An Integrative Pain Management Toolkit Initiative for Emergency Department and Hospital Patients

Empowering patients to feel confident in managing their pain with new tools is an important goal for healthcare systems amidst the opioid epidemic and rising incidence of overdoses and deaths since the start of the COVID-19 pandemic. To promote the use of alternatives to opioids, the Pain Assessment and Management Initiative (PAMI) at the University of Florida College of Medicine – Jacksonville developed a pain discharge toolkit and carts for resource access in the ED and hospital settings. Each patient toolkit is tailored to patient need, pain type, and comorbidities based on provider or staff assessment or pain coach consultation. This initiative required navigation of legal and regulatory compliance issues, product selection and accompanying educational content, vendor negotiations, and feedback from multidisciplinary healthcare providers to bring the idea to fruition. This presentation will cover lessons learned and best practices regarding the development of an integrative patient pain toolkit for use in the hospital or at discharge to promote the use of alternatives to opioids.

Learning Objectives

Upon completion of this course, participants will be able to…

  • Describe pain management toolkit items for patients in the hospital or at home after discharge including virtual reality viewers, aromatherapy inhalers, hot/cold gel packs, acupressure devices and patient education materials.
  • Recognize DHHS OIG Medicare and Medicaid Beneficiary gift rules and compliance issues related to patient centered toolkit components.
  • Identify components of an integrative tool cart including an inventory and tracking system to maintain supply and demand.

Additional Information

Tarsus Medical Education
State Relevance: 
Course summary
Available credit: 
  • 1.00 AANP Contact Hours
  • 1.00 ACPE Pharmacy
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 ANCC
  • 1.00 APA
Course opens: 
Course expires: 

Phyllis Hendry, MD, FAAP, FACEP

Professor of Emergency Medicine and Pediatrics

Associate Chair for Research, Department of Emergency Medicine

University of Florida College of Medicine – Jacksonville

Florida Department of Health EMS for Children Medical Director


Natalie Spindle, MS, CHES®

PAMI Project Manager and Health Educator

Department of Emergency Medicine, University of Florida College of Medicine – Jacksonville


Magda Schmitzberger, MPH, CPH

PAMI ED-ALT Project Manager

Department of Emergency Medicine, University of Florida College of Medicine – Jacksonville



The PAMI Pain Coach and Patient Toolkit Programs are funded by the following grants and organizations: University of Florida College of Medicine — Jacksonville Department of Emergency Medicine, Florida Medical Malpractice Joint Underwriting Association (FMMJUA), Substance Abuse and Mental Health Services Administration Emergency Department Alternatives to Opioids Demonstration Program (SAMHSA ED-ALT -grant number H79TI083101), Overdose Data to Action (OD2A). OD2A is a grant-based program with 100% of its funding from the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS). The content of all PAMI materials, programs and presentations are those of the authors and investigators and do not necessarily represent the official views of, nor an endorsement, by FMMJUA, CDC, HHS, or the U.S. Government.

No personal financial relationships


  • 1.00 AANP
  • 1.00 ACCME (All Other)
  • 1.00 ACCME (MD/DO Only)
  • 1.00 ACPE Pharmacy
  • 1.00 ANCC
  • 1.00 APA

Available Credit

  • 1.00 AANP Contact Hours
  • 1.00 ACPE Pharmacy
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 ANCC
  • 1.00 APA
Please login or register to take this course.

Mocingbird members get an additional 10% discount on all Tarsus Medical Education - PAINWeek courses. Use the discount code "MOC10" to claim the additional 10% discount before you check out from your cart.

To take this course you will be redirected to Tarsus Medical Education's website. Simply create a free account with Tarsus Medical Education in order to complete this activity. You can even use your same Mocingbird username and password to create the account.

Mocingbird is pleased to provide our members with discounted access to highly respected and awarded educational partners.