Pain Management in our Emergency Department

Our Emergency Department staff understands that pain relief is important when someone is hurt or needs emergency care. However, providing on-going pain relief is often complex. Because mistakes or misuse of pain medication can cause serious health problems and even death, it is important that patients be honest about all medications. Our Emergency Department will only provide pain relief options that are safe and appropriate.

For your safety, we follow these guidelines when managing chronic pain:

1. We are trained to look for and treat an emergency or urgent condition. We use our best judgment when treating pain, and follow all legal and ethical guidelines.

2. We typically do not prescribe narcotic pain medicine for chronic pain:

    • After the first Emergency Department (ED) or urgent care facility visit.
    • If you have already received narcotic pain medicines from another health-care provider, ED or urgent care facility for your condition.
3. We may provide only enough pain medication to last until you can contact your primary care provider. We will prescribe pain medication with a lower risk of addiction and overdose when possible.

4. We may contact your primary care provider to discuss your care. Typically, we will not prescribe narcotic pain medicine if we cannot talk directly with your primary care provider. If you do not have a primary care provider we will provide you with a list of those providers in our area.

5. We will ask you to show a valid photo ID (like a driver's license) when you check into the Emergency Department or before receiving a prescription for narcotic pain medication. If you do not have a photo ID, we may take your picture for the medical record.

6. We may ask you to give a urine sample before prescribing narcotic pain medication.

7. Health-care laws, including HIPAA, allow us to request your medical record and share information with health-care providers who are treating you.

8. For your safety, we do not:

    • Routinely give narcotic pain medication injections (shots or IV) for flare-ups of chronic pain.
    • Refill stolen or lost prescriptions for narcotics or controlled substances.
    • Provide missing Subutex, Suboxone, or Methadone doses.
    • Prescribe long-acting or controlled-release pain medications such as OxyContin, MSContin, Duragesics, Methadone, Exalgo, and Opana ER+.

9. Frequent users of the ED may have care plans developed to assist in improving their care. The plans may include avoiding medicines likely to be abused or addictive.

10. To safely care for you, we require an accurate list of your medications and treatment plans.

11. For resources to help you manage your pain, contact the Fisher-Titus Quality and Clinical Resource Department by calling 419-668-8101 extension 6986 or 6987. In addition to the Fisher-Titus Pain Management Center at Fisher-Titus, the Quality and Clinical Resource Department staff can provide you with a full list of resources in our area.

12. If you need help with narcotic addiction, your emergency health-care provider will give you information about local treatment sources including a toll-free number to call for assistance and locations.

Our Emergency Department will only provide pain relief options that are safe and appropriate. For your safety we follow the guidelines provided under the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances (OOCS) Guidelines.

It is against the law to attempt to obtain controlled substance pain medicines by deceiving the health-care provider caring for you. This can include getting multiple prescriptions from more than one doctor or using someone else's name.

Click here for a listing of area pain management resources.


Pain management is an important part of Emergency Care. At Fisher-Titus Medical Center, we provide exceptional emergency care to patients living all across Erie and Huron counties, including: Amherst, Ashland, Attica, Bellevue, Berlin Heights, Castalia, Clyde, Collins, Fremont, Greenwich, Huron, Milan, Monroeville, New Haven, New London, New Washington, North Fairfield, Norwalk, Nova, Oberlin, Plymouth, Port Clinton, Sandusky, Shelby, Shiloh, Tiffin, Tiro, Vermilion, Wakeman, Wellington, Willard and the surrounding communities.