Aesthetics Clinic opened by RN's

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Today in the Sun paper (TX), I saw an ad seeking clients for an aesthetics clinic that just opened. I have also seen television commericals for them. There is no MD's name anywhere on the ad. My question is how--how do you open a clinic like this without an MD? They offer services such as botox inj, laser hair removal, acne scar tx., microdermabrasion, varicose vein tx., skin tag removal, non-surgical wrinkle reduction and mesotherapy (not sure what that is). They both have a BSN. I wish them all the luck. I'm just not sure how they did it. Anybody else know the answer?

Hi i live in Indiana, about an hour away from Chicago. I am very interested in learning how to do various derm procedures, especially Botox. I would like to open up my own clinicand possibly have a M.D. to back me. Anyone have any ideas, suggestions, helpful information on this idea or about Indiana laws? Ashley

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You need to call or visit online your state board to see if RN's in Indiana are restricted from performing various procedures such as Laser. Then call the state board and ask if RNs are under direct or indirect supervision in your state. Indirect supervision means the MD does not have to be on site.

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Specializes in Gyn, dermatology, aesthetics, wellness.
hi ladies

i have my 2 clinics in colorado. services are permanent makeup, microdermabrasion, photorejuvenation, scar and camoflauge. i also instruct.

In colorado no physician is requiered for me to do this.

Do you mean that no physican is required on site or no physician is required whatsoever? Thanks.

Marlene

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If indirect supervision it means no MD on site, you will work from an established set of protocols the MD leaves for you. In a few states NP's can operate without an MD on staff. I'm not sure about Indiana.

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Specializes in Gyn, dermatology, aesthetics, wellness.

Yes, I understand this. My question was directed to cosmetic tatooist. And I live in WV. I have emailed the WV Board of Examiners for Registered Professional Nurses to see what kind of supervision I would need. I'm just waiting to hear back. But in the mean time, if anybody knows the laws about this in WV, your input would be great. Thanks.

Marlene

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Thank you for your reply. I contacted the Indiana state Board of nursing and basically, the laws that apply are very vague. They don't require a MD, they just state a nurse can do what she feels comfortable and trained in doing. I requested more infromation. Do you carry ? i can not find anyone that provides it to nurses! I am planning on doing Botox one day a week in 3-4 different salons. Is malpractice insurance necessary? I saw a post that stated they had a sign in their lobby that stated they did not have malpractice insurance. doe sthat even protect them from lawsuits?

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Have you checked with The Marine Agency about insurance? www.marineagency.com. Try that...good luck.

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CJE,

Do you live/practice in Texas? I am a RN and according to the Texas Department of Licensing and Regulation, I need an esthetician's license to perform chemical peels, microderm, etc...even though I have receieved advanced training in these area through a CE provider. Has anyone else figured a way around this or found it to be true?

Thanks!

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I MUST TAKE GREAT EXCEPTION TO THE PREVIOUS POST THAT YOU DON'T NEED FOR AN AESTHETIC CLINIC (emphais intended).

I have personal knowledge of four cases of patients who sued a nurse practitioner and her supervising plastic surgeon for bad results from (1) Botox, (2) hypertonic vein injection and (3) laser skin resurfacing. One of these cases was settled out of court for over $4000. The others are still pending and in the expensive discovery phase. Even if you have all of your personal assets hidden and are independently wealthy you still have to pay lawyers to defend you (approx $350/hour) and judgement costs. You are crazy to set up any type of asethetic clinic without malpractice insurance and notification that you have no malpractice insurance is meaningless if a patient has a real or imagined complication. They have every right to sue for malpractice.

There is a very sucessful nurse practitioner run clinic in my area. She has a master's degree, furnishing license and has an attorney on retainer to help her with the multiple legal issues that present on a regular basis. Trust me, if a nurse practitioner has these problems, someone with a lesser

degree and legal authority should have all of the protection they can afford.

I am all for nurses in business, but part of being a sucessful businessperson is covering all of your bases.

Yoga CRNA

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I agree with yoga crna- I have a busy day spa with 9 employees. I do peels, microderm and misc skin care. My employees do wraps, scrubs, massage, manicures, pedicures, etc. I would NEVER risk my livelihood to save a few dollars on insurance. It is my opinion that individual and business liability insurance is a necessity. People don't just sue individuals who have "deep insurance pockets". People may sue you if they feel wronged, regardless of your ability to pay. You could lose too much.

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i am currrently doing micropigmentation and just got certified to give botox and dermal fillers. i have a medical director ready to back me, but i need to know how i go about getting this legally organized. any advice???

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If you need legal advice, see a lawyer. For business info, it can not be overstated, you need a Business Plan. A Business Plan is a formal and organized packet of information you have worked on individually and with, hopefully, consults. See this link for some info previously discussed; feel free to add to this list.

https://allnurses.com/forums/f56/business-planning-support-49850.html

Perhaps, for now, get a Business Consult. Some of us can give bits of informaton here and there but your Business Plan needs to be individulized for your situation.

Good Luck and Let us know how you are doing.

night ;)

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