Who can inject
MD, DO, NP, PA under physician supervision; RN injection limited/prohibited
Registered nurses (RNs)
No, or only under very limited circumstances; varies by board interpretation — verify with counsel
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration/supervision; independent practice not permitted
The exam that makes it legal
Required; in-person exam mandatory before treatment A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; however, physician oversight and documentation are essential.
What to verify in Pennsylvania
Consult Pennsylvania Medical Board counsel on RN injection authority before hiring; ensure physician ownership or controlling interest in the medical spa entity.
Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing
General business information for Pennsylvania medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Pennsylvania board (and your own counsel) before you act.