BMH SmokeFree Campus

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Civista Health Smoke-Free Campus Effective
September 1, 2005
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Objectives

• After reviewing this information, all Civista
  employees will be able to
• Discuss how this policy aligns with our Civista
  mission.
• Fulfill their role and responsibility as it
  relates to the policy.
• Appropriately utilize tools for approaching all
  policy violators.

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Key Points

• A smoke-free campus aligns with Civistas mission
  of improving the health of the community.
• All staff has a stake in the immediate and
  on-going success of a Smoke-Free Civista campus.
• New Employees will be informed of the policy
  during the interviewing/hiring process.
• To promote good health, smoking will not be
  permitted in the Medical Center, on Civista
  properties or in Civista owned vehicles as stated
  in HR policy 106. Smoking is only permitted in
  personal vehicles during approved break times not
  to exceed the allotted breaks outlined in HR
  Policy 408. Violations of this policy will
  result in discipline as outlined in HR policies
  327 and 328.

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Civista Employee Roles and Responsibilities

• No smoking by staff on any Civista property
  except in personal vehicle. This includes
• -Walking to and from parking areas
• -Sidewalks adjacent Civista property
• -Any Civista-owned vehicle
• 2. Do not clock out for smoking breaks and
  leave Civista grounds.
• 3.     Do not carry cigarettes or tobacco
  products in open view while on duty.
• 4.     Do attend free Smoking Cessation Classes
  sponsored by the
• Charles County Health Department. Call
  301-609-6932 for class
• dates/times.
• 5.     Do tactfully enforce the Smoke-Free Campus
  policy with
• patients and visitors using Smoke-Free
  Campus Guidelines.

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Compliance

• Staff are expected to follow the policy and to
  assist in its enforcement.
• Employees violating the policy are subject to
  disciplinary action as with all policy
  violations.

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Employee Policy Violators Approach without
Reproach

• The Direct Approach - Employees
• Approach your fellow employee in a courteous
  manner.
• Offer a friendly reminder about the Civista
  smoke-free campus policy.
• If they are not cooperative do not pursue.
• Report the violation to the employees manager.

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Civista Health Smoke-Free
Campus Policy

• Patients
• Will be informed that the Medical Center and its
  campus are smoke-free.
• Upon registration, they will be reminded of our
  smoke-free status.
• Physicians should prescribe medications to help
  their patients remain smoke-free during their
  hospitalization.

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Patients Who Smoke

• If the patient states they are a smoker during
  assessment, ask them if they have a plan for
  remaining smoke free during their stay.
• Take time to go over the smoking cessation
  education sheet along with basic counseling
  regarding smoking cessation.
• Obtain orders from the physician to assist the
  patient through a smoke free hospital stay,
  before not smoking becomes an issue for the
  patient and causes them discomfort and agitation.
  

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The Patient That Insists on Smoking

• On a rare occasion there may be patients who say
  they are going to smoke.
• Remind patient in a courteous and friendly
  manner that the Medical Center is smoke free.
•  
• Check for MD orders. If medication is
  prescribed offer medications. No MD orders
  consider calling physician.
• Ask patient what you can do to help them through
  this. Offer a beverage, back rub, perhaps a walk
  in the hall with the patient.
•  
• Patient continues to insist they are going to
  smoke and is ready to light up or leave the unit.
  
•  
• Let patient go and smoke. Call MD to let them
  know their patient has left the unit to smoke and
  to obtain further orders. Also alert Security and
  Nursing Supervisor. Complete an Incident Report
  and send to Quality Management.

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Policy Violators Approach without Reproach

• It is our responsibility to help enforce the
  Smoke-Free Campus Policy as it is with all of our
  Civista policies.
• Approaching someone who is seen smoking and
  violating the Civista smoke-free campus policy
  can be intimidating.

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For Those Who are Seen Smoking on Campus

• The Direct Approach
• Approach in a friendly manner.
• Say, You may not be aware but it is our policy
  that Civista Medical Center and the grounds are
  smoke-free.
• Give them a Smoke-Free Information Card.
• Thank them.

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The Indirect Approach
For Those Who are Seen Smoking on Campus

• If you do not feel comfortable asking someone,
  who is violating the smoking policy, to not
  smoke, give them a Smoke-Free Information Card.
•  
•  

 
CIVISTA IS A SMOKE FREE
CAMPUS In consideration of the health of our
patients, visitors, staff and volunteers, smoking
is not permitted in the buildings or on the
grounds of Civista. If you would like
information on free Smoking Cessation Classes,
please call the Charles County Health Department
301-609-6932.
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The Indirect Approach

• Approach in a friendly manner and offer the
  smoker a Smoke-Free Information Card.
• If the person is uncooperative and/or belligerent
  do not pursue.
• Report the violator to Security and/or the
  Nursing Supervisor.
• Carry a few cards with you at all times.
• Extra cards are available on your unit.

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Use Smoke-Free Campus Information Cards for
Patients, Visitors and Employees who wish to
smoke or are seen smoking on our campus
CIVISTA IS A SMOKE FREE CAMPUS In
consideration of the health of our patients,
visitors, staff and volunteers, smoking is not
permitted in the buildings or on the grounds of
Civista. If you would like information on free
Smoking Cessation Classes, please call the
Charles County Health Department 301-609-6932.

 
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SUMMARY

• Patients will be informed of Civista smoke-free
  status. Appropriate signage will be
  inside/outside facilities.
• Medications can be prescribed for patients to
  assist them to remain smoke-free during
  hospitalization.
• All patients are evaluated for tobacco use during
  the admission process.
• If the patient indicates they are a smoker, a
  smoking cessation education sheet is printed and
  provided to the patient along with counseling
  regarding smoking cessation by the nurse.
• Anyone wishing to smoke must leave the campus to
  do so or smoke in the privacy of their own
  vehicles.

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SUMMARY

• No smoking on any Civista property except in the
  privacy of ones personal vehicle.
• Assistance to those who are smokers is offered
  through the Charles County Health Department,
  301-609-6932.
• Staff may not clock out to smoke or carry tobacco
  products in open view while on duty.

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Smoke-Free Campus In-Service Form

• Submitted to Vice President on Date_______________
  _Department___________________
• The following employees have
  reviewed the Smoke-Free campus materials and
• understand the intent
• (Leader)__________________________________________
  _________________________
• (print) (signatur
  e)
• (Staff)___________________________________________
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