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| No. 60 |
Jul 04, 2007, 08:51 PM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by rn/writer The jury is still out on my opinion, but for the sake of debate, smoking differs from the above mentioned health problems in significant ways.
Obesity can have many causes and pinning those down and isolating which ones the employee can control is simply not practical.
Driving without a seat belt and speeding can't be monitored by the hospital directly. Neither can unprotected sex with strangers.
Smoking is something that hospital can test for.
There are healthy ways to eat, but not healthy ways to smoke. It's a "you do" or "you don't" proposition.
Earlier in this thread, someone mentioned that they work for CCH. I'd be interested in hearing what the reaction is among the current employees.
As a current employee for CCF, I don't think many employees are too concerned. Right now, our campus is smoke free, meaning any property that CCF owns, including the parking garages, you are not allowed to smoke. Now, that really is not enforced (unfortunately), but the current employees are not going to have any ramifications if they continue to smoke, other than the threat of being caught too many times and possibly being fired for not following policy. This new policy only effects new hires from here on out. The clinic does supply smoking cessation classes and nicotine patches for current employees and I believe will continue to provide them for new hires that test positive for nicotine.
| | Advertisement Sponsored Links | | | | No. 61 |
Jul 04, 2007, 09:28 PM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by rn/writer Pulling DMV and health records is a bit more complicated than having an employee submit to a test handled by the hospital. Neither DMV records nor health records are as "cut and dried" as a simple pass/fail blood test. Health records, especially, would be much harder to access and would be far more subject to interpretation. An STD could have been acquired from a spouse who is the one engaging in risky behavior. Compared to the administration of a blood test with objective results, the other two ideas are more complex and less likely.
So.......what Miranda? What's your point? Because it's easier to go after smokers or identify them then that makes it okay? I know you didn't say that, but what is your point exactly?
| | No. 62 |
Jul 04, 2007, 09:53 PM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by SharonH, RN So.......what Miranda? What's your point? Because it's easier to go after smokers or identify them then that makes it okay? I know you didn't say that, but what is your point exactly?
My point is that it's a stretch to compare outlawing smoking, which is comparetively easy to identify and has no real gray area, to other types of behaviors which are far more complex in their delineation and far more difficult to pinpoint and quantify.
I don't see CCH as "going after smokers" so much as saying that they don't want to take on any new employees who smoke. "Going after smokers" would apply if they threatened to fire current employees (which some companies are now doing). This isn't happening (although I fully acknowledge that it could at some point).
The hospital is not punishing employees who smoke. It is declining to hire job applicants who smoke. This is a small but very important distinction. Smokers are not a protected class, so choosing not to hire them is a distinction the organization is allowed to make.
The hospital is offering smoking-cessation help to prospective employees. It isn't the people they don't want. Only the habit.
I do wonder what will happen to someone who quits smoking in order to take a job and then is found to have started up again at some point. Will the tests be ongoing? For months? Years?
Every answer I come up with seems to beget more questions.
| | No. 63 |
Jul 04, 2007, 11:14 PM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by WSU_Ally_RN As a current employee for CCF, I don't think many employees are too concerned. Right now, our campus is smoke free, meaning any property that CCF owns, including the parking garages, you are not allowed to smoke. Now, that really is not enforced (unfortunately), but the current employees are not going to have any ramifications if they continue to smoke, other than the threat of being caught too many times and possibly being fired for not following policy. This new policy only effects new hires from here on out. The clinic does supply smoking cessation classes and nicotine patches for current employees and I believe will continue to provide them for new hires that test positive for nicotine.
I have 3 problems with this:
First of all, the CC should be enforcing their own existing policy of no smoking on hospital grounds. Why develop a more extensive and punitive policy against employing smokers when they don't enforce the existing one?
If the CC is only going to enforce this policy on new hires, then they are definitely discriminating. How can they "turn their heads" away from evidence of smoking in a current employee, yet refuse to hire a new employee who engages in the same legal behavior?
Thirdly, you state that the CC will provide nicotine patches for smoking employees. Then how can they possibly pass a drug test for nicotine?
| | No. 64 |
Jul 05, 2007, 03:42 AM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by Jolie I have 3 problems with this:
First of all, the CC should be enforcing their own existing policy of no smoking on hospital grounds. Why develop a more extensive and punitive policy against employing smokers when they don't enforce the existing one?
If the CC is only going to enforce this policy on new hires, then they are definitely discriminating. How can they "turn their heads" away from evidence of smoking in a current employee, yet refuse to hire a new employee who engages in the same legal behavior?
Thirdly, you state that the CC will provide nicotine patches for smoking employees. Then how can they possibly pass a drug test for nicotine?
I totally agree that they should not be "turning the heads" at the employees who are blatantly not following the current policy. The only reason that I can think that they do is they would lose a lot of staff, including some of our great physicians, and I don't think they are willing to do that. Our security and police force have so many other things to do than drive around and write up each employee that they catch smoking. What needs to happen is that the "breaks" that these smokers take need to be stopped by the charge nurses, ANM, and NM.
As far as nicotine patches, I don't know. I have heard that the metabolite of nicotine they test for is only positive if it detects the equivalent to >12 cigarettes a day. Maybe the patches give a smaller dose, so they are ok.
| | No. 65 |
Jul 05, 2007, 08:22 AM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by Jolie I have 3 problems with this: First of all, the CC should be enforcing their own existing policy of no smoking on hospital grounds. Why develop a more extensive and punitive policy against employing smokers when they don't enforce the existing one?
If the CC is only going to enforce this policy on new hires, then they are definitely discriminating. How can they "turn their heads" away from evidence of smoking in a current employee, yet refuse to hire a new employee who engages in the same legal behavior?
Thirdly, you state that the CC will provide nicotine patches for smoking employees. Then how can they possibly pass a drug test for nicotine?
Very good point.
| | No. 67 |
Jul 05, 2007, 10:12 AM
Re: Cleveland Clinic will not Hire Smokers
isn't that discrimination, to not hire a smoker. they can still do their work.
| | No. 68 |
Jul 05, 2007, 10:53 AM
Re: Cleveland Clinic will not Hire Smokers Originally Posted by Balder Oh, wow, you mean they were smoking in the patients rooms, or the hallways or what? How were the smokers endangering their patients?
By carrying an unpleasent odor? Smoking is dangerous to your health, no one should smoke. But it is still legal, and if someone wants to do it they should not have their employment endangered as long as they are not endangering others.
Come on, with the intent of "we're modeling what we think is appropriate healthy behavior." the next thing is to not hire overweight people, or those who drink alcohol.
This is simply another example of the steady erosion of personal rights in this country. The liberal left seems to always know what is better for others and to force that on the population as a whole.
Let me take care of myself in my personal life, if what I do is endangering others than put a stop to it, but if it is only myself than that is my right in this country to do so.
The liberal left is enforcing a ban on smoking? I believe this situation is being motivated / agitated non-politically. I know many liberal people who smoke or who have smoked, Barack Obama, etc. Many conservatives do not smoke because their religion oppresses or restricts that kind and many other kinds of behavior.
The Cleveland Clinic is trying to reduce health costs, which are motivated by increased profits. Also, they are enforcing an ethical code on the nurses similar to conservative religious organizations where they want to control the activities of its members. You can look at it this way: Positive duties are things we do to help other people which are often not motivated by money, and negative duties are things we are restricted from doing OURSELVES; many health care professionals go into the profession because they want to help other human beings, which is a positive duty.
Perhaps the Cleveland Clinic should try to better educate their nurses or provide positive support for quitting instead of firing them?
| | No. 69 |
Jul 05, 2007, 11:13 AM
Updated
Jul 05, 2007 at 11:26 AM by BellaBloo
Re: Cleveland Clinic will not Hire Smokers Originally Posted by mercyteapot It is difficult to have a conversation with someone who wants all factors to play into their point of view but only designated ones to play into anyone else's.
But you are doing the exact same thing by repeating that the obesity issue should not come into play. Of course it is the obesity, not just the causes of, that are unhealthy. And if CC's motive is truly to "walk the walk" and exemplify community health goals through their employees and facility, then fat people should not be hired on either. Regardless of the reasons. Plain and simple.
Another take on this...it is well-documented that certain homosexual behaviors siginificantly promote the spread of AIDS. The public is well aware of this. So let's say they decided not to hire homosexuals as part of their "model of public health" camaign. Granted this is not always known, but a lot of times you can tell. They are not a protected class either. How would this fare? And what if someone had the "look" but was, in fact, not homosexual?
It seems like a lot of people think this policy is fine b/c they personally don't like smoking. But what if it were your vice, lifestyle choice, whatever being targeted? Bet you would feel totally different about the issue.
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