It is essential that all smokers are identified as soon as possible on admission and that smokefree information and support is provided.

Very Brief Advice (3 A's) Ask, Advise, Act - All ward based clinical staff are expected to provide this.

Ask: 

•Smoking status and screen with the Carbon Monoxide (CO) Monitor Smokerlyzer)

Advise:

•The site is smokefree

•Smoking paraphernalia is not allowed or stored on the ward and should be returned home or will be disposed of

•Support is available – Nicotine Replacement Therapy or E-burn disposable electronic cigarette

Act:

•Offer 'emergency' Nicotine Replacement Therapy (NRT) or E-burn e-cigarette within 30 minutes of admission.

In-patient smokefree pathway

​Option A

Smokefree with support

​​Option B

Smokefree without support

Option C

Quit attempt with support

​Within 30 minutes: emergency NRT or E-burn

e-cigarette

 Re-ask regularly

​Within 30 minutes: emergency NRT or E-burn

e-cigarette
​​Within 72 hrs:
Internal referral for full smokefree assessment		 ​

​Within 72 hrs:
Internal referral for full smokefree assessment
​​ ​ ​​On discharge:
external referral for ongoing