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carron1

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Oct 11, 2009
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Hi,i am currently looking to expand my monthly clinics.I am fully and professionally qualified in Aesthetics-Botox,Dermal Fillers,Chemical Peels,Lip augmentaion and Laser teeh Whitening (voted N0.1,as seen on GMTV and This Morning!)
I currently have two buisness one called Mobile-Rejuvenate and the other Confident Smile. I have two websites, Teeth whitening kits and treatments and www.mobile-rejuvenate.co.uk,the latter webpage is under reconstruction at the moment and i am hoping it will be finished and up and running by the end of this month.
By offering my professional services in your clinic on a monthly basis to start with, i can offer you 15% of my earnings and attracting new customers to your salon! The minimum cost of my treatments is £200,all i ask of you is a room and to market to your customers my services.
I very much look forward to your reply,many thanks in advance.
 
Hi Carron

after our conversations I am a little suprised - how are you doing botox treatments? (in terms of remote prescribing being against NMC guidelines and you not having your NIP qualification) - are you prepared to risk your registration? I am curious X
 
Hiya,i telephoned NMC (Nursing,Midwiffery Council- set rules and regulatory body for nurses etc)direct and they told me the information you gave was totally incorrect! I have been a qualified nurse for over 15 years and wouldn't jeopardise my qualification.They told me affirmly,that Remote prescribing IS NOT against NMC guidelines at all.Which is quite logic to be honest,like i discussed with you.You are telling me a Qualified Doctors will jeopardise having their licence to practice taken away by prescribing on behalf of nurses??I would strongly recomend that you telephone NMC yourself.I wasted a full week worrying over the fact that i was doing something against my registration (i.e. relying on a qualified doctor, specialising in Aesthetics to prescribe for my patients the product's needed-Remote prescribing)only to be told by NMC themselves that i am in fact doing the correct thing... The NMC themselves said there are unfortunately alot of scaremongers out there frightenend of the competition.
 
who did you speak to? Can you give me the name of the person giving you this information? Look online - it is there in black and white. There have been many, many articles regarding this. I have an email directly from the NMC.

NMC quote -

"remote prescriptions/directions to administer should only be used in exceptional circumstances AND NOT AS A ROUTINE MEANS TO ADMINISTER INJECTABLE COSMETIC MEDICINAL PRODUCTS. If a nurse chooses to ignore its guidance then it can only be concluded that s/he is not fit to practice and s/he will be removed from the NMC register"

Pretty straightforward. This is now guidance known to all aesthetic practitioners across the country. You owe it to your profession to protect the public - you are working outside of NMC guidelines. Believe me - I have been in this industry long enough to know that the advice I have given you is current and up to date. I CANNOT accept this advice has been given directly to you from the NMC - no way !

Need to add - We are talking about remote prescribing FOR COSMETIC INJECTABLES here - not remote prescribing in general (big difference - just to clarify - as your post seemed to omit this)
 
to add further -

again NMC statement clearly visible on their website -

issued November 2009 Advice regarding Injectable cosmetic treatments -

"if these medicinal products are administered from a remote prescription, this would be counter to standard 11 of standards for medicines management".

Now you may not like it - I am only being professional and offering the correct advice for the safety of all concerned. Not scaremongering in any way - I am concerned with safe practice in accordance with NMC guidelines - I suggest you do the same!
 
Firstly,thankyou for your reply, valid points and concerns you have raised. Secondly,be professional and please do not imply i am lying Re:the advice that was given to me directly from NMC!Has you rightly point out if remote prescribing is used occasionally and not routinely then yes this is adhering to the guideline.I am a professional and do care about my profession,additionally the utmost importance here is the safety of my clients in which you rightly point out. Lets be clear here,for people reading this post that we are discussing Remote prescribing(i.e a Doctor issuing clients on my behalf a prescription for Botox specifically, after a telephone consultaion with the client)and NOT discussing competency of administering.I am not a nurse prescriber and to this end will be studying on the course this year.That way,i won't have the need to rely on the remote prescribing service (as it is a grey area and needs more clarity) and be accused of improper practice and comprimising the safety of my clients which is not true anyway if the remote prescribing service is used ocassionaly. I am quite offended to the remarks you made....i am very passionate towards my profession and most importantly i am in no way comprimising my clients safety in the administering of Botox.I am educated and fully competent. NMC who produce these guidelines are very helpful on the number of occasions i have telephoned them regarding this matter and assure me that what am i doing is ADHERING to the guidelines.I would highly recomend you call them,they will elaborate on the valid points you have raised,the guy i have spoken to on many occasions is called Mark.He read out and interpretated the guidlines for me on the telephone. Regards
 
Carron

Lets clear things up once and for all -

Firstly, I am most certainly not scaremongering.

Secondly, I did not give you totally incorrect information to scaremonger or reduce competition as you implied! Even to use remote prescribing occasionaly for botox is not a defense. Read the above post, go onto the NMC webpage. Do your prescribing course - do not offer remotes until you have the qualification.

The advice I offered you some time ago was purely to help you - for your benefit! To come back at me as you did was very offensive. I could sit back and allow you to carry on in blissful ignorance and loose your registration - that would be better for me in terms of competition!

I did not accuse you of lying - the info you have been given is not credible from the NMC. I do not make the rules - it is not personal.

Good luck in your course. You will benefit hugely - you will then see the need to be a prescriber in order to offer botox SAFELY!
 
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Like you correctly point out NMC make the rules not i or you.Additionally,if you re-read my post you will see i haven't accused you of scaremonger and have in no uncertain way been offensive to you.I have just purely reiterated what NMC themselves told me,which is very credible as it is them who produce the guidelines,Has for blissful ignorance and a chance to loose my registration as you say won't happen, because i am adhering to NMC guidelines as can be confirmed by NMC themselves.They are the people that matter here.I thankyou for you concerns and advice and i don't need to defend myself if remote prescribing is used occasionally because as NMC assertain this is adhering to the guideline. Like you rightly point out this discussion IS NOT PERSONAL,it is not i or you that make the rules.All the best...
 
Like you correctly point out NMC make the rules not i or you.Additionally,if you re-read my post you will see i haven't accused you of scaremonger and have in no uncertain way been offensive to you.I have just purely reiterated what NMC themselves told me,which is very credible as it is them who produce the guidelines,Has for blissful ignorance and a chance to loose my registration as you say won't happen, because i am adhering to NMC guidelines as can be confirmed by NMC themselves.They are the people that matter here.I thankyou for you concerns and advice and i don't need to defend myself if remote prescribing is used occasionally because as NMC assertain this is adhering to the guideline. Like you rightly point out this discussion IS NOT PERSONAL,it is not i or you that make the rules.All the best...

Carron

BUT YOU ARE NOT!

Please, please go by what is in black and white on the NMC website (not sure how to paste the link) but it is crystal clear.

In regards to remote prescribing for botox - you are NOT adhering to NMC guidelines if you continue to administer botox under remote prescription (occasionally or not) in the event of an adverse reaction you WILL loose your registration if done in this way. GO BY WHAT IS THERE IN WRITING - I say this for your own protection. Whether you choose to ignore that is up to you.

I also say to the general public - DO NOT HAVE BOTOX PROCEDURES FROM ANY PROFESSIONAL WHO IS NOT QUALIFIED TO PRESCRIBE .
 
In reply to the above please copy and paste the information whereby it states nurses who arn't prescriber's can't administer BOTOX safely and competently...!!! The reason you can't do it is purely because it doesn't say that! Not being in a position to be able to prescribe Botox doesn't make any nurse incompetent and unsafe,so the statement you have made is silly...



YOUR STATEMENT IS YOUR OPINION AND YOUR OPINION ALONE

SO WHAT IS IT YOU ARE SAYING? BECAUSE YOU CAN PRESCRIBE THAT MAKES YOU MORE COMPETENT THAN ME OR ANY OTHER PROFESSIONAL TO PERFORM THE PROCEDURE?
Personally i'd rather have my Botox prescribed by a doctor and administerd by a fully qualified competent nurse in a safe manner as is what numerous well established clinics do anyway.This way you get not one but two consultations ensuring maximum safety.

If you are so sure that the information you are giving is correct then please private message me your full name and contact number,i have spoken AGAIN to NMC and they very much would like to speak to you,because there are numerous flaws in your comments.

I have wasted enough time on here,so we will agree to disagreee...
 
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In reply to the above please copy and paste the information whereby it states nurses who arn't prescriber's can't administer BOTOX safely and competently...!!! The reason you can't do it is purely because it doesn't say that! Not being in a position to be able to prescribe Botox doesn't make any nurse incompetent and unsafe,so the statement you have made is silly...



YOUR STATEMENT IS YOUR OPINION AND YOUR OPINION ALONE

SO WHAT IS IT YOU ARE SAYING? BECAUSE YOU CAN PRESCRIBE THAT MAKES YOU MORE COMPETENT THAN ME OR ANY OTHER PROFESSIONAL TO PERFORM THE PROCEDURE?
Personally i'd rather have my Botox prescribed by a doctor and administerd by a fully qualified competent nurse in a safe manner as is what numerous well established clinics do anyway.This way you get not one but two consultations ensuring maximum safety.

If you are so sure that the information you are giving is correct then please private message me your full name and contact number,i have spoken AGAIN to NMC and they very much would like to speak to you,because there are numerous flaws in your comments.

I have wasted enough time on here,so we will agree to disagreee...

I am not talking about administering botox - I am talking about administering botox from a remote prescription! Which is categorically outside of NMC guidelines -Can you not see the difference.

go to the NMC website - search for guidelines re remote prescribing for COSMETIC INJECTABLES.

All you have to do is do a web search and the guidelines are there in black & white!

Contact Mai Bentley (advisory panel on NMC regarding aesthetic injectable procedures). Will PM you her no. Were you not at the recent RCN conference for aesthetic medicine - the NMC were - they made the situation crystal clear. You can also look through the minutes from that conference. Also the many, many articles regarding this highlighting the position of the NMC, which came into effect June 2009, in numerous aesthetic medicine journals. There is an article about this in this months Cosmetic News, reiterating all I have said to you - in black and white! If you choose to be so dismissive - thats up to you. I too have wasted far to much of my time, actually trying to be helpful - if you recal I even invited you to spend some time at my medispa to help you all I could! (afraid of competition - I think not).

(For the record, I do not have to make this up - all you/or anyone reading this has to do is google search - all the relevant articles are there)!

I will contact the NMC though and will forward this correspondence onto them, including your comments. I too am sure they will be very interested.
 
Just spoken to Amy Campbell at NMC - she advised me to refer you to standard 11 of the Medicines Act (which I believe I did so in an above post). YOU ARE NOT WORKING WITHIN NMC GUIDELINES IF YOU ADMINISTER BOTOX FROM A REMOTE PRESCRIPTION! She couldn't have been clearer. She actually finished with - "its a definite no-no"!

I rang them just to completely clarify for myself based on your comments - particularly as they were keen to speak with me! She even stated that the NMC would NEVER give the advice you stated! Strange! They were interested in your comments - so have forwarded.
 
This really seems to be an argument between the two of you and as such should be done by Private Message or off site.
 
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