645—60.5(157) Prescribed practice training requirements. As outlined below, the board may approve a licensee to provide the prescribed practice services of shaving, microdermabrasion, chemical exfoliation, laser services, and IPL hair removal treatments once a licensee has complied with training requirements and submitted a completed application, the required supporting evidence, and applicable fees as specified in these rules. The applicant shall receive a certification following board approval. Machine-, product-, model- or device-specific certifications do not need renewal.
	60.5(1) Shaving for hair removal.
	a. 	Shaving shall only be performed by a barber and cosmetologist who is certified by the board to perform those services. A barber licensed before July 1, 2023, is exempt from this requirement.
	b. 	Shaving shall only be used for hair removal on the scalp, face or neck.
	c. 	In order to receive board certification and be eligible to perform shaving for hair removal services, the licensee must complete a shaving program or pass an exam as outlined below:
	(1)	Provide evidence of passing the NIC barber practical exam or a national barber practical exam, or
	(2)	Complete a 40-hour shaving program from an Iowa licensed school, or a program sponsored by an Iowa licensed school, that is conducted by a licensed instructor who has specialized education, training and experience by reason of which said licensed instructor should be considered qualified concerning the subject matter of the program, then:
	1.	Obtain from the program a certification of training that contains the following information:
	●	Date, location, and course title;
	●	Name and license number of the instructor;
	●	Name and license number of the school;
	●	Number of contact hours;
	●	Evidence that the training program includes a safety training component that provides a thorough understanding of the procedures to be performed. The training program shall address fundamentals of skin care, blood-borne pathogens and infection control.
	2.	Complete a board-approved certification application form and submit to the board office the completed form, a copy of the certification of training, and the required fee pursuant to 645—subrule 5.5(14). The fee is nonrefundable.
	60.5(2) Microdermabrasion.
	a. 	Microdermabrasion shall only be performed by a licensed, certified esthetician or a cosmetologist who was licensed prior to July 1, 2005, and is certified by the board.
	b. 	To be eligible to perform microdermabrasion services, the licensee shall:
	(1)	Complete 14 contact hours of education specific to the material or apparatus used for microdermabrasion. Before an additional material or apparatus is utilized in the licensee’s practice, the licensee shall provide official certification of training on the material or apparatus.
	(2)	Obtain from the program a certification of training that contains the following information:
	1.	Date, location, and course title;
	2.	Number of contact hours;
	3.	Specific identifying description of the microdermabrasion machine covered by the course; and
	4.	Evidence that the training program includes a safety training component that provides a thorough understanding of the procedures to be performed. The training program shall address fundamentals of potential hazards, management and employee responsibilities relating to control measures, and regulatory requirements.
	(3)	Complete a board-approved certification application form and submit to the board office the completed form, a copy of the certification of training, and the required fee pursuant to 645—subrule 5.5(14). The fee is nonrefundable.
	60.5(3) Chemical exfoliation.
	a. 	Chemical exfoliation shall only be performed by a cosmetologist who was licensed prior to July 1, 2005, and is certified by the board to perform those services. Additional certification is not required for licensed estheticians.
	b. 	Chemical exfoliation procedures are limited to the removal of surface epidermal cells of the skin by using only non-medical-strength cosmetic preparations consistent with labeled instructions and as specified by these rules. This procedure is not intended to elicit viable epidermal or dermal wounding, injury, or destruction.
	c. 	To be eligible to perform chemical peels, a cosmetologist who was licensed prior to July 1, 2005, shall:
	(1)	Complete 21 hours of training specific to the process and products to be used for chemical peels. Before an additional process or product is utilized in the licensee’s practice, the licensee shall provide official certification of training on the new process or product.
	(2)	Obtain from the program a certification of training that contains the following information:
	1.	Date, location, and course title;
	2.	Number of contact hours;
	3.	Specific identifying description of the chemical peel process and products covered by the course; and
	4.	Evidence that the training program includes a safety training component that provides a thorough understanding of the procedures to be performed. The training program shall address fundamentals of potential hazards, management and employee responsibilities relating to control measures, and regulatory requirements.
	(3)	Complete a board-approved certification application form and submit to the board office the completed form, a copy of the certification of training, and the required fee pursuant to 645—subrule 5.5(15). The fee is nonrefundable.
	60.5(4) Laser services.
	a. 	A cosmetologist licensed after July 1, 2005, shall not use laser products.
	b. 	An electrologist shall only provide hair removal services when using a laser.
	c. 	Estheticians and cosmetologists shall use a laser for cosmetic purposes only.
	d. 	Cosmetologists licensed prior to July 1, 2005, electrologists and estheticians must be certified to perform laser services.
	e. 	When a laser service is provided to a minor by a licensed cosmetologist, esthetician or electrologist who has been certified by the board, the licensee shall work under the general supervision of a physician. The parent or guardian shall sign a consent form prior to services being provided. Written permission shall remain in the client’s permanent record for a period of five years.
	f. 	To be eligible to perform laser services, a cosmetologist who was licensed on or before July 1, 2005, an electrologist, or an esthetician shall:
	(1)	Complete 40 hours of training specific to each laser machine, model or device to be used for laser services. Before an additional machine, model or device is utilized in the licensee’s practice, the licensee shall submit official certification of training on the new machine, model or device.
	(2)	Obtain from the program a certification of training that contains the following information:
	1.	Date, location, and course title;
	2.	Number of contact hours specific to the laser machine, model or device;
	3.	Name of the approved manufacturer or institute of laser technology that provided the training;
	4.	Specific identifying description of the laser equipment; and
	5.	Evidence that the training program includes a safety training component that provides a thorough understanding of the procedures to be performed. The training program shall address fundamentals of nonbeam hazards, management and employee responsibilities relating to control measures, and regulatory requirements.
	(3)	Complete a board-approved certification application form and submit to the board office the completed form, a copy of the certification of training, and the required fee pursuant to 645—subrule 5.5(14). The fee is nonrefundable.
	60.5(5) IPL hair removal treatments.
	a. 	A cosmetologist licensed after July 1, 2005, shall not use IPL devices.
	b. 	An IPL device shall only be used for hair removal.
	c. 	Cosmetologists licensed prior to July 1, 2005, electrologists and estheticians must be certified to perform IPL services.
	d. 	When IPL hair removal services are provided to a minor by a licensed cosmetologist, esthetician or electrologist who has been certified by the board, the licensee shall work under the general supervision of a physician. The parent or guardian shall sign a consent form prior to services being provided. Written permission shall remain in the client’s permanent record for a period of five years.
	e. 	To be eligible to perform IPL hair removal services, a cosmetologist who was licensed on or before July 1, 2005, an electrologist, or an esthetician shall:
	(1)	Complete 40 hours of training specific to each IPL machine, model or device to be used for IPL hair removal services. Before an additional machine, model or device is utilized in the licensee’s practice, the licensee shall submit official certification of training on the new machine, model or device.
	(2)	Obtain from the program a certification of training that contains the following information:
	1.	Date, location, and course title;
	2.	Number of contact hours specific to the laser machine, model or device;
	3.	Name of the approved manufacturer or institute of laser technology that provided the training;
	4.	Specific identifying description of the IPL hair removal equipment; and
	5.	Evidence that the training program includes a safety training component that provides a thorough understanding of the procedures to be performed. The training program shall address fundamentals of nonbeam hazards, management and employee responsibilities relating to control measures, and regulatory requirements.
	(3)	Complete a board-approved certification application form and submit to the board office the completed form, a copy of the certification of training, and the required fee pursuant to 645—subrule 5.5(14). The fee is nonrefundable.
	60.5(6) Health history and incident reporting.
	a. 	Prior to providing laser or IPL hair removal, microdermabrasion or chemical peel services, the cosmetologist, esthetician, and electrologist shall complete a client health history of conditions related to the application for services and include it with the client’s records. The history shall include but is not limited to items listed in paragraph 60.5(6)“b.”
	b. 	A licensed cosmetologist, esthetician, or electrologist who provides services related to the use of a certified laser product, IPL device, chemical peel, or microdermabrasion shall submit a report to the board within 30 days of any incident in which provision of such services resulted in physical injury requiring medical attention. Failure to comply with this requirement shall result in disciplinary action by the board. The report shall include the following:
	(1)	A description of procedures;
	(2)	A description of the physical condition of the client;
	(3)	A description of any adverse occurrence, including:
	1.	Symptoms of any complications including, but not limited to, onset and type of symptoms;
	2.	A description of the services provided that caused the adverse occurrence;
	3.	A description of the procedure that was followed by the licensee;
	(4)	A description of the client’s condition on termination of any procedures undertaken;
	(5)	If a client is referred to a physician, a statement providing the physician’s name and office location, if known;
	(6)	A copy of the consent form.
	60.5(7) Failure to report. Failure to comply with paragraph 60.5(6)“b” when the adverse occurrence is related to the use of any procedure or device noted in the attestation may result in the licensee’s loss of authorization to administer the procedure or device noted in the attestation or may result in other sanctions provided by law.
	60.5(8) A licensee shall not provide any services that constitute the practice of medicine.
[ARC 7920C, IAB 5/1/24, effective 7/1/24]