Header

Who Can Legally Inject Botox under Texas Law

Hopefully, Texas gets there and finally adopts sensible regulations around Botox and injections. Undoubtedly, there are people who have injected safely and will be affected by it, but it is simply not a good idea to have someone who can inject. In other words, nurses can inject with a written order. A physician or mid-level practitioner must see the patient and then write a prescription valid for one year to allow for future medical and physical examinations (medical history and physical examinations) โ€“ a review of the patient`s current prescription drugs and over-the-counter medications to ensure the continued safety of the treatments performed. According to the above definitions, only a mid-level physician or practitioner โ€“ a physician assistant or advanced practice nurse โ€“ can diagnose and prescribe cosmetic procedures such as fillers, Botox and any procedure requiring numbing injections, etc. A physician or intermediate-level practitioner may only delegate to an unlicensed professional if “a physician or intermediate-level practitioner is on site during the procedure” or “a delegated physician is available for emergency consultation in the event of an adverse outcome and, if deemed necessary, is able to: Make an emergency appointment with the patient. DermaTouch RN has highly skilled employees who have years of experience in cosmetic procedures, including Founder and Director of Nursing Renee Moschitto, RN, BSN, and Medical Director, R. Scott Yarish, MD and Certified Medical Surgeon. The treatment and patient care with DermaTouch RN is unprecedented for MedSpas today and is recognized nationally by patients. The implications of this story are far-reaching.

This is the second case in which an LVN has been charged with illicit medical practice in recent months due to a covert operation (the other occurred in California). AmSpa encourages all of its members, especially those in Texas, to ensure that they strictly adhere to every step of the Texas delegation and the rules for monitoring cosmetic procedures. It is important to follow each step specifically, and practitioners should be careful to pay very close attention to the specifics of the rule and follow them to the letter. As has just been demonstrated, non-compliance can lead to criminal prosecution, not to mention measures taken by medical and/or nursing authorities. As many have seen on the news recently, a Texas LVN named Michelle Bogle of Savvy Chic Medical Spa has been arrested for practicing medicine without a license. In particular, she offered Botox injections. Although not all the facts about the case are known, AmSpa wanted to use this time to review the rules regarding the delegation of aesthetic medical procedures in Texas. The state of Texas is quite liberal about who it allows to physically perform Botox and other injectable procedures. Anyone with appropriate training can inject Botox and other injectable cosmetic injectables as long as they are subject to protocols, supervision, and delegation from a physician.

The Texas Medical Board has adopted Rule 193.17 (available here) to provide guidance to physicians who delegate these non-surgical cosmetic procedures. The rule applies to non-surgical cosmetic procedures, including the injection or use of a prescription medical device performed by a person who is not otherwise authorized to perform the procedure and not by a physician, PA or NP. The rule contains 13 points that doctors must comply with if they properly supervise such a procedure and delegate it to anyone other than the medical assistant or nurse. These include: One consideration is the restriction of who can give injections to doctors, nurses or physician assistants. Training is also an issue. No previous experience is required at this time. When you get your certificate to inject Botox, you`ll have the skills to work in any Texas office. In addition, potential employers usually look for certificates. First, and prioritize accordingly.

This means that everyone who has completed an apprenticeship immediately stands out in a group of candidates. According to Texas RULE ยง 193.17, an intermediate practitioner may receive a written prescription in addition to a physician. An intermediate practitioner is defined as a “physician assistant or advanced practice nurse.” The procedure is defined as “a non-surgical medical-cosmetic procedure, including, but not limited to, the injection of drugs or substances for cosmetic purposes, the administration of intestinal lavages and the use of prescription medical devices for cosmetic purposes.” According to TMB, these procedures should be performed while a physician or other intermediate practitioner is on site, or a physician should be available for emergency consultation or appointment in case of complications.