South Carolina scope of practice for med spas

RN / NP scope for injectables in South Carolina

An advanced practice registered nurse in South Carolina may perform specified medical acts only pursuant to a written PRACTICE AGREEMENT with a physician or medical staff — the agreement must establish the medical aspects of care to be provided, including prescribing, and must contain mechanisms letting the physician ensure clinical quality and patient safety. The medical acts a nurse may perform are agreed jointly by the Board of Nursing and the Board of Medical Examiners.

• A practice agreement means a written agreement developed by an NP, CNM, or CNS and a physician or medical staff who agrees to work with and to support the NP, CNM, or CNS. The practice agreement must establish the medical aspects of care to be provided by the NP, CNM, or CNS, including the prescribing of medications. The practice agreement must contain mechanisms that allow the physician to ensure that quality of clinical care and patient safety is maintained in accordance with state and federal laws, as well as all applicable Board of Nursing and Board of Medical Examiners rules and regulations.

  S.C. Code §40-33-20(45) (“Practice agreement” defined) · verified Sep 3, 2026

• An APRN also may perform specified medical acts pursuant to a practice agreement as defined in item (45).

  S.C. Code §40-33-20 (advanced practice registered nurse) · verified Sep 3, 2026

• Agreed to jointly means the agreement by the Board of Nursing and Board of Medical Examiners on medical acts that nurses perform and that must be defined in a practice agreement.

  S.C. Code §40-33-20(6) · verified Sep 3, 2026

• The supervising physician is responsible for all aspects of the PA's practice, must identify the PA's scope of practice and determine the delegation of medical acts, tasks, or functions, which must be defined in written scope of practice guidelines; and, pursuant to those guidelines, a physician assistant may practice in a public place, a private place, or a facility where the supervising physician regularly sees patients, make house calls, perform hospital duties, perform telemedicine, and perform any functions performed by the supervising physician if the PA is also qualified to perform those functions.

  S.C. Code §40-47-955(A)–(B) · verified Sep 8, 2026

Recent South Carolina changes

• SC S0046: Healthcare contractsJan 14, 2025
• SC H4084: Dental administration of neuromodulatorsMar 7, 2023