GrrlRN

Yeah I think it's because you would be practicing under your RN license since you are not a esthetician.

Luvche, Here's where it addresses chemical peels in the article: "Registered nurses (RN) cannot perform aesthetic procedures independently. Such proceduresrequire an order by a physician. The OklahomaState Board of Medical Licensure and Supervisionhas developed a policy for physicians who ordermedications and treatment that may be used for cosmetic purposes. According to their Policy andGuidelines for Medical Spas and Aesthetic Proce-dures, surgery is defined as “the ablation or alteration of any human tissue by any means includingbut not limited to the use of sharp surgery, heat,cold, abrasion, laser, chemicals, injection/placementof substances subcutaneous, or the use of FDA ap-proved devices that can only be initially purchasedby physicians.” The policy and guidelines describethe practice of medicine and surgery as beinggrounded upon the doctor/patient relationshipwhich at a minimum requires a face-to-face evalua-tion of the patient by the physician or physician’sassistant under a physician’s supervision, prior tothe treatment or procedure. According to the Policy and Guidelines forMedical Spas and Aesthetic Procedures, if the phy-sician is utilizing an Oklahoma licensed nurse, andIF the nurse is functioning within the scope of theirpractice act, the physician may delegate any of thedefined medical services to that licensed nurse un-der physician supervision. In order for an RN toadminister dermal filler injections, inject Botox,perform microdermabrasion, etc., a physician mustprescribe via a physician’s order the medica-tion/treatment to be administered, and this ordermust be documented. Looks like a physician would have to evaluate the client prior to the chemical peel before you could administer it (with an order) if you're working under your RN license in OK. The area is SO GRAY in aesthetics nursing, and every state has various limitations of what a RN can do and how they can do it. I would recommend contacting a medspa who employs RN's and ask them if you have any more questions.

PS there are a lot of "schools" that travel around the country training RN's for Peels, Laser, ect. I found this training program as well out of Tulsa: http://www.tulsamedicalspa.com/certification_training.html

I found this in regards to your question:http://www.ok.gov/nursing/newsltr112009.pdf scroll down to page 7. AZ has similar laws, you have to practice "under a physician".