Darlene Osmond The Janeway Childrens Health and Rehabilitation Centre

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Darlene OsmondThe Janeway Childrens Health and
Rehabilitation Centre
Tobacco SPEAK Teleconference
January 31, 2008, 1130am 1pm
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Practice Approval

• Mandated by senior management.
• Option for referral to Smokers Helpline into
  nursing care.

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Practice Approval

• Difficulty knowing how best to do this at the
  Janeway
• Nursing history
• Have it as a stand alone process
• Do we ask everyone?
• What age group?
• Who should be the target parent or patients
  decided to have the option for both

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Process Details

• The process took a quite few months it helped
  that we were in the process of updating our
  Nursing History Form and we decided to add the
  questions to the form.
• Adding this section was a part of the overall
  process.

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Form Approval

• Form approval
• Policy procedure committee
• Managers- Our form request was actually ahead of
  the managers in-service on the Smokers
  Helpline/CARE Program
• Program director
• Forms committee for Eastern Health

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Questions on the form

• C. ADDICTIONS
• Any tobacco users in the home _____
• Does the child use tobacco? _____
• If yes, type and quantity ________________________
  ______
• Smokers Helpline Referral _____ Yes ____ No
• For whom________________________
• Smokers Helpline Information given______________
  _______________________

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Directions to nursing staff

• Section C Addictions
• Any tobacco users in the house refers to other
  than the child.
• A referral to the Smokers Helpline may be for
  the parent and/or the child.
• Document any information given
• Upon discharge referrals are to be faxed to
  Smokers Helpline

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Nursing History

• Required documentation upon admission- less
  likely to be missed during assessment.
• The questions are asked in relation to family
  members as well as patient.
• The faxing of the referral was really dictated by
  the Helpline requirements that it be done upon
  discharge.
• We ask that the ward clerk fax the forms when
  they dismantle the chart at discharge.

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Feedback

• The nurses think its good to have the questions
  on the form
• Do not always ask the questions
• Will not ask the teenager in front of parents as
  they feel it is less likely to get a truthful
  answer
• Opens up dialogue positive
• Resistance?

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Orientation to Smokers Helpline

• Very helpful
• Information on the need and support offered to
  smokers once referred
• Gave direction to how to offer the materials
• Gave us materials to offer pamphlets, posters,
  referral forms

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Recommendations

• Do the information sessions first
• Managers unit staff
• Easier if everyone knows what the program entails
  its objectives
• Decide what questions you really need to ask when
  best to ask them and what format the information
  seeking will take
• Make sure written information is readily
  available.
• Intensive in-service then follow-up