Botox®
Brand Information
Selling Points
On Label Uses
BOTOX® Cosmetics recommend treatments for the following conditions:
- frown lines
- crow’s feet lines
- forehead lines
Areas that BOTOX® has been used to treat include:
- Forehead
- Eyebrows/Browline
- Areas around the eyes
- Mouth corners
Source: Botox
Off Label Uses
While BOTOX® is typically known as a tool for smoothing out wrinkles, However, there are many “off-label” uses that according to WebMD, it has been used for many other purposes such as:
- involuntary eyelid twitching
- twisting neck spasms
- strabismus, an abnormal alignment of the eyes
- spasm of the lower limb muscle
- excessive sweating of the armpit
- upper limb muscle spasm
- migraine prevention
- uncontrolled urination due to bladder overactivity
- essential tremor
- overactive bladder
- anal fissure
- excessive saliva production
- achalasia of the esophagus, a condition that makes swallowing difficult
- chronic muscle twitches or movements
BOTOX® has also been used on several other areas to help rejuvenate your face including:
- Eyes
- Bunny lines
- Cheeks
- Lips
- Cheeks
- Jawline
Source: WebMD
Products/Procedures to Cross Sell With Botox
- tbd
Pre-Treatment Products
- tbd
Post-Treatment Products
- tbd
Botox Appointment Types
Booking a Consultation
If you are booking a Botox consultation, use the Neuromodulator - Consultation Appointment Type. In the comments, fill out the Service, Area, Quote, and Cancellation Policy.
Example
- Service: Botox
- Area: Forehead
- Quote: $14/unit
- Cancellation Policy: tbd
Booking a Procedure
If you are booking a Botox procedure, use the Botox Appointment Type. In the comments, fill out the Area, Quote, and Cancellation Policy.
Example
- Area: Forehead
- Quote: $14/unit
- Cancellation Policy: tbd
If you are booking a Botox procedure that you also plan on administering a filller, use the Filler/Neuromodulator Appointment Type. In the comments, fill out the Service, Area, Quote, and Cancellation Policy.
Example
- Service: Restylane Kysse / Botox
- Area: Lips / Forehead
- Quote: $800 per syringe / $14 per unit
- Cancellation Policy: tbd
For Employee's
Use the Neuromodulator - Employee Appointment Type and fill out the comments
Recording a Botox Sale in PatientNow
Botox is an inventory product and should be sold through Sales Packages. Click on the Appts / Product / Procedures / Packages tab to see a list of Sales Packages.
PatientNow >> Patients >> Registration/Billing >> Invoices
Click on Invoicing >> +Add (a window will pop-up)
- Invoice Date: select the date of the sale
- Treatment Pathway: tbd
- Invoice Name: tbd
- Invoice Type: select whether this is an "Immediate Sale", "Prepaid Package", or "Gift Card"
- Income Facility: this should be pre-filled with the correct facility
- Provider: select the provider who is servicing the patient
- Sales Package: select from the "Botox" sales packages
Once you add the Botox Sales Package, a line item will appear in the main window. Double click on that line item to finish filling out the details of the Sale.
Ma information you need to check/edit includes:
- Qty: the number of Units or Vials you are selling
- Product: check to make sure the product is correct
- Provider: who is servicing the patient
- Seller: who is getting credit for the sale
- Facility: this should be set to the main Beverly Hills Rejuvenation facility
- Discount: if this customer is receiving a discount, select the correct discount reason/amount - See Discount Guide
Once you have completed the Invoice take payment from the Patient - See PatientNow's Guide to Apply Patient Payment
Receiving Items on an Invoice
See Patient Now's Guide on Receiving Items on an Invoice. Included in this guide is:
- Why "Receive"?
- What is Unearned Income?
- When is a Procedure or Product considered Received?
- Receive an Item on an Invoice
- Edit a Received Item
Charting an Injectable Treatment
Follow PatientNow's Guide on how to Chart an Injectable Treatment. Included in this guide is:
- Move to Daily Workflow and Identify your Patient
- Review Current Medical Information
- Create Injectable Records
- Completed Restylane Injection Record
- Completed Sample Botox Injection Record
- Move to Daily Workflow and Create Encounter Note
- Select Create Encounter Note.
- Complete the Note
Performing a Product Return
See PatientNow's Guide on Performing a Product Return. Included in this guide is:
- Initiate Refund
- Distribute Refund and Return Product
Appointments
Products
Procedures
Sales Packages
* This material is provided to Beverly Hills Rejuvenation Center for Franchisees’ use in training their employees. Franchisees may use the material and modify it as they wish so long as they are able to deliver services to meet brand standards. Franchisees are required to align these instructions with current federal, state, and local regulations related to aesthetics practices.
STANDARDIZED PROCEDURE AND PROTOCOL FOR:
Botulinum Toxin A
(Botox / Dysport /Xeomin / Jeuveau)
To ensure safe and effective treatment of clients undergoing Botulinum Toxin A product administration at Beverly HillsRejuvenation Center, the following policies and procedures have been developed.
Policy:
A Physician, Nurse Practitioner (PA), PhysicianAssistant (PA), or Registered Nurse (RN) with current state licensure, herein referred to as AUTHORIZED LICENSED MEDICAL PERSONNEL, shall be able to assess, consult, and treat patients with Botulinum Toxin A products following the guidelines set herein. In the state of CALIFORNIA the MedicalDirector, Nurse Practitioner, or Physician Assistant must perform a good faith examination prior to the use of Botulinum Toxin A products.
Setting:
The AUTHORIZED LICENSED MEDICAL PERSONNEL can perform the administration of Botulinum Toxin A products in various settings and locations, such as but not limited to:
- Physician Office
- Satellite Clinic / Health Care Office(s)
- Medical Spa Setting medically zoned and authorized by the Medical Director or supervising physician at [your locations address]
All Botulinum Toxin A product administration procedures shall be performed in a clean, safe environment, equipped with proper sharps disposal system, and have universal precautions in place.
Supervision:
The AUTHORIZED LICENSED MEDICAL PERSONNEL shall function under the general supervision of the Medical Director, who is immediately available for consultation by telecommunication and is physically available as medically necessary.
All adverse reactions such as ptosis, diplopia, lower eyelid retraction, and weakening of the lacrimal pump shall be reported immediately to the Medical Director. Adverse reaction(s) shall be documented in the client’s chart.
Patient Conditions:
The AUTHORIZED LICENSED MEDICAL PERSONNEL will not knowingly treat any clients with:
- Allergies or hypersensitivity to any BotulinumToxin or any of its ingredients
- Significant autoimmune or neurological diseases
- Pregnant or breast-feeding clients
- History of allergic reaction to any BotulinumToxin
- Skin infection at the planned injection site
- History of hypersensitivity to any BotulinumToxin or its ingredients
Caution with the following drugs for Potential Drug Interactions (BTA effect may be potentiated).
- Aminoglycosides (gentamicin etc.) and other agents interfering with neuromuscular transmission
- Anticolinergic drugs
- Muscle relaxants
Procedure for Product Reconstitution:
Botulinum Toxin A Treatment Procedure:
The AUTHORIZED LICENSED MEDICAL PERSONNEL will:
Safety Procedures:
In order to reduce the complication of eyelid ptosis, the following steps should be taken:
- All new patients to BTA must have a Good Faith exam done by a BHRC Physician, Nurse Practitioner, or Physician Assistant prior to receiving treatment.
- Avoid injection near the levator palpebrae superioris, particularly in patients with larger brow depressor complexes.
- Lateral corrugator injections should be placed at least 1 cm above the bony supraorbital ridge.
- Ensure the injected volume/dose is accurate and, where feasible kept to a minimum.
- Avoid injecting toxin closer than 1 centimeter above the central eyebrow.
Patients with the following cannot be treated with Botulinum Toxin A:
- Active neuromuscular diseases
- Currently pregnant or breast-feeding
- Undiagnosed recent shooting eye pain
Important Safety Information for all Botulinum Toxin A Products
Postmarketing reports indicate that the effects of all Botulinum Toxin A products may spread from the area of injection to produce symptoms consistent with Botulinum Toxin A effects. These may include asthenia, generalized muscle weakness, diplopia, blurred vision, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life-threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have underlying conditions that would predispose them to these symptoms. In unapproved uses, including spasticity in children and adults, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and at lower doses.
Record Keeping:
The AUTHORIZED LICENSED MEDICAL PERSONNEL shall be responsible for maintaining client records and inputting them into EMR, including but not limited to client assessment; Good Faith Exam; signed informed consent of risks, benefits, and potential adverse effects; the number of treatments; treatment sites; the number of injections; and client response to treatment.
Requirements for the Authorized Licensed Medical Personnel
I) TRAINING/EDUCATION
The AUTHORIZED LICENSED MEDICAL PERSONNEL shall receive specialized training (and be certified) in the administration of Botulinum toxins Dysport®, Botox®, and Xeomin®. A Physician, Doctor of Osteopath, Advanced Practice Nurse experienced in this procedure, or a teaching institution specializing in this procedure may perform this training and certification. Competencies to successfully demonstrate shall include:
- Mechanism of action of Dysport®, Botox®, and Xeomin®
- Basic theory of treatment for cosmetic purposes
- Facial anatomy
- Storage, preparation, and dilution of Botulinum Toxin A
- Safety, efficacy, and complication issues
- Assessment and identification of areas to be treated
- Safe application of injection techniques (minimum 8 hours hands-on training)
II) COMPETENCIES & DOCUMENTATION:
The Beverly Hills Rejuvenation Center LOS ANGELES Medical Director shall:
- Evaluate the competence of the AUTHORIZED LICENSED MEDICAL PERSONNEL on an annual or as-needed basis if indicated by client dissatisfaction or efficacy issues.
- The Beverly Hills Rejuvenation Center Administrator shall maintain a record of medical staff's training and certifications. Medical Director shall periodically evaluate the competencies of the medical staff.
- Review 10% of all Botulinum Toxin A charts to ensure the safety and efficacy of treatments.
Development & Approval of Standardized Procedure:
The Standardized Procedure and Protocol for the Administration of Botulinum Toxin A products have been developed jointly by the Medical Director, Administrator, and Nurse Practitioner at Beverly Hills Rejuvenation Center [location address], and the official package insert from DISTRIBUTOR. This procedure shall be reviewed on an annual and as-needed basis, and documentation pertinent to that review shall be kept on file in the designated administrative office.
Download Example Policy & Procedures Document for Los Angeles
Botox Documents
Policy & Procedures
PatientNow Documents
Marketing Collateral
- BHRC Website Google Drive
- Brand Google Drive
- Social Media Google Drive
Vendor Assets
How To Order
coming soon...
Receiving Inventory into Accounting Software
coming soon...
Perform an Inventory Count or Adjust Inventory
See PatientNow's Guide on Performing an Inventory Count or Adjust Inventory. Included in this guide are:
- Filter the List
- Enter New Count and Adjust Inventory
- Reorder Level
- Enter Inventory Count
- Enter Amounts Ordered and Receive Into Inventory
Managing Inventory
coming soon...
