1. Purpose & Scope

This manual establishes the policies and procedures that guide daily operations at Heavenly Hydration. It ensures safety, compliance with Texas state law, HIPAA regulations, and consistency in service delivery. All staff, contractors, and affiliates must adhere to these policies.

 

2. Business Overview

• Business Name: Heavenly Hydration

• Services Provided: Mobile IV hydration and vitamin therapy under medical supervision.

• Oversight: Services are provided by licensed Registered Nurses (RNs) under the direction of a Medical Director.

• Core Values: Safety, integrity, professionalism, compassion, and excellence in client care.

 

3. Governance & Compliance

• Licensing & Oversight:

o A Medical Director provides standing orders, prescribes medications, and oversees compliance.

o All nurses must hold a current Texas RN license and IV certification.

• Good Faith Exam (GFE):

o Required for all new clients before treatment, conducted by a licensed provider (in person or telehealth).

• HIPAA Compliance:

o All staff are trained in HIPAA and client privacy protocols.

o Client records are stored in a secure, HIPAA-compliant electronic system.

 

4. Clinical Policies

4.1 Patient Screening

• All clients must complete a health history form and consent form prior to treatment.

• Contraindications include, but are not limited to: kidney disease, heart failure, severe liver disease, pregnancy without OB clearance, or uncontrolled hypertension.

• Nurses must assess vital signs (blood pressure, pulse, O₂ saturation) before beginning treatment.

4.2 Informed Consent

• Clients must sign the Consent & HIPAA Agreement Form before each treatment.

• Nurses must review risks, benefits, and alternatives with each client.

4.3 Treatment Protocols

• Only treatments authorized by the Medical Director may be administered.

• All IV insertions must follow aseptic technique.

• Emergency supplies (oxygen, epinephrine, antihistamines) must be present at all appointments.

• Nurses must remain with the client throughout the infusion.

4.4 Adverse Reactions

• If an adverse reaction occurs, infusion must be stopped immediately.

• Nurse should assess the client, administer first aid or emergency medications if ordered, and call 911 if needed.

• All adverse events must be documented and reported to the Medical Director within 24 hours.

 

5. Operational Policies

5.1 Scheduling & Appointments

• Appointments must be scheduled via the HIPAA-compliant booking system.

• Same-day appointments are subject to staff availability.

• Clients must provide at least 24 hours’ notice for cancellations (see Refund Policy).

5.2 Staff Responsibilities

• Nurses must arrive in professional attire with identification and company-branded gear.

• Vehicles must be stocked daily with required IV supplies, PPE, and emergency equipment.

• All staff must complete continuing education annually in IV therapy, infection control, and HIPAA.

5.3 Infection Control

• Hand hygiene before and after every client encounter.

• Use of sterile, single use supplies only.

• Proper disposal of sharps in puncture-proof containers.

• Compliance with CDC and OSHA infection control standards.

 

6. Administrative Policies

• Recordkeeping: All client charts, consent forms, and treatment notes must be documented within 24 hours.

• Confidentiality: No client information may be shared without written authorization except as required by law.

• Financial Policy: Services must be paid in full at the time of treatment unless prior arrangements are made.

• Refund Policy: (see separate document – included in manual as Appendix A).

 

7. Marketing & Client Relations

• All promotional materials must be reviewed for accuracy and compliance with Texas law (no false or misleading health claims).

• Social media posts must protect client privacy (no identifiable photos without signed consent).

• Referral and loyalty programs must be transparent and fairly applied.

 

8. Safety & Emergency Procedures

• Nurses must carry a stocked emergency kit at all times, including:

o Epinephrine auto-injector

o Oxygen tank

o Antihistamines

• Staff must be certified in Basic Life Support (BLS) and CPR.

• Emergency protocols must be rehearsed quarterly.

 

9. Employee Conduct & Ethics

• Staff must act with professionalism and integrity at all times.

• Impairment by drugs, alcohol, or illness during work hours is grounds for termination.

• Staff may not accept personal gifts or engage in dual relationships with clients.

 

10. Review & Updates

This manual will be reviewed annually by the Medical Director and administrative team to ensure compliance with updated laws, clinical standards, and business practices.

 

Appendices

• Appendix A: Refund Policy

• Appendix B: Privacy & HIPAA Policy

• Appendix C: Good Faith Exam & Consent Form

• Appendix D: Sample IV Menu & Treatment Protocols

• Appendix E: Emergency Response Checklist

 

Appendix A: Refund Policy

At Heavenly Hydration, we strive to provide the highest level of care and customer satisfaction. Because our treatments involve medical supplies, medications, and licensed professional services, we maintain the following refund policy:

 

1. Non-Refundable Services

• Once IV therapy or any treatment has been administered, the service is non-refundable, regardless of outcome or client satisfaction. This is due to the immediate use of medications and medical supplies.

 

2. Appointment Cancellations

• Cancellations made at least 24 hours in advance of the scheduled appointment are eligible for a full refund of any pre-paid amount.

• Cancellations made less than 24 hours in advance will incur a $50 late cancellation fee.

• No-shows (failure to attend the appointment without notice) will be charged the full cost of the scheduled service.

 

3. Deposits

• Certain appointments or group/event bookings may require a non-refundable deposit to secure your time slot. Deposits are applied toward the total cost of services but are not refunded if the appointment is canceled without proper notice.

 

4. Medical Clearance (Good Faith Exam)

• If a client is not medically cleared during the required Good Faith Exam (GFE), Heavenly Hydration will issue a refund for pre-paid services, minus the cost of the exam and/or administrative processing fees.

 

 

5. Adverse Reactions or Early Termination

• If treatment must be stopped early due to an adverse reaction or client request, the service will be considered rendered, and no refund will be issued.

 

6. Group & Event Packages

• Group or event bookings canceled 7 days or more in advance are eligible for a full refund.

• Cancellations made less than 7 days in advance may receive a partial refund (50%) at the company’s discretion.

 

✨ Note: Heavenly Hydration reserves the right to modify or update this refund policy at any time. All clients must review and acknowledge the policy prior to receiving services.

Appendix B: Privacy & HIPAA Policy

Effective Date: September 15, 2025

This HIPAA Privacy Addendum supplements the Heavenly Hydration Privacy Policy and describes how we handle Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Texas state regulations.

 

1. Definition of PHI

PHI refers to any information that can identify you and relates to your past, present, or future physical or mental health, treatment, or payment for healthcare services. This includes, but is not limited to:

• Medical history, conditions, and treatment records.

• Test results, diagnoses, and medications.

• Appointment details and communications with providers.

 

2. Use and Disclosure of PHI

We may use or disclose your PHI for the following purposes:

• Treatment: Sharing necessary health information with licensed medical providers to ensure safe and effective IV therapy services.

• Payment: Using PHI for billing and payment purposes, including communication with insurance (if applicable).

• Healthcare Operations: Quality improvement, staff training, and regulatory compliance.

• As Required by Law: Disclosures to public health authorities, law enforcement, or courts when legally mandated.

• Emergencies: In cases where your health and safety require urgent disclosure of information.

Any other use or disclosure of PHI will require your written authorization.

 

3. Patient Rights Under HIPAA

As a client, you have the right to:

• Access & Copies: Request access to or copies of your PHI.

• Amendments: Request corrections to your medical records.

• Restrictions: Request restrictions on certain uses/disclosures of your PHI.

• Confidential Communications: Request PHI be sent via alternative methods (e.g., to a different address or phone number).

• Accounting of Disclosures: Request a list of certain disclosures of your PHI made by Heavenly Hydration.

• File Complaints: File a complaint with Heavenly Hydration or directly with the U.S. Department of Health and Human Services (HHS) if you believe your HIPAA rights have been violated.

 

4. Safeguards

Heavenly Hydration maintains strict safeguards to protect PHI, including:

• HIPAA-compliant electronic medical records and scheduling systems.

• Secure data encryption and password-protected access.

• Physical safeguards for medical records and supplies.

• Employee training in HIPAA compliance and confidentiality.

 

5. Business Associates

We may engage third-party vendors (such as billing, scheduling, or telehealth platforms) who require access to PHI. These entities are considered Business Associates and must sign agreements ensuring HIPAA compliance and protection of PHI.

 

6. Complaints

If you believe your HIPAA rights have been violated, you may contact us directly at:

Heavenly Hydration HIPAA Compliance Officer
Email: iv@heavenlyhydrationdrips.com
Phone: (903) 908-3916
Address: Texarkana, Tx, 75503

Or file a complaint with:
Office for Civil Rights (OCR), U.S. Department of Health & Human Services
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

 

7. Updates

This HIPAA Addendum may be updated as required by changes in federal or Texas law. Clients will be notified of any significant changes.

Appendix C: Good Faith Exams & Consent Forms

Good Faith Exams:

• In compliance with Texas state law, all clients must complete a Good Faith Exam (GFE)conducted by a licensed medical provider prior to receiving IV therapy or other medical treatments through Heavenly Hydration. The Good Faith Exam is a brief medical evaluation designed to assess a client’s health history, current medications, and potential contraindications to ensure the safety and appropriateness of treatment.

• No services will be provided without the completion of this exam and medical clearance. The GFE may be conducted in person or through telehealth by a qualified provider under the supervision of our Medical Director. This requirement helps protect client safety and ensures that IV therapy is administered in accordance with state medical regulations and best practices.

*Heavenly Hydration upholds strict adherence to all Texas medical board guidelines and reserves the right to decline treatment if medical clearance is not obtained.

 

Consents:

By receiving services from Heavenly Hydration, all clients must review and consent to the following:

1. Good Faith Exam Requirement

o In accordance with Texas law, a Good Faith Exam (GFE) by a licensed medical provider must be completed prior to receiving IV therapy.

o No treatment will be provided without medical clearance.

 

2. Informed Consent for IV Therapy

o Clients must acknowledge that IV therapy involves the administration of fluids, vitamins, electrolytes, and/or medications directly into the bloodstream.

o Potential risks include, but are not limited to: bruising, pain at the IV site, infection, allergic reaction, vein irritation, dizziness, or, in rare cases, more serious complications.

o Clients understand that IV therapy is not a substitute for emergency medical care.

 

3. Medical Disclosure

o Clients agree to provide accurate and complete medical history, including all medications, allergies, and health conditions.

o Failure to disclose relevant health information may increase risks and could result in denial of treatment.

 

4. Emergency Protocols

o In the event of an adverse reaction, staff may administer emergency measures and/or call 911 as necessary.

o Clients consent to emergency care if deemed necessary by the nurse or provider.

 

5. Financial Agreement

o Clients agree to the Heavenly Hydration payment and refund policies, including charges for cancellations, no-shows, or partially completed treatments.

 

6. HIPAA & Privacy

o Clients consent to the collection and storage of their personal and medical information in compliance with HIPAA.

o Information will only be used for treatment, billing, and healthcare operations unless additional authorization is provided.

 

7. Voluntary Participation

o Clients acknowledge that IV therapy is an elective wellness service and voluntarily consent to treatment.

o Clients may decline or stop treatment at any time but remain financially responsible for services rendered

 

Appendix D: Sample IV Menu & Treatment Protocols

 

Sample IV Menu:

Hydration & Wellness Drips

• Hydration Drip – Normal Saline – $120

• Meyer’s Cocktail – Normal Saline, Vitamin B Complex, Vitamin B-12, Vitamin C, Glutathione, Zinc, Magnesium – $250

• Ultimate Meyer’s Cocktail – Normal Saline, Vitamin B Complex, Vitamin B-12, Vitamin C (5000 mg), Glutathione (1000 mg), Zinc, Magnesium – $330

• Immunity Drip – Normal Saline, Vitamin C, Zinc, Intramuscular Vitamin D-3 Shot – $235

• Natural Beauty Drip – Normal Saline, Vitamin B-12, Vitamin C, Glutathione, Biotin – $315

• Rejuvenation Drip – Normal Saline, Vitamin B Complex, Amino Blend, L-Carnitine, Taurine – $240

• Resurrection Drip – Normal Saline, Vitamin B Complex, Vitamin B-12, Glutathione, Magnesium, Vitamin C, Zinc, Toradol, Zofran, Pepcid, Benadryl – $425

• NAD+ Drip – Normal Saline, NAD+ (Pricing based on dosage)  –  $100 - $850

• Performance Drip – Normal Saline, Vitamin B Complex, Vitamin B-12 (2 doses), Taurine, NAD+ (100 mg) – $340

• Xtreme Wellness – Ultimate Meyer's Cocktail, NAD+, Amino Blend, L-Carnitine – $630

• Custom Packages:

o Basic B Drip – Normal Saline, Vitamin B Complex – $135

o Basic B + 1 Drip – Normal Saline, Vitamin B Complex, 1 Add-In of Choice –$170

o Basic B + 2 Drip – Normal Saline, Vitamin B Complex, 2 Add-Ins of Choice –$190

 

IV Add-Ins

• Vitamin B-12 – $35

• Magnesium – $35

• Vitamin C – $35

• Glutathione – $35

• Zinc – $35

• Vitamin B Complex – $35

• Taurine – $35

• L-Carnitine – $35

• Amino Blend – $35

• Biotin – $35

• Pepcid – $35

• Zofran – $35

• Reglan – $35

• Benadryl – $35

• Toradol – $35

 

Intramuscular (IM) Injections

• Vitamin B-12 – $40

• Vitamin D-3 – $40

• Biotin – $40

• Amino Blend – $40

• L-Carnitine – $40

• Toradol – $40

• Zofran – $40

 

Event Packages

• Bachelorette Party Bliss – $2,000

o Up to 8 people, Natural Beauty drips, champagne toast add-on

• Athlete Recovery Session – $3,000

o Team hydration event (up to 10 athletes), Performance Drips, branded recovery gear

• Corporate Wellness Day – $4,200

o On-site clinic for 15-20 employees, choice of Meyer’s Cocktail or RejuvenationDrips, branded gifts included

 

Discounts:

• Referral Program:

o Clients receive $50 off their next drip when referring a new client.

• First-Time Client Promo:

o 20% off initial treatment + free add-in of choice.

 

Treatment Protocols:

1. Pre-Treatment Requirements

1.1 Good Faith Exam (GFE):

• All new clients must undergo a Good Faith Exam by a licensed provider (in-person or via telehealth) prior to treatment.

• Returning clients must update their health history and confirm no new contraindications.

 

1.2 Medical Screening:

• Nurse must review client’s health history, medications, allergies, and consent forms.

• Obtain baseline vitals: blood pressure, heart rate, respiratory rate, temperature, oxygen saturation.

• Evaluate for contraindications (e.g., kidney disease, heart failure, pregnancy without OB clearance, uncontrolled hypertension).

 

1.3 Informed Consent:

• Review treatment plan, risks, and benefits with client.

• Obtain signed consent prior to IV initiation.

 

2. Preparation of IV Therapy

2.1 Environment:

• Ensure clean, safe environment for IV insertion.

• Use proper PPE (gloves, mask as required).

 

2.2 Supplies:

• Verify expiration dates on all fluids, medications, and vitamins.

• Confirm correct drip formula per standing orders and provider approval.

 

2.3 Verification:

• Double-check client identity using two identifiers (e.g., name and DOB).

• Review treatment order and ensure correct drip selection.

 

3. IV Administration

3.1 Insertion:

• Perform hand hygiene.

• Prep IV site with antiseptic.

• Insert IV catheter using aseptic technique.

• Secure catheter and begin infusion.

 

3.2 Monitoring:

• Remain with client for first 5 minutes to monitor for immediate reactions.

• Monitor infusion site every 15 minutes for signs of infiltration, phlebitis, or discomfort.

• Assess client’s comfort, vitals, and tolerance throughout infusion.

 

3.3 Adverse Reactions:

• Stop infusion immediately if signs of reaction occur (rash, swelling, difficulty breathing, dizziness).

• Initiate emergency protocol (oxygen, epinephrine, call 911 if necessary).

• Document and report adverse event to Medical Director within 24 hours.

 

4. Post-Treatment Procedures

4.1 Completion:

• Flush IV line with normal saline.

• Remove IV catheter, apply pressure, and secure dressing.

• Recheck vitals and ensure client stability before discharge.

 

4.2 Discharge Instructions:

• Educate client on expected post-treatment effects (mild fatigue, increased urination).

• Advise client to hydrate well and monitor for delayed reactions.

• Provide emergency contact information.

 

5. Documentation

• Record pre- and post-treatment vitals.

• Document treatment type, additives, dosage, and infusion duration.

• Note any complications or client complaints.

• Ensure all documentation is entered into HIPAA-compliant system within 24 hours.

 

6. Infection Control Standards

• Use only sterile, single-use supplies.

• Dispose of sharps immediately in designated sharps containers.

• Follow CDC and OSHA guidelines for infection prevention.

• Perform hand hygiene before and after every client encounter.

 

7. Staff Qualifications

• All IV therapy must be administered by a licensed RN with IV certification.

• All staff must maintain current CPR/BLS certification.

• Staff must complete annual competency training in IV therapy, infection control, and emergency response.

 

Appendix E: Emergency Response Protocol

 

1. Purpose

To establish clear, step-by-step procedures for responding to medical emergencies during IV therapy treatments, ensuring client safety and compliance with medical regulations.

 

2. General Guidelines

• All staff must maintain current CPR/BLS certification.

• Emergency equipment (oxygen, epinephrine auto-injector, antihistamines, AED, first-aid kit) must be available at every appointment.

• Staff must remain with the client during treatment and continuously monitor for adverse signs.

• All emergencies must be documented and reported to the Medical Director within 24 hours.

 

3. Emergency Situations & Responses

3.1 Allergic Reaction (Mild)

Signs: Rash, itching, mild swelling, nausea.
Action Steps:

1. Stop IV infusion immediately.

2. Maintain IV access with normal saline flush.

3. Administer antihistamine (if ordered in standing protocols).

4. Monitor vitals closely.

5. Document and notify Medical Director.

 

3.2 Severe Allergic Reaction / Anaphylaxis

Signs: Difficulty breathing, throat swelling, chest tightness, rapid heartbeat, dizziness, hypotension.
Action Steps:

1. Stop IV infusion immediately.

2. Call 911.

3. Administer epinephrine auto-injector per standing orders.

4. Provide oxygen therapy.

5. Initiate CPR if client becomes unresponsive and pulseless.

6. Stay with client until EMS arrives.

7. Document event and notify Medical Director.

 

3.3 Vasovagal Response / Fainting

Signs: Dizziness, pallor, sweating, loss of consciousness.
Action Steps:

1. Stop infusion and remove IV.

2. Place client in supine position with legs elevated.

3. Check vitals and airway.

4. Apply cool compress to forehead.

5. If recovery is delayed >2 minutes, call 911.

6. Document and notify Medical Director.

 

3.4 Infiltration or Extravasation

Signs: Swelling, redness, pain, cool skin around IV site.
Action Steps:

1. Stop infusion immediately.

2. Remove IV catheter.

3. Elevate limb and apply warm or cold compress per protocol.

4. Monitor site and document.

5. Notify Medical Director if severe.

 

3.5 Cardiac or Respiratory Arrest

Signs: Unresponsive, no breathing, no pulse.
Action Steps:

1. Call 911 immediately.

2. Begin CPR and use AED if available.

3. Provide oxygen as appropriate.

4. Continue until EMS arrives.

5. Document event and notify Medical Director immediately.

 

4. Post-Emergency Procedures

• Complete an Incident Report within 12 hours.

• Submit documentation to Medical Director and maintain in HIPAA-compliant records.

• Conduct a team debriefing after major emergencies.

• Restock and check all emergency supplies before the next appointment.

 

5. Training & Drills

• All staff must undergo quarterly emergency response drills.

• Staff competency in emergency protocols will be evaluated annually.