The scope of practice of a nurse in Alberta is outlined in the legislative framework and is further defined by each respective regulatory body. Performing procedures that are not within a nurse’s scope of practice can result in significant professional and legal consequences.
Administering neuromodulators such as Botox and dermal fillers are post entry-level competencies and are not taught in the entry to practice nursing programs. Neuromodulators require a client specific order following an initial assessment by an authorized prescriber such as a physician, dentist or nurse practitioner. As aesthetic nursing procedures pose potential risk to the client, appropriate emergency support should be readily available.
The nurse providing an aesthetic procedure uses a skill set comprised of the following competencies:
In Alberta, RPNs, RNs, and LPNs 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 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 or nurse practitioner. The physician or nurse practitioner must be trained in dermatology, on-site, and available to assist as necessary when aesthetic procedures and treatments are being performed.