We had an issue tonight and was interested in how others deal with patients being allowed to go out to smoke cigarettes, usually patients are offered a nicotine patch and are told our hospital is a non- smoking facility,I believe here it is a state law also. Today a patient was permitted(by the nurse manager) to go outside-with a staff member to smoke every 4 hours, he is being treated(antibiotics-I&D-dressing changes) for an infected AC from using needles. Well 4 hours turned into when ever he wanted and then he was outside in someones car smoking, when I went out to ask him to come back into the building he went off on me. Now I realize- after he elaborated on his drug abuse - that he is going through heroin/ oxycontin withdrawl and the issue for now is resolved.Does anyone here permit patients to go out to smoke with a staff member or how do you deal with these issues. There was not a written order for him to go out but I was told the MD said it was ok and to leave his nicotine patch on too.