This document discusses a non-smoking policy for a healthcare facility. It outlines the purpose of establishing tobacco-free guidelines to promote a healthy environment for patients, visitors, and employees. The policy prohibits all tobacco use and sales on facility property. It affects all individuals on the property, including employees, medical staff, students, visitors, patients, and contractors. The document also presents opposing viewpoints on the policy, with one side noting the public health benefits and the other side arguing it infringes on personal liberties and can be discriminatory.

1. Amanda Koperna
Shanae Lee
Bobbi-Jo
Non-Smoking Policies in
Healthcare

2. What is the purpose and who does it affect?

3. PURPOSE
• A tobacco free policy establishes guidelines for the health care
facility. Employees and other to define the tobacco free environment.
The hazards of tobacco are well known within the medical
community. Tobacco use is the number one cause of preventable
illness and death across the nation. Allowing tobacco use in or
around the health care facility does not portray the facility as a health
care leader and does not promote a healthy environment for patients,
visitors or employees.

4. POLICY
• Tobacco use and the sale of tobacco products is prohibited in and on
all facility property. This tobacco free policy is indented to improve
the health of all employees, patients, visitors and the community by
providing quality health care that meets the needs of all people.
Assisting employees, patients, visitors and the community to be
tobacco free is consistent with the mission to enhance the health of
the community through quality care.

5. EXPECTED PROCEDURES
• Tobacco use is prohibited in all company vehicles
• Tobacco use is not prohibited in line of sight from facility entrance.
• Physicians may not write prescriptions allowing patients to engage in
tobacco use on the property.
• Certain religious groups may request to burn tobacco as part as
religious or spiritual practice. This will only be allowed in the
hospital chapel with prior approval of spiritual care. Spiritual care
must also be present during burning ceremony.

6. WHO IS AFFECTED
• All employees
• Members of medical staff
• Students
• Volunteers
• Contractors
• Visitors
• Patients
• Any individual on the property

7. TOBACCO PRODUCTS INCLUDE
• Cigarettes
• Smokeless tobacco
• Cigars
• Pipes
• Electronic cigarettes
• Any device indented to stimulate smoking.

8. THE GOOD AND BAD OF THE NON SMOKING
POLICY
• There are good points for healthcare facilities to use the Non
smoking policy, like how it promotes and protects public
health. These points will be explained to you by Shanae.
• There is also a great deal of reasoning on why this policy is
unfair and unethical. Bobbi Jo will be going over her points
on the policy as well with you.

10. Facts about smoking
• According to the American Heart Association in 2013, an estimated 23 percent
of adult men and 18 percent of adult women in the United States are smokers.
• The American Lung Association estimates that cigarettes have 600 ingredients.
When exposed to fire, the reaction creates an additional 4,000 chemicals, many
of which are carcinogens.
• When exposed to the tissues of the mouth, esophagus and lungs, these
chemicals can cause serious damage.
• This damage can lead to serious health problems, including emphysema and
cancer.

11. Facts about smoking
• Smoking also has a devastating
effect on your cardiovascular
health. It increases your blood
pressure, which can increase your
chances of cardiovascular disease
such as atherosclerosis.
• Smoking also increases your
chances of developing blood clots,
which can dislodge and travel to
the brain, causing a stroke.
• Smoking also decreases your lung
capacity, which can affect your
ability to exercise.
• The loss of exercise can result in
higher weight and cholesterol
levels, which also puts you at a
higher risk for cardiovascular
disease and heart attacks.

12. Facts about smoking
• Smoking can also have a serious effect on your financial
circumstances.
• In 2014, the average cost of a pack of cigarettes in the
United States is $5.51. In some states, cigarettes can cost as
much as nine dollars per pack.
• For a smoker who only smokes a single pack a day, the
habit could cost as much as $2,011 a year

13. Facts about smoking
• Of the estimated 2.4 million
Americans who die every year,
as many as 440,000 die due to
smoking-related illnesses.
• Secondhand smoke also
contributes to this toll,
estimated to account for 3800
deaths due to lung cancer
• Within hours of smoking your
last cigarette, your body will
begin to heal itself.

14. Facts about smoking
• Of the estimated 2.4 million Americans who die every year,
as many as 440,000 die due to smoking-related illnesses.
• Secondhand smoke also contributes to this toll, estimated to
account for 3800 deaths due to lung cancer
• Within hours of smoking your last cigarette, your body will
begin to heal itself.

15. Smoking in the hospital
• Healthcare professionals are an important component of every
smokefree air campaign. Doctors, dentists, nurses, dental hygienists,
and healthcare students not only have a shared interest in promoting
and protecting public health, but many are also are well-known and
well-respected within their communities.
• In fact, the World Health Organization dedicated World No Tobacco
Day 2005 to the essential role healthcare professionals and facilities
play in creating environments safe from secondhand smoke
exposure and tobacco use.

16. Smoking in the hospital
• More and more healthcare facilities are adopting voluntary 100%
smokefree campus policies, reinforcing their steadfast mission to
promoting and protecting health.
• Not only do smokefree policies further promote a healthcare facility's
health mission, but smokefree healthcare facilities:
1. Aid in community, employee, and patient cessation efforts;
2. Lower maintenance costs;
3. Increase worker productivity.

17. Smoking in the hospital
• The Joint Commission, the world's largest healthcare standards setting and
accrediting body, and researchers from the Henry Ford Health System's Center
for Health Promotion and Disease Prevention, completed a survey regarding
hospitals' smokefree campus policies and concluded that by February 2008
• 45 percent of US hospitals had adopted "smoke-free campus" policies. In
addition, "...another 15 percent indicated that they would be implementing
similar policies in the near future. Hence, it is safe to assume on the basis of
these results that the majority of US hospitals will have smoke-free campuses
by the end of 2009.

18. Smoking in the hospital
• “Given the recent trend among smokers to smoke fewer
cigarettes,” he wrote, “we will likely be seeing more and
more hospitalized smokers who do not experience nicotine
withdrawal but who should still be counseled about
quitting.”

19. Why employers are crossing a fine line
SMOKING IN THE WORKPLACE

20. WHY EMPLOYEES SHOULDN’T BE BANNED FROM
SMOKING IN THE WORKPLACE
• Having non smoking policies fall under discrimination/segregation which
fall under lifestyle discrimination
• Comparison to slavery
• Costs of accommodations
• Costs of lost time
• Unemployment issues
• The smell bothers and aggravates respiratory illnesses what about other
smells
• Is it ethical in healthcare settings

21. LIFESTYLE DISCRIMINATION IN THE WORKPLACE
• There are 29 states including
DC that have laws preventing
lifestyle discrimination
• The other 21 have free reign
over their decisions on how to
pick and chose what issues
they will or will not allow

22. “SMOKING” ILLNESSES COST EMPLOYERS…
Can “smoking” illnesses be
any different than ….?

23. ACCOMMODATIONS?
Smoker’s Accommodations Other’s Accommodations

24. SEGREGATION?
Smokers…… Others…..

25. INSURANCE PREMIUMS?

26. PRIVACY?

27. UNEMPLOYMENT RATES?

28. BUT IT SMELLS….

29. ETHICAL?

30. IS IT REALLY FOR THE BEST?

31. REFERENCES
Cost of Smoker Employees vs Non Smoker Employees. (n.d.). Retrieved from
http://www.biocaretherapy.com/Business_cost_of_smoker_employees.htm
Editorial: Not hiring smokers crosses privacy line. (2012, January 29). Retrieved from
http://usatoday30.usatoday.com/news/opinion/editorials/story/2012-01-
29/not-hiring-smokers-privacy/52874348/1
Ernster, V., & Wilner, S. (1985). Non Smoking Policies in Hospitals. Journal of Public Health
Policy, Six(Two), 197-203. Doi: 10.2307/3342312
Geisinger. (2014). Tobacco Free Policy. Retrieved from http://www.geisinger.org/for-
professionals/vendor-relations/includes/pdf/GHS-Tobacco-Free-Policy-1-20-
2015.pdf
Hospitals & Healthcare Facilities. (n.d.). Retrieved October 4, 2015.

32. REFERENCES
Kaplan, K. (2013, March 28). Do companies that refuse to hire smokers help them or harm them? Retrieved from
http://articles.latimes.com/2013/mar/28/news/la-heb-should-companies-refuse-to-hire-smokers-
20130328
Kerrigan, H. (2013, January 16). Smokers Need Not Apply: Government Hiring Bans. Retrieved from
http://www.governing.com/blogs/view/gov-smoker-hiring-bans-increasing.
Lifestyle Discrimination in the Workplace Your Right to Privacy Under Attack. (n.d.).
Retrieved from https://www.aclu.org/lifestyle-discrimination-workplace-your-
right-privacy-under-attack
McGuirt, M., & Brownstein, J. (2010, January 22). Tennessee Hospital Tells Smokers: You
can't work here. Retrieved from
http://abcnews.go.com/Health/QuitToLive/tennessee-hospital-bans-employees- off-
job-smoking/story?id=9629201

33. REFERENCES
Pros & Cons About Smoking. (2015, April 24). Retrieved October 5, 2015.
Public Law 111-148. (2010, March 23). Retrieved from http://www.gpo.gov/fdsys/pkg/PLAW-
111publ148/pdf/PLAW-111publ148.pdf
Shute, N. (2013, June 4). That Employee Who Smokes Costs The Boss $5,800 A Year. Retrieved from
http://www.npr.org/sections/health- shots/2013/06/04/188631885/that-employee-who-
smokes-costs-the-boss-5- 800-a-year
Schmidt, H., Voigt, K., & Emanuel, E. (2013). The Ethics of Not Hiring Smokers. New England
Journal of Medicine N Engl J Med, 1369-1371. Doi: 10.1056/NEJMp1301951