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Oklahoma Nurse Practitioner's Mission 

Welcome to the official site of the Association of Oklahoma Nurse Practitioners (AONP). Our mission is to advance, support, and promote the high standards of health care delivered by nurse practitioners. We are dedicated to improving patient access to quality healthcare.

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.




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What is a Nurse Practitioner?

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.

National Medical Report
Nurse Practitioners Leading the Charge




Ask The Expert

Question (July 2019): I have recently been informed that CMS is not going to reimburse NPs in the acute care setting? According to the nursing board language, if you don’t have an Acute Care or Adult Gero certificate you can’t work in the hospital as it is outside our scope of practice. That would mean that for many of us who may be in the ER with an FNP or with an internal medicine doctor, may be stopped from doing the jobs we are being trained to do. Much like we were trained to do critical care nursing when we were taught to be generalists as RNs.

Answer: As an RN you are working under the direction of a physician. As an APRN, you are working under your own education and license, even if there is a collaboration. In the state of Oklahoma, the only supervision is for prescriptive authority. So, the scope of practice falls on the degree and speciality held. The track of FNP is no longer acceptable for working within the acute care setting or the Emergency Department, therefore insurances are beginning to follow suit with reimbursement. Post-graduate programs offer acute care and emergency care and they have become the new standards that are being enforced. This is a trend that we are seeing in all states. Many NPs are going back to get the additional training once they find a speciality they prefer. No longer is on-the-job- training acceptable. A physician cannot transition into orthopedics from cardiology. AONP met with the Board to see if there was a possibility of a waiver or time allotment to allow NPs to further their education and they stated, "you cannot practice without full credentials. A nurse who has all her training and no license cannot practice as a licensed nurse." They and all states are stating you either are or are not trained.

 


Question (July 2019): Can nurse practitioners do pelvic exams? If so, what are the rules and regulations to be able to do so?

Answer: Pelvic exams are within the scope of practice for Registered Nurses and APRNs. The BON website should have additional information available.

 

Question (February 2019): Can a Family Nurse Practitioner work in the Emergency Department?

Answer: Regarding your question, “Can a Family Nurse Practitioner work in the Emergency Department”? I will refer you to the Board of Nursing’s Decision Making Model for Scope of Practice at http://nursing.ok.gov/prac-decmak.pdf. In addition, the Oklahoma Board of Nursing has a list of accepted APRN certifications at http://nursing.ok.gov/prac-natlcert.pdf. I did not see the Emergency Nurse Practitioner certification listed as accepted. The ENP is the nationally-recognized certification that prepares APRNs for work in the Emergency Department. During the FNP program that you attended, did you perform any clinical hours in that clinical site? Did your FNP program cover for instance, how to assess, diagnose, and treat an acute myocardial infarction, an intracranial hemorrhage, or acute pancreatitis with septic shock? If the answer to these questions is ‘no’, then you are likely not qualified, based upon your FNP educational preparation, to care for these types of patients.

If you were trained in your FNP program on how to assess, diagnose, and treat community-acquired pneumonia with stable vital signs or repair a laceration to the finger from a cut after a fall, then you are qualified to see these types of patients, whether seen in the Emergency Department or Urgent Care. The same is true for an adult as well as pediatric patients. Many FNPs currently work in rural, critical access Emergency Departments across the state. This is acceptable since Oklahoma BON does not accept the ENP certification but one must be prepared for the liability if your educational program did not prepare you for assessing, diagnosing, and treating critically ill patients whether in the Emergency Department or hospital setting.



Click here to view previous questions in the Ask The Expert Archive

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7/25/2019
AONP Tulsa Dinner Mtg. July 25

7/30/2019
AONP OKC Dinner Mtg. July 30

10/2/2019 » 10/4/2019
2019 AONP Convention Exhibitors Registration

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