San Francisco General Hospital and Trauma Center

1
San Francisco General Hospital and Trauma Center

• Smoke Free Campus Initiative Gains on Health

2
Announcing!

• On July 1, 2008, SFGH will implement a policy
  that prohibits smoking.

3
Our Goals

• To ensure the health, wellness, and safety of our
  patients, visitors, and staff.
• To comply with the City and County of San
  Francisco regulations that prohibit smoking in
  the work place and public buildings.
• To provide leadership, guidance, and support in
  the promotion of a healthy lifestyle for San
  Francisco residents.

4
Why a Smoke-Free Campus?

• SFGH is a healthcare leader.
• We need to promote healthy behaviors that allow
  people to take control of their health.

5
As Healthcare LeadersOur Goal is to

• Reduce high rates of tobacco-related diseases
  such as cancer, stroke, heart, lung and blood
  disease.
• Provide a healthy workplace environment.
• Encourage positive health behaviors.

6
SFGH Smoke-Free Policy

• To maintain a smoke-free environment for the
  protection and preservation of the health of our
  patients, visitors, and staff.

7
SFGH Campus Includes

• Hospital, Grounds, and Parking Areas
• Bordered by
• Potrero Avenue
• 23rd Street
• Vermont Street
• Area North of 22nd Street West of San Bruno
  Avenue and Highway 101
• Includes Buildings 80, 90, 2 (the power plant)
  and the SFBHC.

8
SFGH Campus Includes

• Administration Building (CHN) on 25th Street and
  Potrero Avenue
• No smoking within 20 feet of building
• Entrances
• Operable windows

9
SFGH Campus Map
10
Applicability

• The ban on smoking applies to
• Inpatient
• Outpatient
• Visitors
• Contractors
• Vendors
• Staff

11
Implementation - Employees

• Every employee, physician, and volunteer has the
  responsibility to comply with this policy and to
  advise others to comply.
• Any employee who violates this policy may be
  subject to disciplinary action

12
Implementation - Employees

• In the event a staff member observes a violation,
  s/he should advise the individual of the policy.
• The staff member should explain the policy with
  courtesy and avoid confrontational exchange.
• Policy information cards will be available to
  staff.

13
Sample Card
Side One
Side Two
San Francisco General Hospital and Trauma
Center is a SMOKE FREE Campus (See map on
reverse side.) We take the health of our
patients, staff and visitors seriously. Please
follow our non-smoking policy. If you are
interested in taking steps to stop smoking,
please ask your health care provider. We have
programs at SFGHTC to help you! You can also
call 1-800-NO-BUTTS.
14
Implementation - Visitors/Patients

• Deputy Sheriffs who observe a patient or visitor
  smoking on the campus will ask the individual to
  extinguish the cigarette, cigar, or pipe.
• If the visitor refuses to comply, the deputy will
  escort him or her off the campus. Patients will
  be re-directed back to their nursing units.
• All patients will receive information about the
  Smoke-Free Policy at the time of admission.

15
How does the new smoke-free campus policy
affects my job?

• A new inpatient protocol is being developed for
  medical staff

16
Central Themes of the Protocol

• Smoking status identified at the unit and
  documented
• Admitted patients sign agreement not to smoke
• Nicotine replacement (NRT) offered to all
  smokers/standing orders/ patients can only opt
  out.

• Acute Care patients are not permitted to leave
  the hospital
• It is against hospital policy to write an order
  permitting a patient to smoke
• Patient on NRT discharged with 2 weeks of
  nicotine patches

17
If you smoke cigarettes

• Smoke off campus, outside the parameters of the
  smoke-free campus.
• Remember that the property owners surrounding
  SFGH are our neighbors. Respect their property as
  you would want your property respected.
• Properly dispose of litter and cigarette butts.
• If you are ready to quit smoking
• Resources are available to help you quit
• are posted on the CHN page.

18
Are there other actions planned to support the
policy and assure compliance?

• New and updated patient handbook available
• Signage posted/large banner will announce policy
• SFSD will re-direct visitors off campus if they
  refuse to comply with the smoke-free policy
• Patients leaving SFGH with hospital property will
  be re-directed back to their nursing unit
• Health promoters will be on campus to educate
  smokers and non smokers during June
• Provide opportunities for staff to communicate
  and provide feedback before and after the policy
  is implemented

19
How Will We Support Our Employees Who Smoke?

• Free smoking cessation classes, Stop Smoking
  Program at SFGHTC [phone]
• UCSF Medical Center Tobacco Education Center
  [phone]
• Kaiser Permanente smoking cessation program (415)
  665-2100
• Cessation services offered through the City/
  County HSS insurers
• California Smokers Helpline (800) NO-BUTTS

20
Effective July 1, 2008