Vitamin Education
What is the add-on dose of methylcobalamin?
0.5mL
What do we offer in our membership?
1 Redeemable Live Favorite Bag or 1 Redeemable Premium Bag for a $45 upgrade fee
Free Add-OnBanked Bags
Monthly Member Gift
Discounted Additional Bags
When do we use 0.9% (Saline) Instead of LR at Refresh Bar?
Diabetics
Where should you throw out a used IV Bag?
Garbage can
How many weeks is our semaglutide program for Standard and Advanced?
12 Weeks
How often & where do you track inventory?
Daily on Sortly
Where can you find the recipes of the standing orders?
Nurses binder
What vitamins are kept refridgerated?
Vitamin C
B12
Glutathione
Glutamine
Tri-Immune
Methylcobalamin (B12)
What are potential complications of improper IV insertion?
Infection
Infiltration
Phlebitis
Where can you find the Wifi Password?
Behind the desk
What are the main 4 symptoms/side effects of semaglutide?
Nausea
Vomitting
Constipation
Fatigue
What do we do with empty vials?
Put into empty vial container and update Sortly
How should we draw up medications?
In front of the client from the single dose vial
What vitamin does ALA work better with?
Glutathione
If a member comes in for a pizazz bag on June 1st, what is their total cost for the day?
zero dolla$
Who Can Absolutely NOT Receive IV Therapy at Refresh Bar?
CHF
Stage 3 & 4 Renal Disease
Where should you complete a semaglutide consultation
What do you need to ensure every time a client comes in for the next dose of sema?
Bowel Movements
List the 3 steps that should be taken when a delivery arrives?
1. update the quantity on sortly
2. list the reason and note (initials)
3. put supplies/meds away
What is the add on dose of glutathione?
2ml 400mg
List the vitamins in the Cold & Flu bag
Vitamin C
B12
B-Complex
Glutathione
Zinc
Lysine
What do we charge for NAD+?
$1/mg
Members: 200/250mg and utilizing the "upgrade" for their first time of the month.
Members: 90cents/mg
What type of fluid does 10mg High Dose Vitamin C go into?
LR
Where can you find the employee handbook?
In the nurses binder
What class of medication is semaglutide?
GLP-1 Receptor Agonist
You have a wedding in 6 months and you know you cant work. What should you do right away?
Request off in Connect Teams so we concretely know you are unavailable.
Where are the two places you log an infiltration event?
Charting on Zenoti
Incident Report
is NAD+ injection better absorbed subq or IM?
subq
If a member comes in for their first time of the month and wants the cold & flu IV Bag and an Add-On on Lysine, how much is their total?
$45
What should you ensure you have on file before administering 20G of Vitamin C?
G6PD Labwork
How often should you wipe down the chairs?
At the end of the night, after each client, and whenever contamination with blood occurs.
What is TWO interventions you can promote a client to do for constipation on semaglutide?
Walking, exercise, Kegel exercises
Increase fluid intake with electrolytes (celtic salt)
Mg supplements
IV Fluids (Mg, Glutamine)
Miralax, Mg Citrate, suppositories
Psyllium powder, Metamucil, etc.
Probiotics
How do you file an incident report?
Connect Teams
How many times should you check on a client during their treatment for an IV?
3 times
What vitamin can NOT be given to someone taking Valproic Acid (Depakote)?
Carnitine
Name the Live Favorite IV Bags
Pizazz, Beautify, Eradicate, Endurance, Migraine
After checking in a client, what is the first thing you should do before providing any sort of treatment?
Take Vitals, Review H&P/Consent
If a client needs extra comfort care for anxiety, name things in the spa we can offer them.
Cold compress, water/beverage, blanket.
What is the % of body weight loss expected for clients on semaglutide for nearly a year?
10-20%
Inform the client that you need to verify with your medical director. Get as much pertinent information as you can about the clients' history and contact Anthony before proceeding. Safety is key.
What type/tier of bag should you recommend when a client is choosing an IV bag and why?
Premium. The bags have a larger variety of vitamins and higher dosing. The clients will feel a better effect.
What are the benefits of Lysine?
Anti-viral, antioxidant, skin health, joint health, reduces blood pressure, wound healing, dec anxiety, calcium absorber
What is the program for our semaglutide maintenance program>
Variable
What steps do you take if you can't administer a successful IV placement and you and the client decide not to continue?
What needs to be cleaned in the bathroom before you leave?
Garbage can, sink, vacuum floors. Toliet cleaned as needed or once a week.
Absolute Contraindications to Semaglutide?
Familial History of Medullary Thyroid Cancer
Familial History of Multiple Endocrine Neoplasia Type 2
**History of Pancreatitis
A client requests further information on the integrity of our products, what would you say or show them regarding where we receive our vitamins from?
503B Pharmacies - FDA regulated pharmacies for highest tier of efficacy, safety, and effectiveness.
You can show them the website for Olympia etc. All need verification of a Medical Director and are often suppliers for hospitals.
You are placing an IV for the first time and the client states that her right arm is the best based on blood draw history. You find inadequate veins in the arm. What do you do?
Alert the client that this area might not be the best and you want to avoid poking them more than once. You alter arms and move down the extremities to find another viable site. Utilize double tourniquets/BP cuff. Vein light. Hot compress to assist to avoid double stick.
Name 6 Benefits of Glutathione
Antioxidant
Antiinflammatory
Detoxification
Immunity
Skin health (also Skin whitening at large, frequent dosing)
Neuropathy pain
Gut Health
Cognitive Protective
If a member comes back for a 3rd time during the month and requests the beautify IV Bag, what is their total?
$120
What should you make client aware of before they begin their first time NAD+ treatment? Name 4 things.
Symptoms. Headache, N/V, Abdominal pain, palpitations, flushing, congestion.
*Say they have the opportunity to decrease the flow rate at any time to decrease symptoms
What are the membership benefits?
Discounted Bag
Member gift
NAD 90cents/mg
Free monthly add on
Bag rolls over
Explain how semaglutide exerts its effects to promote weight loss
By activating glucagon-like peptide-1 (GLP-1) receptors in the brain, which leads to increased feelings of fullness and reduced appetite, as well as by slowing gastric emptying and reducing food intake. Increasing insulin when blood sugar is high.
Tell them that this medication needs time to acclimate in the body, if we bump you up too fast you may experience symptoms or have adverse effects like constipation that could lead to a bowel obstruction. While it's important we see weight loss, uping the dose too quickly isn't always in the clients best interest. ASK KIM before going higher than any standing order.