CRNA's doing botox in California (no MD supervision)???

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Do any of you know of CRNA's doing botox in California without physician supervision?

I know CA just became an opt-out state so I'm wondering if that now gives CRNA's the flexibility to open up their own medical spas, if they become certified in each of the aesthetic procedures.

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Specializes in CRNA.
Do any of you know of CRNA's doing botox in California without physician supervision?

I know CA just became an opt-out state so I'm wondering if that now gives CRNA's the flexibility to open up their own medical spas, if they become certified in each of the aesthetic procedures.

Aesthetic does not equal anesthetic. I have no idea what the regulations are to open a medical spa, but the opt out has nothing to do with it. The opt out applies to the practice of nurse anesthesia, and I would think a CRNA has no more 'flexibility' in this area (medical spas) than any other RN.

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Aesthetic does not equal anesthetic. Now that's funny!

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Aesthetic does not equal obstetrics either, yet tons of ob/gyn's are performing botox. And yes, CRNA's do have more flexibility in botox services there in CA than the typical RN for aesthetic purposes, that I already know of. I would assume that because of being an opt-out state, CRNA's would legally now have greater leverage as LIP's (licensed independent practitioner) to do botox, if appropriate certification was obtained, even though botox services are not billed to medicaid or medicare.

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Aesthetics does not equal Obstetrics either, but there are tons of OB/GYN's doing botox. And CRNA's do have more rights regarding botox administration for aesthetics than the typical RN in CA already. The opt-out has to do with physician supervision more so than the actual procedure being performed by the CRNA. Becoming an opt-out state, I would assume, gives CRNA's greater legal leverage to perform as ILP's across the board, if appropriate certification is obtained for each procedure, even if it isn't billed to medicare or medicaid.

I don't want this to be a debate thread. Please, only respond if you are personally familiar with ARNP's or CRNA's performing botox for aesthetic purposes without physician supervision in Calif. Thank you :)

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Specializes in CRNA.
Aesthetics does not equal Obstetrics either, but there are tons of OB/GYN's doing botox. And CRNA's do have more rights regarding botox administration for aesthetics than the typical RN in CA already. The opt-out has to do with physician supervision more so than the actual procedure being performed by the CRNA. Becoming an opt-out state, I would assume, gives CRNA's greater legal leverage to perform as ILP's across the board, if appropriate certification is obtained for each procedure, even if it isn't billed to medicare or medicaid.

I don't want this to be a debate thread. Please, only respond if you are personally familiar with ARNP's or CRNA's performing botox for aesthetic purposes without physician supervision in Calif. Thank you :)

An OB/GYN has a license to practice medicine, so that is the basis. Look at the scope of practice as a CRNA, the opt out does not expand the scope of practice, it says that as a CRNA I can bill medicare for the practice of nurse anesthesia without physician supervision.

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Specializes in Anesthesia.

Opt out has absolutely nothing to do with expanding scope of practice. Being an opt out state simply has to do with being able to bill independently for anesthesia services for medicaid/medicare patients billing. CRNAs have practiced independently in California before the opt out and still continue to do so now. A physician performing botox vs. CRNA is totally different. A physician has an extremely wide latitude to perform most services where as a CRNA depends on how they are recognized by the state board of nursing in that particular state (as an APN or not), and if CRNAs in that state are restricted from performing certain procedures/treatments.

Something I don't understand is why would someone want to goto CRNA school and then do aesthetic nursing giving Botox shots vs. doing anesthesia?

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I could see a CRNA doing this for financial reasons 100% cash from full payers. Would make a great augment to current practice if you are not in a busy area such as a rural practice or by blocking off an afternoon or two every week for injections.

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Specializes in Anesthesia.
I could see a CRNA doing this for financial reasons 100% cash from full payers. Would make a great augment to current practice if you are not in a busy area such as a rural practice or by blocking off an afternoon or two every week for injections.

You would do better off having a prn job on the side as a CRNA. I doubt you could dig up enough patients in a rural setting to keep you busy even on a part time basis doing Botox injections.

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