non smoking policies hcs 340
TRANSCRIPT
Amanda KopernaShanae LeeBobbi-Jo
Non-Smoking Policies in Healthcare
What is the purpose and who does it affect?
PURPOSE• A tobacco free policy establishes guidelines for the health care
facility. Employees and other to define the tobacco free environment. The hazards of tobacco are well known within the medical community. Tobacco use is the number one cause of preventable illness and death across the nation. Allowing tobacco use in or around the health care facility does not portray the facility as a health care leader and does not promote a healthy environment for patients, visitors or employees.
POLICY• Tobacco use and the sale of tobacco products is prohibited in and on
all facility property. This tobacco free policy is indented to improve the health of all employees, patients, visitors and the community by providing quality health care that meets the needs of all people. Assisting employees, patients, visitors and the community to be tobacco free is consistent with the mission to enhance the health of the community through quality care.
EXPECTED PROCEDURES• Tobacco use is prohibited in all company vehicles• Tobacco use is not prohibited in line of sight from facility entrance.• Physicians may not write prescriptions allowing patients to engage in
tobacco use on the property.• Certain religious groups may request to burn tobacco as part as
religious or spiritual practice. This will only be allowed in the hospital chapel with prior approval of spiritual care. Spiritual care must also be present during burning ceremony.
WHO IS AFFECTED• All employees• Members of medical staff• Students• Volunteers• Contractors• Visitors• Patients• Any individual on the property
TOBACCO PRODUCTS INCLUDE• Cigarettes• Smokeless tobacco• Cigars• Pipes• Electronic cigarettes• Any device indented to stimulate smoking.
THE GOOD AND BAD OF THE NON SMOKING POLICY• There are good points for healthcare facilities to use the
Non smoking policy, like how it promotes and protects public health. These points will be explained to you by Shanae.• There is also a great deal of reasoning on why this policy is
unfair and unethical. Bobbi Jo will be going over her points on the policy as well with you.
Facts about smoking• According to the American Heart Association in 2013, an estimated 23 percent
of adult men and 18 percent of adult women in the United States are smokers. • The American Lung Association estimates that cigarettes have 600 ingredients.
When exposed to fire, the reaction creates an additional 4,000 chemicals, many of which are carcinogens.
• When exposed to the tissues of the mouth, esophagus and lungs, these chemicals can cause serious damage.
• This damage can lead to serious health problems, including emphysema and cancer.
Facts about smoking• Smoking also has a devastating
effect on your cardiovascular health. It increases your blood pressure, which can increase your chances of cardiovascular disease such as atherosclerosis.
• Smoking also increases your chances of developing blood clots, which can dislodge and travel to the brain, causing a stroke.
• Smoking also decreases your lung capacity, which can affect your ability to exercise.
• The loss of exercise can result in higher weight and cholesterol levels, which also puts you at a higher risk for cardiovascular disease and heart attacks.
Facts about smoking• Smoking can also have a serious effect on your financial
circumstances. • In 2014, the average cost of a pack of cigarettes in the
United States is $5.51. In some states, cigarettes can cost as much as nine dollars per pack.
• For a smoker who only smokes a single pack a day, the habit could cost as much as $2,011 a year
Facts about smoking• Of the estimated 2.4 million
Americans who die every year, as many as 440,000 die due to smoking-related illnesses.
• Secondhand smoke also contributes to this toll, estimated to account for 3800 deaths due to lung cancer
• Within hours of smoking your last cigarette, your body will begin to heal itself.
Facts about smoking• Of the estimated 2.4 million Americans who die every year,
as many as 440,000 die due to smoking-related illnesses.• Secondhand smoke also contributes to this toll, estimated
to account for 3800 deaths due to lung cancer • Within hours of smoking your last cigarette, your body will
begin to heal itself.
Smoking in the hospital• Healthcare professionals are an important component of every
smokefree air campaign. Doctors, dentists, nurses, dental hygienists, and healthcare students not only have a shared interest in promoting and protecting public health, but many are also are well-known and well-respected within their communities.
• In fact, the World Health Organization dedicated World No Tobacco Day 2005 to the essential role healthcare professionals and facilities play in creating environments safe from secondhand smoke exposure and tobacco use.
Smoking in the hospital• More and more healthcare facilities are adopting voluntary 100%
smokefree campus policies, reinforcing their steadfast mission to promoting and protecting health.
• Not only do smokefree policies further promote a healthcare facility's health mission, but smokefree healthcare facilities:
1. Aid in community, employee, and patient cessation efforts;2. Lower maintenance costs;3. Increase worker productivity.
Smoking in the hospital• The Joint Commission, the world's largest healthcare standards setting and
accrediting body, and researchers from the Henry Ford Health System's Center for Health Promotion and Disease Prevention, completed a survey regarding hospitals' smokefree campus policies and concluded that by February 2008
• 45 percent of US hospitals had adopted "smoke-free campus" policies. In addition, "...another 15 percent indicated that they would be implementing similar policies in the near future. Hence, it is safe to assume on the basis of these results that the majority of US hospitals will have smoke-free campuses by the end of 2009.
Smoking in the hospital• “Given the recent trend among smokers to smoke fewer
cigarettes,” he wrote, “we will likely be seeing more and more hospitalized smokers who do not experience nicotine withdrawal but who should still be counseled about quitting.”
Why employers are crossing a fine line
SMOKING IN THE WORKPLACE
WHY EMPLOYEES SHOULDN’T BE BANNED FROM SMOKING IN THE WORKPLACE
• Having non smoking policies fall under discrimination/segregation which fall under lifestyle discrimination
• Comparison to slavery• Costs of accommodations• Costs of lost time• Unemployment issues• The smell bothers and aggravates respiratory illnesses what about other
smells• Is it ethical in healthcare settings
LIFESTYLE DISCRIMINATION IN THE WORKPLACE• There are 29 states including
DC that have laws preventing lifestyle discrimination
• The other 21 have free reign over their decisions on how to pick and chose what issues they will or will not allow
“SMOKING” ILLNESSES COST EMPLOYERS…Can “smoking” illnesses be any different than ….?
ACCOMMODATIONS?Smoker’s Accommodations Other’s Accommodations
SEGREGATION?Smokers…… Others…..
INSURANCE PREMIUMS?
PRIVACY?
UNEMPLOYMENT RATES?
BUT IT SMELLS….
ETHICAL?
IS IT REALLY FOR THE BEST?
REFERENCESCost of Smoker Employees vs Non Smoker Employees. (n.d.). Retrieved from http://www.biocaretherapy.com/Business_cost_of_smoker_employees.htm
Editorial: Not hiring smokers crosses privacy line. (2012, January 29). Retrieved from http://usatoday30.usatoday.com/news/opinion/editorials/story/2012-01- 29/not-hiring-smokers-privacy/52874348/1
Ernster, V., & Wilner, S. (1985). Non Smoking Policies in Hospitals. Journal of Public Health Policy, Six(Two), 197-203. Doi: 10.2307/3342312
Geisinger. (2014). Tobacco Free Policy. Retrieved from http://www.geisinger.org/for- professionals/vendor-relations/includes/pdf/GHS-Tobacco-Free-Policy-1-20- 2015.pdf
Hospitals & Healthcare Facilities. (n.d.). Retrieved October 4, 2015.
REFERENCESKaplan, K. (2013, March 28). Do companies that refuse to hire smokers help them or harm them? Retrieved from
http://articles.latimes.com/2013/mar/28/news/la-heb-should-companies-refuse-to-hire-smokers-20130328
Kerrigan, H. (2013, January 16). Smokers Need Not Apply: Government Hiring Bans. Retrieved from http://www.governing.com/blogs/view/gov-smoker-hiring-bans- increasing.
Lifestyle Discrimination in the Workplace Your Right to Privacy Under Attack. (n.d.). Retrieved from https://www.aclu.org/lifestyle-discrimination-workplace-your- right-privacy-under-attack
McGuirt, M., & Brownstein, J. (2010, January 22). Tennessee Hospital Tells Smokers: You can't work here. Retrieved from http://abcnews.go.com/Health/QuitToLive/tennessee-hospital-bans-employees-
off- job-smoking/story?id=9629201
REFERENCESPros & Cons About Smoking. (2015, April 24). Retrieved October 5, 2015.
Public Law 111-148. (2010, March 23). Retrieved from http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf
Shute, N. (2013, June 4). That Employee Who Smokes Costs The Boss $5,800 A Year. Retrieved from http://www.npr.org/sections/health- shots/2013/06/04/188631885/that-employee-who- smokes-costs-the-boss-5- 800-a-year
Schmidt, H., Voigt, K., & Emanuel, E. (2013). The Ethics of Not Hiring Smokers. New England Journal of Medicine N Engl J Med, 1369-1371. Doi: 10.1056/NEJMp1301951