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Administering Botox

As an RN, can I administer botulinum toxin (e.g. Botox)?

Yes, you may administer botulinum toxin if there is an appropriate order in place.  Administering botulinum toxin falls under the controlled act of administering a substance by injection. This is one of the controlled acts that RNs and RPNs are allowed to perform with an order from an authorized health care professional, such as a physician. The order can be a direct order or a directive.

Having the authority to perform a procedure does not necessarily mean it is appropriate to do so. For example, the Medication practice standard requires you to consider the client, the medication and the environment when assessing if it is appropriate to administer a drug.

Decisions About Procedures and Authority includes a decision tree to help you decide if you should perform a procedure. It asks questions such as:  

  • Are you the appropriate care provider to perform this procedure?
  • Is there an order in place?
  • Do you have the knowledge, skill and judgment to perform and manage all possible outcomes of performing the procedure?

In addition to using the College’s standards, you are accountable for having the knowledge, education and/or experience that is needed to safely perform any treatment or procedure.

Page last reviewed August 10, 2017