A: It depends. It depends because Oregon's Nurse Practice Act (NPA) does not expressly authorize the performance of any procedure or intervention by all RNs. The requirement of the NPA is that an RN must only accept an assignment within their individual scope of practice. For an RN to determine whether the performance of a specific cosmetic procedure is within their individual scope of practice, they must apply nursing practice standards in
OAR 851-045-0065(2).
These individual scope of practice standards identify eight specific criteria an RN must apply to their own situation. Only when an RN determines that all criteria are met, may they consider the procedure to be within their individual scope of practice.
When the performance of the cosmetic procedure is found to be within an RN's individual scope of practice, the RN remains responsible under their license to practice consistent with additional 851-045 standards. These standards include but are not limited to 851-045-0060 standards related to RN scope in the practice of nursing, and 851-045-0065(9) standards related to the licensee's responsibility in the acceptance and execution of medical orders.
As RN licensure does not permit the diagnosing of medical conditions or permit the prescription of treatment for conditions, an RN's role within a cosmetic practice is as a practice team member who assists with implementation of a health care provider's treatment plan for a client. This means that prior to, during, and following the performance of a cosmetic procedure for a client, the RN is responsible for their own practice of nursing (with the client) and remains accountable for their own decisions and actions.