4698 What Are the Necessary Competencies for Providers of Dermal Fillers and Botulinum Toxin Type A Injections?

Friday, May 6, 2011
Marcia Spear, DNP, ACNP-BC, CPSN, Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN
Goals/Purpose: 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 obtained from the survey on current practice among providers and develop a document of the necessary competencies to guide the practice of providers of dermal fillers and botulinum toxin Type A injections.

Methods/Technique: A survey tool was developed with validation of content by expert nursing providers of dermal fillers and botulinum toxin Type A injections among the membership of the ASPSN.  This resulted in a 26 item survey which was disseminated via e-mail to the entire current membership of the ASPSN.  In addition, data from investigator training, mentoring and evidence from a review of the literature was also incorporated into the competency document utilizing the Competency Outcomes and Performance Assessment (COPA) Model.

Results/Complications: There have been no other written reports of the current practice among nursing providers of dermal fillers and botulinum toxin Type A injections.  Common core issues became apparent that included contraindications for the use of botulinum toxin Type A and dermal fillers, post-procedure complications as well as strategies in terms of managing complications.  The data also revealed there is no common method providers are taught to assess the aesthetic patient and there is a lack of a collaborative relationship in current practice among nursing providers. Overwhelmingly, the respondents supported the need for defined practice competencies.

Conclusion:  These data support that current nursing providers are seeking out every educational opportunity to insure safe and effective practice. The respondents overwhelmingly agreed that competencies are necessary to guide practice.  With these data collected, a competency document to guide the practice of providers of dermal fillers and botlinum toxin Type A has been developed for completion of this DNP project.  The intentional use of this document is to promote safe and effective practice among nursing providers. 

 

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