My main problem is identifying who is a Sickle cell patient. If the Hematology department next door (Our hospital is around 200 beds.) doesn't clue me in, I have no way of knowing that I am working with a new Sickle cell patient. How does everyone else deal with this? We are getting more Sickle patients every year. We typically do not see a diagnosis with an order, and have to go out of our way to see an admitting diagnosis, which may only be "anemia." Right now we are checking with our Hematology department and/or the patient's nurse to let us know. I would like to set up a protocol to handle this and wonder if anyone else has some guidelines.