You have a problem. RN's can't be credentialed (I don't think so, anyway), so you can't bill using their name. That means you have to bill "incident-to" a physician service. But you can't do that either since there was none on hand to supervise. Furthermore I'd be surprised if any insurance would consider an empty pain pump as an "emergency". Inconvenient to be sure, but not life-threatening to the patient.
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