Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #111208

Gina M. Intinarelli, RN, MSN, School of Nursing, University of California San Francisco, 350 Parnassus Avenue Suite # 150, Box # 0118, San Francisco, CA 94143, 415-353-1660, intinarellig@surgery.ucsf.edu

Background: Hospitalized patients may be particularly motivated to quit as their current illness may have been created or exacerbated by their smoking habit.

Purpose: The purpose of this clinical performance improvement project is to implement and evaluate the effects of an inpatient smoking cessation protocol to offer smoking cessation interventions to all acute care patients that smoke. This protocol will offer an organized, consistent, and multidisciplinary approach for smoking cessation.

Participants: The program will apply to all hospitalized patients admitted to UCSF Medical Center that are current smokers or have a recent history of smoking.

Methods: This protocol advocates identification of the smoker upon admission to the hospital, patient's smoking history will then become a part of the permanent hospital demographic record. A daily "smoker" census is generated and a smoking cessation coordinator visits every identified smoker. The smoking cessation coordinator performs an assessment of readiness to quit, provides counseling and patient educational materials, recommends pharmacotherapy, and generates an order set which the physician staff activates. The protocol provides for assessment of willingness to quit, pharmacotherapy, counseling and referral to an outpatient smoking cessation program if desired. The patient's chart is flagged to identify the patient's participation in the smoking cessation protocol. Initial data shows a 90% identification rate of smokers and an 88% physician compliance rate with the order set.

Clinical Implications: This protocol offers evidenced based interventions for hospitalized smokers in an organized and systematic fashion.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• Discuss the importance of smoking cessation activities in hospitalized patients.
• Identify 3 components to a successful program
• Describe the necessary steps for implementation of a centralized smoking cessation program in hospitalized patients.

Keywords: Tobacco, Health Care Delivery

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commertial supporters WITH THE EXCEPTION OF I own one share of Phillip Morris stock to be able to participate in the yearly shareholder meeting to voice concerns about promotion of tobacco in the United States and abroad..