OKLAHOMA BOARD OF NURSING
RULES
[TITLE 485]
Effective as of July 1, 2010
Unofficial Copy Oklahoma Board of Nursing
Official copies of the rules may be obtained 2915 N. Classen, Suite 524
from the Secretary of State, Code Office Oklahoma City, OK 73106
(405) 962-1800
INTRODUCTION
The Oklahoma Nursing Practice Act states 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. [59 O.S. § 567.4]
The Administrative Procedures Act defines a rule as any agency statement or group of related
statements of general applicability and future effect that implements, interprets or prescribes law
or policy, or describes the procedure or practice requirements of the agency. [75 O.S. §
250.3(15)] All rules were adopted in accordance with the procedures required in the
Administrative Procedures Act.
These rules were adopted by the Board in recognition of its responsibility to safeguard and
promote the public health and welfare of the citizens of Oklahoma.
This booklet contains OAC Title 485. Oklahoma Board of Nursing, the unofficial copy of rules
effective on July 1, 2010.
Chapter Section
1. Administration 485:1
[Source: Codified 7-24-1991; Amended at 8 Ok Reg 3575, eff 9-20-91(emergency); Amended at
9 Ok Reg 2099, eff 6-11-92; Amended at 18 Ok Reg 1745, eff 7-1-01; Amended at 25 Ok Reg
1413, eff 7-1-08; Amended at 27 Ok Reg 1022, eff 7-1-10]
10. Licensure of Practical and Registered Nurses 485:10
[Source: Codified 7-24-1991; Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended
at 8 Ok Reg 3579, eff 9-20-91 through 5-29-92 (emergency); Amended at 9 Ok Reg 2103, eff 6-
11-92; Amended at 10 Ok Reg 1536, eff 4-26-93; Amended at 12 Ok Reg 1463, eff 5-25-95;
Amended at 14 Ok Reg 1980, eff 5-27-97; Amended at 15 Ok Reg 2038, eff 5-26-98; Amended
at 17 Ok Reg 1362, eff 7-1-00; Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 19 Ok Reg
1461, eff 7-1-02; Amended at 20 Ok Reg 1006, eff 7-1-03; Amended at 21 Ok Reg 1415, eff 7-
1-04; Amended at 22 Ok Reg 1344, eff 7-1-05; Amended at 23 Ok Reg 1453 eff 7-1-06;
Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25 Ok Reg 1413, eff 7-1-08; Amended at
26 Ok Reg 1089, eff 5-11-09; Amended at 27 Ok Reg 1024, eff 7-1-10]
[Authority: 59 O.S. Section 567.1 et seq.]
Print date: June 2010
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.] 5,000 copies have been prepared and distributed at a cost of $4,500.00. Copies
have been deposited with the Publications Clearinghouse of the Oklahoma Department of
Libraries. [74 O.S. §3105 B]
1
TITLE 485. OKLAHOMA BOARD OF NURSING
Table of Contents
CHAPTER 1. ADMINISTRATION
Subchapter Page
1. Administration
485:1-1-1. Functions................................................................................................. 5
485:1-1-2. Officers................................................................................................... 5
485:1-1-3. Staff members......................................................................................... 5
485:1-1-4. Business meetings................................................................................... 6
485:1-1-5. Rules and regulations.............................................................................. 6
485:1-1-6. Board office and written communication ............................................... 7
CHAPTER 10. LICENSURE OF PRACTICAL AND REGISTERED NURSES
Subchapter Page
1. General Provisions
485:10-1-1. Purpose.................................................................................................... 7
485:10-1-2. Definitions............................................................................................... 7
485:10-1-3. Fees.......................................................................................................... 8
3. Regulations for Approved Nursing Education Programs
485:10-3-1. Approval of nursing education programs................................................ 9
485:10-3-2. Establishment of new nursing education programs................................. 10
485:10-3-3. Closing of nursing education programs................................................... 11
485:10-3-4. Change of ownership............................................................................... 11
485:10-3-5. Reports to the Board................................................................................ 12
485:10-3-6. Nursing education program visits............................................................ 12
485:10-3-7. Appeal of decision of the Board.............................................................. 12
5. Minimum Standards for Approved Nursing Education Programs
485:10-5-1. Philosophy and objectives [REVOKED]
485:10-5-2. Administration and organization.............................................................. 13
485:10-5-3. Faculty [AMENDED AND RENUMBERED TO 485:10-5-5.2]
485:10-5-3.1. Nursing administrator [TERMINATED]
485:10-5-3.2. Nursing administrator for nursing education programs........................... 13
485:10-5-4. Resources, facilities, and services............................................................ 13
485:10-5-4.1. Clinical learning experiences................................................................... 14
485:10-5-5. Students.................................................................................................... 14
485:10-5-5.1 Faculty [TERMINATED]
485:10-5-5.2 Faculty for nursing education programs.................................................. 14
485:10-5-6. Curriculum............................................................................................... 15
485:10-5-7. Evaluation................................................................................................ 16
485:10-5-8. Experimentation....................................................................................... 16
485:10-5-9. Length of approved nursing programs..................................................... 17
485:10-5-10. Records.................................................................................................... 18
485:10-5-11. Advisory committee [REVOKED]
485:10-5-12. Out-of-State nursing programs conducting clinical experiences in Oklahoma
................................................................................................................. 18
2
7. Requirements for Registration and Licensure as a Registered Nurse
485:10-7-1. Licensure by examination ....................................................................... 18
485:10-7-2. Licensure by endorsement....................................................................... 19
485:10-7-3. Renewal of license................................................................................... 21
485:10-7-4. Reinstatement of license. ........................................................................ 21
485:10-7-5. Inactive status........................................................................................... 22
485:10-7-6. Duplicate license card.............................................................................. 22
485:10-7-7. Replacement certificate of licensure........................................................ 22
485:10-7-8. Endorsement of a Registered Nurse to another state............................... 23
485:10-7-9. Change of name and address.................................................................... 23
9. Requirements for Registration and Licensure as a Licensed Practical Nurse
485:10-9-1. Licensure by examination........................................................................ 23
485:10-9-2. Licensure by endorsement....................................................................... 24
485:10-9-3. Renewal of license................................................................................... 26
485:10-9-4. Reinstatement of license.......................................................................... 26
485:10-9-5. Inactive status........................................................................................... 27
485:10-9-6. Duplicate license card.............................................................................. 27
485:10-9-7. Replacement certificate of licensure........................................................ 28
485:10-9-8. Endorsement of a Licensed Practical Nurse to another state................... 28
485:10-9-9. Change of name and address.................................................................... 28
10. Unlicensed Assistive Person
485:10-10-1. Purpose.................................................................................................... 28
485:10-10-2. Certification training program................................................................. 28
485:10-10-3. Curriculum............................................................................................... 29
485:10-10-4. Faculty..................................................................................................... 29
485:10-10-5. Applicants................................................................................................ 29
485:10-10-6. Certification examination........................................................................ 29
485:10-10-7. Certification............................................................................................. 29
485:10-10-8. Recertification......................................................................................... 30
485:10-10-8.1 Reinstatement of certification................................................................. 30
485:10-10-9. Records.................................................................................................... 30
485:10-10-10. Disciplinary action................................................................................... 31
11. Disciplinary Action
485:10-11-1. Denial, revocation or suspension of license............................................. 31
485:10-11-2. Hearings................................................................................................... 32
485:10-11-3. Informal disposition................................................................................. 33
13. Requirements for Employment
485:10-13-1. Conditions of employment....................................................................... 34
485:10-13-2. Annual report of employing institutions.................................................. 34
485:10-13-3. Continuing education............................................................................... 35
15. Requirements for Practice as an Advanced Practice Nurse
485:10-15-1. Practice as a Certified Nurse-Midwife [AMENDED AND RENUMBERED
TO 485:10-15-8]
485:10-15-2. Certified Nurse-Midwife Advisory Committee appointment [REVOKED]
485:10-15-3. Functions of the Certified Nurse-Midwife Advisory Committee [REVOKED]
485:10-15-4. Application............................................................................................... 35
485:10-15-4.1. Temporary recognition............................................................................. 35
485:10-15-5. Recognition, renewal, reinstatement and inactive status......................... 36
485:10-15-6. Practice as an Advanced Registered Nurse Practitioner.......................... 36
485:10-15-7. Practice as a Clinical Nurse Specialist..................................................... 37
485:10-15-8. Practice as a Certified Nurse-Midwife..................................................... 38
485:10-15-9. Practice as a Certified Registered Nurse Anesthetist............................... 38
3
16. Requirements for Prescriptive Authority for Advanced Practice Nurses
485:10-16-1. Definitions............................................................................................... 38
485:10-16-2. Provision.................................................................................................. 39
485:10-16-3. Initial application..................................................................................... 39
485:10-16-4. Clinical Nurse Specialist pharmacology requirements............................ 40
485:10-16-5. Maintenance............................................................................................. 40
485:10-16-6. Renewal.................................................................................................... 40
485:10-16-7. Reinstatement/Inactive Status.................................................................. 41
485:10-16-8. Information which must be included on the prescription........................ 41
485:10-16-9. Termination.............................................................................................. 42
17. Nurse Practitioner Requirements [REVOKED]
18. Prescriptive Authority for C.R.N.A.
485:10-18-1. Definitions................................................................................................ 42
485:10-18-2. Initial application...................................................................................... 42
485:10-18-3. Renewal.................................................................................................... 42
485:10-18-4. Reinstatement........................................................................................... 43
485:10-18-5. Information which must be included in the order..................................... 43
19. Peer Assistance Program
485:10-19-1. Purpose..................................................................................................... 43
485:10-19-2. Definitions................................................................................................ 43
485:10-19-3. Administration.......................................................................................... 43
485:10-19-4. Peer Assistance Committee(s).................................................................. 44
485:10-19-5. Qualifications of applicant....................................................................... 44
485:10-19-6. Participation in program........................................................................... 44
485:10-19-7. Discharge from program.......................................................................... 44
485:10-19-8. Termination from program....................................................................... 44
4
CHAPTER 1. ADMINISTRATION votes shall be declared elected and shall assume
SUBCHAPTER 1. ADMINISTRATION office on the first day of March following their
election.
Section (b) Vacancies in office.
485:1-1-1. Functions (1) A vacancy occurring in the office of
485:1-1-2. Officers President shall be filled by the Vice-President for
485:1-1-3. Staff members the unexpired term.
485:1-1-4. Business meetings (2) A vacancy occurring in the office of Vice-
485:1-1-5. Rules and regulations President shall be filled by appointment by the
485:1-1-6. Board office and written President with the approval of the Board for the
communication period of the unexpired term.
(3) A vacancy occurring in the office of the
[Authority: 59 O.S., §§ 567.1 et seq.; 75 O.S., §§ 302 and 305] Secretary shall be filled by appointment by the
[Source: Codified 7-24-91]
President with the approval of the Board for the
485:1-1-1. Functions period of the unexpired term.
The Board is authorized to: (c) Duties of officers.
(1) adopt and revise rules not inconsistent with . (1) The President shall preside at meetings and
. . the Oklahoma Nursing Practice Act; [59 O.S. shall appoint members to serve on such
Section 567.4(F)] committees as may be created and shall be an ex-
(2) prescribe standards for educational programs officio member of all committees. The President
preparing persons for licensure to practice shall cause the agenda to be prepared for the
practical nursing, registered nursing, or preparing meeting.
individuals for advanced practice nursing; (2) The Vice-President shall preside in the
(3) provide for surveys of such educational absence of the President, and shall assume the
programs; duties of the President, when necessary.
(4) approve such educational programs for the (3) The Secretary/Treasurer shall record the
preparation of practitioners of practical nursing, minutes of the meeting and conduct the
registered nursing, or advanced practice nursing necessary correspondence of the Board.
as shall meet the requirements of this statute and (4) The officers of the Board shall participate in
of the Board; the development of the budget.
(5) deny, or withdraw approval of educational [Source: Amended at 8 Ok Reg 3575, eff 9-20-91(emergency); Amended at
programs for failure to meet or maintain 9 Ok Reg 2099, eff 6-11-92; Amended at 27 Ok Reg 1022, eff 7-1-10]
prescribed standards required by this statute and
by the Board; 485:1-1-3. Staff members
(6) examine, license and renew the licenses of (a) Executive Director. The Board shall appoint
duly qualified applicants; and employ a qualified person, who shall be a
(7) recognize Advanced Practitioners in registered nurse, to serve as Executive Director . .
accordance with the Rules and Regulations; .and shall define the duties. [59 O.S. Section
(8) conduct hearings upon charges calling for 567.4(E)]
disciplinary action; and (b) Professional staff. The Board may appoint and
(9) provide consultation, conduct conferences, employ other qualified persons, who shall be
forums, studies and research on nursing Registered Nurses, to assist in the regulation of
education and practice. nursing education and nursing practice.
(10) approve the agency’s budget and authorize (c) Non-professional staff. The Board may appoint
disbursement of the funds by the Executive and employ other persons, who are not required to be
Director. Registered Nurses, to assist the Board in its function,
and shall define the duties.
[Source: Amended at 8 Ok Reg 3575, eff 9-20-91 (emergency); Amended at (d) Deputy Executive Director. When the
9 Ok Reg 2099, eff 6-11-92; Amended at 18 Ok Reg 1745, eff 7-1-01;
Amended at 25 Ok Reg 1413, eff 7-1-08; Amended at 27 Ok Reg 1022, eff Executive Director is out of the office, or otherwise
7-1-10 ] engaged, he/she shall designate a deputy director to
act. If the position of Executive Director is vacant or
485:1-1-2. Officers the Executive Director has been unable to make the
(a) Election of officers. The officers of the Board designation, the President of the Board shall
shall be elected annually at the regular meeting in designate a deputy director to serve until the next
January. The candidate receiving the plurality of
5
meeting of the Board, at which time the Board shall party is an association or corporate body, the
appoint an acting Executive Director. petition shall identify a contact person at the
association or corporate body who is able to
[Source: Amended at 8 Ok Reg 3575, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2099, eff 6-11-92] provide meaningful information about the
request.
485:1-1-4. Business meetings (2) A petition requesting promulgation,
(a) Special meetings. Special meetings may be amendment or repeal of a rule shall not be
called by the President or Secretary with five (5) days considered by the Board if the subject of the
notice to each member of the Board. [59 O.S. Section Petition is the same as or similar to the subject
567.4(F)] presented in a Petition and considered by the
(b) Emergency meetings. Emergency meetings Board within the previous twelve (12) months.
may be called by the President without required (3) The petition shall be cosigned by at least
notice for situations of imminent peril to the public ten persons.
health, safety, welfare or other compelling (4) The petition shall be submitted to the Board
extraordinary circumstances. not less than forty five (45) days prior to a
(c) Agenda. A copy of the agenda shall be sent to regular meeting.
each member at least five (5) days prior to the (5) The Board, on its own motion or upon the
meeting. Any member wishing to have a special request of any other interested party, may require
topic placed on the agenda shall notify the President any petitioner to provide additional information,
at least fifteen (15) days prior to the meeting. Items as may be specified by the Board, for use in the
of an emergency nature shall be considered at any Board’s consideration and disposition of the
meeting without prior notice. petition. The failure of the petitioner to provide
(d) Record of meeting. The Secretary shall cause to such information shall constitute grounds for the
be kept a record of all meetings which shall include a Board to take no further action on a petition.
recording of votes by each member in attendance and (6) The Board shall refer the petition to its
such records shall be retained as a permanent record counsel for legal consideration. In addition, the
of the transaction of the Board. Board may refer the petition to an appropriate
(e) Parliamentary authority. The rules contained advisory committee or subcommittee for review
in the current edition of Robert's Rules of Order prior to the Board’s action. The advisory
Newly Revised shall govern the meetings in all committee or subcommittee review and
instances to which they are applicable. The President recommendation shall not constitute Board
shall have a vote on all matters coming before the action. Upon completion of the study period, the
Board. petition shall be referred to the Board with the
(f) Notice of meetings. Notice of all meetings shall recommendation of the committee, if any.
be in writing and delivered to Board members ten (7) If the Board determines the requested action
(10) days prior to meeting. or some other action should be taken, then notice
of the proposed action shall be published in
[Source: Amended at 8 Ok Reg 3575, eff 9-20-9l (emergency); Amended at accord with the Administrative Procedures Act
9 Ok Reg 2099, eff 6-11-92; Amended at 27 Ok Reg 1022, eff 7-1-10]
and the matter shall be set for public hearing. At
the time and place designated for the public
485:1-1-5. Rules and regulations
hearing, proponents and opponents of the
(a) Adoption, amendment, or repeal of rules.
proposed rulemaking action may be heard in the
The adoption, amendments, filing, or repeal of rules
manner and order prescribed by the Board at that
will be in accordance with the Oklahoma
time.
Administrative Procedures Act.
(8) At the Board meeting during which the
(b) Petition requesting promulgation, amendment
public hearing is held or immediately thereafter
or repeal of a rule.
the Board shall render its decision on the petition
(1) Any person may petition the Board in
and shall take such action as it deems necessary
writing requesting the promulgation,
and appropriate and as authorized by the
amendment, or repeal of a rule. The petition shall
Administrative Procedures Act to implement its
include the language of the requested rule,
decision.
amendment or repeal, a statement of the purpose
(c) Declaratory Rulings.
of the requested rule, amendment or repeal, at
(1) Any person or group may petition the Board
least one example of a fact situation to which the
for a declaratory ruling as to the applicability of
rule, amendment or repeal will apply, and the
any rule or order of the Board and any other
name and address of the person who requested
person or group may file a response.
the rule, amendment or repeal. If the requesting
6
(2) A petition for declaratory ruling shall be (b) Every communication in writing to the Board
signed by the person or association making the shall be sent to the Board’s central office. The filing
request and shall include a concise statement of date is the date the Board receives the document in
the facts and the law supporting the request. the office, not the date it is mailed or postmarked.
(3) The Board may request the petitioner or any
respondent to submit any information it deems [Source: Added at 18 Ok Reg 1745, eff 7-1-01]
pertinent to the inquiry or useful in resolving
the issue, including oral and documentary CHAPTER 10. LICENSURE OF PRACTICAL
evidence and citations of legal authority. AND REGISTERED NURSES
(4) The agency shall refer the petition to its SUBCHAPTER 1. GENERAL PROVISIONS
counsel. The Board may refer the petition to an
appropriate advisory committee or Section
subcommittee for its review and a 485:10-1-1. Purpose
recommendation. The advisory committee or 485:10-1-2. Definitions
subcommittee may hold a hearing, take 485:10-1-3. Fees
testimony of witnesses, require submission of
legal memoranda, and hear argument of [Authority: 59 O.S., §§ 567.1 et seq.]
[Source: Codified 7-24-91 ]
counsel just as the Board can do. The findings
or recommendations of the advisory committee 485:10-1-1. Purpose
or subcommittee shall not constitute Board (a) The Oklahoma Nursing Practice Act requires any
action. Upon completion of the period of study, person who practices or offers to practice practical
whether the assigned committee held a hearing nursing or registered nursing to be licensed and to
or not, the petition shall be referred to the submit sufficient evidence of qualification so to
Board with the recommendation of the practice and shall be licensed and recognized as
committee. provided.
(5) Upon receipt of the committee’s (b) The Oklahoma Board of Nursing is established
recommendation in the Board office, Board by the Oklahoma Nursing Practice Act for the
staff shall have not less than thirty (30) days in implementation of the statute by carrying on the
which to disseminate the recommendation to licensing and educational functions for practical
the Board members so that it can be addressed nursing, registered nursing and advanced practice
at the next regularly scheduled Board meeting. nursing.
(6) The declaratory ruling or the refusal to issue
such a ruling shall be ordered by the Board on [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92]
or before the next scheduled meeting of the
Board following completion of the period of
study and referral of the petition back to the full 485:10-1-2. Definitions
Board for action. The following words or terms, when used in this
(7) The agency shall give reasonable notice to Chapter, shall have the following meaning, unless the
the petitioner and any respondents to the context clearly indicates otherwise:
petition in advance of the Board making a final "Accountable" means assuming responsibility
ruling and the Board shall accompany any to the client, the public, other health-care
ruling with written findings of fact and practitioners and oneself for one's actions and/or
conclusions of law. decisions and their outcomes.
"Additional nursing function" means the
[Source: Amended at 8 Ok Reg 3575, eff 9-20-91 (emergency); Amended at nursing functions, procedures, or tasks, not usually
9 Ok Reg 2099, eff 6-ll-92; Amended at 27 Ok Reg 1023, eff 7-1-10] included at the time of matriculation in most nursing
education programs; requiring additional knowledge,
485:1-1-6. Board office and written instruction, and practice before they can be safely
communication performed. Such functions must fall within the scope
(a) The central office of the Oklahoma Board of of accepted nursing practice; may become necessary
Nursing is located in Oklahoma City, Oklahoma. due to technological advances, new practice
The central office will be open during regular standards, or the natural evolution of an occupation;
business hours as determined by the Board, except and must not be precluded by other Oklahoma
Saturday and Sunday and any legal holiday Practice Acts.
established by the statute or proclamation of the "Advanced practice nurse" is a term that
Governor. includes Advanced Registered Nurse Practitioners
(ARNP), Clinical Nurse Specialists (CNS), Certified
7
Nurse Midwives (CNM), and Certified Registered licensing practical nurses, Registered Nurses, and
Nurse Anesthetists (CRNA). issuing recognition to advanced practice nurses in
"Advanced unlicensed assistive person" Oklahoma.
means an individual, other than a licensed nurse, who "Licensed nurse" means a registered nurse or
performs in an assistive role and has been certified to licensed practical nurse, currently licensed by the
perform core skills as delegated by a licensed nurse Oklahoma Board of Nursing.
and as authorized by the Rules and Regulations of the "Nurse Administrator" means the Registered
Oklahoma Board of Nursing. Nurse responsible for the administration of the
"Board" means the Oklahoma Board of Nursing nursing education program or the nurse holding the
[59 O.S. Section 567.3(1)] highest level of management in an agency/facility
"Client" means a consumer of nursing care; regardless of the title used.
may be an individual or group; is synonymous with "Preceptor" means a licensed nurse who is
"patient". employed by the facility in which the clinical
"Clinical learning experiences" means faculty- experience takes place, and who agrees to provide
planned and guided activities designed to assist supervision to a student for a specified period of time
students to meet stated program and course outcomes during the preceptor's scheduled work hours in order
and to safely apply knowledge and skills when to assist the student to meet identified learning
providing nursing care to clients across the lifespan objectives.
as appropriate to the role expectations of the "State approved program of nursing" means a
graduates. These experiences occur in a variety of nursing education program approved by the
affiliating agencies or clinical practice settings Oklahoma Board of Nursing.
including, but not limited to: acute care facilities, "Member board jurisdiction" means a full
extended care facilities, long-term care facilities, member board of National Council of State Boards of
clients' residences, and community agencies; and in Nursing.
associated clinical pre- and post-conferences. "Supervising" means providing guidance by a
"Clinical skills laboratory" means a designated qualified nurse for the accomplishment of the nursing
area in which equipment and supplies are provided to task or activity with initial direction of the task or
simulate a clinical facility, allowing skills and activity and periodic inspection of the actual act of
procedures to be demonstrated and practiced. accomplishing a task or activity.
"Controlling institution" means the agency or
institution that administers the nursing education [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
program, assumes responsibility for its financing, Amended at 14 Ok Reg 1980, eff 5-27-97; Amended at 24 Ok Reg 1439, eff
graduates the students, and grants the diploma, 07-1-07; Amended at 26 Ok Reg 1089, eff 5-11-09; Amended at 27 Ok Reg
1025, eff 7-1-10]
certificate or degree to the graduates.
"Core skills" means the list of functions
485:10-1-3. Fees
developed by the working committee prescribed in 59
(a) Fee schedule.
O.S. § 567.3a.13 that an advanced unlicensed
(1) Initial applications. The following fees
assistive person shall be able to perform upon
shall be charged by the Board of Nursing for
completion of the certification training program and
initial applications:
satisfactory passage of the certification examination.
(A) Registered Nurse/Licensed Practical
"Delegating" means entrusting the performance
Nurse
of selected nursing duties to individuals qualified,
(i) Licensure examination fee - $85.00
competent and legally able to perform such duties.
(ii) Endorsement fee - $85.00
"Distance learning program" means 50% or
(iii) Education equivalence evaluation
more of the theory components of the board-
fee - $40.00
approved nursing education program are offered by
(iv) Cost of national examination
correspondence, on-line, through video-conferencing,
(v) R.N. examination challenge of
or via CD-ROM.
results fee - $200.00
"Innovative approach" means a creative
(vi) LPN examination challenge of
nursing education strategy that departs from the
results fee - $125.00
current rule structure and requires Board approval for
(vii) Examination review fee - $90.00
implementation.
(viii) Temporary license fee - $10.00
"Legal authority" means the authorized state
(B) Advanced Unlicensed Assistive person
agency for the administration of the statutes relating
(i) Certification examination fee -
to the practice of nursing in this state. The Oklahoma
$20.00
Board of Nursing is the only legal authority for
(ii) Cost of examination
8
(C) Advanced Practice Nurses (B) Duplication of public records (per page)
(i) Recognition fee - $70.00 - $0.25
(ii) Temporary recognition fee - $10.00 (C) Computer address list - $0.01/record +
(iii) Prescriptive authority fee - $85.00 $4.50/1000 labels + postage, $40.00
(iv) Authority to order, select, obtain minimum charge
and administer drugs - $85.00 (D) Staff research time, when available (per
(2) Renewal. The following fees shall be hour) - $20.00
charged in accordance to the biennial (E) Computer research time, when available
licensure/certificate/recognition renewal (per hour) - $100.00
schedule established by the Board: (b) Submission of fees.
(A) Registered Nurse/Licensed Practical (1) All fees assessed by the Board as set out in
Nurse license - $75.00 the fee schedule in (a) of this section shall be
(B) Advanced Unlicensed Assistive Person received prior to processing an application for
certificate - $25.00 licensure, certification or recognition or
(C) Advanced Practice Nurse recognition - providing the requested service.
$40.00 (2) All fees are non-refundable.
(D) Prescriptive authority - $40.00
(E) Authority to order, select, obtain and [Source: Added at 17 Ok Reg 1362, eff 7-1-00; Amended at 22 Ok Reg
1344, eff 7-1-05; Amended at 25 Ok Reg 1414, eff 7-1-08]
administer drugs - $40.00
(F) Reinstatement of lapsed
license/certificate/recognition - renewal SUBCHAPTER 3. REGULATIONS FOR
fee(s) + $40.00 APPROVED
(G) Return to active - renewal fee(s) + NURSING EDUCATION PROGRAMS
$40.00
(3) Miscellaneous fees. The following Section
miscellaneous fees shall be charged by the 485:10-3-1. Approval of nursing education
Board: programs
(A) Transcripts from closed schools of 485:10-3-2. Establishment of new nursing
nursing - $15.00 education programs
(B) Duplication or modification of 485:10-3-3. Closing of nursing education
license/certificate/recognition - $25.00 programs
(C) Certified verification of 485:10-3-4. Change of ownership
license/certificate/recognition - $40.00 485:10-3-5. Reports to the Board
(D) Written verification of status of 485:10-3-6. Nursing education program visits
license/certificate/recognition - $10.00 per 485:10-3-7. Appeal of decision of the Board
name
(E) Supervisory Physician - $10.00 485:10-3-1. Approval of nursing education
(F) Requested review of contact hours for programs
Prescriptive Authority - $70.00 (a) Purpose of approval. The purposes of approval
(G) Corporation certificate - $15.00 of nursing education programs are:
(H) Certificate for framing - $15.00 (1) to provide standards for legally recognizing
(I) Insufficient funds processing fee - new and established nursing education programs;
$25.00 (2) to ensure graduates are eligible to take the
(J) Facsimile (Fax) fee (per page) - $1.00 licensing examination;
(K) Oklahoma Nursing Practice Act, Rules (3) to ensure that graduates are prepared for
- $15.00 safe, current, and appropriate scope of practice
(L) Full survey visit to a nursing education relative to type of nursing education program and
program - $500.00 effective July 1, 2009 state laws governing nursing.
(M) Consultative visit to a nursing education (b) Categories of approval. The categories of
program - $250.00 effective July 1, 2009 approval are:
(4) Public access, open records. The following (1) Provisional Approval:
public access, open record fees shall be charged (A) is granted to new programs meeting the
by the Board: minimum standards;
(A) Certification of public records (per (B) is approval to admit students;
page) - $1.00
9
(C) is effective until the first licensing 485:10-3-2. Establishment of new nursing
examination results are received and education programs
evaluated by the Board. (a) Step I. Initial application.
(2) Full Approval: (1) An institution wishing to establish a new
(A) is granted to programs after an initial nursing education program shall advise the
survey visit, graduation of the first class, Board of its intent in writing, and shall seek
first licensing examination results are Board consultation in the initial planning.
reported, and evidence is provided that (2) The institution shall submit the Step I Initial
minimum standards are met; Application to the Board office at least four
(B) is renewed periodically or reinstated weeks prior to a regularly-scheduled Board
following evaluation by the Board. meeting, which provides the following
(3) Conditional Approval is granted to approved information for the Board's consideration:
programs subsequently failing to meet or (A) mission and organization of the
maintain minimum standards. educational institution;
(A) The Board shall notify a school by letter (B) accreditation status of the educational
of Conditional Approval, citing a specified institution;
time for corrective action. A period of one (C) type of nursing program to be
(1) year shall be the maximum time allowed established;
for the correction of deficiencies resulting in (D) relationship of nursing program to the
Conditional Approval. educational institution;
(B) A program placed on Conditional (E) documentation of the rationale for the
Approval may request Board action to establishment of the nursing program in
remove the conditional status when it can Oklahoma;
provide evidence that the deficiencies have (F) potential effect on other nursing
been corrected at any time prior to the time programs in the area;
limit established by the Board. (G) tentative time-table for program
(C) A program shall not admit new students development and implementation;
while on Conditional Approval without (H) source of potential qualified Nurse
authorization from the Board. Administrator and faculty, with projected
(D) A warning may be given allowing a times of employment;
program an opportunity to address (I) tentative budget plans including
deficiencies as identified by the Board prior evidence of financial resources adequate for
to being placed on Conditional Approval. A developing, implementing, and continuing
written report must be submitted to the the nursing program;
Board within four (4) months of receiving (J) source of anticipated student
the warning, and four (4) weeks prior to the population;
Board meeting. (K) description of support staff for the
(E) A change in a program's approval status proposed program;
shall not affect students who are eligible to (L) description of physical facilities;
take the first licensing examination (M) description of available clinical
following the change. resources with letters from clinical resources
(c) Withdrawal of approval. The nursing supporting development of a new program
education program that fails to correct deficiencies in nursing.
resulting in Conditional Approval shall be (3) The application shall be signed by the
discontinued as a State Approved Nursing Education controlling institution's administrative official
Program. Representatives from the program may with evidence that the institution is authorized to
attend the Board meeting when the program is offer educational programs in Oklahoma.
reviewed. Upon withdrawal of approval, students Regional accreditation is recommended for
shall be notified by the program that they will not be institutions offering programs in nursing
eligible, as a graduate of the nursing education education.
program, to be admitted to the licensing examination. (4) The Board shall advise the institution in
writing of its decision to:
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency): Amended at (A) approve proceeding with development
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
Amended at 18 Ok Reg 2707, eff 7-1-01] of the program-Step II; or
10
(B) defer approval pending a visit to the (6) Faculty qualification forms must be
institution and/or receipt of further submitted to the Board and qualified faculty
information; or employed at least thirty days prior to the
(C) deny approval specifying reasons for admission of students.
denial. (7) Progress reports shall be made by the Nurse
(b) Step II. Application for Provisional Approval. Administrator as requested by the Board while
(1) The institution shall employ a qualified on Provisional Approval.
Nurse Administrator ensuring adequate time is
provided to develop Step II. A consultative visit [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-1-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
will be conducted by Board staff at least one Amended at 22 Ok Reg 1345, eff 7-1-05; Amended at 25 Ok Reg 1416, eff
month prior to submission of the Step II 7-1-08]
application. A report of the findings from this
visit will be submitted to the Board with the Step 485:10-3-3. Closing of nursing education
II application. programs
(2) The Nurse Administrator shall prepare the (a) Methods.
following materials following the Guidelines for (1) When the decision to close a nursing
Provisional Approval for the Board's education program has been made, the program
consideration: shall advise the Board and submit a written plan
(A) philosophy, program and course for the discontinuation of the program. The
objectives; closure may be accomplished in one of two
(B) curriculum plan; ways:
(C) policy statements; (A) students may be transferred to another
(D) survey of clinical facilities and existing approved nursing education program; or
nursing education programs in the service (B) the nursing education program may
area, with evidence that a sufficient amount close gradually by discontinuing student
and variety of clinical experience is admissions and officially closing the nursing
available to support an additional nursing education program on the date that the last
education program in the service area; student completes the program.
(E) faculty qualifications, criteria and job (2) All the requirements and standards for
descriptions; students in the nursing education program shall
(F) budget plan projected for a three (3) be maintained until the last student is transferred
year period; or completes the nursing education program.
(G) learning resources; and (3) It is recommended that the transfer of
(H) institutional and program organizational students be accomplished in a manner which
plans. provides for a minimum loss of student time and
(3) At least four months prior to the anticipated credits earned.
admission of students and at least four weeks (b) Records.
prior to a regularly-scheduled Board meeting, the (1) The Board shall accept custody of records in
Nurse Administrator shall submit the the image format designated by the Board in
“Application for Provisional Approval” for accordance with the procedures in the Board
Board review. office as defined by the Archives and Records
(4) Nursing education and institutional Commission of the Oklahoma Department of
representatives may be present during the Board Libraries Archives Division. [74 O.S. Sections
meeting. The Board shall advise the institution 564-576]
in writing of its decision to: (2) The cost of formatting the record to the
(A) grant Provisional Approval, authorizing designated image and their transfer to the Board
the institution to proceed with office shall be the responsibility of the nursing
implementation of the nursing education education program.
program and admission of students; or
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
(B) defer Provisional Approval and 9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707. eff 7-1-01]
program implementation pending further
development; or 485:10-3-4. Change of ownership
(C) deny Provisional Approval. If an institution operating a nursing education
(5) The program cannot admit students until program should change ownership, the program
Provisional Approval is granted. automatically is removed from the list of Approved
Nursing Education Programs until the new governing
11
body has given to the Board, in writing, assurance (C) at least every five (5) years thereafter
that the minimum standards will be maintained. unless otherwise notified.
(D) Special and focused survey visits may
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at be directed by the Board.
9 Ok Reg 2103, eff 6-11-92]
(2) A self evaluation report shall be completed
485:10-3-5. Reports to the Board by the nursing education program and submitted
The Board shall take action on all reports as with the applicable fee thirty days prior to the
appropriate. survey visit.
(1) Faculty qualification report. (3) A draft of the survey visit report shall be
(A) A faculty qualification record shall be available to the nursing education program for
submitted for all instructional staff (full- additions and corrections.
time, part-time, classroom, or clinical), and (4) The final report of the survey visit including
shall include educational preparation and commendations, recommendations and the
employment experience. decision of the Board shall be provided to the
(B) The faculty qualification record shall be institution.
submitted within two weeks following the (b) Consultation visit. Consultation visits are
appointment by the Nurse Administrator on available to the nursing education programs upon
a form provided by the Board. written request giving the purpose for the visit and
(2) Enrollment and annual reports. are mandatory as indicated in 485:10-3-2 (b-1).
Enrollment and annual reports shall be submitted [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
in formats requested by the Board. 9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
(3) Special reports. Special reports to the Amended at 25 Ok Reg 1417, eff 7-1-08]
Board shall include but not be limited to:
(A) notifying in writing of administrative 485:10-3-7. Appeal of decision of the Board
changes relating to and affecting the Any nursing education program deeming itself
program; aggrieved by a decision of the Board shall have the
(B) requesting approval prior to right of appeal as provided in The Administrative
implementation for: Procedures Act.
(i) major curriculum changes that alter
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
the length of the program, substantially 9 Ok Reg 2103, eff 6-11-92]
change the objectives, reorganize the
course offerings, or reflect a significant
philosophical or conceptual shift; SUBCHAPTER 5. MINIMUM STANDARDS
(ii) extended, distance learning, or off- FOR APPROVED
campus offerings, when any nursing NURSING EDUCATION PROGRAMS
course is offered;
(iii) a significant change in instructional Section
format; 485:10-5-1. Philosophy and objectives
(iv) a pilot or experimental program. [REVOKED]
(4) Pass Rate Reports. Pass Rate Reports are 485:10-5-2. Administration and organization
required when the first-time NCLEX writer pass rate 485:10-5-3. Faculty [AMENDED AND
falls ten (10) percentage points or more below the RENUMBERED TO 485:10-5-5.2]
national average and at least ten candidates wrote the 485:10-5-3.1. Nursing administrator
examination (based on a calendar year.) [TERMINATED]
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
485:10-5-3.2. Nursing administrator for
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95; registered nurse programs
Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25 Ok Reg 1417, eff 485:10-5-4. Resources, facilities, and services
7-1-08]
485:10-5-5. Students
485:10-3-6. Nursing education program visits 485:10-5-5.1. Faculty [TERMINATED]
(a) Survey visit. 485:10-5-5.2. Faculty for registered nurse
(1) Each nursing education program shall be programs
surveyed: 485:10-5-6. Curriculum
(A) prior to receiving Full Approval; 485:10-5-7. Evaluation
(B) within three (3) years after receiving 485:10-5-8. Experimentation
initial Full Approval; and 485:10-5-9. Length of approved nursing
programs
12
485:10-5-10. Records Registered Nurse currently licensed in Oklahoma
485:10-5-11. Advisory committee [REVOKED] with the following qualifications:
485:10-5-12. Out-of-State nursing education (1) a minimum of a master's degree in nursing,
programs conducting clinical preferably an earned doctorate from a regionally
experiences in Oklahoma accredited institution;
(2) present evidence of current practice with a
485:10-5-1. Philosophy and objectives minimum of two (2) years full-time equivalent
[REVOKED] practice as a Registered Nurse in a clinical
setting preceding the first date of first
[Source: Revoked at 8 Ok Reg 3579, eff 9-20-91 (emergency); Revoked at 9 employment as a nursing faculty member; and
Ok Reg 2103, eff 6-11-92]
(3) one year teaching experience as a full-time
485:10-5-2. Administration and organization nursing faculty member in a nursing education
(a) The nursing education program shall be an program leading to licensure.
integral part of an educational institution authorized (b) The administrator of the nursing education
by the state to confer credentials in nursing. program, with institutional input, shall have the
Regional and national accreditation are desirable. authority and responsibility for:
(b) The nursing education program shall have (1) the administration of the nursing program;
comparable status with other programs in the (2) preparation and administration of the budget
institution and relationships shall be clearly for the nursing program;
delineated. (3) implementation of faculty development and
(c) The nursing education program shall be performance review;
organized with the lines of authority, responsibility, (4) recommendation of qualified faculty for
and channels of communication clearly defined. appointment, promotion, tenure (if applicable),
(d) Organization of the nursing education program and retention;
shall assure faculty involvement in determining (5) notification to the Board of faculty
nursing program policies and procedures and faculty appointments, changes in the program or its
responsibility for planning, implementing, and administration, and reports as directed by the
evaluating the curriculum. Board.
(e) Nursing education program policies and (c) If the Nurse Administrator has teaching or other
procedures shall be in written form, congruent with responsibilities, adequate time will be provided to
those of the controlling institution, and shall be fulfill administrative duties for the nursing education
reviewed periodically. program.
(f) The mission and philosophy of the nursing (d) An acting Nurse Administrator may be
education program shall be consistent with the appointed, after Board approval, to fill the position of
controlling institution's mission and philosophy and the Nurse Administrator, for a period of time not to
with the law governing the practice of nursing. exceed one (1) calendar year.
[Source: Added at 10 Ok Reg 1535, eff 4-26-93; Amended at 12 Ok Reg
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at 1463, eff 5-25-95; Amended at 19 Ok Reg 1461, eff 7-1-02; Amended at 22
9 Ok Reg 2103, eff 6-11-92; Amended at 19 Ok Reg 1461, eff 7-1-02; Ok Reg 1345, eff 7-1-05; Amended at 25 Ok Reg 1417, eff 7-1-08]
Amended at 22 Ok Reg 1345, eff 7-1-05]
485:10-5-3. Faculty [AMENDED AND 485:10-5-4. Resources, facilities, and services
RENUMBERED TO 485:10-5-5.2] (a) The nursing education program shall receive
adequate financial support for faculty, other
[Source: Amended and renumbered to 485:10-5-5.1 at 8 Ok Reg 3579, necessary personnel, equipment, supplies, learning
eff 9-20-91 through 5-29-92 (emergency); Amended and renumbered to resources, and services, in accord with the program
485:10-5-5.2 at 10 Ok Reg 1536, eff 4-26-93]
needs.
(b) Sufficient secretarial and related clerical services
485:10-5-3.1. Nursing administrator
shall be provided to ensure appropriate use of faculty
[TERMINATED]
time and talents.
[Source: Added at 8 Ok Reg 3579, eff 9-20-91 through 5-29-92 (c) Adequate facilities, including classrooms,
(emergency)] conference rooms, clinical skills laboratories, and
offices shall be available to meet the needs of the
485:10-5-3.2. Nursing administrator for nursing education program.
nursing education programs (d) Library space shall be adequate for size of
(a) The nursing education program leading to nursing education program; and holdings shall be
registered nurse licensure shall be administered by a current, appropriate and adequate for the type of
13
nursing education program, accessible to students and
faculty, and provisions made for regular and current 485:10-5-5. Students
acquisitions to holdings. (a) Admission, readmission, progression, retention,
(e) Clinical skills laboratory equipment and supplies dismissal and graduation requirements shall be:
should be up-to-date, accessible to students and (1) developed by the faculty;
faculty, and appropriate for the level of nursing (2) supported by administration;
education, so that students will have adequate (3) made available to the applicants and
opportunity to practice psychomotor skills. students in written form;
(f) Current and adequate audiovisual and computer- (4) congruent with those of the controlling
assisted instructional resources shall be available to institution, with differences being justified by the
assist students to meet their learning objectives. nature of the program;
(5) appropriate for type of nursing education
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at program;
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
Amended at 19 Ok Reg 1461, eff 7-1-02; Amended at 24 Ok Reg 1439, eff (6) selective enough to distinguish students
7-1-07] capable of achieving program objectives;
(7) reflective of up-to-date educational
485:10-5-4.1. Clinical learning experiences practices;
(a) An adequate amount and variety of clinical (8) based on objective criteria and supported by
learning experience to prepare students for practice at a logical rationale, and implemented fairly and
the appropriate educational level shall be planned by consistently;
the faculty. (9) appropriate to ensure that the program is
(b) Clinical facilities utilized shall provide a safe able to maintain an acceptable completion rate
environment for students' learning experiences and and licensing examination pass rate.
shall provide the type of experiences needed to meet (b) Facilities and services of the controlling
the objectives of the rotation. institution shall be publicized and made available to
(c) Written criteria for the selection of clinical nursing students in order to assist them to meet their
facilities shall be utilized by the faculty, and the learning objectives.
faculty shall evaluate the quality of the learning (c) There shall be written policies for student
experiences provided by the facility on a regular welfare including health, safety, students rights and
basis. responsibilities, financial aid, and an appropriate
(d) Written agreements with cooperating agencies appeal process.
shall be mutually developed and maintained, annually (d) Advanced placement policies shall be written
reviewed, shall specify the respective responsibilities, and employed, allowing fair, consistent, valid, and
and include provisions for continuing use by defensible evaluation of students' didactic knowledge
currently enrolled students. and clinical competence.
(e) Cooperating agencies shall be acceptable to the (e) Students shall be informed of fees and expenses
Board for students' clinical learning and shall be associated with the nursing education program.
approved by accreditation, evaluation or licensing
bodies as appropriate. [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
(f) The maximum ratio of faculty to students in Amended at 19 Ok Reg 1461, eff 7-1-02]
clinical areas involving direct care of patients or
clients shall be defensible in light of safety, learning 485:10-5-5.1. Faculty [TERMINATED]
objectives, students' level, and patient acuity.
(g) Clinical preceptors may be used for supervision [Source: Amended and renumbered from 485:10-5-3 at 8 Ok Reg 3579, eff
of students in community health, 9-20-91 through 5-29-92 (emergency)]
leadership/management, independent study, elective
courses, home health and selected hospitals and long- 485:10-5-5.2. Faculty for nursing education
term care facility experiences consistent with Board programs
policy. (a) There shall be sufficient number of qualified
(h) Clinical skills laboratory experiences, which may full-time faculty to meet the purpose and objectives
include simulated patient care experiences, shall be of the nursing program.
developed, implemented, and evaluated by the (b) Qualifications, rights, and responsibilities of
faculty to facilitate student preparation for clinical faculty members shall be available in writing.
learning experiences. (c) Faculty policies shall be available in writing,
shall include those used in evaluating performance,
[Source: Added at 19 Ok Reg 1461, eff 7-1-02; Amended at 24 Ok Reg specify the teaching load for the faculty and Nurse
1439, eff 7-1-07]
14
Administrator, and be in keeping with accepted
educational standards. 485:10-5-6. Curriculum
(d) Sufficient time shall be provided faculty to (a) The curriculum shall be planned, developed,
accomplish those activities related to the teaching- implemented, and evaluated by the faculty with
learning process. opportunities for input from students, graduates, and
(e) All nurse faculty shall: employers.
(1) hold a valid license to practice as a (b) The curriculum plan shall be based upon the
Registered Nurse in the State of Oklahoma; mission, philosophy and objectives of the program
(2) present evidence of current practice with a and supported by a logical rationale for organizing
minimum of two (2) years full-time equivalent and sequencing the content. Classroom content shall
practice as a Registered Nurse in a clinical be taught concurrently with or prior to related clinical
setting preceding the first date of first experiences.
employment as a teacher; (c) A syllabus shall be made available to students at
(3) submit a Faculty Qualification Record to the the beginning of each course, and shall include
Board office within two weeks of day of course objectives, methods of instruction and
appointment, and anytime that an advanced evaluation, an outline of content, and, when
degree is attained; appropriate, a schedule for course activities.
(4) participate in research projects, surveys, (d) The curriculum of registered nursing programs
professional writing, continuing education, shall prepare the graduate for licensure and the full
academic study, or clinical practice to improve scope of practice as a Registered Nurse, as defined in
own nursing competence in areas of state law, and shall address the NCLEX-RN test
responsibility. content, current standards for nursing practice, and
(f) All programs leading to licensure as a Registered expected competencies of graduates at the
Nurse in this state shall establish comparable appropriate educational level. The curriculum shall
educational qualifications for the nursing faculty as include, but not be limited to:
required for other teaching faculty in the controlling (1) principles and clinical practice in utilization
institution. The minimum requirements shall be as of scientific problem solving for the attainment
follows: and maintenance of physical and mental health
(1) a master's or higher degree in nursing; or and the prevention of illness for individuals and
(2) a baccalaureate degree in nursing plus groups throughout the life process in a variety of
evidence of continued progress toward a master's settings, including clinical practice in nursing
or higher degree in nursing with completion of a care of the adult, nursing care of children,
minimum of six (6) semester hours per calendar maternal-infant nursing, and psychiatric-mental
year; and health nursing;
(3) at least one-half of the full-time faculty (2) incorporation of principles of nutrition,
having a master's or higher degree in nursing; pharmacology, growth and development, and
and ethical, legal, and professional roles of the
(4) part-time clinical instructors, regardless of registered nurse; and
title used, having a minimum of a baccalaureate (3) supporting content from biological and
degree in nursing. physical sciences, social and behavioral sciences,
(g) There shall be a faculty organization with written and the humanities.
policies and procedures to guide its activities and (e) The curriculum of practical nursing programs
shall: shall prepare the graduate for licensure and the full
(1) hold regular meetings for all members to scope of practice as a practical nurse, as defined in
participate in planning, developing, state law, and shall address the NCLEX-PN test
implementing, and evaluating the nursing content, current standards for practical nursing
program; practice, and expected competencies of practical
(2) establish committees as necessary to carry nursing graduates. The curriculum shall include, but
out the functions of the program; not be limited to:
(3) provide for student participation; and (1) principles and clinical practice in utilization
(4) maintain minutes of all meetings of the nursing process, within the scope of
documenting actions and decisions of the practice as a practical nurse, to assist clients in
faculty. all age groups to meet relatively stable nursing
requirements and to assist the Registered Nurse
[Source: Amended and renumbered from 485:10-5-3 at l0 Ok Reg 1535, eff in complex nursing situations, including clinical
4-26-93; Amended at 12 Ok Reg 1463, eff 5-25-95; Amended at 19 Ok Reg
1461, eff 7-1-02]
15
practice in nursing care of the adult, nursing care (5) provide evidence that students are notified in
of children, and maternal-infant nursing; a timely manner of their progress in the
(2) incorporation of basic concepts of anatomy classroom and clinical area.
and physiology and related sciences, nutrition,
pharmacology, growth and development, mental [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 19 Ok Reg 1461, eff 7-1-02:
health concepts, and ethical, legal, and Amended at 22 Ok Reg 1345, eff 7-1-05]
professional roles of the practical nurse;
(f) A variety of instructional methods, based upon 485:10-5-8. Experimentation
authenticated educational principles, shall be used to A nursing education program which wishes to initiate
provide for individual learning needs. Programs an experimental program or innovative approach
offering non-traditional learning options to facilitate shall apply to the Board in writing for the approval of
instruction shall establish policies and procedures in its plan. Nursing education programs approved to
accordance with the Board's guidelines. implement innovative approaches shall continue to
provide quality nursing education that prepares
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
graduates to practice safely, competently, and
Amended at 19 Ok Reg 1461, eff 7-1-02; Amended at 20 Ok Reg 1006, eff ethically within the scope of practice as defined in
7-1-03; Amended at 24 Ok Reg 1439, eff 7-1-07] Oklahoma’s statutes.
(1) Purposes
485:10-5-7. Evaluation (A) To foster innovative models of nursing
(a) Program. education to address the changing needs in
(1) There shall be a written systematic program health care.
evaluation plan that effectively supports the (B) To assure that innovative approaches
planning process for the program and specifies are conducted in a manner consistent with
responsibilities, time-frames and procedures for the Board’s role of protecting the public.
evaluating each aspect of the program; (C) To assure that innovative approaches
(2) Evaluation of the program shall include, but conform to the quality outcome standards
not be limited to, administration and and core education criteria established by
organization, clinical facilities, physical facility, the Board.
learning resources, student services, student and (2) Eligibility
faculty policies and procedures, curriculum, (A) The nursing education program shall
methods of evaluation, and program outcomes hold full Board approval with no warnings
(including data related to factors impacting with unmet conditions or survey visit
completion rate and NCLEX pass rate). recommendations that are unmet.
(3) Opportunities shall be provided for input (B) There are no substantiated complaints in
into the evaluation process by students, faculty, the past 2 years.
and clinical staff and/or employers of graduates. (C) There are no rule violations in the past 2
(4) There shall be methodical documentation of years.
the evaluation activity, including summaries of (3) Application. The following information
results of surveys and outcome measurements. shall be provided to the Board at least one
Actions taken as a result of the evaluation month prior to a Board meeting:
activity will be documented and will reflect the (A) Identifying information (name of
evaluation findings. nursing program, address, responsible party
(b) Students. Evaluation of student achievement and contact information).
shall be the responsibility of the faculty, and shall: (B) A brief description of the current
(1) be consistent with policies of controlling program, including accreditation and Board
institution, with differences justified by the approval status.
nature of the program; (C) Identification of the regulation(s)
(2) provide valid and reliable evidence of affected by the proposed innovative
student's progress and achievement; approach.
(3) adequately discriminate between students (D) Length of time for which the innovative
with differing levels of achievement; approach is requested.
(4) measure competencies essential for safe and (E) Description of the innovative approach,
effective nursing practice appropriate to type of including objective(s).
nursing education program; and (F) Explanation of how the proposed
innovation differs from approaches in the
current program.
16
(G) Rationale with available evidence (iv) Deny the application.
supporting the innovative approach. (6) The Board may rescind the approval or
(H) Identification of resources that require the program to make modifications if:
support the proposed innovative (A) The Board receives substantiated
approach. evidence indicating adverse impact.
(I) Expected impact innovative approach (B) The nursing education program fails
will have on the program, including to implement the innovative approach as
administration, students, faculty, and presented and approved.
other program resources. (C) The nursing education program has a
(J) Plan for implementation, including change in its approval status, its
timeline. ownership status or administrative
(K) Plan for evaluation of the proposed structure, or its faculty, such as would
innovation, including measurable significantly impact its ability to
criteria/outcomes, method of evaluation, implement the innovative approach.
and frequency of evaluation. (7) Periodic Evaluation
(L) Additional application information as (A) The education program shall submit
requested by the Board. progress reports conforming to the
(4) Standards for approval evaluation plan annually or as requested
(A) Eligibility criteria in (2) and by the Board.
application criteria in (3) are met. (B) The final evaluation report shall
(B) The innovative approach will not conform to the evaluation plan, detailing
compromise the quality of education or and analyzing the outcomes data.
safe practice of students. (C) If any report indicates that students
(C) Resources are sufficient to support the were adversely impacted by the
innovative approach. innovation, the nursing program shall
(D) Rationale with available evidence provide documentation of corrective
supports the implementation of the measures and their effectiveness.
innovative approach. (8) Requesting continuation of the innovative
(E) Implementation plan is reasonable to approach. If the innovative approach has
achieve the desired outcomes of the achieved the desired outcomes and the final
innovative approach. evaluation has been submitted, the Board may
(F) Timeline provides for a sufficient consider a change in the rules that would provide
period to implement and evaluate the for implementation of the innovative approach
innovative approach. by nursing education programs.
(G) Plan for periodic evaluation is
comprehensive and supported by [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 27 Ok Reg 1025, eff 7-1-10]
appropriate methodology.
(5) Review of application and board action 485:10-5-9. Length of approved nursing
(A) Annually the Board may establish the programs
number of innovative approach (a) College or university nursing education
applications it will accept, based on programs shall have a minimum of two (2) academic
available Board resources. years with at least 64 semester hours and a plurality
(B) The Board shall evaluate all of the hours in the nursing major not to exceed five
applications to determine if they meet the (5) semesters for associate degree and ten (10)
eligibility criteria in (2) and the standards semesters for baccalaureate degree of full-time study,
established in (3). including nursing education program pre-requisites.
(C) Based on its evaluation, the Board (b) Practical nursing education programs shall have
may: a minimum of 1300 clock hours or 32 semester credit
(i) Approve the application; or hours in practical nursing education, including
(ii) Approve the application with classroom, clinical, and laboratory courses; and not to
modifications as agreed between exceed 1600 clock hours or 40 semester credit hours.
the Board and the nursing (c) The total number of hours and ratio between
education program; or nursing and non-nursing courses shall be:
(iii) Defer a decision on the (1) based on a rationale to ensure sufficient
application pending receipt of preparation for the safe and effective practice of
additional information; or nursing;
17
(2) appropriate for the type of nursing education (4) If precepted clinical experiences are
program; requested, the program will ensure they are
(3) reflect educational practices of controlling conducted in accordance with the Board's policy.
institution; and (c) Registered Nurses enrolled in out-of-state
(4) conform to current beliefs about nursing advanced practice educational programs may
education. participate in clinical experiences and clinical
preceptorship in Oklahoma as part of the advanced
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at practice educational program, under the following
9 Ok Reg 2103, eff 6-11-92; Amended at 19 Ok Reg 1461, eff 7-1-02]
conditions:
485:10-5-10. Records (1) The advanced practice student has an
(a) Student. There shall be a record-keeping system Oklahoma license to practice registered nursing,
that provides for accurate recording and safe and
preservation of student and graduate records related (2) The advanced practice educational program
to admission, progress, withdrawal, academic failure, meets the requirements established by the
and graduation. Oklahoma Board of Nursing for educational
(b) Faculty. There shall be faculty records that preparation of advanced practice registered
provide for verification of academic credentials and nurses.
course work, current licensure as a Registered Nurse, [Source: Added at 22 Ok Reg 1345, eff 7-1-05; Amended at 24 Ok Reg
continuing education, clinical practice, and periodic 1439, eff 7-1-07]
performance evaluation.
(c) Administrative. Administrative records shall
include general nursing education program records, SUBCHAPTER 7. REQUIREMENTS FOR
minutes of faculty and committee meetings, reports REGISTRATION AND
to the controlling board and program bulletins. LICENSURE AS A REGISTERED NURSE
(d) Program bulletin. The program bulletin shall Section
be current and give an accurate description of the 485:10-7-1. Licensure by examination
nursing education program. 485:10-7-2. Licensure by endorsement
485:10-7-3. Renewal of license
[Source: Amended at 18 Ok Reg 3579, eff 9-20-91 (emergency); Amended 485:10-7-4. Reinstatement of license
at 19 Ok Reg 2103, eff 6-11-92]
485:10-7-5. Inactive status
485:10-5-11. Advisory committee 485:10-7-6. Duplicate license card
[REVOKED] 485:10-7-7. Replacement certificate of
licensure
[Source: Amended at 18 Ok Reg 3579, eff 9-20-91 (emergency); Amended 485:10-7-8. Endorsement of a Registered Nurse
at 19 Ok Reg 2103, eff 6-11-92; Revoked at 31Ok Reg 1345, eff 7 -1-05] to another state
485:10-7-9. Change of name and address
485:10-5-12. Out-of-State nursing education
programs conducting clinical experiences in 485:10-7-1. Licensure by examination
Oklahoma (a) Qualifications. An applicant for licensure by
(a) Nursing education programs leading to initial examination as a Registered Nurse must meet the
licensure that wish to conduct clinical experiences in following qualifications:
Oklahoma must obtain prior permission from the (1) Submits an application containing such
Board. information as the Board may prescribe.
(b) To apply for permission from the Board, the (2) Submits proof satisfactory to the Board in
program must submit a letter of request to the Board such manner and upon such forms as the Board
and provide evidence that the following standards may require to show that the applicant has
will be met: completed the basic professional curricula of a
(1) The program must be on full approval status state Board-approved registered nursing
with the board of nursing in another member education program conducted in a member board
board jurisdiction; jurisdiction that meets the requirements of
(2) The program will provide for supervision of 485:10-5-6 (d-1, 2, and 3), and holds or is
students while in the clinical area by a nursing entitled to hold a diploma or degree therefrom.
faculty member licensed in Oklahoma; (b) Applications.
(3) A written clinical affiliation agreement with (1) Applications for licensure by examination
the clinical facility will be in place; and must be completed, notarized, and filed with the
Board prior to the examination. If the application
18
is not completed within one (1) year, a new
application and new fee will be required. 485:10-7-2. Licensure by endorsement
(2) One (1) photograph signed by the applicant (a) Qualifications.
must be filed with the application. (1) The applicant must submit an application
(c) Admission to the examination. The candidate containing such information as the Board may
must register with the authorized testing service and prescribe.
submit the required fee. An authorization to test will (2) An applicant for licensure by endorsement
be issued by the testing service allowing the as a Registered Nurse must meet the
candidate to schedule the examination. requirements of the Oklahoma Nursing Practice
(d) Fee for examination. Act. An evaluation of educational requirements
(1) The fee for writing the licensing may be completed to ensure the applicant meets
examination adopted by the Board for Registered educational standards.
Nurse licensure shall be established by the Board (3) An applicant licensed in another state or
in accordance with statutory guidelines and shall U.S. territory since January 1, 1952 must have
accompany the application. written the licensing examination adopted by the
(2) The fee for rewriting the licensing Board with a passing score as established by the
examination adopted by the Board for Registered Board. A license to practice nursing in
Nurse licensure shall be the same as the fee Oklahoma will not be issued until this
established for the first-time writing. requirement is met.
(3) The fee for the examination is not (4) An applicant must submit evidence of either:
refundable. (A) successful completion of the National
(e) Policies for the examination. Council Licensure Examination for
(1) Applicants must pass the National Council Registered Nurses since July 1, 1982; or
Licensure Examination for Registered Nurses (B) passing the State Board Test Pool
(NCLEX-RN). Examination for Registered Nurse licensure
(2) Applicants who fail the NCLEX-RN may be prior to July 1, 1982.
eligible to repeat the examination upon filing an (5) In addition to meeting other requirements
application and fee, and upon meeting Board for endorsement established by the Board in
requirements. these rules, effective January 1, 2005, each
(3) To be eligible to write or rewrite the applicant for endorsement must demonstrate
NCLEX-RN, the applicant must submit a evidence of continued qualifications for practice
completed application, transcript, and fee to the through completion of one or more of the
Board and a completed registration form and fee following requirements within the last two (2)
to the authorized testing service within two years years prior to receipt of the completed
of completion of the nursing education program. application in the Board office:
If more than two years has elapsed, the applicant (A) Submission of an official transcript or
must complete additional education as follows: certificate of completion verifying
(A) Successfully complete a Board- completion of a nurse refresher course with
approved refresher course in accordance content consistent with Board policy;
with the Board's policy; or (B) Successfully pass the National Council
(B) Successfully complete nursing didactic Licensure Examination for Registered
coursework and faculty-supervised clinical Nurses;
experience in a board-approved nursing (C) Submission of an official transcript
education program at the appropriate verifying successful completion of at least
educational level, to include at least 80 seven (7) academic semester credit hours of
hours in classroom and skills laboratory nursing courses which include classroom
review and at least 80 hours participating in and clinical instruction; and/or
patient care activities in the clinical setting. (D) Present evidence of licensure as a
(4) After completion of the required additional registered nurse in another state with
education, the applicant will have two years from employment in a position that requires
the completion date of the additional education nursing licensure with verification of at least
to take and pass the NCLEX-RN. 520 work hours during the past two (2)
years.
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at (6) Applicants for endorsement who took the
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 20 Ok Reg 1006, eff National Council Licensure Examination for
7-1-03; Amended at 22 Ok Reg 1345, eff 7-1-05; Amended at 24 Ok Reg
1439, eff 7-1-07; Amended at 25 Ok Reg 1417, eff 7-1-08]
19
Registered Nurses for initial licensure within the (i) a translated transcript with certified
last two years must: proof of translation received directly
(A) Provide evidence of completion of the from the nursing education program in
nursing education program within two years the original country of licensure, or
of initial application for licensure by (ii) a certified copy of original
examination; or transcript obtained directly from the
(B) Provide evidence of at least six months Commission of Graduates of Foreign
work experience as a registered nurse in the Nursing Schools (CGFNS)
state, U.S. territory, or country of original (C) licensure in country of graduation as
licensure. evidenced by official verification received
(b) Applications. directly from the Commission of Graduates
(1) Applications must be completed, notarized of Foreign Nursing Schools;
and accompanied by a photograph signed by the (D) current competence in oral and written
applicant and filed with the Board. English as evidenced by receipt of current,
(2) Endorsement may be accepted from the valid scores directly from the approved
original state or U.S. territory of licensure by testing service verifying successful
examination. completion of:
(3) If the applicant has written the licensing (i) Test of English as a Foreign
examination adopted by the Board in a state Language (TOEFL) and Test of Spoken
other than the state or U.S. territory of original English (TSE) and Test of Written
licensure, an endorsement will be requested from English (TWE) of the Educational
that state, also. Testing Service, or
(4) If the application is not completed within (ii) Test of English for International
one (1) year after receipt of fee, the application Communication (TOEIC) and Test of
must be refiled. Spoken English and Test of Written
(c) Fee for licensure by endorsement. English of the Educational Testing
(1) The fee shall accompany the application. Service, or
(2) The fee is not refundable. (iii) International English Language
(3) If the application is not completed within Testing System (IELTS), or
one (1) year, a new application and new fee will (iv) Test of English as a Foreign
be required for licensure. Language Internet-based test (TOEFL
(d) Qualifications for applicants educated in iBT) of the Educational Testing
foreign countries or in a U.S. territory. An Service.
applicant educated in a foreign country must meet the (E) An evaluation of educational credentials
current educational requirements for licensure in as evidenced by:
Oklahoma. An applicant educated in a U.S. territory (i) CGFNS Certificate Status or Visa
not recognized as a full member of National Council Screen Certificate or
of State Boards of Nursing (NCSBN) must meet the (ii) CGFNS Healthcare Profession and
requirements for applicants educated in foreign Science Course-by-Course Report;
countries. An applicant educated in a U.S. territory (iii) Reports received from CGFNS
that is a full member of NCSBN but in a nursing must have been completed within the
education program not included on the NCSBN state- five (5) years immediately preceding
approved programs of nursing list at the time of the the date of application for licensure by
applicant’s graduation from the program must meet endorsement. The five-year requirement
the requirements for applicants educated in foreign is waived if the applicant holds a license
countries. in another state.
(1) The applicant must present evidence of: (F) Evidence of either:
(A) graduation from a government- (i) successful completion of the
approved nursing education program, as National Council Licensure
verified from the Commission of Graduates Examination for Registered Nurses
of Foreign Nursing Schools (CGFNS); since July 1, 1982; or
(B) completion of formal courses including (ii) passing the State Board Test Pool
theory and clinical experience in nursing Examination for Registered Nurse
care of the adult, nursing care of children, licensure prior to July 1, 1981;
maternal-infant nursing, psychiatric-mental
health nursing as evidenced by:
20
(2) The requirements for competence in spoken (D) Payment of the fee for licensure by
and written English are waived for applicants endorsement and temporary license;
who are: (E) Foreign-educated applicants must
(A) Graduates of nursing education provide evidence of current competence in
programs taught in English in Australia, oral and written English by meeting the
Canada (except Quebec), Ireland, New requirements of 485:10-7-2(d)(1)(D)(i-iv);
Zealand, the United Kingdom, Trinidad, and
Tobago, Jamaica, Barbados, South Africa, (F) Certification of employment in a
and the United States. position that requires nursing licensure as a
(B) Licensed in another US State or registered nurse for a minimum of 520 work
Territory, have successfully completed the hours in the past two years.
licensure examination approved by the (2) The temporary license may not be issued for
Board and provide evidence of at least one a period longer than ninety (90) days.
year full-time equivalent work experience in (3) The temporary license may be extended, but
a clinical setting as a registered nurse in the such period shall be no longer than one (1) year
state of licensure. for any applicant.
(3) Applicants must submit a completed
application and the required fee. [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00;
(e) Temporary license for endorsement Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 21 Ok Reg 1415, eff
applicants. 7-1-04; Amended at 22 Ok Reg 1345, eff 7-1-05; Amended at 23 Ok Reg
1453, eff 7-1-06; Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25
(1) A temporary license may be issued to the Ok Reg 1418, eff 7-1-08; Amended at 27 Ok Reg 1028, eff 7-1-10]
applicant on proof of
(A) Current unrestricted licensure in 485:10-7-3. Renewal of license
another state with no history of arrest or (a) All Registered Nurse licenses issued may be
disciplinary action requiring further renewed in accordance with the schedule published
review; by the Board.
(B) Evidence of having successfully (b) The applicant must submit an application
passed the licensure examination adopted containing such information as the Board may
by the Oklahoma Board of Nursing; prescribe.
(C) Evidence of meeting educational (c) The application for renewal of license must be
qualifications through completion of a completed and accompanied by the established fee
state board-approved nursing education before a new license is issued.
program meeting the educational (d) The fee for renewal of license shall be
standards established by the Board, or an established by the Board in accordance with statutory
evaluation of educational credentials and guidelines.
nursing licensure in country of origin for
the foreign-educated nurse as evidenced [Source: Amended at 8 Ok Reg 3579, eff 9-20-91(emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 22 Ok Reg 1345, eff 7-1-05;
by: Amended at 25 Ok Reg 1420, eff 7-1-08]
(i) Commission on Graduates of
Foreign Nursing Schools (CGFNS) 485:10-7-4. Reinstatement of license
Healthcare Profession and Science (a) The Registered Nurse license is lapsed if not
Course-by-Course Report with renewed by expiration date thereof.
verification of equivalent (b) The applicant must submit an application
educational credentials and containing such information as the Board may
unrestricted licensure in country of prescribe.
origin, or (c) A completed application for reinstatement must
(ii) Commission on Graduates of be submitted to the Board office with the required
Foreign Nursing Schools (CGFNS) fee. If the application is not completed within one (1)
Certificate status or Visa Screen year, a new application and new fee will be required.
Certificate, accompanied by a (d) The fee for reinstatement of license shall be
verification of graduation from a established by the Board.
government approved nursing (e) An application for reinstatement for a license
education program, the translated that has been suspended or surrendered must be in
transcript, and verification of compliance with all terms and conditions of any
unrestricted nursing licensure in Order entered with regard to the suspension or
country of graduation; surrender and shall be considered by the Board.
21
(f) An application for reinstatement of a license that (e) An application for return to active status for a
has been revoked by the Board shall be considered by license that has been placed on Inactive Status by
the Board. Order of the Board shall be considered by the Board.
(g) An application for reinstatement for a license not (f) In addition to meeting other requirements to
previously revoked, suspended or surrendered may be return to active status as established by the Board in
granted on such terms and conditions as the Board these rules, effective January 1, 2005, if the nursing
may require. license has been on the Inactive List for a period of
(h) In addition to meeting other reinstatement two (2) years or more, the licensee must demonstrate
requirements established by the Board in these rules, continued qualifications for practice through
effective January 1, 2005, if the Oklahoma nursing completion of one or more of the following
license has not been in an active licensure status for a requirements within the last two (2) years prior to
period of two (2) years or more, the applicant for receipt of the completed application in the Board
reinstatement must demonstrate continued office:
qualifications for practice through completion of one (1) Submission of an official transcript or
or more of the following requirements within the last certificate of completion verifying completion of
two (2) years prior to receipt of the completed a nursing refresher course with content
application in the Board office: consistent with Board policy;
(1) Submission of an official transcript or (2) Successfully pass the National Council
certificate of completion verifying completion of Licensure Examination for Registered Nurses;
a nurse refresher course with content consistent (3) Submission of an official transcript
with Board policy; verifying successful completion of at least seven
(2) Successfully pass the National Council (7) academic semester credit hours of nursing
Licensure Examination for Registered Nurses; courses which include classroom and clinical
(3) Submission of an official transcript instruction; and/or
verifying successful completion of at least seven (4) Present evidence of licensure as a nurse in
(7) academic semester credit hours of nursing another state with employment in a position that
courses which include classroom and clinical requires nursing licensure with verification of at
instruction; and/or least 520 work hours during the past two (2)
(4) Present evidence of licensure as a registered years preceding receipt of the request for return
nurse in another state with employment in a to active status in the Board office.
position that requires nursing licensure with
verification of at least 520 work hours during the [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
past two (2) years preceding receipt of the Amended at 21 Ok Reg 1415, eff 7-1-04; Amended at 22 Ok Reg 1345, eff
application for reinstatement in the Board office. 7-1-05; Amended at 25 Ok Reg 1420, eff 7-1-08]
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at 485:10-7-6. Duplicate license card
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
Amended at 20 Ok Reg 1006, eff 7-1-03; Amended at 21 Ok Reg 1415, eff
(a) One duplicate Registered Nurse license card may
7-1-04; Amended at 22 Ok Reg 1345, eff 7-1-05; Amended at 25 Ok Reg be issued per renewal cycle.
1420, eff 7-1-08] (b) If a license card is lost, stolen or destroyed, the
licensee must submit written evidence of the situation
485:10-7-5. Inactive status and a duplicate license may be issued for a fee as
(a) Any Registered Nurse licensee who desires to established by the Board. A duplicate license card
retire from the practice of nursing shall submit a will be issued upon notification by the licensee of a
written request to be placed on the Inactive List. name change.
(b) The date of transfer to the inactive status will be (c) If a license card is not received and the Board
the date of approval by the Board. The Board may office receives written notification within ninety (90)
delegate approval of the licensee’s request to be days of date of issuance, a duplicate license may be
placed on inactive status to the Board Staff. issued without fee.
(c) A licensee shall remain on the Inactive List
unless otherwise indicated without the payment of the [Source: Amended at 17 Ok Reg 1362, eff 7-1-00; Amended at 19 Ok Reg
renewal fee. 1465, eff 7-1-02; Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25
Ok Reg 1420, eff 7-1-08]
(d) The return to active fee shall be due when the
licensee desires to return to active practice. The 485:10-7-7. Replacement certificate of
applicant must submit an application containing such licensure
information as the Board may prescribe. (a) A replacement certificate of licensure as a
Registered Nurse may be issued when the licensee
22
notifies the Board, by notarized statement, that the
original certificate of licensure has been lost, stolen, 485:10-9-1. Licensure by examination
or destroyed. (a) Qualifications. An applicant for licensure by
(b) The certificate shall be marked "Replacement" examination as a Licensed Practical Nurse must meet
and date of issuance indicated. the following qualifications:
(c) The fee for a replacement certificate of licensure (1) has received a high school diploma or a high
shall be established by the Board. school equivalency certificate (GED), or meets
criteria for an Adult High School Diploma;
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at (2) submits an application containing such
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00]
information as the Board may prescribe;
485:10-7-8. Endorsement of a Registered (3) submits proof satisfactory to the Board in
Nurse to another state such manner and upon such forms as the Board
(a) A Registered Nurse wishing to be licensed in may require to show that the applicant has
another state may have a certified statement of completed the basic curricula of a state Board-
Oklahoma licensure issued to the Board of Nursing in approved practical nursing education program
such state upon payment of a fee as established by conducted in a member board jurisdiction that
the Board. meets the requirements of 485:10-5-6 (e-1, 2),
(b) If a transcript is provided from the files of a and holds or is entitled to hold a diploma or
closed nursing education program, a fee as degree therefrom;
established by the Board will be charged. (4) has completed equivalent courses through
one of the following methods:
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at (A) in a state approved program of nursing
9 Ok Reg 2103 eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00] with a minimum overall grade point average
of 2.0, and a grade of a “C” or higher in all
485:10-7-9. Change of name and address nursing courses. Evidence must be provided
(a) Each Registered Nurse licensee must provide that verifies successful completion of a
certified evidence (a copy of marriage license or minimum of one academic year of
court action) regarding any change of name within 30 instruction in a registered nursing education
days of the change. program, including classroom instruction
(b) Evidence of change of name shall be and clinical practice in nursing care of the
accompanied by a fee as established by the Board. adult, nursing care of children, and
(c) Notice of change of address must be submitted in maternal-infant nursing. Course content in
writing by each licensee within 30 days of the anatomy and physiology, growth and
change. development, mental health, pharmacology
and nutrition also must have been
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00; successfully completed. Courses in external
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 24 Ok Reg 1439, eff degree programs or completed by challenge
7-1-07]
examination are not acceptable for PN
equivalency; or
(B) has completed a registered nursing
SUBCHAPTER 9. REQUIREMENTS FOR education program in a foreign country and
REGISTRATION AND meets the requirements of 485:10-7-2(d).
LICENSURE AS A LICENSED PRACTICAL (5) Board-approved role transition learning
NURSE packet related to legal and ethical aspects of
practical nursing must be successfully completed
Section by all PN equivalency applicants prior to
485:10-9-1. Licensure by examination approval to write the examination for licensure.
485:10-9-2. Licensure by endorsement (b) Applications.
485:10-9-3. Renewal of license (1) Applications for licensure by examination
485:10-9-4. Reinstatement of license must be completed, notarized and filed with the
485:10-9-5. Inactive status Board prior to the examination. If the
485:10-9-6. Duplicate license card application is not completed within one (1) year,
485:10-9-7. Replacement certificate of a new application and new fee will be required.
licensure (2) One (1) photograph signed by the applicant
485:10-9-8. Endorsement of a Licensed must be filed with the application.
Practical Nurse to another state
485:10-9-9. Change of name and address
23
(c) Admission to the examination. The candidate (a) Qualifications.
must register with the authorized testing service and (1) The applicant must submit an application
submit required fee. An authorization to test will be containing such information as the Board may
mailed to the candidate by the testing service prescribe.
allowing them to schedule the exam. (2) An applicant for licensure by endorsement
(d) Fee for examination. as a Licensed Practical Nurse shall meet the
(1) The fee for writing the licensing requirements of the Oklahoma Nursing Practice
examination adopted by the Board for practical Act. An evaluation of educational requirements
nurse licensure shall be established by the Board may be completed to ensure the applicant meets
in accordance with statutory guidelines and shall educational standards.
accompany the application. (3) An applicant licensed in another state or
(2) The fee for rewriting the licensing U.S. territory since June 30, 1954 must have
examination adopted by the Board for practical passed the licensing examination adopted by the
nurse licensure shall be the same as the fee Board. A license to practice practical nursing in
established for the first-time writing. Oklahoma will not be issued until this
(3) The fee for the examination (first time and requirement is met.
rewrite) is not refundable. (4) In addition to meeting other requirements
(e) Policies for the examination. for endorsement established by the Board in
(1) Applicants must pass the National Council these rules, effective January 1, 2005, each
Licensure Examination for Practical Nurses applicant for endorsement must demonstrate
(NCLEX-PN). evidence of continued qualifications for practice
(2) Applicants who fail the NCLEX-PN may be through completion of one or more of the
eligible to repeat the examination upon filing an following requirements within the last two (2)
application and fee meeting Board requirements. years prior to receipt of the completed
(3) To be eligible to write or rewrite the application in the Board office:
NCLEX-PN, the applicant must submit a (A) Submission of an official transcript or
completed application, transcript, and fee to the certificate of completion verifying
Board and a completed registration form and fee completion of a nurse refresher course with
to the authorized testing service within two years content consistent with Board policy;
of completion of the nursing education program (B) Successfully pass the National Council
or the equivalent coursework and/or related Licensure Examination for Practical Nurses;
experience. If more than two years has elapsed, (C) Submission of an official transcript
the applicant must complete additional education verifying successful completion of at least
as follows: seven (7) academic semester credit hours or
(A) Successfully complete a Board- 105 contact hours of nursing courses in a
approved refresher course in accordance state-approved practical or registered
with the Board’s policy; or nursing education program, which includes
(B) Successfully complete nursing didactic classroom and clinical instruction; and/or
coursework and faculty-supervised clinical (D) Present evidence of licensure as a
experience in a board-approved nursing practical nurse in another state with
education program at the appropriate employment in a position that requires
educational level, to include at least 80 practical nursing licensure with verification
hours in classroom and skills laboratory of at least 520 work hours during the past
review and at least 80 hours participating in two (2) years.
patient care activities in the clinical setting. (5) Applicants for endorsement who took the
(4) After completion of the required additional National Council Licensure Examination for
education, the applicant will have two years from Practical Nurses for initial licensure within the
the completion of the additional education to last two years must
take and pass the NCLEX-PN. (A) Provide evidence of completion of the
nursing education program within two years
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at of initial application for licensure by
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 20 Ok Reg 1006, eff examination; or
7-1-03; Amended at 21 Ok Reg 1415, eff 7-1-04; Amended at 22 Ok Reg (B) Provide evidence of at least six months
1345, eff 7-1-05; Amended at 23 Ok Reg 1453, eff 7-1-06; Amended at 25
Ok Reg 1421, eff 7-1-08] work experience as a practical nurse in the
state, U.S. territory, or country of original
485:10-9-2. Licensure by endorsement licensure.
24
(b) Applications. (iv) Test of English as a Foreign
(1) Applications must be completed, certified Language Internet-based test (TOEFL
and accompanied by a photograph signed by the iBT) of the Educational Testing
applicant and filed with the Board. Service.
(2) Endorsement may be accepted from the (C) graduation from a government approved
original state of licensure by examination. practical nursing education program or
(3) If the applicant has written the licensing equivalent courses in a government
examination adopted by the Board in a state approved nursing education program, as
other than the state or U.S. territory of original verified from the Commission of Graduates
licensure, an endorsement will be requested from of Foreign Nursing Schools (CGFNS);
that state, also. (D) licensure in country of graduation as
(4) If the application is not completed within evidenced by official verification completed
one (1) year after receipt of fee, the application within the last 12 months immediately
must be refiled. preceding the date of application for
(c) Fee for licensure by endorsement. licensure by endorsement received directly
(1) The fee shall accompany the application. from the Commission of Graduates of
(2) The fee is not refundable. Foreign Nursing Schools,
(3) If the application is not completed within (E) completion of formal courses including
one (1) year, a new application and new fee will theory and clinical experience in nursing
be required for licensure. care of the adult, nursing care of children,
(d) Qualifications for applicants educated in and maternal-infant nursing in a
foreign countries or in a U.S. territory. An government-approved school of nursing as
applicant educated in a foreign country must meet the evidenced by:
current educational requirements for licensure in (i) a translated transcript received
Oklahoma. An applicant educated in a U.S. territory directly from the nursing education
not recognized as a full member of National Council program in the original country of
of State Boards of Nursing (NCSBN) must meet the licensure with certified proof of
requirements for applicants educated in foreign translation; or
countries. An applicant educated in a U.S. territory (ii) a certified copy of the transcript
that is a full member of NCSBN but in a nursing received directly from the Commission
education program not included on the NCSBN state- on Graduates of Foreign Nursing
approved programs of nursing list at the time of the Schools (CGFNS).
applicant’s graduation from the program must meet (F) An evaluation of educational credentials
the requirements for applicants educated in foreign as evidenced by:
countries. (i) Commission on Graduates of
(1) The applicant must present evidence of: Foreign Nursing Schools (CGFNS)
(A) completion of a high school diploma or Healthcare Profession and Science
high school equivalency certificate (GED), Course-by-Course Report or
or meet criteria for an Adult High School (ii) Commission on Graduates of
Diploma; Foreign Nursing Schools (CGFNS)
(B) current competence in oral and written Certificate or Visa Screen Certificate
English as evidenced by receipt of current, status;
valid scores directly from the testing service (iii) Reports received from CGFNS
verifying successful completion of: must have been completed within the
(i) Test of English as a Foreign five (5) years immediately preceding
Language (TOEFL), Test of Written the date of application for licensure by
English (TWE), and Test of Spoken endorsement. The five-year requirement
English (TSE) of the Educational is waived if the applicant holds a license
Testing Service; or in another state.
(ii) Test of English for International (2) The applicant must successfully complete
Communication (TOEIC) and Test of the licensing examination adopted by the
Spoken English and Test of Written Oklahoma Board of Nursing.
English of the Educational Testing (3) The requirements for competence in spoken
Service; or and written English are waived for applicants
(iii) International English Language who are:
Testing System (IELTS); or
25
(A) Graduates of nursing education (E) Foreign-educated applicants must
programs taught in English in Australia, provide evidence of current competence in
Canada (except Quebec), Ireland, New oral and written English by meeting the
Zealand, the United Kingdom, Trinidad, requirements of 485:10-9-2(d)(1)(B)(i-iv);
Tobago, Jamaica, Barbados, South Africa, and
and the United States or (F) Certification of employment in a
(B) Licensed in another US State or position that requires nursing licensure as a
Territory, have successfully completed the licensed practical nurse for a minimum of
licensure examination approved by the 520 work hours in the past two years.
Board and provide evidence of at least one (2) The temporary license may not be issued for
year full-time equivalent work experience in a period longer than ninety (90) days.
a clinical setting as a practical nurse in the (3) The temporary license may be extended, but
state of licensure. such period shall be no longer than one (1) year.
(4) Applicants must submit a completed
application with the required application and [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00;
evaluation fees. Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 21 Ok Reg 1415, eff
(e) Temporary license for endorsement 7-1-04; Amended at 22 Ok Reg 1345, eff 7-1-05; Amended at 23 Ok Reg
1453, eff 7-1-06; Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25
applicants. Ok Reg 1421, eff 7-1-08; Amended at 27 Ok Reg 1028, eff 7-1-10]
(1) A temporary license may be issued to the
applicant on proof of 485:10-9-3. Renewal of license
(A) Current unrestricted licensure in (a) All licenses issued may be renewed in
another state with no history of arrest or accordance with a schedule published by the Board.
disciplinary action requiring further (b) The applicant must submit an application
review; containing such information as the Board may
(B) Evidence of having successfully prescribe.
passed the licensure examination adopted (c) The application for renewal of license must be
by the Oklahoma Board of Nursing; completed and accompanied by the established fee
(C) Evidence of meeting educational before a new license is issued.
qualifications through completion of a (d) The fee for renewal of license shall be
state board-approved nursing education established by the Board in accordance with statutory
program meeting the educational guidelines.
standards established by the Board, or an
evaluation of educational credentials and [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 22 Ok Reg 1345, eff 7-1-05;
nursing licensure in country of origin for Amended at 25 Ok Reg 1423, eff 7-1-08]
the foreign-educated nurse as evidenced
by: 485:10-9-4. Reinstatement of license
(i) Commission on Graduates of (a) The Licensed Practical Nurse license is lapsed if
Foreign Nursing Schools (CGFNS) not renewed by expiration date thereof.
Healthcare Profession and Science (b) The applicant must submit an application
Course-by-Course Report with containing such information as the Board may
verification of equivalent prescribe.
educational credentials and (c) A completed application for reinstatement must
unrestricted licensure in country of be submitted to the Board office with the required
origin, or fee. If the application is not completed within one (1)
(ii) Commission on Graduates of year, a new application and new fee will be required.
Foreign Nursing Schools (CGFNS) (d) The fee for reinstatement of license shall be
Certificate status or Visa Screen established by the Board.
Certificate, accompanied by a (e) An application for reinstatement for a license
verification of graduation from a that has been suspended or surrendered must be in
government approved nursing compliance with all terms and conditions of any
education program, the translated Order entered with regard to the suspension or
transcript, and verification of surrender and shall be considered by the Board.
unrestricted nursing licensure in (f) An application for reinstatement of a license that
country of graduation; has been revoked by the Board shall be considered by
(D) Payment of the fee for licensure by the Board.
endorsement and temporary license;
26
(g) An application for reinstatement for a license not (e) An application for return to active status for a
previously revoked, suspended or surrendered may be license that has been placed on Inactive Status by
granted on such terms and conditions as the Board Order of the Board shall be considered by the Board.
may require. (f) In addition to meeting other requirements to
(h) In addition to meeting other reinstatement return to active status as established by the Board in
requirements established by the Board in these rules, these rules, effective January 1, 2005, if the practical
effective January 1, 2005, if the Oklahoma practical nursing license has been on the Inactive List for a
nursing license has not been in an active licensure period of two (2) years or more, the licensee must
status for a period of two (2) years or more, the demonstrate continued qualifications for practice
applicant for reinstatement must demonstrate through completion of one or more of the following
continued qualifications for practice through requirements within the last two (2) years prior to
completion of one or more of the following receipt of the completed application in the Board
requirements within the last two (2) years prior to office:
receipt of the completed application in the Board (1) Submission of an official transcript or
office: certificate of completion verifying completion of
(1) Submission of an official transcript or a nursing refresher course with content
certificate of completion verifying completion of consistent with Board policy;
a nurse refresher course with content consistent (2) Successfully pass the National Council
with Board policy; Licensure Examination for Practical Nurses;
(2) Successfully pass the National Council (3) Submission of an official transcript
Licensure Examination for Practical nurses; verifying successful completion of at least seven
(3) Submission of an official transcript (7) academic semester credit hours or 105
verifying successful completion of at least seven contact hours of nursing courses in a state-
(7) academic semester credit hours or 105 approved practical or registered nursing
contact hours of nursing courses in a state- education program, which includes classroom
approved practical or registered nursing and clinical instruction; and/or
education program, which includes classroom (4) Present evidence of licensure as a practical
and clinical instruction; and/or nurse in another state with employment in a
(4) Present evidence of licensure as a practical position that requires practical nursing licensure
nurse in another state with employment in a with certification of at least 520 work hours
position that requires practical nursing licensure during the past two (2) years preceding receipt of
with verification of at least 520 work hours the request for return to active status in the Board
during the past two (2) years preceding receipt of office.
the application for reinstatement in the Board
office. [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
Amended at 21 Ok Reg 1415, eff 7-1-04; Amended at 22 Ok Reg 1345, eff
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91(emergency); Amended at 7-1-05; Amended at 25 Ok Reg 1424, eff 7-1-08]
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00;
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 20 Ok Reg 1006, eff
7-1-03; Amended at 21 Ok Reg 1415, eff 7-1-04; Amended at 22 Ok Reg 485:10-9-6. Duplicate license card
1345, eff 7-1-05; Amended at 25 Ok Reg 1423, eff 7-1-08] (a) One duplicate Licensed Practical Nurse license
card may be issued per renewal cycle.
485:10-9-5. Inactive status (b) If a license card is lost, stolen or destroyed, the
(a) Any licensee who desires to retire from the licensee must submit written evidence of the situation
practice of practical nursing shall submit a written and a duplicate license may be issued for a fee as
request to be placed on the inactive list. established by the Board. A duplicate license card
(b) The date of transfer to the inactive status will be will be issued upon notification by the licensee of a
the date of approval by the Board. The Board may name change.
delegate approval of the licensee’s request to be (c) If a license card is not received and the Board
placed on inactive status to the Board Staff. office receives written notification within ninety (90)
(c) A licensee shall remain on the Inactive List days of date of issuance, a duplicate license may be
unless otherwise indicated without the payment of the issued without fee.
renewal fee.
(d) The return to active fee shall be due when the [Source: Amended at 17 Ok Reg 1362, eff 7-1-00; Amended at 19 Ok Reg
licensee desires to return to active practice. The 1465, eff 7-1-02; Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 25
Ok Reg 1424, eff 7-1-08]
applicant must submit an application containing such
information as the Board may prescribe.
27
485:10-9-7. Replacement certificate of 485:10-10-9. Records
licensure 485:10-10-10. Disciplinary action
(a) A replacement certificate of licensure as a
Licensed Practical Nurse may be issued when the [Source: Codified 5-27-97]
licensee notifies the Board, with a notarized
statement, that the original certificate of licensure has 485:10-10-1. Purpose
been lost, stolen, or destroyed. The rules of this Subchapter have been adopted
(b) The certificate shall be marked "Replacement" for the purpose of complying with the provisions of
and date of issuance indicated. the Oklahoma Nursing Practice Act. [59 O.S. §
(c) The fee for a replacement certificate of licensure 567.3] This Subchapter sets forth standards for
shall be established by the Board. advanced unlicensed assistive personnel employed in
acute health-care settings.
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00] [Source: Added at 14 Ok Reg 1980, eff 5-27-97]
485:10-9-8. Endorsement of a Licensed 485:10-10-2. Certification training program
Practical Nurse to another state (a) The certification training program shall consist
(a) A Licensed Practical Nurse wishing to be of classroom and clinical instruction in the
licensed in another state may have a certified performance of specific core skills submitted by the
statement of Oklahoma licensure issued to the Board working committee prescribed in 59 O.S. § 567.3a.13
of Nursing in such state upon receipt of a fee as and approved by the Board;
established by the Board. (b) Any certified training program submitted to the
(b) If a transcript is provided from the files of a Board by the working committee prescribed in 59
closed school of nursing, a fee as established by the O.S. § 567.3a.13 shall meet the following
Board will be charged. requirements:
(1) Any health-care facility, educational
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at institution or education provider that meets the
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00] Board's criteria for approved programs and is
approved by the Board may provide the
485:10-9-9. Change of name and address certification training program.
(a) Each Licensed Practical Nurse licensee must (2) Any health-care facility, educational
provide certified evidence (a copy of marriage license institution or education provider wishing to
or court action) regarding any change of name within establish a certification training program for
30 days of the change. advanced unlicensed assistive personnel shall file
(b) Evidence of change of name shall be the appropriate forms with the Board. The
accompanied by a fee as established by the Board. application shall include, but is not limited to:
(c) Notice of change of address must be submitted in (A) program plan following the curriculum
writing by each licensee within 30 days of the approved by the Board;
change. (B) clock hours of classroom and
supervised clinical instruction;
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 17 Ok Reg 1362, eff 7-1-00; (C) description of classroom and skills
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 24 Ok Reg 1439, eff training facility;
7-1-07]
(D) evidence of adequate learning
resources; and
(E) faculty qualification record for each
SUBCHAPTER 10. ADVANCED UNLICENSED
instructor.
ASSISTIVE PERSONNEL
(3) The Board shall advise the institution in
writing of its decision to:
Section
(A) approve proceeding with the program;
485:10-10-1. Purpose
or
485:10-10-2. Certification training program
(B) defer approval pending a site visit
485:10-10-3. Curriculum
and/or receipt of further information; or
485:10-10-4. Faculty
(C) deny approval specifying reasons for
485:10-10-5. Applicants
denial.
485:10-10-6. Certification examination
(4) An approved program shall notify the Board
485:10-10-7. Certification
when there are substantive changes in the
485:10-10-8. Recertification
program that alter the length of the program,
485:10-10-8.1. Reinstatement of certification
28
reorganize course offerings or change in including CPR and the Heimlich maneuver, and non-
instructors. invasive and non-sterile treatments unless otherwise
prohibited by these rules and regulations.
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 15 Ok Reg (b) Persons may be admitted into a program that
2038, eff 5-26-98; Amended at 19 Ok Reg 1467, eff 7-1-02]
combines training in these skills with training as an
485:10-10-3. Curriculum advanced unlicensed assistive person, provided that
(a) The curriculum of the certification training the training hours for the advanced unlicensed
program shall prepare the graduate for certification assistive person component meet the requirement
and practice as an advanced unlicensed assistive under 485:10-10-3(b).
person and shall include: [Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 19 Ok Reg
(1) core skills, personal responsibilities, 1467, eff 7-1-02]
communication and interpersonal skills;
(2) content outlines appropriately sequenced 485:10-10-6. Certification examination
and organized to include purpose of procedure, (a) The certification examination shall consist of
proper equipment, safety precautions and both a written examination and a core skills
hazards, step-by-step procedure, appropriate performance evaluation conducted by a Registered
disposal of used equipment and materials, Nurse Skills Observer who meets the qualifications
documentation and reporting, and legal and established by the Board.
ethical responsibilities; and (b) Applicants for certification as advanced
(3) classroom/laboratory instruction and unlicensed assistive personnel must successfully
supervised clinical practice. complete both the core skills performance evaluation
(b) The length of the training program shall be a and the written examination adopted by the Board.
minimum of 200 hours with the ratio of classroom The core skills performance evaluation and the
instruction and practice appropriate to ensure safe written examination must be completed within one
and accurate performance. The program shall year of each other.
include at least 80 hours of classroom/laboratory (c) Applicants who fail either the written
instruction and at least 40 hours of clinical certification examination or the core skills
instruction. performance evaluation shall be eligible to repeat the
examination upon filing an application and fee
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 19 Ok Reg meeting Board requirements.
1467, eff 7-1-02; Amended at 20 Ok Reg 1006, eff 7-1-03]
(d) If an applicant fails either the core skills
485:10-10-4. Faculty performance evaluation or the written examination
(a) Faculty shall: three (3) times, applicant must repeat the course prior
(1) hold a valid license to practice as a to rewriting the examination.
Registered Nurse in the State of Oklahoma; and (e) The Board shall permit the written examination
(2) present evidence of at least two (2) years and the core skills performance evaluation to be
experience working in an acute care setting, at administered at Board-approved testing sites and
least one year of which must include experience proctored by qualified personnel.
supervising unlicensed personnel in a clinical [Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 19 Ok Reg
setting. 1467, eff 7-1-02]
(b) Other personnel from the health professions may
supplement the faculty, including, but not limited to, 485:10-10-7. Certification
physical therapists, respiratory therapists, laboratory (a) The Board shall establish and maintain a listing
technicians, and social workers. Supplemental (registry) of persons authorized to function as an
teaching personnel must have at least one (1) year of "advanced unlicensed assistive person".
experience in their fields. (b) An applicant for certification by examination as
an advanced unlicensed assistive person must meet
[Source: Added at 14 Ok Reg 1980, eff 5-27-97] the following requirements:
(1) has successfully completed a certification
485:10-10-5. Applicants training course for advanced unlicensed assistive
(a) Persons admitted to the program shall provide personnel approved by the Board; or
validation of the ability to safely and accurately (2) has successfully completed an equivalent
perform personal care skills, measuring and recording course approved by the Board; or
vital signs, feeding techniques, non-sterile specimen (3) has completed classroom/laboratory
collection, transfer, positioning and turning instruction and supervised clinical experience in
techniques, infection control, emergency procedures
29
an equivalent structured course in a health-care immediately preceding renewal of AUA
facility or an educational institution. Evidence certification; or
must be provided that verifies ability to safely (4) verification of initial certification as an
and accurately perform each core skill included AUA within the 24 months immediately prior to
in Board-approved advanced unlicensed assistive renewal of AUA certification.
personnel course. (e) The fee for renewal of the certificate shall be
(c) Application for certification: established by the Board.
(1) Applications for certification must be filed
with the Board in accordance with the procedure [Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 17 Ok Reg
1362, eff 7-1-00; Amended at 19 Ok Reg 1467, eff 7-1-02; Amended at 20
designated by the Board. The application must Ok Reg 115, eff 10-10-02 (emergency); Amended at 20 Ok Reg 1006, eff 7-
be complete, signed and notarized. The required 1-03; Amended at 25 Ok Reg 1424, eff 7-1-08; Amended at 27 Ok Reg
1030, eff 7-1-10]
fee and one (1) photograph signed by the
applicant must be filed with the application.
485:10-10-8.1. Reinstatement of certification
(2) The candidate must register with the
(a) The certification of the advanced unlicensed
authorized testing service and submit the
assistive person is lapsed if not renewed by
required fee.
expiration date thereof.
(3) The applicant must submit an application
(b) A completed application for reinstatement must
containing such information as the Board may
be submitted to the Board office with the required
prescribe.
fee. If the application is not completed within one (1)
(d) Fee for certification:
year, a new application and new fee will be required.
(1) The fees for certification and writing the
(c) The applicant must submit an application
certification examination adopted by the Board
containing such information as the Board may
shall accompany the applications.
prescribe.
(2) The fee for rewriting the certification
(d) The application for reinstatement must be
examination adopted by the Board shall be the
accompanied by one of the following:
same as the fee established for the first-time
(1) verification of employment as an AUA in an
writing.
acute care setting for a minimum of 12 months
(3) The fee for the examination is not
within the previous 24 months; or
refundable.
(2) verification of successful completion of
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 17 Ok Reg twelve hours of clinical inservice appropriate to
1362, eff 7-1-00; Amended at 19 Ok Reg 1467, eff 7-1-02; Amended at 25 the AUA role within the previous 24 months; or
Ok Reg 1424, eff 7-1-08]
(3) rewriting the certification examination with
a passing score, both the written and core skills
485:10-10-8. Recertification portions of the exam; or
(a) Certification as an advanced unlicensed assistive (4) verification of initial certification as an
person shall be renewed every two years in AUA within the 24 months immediately prior to
accordance with the schedule published by the Board. reinstatement of AUA certification.
(b) The application for recertification must be (e) An application for reinstatement for a
completed and accompanied by the established fee certification that has been revoked, suspended or
before a new certificate is issued. surrendered must be in compliance with all terms and
(c) The applicant must submit an application conditions of any Order entered with regard to the
containing such information as the Board may revocation, suspension or surrender and shall be
prescribe. considered by the Board.
(d) The application for recertification must be
accompanied by one of the following: [Source: Added at 23 Ok Reg 1453, eff 7-1-06; Amended at 25 Ok Reg
(1) verification of employment as an AUA in an 1425, eff 7-1-08; Amended at 27 Ok Reg 1030, eff 7-1-10]
acute care setting for a minimum of 12 months
within the previous 24 months immediately prior 485:10-10-9. Records
to renewal of AUA certification; or The following records shall be maintained and
(2) verification of successful completion of submitted to the Board by approved training
twelve hours of clinical inservice appropriate to programs:
the AUA role within the previous 24 months; or (1) curriculum plan and revisions;
(3) rewriting the certification examination with (2) faculty records that provide for verification
a passing score, both the written and core skills of academic credentials, clinical practice and
portions of the exam, within the 24 months current licensure as a registered nurse; and
30
(3) verification of program completion for profession, or advanced unlicensed assistive
graduates of the program, in a format so persons' activities generally prevailing in the
designated by the Board. State of Oklahoma and which could jeopardize
the health and welfare of the people which shall
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 19 Ok Reg include but not be limited to the following:
1467, eff 7-1-02]
(A) inaccurate recording, falsifying or
485:10-10-10. Disciplinary action altering patient records; or
(a) The Board may deny, revoke, suspend the (B) verbally or physically abusing patients;
certificate to practice as an advanced unlicensed or
assistive person and/or otherwise discipline the (C) falsely manipulating drug supplies,
holder of a certificate upon proof that the individual narcotics or patient records; or
is guilty of any offense prohibited in 59 O.S. §567.8. (D) appropriating without authority
(b) Nothing contained in these rules shall require a medications, supplies or personal items of
licensed nurse to delegate to an Advanced Unlicensed the patient or agency; or
Assistive Person the performance of any core skill. (E) falsifying documents submitted to the
Board of Nursing; or
[Source: Added at l4 Ok Reg 1980, eff 5-27-97; Amended at 25 Ok Reg (F) leaving a nursing assignment or patient
1425, eff 7-1-08] care assignment without properly advising
appropriate personnel; or
(G) violating the confidentiality of
SUBCHAPTER 11. DISCIPLINARY ACTION information or knowledge concerning the
patient; or
Section (H) conduct detrimental to the public
485:10-11-1. Denial, revocation or suspension of interest; or
license (I) discriminating in the rendering of
485:10-11-2. Hearings nursing services or patient care assignment;
485:10-11-3. Informal disposition or
(J) aiding and abetting the practice of
485:10-11-1. Denial, revocation or suspension practical nursing, registered nursing,
of license or certificate advanced practice nursing, or advanced
(a) Causes. Causes for denial, revocation or unlicensed assistive persons by any person
suspension of license or certificate as an advanced not licensed as a Licensed Practical Nurse or
unlicensed assistive person are as defined in 59 O.S. a Registered Nurse or recognized as an
Section 567.8. advanced practitioner or not certified as an
(b) Definitions. The following definitions relate to advanced unlicensed assistive person;
the causes for disciplinary action as specified in the (K) impersonating any applicant or acting as
statutes. proxy for the applicant in any examination
(1) The terms "fraud or deceit or material required for the issuance of a license or
deception" shall include but not be limited to: certificate; or
(A) false representation of facts in (L) impersonating another licensed or
connection with an application for licensure, certified practitioner, or permitting another
or certificate, or renewal of license; or person to use her/his license, certificate, or
application for recognition as an advanced certificate of recognition for any purpose; or
practitioner; or (M) aiding, abetting or assisting any other
(B) false representation by having another person to violate or circumvent any law or
person appear in her/his place for the rule or regulation intended to guide the
licensing examination. conduct of a nurse or advanced unlicensed
(2) Sufficient knowledge or reasonable skill assistive person; or
means adherence to minimal standards of (N) forging a prescription for
acceptable practical nurse practice, registered medication/drugs; or
nurse practice, advanced nurse practice, or (O) presenting a forged prescription; or
advanced unlicensed assistive persons’ practice (P) selling or attempting to sell a controlled
generally prevailing in the State of Oklahoma. dangerous substance or otherwise making
(3) Unprofessional conduct is nursing behavior such drugs available without authority to
(acts, knowledge, and practices) which fails to self, friends, or family members; or
conform to the accepted standards of the nursing
31
(Q) while caring for a patient, engaging in (b) Notice of hearing. Notice of the hearing shall
conduct with a patient that is sexual or may be served in any manner authorized by the Oklahoma
reasonably be interpreted as sexual, or in Pleading Code for the personal service of summons
any verbal behavior that is seductive or in proceedings in state courts.
sexually demeaning to a patient, or engaging (c) Procedures before the Board.
in sexual exploitation of a patient; or (1) Every individual proceeding shall be
(R) obtaining money, property or services initiated by a sworn complaint containing a brief
from a patient, other than reasonable fees for statement of the facts supporting the request for
service provided to the patient, through the action by the Board.
use of undue influence, harassment, duress, (2) The respondent shall file with the Board a
deception or fraud; or written response under oath to the complaint by
(S) engaging in fraudulent billing practices, the date to be furnished. If no response is filed,
including violations of federal Medicare and the respondent shall be considered in default and
Medicaid laws or state medical assistance the Board may take whatever action it deems
laws. sufficient and appropriate. The Executive
(4) Conduct which jeopardizes a patient's life, Director of the Board or designee may extend the
health or safety shall include but not be limited time within which a response must be filed, but
to the following: in no event may the time be extended beyond the
(A) Failure of a Licensed Practical Nurse, a hearing date.
Registered Nurse, or advanced practitioner (3) Requests for continuances or extensions of
to supervise adequately the performance of time shall be filed in writing and state the
acts by any person working at the nurse's reasons for the request and time desired. The
direction; or Board or its designee shall promptly rule on such
(B) Delegating or accepting the delegation requests.
of a nursing function or a prescribed health (4) Discovery shall be conducted in accordance
care function when the delegation or with the Oklahoma Discovery Code except that
acceptance could reasonably be expected to all discovery must be completed prior to the date
result in unsafe or ineffective patient care; or set for hearing unless otherwise ordered by the
(C) Unauthorized alterations of Board. The time periods contained in the
medications; or Oklahoma Discovery Code shall be modified to
(D) Failure to utilize appropriate judgment conform to this Rule.
in administering safe nursing practice or (5) The order of procedure shall be the same as
patient care assignment based upon the level followed by the state trial courts in civil
of nursing for which the individual is proceedings.
licensed or recognized; or (6) The admissibility of evidence shall be
(E) Failure to exercise technical governed by the provisions of the Oklahoma
competence in carrying out nursing care or Administrative Procedures Act [75 O.S. Section
patient care assignment; or 310].
(F) Performing new nursing techniques, (7) The President of the Board or his/her
procedures or patient care activities without designee shall rule on admissibility of evidence
proper education and preparation; or and objections to such evidence and shall rule on
(G) Failure to report through the proper other motions or objections in the course of the
channels the unsafe or illegal practice of any hearing.
person who is providing nursing care or (8) The Board, its designee, attorney for the
patient care. Board, the respondent or attorney for the
respondent, may conduct examinations.
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at (9) A respondent who fails to appear, after
9 Ok Reg 2103, eff 6-11-92; Amended at 14 Ok Reg 1980, eff 5-27-97;
Amended at 18 Ok Reg 2707, eff 7-1-01; Amended at 19 Ok Reg 1470, eff having received proper notice, may be
7-1-02] determined to have waived the right to present a
defense to the charges in the complaint and the
485:10-11-2. Hearings Board may declare the respondent in default and
(a) Conduct of hearing. All hearings and notice revoke, suspend or otherwise discipline
thereof shall be conducted and governed in respondent as it may deem necessary.
accordance with the provisions of the Oklahoma (10) Subpoenas for the attendance of witnesses
Administrative Procedures Act. [75 O.S. Section 309] and/or furnishing of information required by the
Board and as requested by the respondent, and/or
32
the production of evidence or records of any kind (9) the deterrent effect of the penalty imposed;
shall be issued by the Board. Should any person (10) attempts by the licensee to correct or stop
fail to obey a subpoena, the Board may institute the violation;
appropriate judicial proceedings under the laws (11) any mitigating or aggravating
of the State for an Order to compel compliance circumstances;
with the subpoena. (12) the extent to which system dynamics in the
(11) The respondent is responsible for any practice setting contributed to the problem;
expenses associated with witnesses, subpoenas (13) evidence of a lack of truthfulness or
and/or evidence presented on her/his behalf. trustworthiness;
(12) In the event disciplinary action is imposed (14) any other matter that justice may require.
against the defendant of an individual (e) Orders.
proceeding, the Board may require the defendant (1) At the conclusion of the hearing the Board
to reimburse the Board for its actual costs in the will announce its decision and a written order
investigation and prosecution of the disciplinary will be issued within twenty (20) days of the
action. Such costs shall include, but not be Board's decision.
limited to: staff time and expenses, travel (2) A copy of the order shall be delivered or
expenses, witness fees and expenses, attorney mailed to the respondent and the respondent's
fees and expenses, and court reporter fees, if attorney of record.
applicable. (f) Record of hearing.
(13) The respondent shall not communicate with (1) The record in an individual proceeding shall
any member of the Board concerning the matters be as defined in the Oklahoma Administrative
alleged in the complaint before or during or after Procedures Act and shall also include the
the hearing. This restriction does not apply to licensing history of the respondent.
the presentation of testimony or evidence by the (2) All hearings shall be transcribed by a duly
respondent in the course of the hearing. certified reporter, unless the presiding officer
(d) Penalties. When determining the amount of designates otherwise. A transcript of the
penalty to be imposed for a violation of the proceedings shall not be made except in the
Oklahoma Nursing Practice Act the following event of an appeal of the decision of the Board,
additional factors shall be a part of the consideration or upon written application accompanied by a
by the Board when establishing the nature, deposit sufficient to cover the cost of
circumstance, and gravity of the violation, the degree transcription. Tapes and shorthand or stenotype
of culpability, the effect on the ability of the person notes of the proceedings shall be retained for a
to continue to practice and any show of good faith in period of not less than five (5) years.
attempting to achieve compliance with the provisions (g) Appeals and reconsideration. Requests for
of the Oklahoma Nursing Practice Act: reconsideration and appeals of order in individual
(1) evidence of actual or potential harm to proceeding shall be in accordance with the Oklahoma
patients, clients or the public; Administrative Procedures Act.
(2) the seriousness of the violation, including
the nature, circumstances, extent and gravity of [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 18 Ok Reg 2707, eff 7-1-01;
any prohibited acts, and the hazard or potential Amended at 21 Ok Reg 1421, eff 7-1-04; Amended at 27 Ok Reg 1030, eff
hazard created to the health, safety and welfare 7-1-10]
of the public;
(3) evidence of misrepresentation(s) of 485:10-11-3. Informal disposition
knowledge, education, experience, credentials or . . . Informal disposition may be made of any
skills which would lead a member of the public, individual proceeding by stipulation, agreed
an employer, a member of the health-care team, settlement, consent order, or default. [75 O.S.
or a patient to rely on the fact(s) misrepresented Section 309(d)]
where such reliance could be unsafe; (1) Informal proceedings. Informal
(4) evidence of practice history; proceedings may be conducted after the filing of
(5) evidence of present lack of fitness; a sworn complaint; and information so presented
(6) evidence of prior disciplinary history by the may be considered by the Board as a body or by
Board or any other health care licensing agency any designated member or any representative
in Oklahoma or another jurisdiction; designated therefore, with the party or parties
(7) the length of time the licensee has practiced; affected by correspondence or otherwise in an
(8) the actual damages, physical or otherwise effort to bring about an adjustment and solution
resulting from the violation; of the problem without a formal Hearing. Such
33
proceedings shall be held without prejudice to (D) If the nurse and the Panel member(s) do
the right of the Board, thereafter to institute agree but the Board does not accept the
formal proceedings and conduct Hearings recommendations of the Panel, the case will
covering the same subject matter. be set for a hearing at the next regularly
(2) Informal conferences. If deemed advisable scheduled Board meeting.
to speed the consideration and determination of
complaints and controversies which may not [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
justify or require more formal proceedings, the Amended at 20 Ok Reg 1010, eff 7-1-03]
Board may hold an informal conference with the
party or parties affected. Thereafter the Board as
a body, or any designated member, or SUBCHAPTER 13. REQUIREMENTS
representative thereof, shall attempt to resolve FOR EMPLOYMENT
the controversy in an equitable manner. Such
proceedings shall be without prejudice to the Section
right of the Board thereafter to institute formal 485:10-13-1. Conditions of employment
proceedings covering the same or related subject 485:10-13-2. Annual report of employing
matter, or the right of the person involved, if the institutions
controversy is not resolved, to request a formal 485:10-13-3. Continuing education
hearing.
(3) Informal Disposition Panel. The 485:10-13-1. Conditions of employment
respondent has a right to a hearing before the full (a) Any person who practices or offers to practice
Board. In the alternative informal disposition nursing or represents himself or herself as a licensed
may be requested under certain circumstances. nurse, (excluding federal employment) shall possess
(A) Informal Disposition Panel shall be a valid Oklahoma license.
composed of one or more individuals (b) Any individual offering to practice advanced
appointed by the Board President, at least practice nursing as an ARNP, CNS, CNM, CRNA,
one of whom shall be a current Board shall possess a valid Oklahoma license and a
member. More than one panel may be certificate of recognition issued by the Board.
appointed if warranted by the number of (c) A valid temporary license shall be required in
cases. lieu of a full certificate of licensure.
(B) Informal Disposition Panel may be (d) Any person employed as a Nurse Administrator,
utilized for the following types of cases or as defined in these rules, shall possess a valid license
otherwise at the discretion of the Executive to practice nursing in Oklahoma, except as otherwise
Director: provided by law.
(i) Reinstatement/Return To Active (e) If the term “doctor” is used by a licensed nurse
which require Board action such as: holding the appropriate educational credentials, such
(I) when working with a lapsed usage must be in accordance with 59 O.S. Supp.
license; 2009, §725.1, et seq.
(II) after surrender, suspension or
revocation of license; [Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
9 Ok Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95;
(ii) Voluntary surrenders; Amended at 24 Ok Reg 1439, eff 7-1-07; Amended at 27 Ok Reg 1032, eff
(iii) Termination of Probation; 7-1-10]
(iv) Requests to amend orders;
(v) Certain uncontested complaints 485:10-13-2. Annual report of employing
such as action in another jurisdiction institutions
and/or criminal convictions; The nursing administrator in each licensed health
(vi) Negotiated disposition of institution or agency may be requested to file an
complaint. annual report each year. The report, when requested,
(C) If the nurse and the Panel member(s) do shall be filed in a format established by the Board.
not agree, the case will be set for a Board The report is to indicate the name, certificate number
hearing. The outcome of the informal and expiration date of each Licensed Practical Nurse,
disposition will be held in confidence and not Registered Nurse and Advanced Practitioner
admitted into evidence at the hearing. The employed on the designated date.
Panel member(s) will not participate in the
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at
hearing before the full Board. 9 Ok Reg 2103, eff 6-11-92; Amended at 21 Ok Reg 1415, eff 7-1-04]
34
485:10-13-3. Continuing education 485:10-15-4. Application
Each licensed health institution and agency is (a) An applicant for recognition as an advanced
advised to provide opportunities for Licensed practice nurse must:
Practical Nurses, Registered Nurses and Advanced (1) hold a current license to practice as a
Practitioners to maintain a sound knowledge of Registered Nurse in Oklahoma;
current nursing practices and procedures. Such (2) submit an official transcript verifying
opportunities include orientation, skill training, completion of a formal educational program
continuing education, and leadership development. accepted by the Board;
(3) submit evidence of current national
[Source: Amended at 8 Ok Reg 3579, eff 9-20-91 (emergency); Amended at certification recognized by the Board; and
9 Ok Reg 2103, eff 6-11-92]
(4) submit a completed application for
recognition containing such information as the
SUBCHAPTER 15. REQUIREMENTS FOR Board may prescribe and the required fee.
PRACTICE AS (b) Changing certifications
AN ADVANCED PRACTICE NURSE (1) An advanced practice nurse who wishes to
change or add an area of specialty and national
Section certification must meet initial requirements for
485:10-15-1. Practice as a Certified Nurse- advanced practice recognition, as identified in
Midwife [RENUMBERED] 485:10-15-4(a).
485:10-15-2. Certified Nurse-Midwife Advisory (2) An advanced practice nurse who changes
Committee appointment their national certification and certifying body
[REVOKED] within the same specialty area must notify the
485:10-15-3. Functions of the Certified Nurse- Board in writing within thirty (30) days of the
Midwife Advisory Committee change and submit a copy of a current national
[REVOKED] certification recognized by the Board within the
485:10-15-4. Application same specialty area.
485:10-15-4.1. Temporary recognition (3) An advanced practice nurse holding more
485:10-15-5. Recognition, renewal, than one certification who does not renew or
reinstatement and inactive status maintain one of their national certifications must
485:10-15-6. Practice as an Advanced Registered notify the Board in writing within 30 days of the
Nurse Practitioner change. The recognition for which the national
485:10-15-7. Practice as a Clinical Nurse certification has expired will be placed on
Specialist inactive status. The advanced practice nurse
485:10-15-8. Practice as a Certified Nurse- shall not work in the specialty area upon
Midwife expiration of their national certification.
485:10-15-9. Practice as a Certified Registered [Source: Added at 8 Ok Reg 3579, eff 9-20-91 (emergency); Added at 9 Ok
Nurse Anesthetist Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95; Amended
at 23 Ok Reg 1453, eff 7-1-06; Amended at 25 Ok Reg 1425, eff 7-1-08]
485:10-15-1. Practice as a Certified Nurse-
Midwife [AMENDED AND RENUMBERED TO 485:10-15-4.1. Temporary recognition
485:10-15-8] Temporary recognition may be granted under the
following conditions:
[Source: Amended and renumbered to 485:10-15-8 at 8 Ok Reg 3579, eff (1) hold a current license to practice as a
9-20-91 (emergency); Amended and renumbered to 485:10-15-8 at 9 Ok Registered Nurse in Oklahoma,
Reg 2103, eff 6-11-92]
(2) submit documentary evidence of registration
485:10-15-2. Certified Nurse-Midwife for a Board-approved national certifying
Advisory Committee appointment [REVOKED] examination applicable to the level and clinical
specialty,
[Source: Revoked at 8 Ok Reg 3579, eff 9-20-91 (emergency); Revoked at 9 (3) submit a completed application for
Ok Reg 2103, eff 6-11-92] temporary recognition and the required fee,
(4) submit an official transcript verifying
485:10-15-3. Functions of the Certified Nurse- successful completion of the advanced practice
Midwife Advisory Committee [REVOKED] educational program.
[Source: Revoked at 8 Ok Reg 3579, eff 9-20-91 (emergency); Revoked at 9 [Source: Added at 12 Ok Reg 1463, eff 5-25-95; Amended at 23 Ok Reg
Ok Reg 2103, eff 6-11-92] 1453, eff 7-1-06; Amended at 25 Ok Reg 1425, eff 7-1-08]
35
485:10-15-5. Recognition, renewal, reinstatement recognition has been on inactive status for two or
and inactive status more years, the applicant must meet current
(a) Recognition. requirements for initial advanced practice
(1) A certificate of recognition shall be issued recognition.
by the Board.
(2) The pocket license card will have an [Source: Added at 8 Ok Reg 3579, eff 9-20-91 (emergency); Added at 9 Ok
Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95; Amended
advanced practice designation code. at 18 Ok Reg 2707, eff 7-1-01; Amended at 19 Ok Reg 1465, eff 7-1-02;
(3) A list of all Board recognized advanced Amended at 21 Ok Reg 1415, eff 7-1-04; Amended at 24 Ok Reg 1439, eff
7-1-07; Amended at 25 Ok Reg 1426, eff 7-1-08]
practice nurses shall be maintained by the Board.
(b) Renewal.
485:10-15-6. Practice as an Advanced
(1) Renewal shall be concurrent with the two-
Registered Nurse Practitioner
year licensure renewal for Registered Nurse.
(a) Educational programs. Successful completion
(2) The renewal form shall include a statement
of an educational program shall establish eligibility to
that the nurse's national certification is current
take the recognized advanced practice nurse
and that certification will be maintained during
certification examination in a specialty area. The
the period of licensure renewal.
educational program shall:
(3) Each advanced practice nurse shall submit a
(1) Prepare advanced practice nurses as a part of
copy of a current national certification document
a Master's level or higher preparation in nursing
to the Board with the renewal form, if requested.
in a program accredited by or holding
(4) The applicant must submit an application
preliminary approval or candidacy status with
containing such information as the Board may
the National League for Nursing Accrediting
prescribe.
Commission or the Commission on Collegiate
(c) Reinstatement.
Nursing Education; or
(1) If an advanced practice nurse fails to renew
(2) Meet the following requirements:
recognition prior to the expiration date of that
(A) be based on measurable objectives that
authority, the advanced practice recognition shall
relate directly to the scope of practice for the
lapse.
specialty area;
(2) The applicant may request reinstatement of
(B) include theoretical and clinical content
advanced practice recognition by submitting a
directed to the objectives;
completed application and the required fee. If
(C) be equivalent to at least one academic
the reinstatement is not approved within two
year. A preceptorship which is part of the
years of the expiration date of recognition, the
formal program shall be included as part of
applicant must meet current requirements for
the academic year;
initial advanced practice recognition.
(D) be university-based or university-
(3) The applicant must submit an application
affiliated with oversight by a nursing
containing such information as the Board may
program accredited by an approved national
prescribe.
nursing accrediting agency.
(d) Inactive Status.
(b) National Certification. National certification in
(1) An advanced practice nurse may submit a
the specialty area at an advanced practice level is
written request to place advanced practice
required for recognition. The Board shall identify and
recognition on inactive status.
keep on file the current list of recognized
(2) Advanced practice recognition will be
certifications and certifying bodies approved by the
placed on inactive status upon notification to the
Board. A licensee may request that a certification
Board office the advanced practice nurse does
program be considered by the Board for inclusion on
not have current national certification from a
the list. A certifying body examination shall meet the
national certifying body approved by the Board.
following requirements:
(3) The date of inactive status will be the date of
(1) require applicants for the certification
approval by the Board.
examination to have completed a formal program
(4) The Board may delegate approval to place
of study consistent with the area of certification;
advanced practice recognition on inactive status
(2) offer an examination in the area of
to Board staff.
certification which shall:
(5) The applicant may request return-to-active
(A) measure the theoretical and clinical
status of advanced practice recognition by
content based on the scope of practice in the
submitting a completed application containing
specialty area;
such information as the Board may prescribe and
the required fee. If the advanced practice
36
(B) be developed in accordance with (G) Acute Care ARNP provides health care
generally accepted standards of validity and to adults who are acutely or critically ill.
reliability; and (H) The Adult Psychiatric and Mental
(C) be open only to Registered Nurses who Health ARNP provides acute and chronic
have successfully completed the appropriate psychiatric and mental health care to persons
formal program of study as defined in these age 13 or older.
Rules and Regulations. (I) The Family Psychiatric and Mental
(c) Scope of practice for ARNP. The Advanced Health ARNP provides acute and chronic
Registered Nurse Practitioner's scope of practice psychiatric and mental health care to persons
includes the full scope of nursing practice and across the lifespan.
practice in an expanded role as follows: (J) The Acute Care Pediatric ARNP
(1) The Advanced Registered Nurse Practitioner provides health care to persons from
(ARNP) provides comprehensive health care to newborn to young adulthood with complex
clients across the life span. acute, critical and chronic health conditions.
(2) The ARNP is responsible and accountable
for the continuous and comprehensive [Source: Added at 8 Ok Reg 3579, eff 9-20-91 (emergency); Added at 9 Ok
Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95; Amended
management of a broad range of health services, at 14 Ok Reg 1980, eff 5-27-97; Amended at 20 Ok Reg 1011 eff 7-1-03;
which include, but are not limited to: Amended at 23 Ok Reg 1453, eff 7-1-06; Amended at 24 Ok Reg 1439, eff
7-1-07; Amended at 25 Ok Reg 1426, eff 7-1-08]
(A) promotion and maintenance of health;
(B) prevention of illness and disability; 485:10-15-7. Practice as a Clinical Nurse
(C) diagnosis and prescription of Specialist
medications, treatments, and devices for (a) Education.
acute and chronic conditions and diseases; (1) Any nurse graduating prior to September 1,
(D) management of health care during acute 1991, may apply for recognition as a Clinical
and chronic phases of illness; Nurse Specialist by submitting a transcript which
(E) guidance and counseling services; verifies conferral of a Master's Degree in
(F) consultation and/or collaboration with Nursing and documentation verifying the
other health care providers and community completion of a minimum of two semesters of
resources; course work in supervised advanced clinical
(G) referral to other health care providers practice.
and community resources. (2) Any nurse graduating with a Master's
(3) The ARNP will provide services based upon Degree in Nursing after September 1, 1991, may
education, experience, and national certification. apply for recognition as a Clinical Nurse
It is the responsibility of the licensee to Specialist by submitting an official transcript
document competency of any act, based upon verifying conferral of a Master's Degree in
education, experience and certification. Nursing from a nursing program accredited by or
(4) The scope of practice as previously defined holding preliminary approval or candidacy status
is incorporated into the following specialty with the National League for Nursing
categories and further delineates the population Accrediting Commission or the Commission on
served: Collegiate Nursing Education and documentation
(A) Adult ARNP provides health care to verifying the completion of a minimum of two
adolescents and adults. semesters of course work in which the major
(B) Family ARNP provides health care to focus of study was a clinical nurse specialist
persons across the lifespan. track or pathway.
(C) Geriatric ARNP provides health care to (3) Successful completion of the educational
older adults. program shall establish an academic preparation
(D) Neonatal ARNP provides health care to consistent with the recognized certification
neonates and infants. examination in the specialty area.
(E) Pediatric ARNP provides health care to (b) National certification.
persons from newborn to young (1) National certification in the specialty area at
adulthood. an advanced practice level or the highest level
(F) Women's Health Care ARNP provides available in lieu of the availability of an
health care to adolescent and adult females. advanced practice level examination in that
Care may also be provided to males with specialty is required for recognition.
reproductive health needs or problems. (2) The Board shall identify and keep on file the
current list of recognized certifications and
37
certifying bodies approved by the Board. A
licensee may request that a certification program [Source: Amended and renumbered from 485:10-15-1 at 8 Ok Reg 3579, eff
9-20-91 (emergency); Amended and renumbered from 485:10-15-1 at 9 Ok
be considered for inclusion on the list. A Reg 2103, eff 6-11-92; Amended at 25 Ok Reg 1427, eff 7-1-08]
certifying body examination shall meet the
following requirements: 485:10-15-9. Practice as a Certified Registered
(A) Approved or accredited by a Nurse Anesthetist
certification credentialing body approved by (a) Educational preparation. Successful
the Board. The certification credentialing completion of a nurse anesthesia educational program
body shall verify the certification accredited by the American Association of Nurse
examination meets the following Anesthetists' Council on Accreditation of Nurse
requirements: Anesthesia Educational Programs.
(i) measures theoretical and clinical (b) Maintenance. Maintenance of recertification
content based on the scope of practice through American Association of Nurse Anesthetists'
in the specialty area; Council on Recertification of Nurse Anesthetists.
(ii) is developed in accordance with
generally accepted standards of validity [Source: Added at Ok Reg 3579, eff 9-20-91 (emergency); Added at 9 Ok
Reg 2103, eff 6-11-92; Amended at 12 Ok Reg 1463, eff 5-25-95; Amended
and reliability; at 20 Ok Reg l006, eff 7-1-03; Amended at 25 Ok Reg 1428, eff 7-1-08]
(B) Open only to licensed or credentialed
health care professionals; SUBCHAPTER 16. REQUIREMENTS FOR
(C) Based upon national standards of PRESCRIPTIVE AUTHORITY FOR
practice for the specialty area. ADVANCED PRACTICE NURSES
[Source: Added at 8 Ok Reg 3579, eff 9-20-91 (emergency); Added at 9 Ok
Reg 2103, eff 6-11-92; Amended at 19 Ok Reg 1465, eff 7-1-02; Amended Section
at 22 Ok Reg 1345, eff 7-1-05; Amended at 23 Ok Reg 1453, eff 7-1-06; 485:10-16-1. Definitions
Amended at 25 Ok Reg 1427, eff 7-1-08]
485:10-16-2. Provision
485:10-16-3. Initial application
485:10-15-8. Practice as a Certified Nurse- 485:10-16-4. Clinical Nurse Specialist
Midwife pharmacology requirements
(a) Qualifications. Applicants for recognition as a 485:10-16-5. Maintenance
Certified Nurse-Midwife must meet the following 485:10-16-6. Renewal
qualifications: 485:10-16-7. Reinstatement/Inactive Status
(1) Hold a current license to practice as a 485:10-16-8. Information which must be
Registered Nurse in Oklahoma included on the prescription
(2) Successful completion of a nurse midwifery 485:10-16-9. Termination
program accredited by the American College of
Nurse Midwives Division of Accreditation [Source: Codified 5-27-97]
(3) Hold current certification for the practice of
nurse-midwifery from the American Midwifery 485:10-16-1. Definitions
Certification Board (AMCB) 485:10-16-1. Definitions
(4) Proof of enrollment in a current cycle of The following words or terms, when used in this
continuing competency assessment (CCA) or Subchapter, shall have the following meaning, unless
Certificate Maintenance Program as maintained the context clearly indicates otherwise:
by the American Midwifery Certification Board "Continuing education categories" as set out
(b) Applications. below present and define methods for meeting initial
(1) Applications must be completed and filed and renewal contact and academic credit hours at an
with the Board advanced practice level as required for prescriptive
(2) The credentials of the applicant must be authority:
verified by the American College of Nurse- (A) Category A: Academic credit. See
Midwives or American Midwifery Certification continuing education equivalencies table for
Board semester/quarter hour conversion to contact
(c) Recognition for practice of Certified Nurse hours.
Midwifery. Upon receipt of a valid application as (B) Category B:
established by the Board, the Board may recognize i) Onsite Seminar or lecture or
for practice of Certified Nurse-Midwifery and workshop or course approved for
approve for inclusion on its official listing, the name contact hours, continuing education
so recognized. units or continuing medical education
38
units through a recognized approver of authority; a licensed practitioner of medicine or
continuing education ; or osteopathy with unrestricted prescriptive authority.
ii) Online continuing education for
initial applications must be approved [Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg
1453, eff 7-1-06; Amended at 25 Ok Reg 1428, eff 7-1-08; Amended at 26
through a recognized approver of Ok Reg 1089, eff 5-11-09]
continuing education, and includes a
minimum of thirty hours obtained from 485:10-16-2. Provision
a single provider that is faculty- The Board of Pharmacy, pharmacies, and
directed, with processes for interaction registered pharmacists may access the Board of
of the participant with faculty, Nursing’s website for the formulary and the licensure
evaluating the participant's learning and recognition status of advanced practice nurses
through successful completion of case recognized for prescriptive authority.
studies or written assignments and a
comprehensive examination using a [Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg
1453, eff 7-1-06]
mechanism to ensure security of the
evaluation process.
485:10-16-3. Initial application
(C) Category C: Online seminars or
The advanced practice nurse applicant for
workshops, or articles in professional
prescriptive authority shall:
journals or other professional references
(1) hold a current R.N. license and recognition
approved for contact hours, continuing
as an A.R.N.P., C.N.M. or C.N.S. in Oklahoma;
education units or continuing medical
(2) submit a completed application containing
education units through a recognized
such information as the Board may prescribe and
approver of continuing education.
the required fee;
(D) Category D: Published article in
(3) submit a written statement from an
refereed journal/book/research project.
Oklahoma-licensed physician supervising
Evidence of publication of one article
prescriptive authority which identifies a
related to pharmacotherapy appropriate for
mechanism for:
advanced practice nurses. These will be
(A) appropriate referral, consultation, and
evaluated on a case-by-case review.
collaboration between the advanced practice
(E) Category E: Presenter/lecturer.
nurse and physician supervising prescriptive
Evidence of providing content related to
authority;
pharmacotherapeutics at an advanced
(B) availability of communication between
practice level. The presentation/lecture must
the advanced practice nurse and physician
be approved for contact hours or offered as
supervising prescriptive authority through
part of an academic course with a target
direct contact, telecommunications, or other
audience of advanced practice nurses.
appropriate electronic means for
"Continuing education equivalences" means:
consultation, assistance with medical
(A) 1 contact hour = 50 minutes
emergencies or patient referral;
(B) 1 academic semester hour = 15 contact
(4) submit documentation verifying completion
hours
of forty-five contact hours of Category B
(C) 1 academic quarter hour = 12.5 contact
continuing education or three academic credit
hours
hours of education, as required by law and
"Course in pharmacotherapeutic
defined in the rules and regulations, which are
management" means a course in which the content
applicable to the scope of practice, in
must include pharmacodynamic and kinetic
pharmacotherapeutics, clinical application, and
principles, classifications of medications relevant to
use of pharmacological agents in the prevention
the scope of practice, sources for and methods of
of illness, and in the restoration and maintenance
evaluating drug information, legal and ethical
of health in a program beyond basic nursing
implications of prescribing, clinical application and
preparation. Such contact hours or academic
use of pharmacological agents in the prevention of
credits shall be obtained within a time period of
illness, restoration and maintenance of health.
three (3) years immediately preceding the date of
"Qualified preceptor" means an advanced
receipt of application for prescriptive authority.
practice nurse with a current unrestricted license who
The three (3) year time period may be waived if
has a scope of practice which includes prescribing
the applicant has graduated from their advanced
and has met the requirements for prescriptive
practice educational program within a time
period of three years immediately preceding the
39
date of application for prescriptive authority and are not listed on the exclusionary formulary approved
submits the following official documentation by the Board, and which are within the scope of
from the advanced practice program: practice for the advanced practice nurse, and that are
(A) Course descriptions with course not otherwise prohibited by law.
objectives verifying the integration of (b) The advanced practice nurse must have a
didactic and clinical hours in supervising physician on file with the Board prior to
pharmacotherapeutic management content prescribing drugs or medical supplies. Changes to the
throughout the advanced practice program written statement between the advanced practice
curriculum; and nurse and supervising physician shall be filed with
(B) Credentials of the faculty teaching the the Board within 30 days of the change and shall be
courses verifying the faculty’s scope of effective upon filing.
practice includes prescribing. (c) The advanced practice nurse with prescriptive
(C) Verification of the total number of authority who prescribes Schedule III-V drugs will
contact hours completed in comply with state and Federal Drug Enforcement
pharmacotherapeutics. Administration (DEA) requirements prior to
(5) Submit documentation verifying successful prescribing controlled substances.
completion of a graduate degree at an advanced (1) The advanced practice nurse with
practice level or post-master’s certificate at an prescriptive authority will submit in writing the
advanced practice level, if the Master’s degree is assigned DEA number to the Board of Nursing
in nursing. within fourteen (14) days of receipt.
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg (2) No more than a 30-day supply for Schedule
1453, eff 7-1-06; Amended at 25 Ok Reg 1428, eff 7-1-08]
III-V drugs shall be prescribed by the advanced
485:10-16-4. Clinical Nurse Specialist practice nurse with prescriptive authority.
pharmacology requirements [Source: Added at l4 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg
In addition to meeting the requirements in 485: 1453, eff 7-1-06; Amended at 25 Ok Reg 1431, eff 7-1-08]
10-16-3, the Clinical Nurse Specialist who
submits an initial application for prescriptive 485:10-16-6. Renewal
authority shall also submit: The application for renewal of prescriptive
(1) Documentation verifying completion of a authority shall:
course in pharmacotherapeutic management (1) be concurrent with the two-year RN
applicable to the Clinical Nurse Specialist’s licensure renewal and renewal of advanced
specialty area which must be a minimum of two practice recognition;
credit hours or 30 contact hours of Categories A (2) include:
or B continuing education categories. (A) a completed application containing such
(2) Documentation verifying satisfactory information as the Board may prescribe and
completion of a minimum of 320 clock hours required fee;
preceptorial experience with a qualified (B) documentation approved by the Board
preceptor whereby the Clinical Nurse Specialist verifying a minimum of 15 contact hours, or
is providing direct care including demonstrating one academic credit hour of education, or
competence in prescribing drugs and medicines. the equivalent, in pharmacotherapeutics,
This preceptorial experience must be developed clinical application and use of
and overseen by an academic program that pharmacological agents in the prevention of
prepares Clinical Nurse Specialists. All didactic illness, and in the restoration and
coursework in pharmacotherapeutics must be a maintenance of health, in a program beyond
prerequisite or corequisite to the preceptorial basic registered nurse preparation, approved
experience verified by official documentation of by the Board, within the two-year period
approval by the academic program that offers the immediately preceding the effective date of
preceptorial experience. application for renewal of prescriptive
authority, which is applicable to the scope of
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg practice. This documentation requirement
1453, eff 7-1-06; Amended at 25 Ok Reg 1429, eff 7-1-08]
does not apply to individuals renewing
485:10-16-5. Maintenance within 24 months of initial prescriptive
(a) The advanced practice nurse may prescribe in authority approval.
writing, orally, or by other means of (i) The following categories identify
telecommunication, drugs or medical supplies which how this requirement may be met. No
more than the identified percentage for
40
each category may apply towards the electronic means for consultation, assistance
contact hour/academic hour or the with medical emergencies, or patient
equivalent requirements for renewal of referral.
prescriptive authority; (3) If reinstatement is not approved within three
(ii) Maximum number of units years of the expiration of prescriptive authority,
acceptable in continuing education the applicant will be required to meet initial
categories: application criteria.
(I) Category A: up to 100% of (b) Inactive Status.
requirement (1 credit hour) (1) An advanced practice nurse may submit a
(II) Category B: up to 100% of written request to place prescriptive authority on
requirement (15 contact hours) inactive status.
(III) Category C: up to 100% of (2) An advanced practice nurse's prescriptive
requirement (15 contact hours) authority will be placed on inactive status upon
(IV) Category D: up to 20% of notification to the Board office that the nurse
requirement (3 contact hours) does not have a current physician supervising
(V) Category E: up to 20% of prescriptive authority.
requirement (3 contact hours) (3) The date of inactive status will be the date of
(C) A written statement signed by the approval by the Board. The Board may delegate
physician supervising prescriptive authority approval of the licensee's request to be placed on
that includes a method of assuring inactive status to Board staff.
availability of the supervising physician (4) The advanced practice nurse may return to
through direct contact, telecommunications active status the prescriptive authority renewal
or other appropriate electronic means for by submitting:
consultation, assistance with medical (A) a completed application containing such
emergencies, or patient referral. Applicants information as the Board may prescribe and
for renewal who have submitted a written required fee;
statement signed by the physician (B) evidence of having met requirements
supervising prescriptive authority prior to for renewal of prescriptive authority as listed
renewal but within 90 days of the expiration in 485:10-16-6 (2)(B)(i)(ii).
date are not required to submit another (C) A written statement signed by the
written statement for renewal. Oklahoma-licensed physician supervising
prescriptive authority that includes a method
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 19 Ok Reg of assuring availability of the supervising
1465, eff 7-1-02; Amended at 23 Ok Reg 1453, eff 7-1-06; Amended at 24
Ok Reg 1439, eff 7-1-07; Amended at 25 Ok Reg 1429, eff 7-1-08] physician through direct contact,
telecommunications or other appropriate
485:10-16-7. Reinstatement/Inactive Status electronic means for consultation, assistance
(a) Reinstatement. with medical emergencies, or patient
(1) If an advanced practice nurse fails to renew referral.
prescriptive authority prior to the expiration date (5) If return to active status of prescriptive authority
of that authority, the advanced practice nurse's is not approved within three years of the date of
prescriptive authority shall expire and the approval of inactive status, the applicant will be
advanced practice nurse shall cease prescribing. required to meet initial application criteria.
(2) The advanced practice nurse may reinstate
[Source: Added at 14 Ok Reg 1980, eff 5-27-97; Amended at 18 Ok Reg
the prescriptive authority renewal by submitting: 2707, eff 7-1-01; Amended at 23 Ok Reg 1453, eff 7-1-06; Amended at 24
(A) a completed application containing such Ok Reg 1439, eff 7-1-07; Amended at 25 Ok Reg 1429, eff 7-1-08]
information as the Board may prescribe and
required fee; 485:10-16-8. Information which must be
(B) evidence of having met requirements included on the prescription
for renewal of prescriptive authority as listed (a) Prescriptions will comply with all applicable
in 485:10-16-6 (2)(B)(i)(ii). state and federal laws.
(C) A written statement signed by the (b) All prescriptions will include the following
Oklahoma-licensed physician supervising information:
prescriptive authority that includes a method (1) Name, title, address, and telephone number
of assuring availability of the supervising of the advanced practice nurse who is
physician through direct contact, prescribing.
telecommunications or other appropriate
41
(2) Name of physician supervising prescriptive "Perioperative" means preanesthetic
authority. preparation or evaluation, anesthesia induction,
(3) Name of the client. maintenance or emergence, or postanesthesia care of
(4) Date of the prescription. clients.
(5) Full name of the drug, dosage, route and "Periobstetrical" means preanesthetic
specific directions for administration. preparation or evaluation, anesthesia induction,
(6) DEA number of advanced practice nurse, if maintenance or emergence, or postanesthesia care of
required. the pregnant female.
(c) Written prescriptions shall include the signature "Authority to order, select, obtain and
of the advanced practice nurse. administer drugs" encompasses the process of
(d) Records of all prescriptions will be documented utilizing anesthesia related drugs, gases and devices
in client records. during the perioperative and periobstetrical periods
so as to maintain the patient in sound physiologic
[Source: Added at l4 Ok Reg 1980, eff 5-27-97; Amended at 23 Ok Reg status.
1453, eff 7-1-06]
[Source: Added at 15 Ok Reg 2038, eff 5-26-98]
485:10-16-9. Termination
Reasons for termination of prescriptive 485:10-18-2. Initial application
authority: The Certified Registered Nurse Anesthetist
(1) guilty of fraud or deceit in obtaining (C.R.N.A.) who applies for authority to order, select,
prescriptive authority; obtain and administer drugs shall:
(2) negligent prescribing; (1) hold a current R.N. license and recognition
(3) prescribing outside the scope of practice; as a C.R.N.A. in Oklahoma;
(4) prescribing for other than therapeutic (2) submit the following:
purposes; (A) a completed application containing such
(5) violated the provisions of the prescriptive information as the Board may prescribe for
authority rules in this subchapter; or authority to order, select, obtain and
(6) violated the Oklahoma Nursing Practice Act administer drugs and the required fee;
or Rules and Regulations. (B) evidence of satisfactory completion of a
minimum of fifteen (15) units of continuing
[Source: Added at 14 Ok Reg 1980, eff 5-27-97]
education in advanced pharmacology related
to the administration of anesthesia as
SUBCHAPTER 17. NURSE recognized by the American Association of
PRACTITIONER REQUIREMENTS Nurse Anesthetists within the two-year
[REVOKED] period immediately preceding the date of
application;
[Source: Revoked at 8 Ok Reg 3579, eff 9-20-91 through 5-29-92 (C) evidence of professional liability
(emergency); Revoked at 10 Ok Reg 1535, eff 4-26-93]
insurance.
SUBCHAPTER 18. PRESCRIPTIVE (D) official transcript of C.R.N.A.
AUTHORITY FOR C.R.N.A. education, if not on file with Board office.
(E) legible copy of current national
Section certification.
485:10-18-1. Definitions [Source: Added at 15 Ok Reg 2038, eff 5-26-98; Amended at 18 Ok Reg
485:10-18-2. Initial application 2707, eff 7-1-01: Amended at 23 Ok Reg 1453, eff 7-1-06; Amended at 25
485:10-18-3. Renewal Ok Reg 1430, eff 7-1-08]
485:10-18-4. Reinstatement
485:10-18-5. Information which must be 485:10-18-3. Renewal
included in the order The application for renewal of authority to order,
select, obtain and administer drugs shall:
[Source: Codified 5-26-98] (1) be concurrent with the two-year R.N.
licensure renewal and renewal of advanced
485:10-18-1. Definitions practice recognition;
The following words or terms, when used in this (2) include:
Subchapter, shall have the following meaning, unless (A) a completed application containing such
the context clearly indicates otherwise: information as the Board may prescribe and
required fee;
42
(B) documentation verifying satisfactory authority to order, select, obtain and administer drugs
completion of a minimum of eight (8) units will immediately notify the Board of Nursing in
of continuing education in advanced writing that the DEA registration was received.
pharmacology relating to the administration
of anesthesia, as recognized by the Council [Source: Added at 15 Ok Reg 2038, eff 5-26-98; Amended at 18 Ok Reg
2707, eff 7-1-01]
on Certification of Nurse Anesthetists or the
Council on Recertification of Nurse SUBCHAPTER 19. PEER ASSISTANCE
Anesthetists, completed during the two (2) PROGRAM
years immediately preceding renewal.
[Source: Added at 15 Ok Reg 2038, eff 5-26-98; Amended at 18 Ok Reg
Section
2707, eff 7-1-01; Amended at 25 Ok Reg 1430, eff 7-1-08] 485:10-19-1. Purpose
485:10-19-2. Definitions
485:10-18-4. Reinstatement 485:10-19-3. Administration
(a) If a C.R.N.A. fails to renew authority to order, 485:10-19-4. Peer Assistance Committee(s)
select, obtain and administer drugs prior to the 485:10-19-5. Qualifications of applicant
expiration date of that authority, the C.R.N.A.'s 485:10-19-6. Participation in program
authority to order, select, obtain and administer drugs 485:10-19-7. Discharge from program
shall expire. If reinstatement is not approved within 485:10-19-8. Termination from program
two years of the expiration of authority to order,
select, obtain and administer, the applicant will be [Source: Codified 5-25-95]
required to meet initial application criteria.
(b) The C.R.N.A. may reinstate the authority to
order, select, obtain and administer drugs by 485:10-19-1. Purpose
submitting The rules of this Subchapter have been adopted
(1) a completed application containing such for the purpose of complying with the provisions of
information as the Board may prescribe and the Oklahoma Nursing Practice Act. [59 O.S. 567.17]
required fee; This program, known as the Peer Assistance
(2) documentation verifying satisfactory Program, shall assist in the rehabilitation of nurses
completion of a minimum of eight (8) units of who have abused alcohol or drugs. This approach
continuing education in advanced pharmacology allows the Board to retain control of nursing practice
relating to the administration of anesthesia, as for the protection of the public and provides an
recognized by the American Association of alternative to the disciplinary process.
Nurse Anesthetists, completed during the two (2)
[Source: Added at 12 Ok Reg 1463, eff 5-25-95]
years immediately preceding renewal.
[Source: Added at 15 Ok Reg 2038, eff 5-26-98; Amended at 18 Ok Reg
485:10-19-2. Definitions
2707, eff 7-1-01; Amended at 25 Ok Reg 1430, eff 7-1-08] The following words and terms, when used in
this Subchapter, shall have the following meaning,
485:10-18-5. Information which must be unless the context clearly indicates otherwise:
included in the order "Board of Nursing" means the Oklahoma Board
(a) The C.R.N.A. with authority to order, select, of Nursing.
obtain and administer drugs shall document all orders "Licensee" means licensed practical nurse,
in the patient record. registered nurse or advanced practice nurse.
(b) All orders shall: "Program Coordinator" means the person
(1) comply with all applicable state and federal employed by the Oklahoma Board of Nursing to
laws. administer the Peer Assistance Program.
(2) include:
(A) name of the client, [Source: Added at 12 Ok Reg 1463, eff 5-25-95]
(B) date of the order
(C) full name of the drug, dosage, route and 485:10-19-3. Administration
specific directions for administration, (a) Guidelines for the program will be approved by
(D) signature of the C.R.N.A. the Board.
(c) The C.R.N.A. with authority to order, select, (b) The Board will have responsibility for approval
obtain and administer Schedule II-V drugs shall and oversight of the budget.
comply with the Uniform Controlled Dangerous
[Source: Added at 12 Ok Reg 1463, eff 5-25-95]
Substance Act requirements. The C.R.N.A. with
43
485:10-19-4. Peer Assistance Committee(s) 485:10-19-6. Participation in program
(a) Members of the Peer Assistance Committee(s) The licensee shall:
shall have expertise in chemical dependency. (1) agree in writing to cooperate with program
(b) Composition of the Committee shall be: and comply with provisions of the contract, and
(1) at least three members, (2) assume the financial costs of participation.
(2) at least one member who is currently
certified through the Addictions Nursing [Source: Added at 12 Ok Reg 1463, eff 5-25-95]
Certification Board and/or licensed or certified
by the Oklahoma Board of Licensed Alcohol and 485:10-19-7. Discharge from program
Drug Counselors, (a) A licensee shall be considered discharged from
(3) at least one recovering person, and the program when the following is met:
(4) the majority to be currently licensed nurses. (1) the licensee has been in compliance with all
(5) A quorum shall be at least two members, the terms of the contract with the Peer Assistance
with at least one member having expertise in Committee and has completed the required
chemical dependency. program,
(c) The committee shall have the following (2) Peer Assistance Committee documents
responsibilities: completion of program and eligibility for
(1) determine licensee's acceptance into discharge with written notification to the
program, licensee.
(2) develop with licensee a contract for program (b) A licensee may transfer to another state upon
participation, submission to the jurisdiction of that state’s Board of
(3) meet with licensee on a specified basis to Nursing or its equivalent for a peer assistance
monitor and determine progress, program or for discipline. A licensee shall be
(4) determine successful completion of considered discharged upon submitting
program, documentation verifying successful completion of
(5) determine termination from program for that state’s Board of Nursing order or its equivalent
failure to comply, for a peer assistance program.
(6) report all terminations to the Board.
[Source: Added at 12 Ok Reg 1463, eff 5-25-95; Amended at 14 Ok Reg
(d) The Peer Assistance Committee(s) shall be 1980, eff 5-27-97]
appointed by the Board from applications for a term
of three years. 485:10-19-8. Termination from program
(a) The Peer Assistance Committee shall make the
[Source: Added at 12 Ok Reg 1463, eff 5-25-95; Amended at 20 Ok Reg
1010, eff 7-1-03; Amended at 27 Ok Reg 1032, eff 7-1-10]
determination that a licensee has failed to comply
with the contract and/or amended contracts and/or
485:10-19-5. Qualifications of applicant treatment plan(s). A licensee may be terminated for
(a) To be eligible for participation in the Peer any of the following reasons, including but not
Assistance Program, each applicant must: limited to:
(1) have a current license to practice nursing in (1) the licensee fails to comply with terms of the
the State of Oklahoma, unless referred by the contract and/or amended contracts with the Peer
Board, Assistance Committee,
(2) have no pending felony charge or conviction (2) the licensee has become unsafe to practice
that would prevent the nurse from practicing, with reasonable skill and safety to patients under
(3) voluntarily submit an application for his care, or
participation, and (3) the licensee transfers to another state and
(4) practice nursing only within the State of fails to submit to that state's Board of Nursing or
Oklahoma while participating in the Program. its equivalent.
(b) Nurses previously disciplined by the Board shall (b) A licensee who voluntarily withdraws from the
be ineligible, unless referred to the Peer Assistance program shall be considered terminated from the
Program by the Board. program.
(c) Nurses referred by the Board shall have sixty
[Source: Added at 12 Ok Reg 1463, eff 5-25-95; Amended at 27 Ok Reg
(60) days from the date of acceptance into the 1032, eff 7-1-10]
Program within which to obtain a current license.
[Source: Added at 12 Ok Reg 1463, eff 5-25-95; Amended at 24 Ok Reg
1439, eff 7-1-07; Amended at 27 Ok Reg 1032, eff 7-1-10]
44