § 1, emerg. eff. April 10, 1967; Laws

1978, c. 235, § 1, eff. Jan. 1, 1979; Laws 1981, c. 314, § 2, eff.

July 1, 1981; Laws 1985, c. 178, § 34, operative July 1, 1985; Laws

1991, c. 104, § 3, eff. Sept. 1, 1991; Laws 2001, c. 254, § 3, eff.

Nov. 1, 2001; Laws 2003, c. 190, § 1, eff. Nov. 1, 2003; Laws 2013,

c. 228, § 1, eff. Nov. 1, 2013; Laws 2015, c. 113, § 1, eff. Nov. 1,

2015.

Oklahoma Statutes - Title 59. Professions and Occupations

§59-567.4a. Prescriptive authority recognition - Rules.

The Oklahoma Board of Nursing may grant prescriptive authority

through the Advanced Practice Registered Nurse license to Certified

Nurse Practitioners, Clinical Nurse Specialists, and Certified

Nurse-Midwives who meet the requirements for prescriptive authority

identified by law and in the Board’s rules. The rules regarding

prescriptive authority recognition promulgated by the Oklahoma Board

of Nursing pursuant to this section, Section 567.3a of this title,

and Sections 1 and 4 of this act shall:

1. Define the procedure for documenting supervision by a

supervising physician, as defined in Section 567.3a of this title,

of a Certified Nurse Practitioner, Clinical Nurse Specialist, or

Certified Nurse-Midwife who has not obtained independent

prescriptive authority under Section 1 of this act. Such procedure

shall include a written supervision agreement that meets the

requirements of Section 4 of this act. The supervision agreement

shall be part of the initial application and the renewal application

submitted to the Board for recognition for prescriptive authority

for the Advanced Practice Registered Nurse. Changes to the

supervision agreement shall be filed with the Board within thirty

(30) days of the change and shall be effective on filing;

2. Define procedures for assessing the qualifications of

applicants for independent prescriptive authority as provided by

Section 1 of this act;

3. Define minimal requirements for initial application for

prescriptive authority which shall include, but not be limited to,

evidence of completion of a minimum of forty-five (45) contact hours

or three (3) academic credit hours of education in

pharmacotherapeutics, clinical application, and use of

pharmacological agents in the prevention of illness, and in the

restoration and maintenance of health in a program beyond basic

registered nurse preparation, approved by the Board. Such contact

hours or academic credits shall be obtained within a time period of

three (3) years immediately preceding the date of application for

prescriptive authority;

4. Define minimal requirements for application for renewal of

prescriptive authority which shall include, but not be limited to,

documentation of a minimum of:

a.

fifteen (15) contact hours or one (1) academic credit

hour of education in pharmacotherapeutics, clinical

application, and use of pharmacological agents in the

prevention of illness, and in the restoration and

maintenance of health in a program beyond basic

registered nurse preparation, and

b.

two (2) hours of education in pain management or two

(2) hours of education in opioid use or addiction,

Oklahoma Statutes - Title 59. Professions and Occupations

unless the Advanced Practice Registered Nurse has

demonstrated to the satisfaction of the Board that the

Advanced Practice Registered Nurse does not currently

hold a valid federal Drug Enforcement Administration

registration number,

approved by the Board, within the two-year period immediately

preceding the effective date of application for renewal of

prescriptive authority. Such minimal requirements for renewal of

prescriptive authority for an Advanced Practice Registered Nurse who

has obtained independent prescriptive authority under Section 1 of

this act shall include, but not be limited to, documentation that

the Advanced Practice Registered Nurse has successfully earned at

least forty (40) hours of Category I continuing medical education

hours within the two-year period immediately preceding the effective

date of application for renewal of independent prescriptive

authority, which may include the continuing education described in

subparagraphs a and b of this paragraph if such continuing education

meets the criteria for Category I continuing medical education;

5. Require that an Advanced Practice Registered Nurse

demonstrates successful completion of a master’s degree or higher in

one of the following Advanced Practice Registered Nurse roles:

a.

Certified Nurse Practitioner,

b.

Clinical Nurse Specialist, or

c.

Certified Nurse-Midwife,

in order to be eligible for initial application for prescriptive

authority under the provisions of the Oklahoma Nursing Practice Act;

6. Define the method for communicating authority to prescribe

or termination of same, and the formulary to the State Board of

Pharmacy, all pharmacies, and all registered pharmacists;

7. Define terminology used in such rules;

8. Define the parameters for the prescribing practices of the

Advanced Practice Registered Nurse;

9. Define the methods for termination of prescriptive authority

for the Advanced Practice Registered Nurse; and

10. a.

Establish a Formulary Advisory Council that shall

develop and submit to the Board recommendations for an

exclusionary formulary that shall list drugs or

categories of drugs that shall not be prescribed by an

Advanced Practice Registered Nurse recognized to

prescribe by the Oklahoma Board of Nursing. The

Formulary Advisory Council shall also develop and

submit to the Board recommendations for practicespecific prescriptive standards for each category of

Advanced Practice Registered Nurse recognized to

prescribe by the Oklahoma Board of Nursing pursuant to

the provisions of the Oklahoma Nursing Practice Act.

The Board shall either accept or reject the

Oklahoma Statutes - Title 59. Professions and Occupations

b.

c.

d.

recommendations made by the Council. No amendments to

the recommended exclusionary formulary may be made by

the Board without the approval of the Formulary

Advisory Council.

The Formulary Advisory Council shall be composed of

twelve (12) members as follows:

(1) four members, to include a pediatrician, an

obstetrician-gynecological physician, a general

internist, and a family practice physician;

provided, that three of such members shall be

appointed by the Oklahoma State Medical

Association, and one shall be appointed by the

Oklahoma Osteopathic Association,

(2) four members who are registered pharmacists,

appointed by the Oklahoma Pharmacists

Association, and

(3) four members, one of whom shall be a Certified

Nurse Practitioner, one of whom shall be a

Clinical Nurse Specialist, one of whom shall be a

Certified Nurse-Midwife, and one of whom shall be

a current member of the Oklahoma Board of

Nursing, all of whom shall be appointed by the

Oklahoma Board of Nursing.

All professional members of the Formulary Advisory

Council shall be in active clinical practice, at least

fifty percent (50%) of the time, within their defined

area of specialty. The members of the Formulary

Advisory Council shall serve at the pleasure of the

appointing authority for a term of three (3) years.

The terms of the members shall be staggered. Members

of the Council may serve beyond the expiration of

their term of office until a successor is appointed by

the original appointing authority. A vacancy on the

Council shall be filled for the balance of the

unexpired term by the original appointing authority.

Members of the Council shall elect a chair and a vice

chair from among the membership of the Council. For

the transaction of business, at least seven members,

with a minimum of two members present from each of the

identified categories of physicians, pharmacists, and

Advanced Practice Registered Nurses, shall constitute

a quorum. The Council shall recommend and the Board

shall approve and implement an initial exclusionary

formulary on or before January 1, 1997. The Council

and the Board shall annually review the approved

exclusionary formulary and shall make any necessary

Oklahoma Statutes - Title 59. Professions and Occupations

revisions utilizing the same procedures used to

develop the initial exclusionary formulary.

Added by Laws 1996, c. 186, § 5, eff. July 1, 1996. Amended by Laws

1997, c. 250, § 7, eff. Nov. 1, 1997; Laws 2017, c. 281, § 2, eff.

Nov. 1, 2017; Laws 2019, c. 203, § 1, eff. Nov. 1, 2019; Laws 2019,

c. 428, § 8, emerg. eff. May 21, 2019; Laws 2025, c. 340, § 8, eff.

Nov. 1, 2025.

§59-567.4b. Formulary Advisory Council.

A. 1. The rules regarding authorization for a certified

registered nurse anesthetist to order, select, obtain and administer

drugs, promulgated by the Oklahoma Board of Nursing pursuant to

paragraph 10 of Section 567.3a of Title 59 of the Oklahoma Statutes,

shall provide for establishment of a Formulary Advisory Council to

develop and submit to the Board recommendations for an inclusionary

formulary that lists drugs or categories of drugs that may be

ordered, selected, obtained or administered by certified registered

nurse anesthetists authorized by the Board to order, select, obtain

and administer drugs.

2. Such Formulary Advisory Council shall also develop and

submit to the Board recommendations for practice-specific standards

for ordering, selecting, obtaining and administering drugs for a

certified registered nurse anesthetist authorized by the Board to

order, select, obtain and administer drugs pursuant to the

provisions of the Oklahoma Nursing Practice Act.

3. The Board shall either accept or reject the recommendations

of the Council. No amendments to the recommended inclusionary

formulary may be made by the Board without the approval of the

Formulary Advisory Council.

B. 1. The Formulary Advisory Council shall be composed of five

(5) members as follows:

a.

two certified registered nurse anesthetists, appointed

by the Oklahoma Association of Nurse Anesthetists

located in this state,

b.

two anesthesiologists, appointed by the Oklahoma

Society of Anesthesiologists located in this state,

and

c.

a hospital-based pharmacist appointed by the Oklahoma

Pharmaceutical Association located in this state.

2. All professional members of the Formulary Advisory Council

shall be in active clinical practice at least fifty percent (50%) of

the time within their defined area of specialty.

3.

a.

Members of the Formulary Advisory Council shall serve

at the pleasure of their appointing authority for a

term of three (3) years. The terms of the members

shall be staggered. Members of the Council may serve

beyond the expiration of their term of office until a

Oklahoma Statutes - Title 59. Professions and Occupations

successor is appointed by the original appointing

authority. A vacancy on the Council shall be filled

for the balance of the unexpired term by the original

appointing authority.

b.

Members of the Council shall elect a chair and a vicechair from among the membership of the Council. Three

members shall constitute a quorum for the transaction

of business.

C. The Council shall recommend and the Board shall approve and

implement an initial inclusionary formulary on or before January 1,

1998. The Council and the Board shall annually review and evaluate

the approved inclusionary formulary and shall make any necessary

revisions utilizing the same procedures used to develop the initial

inclusionary formulary.

Added by Laws 1997, c. 250, § 8, eff. Nov. 1, 1997.

§59-567.4c. Advanced Practice Registered Nurse — Application for

prescriptive authority — Requirements.

A. An Advanced Practice Registered Nurse recognized by the

Oklahoma Board of Nursing as a Certified Nurse Practitioner,

Clinical Nurse Specialist, or Certified Nurse-Midwife who has

completed a minimum of six thousand two hundred forty (6,240)

clinical practice hours with prescriptive authority supervised by a

physician may apply to the Oklahoma Board of Nursing for authority

to prescribe and order independent of supervision.

B. The application for independent prescriptive authority shall

include proof that the Certified Nurse Practitioner, Clinical Nurse

Specialist, or Certified Nurse-Midwife:

1. Holds a valid, current license in the appropriate Advanced

Practice Registered Nurse role issued by the Board and is in good

standing with the Board; and

2. Has completed a minimum of six thousand two hundred forty

(6,240) clinical practice hours with prescriptive authority

supervised by a physician. This paragraph shall not be construed to

exclude practice hours with supervised prescriptive authority

obtained prior to the effective date of this act from being counted

toward the hours required in this paragraph.

C. Independent prescriptive authority granted under this

section shall be valid until the expiration of the current license

to practice and may be renewed upon application to the Board at the

same time and for the same period as the renewal of the license to

practice.

D. The Board may suspend or revoke independent prescriptive

authority granted under this section in accordance with the

Administrative Procedures Act for violation of the provisions of, or

the rules promulgated under, the Oklahoma Nursing Practice Act.

Oklahoma Statutes - Title 59. Professions and Occupations

E. The Board may assess a reasonable fee for the review of

initial and renewal applications under the provisions of this

section.

Added by Laws 2025, c. 340, § 1, eff. Nov. 1, 2025.