Friday, June 1, 2018

A Transition Tobacco-free Policy


The “Sample Tobacco-free Workplace Policy” is dated 2013. This is in the era of “tobacco free” property. The property placed a shield around “smoke free” areas. Thirdhand tobacco smoke (THS) had not risen to the regulatory level of public consciousness.
Areas and properties remain in place. THS is left behind or carried about with people. THS penetrates the assumed safe “tobacco free” property.
The terms 100%, tobacco, smoke, and free have been combined in several ways to distinguish advances in, and reasons for, tobacco control beyond a source of taxes. Tobacco free, tobacco-free, and tobaccofree have generally referred to workplaces, restaurants, and bars. They may apply to assisted living and memory care as a “workplace”, and more recently, to “multi-unit housing”.
Tobacco-free in 2013 did not include THS. The American Lung Association (ALA) policy uses “complete” (without THS). I am using “complete” with THS rather than “Final” or some other term signifying the end for a need for new names.
Line and a half spacing is used to increase readability. A clean one page draft policy is located at the end of this post in text and in an image. New, Original, and Deleted. Provision Living has been inserted for EMPLOYER and ORGANIZATION NAME as this is where my wife and I live in Columbia, MO.
I have learned that effective tobacco control legislation starts from the bottom up. I have also obtained many meaningful insights into how assisted living and memory care actually operate in the past 2.5 years. This is a good place to start.
Sample Provision Living Tobacco-free Workplace Policy
A tobacco-free environment An environment free of tobacco smoke helps create a safe and healthy living and workplace. Smoking, and secondhand and thirdhand smoke are known to cause serious lung diseases, heart disease, heart attacks, strokes and cancer. [Provision Living] recognizes the hazards caused by tobacco use and exposure to secondhand and thirdhand tobacco smoke. Our policy to provide an environment for all employees, residents, and visitors was established to keep a safe and healthy workplace environment; an ideal environment to break out of any nicotine addiction. This policy covers the smoking of any tobacco product and the use of oral tobacco products, “spit” tobacco and e-cigarettes, and it applies to both employees, residents, and non-employee visitors of Provision Living.
Definitions
Smoker: A person so ill (nicotine addicted) that a nicotine adjustment must be made during the time spent on the property.
Smoke free: an area in which there is no smoking, but which secondhand tobacco smoke can drift into. A “smoke free” sign signifies smoking somewhere.
Secondhand tobacco smoke: the smoke that is inhaled by non-smokers, is deposited everywhere, and can be carried about on hair, clothes and bodies as thirdhand tobacco smoke (THS) where it can become re-airborne in restricted areas.
Tobacco-free: a property onto which no tobacco nicotine materials can be brought, but which thirdhand tobacco smoke can be carried into.
THS Level 1: New hires using non-toxic nicotine replacements, as needed, to adjust nicotine levels during their shift (before arriving until after leaving the property).
THS Level 2: After quitting or 30 days, using non-toxic replacements, as needed, to adjust nicotine levels all 24 hours of the day. [Protects worker, workplace, and family; reduces sick call ins.]
Smoker free: All occupants (employees and residents) living and working on the property no longer smoke. [The ultimate goal of any smoking cessation program.] In time, this status may be included in "tobacco-free", plus the effective date.
Stealth smoking: A facility is presented to the public as an environment free of tobacco smoke and free of tobacco control signs, when in fact, smoking is occurring and may even be accommodated. We found this a common practice in assisted living facilities in MO and TX. It is one reason we selected Provision Living at Columbia.
Policies
OPTION 1 – COMPLETE TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of [Provision Living] at any time.
OPTION2 – COMPLETE TOBACCO-FREE  IN DESIGNATED OUTDOOR AREAS ONLY POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of [Provision Living] at any time. No third hand tobacco smoke (THS) is permitted after probationary period.
THS is managed at three levels on the property: THS 1 (on shift), THS 2 (24 hours), and Smoker Free (no smokers) to accommodate hiring smokers into a caring, radiant person, family type community that is mindful, of the stress involved in continuing and in curing an addictive illness, and the freedom and benefit of being cured: a new non-smoker. At no time is smoke generated on the property.
Procedure
1. Employees will be informed of the [Provision Living] Tobacco-free Policy through signs posted throughout properties owned and operated by [EMPLOYER] including company owned vehicles during regular staff meetings prior to 30 days of being effective.
[Smoking signs in an environment free of tobacco smoke are a constant reminder for those quitting to think about smoking as well as smokers getting ready to quit. These people need to feel how good it is to be free from smoke for 9 hours.]
2. Visitors will be informed of the [Provision Living] 100% Tobacco-free Policy by their hosts, the meeting invite and email correspondence and signs posted throughout the properties owned and operated by [ORGANIZATION NAME].
[The old tradition of asking permission to smoke is reviving again. A free lozenge is available for visitors needing to adjust their nicotine levels. Stealth smokers often act embarrassed when encountered.]
3. Provision Living will help employees who want to quit smoking by helping them prepare to quit, set a quit date, and access recommended smoking cessation programs and materials. This includes a Freedom Team of never smokers, former smokers, new hire quitting smokers and smoking cessation counselors. (Visit www.lung.org/stop-smoking for more information.)
4. Any violations of this policy will be handled through the standard disciplinary procedure.

____________________________________        ________________________
 SIGNATURE CEO or PRESIDENT                          DATE  

American Lung Association 2013 (fits on one page)


One Page Image



Draft                      Provision Living Tobacco-free Policy                Draft
An environment free of tobacco smoke helps create a safe and healthy living and work place. Smoking, secondhand and third hand smoke are known to cause serious lung diseases, heart disease, heart attacks, strokes and cancer. Provision Living recognizes the hazards caused by tobacco use and exposure to secondhand and third hand tobacco smoke. Our policy to provide an environment for all employees, residents, and visitors was established to keep a safe and healthy workplace environment; an ideal environment to break out of any nicotine addiction. This policy covers the smoking of any tobacco product and the use of oral tobacco products, “spit” tobacco and e-cigarettes, and it applies to employees, residents, and non-employee visitors of Provision Living.
Policies
OPTION 1 – TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of Provision Living at any time.
OPTION2 – COMPLETE TOBACCO-FREE POLICY
No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes is permitted within the facilities or on the property of Provision Living at any time. No third hand tobacco smoke (THS) is permitted after probationary period.
THS is managed at three levels on the property: THS 1 (during shift), THS 2 (24 hours), and Smoker Free (no smokers), to accommodate hiring smokers into a caring, radiant person, family type community that is mindful, of the stress involved in continuing and in curing an addictive illness, and the freedom and benefit of being cured: a new non-smoker. At no time is smoke generated on the property.
Procedure
1. Employees will be informed of the Provision Living Tobacco-free Policy during regular staff meetings prior to 30 days of being effective.
2. Visitors will be informed of the Provision Living Tobacco-free Policy by their hosts, the meeting invite and email correspondence.
3. Provision Living will help employees prepare to quit, to set a quit date, and to access recommended smoking cessation programs and materials. This includes a Freedom Team of never smokers, former smokers, new hire quitting smokers and smoking cessation counselors. (Visit www.lung.org/stop-smoking for more information.)
4. Any violations of this policy will be handled through the standard disciplinary procedure.

____________________________________        ________________________
 SIGNATURE CEO or PRESIDENT                          DATE  
                                           American Lung Association 2013, edited 25 May 2018

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