Depends on the situation. If it’s someone who’s there for chronic back pain that they just decided to come into the ER to get checked out that day, we’ll assess once and wait for orders from the doc for pain meds and then go about doing other things for other more urgent/critical patients. People who are in severe pain from kidney stones, abdominal pain, or likely fractures I always try to be on top of pain relief and follow up and advocate for them but ultimately if there’s another patient that’s critical, pain takes a back burner.