Position Statements


Position Statement on Certification

The International Society of Plastic and Aesthetic Nurses supports and encourages the attainment and maintenance of specialty nursing certification specific to plastic surgical nursing and aesthetic nursing.

To abet this goal, the Plastic Surgical Nursing Certification Board (PSNCB) collaborates with the Center for Nursing Education and Testing (C-NET) in the development, administration, and evaluation of two certification exams. The Certified Plastic Surgical Nurse (CPSN) exam and the Certified Aesthetic Nurse Specialist (CANS) exam are offered to registered nurses meeting the stringent criterion for certification.
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Position Statement on Conflict of Interest

The International Society of Plastic and Aesthetic Nurses (ISPAN) believes that a conflict of interest policy is needed to support the development of a framework to facilitate collaboration, safeguard professional integrity and to establish public acceptability and trust among patients, their organizations and the general public. A conflict of interest policy includes 1) the disclosure of financial relationships 2) the prohibition of certain relationships 3) the management of potential conflict of interest that are identified.
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Position Statement on Evidence Based Practice

The International Society of Plastic and Aesthetic Nurses (ISPAN) supports the development and implementation of evidence-based practice (EBP). The ISPAN defines EBP as “a scholarly and systematic problem-solving paradigm that results in delivery of high-quality health care” (Spear, M., et al, 2015). EBP blends research findings with practice generated data, clinical expertise and health care consumer values and preferences to achieve the best outcomes.
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Position Statement on Groupon

The International Society of Plastic and Aesthetic Nurses does not support the use and/or propagation of consumer discount sites including, but not limited to, Groupon, Living Social, and Daily Deals, in order to entice prospective patients for non-surgical aesthetic procedures and plastic surgical procedures.
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Position Statement on Indoor Tanning

The International Society of Plastic and Aesthetic Nurses advocates discouraging the practice of indoor tanning and promotes the development of legislation banning indoor tanning. There is a link between ultraviolet radiation (UVR) exposure and skin cancer (Lushniak, 2014); the majority of skin cancer cases can be prevented if UVR exposure is minimized (Mays & Kraemer, 2015). Skin cancer has been identified as the most common malignant disease in the United States (Mays & Kraemer, 2015). It affects patients and their families physically, psychologically, and financially. Its impact is also felt on a national level, with treatment costs greater than $8 billion (Lushniak, 2014). In 2014, the Surgeon General cited the increasing rates of skin cancer as “a serious public health concern we cannot ignore” (Lushniak, 2014, p. v).
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Position Statement on Informed Consent

The International Society of Plastic and Aesthetic Nurses recognizes the importance of protecting the legal rights of patients and maintaining the ethics of healthcare through the practice of informed consent. Informed Consent is "a process by which a patient or participant voluntarily confirms his or her willingness for a proposed medical treatment or non-treatment after having been informed of all aspects of the plan that are relevant to the participant's decision to participate” (Institutional Review Board (IRB), 2016).
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Position Statement on Injectables

The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that nurses of different professional and educational backgrounds are frequently providing cosmetic injection services that include neuromodulators and dermal fillers. The nurse may perform cosmetic injectable procedures in private clinics or academic settings.
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Position Statement on Laser Position

The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that nurses of different professional and educational backgrounds are frequently providing cosmetic services that include non-ablative laser and light (IPL) based procedures. The nurse may perform non-ablative laser and light (IPL) based procedures in private clinics or academic settings.
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Position Statement on Sunscreen

The International Society of Plastic and Aesthetic Nurses supports the practice of lifelong sun protection. Excessive solar ultraviolet light exposure is associated with premature aging of the skin, and sub-optimal cutaneous healing. Of greatest impact is the correlation between solar ultraviolet light exposure and skin cancer. Because skin cancer ranks as the most common type of cancer within the United States, the message of sun protection is strongly advocated by this organization.
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Position Statement on Tobacco

The International Society of Plastic and Aesthetic Nurses (ISPAN) advocates discouraging the use of all tobacco products and supports evidence-based smoking cessation programs. In a chapter of the American Society of Plastic Surgeons Patient Consultation Resource Book, Dr. Mark Jewel (2000) states, “Virtually all organ systems including the unborn are affected by exposure to tobacco. Within the specialty of surgery, smoking can dramatically influence the goal of uncomplicated wound healing.” (p. 1) Smokeless tobacco also causes cancer of the mouth, esophagus, and pancreases and is associated with diseases of the mouth. Because tobacco use accounts for 30% of all cancer deaths annually and can dramatically influence wound healing in surgical patients, the ISPAN advocates discouraging the use of all tobacco products and supports evidence-based smoking cessation programs.
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Jewel, M. (2000). Smoking and Plastic Surgery. Mark L. Jewell, MD, ASPS Patient Consultation Resource Book (1-4).


If there are any comments or questions regarding the ISPAN Position Statements, please send a detailed message to admin@ispan.org. In your email, please include the title of the Position Statement, any comments you may have, and the best way to contact you. We appreciate your feedback!