Smokefree Manaakitanga Grey Base Inpatient Unit

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Smokefree ManaakitangaGrey Base Inpatient Unit

• Where to start?
• My personal experience

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Part of my job description read

• Advocate for strengthening the smokefree policies
  relevant to the DHB with the aim for Smokefree
  lifestyles to be the norm. These will include at
  least
• All outdoor environments smokefree
• Mental Health services smokefree
• Smokefree work force

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Where to start?

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Who can help?

• Visited KEY people
• Looked for old connections
• Looked for smokefree champion

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Reducing Resistance

• Wide involvement
• Knowledge can change attitudes
• Respond to staff issues
• Take a step by step approach
• Look out for good ideas
• Discuss Rights debate myth with good research

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Getting key people together

• Sent out invites, rang and visited people
• Group involved staff from inpatient and
  community, consumer advisor and NGOs.
• Purpose -Get support
• -Plan with a time frame

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Address patients addiction

• Good Selection of NRT
• Accessible in ward
• PRN / standing orders
• Staff Training
• Information for patients on NRT

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Plan

• Step by step approach
• Plan signed off and date agreed on
• Deal with the things that will surface at
  unexpected times not usually plain sailing
• Advertise Brochure / Media release
• Celebrate Smokefree Day with lunch
• Smokefree survival packs

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Ongoing

• Ward currently doing a daily log of smokefree
  issues
• Nursing guidelines on maintaining a smokefree
  unit to help get consistency.
• Review

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Thanks

• Jackie Newton, Judith Maloney, Joe Hall, Lois
  Scott, Hector Williams, Jeanette Thomas, Mirian
  Wylie, Mike Dyne, Ann Tacon, Alosi Verstraeten,
  Ann Smith, Hokitika Activity Centre and the staff
  at Grey Base inpatient unit.
• Una Callahan NMDHB Mental Health Smokefree
  Coordinator
• Karen Evison for information shared
• Mark Wallace-Bell for training support