[lcassle007]

Hi...I am also considering the training in fort lauderdale. I live in florida and was wondering if you knew if you still need the MD medical director if you have a MSN. Also what do think the best business model is in order to make the most money.

[Patti247]

Personally, I would not do the aesthetics training again. I never thought nurses would be in a business to "rip off" other nurses. It just never occured to me. OOOO is it fine if you already have connections, but as it turned out for me Nurse Practitioners and Physician Assistants are doing the injections, etc. Only IF a doc wanted me to be trained and certified, offered to pay for the courses would I do that again.
Buyer Beware!!!! It is amazing to me how one can be a "tattoo artist" and a Registered Nurse cannot give the fillers or botox unless they have a physician to back them up. The filler and botox will be long gone before a law suit would or could happen but the tattoo....Go Figure!!!
Best of Luck to those who follow through with it....I would LOVE to establish a business, but cannot find any support.
Patti

[azicurn]

what I did is google "botox training" and a ton of sites come up for comanies that do training/certification. It's usually a 1 or 2 day course and they're all over the US. I haven't taken any yet, so if anyone has can they recommend a good one?

[keka1103]

I was directed to this site by one of my longtime friends and colleagues in esthetic nursing. I was distressed to read a posting from Tiffany$$ telling of how she was not successful in esthetic nursing, how she could not find an MD to work with, and how Esthetic Skin Institute (Sasha Parker) and staff members infomed her that yes a law was passed against injectables after she took the courses. This is absolutely untrue. No one at ESI" would say such a thing, since there is NO LAW that states this. Laws are made by the legislatures after several readings and have what are labeled as rules. So when looking for laws, always ask for the rule! To this date there is no law. She also states that the Medical Board outlawed it; they do not have the authority to outlaw something. Medical Boards have a right to make opinions, but not laws. Recently (approximately 2 months ago a nurse was brought up to the board following a complaint by a dermatologist and the case was thrown out; this is directly from her attorney that defended her and her doctor). Today there are many nurses all over the state of Florida doing cosmetic injectables in plastic, derm, and general offices. If we do not watch constantly someone indeed may submit that a law be made, but until then it is a gray area. The only law that exists is the prohibition of nurses doing laser hair removal that law went into effect in JUly 2001. I am sorry that Ms Tiffany$$ has been unsuccessful. ESI remains the leader in providing continuing education in esthetic hands-on training and is a big supporter of the Association of Medical Esthetic Nurses who are committed to working endlessly at the state and legislative levels across this country protecting nurses right to practice esthetic nursing. We are Not sitting back and complaining as so many nurses do. It seems too often that only a few work endlessly and selflessly and the other that sat back and complained will also benefit.
Isn't it time that we become part of the Solution.

[keka1103]

Originally Posted by Patti247

Personally, I would not do the aesthetics training again. I never thought nurses would be in a business to "rip off" other nurses. It just never occured to me. OOOO is it fine if you already have connections, but as it turned out for me Nurse Practitioners and Physician Assistants are doing the injections, etc. Only IF a doc wanted me to be trained and certified, offered to pay for the courses would I do that again.
Buyer Beware!!!! It is amazing to me how one can be a "tattoo artist" and a Registered Nurse cannot give the fillers or botox unless they have a physician to back them up. The filler and botox will be long gone before a law suit would or could happen but the tattoo....Go Figure!!!
Best of Luck to those who follow through with it....I would LOVE to establish a business, but cannot find any support.
Patti

It is such a typical nurse response. I do not understand how Patti247 feels that nurses are ripping nurses off. For her one comment there are so many yes many many nurses who have benefited by taking aesthetic training and are very successful all over this country. Not everyone is cut out for being a business owner however. So, I think that this analysis is somewhat jaded.
Sorry For you.

[MarshaTuscany]

Hi,

I am reading this thread and my stomach is sinking. I just got certified in Dermal Fillers and Botox. Spent a great deal of money for the courses. I live in New York City and Pennsylvania where I am licensed as an RN and I have one more semester to finish my NP.

When registering for these classes, it was made to sound like you can just go out and practice once certified. No one explained that I needed a MD to get the product, and I am not clear on the legalities. What type of mal practice do I need to get and where do I get this information? I looked at the state board but there is nothing mentioned. So how do I find out? How does one get a collaberating physician and what is the correct amount of money the physician would get from this?

Does anyone know what the laws and procedures are in New York and Pennsylvania? And what mal practice I target?

Any help here would be appreciated.

Thank you,

Marsha

Originally Posted by cosmetic tattooist

Hey gals
I work entirely free of md involvement. it's the only wasy to go. check your state regs and sometimes they are vagur. here in colorado we can do perm makeup, microderm, lamprobe for skin tags, brown spots etc. i care not to do the fillers because the insurance for one will kill you, it is highly competative so it has driven the prices down and you have to pay an md to sponsor and the spa a fee it;s not worth it. my advice is try to do it yourself so you can keep your profit. i work approx 2-3 days a week, got my husband a DC to go back to nursing school and now we wrok together in a small office low overhead and making outstanding money. NO BOSS
in conclusion do your homework before entering one of the courses that promise. it is up to us to check all avenues in every state we wish ot work.

[sirI]

Originally Posted by MarshaTuscany

Hi,

I am reading this thread and my stomach is sinking. I just got certified in Dermal Fillers and Botox. Spent a great deal of money for the courses. I live in New York City and Pennsylvania where I am licensed as an RN and I have one more semester to finish my NP.

When registering for these classes, it was made to sound like you can just go out and practice once certified. No one explained that I needed a MD to get the product, and I am not clear on the legalities. What type of mal practice do I need to get and where do I get this information? I looked at the state board but there is nothing mentioned. So how do I find out? How does one get a collaberating physician and what is the correct amount of money the physician would get from this?

Does anyone know what the laws and procedures are in New York and Pennsylvania? And what mal practice I target?

Any help here would be appreciated.

Thank you,

Marsha

Hello, Marsha and welcome to allnurses.com

Good to have you with us.

Many entites will paint a very wonderful picture of success w/o much effort and some leave out the most important specifics regarding what may be involved in getting started/setting up a practice. It's really left up to the individual to research your area (state) and especially your own BON to find out if you will have any additional legalities involved. Sometimes it is a nightmare actually getting the proper answer you need.

You need to contact your state BON directly and see exactly what (if any) rules/regs are in place regarding practicing in this area. Also, since you will be NP, you need to be sure that you can actually practice as NP in combination with the botox/dermal fillers (in other words, not out of your scope of practice as NP). It's quite possible that as NP this practice will not be in your SOP.

As for malpractice, I checked with Nurses Service Organization (NSO), a very reliable liability insurance company. They will not insure the NP who is self-employed and practicing cosmetic procedures in the state of New York or Pennsylvania (or my state for that matter). You need to research other companies about this.

I do wish you luck with this. And, please keep us posted.

Hope you enjoy allnurses.com

[MarshaTuscany]

Iris,

Thank you for responding. Just having a place where I can start discussing this is helpful and a big relief. I am going to respond below in bold lettering.

Originally Posted by sirI

Hello, Marsha and welcome to allnurses.com

Good to have you with us.

Many entites will paint a very wonderful picture of success w/o much effort and some leave out the most important specifics regarding what may be involved in getting started/setting up a practice. It's really left up to the individual to research your area (state) and especially your own BON to find out if you will have any additional legalities involved. Sometimes it is a nightmare actually getting the proper answer you need.

Yes, it feels like a bit of a nightmare. Not the worst thing in the world but difficult. A big problem is that there is no specific answers. There is not a formula to follow. And yes, the entites don't let you know this. The thing that was somewhat misleading is that the people who are teaching these courses are registered nurses. A dermatologist actually referred me to this course and had wonderful things to say about the nursing instructors knowledge of the subject. When I took the courses, there were doctors in the class. So the picture presented is a little off the reality of the real facts.



You need to contact your state BON directly and see exactly what (if any) rules/regs are in place regarding practicing in this area.

Yes, I will call them directly since I can not find info on the website.

Also, since you will be NP, you need to be sure that you can actually practice as NP in combination with the botox/dermal fillers (in other words, not out of your scope of practice as NP). It's quite possible that as NP this practice will not be in your SOP.

I have thought of this and am considering practicing this as an RN. Regardless of RN or NP we still need the doc for the product

As for malpractice, I checked with Nurses Service Organization (NSO), a very reliable liability insurance company. They will not insure the NP who is self-employed and practicing cosmetic procedures in the state of New York or Pennsylvania (or my state for that matter). You need to research other companies about this.

I wonder if they cover RNs

I do wish you luck with this. And, please keep us posted.

I really like doing these procedures. So I have a lot of work ahead of me. I hope to get more input like yours because I really need to discuss this with others. It helps clear my mind.

Hope you enjoy allnurses.com

It seems like a great place. I am glad i found it.

Marsha

[sirI]

Originally Posted by MarshaTuscany

Iris,

Thank you for responding. Just having a place where I can start discussing this is helpful and a big relief. I am going to respond below in bold lettering.
It seems like a great place. I am glad i found it.

Glad you found us, too, Marsha.

Yes, it feels like a bit of a nightmare. Not the worst thing in the world but difficult. A big problem is that there is no specific answers. There is not a formula to follow. And yes, the entites don't let you know this. The thing that was somewhat misleading is that the people who are teaching these courses are registered nurses. A dermatologist actually referred me to this course and had wonderful things to say about the nursing instructors knowledge of the subject. When I took the courses, there were doctors in the class. So the picture presented is a little off the reality of the real facts.

I'm sure these entities can teach the material, but nurses must be certain the education received is sanctioned by their own BON.

And, that can be the frustrating part about some BON. No clear-cut answers. Some things have no precedence, but I can assure you if there is any question and you do not get some type of BON stamp of approval, you will be practicing rather by the "seat of your pants" type of theory.....

I have thought of this and am considering practicing this as an RN. Regardless of RN or NP we still need the doc for the product

Problem with that is getting the malpractice coverage. You must be insured at the higher level of education (NP) and must find coverage as such.

I wonder if they cover RNs

No, they do not. Not if you are self-employed. It's the, "self-employed and working in cosmetic procedures", that is non-insurable. Sounds as if you could be covered if you are employed by a physician practicing in this area.


Just keep on researching this. I really wish you well......

[margoclnc]

Can anyone tell me what the medical director(doctor's) percentage is, the nurses percentage, and the medspa's - for botox injections?

Any information would be appreciated! Thanks.