Tobacco/Nicotine Use provides documentation for use of tobacco that is smoked, smokeless, or electronic, as well as a full comprehensive tobacco history.

1.Complete the information in the sections below, as needed.

•Tobacco Use Screening Completed: This section displays the status of the tobacco screening. This is updated when addressed in either Health History or within the Census area of the ADT Registration screens.

oScreening Status allows the user to indicate if it was complete. If Yes is selected, the date it was answered will display within the date field.

oReason for Not Screening will display the reason for not completing the smoking status.

•Smoked Tobacco: This section includes the Smoking Status of the patient.

oThe number of Packs per Day, Week, or Year may be documented in Frequency.

oDuration will define the type of tobacco, Cigarettes, Cigars, and Pipes, and number years they have used smoking tobacco. The start and end dates may also be recorded.

•Smokeless Tobacco: This section includes the Smokeless Tobacco Status of the patient. If the patient is a smokeless tobacco user, the Frequency, Duration, and start and end dates may be documented.

oThe number of times the patient uses the product per Day, Week, or Year may be documented in Frequency.

oDuration will define the number years they have used smokeless tobacco.

oThe start and end dates may also be recorded.

NOTE: The Smoking Status, Smokeless Tobacco Status, Smoke Start Date, and Smoke End Date will update to the Person Profile if fulfilled during registration or in Health History.

•Electronic Cigarettes: This section documents the patient's electronic cigarette use. The number of years may be entered for the Duration, along with the start and end dates of the Electronic Cigarettes.

•History of Tobacco Use: This section will display the historic smoking status, as well as the details about the smoking habit. The following options will display with the ability to enter the start date and end date:

oChews tobacco

oCigar smoker

oCigarette smoker

oExposed to tobacco use smoke at home

oLight tobacco smoker

oMaternal tobacco use

oPassive smoker

oPipe smoker

oRolls own cigarettes

oSnuff user

oThinking about quitting smoking

•Tobacco Cessation Counseling: Tobacco Cessation Counseling needs to be added only if not providing tobacco counseling. If Smoking Cessation Education Documents are given during the visit, Counseling Given will update to Yes, and the name of the document will be listed as Cessation Counseling Given. If no cessation counseling is given, select the magnifying glass for Reason Not Given. Answers may include Not Answered, Medical, Patient Refused, and Other. The system will display a list of specific medical reasons along with the associated SNOMED codes that are acceptable.

2.Once documentation is completed, select Save.

NOTE: If information is not saved, the system will prompt "Are you sure you wish to exit without saving?"

Social History - Tobacco/Nicotine Use

Social History - Tobacco/Nicotine Use

NOTE: The Smoking Status, Smokeless Tobacco Status, Smoke Start Date, and Smoke End Date will update to the Person Profile if fulfilled during registration or in Health History.