BCCNM has revised the
scope of practice limits and conditions for nurses practicing in the area of medical aesthetics. Licensed practical nurses (LPNs) providing medical aesthetic services are required to meet the BCCNM standards of practice.
BCCNM defines “medical aesthetics" as elective, non-surgical clinical procedures that include the performance of a
restricted activity (activities listed in sections 6 and 7 of the
Nurses (Licensed Practical) Regulation) and are primarily intended to alter or restore a person's appearance.
Key regulatory terms and concepts relevant to medical aesthetics:
Authorized health professional
LPNs ensure they have the skills and knowledge to provide medical aesthetic procedures safely, competently, and ethically, and work within their
scope of practice. New limits and conditions have been added to the LPN nursing scope of practice to ensure safe care for clients.
Having to complete
client-specific order to undertake a procedure that involves an injectable drug or substance or an implantable device (implantable devices include sutures used in procedures like thread lifts).
Only being permitted to administer injectable drugs or substances or implantable devices for medical aesthetic purposes when the ordering (or responsible) health professional is or will be present within the facility during the procedure and immediately available for consultation.
Following organizational policies.
Midwives, certified practice registered nurses, registered nurses, and registered psychiatric nurses are
not permitted to give an order for medical aesthetic procedures. For other health professionals, contact the regulatory college.
Note: BCCNM does not endorse or approve
additional education for medical aesthetics. It is the responsibility of the nurse to ensure that any education and training they take provides them with the competencies required to perform medical aesthetic procedures safely. Nurses perform activities that are within their scope of practice.
Yes. Administering both Botulinum Toxin Type A and Type B (e.g., Botox®) and dermal fillers are within the LPN
scope of practice as set out in the nursing regulations. Botox® is a Schedule I medication and most dermal fillers are either Schedule II medications or substances.
Before administering Botox and dermal fillers, LPNs need to:
additional education to ensure they have the knowledge, skills, and judgment (competence) to perform any medical aesthetic procedure.
client-specific order when administering an injectable drug or substance or administering an implantable device.
Ensure the ordering (or responsible) health professional is or will be present within the facility during the procedure and is immediately available for consultation.
Make sure they can meet all relevant BCCNM standards of practice.
Be aware of any restrictions or conditions that regulators for the
authorized health professional giving the client-specific orders may have related to the activity.
Ensure adequate resources are available to manage the unintended consequences of the activity.
Follow organizational policies.
All practicing BCCNM registrants are required by BCCNM bylaws to have Professional Liability Protection (PLP). Liability protection is a registration requirement for practising LPNs. Supplementary liability protection can be purchased, and LPNs should contact
Lloyd Sadd Insurance Brokers for guidance.
Nurses and Nurse Practitioners of BC
Review the following consent agreements to see how not meeting BCCNM Standards of Practice can impact your nursing practice.
Breaching privacy and confidentiality
Talk to one of our regulatory practice consultants: