North Carolina Medical Laser Laws & State Regulations
http://www.ncmedboard.org/position_statements/detail/laser _surgery/ In July 1999, the North Carolina Board adopted a position statement that laser surgery is the practice of medicine and should be performed only by a physician or by a practitioner working within his/her scope of practice and with appropriate medical training under the supervision of a physician or other practitioner licensed to perform surgical services and preferably on-site. The statement was slightly amended in March 2002. In August 2002, the Board amended its position statement on laser hair removal to state that laser hair removal should be performed only by a physician or by an individual having adequate training and experience under the supervision of a physician who should be on-site or readily available to the person performing the procedure. In July 2005 the Board once again amended its position statement on laser hair removal. It is the Board’s position that each patient should be examined by a physician, physician assistant, or nurse practitioner prior to receiving the first laser hair removal treatment. The examination should include a full medical history and a focused physical examination. The position also defines “readily available” in terms of physician supervision. In Spring 2012, the Board issued a five page policy document to resolve lingering questions regarding laser cosmetic procedures.
MPA, Chapter 90, Section 90-18, under practicing without a license, states that physicians are not prohibited from delegating any act or task to a qualified person that is otherwise permitted by law or established by custom. Rule 800 – adopted 11-15-02, establishes 1) that the responsibility for the delivery and outcome of any delegated function lies solely with the delegating physician, 2) adequacy and appropriateness of training for the function should be documented, 3) adequacy and appropriateness of supervision will be judged by the standard of care for a physician directly delivering the same medical service, and 4) delegated services cannot be re-delegated by anyone other than the responsible physician. In addition, prescribing of medication, other than refills, cannot be delegated under CO statute.