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Areas of Care

Transitional Pain Clinic

About us

The Transitional Pain Clinic provides pain management care to children, teens and their families whose pain is difficult to manage at home.  This includes before or after a painful procedure such as an operation or intervention, as well as before being discharged from hospital.

Contact us

416-813-6975

Clinic/registration location

The Transitional Pain Clinic is located at 525 University Avenue, Suite 925. The building is located on the southeast corner of University Avenue and Elm Street, directly across from The Hospital for Sick Children main building.

When visiting SickKids an identification (ID) band will be placed on your child and must be worn on their arm or ankle at all times. To ensure your child is receiving the right care during their stay, the care team will use the ID band to check their name, date of birth and medical record number. If your child is sleeping, we’ll make sure to scan the ID band quickly and quietly so that we don’t disturb your child.  

The ID band is made of soft, latex-free material. There are two colours of ID bands: a black ID band indicates that your child has an allergy and a white ID band indicates there is no allergy. The allergy is not printed on the ID band, the care team will review the allergy in our electronic health record.

If your child’s ID band has fallen off or the information is incorrect, be sure to tell your care team. If they are not wearing an ID band or if they have the wrong one, it can lead to errors or delays that can result in the wrong care for your child.

Staff will always look at or scan the ID band before providing care to your child. This may involve

  • Asking parents or patients for two patient identifiers, such as the patient's full name and date of birth;
  • Scanning a barcode on the ID band to confirm the patient’s identity; or
  • Looking at the information on the ID band.

If you or your child are sick before your appointment

Call the clinic if you or your child have had a cold, cough, diarrhea, fever or rash within two days of your appointment, or have been sick with or exposed to chicken pox in the last three weeks. Your appointment may need to be rescheduled. 

Tell the clerk, nurse or doctor if your child has been in a hospital outside of Canada within the last 12 months. 

If you cannot come to your child’s appointment, it is important that you call the clinic as soon as possible to cancel and reschedule.

Be on time

It is important that you and your child arrive for your appointment on time. When you first arrive, please check in with the Clinic Coordinator who will register your visit. Please arrive a minimum of 15 minutes prior to your scheduled appointment time.

If you are late, you may have to wait for other patients to be seen first. Allow lots of time to get to the hospital. It can take some time to get used to finding your way around and it is important to be on time for your child’s appointment. Staff will try to see your child as close to your appointment time as possible. Please understand that some patients being seen ahead of you may need more time than expected, and this can cause delay for others.

Bring the following

  • You must show valid health-care coverage at every visit. If you do not, you will be required to pay a fee for the visit, unless coverage or insurance can be verified.

Proof of health-care coverage must be valid at the time of visit (not expired).

    • If you live in Ontario, show your child’s valid Ontario Health Insurance Plan (OHIP) card.
    • If you live in another province, show your child’s provincial health-care card.
    • If you are a refugee claimant, show your child’s Interim Federal Health Program (IFHP) certificate.
    • If you have private health insurance, show the appropriate information or documentation.
    • If you are receiving support from a Community Health Centre (CHC), show a letter from the CHC.
  • Your appointment card or letter
  • Toys, books, nut-free snacks, diapers and formula to keep your child comfortable and occupied in case there is a wait
  • Any medical information, such as referral letters, test results, information about current therapies, X-rays, MRIs, ultrasounds or CT scans
  • All medications your child is currently taking (in original packaging), including alternative and complementary treatments
  • If you are separated or divorced, bring along any legal papers that show who has custody of your child and who can make decisions about your child’s care. For more information, see protocol for separated families: roles, expectations and documentation required with respect to custody and access.

Important pre-appointment instructions

If your child is eligible for a Telehealth (or GuestLink) appointment please ensure internet connection is tested and working properly before your clinic appointment. Please call OTN Help Desk: 1-855-654-0888 if you have any questions or issues with the connection.

Try not to bring other children to the appointment

If other children must come, please consider taking them to the PlayPark during your visit. It is located on the Main Floor of the Atrium, next to the parking elevators. All children over 2 ½ years of age are welcome. Trained staff and volunteers will watch your children carefully. You do not need to book in advance to use the PlayPark. The PlayPark number is 416-813-8884.

Latex allergy

Call the clinic before coming to the hospital if your child or anyone coming with them has a known or suspected allergy to latex.

Accessibility

All visitor entrances on the Main Floor are wheelchair accessible. SickKids has several wheelchair-accessible washrooms on the Main Floor. Both male and female washrooms in the Atrium have large change tables where children and teens can have diapers changed. There is another private wheelchair-accessible washroom with a large change table on the Service Floor of the Black Wing in Room S213, across the hall from Rehabilitation Services. Wheelchairs are available near the Atrium and University Avenue entrances.

Assistance dogs for children or parents with disabilities are allowed at SickKids. Please make sure they are clean and have up-to-date immunizations.

Interpreter Services

If you require our free Interpreter Services, please call the clinic before your appointment so we can arrange for a interpreter. Please give us at least 24 to 48 hours' notice to make it easier for us to find an interpreter for you.

What to expect during your visit

The length of the clinic appointment will depend on whether your child is a new patient scheduled for an initial appointment or coming in for a follow-up appointment. The length may also vary depending on the complexity of your child’s pain. An initial appointment is scheduled for 1 hour and a follow-up appointment is scheduled for 30 minutes. We try our best to remain on time so that other children and families don’t need to wait too long.

At your initial clinic appointment, you will meet with an Anesthesiologist (a doctor specialized in pain management) and Advanced Practice Nurse. SickKids is a teaching hospital so there may be other health-care professionals present during the appointment. If this occurs you will be notified prior to beginning your clinic appointment.

The appointment with the Transitional Pain Service team will involve an assessment of your child’s pain and discussion about how it impacts life on a daily basis. For initial appointments, we will ask both you and your child to describe the impact of the pain. Some of the topics we will talk about may include:

  • The history of the pain problem
  • How the pain is affecting sleep, mood, and ability to physically participate in activities such as walking and going to school
  • What you and your child are currently doing to manage the pain
  • What medications your child may be taking or may have taken
  • What physical exercises your child is doing
  • What coping strategies are helpful or unhelpful
  • Other medical information e.g. other conditions, allergies.

The doctor may also perform a physical examination.

At the end of the appointment the team will discuss with you and your child their findings and their suggestions for treatment.

We encourage you to ask questions and give feedback about the pain management plan. At the end of the appointment, you will be given a summary of the pain management plan to take home. A copy of this plan will also be sent to your family doctor.

If any referrals or follow-up appointments are needed, the clinic coordinator will be available to assist you with scheduling an appointment.