An advanced nurse, medically prescribed by the Oklahoma Board of Nursing as an advanced sanitized nurse and under the medical direction of a supervising physician, may prescribe and administer schedule III-V controlled substances. Okla. Stat. No. 63-2-312 In November 2018, Cynthia Roe, a recently sworn NP in the Oklahoma House of Representatives, issued an opinion on the issue of practical autonomy. She said the hospital in her Pauls Valley neighborhood had recently been closed, one of many small towns that lost access to local health services. In particular, in countries such as Oklahoma where the power to practice is limited or limited, health facilities, when a physician retires or moves, are forced to close because NPNs require this bureaucratic oversight by law. Roe is right that this « outdated requirement drives up costs for consumers, limits the limits within which nurses can work, and even limits the number of people who can work in our state. » Nurses are trained health care providers, 86.6 per cent of whom are certified in a primary care area. In countries such as Alaska, Arizona and Iowa, NPAs have full practical powers and are able to work independently based on their training, training and skills. Given that so many PNs are trained to become primary care providers, this helps to alleviate the shortage of physicians in these countries. Three special authorizations have been amended, one to allow the practice in another geographic location, one to allow the use of controlled substances in a post-surgical manner and limited to inpatients, and the other to allow the use of controlled substances in nursing homes and inpatients. In 2017, the United Health Foundation ranked Oklahoma in its annual report as the eighth unhealthy state. Not only does the state have relatively high rates of smoking and obesity, but access to primary care services is also a growing crisis in the region.
The U.S. Health Resources and Services Administration (HRSA) predicted a 26.3 percent shortage of primary care physicians in Oklahoma by 2025.