Hawaii scope of practice for med spas

RN / NP scope for injectables in Hawaii

THE NURSING ACT SECTIONS CITED HERE DESCRIBE EACH LEVEL OF NURSING AND GIVE THE ADVANCED PRACTICE REGISTERED NURSE A SCOPE OF ITS OWN. Registered nurse practice is the full scope of nursing guided by the chapter, the board’s rules, and board-recognized standards, and includes carrying out prescribed medical orders of a physician, an advanced practice registered nurse, or a supervised physician assistant; licensed practical nurse practice is a directed scope under the direction of a registered nurse, advanced practice registered nurse, physician, or other authorized provider. An advanced practice registered nurse’s scope includes advanced assessment, telehealth, and the diagnosis, prescription, selection, and administration of therapeutic measures including legend drugs and controlled substances within the nurse’s role and certification, supersedes the registered nurse scope, and, once the board grants prescriptive authority, includes prescribing and administering legend drugs and controlled substances and dispensing manufacturers’ prepackaged samples of over-the-counter and non-controlled legend drugs, never controlled-substance samples; only a board-licensed advanced practice registered nurse may use that title. A physician assistant’s supervising physician must review a set share of the physician assistant’s medical records within thirty days during the first year and audit a sample for at least thirty minutes each month thereafter. None of the sections cited here mentions injectables, neuromodulators, or fillers by name.

• Practice as an advanced practice registered nurse means the scope of nursing in a category approved by the board, regardless of compensation or personal profit, and includes the registered nurse scope of practice. The scope of an advanced practice registered nurse includes but is not limited to advanced assessment; telehealth; and the diagnosis, prescription, selection, and administration of therapeutic measures including over the counter drugs, legend drugs, and controlled substances within the advanced practice registered nurse's role and specialty-appropriate education and certification. (b) The advanced practice registered nurse's scope of practice supersedes the registered nurse's scope of practice.

  Haw. Rev. Stat. § 457-2.7(a)-(b) · verified Sep 8, 2026

• use of reasonable judgment in carrying out prescribed medical orders of a licensed dentist, physician, osteopathic physician, or podiatrist licensed in accordance with chapter 448, 453, or 463E; orders of an advanced practice registered nurse licensed in accordance with this chapter; or the orders of a physician assistant licensed pursuant to chapter 453, practicing with physician supervision as required by chapter 453, and acting as the agent of the supervising physician

  Haw. Rev. Stat. § 457-2 ("The practice of nursing as a registered nurse") · verified Sep 8, 2026

• Practice as a registered nurse means the full scope of nursing, regardless of compensation or personal profit, that incorporates caring for all clients in all settings and is guided by the scope of practice authorized by this chapter, the rules of the board, and nursing standards established or recognized by the board including but not limited to:

  Haw. Rev. Stat. § 457-2.5 · verified Sep 8, 2026

• Practice as a licensed practical nurse means the directed scope of nursing practice, regardless of compensation or personal profit, that takes place under the direction of a registered nurse, advanced practice registered nurse, licensed physician, or other health care provider authorized by the State,

  Haw. Rev. Stat. § 457-2.6 · verified Sep 8, 2026

• Only qualified advanced practice registered nurses authorized to diagnose, prescribe, and institute therapy or referrals of patients to health care agencies, health care providers, and community resources and, only as appropriate to the practice specialty in which the advanced practice registered nurse is qualified, may: (1) Prescribe and administer over the counter drugs, legend drugs, and controlled substances pursuant to this chapter and to chapter 329 and request, receive, and dispense manufacturers' prepackaged samples of over the counter drugs, and non-controlled legend drugs to patients under their care; provided that an advanced practice registered nurse shall not request, receive, or sign for professional controlled substance samples;

  Haw. Rev. Stat. § 457-8.6(c)(1) · verified Sep 8, 2026

• Only a person who has a current, unencumbered license from the board to practice as an advanced practice registered nurse shall use the title "Advanced Practice Registered Nurse" and the abbreviation "A.P.R.N.".

  Haw. Rev. Stat. § 457-8.5(d) · verified Sep 8, 2026

• When supervising a physician assistant with less than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall: (i) For the first six months of supervision, review fifty per cent of the medical records within thirty days of the patient visit; (ii) For the next six months of supervision, review twenty-five per cent of the medical records within thirty days of the patient visit; and

  Haw. Rev. Stat. § 453-5.3(g)(2)(A)(i)-(ii) · verified Sep 8, 2026

• When supervising a physician assistant with more than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall: (i) Establish a process for the regular review of a sample of medical records of patients seen by the physician assistant, including a sample of controlled substance records, if available; and (ii) For at least thirty minutes each month, perform an audit and review of the medical records; and

  Haw. Rev. Stat. § 453-5.3(g)(2)(B) · verified Sep 8, 2026

Recent Hawaii changes

• HI HB2456: Relating To Drugs For Weight Loss.Jan 28, 2026