Presently, at Phoenix Children's Hospital, no protocol exists for management of sleep and exercise in sickle cell patients. The most relevant policy named "Parenting and Visitation" includes guidelines regarding sleep and visiting hours but these are not well enforced. In our hospital, the sickle cell population is known to have some of the longest length of stays. Between October 2014 and September 2015, there were 89 admissions for a vaso-occlusive crisis with an average length of stay of 6 days and 12 admissions greater than 10 days and 5 admissions greater than 20 days. Prior research suggests that implementation of standardized care (e.g. order sets, protocols, and flowcharts) can improve compliance and patient outcomes [8], reduce overall length of stay, and mitigate costs. Therefore, we have developed a new comprehensive care plan (CPP) that enhances standard of care by including the following care aspects: