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Introduction

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.​

K​ey regulatory terms and concepts

Key regulatory terms and concepts relevant to medical aesthetics:

FAQs​​

What do I need to practice in medical aesthetics?

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.

This includes:

  • Having to ​​​complete additional education.

  • Having a 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 be​​ing 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 th​e 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. 

Can LPNs administer Botox and dermal fillers?

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:  

  • Successfully complete additional education to ensure they have the knowledge, skills, and judgment (competence) to perform any medical aesthetic procedure.

  • Have a 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.

What do I need to know about professional liability protection? 

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. 

Resources

BCCNM resour​ces 

Exter​nal resources 

Re​​lated BCCNM public notices

Review the following consent agreements to see how not meeting BCCNM Standards of Practice can impact your nursing practice.

Need help or advice?​ 

Talk to one of our regulatory practice consultants:

  • Email practice@bccnm.ca
  • Phone 604.742.6200 x 8803
  • Toll-free 1.866.880.7101 x8803​




900 – 200 Granville St
Vancouver, BC  V6C 1S4
Canada

info@bccnm​.ca
604.742.6200​
​Toll-free 1.866.880.7101 (within Canada only) ​


With great respect, we acknowledge that BCCNM’s office is located on the unceded territories of the hən̓q̓əmin̓əm̓ speaking peoples – xʷməθkʷəy̓əm (Musqueam), and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples - Sḵwx̱wú7mesh Úxwumixw (Squamish Nation) whose historical relationships with the land continue to this day.​