MUSC Pain Management Clinic
I am the sole nurse in a busy pain clinic with three anesthesiologists. Some of my duties include efficienciently running clinic and procedures, phone triage, documentation, coordinating referrals, coordinating with workmen’s compensation patients/nurse case managers, medication and procedural prior authorizations, setting up and at times conducting peer to peers with physicians, prepping clinic ( ensure insurance approval for procedures, driver for procedures, appropriate referrals, no contraindicated medicines for procedure patients, SCRIPTS database review for chronic medication patients as well as up to date on annual drug screen and pain contract), patient education, adhering to MUSC set policies/procedures, patient assessments and advocating for patients. In the procedure room, I insert IV’s as needed per the physician, monitor the patient’s vital signs pre/intra/post procedure, set up sterile trays/ensure sterile field is not broken, assist physicians with medication draw up, ensure time out is completed before procedure, chart (vitals, time out, MAR, patient education), monitor patients after procedure and discharge patient to their driver. Some of the procedures we currently do include Ultrasound/Fluoroscopy guided Nerve Blocks, Epidural Steriod Injections, Joint Injections, etc. We do trial blocks for RAdiofrequency Ablations and screen patients for spinal cord stimulators. We also see them postoperatively from trials and permanent implants which include coordination with the SCS Representatives and suture/staple removal.