RN in a fitness setting

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SFT

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In the next few years I will be starting a fitness facility that will include programs for general and special populations (cancer, geriatric, stable cardiac/stroke, post-rehabilitation, etc.). With that being said, I understand that special populations might have a higher risk for medical emergencies. I won't be working with unstable/very high risk individuals. There is likely no chance that they will make it to me by the time the PAR-Q/Physician's consent is filled out.

All that being said, I would still like to make sure my potential clients are safe. Right now I am thinking about taking an EMT-B course to slightly increase my emergency management "scope of practice". From what I gather, that would come down to a few basic drugs (aspirin, O2, a patient's nitro) as well being able to handle some trauma.

Right now I have a Bachelor's degree in Exercise Science. Unfortunately what I can do with this degree is very limited both in terms of any sort of medical practice and/or billable services to insurance. I have been debating other training to have other areas I can practice. This has included massage therapy, dietetics, or physical therapy, with the latter being considerably more training and very costly.

In a fitness setting with special population, would a degree in nursing provide any foreseeable benefit? I understand that inpatient cardiac rehabilitation programs normally have an exercise physiologist, nurse, and sometimes an EMT as well. However, these are unstable patients.

I know that you can always learn something. My question is would it likely be worth the financial investment and/or can a nurse use any of their skill set without direct supervision from a physician? I've had some difficulty finding this information.

Thank you all in advance.

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Judging by the number of responses, I'm guessing this isn't a popular area of interest for those with a BSN.
 
I think that EMT-B would give you enough understanding for helping in emergency situation and would provide with some Basic A&P knowledge. Would being an RN in your situation be helpful, sure but it would also take 2-4yrs. for you achieve that. EMT-B course, 3 months. Is getting your RN worth it, no.
 
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Read your post in the prehospital forum earlier. It looks like what you are looking for is a certification that will allow you to use an advanced skill set without the direction of a physician. I'm not sure you will be able to find what you are looking for. Aside from maybe getting an NP (which wouldn't be practical for you) any other certification is going to require some physician oversight.
 
I salute your entrepreneurial spirit.
Outpatient cardiopulmonary rehab has pretty strict standards. I worked with one (as an employee, not the owner) for years. We were required to have an an ExPhys and RN present during exercise, and a MD, PA or NP in the building. We usually didn't actually have the latter, but if anyone ever found out we'd have been shut down. You have to get licensed and have a certificate of need to run a rehab program that is going tobe eligible for reimbursement through the common payers.

So I think you are aiming for a private pay clientele, and in that case massage therapy is probably your best bet. I don't see how having a RN license in that scenario would be very helpful.

Good luck!
 
Thank you everyone for the responses. I'm not interested in working with unstable cardiac patients. The only thing I might consider is working with stable patients, probably equivalent to stage 3/4 cardiac rehabilitation. In my experience during college, the only professional on hand was an Exercise Physiologist. I will have to do more research to find out if this is universally true.

In any case, it is true that I would be looking at private pay clientele. I think joeDO2 is pretty much spot on regarding what I am looking for. Unfortunately it does not seem like there is anything out there. For the time being, I think I will consider the EMT-B course for the knowledge I would gain for management of injuries.

If becoming a registered nurse would not allow for any additional billable services or scope of practice without a doctor on site, it probably would not be worth the money. I could certainly learn more about certain subjects, but I think self-study will be sufficient.

Initially I was thinking massage therapy or becoming a registered dietitian to increase the services that I can offer. I think in the end this would end up taking away from the role I will eventually assume (business owner). Just educating myself on exercise consideration with special populations, pharmacology, etc. will take a substantial amount of time. To try to keep up with another field might be foolish. A basic knowledge of massage therapy might be useful. If clients have any muscle tone related issues, MT might be used to alleviate them.

In any case, thank you all for your responses and helping me to think this one through. Your thoughts are certainly appreciated.
 
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