I'm actually ok with the policy (altho I could debate the libertarian side that this is an unconstitutional encroachment of gov't on the private lives of its citizens, but that's another thread
) - in fact, the hospital was a major supporter of the initiative and one of the doctors who also happens to be a city councilman spearheaded the effort. I'm actually surprised at the fact that we still have smoke rooms when the CEO of the hospital has gone on record in print and on radio ads saying that this is a great public health initiative.
Area jails are already smoke-free here.
Re: the voluntary admissions, I guess I feel that if not being able to smoke keeps someone from signing in, they weren't that motivated for treatment to begin with. Maybe that's awful, but this is not like in the "old days" when going cold turkey was the only option. Gum, patches, and filters are all options for smoking cessation available from our pharmacy.
I am concerned about the likelilhood of increased contraband problems, but I figure if they're expending effort trying to smuggle cigs in, then maybe worse stuff is staying out. (This comes after a weekend spent trying to unsuccessfully keep folks from smuggling in percocets.)
I'm concerned that we have things in place in standing orders for nicotine patches and the like in anticipation of this being as issue. I also want to have ED be very clear with people that the unit is nonsmoking before they come up. It probably should be on the voluntary admission form.