Independent cosmetic nursing

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So I'm getting interested in this field and have been job searching.  Most cosmetic clinics have a well established website and about staff page and I've been noticing that a lot of these cosmetic clinics that offer full range of injections have no doctor or nurse practitioner attached. Quite a few of them are owned and operated by an RN and some even by only an RPN... so I'm wondering,  how does that work? Aren't cosmetic injections counted as meds.  Don't nurses need an md/NP order to inject meds? 

I wonder about that too, because I took a few courses in this years ago and the injections are painful in many cases and need local.  we were lucky in our class we had a dentist who knew all the points in the face where the local would be most effective, so not sure how a nurse is supposed to do this alone?

 

Missha said:

So I'm getting interested in this field and have been job searching.  Most cosmetic clinics have a well established website and about staff page and I've been noticing that a lot of these cosmetic clinics that offer full range of injections have no doctor or nurse practitioner attached. Quite a few of them are owned and operated by an RN and some even by only an RPN... so I'm wondering,  how does that work? Aren't cosmetic injections counted as meds.  Don't nurses need an md/NP order to inject meds? 

It is dependent on state. Regulations can differ, but as far as I know, absolutely no states can a RN operate independently. BUT... they may own and operate independently with a medical director "overseeing" the practice. Some states do not require the medical director to be on site. They're basically being paid to just order the prescriptions and take responsibility. So, I am assuming that a responsible medical director would check over procedures and practices and offer training etc, but some may not do so. You will be surprised at how many people break the law. I know a "surgical tech" that does botox under a medical director. Totally not legal. I have heard of some others that order their products overseas that doesn't require a doctor. Crazy

Specializes in Acute Care, Rehab, Palliative.

An RN friend if mine has her own business doing this and she has no MD or NP involved. She does have extensive education and certifications. She's in Ontario 

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