SMME EP 414: Bringing IV Therapy into Your Aesthetic Practice with Jenn Plescia of IVs by the Seas

7:52AM Apr 21, 2025

Speakers:

Daniela Woerner

Keywords:

IV therapy

medically assisted weight loss

high profit services

nurse practitioner

emergency room

health and wellness

patient safety

training courses

mobile IVs

vitamin IVs

PRP facials

business growth

patient care

medical esthetics

profitability.

Welcome to Spa Marketing Made Easy, a podcast for spa owners who want to step up their leadership and business skills and step into the role as spa CEO. I'm your host. Daniela Woerner, CEO of Addo Aesthetics and Founder of the Growth Factor Framework Program, where we teach, coach and guide spa owners in scaling their spas to the next level of growth and unlocking freedom in their life and their business. I'm so glad you're here now. Let's dive into the show. So for the past year or so, I have been very closely following the growth of medically assisted weight loss in our industry, and I've been learning a ton. It got me exploring other high profit services that actually couple nicely with medically assisted weight loss, and that's how I came across Jenn, who is the founder and CEO of IVs by the seas. I invited her on the show to educate us on the benefits of IVs and also to share just her incredible story of growth. So if you've been exploring IVs, or you're simply looking for some high profit services to add into your practice, this episode is going to be great for you. And if you're not interested in IVs, the story of Jenn's growth, her energy. She's so energetic, she's so passionate. It's a super inspirational episode. Okay, so let me do a quick read of Jen's bio, and then we can jump right in. So Jenn is a board certified family and emergency room nurse practitioner who received her Doctorate of Nursing Practice degree from Rutgers University in 2017 she has over 10 years of Emergency Medicine and urgent care experience and noticed a significant decline in overall health and wellness, which prompted the formation of IVs by the seas. Jen believes in treating patients as an entire entity and identifying the root cause of your healthcare ailments and esthetic needs. Her ultimate goal is to optimize your health and well being from the inside out, because when you look good, you feel good too when she's not working. Jenn is the mother of two beautiful girls and a first son, Guinness. She has been known for her love of red wine, cheese and her signature chicken parm. Her hobbies include spending time with her family, cooking, traveling, surfing and a good girls night out with a lot of dancing. So I hope that you are ready for a great interview. And if I could ask you a favor, if you are a nurse or someone in the medical aesthetic space who could benefit from having a high profit service in their practice, could you please forward this episode to them? It would mean the world to me. All right, let's go ahead and play that interview. All right, Jenn, welcome to the SpaMarketing Made Easy Podcast. I'm so excited. I mean, just in the like two minutes that we had before we hit record, I was like, the things that were coming out of your mouth, I'm like, Yes, this is exactly what we need on this episode, before we get into all things IV and how we, you know, use that to make your business more profitable. All the great things, can you give our audience just a little bit of background on you and kind of how you got into this world in the first place?

Sure. Well, first and foremost, thank you for having me so. My name is Jenn Plescia. I am located in Point Pleasant New Jersey, and I own IVs by the seas. So I'm pretty much like a post COVID baby. I am your classic ER nurse gone into IV therapy, which is like a very big trend with this at this point. So I have two children, and obviously I have my husband too. Who is Jesus? We would never have what we have if it wasn't for my husband. And I always start anytime I'm speaking, like, Thank God for Derek. Like we literally call Him Jesus in the office. I also call him rose. Like, don't tell him on the babysitter's dead. Like I'm right on top of that rose. It's like a standing joke. Um, so I was supposed to open a med spa back in 20 when was Charlotte born 2021, and I took a trip down to Key West. And when I was in Key West, I saw IVs in the keys, and I was like, Oh, okay. And like, prior to doing IVs, I was known as rapid mobile COVID testing. So when nobody could get COVID tests, I would do COVID tests at your house. I would do rapids, I would do PCRs, I would work with your flight clearance. And like everyone's like, you should do, like, mobile IVs, like you would kill it. And I'm like, yeah, no, I don't really know. Like, I was like, this is just a passive income thing that I do. It's basically like, here to pay for my maternity leave, I literally COVID tested up until the day I gave birth. Like I COVID tested someone three hours before I went into birth. Oh my gosh. I had my daughter. I was on leave, and I that summer, went down, and I was like, hmm. So I took our credit card and I opened all of these accounts and like, I. I took a course, and my husband was like, What the hell is on our credit card? I'm like, just leave it alone. Sorry. I'm from Jersey, so we tend to have a potty mouth, so if you need to, like, filter, me

just fine. It's fine. It's all good. So Jersey girls, I

was like, okay, so I order all these supplies, and he's like, Are you like, building a hospital in our house? He's like, is this like, part of, like, your COVID, like PTSD, for, like, the world ending? And I was like, no, just stop, like I'm playing with something. So we open the business. My husband does everything back end. He works a full time job, and he's off on Fridays, and he does the insurance, the compliance, the licensure. I do everything else, medical office, the whole shebang, and it was just something like slow that we just started doing. And then I had, like, built the Instagram, and then, like, we started going around. And in August, I landed a really big client. And the thing that I find hysterical about this is, like, the first patient was my former assistant, she put it on Instagram, somebody else found me. She posted on Instagram, and then this client found me, and this client is still with me to this day. They actually own, eat, clean, grow, which is like a meal delivery service. And they do it like nationwide. They're just the best, most humble husband, wife team that you'll ever meet, which is great, because when you work with your spouse, it's very difficult to find anyone who understands, especially when you have children that are young. So I was working in the hospital, and this was when that, like second weight, like the delta alpha, I lost track about all these COVID waves. You know, a lot

of nurses left after COVID. And I, actually, I have a lot of nurses in my family, and it was just so intense during real

heavy tasting. I mean, I can't look at a refrigerated truck the same way I worked the initial wave. And I always volunteered to be the COVID nurse. And everyone is like, my husband's like, we have kids. What are you doing? Why are you volunteering? I go, no one else gets full PPE. I go, I get full PPE every day. He's like, but you're next to that person. I go, but you could be next to somebody and not know I was like, and everyone else doesn't have a mask. And then I ended up getting COVID and lost my smell and taste for eight months. But this was like, when people couldn't get a COVID test, and they were, like, driving their cars through urgent cares and being crazy. I was going to work, and I started getting, like, dark and scary. Like, in the northeast, we're all miserable as soon as, like, late September hits, because there's no sun. September. Fine. October. Moody. November, crotchety. December. I was like, I need to go to Disneyland. And like, Disneyland is what we call, like the psych unit in our house. So I go to work. I'm one nurse for 43 patients. The nurse before me was brand new. Had no clue what she was doing. She had people on, like cartas drips and not on a heart monitor. I found people dead on structures nobody knew with us, and they were alive. I had a guy that came in the other day had a brain bleed with a shift, and he was vegetative, like, just a disaster. And I had, like, a complete meltdown at work, and I basically was like, I'm not coming back. I can't do this. Like, I teed off on my boss because whatever. So my big client that owns eat clean, bro, I went to his house one day, and at this point, like, we're friends. And he looks at me, he's like, what's wrong with you? I'm like, What's wrong with you? And he's like, you're not, like your normal self. And I was like, I'm fine. And he's like, no. He's like, we're friends. Like, tell me what's going on. So I basically told him, like, I quit my job, like I'm trying to make IVs by the seas blow up. I was like, it's really hard. I was like, you know, basically my husband told me, you have three months to blow up your business or you're going back to the hospital. And I was like, three months. People take like, five years. And he's like, Well, if you really want it, you'll do it. So Jamie hooked me up with his local celebrities in New Jersey, and I worked with Todd Frazier, who's a former Yankee. He's a big like Tom baseball player. I worked with Frankie Edgar. He hooked me up with the cast of Jersey Shore. I worked with some of the Real Housewives. And when Mike The Situation had COVID, I infused him, and he posted me on his wall and tagged my business. And we blew up, wow, I'm a one woman show. Okay, I'm answering the phones, I'm doing the infusions, I'm doing the scheduling, I'm doing the billing and the charting. I literally got phone calls from all over the world. I was in CNN, Yahoo, like everywhere, and I started working, literally, 8am to 10pm every single day. I never said no to anybody. I found a way to make it work. I lived in my car for about three months, and then I finally hired some people to start helping. And you know, I guess I got where I was, because, like to me, I'm all about customer service. I treat every single. Person. You're not an ICD code, you're not your insurance, you're a human being. And my problem is is I care too much, which is a good and a bad thing, but like I know my patients, I literally will find ways to help them, because I treat every single person the way I expect my father to be treated by a healthcare provider. And, you know, my Instagram too, like, I'm very honest and transparent with people. I tell people, no, I set my boundaries. And I think that's kind of just, you know, what separated us from everything? And now we're three years in this December, and here we are.

You know, there's nothing like a deadline to get your butt in gear. I know, like, we have a lot of women in our world that they're, you know, in childbearing age, and they'll, you know, have babies or do things, and it's like, this needs to happen before this baby comes out, because there's no you can't be like, could you just wait like an extra week, or something along those lines. So that's an incredible story. I love, I love hearing other people's success stories and yours is very interesting. So it's, it's very cool. So tell me, I'm curious about the overall benefits of IV, because there's a lot of different things that you can use this for. And I feel like there was kind of a surge that happened during COVID, and then it kind of slowed back a little bit. I think people got a little worried with liability issues or so talk to me a little bit about that. Like, if I'm a nurse or a med spa owner, and I'm wanting to bring in IVs. What are the things that I should be looking at for my practice?

So first things first, nobody wants you healthy. Think about the long term. And this is the thing I always say to my patients, is that, yes, this is an expensive service, but this is also an investment in keeping you healthy. And, you know, I have a lot of patients that I've gotten off of meds with vitamins, and I always say like and like I said, I'm not trying to be political, but like, Big Pharma wants you sick. If you're sick, you get drugs. They get reimbursed, whereas, when you can do something more holistic and naturally, it can help with it. So my biggest thing with opening a med spot is that I and this is going to come off wrong, but I don't mean it to if you're not a medical provider, you should not be offering this, because the thing is, is that if you don't know your IV stuff upside down, inside out and backwards. As a business owner, and you're an investor, if something goes wrong, they're not going to go after the medical, they're going to go after the money. And when you go and you stand on a on a court stand and you have no medical experience, it's going to be well, how are you running an IV business? So I always say that you should at least have a medical person that you know you trust, not somebody that you just find off of, like, indeed, like, you need to make sure that you have a really good relationship with the person who's doing the medicine.

So is this, you know, when we talk about scope of practice, is this an RN, is this an NP, is this, you know, like, what kind of background are you looking for, for someone to have in your practice. That's so

for me personally, you have to have er experience. And a large reason for that is this, is people with expendable income and it's a luxury service. How would you feel if you were stuck six times and you're black and blue all over? You don't want that. You want that white glove experience. So the thing is, is I only hire ER nurses. Also we have an office and we're mobile, so I need to know that whoever I'm sending to someone's house is not going to freak out in the case of an emergency. Who's not going to be like, Oh my God, this person just passed out. I need to call 911, no, they probably visgo Because they're in fear of needles. You lay them down, you put their feet up, give them some juice, and then and then you're good to go. So, you know, I've had instances where nurses have gone to houses, and I always tell my staff, if you're uncomfortable, like I feel like when you've worked in the ER, you can literally, like, walk into a room and it's like a smell, and you just know something's wrong. And my nurses are my eyes and my ears, and we have called 911 on some people that we've gotten them to the hospital, because a lot of people think, like, this is a hospital service, and you could just hydrate my 95 year old mother, and like, you have to set those boundaries. And all those times that we've called, every single one of those patients has ended up on the ICU because they waited too long and we did not infuse them. But my staff calls 911, and they make sure they physically get on the ambulance.

So And what about training? You know, if they're not an ER nurse, but maybe they have experience with anesthesia or some particular spec. Specialty are there trainings out there that can help prepare somebody be able to do these types of services in their

practice, I do trainings. I actually have a course I travel. I can go to people. They can come to me, or we do virtual and essentially what I do when I travel to you, I literally bring you your supplies. You get a handbook. We make your recipes, we do your charts, and I set your entire office up for you. If you come to me, I'm obviously not setting up your office, but we work together. We do the mixing. If you have people that you want to train on how to insert IVs, I teach them. My method is a little odd. People i i teach people how to put IVs in with straws, which everyone's like, what? That doesn't make sense. So I take a clear straw and I show them how to like go in and how it glides, and then I get darker straws to make sure that they don't puncture it. So, because that's literally like a vein is like a tube, but I do all of it, and then I do virtual for people who are like, we know how to do IVs. We don't care. We just want the information. But there's other courses out there too. So, you know, it's a matter of what's comfortable. But I believe that if you're going to invest in this, in your company, you need to make sure that you know your vitamins upside down, inside, out and backwards. You need to know your benefits. And it starts with your front desk. If your front desk doesn't know what they're talking about, people are not going to come in. And I also tell my staff, if you don't know the answer to a question, your response is, I don't have that answer for you right now, but I'm going to find out, and I'm going to call you back. We don't lie to people.

And then they come in and they see me, and obviously, like, I'm the guru in here, and like, we tailor it around for them with that. But training is really it's what you're trying to get out of it, how much you already know and how much you want to put into your practice with it. So let's talk about how you incorporate this as a business model, so you guys are mobile and office, yep, and office, okay. But if I'm a med spa, and I'm looking at, you know, right now, there's kind of this wave. We've been talking a lot about medically assisted weight loss, about bioidentical hormone replacement therapy, and I'm curious how IVs can kind of couple with those services for the practices that are really specializing in that, and if they're not specializing in that, you know, there's also other ways that we can add an IV to increase revenue per hour per room, if they're on a you know, full sculpting is not really as much of a thing anymore, as it was before medically assisted weight loss kind of took over the world. But a lot of times you're just there for 15 minutes, sitting there while the machine does its work. If you add a drip on there, can you increase your revenue power per room? Like, what are the types of ways that we're incorporating this

perfect I'm just like, side note. I'm like, super ADHD, so if I start going off tangent, just like, cut me off, because I'll just

just, you know, click, click through like, 10 questions at you start with medically assisted weight loss. Because that's, I feel like, that's kind of the vibe that's really like every nurse that I'm working with, we're talking about that right now and really focusing on I mean, I don't know if you saw the United article, but like at the shareholders meeting for United Airlines, they were talking about medically assisted weight loss, because if each of the passengers would lose 10 pounds, they would make, like, billions of dollars in fuel efficient I'm like, this is everywhere. It's everywhere you should google. Every time

I get on a plane, I'm always next to the 600 pound man, and I'm always like, they overflow into my seat. And I'm like, Oh, I don't do tight spaces. I hate flying, and it sucks because, like, traveling with conferences, it's like, I can't, like, take anything before I go, because, like, usually I land, and it's like, alright, perform, but I've gotten better. So you know, if you're doing weight loss and you're not doing IVs, like, part of my French, you're an idiot, literally. So I do a weight loss program, I have a six week weight loss program, and then I have, like, a shot pack. But anybody who wants to do weight loss now, I don't do GLP ones at all. I only do vitamin based weight loss. Interesting. Yes, you know, I know. And like a lot of people like, how come you're not doing GLP ones? It's just my personal preference. I have my own feelings about it. I think, I think that a lot of people are using it as a quick fix, and people are not necessarily learning the lifestyle changes in order for maintenance. And like, I crack up because I have patients who are like, I just need to lose like, 20 pounds in six weeks before, like, my kids wedding, and I'm. Like, can you just prescribe it? And I'm like, No, I go, because what's going to happen is you're going to lose the weight and you're going to rebound. I go, my program. I'm teaching you how to adjust it so you can maintain it. And like, one of my favorite sayings is, like, I don't put a BandAid on a gunshot wound. So with weight loss, you know, when you're doing weight loss, your patient should have a plan. They need to be eating one gram protein for every pound that they weigh. They need to be eating every three hours. They need to be drinking half of their weight in ounces. They need to work out. They need to be doing weight lifting. So typically, if you wake up at 6am and you're not working out, you need to eat within that first hour. And we're not talking about coffee or a protein shake, you actually need to put food in your body.

Yeah, what I've seen, too, that I think is, is really interesting. A lot of the nurses that are doing the medical assisted weight loss, they're also hiring dieticians and nutritionists the couple and really create for, you know, in marketing terms, a funnel, it's a client journey of, you know, making sure that they're helping them start to see those results right away, so that they stay motivated, but also, exactly as you're saying, teaching the lifestyle shifts that will maintain it, because that is such an important thing when you're thinking of like true quality of care for this patient, like, how can you make sure that you're helping them? You don't need to hire a nutritionist when you're doing this correctly. So the one thing I do with my weight loss patients is, if they're getting blood work, okay, um, you have to have a vitamin D level. You have to have a B 12 level.

You need a thyroid panel. Obviously, I do a CBC, a cmp. I don't really do blood work. I just write down what I want their primary to do, because if there's a problem, I don't want to do primary care, so I have them get it outpatient. And the one two tests that nobody does is vitamin D and B 12, which blows my mind, because those are huge contributors to like anxiety and depression. But if you didn't know that your vitamin D is not going to bind unless your magnesium levels are up to par, you can't do a magnesium blood test. You have to do an RBC magnesium blood test to find out if your level is up to par, so you can absorb vitamin D. So that's a big thing right there. And then I look at their labs, and I kind of tailor their IV based on their labs. Now, when they're doing weight loss, if hydration is not an issue for them, we do lipo, Tropic shots. They could do one to two a week, you know, if they want to do an IV with it, like my people who struggle with IV hydration, I do a six week program. They're married to me for six weeks. I do not sell this package unless they are committed to the plan, and they make all six appointments on their first visit. And my biggest thing that I tell people is that this is not a magic potion like this is a lifestyle change. So if you're not ready to make the lifestyle change, please don't waste your money with me. I said, Listen, I would love to take your money I go, but then you're going to come back to me and you're going to be upset. So what I do is, is I literally give them a 12 page sheet on everything, portion size, sustainable foods. You know, it's all about the quality of the food that you eat. Are you getting, you know, like, crappy meat? Are you getting good meat? Are you getting organic versus non organic? And you know, the price of groceries right now, but we have like Aldi up here. Aldi is a European company, no GMOs, no high fructose corn syrup, no dyes, nothing. You get pasta from there. It's legit. From Italy, it's semolina flour. It's not white, bleached flour. So I tell everybody you are what you eat, and that the IV program is going to help stimulate so I do an IV with like a vital complex, which is like a blend of B vitamins. I call it like the multivitamin. These are going to increase your energy. They're going to stimulate your metabolism. I do vitamin C in there. Vitamin C is great for muscle healing. Also, you're going to get immunity out of it too. And we're in sick season, it has a little magnesium and calcium, which they work together, okay? Magnesium relaxes, calcium contracts, but they also increase thermal regulation. When thermal regulation increases, your heart rate increases. When your heart rate increases, you burn more calories. Then I have an amino blend in there too, and the Amino blend is going to act as like your building blocks for like protein. It helps with muscle. It helps with post workout recovery. Also has lysine in it. Lysine helps make collagen, and lysine also helps keep your immune system up. Then in the Amino blend, there's ornithine, arching and citrulline. And what they do is they help to get urea out of your system. And with the fluids that are in your bag, it's going to flush out all of your talking toxins. So it's going to help your workout, your post workout, recovery. And then I. Top it off with a LiPo tropic injection. I do like MYC lipo meno or lipomino with carnitine, because the methane and ionosodal and choline help stimulate fat loss. So it's like the icing on the cake with it. And we, we pick which shot we want to do every week you're not married to it, because I want you to find what you like. So

let's, let's get into the fun part and talk about profitability. So adding this to your practice, rough estimate of what it would cost to bring this service in, and then what can you expect in terms of margin? And how are we, how are we working this for maximum profitability?

So when I speak at conferences, the first thing I do is I walk into the room and I say, all right, how many of you have IVs in your practice right now, and maybe half to, like, three fourths? Raised her hand. I go, how many of you are here because your boss forced you to sit in and listen because they want to incorporate it, and you have no interest in being in here, and the hands go up, I go, great. I was like, You're not going to hurt my feelings. I'm dead inside. I go, now, how many of you are going to be interested in IVs if I told you my first year in business doing mobile IVs, only, no esthetics, I made just under a million dollars. And everyone's like, jaw hits the floor, and I go, everyone I was like, What are your issues? And everyone says, cost. And I say, Okay, what if I told you I pay 23 to $37 for an IV with a blood control catheter, an extension set which when people connect tubing into an IV catheter, it boils my blood, because that's how you infiltrate. I use what you get in the hospital, and that cost includes your vitamins, and they're all like how. I also use the most expensive pharmacy. I use, Olympia, but you don't go to the big brands. You go to the moms and pops. So I have preferred vendors that whenever I train with anybody, um, or if anybody ever asks me, I give them my vendor, and they get my VIP pricing from the start, which, you know,

what are you pricing this at? I'm seeing a lot of, like, 150 to 170

so a lot of that is chain. So I tell everybody, because a lot of chains have opened up around me, and everyone's like, well, at this chain, you know, I'm paying $99 and getting my IV, I go, but you also get what you pay for. I pack my bags with vitamins. And I have worked, I work with New Kids on the Block and, like, it was so funny one of the first times, like, Why do I taste something I've never tasted anything in my IV? It's the Vita complex. And I go because they're probably not putting a big dose in it. I said you need to do the right dose, and that's how I sustain what I charge in my office, we start at 200 and IV. We work our way up mobile, we start at either 265 or 275 but when I go mobile, my pricing is all inclusive. I don't charge travel fees, I know a lot of people tack on gratuity, which that's illegal, that's a kickback, so you can get in a lot of trouble for that. And I always say, like, I we're in New Jersey, and get a lot of Italian people, and if you don't take a tip from them, they get very offended. So I always tell my staff, decline at first, and if they're pushy, just take it. But I don't want to see a trail of it needs to be cash, needs to be Venmo, and it could just be like for a cup of coffee. You know, that's, that's the one big thing. But I mean, when you get your costs down, you should be making a minimum of $100 profit. And the other thing is, the timeline for the service. How long is this taking? It's dependent on your catheter, size, your tubing, and the height of your pole. So my husband is six, five. He hung all of the poles so we have cleats, like boat cleats. That's what we hang our IVs on. He hung it so high you could dump a half liter in 12 minutes. You can dump a liter in 22 minutes. Now I like to do it between a half hour and 45 especially when they're new. You can use smaller bags, because right now there's a ceiling shortage. So you know, some people are doing 250s and the way you sell that is, if you don't need the extra fluids. Let's give you more bang for your buck with your vitamins and not over dilute. But you have to be careful, because they come like, oh, you dilute my vitamins. No, the doses of your vitamins never change in your bag. It's just the amount of fluid that you need, and it's pretty quick. I mean, you need to use. 10 GTT per ml tubing, you need to use a 20 gage catheter. Like, we're not using 20 fours. We're not using 20 twos. 20 twos are saved for, like my oncology patients, or like my fragile people, things like that. You know, fragile, fragile. Those are like, usually, like my old little bitties. And we don't use pressure bags ever.

So when you are as the business owner, you know, we, we look at, okay, usually, a energy based device, or this, whatever the type of service is going to take this amount of time, this is the consumable cost. How are you kind of estimating these different things and how many providers, how many nurses do you need? Is it one nurse per patient? Or are you having? You know, we see, I don't know if this is a chain thing or just but there's like those chairs, there's like six chairs, there's a big TV, there's the bags and there's one nurse.

This is the other reason why I hire ER nurses. They're used to thriving in chaos, so I do have an IV lounge. I also have a private IV room where if someone is sick, we put them in there. Some people don't want to sit in a lounge with other people. I always I'm in the office Monday through Thursday. Sometimes I come in on Fridays. But I also have an esthetician who does PRP facials. There's always a nurse in the building at all times, and I have one nurse mobile and I have one nurse in office. So if my mobile nurse has no appointments, they're hanging out in the office, and they're going to back up the other nurse on the weekends. So when there's flow, the other thing is, is like it all has to be teamwork. So if I'm not here and my st has a PRP facial, my nurse is going to draw the blood and get the PRP. And PRP, by the way, is the number one upsell for IVs, if anyone is doing it, yeah, yeah,

tell me about that. So injecting the PRP or how are we not

all, PRP is created equal. PRP is dependent on your hydration. PRP is dependent on your nutrients in your body. So if you've ever drawn PRP and the tube comes out and it's like, cloudy, disgusting, like UTI, septic, it's because their cholesterol is too high. If they're dehydrated, they're not going to get quality PRP. So I do like a three pack of PRP. And what I will do for my patients is my three packet is like 2200 it's expensive, but I say to them, I will give you four IVs. Okay for 454

IVs, 450

so my cost for the IV that I do is like $22 $23 times that by four.

And then you have to pay your nurse also. But yes, that's

nine, that's $92 and then my cost for my PRP facials are like maybe 110 so my cost is less than $500 and I'm making and I'm charging 2700 and what I do is, the week before they get their PRP facial, they have to come in and get an IV. It has to at least be three days before their PRP facial. And what I do is, is I pack it with collagen stimulators. I throw on my vital complex, I throw in my vitamin C, I throw in biotin, I throw in some zinc, I'll add on some glutathione. And then if I'm really feeling like, you know, I'm going to throw in some vitamin D. Then I have them come back. And when they come in for their facial, I use a Vacutainer. Okay, so I put an IV in. I use a Vacutainer. I draw their blood while it's spinning down, I hook up their next IV. So they're getting their IV as the PRP is spinning down, I'm Derma planning their face. When the PRP comes out, I'm ready to go. And are you needling in the PRP or micro needle? I micro needle and I inject. I know some people stamp. I I was not an esthetics person for IVs. I trained for two years on esthetics before I brought it into my practice. So my office that I'm in now, I had a sola Salon Suite last year. We outgrew it in six months, and now I have a 2000 square foot office that I do esthetics, IVs and facials and everything in

love it. What are the questions that I'm not asking that would be relevant for someone that is interested in learning more, wanting to kind of add this into their practice. The biggest thing you need to know is you need to know your state guidelines. I know South Carolina

is very strict. You have to have a laminator hood. There's only X amount of people who can compound. So you need to know who can compound a bag, who can put in an IV, who can maintain it? You need protocols. You need competency checklists for your staff. You need to literally monitor your staff on how to insert an ID step by step. You need to sign off on it. You need to do a competency checklist for compounding. Compounding gets a little hairy. Because there are USP guidelines. Now they're guidelines. They're not the law, and you can only put three ingredients in a bag, but you need to find ways to bypass it, which you can inject im you can piggyback in, you can IV push. You just need to know all of the facts. You need to just make sure that your staff is compliant. You need to make sure that you have a tracking system. You know, we literally everything in my my stock room. We have a traffic light color coding system of use this first, then use this next. Because once your vitamins hit your B U D, it's either 28 days before the beauty, once you pop it, or once you get that beauty, you have to throw it out. So you need to find a way to make sure that you're using your vitamins without expiring. And usually when I have certain vitamins that are getting close to it, and I have a stock, I do a blowout sale, I'd rather take less of a profit than waste the product, right? But you need to know your regulations. That's a really big thing. You need to have SOPs in place for emergency situations. Someone's anaphylactic, someone's vomiting, someone seizes. You should be doing trainings on what to do when that happens. There's a lot on the back end that people don't realize. You know, like your fridge, all of your fridge, they need to be locked. Anything that has a medication has to be locked. Are you doing temperature logs on your fridge? That is a health department requirement. So if they ever come in, they're gonna say, Where's your fridge log? Why isn't this locked? Oh, you have an expired vial of XYZ in there. There's a provider in our area who had vials that were expired, and they got fined $25,000 of vial. Oh, my gosh, yeah. So, you know, everyone sees IVs as Oh, which is profitable. Oh, it's just vitamins. It's not just vitamins. You can kill somebody if you give them too much magnesium, you give them too much calcium, if you overload somebody on B 12 when they go to their primary and they get their blood work and their blood work and their B 12 is greater than 2000 Do you know what they're going to do to them? They're going to send them to the oncologist, because they're going to think that they have leukemia. You have to be careful with how much fluid you're giving people. My favorite are the cute little old people. I have no medical history. Do you take meds? Yeah, I take Lasix, and I'm like, Oh my gosh. And why do you take lasix? Well, my legs get swollen. Do you have congestive heart failure? No, I just give fluid buildup. You have to, like, I feel like, when you're working in this it's like an onion, you need to peel back the layers, because at the end of that's why you feel it's so vital to have a medical professional that knows the questions to ask.

Connected my light always. There we go. My light in my office is like one of those automatic lights I'll never forget years and years ago. This is probably like 15 years ago at this point, but we had Dr Patrick bitter came in to do, he's like the the BBL guy, right? And he came in and was doing a training for the spa that I was working at. And we had these like patients that we didn't know why we couldn't help them that. So he was bringing in like he was going to look at them, and we were all laser attacks. But estheticians not we don't have medical background on medication, right? And what happened with this one gentleman was he was on prednisone, and so he was red, and we couldn't get the red to go away. And so we brought we it took a doctor to understand the medical history piece. And so it's like, okay, the more you get into it, the more you realize, like, you don't know what you don't know. And it's always important to ask when and just be aware of your own scope and your and every

patient that comes in our door is assessed by me before a line goes in their arm. So my protocol is, is I telehealth them, or if they're in office, I see them, I go through their intake sheet with them, and then the nurse. When they arrive, it is the nurse's responsibility to sit them down and go over allergies, meds, medication, surgical history, everything, because people love to lie. And the other thing I do on my intake forms to cover my tush, is I have an attestation on the end of their medical intake, and it states I have fully disclosed all of my medical history, allergies, medications, blah, blah, if I have, if I fail to disclose any information and an adverse effect happens, I do not hold, plus your medical LLC, DBA, IVs, by the seas legally liable, because there will be people who lie. I had somebody who didn't tell me they were on Klonopin and oxycodone and. Had all these other meds, and they wanted a detox. They wanted me to detox the COVID vaccine out of them. And I was like, I don't think that's going to happen, but I'm more than willing to try. And I gave them NAD and I gave them glutathione, and then the next day, they called my office screaming at me that they were in the bathroom, puking and on the toilet all night. And I go, Well, you wanted a detox. I gave you a detox. And, like, prior to doing that, I asked, Are you on any of these meds? You know, I was like, because you can withdraw from them. She said, No, no, no, no, no. Then the next day, she's like, you know, my anxiety is through the roof. My Klonopin, I've had to take most of my Klonopin. And I was like, you told me you are an on Klonopin, and you signed the waiver. So you also need to be careful, because people who are on like benzos and opiates, if you give them certain meds, this is what's going to happen. So I don't, I don't sacrifice patient safety for profit, and I find that a lot of places popping up look at profit, but they don't look at sustainability. And it's very difficult to maintain an IV business in this like in current day, when you don't have that extra step, because places are opening up all over the place, and within a year, they're all shutting down.

So it really comes back to, you know, patient care first, which it should be in all medical spas. I mean, there's the word medical in front of there, right, like we it should be quality over quantity. I would rather have 50 quality patients that are using me consistently than 5000 who use me as a revolving door. Very good. This was great. This was eye opening. I think it's going to really get a lot of people's wheels turning on, what is possible for them, and decide, do I want to do this? Do I not want to do this? Is aligned with my practice, all of those things. So can you share? We'll include all the links below, but can you share where our listeners can find, you, follow, you get in touch with you all the things. So I,

I have a Facebook, guys, I don't use it. I hate Facebook. Me and

Facebook are not friends anymore. We're not friends. I have not done I actually haven't been on any social media for over a year. Talk. My team does it for me. I literally have not been on anything for every year. So I

make I make reels, I do my own reels, and I do have a social media team, but you will find my bread and butter is always going to be Instagram, and it's going to be IVs by the seas, not IV by the sea, not IVs by the sea. It's IVs by the seas. And I'm on there. I do answer my own DMS. You can email me which we can put that contact info up, and then, like I said, I do do trainings. I travel. You can come to me. I always tell people like, now is the time in New Jersey if you want training to come here, because I'm like, a mile from the beach. So all the cute little like, Airbnbs are dirt cheap this time of the year. Yeah, and like, I just, I tell everybody, you need to find somebody that you feel comfortable with if you're going to do this, you need to find somebody that's going to be a resource. And anybody, I've done three trainings so far, and every person knows they get my personal cell phone, which I never give out at the end, because if I'm training you, how your practice is going to run is going to be a direct reflection upon me my training and what I do. And I literally give you everything. I give you your SOPs, I give you your competency checklist, I give you your inventory. I give you everything, and I'm always here as a resource, because the last thing I want you to do is to guess and you hurt somebody. You know, I tell every single person who does IVs, especially mobile all my staff is You are a stranger going into someone's house with needles and drugs, and if you don't view IV therapy like that, then this is not the company for you to be working at. So

a great part, great antidote. You are going into someone's house with beetles and drugs. But I mean, it is. It's important. It's important to put it all in perspective, yeah. And like

I said, Instagram is really the best way to get a hold of me. You can email. Can email me. Email, it usually takes me 24 to 48 hours to get back Instagram. DMS, I usually respond right away. But I also like to, like, let people know I am a solo nurse practitioner. I'm a mom of a three and a five year old, so you might get texts back for me at you know, like 1030 at night. Actually, you won't, because I go to bed by 830 but I always respond. And you know, we could always work something out right now, I don't have any like in person trainings until the new year, just because I am speaking at the map meeting in November. And I think if I you. Travel in December, my husband will divorce me because I have traveled every single month lately for conferences and trainings. But if people want to come here, I could definitely open something up, and then I can also open up something virtual. But when I do virtual, you don't get what you would get in person, so I do preface that with people

Perfect. Well, we'll get all those links included. Thank you so much for sharing so much information, so much knowledge. I know this is going to be a huge value to our listeners, and I'm just excited to watch where you continue to grow. I mean, gosh, three years in and just keep going.

Just keep swimming. That's what I keep saying.

You know, you're a mom, yes, definitely. Thank you so much. As always. If you want to keep the conversation going, I want you to head on over to the spa. Marketing Made Easy. Facebook group, the number one free resource out there for estheticians, focused on business building. We've got weekly marketing tips, a monthly goal setting and planning session, monthly esthetician business book club, plus a community of 1000s of estheticians committed to business building in the spa industry. I'll see you there.