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Our Purpose/Our Goal
Our Logo
The Board
Prescriptive Authority Guidelines
Our Purpose
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to
be a cohesive, supportive group to promote the practice of the CNS
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to
unite Advance Practice Nurses for the development of nursing practice
Our Goal
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to address topics impacting the advance practice of
the CNS
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to increase visibility of CNSs through participation
on appropriate state and local committees
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to act as a resource group and provide continuing
education programs for the CNS
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to support the coalition of advanced practice
groups, such as CNSs, ARNPs, CRNAs and CNMs.
Our Logo
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Circles: represent the three spheres of CNS practice and influence – patient,
nurse and organization.
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The Lamp: a symbol of the care and devotion the nurse administers to the sick
and injured in the practice of Nursing.
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Colors: Blue is the color of the sky and sea. It is often associated with
depth and stability. It symbolizes trust, loyalty, wisdom, confidence,
intelligence, faith, truth, and heaven.
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Dark Blue: represents knowledge, power, integrity, and seriousness.
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Light Blue: is associated with health, healing, tranquility, understanding,
and softness.
Guidelines for Prescriptive Authority from the Board of
Nursing:
For initial prescriptive authority
applications for CNMs, CNSs, or
ARNPs, the academic credits or continuing education
contact hours must have been earned within the last three years, as follows
(please note that there are additional requirements for
the CNS):
485:10-16-3. Initial application
The advanced practice nurse applicant for prescriptive authority shall:
(1) hold a current R.N. license and recognition as an A.R.N.P., C.N.M. or C.N.S.
in Oklahoma;
(2) submit a completed application containing such information as the Board may
prescribe and the required fee;
(3) submit a written statement from an Oklahoma-licensed physician supervising
prescriptive authority which identifies a mechanism for:
(A) appropriate referral, consultation, and collaboration between the advanced
practice nurse and physician supervising prescriptive authority;
(B) availability of communication between the advanced practice nurse and
physician supervising prescriptive authority through direct contact,
telecommunications, or other appropriate electronic means for
consultation, assistance with medical emergencies or patient referral;
(4) submit documentation verifying completion of forty-five contact hours of
Category B continuing education or three academic credit hours of education, as
required by law and defined in the rules and regulations, which are applicable
to the scope of practice, in pharmacotherapeutics, clinical application, and use
of pharmacological agents in the prevention of illness, and in the restoration
and maintenance of health in a program beyond basic nursing preparation. Such
contact hours or academic credits shall be obtained within a time period of
three (3) years immediately preceding the date of receipt of application for
prescriptive authority. The three (3) year time period may be waived if the
applicant has graduated from their advanced practice educational program within
a time period of three years immediately preceding the date of application for
prescriptive authority and submits the following official documentation from the
advanced practice program:
(A) Course descriptions with course objectives verifying the integration of
didactic and clinical hours in pharmacotherapeutic management content
throughout the advanced practice program curriculum; and
(B) Credentials of the faculty teaching the courses verifying the faculty’s
scope of practice includes prescribing.
(C) Verification of the total number of contact hours completed in
pharmacotherapeutics.
(5) Submit documentation verifying successful completion of a graduate degree at
an advanced practice level or post-master’s certificate at an advanced practice
level, if the Master’s degree is
in nursing.
An initial
application requires the following:
(Contact hours or academic credits for recognition for
CRNA authority to select, order, obtain, and
administer drugs )
485:10-18-2.
Initial application
The Certified Registered Nurse Anesthetist (C.R.N.A.) who applies for authority
to order, select, obtain and administer drugs shall:
(1) hold a current R.N. license and recognition as a C.R.N.A. in Oklahoma;
(2) submit the following:
(A) a completed application containing such information as the Board may
prescribe for authority to order, select, obtain and administer drugs and the
required fee;
(B) evidence of satisfactory completion of a minimum of fifteen (15) units of
continuing education in advanced pharmacology related to the administration of
anesthesia as recognized by the American Association of Nurse Anesthetists
within the two-year period immediately preceding the date of application;
(C) evidence of professional liability insurance.
(D) official transcript of C.R.N.A. education, if not on file with Board
office.
(E) legible copy of current national certification.
Eligibility to supervise an advanced practice nurse with prescriptive authority
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This is addressed in the Rules of the Oklahoma
Board of Medical Licensure and Supervision, and includes the following:
485: 10-13-2 (a) To be eligible to serve as supervising physician for the
advanced practice nurse with prescriptive authority, an allopathic physician
shall meet the following criteria:
(1)
Have possession of a full and unrestricted Oklahoma medical license with DEA and
OBN permits for any drug on the formulary as defined in the Oklahoma Nursing
Practice Act.
(2)
The physician shall be in an active clinical practice in which no less than
twenty (20) hours per week shall involve direct patient contact.
(3)
The supervising physician shall be trained and fully qualified in the field of
the advanced practice nurse’s specialty.
(4)
No physician shall supervise more than two (2) full time equivalent advanced
practice nurses regarding their prescriptive authority at any one time. For
purposes of this section, each “full time equivalent” advanced practice nurse
position equals forty (40) hours per week collectively worked by the part-time
advanced practice nurses being supervised by the physician. Notwithstanding,
the provision for the supervision of two (2) full time equivalent advanced
practice nurses above, no physician shall supervise more than a total of four
(4) advanced practice nurses. The Board may make an exception to any limit set
herein upon request by the physician.
The OBMLS Rules also address supervision of PA’s
in a separate section of the Rules
435:
15-3-15. Approval to supervise more than two PA’s.
The Board shall not approve an application for any one physician to supervise
more than two (2) physician assistants at any one time, except that a medical
director or supervising physician of a state institution may supervise more than
two physician assistants provided that appropriate alternate supervising
physician(s) are available and approved by the Board to supervise the physician
assistant(s) in the absence of the primary, supervising physician.
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