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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 Bupropion ® Audit and Evaluation. Set-up of Service. Funding Profile Administration. Funding.
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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 Bupropion® • 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 Bupropion® • 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