Injectables: M.D. vs. R.N. – Is Good Business Good Medicine?

We find three recent trends disturbing:

  1. Some physicians are turning to nurses to perform most of their injectable treatments. Reasons given for doing so include increasing practice revenue streams and career advancement for the “nurse injectors.” At Epione only physicians administer Botox and dermal fillers such as Radiesse and Juvederm.
  2. Nurses setting up independent cosmetic practices, sometimes asking physicians to sponsor them. A nurse injector is the term for a registered nurse who provides cosmetic injectables treatments. Some states restrict or do not allow the practice of nurse injectors. In California nurses can inject Botox and dermal fillers only under the direction and supervision of a physician. Only a physician can prescribe medication including Botox and dermal fillers. And only a physician can legally evaluate conditions, recommended treatment, offer alternatives and clearly defined the potential outcomes including any complications.
  3. Mall and chain-store med-spas. Of particular concern are nurses who administer injections at medical spas where physician supervision may be minimal to non-existent. It is often the case that one physician is assigned (read “paid”) to supervise a group of such spas despite the physical impossibility of he or she doing so. Who is there to guaranty the setting is a proper, medically-equipped office, with safety and sterilization procedures? Is there a physician on site in the event of a complication or emergency?
    1. At Epione your well being is paramount. Simply because it’s not surgery does not mean it’s not a medical procedure.