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Gillian Bruce re smoking cessation in acute sector (

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Gillian Bruce
Smoking Cessation Specialist Nurse
Acute Operating Division
Hospital Based Smoking Cessation
Service
• Set up
• Referral
• Nicotine Replacement Therapy (NRT)
and BupropionВ®
• Audit and Evaluation
Set-up of Service
• Funding
• Profile
• Administration
Funding
• British Thoracic Society
Recommendations for Hospital-Based
Smoking Cessation Services
Locally
Initially:
Health Improvement Fund 2 year pilot
1 full-time Smoking Cessation Specialist
1 part-time administration worker
Inequality in service provision within Acute
Operating Division
Now:
3 Smoking Cessation Staff and admin
support
12month funding to extend service
Staff Smoking Cessation Service
• Endowment fund for Staff Support and
Treatment
Profile
Internal
Consultants
Specialist Nurses
Staff Induction
Ward Folder
External
Primary Care
Voluntary Sector
Training
• Brief intervention training
• Undergraduate training
Administration
• Nationally agreed minimum dataset
• Computer Database / Data Protection
Act
• Ongoing follow-up once discharged
• GP and Consultant informed of
Patients progress
Referral Method
• Guidelines
• Flowchart
• Liaising with Primary Care
NRT and BupropionВ®
• Full Choice of Options
• Patient Group Directive for Staff
Audit and Evaluation
Quantitative
Qualitative
Challenging Areas
• Surgical
• Long-term psychiatric patients and
Care of Elderly
• Hospice setting
Summary
• Hospital based service gives patients
access to a service which they have
the right to expect.
• A hospital stay provides the clinician
with a window of opportunity to
discuss smoking with the patient.
An effective Smoking Cessation
Service therefore requires the
following has to be in place:
•
•
•
•
•
•
Finance
Clinicians support
Close pharmaceutical relationship
Clear / easy referral methods
Staff education
Continuing audit and evaluation
Gillian Bruce
Smoking Cessation Specialist Nurse
Falkirk and District Royal Infirmary
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