Starting BOTOX business - any nurses do this?

debbie_debt

hiya,

My mum is a qualified nurse who trained as a botox and dermal filler practitioner but tried to carry on with the 'day job' at the same time and so struggled to get the clients she needed to make it viable. However, she ran it for a while so if you need to ask anything regarding legalities/professional responsibilities etc please pm me!

Deb

[Deleted User]

debbie_debt wrote: »

hiya,

My mum is a qualified nurse who trained as a botox and dermal filler practitioner but tried to carry on with the 'day job' at the same time and so struggled to get the clients she needed to make it viable. However, she ran it for a while so if you need to ask anything regarding legalities/professional responsibilities etc please pm me!

Deb

Yeh. Wife is doing that as well.

Businss is OK at the minute. What sort of advertising did she do?

oriental333

any qualified nurses interested in sounding out a buisness plan in manchester are email my google account...im a first level registered trained nhs nurse RMN and have over 25 years experience

sarah170kly

Im a RGN who wants to set up alone but am finding the whole issue of prescribing very confusing. I dont wanna put my pin at risk but cant afford to pay for the prescribing course and i dont work in cosmetics already. Any advise would be greatfully recieved. Would it be worth doing the fillers course and the peels course without botox for now ??

sarah

bargainlover08

From reading this I am amazed that nurses are willing to administer a licensed medicine without the prescriber ever seeing the patient. I am also amazed a doctor will write a prescription for a patient who they have never met. Remote prescribing is against GMC guidance.
I think if the client realised the risks they are taking by having medical treatment prescribed by a remote prescriber they would be less keen. I wonder if they all know Botox is a prescription only medicine?
I am also amazed that someone said Dentists offer the service! In the NHS dentists can only prescribe medicines from a dental prescribing formulary which would certainly not cover Botox.
I doubt the pharmacists dispensing the Botox realise the prescription they are issuing is for a patient who has not been seen by a doctor. If I knew that I would be unlikely to dispense the prescription.

[Deleted User]

bargainlover08 wrote: »

From reading this I am amazed that nurses are willing to administer a licensed medicine without the prescriber ever seeing the patient. I am also amazed a doctor will write a prescription for a patient who they have never met. Remote prescribing is against GMC guidance.
I think if the client realised the risks they are taking by having medical treatment prescribed by a remote prescriber they would be less keen. I wonder if they all know Botox is a prescription only medicine?
I am also amazed that someone said Dentists offer the service! In the NHS dentists can only prescribe medicines from a dental prescribing formulary which would certainly not cover Botox.
I doubt the pharmacists dispensing the Botox realise the prescription they are issuing is for a patient who has not been seen by a doctor. If I knew that I would be unlikely to dispense the prescription.

Well, each to his own of course...

Its not remote prescribing as such, and everything we do is within GMC, and NMC guidelines.

bargainlover08

Do you have any concept of patient safety? This certainly doesn't sound safe.
What would you do if the patient had an allergic reaction and had anaphylaxis? Do you have adrenaline available?
The manufacturers of Botox specifically state in their product literature "The injections should be administered by appropriately trained personnel in hospital specialist centres". If you do not comply to this you are using the drug in an unlicensed manner and therefore liable if an adverse event occurs.

[Deleted User]

bargainlover08 wrote: »

Do you have any concept of patient safety? This certainly doesn't sound safe.
What would you do if the patient had an allergic reaction and had anaphylaxis? Do you have adrenaline available?
The manufacturers of Botox specifically state in their product literature "The injections should be administered by appropriately trained personnel in hospital specialist centres". If you do not comply to this you are using the drug in an unlicensed manner and therefore liable if an adverse event occurs.

Yes to all.

abedin

bargainlover08 wrote: »

From reading this I am amazed that nurses are willing to administer a licensed medicine without the prescriber ever seeing the patient. I am also amazed a doctor will write a prescription for a patient who they have never met. Remote prescribing is against GMC guidance.

I think there is some confusion over the term "remote prescribing", I have clarified this term with the NMC. They state that remote prescribing relates to bulk prescribing e.g. A doctor prescribing enough supplies to last me 2 months - without having any opportunity to consult with the individuals receiving the treatments.
They advise that it is acceptable for a named medical prescriber to consult with the patient and recommend that the doctor should have a copy of the consultation form completed by the patient. The supply of the medicine should be able to be traced to a prescription and supply for a named individual. This can be valid for up to 1 year, however, the individual administering treatments should always ask if anything has changed since the last treatment. My prescriber speaks to my clients before their initial treatment and follows them up a couple of days after... a good service worth paying for.
In hospital a dr attending a ward at 2am to write someone up for fluids may not see the patient face-to-face - is it necessary to wake the individual? Should the nurse then refuse to administer the fluids until the dr has seen the patient face-to-face?
Doctors and nurses have different qualifications/experience, but we are both well placed for aesthetic treatments. Doctors have good knowledge but nurses have really good practical skills... The doctor I use took me out for some practice. A few clients said my injections were less painful. Lets all work together!

[Deleted User]

abedin wrote: »

I think there is some confusion over the term "remote prescribing", I have clarified this term with the NMC. They state that remote prescribing relates to bulk prescribing e.g. A doctor prescribing enough supplies to last me 2 months - without having any opportunity to consult with the individuals receiving the treatments.
They advise that it is acceptable for a named medical prescriber to consult with the patient and recommend that the doctor should have a copy of the consultation form completed by the patient. The supply of the medicine should be able to be traced to a prescription and supply for a named individual. This can be valid for up to 1 year, however, the individual administering treatments should always ask if anything has changed since the last treatment. My prescriber speaks to my clients before their initial treatment and follows them up a couple of days after... a good service worth paying for.
In hospital a dr attending a ward at 2am to write someone up for fluids may not see the patient face-to-face - is it necessary to wake the individual? Should the nurse then refuse to administer the fluids until the dr has seen the patient face-to-face?
Doctors and nurses have different qualifications/experience, but we are both well placed for aesthetic treatments. Doctors have good knowledge but nurses have really good practical skills... The doctor I use took me out for some practice. A few clients said my injections were less painful. Lets all work together!

Yes, agreed. Its is well known that doctors rarely perform injections and that generally nurses are better because they've had more practice.