I'm not a Nazi about anti-smoking, it's a personal choice and I don't believe there are any healthcare professionals who smoke without understanding the potential ramifications.
Here's my thing: Am I the only one who thinks it must be nice to run outside every couple of hours and hang out there for 20+ minutes??? what if every few hours I said "I'm going to go downstairs and just get some fresh air and look at the sky for 20 minutes." I bet it wouldn't go over very well.
there are only 2 nurses (out of 27) I work with who smoke, but they definitely get their breaks in, regardless. I'm not angry or venting at all, but someone just came up to me and said they'll be back in a few minutes and it got me thinking.
Also, any time we are allotted for breaks is way-exceeded by people smoking cigarettes. About 14 years ago, I did an informal study on someone who was burning about an entire pack during the 12 hour work day. I documented him spending an average of 3 hours per shift outside smoking. To me that's outrageous....of course the person was a supervisor and I was accused of trying to "stir the pot" so nothing was done.
Oh well, when they get COPD I'm sure I'll still be here to hook up their O2, etc....