Do You take your patients out for smoke breaks? - page 5

We do, but I don't agree with it.... Read More

  1. by   Alexsys
    :spin: Nope, never have and never will. Call me mean , but I dont smoke and I dont encourage it either (besides I work in ICU, my patients dont really ask)
    Last edit by Alexsys on Nov 2, '06
  2. by   JenNJFLCA
    I personally don't take them down, but if they are able to go by themselves, they go. Sometimes with doctors orders, sometimes without. I always explain our concerns about them going downstairs to smoke without doctors orders and DOCUMENT that. I have done my part, CMA, and in the end will have a much more pleasant patient. I am sure everyone here has been around people that can't smoke for long period of time. Whew, talk about verbally abusive...some have almost gotten physically aggressive on me. One guy decided to smoke in the bathroom after I told him not to go. With all the oxygen tanks around, plus the fact that it's a federal offense to smoke in the building, he got in A LOT of trouble.
    I don't understand why people start smoking since they know the health risks, but I know it's a hard habit to kick once you start.
  3. by   Rachel937LPN
    Id take them with me when I wanted to smoke.
  4. by   greatshakes
    Kristy Brn

    Thank you re the post about MS and your understanding. My husband who had MND died in July and having a smoke was his only pleasure. Luckily the staff at the nursing home cared enough to hold it for him. He could not move his arms. I too, would take a smoker out for a break if they needed it. I smoke myself but I have the Zyban ready in the cupboard for when I am ready to quit. We did quit actually for 4 1/2 years through hypnotism. We didn't even actually believe it would work. We were so pleased with ourselves. Then he got his diagnosis and with uni and all the other little events, we took it up again. Someday I'm going smokefree again and just not yet.
  5. by   bewell
    i have taken patients out for a smoke break. as of sept. 1, 2006 smoking is no longer allowed (not even in your car) by staff, patients, or visitors at the hospital where i work. this has been a HUGE adjustment period for many people. i think no smoking by staff is fine-for patients in hospital i'm not so sure. smoking is an addiction/habit/crutch-oftentimes it would be cruel not to allow someone to smoke (if able to leave room) while they are confined to hospital. plus, many times family members stay with patients, due to severity of situation,and they may need to smoke to cope with situation. it is a controversial issue.
  6. by   RN(MH)

    Certainly would take my patients out for a smoke break. Every place I have worked so far, however, have had rooms specifically for the patients to smoke in, and why not ? Working in Mental Health have found that it is necessary to allow the patients to smoke. Sometimes they may not be able to go outside (if they have been detained under the mental health act and are acutely unwell), so they can go in the smoking room on the ward. Once they are able to go out, would definately take them out. I have never worked with a nurse here that has refused to do this, even non smokers. The last thing patients need when they are unwell or suffering withdrawal symptoms is to be told they cannot have a smoke. It makes them agitated and sometimes agrressive. It can increase their paranoia and refusal to allow them to smoke does not aide their recovery.
    We will soon face a ban on smoking in public places over here, which I disagree with, lets hope it doesnt affect the Mental Health units. There will be a lot of stressed out acutely unwell patients, and a lot of stressed out staff. If a person wants to smoke that is their choice.
    There are worse things than smoking.
  7. by   Alexsys
    Sorry guys, most of my patients are on vents and/or oxygen.Smoking would just defeat that purpose. If I worked on a mental health or another kind of unit, then I may have a different answer depending on facility policy. If they are in the ICU, my goal is to take care of them as best as I can and smoking would not fit into that category. What patients do when they leave the ICU is beyond my control. No one on my unit is allowed to take a patient to smoke. So excuse me if I seem mean or heartless but that is just the way it is when it comes to critical care patients At least at my facility
  8. by   trilli18
    No, Not as a nursing student we are not allowed too
  9. by   EmerNurse
    I smoke, and if an ER patient is stable enough, I'll let him go though I "escort" him/her and I DO document.

    That said, I smoke, until January 1st, 2007. Last year I went on a diet (lost 70lbs and keeping it off!) so this years resolution is the smokiing! But... I've smoked for a million years and I LIKE it - so it's gonna be way tougher than the weight.

    It's an addiction sure enough, and I agree with the poster above who recognizes that when you're stressed out and sick might not be the best time to suddenly quit cold turkey.

    As an RN, I KNOW it's bad for me, as a human, dangit I LIKE it and don't want to give it up. Addiction sucks.
  10. by   puglie
    I used to take them out until I quit. Now I can't stand to be around the smoke. I understand the urge to want a cig, so I try to find someone to take then out.
  11. by   jabiru
    I work in paeds, so it doesn't apply. Honestly, it never occurred to me that nurses would be expected to take patients outside for a cigarette break. What sort of message does that send?

    Having said that, the last time I worked in adults, smoking was still permitted in the ward areas and patients had ashtrays on their bedside lockers! It kinda boggles the mind now, to even think of it.
  12. by   SammyBSN
    I did when I worked at a nursing home- not that I necessarily agreed that the patient should be smoking, but they are adults, and since it was a longterm arrangement/home for them, I felt that if I had the time, I would rather they be safe and attended.

    Now what I did have a problem with was that one patient I had complained to management, and they actually instituted designated smoking times. I was an STNA at the time, and I was really offended that his cigarrette was a priority over, say, a wet brief or someone needing to be washed up.

    I work in a busy med-surg step-down unit now, on nights, when most petients are sleeping. Most of our patients are genuinely too ill to smoke, and those who do can generally take themselves. I'm not sure whether I would help a patient go out to smoke, since it's a different situation... good question...
  13. by   dfurbee
    Smoking causes cancer!! NO, I do not take them outside. I work in a CCU