|
Order
Prescription Pad
Provider
Referral Fax Form
History
of BCIFH's Smoking Cessation Efforts
|
|
Action
|
Tactics
for Successful Intervention
|
| 1.
Ask about tobacco use |
Identify
and document tobacco use status for every patient at
every visit. |
| 2.
Advise to quit |
In
a clear, strong and personalized manner, urge the patient
to quit. |
| 3.
Assess willingness to make a quit attempt |
Is
the tobacco user willing to attempt quitting at this
time? |
| 4.
Assist in quit attempt |
Use
counseling and pharmacotherapy to help patients willing
to make a quit attempt. |
| 5.
Arrange follow-up |
Schedule
follow-up contact, preferably within the first week
after quit date. |
| Source:
Treating Tobacco Use and Dependence: Clinical Practice
Guideline. Washington D.C. U.S. Dept. of Health and
Human Services; June 2000. Public Health Service publication
000032. |
Ask
about tobacco use
- Front
office staff: ask as part of routine check-in, i.e. address
changes, insurer changes, etc.
- Nursing
staff: ask as part of vital signs check.
- Physician/PA/NP:
ask as part of exam
Advise
to quit
- "As
your physician, I strongly advise you to stop smoking
now."
- "Quitting
smoking is the number one thing you need to concentrate
on to improve your health."
- "Your
smoking is putting your child at risk for SIDS."
- "Your
smoking is a major factor in your child's asthma complications."
- "Your
smoking paired with diabetes is putting you at high risk
for coronary heart disease and/or amputations."
Assess
willingness to make a quit attempt
- "Are
you ready to stop smoking?"
- "Are
you prepared to set a quit date today?"
- "What
have you done to stop smoking?"
Assist
in quit attempt
- "Refer
to "Idaho Quitline: U can do it!" -- (888)
280-2265 -- via prescription pad, fax referral, or
patient prompt card.
- Write
prescription for patient appropriate pharmacotherapy.
- Refer
to the Idaho QuitNet at www.Idahoquitnet.com.
- Refer
to local Health Department cessation counseling classes.
- Ask
current cessation status at every visit.
Idaho
Quitline: (888) 280-2265
|
