Jacqueline MacDonald Stop Smoking Nurse Specialist
IntegratedgCare Pathwayy for the ManagementgofNicotine Addiction (ICP)27th October 2016Jacqueline MacDonaldStop Smoking Nurse Specialist
Tobacco Control Strategic direction Prevention: Uptake of future generations Protection: Second Hand Smoke (SHS) Cessation:CtiS i li t servicesSpecialisti(for people whowant to quit) Support and Leadership: Monitoring andevaluation
National and Local Guidelines A guide to smoking cessation in Scotland (2010) The Healthcare Quality Strategy for NHS Scotland(2010) NHS Lanarkshire No Smoking Policy (2014) National Targets
Wh ICP was requiredi dWhy Equity and consistency of careImprove patient comfortAppropriate referralsIncrease in quit attemptsReduce incidence of patients smoking withinacute sitesIncrease staff knowledgeIncrease availability of Nicotine ReplacementTherapy (NRT)
Integrated Care Pathway Structured guidelinesEvidence basedpatient/clientSpecificpp/ggrouppClinical recordProvides evaluation of outcomes forcontinuous quality improvement
Development ProcessFormed ICP Working Group Senior Nurse Stop Smoking Service Manager Senior Pharmacist Practice development staff Clinical Governance staff
PilotSSelectedld Coronary Care Unit Respiratory Ward Emergency Receiving WardResources Ward Managers Stop Smoking Nurse LinkLi k NursesN Pharmacist Documents
ICP Document
Evaluation Appropriatepp preferrals Staff survey Patient survey
Referrals 2 months pilot period (2012) incomparison to previous year (2011)Pilot areaHospital 201220112012
Staff Survey(36 completed survey)Made a difference to patient comfort23Access to NRT33qfurther traininggRequested199Increased confidence21Raised awareness2905101520253035
Staff Feedback“Feel more confidentTo discuss stoppingsmoking withPatient”“Would likemore training”“Ri“RecogniseNicotine ne addiction”
Findings from patient survey100 ICP completed/53 patients contactedRecommend service515153More at ease coming into HospitalVeryV satsfied/satisfiedfi d/ i fi dPolicy28Health Reasons32Quit49Prescribed NRT31Asked on Admission42Unaware of Service340102030405060
Patient’s Feedback“Felt more relaxed”“NRT helped”“Stopped becausehelp was offered”“Great Service”“Would recommend”
Referrals to Hairmyres Hospital900ICP ratified800762700719692RReferrals600ICP 5385.5385.5385.5296ICP foundationIncrease of staff117100020152014201320122011201020092008Year
Quits Set (Hairmyres)600541515500485Quits 078020152014201320122011201020092008Year
Hairmyres Hospital Follow upsNot smoking 12 weeksNot smoking at 4 12012087505650Succcessful QuitsSucccessful 5350260157148
2015 to erageLanarkshireNationalAverage12 week success46%HairmyresyAverageSuuccessful QuitsSuuccessful Quits4 week rage
Summary Improved patient caregIncreased staff KnowledgeIncrease in referralsSupports Policy/StrategyContributes to targets
Any .ukPhone 01355 585502
Referrals to Monklands and 0336840340340330020010810056Referraals to Wishaw HHospitalReferralss to Monklandss 012220111201002009920088Year
Quits set Monklands and WGHMonklands HospitalWishaw 1.5271.5271.5271.5271.5 271.5225200Quits SetQuits ar
4 week Follow upsMonklands and WishawMonklands HospitalWishaw Hospital600Number Not SmokingNumber Not 32201222011220102200922008Year
12 week Follow upsMonklands and WishawWishaw .510160.56860.560.55311760.5Number NNot SmokingNumber NNot SmokingMonklands 09200820152014201320122011201020092008Year122101
Quits set Monklands and WGH 500 494 600 Monklands Hospital 500 600 Wishaw Hospital 318 402 459 271.5 271.5 271.5 271.5 271.5 271.5 271.5 271.5 300 400
Before we get into the detail there are some commonalities of all stop smoking medicines that you need to know. Stop smoking medicines increase quit rates All stop smoking medicines increase the chances of stopping smoking for good. Smokers should be encouraged to use one of the licensed stop smoking medicines to aid them in stopping smoking.
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Quit Smoking In order to know how to prevent pneumonia naturally, quitting smoking is extremely important. The best way to protect your lungs is to stop smoking and even better if you do not start smoking. Smoking is the main cause of pneumonia, lung cancer and
2. insert the stop rod with the M12-1.75 hex nut into the base. Tighten the hex nut against the base to secure it (Figure 6). Figure 6. Attaching work stop rod. Work Stop Rod Hex Nut 3. Thread the work stop knob into the work stop, then slide the work stop onto the work stop rod (Figure 7). Figure 7. Work stop. Work Stop Work Stop Rod Knob
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Clinical Nurse Specialists34 . Nurse Practitioners and Clinical Nurse Specialists35 . Nurse Anesthetists35 . Nurse Midwives36 . Nurse Practitioners and Nurse Midwives36 . Non-White, Hispanic, or Latino Advanced Practice Nurses37 . REGISTERED NURSES IN THE WORKFORCE37 . Characteristics within Employment Setting39 . Registered Nurses in Nursing .
1. Stop smoking. It is the most important thing you can do to help your lungs. You can stop smoking. Ask for help from a doctor or nurse. Ask about pills, special gum, or special patches for your skin to help you stop smoking. Set a date to quit. Tell family and friends you are t
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