4713-8-04 Standards relating to competent practice as an esthetician.

(A) An esthetician shall provide cosmetology services within a salon where the license is current, active and appropriate to the scope of practice of esthetics for an esthetician as set forth in section 4713.01 of the Revised Code and the rules of the board.

(B) An esthetician shall maintain knowledge of the duties, responsibilities, and accountabilities of practice and shall practice in accordance with the following:

(1) The laws regulating the practice of esthetics;

(2) The rules of the board;

(3) Any other applicable federal, state and local laws and rules; and

(4) Position statements, standards for practice, or guidelines for practice from nationally recognized professional esthetic entities; provided these statements, standards, or guidelines are consistent with existing laws or rules.

(C) An esthetician shall demonstrate competence and accountability in all areas of practice in which the esthetician is engaged which includes, but is not limited to, the following:

(1) Consistent performance of all aspects of esthetic services according to acceptable and prevailing standards, and

(2) Appropriate recognition, referral or consultation, and intervention, when a complication arises during or after the performance of a specific service or procedure.

(D) An esthetician may provide advanced practice services provided:

(1) The esthetician obtains appropriate education, which emanates from a recognized body of knowledge relative to the esthetic service to be provided;

(2) The esthetician demonstrates appropriate knowledge, skills, and abilities to provide the service as licensed;

(3) The esthetician maintains documentation satisfactory to the board of meeting the requirements set forth in paragraphs (D)(1) and (D)(2) of this rule;

(4) The esthetician service does not involve a function or procedure, which is prohibited by any other law or rule and does not exceed the definition of the practice of esthetics in section 4713.01 of the Revised Code, and

(5) Estheticians performing services that are unregulated by the state shall follow rule 4713-8-09 of the Administrative Code.

(E) Estheticians shall not provide any service that claims to have a medical or healing benefit. The scope of practice is limited to beautification and relaxation services only. The scope of practice is limited to non-invasive services only. Services offered using the term therapy shall be within the meaning defined in paragraph (LL) of rule 4713-1-1 of the Administrative Code.

(F) Estheticians may exfoliate stratum corneum cells only. They may use any chemical, mechanical or electrical service that only exfoliates cells of the stratum corneum. Proper advanced practice training from the manufacturer or the manufacturer's certified representative shall be required prior to service to the public as set forth in rule 4713-8-09 of the Administrative Code. The manufacturer's certificate of training shall be displayed in a publicly conspicuous place.

(G) Estheticians may use a lancet to enhance the opening in a comedo or to create a small opening in the dead surface corneum to facilitate extraction of a milia in order to better extract the contents. Estheticians shall not pierce the stratum corneum or use a lancet for any other purpose. Estheticians shall not perform a comedo enhancement or milia extraction with a lancet unless they have had specific documented training for this procedure. Only sterile, one-use, disposable lancets shall be used and they shall be disposed of in a "sharps box" medical waste container.

(H) Estheticians working under the direct supervision of a licensed physician shall only provide services within their scope of practice as set forth under the statute and code that governs the board.

(I) Chemical peels performed by an esthetician shall be mixed and used at an ingredient concentration of thirty per cent solution or less at final formulation with a pH value not less than three.

(J) A license in cosmetology supersedes all licenses of any branch of cosmetology with the exception of a cosmetologist who also holds an esthetician license. An esthetician may also hold a license in cosmetology.

(K) Estheticians shall provide treatments only utilizing equipment not to exceed one hundred eighty nanometers, or a class one medical device as defined by the food and drug administration of the United States department of health and human services.

(L) Estheticians may use advanced techniques in a salon after receiving training to perform the technique.

Effective: 11/01/2013
R.C. 119.032 review dates: 08/07/2013 and 11/01/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4713.08(A)(1)
Rule Amplifies: R.C. 4713.01 , R.C. 4713.14 , R.C. 4713.28 , R.C. 4713.35 , R.C. 4713.39
Prior Effective Dates: 1/10/04, 3/30/2009