Please see attached for the Aesthetic Nursing Regulatory Matters PDF.
Penny Davis - Policy and Practice Consultant, CARNA
Glenda Tarnowski - Director of Professional Practice, CLPNA
Elizabeth Taylor - Director of Regulatory Services, CRPNA
In Alberta, the three regulatory Colleges for nurses agree that LPNs, RPNs, and RNs are authorized under regulation and have the education to administer medications and substances by injection. An order by an authorized prescriber is required before any nurse can administer Schedule 1 medications and/or substances, e.g. neuromodulators and dermal fillers. The nurse is responsible and accountable to have the required competencies (education and experience) to carry out the order.
In addition, The College of Licensed Practical Nurses of Alberta requires that LPNs providing aesthetic nursing procedures within their defined scope of practice must have direct or indirect supervision by a physician. The physician must be trained in dermatology, on-site, and available to assist as necessary when aesthetic procedures and treatments are being performed.
INTERESTED IN ENTERING THE FIELD OF COSMETIC INJECTIONS AS A NURSE ?
Where do you start ? How do you get training ? Are there jobs ?
Fellow Nurses ! I get inquiries all the time about how to get into this amazing industry ... here's a few tips that I send people that ask ....
1. Don't Quit Your Day Job and Don't Give Up.
As attractive as aesthetic nursing is for many reasons - it is definitely a challenging world to get into and it takes a lot of independent work to pursue training, experience and a full time role injecting.
This is a practice that YOU as an RN will need to develop yourself. (Remember when you were first in nursing school ... this is how it is out there, except ... there is no huge publicly funded organization that's waiting to hire you at the end of your training.)
Aesthetic Nursing is unique from traditional nursing roles in that it is a non-publicly funded service. Which means the rewards can be great - but it takes time. Some have been able to do it really quickly (in a few years), some are still working at it and holding their other roles in Nursing, and some have been slowly working at it since injectables hit the market.
Most importantly, it takes some time to build a client base. When you build a client base, then you build a portfolio of clients that makes you attractive to organizations that are hiring for injectors.
2. Are there Jobs ?
I can't get a job because I don't have experience. I don't have experience because I can't get a job.
Remember this ? The vicious circle.
Good news is - there are usually a few roles open out there for injectors. You just have to be in the circle to hear of them.
In order to get a job, to get experience, you have to learn the fundamental skills of aesthetic nursing. Aesthetic Nursing - is such a new field that our professional bodies are painfully slowly recognizing the work we do - but still not fully committing to recognizing it as a specialty. So if you called any of our professional bodies - they are unable to guide you as to how to get into aesthetic nursing practice. Most recently, however, the Canadian Nurses Association has welcomed the Canadian Society of Aesthetic Specialty Nurses into the Canadian Network of Nursing Specialties - a great step in the right direction.
Aesthetic Nursing can encompass many things - from assisting physicians in the OR to performing medically delegated treatments and procedures such as Cosmetic Injectables.
If you are looking for an RN or are an RN that would like to connect with clinics that are looking ... email me here.
3. Where do you get the training ?
A number of different organizations offer training on Cosmetic Injectables. It's important to take a look at each one to see how they fit with your goals.
GMI Practice Solutions Training offers Basic to Advanced Cosmetic Injectable Training Courses, as well as Practice Management and Building Workshops. Click here to see our calendar for more info.
There are other courses out there - however, I truly believe in the phased approach to learning the fundamentals of cosmetic injections.
This is why I would also recommend looking at the following programs, that also offer a phased approach :
(Disclaimer : I am also on the Faculty of Trainers with www.ptifa.com)
AND YES ! These courses do require both a financial and time investment. However, as I said in my first comment - this is a practice YOU as an RN will need to develop YOURSELF. I have always viewed it this way - investing in training out of my own pocket is an investment into my career and what I really want to do. I've been doing cosmetic injections for over 10 years - and I still invest in my training every year to learn more, because there is always more to learn. It is such a dynamic practice that new techniques and new products are and will continue to pop up in the market.
I strongly encourage anyone that is interested in entering into this field to get the fundamental training first. This is the first step in showing that you are truly committed to developing your practice in Aesthetic Nursing.
4. When I get my training, can I start an independent practice ?
The short answer to this is yes.
However, there are a number of considerations that must be made as to what is within your province's Nursing Scope of Practice and what is not, as well as considerations regarding the safety and effective use of cosmetic agents.
One of these considerations is the difference between "administering" and "prescribing".
As a properly trained Registered Nurse you will be able to administer Schedule 1 medications, but not prescribe a Schedule 1 medication such as a Botulinum Toxin (Botox, Dysport, or Xeomin).
In 2015, CARNA published Medication Guideline #27 that refers to Cosmetic Procedures.
PTIFA has also posted on their website the following information regarding Botox and Dermal Fillers for BC Nurses.
Hopefully, this answers some of your questions - if you have any other questions - please send me a direct email through here.
Cheers for now !