Wis. Admin. Code Cosmetology Examining Board Cos 2.025 - Delegated medical procedures
(1) Licensees may provide client services constituting medical procedures
only as directed, supervised and inspected by a physician who has the power to direct, decide and oversee the
implementation of the client services provided in licensed establishments.
(2) Delegated medical procedures include the following:
(a) Laser hair removal services.
(b) Microdermabrasion services, except as specified under sub.
(2r).
(c) Chemical exfoliation, except for application of
commercially available exfoliation products utilized in accordance with the manufacturers' instructions,
limited to the following:
1. Alpha hydroxyl acids of 30% or less, with a ph
of not less than 2.0.
2. Salicylic acids of 20% or less, with a
ph of not less than 2.0.
(d) Microneedling.
(e) Any treatment impacting a skin layer below the stratum
corneum.
(2m) The following are delegated medical
procedures unless the licensee has received formal training in the procedure as part of a board-approved
curriculum and the treatment, as performed, does not impact a skin layer below the stratum corneum:
(a) Dermaplaning, when performed by an aesthetician licensed under s.
454.06 (4), Stats.
(b) Eyelash or eyebrow tinting.
(c) Microblading.
(d)
Utilization of electromagnetic radiation and electric current.
(e) Utilization of thermal energy.
(2r) A licensee may utilize microdermabrasion devices in his or her
practice without medical supervision if all of the following conditions are met:
(a) The device shall be of an aesthetic grade and not labeled as a
prescription device by the United States Food and Drug Administration. Only FDA approved Class I machines may
be used pursuant to this subsection.
(b) The device utilizes a
closed loop negative pressure system that incorporates a tissue retention device.
(c) The normal and customary use of the device results in the removal of
only the surface epidermal cells of the skin.
(d) Eye protection
is provided to the client and protective gloves are worn by the operator.
(e) Microdermabrasion services are not provided within 48 hours before or
after a chemical exfoliation.
(f) The licensee has performed a
pretreatment assessment on the client and reviewed the results with the client.
(g) The client has given written consent prior to the administration of the
services. The consent shall contain all of the following:
1. A statement
setting forth in general terms the nature and purpose of the procedure or procedures, together with the known
risks associated with the procedure or procedures, if reasonably determinable.
2. A statement that acknowledges that the disclosure of that information
has been made and that all questions asked about the procedure or procedures have been answered in a
satisfactory manner.
3. The signature of the client for whom the
procedure is to be performed, or if the client for any reason lacks legal capacity to consent, is signed by a
person who has legal authority to consent on behalf of that client.
(3) Delegated medical procedures shall be undertaken only pursuant to
formal written protocols setting forth the nature and scope of the procedures delegated, describing the
supervisory plan, and indicating any contraindications to undertaking the procedure. A laser hair removal
product or device, or intense pulsed light device shall not be used on a minor unless the minor is
accompanied by a parent or guardian and only under the general supervision of a physician.
(4) A licensee providing client services constituting delegated medical
procedures shall upon request make available to the client and to the board a copy of the formal written
protocols.
(5) Should a client service constituting a delegated
medical procedure be contraindicated based either upon the written protocol or some other basis, the licensee
shall decline to carry out the procedure and shall explain to the client the basis for the licensee's
inability to provide the service.
(6) A licensee providing client
services constituting delegated medical procedures in a licensed establishment shall post in a conspicuous
location in the immediate area where the procedure is carried out the name of the delegating physician and
the nature and scope of the procedures delegated.
Notes
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