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Smoking and Oxygen policy

Hospice   (540 Views | 4 Replies)
by AKRN63 AKRN63 (New) New

89 Profile Views; 2 Posts

Wondering what your agencies' policies are with respect to patients smoking in the home with oxygen present?  The agency I'm currently working for allows this as long as they 1) have been educated re: risks and 2) don't smoke with oxygen present.  The last agency I worked for would not take patients who smoked and had O2 or would discharge for cause if patients were educated on risks but continued to smoke.  

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5 Followers; 37,755 Posts; 104,667 Profile Views

I remember, as a student, being alarmed when a client smoked in her chair next to her oxygen tank. Got out of there as fast as I could. Supervisor told me all about non compliance and providing education and thorough documentation. Didn’t quell my misgivings at the time.

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amoLucia specializes in LTC.

2 Followers; 5,741 Posts; 47,715 Profile Views

Fire safety issues aside, it must be remembered that it is the pt's home. Regardless of whatever WE perceive as right or wrong, the issue is at the pt's level.

It must be remembered also that homes have stoves with flames in spite of O2 tanks. Should home cooking be restricted at these oxygen pts' homes? Well???

Or maybe might there be some realllly deeply hidden discrimination against the pt's smoking habit that is really at the crux of the matter??? Like some indignant reason that NOW is the time of all times to stop smoking?

Methinks this mentality might have some truth.    JMHO

 

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2 Posts; 89 Profile Views

amoLucia if you re-read my post you'll see I was asking a question about policy - not stating my opinion, nor asking for yours.  I requested information about policies because opinions -  fortunately - no longer guide nursing care.  

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On 6/13/2020 at 5:45 PM, amoLucia said:

Fire safety issues aside, it must be remembered that it is the pt's home. Regardless of whatever WE perceive as right or wrong, the issue is at the pt's level.

It must be remembered also that homes have stoves with flames in spite of O2 tanks. Should home cooking be restricted at these oxygen pts' homes? Well???

Or maybe might there be some realllly deeply hidden discrimination against the pt's smoking habit that is really at the crux of the matter??? Like some indignant reason that NOW is the time of all times to stop smoking?

Methinks this mentality might have some truth.    JMHO

 

You are not looking at this from the perspective that the OP is asking. This isn't about some ethical dilemma or hypothetical situations (pt's don't hold their faces up to flaming stoves while wearing cannula)

I had a pt once who smoked at home, and was O2 dependent. I was a newb and was still precepting. Turns out, our policy was a 3 strikes rule, education and reeducation, then ultimately discharge for noncompliance with instruction as this becomes a safety risk for more than just the patient ie visiting staff, family members etc.

Even more importantly, he lived in an apartment building. Well guess what, it exploded in his face, injured him, lit the whole floor on fire, whole building had to be evacuated and several others were injured. We all got in BIG trouble for not following policy, on top of that for not informing building management.

All it takes is one cigarette with the cannula on. I stand by the policy of your last employer.

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