Who can inject
MD, DO, NP, PA, RN under physician supervision
Registered nurses (RNs)
Yes, under physician delegation and supervision; specific protocols required
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice not permitted for injectables
The exam that makes it legal
Required; in-person exam 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.
What to verify in Rhode Island
Establish a written medical director agreement specifying RN delegation protocols and ensure all good-faith exams are documented as in-person.
Primary source: Rhode Island Department of Health; Rhode Island Medical Board
General business information for Rhode Island medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Rhode Island board (and your own counsel) before you act.