Legal Aesthetic Summary By State

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Maryland

Botox injections are considered medical practice in Maryland and must be performed by a licensed physician or an independent practice nurse practitioner (NP) if it falls beyond their area of practice. Under appropriate physician delegation and supervision, the physician may delegate this procedure to a physician assistant, registered nurses (RN), and licensed practical nurses (LPN) if: [1] they have the education, training, and skill to competently and safely perform the procedure, [2] the physician performs the initial assessment, and [3] the physician develops the treatment plan for the patient.


Practice on your own If [1] it falls within the NP's area of practice, [2] it is done in accordance with nursing delegation laws, and [3] the RN and LPN have the education, expertise, and training to do it safely and competently, NPs will be able to delegate this procedure to them.


This guide is meant as an educational resource laws and scope of practice is changing all the time in each state please seek the advice of a healthcare attorney before practicing.

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