Register November 2006 No. 611
Chapter Cos 2
PRACTICE AND PROFESSIONAL CONDUCT
Cos 2.02 Treatments prohibited, infectious and contagious diseases. Cos 2.025 Delegated medical procedures. Cos 2.03 Practice standards. Cos 2.04 Unauthorized practice. Cos 2.045 Personal care services for persons in hospitals, nursing homes, and correctional institutions. Cos 2.046 Personal care services outside of a licensed establishment generally. Cos 2.06 Responsibilities of owners. Cos 2.07 Responsibilities of the cosmetology manager. Cos 2.08 Responsibilities of licensees. Cos 2.09 Continuing education. Ch. Cos 2 NoteNote: See Chapter SPS 50 for rules governing the licensing of barbers, barbering managers, and barbering establishments. Cos 2.01Cos 2.01 Definitions. For the purposes of this chapter: Cos 2.01(1)(1) “Chemical process” means the use of chemical reactions to change the texture, style, or length of hair, skin, or nails. Cos 2.01(2)(2) “Dermaplaning,” also referred to as dermablading, means a skin resurfacing procedure that uses a scalpel and blade held at a 45-degree angle to the skin to remove hair and some of the stratum corneum. Cos 2.01(3)(3) “Impact” means to touch, change, alter, modify, or transform. Cos 2.01(4)(4) “Microblading” means a permanent makeup technique in which a handheld tool made of several tiny needles is used to cut into the skin in fine, short strokes to insert pigment to change its appearance. Cos 2.01(5)(5) “Microneedling,” also referred to as collagen induction therapy, means a cosmetic procedure that involves repeatedly puncturing the skin with tiny sterile needles in a single use cartridge. The needle depth of the single use cartridge may be adjusted by the operator and is attached to a power-operated device that moves the needle up and down at a rapid pace. Cos 2.01(6)(6) “Stratum corneum,” also referred to as the horny layer of the skin, means the outermost layer of the epidermis, usually made up of 10-30 layers of corneocytes or dead cells. Cos 2.01 HistoryHistory: CR 22-085: cr. Register October 2023 No. 814, eff. 11-1-23. Cos 2.02Cos 2.02 Treatments prohibited, infectious and contagious diseases. Cos 2.02(1)(1) No licensee may treat any disease of the skin unless under the direction of a physician. Cos 2.02(1m)(1m) No licensee may diagnose any disease of the skin. Cos 2.02(2)(2) No licensee may provide services to a patron suffering from an infectious or contagious scalp or skin disease unless the licensee takes appropriate precautions and uses safeguards to prevent the spread of the disease to other patrons and to the licensee. Cos 2.02(3)(3) No licensee, having a known infectious or contagious disease, may provide a service to a patron if the licensee is, by reason of the disease, unable to safely and competently perform the service. Cos 2.02(4)(4) No licensee may provide services to a patron if the licensee has a known infectious or contagious disease unless the licensee takes appropriate precautions and uses safeguards which prevent the spread of the disease to patrons. Cos 2.02 HistoryHistory: Cr. Register, July, 1989, No. 403, eff. 8-1-89; am. (3), Register, May, 1999, No. 521, eff. 6-1-99; CR 22-085: cr. (1m) Register October 2023 No. 814, eff. 11-1-23. Cos 2.025Cos 2.025 Delegated medical procedures. Cos 2.025(1)(1) Licensees may provide client services constituting medical procedures only as directed, supervised and inspected by a physician who has the power to direct, decide and oversee the implementation of the client services provided in licensed establishments. Cos 2.025(2)(2) Delegated medical procedures include the following: Cos 2.025(2)(c)(c) Chemical exfoliation, except for application of commercially available exfoliation products utilized in accordance with the manufacturers’ instructions, limited to the following: Cos 2.025(2)(c)1.1. Alpha hydroxyl acids of 30% or less, with a ph of not less than 2.0. Cos 2.025(2)(e)(e) Any treatment impacting a skin layer below the stratum corneum. Cos 2.025(2m)(2m) The following are delegated medical procedures unless the licensee has received formal training in the procedure as part of a board-approved curriculum and the treatment, as performed, does not impact a skin layer below the stratum corneum: Cos 2.025(2m)(d)(d) Utilization of electromagnetic radiation and electric current. Cos 2.025(2r)(2r) A licensee may utilize microdermabrasion devices in his or her practice without medical supervision if all of the following conditions are met: Cos 2.025(2r)(a)(a) The device shall be of an aesthetic grade and not labeled as a prescription device by the United States Food and Drug Administration. Only FDA approved Class I machines may be used pursuant to this subsection. Cos 2.025(2r)(b)(b) The device utilizes a closed loop negative pressure system that incorporates a tissue retention device. Cos 2.025(2r)(c)(c) The normal and customary use of the device results in the removal of only the surface epidermal cells of the skin. Cos 2.025(2r)(d)(d) Eye protection is provided to the client and protective gloves are worn by the operator. Cos 2.025(2r)(e)(e) Microdermabrasion services are not provided within 48 hours before or after a chemical exfoliation. Cos 2.025(2r)(f)(f) The licensee has performed a pretreatment assessment on the client and reviewed the results with the client. Cos 2.025(2r)(g)(g) The client has given written consent prior to the administration of the services. The consent shall contain all of the following: Cos 2.025(2r)(g)1.1. A statement setting forth in general terms the nature and purpose of the procedure or procedures, together with the known risks associated with the procedure or procedures, if reasonably determinable.
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