The nurse shall comply with the employment settings written cosmetic policies and procedures that comply with this chapter.
The nurse shall be guided by and comply with the written policies and procedures in keeping with recognized standards of care that include, but are not limited to:
Care and maintenance of appropriate equipment and safe operation;
Description of how the procedure is to be performed;
Education;
Assessment;
Emergency procedures;
Monitoring guidelines;
Operator and safety when utilizing equipment;
A continuous quality improvement process which includes, but is not limited to:
Unexpected outcomes;
Side effects; and
Complications;
Obtaining or ensuring that the client’s informed consent has been obtained that documents the patient’s awareness that it is the licensed nurse who will perform the cosmetic procedure; and
Documenting the performance of the cosmetic procedure including, but not limited to:
Patient response;
Patient education; and
Safety precautions taken on behalf of the patient.
The nurse may perform the identified cosmetic procedure when there is a completed prescriptive order from an authorized prescriber that includes, but is not limited to:
The procedure to be performed;
Identification of the specific treatment area;
Identification of medication, dosage, route, and time interval for administration of the medication for the specific cosmetic procedure;
Identification of the light source and the radio frequency, current dosage, intensity, and time period it is to be applied; and
The use of any topical anesthetic.
Before a nurse performs any of these cosmetic procedures, the authorized prescriber shall:
Complete an initial assessment and evaluation of the patient before the procedure is performed;
Develop a treatment plan for the specific patient;
Be physically present in the setting; and
Be immediately available:
At the time the procedure is performed; and
Post-treatment to evaluate the patient.
The nurse shall maintain medical records in accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.