Botulinum Toxin Injections for Chronic Migraine
- Speaker:
- Victoria Trott, PA-C, MMS, AQH
- Duration:
- 1 Hour 07 Minutes
- Format:
- Audio and Video
- Copyright:
-
Jan 09, 2023
- Product Code:
- POS078531
- Media Type:
- Digital Seminar
Description
Do you want to add Botox injections to your practice? The PREEMPT protocol for botulinum injections is the only FDA-approved injection pattern for chronic migraine. In this session, Victoria demonstrates the special techniques for its administration. By the end of this session, you will be ready to practice the PREEMPT Protocol using Botulinum Toxin Injections for Chronic Migraine Prevention.
Credit
Planning Committee Disclosure - No relevant relationships
All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.
Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval.
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.
For Planning Committee disclosures, please see the statement above. For speaker disclosures, please see the faculty biography.
Earn up to 1.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession.
This self-study program offers 67 instructional minutes of pharmacology content which is designed to qualify for 1.0 contact hours toward your pharmacology requirement.

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.0 contact hours. Expires: 08/04/2028.
PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours.
** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.
PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PESI, Inc. and The Maryland Academy of Physician Assistants. This activity was originally recorded on 01/09/2023. It was last reviewed on 11/11/2024 and is valid until 11/10/2027. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
PESI, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 1.0 hours for completing this self-study program.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PESI, Inc. and The Maryland Academy of Physician Assistants. This activity was originally recorded on 01/09/2023. It was last reviewed on 11/11/2024 and is valid until 11/10/2027. PESI, Inc. is accredited by the ACCME to provide continuing medical education for physicians.
PESI, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.
Handouts/Brochure
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Botulinum Toxin Injections for Chronic Migraine (1.6 MB) | 15 Pages | Available after Purchase |
Speaker
Victoria Trott, PA-C, MMS, AQH Related seminars and products
Victoria Trott, PA-C, MMS, AQH, is a board-certified physician assistant with an added qualification in headache medicine. Victoria has focused her career on helping patients that are suffering from various headache disorders. Victoria has encouraged the application of new and emerging migraine and headache treatments for her patients. Her overall goal is to improve the quality of life of her patients suffering from these disabling conditions.
Speaker Disclosures:
Financial: Victoria Trott has employment relationships with Abbvie, Inc. and the University of Maryland Graduate School. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Victoria Trott is a member of the Maryland Academy of Physician Assistants, the American Academy of Physician Assistants, the American Academy of Neurology, the American Headache Society, and the National Headache Foundation.
Additional Info
Access for Self-Study (Non-Interactive)Access never expires for this product.
Questions?
Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info
Objectives
- Accurately identify and diagnose patients with chronic migraine using the International Classification of Headache Disorders (ICHD).
- Using the Botox criteria, properly select a patient for Botox injections for chronic migraine and educate the patient on the adverse reactions seen in the clinical trials and PREEMPT protocol.
- Determine the steps to correctly reconstitute a 200-unit vial of Botox to 5 units/0.1cc using non-preserved normal saline and draw the product into 1ml syringes using a 21g, 2-inch needle and place a 30G, ½-inch needle on the 1ml syringe for injections.
- Using the PREEMPT protocol, choose the 31 injection sites for the Botox injections.
Outline
- Migraine Headaches
- Diagnosis
- Aura – no Aura
- International Classification of Headache Disorders (ICHD)
- PREEMPT Protocol for Botulinum Toxins
- Criteria
- Documentation
- Potential Adverse Effect
- Insurance
- Injection Process
- Materials Needed
- Injection Sites (31 total)
- Corrugator Injections
- Procerus Injections -Frontalis Injections -Temporalis Injections
- Occipitalis Injections
- Paraspinal Cervical Injections
- Trapezius Injections
- Dosage (5 units per 0.1 ml each injection site)
- Frequency (every 12 weeks)
- Reconstitution
- Documentation
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physicians
- Physician Assistants
Reviews
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