MedSpas and Nurses

​Can a N​urse Engage in the Practice of Cosmetology and Aesthetics?

  • Aesthetic, cosmetic, and dermatological procedures may be performed by a nurse as a part of a medically prescribed plan of care for treatment of various dermatological conditions.
  • The LPN may follow standing orders/protocol after the healthcare provider has established a treatment plan.
  • LPNs are able to implement interventions and administer medications and treatments as prescribed and supervised by a physician, physician assistant, dentist, or APRN. These healthcare providers are able to delegate tasks to the LPN.
  • It is NOT within the scope of practice for an LPN to independently practice, order products, prescribe treatments, or perform medical aesthetic procedures such as Botox​© or Dermal fillers.

The Kentucky statutes applicable to cosmetologists, and estheticians’ licenses are not applicable to nursing practice. They are regulated under KRS Chapter 317A.

  • Per KRS 317A.020: No person shall engage in the practice of cosmetology, esthetic practices, or nail technology for other than cosmetic purposes nor shall any person engage in the practice of cosmetology, esthetic practices, or nail technology for the treatment of physical or mental ailments. This chapter does not apply to . . . Persons authorized by the law of this state to practice . . . nursing . . . who perform incidental practices of cosmetology, esthetic practices, and nail technology in the normal course of the practice of their profession.
  • However, you may wish to acquaint yourself with the practice standards followed by non-nurse estheticians, as there is likely overlap in terms of accepted professional practices in the provision of esthetic services.