"I'm an uncertified medical assistant" - page 19

I had a curious encounter at the doctor's office today. When I went in for my physical, a woman in scrubs came in ahead of the doc. She was wearing scrubs but no name tag. We hadn't met before, so I... Read More

  1. by   OgopogoLPN
    Quote from Peachgirl
    Thats a good one, that way you don't have to worry about giving shots or immunizations, or draw blood. I like that idea. As a matter of fact, I gave a resume to a botox office as well last week

    Are you applying there to GIVE botox injections, or do other duties?
  2. by   10ACGIRL
    Quote from Ogopogo
    Are you applying there to GIVE botox injections, or do other duties?
    Other duties such as assiting the doctor and front office duties. I would be wiling to learn to do botox if to recieve on the job training.
  3. by   Hellllllo Nurse
    Quote from cardiacRN2006
    But using the term "nurse" of course, is bothersome.
    Using the term "nurse" when you are not one is more than bothersome- it's illegal. This MA was committing a crime.
  4. by   OgopogoLPN
    Quote from Peachgirl
    Other duties such as assiting the doctor and front office duties. I would be wiling to learn to do botox if to recieve on the job training.

    I'm not saying this to knock YOU personally as I don't know you, but I personally WOULD NEVER visit a clinic or office that had somone giving botox injections by someone other than a specifically trained nurse or a doctor. There's just way too much that can go wrong by someone doing botox without the educational background to go with it.

    There are a number of clinics/spas in my city that offer laser hair removal, botox, other fillers, other laser treatments etc. and I would not have any of these done by anyone other than a nurse or doctor.

    Just my
  5. by   TiredMD
    Quote from Peachgirl
    Other duties such as assiting the doctor and front office duties. I would be wiling to learn to do botox if to recieve on the job training.
    Injecting botox is a little more complicated than giving an IM/SQ injection. You have to understand which wrinkles you are trying to smooth out and which muscles you need to paralyze in order to achieve the desired cosmetic result. The muscular anatomy of the face is not a simple thing to understand, and the major risk of botox is paralysis of adjacent muscles; these side effects last 3-4mo if you screw up. That's quite a risk to take.
  6. by   Tweety
    Quote from TiredMD
    Injecting botox is a little more complicated than giving an IM/SQ injection. You have to understand which wrinkles you are trying to smooth out and which muscles you need to paralyze in order to achieve the desired cosmetic result. The muscular anatomy of the face is not a simple thing to understand, and the major risk of botox is paralysis of adjacent muscles; these side effects last 3-4mo if you screw up. That's quite a risk to take.
    I agree. I'm pretty sure that's an MD job, at least around here it is.
  7. by   10ACGIRL
    I don't have to learn to give botox, but I do like the fact of doing back office and front office but that does not mean that I will do botox injections unless i get the proper training
  8. by   OgopogoLPN
    Quote from Peachgirl
    I don't have to learn to give botox, but I do like the fact of doing back office and front office but that does not mean that I will do botox injections unless i get the proper training

    That's just it. Almost anyone could learn to give an injection and botox is a clear liquid. How hard could it be?

    But the education, knowledge and experience that would need to be in place for someone to give botox injections. Proper training would take years. As in medical school or nursing school with addition certifications in cosmetic procedures.

    Not just how and where to poke the needle, but oh so much more. In depth knowledge and understading of the anatomy and physiology of the face. Precisely where to inject, how deep, how much botox at each site. What to do if an adverse reaction occurs.

    I don't know a thing about botox injections and I imagine there is much much much more that goes into doing them safely and effectively.

    Again, just my own conviction that I would NEVER have botox done by anyone other than a doctor or specially trained nurse.
  9. by   Hellllllo Nurse
    Sometimes docs can't even inject botox correctly.
    I have a friend who is a legal nurse consultant. She worked on a case where a doc was trying to inject botox around a woman's eye to smooth her crow's feet. The doc inadvertantly injected the Botox into the woman's schlera, and she has permanent loss of vision in the eye.

    I also personally know someone who was getting Botox injections in the neck to treat dystonia. The doc injected the wrong area, rendering the pt unable to swallow. He had to have an NG tube placed- for four whole months.
  10. by   TiredMD
    Quote from Hellllllo Nurse
    Sometimes docs can't even inject botox correctly.
    I have a friend who is a legal nurse consultant. She worked on a case where a doc was trying to inject botox around a woman's eye to smooth her crow's feet. The doc inadvertantly injected the Botox into the woman's schlera, and she has permanent loss of vision in the eye.

    I also personally know someone who was getting Botox injections in the neck to treat dystonia. The doc injected the wrong area, rendering the pt unable to swallow. He had to have an NG tube placed- for four whole months.
    Exactly. Any procedure is a potential mine-field, even if you've had the years of medical school, residency, and fellowship. Anything can go wrong, and anyone can make a mistake. We try to minimize these mistakes and learn how to handle complications by putting people through years (or in the case of physicians, decades) of education and training. When you watch botox injections, it seems something anyone could do after a day of training. What you don't see is the thought process going on, thinking about musculature, anatomic landmarks, the course of major neurovascular bundles, avoidance of major arteries, and on and on. When something goes wrong, you need to know what to do about it, and that could be anything from bleeding, to missing the target, to an allergic reaction.

    You could also teach anyone to do an appendectomy in a couple hours. It doesn't mean you should.

    Are there really places where non-physicians give botox? I know you can't get ahold of the medication without a physician's order, so whoever is writing that order is really playing Russian roulette with their license and livelihood.
  11. by   firstaiddave908
    Quote from ELKMNin06
    all the medical assistants ive ever known were certified. Huge red flag when she said the words "this practice doesn't care if you are certified"-eek get out of there!
    I Agree with you.
  12. by   crissrn27
    Quote from TiredMD
    Are there really places where non-physicians give botox? I know you can't get ahold of the medication without a physician's order, so whoever is writing that order is really playing Russian roulette with their license and livelihood.
    I am not an expert, but from what I understand, RN's do botox, after training. This is so way out of my field, but I know some nurses that have done this type of nursing, and they talk about doing the injections all the time.
  13. by   ebear
    IMO, nurses who inject Botox are just asking for trouble!!! Good Grief! I don't care how much "training" they've had! There can be MAJOR complications.
    ebear

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