Reply To: Sickle Cell Pain Management

  • Anne Harvey

    October 17, 2022 at 12:06 am

    We often manage patients with SCD in the clinic for pain crisis and fevers – as long as the patients can arrive before 2-3 pm so that we have time to get things started and determine if they may require admission. If it’s later than that, after hours or on weekends/holidays they need to go to the ED. If we are sending them to the ED the nurse coordinator or NP will call the ED to give them a heads up and initial plans. We also typically will let the admitting service know in case they require admission.



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    Anne G. Harvey, DNP, CPNP

    Pediatric Nurse Practitioner

    Primary Children’s Hospital

    Pager: 801.914.2330


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    Original Message:
    Sent: 10/16/2022 10:07:00 PM
    From: Dawn Mannon
    Subject: RE: Sickle Cell Pain Management

    Going along your questioning, I am curious if any outpatient institutions try to manager SC pain crisis in the clinic or are these patients directed to the ER?

    Dawn Mannon, MSN, RN
    Clinical Manager
    Center for Cancer and Blood Disorders
    Phoenix Children’s Hospital
    Phoenix, AZ
    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