Can a medical assistant give injections in Washington?
Oversight · part of The Practice Perimeter
Cosmetic INJECTIONS are a different rule with a different list of delegates: a physician may delegate a nonsurgical medical cosmetic procedure only to a properly trained physician assistant, registered nurse or licensed practical nurse. An unlicensed person is not on that list at any level of training.
Wash. Admin. Code 246-919-606(11) · verified Sep 2, 2026 · regulatory monitoring, not legal advice
Related Washington rules
Using a laser, noncoherent light, intense pulsed light, radiofrequency or plasma device that topically penetrates skin and alters human tissue — an “LLRP device”, and one the FDA classifies as a prescription device — is the practice of medicine under RCW 18.71.011. Washington settles the threshold question in the rule itself rather than leaving it to be argued.
Wash. Admin. Code 246-919-605(1) and (2) · verified Sep 2, 2026
⚠️ and any other energy device that penetrates tissue is surgery. Use of a medical device using any form of energy to penetrate or alter human tissue for a purpose other than the topical one defined above constitutes SURGERY and is outside this rule entirely — which means outside everything the rule permits a physician to delegate.
Wash. Admin. Code 246-919-605(3) · verified Sep 2, 2026
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Related Washington questions
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- What must the supervising physician actually do in Washington?
- Who may operate a cosmetic laser in Washington?
- May an esthetician or laser technician perform microneedling in Washington?
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← All Washington 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).