NON CLINICAL GUIDELINE

Smoking - Communication And Education
SCOPE (Area): All Areas
SCOPE (Staff): All Staff, Contractors, Clients, Patients
Printed versions of this document SHOULD NOT be considered up to date / current


Rationale

A communication and education guidance document is an important component of the successful implementation of the Smoke Free Policy. All staff, patients, clients, residents and visitors will have access to communication and education as appropriate to their individual needs.  Communication and education supports compliance to the policy and provides an intervention option for people who smoke.


Expected Objectives / Outcome

  • To provide an overview to staff, patients, clients, residents and the community of the types of communication and education that is available regarding the Ballarat Health Services Smokefree Policy;
  • To ensure the provision of awareness and resources for people who smoke;
  • To support clinical interventions being provided to patients, clients and residents who smoke;
  • To prevent people from being exposed to secondary smoke.


Issues To Consider

All Ballarat Health Service's (BHS) sites are declared smokefree.  In some small instances in residential aged care settings an exemption may be in place to the smokefree policy (further advice regarding this is outlined in the non-clinical protocol NCG0017 Smoking - Compliance and Enforcement).

BHS acknowledges all people have a right to choose whether they smoke.  BHS has a role to support patients, clients and residents to be smokefree during their stay or involvement with a clinical service to support implementation of the smokefree policy.  BHS also has a role to support people to take steps towards quitting smoking.  Evidence has shown that advice from health professionals is one of the most effective ways to encourage people to quit, with one in every 33 conversations leading to a patient successfully quitting smoking (Stead et al, 2008).

As some patients who are experiencing nicotine withdrawal may present agitated and aggressive, which then poses a risk to the patient and staff, it is important that a patient is offered/provided nicotine replacement therapy (NRT) and intervention support during their inpatient stay.  Implementation of the clinical practice guideline CPG0124 Nicotine Dependency Management Among Inpatients is required for all inpatients who identify as nicotine dependent.


Management / Guideline

Communication
Communication will be ongoing and in a variety of forms that include both printed and verbal.
The target audience consists of:
  • staff, volunteers, students and contractors
  • patients
  • clients
  • residents
  • visitors
  • the community
Staff education
Staff/volunteers/students/contractors

The Smokefree Policy will be communicated to all new staff, volunteers, students and contractors at orientation. Information for new staff is contained within the staff handbook.  Support and guidance for quitting smoking is available for staff in a written online format on the BHS Sharepoint.

Patients

Patients will be respectfully informed of the policy either prior to planned admissions or upon admission to the hospital in unplanned events. Information will be provided to elective patients at the booking time and at admission.  The Patient Information Brochure explains both the Smoke Free Environment Policy and options available to them.

Trained Clinical Pharmacists and Mental Health Clinicians are able to provide health interventions to support patients to be smokefree during their inpatient stay and beyond.  Ward based clinical admission staff play an important role in first identifying if a person is a smoker and whether they are nicotine dependent requiring NRT during their stay.  This first mini intervention is an opportunity to support a patient on their journey to quitting and also preventing nicotine withdrawal symptoms. Trained clinicians are also available in some allied health and community programs to support outpatients to quit.

Visitors

Promotional material, including posters and brochures, is available throughout all Ballarat Health Services facilities. Locations for promotional material will include but is not limited to all receptions and waiting rooms, the cafeteria, and in all wards and clinical areas.

Signage and Ground Marking

Signage and ground marking will be in place around all public entrances to inform members of public as they enter the site.  Universal symbols will form part of the signage to ensure the policy is understood by most people.  Other external locations may have signage and/or ground marking in place based on risk and prevalence of smokers historically accessing these areas.


Related Documents

POL0088 - Smoke Free
NCG0017 - Smoking - Compliance And Enforcement
POL0263 - Health, Safety And Wellbeing
NCP0124 - Resident Safety: Cigarette Smoking
NCP0136 - Smoke Free Environment - Community Programs
CPG0124 - Nicotine Dependency Management Among Inpatients
SOP0005 - People And Culture


References

Occupational Health and Safety Act (Vic.) 2004.
Stead, L. F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann�Boyce, J., & Lancaster, T. (2013). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews. Retrieved from
Tobacco Amendment Act 2016.



Reg Authority: Corporate Online Ratification Group Date Effective: 16/12/2019
Review Responsibility: Health Promotion Manager Date for Review: 30/09/2024
Smoking - Communication And Education - NCG0016 - Version: 3 - (Generated On: 06-05-2025 05:38)