Acne scars are depressions and raised areas on the skin left behind after an inflamed pimple breaks the barriers of a pore. There are two common types of acne scars: hypertrophic or keloid scars and atrophic or depressed scars. Hypertrophic scars are raised tissue and atrophic scars are depressions.
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Board Opinion Relating to Laser Surgery
https://kbml.ky.gov/board/Documents/Board%20Opinion%20Laser%20Surgery.pdf
Advanced Practice Registered Nursing
201 KAR 20:057. Scope and standards of practice of advanced practice registered nurses.
http://migration.kentucky.gov/NR/rdonlyres/BEC93DC2-7B50-40C0-A311-7127741B618D/0/057.pdf
Section 3. In the performance of advanced practice registered nursing, the advanced practice registered nurse shall seek consultation or referral in those situations outside the advanced practice registered nurse’s scope of practice.
Kentucky Board of Nursing
ARNP Scope of Practice: Laser Technology
http://kbn.ky.gov/practice/lasertech.htm
http://kbn.ky.gov/practice/lasersupervision.htm
A request was received for an opinion on whether it is within the scope of ARNP practice to: “…evaluate, diagnose, and treat patients with therapeutic interventions that include removal of hair and facial and leg veins using laser technology, performance of skin enhancement procedures, and prescribing of noncontrolled substances…without the supervision or authorization of a physician.” Following discussion of the questions posed, statutes governing nursing practice, administrative regulation 201 KAR 20:057 governing ARNP practice, and the KBN Scope of Practice Determination Guidelines, it was the advisory opinion of the Board that the acts stated above are within the scope of ARNP practice. The ARNP who performs these acts must posses the educational preparation and current clinical competency to perform the acts in a safe manner, and be in compliance with 201 KAR 20:057, Section 3, that states, in part: “In the performance of ARNP practice, the ARNP shall…seek consultation or referral in those situations outside the ARNP’s scope of practice.”
Degree of Supervision Needed by Nurses Who Perform Laser Surgery Treatments
A request was received for an opinion on the level of physician supervision needed when RNs and LPNs provide laser treatments. The Board discussed the questions posed and referred individuals to: • The Kentucky Board of Medical Licensure for its position statement on the role of the physician in supervision of laser-related activities. • The Dermatology Nurses’ Association position paper entitled The Nurse’s Role in Laser Procedures which advises that “…nurses will deliver laser light under the direct supervision of the physician who is on-site, utilizing established protocols that have been determined by the physician at the time of his/her consultation with the patient, or at each pre-treatment session when applicable.” • The American Society for Laser Medicine and Surgery Policy for Use of Laser and Related Technology by the NonPhysician which states that “…a properly trained and licensed medical professional may carry out these specifically designed procedures only under direct, onsite physician supervision.”
