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Can an RN administer Botox and Restylane injections?

Wednesday January 25, 2006
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Question:

I am an RN currently working part time as a spa coordinator at a MedSpa. We do non-surgical procedures, such as Botox and Restylane, laser treatments, peels, and microdermabrasion. We have a medical director, plastic surgeon, and owners who are anesthesiologists.I would like to learn to administer Botox and Restylane injections and possibly sclerotherapy. However, the owners say that only physicians and nurse practitioners can perform these procedures in my state. The director is not there all hours, but the NP can give the injectables under her services.Can I give the injectables as an RN with training under the medical director, as the NP is doing? Abigail

Answer:

Dear Abigail,One's license as an RN is too important to casually rely on advice given by someone else about your nursing practice, including the owners of the MedSpa where you work. The question as to what your state's nurse practice act and rules say about the services provided at the spa, and who can administer them, must be answered by a knowledgeable source. Those sources would include the state board of nursing itself (if it provides such opinions) and/or a nurse attorney or attorney in your state who can advise you of the specifics of RN practice.Practicing outside the scope of one's practice without the required credentials is fraught with legal problems, not the least of which may be criminal charges (for practicing a profession without a license) or a disciplinary action by the state board of nursing (for practicing outside the scope of one's license). Neither is a pleasant experience and both can be avoided by obtaining specific legal advice about this practice issue in your state.Sincerely,Nancy