15.12.2003 – Policy Statement on Aesthetic Procedures in Practice: www.health.ri.gov/publications/policystatements/Board OfMedicalLicensure AndDiscipline.pdf Council is of the view that aesthetic or aesthetic procedures in the office that require the use of medical lasers, radiofrequency radio waves, or the injection of sclerosing chemicals or biologically active compounds [e.g., botulinum toxin A, Botox] are medical procedures. Therefore, prior to such procedures, patients must obtain a medical assessment of suitability by a licensed and qualified physician or other physician acting in their field of practice. Although these procedures may be performed by a properly trained non-physician working under the supervision and direction of a physician or other practitioner acting in his or her field of practice, it is the responsibility of the supervising physician [or another practitioner acting in his or her field of practice] to ensure that the procedures are performed correctly; with appropriate assessment, consent and follow-up; and in appropriate patients; and that all patient records are maintained in accordance with medical record standards; and that patient privacy is protected. The attending physician or another physician acting in his field of practice is responsible for all procedures performed by non-physicians under his direction. Physicians [or other practitioners working in their field of practice] who perform and supervise such procedures must be able to demonstrate adequate training and experience. This education and experience may include, but is not limited to, a stay or scholarship. The physician or other practitioner acting in his field of practice is responsible for ensuring and documenting the adequate training of the persons under his supervision. In addition, other cosmetic procedures such as dermabrasion or the use of potentially scar chemical treatments [e.g. so-called chemical peels] should also meet this standard. The physician cannot delegate the use of a laser to non-physicians, except that it may be delegated to a physician assistant whose supervision and training meet the requirements for duties delegated to a physician assistant. An opinion was sought on whether this falls within the scope of ARNP practice.” Evaluate, diagnose and treat patients with therapeutic interventions that include removal of facial hair, veins and legs using laser technology, performing skin enhancement procedures and prescribing uncontrolled substances.
without the supervision or authorization of a physician. After discussing the questions asked, the statutes on nursing practice, By-law 201 KAR 20:057 on the practice of the PNRA and the guidelines on determining the scope of practice of the KBN, the Board considered that the above actions fell within the scope of PNRA practice. The ARNP performing these actions must have the training preparation and up-to-date clinical skills to perform the actions safely and comply with 201 KAR 20:057, Section 3, which states in part: “In the practice of the practice of the ARNP, the ARNP shall. seek advice or referrals in situations outside the scope of the ARNP`s activity. Unauthorized persons may not use lasers or IPL treatments to cut, shape, burn, vaporize or otherwise structurally alter human tissue, whether delegated or not. The South Dakota Joint Board of Nursing and Medical and Osteopathic Examiners confirmed on September 17. As of November 2003, only physicians, nurses and physician assistants can be trained in the use of lasers in accordance with SDCL 3648.2, and approved the “Laser Use by Nurse Practitioners and Physician Assistants” protocol. (d) The Director shall adopt rules governing special licence endorsements authorizing an electrologist to use lasers for hair removal. These rules require an electrologist to satisfactorily complete a full laser hair removal course in order to obtain this particular license confirmation. (Added in 1999, No. 133 (Adj.
Sess.), § 46, in force on 1 January 2001; amended in 2001, No. 129 (Adj. Sess.), § 38, entered into force on 13 June 2002; 2005, No. 27, § 103; 2013, No. 138 (Adj. Sess.), § 50.) In January 2002, the Council adopted a declaration that the medical use of lasers is a medical practice. Physicians who use lasers should be trained accordingly, and any physician who delegates a procedure using lasers or intense pulsed light devices to a non-physician should be qualified to perform the procedure themselves. Paramedics assigned to perform a laser or critical light procedure must have received appropriate education and training and be under the direct supervision of a licensed physician in accordance with written guidelines and/or guidelines. The ultimate responsibility for performing a procedure rests with the physician.
Medical Use of Lasers www.oregon.gov/OMB/SOP_Lasers.shtml In a medical facility where several medical disciplines or a number of different physicians use Class 3b and Class 4 lasers, a Laser Safety Committee must be formed to regulate laser activity, establish criteria for use, and approve operating procedures. If you are ready to enter the field of laser hair removal and help people enjoy a life free of unwanted hair, you should first ask for information from Michigan laser training schools. When comparing programs, look at the subjects they teach and the skills they help you develop. 24,156,640 MEDICAL ASSISTANT www.mtrules.org/gateway/ruleno.asp?RN=24%2E156%2E640 7. The following tasks may not be entrusted to a medical assistant: (a) invasive procedures, including injections other than vaccination, in which human tissues are cut or altered by mechanical or energetic forms, including electrical energy, laser energy or ionizing radiation, unless they are under the supervision of a doctor or podiatrist; (b) The eligibility requirements of an applicant for a certificate from a senior laser hair removal technician who is a licensed health professional shall be determined by the body issuing the licences for that health professional. 2012 TN SR 94, signed by the President on 18.04.2012, instructs the Council of Medical Examiners to issue rules to establish standards for the performance of cosmetic procedures using invasive laser technology and chemical peels.