Starting BOTOX business - any nurses do this?

hethmar · 22 March 2010 at 6:05PM

I notice that several dentists round here are offering botox and fillers. TBH, the one friend who had the fillers in the lines either side of her nose/mouth looked dreadful to me, like she'd had a tooth abscess or something, just swollen.

paulfoel · 22 March 2010 at 6:37PM

mcmoon wrote: »

Being a bit nosey here! How did you go about getting a Dr onside? As an independant prescriber I can legally prescribe and administer the botox, just can't order it!!

Training provider sorted the doctor out. We just send a health questionaire and he orders it for us.

Why cant you order it? Surely if you've got a prescritpion you can order it?

mcmoon_2 · 22 March 2010 at 8:41PM

MHRA state:-

Q) Can Nurse Independent Prescribers order and receive wholesale supplies of Botox® etc?

A) "The law as it currently stands prohibits this activity and there is no intention to change this in the foreseeable future. The changes to legislation to introduce nurse independent prescribing were based on the long standing principle that a prescriber prescribes and that his/her prescription is then dispensed by a pharmacist. Nurse Independent Prescribers can administer drugs themselves and authorise others to do so under their patient specific direction. The Department of Health and the MHRA do not consider that there are compelling grounds for reviewing the position."

Ridiculous isn't it!!

paulfoel · 23 March 2010 at 10:39AM

mcmoon wrote: »

MHRA state:-

Q) Can Nurse Independent Prescribers order and receive wholesale supplies of Botox® etc?

A) "The law as it currently stands prohibits this activity and there is no intention to change this in the foreseeable future. The changes to legislation to introduce nurse independent prescribing were based on the long standing principle that a prescriber prescribes and that his/her prescription is then dispensed by a pharmacist. Nurse Independent Prescribers can administer drugs themselves and authorise others to do so under their patient specific direction. The Department of Health and the MHRA do not consider that there are compelling grounds for reviewing the position."

Ridiculous isn't it!!

Must admit I didnt know this !!!

orange-sox · 23 March 2010 at 7:37PM

This thread is v. interesting! My mother is an RGN and has been thinking about going into this... I'm in the early stages research, so any info anyone can provide would be most welcome!

missweasel · 18 April 2010 at 7:02PM

poppy38 wrote: »

You can order it without a prescription. Then you have to get a prescription written by the doctor/nurse prescriber who sees & reviews the patient prior to Botox being given. Remote prescribing/directions are against the NMC Standards for Medicines Management. As per the new NMC circular on Botox Administration. I have a GP prescribe for me, after he has reviewed my patient himself. The prescription is then valid for a year, during which time I can give the Botox.

Hi guys,

This is my first post but I just had to reply as I'm an qualified beauty therapist and RN who is very frustrated at the moment because of the new NMC guideline regarding the remote prescribing of botox. Although I do agree with it, I am annoyed that many companies still offer botox training to nurses on the agreement that they use their remote prescribing services. I know of other nurses using this facility to obtain prescriptions but I do not wish to jeopardise losing my registration. The only option I can see is to do as paul and poppy and have a GP on board, but I have been trying to find out if they will be liable if anything goes wrong?? My friend is a GP but is reluctant to prescribe botox incase something comes back on him can anybody enlighten me please. x

paulfoel · 19 April 2010 at 9:36AM

missweasel wrote: »

Hi guys,

This is my first post but I just had to reply as I'm an qualified beauty therapist and RN who is very frustrated at the moment because of the new NMC guideline regarding the remote prescribing of botox. Although I do agree with it, I am annoyed that many companies still offer botox training to nurses on the agreement that they use their remote prescribing services. I know of other nurses using this facility to obtain prescriptions but I do not wish to jeopardise losing my registration. The only option I can see is to do as paul and poppy and have a GP on board, but I have been trying to find out if they will be liable if anything goes wrong?? My friend is a GP but is reluctant to prescribe botox incase something comes back on him can anybody enlighten me please. x

New NMC guidelines? Or do you mean this -
http://www.nmc-uk.org/aDisplayDocument.aspx?documentID=4021

The way we do it is that health questionaires are sent to the GP who reviews it and then prescribes. In theory, he could phone the patient but hasnt yet.

So it is within guidelines - just about !

Yes, the way I understand it both the prescriber and practitioner would be liable it it went wrong. The GP we use is an aesthetic specialist so he knows the subject. He was supplied to us by the training company. (kttraining in harley st - very good).

Also, we are insured just in case. Not cheap - £65 a month! but necessary I think just in case.

metalgal · 19 April 2010 at 9:08PM

I would not go for botox from anyone other than a plastic surgeon. I have seen info on the botox courses offered and there is no way that you would learn all you need to know on them. The face and its muscle and nervous system are extremely complex and vary person to person.

missweasel · 19 April 2010 at 10:13PM

paulfoel wrote: »

New NMC guidelines? Or do you mean this -

The way we do it is that health questionaires are sent to the GP who reviews it and then prescribes. In theory, he could phone the patient but hasnt yet.

So it is within guidelines - just about !

Yes, the way I understand it both the prescriber and practitioner would be liable it it went wrong. The GP we use is an aesthetic specialist so he knows the subject. He was supplied to us by the training company. (kttraining in harley st - very good).

Also, we are insured just in case. Not cheap - £65 a month! but necessary I think just in case.

Thanks for the reply Paul, yes these are the guidelines but regarding remote prescribing it states that

'This makes it clear that remote prescribing should only be used in exceptional circumstances and therefore not as a routine means to administer botulinum toxin.'

Also I have spoken to someone from the NMC and they said I would be risking my registration if I used remote prescribing to obtain botox. There needs to be a face to face consultation between the prescriber and the client.

Obviously people are using remote prescribing services and doctors are willing to do it because they are making big bucks, also they are not governed by the same body as nurses so would probably just get a slap on the wrist if they got caught. I find it strange that the NMC arent doing more to enforce these guidelines and stop nurses getting caught out, like as you say training companies are putting nurses in touch with remote prescribing services. Sorry if I have offended anyone. I just want to know what people think about this, or if anyone can shed any light on the subject.

Oh and for anyone who was asking..I trained with medfx, once you complete the training you can sign up to use their pharmacy services.

Thanks

paulfoel · 20 April 2010 at 10:48AM

missweasel wrote: »

Thanks for the reply Paul, yes these are the guidelines but regarding remote prescribing it states that

'This makes it clear that remote prescribing should only be used in exceptional circumstances and therefore not as a routine means to administer botulinum toxin.'

Also I have spoken to someone from the NMC and they said I would be risking my registration if I used remote prescribing to obtain botox. There needs to be a face to face consultation between the prescriber and the client.

Obviously people are using remote prescribing services and doctors are willing to do it because they are making big bucks, also they are not governed by the same body as nurses so would probably just get a slap on the wrist if they got caught. I find it strange that the NMC arent doing more to enforce these guidelines and stop nurses getting caught out, like as you say training companies are putting nurses in touch with remote prescribing services. Sorry if I have offended anyone. I just want to know what people think about this, or if anyone can shed any light on the subject.

Oh and for anyone who was asking..I trained with medfx, once you complete the training you can sign up to use their pharmacy services.

Thanks

Hmm. Its not really remote prescribing though, is it? Each patient is individually assessed by the GP - even though there is no face to face. This is perfectly allowable.

Remote prescribing, from what I understand, is where you get a bulk of product prescribed in one go.

Starting BOTOX business - any nurses do this?

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