Can a Medical Assistant Administer Sclerotherapy? Doctor Answers, Tips
Sclerotherapy: Q&A
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Can a Medical Assistant Administer Sclerotherapy?

14 Doctor Answers | Asked by San Francisco3587 in San Francisco, CA
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Sclerotherapy by a Medical Assistant

Depending upon the laws for specific states, medical assistants are allowed to do any procedure that their supervising physician feel they are capable of doing. In fact, some medical assistants can be quite experienced in this procedure and may do a better job than a physician who is not as skilled. In my office all sclerotherapy injections are done by a physician with greater than 25 years' experience. I recommend making sure you choose a very experienced injector.
+2

Sclerotherapy

While the use of Medical Assistants has increased in doing some procedures, sclerotherapy, Fillers, Botox etc. I believe these are invasive medical procedures that the physician needs to evaluate and treat. If your physician is too busy then find someone that can spend the time and establish a physician patient relationship.
+2

Medical Assistant performing Sclerotherapy

I recommend checking with your state laws as to whether this falls under the MAs practice guidelines and I would highly encourage the MA to follow the letter of the law.

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+2

Sclerotherapy

While the laws vary by state, MAs are often allowed to preform minor procedures as the do them under the supervision of the physician.  This may be direct (him in room) or via in office training and achievement of competency as deemed by the physician.
+2

Can medical assistant administer sclerotherapy?

Only doctors, trained PAs and NPs may administer Sclerotherapy.  It is important that you make sure that the doctor is trained and knows how to use the product appropriately.
+1

Choosing a vein specialist for sclerotherapy

I would recommend a board certified surgeon who is a diplomate of the American Board of Phlebology (Vein Surgery).
+1

Medical Assistants and Invasive Procedures

I recommend that since you are paying 'physician rates' to get a procedure like sclerotherapy, that you stick with a Board Certified physician, nurse practitioner or physician assistant. Having said that, each State has its own rules.
+1

The law varies by state, but I would not recommend

The law varies by state, but I would not recommend as sclerotherapy is a more advanced procedure than it may appear, and if you go to a board-certified dermatologist you are more likely to have complete clearance in fewer sessions.
+1

Just because MAs can inject, doesn't mean they should!

Every state is a little different in terms of the scope of practice medical assistants may perform. In the state of California, MAs can administer medications such as simple injections, oral, and inhaled medicines-- this must be done after verification by a physician. They are not allowed to inject products such as collagen- because these are highly specialized procedures. In some states, MAs may be allowed to do sclerotherapy, but just because they can inject,... more
+1

It Depends on the State

Most of States have its own regulations on what kind of work medical assistants may do.  Most of medical assistants may do simple injections but sclerotherapy is a highly specialized procedure.  Even if an MA may do the injection,  a physician should be aware of the treatment protocol and be intimately involved with the procedure so that if there is any complication, he/she may be able to handle it.  In any case, patients should do the due diligence in asking any... more
+1

Who can perform sclerotherapy?

I would recommend that with any type of injectable procedure - sclerotherapy included - you have a board certified dermatologist, plastic surgeon, or vascular surgeon with experience perform it.  Although sclerotherapy is a very safe and effective procedure when performed correctly, there are possible risks and complications that could occur. 
+1

Not a good idea

I dont believe this a good idea no matter what the state law.  Nurse, NP, PA or doctor.
+1

Sclerotherapy leg vein injections can be done by physician extenders

Depending on the state, laws are different in terms of who can inject medications. In NY state only licensed individuals may, and this excludes an M.A. (medical assistant). I would encourage you to contact the state board of medicine in California to ask them this question.
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