Hi everyone, the place I work has a RN/owner, that does the chemical peels. She does these to pocket the $$$ for herself. I have watched her do the peels and would not recommend them to anyone. I don't feel it is my place to educate her, I took the time to get my license and understand the contraindications and skin types of not doing something correctly.

It bothers me that an RN will do this. We are not a med spa or dermatologist office. It is a weight loss center.

Is there some law in CA that would prohibit this?

Thanks Denise

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That could be a complicated question. Her RN license might allow her to do these treatments like a CPA license allows a CPA to sell many forms of financial instruments. But I think that is a question for the CA state board if you really wanted to know the truth.

Thanks Tammy that is what I'm thinking as well.

This business owner also took time to get her education and license...far longer and more costly than yours. Plus her insurance coverage is more extensive and her continuing ed requirements are much higher.

You're right - it is NOT your place to educate her. But if you have concerns or questions about her decisions and practices, then it would probably benefit both of you to discuss those with her.

She is operating within her scope of practice

I can't begin to know the situation that you are in, the conditions or circumstances...none of us can know but you. And it sounds like there are other issues between you than just this one

FWIW - if I were that owner and I saw or heard you speak of me and my business with disrespect, I would fire you immediately.  I am sure tha you have reasons for concern - but you might reconsider how you present information in a public forum

Cindy, I certainly will not accept chastisement from you. I am not employed by her, meaning she does not pay me to be there. There is a concern with peels that you learn in school and what to look for in skin type before recommending at least in CA. Trying to turn this into a psychology class is beyond your scope. Further, it is not disrespectful to ask questions, that's why we have a forum.

And whatever, "FWIW," I have no idea what your talking about. Whether, her cost of education cost more than mine is irrelevant. We all have different backgrounds and some educated more than others, some that wanted to add Esthetician to the list! So before you jump to conclusions, make sure you know CA law and requirements before commenting on anything on a post out of your area.

No need to get upset.

Just trying to get you to look at the whole picture.

Being a solo biz owner I tend to look at it more from the owner's POV, regardless of where the practice is located

But it would still benefit you to speak with her directly about your concerns - you might both learn something.

Denise

What you might want to consider is looking at it from a different angle. If the clients she is treating are categorized on the Fitzpatrick scale 2, 3 and 4 and your peeling with GA, Sal acid or TCA and also maybe even jessner but mainly GA and TCA your really not going to have much of a problem no matter what you do.

While in school they really stress herpes and other skin related contraindications and even to ask specific questions to bring out potential issues from the client but I bet most of the clients are falling within that skin classification and she is probably taking some risks as your education is telling you.

You are in the right and as long as your not the one applying the acid your license and insurance is safe.  But being able to work alongside her is another issue and that I wish you luck on. One thing I would maybe keep in mind is a GA (30 - 50% @ 1.0pH - 2.0pH and or TCA peel from (10 - 15% 1 - 2 coats) can be applied to Fitz 2,3, & 4 with little risk to the client.  Or I should say the odds of a complication happening and the severity of it are so low, your RN co-worker, is willing to take the risk where is you are not.

Either way your in the right and will always have a better sleep at night.

Tammy

Yes my sentiments exactly. I've always wanted my clients to feel like I care for them even after they leave the building. Especially when they've tried something for the first time. A follow up call the next day is always appreciated.

Just because you have the chemical doesn't give you the right to use it without proper training & consultation. I'm trying to educate my clients about what to expect from their treatment and what to look for out of the esty. Surprisingly, there are a lot that have never had a skin treatment and go into it blindly. Ending up in pain afterwards.

I welcome your ideas and comments. Thanks again!
I'm having trouble finding the reg but know nothing over 30% can be used except for Dermatologists. Also, no one other than a dermatologist can do peels that go beyond the upper most layer of the epidermis.

Here is what I found as far as Esty's go in the state board:
http://www.barbercosmo.ca.gov/laws_regs/art12.shtml#a992

#991/992
Or a pH of 3
Thank you for researching this.
Of course, I sent you a message as well with a link for medi spa regulation info.

Of course each state has there own laws and regulations regarding what the maximum level is.  I was really speaking in general terms. I have used GA up to 50% at 1.0 on Fitz 2, 3 and 4 so that is where the comment came from. But again, I just think in the situation of poster, the education and license were worth the time and money and following those first rules always work for my peel clients also.

But if you do read the link it surprises me as you can use TCA, GA and Jessner and still comply with those regulations.

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