For nurses in British Columbia (BC) who are looking for more information on botox and dermal fillers, we have provided some answers to some FAQ below.
I’m looking into a job at a medical aesthetic clinic where I would administer Botulinum toxin (aka Botox, Dysport) and dermal fillers. Is this within RN scope of practice?
Yes, administering Botox and dermal fillers are both within registered nurses (RN’s) and licensed practical nurse’s (LPN’s) scope of practice. Botox is a Schedule 1 medication. Dermal fillers are either Schedule 2 medications or substances. In all cases, you’ll need a client-specific order from a physician or dentist and to meet the Standards for Acting with an Order.
The College of Registered Nurses of BC (CRNBC) has recently clarified that RNs always require an order before compounding or administering dermal fillers (Scope of Practice for RNs, p. 24) As these procedures come with potential client risks, there are many things to consider before carrying out these activities.
The CRNBC has also provided the following resources:
The College of Licensed Practical Nurses of BC (CLPNBC) has issued the following statement.
- LPN’s are limited to administering Botulinum Toxin Type A products, for cosmetic purposes, under the direction of a physician who is immediately available.
- LPN’s who administer Botulinum Toxin Type A products for cosmetic purposes must successfully complete additional preparation.
LPN’s are limited to administering dermal fillers, for cosmetic purposes, under the direction of a physician who is immediately available.
- LPN’s who administer dermal fillers for cosmetic purposes must successfully complete additional preparation.
The College of Physicians and Surgeons of British Columbia (CPSBC) has also issued the following statement regarding the injection of botulinum toxin and dermal fillers.
“Physicians who provide injections of botulinum toxin, dermal fillers or venous sclerotherapy are expected to have completed appropriate medical education and training prior to performing such procedures.
Physicians may provide these injections themselves, or following assessment of the patient, they may order a registered nurse or licensed practical nurse to perform the injection. No unlicensed person (such as a medical office assistant) may provide these injections. Physicians who allow unlicensed persons to provide these services under their direction may be subject to charges of unprofessional conduct. Physicians who order a registered nurse or licensed practical nurse to provide these services must be aware of the extent of training and the ability of the registered nurse or licensed practical nurse to perform the injections and meet the standard of care. At the time of the procedure, the ordering physician or a designate must be present within the facility and immediately available for consultation.”
What is my return on investment?
Over the last few years, Canada and the US have seen an increase in the number of medical spas emerging. With this increase, there is a growing number of physicians and dentists looking for nurses to work as injectors in their clinics. In order to provide Botox and dermal fillers treatments, nurses should ensure that they have taken appropriate training.
The initial cost to beginning working in this area would be to invest in a proper training course that would ensure you provide a high level of patient care. As a graduate of PTIFA’s programs, you could be qualified to provide botulinum toxin (“Botox) and dermal fillers treatment.
Compensation for nurses working as Botox and dermal fillers injectors is typically related to the extent of your education, your advanced training, your experience, as well as your ability to provide a high level of patient care. Often nurses working as injectors in Canada will be paid a higher hourly rate, or an hourly rate plus commission. As a PTIFA graduate, you will be among some of the highest trained Botox and dermal fillers providers in North America. We recommend that you begin your education today with the online Level 1 course.
Where can I work?
You can work at any physician or dental clinic offering botulinum toxin and dermal fillers, including medical spas, dental offices and regular medical offices.
How and where can I use Botox?
How and where you would use Botox and dermal fillers to treat a patient would depend on the order from the physician or dentist you would be working with, as well as on the extent of your training.
As a nurse, you could use botulinum toxin to decrease the signs of aging, including fine facial lines and wrinkles in the upper face (see our Level 2 course) as well as in the mid-face, lower-face and neck (see our Level 3 course). You could also use botulinum toxin therapeutically to treat myofascial pain (see our Level 2 course and Level 3 course). You can also use dermal fillers to add facial volume, including in the cheeks, lips, and deep facial lines and wrinkles (see our Level 4 course).
How can I get started?
The best way to get started is to take our online Level 1 course – Advanced Anatomy & Intro to Botulinum Toxin. This course provides 16 hours of advanced anatomy learning and is key to helping you get predictable and desired results, with no negative side effects.