Standard of Care

How we keep your visit safe

Signature Vitality operates as a clinic-grade IV wellness studio. Every visit is administered by a Pennsylvania-licensed Registered Nurse and conducted under the oversight of a licensed supervising physician.

✓ PA-licensed RN starts every IV✓ Physician-supervised standing orders✓ Single-use sterile supplies✓ HIPAA-aware privacy practices

At a Glance

What we commit to, every visit.

The short version of how we keep your visit safe. Each commitment below is detailed further down the page.

Licensed RN care

A Pennsylvania-licensed Registered Nurse starts and monitors every infusion. No unsupervised unlicensed staff.

Physician oversight

A licensed supervising physician signs off on the standing orders our nurses administer under.

Intake screening

Health history and vital signs reviewed before every infusion, with clearance asked for where indicated.

Sterile supplies

Catheters, tubing, needles, and IV bags are single-use, opened fresh, and never reused.

Private records

Health records held in an encrypted, HIPAA-aware vendor stack. We never sell your information.

Adverse-reaction protocol

Your nurse monitors throughout, slows or stops at the first concern, and documents every event.

Who administers your IV

Every IV is started and monitored by a Pennsylvania-licensed Registered Nurse with extensive clinical experience. Our nurses are not wellness technicians or medical assistants. They hold active RN licenses issued by the Pennsylvania State Board of Nursing and have worked in clinical settings including hospitals, critical care, and emergency environments before joining Signature Vitality.

That background matters in practice. The skills built over years in clinical settings include:

Vein access and IV placement
Rate titration through the infusion
Real-time assessment of how you are tolerating the drip
The judgment to slow or stop when something is not right

Your nurse performs a health review and vital signs check before every infusion, not as a formality, but as the starting point for safe administration.

You will never be attended to by an unsupervised unlicensed staff member. If a nurse is unavailable, the appointment does not proceed.

Supervising medical provider

Signature Vitality operates under the oversight of a Pennsylvania-licensed physician. Our supervising medical provider reviews our intake protocols, reviews relevant client health history when indicated, signs off on the standing orders under which nurses administer IV therapy, and is available for clinical consultation when questions arise.

Nurses at Signature Vitality work within those standing orders. Standing orders define the specific formulations, dose ranges, and administration parameters that a nurse may carry out without a real-time physician order for each individual case. This is the standard legal and clinical structure for nurse-administered IV therapy in Pennsylvania, and it is the structure we operate under.

We do not publish the name of our supervising physician on this page. Inquiries about our medical oversight structure for professional or licensing purposes can be directed to the studio via the contact information at the bottom of this page.

Intake and screening

Before your first visit, we ask for basic health information. Your nurse reviews it before the infusion begins, not after you are already seated. We ask about:

Current medications
Known drug or food allergies
Recent procedures or surgeries
Pregnancy or nursing status, where applicable
Any recent diagnoses or ongoing conditions

In some situations we ask you to consult your own physician before booking or returning, and we may ask for written clearance. These include:

Uncontrolled hypertension
Active kidney disease or significantly impaired kidney function
Congestive heart failure or a recent cardiac event
Any condition where additional IV fluid volume could carry meaningful risk

There are also circumstances where we will decline to administer. Absolute contraindications include known allergy to an ingredient in the formulation, active signs of a condition requiring emergency evaluation, and presentations where the nurse's clinical assessment indicates the visit is not safe to proceed. We would rather reschedule than proceed when something is not right.

Telehealth clearance for specific services. NAD+ infusions, peptide therapy, and weight-management medications require an annual telehealth screening through our medical partner Qualiphy. The fee is a flat $30 per year and keeps you cleared for those services for the full year. Your nurse walks you through the screening at intake. You don't need to figure it out before booking, and you only do it once a year regardless of how many of those services you use.

Sanitation and sterile supplies

These are not aspirational standards. They are the baseline expected of any clinical setting, and they apply to every visit:

IV catheters, tubing, needles, alcohol swabs, and IV bags are single-use, opened fresh for each client, and never reused
Sharps are disposed of in designated containers following Pennsylvania Department of Health medical waste regulations
Recliner chairs, arm rests, and all contact surfaces are disinfected between clients using hospital-grade disinfectant
Your nurse washes hands and applies gloves before any contact with your skin or IV supplies

Privacy and health records

We store your visit history, intake health-history answers, and payment receipts. Health records are held in an encrypted database on a HIPAA-aware vendor stack. We do not sell, share, or otherwise disclose your health information to third parties except as required by law or as necessary to provide care (for example, calling EMS in an emergency).

You can access a summary of your visit history through your client portal. If you request a copy of your records or request deletion, contact the studio directly. We retain clinical records for the period required under Pennsylvania law and then dispose of them securely. Payment data is handled by our payment processor and is not stored on our servers.

Our full privacy policy is available at signaturevitality.net/privacy-policy.

When IV therapy is not the right tool

We are a wellness studio, not an emergency medical service. Call 911 or go to the nearest emergency room, and do not book an IV session as a substitute for emergency care, if you have any symptom that suggests an urgent medical need:

High fever
Chest pain or shortness of breath
Severe dehydration with altered mental status
Neurological symptoms such as sudden numbness or vision changes
Anything that feels like a medical emergency

For ongoing medical questions, management of diagnosed conditions, or symptoms that are new and unexplained, we will refer you to your primary care physician. Our nurses can note concerns that come up during an intake conversation and encourage you to follow up with your provider, but they cannot diagnose, prescribe, or substitute for your physician relationship.

Adverse reaction handling

During every infusion your nurse monitors for the most common reactions associated with IV therapy:

Vasovagal responses (lightheadedness, nausea, or near-fainting, typically triggered by anxiety or needle aversion)
Infiltration (IV fluid going outside the vein, causing local swelling or discomfort)
Allergic-type reactions (flushing, hives, or, rarely, more serious systemic responses)
Rate-related discomfort (warmth, chest tightness, or cramping with faster NAD+ infusions), managed by adjusting the drip rate

Our response protocol at the first sign of a concerning reaction:

Stop or slow the infusion immediately
Provide supportive care (positioning, oxygen, oral fluids as appropriate)
Call EMS if the response does not resolve quickly or the nurse assesses an urgent risk

Any adverse event is documented in your chart. We do not minimize or omit incident documentation.

If you have a concern after leaving, such as site pain, swelling, unexpected symptoms, or anything that felt off, reach out to us:

Phone: 412-440-8702
Email: SignatureVitality1@gmail.com

Insurance and out-of-pocket cost

IV wellness therapy is typically an out-of-pocket expense. We do not bill insurance for our services, and insurance coverage of elective wellness IV therapy is generally not available. We accept HSA and FSA cards at point of sale. Those cards work like a debit card and you do not need to submit a claim to use them here.

All receipts are itemized and available through your client portal or on request. If you need a Letter of Medical Necessity for a qualifying condition to support an HSA or FSA reimbursement claim with your plan administrator, ask your nurse at your visit. We can generate one upon request for eligible situations. Acceptance of an LMN by your plan administrator depends on your specific plan and is not guaranteed.

Contact for compliance or safety questions

Questions about our clinical protocols, licensing, or compliance practices can be directed to the studio:

Signature Vitality
69 N. Wren Drive, Suite 2A
Pittsburgh, PA 15243