Smoke-Free Campus

Steve WantzSam Flanders, MDPatty Hollingsworth

Debi Hudson, BS, RRT

Cigarette smoking is the chief single avoidable cause of death in our society and the most important public health issue of our time.

C. Everett Koop, M.D.

U.S. Surgeon General 1981-1989

What do we mean by Smoke-free? Smoking is prohibited in all Clarian

Health buildings, company vehicles, and on the property/grounds of Clarian Health

Includes: campus walkways, parking garages, tunnels and leased property.

How is it different from current policy? Current

Prohibits smoking inside any facility

Allows smoking in designated areas outside

New Prohibit smoking

on the grounds, in parking garages, walkways, and company vehicles

No designated smoking areas

Secondhand Smoke (SHS)

Is the 3rd leading cause of preventable death in the US after active smoking and alcohol use, with an estimated 53,000 deaths annually

SHS

Some constituents remain suspended in air and some are deposited onto animate and inanimate surfaces (walls, drapes, clothes, hair).

The deposited material may remain on a surface but can also be emitted back into ambient air.

Adverse effects of smoke residue on a person’s body May cause sensitization &/or allergic

skin eruption such as dermititis. Inhaling residues from clothing/hair

may trigger adverse effect on upper airways, irritation of eyes, throat, ears and may cause or exacerbate asthma.

Possible Policy Types

Facility/grounds All grounds will be

smoke-free

HR Staff will be

prohibited from smoking during their shift, including rest and lunch breaks

What are other hospitals doing?

Other Completely SF Hospitals 1987-Mayo Clinic (MN) 1989-MD Anderson

(TX) 1996-United Memorial

Hospital (MI) 1994-Franklin

Memorial (MA) 1991-Duke University

(NC)

1998 –Battle Creek, Northern, Pennock Hospital,(MI)Joliet Hospital (IL)

1999-Spectrum, U of MI, Holland Hospital, Hackley Hospital, Foote Hospital (MI)

2000 Hayes Green Beach Memorial, Charlotte

What are other Indiana hospitals doing? Currently 9 hospitals within Indiana

are smoke free inside and out All Community hospitals, St. Francis,

St. Vincent and Wishard are all in the process of implementing completely SF policies by summer of ‘05

What smoke free (inside and out) hospitals told us were keys to success:

Collaborate with other area health care providers

Identify smokers at admission Offer tobacco cessation counseling to all

inpatients, family members, staff & community

Provide pharmacotherapy to patients, visitors, & staff

Develop tracking mechanisms to document effectiveness

Keys to success. . . Enforcement Supportive versus punitive Administrative and Physician role models Clear definition of smoke-free area Intervention cards Signage Employee compliance

Patients and guest follow the example of your employees

Consistent policy for all staff Whatever your policy, enforce it

What is being done at Clarian Physician Order Group Admission Notice Compassionate Policy Web-based training for

Clarian Clinicians (MD’s, nurses, respiratory, etc.)

Referrals to programs/resources

Actively participating in collaboration with other local hospitals

Considering subsidy for OTC medications

Visitor packets will be available

Employee cessation program available

Outpatient cessation program available

Policy Implementation PlanVisitors Notification at points of entry “Please extinguish all smoking

materials before leaving your car – Clarian is a Smoke Free Campus”

Web page promotion Manager and Staff training on tips and scripts for communicating

smoking policy In emergent situation nurses will offer nicotine replacement to

visitors Survival kits with coupons for nicotine replacement available

Policy Implementation PlanPatients

Notification in pre-admission packets with recommendations to discuss cessation options with attending physician or nurse

Waiver at all points of admission Nurse assessment of smoking status Physician Order sets

Making hospitals smoke free isn’t about forcing people to

quit smoking

It’s about creating a safe environment