What to know in Kentucky
Start with these state-specific findings, then use the checklist below to review the rest of your practice. The linked authorities explain the conditions and exceptions behind each point.
An RN does not independently prescribe aesthetic care
The Board states that RN aesthetic procedures are part of a medically prescribed plan. An RN cannot independently order cosmetic products or prescribe Botox or fillers.
Source: Kentucky Board of Nursing: RNs in Medical SpasStanding orders follow an established plan
The Board distinguishes implementation under standing orders from creating the initial treatment plan. The qualified provider’s assessment and plan must be established before the RN carries out the treatment.
Source: Kentucky Board of Nursing: RNs in Medical SpasYour next steps
- Design the appointment workflow so an authorized provider establishes the patient’s plan before nurse-administered treatment.
- Keep documented procedure training and review the current cosmetic/dermatological advisory with the clinical lead.
Questions to resolve before opening
- Who establishes and updates the patient-specific plan before the RN performs treatment?
- Do the standing orders, training and supervision meet the current Nursing Board guidance?
Bring your actual ownership chart, service menu, devices and staff credentials to the relevant board or healthcare counsel. The same answer may not apply to a different procedure or business model.