Reply To: Sickle Cell Pain Management

  • Kathleen Ackerman

    Member
    February 16, 2022 at 9:39 am

    WE do not have an ED, rather our pt come in via our Pediatric Urgent Care Center. They are usually given bolus pain meds to get them past their crisis and started on a PCA -usually once they are admitted to the floor.

    Kathy

    =====================================================================

    Please note that this e-mail and any files transmitted from
    Memorial Sloan Kettering Cancer Center may be privileged, confidential,
    and protected from disclosure under applicable law. If the reader of
    this message is not the intended recipient, or an employee or agent
    responsible for delivering this message to the intended recipient,
    you are hereby notified that any reading, dissemination, distribution,
    copying, or other use of this communication or any of its attachments
    is strictly prohibited. If you have received this communication in
    error, please notify the sender immediately by replying to this message
    and deleting this message, any attachments, and all copies and backups
    from your computer.

    ——————————————-
    Original Message:
    Sent: 2/15/2022 9:27:00 PM
    From: Christina McGrisken
    Subject: RE: Sickle Cell Pain Management

    We provide our ED with guidelines on how to manage pain for our sickle cell population. For our chronic pain patients, we have documented individualized pain plans in the chart- we have Epic so we use the “care coordination note” which typically pops up as soon as someone opens the chart. Our ED does not typically start PCAs.

    ——————————
    Christina McGrisken, FNP-BC
    Sickle Cell Nurse Practitioner
    The Children’s Hospital at Montefiore
    Bronx, New York
    ——————————
    ——————————————-
    Original Message:
    Sent: 05-27-2021 03:25 PM
    From: Meghan Ariotti
    Subject: Sickle Cell Pain Management

    I wanted to know if any organizations have a pathway for pain control for Sickle Cell patients that would include a PCA being initiated in the ED setting versus waiting to start a PCA until the patient arrives to an admission unit.

    ——————————
    Meghan R. Ariotti, DNP, APRN, PCNS-BC, CPN
    Mayo Clinic
    Pediatric CNS – Hematology, Oncology, Transplant
    ariotti.meghan@mayo.edu
    ——————————