Spa Managers

Guide to
Acupuncture
Version 1.0
Welcome to the world of Chinese Medicine
Your spa is about to embark on a new Far East healing adventure. With the addition of
acupuncture and Chinese medicine to your spa, we will now be able to offer a wider array
of services for our guests. New and proven treatments for weight loss, sea sickness and
pain among others will be incorporated into the spa menu and provide new sources of
revenue for you and your spa.
raditionally, within the spa, there were many symptoms or ailments that could not be
addressed and guests were turned away. Now, most all of these can be treated safely and
effectively with acupuncture. !ur acupuncturists are highly trained and capable of
treating a wide variety of health related problems and symptoms, ranging from migraines
and headaches to digestive complaints, fatigue and even depression.
You will "uickly discover that the addition of acupuncture to your spa will not only
increase revenue, but can also be used to help promote other services as well. #s part of
the patient$s intake, given to all who receive acupuncture, the acupuncturist will refer to
other services based on the patient$s needs and goals. Whether the patient needs massage
for pain relief, %onithermie for weight loss and deto&, or a facial for better skin
appearance, the acupuncturist will be a team player. 'iven the level of education that
each acupuncturist must possess, he(she will be able to )prescribe* other therapies and
products to guests in order to reach their desired goals. %n addition, properly educating
current spa therapists on acupuncture will be the biggest and best way to promote
acupuncture form within the spa.
%t$s important to remember that the addition of acupuncture to your spa is incremental
revenue. hat means that when the acupuncturist arrives, your targets will be increased.
+emember that % am here to help, provide inspiration and motivation, however ultimately
the management and performance of the acupuncturist is your responsibility. ogether, %
believe that we can make acupuncture as indispensable to the spa industry as massage
and facials.
hank you,
,an -rown
,irector of !riental .edicine /rograms
0teiner .anagement 0ervices, 11C
II. a!le of Contents
%. Welcome
%%. able of Contents
%%%. #cupuncture
a. What is it2 What is it for2 What is it like2
b. #dditional #cupuncture F#3$s
c. 0ample .enu
d. reatments
i. 0ea 0ickness
ii. Facial +e4uvenation
iii. Weight 1oss 5 0top 0moking
e. reatment /rotocols 6 samples
i. Facial +e4uvenation
ii. /ain .anagement
%7. #cupuncturists
a. Who are they2
b. 3ualifications(Educational standards
c. 8now Your #cupuncturist
d. 9 ,ay raining 0chedule
7. .anaging the #cupuncture /rogram
a. +ules :dress code, conduct etc.;
b. 0afety +ules 5 +egulations
c. #cupuncture Flash
d. .anaging #ccidents
e. -io6<a=ard Containers
f. -ioha=ard Container ,isposal 0ignature 0heet
g. 0anitation 'uidelines( /olicy
7% /romotion(#dvertising
a. #dvertising and Collateral
b. 0pa /ackages(Cross /romotion
c. #dvertising 5 /romotion Checklist
7%% .iscellaneous
a. 1ist of supplies( +eorders
b. glossary

III. Acupuncture
a. General "uestions
What is Acupuncture and what does it do# #cupuncture is a traditional Chinese
medicine that has been practiced for over >??? years. %t is a small part of a much larger
complete system of health care called raditional Chinese .edicine or C.. 0ince
making its way west, C. has "uickly become one of the fastest growing alternative
therapies and is often used to complement and enhance the benefits of traditional
:allopathic; medicine.
#cupuncture subscribes to the ancient view that the basis of good health is the
harmonious balance of "i :chi;, the vital life force that empowers the body and the
universe. When the "i can flow freely, health abounds. %f this energy becomes stagnant or
blocked, symptoms and disease may occur. he acupuncturist$s goal is to release blocked
energy by applying sterili=ed needles to key points on the body to restore balance and
improve health. his can be accomplished with acupuncture, herbal medicine, nutrition
or lifestyle advice.
What is acupuncture for# #cupuncture treats a wide variety of ailments. For thousands
of years, acupuncture has been used to treat 4ust about everything. <owever, there are
many things that acupuncture does very well. We see remarkable success with the
treatment of pain. Whether the pain is acute, chronic, mild or severe, acupuncture in most
cases can provide temporary if not permanent relief. %n addition to treating pain, we are
very successful at treating menopausal complaints, digestive issues, insomnia, menstrual
issues and sea sickness to name 4ust a few. Each practitioner that boards the ship will
have his(her own specialty. While acupuncturists are all adept at treating a variety of
conditions, some have chosen to speciali=e and develop their own treatments protocols
for specific conditions.
What is a treatment li$e# #cupuncture treatments are very rela&ing. .ost patients fall
asleep during a treatment and e&perience a sense of euphoria after their session.
When a guest decides to have acupuncture, they are given an acupuncture intake form to
fill out detailing their chief complaint and history of illness. !nce completed, they will be
interviewed by the practitioner for appro&imately @? minutes. ime varies based on chief
complaint, patient$s goals and other factors. /atients are then given an e&planation of the
treatment and are placed face up or down on the table depending on their reason for the
visit. #cupuncture points are chosen based on the practitioners Chinese .edical
diagnosis. his diagnosis is formulated based on the patient$s presentation and history.
#nywhere from si& to fifteen needles will be used during treatment. !nce the needles are
in, the patient is instructed on breathing techni"ues and is allowed to rest for up to >?
minutes. #t the end of the session, the needles are removed and the patient is asked how
they feel. #t this point, the patients are very rela&ed and a prognosis is given. he
acupuncturists will prescribe more treatments if needed as well as products, dietary and
lifestyle advice. he whole process lasts 4ust under an hour. Follow up treatments are
much shorter, ranging anywhere from thirty to forty minutes.
!. Additional Acupuncture %A"s
"& ,oes acupuncture hurt2
A& No, acupuncture does not hurt. #cupuncture needles are about as thick as a human
hair. hey are so thin that several acupuncture needles can fit into the middle of a
hypodermic needle. While there may be a mild sensation during the insertion of
acupuncture needle, this "uickly passes. 0ome people feel nothing at allA others
e&perience a brief moment of discomfort as the needle penetrates the skin. 0ome
e&perience mild sensations of cramping, tingling, numbness, warmth, or heaviness.
"& <ow deep do the needles go2
A& .ost acupuncture points are located on or near surface of the skin. Bsually needles
are inserted from C(D to C inch in depth. ,epth of insertion will depend on the nature of
the condition being treated, the patientsE si=e, age, and constitution.
"& What conditions are treated with acupuncture2
A& 0ince raditional Chinese .edicine :C.; was the only form of treatment available
to billions of people for many centuries, it was used to treat all conditions. he following
is a partial list of conditions treatedF allergies, asthma, arthritis, back pain, bursitis,
chronic fatigue, earache, fibroids, diabetes, insomnia, /.0, impotence, %-0, <eadache,
muscle spasms, nausea, vomiting, stress, tendonitis, menopause, weight control and
smoking cessation. hese conditions listed have been researched thoroughly and the
findings have been published in many medical 4ournals and newspapers.
"& <ow many treatments does a person need2
A& he length, number and fre"uency of treatments will vary. # consultation with an
e&perienced practitioner about you and your condition will offer the best guide for the
length of treatment. ypical treatments last >?6G? minutes, with the patient being treated
two to three times s a week. 'enerally acute problems re"uire less time and fre"uency of
treatment. Chronic and severe ailments may re"uire several treatments. Cosmetic
acupuncture re"uires a series of treatments.
"& <ow does acupuncture work2
A & Bsing modern scientific testing e"uipment the acupuncture channels and individual
points can be traced on the body as they are the pathways on the body that have the least
resistance to electrical or "i HchiI flow. echnological advancements have made it
possible to validate the e&istence and location of the channels and points.
-y stimulating specific points on or near the skin surface, acupuncture creates various
biochemical and physiological conditions which can correct imbalances. <ormones,
chemicals and endorphins are released by the body in response to acupuncture, which is
why acupuncture can reduce pain, regulate the endocrine system, and regulate serotonin
levels and can be used to treat back pain, reduce an&iety and stress, help with depression,
and /.0, %nfertility and .enopause.
# classical e&planation for how acupuncture works is that channels of energy or "i HchiI
run in patterns through and on the surface of the body. #n obstruction in the flow of these
energy rivers creates imbalance, pain and disease. When the acupuncture points are
stimulated these meridians, or energy channels are influenced and a healthy flow is re6
established.
/hysiological effects sometimes observed throughout the body include increased
circulation, relief of muscle spasms, relieve from pain, decreased inflammation, and
immune system stimulation.
"& %s acupuncture compatible with western medical treatments2
A& Yes, acupuncture is a complete and well rounded healing system that can be used in
con4unction with any other health care system. %n China, it is very common to have an
acupuncture and herbal treatment wing and a western medical wing in a hospital. For
e&ample, a patient undergoing heart surgery might be given acupuncture to boost the
immune system before surgery, acupuncture anesthesia during surgery, and an %7 drip of
Chinese <erbs in recovery.
3F Can several things be treated at the same time2
#& Yes. #cupuncture and C. are holistic, which means that is we treat the whole
person not 4ust the disease. !ften times, we find that multiple problems are related. %f, for
e&ample, a patient comes in with headaches and painful periods, according to Chinese
.edicine, that person symptoms are linked and can be addressed at the same time. he
only time that we cannot treat multiple issues is when we are doing the Facial
+e4uvenation.
3F #re there any side effect2
#F No. -esides the slight risk of bruising, there are no side effects to acupuncture. he
worst thing that can happen with a treatment is nothing. hat is to say that the treatment
would have no effect.
3F What if % don$t like needles2
# lot of people have a fear of needles. his is normal. %f a guest cannot get past the needle
issue, there are other things that can be done. For e&ample, we can do acupressure, ear
seeds, nutritional and lifestyle advice. We can also prescribe herbal remedies. #gain it$s
important to remember that acupuncture is 4ust a small part of what a raditional Chinese
.edicine practitioner does.
c. Acupuncture Menus 'Sample ( actual prices ma) *ar)+
S,-CIA./ 0-AM-1S
,ain Management with Acupuncture %f you want to relieve aches and pains, this
acupuncture treatment is for you. his pain management therapy will reduce or eliminate
chronic back, neck and 4oint pain.
first session..... G? minutes ( JC9? ...............each additional session..... D9 minutes ( JC@9
Weight2.oss Acupuncture <aving trouble shedding those e&tra pounds2 his
acupuncture treatment will help you lose weight safely and effectively.
first session..... G? minutes ( JC9?.............. each additional session..... D9 minutes ( JC@9
%acial 0e3u*enation 'et a younger, more vibrant look without undergoing an invasive
procedure. his natural approach to anti6aging uses acupuncture needles to reduce lines
and wrinkles.
first session..... K? minutes ( JCL9.............. each additional session..... L9 minutes ( JC9?
45ust to r)6 Acupuncture Curious about acupuncture and how it can benefit you2 ry
this special introductory treatment.
first session..... G? minutes ( JC9?.............. each additional session..... D9 minutes ( JC@9
Stress2free Acupuncture .elt away stress and worries with this deeply rela&ing form of
acupuncture. -y focusing on specific acupoints, the healing touch of acupuncture will
refresh mind, body and soul.
first session..... G? minutes ( JC9?.............. each additional session..... D9 minutes ( JC@9
7eto8 Acupuncture +estore harmony and balance in your channels and meridians by
eliminating to&ins. his deto& treatment will cleanse the body, boost metabolism and
build vital energy.
first session..... G? minutes ( JC9?.............. each additional session..... D9 minutes ( JC@9
Stop Smo$ing 8ick the habit. his safe and natural treatment can be as effective as the
patch or other methods used to stop smoking.
first session..... G? minutes ( JC9?.............. each additional session..... D9 minutes ( JC@9
Sea Sic$ness his treatment is designed to relieve motion sickness commonly associated
with sea travel.
first session..... G? minutes ( JC9? .............each additional session..... D9 minutes ( JC@9
S , - C I A . / , A C 9 A G - S
,ain2.ess Acupuncture with 7eep issue Muscle Massage #lleviate chronic pain and
soothe your muscles with a speciali=ed acupuncture treatment and a rela&ing ,eep issue
.uscle .assage.
CC? minutesMMMMMMMMMMMMMMMMM............................................... J@?9
%acial 0e3u*enation Acupuncture with .a h:rapie ;)dra.ift %acial hese
complementary, youth6enhancing treatments provide fast and dramatic results. he
combination of our Facial +e4uvenation #cupuncture and lu&urious 1a hNrapie
<ydra1ift Facial will leave your skin youthfully radiant.
CD? minutes .................................................................................................................. J@G9
Inch .oss Acupuncture with Ionithermie Cellulite 0eduction ,eto&ifying the body
can improve health and promote weight loss. !ur deto& therapies will cleanse the body,
reduce the appearance of cellulite and offer substantial inch loss.
C>? minutes .................................................................................................................. J@D9
d. reatments
i. Sea Sic$ness reatments.
0ea sickness is actually very easy to treat. herefore, we are able to provide the
following.
'uaranteed cure for sea sickness for either JC?? or JC@9.
-uying this treatment would allow the guest to get a guaranteed cure for sea
sickness. %f the treatment doesn$t work, i.e. the symptoms come backA the patient can
come back as many times as needed for another treatment. he wonderful thing about this
is that the treatments consist of a couple needles in the ear and maybe the top of the head
and hands and does not re"uire a treatment room. reatments can be done in a chair. #
guest may have to wait a few minutes for the acupuncturist to be available, but it would
be done on a drop in as needed basis.
<aving guests sit in chairs in the reception area with needles in their head and
ears is also the best advertising for acupuncture. 'uests feel almost instantly better. he
treatment takes up to twenty minutes. !n average, we see an O? to O9P success rate.

#dvantages of using acupuncture for sea sickness instead of other treatments are...
6 0afe and side effect free
6 he patch causes dehydration and guests are instructed not to consume
alcohol while on the patch. #cupuncture treatments for seasickness do not
have this problem. 'uests can eat and drink to their hearts content.
6 #cupuncture is a drugless therapy. herefore there are no contraindications
based on any meds they guests may currently be taking.
6 he effects of acupuncture for seasickness are immediate and long lasting.
ii. %acial 0e3u*enation
Facial +e4uvenation is a new twist on cosmetic procedures. his non surgical treatment
can reduce or eliminate fine lines and wrinkles in as many as three treatments. reatments
are usually done in a series of three to five, possibly more depending on a patient$s
desires and goals.
he benefits of Facial +e4uvenation #cupuncture areF
C. +educe or eliminate fine lines and wrinkles.
@. %mproves muscle tone and dermal contraction
>. .oisturi=es the skin by increasing flow of blood and lymph.
D. <elps firm and reduce bags around the eyes and neck.
9. %mproves facial color by increasing peripheral circulation.
G. %mproves hormonal balance.
L. ightens the pores and brightens the eyes.
O. +educes stress evident in the face.
K. /romotes overall health and well being.
C?. 0lows the aging process from within.
CC. <elps to lift drooping eyelids and reduce 4ewels
C@. +educes or eliminates double chins.
%t is important to remember the #cupuncture :C.; is holistic. While Facial
+e4uvenation #cupuncture targets the face, it is a full body treatment. /oints are selected
based on a person$s constitutional diagnosis.
ContraindicationsF his treatment should not be done in the following cases.

/roblems with bleeding
/roblems with bruising
/acemakers
Former cosmetic surgery
0ome pituitary disorders
<igh blood pressure
.igraines
,iabetes
/regnancy
Colds and Flu$s
#cute herpes outbreaks
#cute allergic reactions
%t is very important that the #cupuncturists properly screen the guests for this
treatment. +isk of bruising is very high for Facial +e4uvenation #cupuncture and this
should be made known to the guest prior to treatment. #lso, it is important for the
guest and the acupuncturist to communicate and set forth treatment goals.
iii. Weight .oss < Stop Smo$ing reatments
hese two treatments, while separate, are treated very similarly. Needles are placed in the
persons ear :usually 9; along with a few in the body. he first treatment is a full intake
full body treatment. 0ubse"uent treatments are >? minutes in length and can be done
sitting in a chair thereby not taking up the treatment room.
he treatment description and goals for each service are as follows.
Weight .oss
#cupuncture can help
C. %ncrease metabolism
@. ,ecrease food cravings
>. %mprove digestion
D. %ncrease will power
9. 'ive you a sense of fullness :satiety;
'uests who e&perience abdominal pain and bloating, food cravings, insatiable appetite or
low metabolism can all be helped by acupuncture and nutrition advice. reatments are
done as sessions and a session of weight loss could be anywhere from > to 9 treatments.
'uests who have the treatment report feeling fuller with less food and little or no desire
for sweets.
Weight loss acupuncture in con4unction with /olar Fitness, -C# or personal training is
highly recommended.
Stop Smo$ing
his treatment, depending on the practitioner, takes anywhere between > to 9 treatments.
reatments are typically done one every day for the first three days, then, one day off and
another treatment.
he focus of the stop smoking treatment is to reduce cravings to nicotine. he guests will
be given practical and useful information that will help them with their day to day
routine. %t$s important to remember that acupuncture is not a magic bullet. %t re"uires the
guests to meet the practitioner half way.
%t is said that when a person "uits smoking :without help; they e&perience between K? to
C?? individual cravings a day. With acupuncture, you can reduce those craving to C? or
C@. 0o while you still e&perience cravings, they will be much less fre"uent and much less
intense. %t is those C? to C@ cravings that the individual must find a way to get through.
he acupuncturist can give some advice and suggestions for managing the remaining
cravings.
0top smoking treatments in con4unction with a deto& wrap or massage is highly
recommended.
e. reatment ,rotocols
i. %acial 0e3u*enation Acupuncture Q remove years off your face and tighten
skin without surgery
herapist ChecklistF
@ sheets :one covering couch and one for the guest;
C large sarong to lie on
,ry cotton pads
8leene&
L?P isopropyl alcohol
Check room temperature to make sure it is comfortable for the guest
# bell :for client to ring in case of emergency;
0harps container and bioha=ard waste container
/roduct 0uppliesF
1avender Essential !il
Elemis facial cleanser and toner
Facial -lend
<ot towels
#cupuncture needles
1ate& gloves
+oom /reparationF
0et up your couch with sheet drape and sarong.
/repare one small towel the head of the bed.
<ave an e&tra sheet in to hand for client comfort.
Treatment Introduction:
#cupuncture is the oldest medical system known to man. %t treats pain both chronic and
acute, /.0, helps to lose weight, stop smoking, aids in restoring hormonal balance and
relief tension from stress. he treatments are virtually painless and use sterile, stainless
steel, disposable needles.
Treatment Benefits:
,iminishes fine lines and wrinkles
+elieves saggy and lusterless skin
+estores vital balance in the body
,eto&ifies and heals the body
Treatment Time: =0minutes
Frequency: ,etermined after consultation with acupuncturist
Contra-Indications:
%nto&ication
-leeding disorders
/eople with pacemakers :they can receive acupuncture but
without electrical stimulation
0evere sunburn
/regnancy :can still be treated but with caution;

Acupuncture- Procedure
Perform Acupuncture Lifestyle Consultation
Prepare Client Face Up
#sk the client to lie face up on the bed with the palms resting on the couch.
The Chinese openin Touch !er"al eye pillo#
0ee Chinese opening ouch.
hird e)e enlightenment 2 .a*ender essential oil
#pply lavender essential oil to palms of the hands. #fter warming the hands together
gently press the patient$s temples and third eye. <old each awareness touch for C?
seconds R>
Circle massage clients temple
'ently apply finger pressure circling the temples moving toward third eye. /ress third
eye on completion for a few seconds. R>
Meditation
!ne hand is placed on the patient$s crown, one on the chest. S# wave of energy$
downward moving. Complete with pressure at crown and then at the third eye.
Cleanse and one the clients face
he client will receive a mini facial prior to the insertion of the needles. his is done to
remove any make6up or bacteria that could cause infection
Insertion of needles
he point prescription focuses on the client$s areas of concern. ypically, all of the points
will be on the face.
Appl) electrical stimulation 2 if performing pain management protocol or facial
re3u*enation
he electrical stimulation helps to contract the facial muscles thus pulling skin tighter and
achieving a youthful appearance.
Complete homecare>her!al prescription
0emo*al of needles (wearing late8 glo*es
#s the needles are removed, immediately place each needle into the sharps container. #
cotton pad should be used to apply pressure to area of insertion for a few seconds.
0emo*e glo*es and place an) soiled material into the !ioha?ard waste container
@7ou!le chec$ the patient to ma$e sure each needle has !een remo*ed and that
there is no !leeding
%acial ui 1a will !e performed after all of the needles ha*e safel) !een remo*ed
and no sign of !leeding is present.
he acupuncturist will place a small amount of Elemis Facial -lend into their hands.
-eginning at the third eye the acupuncturist will knead the forehead and temples.
Continuing around the eye the acupuncturist will gently pull apart the skin around the
eyes, nose and mouth. his process is repeated >&. o end, the acupuncturist will stroke
across the forehead, down the cheeks and pull up along the 4aw line.
Assist patient to a seated position
0ecommend lifest)le modifications and 0etail
"uic$ 0eference reatment Grid
Acupuncture
Procedure Timin
/erform Elemis 1ifestyle Consultation C9 minutes
/repare Client Q Face Bp with .ini facial @9 minutes
Chinese !pening ouch Q <erbal eye compress > minutes
#bdominal -reathing @ minute
#pplication of needles C9 minutes
/rescription of homecare products @? minutes
+emoval of needles and prescription analysis C? minutes
otal reatment ime K? minutes
ii. ,ain Management Acupuncture Q reduce acute and chronic pain. +educe
pain levels and provide more motility in conditions such as arthritis, tennis or golfer$s
elbow, headaches both tension and migraine, strains and sprains. he variety of
conditions is numerous.
herapist ChecklistF
@ sheets :one covering couch and one for the guest;
C large sarong to lie on
,ry cotton pads
8leene&
L?P isopropyl alcohol
Check room temperature to make sure it is comfortable for the guest
# bell :for client to ring in case of emergency;
0harps container and bioha=ard waste container
/roduct 0uppliesF
1avender Essential !il
#cupuncture needles
1ate& gloves
+oom /reparationF
0et up your couch with sheet drape and sarong.
/repare one small towel the head of the bed.
<ave an e&tra sheet in to hand for client comfort.
Treatment Introduction:
#cupuncture is the oldest medical system known to man. %t treats pain both chronic and
acute, /.0, helps to lose weight, stop smoking, aids in restoring hormonal balance and
relief tension from stress. he treatments are virtually painless and use sterile, stainless
steel, disposable needles.
Treatment Benefits:
,eeply rela&ing
+elieves pain
+estores vital balance in the body
,eto&ifies and heals the body
Treatment Time: AA minutes
Frequency: ,etermined after consultation with acupuncturist
Contra-Indications:
%nto&ication
-leeding disorders
/eople with pacemakers :they can receive
acupuncture but without electrical stimulation
0evere sunburn
/regnancy :can still be treated but with caution;
Acupuncture- Procedure
Perform Acupuncture Lifestyle Consultation
Prepare Client Face Up
#sk the client to lie face up on the bed with the palms resting on the couch. %f the client$s
area of pain in on the back, after the Chinese !pening the client will be assisted in laying
face down.
The Chinese openin Touch !er"al eye pillo#
0ee Chinese opening ouch.
hird e)e enlightenment 2 .a*ender essential oil
#pply lavender essential oil to palms of the hands. #fter warming the hands together
gently press the patient$s temples and third eye. <old each awareness touch for C?
seconds R>
Circle massage clients temple
'ently apply finger pressure circling the temples moving toward third eye. /ress third
eye on completion for a few seconds. R>
Meditation
!ne hand is placed on the patient$s crown, one on the chest. S# wave of energy$
downward moving. Complete with pressure at crown and then at the third eye.
Swa! each area to !e treated ( alcohol and cotton
Insertion of needles
he areas for the application of the needles will be dependent on the client$s condition.
#n e&ample will be back pain, the needles will be inserted in the back and in the legs to
provide a balanced treatment. #nother could be shoulder pain, where the needles would
be placed in the area of pain but in other locations to balance the body in totality.
Appl) electrical stimulation 2 if performing pain management protocol or facial
re3u*enation
Electrical stimulation helps to reduce pain levels by directly stimulating the muscles that
are affected.
Complete homecare>her!al prescription
0emo*al of needles (wearing late8 glo*es
#s the needles are removed, immediately place each needle into the sharps container. #
cotton pad should be used to apply pressure to area of insertion for a few seconds.
0emo*e glo*es and place an) soiled material into the !ioha?ard waste container
@7ou!le chec$ the patient to ma$e sure each needle has !een remo*ed and that
there is no !leeding
Assist patient to a seated position
0ecommend lifest)le modifications and 0etail
"uic$ 0eference reatment Grid
Acupuncture
Procedure Timin
/erform Elemis 1ifestyle Consultation C@ minutes
/repare Client Q Face Bp 9 minute
Chinese !pening ouch Q <erbal eye compress > minutes
#bdominal -reathing 9 minute
#pplication of needles O minutes
/rescription of homecare products C9 minutes
+emoval of needles and prescription analysis L minutes
otal reatment ime D9 minutes
IV. Acupuncturists
a. Acupuncturists -ducational Standards
For 0teiner .anagement$s Acupuncture& he ,oint of Well2Being /rogram, the criteria
used for recruiting our acupuncturists are as followsF
Cnited States -ducated ApplicantF
C; #pplicant must have graduated from an NCC#!. and #C#!. accredited and
recogni=ed program. he #C#!. is the Bnited 0tates governing body for
accrediting acupuncture programs in the B. 0. and Canada. 0ee
www.acaom.org(handbook.htm , section O for the complete list of criteria of
eligibility for a program.
@; he program must be D years and at least CK?? classroom hours and 9?? clinical
hours.
>; he applicant must have passed the Clean Needle echni"ue Course.
D; he applicant must be C/+(First #id certified.
9; he applicant must have taken <%7(#%,0 coursework.
G; he applicant must be NCC#!. certified or California 0tate licensed.
Appendi8& California 0tate is the only state in the B.0. that has a separate e&am
for acupuncture. he re"uirements in order to graduate from a college in the state
of California far e&ceed the minimal number of hours re"uired by the NCC#!..
he minimal number of hours to graduate in California is D>?? classroom and
clinical hours. #cupuncturists coming from the state of California "ualify to sit
for the NCC#!. board e&am. For purposes of employment all 0teiner
.anagement re"uires is proof of completion from an accredited college and
documentation of licensure from the state.
Each individual that passes the NCC#!. e&am must then be licensed by the
state in which he(her decides to practice. he only e&ception is California. !ther
states simply re"uire registration with the state$s -oard of <ealth and the proper
occupational license. Each state has a different renewal periodA in general the
renewal period is @6D years. he NCC#!. renewal period is every D years.
%ndividuals are re"uired to have @? hours of Continuing Educational Bnits
:CEB$s; each year.
Applicants -ducated Dutside of the Cnited States&
Currently we are only accepting applicants from Canada, England, #ustralia, 0outh
#frica and New Tealand. hese country$s programs that are recogni=ed by their
,epartment of Education, are e"uivocal to that of the Bnited 0tates.
/er Erica #nderson, National Certification ,irector of Eligibility, individuals that are
educated outside of the Bnited 0tates must
C; #ttend a college or university that has a program that is recogni=ed by the applicant$s
.inistry of Education.
@; he program must be e"uivocal to the hours of classroom and clinic as proposed by
the NCC#!., CK?? for classroom and 9?? for clinic.
>; he applicant must be proficient in English both reading and writing.
D; he program must be D to 9 years in length.
9; he applicant must provide proof of graduation
his is the basic criteria for any foreign applicant who wants to sit for the NCC#!.
board e&am. his can be seen at www.nccaom.org(educatedoutus.htm he list provided
on the website is incomplete, this is why we must review each applicant individually. We
are using those same criteria for hiring our applicants. We take each individual that
applies and research their credentials. We make sure the program they$ve completed fits
the profile allotted by the NCC#!.. We check to see if the college or university is
recogni=ed by the country$s .inistry of Education. #nd finally, we check each
individual$s references. #s for all of 0teiner$s employees, we complete a thorough
background check to insure the individuals we employ are reputable.
he AACMA is in fact the largest registration association in #ustralia. %ts members are
re"uired to graduate from an AACMA, accredited program. hese programs must be
four to five years in length. For a full list of "ualifications visit the website at
www.acupuncture.org.au(studyUtcm(cfm. he website also gives a list of schools in
which the programs are acceptable. Each country has different renewal periods for their
acupuncture licensure. #s 0teiner is based in Florida, we use the Florida state renewal
criteria as a minimum, which is every two years. #ll countries listed have a renewal rate
that is e"uivocal to this period. #s stated previously, we do check each applicant$s
credentials, making sure each is update and in good standing with their country$s
guidelines.
Know Your
Acupuncturist
Practitioners whose educational focus is in Acupuncture & Oriental Medicine receive
approximately 80% of their trainin exclusively in this !eld" and undero an extensive
clinical internship averain # years$ Other healthcare practitioners may use
acupuncture" which is one of the many therapies of Oriental Medicine" as an ad%unct to
their primary practice$ &hile all of these practitioners also have trainin in western
medical sciences" this chart is desined to illustrate the varyin levels of acupuncture
trainin enerally underta'en (y healthcare professionals$
Amount of
)rainin
*n Acupuncture
Practitioner
+#,# hours to -000 hours
in Acupuncture .or -000/
#000 hours in Oriental
Medicine01
Licensed Acupuncturist
Traditional Chinese
Medicine
Comprehensively-trained
Acupuncturist
Oriental Medicine
Practitioner
Oriental Medical
Acupuncture
)ypically a 2icensed Acupuncturist .2$Ac$0 or
Registered Acupuncturist whose primary training is in
Acupuncture and/or Oriental Medicine, and has
!a" o#tained a $ to %-year master&s level degree or
diploma 'rom a school approved #y ACAOM
!Accreditation Commission 'or Acupuncture ( Oriental
Medicine", and
!#" is awarded the )ipl*Ac* !)iplomate in Acupuncture"
designation upon success'ul e+amination #y the
,CCAOM !,ational Commission 'or the Certi-cation o'
Acupuncture ( Oriental Medicine" which is the national
standard used 'or licensing in most states* ..
//sed 'or a #road range o' health issues, including
chronic disease, pain, internal medicine, reha#ilitation,
and prevention #ased on Oriental medical theory*
#00 hours or less
Medical Acupuncture
Meridian
0alancing/Therapy
Chiropractic Acupuncture
,aturopathic Acupuncture
)ypically a medical doctor" osteopath" naturopath"
or chiropractor who uses acupuncture as an ad1unctive
therapy3 the 2orld 3ealth Organi4ation !23O"
recommends that medical doctors have 566 hours o'
training to 7now when to re'er to a more 'ully-trained
Acupuncturist or Oriental Medicine practitioner*...
-Most commonly used 'or pain and #asic ailments*
Around +00 hours or
less
)eto+ Tech
Chiropractic Acupuncture
Medical Acupuncture
)ypically a detoxi!cation technician or
chiropractor !deto+ techs should #e under supervision
o' a Licensed Acupuncturist, see a#ove, and are limited
to 8 points on the ear"
-Most commonly used 'or pain management or addiction
( deto+i-cation through auricular acupuncture*
4or a list of approved schools and collees" contact the 5$6$ 7epartment of
8ducation or9
www$ccaom$or www$nccaom$or www$acaom$or
.Many Acupuncture ( Oriental Medical schools e+ceed 5666 hours*
..Acupuncture/Oriental Medical practitioners are a#le to o#tain a )*A*O*M* doctoral degree 'rom an ACAOM-
approved clinical doctoral program* 9ome states also designate the licensing title !non-degree" as )*O*M* or
)*Ac, or Acupuncture Physician* Licensed Acupuncturists may have also o#tained an O*M*)*, Ph*)*, or )*Ac* 'or
non-e+tensive post-graduate training !'rom unaccredited programs"* Thus, it is important to as7 where such a
title was received*
...9ome medical doctors and chiropractors are trained and licensed in #oth western and Oriental medical
acupuncture* As7 your physician a#out his or her credentials* Acupuncture should only (e administered
(y a practitioner who has speci!c trainin in this !eld" due to ris' of improper needlin"
inade:uate understandin of Oriental medical dianostic procedures" transmission of disease"
im(alancin of enery" or ethical violations$
V. Managing the Acupuncture ,rogram
a. Acupuncturist 7ress Code
he acupuncturist must comply with the same rules of behavior and dress that every other
member of the spa abides by. #cupuncturists are e&pected to appear in conservative and
professional attire at all times, both on the ship and in the ports of call.
NoteF /lease remember that we are ambassadors of our medicine as well as guests on
board the ship. he utmost attention should be paid to your appearance and behavior. We
are well6educated professionals and are e&pected to behave as such.
#ppearance 0tandards
C. Clinic ,ress Code 6 -usiness attire. No open toed shoes. 1ab coats are to be
worn at all times with name badges. Women must have hair up and(or pulled
back. Women also should wear black slacks and a plane blouse under the lab coat.
.en should be clean shaven, wear slacks with a collard shirt. Clothes should be
clean and neatly pressed. .en must wear dress shoes. No sneakers, sandals, old
shoes or white socks are allowed.
@. 0hip ,ress Code 6 -usiness attire when in public areas and when walking
around the ship. ,enim is never allowed in any form no matter how dressy. No
shorts. No bare feet.
>. Formal Nights 6 !n formal nights, formal attire is mandatory in all public areas
of the ship. his means tu&edo or 4acket and tie for men, and formal gown or
cocktail dress for women.
D. .isc. ,ress Code 6 Casual attire is allowed when working out in the gym,
bathing in the spa or off the ship. #t no time should shorts ever be worn on the
ship in guest areas.
9. attoos and /iercings 6 attoos must be covered and piercings that could offend
guests must be taken out :tongue rings;.
'rooming 0tandards
C. 0howering 6 ,aily showers with soap :yes soap; prior to going to work. .ake
sure that your body and clothing are odor free at all times.
@. !ral <ygiene Q -rush or floss at least twice daily, use mouthwash to make sure
your breath is clean and fresh.
>. <air 6 .ust be clean and well groomed at all times. %t is not appropriate to
brush or arrange hair in the presence of guests.
D. -ody and Facial <air 6 For women, underarms and legs should be clean6 when
you are in the clinic. For men, sideburns should not e&tend below the bottom of
the earlobe. # mustache and beard grown before you sign6on should be
maintained and neatly trimmed.
9. <ands and Fingernails 6 <ands and nails should be clean and neatly manicured
to an even length. For women, do wear clear or colored nail polish, avoiding
e&treme tones. No designs on nails are allowed.
G. Vewelry 6 -e moderate, a ma&imum one ring per hand worn on any finger may
be worn.
L. Fragrances 6 1ightly scented perfumes, colognes, or after6shave lotions may be
worn. /lease avoid wearing e&treme scents in the presence of guests.
O. Cosmetics Q hese should be moderate as well, no e&treme colors or shades.
+emember, the appearance of the acupuncturist is part of the medicine being taken
seriously. hey must appeal to main stream #merica. .aintaining a well groomed
persona adds to your credibility and therefore your bottom line.
!. Safet) 0ules and 0egulations for Acupuncture Dn!oard
C. Needles used for acupuncture are sourced from medical supply companies and are
received sterili=ed and individually wrapped per the F,# approved method of
retail selling. 'In 1==EF the %7A appro*ed acupuncture needles as medical
de*ices that were to !e sterileF indi*iduall) wrapped and disposa!le.+
@. he acupuncturist will inspect each wrapped needle. %f any package or needle is
found to be damaged, the needle will be properly disposed in the sharps container.
#ll needles will be stored in a locked cabinet with the key in a secure area.
>. # clean field is established in each treatment room and is kept sterile at all times.
he clean field is changed several times a day and when soiled. 'A clean field an
area that has !een prepared to contain eGuipment necessar) for acupunctureF
in such a wa) as to protect the sterilit) of the needles. his not onl) includes
the clean surface the eGuipment is placed !ut also the patients s$in and
surrounding areas.+ # room that is e"uipped with a fully functional sink with
clean running water is used for the acupuncturist to wash his(her hand before and
after each treatment. he room designated as a treatment room must be kept free
of dirt and dust. # daily cleaning log should be in clear view inside of the room
and signed and dated by the therapist daily. #ll material used on the beds or to
drape the client must remain sterile and clean. hese items should be disposable,
such as paper for the bed. When inapplicable, the clean linens and soiled linens
must be kept separate and stored safely until usage or disposal. /roducts used to
clean the room must be classified as disinfectants and clearly marked as such.
D. he acupuncturist should wear clean, washable or disposable protective clothing
while in treatment rooms. he acupuncturist must take great care to maintain the
cleanliness of his(her hands and keeping their nails short. 1oose or large clothing
and 4ewelry should be avoided. <air should be worn as not to touch or
contaminate clean fields. he acupuncturist washes his(her hands directly after
entering the treatment room. Each time the acupuncturist touches any non6sterile
areas, he(she must wash their hands as soon as possible. #ll cuts, wounds,
abrasions, chapped hands, hang nails, torn cuticles, etc. must be covered with
rubber gloves or finger cots. #ny acupuncturist who is suffering from an
infectious disease should seek immediate medical condition. #ny accidental
needle sticks by a contaminated needle should seek the immediate attention of a
physician. he physician should follow the e&posure control plan designed by
!0<#.
9. #fter a treatment plan has been established and points selected for the patient,
each point will be cleaned with L?P solution alcohol located in a reusable
dispensary. When the dispensary is empty, the acupuncturist shall thoroughly
wash the dispensary and allow it to air dry. !nce dry the dispensary can be
refilled with the solution. he acupuncturist unwraps each 4ust needle 4ust prior to
use and inserts each into the body. 1eftover or unused e&posed needles will be
deposited into a sharps container that is located in each room designated to be
used for acupuncture. Sharps containers shall !e clearl) mar$ed as such and
$eep awa) from the clean field as it will contain contaminated needles.
G. When the acupuncturist is ready to remove the needles, he(she don late& gloves.
#fter each removal of needles, the acupuncturist will use a cotton ball to apply
pressure to each point. Each needle will be placed into a sharps container located
in each treatment room away from the clean field. he sharps container should be
in reach as not to carry contaminated needles for a distance. his lessens the
likelihood of any cross contamination. he gloves and cotton if unsoiled can be
deposited into the trash. %f the gloves or cotton is soiled then it must be deposited
into the bioha=ard container. Bioha?ard containers must !e must !e clearl)
mar$ed and $ept awa) from the clean field.
L. When the sharps container is full, the acupuncturist will deliver the container to
the infirmary where the container is properly disposed. he same is for the
bioha=ard containerA it will be delivered to the infirmary when full and disposed
of properly.
c. Acupuncture %lash 0eports
%t is imperative to the monitoring and improvement of the acupuncture program that the
flash report is sent in on a daily basis. From this report we are able to analy=e trends,
strengths and weaknesses, and then assist daily if need be on possibilities on how to
increase, improve and ma&imi=e the revenue and make the program e&tremely
0BCCE00FB1. Your comments and observations are also important, as we can not be on
your ship at all times, but can assist from reading the valuable input.
Not only is the report important for us, but it is an e&tremely useful tool for your onboard
operations, as you can monitor the progress of your cruise on a daily basis and the rest of
the cruise in advance, and make the necessary ad4ustments to the course of the cruise,
before it is too late, and thereby increase the total service and thus the total revenue
generated and the success of the cruise.
/lease follow the instructions below when completing the flash report. 0ome of the cells
in the report re"uire entries on a daily basis and others re"uire input on a weekly basis.
Vessel nameF acupuncturistF manager nameF date outF date inF num!er of da)s and
cruise target are re"uired to be entered at the start of the cruise. he cruise total and
percentage need to be entered at the end of the cruise once the voyage has been
completed.
7a) positionF entered on the first day with a date egF C@ !ctober @??9.
Ser*ice inF is the number of appointments you had physically for the day, and not how
many was predicted prior to cancellations. his needs to be entered at the end of each day
with the other information re"uired on the report.
Appointments for the rest of the cruiseF this needs to be updated at the end of every
day, so that we can see where the cruise is headed at any one time and from here send
assistance or ideas to increase the number of bookings. For e&ample, on embarkation day,
enter from the day sheets the number of appointments for every day of the cruise booked
up until that time.
Ser*ice H& this is the dollar value to be filled in for every day for the services performed.
0etail H& this is the dollar value to be filled in for every day for the retail that has gone
out.
0e!oo$& this also needs to be filled in on a daily basis so that we can monitor treatment
totals.
Cancellations& need to be filled in at the end of each day so that we see if there is a trend
to best times or port related preferences. We can also see which ports affect the
acupuncture during the course of the cruise and when ma4ority of cancellations take
place, and look to implementing tools for the prevention of cancellations.
Cross promotion outF please use the key guide at the bottom of the flash report when
entering this field into the report. his is vital for monitoring the links and the revenue
relationship of both the team and the spa.
Cross promotion inF as per cross promotion out.
Seminars& this field needs to be entered at the start of the cruise so that we can monitor
the promotion of the acupuncture, and the revenue related changes introduced from the
seminars as the cruise progresses.
he total and retailI will be calculated automatically by the report, so there is no need
to enter anything into these @ fields.
Seminar nameF i.e. %ntroduction to #cupuncture etc
1um!er of attendF <ow many guests came to that particular seminar.
1um!er of !oo$ingsF o monitor the success rate of the seminar, and to assist in
improving the seminar in the event that the productivity is low.
A*erage ageF to asses the demographic, and possibly enhance the content to increase the
number of booking in relation.
I Boo$ed& his number will be automatically entered as long as you put in the number
of guests attended and number booked. %t$s very important that we maintain a percentage
above >9P. his will be monitored very closely.
CommentsF challenges and plan of action need to be entered briefly on a daily basis so
that we can see where the cruise is headed, and offer assistance where needed.
We thank you in advance for your correct completion of this report on a daily basis, and
in turn this will assist us in assisting you more effectively.
.
d. Managing Accidents
#ccidents do happen. #ccidents can range from a bruising, forgetting to remove a needle
or a punctured organ :e&tremely rare;. #ccidents can not always be preventedA however
they can be minimi=ed by being careful and methodical. he following is a short list of
some of the possible accidents associated with acupuncture.
C. Bruising. -ruising is common and the patients should be made aware of this. # patient
is more likely to bruise if they are getting facial acupuncture, are on blood thinners or
have a bleeding disorder. -ruises can be avoided by applying pressure to the area and
applying a topical ointment.
@. %ainting Q Fainting can result from a patient being overly tired, chronically ill or
needle phobic. When this happens, remember to stay calm, make sure that the
acupuncturist takes out all the needles, have the person lie down and elevate their legs.
'ive them some water when they regain consciousness. If the person stops !reathingF
dial the emergenc) num!er to contact the !ridge. %t$s important to note that a guest
fainting is very rare. #cupuncturists are trained to deal with this situation.
>. %orgotten needle. his will happen in your spa at one time or another. #cupuncturists
use a lot of needles and often times can get very busy running multiple rooms. Needles
typically get lost in a patient$s hair or where clothing obscures the needle. Your
acupuncturist will take the utmost care in making sure that this does not happen, however
accidents happen. %f a guest comes to you complaining of a needle that has been left in
them, apologi=e profusely, and ask for the needle so that it can be disposed of properly.
#ssure them that this does not happen very often and grab the acupuncturist if available.
he acupuncturist will continue to apologi=e and will reassure the guest that no harm has
been done. #ll acupuncturists are asked to do needles counts. his means that each
practitioner should be writing down the number of needles inserted as well as the number
removed on each visit.
D. 1eedle stic$. #ny practitioner accidentally stuck by a needle should be seen
immediately by a physician. %f this happens, immediately ascertain whether or not the
patient has any blood borne diseases :hepatitis, aids etc*; he practitioner should follow
the procedures set by the ships doctor concerning protocol regarding sticks by
contaminated needles.
e. Bioha?ard Containers
Bioha?ard Containers. here will be one container for each room. When a container
gets half6full contact the environmental officer and they will send a member of
housekeeping to pick it up. ,o not let the containers get too full. Bse the enclosed
)Bioha?ard Container 7isposal Signature Sheet* to record the disposal of the
container. # record must be kept of when the containers were picked up the and by
whom. his is done in accordance with Bnited 0tates law.
f. Steiner .eisure Acupuncture Sanitation Guidelines
!b4ectiveF
he ob4ective is to standardi=e the proper saniti=ation procedures for the
acupuncture services.
!verviewF
he policy and procedures are provided to ensure the most hygienic operation and
facilities for the guests.
C.? /oliciesF

C.C #ll #cupuncturists and support staff must follow the procedures and
guidelines as described below.
C.@ he 0pa .anager is responsible for the adherence of the acupuncturist and
staff to follow all procedures.
C.> he 0pa .anager is responsible for ensuring that correct protocol is
followed and for the inspection of e"uipment used on a daily basis as well
as the evening prior to arrival into a home port to ensure that procedures
are being followed.
C.D #ny staff member not following correct protocol will be sub4ect to
corrective disciplinary action and termination.
@.? /reparationF
@.C he 0pa .anager and #cupuncturist together will consult with the <otel
,irector, Chief Environmental !fficer, and 0hip$s ,octor to ensure
compliance with all ship standards and procedures related to cleaning and
saniti=ationA including sharps container disposal.
>.? rainingF
>.C +eview all policies and procedures with all new staff within DO hours of
sign6on and prior to their performing any acupuncture treatmentsA
>.@ +eview this policy 5 procedure on a monthly basis with acupuncturists
and support staff.
D.? /roceduresF
D.C #cupuncture Needles
D.C.C Needles used for acupuncture are sourced from medical supply
companies and are received sterili=ed and individually wrapped per
the F,# approved method of retail selling. he acupuncturist will
inspect each wrapped needle.
D.C.@ #ll used and damaged needles will be disposed of in a sharps
container.
D.C.> %f any package or needle is found to be damaged, the needle will be
properly disposed in a sharps container.
D.C.D #ll packaged needles will be stored in a locked cabinet with the
key in a secure area.
D.@ Clean Field Q Work #rea(reatment +oom.
D.@.C ,efinition. # clean field is an area that has been prepared to
contain e"uipment necessary for acupuncture, in such a way as to
protect the sterility of the needles. his not only includes the clean
surface the e"uipment is placed on but also the bed, patient$s skin
and surrounding areas.
D.@.@ # clean field is established in each treatment room and is kept
sterile at all times. he clean field is changed after each patient.
D.@.> ,efinition of reatment +oom
D.@.D # treatment room is e"uipped with a fully functional sink with
clean running water is used by acupuncturist to wash his(her hand
before and after each treatment.
D.@.9 he treatment room must be kept free of dirt and dust.
D.@.G 1og -ook. # daily cleaning log should be in clear view inside of
the room and signed and dated by the acupuncturist daily. he 0pa
.anager is to inspect the log book and room daily to ensure
compliance.
D.@.L #ll material used on the beds or to drape the client must remain
sterile and clean. hese items should be disposable, such as paper
for the bed.
D.@.O #t all times, the clean linens and soiled linens must be kept
separate and stored safely until usage or disposal.
D.@.K /roducts used to clean the room must be classified as disinfectants
and clearly marked as such.

D.> Clothing, <ygiene, and 0afety.
D.>.C he acupuncturist should wear clean, washable or disposable
protective clothing while in treatment rooms.
D.>.@ he acupuncturist must take great care to maintain the cleanliness
of his(her hands and keeping his(her nails short.
D.>.> 1oose or large clothing and 4ewelry are not to be worn. <air
should be worn as not to touch or contaminate clean fields.
D.>.D he acupuncturist must wash his(her hands directly after entering
the treatment room. Each time the acupuncturist touches any non6
sterile areas, he(she must wash their hands as soon as possible.
D.>.9 #ll cuts, wounds, abrasions, chapped hands, hang nails, torn
cuticles, etc. must be covered with rubber gloves or finger cots.
D.>.G #ny acupuncturist who is suffering from an infectious disease
should inform vessel staff and seek immediate medical attention.
D.>.L #ny accidental needle sticks by a contaminated needle should be
seen by immediately by a physician.
D.D /re and /ost Needle #pplication.
D.D.C #fter a treatment plan has been established and points selected for
the patient, each point will be cleaned with L?P solution alcohol
located in a reusable dispensary.
D.D.@ When the dispensary is empty, the acupuncturist shall thoroughly
wash the dispensary and allow it to air dry.
D.D.> !nce dry the dispensary can be refilled with the solution.
D.D.D he acupuncturist unwraps each needle 4ust prior to use and inserts
each into the body.
D.D.9 1eftover or unused e&posed needles will be deposited into a sharps
container that is located in each room designated to be used for
acupuncture.
D.D.G 0harps containers shall be clearly marked as such and keep away
from the clean field as it will contain contaminated needles.
D.D.L When the acupuncturist is ready to remove the needles, he(she
must wear late& gloves.
D.D.O #fter each removal of needles, the acupuncturist will use a cotton
ball to apply pressure to each point.
D.D.K Each needle will be placed into a sharps container located in each
treatment room away from the clean field.
D.D.C? he sharps container should be in reach as not to carry
contaminated needles for a distance. his lessens the likelihood of
any cross contamination. he gloves and cotton if unsoiled can be
deposited into the trash.
D.D.CC %f the gloves or cotton are soiled then they must be deposited into
the bioha=ard container.
D.D.C@ -ioha=ard containers must be must be clearly marked and kept
away from the clean field.
D.D.C> When the sharps container is full, the acupuncturist will deliver the
container to the infirmary where the container will be properly
disposed.
D.D.CD he same applies to the bioha=ard containerA it will be delivered to
the infirmary when full and disposed of properly.
VI. ,romotion>Ad*ertising
a. Acupuncture Ad*ertising < ,romotion Chec$list
@-ecause the revenue generated by acupuncture is incremental revenue it should be
promoted from outside the spa. 'eneral advertising should be done in the spa, however as
much advertising and promotion as possible should be done outside the spa. We are
trying to reach a new clientele and not take revenue from e&isting services.
-m!ar$ation
/art of the 0pa our 6 his is a good time for the acupuncturists to be signing
guests up for free consultations.
/romo on the /romenade Q %f the acupuncturist is not part of the spa tour, then
they should be down on a main deck doing demonstrations. .ake sure that they
get models before hand and are set up with a table and supplies. hese
demonstrations are great for attracting a crowd.
/romoting Free Consultations Q Everyone :therapists, acupuncturists, and
managers; should be promoting free 9 to C9 minute consultation with the
acupuncturist. he acupuncturist is trained to turn these into treatments.
/romoting the 1ecture Q 0igns in the spa should promote the first acupuncture
lecture. #lso, handing out +affle ickets to guests during embarkation will
increase lecture attendance.
.ecture
+affle ickets for 1ecture Q ickets are used to increase lecture attendance and
should be handed out during embarkation and spa tours. /lease see sample
attached.
0ign at Front ,esk Q # framed sign with lecture location and time should be
placed in an easily seen location. /referably on the front desk with a frame. he
acupuncturists$ bio with photo can also be attached.
herapists %nviting 'uests Q #ll therapists should be made aware of lecture time
and location in order to invite their clients$.
Cabin ,rop #dvert Q # shell with the lecture promotion can be used as a cabin
drop.
#dvert in /rogram Q %f a cabin drop cannot be done, a separate :from the spa;
advertisement should be in the daily program advertising the lecture.
#nnouncement .ade by Cruise ,irector Q Whenever possible, an announcement
by the C, will greatly increase lecture turnout.
0ign at 1ecture Q # sign and(or greeter should be present at the lecture C? to C9
minutes before it starts.
%nviting 'uests ,uring Embarkation Q #cupuncturist and therapists should always
be promoting the lecture during embarkation.
General Ad*ertising
+eferrals from !ther herapists Q his should be the biggest source of income. #
referral incentive should be in place. For e&ample an hour off for each
acupuncture referral.
0pecials :/ort ,ay, .i& and .atch etc.; Q /lease see attached e&amples of
acceptable specials.
,aily /rogram #dvert Q #s much as possible wherever possible, some sort of
advertising should be in the daily program.
-io with /hoto and Frame at +eception Q his should be at or near the front desk
at all times.
0hell /romoting #cupuncture at Front ,esk Q 1ike all other services, acupuncture
should be included with all promotions.
7ideo on 0tateroom elevision Q here are two ways we can go with this. <aving
both is always best. he first one would be an interview with the cruise director
the second would be a sample treatment that traditionally has lasted about ten
minutes. #nother video that we can do is to videotape the lecture and have it run
in a loop on stateroom television.
0lide 0how on /lasma 0creen Q %f your spa has plasma screens, a promotion for
acupuncture should have a rotation.
0elationships
#ll officers and department heads should be in for a free acupuncture treatment so
that they can meet the therapist and learn about acupuncture. hey will be a big
source of referrals due to their relationships with guests. % encourage this as much
as possible for all staff and crew members who deal directly with the guests. %n
addition, when possible the acupuncturists should be using -ingo, /ort 5
0hopping 0eminars and #rt #uctions to promote themselves. he acupuncturist
should also be sent to events to sociali=e whenever possible. Fre"uent cruiser$s
parties, Captain$s parties etc.
Dngoing -ducation
%n con4unction with the +elationships mentioned above, the entire crew should be
made aware of acupuncture and what it can do. his can be done by sending the
acupuncturist to do mini lectures for various departments during their meetings.
his can also be done by setting up an informational table on the crew deck.
!. Acupuncture Ad*ertisements>Collateral
#cupuncture .enus(able Cards
#cupuncture /rescription /ads
#cupuncture intake form
#cupuncture 0hell
1arge acupuncture banner with stand.
#cupuncture /ower/oint /romo 0lide
#cupuncturist$s -io
#cupuncture 1ectures on /ower/oint
AC/P/,CT/R:
The Point o' 2ell-0eing
,ame ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; 9tateroom < ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Cruise Line ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; =essel ,ame ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
)ate o' 0irth ;;;;;;;;;;;;;;;;;;;;;;; 3eight ;;;;;;;;;;;; 2eight ;;;;;;;;;;;;; 9e+ > Male > ?emale
Primary Reason 'or visit ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
2hen did the pro#lem #egin ;;;;;;;;;;;;;;;;;;;; /nder physician care 'or this pro#lem > @es > ,o
2hat other treatments have you triedA ;;;;;;;;;;;;;3ave you tried acupuncture #e'ore > @es > ,o
AllergiesA !drugs, chemicals, 'oods, etc*" ;;;;;;;;;;; Are you on a restricted diet or e+ercise programA >
@es > ,o
2hat medications or supplements are you ta7ingA ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Chec7 the products that are used > cigarettes > alcohol > coBee > tea > so't drin7s > drugs
3ow o'ten are these product!s" used a wee7A ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
M87*;A2 <*6)O=Y !please chec7 all that apply"
> Cancer > 3eart )isease > )ia#etes > Thyroid )isease > 3igh/Low
0lood Pressure
> 0leeding disorders > 9tress > Transmitta#le )iseases > 3istory o' ?amily Cllness > 9leep disorders
> Other ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
>8?8=A2
> 3eart palpitations > 9hortness o' #reath > ,ight 9weats > 9weating easily > :dema
> ?atigue > 9udden energy drop > Pain !where/type";;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
<8A7@8A=6@8Y86@?O68@)<=OA)
> 3eadache/Migraines > 0lurry/Cmpaired vision > :ye dryness/pain > Recurrent sore throat > 9wollen
glands
> ,asal discharge/#leeding > Ringing in ears > :arache/:ar discharge > Other
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
7*>86)*O?
> 3eart#urn > )iscom'ort a'ter eating > A#dominal pain/cramps > ,ausea > Constipation
> Other;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
>8?*)O/5=*?A=Y
> 0ladder/7idney in'ections > Pain'ul urination > /na#le to hold urine > /rgency with urination > Didney
9tones
> Other ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
>Y?8;O2O>*;A2
Are you pregnantA > @es > ,o > Crregular periods > Light periods > 3eavy
periods
> PM9 > :ndometriosis > Cn'ertility > ?i#roids > 0reast lumps
> Other;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
?85=O2O>*;A2@A8<ABO=*A2
> 9tro7e > Paralysis > Poor memory > )iEculty concentrating >
)epression
> An+iety > Panic Attac7s > Crrita#ility > Poor #alance > )i44iness
> Other ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
,otes ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
2*AA*2*)Y =828A68" A;K?O&287>8M8?) A?7 &A*B8=
C, !please initial" ;;;;;;;;;;;;; , in consideration o' #eing permitted to participate in the Acupuncture
services provided #y 9teiner Transocean Limited, do, 'or mysel', my spouse, my heirs, e+ecutors,
administrators, successors and assigns here#y 'ully release and 'orever discharge 9teiner Transocean
Limited, and its employees, agents, aEliates, directors, oEcers, landlords, representatives successors,
assigns, su#sidiaries and parents, o' and 'rom any and all actions, causes or right o' action, suits,
damages, 1udgments, e+ecutions, claims and demands whatsoever, #y reasons o' any matter, cause or
thing whatsoever, 7nown or un7nown, arising 'rom, related to, resulting 'rom, or in a any way connected
with my participation in Acupuncture services, including #ut not limited to, those resulting 'rom #odily
in1ury, the't, loss o', or damage to property o' mine*
C, !please initial" ;;;;;;;;;;;;; 'ully understand, ac7nowledge and agree that !i" the Acupuncture services
oBered #y 9teiner Transocean Limited involve ris7sF !ii" C have provided 9teiner Transocean Limited with all
medical in'ormation regarding my current health statusF iii" C am see7ing the Acupuncture procedure at my
own 'ree willF !iv" C assume all ris7s associated therewithF iv" C 'ully understand that the Acupuncture
services are not treatments 'or any medical emergencies or conditionsF and v" C understand that no
statement o' the Acupuncture provider is intended as a medical diagnosis, nor is it to #e considered as
such*
C, !please initial" ;;;;;;;;;;;;; 'urther, 'ully understand, ac7nowledge and agree all spa and salon services,
including Acupuncture services, are provided e+clusively, as a convenience to me, #y 9teiner Transocean
Limited and C accept the service at my own ris7 and e+pense without lia#ility or responsi#ility to the cruise
line and/or Carrier*
C, !please initial" ;;;;;;;;;;;;; 'urther, 'ully understand, ac7nowledge and agree that C am #ound to the
terms o' the cruise line and/or Carrier&s passage tic7et contract and that all o' the terms and conditions
provided within are applica#le to me 'or any and all claims which C may have against 9teiner Transocean
Limited, including my agreement that all claims that C may have arising out o' or relating to any spa or
salon services, shall #e #rought only against 9teiner Transocean Limited, c/o 9teiner Managements
9ervices, #e'ore a court located in Miami )ade, ?lorida, /*9*A* within G5 months o' the date o' occurrence*
C here#y ac7nowledge that C have care'ully read this entire agreement and sign #elow to ac7nowledge my
agreement to all o' the terms a#ove
;;;;;;;;;;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;;;;;;;;;;
,ame !print" 9ignature )ate
)<*6 A=8A 4O= O44*;8 568 O?2Y
Tongue ;;;;;;;;;
Pulse ;;;;;;;;
Point Prescription ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Li'estyle Modi-cation Prescription ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
?ollow-up appointments ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Remar7s ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
www*timetospa*com
c. Spa ,ac$ages>Cross ,romotions 'Suggestions onl) ( prices ha*e not !een set.+
7eto8 ,ac$age 'or Weight .oss+
@9 min. ,eto& #cupuncture
9? min. %onithermie
Charge full %onithermie price and half of #cupuncture first session price :JL9;.
%acial 0e3u*enation ,ac$age
@9 min. Facial +e4uvenation #cupuncture :JL9;
@9 min. .ini 1 Facial : 2222;
For 4ust JUUUUUUU
Weight .oss ,rogram
Elemis Celluto& #roma 0pa !cean Wrap
@9 min. ,eto& #cupuncture :JL9;
For 4ust JUUUUUUU :maybe a @?P discount on #roma 0pa;
ension 0elief
@9 min. 0tress Free #cupuncture :JL9;
@9 min. .assage :2222;
For Vust JUUUUUUU
0ela8ation ,ac$age
L9 min. #roma 0tone herapy
D9 min. 0tress Free #cupuncture
For 4ust JUUUUU :@?P discount; while the ship is in port.;
+egular /rice at 0ea Q straight promo Q no discount.
Acupuncture reatment
+eceive your choice of a full body acupuncture treatment for @?P while the ship is in
port.
Choose fromF
1%0 #11 +E#.EN0
,ic$ 1 Mi8
@9 min. -alancing #cupuncture 0ession :JL9;
@9 min. .ini 1 Facial :22222;
@9 min. .assage :22222;
Choose two for 4ust JUUUUUUU :'reg, determine price;
Couples Acupuncture
)Vust to ry* #cupuncture for Couples while the ship is in port
For 4ust J@9? :save J9?;
%itness ,ac$age
-ody Composition #nalysis
Weight 1oss #cupuncture :full treatment JC9?;
/ersonal raining 0ession
/ort ,ays :maybe a @?P discount;

Acupuncture for Sea Sic$ness
Bnlimited #cupuncture for 0ea 0ickness treatments during your cruise for 4ust JC9?WWW
VII. Miscellaneous
a. Acupuncture Supplies
he acupuncturist$s room should be stocked with the following supplies. %f you are
fortunate enough to have two rooms available, most of the supplies will be shared
between the multiple rooms. #ll supplies should be in place before the practitioner
arrives. /lease contact us if this is not so.
+eordering should be done by filling out the appropriate form. /lease allow enough time
for the order to reach the ship as it will be impossible for you to get needles in most ports.
he following list of supplies should last appro&imately > and a half months.
.
Wall charts6ct.ac.wallJ6 one set
96 alcohol2 alcohol swabs
C6 ;alsteads
C6 wee=ers6dresA
@6 'lass Vars63ar.glass.K
@6 saucer..6saucer.m
C6angle / ear , angle probes
C?6 vaccar. C6seeds6*accar.A0
C?6 one "uart sage sharp$s container6sage.1.Gt
C?6 !iowaste !ags
?6 Set of Bells ( we need to find different ones
1--7.-S
7BCs
dSB.CO&C96C???
dSB.@?&>?6@???
dSB.@9&>?6@???
dSB.@?&D?6D???
;wato
;B.>9&C@96@??

S-I0I1S
S3.CD&>?6?
S3.CG&>?6C???
S3.@?&>?6?
S3.@9&9?6?

!ne bo& of small and medium late& gloves.
!. Glossar)
Chinese medicine brings with it many terms that our unfamiliar to most people. he following
are simple e&planations for many encountered terms.
Acupuncture :noun) 6 # procedure used in or adapted from Chinese medical practice in which
specific body areas are pierced with fine needles for therapeutic purposes or to relieve pain or
produce regional anesthesia
raditional Chinese Medicine :noun; Q # whole medical system that was documented in China
by the >
rd
century -C. C. is based on a concept of vital energy or "i that is believed to flow
throughout the body. %t is proposed to regulate a personEs spiritual, emotional, mental, and
physical balance and to be influenced by the opposing forces of yin :negative energy; and yang
:positive energy;. ,isease is proposed to result from the flow of "i being disrupted and yin and
yang becoming unbalanced. #mong the components of C. are herbal and nutritional therapy,
restorative physical e&ercises, meditation, acupuncture, and remedial massage
"i :noun; 6 the circulating life energy that in Chinese philosophy is thought to be inherent in all
thingsA in traditional Chinese medicine the balance of negative and positive forms in the body is
believed to be essential for good health.
/in :noun; 6 he passive, female cosmic principle in Chinese dualistic philosophy
/ang :noun; 6 he active, male cosmic principle in Chinese dualistic philosophy
"igong :noun; 6 a type of ancient Chinese system of postures, e&ercises, breathing techni"ues,
and meditations to improve oneEs chi("i :energy field;A also called chi kung, chi gong, chi gung,
daoyin
Meridian :noun; 6 A traditional Chinese medicine term for each of the @? pathways throughout
the body for the flow of "i, or vital energy, accessed through acupuncture points.