oklahoma board of nursingoklahoma board of nursing fy 2018 annual report mission~vision~values...

Oklahoma Board of Nursing

FY 2018

Annual Report and Statistical Data for the Fiscal Year Ended

June 30, 2018

Mary Fallin, Governor

Kim Glazier, Executive Director

Current Board Members/Appointment Information……….………………. 1

Mission ~ Vision ~ Values………….……………………….…………….... 2

General Functions….…………………………...….……….………………. 3

Board Staff ~ Organizational Components…………………………………. 4

Executive Division………………..…………..………….……….…………. 5

Regulatory Services Division...……..….….…………………….…………. 11

Peer Assistance Program……………..…………………….………………. 40

Investigative Division…...…………..….……………………….…………. 50

Nurse Population Data...…………………………………...……………….. 56

Table of Contents


FY 2018 Annual Report

Board Members

Name Term Expires Geographic District

Susan Jones, PhD, APRN-CNS 5/31/2019 4

Nursing Service

Acute Care

Carmen Nickel, MS, RN 5/31/2020 2

Nursing Education

Patricia ‘Liz’ Massey, MSN, RN, NEA-BC, NE-BC 5/31/2021 5

Nursing Service

Acute Care

Mandy Nelson, MS, APRN-CNS, ACNS-BC 5/31/2021 1

Advanced Practice Nursing

Marilyn Turvey, BS, LPN 5/31/2021 8

Cathy Abram, M.Ed., LPN 5/31/2022 7

Jan Palovik, MSA, APRN-CRNA 5/31/2022 3

Shelly Hovis, MS, RN 5/31/2023 8

Nursing Education

Lindsay Potts, LPN 5/31/2023 2

Marla Ellis, CPA co-term w/ Governor 2

Public Member

Keith Oehlert co-term w/ Governor 4

Public Member

The Board is composed of eleven members appointed by the Governor: six Registered Nurses,

three Licensed Practical Nurses, and two public members. Members serve for a period of five

years, except for public members, who serve coterminously with the Governor.

1



Mission~Vision~Values

Mission

The mission of the Oklahoma Board of Nursing is to safeguard the public’s health, safe-

ty, and welfare through the regulation of nursing practice and nursing education.

Vision

The Oklahoma Board of Nursing leads the nation in public protection through proactive

leadership, efficient operations and customer service.

Values

1. Public Protection: We use legally sound and evidence-based decision-making

processes to ensure protection of the public.

2. Customer Service: We provide quality customer service to all in a fair and

professional manner.

3. Efficient Operations: We implement regulatory functions in a consistent, ef-

fective, and efficient manner.

4. Proactive Leadership: We collaborate with stakeholders in the development

of policies impacting the health, safety and welfare of the public.

2



1. Prescribe standards for educational programs preparing persons for licensure or certification

as Registered Nurses, Licensed Practical Nurses, or Advanced Unlicensed Assistants.

A. Provide for surveys of nursing education programs according to the Rules.

B. Approve nursing education programs and advanced unlicensed assistant training pro-

grams that meet the prescribed standards.

C. Deny or withdraw approval of educational programs for failure to meet or maintain pre-

scribed standards.

2. Administer the National Council Licensure Examination (NCLEX) for Registered and Prac-

tical Nurses in accordance with the National Council of State Boards of Nursing, Inc., con-

tract.

3. Administer the advanced unlicensed assistant certification examination in accordance with

the contractual agreement with the test service.

4. Provide initial licensure and renewal of licensure of duly qualified applicants, including:

A. Licensure by examination for new graduates. B. Licensure by endorsement for nurses licensed in other states or educated in foreign countries.

C. Reinstatement of lapsed license and return to active status applications.

5. Issue/renew license to Advanced Practice Registered Nurses meeting established require-

ments.

6. Issue/renew prescriptive authority recognition to Advanced Practice Registered Nurses

meeting established requirements.

7. Maintain a Peer Assistance Program for nurses whose competencies may be compromised

by drug abuse or dependency.

8. Investigate complaints of alleged violations of the Oklahoma Nursing Practice Act and

Rules of the Board.

9. Conduct hearings upon charges calling for disciplinary action.

10. Promulgate rules to implement the Oklahoma Nursing Practice Act.

11. Maintain records of all licensed nurses and advanced unlicensed assistants. Provide the rec-

ords for public inspection under the provisions of the Open Records Act.

General Functions

3



Organization

(as of June 30, 2018)

Executive

Kim Glazier, RN, MEd

Executive Director Dana Edminsten, BS, CPM, CPO

Business Manager Sandra Ellis, CPM

Executive Assistant

Regulatory Services Division

Jackye Ward, RN, MS

Deputy Director for Regulatory Services Gina Stafford, RN, BSN

Associate Director, Nursing Practice Terri Walker, RN, MS

Nursing Education Consultant Darcy Hammond, RN, MS

Licensing Manager Brad Moore, BA

Licensing Specialist Shirley Montgomery

Licensing Analyst Janet Campbell

Legal Secretary Angel Brown, BA

Administrative Technician Robin Bryant, BA

Administrative Technician Romelda Daniels

Administrative Technician Dana Hall, AA

Administrative Technician Karen Murdock

Administrative Technician/Receptionist

Peer Assistance Program

Jenny Barnhouse, RN, DNP

Program Coordinator Marcia Cordry, RN, BSN

Case Manager Erica McArthur, RN, BSN

Case Manager Amy Tomlinson, BA

Legal Secretary

Investigative Division

Lisa Griffitts, RN, MS

Director Opal Michele Reading, RN, BSN

Assistant Director Starla Griffith, RN, MS

Chief Investigator Holly Baker, RN, BSN

Nurse Investigator Terrie Kiker, APRN-CNS, MS

Nurse Investigator Mark Stroud, RN, BSN, MBA

Nurse Investigator Vacant

Nurse Investigator Andrea Denman, AA

Legal Secretary Teena Jackson

Legal Secretary Shelley Tuscana

Legal Secretary

4



Executive

5



Executive Division Information

The Executive Division of the agency consists of the Executive Di-

rector, Kim Glazier, and supporting staff, Dana Edminsten, Business

Manager, and Sandra Ellis, Executive Assistant. Ms. Glazier provides

executive oversight to the agency as a whole, and serves as principal op-

erations officer, managing the Board’s resources and staff. She ensures

standards are enforced, as defined in the Oklahoma Nursing Practice Act

and its Rules, in accordance with the Administrative Procedures Act, the

Open Records Act, and the Open Meetings Act, as the agency carries out

the Board’s mission. She functions as the administrative agent for the

Board, interpreting and executing the intent of the Board’s policies and

guidelines to the public, nursing profession and other agencies, and acts

as the Board’s liaison to the public, executive and legislative branches of

state government, nurses, organizations, and the media. Under her direc-

tion, many centralized functions of the agency essential to all other divi-

sions are carried out, including rulemaking, business operations such as

purchasing and procurement, budgeting, accounting, and human re-

sources-related activities.

6



The Board does not receive any appropriations of tax money. The licensure fees paid by the

nurses in the state constitute the agency’s main financial support. The fiscal year 2018 gross

revenue was $3,968,295.46 and expenses totaled $3,393,045.90. The graphs below depict the

breakdown of revenue and expenses.

The Board is required to pay 10% of all fees collected to the Treasury of the State of Oklahoma

and these funds are credited to the General Revenue Fund for appropriation by the legislature to

various other agencies and services of state government. The Board paid $378,594.69 out of

the gross revenue above to the General Revenue Fund in Fiscal Year 2018.

FY 2018 Budget

7



FY 2018 Strategic Plan Accomplishments

Strategic Plan Goal #1: Operate efficiently and effectively in compliance with all applica-

ble laws, regulations and policies governing operations.

1. On November 1, 2017, the agency became a full licensure participating member board in

Nursys, the enhanced Nurse Licensure Compact (eNLC) designated coordinated licensure

system. Participation in the designated coordinated licensure system was required by statute

prior to the national implementation of the eNLC on January 19, 2018.

a. Agency divisions, through Nursys, review real-time discipline and practice privileges

for Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) licensed in partici-

pating jurisdictions, including all states in the eNLC. Online reports are available for

daily/monthly review by appropriate agency division directors/staff.

b. The agency has encouraged Oklahoma-licensed nurses and employers of licensed nurses

to subscribe, at no cost, to Nursys e-Notify services. Nursys e-Notify is an innovative

national nurse licensure notification system that conveniently provides subscribed nurs-

es license expiration reminders and status updates of their nursing license, while provid-

ing employers of licensed nurses real-time notifications, alerting the subscribed party

when changes such as license status, license expiration, pending license renewals and

public disciplinary action are made to a nurse’s license record.

c. Effective December 1, 2017, the agency transitioned from printing traditional license

cards to a process in which the licensee or certificant can access a printable paper li-

cense card to include the licensee’s name, level of licensure, license number and links to

both the Board of Nursing verification site and Nursys national license database, where

the current status of the license card can be verified. Implementation of the Less-Paper,

Verifiable Licensure system enhances employer ability to verify current license status

through primary source verification, reduces the risk of fraud and impersonation of Ok-

lahoma-licensed nurses and reduces cost to licensees for duplicating misplaced or lost

license cards.

2. Implementation of the eNLC on January 19, 2018, caused the addition of 18 more licensing

applications. Through online implementation of Multistate License with Existing Oklaho-

ma Licensee applications, processing time averages 1.1 days.

3. Through rulemaking, the requirement of an onsite survey at least every five years was re-

moved for nursing education programs with current national accreditation by a national

nursing accrediting agency recognized by the U.S. Department of Education and full ap-

proval status by the Board, requiring the nursing education programs to submit to the Board

the accreditation report. Programs meeting such criteria will be periodically reviewed by

the Board. The newly implemented rules reduce redundancy of nursing education programs

in preparing for both the survey by the accreditation body and the survey visit conducted by

the Board of Nursing, and facilitate efficiency of Board staff in reducing the number of sur-

vey visits conducted. Currently, 100% of the 29 Registered Nurse nursing education pro-

grams are accredited and 28% of the 29 Practical Nurse nursing education programs are ac-

credited; therefore, only 37% of the 58 Board-approved nursing education programs require

Board survey visits at least every five years after receiving initial full approval.

8



4. The integration of a Peer Assistance Program (PAP) Entry Committee in March 2017 pro-

vided efficient processing of Participant applications and removing a nurse with a substance

use problem from practice in less than 8 days. During FY 2018, the PAP Entry Committee

processed 93% of new Program applications (N=43/46).

5. During FY 2018, the Peer Assistance Program exceeded the performance measure of ad-

dressing Participant noncompliance issues with the Program Contract on average of <1 day,

compared to 2.5 days in FY 2017. The significance of the decrease is attributed to advances

in the Program’s electronic compliance monitoring software, specifically, secure push tech-

nology and e-communication.

6. Revisions in the Oklahoma Nursing Practice Act (ONPA) granted authority to the Executive

Director to accept identified agreed Orders on behalf of the Board. During FY 2018, 113

agreed orders were accepted by the Executive Director – representing 26% of the total disci-

plinary orders issued. Since implementation, the average number of days for investigative

case closure has decreased 17.4%. Savings to the Board includes a 34% reduction in the

number of days for administrative licensure settlement conferences (Informal Disposition

Panel). Strategic Plan Goal #2: Ensure accountability to the Oklahoma Nursing Practice Act. 1. In compliance with 59 O.S. §567.21, the eNLC was nationally implemented on January 19,

2018.

a. Specific to preparing for the implementation of the eNLC, the Board of Nursing provid-

ed 20 presentations across the state to stakeholders in both practice and education; pub-

lished 7 articles in the agency newsletter over a two-year period; and created a designat-

ed webpage on the agency website with current eNLC information for licensees and

stakeholders. Additionally, the National Council of State Boards of Nursing (NCSBN),

in collaboration with the Board of Nursing, sent licensees, as well as nursing education

programs and employers of nurses, a letter informing them of the planned implementa-

tion date along with Fact Sheets specific to licensed nurses and/or faculty and students.

b. In preparation for the implementation of the eNLC, agency procedures, templates for

Board orders, correspondence and division forms were revised reflecting current law of

the eNLC as noted in 59 O.S. §567.21, as well as the Rules approved by the Interstate

Commission of Nurse Licensure Compact Administrators.

2. The Board of Nursing through its statutory authority specified in the ONPA is responsible

for reviewing and acting on violations of the nursing practice act and/or rules in protecting

the public. During FY 2018, the Investigative Division managed 917 investigative cases;

closed 601 investigative cases with a 0.4% discipline rate of all nurses regulated by the

Board. Strategic Plan Goal #3: Predict and respond to upcoming challenges and opportunities. 1. In October 2017, the Deputy Director began participation in the Governor’s Council on

Workforce and Economic Development-Healthcare Workforce Subcommittee’s Nursing

Professions Workgroup charged with identifying barriers to nursing practice transformation

and producing a brief, including recommendations to reduce barriers to nursing practice

transformation. Nursing Professions in Oklahoma—Issue Compilation Brief (August 2018)

was presented to the Governor’s Council on Workforce and Economic Development in Oc-

tober 2018. 9



2. In November 2017, the agency provided, via GovDelivery (Granicus), Advanced Practice

Registered Nurses (APRN) with prescriptive authority notice of the free Treatment of Opi-

oid Use Disorder Course provided by the Oklahoma Department of Mental Health and Sub-

stance Abuse Services to assist prescribers in meeting the requirements needed to obtain the

waiver to prescribe Buprenorphine in office-based treatment of opioid use disorders.

3. In November 2017, APRN prescriptive authority instructions, applications, procedures, and

letters of notice were updated in alignment with U.S. Department of Veterans Affairs grant-

ing full practice authority to APRNs practicing in designated Veterans Affairs’ facilities.

4. The Peer Assistance Program Coordinator continued to be a participating member of Okla-

homa’s Prescription Drug Planning Workgroup and attended 3 of the Opioid Commission

meetings of the Oklahoma Attorney General’s office. Resources and information obtained

from these groups were utilized in the development of the OBN’s webpage, Reduce Opioid

Overdose, which provides a variety of resources for Oklahoma nurses to help reduce opioid

overdoses in the state. Information about the webpage was disseminated in March 2018 via

the OBN e-Newsletter and presented to the Board of Nursing in January 2018.

Savings, Efficiencies and Shared Services:

1. Effective December 1, 2017, the agency implemented Less-Paper, Verifiable Licensure; in-

cluding initial licensure, renewal and any change in nursing licensure status. Through the

performance of a cost-analysis conducted in Calendar Year 2016, moving forward with the

less-paper project in which no hard-copy cards are provided by the agency, projected a cost-

savings of $45,042.40 annually.

2. Effective November 1, 2017, certified verifications for RNs and LPNs are provided through

NCSBN national database for verification of nurse licensure, Nursys.

3. The use of Corrective Action Orders and Executive Director Orders has resulted in a 34%

reduction in the number of days for administrative licensure settlement conferences

(Informal Disposition Panel).

4. Over the past 5 years (FY 2013 – FY 2018), the number of licensure applications received

increased 11.4% - however, the licensing processing time decreased. During FY2018, the

total number of licensure applications received was 51,511 with the average number of days

to process a completed application at 4 days or less for all application types. The 99%

online submission of licensure applications contributes to timely processing of applications.

10



Regulatory Services

11



Introduction

The purpose of the Regulatory Services Division is to provide nursing regulation in three areas:

education, practice, and licensing. The Oklahoma Board of Nursing is responsible for the ap-

proval of nursing education programs in the State of Oklahoma that lead to initial licensure as

an Advanced Practice Registered Nurse, Registered Nurse or Licensed Practical Nurse, as well

as for the approval of programs preparing individuals for certification as Advanced Unlicensed

Assistants. The Board regulates nursing practice by reviewing issues and questions related to

the practice of nursing in accordance with statutes and rules. The Board issues declaratory rul-

ings and develops guidelines that assist nurses, employers, and the public with interpreting and

applying the Oklahoma Nursing Practice Act and Rules. Various committees and task forces of

the Board ensure stakeholders have input into practice and education decisions. Education and

practice activities are coordinated through the Regulatory Services Division. The Regulatory

Services Division also processes licenses for Advanced Practice Registered Nurses, Registered

Nurses, and Licensed Practical Nurses; as well as certificates for Advanced Unlicensed Assis-

tants and prescriptive authority recognition for Advanced Practice Registered Nurses; in accord-

ance with statutory requirements. In addition, the Regulatory Services Division provides sup-

port services for the agency in reception of incoming calls and visitors, mail processing, and

open records. Twelve staff members are employed in the Regulatory Services Division.

Licensure, Certification, and Recognition Activities

New Licenses Issued By Examination

The Board administers the National Council Licensure Examination (NCLEX) for Registered

Nurses (NCLEX-RN) and Licensed Practical Nurses (NCLEX-PN) under contract with the Na-

tional Council of State Boards of Nursing, Chicago, Illinois. The NCLEX examination is devel-

oped and administered by Pearson VUE, Bloomington, Minnesota, under the auspices of the

National Council of State Boards of Nursing.

Registered Nurse Licensure Examination Statistics

(First Time Oklahoma-Educated Writers by Calendar Year)*

CY

2013

CY

2014

CY

2015

CY

2016

CY

2017

1 & 5 Year

Variances

Number of

Candidates 2,080 2,146 2,048 2,127 2,083 ↓ 2.1% & ↑ 0.1%

Oklahoma

Pass Rate 83.03% 83.55% 85.7% 83.78% 86.27% ↑ 2.5% & ↑ 3.2%

National

Pass Rate 83.04% 81.79% 84.51% 84.56% 87.12% ↑ 2.6% & ↑ 4.1%

*Includes Oklahoma-educated candidates applying for licensure in other states

12



Licensed Practical Nurse (LPN) Licensure Examination Statistics

(First Time Oklahoma-Educated Writers by Calendar Year)*

CY

2013

CY

2014

CY

2015

CY

2016

CY

2017

1 & 5 Year

Variances

Number of

Candidates 1,132 1,087 1,067 1,181 1,228 ↑ 4.0% & ↑ 8.5%

Oklahoma

Pass Rate 91.3% 86.94% 90.72% 87.72% 86.64% ↓ 1.1% & ↓ 4.7%

National

Pass Rate 84.6% 82.16% 81.89% 83.70% 83.85% ↑ 0.2% & ↓ 0.8%

*Includes Oklahoma-educated candidates applying for licensure in other states

Students who are enrolled in RN education programs are eligible to apply to take the NCLEX-

PN examination as equivalent candidates after completion of specified course work and are in-

cluded in the numbers above. The numbers above include any tester educated in Oklahoma,

applying for licensure in any state.

The number of first-time NCLEX-RN candidates who were educated in Oklahoma has slightly

decreased in the past year. The NCLEX-RN pass rate for Oklahoma graduates peaked in CY

2017. The Oklahoma NCLEX-RN pass rate for Oklahoma has been above the national pass rate

in two of the past five years.

The number of first-time NCLEX-PN candidates who were educated in Oklahoma increased

over the past year. The NCLEX-PN pass rate for Oklahoma graduates has remained steady and

continues to exceed the national pass rate.

NCLEX testers and pass rates are reported by calendar year, which is consistent with the report-

ing of NCLEX pass rates. Throughout the remainder of the report, the numbers are reported by

fiscal year.

NCLEX-PN Pass Rates of Candidates for PN Equivalency

Number of First-Time Candidates by Calendar Year

(With NCLEX Pass Rate in Parentheses)

CY

2013

CY

2014

CY

2015

CY

2016

CY

2017

1 & 5 Year

Variances

Partial RN Program

Completion

110

(97.3%)

105

(95.5%)

144

(95.14%)

134

(92.54%)

135

(90.37%)

↑ 0.1% & ↑ 22.7%

↓ 2.2% & ↓ 6.9%

RN Graduate 6

(83.3%)

4

(100%)

6

(100%)

4

(100%)

4

(50%) ↔ 0% & ↓ 33.3%

↓ 50% & ↓ 33.3%

13



The number of students enrolled in RN programs who choose to take the practical nurse exami-

nation through equivalency varies throughout the years, with no noticeable explanation. The

NCLEX-PN pass rate for the LPN equivalency candidates this past year was significantly high-

er than the pass rate for graduates from LPN programs and higher than the national pass rate. It

is unknown how many of those individuals seek employment as Licensed Practical Nurses.

Initial Applications for Oklahoma Licensure by Examination

(Includes First Time and Rewrite Applicants)

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered Nurse 2,561 2,666 2,594 2,596 2,396 ↓ 7.7% & ↓ 6.4%

Licensed Practical Nurse 1,338 1,321 1,379 1,485 1,513 ↑ 1.9% & ↑ 13.1%

Total Applicants 3,899 3,987 3,973 4,081 3,909 ↓ 4.2% & ↑ 0.3%

# Reporting Arrests 556 575 406 325 255 ↓ 21.5% & ↓ 54.1%

% Applicants Reporting

Arrests 14.3% 14.4% 10.2% 10% 6.5% ↓ 3.5% & ↓ 7.8%

Initial applications for licensure by examination includes both first-time and rewrite candidates.

It is noted that rewrite candidates may submit more than one application during the year, as they

may retake the examination as often as every 45 days. Registered Nurse examination applica-

tions remained relatively steady over the past 5 years with slight decreases and increases noted

during that time. Licensed Practical Nurse applications increased slightly in the past year and

showed a noticeable increase over the past five years. Total numbers of exam applicants has

remained steady over the past 5 years with an overall slight decrease.

With the addition of a national criminal background check as opposed to a state-based criminal

background check beginning January 1, 2013, there has been a steady increase in the percentage

of applicants reporting arrests until FY 2016. Since FY 2016, there has been a noticeable de-

crease in the number of applications reporting arrests; however, it is of note that of all the appli-

cation types requiring a fingerprint criminal background check, 33.6% of applicants with a

criminal history did not report any or all of their criminal history on their applications.

Processing Time for Initial Applications for Licensure by Examination

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

# days from receipt of completed

application to approval 3.3 3.1 4.0 4.9 4.2 ↓ 14.3% & ↑ 27.3%

14



Even though the processing time for applications has varied widely, the average processing time

continues to remain well under the Board’s established maximum time parameter. Staff contin-

ue to look for efficiencies in streamlining and organizing licensing processes.

New Licenses Issued By Examination

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered

Nurse 2,040 1,921 1,896 1,858 1,842 ↓ 0.9 % & ↓ 9.7 %

Licensed Practical

Nurse 1,107 1,016 1,048 1,087 1,150 ↑ 5.8% & ↑ 3.9%

Total 3,147 2,937 2,944 2,945 2,992 ↑ 1.6% & ↓ 4.9%

The number of Registered Nurse and Licensed Practical Nurse licenses issued fluctuates yearly

in relation to the total number of applications received and the Pass Rate.

New Licenses Issued by Endorsement

The Board may issue a license to practice without examination to any applicant who has been

duly licensed as a Registered Nurse or Licensed Practical Nurse, in another state, territory, the

District of Columbia or another country, if such applicant meets the requirements for licensure

in the State of Oklahoma.

Initial Applications for Licensure by Endorsement

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered

Nurse 2,882 2,788 3,357 3,433 2,169 ↓ 36.8% & ↓ 24.7%

Licensed Practical

Nurse 329 367 375 352 224 ↓ 36.4% & ↓ 31.9%

Total 3,211 3,155 3,732 3,785 2,393 ↓ 36.8% & ↓ 25.5%

Over the past five years, the number of applications for RN and LPN licensure by endorsement

had remained relatively steady until a significant decrease occurred, beginning in the 3rd quarter

of FY 2018. This decrease was expected as this Board joined the enhanced Nurse Licensure

Compact (eNLC) that was implemented nationwide on January 19, 2018. The eNLC allows

those nurses who have a multistate license in another compact party state which is their primary

state of residence, to practice in or provide care to Oklahoma-based patients without the need to

obtain and maintain a single state Oklahoma license.

15



New Licenses Issued By Endorsement

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered

Nurse 1,960 2,055 2,456 2,472 1,814 ↓ 26.6% & ↓ 7.5%

Licensed Practical

Nurse 235 230 222 188 139 ↓ 26.1% & ↓ 40.9%

Total 2,195 2,285 2,678 2,660 1,953 ↓ 26.6% & ↓ 11%

In association with the dramatic decrease in the number of applications submitted, the number

of new licenses issued by endorsement for RNs and LPNs has decreased this past year.

Number of Certified Verifications Provided to Other States

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered

Nurse 2,392 2,527 2,575 3,038 1,231 ↓ 59.5% & ↓ 48.5%

Licensed Practical

Nurse 396 422 464 492 209 ↓ 57.5% & ↓ 47.2%

Total 2,788 2,949 3,039 3,530 1,440 ↓ 59.2% & ↓ 48.4%

Certified verification of licensure from the original state of licensure is generally requested by a

licensing board in another state when the nurse applies for a license in that state. It is noted that

certified verifications are provided for nurses with active licenses in Oklahoma, as well as those

who were initially licensed in Oklahoma, but who no longer hold an active license. There is a

notable decrease in the number of certified verifications processed in FY 2018, as the process of

providing licensure verification shifted to Nursys, December 1, 2018, with the uploading of the

Oklahoma nursing licensure data base to National Council of State Boards of Nursing.

Processing Time for Endorsement Applications

Type of

Function

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Processing time to issue a

license for a completed

endorsement application

2.8

days

2.3

days

4.0

days

5.2

days

4.2

days ↓ 19.2% & ↑ 50%

Processing time for a com-

pleted certified verification

2.5

days

2.5

days

2.5

days

2.8

days

2.4

days ↓ 14.3% & ↓ 4%

16



The average processing time for endorsement applications over the past year has decreased by

one day. The average processing time to send a certified verification of licensure to another

state decreased slightly this past fiscal year. The processing time for both the endorsement ap-

plications and the certified verifications remain well under the Board’s established maximum

time parameter.

Multistate Licenses Issued

The enhanced Nurse Licensure Compact (eNLC), which was enacted by the state of Oklahoma

in April 2016, was implemented nationwide on January 19, 2018, in accordance with the date

set by the Interstate Commission of Nurse Licensure Compact Administrators, the governing

body of the eNLC. The eNLC is an updated version of the original Nurse Licensure Compact,

allowing registered nurses and licensed practical nurses to have one multistate license (MSL),

with the ability to practice in person or via telehealth in both their home state (primary state of

residence) and other eNLC party states. An MSL is not automatically granted to all nurses li-

censed in Oklahoma; individuals interested in an MSL must apply. All applicants for an MSL

are required to meet the same licensing requirements, which include federal and state back-

ground checks.

Number of Multistate Applications for Existing Active Oklahoma Licensees Received

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Existing Active License

Registered Nurse 2,010 N/A & N/A


Licensed Practical Nurse 220 N/A & N/A

Total 2,230 N/A & N/A

Number of Multistate Applications for Existing Active Oklahoma Licensees Processed

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances


Registered Nurse 1,782 N/A & N/A


Licensed Practical Nurse 158 N/A & N/A

Total 1,940 N/A & N/A

17



Processing Time for Multistate Applications for Existing Active Oklahoma Licensees

Level of

Licensure

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Existing Active Regis-

tered Nurse and Licensed

Practical Nurse Active

Licensees

1.1

days N/A & N/A

License Renewal, Reinstatement and Return to Active Status

The Oklahoma Nursing Practice Act requires licenses and certificates to be renewed every two

years according to a schedule published by the Oklahoma Board of Nursing. Renewal applica-

tions, accompanied by the renewal fee, must be submitted by the end of the birth month in even

-numbered years for Registered Nurses and APRNs, in odd-numbered years for Licensed Prac-

tical Nurses and Advanced Unlicensed Assistants.

Number of Renewal Applications Processed

Type of Renewal FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered Nurse and

Licensed Practical Nurse 30,857 28,334 35,620 29,600 31,344 ↑ 5.9% & ↑ 1.6%

Advanced Practice


Prescriptive Authority

Recognition

2,044 1,896 2,653 2,508 3,267 ↑ 30.3% & ↑ 59.8%

Advanced Unlicensed

Assistant 235 269 235 242 218 ↓ 9.9% & ↓ 7.2%

% Nurses/AUAs

Renewing Online 98.8% 98.8% 99.1% 99.2% 99.2% ↔ 0% & ↑ 0.4%

Overall, the number of renewals is reflective of the number of licensed nurses and certified AU-

As. The large percentage of increase seen among Advanced Practice Registered Nurses with

Prescriptive Authority Recognition is reflective of the associated increase in their overall num-

bers over the past five years.

18



Number of Applications for Reinstatement/Return to Active Status

Type of Reinstatement FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances


Licensed Practical Nurse 1,265 1,309 1,196 1,284 1,244 ↓ 3.1% & ↓ 1.7%

Advanced Practice Registered

Nurse 16 40 19 25 40 ↑ 60% & ↑ 150%

Prescriptive

Authority 28 44 26 24 48 ↑ 100% & ↑ 71.4%

Advanced Unlicensed

Assistant 17 28 23 11 16 ↑ 45.5% & ↓ 5.9%

Total 1,326 1,421 1,264 1,344 1,348 ↑ 0.3% & ↑ 1.7%

Licensees / certificants reinstate their license / certificate for a variety of undocumented reasons

such as returning to active status a license that has lapsed, returning to the work force after a

period of inactivity or returning to Oklahoma to work. There are an equal number of undocu-

mented reasons for not returning a license / certificate to an active status. Due to the variety of

reasons prompting reinstatement, the overall number of reinstatement applications fluctuates.

Processing Time for Licensure Renewal and Reinstatement/Return to Active

Type of Function FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

# days from receipt of

completed renewal

application to processing

1.8

days

1.6

days

1

day

1.6

days

1.6

days ↔ 0% & ↓ 11.1%

# days from receipt of

completed reinstatement

application until processing

2.4

days

2

days

2

days

2.2

days

2.2

days ↔ 0% & ↓ 8.3%

The processing time for renewal applications remained unchanged over the past year and has

remained steady over the past 5 years. The processing time for reinstatement applications also

remained unchanged over the past year; and, continues to remain well under the Board’s estab-

lished maximum time parameter.

Other Licensee and Public Requests and Activities The Regulatory Services Division is also responsible for modifications to licensure records,

providing closed school transcripts, processing open records and written verification of licen-

sure requests, providing address lists and labels when requested, and receiving visitors into the

office. The following table reflects these activities:

19



Other Licensee and Public Requests and Activities

Type of Function FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Change of Address* 436 390 437 391 870 ↑ 122.5% & ↑ 99.5%

Duplicates or

Modifications** 1,824 1,518 1,889 1,482 270 ↓ 81.8% & ↓ 85.20%

Open Records Requests 175 195 194 162 108 ↓ 33.3% & ↓ 38.3%

Address Lists and Labels 97 94 91 93 66 ↓ 29% & ↓ 32%

Visits to Board Office 4,690 4,919 5,267 5,136 5,161 ↑ 0.5% & ↑ 10%

Written Verifications 1,780 1,400 1,074 750 558 ↓ 25.6% & ↓ 68.7%

Closed School Transcripts 32 23 23 27 11 ↓ 59.3% & ↓ 65.6%

*In FY2008, nurses gained the ability to enter address changes online. Although these address changes are re-

viewed by the Administrative Technician prior to download, they are not counted in the number of address changes

processed. In FY 2018, a significant increase in the number of written change of address requests is noted, primar-

ily due to transitioning process of online forms to include the declaration of primary state of residence.

**Effective December 1, 2017, traditional license cards are no longer printed, accounting for the sharp decline in

the number of duplicate license cards printed during FY 2018. Advanced Practice Registered Nurse Licensure

Four roles of Advanced Practice Registered Nurses (APRNs) are licensed in Oklahoma:

1) Certified Nurse Practitioner (APRN-CNP); 2) Certified Nurse Midwife (APRN-CNM); 3)

Clinical Nurse Specialist (APRN-CNS); and 4) Certified Registered Nurse Anesthetist (APRN-

CRNA).

Number of APRNs Licensed in Oklahoma

Type of License FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

APRN-CNP 1,556 1,845 2,182 2,517 2,952 ↑ 17.3% & ↑ 89.7%

APRN-CNM 70 70 75 65 70 ↑ 7.7% & ↔ 0%

APRN-CNS 264 269 275 277 283 ↑ 2.2% & ↑ 7.2%

APRN-CRNA 707 707 707 713 729 ↑ 2.2% & ↑ 3.1%

Total 2,597 2,891 3,239 3,572 4,034 ↑ 12.9% & ↑ 55.3%

The number of Advanced Practice Registered Nurses has risen steadily over the past five years.

The APRN-CNP role has shown the most sustained increase over the past 5 years.

20



Number of New APRN Licenses Issued

Type of License FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

APRN-CNP 234 350 314 405 362 ↓ 10.6% & ↑ 54.7%

APRN-CNM 9 3 6 4 6 ↑ 50% & ↓ 33.3%

APRN-CNS 21 18 12 13 15 ↑ 15.4% & ↓ 28.6%

APRN-CRNA 49 62 60 45 57 ↑ 26.7% & ↑ 16.3%

Total 313 433 392 467 440 ↓ 5.8% & ↑ 40.6%

The number of new APRN licenses issued has increased significantly over the past five years,

with Advanced Practice Registered Nurse-Certified Nurse Practitioners showing the most sig-

nificant increase.

Processing Time for APRN Licensure Applications

Type of Function FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

# days from receipt of completed

APRN application to processing

2.2

days

2.3

days

2

days

2

days

2.7

days ↑ 35% & ↑ 22.7%

Processing times for advanced practice licensure applications over these past 5 years remain

well under the Board’s established maximum time parameter.

Number of Advanced Practice Registered Nurses with Prescriptive Authority

Type of License FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

APRN-CNP 1,364 1,617 1,889 2,169 2,480 ↑ 14.3% & ↑ 81.8%

APRN-CNM 54 54 57 50 54 ↑ 8% & ↔ 0%

APRN-CNS 146 165 174 182 191 ↑ 5% & ↑ 30.8%

APRN-CRNA* 325 356 400 443 479 ↑ 8.1% & ↑ 47.4%

Total 1,889 2,192 2,520 2,844 3,204 ↑ 12.7% & ↑ 69.6%

*The APRN-CRNA applies for authority to select, order, obtain, and administer drugs, rather than the authority to

prescribe.

The number of Advanced Practice Registered Nurses with prescriptive authority continues to

rise, reflective of the increased numbers of Advanced Practice Registered Nurses. Currently,

79.4% of Advanced Practice Registered Nurses hold prescriptive authority recognition.

21



Number of Prescriptive Authority Recognitions Issued

Type of License FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

APRN-CNP 195 281 314 326 362 ↑ 11% & ↑ 85.6%

APRN-CNM 8 2 6 3 6 ↑ 100% & ↓ 25%

APRN-CNS 17 18 12 13 15 ↑ 15.4% & ↓ 11.8%

APRN-CRNA 40 34 60 58 57 ↓ 1.7% & ↑ 42.5%

Total 260 332 392 400 440 ↑ 10% & ↑ 69.2%

The number of prescriptive authority recognitions issued has varied widely over the past five

years among the different APRN roles, with recognitions issued to APRN-CNPs showing the

most consistent and steady increase.

Number of Changes in Supervising Physicians

Number of Changes FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Total 846 969 1,118 1,103 1,370 ↑ 24.2% & ↑ 61.9%

The number of changes over the past five years has risen significantly, consistent with the in-

creased number of Advanced Practice Registered Nurses with prescriptive authority recogni-

tion.

Certification of Advanced Unlicensed Assistants

Advanced Unlicensed Assistants (AUAs) complete a 200-hour training program, which is de-

signed to build upon basic skills traditionally performed by nursing assistants working in health

care settings. A list of Board-approved AUA training programs is available on the Board’s

website: www.nursing.ok.gov. Specific core skills, legal and ethical aspects of health care and

appropriate personal behaviors are presented in a format that combines classroom lecture/

discussion, demonstration/practice lab and clinical application. Upon satisfactory completion

of the course work, graduates of these training programs are eligible to take the AUA certifica-

tion examination. This examination is developed by Oklahoma Department of Career and

Technology Education and is approved by the Oklahoma Board of Nursing. Upon successful

completion of the certification examination, the Board-certified AUA may perform the skills

that are identified on the Approved Skills List for Performance by Board-Certified Advanced

Unlicensed Assistants, under the supervision of Registered Nurses and Licensed Practical

Nurses in acute care settings.

22



Advanced Unlicensed Assistants

Certifications FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

# New Certifications 102 111 104 63 52 ↓ 17.5% & ↓ 49%

Total # AUAs Certified 626 646 629 573 539 ↓ 5.9% & ↓ 13.9%

Both the number of new AUA certifications and the total number of certified AUAs has re-

mained relatively consistent until fiscal year 2017.

Nursing Practice/Advanced Nursing Practice Activities

Summary of Practice Activities

Category FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

# Practice Calls 1,556 1,696 1,630 1,650 2,456* ↑ 48.9% & ↑ 57.8%

# Practice Letters 60 41 41 65 60 ↓ 7.7% & ↔ 0%

# Requests for

Declaratory Rulings 0 0 0 0 0 ↔ 0% & ↔ 0%

# Declaratory Rulings,

Policies & Guidelines

Reviewed by Board

14 18 11 13 12 ↓ 7.7% & ↓ 14.3%

# Meetings Attended as

Board Representative 21 16 18 12 10 ↓ 16.7% & ↓ 53.4%

# Presentations 14 15 14 12 7 ↓ 41.7% & ↓ 50%

*From FY 2017 to FY 2018, there is a notable increase in the number of practice calls primarily related to the im-

plementation of the enhanced Nurse Licensure Compact on January 19, 2018.

Written Responses to Practice Questions

For FY 2018, there were 60 written responses to practice related issues, as compared to 65 re-

sponses in FY 2017. The highest number of practice letters were to health care facilities, fol-

lowed by nurses. The written response variances of the FY 2017 report and FY 2018 report note

a decrease of 8 percent. The types of issues and settings addressed in the practice letters are

summarized on the following pages.

23



Types of Issues Addressed in Practice Letters

Type of Issue FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Scope of Practice 14 8 13 19 22 ↑ 15.8% & ↑ 57.1%

Delegating & Training

Unlicensed Persons 1 1 3 0 2 ↓ 200% & ↑ 100%

Compact States Related/

License Requirement 1 4 2 4 11 ↑ 175% & ↑ 1,000%

Telephone Triage & Case

Management 1 0 0 0 0 ↔ 0% & ↓ 100%

Esthetics & Medical

Questions 0 0 1 1 0 ↓ 100% & ↔ 0%

Emergency Screening

[EMTALA] 0 0 0 0 0 ↔ 0% & ↔ 0%

Pronouncement of Death

By Nurses 1 0 1 2 1 ↓ 50% & ↔ 0%

Medication-Related 1 1 1 1 3 ↑ 200% & ↑ 200%

CEU & Continuing

Qualification-Related 1 0 0 0 0 ↔ 0% & ↓ 100%

Primary Source

Verification 0 0 0 0 0 ↔ 0% & ↔ 0%

Patient Care-Related 2 4 1 3 1 ↓ 66.7% & ↓ 50%

Survey/Publication 2 0 0 0 0 ↔ 0% & ↓ 100%

OBN Regulation of Nurses 4 7 7 6 2 ↓ 66.7% & ↓ 50%

Licensure Requirements 10 3 0 2 2 ↔ 0% & ↓ 80%

APRN Prescriptive

Authority 5 5 7 17 13 ↓ 23.5% & ↑ 160%

Resource Information 4 3 2 1 0 ↓ 100% & ↓ 100%

Certification 1 1 0 1 1 ↔ 0% & ↔ 0%

School Nurse/Staff or

Nursing Education-Related 10 4 3 7 1 ↓ 85.7% & ↓ 90%

Billing Information-Related 1 0 0 1 0 ↓ 100% & ↓ 100%

Total 60 41 41 65 60 ↓ 7.7% & ↔ 0%

24



Settings of Practice Letters

Settings FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Medical Center 6 11 13 19 21 ↑ 10.5% & ↑ 250%

RN, LPN, or APRN 22 13 9 15 18 ↑ 20% & ↓ 18.2%

Specialty Organization/

Health Care Provider 14 1 3 9 4 ↓ 55.6% & ↓ 71.4%

OK State Dept. of

Health 1 0 0 1 1 ↔ 0% & ↔ 0%

Other State or Federal

Agency 2 1 3 4 4 ↔ 0% & ↑ 100%

School Nurse/Staff or

Nursing Education 9 4 3 7 0 ↓ 100% & ↓ 100%

Medical Office/Clinic/

Ambulatory Center 1 5 5 3 7 ↑ 133% & ↑ 600%

Long Term Care

Facility/Agency 0 2 1 2 2 ↔ 0% & ↑ 100%

NCSBN/Boards of

Nursing 0 0 0 0 0 ↔ 0% & ↔ 0%

Publication/Survey 1 0 0 0 0 ↔ 0% & ↓ 100%

Other 2 4 2 1 1 ↔ 0% & ↓ 50%

Credentialing Agency/

Proprietary Corporation 2 0 2 4 3 ↓ 25% & ↑ 50%

Total 60 41 41 65 60 ↓ 7.7% & ↔ 0%

Practice Calls and Visits During FY 2018, 2,456 practice calls and visits were documented compared to 1,650 in FY

2017. This notes an increase of 48.8 percent in practice calls and visits.

25



Classification of Callers or Visitors

Type of Caller/Visitor FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Registered Nurse 535 555 484 487 578 ↑ 18.7% & ↑ 8%

Licensed Practical Nurse 236 235 211 216 373 ↑ 72.7% & ↑ 58.1%

Advanced Practice

Registered Nurse 439 497 415 473 524 ↑ 10.8% & ↑ 19.4%

Advanced Unlicensed

Assistant 13 10 12 12 4 ↓ 66.7% & ↓ 69.2%

CMA or CNA 13 19 23 25 21 ↑ 16% & ↑ 61.5%

School Nurse or School

Staff 19 22 23 20 16 ↓ 20% & ↓ 15.8%

Nursing Education 38 28 36 34 7 ↓ 79.4% & ↓ 81.6%

Employer or Supervisor 167 200 266 203 194 ↓ 4.4% & ↑ 16.1%

Physician or Office Staff 27 35 39 53 104 ↑ 96.2% & ↑ 285.2%

Public 40 39 61 44 26 ↓ 40.9% & ↓ 35%

Staffing Agency 2 14 10 16 33 ↑ 106.3% & ↑ 1,550%

OK State Dept. of Health 2 8 10 14 6 ↓ 57.1% & ↑ 200%

Other State/Federal

Agency 8 5 10 6 5 ↓ 16.7% & ↓ 37.5%

Credentialing Company

or Payor 3 0 1 6 1 ↓ 83.3% & ↓ 66.7%

Pharmacy 5 8 6 25 22 ↓ 12% & ↑ 340%

Attorney or Staff 8 16 20 15 12 ↓ 20% & ↑ 50%

Other /MSL-Related

Calls 1 5 3 1 530 ↑ 52,900% & ↑ 52,900%

Total 1,556 1,696 1,630 1,650 2,456 ↑ 48.9% & ↑ 57.8%

26



Practice Visits and Calls

Issue FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

General Scope of Practice 380 321 407 413 376 ↓ 9% & ↓ 1.1%

Delegation 76 117 95 81 83 ↑ 2.5% & ↑ 9.2%

Aesthetics & Skin Care 20 32 38 40 88 ↑ 120% & ↑ 340%

Employment-Related 203 187 165 117 159 ↑ 35.9% & ↓ 21.7%

Staffing or Abandonment 35 89 81 77 79 ↑ 2.6% & ↑ 125.7%

CEUs 27 27 20 23 49 ↑ 113% & ↑ 81.5%

Licensing 312 322 292 315 1,094* ↑ 247.3% & ↑ 250.6%

APRN Prescriptive Authority 166 229 202 279 275 ↓ 1.4% & ↑ 65.7%

APRN Scope of Practice 206 207 196 210 219 ↑ 4.3% & ↑ 6.3%

Other 131 165 134 95 34 ↓ 64.2% & ↓ 74.1%

Total 1,556 1,696 1,630 1,650 2,456 ↑ 48.9% & ↑ 57.8%

*From FY 2017 to FY 2018, the significant increase in Licensing is related to the implementation of the enhanced

Nurse Licensure Compact (eNLC) on January 19, 2018. As is reflected in the Classification of Callers or Visitors

table that follows, 530 calls were related to multistate licensure (MSL) through the eNLC.

Declaratory Rulings, Position Statements, Policies, and Guidelines Developed, Reviewed,

Revised, or Rescinded The following Board documents related to nursing practice were developed, revised or re-

viewed without revision, or rescinded this fiscal year: 1. Position Statement on Entry Into Practice, OBN, July 2017 [Reviewed] 2. CRNA Inclusionary Formulary, #P-50A, July 2017 [Revised]; May 2018 [Revised] 3. Exclusionary Formulary for Advanced Practice Registered Nurses with Prescriptive Au-

thority, #P-50B, September 2017 [Revised] 4. Formulary Advisory Council Procedure for Amending the Formulary, #P-50, September

2017 [Reviewed] 5. Refresher Course, #P-17, November 2017 [Revised] 6. School Nurse Position Statement, OBN, November 2017 [Reviewed] 7. Decision-Making Model for Scope of Nursing Practice Decisions: Determining Advanced

Practice Registered Nurse, Registered Nurse and Licensed Practical Nurse Scope of Prac-tice Guidelines, #P-10, November 2017 [Revised]

8. Request for Inactive Status Policy, #P-08, March 2018 [Revised] 9. Changes in Status of Physician Supervising Prescriptive Authority, #P-53, March 2018

[Revised] 10. Advanced Practice Registered Nurse (APRN) Certification Examinations Approved by the

Oklahoma Board of Nursing, #P-52A, May 2018 [Revised] 11. Advanced Practice Registered Nurse Certification Examinations NO LONGER Approved by

the Oklahoma Board of Nursing, #P-52B, May 2018 [Revised]

27



Articles Published Related to Nursing Practice Issues

All articles listed were published in the newsletter of the Oklahoma Board of Nursing, unless

otherwise noted. March 2018:

Reduce Opioid Overdose

Medication Assisted Treatment for Opioid Use Disorder

Meetings and Presentations

The Deputy Director and the Associate Director for Nursing Practice combined in attending and

providing input/directions in 22 meetings this fiscal year. In addition, the Deputy Director or

Associate Director for Nursing Practice combined in making twelve (12) presentations to

groups of licensees and other stakeholders.

Education Activities

The Oklahoma Board of Nursing holds the responsibility for setting standards for nursing edu-

cation and conducting survey visits to programs to ensure standards are met. The Board re-

views and approves requests for new programs and program changes. The Board further main-

tains records verifying faculty qualifications and collects data on program, faculty and student

characteristics. The following paragraphs summarize nursing education activities in FY 2018.

Number of Nursing Education Programs

Types and Numbers of Programs FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

# Baccalaureate Programs/Campuses* 13/22 14/23 14/23 15/25 14/24

# Associate Degree Programs/Campuses 21/35 21/35 21/35 17/29 15/27

# Practical Nursing Programs/Campuses 32/50 33/50 33/50 29/49 29/49

Total 66/107 68/108 68/108 61/103 58/100

*RN-BSN not included

The total number of nursing education programs decreased, as did the number of campuses.

Specific to registered nursing education programs, one baccalaureate program closed, two asso-

ciate degree programs closed, two campuses of existing nursing education programs closed, and

two existing nursing education programs opened an additional campus per program. The num-

ber of practical nursing education programs remained stable. The Oklahoma Board of Nursing

has continued to work actively with other entities, including the Oklahoma State Regents for

Higher Education, the Oklahoma Department of Career and Technology Education, the Oklaho-

ma Hospital Association, the Oklahoma Nurses Association, and the Institute for Nursing Edu-

cation, to address issues related to shortages in clinical space and qualified faculty.

28



Percentage of Full-Time Faculty Holding a Masters Degree in Nursing or Higher

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Baccalaureate Degree* 2,643 2,325 2,363 2,618 100%

Associate Degree 4,076 3,696 3,701 3,413 92.9%

Practical Nursing 4,356 3,823 4,595 3,180 46.4%


RN nursing education programs are required to employ full-time faculty with a master’s or

higher degree in nursing, or a baccalaureate degree in nursing plus evidence of continued pro-

gress toward a master’s or higher degree in nursing with a completion of a minimum of six (6)

semester hours per calendar year. The percentage of full-time faculty employed in baccalaureate

nursing education programs holding a master’s degree in nursing remained steady from FY

2014 through FY 2017, increasing slightly in FY 2018. The associate degree programs experi-

enced a slight decrease in percentage of master’s prepared faculty from FY 2017. PN nursing

education programs require nursing faculty to hold a minimum of an associate degree or diplo-

ma in nursing, with evidence of continued progress toward a baccalaureate degree in nursing

with a completion of a minimum of six (6) semester hours per calendar year. The percentage of

practical nursing faculty with a master’s degree in nursing or higher increased significantly

from FY 2017 to FY 2018.

Applications to Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Baccalaureate Degree* 2,643 2,325 2,363 2,618 2,766 ↑ 5.7% & ↓ 4.7%

Associate Degree 4,076 3,696 3,701 3,413 3,453 ↑ 1.2% & ↓ 15.3%

Practical Nursing 4,356 3,823 4,595 3,180 2,742 ↓ 13.8% & ↓ 37.1%

Total 11,075 9,844 10,659 9,211 8,961 ↓ 2.7% & ↓ 19.1%

*RN-BSN not included The number of people applying to baccalaureate degree programs, which steadily decreased

from FY 2014 to FY 2016, increased over the past two years. The number of applications to

associate degree programs increased slightly from FY 2017 to FY 2018, and decreased signifi-

cantly compared to five years ago. The number of applications to practical nursing education

programs decreased significantly this past year, and remains low compared to the past four

years. There has been a 2.7% decrease in total applications in all nursing education programs

over the past year.

29



Admissions to Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Baccalaureate Degree* 1,239 1,105 1,377 1,759 1,488 ↓ 15.4% & ↑ 20.1%

Associate Degree 2,361 2,111 2,156 1,932 1,874 ↓ 3% & ↓ 20.6%

Practical Nursing 1,482 1,566 1,511 1,579 1,294 ↓ 18% & ↓ 12.7%

Total 5,082 4,782 5,044 5,270 4,656 ↓ 11.7% & ↓ 8.4%


Note: Caution should be used in attempting to compare applications to nursing education pro-

grams to admissions to nursing education programs as individuals may apply to more than one

nursing education program, and thus be counted as an applicant more than one time.

Admissions to baccalaureate degree nursing programs decreased significantly from FY 2017 to

FY 2018, while admissions to the associate degree nursing programs decreased over the same

period of time. Admissions to practical nursing programs decreased significantly from FY 2017

to FY 2018. Total admissions to Oklahoma nursing education programs decreased by 11.7%

over the past fiscal year.

Student Enrollment in Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Baccalaureate Degree* 2,507 2,152 1,840 2,682 2,702 ↑ 0.7% & ↑ 7.8%

Associate Degree 3,743 3,664 3,909 3,141 2,948 ↓ 6.1% & ↓ 21.2%

Practical Nursing 2,057 2,071 2,087 2,194 1,933 ↓ 11.9% & ↓ 6%

Total 8,307 7,887 7,836 8,017 7,583 ↓ 5.4% & ↓ 8.7%

*RN-BSN not included From FY 2017 to FY 2018, overall enrollment in baccalaureate degree nursing education pro-

grams increased, while enrollment in associate degree nursing education programs decreased.

Enrollment in practical nursing education programs decreased over the past fiscal year, with the

highest enrollment over the past five years occurring in 2017. Associate degree programs have

the highest enrollment of the three types of nursing education programs, achieving a record high

enrollment in FY 2016. Total overall enrollments in nursing education programs decreased this

past fiscal year.

30



Graduates from Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

Baccalaureate Degree* 1,016 870 841 1,197 870 ↓ 27.3% & ↓ 14.4 %

Associate Degree 1,228 1,247 1,280 1,178 1,140 ↓ 3.2% & ↓ 7.2 %

Practical Nursing 1,021 917 1,063 1,121 1,062 ↓ 5.3% & ↑ 4%

Total 3,265 3,034 3,184 3,496 3,072 ↓ 12.1% & ↓ 5.9%


The number of nursing graduates from Oklahoma nursing education programs decreased this

past fiscal year, with FY 2017 having the largest number of graduates over the past five years.

Baccalaureate degree nursing programs report a decrease in graduates of 27.3% over the past

year. The number of graduates from associate degree nursing education programs decreased

slightly this past fiscal year, as did the number of graduates from practical nursing education

programs. Overall, the total number of graduates for all programs decreased for FY 2018.

Admissions of Licensed Nurses in Nursing Education

Category FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

1 & 5 Year

Variances

LPN-ADN 414 417 356 396 351 ↓ 11.4% & ↓ 15.2%

LPN-BSN 30 35 33 36 16 ↓ 55.6% & ↓ 46.7%

RN-BSN*

Traditional Program 119 76 138 350 256 ↓ 26.9% & ↑ 115.1%

*Students enrolled in RN-BSN degree completion programs not regulated by the Board are not included in these

figures.

Over the past fiscal year, the number of Licensed Practical Nurses (LPNs) admitted to associate

degree nursing education programs decreased, as did the number of LPNs admitted to baccalau-

reate nursing education programs. The majority of LPNs chose associate degree education as

their entry point into registered nursing. There is no information regarding the number of RNs

enrolled in programs that offer only RN-BSN options.

31



Percentage of Enrolled Students Representing an Ethnic Minority

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Baccalaureate Degree* 34.3% 33.7% 31.5% 30.7% 29.6%

Associate Degree 29.2% 32.9% 32.7% 36% 34.1%

Practical Nursing 34.3% 36.8% 39.6% 26.3% 40.9%


Percentages of minority students enrolled in Oklahoma nursing education programs decreased

over the past year in both baccalaureate degree nursing education programs and associate de-

gree nursing education programs. The percentage of students representing an ethnic minority

enrolled in practical nursing education increased in FY 2018.

Percentage of Male Students Enrolled in Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Baccalaureate Degree* 15.3% 13% 15.4% 13.7% 15.6%

Associate Degree 14.1% 15.9% 12.9% 13.1% 14.2%

Practical Nursing 9% 9.4% 9.1% 9.2% 9.3%

*RN-BSN not included While the percent of male students enrolling in nursing education programs has remained rela-

tively small, an increase in the percent of male students enrolled in all levels of nursing educa-

tion programs over the past year is noted.

Average Age of Students Enrolled in Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Baccalaureate Degree* 27 26.6 24 27.5 25.6

Associate Degree 31 30 29.8 28.8 29.6

Practical Nursing 28 28 28 27.5 27.7


The average age of students enrolled in baccalaureate nursing education programs decreased

over the past year. Over the past five years, the average age of students in associate degree nurs-

ing education programs has slightly decreased, while the average age of students enrolled in

practical nursing education programs remained steady.

32



Mean Completion Rates of Nursing Education Programs

Type of Program FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Baccalaureate Degree* 83% 82.7% 84.9% 87.8% 87.1%

Associate Degree 69.2% 65.2% 75.8% 77.9% 79.8%

Practical Nursing 77% 76% 72.3% 79.6% 80.2%


The data continues to support that the majority of students admitted to nursing education pro-grams are successful in completing their programs. Completion rates have increased over the past year in both baccalaureate degree and associate degree nursing programs. In practical nurs-ing education programs, completion rates decreased from FY 2014 to FY 2016; however, an increase in mean completion rates for FY 2017 and FY 2018 is noted.

Requests for Program Changes

(Number of Programs Impacted With Percent of Total Programs Noted in Parentheses)

Type of Change FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Change in

Curriculum

7

(10.6%)

9

(13.2%)

23

(33.8%)

11

(18%)

5

(8.6%)

Program

Format Change

0

(0%)

1

(1.5%)

0

(0%)

0

(0%)

0

(0%)

Extended/

Additional Classes

0

(0%)

0

(0%)

0

(0%)

1

(1.6%)

0

(0%)

New Nursing

Program/Campus

3/3

(4.5%)/(2.8%)

2/2

(2.9%)/(1.9%)

0/1

(0%)/(0.9%)

1/2

(1.6%)/(1.9%)

0/2

(0%)/(2%)

33



Board Actions Related to Program Approval Status (Number of Programs Impacted With Percent of Total Programs Noted in Parentheses)

Type of Action FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Routine Survey Visits 13

(19.6%)

15

(22.1%)

14

(20.6%)

8

(13.1%)

7

(12.1%)

Board-Directed Survey Visits 0

(0%)

0

(0%)

0

(0%)

1

(1.6%)

0

(0%)

Consultative Survey Visits 2

(3%)

1

(1.5%)

0

(0%)

1

(1.6%)

1

(1.7%)

Warnings Issued 5

(7.6%)

5

(7.4%)

2

(2.9%)

0

(0%)

0

(0%)

Programs on Conditional Approval 0

(0%)

2

(2.9%)

5

(7.4%)

1

(1.6%)

1

(1.7%)

Programs/Campuses Closed 1*

(1.5%)

0

(0%)

1*

(1.5%)

5*

(8.2%)

5*

(8.6%)

Pass Rate Reports Required 7

(10.6%)

12

(17.6%)

11

(16.2%)

0

(0.00%)

15

(25.9%)

Follow-Up Reports Required 2

(3.1%)

6

(88.2%)

5

(7.4%)

6

(9.8%)

0

(0%)

*Programs/campuses closed voluntarily.

Revisions to Education Policies

The following Board documents related to nursing education were developed, revised or re-

viewed without revision, or rescinded this fiscal year:

Simulated Patient Care Experiences (SPCE) for Registered and Practical Nursing Pro-

grams Guidelines, #E-11, January 2018 [Revised] Special Reports from Nursing Education Programs to the Board Policy, #E-06, January

2018 [Revised]

NCLEX or AUA Certification Applicants with History of Arrest/Deferred Sentence/

Conviction Policy, #E-20, March 2018 [Reviewed]

Review and Challenge of National Licensure Examination (NCLEX) Policy, #E-25, March

2018 [Reviewed]

Utilizing Skills Observers to Conduct AUA Skills Examination Policy, #E-42, March 2018

[Revised]

34



In FY 2018, the Board reviewed reports of survey visits conducted in the following nursing ed-

ucation programs and recommended continuing full approval:

Northwest Technology Center, Practical Nursing Program, Alva, 8/21-23/2017

Autry Technology Center, Practical Nursing Program, Enid, 10/23-25/2017

Wes Watkins Technology Center, Practical Nursing Program, Wetumka, 11/28-30/2017

Gordon Copper Technology Center, Practical Nursing Program, Shawnee, 12/6-8/2017

Pioneer Technology Center, Practical Nursing Program, Ponca City, 2/27-28; 3/1/2018

Kiamichi Technology Center, Practical Nursing Program, Antlers, Atoka, Durant, Hugo,

Idabel, McAlester, Poteau, Stigler, and Talihina, 4/9-13/2018

In FY 2018, the Board reviewed reports of survey visits conducted in the following nursing ed-

ucation programs and recommended “Full Approval with Conditions” as follows:

Brown Mackie College, Tulsa, Conditional Approval through end of September 2017 (July

2017)

Platt College Practical Nursing Program, Tulsa, Oklahoma City, Moore, & Lawton, Condi-

tional Approval x 2 years December 1, 2017 to November 30, 2019 (November 2017)

At the closure of FY 2018, there were no survey visits pending Board approval.

NCLEX Pass Rate Reports Pass rate reports are required when the first-time writer National Council Licensure Examina-

tion (NCLEX) pass rate for a nursing education program falls ten percentage points or more be-

low the national average and at least ten candidates wrote the examination [OAC 485:10-3-5

(4)]. NCLEX pass rate reports were submitted in FY 2018 by the following nursing education

programs with a Calendar Year 2016 NCLEX pass rate ten percentage points or more below the

national average:

Platt College, Practical Nursing Program, Oklahoma City

Northeastern Oklahoma A & M College, Associate Degree Nursing Program, Miami

Northwestern Oklahoma State University, Baccalaureate Degree Nursing Program, Alva

Seminole State College, Associate Degree Nursing Program, Seminole

Carl Albert State College, Associate Degree Nursing Program, Sallisaw

East Central University, Baccalaureate Degree Nursing Program, Ardmore

High Plains Technology Center, Practical Nursing Program, Woodward

Northern Oklahoma College, Associate Degree Nursing Program, Enid

Platt College, Practical Nursing Program, Moore

Redlands Community College, Associate Degree Nursing Program, El Reno

Southern Nazarene University, Baccalaureate Degree Nursing Program, Bethany

Tri County Technology Center, Practical Nursing Program, Bartlesville

Western Oklahoma State College, Associate Degree Nursing Program, Altus

Western Oklahoma State College, Associate Degree Nursing Program, Elk City

Western Oklahoma State College, Associate Degree Nursing Program, Lawton

35



A Board subcommittee reviewed the reports in October 2017, and made recommendations for

each program. These recommendations were reviewed and accepted by the Board during the

November 2017 meeting. Request for New Programs, Additional Program Offerings, and Program Changes In FY 2018, the Board approved a change to extended campuses for:

Western Oklahoma State College, Associate Degree Nursing Program, Online RN-LPN Op-

tion, November 2017

Murray State College, Associate Degree Nursing Program, Extended Campus in Ardmore,

March 2018 In FY 2018, the Board approved curriculum change requests from the following programs:

Wes Watkins Technical Center, Practical Nursing Program, Wetumka

Seminole State College, Associate Degree Nursing Program, Seminole, July 2017

Northeastern Oklahoma A & M College, Miami, Associate Degree Nursing Program, July

2017

Oklahoma Wesleyan University, Baccalaureate Degree Nursing Program, Bartlesville, July

2017

Oral Roberts University, Baccalaureate Degree Nursing Program, Tulsa, November 2017

Mid-Del Technology Center, Practical Nursing Program, Midwest City, January 2018

Metro Technology Center, Advanced Unlicensed Assistant Program, Oklahoma City, Janu-

ary 2018 Follow-Up Reports There were no nursing education program follow-up reports for FY 2018. Meetings: The Nursing Education Consultant attended and provided input/directions in 14 meetings which

were primarily related to nursing education this fiscal year, as compared to 20 meetings attend-

ed in FY 2017.

Other Division Activities

Nursing Education and Nursing Practice Advisory Committee The purpose of the Advisory Committee on Nursing Education and Nursing Practice is to:

1. Review annually the minimum standards for approved schools of nursing and make rec-

ommendations which would assure the standards are realistic and reflect the trends and

present practices in nursing education;

2. Examine and make recommendations concerning nursing practice issues;

3. Provide input on the role and scope of safe and competent nursing practice; and

4. Review annually the Rules of the Oklahoma Board of Nursing.

Persons who have served on this committee during the fiscal year are:

Mandy Nelson, MS, APRN-CNS, Board Representative

Jana Martin, MS, RN, CNE, Board Representative

36



Liz Massey, MSN, RN, NEA-BC, Board Representative

Carmen Nickel, MSN, RN, Board Representative

Cindy Rauh, DNP, RN, Oklahoma Organization of Nurse Executives

Kim Holland, MS, APRN-CNP, Oklahoma Organization of Nurse Executives

Chris Weigel, MS, RN, Oklahoma Organization of Nurse Executives

Karen Vahlberg, BSN, RN, Oklahoma Association for Home Care

Shy Rhonda Roy, MSN, RN, Oklahoma Nurses Association

Shelly Wells, PhD, MBA, MS, APRN-CNS, Oklahoma Nurses Association

Linda Cook, PhD, RN, APRN-CNS, Baccalaureate & Higher Degree Deans Council

Anna Nguyen, PhD, RN, Associate Degree Directors Council

Marietta Lynch, BSN, RN, Oklahoma Association of Health Care Providers

J.R. Polzien, MSN, RN, OK Department of Career & Technology Education

Stephanie Beauchamp, EdD, Oklahoma State Regents for Higher Education

Ann Benson, MSN, APRN-CNP, Oklahoma State Department of Health

LaDonna Selvidge, MS, MEd, RN, Practical Schools of Nursing

Sarah McDaniel, LPN, Board-appointed LPN

Amber Pagel, BSN, RN, Board-appointed Representative of AUA Programs Board staff representatives were Gina Stafford, BSN, RN; Terri Walker, MSN, RN, and Jackye

Ward, MSN, RN. Nursing Education and Nursing Practice Advisory Committee meetings were held on October

30, 2017 and June 25, 2018.

Advanced Practice Advisory Committee The purpose of the Advanced Practice Advisory Committee is to:

1. Make recommendation to the Board concerning advanced practice educational pro-

grams, national certifying bodies, definitions of scope of practice statements, standards

of practice, and other practice-related issues;

2. Advise the Board in the development and enforcement of Rules and Regulations regard-

ing advanced practice;

3. Advise the Board with regard to complaints filed against advanced practitioners, and

assists the Board in interpretation of the Scope of Practice and Standards of Care for the

Advanced Practitioner; and,

4. Perform other duties as defined by the Board. Persons who have served on this committee during this fiscal year are:

Mindy Whitten, APRN-CNP, Oklahoma Association of Nurse Practitioners

Tricia Butner, APRN-CNP, Oklahoma Association of Nurse Practitioners

Jana Butcher, APRN-CNP, Oklahoma Chapter of the National Association of Pediatric

Nurse Practitioners

Leanna Harkess, APRN-CNM, APRN-CNP, American College of Nurse Midwives, OK

Chapter Affiliate

Lynn Burson, APRN-CNM, American College of Nurse Midwives, OK Chapter Affiliate

Jill Nobles, APRN-CNM, American College of Nurse Midwives, OK Chapter Affiliate

37



Dusti Pointer, APRN-CNM, American College of Nurse Midwives, OK Chapter Affiliate

David White, APRN-CRNA, Oklahoma Association of Nurse Anesthetists

Steve McKitrick, APRN-CRNA, Oklahoma Association of Nurse Anesthetists

Travis Thompson, APRN-CRNA, Oklahoma Association of Nurse Anesthetists

Dennis Dodd, APRN-CRNA, Oklahoma Association of Nurse Anesthetists

Randy Hailey, APRN-CRNA, Oklahoma Association of Nurse Anesthetists

Carol Stewart, APRN-CNS, Oklahoma Association of Clinical Nurse Specialists

Elaine Haxton, APRN-CNS, Oklahoma Association of Clinical Nurse Specialists

Tracey Walker, APRN-CNS, Oklahoma Association of Clinical Nurse Specialists

Melissa Craft, PhD, APRN-CNS, Board-appointed Faculty from an Oklahoma Advanced

Practice Registered Nursing Education for Clinical Nurse Specialist Educator

Gina Crawford, DNP, APRN-CNP, Board-appointed Faculty from an Oklahoma Advanced

Practice Registered Nursing Education for Certified Nurse Practitioner Educator

Susan Jones, PhD, APRN-CNS, Board Representative

Mandy Nelson, MS, APRN-CNS, Board Representative Board staff representatives were Gina Stafford, BSN, RN, and Jackye Ward, MSN, RN. The Advanced Practice Advisory Committee met on August 8, 2017 and February 27, 2018.

CRNA Formulary Advisory Council The purpose of the CRNA Formulary Advisory Council is to:

1. Develop and submit to the Board recommendations for an inclusionary formulary that

lists drugs or categories of drugs that may be ordered, selected, obtained or administered

by Certified Registered Nurse Anesthetists authorized by the Board to order, select, ob-

tain and administer drugs.

2. Develop and submit to the Board recommendations for practice-specific standards for

ordering, selecting, obtaining and administering drugs for a Certified Registered Nurse

Anesthetist authorized by the Board to order, select, obtain and administer drugs pursu-

ant to the provisions of the Oklahoma Nursing Practice Act.

The CRNA Formulary Advisory Council is composed of five (5) members:

Appointed by the Oklahoma Association of Nurse Anesthetists

Victor Long, APRN-CRNA

Bruce Kennedy, APRN-CRNA Appointed by the Oklahoma Society of Anesthesiologists

Thomas Tinker, MD

Lad Yates, MD Appointed by the Oklahoma Pharmaceutical Association

Mark St. Cyr, DPh The Oklahoma Board of Nursing representative was Susan Jones, PhD, APRN-CNS. Board

staff representatives were Gina Stafford, BSN, RN, and Jackye Ward, MSN, RN.

38



The annual meeting of the CRNA Formulary Advisory Council was held on April 23, 2018.

The CRNA Council reviewed and made recommendations for revision to the CRNA Inclusion-

ary Formulary, #P-50, which were subsequently approved by the Board. Formulary Advisory Council The purpose of the Formulary Advisory Council is to:

1. Develop and submit to the Board recommendations for an exclusionary formulary that

shall list drugs or categories of drugs that shall not be prescribed by advanced practice

nurses recognized to prescribe by the Oklahoma Board of Nursing.

2. Develop and submit to the Board recommendations for practice-specific prescriptive

standards for each category of advanced practice nurse recognized to prescribe by the

Oklahoma Board of Nursing pursuant to the provisions of the Oklahoma Nursing Prac-

tice Act. The Formulary Advisory Council is composed of twelve (12) members:

Appointed by the Oklahoma Board of Nursing:

Susan Jones, PhD, APRN-CNS

Leanna Harkess, MSN, APRN-CNM, APRN-CNP

Deborah Booton-Hiser, PhD, APRN-CNP

Robin Potter-Kimball, MSN, APRN-CNS Appointed by the Oklahoma Pharmaceutical Association:

Jay Kinnard, DPh

Tim Anderson, DPh

Mary Jane Fry, Pharm.D

Meri Hix, Pharm.D Appointed by the Oklahoma State Medical Association:

Harold Ginzburg, MD

Edward Legako, MD

Dana Stone, MD

Appointed by the Oklahoma Osteopathic Association:

Robert Holsey, DO, DPh

Gina Stafford, BSN, RN, and Jackye Ward, MSN, RN served as Board staff representatives.

The Formulary Advisory Council met on July 31, 2017 to review the Exclusionary Formulary

for Advanced Practice Registered Nurses with Prescriptive Authority, #P-50B. Recommenda-

tions were made to the Board for revisions.

39



Peer Assistance Program

40



Introduction

The Peer Assistance Program was established in statutes November 1994 to rehabilitate nurses whose competency may be compromised because of the abuse of drugs or alcohol, so that such nurses can be treated and can return to or continue the practice of nursing in a manner which will benefit the public. The program shall be under the supervision and control of the Okla-homa Board of Nursing (59 O.S. § 567.17A). This approach allows the Board to retain control of nursing practice for the protection of the public, which is the mission of the Board.

The Program is administered by the Program Coordinator, a doctorate prepared Registered Nurse, who reports directly to the Executive Director of the Board. The Program employs two other Registered Nurses, one who is certified in Addiction Nursing and one who is certified in psychiatric nursing. These Registered Nurses serve as Case Managers. The Program also em-ploys one Legal Secretary.

Program Policies and Guidelines As a part of the Board’s oversight, it approves the program guidelines and periodically reviews and revises those guidelines (OAC 485:10-19-3(a)). In FY 2018, the Board reviewed or revised the following policies of the Program: Peer Assistance Program Applications Processing Guidelines, #PA-02 Peer Assistance Program Supervised Practice Guidelines, #PA-09 Peer Assistance Program Committee Code of Conduct, #PA-17 Peer Assistance Program Noncompliance Guidelines, #PA-20 On November 1, 2011 (FY 2012) statutory changes were implemented regarding the licensure status of nurses entering the Program (59 O.S. § 567.17 K). Participation in the Program is no longer non-public. The license status of all nurses in the Program is now marked with Condi-tions-Peer Assistance during the term of participation. For those participating voluntarily, the conditions are non-disciplinary.

Peer Assistance Committees (PAC)

Peer Assistance Committees function under the authority of the Board in accordance to the Rules of the Board (59 O.S. § 567.17B). The committee members are appointed by the Board of Nursing for three-year terms (OAC 485:10-19-4(d)). They serve voluntarily without pay. The Board appointed or reappointed 6 committee members this year. The following individuals have served on PAC during FY 2018: Julie Aldridge, RN Cindy Lyons, MS, RN, CNE Bruce Austin, BSN, RN-BC Dianna McGuire, MS, LADC, LPC, NCGCII Robin Brothers, PhD, RN Charles McNear, MS, RN, PHN, CARN Deborah Campbell, RN Kristina Olson, MHR, RN Suzanne Cannon, MHR, LPC, LADC Patty Gail Patten, MS, LPC, LADC, LMFT Tim Castoe, RN, CARN James Patterson, CADC, ICADC Terri Chapman, BSN, RN* Pam Price-Hoskins, PhD, RN Laura Clarkson, RN, CARN Becky Smith, MHR, RN, LADC* Eli Clayton, RN Sheila St. Cyr, MS, RN-BC L. Louise Drake, MHR, RN Leah Trim, RN Heather Stranger, MSN, RN Frank Thompson, BSN, RN Kimberly Farris, MEd, LADC, LPC

*Denotes committee members who have served since the first year of the program. 41



During FY 2018, there were 23 individuals who served on committees. Each member averaged

36 hours in committee meetings (not including preparation time for the meeting). This is the

equivalent of 4.5 days each of service work to the program.

There are currently 19 individuals still serving on six Committees. Fifteen of the current PAC

members are licensed nurses, 7 are certified or licensed in addictions and 9 are recovering indi-

viduals. Board rules require that each PAC have at least one recovering individual, one individ-

ual with a certification in addictions and the majority to be licensed nurses (OAC 485:10-19-4

(b).

PAC Activity

The Rules of the Oklahoma Board of Nursing define the PAC responsibilities as determining

licensee’s acceptance into the program, developing the contract for participation, determining

progress, successful completion or termination for failure to comply and reporting all termina-

tions to the Board. They meet with the participants on a regular basis to evaluate progress.

(OAC 485: 10-19-4(c))

On a monthly basis this past fiscal year the PAC has averaged 4 meetings, volunteered an aver-

age of 68 hours, accepted 5 new applicants into the Program and met with an average of 59

nurses to review progress. The PAC reviewed progress with approximately 48% of the partici-

pants each month. Of those nurses reviewed each month, approximately 20% are being seen for

noncompliance with their contract.

PAC Activity in Past Five Years

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Variances

1 Year & 5 Year

PAC Meetings 51 49 52 42 45 ↑ 7% & ↓ 12%

Scheduled Reviews 789 701 694 715 569 ↓ 20% & ↓ 28%

Noncompliance Reviews 137 149 111 136 142 ↑ 4 % & ↑ 4%

Total Reviews 926 850 805 851 711 ↓ 16% & ↓ 23%

Volunteer Hours 1,209 1,157 1,047 790 818 ↑ 4 % & ↓ 32%

New Cases

Applicants to the program are screened by the program staff to ensure they meet eligibility re-

quirements as set forth in the Rules of the Oklahoma Board of Nursing (OAC 485:10-19-5).

Those who meet the requirements are scheduled for an entry appointment with the PAC at

which time the PAC determines whether they meet the criteria for acceptance into the program.

42



New Cases in the Past Five (5) Years

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Variances

1 Year & 5 Year

Entry Appointments Scheduled 104 100 89 95 59 ↓ 38% & ↓ 43%

Entry Appointments Not Kept 4 5 7 3 3 -- & ↓ 25%

Entry Appointments Conducted 100 95 82 92 56 ↓ 39% & ↓ 44%

Applicants Not Accepted 5 4 6 6 2 ↓ 66% & ↓ 60%

Applicants Accepted 95 91 76 86 54 ↓ 37% & ↓ 43%

Applicants Declining Contract 2 0 0 0 0 -- & ↓ 100%

Total Entering Program 93 91 76 86 54 ↓ 37% & ↓ 42%

Total New Cases 104 100 89 95 59 ↓ 38% & ↓ 43%

Of the 59 nurses initiating contact with the Program for participation and completing the appli-

cation process, 91% (54 nurses) entered the Program, 5% (3 nurses) failed to keep their appoint-

ment with the PAC or withdrew the application, 3% (2 nurses) were not accepted into the Pro-

gram by the PAC. An additional 15 nurses contacted the Program and were interviewed by staff

but chose not to make application.

New Cases

Participants

Nurses enter the program voluntarily either through direct application or referral from the Board

of Nursing. The minimum length of participation in the program for successful completion is

24 months. The average length of participation for individuals successfully completing the pro-

gram during FY 2018 was 34 months, which was 2 months shorter than FY 2017.

43



Termination from the program can occur any time after acceptance into the program. The aver-

age length of participation for individuals terminating from the program in FY 2018 was 11

months, as compared to 9 months in FY 2017. Thirteen (34%) of the 38 individuals terminated

from the program were in the program 3 months or less. The majority (58%) of individuals ter-

minated from the program had less than one year’s participation and 42% were in for 6 months

or less.

Nurses who leave the Program for any reason other than successful completion are reported to

the Oklahoma Board of Nursing. By law, the Executive Director of the Board must suspend the

license of the nurse who voluntarily entered the program with the case scheduled for a Board

Hearing. Nurses who entered the program by an order of the Board and leave the program are

disciplined as set forth in the order of the Board (59 O.S. § 567.17 I).

Participation by Type of Entry

Nurses Entering the Program with Board Action

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

5 Year

Total

Variances

1 Year & 5 Year

Entering 28 38 21 34 28 149 ↓ 18% & --

Participants on 6/30 65 73 55 59 54 -- ↓ 8% & ↓ 17%

Participants Discharged 15 15 22 20 18 90 ↓ 10% & ↑ 20%

Participants Terminated 19 15 17 10 16 77 ↓ 60% & ↓ 16%

Total Participation 99 103 94 88 88 221* -- & ↓ 11%

(*5 year total participation equal number of participants on 6/30/2018 + discharges and terminations between

7/1/2014 – 6/30/2018)

44



Thirty-five percent of the 221 nurses participating in the program through Board action in the

past 5 years have been terminated for noncompliance or withdrawn from the program without

completing. Forty-one percent have been discharged for successful completion and twenty-

four percent are still in the program.

Nurses Entering the Program without Board Action

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

5 Year

Total

Variances

1 Year & 5 Year

Entering 65 53 55 52 26 251 ↓ 50% & ↓ 60%

Participants on 6/30 100 88 91 88 68 -- ↓ 23% & ↓ 32%



Total Participation 168 153 143 144 113 354* ↓ 22% & ↓ 33%


7/1/2014 – 6/30/2018)

Thirty-eight percent of the nurses in the program this year entered without Board Action. In the

last five years, nurses entering the program without Board Action have been in the majority.

Forty-five percent of the 354 nurses participating in the program without Board Action in the

last five years have been terminated for noncompliance or withdrawn from the program without

completing. Thirty-six percent of the 354 nurses participating without Board Action in the past

five years have been discharged for successful completion. Nineteen percent are still in the pro-

gram.

Outcomes by Type of Entry

2014-2018

45



All Nurses Entering the Program

Activity FY FY FY FY FY 5 Year Variances

Participants on 6/30 165 161 146 147 122 741 ↓ 17% & ↓ 26%



Total Participants 267 256 237 233 201 575* ↓ 14% & ↓ 25%

Applicants not Entering 11 9 13 9 4 46 ↓ 56% & ↓ 64%

**Total Cases 278 264 250 241 205 †621 ↓ 15% & ↓ 26%


7/1/2014 – 6/30/2018. **Total cases are the number of participants in the program during the year plus the number who went through the

application process and then did not sign a contract with the program. † 5 year totals equal the 5 year total participants + 5 year total applicants not entering)

Nurses referred to the program through Board Action account for thirty-eight percent of the

nurses participating the program in the last five (5) years, thirty-two percent of those terminated

from the program, and forty-two percent of those successfully completing.

Nurses referred to the program without Board Action account for sixty-two percent of the nurs-

es participating in the program in the past five (5) years, sixty-eight percent of those terminated

from the program, and fifty-eight percent of the nurses successfully completing the program in

the last five years.

Terminations and Discharges The following chart illustrates the percentages of nurses in the Program each year discharged for successful completion and terminated for noncompliance. For the last 3 years there has been a trend toward a more equal balance of these with an increase in discharges and a decrease in terminations as compared to the 3 previous years.

Terminations and Discharges as a Percentage of Annual Participation

46



Participation by Licensure

Licensed nurses, including LPN, RN, and APRN, may be considered for participation in the

program, provided they meet the eligibility requirements as set forth in the Rules of the Oklaho-

ma Board of Nursing (OAC 485:10-19-5). Average participation by license level for the past

five years is illustrated in the following chart.

Average Participation by Licensure

Participation by Gender

Summary of Male Participation FY 2014–FY 2018

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

5 Year

Total

Variances

1 Year & 5 Year

Participants on 6/30 27 23 18 19 21 108 ↑ 11% & ↓ 22%

Participants Discharged 8 11 7 8 4 41 ↓ 50% & ↓ 50%

Participants Terminated 7 9 7 4 4 31 -- & ↓ 43%

Total Participation 42 43 32 31 29 *93 ↓ 6% & ↓ 31%


7/1/2014 – 6/30/2018)

Males comprised fifteen percent of participants in the program during the past five years. They

account for nineteen percent of the nurses discharged for successful completion and thirteen

percent of those terminated from the program.

47



Summary of Female Participation FY 2014–FY 2018

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

5 Year

Total

Variances

1 Year & 5 Year

Participants on 6/30 138 138 128 129 101 634 ↓ 22% & ↓ 27%



Total Participation 225 213 205 203 172 *485 ↓ 15% & ↓ 24%


7/1/2014 – 6/30/2018)

Females comprised eighty-six percent of the nurses participating in the program during the past

five years. Eighty-two percent of nurses successfully completing the program were female.

Eighty-seven percent of the nurses terminated from the program were female.

Relapse Rates

Relapse is defined as unauthorized use of mind-altering, intoxicating, potentially addictive

drugs after a period of sustained abstinence. During FY 2018, the total relapse rate was 4%,

the same rate as FY 2017.

Office Activity

Office Activity by Type

Activity FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

Variances

1 Year & 5 Year

Reports Monitored 7,557 5,870 5,635 5,270 5,265 ↓ .09% & ↓ 30%

Educational Presentations 4 5 3 5 7 ↑ 40% & ↑ 75%

Applicant Interviews 162 147 144 136 73 ↓ 46% & ↓ 55%

Average Time From

Application to Entry 6.3 6 5.4 6.2 7 days ↑ 13% & ↑ 11%

Average Time to Address

Noncompliance 4 5 4.4 2.5 .21 ↓ 92% & ↓ 95%

Average Time to Remove

from Nursing Practice when

Relapse is Identified

1 day 1 day 1 day 1 day <1 day -- & --

48



Forty-five percent of the participants in the program at the end of the fiscal year had been in for

less than one year. Participants in the first year of participation require more intensive monitor-

ing as this is when there is the greatest of risk of relapse. The Program actively monitored an

average of 130 nurses each month of FY 2018.

The time from application to the program and the time the PAC approves a contract with active-

ly licensed nurses has consistently been less than 9 days for the past five (5) years. This is a key

performance measure identified in the Strategic Plan of the Board of Nursing. In FY 2016, this

performance measure was lowered to 8 days and the Program continues to exceed the perfor-

mance measure. When nurses sign contracts with the PAC, they agree to cease nursing prac-

tice. Quick entry into the program supports the Board’s mission to safeguard the public as the

program is able to remove nurses from practice who may be impaired due to substance use and

place Peer conditions on their nursing license.

Addressing noncompliance quickly is an additional safeguard. Noncompliance with the con-

tract may indicate a safety issue with the nursing practice of the individual and be a signal of

relapse. For FY 2018, it took an average of <1 day for the program to address noncompliance

issues, exceeding the performance measure. The trending decrease in time to address noncom-

pliance with the contract is attributable to the advances in the Program’s electronic monitoring

software, specifically, push technology and e-communication. The program directs nurses with

identified safety issues, relapse behaviors and/or identified relapse to cease nursing practice

within one day of identification.

Nurses who voluntarily enter the program do not require a Board hearing, thus utilizing fewer

resources within the Agency. This year 113 (56%) of the 201 nurses who participated in the

program entered voluntarily. This supports the Board’s goal to operate efficiently and effec-

tively.

Office Activity Per Participant

Average Activity Per

Participant Per Year

FY

2014

FY

2015

FY

2016

FY

2017

FY

2018

5-Year

Average

Reports 28 23 24 27 26 26

PAC Reviews 4 3 3 3 3 3

49



Investigative Division

50



Introduction The Investigative Division conducts investigations for allegations of violations of the Nursing

Practice Act. The work is accomplished through a priority system and performed by objective

fact finding during the investigative process. Evidence is presented during Board hearings by

investigative staff. The Division is responsible for monitoring compliance to Board Orders and

reporting Board actions to Federal databanks. The Investigative Division is comprised of seven

Nurse Investigators and three legal secretaries.

The Oklahoma Nursing Practice Act (ONPA) gives the Oklahoma Board of Nursing (Board)

the power to: 1) deny, suspend, or revoke any licensure to practice as an Advanced Practice

Registered Nurse, Registered Nurse single-state or multistate, or Licensed Practical Nurse, sin-

gle-state or multistate, or certification as an Advanced Unlicensed Assistant or authorization for

prescriptive authority or authority to order, select, obtain and administer drugs; 2) assess admin-

istrative penalties; and 3) otherwise discipline applicants, licensees or Advanced Unlicensed

Assistants. The Act further states the Board shall impose a disciplinary action pursuant to the

above upon proof that the person: 1. Is guilty of deceit or material misrepresentation in procuring or attempting to procure: a. a license to practice registered nursing, licensed practical nursing, and/or a license to

practice advanced practice registered nursing with or without either prescriptive authority recognition or authorization to order, select, obtain and administer drugs, or

b. certification as an Advanced Unlicensed Assistant; 2. Is guilty of a felony, or any offense reasonably related to the qualifications, functions or

duties of any licensee or advanced unlicensed assistant, or any offense an essential ele-ment of which is fraud, dishonesty, or an act of violence, or for any offense involving mor-al turpitude, whether or not sentence is imposed, or any conduct resulting in the revocation of a deferred or suspended sentence or probation imposed pursuant to such conviction;

3. Fails to adequately care for patients or to conform to the minimum standards of acceptable nursing or advanced unlicensed assistant practice that, in the opinion of the Board, unnec-essarily exposes a patient or other person to risk of harm;

4. Is intemperate in the use of alcohol or drugs, which use the Board determines endangers or could endanger patients;

5. Exhibits through a pattern of practice or other behavior actual or potential inability to practice nursing with sufficient knowledge or reasonable skills and safety due to impair-ment caused by illness, use of alcohol, drugs, chemicals or any other substance, or as a result of any mental or physical condition, including deterioration through the aging pro-cess or loss of motor skills, mental illness, or disability that results in inability to practice with reasonable judgment, skill or safety; provided, however, the provisions of this para-graph shall not be utilized in a manner that conflicts with the provisions of the Americans with Disabilities Act;

6. Has been adjudicated as mentally incompetent, mentally ill, chemically dependent or dan-gerous to the public or has been committed by a court of competent jurisdiction, within or without this state;

7. Is guilty of unprofessional conduct as defined in the rules of the Board; 8. Is guilty of any act that jeopardizes a patient's life, health or safety as defined in the rules

of the Board; 9. Violated a rule promulgated by the Board, an order of the Board, or a state or federal law

relating to the practice of registered, practical or advanced practice nursing or advanced unlicensed assisting, or a state or federal narcotics or controlled dangerous substance law;

51



10. Has had disciplinary actions taken against the individual's registered or practical nursing license, advanced unlicensed assistive certification, or any professional or occupational license, registration or certification in this or any state, territory or country;

11. Has defaulted from the Peer Assistance Program for any reason; 12. Fails to maintain professional boundaries with patients, as defined in the Board rules; or 13. Engages in sexual misconduct, as defined in Board rules, with a current or former patient

or key party, inside or outside the health care setting.

Investigation and Disciplinary Process The number of ONPA alleged violations reported to the Board during FY 2018 that resulted in

opened cases for investigation decreased sixteen percent (16%) compared to FY 2017. The

number of alleged violations received against licensees/applicants represents 0.63% of the total

licensee/applicant population regulated by the Board. Board staff, legal counsel, and/or other

governmental agencies complete investigations of alleged violations reported to the Board.

During any investigation, the staff emphasizes the Board’s commitment to the due process af-

forded each individual under the provisions of the ONPA and the Administrative Procedures

Act as well as the Board’s legislative mandate to safeguard the public’s health, safety, and wel-

fare.

Investigative Cases Opened

Categories of data compiled about opened investigative cases include the Classification of Li-

censure/Certification/Applicant, Type of Case, and Location of Case.

Number/Percent of Licensees/Applicants with Cases Opened During FY 2018

Compared to Total Regulated Population

Classification *Number of

Licensees/Applicants with Cases Opened

Number of Licensees Regulated or

Applications Received

Percentage of Licensees Regulated or Applications

Received with Cases Opened

RN 214 56,388 0.38

LPN 182 18,871 0.96

APRN 38 7,238 0.53

AUA 1 539 0.19

NCLEX-RN 40 2,426 1.65

RN Endorsement 31 2,169 1.43

NCLEX-LPN 48 1,513 3.17

LPN Endorsement 5 224 2.23

Other 3

Total 562 89,368 0.63

*Number reflects the number of individuals with cases opened, not the number of cases opened in subsequent ta-

bles as 1 individual could have more than one alleged violation reported to the Board during the course of the fiscal

year. 52



Type of Cases Opened

FY 2018 Drug Nursing Practice

Abuse/ Neglect Felony *Other

Reinstate-ment

Return to Active

PAP Related

Worked Lapsed License

Deceit Total Viol.

of Order

Number 87 147 10 25 173 28 25 2 64 562 1

Percentage 15% 26% 2% 4% 31% 5% 2% 3% 15% 100% 0%

*Other types of administrative procedure cases were: hearing on temporary suspensions, request to amend, request

to terminate probation, request for inactive status, voluntary surrender or court order surrender of license, misde-

meanor, reappear before the Board as ordered, peer assistance related, request for reconsideration of Board deci-

sion, lawsuit, renewal application, etc.

Location of Cases Opened

FY 2018 Hospital Nursing Home

Home Health

*Other Nursing

**Other Non-Nursing Total

Number 95 135 17 81 234 562

Percentage 17% 24% 3% 14% 42% 100%

*Other nursing settings are physician’s office, clinic, hospice, state correction facility, etc.

** Other non-nursing settings are felonies, reinstatements, probation violations, etc.

Types of Cases Opened in Clinical Settings in FY 2018

Type Hospital Nursing Home Home Health Other Nursing

Drug 45 19 1 22

Nursing Practice 31 79 5 32

Abuse/Neglect 2 4 0 4

Worked Lapsed License 1 0 0 1

Other 16 33 11 256

Total 95 135 17 315

Resolution and Closure of Investigative Cases

Investigative cases are resolved when the Board takes action on the case through Formal Hear-

ings or Informal Disposition Panel Conferences. Investigative cases are closed when Board

staff closes a case for no violation of the ONPA, for insufficient evidence, etc. During FY

2018, 48% of the cases were resolved/closed within six months.

53



FY 2018 Resolution/Closure Based on Length of Time Opened

Reasons for Closure by Board Staff

*Other reasons for closure of open cases are: no jurisdiction, lapsed license, on advice of legal

counsel, resolution of court case, appropriate action by employer, self-referrals to the Peer As-

sistance Program, etc.

Formal Hearings and Informal Disposition Panel (IDP) Conferences are conducted bi-monthly

to resolve open investigative cases. The Board experienced a 22% decrease in the total number

of hearings in Fiscal Year 2018 compared to Fiscal Year 2017.

Total Number of Informal Disposition Conferences and Formal Hearings

During the 2015 legislative session, Corrective Actions for violations of the Nursing Practice

Act and/or Rules was added to the Nursing Practice Act. Emergency rules for implementation

of Corrective Actions were approved by the Governor on October 26, 2015 allowing the Board

to implement Corrective Actions on the November 1, 2015 effective date. During FY 2018,

seventy (70) Corrective Action Orders were issued.

Also during the 2015 legislative session, the Nursing Practice Act was amended granting au-

thority to the Executive Director to accept identified Agreed Disciplinary Orders on behalf of

the Board. The law became effective November 1, 2015. The table below indicates the type

and number of Agreed Disciplinary Orders issued by the Executive Director during FY 2018.

Board Resolved Total Board Staff Closed Total Grand Total

Within 6 months 121 Within 6 months 166 287

After 6 months 209 After 6 months 105 314

Totals 330 Totals 271 601

FY 2018 Insufficient Evidence No Violation *Other Total

Total 52 5 214 271

Percentage 19% 2% 79% 100%

Fiscal Year Total Number of Informal

Disposition Cases

Total Number of Formal

Hearings (Full Board) Total Hearings

2017 340 81 421

2018 238 92 330

Variance ↓ 30% ↑ 14% ↓ 22%

54



Agreed Disciplinary Orders Accepted by Executive Director on Behalf of Board

Rate and Number of Individuals Disciplined

The Board takes actions on open cases involving licensees or applicants in order to protect the

health, safety, and welfare of the public. Those actions include denying licensure/certification

(for example upon renewal, application for endorsement, application for licensure/certification

by examination), revoking, suspending or otherwise disciplining a licensee or an Advanced Un-

licensed Assistant. The number and rate of nurses disciplined in FY 2018 by type of licensure is

shown below.

Number of Individuals Disciplined in FY 2018 by Type of License

Type of Executive Director Order Number of Executive

Director Orders

Agreed entry into the Peer Assistance Program disciplinary orders 27

Agreed reinstatement/endorsement disciplinary orders when the applicant

has practiced without an active Oklahoma license/certificate/recognition 1

Agreed disciplinary orders for the voluntary surrender of a license/

certification/recognition 15

Type Total Number

Disciplined

Total Number of

Licensees

Rate of Nurses

Disciplined

All Nurses 309 79,293 0.4%

RNs 160 56,388 0.3%

LPNs 142 18,871 0.8%

APRNs (licensure & prescriptive authority recognition) 7 4,034 0.2%

55



Nurse Population Data

The nurse population report (APRN, RN and

LPN) in Oklahoma for FY 2018 is compiled

from information provided by licensees at the

time of licensure or renewal of licensure through

June 30, 2018, for Advanced Practice Registered

Nurses, Registered Nurses and Licensed Practi-

cal Nurses. The summary shows the current fiscal year

(2018) and the data for the preceding four years. Questions or comments regarding this infor-

mation should be directed to the Executive Di-

rector of the Oklahoma Board of Nursing.

Licensure Count by Type for FY 2018

RNs 56,388

LPNs 18,871

APRNs 4,034

Prescriptive Authority 3,204

AUAs 539

Nursing Education

Programs 58

AUA Education Programs 8

Total Records 181,970

Summary Report

2018 Report 2017 Report 2016 Report 2015 Report 2014 Report

RN LPN RN LPN RN LPN RN LPN RN LPN

Residing in Oklahoma

Employed 37,335 13,377 36,427 13,367 35,614 13,269 34,523 13,200 33,924 13,111

Not Employed in

Nursing 3,780 1,350 3,642 1,407 3,709 1,534 3,573 1,963 4,248 2,322

Employment

Status Unknown 4,024 2,784 4,294 2,208 3,783 2,860 4,867 2,297 3,946 2,652

Total 45,139 17,511 44,363 16,982 43,106 17,663 42,963 17,460 42,118 18,085

Residing out of State

Employed 5,815 702 7,079 717 6,551 737 5,716 702 5,642 684

Not Employed in

Nursing 508 164 582 168 554 170 544 204 645 223

Employment

Status Unknown 4,926 494 4,466 514 3,482 601 3,739 500 2,861 595

Total 11,249 1,360 12,127 1,399 10,587 1,508 9,999 1,406 9,148 1,502

Grand Total 56,388 18,871 56,490 18,381 53,693 19,171 52,962 18,866 51,266 19,587

56



Advanced Practice Registered Nurses

by County–FY 2018

County CNP CNM CRNA CNS Total

Adair 3 0 0 0 3

Alfalfa 2 0 0 0 2

Atoka 6 0 0 0 6

Beaver 4 0 0 0 4

Beckham 15 1 3 0 19

Blaine 4 0 0 0 4

Bryan 34 0 6 0 40

Caddo 7 0 0 1 8

Canadian 141 0 13 13 167

Carter 27 0 13 1 41

Cherokee 41 9 8 1 59

Choctaw 4 0 0 0 4

Cimarron 1 0 0 0 1

Cleveland 164 2 34 27 227

Coal 2 0 0 0 2

Comanche 46 0 14 3 63

Cotton 1 0 0 0 1

Craig 12 0 0 1 13

Creek 28 1 5 4 38

Custer 18 2 3 1 24

Delaware 20 0 5 0 25

Dewey 2 0 0 1 3

Ellis 1 0 0 0 1

Garfield 19 0 9 4 32

Garvin 19 0 0 0 19

Grady 23 0 4 2 29

Grant 2 0 0 0 2

Greer 1 0 0 0 1

Harmon 1 0 0 0 1

Harper 1 0 0 0 1

Haskell 11 1 1 0 13

Hughes 11 0 1 0 12

Jackson 16 0 7 1 24

Jefferson 4 0 0 0 4

Johnston 4 0 0 1 5

Kay 9 0 3 1 13

Kingfisher 15 0 2 4 21

Kiowa 3 0 0 0 3

Latimer 5 1 0 0 6 57



58

Advanced Practice Registered Nurses

by County–FY 2018

County CNP CNM CRNA CNS Total

Leflore 35 0 4 1 40

Lincoln 16 0 1 2 19

Logan 9 0 1 4 14

Love 8 1 0 0 9

Major 3 0 1 0 4

Marshall 5 0 1 0 6

Mayes 13 0 3 1 17

McClain 48 0 7 8 63

McCurtain 17 0 2 1 20

McIntosh 11 0 1 0 12

Murray 3 0 0 0 3

Muskogee 44 0 4 4 52

Noble 5 0 0 1 6

Nowata 5 0 0 0 5

Okfuskee 5 0 0 0 5

Oklahoma 672 12 135 75 894

Okmulgee 17 0 4 2 23

Osage 11 0 1 0 12

Ottawa 17 0 2 0 19

Out of State 449 10 226 15 700

Pawnee 4 0 1 0 5

Payne 42 1 2 2 47

Pittsburg 31 0 7 2 40

Pontotoc 37 9 4 2 52

Pottawatomie 36 0 7 5 48

Pushmataha 4 0 0 0 4

Roger Mills 3 0 0 0 3

Rogers 49 5 8 2 64

Seminole 9 0 0 1 10

Sequoyah 12 0 0 2 14

Stephens 22 1 6 1 30

Texas 4 1 0 0 5

Tillman 2 0 0 0 2

Tulsa 516 11 159 80 766

Wagoner 19 1 3 1 24

Washington 28 1 4 4 37

Washita 4 0 0 0 4

Woods 3 0 0 0 3

Woodward 7 0 4 1 12

Total 2,952 70 729 283 4,034

58



59

Advanced Practice Registered Nurses with Prescriptive Authority

by County–FY 2018

County CNP Rx CNM Rx CRNA Rx CNS Rx Total Rx

Adair 2 0 0 0 2

Alfalfa 1 0 0 0 1

Atoka 6 0 0 0 6

Beaver 4 0 0 0 4

Beckham 15 1 3 0 19

Blaine 4 0 0 0 4

Bryan 32 0 6 0 38

Caddo 7 0 0 1 8

Canadian 124 0 11 8 143

Carter 26 0 12 1 39

Cherokee 37 8 7 1 53

Choctaw 4 0 0 0 4

Cimarron 1 0 0 0 1

Cleveland 147 2 31 21 201

Coal 2 0 0 0 2

Comanche 40 0 9 0 49

Cotton 1 0 0 0 1

Craig 11 0 0 1 12

Creek 27 1 4 3 35

Custer 17 2 3 0 22

Delaware 19 0 5 0 24

Dewey 1 0 0 0 1

Ellis 1 0 0 0 1

Garfield 17 0 4 3 24

Garvin 18 0 0 0 18

Grady 23 0 4 2 29

Grant 1 0 0 0 1

Greer 1 0 0 0 1

Harmon 1 0 0 0 1

Harper 1 0 0 0 1

Haskell 10 1 0 0 11

Hughes 11 0 1 0 12

Jackson 14 0 7 1 22

Jefferson 3 0 0 0 3

Johnston 4 0 0 1 5

Kay 9 0 3 0 12

Kingfisher 15 0 0 3 18

Kiowa 3 0 0 0 3

Latimer 5 1 0 0 6

Leflore 30 0 2 1 33

59



60

Advanced Practice Registered Nurses with Prescriptive Authority

by County–FY 2018

County CNP Rx CNM Rx CRNA Rx CNS Rx Total Rx

Lincoln 15 0 0 1 16

Logan 9 0 1 3 13

Love 8 0 0 0 8

Major 3 0 0 0 3

Marshall 5 0 1 0 6

Mayes 11 0 1 1 13

McClain 42 0 6 5 53

McCurtain 16 0 2 0 18

McIntosh 10 0 1 0 11

Murray 3 0 0 0 3

Muskogee 41 0 2 3 46

Noble 4 0 0 1 5

Nowata 5 0 0 0 5

Okfuskee 5 0 0 0 5

Oklahoma 603 9 113 53 778

Okmulgee 16 0 3 2 21

Osage 9 0 0 0 9

Ottawa 17 0 2 0 19

Out of State 211 5 83 2 301

Pawnee 4 0 1 0 5

Payne 36 1 2 1 40

Pittsburg 29 0 6 2 37

Pontotoc 37 9 4 1 51

Pottawatomie 34 0 7 3 44

Pushmataha 4 0 0 0 4

Roger Mills 2 0 0 0 2

Rogers 41 2 7 2 52

Seminole 9 0 0 1 10

Sequoyah 12 0 0 1 13

Stephens 20 0 6 0 26

Texas 3 1 0 0 4

Tillman 2 0 0 0 2

Tulsa 460 9 110 57 636

Wagoner 19 1 2 1 23

Washington 26 1 3 4 34

Washita 4 0 0 0 4

Woods 3 0 0 0 3

Woodward 7 0 4 0 11

Total 2,480 54 479 191 3,204

60



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349

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92

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62



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63



64

Registered Nurses

by County and Age–FY 2018

County 20-29 30-39 40-49 50-59 60 Plus Total Unknown

Adair 11 24 29 24 21 109 0

Alfalfa 5 16 5 12 9 47 0

Atoka 16 27 42 19 21 125 0

Beaver 2 6 12 9 12 41 0

Beckham 30 62 46 38 31 207 0

Blaine 4 17 15 20 15 71 0

Bryan 40 110 130 69 76 425 0

Caddo 14 33 53 45 32 177 0

Canadian 292 764 604 423 367 2,450 0

Carter 56 142 137 113 126 574 0

Cherokee 41 108 136 100 108 493 0

Choctaw 10 20 41 18 35 124 0

Cimarron 0 1 4 1 2 8 0

Cleveland 311 732 608 545 528 2,724 0

Coal 4 7 23 15 6 55 0

Comanche 118 251 214 166 176 925 0

Cotton 5 9 13 10 3 40 0

Craig 24 57 48 47 57 233 0

Creek 70 143 144 131 133 621 0

Custer 30 76 59 48 54 267 0

Delaware 32 68 69 75 67 311 0

Dewey 7 9 6 9 7 38 0

Ellis 2 5 6 3 12 28 0

Garfield 70 174 126 152 151 673 0

Garvin 23 50 69 57 56 255 0

Grady 35 137 150 112 84 518 0

Grant 8 17 12 9 14 60 0

Greer 4 8 8 7 9 36 0

Harmon 0 1 2 6 2 11 0

Harper 3 6 11 6 6 32 0

Haskell 9 27 39 26 30 131 0

Hughes 10 19 22 19 24 94 0

Jackson 38 67 62 47 49 263 0

Jefferson 2 10 13 10 3 38 0

Johnston 11 31 30 28 22 122 0

Kay 45 84 90 83 102 404 0

Kingfisher 23 57 50 35 47 212 0

Kiowa 9 15 18 20 11 73 0

Latimer 10 16 31 16 21 94 0

Leflore 23 90 121 90 97 421 0

64



65

Registered Nurses



Lincoln 32 61 65 78 58 294 0

Logan 30 90 72 66 84 342 0

Love 6 14 14 13 19 66 0

McClain 80 180 220 133 107 720 0

McCurtain 38 59 73 66 45 281 0

McIntosh 15 33 53 52 58 211 0

Major 3 20 19 18 22 82 0

Marshall 9 23 32 34 26 124 0

Mayes 30 95 107 91 82 405 0

Murray 9 40 39 28 35 151 0

Muskogee 81 180 208 208 215 892 0

Noble 12 28 34 25 20 119 0

Nowata 13 22 21 27 15 98 0

Okfuskee 6 18 23 23 17 87 0

Oklahoma 1,410 2,902 2,333 1,980 2,159 10,784 0

Okmulgee 33 91 75 70 66 335 0

Osage 7 27 16 25 31 106 0

Ottawa 37 80 97 101 92 407 0

Pawnee 19 23 20 32 37 131 0

Payne 58 149 143 124 106 580 0

Pittsburg 42 96 97 93 106 434 0

Pontotoc 68 115 89 97 101 470 0

Pottawatomie 81 149 167 179 164 740 0

Pushmataha 14 24 29 21 34 122 0

Roger Mills 2 4 3 5 7 21 0

Rogers 131 250 225 225 198 1,029 0

Seminole 21 34 54 47 49 205 0

Sequoyah 19 51 80 63 61 274 0

Stephens 36 99 76 80 60 351 0

Texas 12 25 18 12 11 78 0

Tillman 6 11 16 10 8 51 0

Tulsa 1,142 2,401 1,936 1,584 1,875 8,938 0

Wagoner 41 90 103 83 73 390 0

Washington 58 128 93 103 100 482 0

Washita 10 15 20 20 22 87 0

Woods 11 17 16 14 14 72 0

Woodward 19 29 22 10 25 105 0

Unknown 68 69 35 37 10 1,545 1,326

Total 5,156 11,238 10,041 8,540 8,838 45,139 1,326

65



Registered Nurses Residing and Licensed in Oklahoma

by Field of Employment and Age–FY 2018

Employment 20-29 30-39 40-49 50-59 60 Plus Total

Hospital 3,102 7,059 5,613 4,501 3,303 23,578

Long Term/Extended Care 48 278 355 392 545 1,618

Academic Setting 10 139 190 230 334 903

Home Health 102 546 741 532 607 2,528

Community Health 28 177 260 243 238 946

School Health 7 58 121 98 122 406

Occupational Health 2 23 39 43 72 179

Ambulatory Care Setting 85 569 679 626 568 2,527

Other 134 735 918 797 762 3,346

Policy or Regulatory Agency 1 5 18 23 36 83

Insurance/Utilization Review 1 42 92 122 110 367

Public Health 35 134 164 163 122 618

Correctional Facility 5 28 42 59 43 177

Unknown 2 0 0 0 0 59

Total 3,562 9,793 9,232 7,829 6,862 37,335

Registered Nurses Residing and Licensed in Oklahoma

by Field of Employment and Hours–FY 2018

Employment Full-Time

35+ Hours

Part-Time

1-19 Hours

Part-Time

20-34 Hours Total

Hospital 20,475 803 2,288 23,578

Long Term/Extended Care 1,337 118 162 1,618

Academic Setting 713 94 94 903

Home Health 2,130 148 248 2,528

Community Health 764 89 91 946

School Health 326 36 44 406

Occupational Health 134 26 19 179

Ambulatory Care Setting 2,094 153 280 2,527

Other 2,723 245 348 3,346

Policy or Regulatory Agency 76 4 3 83

Insurance/Utilization Review 331 15 20 367

Public Health 567 18 32 618

Correctional Facility 167 2 8 177

Unknown 0 0 0 59

Total 31,837 1,751 3,637 37,335

66



67

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70



Licensed Practical Nurses



Adair 24 41 37 16 19 137 0

Alfalfa 1 2 5 13 5 26 0

Atoka 14 30 18 20 8 90 0

Beaver 3 2 6 2 1 14 0

Beckham 28 28 34 25 19 134 0

Blaine 8 11 12 15 13 59 0

Bryan 25 60 51 53 34 223 0

Caddo 34 46 65 51 22 218 0

Canadian 74 121 141 87 71 494 0

Carter 24 47 54 45 46 216 0

Cherokee 70 74 52 45 36 277 0

Choctaw 8 15 21 19 19 82 0

Cimarron 1 0 1 1 1 4 0

Cleveland 122 209 226 143 101 801 0

Coal 13 6 15 15 6 55 0

Comanche 119 189 166 119 92 685 0

Cotton 7 6 6 8 7 34 0

Craig 12 17 18 26 23 96 0

Creek 40 78 78 67 58 321 0

Custer 41 46 33 22 30 172 0

Delaware 23 29 36 29 20 137 0

Dewey 6 19 3 10 5 43 0

Ellis 3 8 4 3 4 22 0

Garfield 40 57 45 42 49 233 0

Garvin 31 54 42 33 39 199 0

Grady 43 74 65 40 48 270 0

Grant 1 6 5 0 6 18 0

Greer 5 15 6 13 3 42 0

Harmon 5 8 6 6 4 29 0

Harper 7 9 4 8 3 31 0

Haskell 16 35 32 20 9 112 0

Hughes 9 17 20 17 30 93 0

Jackson 33 46 28 29 23 159 0

Jefferson 3 8 10 9 6 36 0

Johnston 5 8 11 11 9 44 0

Kay 39 63 53 39 23 217 0

Kingfisher 14 21 21 17 12 85 0

Kiowa 13 18 21 15 12 79 0

Latimer 7 15 11 13 5 51 0

71



Licensed Practical Nurses



Leflore 48 75 82 51 43 299 0

Lincoln 22 30 40 33 39 164 0

Logan 10 29 26 17 27 109 0

Love 6 8 11 6 4 35 0

McClain 41 84 54 44 27 250 0

McCurtain 47 66 57 35 26 231 0

McIntosh 17 19 22 21 18 97 0

Major 8 12 12 7 11 50 0

Marshall 6 9 21 13 3 52 0

Mayes 23 47 72 45 28 215 0

Murray 8 19 24 20 13 84 0

Muskogee 63 76 90 69 72 370 0

Noble 6 19 14 12 7 58 0

Nowata 7 15 14 9 13 58 0

Okfuskee 11 12 14 10 9 56 0

Oklahoma 277 649 633 456 391 2,406 0

Okmulgee 45 63 55 52 29 244 0

Osage 19 18 29 17 19 102 0

Ottawa 16 39 35 40 26 156 0

Pawnee 10 20 6 17 10 63 0

Payne 49 79 56 49 43 276 0

Pittsburg 49 70 54 56 42 271 0

Pontotoc 41 64 65 48 48 266 0

Pottawatomie 44 86 103 76 47 356 0

Pushmataha 10 15 14 28 14 81 0

Roger Mills 3 2 3 2 6 16 0

Rogers 55 101 84 62 37 339 0

Seminole 20 39 44 31 24 158 0

Sequoyah 38 58 54 40 29 219 0

Stephens 42 77 71 42 30 262 0

Texas 7 6 3 6 4 26 0

Tillman 11 16 13 8 5 53 0

Tulsa 248 509 472 311 292 1,832 0

Wagoner 23 28 34 29 26 140 0

Washington 60 76 61 44 47 288 0

Washita 9 16 26 16 22 89 0

Woods 20 7 12 9 3 51 0

Woodward 24 47 26 30 20 147 0

Unknown 30 27 17 12 5 1,504 1,413

Total 2,444 4,170 3,985 3,019 2,480 17,511 1,413

72



Licensed Practical Nurses Residing and Licensed in Oklahoma

by Field of Employment and Hours–FY 2018

Employment Full-Time

35+ Hours

Part-Time

1-19 Hours

Part-Time

20-34 Hours Total

Hospital 2,167 69 218 2,454

Long Term/Extended Care 3,705 116 301 4,122

Academic Setting 54 7 16 77

Home Health 1,572 104 259 1,935

Community Health 680 36 36 752

School Health 135 6 12 153

Occupational Health 101 5 6 112

Ambulatory Care Setting 786 14 30 830

Private Practice 4 0 1 6

Other 1,938 99 165 2,202

Policy or Regulatory Agency 5 0 1 6

Insurance/Utilization Review 47 1 1 49

Public Health 333 13 20 366

Correctional Facility 229 6 16 251

Unknown 62

Total 11,756 476 1,082 13,377

Licensed Practical Nurses Residing and Licensed in Oklahoma

by Field of Employment and Age–FY 2018

Employment Under 20 20-29 30-39 40-49 50-59 60 Plus Total

Hospital 0 369 628 598 494 365 2,454

Long Term/Extended Care 0 451 1,042 1,089 868 672 4,122

Academic Setting 0 3 19 21 18 16 77

Home Health 0 189 491 553 384 318 1,935

Community Health 0 63 226 232 132 99 752

School Health 0 6 26 51 43 27 153

Occupational Health 0 7 26 29 31 19 112

Ambulatory Care Setting 0 86 197 246 167 134 830

Private Practice 0 0 0 3 1 2 6

Other 0 284 623 569 410 316 2,202

Policy or Regulatory Agency 0 0 3 3 0 0 6

Insurance/Utilization Review 0 1 9 19 10 10 49

Public Health 0 52 102 102 80 30 366

Correctional Facility 0 36 66 66 52 31 251

Unknown 62

Total 0 1,547 3,458 3,581 2,690 2,039 13,377

73



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75

Degree and Average Age of Registered Nurses

and Licensed Practical Nurses–FY 2018

Degree No. of Nurses Average Age

Diploma or Associate Degree 6 60

Associate Degree—Nursing 31,240 46

Diploma —Nursing 2,345 62

Baccalaureate—Nursing 13,676 41

Baccalaureate—Non-Nursing 135 56

Board Request/Re-Entry 18 46

Master’s—Nursing 2,882 46

Master’s—Non-Nursing 902 53

Doctorate—Nursing (PhD) 82 58

Doctorate—Non-Nursing 124 60

Doctorate—Nursing Practice (DNP) 317 45

Doctorate—Nursing Other 31 53

Advanced Practice Certificate 112 62

Post-Master’s Certificate 90 51

Post-Master’s Certificate 2nd 3 54

PN Equivalency 624 39

PN Program 13,510 44

Unknown 2,950 35

Total Registered Nurses 56,388 46

Total Licensed Practical Nurses 18,871 44

Licensed Nurses Residing in Oklahoma

by Field of Employment and Gender–FY 2018

Male Female Total

RN LPN RN LPN RN LPN

Hospital 2,768 218 20,798 2,236 23,566 2,454

Long Term/Extended Care 116 329 1,501 3,793 1,617 4,122

Academic Setting 29 5 872 72 901 77

Home Health 121 95 2,405 1,840 2,526 1,935

Community Health 45 25 899 727 944 752

School Health 6 1 400 152 406 153

Occupational Health 12 9 167 103 179 112

Ambulatory Care Setting 162 26 2,365 804 2,527 830

Private Practice 0 0 0 5 0 5

Other 238 101 3,078 2,101 3,316 2,202

Policy or Regulatory Agency 5 0 78 6 83 6

Insurance/Utilization Review 11 4 355 45 366 49

Public Health 23 14 594 352 617 366

Correctional Facility 25 21 152 229 177 250

Unknown 0 0 0 0 110 64

Total 3,561 848 33,664 12,465 37,335 13,377

75



Nurses Endorsing into Oklahoma or Requesting a

Verification to be Provided to Another State, Territory, or Country–FY 2018

Location Endorse Into

Oklahoma

License Verification to

Another State

RN LPN RN LPN

AL Alabama 31 0 13 0

AK Alaska 7 0 18 2

AZ Arizona 32 1 12 5

AR Arkansas 78 25 45 27

BS Bahamas 1 0 0 0

CA California 38 11 94 13

CN CANADA 2 0 0 0

CO Colorado 28 2 66 8

CT Connecticut 18 1 68 1

DE Delaware 4 0 1 0

DC District of Columbia 2 0 5 1

FL Florida 62 2 39 11

GA Georgia 40 1 30 5

GERMANY 1 0 0 0

GU Guam 1 0 3 0

HI Hawaii 1 0 20 2

ID Idaho 6 0 5 0

IL Illinois 122 2 42 3

INDIA 4 0 0 0

IN Indiana 32 2 45 6

IA Iowa 18 1 3 0

JAMAICA 4 0 0 0

JORDAN 1 0 0 0

KS Kansas 148 9 41 11

KY Kentucky 19 2 7 1

KENYA 2 0 0 0

LA Louisiana 35 1 19 5

ME Maine 1 0 3 0

MD Maryland 14 1 11 2

MA Massachusetts 13 2 50 2

MI Michigan 26 1 8 0

MN Minnesota 34 0 11 2

MS Mississippi 18 2 3 2

76



Nurses Endorsing into Oklahoma or Requesting a

Verification to be Provided to Another State, Territory, or Country–FY 2018

Location Endorse into

Oklahoma

License Verification to

Another State

RN LPN RN LPN

MO Missouri 177 8 39 5

MT Montana 1 1 12 3

NE Nebraska 10 1 13 0

NEPAL 2 0 0 0

NV Nevada 3 0 11 3

NH New Hampshire 3 0 4 0

NJ New Jersey 13 1 34 1

NM New Mexico 17 0 14 1

NY New York 78 4 34 1

NIGERIA 1 0 0 0

NC North Carolina 69 2 15 6

ND North Dakota 3 0 5 2

OH Ohio 93 8 15 1

OR Oregon 4 0 23 2

PA Pennsylvania 107 2 13 3

PHILIPPINES 16 1 0 0

PR Puerto Rico 1 0 0 0

RI Rhode Island 6 1 40 1

SC South Carolina 15 0 12 3

SD South Dakota 7 1 1 1

SURINAME 1 0 0 0

TN Tennessee 41 2 12 4

TX Texas 238 45 190 46

UT Utah 15 0 8 0

Verification to CGFNS 0 0 9 0

Verification to other 0 0 12 2

VT Vermont 0 0 3 3

VI Virgin Islands 0 0 1 0

VA Virginia 20 1 12 3

WA Washington 10 1 23 5

WV West Virginia 16 1 5 1

WI Wisconsin 13 2 7 3

WY Wyoming 4 1 7 0

Total 1,749 143 1,154 193

77



Advanced Unlicensed Assistants Certified in Oklahoma

by County–FY 2018

County No. of AUAs

Canadian 37

Cleveland 51

Creek 8

Garfield 1

Garvin 2

Grady 5

Kingfisher 1

Lincoln 1

Logan 5

McClain 6

Oklahoma 276

Okmulgee 3

Pawnee 4

Pottawatomie 4

Rogers 5

Seminole 1

Tulsa 127

Washington 1

Woodward 1

Total 539

78

This publication, printed by the Office of Management and Enterprise Services, is issued by The Oklahoma

Board of Nursing as authorized by the Oklahoma Nursing Practice Act. [59 O.S. §567.1 et seq.] 100 copies

have been prepared at a cost of $1,880.00.

This publication is issued by the Oklahoma Board of Nursing as authorized by the Oklahoma Nursing Practice

Act [59 O.S. §567.1 et seq.] and is located at the following website: http://www.nursing.ok.gov/pubs.html

This publication has been submitted in compliance with Section 3-114 of Title 65 of the Oklahoma Statutes.

oklahoma board of nursingoklahoma board of nursing fy 2018 annual report mission~vision~values...

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