Practice and Advanced Practice
IV Hydration Guidelines and Cosmetic/Aesthetic Dermatological Procedures Guidelines
Elective IV hydration therapy and cosmetic/aesthetic dermatological treatments continue to rise in popularity and availability in Oklahoma. The Oklahoma Board of Nursing recognizes the need for more detailed guidance for Oklahoma nurses in these practice areas to ensure the protection of the public. Key areas of concern include ensuring nurses understand and follow their personal and legal scope of practice and the proper establishment of the patient-provider relationship.
To address these concerns, the Oklahoma Board of Nursing approved two new guidelines at the March 2026 Board meeting: IV Hydration Guidelines and Cosmetic/Aesthetic Dermatological Procedures Guidelines. These guidelines were developed using evidenced-based practice (EBP) and national best practices for regulation in these practice areas. Oklahoma nurses who practice in these areas should review the guidelines thoroughly to ensure compliance with existing regulatory requirements.
HB 2298 and Independent Prescriptive Authority
With the passage of HB 2298, effective Saturday, November 1, 2025, eligible Advanced Practice Registered Nurses meeting the requirements enumerated in the bill are eligible to apply for independent prescriptive authority recognition.
With the approval of emergency rules by the governor, with an effective date of November 1, 2025, OBN began accepting applications at 8:00 a.m. on Monday, November 3, 2025. For questions regarding the application process, please see the Frequently Asked Questions (FAQs) at the button below. A link to the application instructions can be accessed from the FAQs and also in the section on this webpage under Prescriptive Authority (APRN-CNP, APRN-CNS, APRN-CNM).
If you currently have prescriptive authority recognition, you must maintain a supervising physician until you have applied for and been granted independent prescriptive authority.
In addition, All APRNs are encouraged to review the requirements imposed by HB 2298 and the resulting amendments to the Nursing Practice Act, 59 O.S. § 567.1, et seq., to ensure their continued compliance with the legal requirements of the Act. New requirements created by HB 2298 include those governing independent prescriptive authority and malpractice insurance, among others. If you have questions about the legal requirements imposed by HB 2298, please consult with legal counsel and your employer to ensure your continued compliance.
ALERT!
Changes In Supervising Physician(s) For Advanced Practice Registered Nurse Prescriptive Authority Are Due Within 30 Days of the Change.
Practice Policies, Procedures & Guidelines
- Abandonment Statement
- Continuing Qualifications for Practice for License Renewal Guidelines
- Cosmetic/Aesthetic Dermatological Procedures Guidelines
- Decision-Making Model for Scope of Nursing Practice Decisions: Determining APRN/RN/LPN Scope of Practice Guidelines
- Delegation of Nursing Functions to Unlicensed Persons
- Employment of Nursing Students or Non-Licensed Graduates Guidelines
- Issuance of Temporary Licenses for APRNs, RNs and LPNs by Endorsement into Oklahoma
- IV Hydration Guidelines
- IV Medication Administration by LPN's Guidelines
- Limited Obstetric Ultrasound and Limited Ultrasound in a Reproductive Medicine Setting Examinations Performed by Registered Nurse Guidelines
- Nursing Practice Opinion Requests Procedure
- Opioid Discussion Guidelines for APRNs when Prescribing
- Patient Assessment Guidelines
- Placement of Nasogastric Tubes by RNs in Post Bariatric or Anatomy Altering (Upper GI Tract and Stomach) Surgical Patients Guidelines
- Rapid Sequence Intubation Guidelines
- Registered Nurse Administering, Managing and Monitoring Non-Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques Guidelines
- Registered Nurse Monitoring Obstetrical Patients Receiving Analgesia/Anesthesia by Catheter Techniques Guidelines
- Wound Debridement by Licensed Nurses Guideline
- Moderate (Conscious) Sedation Guidelines for Registered Nurse Managing and Monitoring Patients
- Monitoring of the Moderate (Conscious) Sedation Patient by Licensed Practical Nurse Guidelines
Advanced Practice Registered Nurse Licensure
In 1976, recognition of the Certified Registered Nurse Anesthetist was incorporated into the Oklahoma Nursing Practice Act. In 1980, recognition of the Certified Nurse Practitioner and Certified Nurse Midwife were added. Clinical Nurse Specialists were added to the Oklahoma Nursing Practice Act in 1994.
Prescriptive Authority (APRN-CNP, APRN-CNS, APRN-CNM)
- Exclusionary Formulary
- New Initial Supervised Prescriptive Authority for the APRN-CNP, APRN-CNM, APRN-CNS: Instructions
- New Initial Independent Prescriptive Authority for the APRN-CNP, APRN-CNM, APRN-CNS: Instructions
- Reinstatement of Supervised Prescriptive Authority Recognition No Longer Active for the APRN-CNP, APRN-CNS, and APRN-CNM
- Agreement for Physician Supervising Advanced Practice Prescriptive Authority
- ALERT! Due Within 30 Days - Change in Supervising Physician(s) for Advanced Practice Prescriptive Authority: Application Instructions
- Formulary Advisory Council Procedure for Amending the Formulary
- Prescriptive Authority Continuing Education Tracking Form
- Request Form for Review of Pharmacology Contact Hours
Prescriptive Authority (APRN-CRNA)
- CRNA Inclusionary Formulary
- Prescriptive Authority APRN-CRNA (Authority to Select, Order, Obtain and Administer Drugs): Application Instructions
- Reinstatement of Prescriptive Authority APRN-CRNA (Authority to Select, Order, Obtain and Administer Drugs): Application Instructions
- Prescriptive Authority Continuing Education Tracking Form
- Request for Review of Pharmacology Contact Hours
