Standard 4 - Identification, diagnosis and tobacco cessation support
Statement: The healthcare organisation identifies all tobacco users and provides appropriate care in line with international best practice and national standards.
A systematic approach to identifying, diagnosing and managing smoking and tobacco dependence is the central clinical aspect of the Global Standards. The implementation criteria highlight the importance of workable systems and procedures to support consistent clinical practice. They also identify the key elements of information, brief intervention and treatments that are aligned with the specific needs of patients.
The healthcare organisation has a systematic procedure in place to identify, diagnose and document the tobacco addiction/dependence status of service users (including users of associated devices/e-cigarettes).
The healthcare organisation has a systematic procedure in place to identify and document all service users including babies, children and pregnant women who are exposed to secondhand smoke/e-cigarette vapour.
Information about the risk of tobacco consumption (including the use of associated devices/e-cigarettes) and tobacco cessation methods is widely available for all service users.
All identified tobacco and associated devices/e-cigarette users receive brief advice in line with best researched practice.
The service user’s care plan identifies and meets the needs of the tobacco and associated devices/e-cigarette user and those identified as exposed to secondhand smoke/e-cigarette vapour.
The healthcare organisation has a tobacco cessation service or a referral system to a service that provides treatment for tobacco addiction/dependence in line with researched best practice.
The tobacco cessation service considers the therapeutic requirements of different service-user groups (i.e. pregnancy, pre-operative, mental illness, disability) in line with researched best practice.
Pharmacological support is available for the treatment of tobacco addiction/dependence, in line with researched best practice
The tobacco cessation service used by the organisation follows up cessation service users in line with researched best practice.