444 Holland St W, Unit #2, Bradford ON · Nurse-practitioner-led · Open Saturdays · 647-333-6805
647-333-6805 Book a visit

For regulated health professionals in Ontario

Twelve questionsbefore you inject.

Work through these honestly. If you cannot answer one of them, that is the thing to resolve before you take another booking. None of it is difficult once it is written down, and most of it is only uncomfortable the first time.

  1. Registration

    Are you registered with the College of Nurses of Ontario, and in which class?

    RN, RPN and NP are three different registration classes with three different answers to what follows. Everything below depends on which one you hold.

  2. The controlled acts

    Do you know which controlled acts the treatment involves?

    Injecting a neuromodulator or a dermal filler involves two: administering a substance by injection, and performing a prescribed procedure below the dermis. Both, every time.

  3. Initiation

    Can you initiate those acts yourself?

    If you are an RN or an RPN, no. That is not a matter of experience or confidence. It is the structure of the legislation.

  4. Authorising mechanism

    What is your authorising mechanism, in writing?

    A direct order for a named client, or a directive. If you cannot produce the document, you do not have one.

  5. The authorised provider

    Who issued it, and are they still available to you?

    An NP or a physician. A directive from someone who has stopped answering the phone is a problem you want to find before an inspection does.

  6. Product class

    Do you know which of your products are drugs and which are devices?

    Neuromodulators are prescription drugs. Dermal fillers are Class III medical devices. The rules that follow differ, and most marketing gets this wrong.

  7. Competence

    Can you evidence your training for each specific procedure?

    A certificate records that you attended. Continuing competence is a separate, ongoing obligation and it is yours, not your trainer’s.

  8. Emergency preparedness

    Do you have a written complication protocol, and the means to act on it?

    The CNO Aesthetic Services guideline expects emergency response protocols. Ask yourself what you would do about a vascular occlusion at 6pm on a Friday.

  9. Consent

    Is your consent process documented, and separate from your booking?

    Consent to treatment is not the same as agreeing to an appointment, and photography for advertising is a further, separate consent.

  10. Advertising

    Would your advertising survive being read by your regulator?

    CNO bars nurses from comparative claims, superlatives, guarantees and client testimonials. Health Canada limits advertising a prescription drug to the public to name, price and quantity.

  11. Insurance

    Does your professional liability cover this scope, at this volume?

    Cover written for employed nursing practice may not extend to independent aesthetic work. Read the wording rather than assuming.

  12. Accountability

    Are you clear that the decision to proceed remains yours?

    An authorising mechanism gives you authority. It does not transfer your accountability for assessing whether this client, today, should be treated.

General information about Ontario regulatory requirements, condensed from our longer guides. Not legal or regulatory advice. Nurses remain accountable to the College of Nurses of Ontario for their own practice decisions. Last reviewed September 2, 2026.

The long versions, with sources: how to become a nurse injector in Ontario and the CNO aesthetic services guideline explained. If you would rather talk it through, call 647-333-6805.