Can Registered Nurse Do Botox or Not?

Can registered nurse do botox

Botox or botulinum toxin is a type of protein produced by bacterium Clostridium botulinum. This same toxin causes botulism.

If Botox is not used correctly and also in the right proportion, the toxin may lead to a number of cosmetic and medical conditions.

Botox injections are used in every part of the world and it is world-famous for treating skin wrinkles and also helps treating crossed eyes, excessive sweating, eyelid spasms, and also certain bladder disorders.

Now the common question most people ask is whether can registered nurse do Botox or not.

Yes, a registered nurse can do Botox provided he or she fulfills all the criteria to administer Botox or otherwise known as botulinum toxin.

See also: What Are Registered Nurses Not Allowed to Do?

With the rapid expansion of the American healthcare and cosmetic industries, there is an extreme need for medical workers.

Registered nurses, in particular, are in great demand for various reasons, such as current retiring nurses, the development of advanced technology, and a growing population.

The benefits of becoming a registered nurse, apart from the job satisfaction that naturally comes from serving people, are innumerable.

If you are aspiring to be a registered licensed nurse, you must pursue a nursing diploma or a degree, the most common courses being a bachelor or an associate’s program.

See also: ADN vs BSN Salary, Competencies, and Pros and Cons

A nursing diploma is based on hospital programs that provide intensive training and hands-on experience along with nursing course work.

Nurses are needed to attend quite a few co-requisite sessions in different areas such as biology, psychology, and anatomy taught in a conventional educational institution.

This interesting and experiential style of teaching and learning offers the nurses the required knowledge and skills of rudimentary nursing care.

Alongside all this, they will also be provided with supplementary education in science and math topics.

Generally, a nursing diploma is not very popular because it takes a period of two years to finish the diploma and yet the course does not provide any degree upon completion.

Added to this, various nursing associations and organizations are claiming diplomas to be out of trend completely, thus, encouraging and motivating more and more aspiring students or nurses to go for a bachelor’s degree.

You will benefit more if you have a master’s degree in nursing too.

This will allow you to specialize in nursing and obtain more knowledge in this field.

But how can registered nurse do Botox?

Registered nurses need to acquire the required training or authority to be able to administer Botox.

Administering botulinum toxin is based on the performance of two controlled actions:

  1. Administering a chemical by injection
  2. Performing a pre-arranged and prescribed procedure beneath the dermis

Unless the registered nurse obtains proper authorization, she/he can not perform any controlled act injecting Botox into their clients.

Administering Botox may seem to be an extremely low-risk operation since it is nothing but a cosmetic procedure.

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But this is where most people go wrong.

It takes a lot of controlled performance by authorized nurses that could otherwise cause harm to the clients and even damage their dermis.

Unregistered nurses must not administer Botox since they do not have the required skill, judgment, or knowledge to administer them.

Now you know whether can registered nurse do botox or not. But let’s dive in a little deeper because this varies from the states.

Can registered nurses inject Botox?

Can registered nurses inject Botox

A registered nurse and registered practical nurse can inject Botox on the basis of certain conditions:

  1. Get an authorized and appropriate instruction or order from a nurse practitioner or a physician.
  2. Determine if the order or instruction is complete, appropriate, and clear to you.
  3. Determine your own capacity for the practice and test yourself for the required judgment, skill, and knowledge before beginning with the Botox operation and managing any unfavorable outcomes.
  4. While considering your client, make a complete assessment of your work and check if the prescribed medication is suitable to your client.
  5. Make sure that you are in the right practice setting. The environment in which you perform a Botox is important since you should be performing the procedure only when you are in the right practice setting.

See also: How Can Nurses Improve Patient Outcomes?

But can registered nurses do Botox particularly in Florida? That’s coming up next.

Can registered nurses inject Botox in Florida?

Several owners who run dental practices, dermatology practices, or run medical spas are particularly concerned about hiring a registered nurse who can inject Botox in the absence of direct supervision.

Permitting them to do so may allow them to perform other practices too which are not permissible.

Florida Board of Medicine stated that no such laws or rules have been mentioned about who can perform Botox injections in Florida.

However, the Board mentioned that any kind of unprofessional conduct such as practicing outside the given scope of his or her license, nursing experience, or educational preparation, will be facing disciplinary action.

If any nurse, in Florida, practices Botox injections without possessing an authorized license, it will be considered as a second-degree misdemeanor.

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The following actions will be taken up against any nurse practicing without a license:

  • The license will be suspended or revoked permanently
  • Practice will be restricted
  • The administrative fine will be imposed
  • Will be under probation
  • Any fees collected or billed will be refunded
  • Will be introduced to remedial education

One important point should be borne in mind.

Since there are no such laws or rules on paper relating to Botox injections, it does not make the practice of Botox injection legal, even for a registered nurse.

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Cases of Violation

In 2017, a registered nurse was alleged of violating Florida Statutes 464 and/or 456.

The nurse was accused of administering Botox to several patients on several occasions.

The Board of Nursing stated that the registered nurse who possessed a license, was not delegated by any physician and yet, the Botox procedure was performed.

This was found to be beyond the given scope allowed by law.

Furthermore, the registered nurse was completely aware of her incompetency and lack of skill and knowledge to perform Botox injections.

Now you know whether can registered nurse do Botox in Florida.

But can registered nurse do Botox in Texas then?

Can a registered nurse inject Botox in Texas?

Can a registered nurse inject Botox in Texas

When it comes to Texas, they are fairly liberal about who can physically perform the practice.

Anyone who has acquired proper knowledge and training can inject Botox provided they abide by the given protocols and perform under the delegation and supervision of a registered nurse practitioner or physician.

A Rule adopted by the Texas Medical Board consists of 13 points that nurse practitioners or physicians must abide by while delegating and supervising a Botox procedure to others:

1) The physician or registered nurse must be appropriately and properly trained in specific procedures and must keep records or documents of their training.

2) A preliminary examination must be performed by the physician assistant or the nurse practitioner who is working under the physician’s delegation, before performing the Botox procedure. The examination includes the following:

  • Record a history
  • Take a physical exam
  • Make a diagnosis
  • Recommend treatment
  • Obtain patient’s consent
  • Provide emergency and also follow-up instructions
  • Maintain medical records

3) After the examination or diagnosis, the operation may be delegated to another provided there is a physician or nursing practitioner on-site.

  • No matter who the physician delegates the work to, he has to own the ultimate responsibility for the safety of his patient.
  • The physician or nurse practitioner also needs to document and maintain all the patient’s records.

Hence, a registered nurse can inject Botox in Texas provided a physician or a nurse practitioner is on-site, supervising the entire procedure.

If the supervisor is absent, the practice becomes illegal and may be considered as misconduct or misdemeanor.

See also: Can Nurses Cut Diabetic Toenails?

Can registered nurses do Botox in Georgia then?

Can a registered nurse inject Botox in Georgia?

Can a registered nurse inject Botox in Georgia

State laws differ based on the scope of a particular practice.

No matter in which state you are residing, every nurse practitioner, registered nurse, or physician assistant must be able to present proof of the experience and training in Botox.

With special reference to Georgia, a physician has the responsibility of delegating the physical performance of Botox injection to a registered nurse with national certification as a qualification.

In the state of Georgia, a general dentist may also perform Botox and other dermal filler operations provided he has undertaken the course approved by the Georgia State Board.

See also: Can a Nurse Diagnose a Patient?

Can registered nurses buy Botox?

Anywhere in the United States of American, Botox is sold by a company named Allergan who is the only legal distributor of Botox and Botox products.

Allergan provides no guarantee about the authenticity and safety of Botox and Botox products that are not sold by them.

According to the FDA law, all Botox products must be offered to only an MD (Doctor of Medication) in most places in America.

However, there are certain states like Nebraska and Oregon whose laws allow nursing practitioners to own their clinics and purchase Botox products without having any medical director.

But it is always safe to first consult with your state boards in this regard and get more information about who can own and purchase Botox.

Registered nurses can buy botulinum toxin or Botox only if they offer a prescription in hand and a copy of all the nursing certified and also, Botox training degrees or certificates.

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Now you know all about whether can registered nurse do botox or not.

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About Ida Koivisto, BSN, RN, PHN

Ida is both a registered nurse and public health nurse. Her passion is to provide as much valuable information about nursing to the world as possible. In her spare time from work and blogging, Ida loves to work out at the gym and spend time with relatives.