Position Statements

Position Statement on Certification
The International Society of Plastic and Aesthetic Nurses (ISPAN)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 COVID-19
The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that risk for infection is a concern for all healthcare providers, including those in the aesthetic industry (Hotta, 2018). There is currently an outbreak of coronavirus disease-2019 (COVID-19) that has been classified as a global “pandemic” by the World Health Organization (American Nurses Association (ANA), 2020; Centers for Disease Control (CDC), 2020a; Ghebreyesus, 2020). The “key goals for the U.S. healthcare system” when responding to this crisis include reducing mortality and morbidity, minimizing transmission of the disease, protecting healthcare providers, and preserving the functioning of the healthcare system (CDC, 2020a). In order to achieve these goals, plastic and aesthetic nurses must review current evidence and consider how they must adjust their practices to prevent the spread of COVID-19 in the community (ANA, 2020; CDC, 2020a).
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Position Statement on COVID-19 Resumption Of Practice
The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that risk for infection is a concern for all healthcare providers, including those in the aesthetic industry (Hotta, 2018). There is currently an outbreak of coronavirus disease-2019 (COVID-19) that has been classified as a global “pandemic” by the World Health Organization (American Nurses Association (ANA), 2020; Centers for Disease Control (CDC), 2020c; Ghebreyesus, 2020). This pandemic has necessitated many adjustments to plastic and aesthetic nursing practices; in some instances, this has meant a complete halt to direct patient care in order to minimize the transmission of disease and reduce mortality and morbidity (ISPAN, 2020). As plastic and aesthetic nurses continue to consider the “key goals for the U.S. healthcare system” throughout this pandemic, they must review current evidence and consider how they will adjust their practices to mitigate the spread of COVID-19 in the community while also preserving the functioning of the healthcare system (ANA, 2020; CDC, 2020c).
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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 (ISPAN) 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 (ISPAN) 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 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 (ISPAN) 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 Injectables Party Statement
The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that registered nurses (RNs) with specific training frequently administer aesthetic medical injectables that include neuromodulators and dermal fillers (Jones et al., 2018). These cosmetic injectable procedures may be performed in in private clinics or academic settings (ISPAN, 2020). The number of procedures and treatments that are appropriate for administration “outside the hospital setting” is increasing, and this is resulting in changes to aesthetic nursing (Jones et al., 2018, p. 155).
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Position Statement on Laser, Light, and Energy Therapy
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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Postion Statement on Managing Noise and Distraction in the Plastic Surgical Setting
The International Society of Plastic and Aesthetic Nurses (ISPAN) supports reducing noise and distractions in all patient care areas to create a safe environment for patients and aesthetic and plastic surgical team members. Although it may not be possible to completely eliminate all noise and distractions from the plastic surgical setting, ISPAN is committed to advocating for a controlled environment where noise and distractions that do not serve a clinical function are minimized as much as possible.
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Position Statement on Political Advocacy
The International Society of Plastic and Aesthetic Nurses supports the participation of plastic and aesthetic nurses in the formation of political policies. The United States' healthcare delivery system is complicated by the many regulations and laws that dictate how providers practice, how healthcare is financed, and the range of the healthcare industry (Loversidge, 2016). The need for nurses to become involved in health policy is very powerful because their healthcare expertise will combine with their knowledge of healthcare systems and societal conditions to allow for the creation of health policy that will improve the quality of life for all (Milstead, 2016b). Multiple opportunities exist for plastic and aesthetic nurses to become involved in the legislative process (Milstead, 2016a). Public policy plays a role in patient outcomes, and the opportunity to contribute to and shape the future of health care is available to all plastic and aesthetic nurses.
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Position Statement on Smoke Evacuation
The International Society of Plastic and Aesthetic Nurses (ISPAN) recognizes that surgical smoke, or “plume,” presents a health risk to healthcare providers and patients alike (Ball, 2018; Katoch & Mysore, 2019; Occupational Safety & Health Administration (OSHA), n.d.; York & Autry, 2018). Surgical smoke is a by-product of energy-generating procedures that result in the vaporization of tissues; these procedures include the use of electrosurgery units and lasers (Ball, 2018; York & Autry, 2018). The scope of practice for the plastic and aesthetic nurse allows registered nurses with the appropriate education and training to participate in the perioperative setting and to provide laser therapy; therefore, it is imperative that plastic and aesthetic nurses intervene to mitigate the potential risks associated with participation in procedures that produce a plume (ISPAN, 2018; ISPAN, 2020).
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Position Statement on Scope of Practice For The Plastic and Aesthetic Registered Nurse
The International Society of Plastic and Aesthetic Nurses (ISPAN) strongly supports health care professionals maintaining patient safety by practicing within established scopes of practice. When a practitioner does not possess the necessary education, training, and experience to safely and effectively perform a task or procedure, it can result in a patient’s injury or death (Owsley, 2013). The practitioner must also be competent in providing the care required in an emergency situation that arises as a result of the procedure and be prepared to accept accountability (Hartigan, 2016). Evidence suggests that the quality of patient care improves with the provision of care by a licensed individual (Owsley, 2013). In order to ensure the delivery of high-quality and safe patient care, members of the multidisciplinary team must practice exclusively within the scope of practice determined by their education, training, experience, and public policy.
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Position Statement on Social Media
The International Society of Plastic and Aesthetic Nurses (ISPAN) supports and encourages the responsible use of social media outlets as they relate to professional nursing practice. Social media is playing an increasingly important role in plastic and aesthetic nursing (Montemurro, Porcnik, Heden, & Otte, 2015). It is virtually impossible to control the quality of all information available to patients via the Internet, but it is the duty of all plastic and aesthetic nurses to ensure that any information shared in one’s capacity as a registered nurse be accurate, professional, and in the best interest of any current or potential patients (American Nurses Association (ANA), 2017; Montemurro et al., 2015)
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Position Statement on Tobacco and Electronic Cigarettes
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, (Jewell, 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." 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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Position Statement on Using Sun Protection
The International Society of Plastic and Aesthetic Nurses (ISPAN) 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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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!