# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 25 — Cosmetic Procedures

#### Regulation .04 Education.

*COMAR 10.27.25.04*

To administer medication or to perform cosmetic and dermatologic treatments, a nurse shall:

A. Complete a program of study that includes theory appropriate to the medication to be administered and the procedure to be performed that includes, but is not limited to:

  (1) Anatomy, physiology, and pathophysiology related to the integumentary system as well as systems specific to the procedure being performed;

  (2) Appropriate technique for each cosmetic procedure;

  (3) Nursing assessment, cosmetic indications, and contraindications for treatment;

  (4) Pharmacology intervention specific to the cosmetic procedure including, but not limited to:

    (a) Assessment and monitoring of the receiving the medication;

    (b) Effects and potential side effects of the medication;

    (c) Contraindications to the administration of the medication;

    (d) The ability to anticipate and recognize potential complications of the medication;

    (e) The ability to recognize emergency situations and institute appropriate interventions;

    (f) Preparation, storing, and handling of the medication; and

    (g) Proficiency in administering the medication by the required route;

  (5) Selection, maintenance, and utilization of equipment;

  (6) Identification of realistic and expected outcomes of the procedure;

  (7) Identification of complications or adverse reactions;

  (8) Nursing care required and appropriate nursing interventions in the event of complications or untoward outcomes;

  (9) Infection control procedures;

  (10) Safety precautions appropriate to each procedure;

  (11) Documentation appropriate to the type of the procedure being performed; and

  (12) Precepted clinical practice by a clinical preceptor that includes documented initial and annual competency of the nurse in each cosmetic procedure the nurse is to perform;

B. Document evidence of clinical and psychomotor proficiency competency before independently performing each cosmetic procedure;

C. Perform the procedures on a frequent routine predictable basis in order to retain practice proficiency;

D. Be evaluated for continued clinical competency at periodic intervals; and

E. Obtain additional education when the population changes or new procedures are introduced into the practice.