Reply To: Sickle Cell Pain Management

  • Kathleen Ackerman

    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.



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    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