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CERTIFIED COSMETIC NURSE INJECTOR CCNI COMPETENCIES 

KNOWLEDGE-BASED PRACTICE: THEORY AND APPLICATION 

Nurses engaged in the specialty of cosmetic nursing in Canada collaborate on, develop, promote and facilitate best practices for client-centred health. Further enhancing their nursing knowledge base, Certified Cosmetic Nurse injectors integrate a specialized body of knowledge in cosmetic nursing and medical aesthetics of the face and skin health into their daily practice. 

THEORY 

Competent Certified Cosmetic Nurse Injector CCNI 

1. Have knowledge of anatomy and physiology, and pathophysiology of the face. 

2. Have knowledge of terminology specific to cosmetic nursing and medical aesthetics. 

3. Identify the components of a comprehensive facial assessment, health history, and inform consent 

4. Understand the implications of the aging process as it relates to wrinkle formation. The concept of aging: descent, deterioration and deflation, differences between male and female facial structures, detailed facial anatomy to include skeletal, muscular, vascular, and nerves, identifying surface landmarks. Identifying structures to avoid and to prevent complications, clients for body dysmorphic disorder, recognizing when not to treat, and when to refer for appropriate counseling and treatment.

5. Have knowledge of various dermal Fillers products, their uses, various Botulinum Toxin A, dilutions, contraindication, their effects, and know how to prevent and treat adverse events related these products.  

6.  Have knowledge of documentation required for cosmetic nursing, including, but not limited to client consent, care plan, charting, policies and procedures, auditing, and privacy legislation. 

7. Explain the principles of infection prevention and control as they relate to cosmetic nursing practice, instruments and equipment. 

8.  Have knowledge of the safe use of products, care and maintenance of supplies, tools and equipment used for cosmetic nurse injecting and or medical aesthetics. 

9.  Understand the principles of personal and public safety in relation to the management of 

APPLICATION 

Competent Certified Cosmetic Nurse Injectors  CCNI

10. Identify and review different scopes of practice as per their respective nursing bodies including College of Nurses, the Registered Nurses, Registered Practical Nurses, Licensed Practical Nurses, and Nurse practitioners with respect to providing cosmetic injectables to clients.

11.  Perform client-centered assessments prior to performing treatment, including but not limited to health history, psycho social, physical, client knowledge, and environment 

12. Identify concept of aging, descent, deterioration and deflation, differences between male and female facial structures, detailed facial anatomy to include skeletal, muscular, vascular and nerves, identifying surface landmarks, identifying structures to avoid to prevent complications, outline assessment strategies, assessing clients for body dysmorphic disorder, recognizing when not to treat, and when to refer for appropriate counseling

13.  Identify pertinent anatomy of the face, including facial muscles, arteries, veins, spaces, nerves, tendons,  ligament and fat compartments.

14. Explain the component of a patient consultation, utilizing documentation required for participants including  consent, medical directive requisitions, treatment records and working within scope of practice when providing Botulinum Toxins A and dermal filler treatments.

15. Perform assessment and evaluation strategies including; medical history and physical assessment, treatment goals and expectations treatment options and alternatives.

16. Develop treatment plans including; photography, knowledge indications and contraindications of products, knowledge of adverse events and how to avoid them.

17. Know the different types of Botulinum Toxins A neurotoxins, proper dosing, dilutions, guidelines on how reconstitute, and how to store the Botulinum Toxins as per manufacturer’s guidelines

18. Assess the face for correctable rhytids including: Glabellar lines crow’sfeet, forehead lines, bunny lines, gummy smile and masseter.

19. Demonstrate injecting techniques including how to assess the face using accepted treatment technique such as mapping of anatomical muscle, land marking sites, and muscle depths.

20. Know management and treatment of adverse reactions including ptosis, vascular occlusion, and injection related complications of Botulinum Toxin A neurotoxins such as Ptosis.

21. Know potential contraindication and complications of the Botulinum Toxin A treatment and how to deal with adverse patient outcome.

22. Discuss proper documentation,and malpractice issues that may arise when injecting Botulinum Toxins A and HA Dermal Filler. 

23. Discuss Canadian Advertising standards, rules and business liability insurance

24. maintain health records in a secure and confidential manner, and in accordance with privacy requirements.

25. establish and annually review/revise policy and procedure documents to reflect current best practice guidelines. 

26.  obtain documented client consent for all cosmetic nursing medical aesthetic care plans and treatments

27. Identify practice management, the principle of personal and public safety in relation to injecting in light of a pandemic, and how to management of sharps used in cosmetic injectables.

28. Identify the concept of aging: descent, deterioration and deflation, differences between male and female facial structures, detailed facial anatomy to include skeletal, muscular, vascular, and nerves, identifying surface.

29. Identifying structures to avoid and to prevent complications, recognizing when not to treat, and when to refer for appropriate counseling.

30. Identify pertinent anatomy of the face including; facial muscles, arteries, veins, nerves, fat compartment, spaces, tendons, ligaments, and fat pads. Assessment and evaluation strategies including medical history and physical assessment, treatment goals and expectations, treatment options and alternatives, developing treatment plans.

31. Explain the component of a patient consultation, client expectation, photography, documentation required including; consents, medical directive requisitions, treatment records and working within scope of practice when providing Hyaluronic acids - HA filler treatments.

32.   Know indications, classification, effects, and contraindication of the different type of Hyaluronic Acid Fillers, G-prime, Cross linking, and None HA fillers including how to use, store the dermal fillers as per guidelines .

33. Demonstrate correct injection methods and techniques when injecting Botulinum Toxin A and Hyaluronic Acid -HA  dermal fillers.

34. Know potential contraindications and complications of HA dermal filler treatment and how to deal with adverse patient outcome, knowledge of adverse events and how to avoid them, management and treatment of adverse reactions including ptosis, vascular occlusion, and injection related complications.

35. Demonstrate infection prevention when injecting HA dermal fillers.

36. Describe the principle of personal and public safety in relation to management of sharps used in cosmetic injectables.

37. Discuss practice management, professional behavior, and malpractice issues.

38.  Discuss importance of mentorship support in the cosmetic injecting or medical aesthetic to new injectors after completing a Botulinum Toxin A and Dermal Filler training.

39. Use terminology specific to cosmetic nursing or medical aesthetics nursing are in all documentation.

40. Complete all documentation related to cosmetic nursing or medical aesthetics in accordance with legal, ethical and professional requirements. 

41. Adhere to best practices for cleaning, disinfection and sterilization of instruments and the workplace environment. 

42.  Utilize Personal Protective Equipment (PPE) to prevent the transmission and spread of infection 

43. Identify infection prevention and control best practices.

44. have knowledge of local community resources and practitioners available to support Cosmetic Nurse Injectors and their clients.

45. Understand communication planning, teamwork and analytical skills required for establishing and managing nursing medical aesthetic business, service and/or program.

46. Maintain awareness of regulatory standards for nurses in self-employment/business in each jurisdiction where the business operates.

47. Maintain awareness of federal, provincial, territorial and municipal legislation and requirements for operating a medical aesthetic business.

48. Maintain awareness of, and contribute to, employer and facility policies and procedures related to cosmetic nursing or medical aesthetic practice.

49. Have knowledge of basic ergonomic principles and workplace policies in the provision of cosmetic nursing care.

ADVOCACY

Certified Cosmetic Nurse Injectors Nurses seek to advance the practice of cosmetic nurse injector care and to make cosmetic nurse injector services accessible to all Canadians. They use their influence to support clients in advancing their health and to advocate for evidence-informed practice.

Competent Certified Cosmetic Nurse Injector Nurses:

50. Educate clients with regard to expectations, required credentials and competencies of cosmetic nurse injector services.

51. Advocate for resources to improve the quality of, and access to, cosmetic nurse injectors performing medical aesthetic treatment in Canada.

52.  Educate the public, government and stakeholders about the specialty of certified cosmetic nurse injectors in medical aesthetics.

53. Enhance the evidence base of the specialty by contributing to and/or participating in cosmetic nurse injector’s research.

54. Represent the profession of cosmetic nurse injectors to various levels of government and health authorities.

55. Provide mentor ship and support opportunities for new cosmetic nurse injectors, and colleagues.

56. Participate in professional development activities, such as attending local, provincial and national group meetings and events in cosmetic nursing or medical aesthetics.