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Can a registered nurse inject Botox or filler in Alabama?

Who treats · part of The Practice Perimeter

Short answer
The cited rules do not settle this — they only let a trained RN act as a Level 1 Delegate for non-ablative procedures using a device, energy source, chemical or modality named in a physician's written protocol, under supervision; injectables aren't named.

Alabama sorts the staff into two named tiers for energy-device work. a level 1 DELEGATE is a physician assistant, a certified registered nurse practitioner or a registered nurse authorized in a written job description or protocol to use a specific device for non-ablative procedures, who has met the Level 1 educational requirements. A LEVEL 2 DELEGATE is an LPN or a medical assistant — the rule names aestheticians, cosmetologists and laser technicians in that tier — on the same written-authorization and education conditions. Separately, a certified registered nurse practitioner in collaborative practice may evaluate health status from a comprehensive history and physical examination, formulate a working diagnosis and develop a treatment plan.

Drawn from 4 verified rules in this section · regulatory monitoring, not legal advice

Related Alabama rules

  • (5) Level 1 Delegate - A Level 1 Delegate is an assistant to physicians (PA) as defined in Ala. Code § 34-24-290, a certified registered nurse practitioner, or registered nurse (RN) authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 1 Delegate stated in these rules.

    Ala. Admin. Code r. 540-X-11-.02(5) (definition of “Level 1 Delegate”) · verified Sep 4, 2026

  • (6) Level 2 Delegate - A Level 2 Delegate is a licensed practicing nurse (LPN) or medical assistant to include Medical Examiners Chapter 540-X-11 Revised 3/16/26 11-3 aestheticians, cosmetologists, and laser technicians authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 2 Delegate as stated in these rules.

    Ala. Admin. Code r. 540-X-11-.02(6) (definition of “Level 2 Delegate”) · verified Sep 4, 2026

All 4 cited Alabama rules on rn / np scope for injectables →

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← All Alabama rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).