Who may administer Botox to patients?
The Medical Board of California (MBC) states that physicians may inject Botox. Physicians may direct registered nurses or physician assistants to perform the injection under their supervision and with written/approved Standardized Procedures or Delegation of Services Agreements. An unlicensed person, such as a medical assistant, may not inject Botox. The above persons should be employees of the physician, not contract employees.
"Sponsoring physician" for a nurse's Botox practice?
According to the MBC, there is no such thing as a "sponsoring physician." Under California law, nurses may not contract with a physician for supervision. A nurse may not have a private practice without actual supervision. Nurses may only perform medical functions under "standardized procedures." In their spring 2003 newsletter, the California Board of Registered Nursing published California regulations regarding the administration of Botox by Registered Nurses. Specifically, RNs are authorized to perform Botox injections by approved standardized procedures in an organized health care system. Health spas and private residences do not meet the requirement of an organized health care system for the performance of standardized procedures. This information is currect as of July 2009. Medical information and policies are constantly changing. Please check for updated info.
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