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What Are the Necessary Practice Competencies for Two Providers: Dermal Fillers and Botulinum Toxin Type A Injections?

Spear, Marcia DNP, ACNP-BC, CWS, CPSN

Plastic Surgical Nursing:
doi: 10.1097/PSN.0b013e3181fe99c2
Articles: Continuing Education
Abstract

There has been a steady increase in the number of individuals who undergo dermal fillers and botulinum toxin Type A injections. The majority of these procedures are performed by nurse providers. The purpose of this study was to collect national data on the current practice among nursing providers within the American Society of Plastic Surgical Nurses (ASPSN). The goal was to utilize the national data and develop a document of the necessary competencies to guide the practice of providers of dermal fillers and botulinum toxin Type A injections. A survey tool was developed and validated for content by expert nursing providers among the membership of the ASPSN and disseminated via e-mail to the membership of the ASPSN. In addition, data from investigator training, mentoring, and evidence from a review of the literature were also incorporated into the competency document utilizing the Competency Outcomes and Performance Assessment (COPA) model. Common core issues became apparent that included contraindications for the use of botulinum toxin Type A and dermal fillers, postprocedure complications as well as strategies in terms of managing complications. The data also revealed that there is no common method providers are taught to assess the aesthetic patient and a lack of a collaborative relationship in current practice. Overwhelmingly, the respondents supported the need for defined practice competencies. A competency document to guide the practice of providers of dermal fillers and botulinum toxin Type A has been developed for completion of this DNP project.

Author Information

Marcia Spear, DNP, ACNP-BC, CPSN, CWS, is a Nurse Practitioner and Certified Wound Specialist, Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee. She is also a Certified Plastic Surgical Nurse.

Address correspondence to: Marcia Spear, DNP, ACNP-BC, CPSN, CWS, Department of Plastic Surgery, Vanderbilt University Medical Center, D-4207 Medical Center North, Nashville, TN 37232 (e-mail: marcia.spear@vanderbilt.edu).

The authors have no conflict of interest.

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Copyright © 2010 by American Society of Plastic Surgical Nurses