Can a registered nurse inject Botox or filler in Texas?
Who treats · part of The Practice Perimeter
Short answer
Yes — an RN who is not an APRN may inject Botox or filler as a delegated act, but not diagnose or prescribe, and only with an order from an appropriately licensed practitioner, documented competency, written policies, and medical and nursing support available.
A registered nurse who is not an APRN (and an LVN) may not perform medical diagnosis or prescribe, but may carry out a delegated medical act — such as administering a cosmetic injection ordered by an appropriately licensed practitioner — when the Board of Nursing’s criteria are met: documented competency/education, written policies and guidelines, an order from an appropriate licensed practitioner, and available medical and nursing support.
Tex. BON Position Statement 15.11 · verified Jul 26, 2026 · regulatory monitoring, not legal advice
Related Texas rules
For laser therapy performed by RNs or LVNs, the Board of Nursing directs nurses to the Texas Medical Board’s delegation rule for nonsurgical cosmetic procedures and to the Health & Safety Code’s laser provisions.
Tex. BON Position Statement 15.9 · verified Jul 26, 2026
The APRN acts independently, under the delegated authority of a physician and/or in collaboration with other health care professionals in the delivery of health care services, and APRNs utilize mechanisms, including protocols, prescriptive authority agreements, or other written authorization, that provide them with the authority to provide medical aspects of care, including the ordering of dangerous drugs, controlled substances, or devices that bear a federal prescription legend.
Texas BON Position Statement 15.18 (Nurses Carrying out Orders from Advanced Practice Registered Nurses) · verified Sep 8, 2026
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Related Texas questions
- Can a nurse practitioner treat without a supervising physician in Texas?
- Can a physician assistant inject or prescribe in Texas?
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