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In Oklahoma, NPs are permitted to practice independently. However, they are not allowed to prescribe medications and treatments without first entering into a supervisory agreement with a physician.
Physician supervision is required in order for nurse practitioners to prescribe in Oklahoma. The supervision arrangement must be outlined in a written agreement.
Direct Supervision: Requires the physical presence of the supervising physician in the office or operating suite before, during and after the treatment or procedure and includes diagnosis, authorization, and evaluation of the treatment or procedure with the physician/patient relationship remaining intact.
(4) No physician shall supervise more than a total of six (6) physician assistants and/or advanced practice nurses regarding their prescriptive authority.
Where are NPs able to practice independently? Currently, NPs can now practice independently in 27 states and in Washington, D.C. In other states, while NPs may perform many of their job functions with a high level of independence, they must work in collaboration with or under the supervision of a physician.
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Prescribing authority shall be allowed, under the medical direction of a supervising physician, for an advanced practice nurse recognized by the Oklahoma Board of Nursing in one of the following categories: advanced registered nurse practitioners, clinical nurse specialists, or certified nurse-midwives.
The Burdens of Restricted Practice in Oklahoma. In Oklahoma, NPs are permitted to practice independently. However, they are not allowed to prescribe medications and treatments without first entering into a supervisory agreement with a physician.
(3) take place at least once a month in a manner determined by the physician and the APRN.

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