Call to Action!
Nico Gomez, with the Oklahoma Health Care Authority (OHCA), announced that the OHCA was going to help make up their fiscal budget cuts by cutting the fee for service Medicaid reimbursement for PAs and NPs by 15%. This is in addition to the provider rate cut enacted last year and will increase, if across the board provider rate cuts end up occurring this fiscal year.
Please call Nico Gomez at the Oklahoma Health Care Authority, 405-522-7300, immediately and tell him this will be devastating to NPs across this state who are working to keep Oklahoma out of last place in health care outcomes. In addition, call the Governor’s office, 405-521-2342, and tell the hotline of your concerns and ask the Governor to intervene. Finally, call your legislator, and ask him/her to call Nicco Gomez and let him know our industry cannot stand these cuts. (Click here to look up your state legislator.)
This is a provider rate cut for NPs. It’s huge!! This is on a fast track, so do not delay, make the calls and voice your opposition immediately. Please make your calls today.
Welcome to the official site of the Association of Oklahoma Nurse Practitioners. The mission of the AONP is to advance, support, and promote the high standards of health care delivered by nurse practitioners.
As a statewide professional association, we focus on the common needs of our members. We recognize the professional and political concerns facing nurse practitioners. AONP has always played a major role in facilitating and supporting changes in legislation that advance the role of the nurse practitioner. AONP believes that by providing better networking among our members, we will be better able to promote high standards of health care and thereby enhance the identity and continuity of nurse practitioners in our state.
A Nurse practitioner (NP) is a registered nurse who is prepared, through advanced education and clinical training, to provide a wide range of preventive and health care services to individuals of all ages. NPs complete graduate-level education preparation that leads to a master's and/or doctoral degree. NPs provide physical examinations, diagnose and treat many common acute and chronic problems, interpret laboratory results and X-rays, prescribe and manage medications and other therapies, provide training and supportive counseling with an emphasis on prevention of illness and health maintenance, and refer patients to other health professionals as needed.
These informative videos explain the value of receiving health care from a nurse practitioner.
Question (May 2015): It is common practice for RMAs to be clinic "nurses" as LPNS and RNs are trained predominately for hospital/nursing home settings whereas RMA training is specific to the clinic setting. There is some concern regarding whether as APRNs we are able to work with an RMA as our "nurse" versus needing an actual nurse in our clinics. Can you please clarify according to the nursing act or other legalities how to better navigate this gray area/area of concern?
Answer: NPs cannot delegate to unlicensed personnel, as stipulated by the Nursing Practice Act. Medical assistants are not regulated by any board since they are not licensed. For further clarification, an APRN can't delegate like a medical administrator would do to unlicensed personnel, but we can assign non-nursing duties, such as urine tests, swabs etc. If it is a non- licensed person, we have to give our own shots, meds etc. We can't have them do for us - they must be a licensed RN or LPN.
Question (May 2015): Are there staffing requirements and regulations for Walk In Clinics which are run by APRN's. I am doing a research paper and trying to find what staffing is as far as Medical Assistance, Nurses, etc. Are there differences when there is only one APRN and when there is more? Thanks.
Answer: APRNs cannot give medical assistants orders. Medical assistants can only receive orders from a physician. It is not the Nurse Practice Act that says that, it is the Medical Assistants act that makes physicians the only one that can give medical assistants orders
Question (April 2015): Can doctoral prepared nurses (DNP, DNAP) identify themselves as Doctor So and So to their patients in Oklahoma?
Answer: A distinguishing mark of nursing is the pursuit of lifelong learning. The number of nurses earning advanced degrees, including doctoral degrees, is increasing. The practice of addressing a person with a doctoral degree as "doctor" began many centuries ago as did the tradition of addressing a physician as "doctor." The titles of healthcare professionals with earned doctoral degrees may be confusing to the public and members of the healthcare team.
The Oklahoma Nursing Practice Act addresses the use of the term “doctor.” All nurses must know and comply with federal, state and local laws and are defined in the Nursing Practice Act [Rule §485:10-13-1 ]. To comply with this law, any practicing nursing shall possess a valid Oklahoma license. The APRN who is practicing in a role that requires APRN licensure must use the title “Advanced Practice Registered Nurse” or “APRN” and the APRN role title, i.e., “Certified Nurse Practitioner” or “CNP”, “Clinical Nurse Specialist” or “CNS”, “Certified Registered Nurse Anesthetist” or “CRNA”, or “Certified Nurse- Midwife” or “CNM” in their representations to the public, which may include, but are not limited to, name tags, signatures in medical records and on prescriptions, and signage. The Oklahoma Nursing Practice Act does not designate the order of the credentials; whether the credentials are to be separated by a dash or a comma; or whether the APRN may add other credentials to their title, such as specialty certifications and educational credentials.
According to the Oklahoma Nursing Practice Act, the use of the term "doctor" must be in accordance with Oklahoma law: 59 O.S. Supp. 2009, §725.1, et seq. which states that doctorally prepared nurses cannot identify themselves as Dr. APRNs must include the academic credentials and licensure level with their appropriate APRN title.
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