Nebraska: who may do what, and how to check a license

The Nebraska Board of Nursing's non-binding advisory opinion on aesthetic nursing lists neurotoxins such as Botox, dermal fillers and Kybella as Level III procedures. For these, a licensed practitioner (a physician or nurse practitioner) must assess and prescribe for each episode of care and supervise the RN directly, meaning the practitioner is on site. Standing orders for aesthetic procedures are not acceptable, and nurses may not delegate aesthetic procedures to unlicensed persons. Nurse practitioners perform procedures under their own license.

Source: Nebraska Board of Nursing Advisory Opinion: Aesthetic Nursing

Board guidance — may not be bindingPublished or effective Oct 2021Checked Sep 25, 2026

The same non-binding Board of Nursing advisory opinion puts laser and IPL hair removal (FDA-approved devices only) in Level IIb. Those require laser certification, a licensed practitioner's assessment and prescription for each episode of care, and at least indirect supervision. IPL and non-ablative and fractional non-ablative lasers are also listed under Level IIIb (with laser certification), which requires direct (on-site) supervision of the RN. Fractional ablative lasers are listed as outside RN scope but within nurse practitioner scope. Aesthetic procedures may not be delegated to unlicensed persons.

Source: Nebraska Board of Nursing Advisory Opinion: Aesthetic Nursing

Board guidance — may not be bindingPublished or effective Oct 2021Checked Sep 25, 2026

The Nebraska Board of Nursing's advisory opinion says a nurse needs an order from a licensed practitioner (MD, DO, PA or APRN) before giving medication or IV therapy, including hydration. The RN or licensed practitioner must perform and document a systematic patient assessment before IV therapy, and a nurse may not delegate or assign IV administration to an unlicensed individual. The opinion is non-binding.

Source: Nebraska Board of Nursing Advisory Opinion: IV/Infusion Therapy

Board guidance — may not be bindingPublished or effective 2026Checked Sep 14, 2026

Non-binding advisory opinions from Nebraska's Board of Cosmetology, Electrology, Esthetics, Nail Technology, and Body Art say esthetics and cosmetology are limited to the epidermis; services that reach into the dermis are outside scope. The list says lasers and IPL are not within the practice. Microneedling is within practice only with needles up to the listed size (written as ".05 or .5 or .50 mm"), with larger needles for medical use only, and only mild peels that do not penetrate the dermis are acceptable. Dermaplaning is within esthetic practice, while radiofrequency skin tightening, plasma devices and BB Glow are not.

Source: Nebraska DHHS Guidance Document: Cosmeticians, Cosmetology, and Esthetics Advisory Opinions

Board guidance — may not be bindingPublished or effective Aug 2022Checked Sep 25, 2026