Abstract: Poster Presentations |


Kathy A. Garrett-Szymanski, BS, RRT, AE*; Peter R. Smith, MD, FCCP.; Jeanne McCabe, RN; Rosemarie Samuels, RN; Chiquita Willis, BS; Iram Nawaz, BS; Margaret Rafferty, APRN, BC; Katherine Matthews, BS
Author and Funding Information

Long Island College Hospital, Brooklyn, NY

Chest. 2006;130(4_MeetingAbstracts):268S-d-269S. doi:10.1378/chest.130.4_MeetingAbstracts.268S-d
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PURPOSE: ISPCs are effective in promoting smoking abstinence. Our ISCP began in July, 2004. The 7 counselors have other primary responsibilities (no new hires). Each covers 1 or more AM or PM slots on a weekly schedule. With limited resources, the most difficult task was prompt identification of hospitalized smokers.

METHODS: Smokers were defined as smoking within the past 12 months. We estimated about 3800 smokers are admitted to our facility annually (20,000 discharges per year X 19% smoking prevalence in Brooklyn). The initial method for identification of smokers was a daily roster compiled by nurse managers on each unit. At 1 year our ISCP saw only 920 smokers or about 1/4 of the expected number. Additionally, a room-by-room assessment by nursing students during a 4 month elective in smoking cessation corroborated this deficiency. We designed a smoking query (“SMKD 12 MO?”) as a mandatory field in the hospital’s electronic admission screen. This field must be populated with “Y” or “N” for admission to complete. Registrars were in-serviced. A list of smokers and locations is generated daily from the hospital’s admission information system.

RESULTS: The mandatory query in the admission screen resulted in marked improvement in capture of admitted smokers. Data from the nursing student smoking cessation program showed ≥ 90% of smokers were being identified via the admission screen.

CONCLUSION: The most efficient method for identification / counseling of smokers is via staffers on each unit (RNs MDs etc). This fails in most institutions because unit personnel lack time and enthusiasm for the task. A daily room-by-room search, although effective, is unrealistic without staff assigned primarily to this role. Our experience suggests that inclusion of a smoking query as a mandatory field in the electronic admission screen is efficient and reliable for prompt identification of hospitalized smokers.

CLINICAL IMPLICATIONS: A mandatory smoking query on the electronic admission screen is reliable and cost effective for capture of hospitalized smokers for smoking cessation interventions.

DISCLOSURE: Kathy Garrett-Szymanski, None.

Wednesday, October 25, 2006

12:30 PM - 2:00 PM




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