The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of patients on acute pain service, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. Assessment and discontinuation of epidural and regional anesthesia catheters Completion of daily hospital work rounds including charting of progress notes, order entry and modification as required under the direction of the supervising physician.