Oklahoma Code § 63-1-290.2

Title 63. Public Health And Safety: Registered nurses - Physician-approved protocols
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A.  Registered nurses are authorized to use physician-approved
protocols to provide public health services when performing duties
as an employee or as a contractor, as defined in Section 803 of
Title 18 of the Oklahoma Statutes, on behalf of the city-county

health departments, county health departments, and the State
Department of Health.
B.  The Department shall have a designated Medical Director
responsible for maintaining the protocols to reflect the current
standard of care.  Protocols shall be consistent with published
clinical practice guidelines established or endorsed by nationally
recognized professional medical organizations, societies,
associations and federal agencies.  The physician-approved protocols
shall be reviewed annually and updated as needed.  Physician-
approved protocols shall be approved through Department policy.
C.  The establishment of a physician-patient relationship is not
necessary for the physician-approved protocol to be implemented by
the registered nurse when providing public health services on behalf
of a city-county health department, county health department or the
Department.
D.  The State Department of Health shall promulgate and
implement policies and procedures to ensure the registered nurse has
proper training, education and supervision prior to and during the
provision of public health services.
E.  Medical algorithms may be utilized or referenced in the
physician-approved protocols to assist in providing the public
health services.
F.  The registered nurse may dispense prepackaged
nonprescription medications and recommend nonprescription
medications pursuant to the physician-approved protocols.
G.  A registered nurse may orally submit a prescription
prescribed by an advanced practice registered nurse with
prescriptive authority to a pharmacy of the patient’s choosing.

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