Recent BCCNM discipline notices have addressed medical-aesthetic nursing without required on-site support, while CPSBC enforcement records show the consequences of unlicensed injecting.
Cosmetic injections may look routine on social media, but they are still medical procedures. That matters whether you are booking botox, dermal filler, a skin booster, or another injectable treatment.
I want to be clear from the start: there are excellent RNs and LPNs providing cosmetic injections throughout BC. Many invest extensively in additional education, understand facial anatomy and complication management, and take patient safety seriously. Their expertise needs to be supported by the right clinical structure.
In BC, a nurse injector cannot rely on a distant name attached to the clinic and call that medical oversight. For injectable medical-aesthetic procedures, the BC College of Nurses and Midwives (BCCNM) requires additional education and a valid client-specific order. The ordering health professional, or another health professional who has assumed responsibility for the care of the client, must also be present in the facility during the procedure and immediately available for consultation.
I am increasingly concerned about clinics relying on what I informally call a “paper medical director”: a health professional whose name is associated with the business without meaningful, on-site involvement in each patient’s care.
Why I am concerned right now
Recent public records show why these safeguards matter. In January 2026, BCCNM publicly reprimanded Langley LPN Narmin Khairadast after a consent agreement concerning medical-aesthetic services provided without an authorized health professional on site and immediately available. In December 2024, BCCNM ordered a five-month suspension for Coquitlam LPN Roshanak Rahi; the public notice records findings involving cosmetic injectables without the ordering professional immediately available and conditions restricting work in medical-aesthetic/Botox facilities. The College of Physicians and Surgeons of BC also reported that Maria Ezzati, an unlicensed practitioner, was sentenced to six months in prison for contempt after admitting to injecting botox and dermal fillers while under an injunction.
These cases are not all the same. Some involve regulated nurses who failed to meet professional standards, while another involved an unlicensed person injecting despite a court order. What they share is the absence of safeguards patients should be able to rely on. That is why I want you to ask who assessed you, who authorized your specific treatment, and who will be physically present if something goes wrong.
Related Reading: What Training Should My Cosmetic Injector Have?
Ask who assessed you and issued your client-specific order
A client-specific order is an instruction or authorization for care for one specific patient. It is not a blanket standing order, a generic clinic protocol, a signature copied across a list of clients, or a quick approval from someone who does not know what is being proposed.
BCCNM’s RN and LPN standards require the order to be client-specific, clear, complete, documented, dated, signed, and detailed enough for the nurse to carry it out safely. The nurse must also assess whether your condition still supports proceeding before acting on that order.
For physician-issued orders, the CPSBC injection standard requires the physician to assess the patient before ordering a BCCNM registrant to perform the procedure. The ordering physician, or another physician who has assumed responsibility for the patient, must be present in the facility and immediately available during the procedure.
In plain language, the person accepting responsibility should know who you are, understand what is being recommended, and be close enough to help in real time. A name on a chart does not create that relationship.
The person giving the order must be qualified for that treatment
BCCNM’s general order standards list several regulated professionals who may be authorized to give client-specific orders. For cosmetic injections, the important qualifier is that the person giving the order must also be authorized and competent to assess, order, or perform that particular treatment under their own profession’s rules.
For example, a Naturopathic Physician in BC needs appropriate training and competence for cosmetic injections. Current College of Complementary Health Professionals of BC guidance also requires current advanced life-support certification for procedures that penetrate the dermis and prescriptive-authority certification where prescription drugs are involved.
Related Reading: How to Find a Safe, Skilled Injector
The responsible health professional needs to be on site
Most cosmetic injection appointments are straightforward. That does not remove the need to prepare for the appointment that is not.
Neuromodulators and dermal fillers can cause unintended outcomes. Allergic reactions and other urgent issues can occur, and filler complications can require prompt recognition and escalation. These situations call for appropriate supplies, a clear response plan, and clinical support that is available now, not later by text, phone, or video call.
BCCNM requires nurses to ensure resources are available to safely manage complications or unintended outcomes. The presence requirement gives the nurse immediate access to the ordering or responsible health professional when a decision, reassessment, prescription, or escalation is needed.
This protects the patient and supports the nurse. A serious complication should never leave one provider trying to reach a distant medical director who does not know the patient.
Complication readiness: ask what emergency supplies and protocols are available
Related Reading: Cosmetic Injector Red Flags
Seven questions I would ask before booking cosmetic injections with a nurse
You do not need to interrogate your injector or arrive with a copy of the regulations. A reputable clinic should be comfortable answering a few direct questions:
- Are you currently registered with BCCNM as an RN or LPN?
- What additional education have you completed for the treatment I am considering?
- Who assessed me and issued my client-specific order?
- Is that health professional authorized and competent to order this specific treatment?
- Will the ordering or responsible health professional be in the facility during my treatment?
- What emergency medications, supplies, and protocols are available on site?
- Who do I contact if I have a complication or unexpected result after I leave?
You can also verify a nurse’s registration through the BCCNM public registry. If the clinic is vague about who is responsible, tells you the medical director is available only by phone, or makes your questions feel inconvenient, pause before proceeding.
Price matters, but it should not be the deciding factor. Proper products, ongoing training, medical oversight, consultation time, follow-up, and emergency readiness all cost money. An unusually low price is worth a closer look at what may be missing.
Related Reading: Cosmetic Injection FAQs
What responsible medical oversight should look and feel like
A safe appointment should feel calm, clear, and unhurried. You should have time to discuss your health history, medications, prior treatments, goals, and concerns. Your provider should explain the recommended product, realistic results, common side effects, meaningful risks, alternatives, and what would make them say no or recommend waiting.
You should also know who is responsible for your care. If a nurse is performing the injections, it should be easy to understand who provided the client-specific order and who is present to support the procedure.
Good care depends on training, scope, assessment, informed consent, preparation, honest clinical judgment, and a responsible health professional who is actually present when needed.
How I approach cosmetic injections in Kamloops, Kelowna, and Sicamous
I have provided injection-based therapies since 2013 and began formal cosmetic injection training in 2020, with ongoing advanced training in neuromodulators, dermal fillers, biostimulators, facial anatomy, and injectable safety. I offer complimentary consultations because I want you to have space to ask questions before deciding whether treatment is right for you.
Sometimes that conversation leads to botox, filler, Sculptra, or a skin booster. Sometimes it leads to a different plan, a later appointment, or no treatment at all. Every one of those can be a good outcome when the decision is informed and centred on your best interest.
If you are looking for cosmetic injections in Kamloops, Kelowna, or Sicamous, you are welcome to book a complimentary consultation with me. We will talk through what you are noticing, what you want to preserve, what treatment may or may not help, and how to move forward safely.
Book Your Cosmetic Injection Consultation
Related Reading: The Beginner’s Guide to Botox
