Sickle Cell Perfect Week
Sickle Cell Perfect Week was created by London Northwest University Healthcare NHS Trust to improve the care that is provided to patients presenting to the emergency department with sickle cell disease in collaboration with LAS. They will be introducing a standardised checklist for taking handover from LAS to ensure they are reviewing pain scores and analgesia already given, the patients UCP so we can prescribe the next doses of analgesia and find out what is important to the patient.
An updated SOP for the care of patients with sickle cell crisis in the emergency department will be shortly shared, please give it a read. This also includes the correct pathway for transferring out a sickle cell patient seen in Ealing emergency department.
Every Second Counts In a Sickle Cell Crisis
Here are a few ways to get involved:
- Keep an eye out for the new icon in the "initial presentation" column in FirstNet. It highlights that a patient booked into the ED has sickle Cell disease so you can act quickly
- Remember we need to be giving analgesia within 30mins of arrival, so please prioritise the triage of this cohort of patients
- If a patient self-presents to the UTC/ED front door, they should be "waved through" to the emergency department ad be prioritised for triage
- Please check the patients "urgent care plan" (UCP) at the bottom of the London Care Record page on Cerner - that way we can provide personalised care.
- Each day there will be an allocated nurse in Pitstop and RAU to ensure that patients with sickle cell receive regular re-assessments of pain and analgesia prescribed and given on time.
- If a patient has received 3 doses of opiate, consider the use of a PCA and prioritise the patient being moved to resus
