To administer medication or to perform cosmetic and dermatologic treatments, a nurse shall:

1. A. Complete a program of study that includes theory appropriate to the medication to be administered and the procedure to be performed that includes, but is not limited to:

   1. (1) Anatomy, physiology, and pathophysiology related to the integumentary system as well as systems specific to the procedure being performed;
   2. (2) Appropriate technique for each cosmetic procedure;
   3. (3) Nursing assessment, cosmetic indications, and contraindications for treatment;

   4. (4) Pharmacology intervention specific to the cosmetic procedure including, but not limited to:

      1. (a) Assessment and monitoring of the receiving the medication;
      2. (b) Effects and potential side effects of the medication;
      3. (c) Contraindications to the administration of the medication;
      4. (d) The ability to anticipate and recognize potential complications of the medication;
      5. (e) The ability to recognize emergency situations and institute appropriate interventions;
      6. (f) Preparation, storing, and handling of the medication; and
      7. (g) Proficiency in administering the medication by the required route;
   5. (5) Selection, maintenance, and utilization of equipment;
   6. (6) Identification of realistic and expected outcomes of the procedure;
   7. (7) Identification of complications or adverse reactions;
   8. (8) Nursing care required and appropriate nursing interventions in the event of complications or untoward outcomes;
   9. (9) Infection control procedures;
   10. (10) Safety precautions appropriate to each procedure;
   11. (11) Documentation appropriate to the type of the procedure being performed; and
   12. (12) Precepted clinical practice by a clinical preceptor that includes documented initial and annual competency of the nurse in each cosmetic procedure the nurse is to perform;
2. B. Document evidence of clinical and psychomotor proficiency competency before independently performing each cosmetic procedure;
3. C. Perform the procedures on a frequent routine predictable basis in order to retain practice proficiency;
4. D. Be evaluated for continued clinical competency at periodic intervals; and
5. E. Obtain additional education when the population changes or new procedures are introduced into the practice.

Authority: Health-General Article, §4-403; Health Occupations Article, §8-205(a)(1) and (2); Annotated Code of Maryland

Effective date: May 30, 2011 (38:11 Md. R. 671)

Regulation .05E adopted effective October 13, 2025 (52:20 Md. R. 1002)