[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-289116-105":59,"doc-detail-289116-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","the-point-of-admission-care-bundle-brief-advice-and-acute-management-of-nicotine-withdrawal","The Point of Admission Care Bundle - Brief advice and acute management of nicotine withdrawal","","The Point of Admission Care Bundle provides brief guidance for the admitting team to manage nicotine withdrawal quickly after hospital admission. It specifies timing within 30 minutes and a short 5–10 minute workflow: identify current tobacco and vape use, measure and record carbon monoxide, advise on the hospital’s smokefree policy and available support, initiate rapid nicotine vape or combination NRT after risk assessment, refer to the in-house Tobacco Dependence Team, and record tobacco dependence in the admission diagnosis and care plan.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-point-of-admission-care-bundle-brief-advice-and-acute-management-of-nicotine-withdrawal/289116/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-point-of-admission-care-bundle-brief-advice-and-acute-management-of-nicotine-withdrawal/289116.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"When should the admission care bundle actions be started after a patient is admitted?","Question",{"text":112,"@type":113},"Ideally within 30 minutes of admission, but always within two hours of admission.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What steps are included in the rapid admission checklist?",{"text":117,"@type":113},"Identify current tobacco and vape use, measure and record carbon monoxide, provide brief advice on the smokefree policy and available treatment/support, initiate rapid nicotine vape or combination NRT with risk assessment, refer to the in-house Tobacco Dependence Team, and record tobacco dependence in the admission diagnosis and care plan.",{"name":119,"@type":110,"acceptedAnswer":120},"How are nicotine vape or NRT doses selected based on tobacco dependence?",{"text":121,"@type":113},"Dosing guidance is stratified by cigarettes per day (low, moderate, high, very high), with corresponding vape strength/frequency or NRT patch strength plus fast-acting NRT where appropriate.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},289116,1790069056,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","The Point of Admission Care Bundle 1  \nThe Point of Admission Care Bundle  \nBrief advice and acute management of nicotine withdrawal  \nTimeframe: Ideally within 30 minutes of admission but always within two hours of admission  \nResponsible Team: Admitting Team  \nDuration: 5–10 minutes  \nBrief clinical checklist Done  \n 1  IDENTIFY current tobacco and vape use (last 14 days)  \n■ “Do you currently smoke or use any other tobacco?”  \n> If yes, complete checklist; If no, record  \n■ “Do you currently vape?” > If yes, support with continued use and record  \n■ Measure and record carbon monoxide (CO) level  \n2  ADVISE – Provide brief advice on:  \n■ Hospital’s smokefree policy: “All NHS hospitals including this one are completely smokefree, both in the buildings and on the grounds. This is to protect the health and wellbeing of patients and staff.”  \n■ Available treatment and support: “Whilst you are in hospital it is important that we help you manage the withdrawal symptoms and urges to smoke you may experience. We can give you a vape or nicotine replacement therapy that will make it much easier for you to not smoke.”  \n3  TREAT – Initiate rapid treatment protocol with nicotine vape or combination NRT  \n■ Complete risk assessment to ascertain if patient can safely use a vape/ NRT  \n■ Assess tobacco dependence: “On a typical day, how many cigarettes do you smoke?”See dosing guidelines (on next page) .  \n■ Provide instructions for use of selected vape/ NRT products  \nNicotine vapes > “Use the vape regularly throughout the day and when urges to smoke occur. Take slow puffs on the vape to draw the vapour into your mouth and then inhale into your lungs.”  \nCombination NRT > “Use a new patch every day and use the fast-acting NRT on the hour, every hour and as needed to manage urges to smoke and withdrawal symptoms.”  \n|  4  REFER – Complete referral to the in-house Tobacco Dependence Team\u003Cbr>■ Inform patient: “A member of our Tobacco Dependence Team will come and see |  |\n| --- | --- |\n|  |  |\n| you to check how you’re doing and provide additional support during yoursta | y |\n| in hospital.” |  |\n|  5  RECORD tobacco dependence in admission diagnosis and treatment details |  |\n| in the care plan |  |\n\n2 The Point of Admission Care Bundle  \nDosing guidelines  \n\n| Tobacco dependence | Initial dosing guidance |\n| --- | --- |\n| Low level dependence\u003Cbr>\u003C 10 cigarettes per day | ■ 3–12 mg/ml vape; or\u003Cbr>■ Fast-acting NRT product; or |\n|  | ■ 10–15mg NRT patch |\n| Moderate level dependence\u003Cbr>10–19 cigarettes per day | ■ 12–20 mg/ml vape (1 daily); or\u003Cbr>■ 21 or 25mg patch + fast-acting NRT product |\n| High level dependence\u003Cbr>20–29 cigarettes per day | ■ 18–20 mg/ml vape (1–2 daily); or\u003Cbr>■ 18–20 mg/ml vape (1 daily) + 21 or 25mg NRT patch; or |\n|  | ■ 21 or 25mg NRT patch + fast-acting NRT product |\n| Very high level dependence\u003Cbr>> 30 cigarettes per day | ■ 18–20 mg/ml vape (2–3 daily); or\u003Cbr>■ 18–20 mg/ml vape (1–2 daily) + 21mg or 25mg NRT patch; or |\n|  | ■ 2 x 21 or 25mg NRT NRT patch + fast-acting NRT product |\n\nPrior to the consultation  \nCheck the patient’s record for an advance agreement for tobacco treatment – if you find one, honour it  \nConduct medications review (See Appendix 12 for interactions with smoking)  \nFollowing the consultation  \nRecord tobacco dependence in the admission diagnosis list  \nRecord details of treatment in care plan  \nArrange provision of nicotine vapes or NRT  \nComplete referral to/notify in-house Tobacco Dependence Team using local protocol  \nFor patients taking clozapine or olanzapine, or other medication where smoking affects drug metabolism, consult with prescriber on dose adjustment as per local protocol (See Appendix 12)  \nRecord baseline carbon monoxide (CO) test result  \nThe Point of Admission Care Bundle 3  \n■ Tailor advice according to the patient’s mental health status. Using your  \nclinical judgement and the patient’s presentation, decide how much detail you should go into regarding the tobacco de","cbCaibFbrqiFNpwG","https://ap.wps.com/l/cbCaibFbrqiFNpwG","pdf",223807,"English","# The Point of Admission Care Bundle\n## Admission timeframe and responsible team\n## Clinical checklist\n## Dosing guidelines\n## Prior to the consultation\n## Following the consultation\n## Tailoring advice for mental health status\n## Medication interactions and dose adjustment\n## Tips","[{\"question\":\"When should the admission care bundle actions be started after a patient is admitted?\",\"answer\":\"Ideally within 30 minutes of admission, but always within two hours of admission.\"},{\"question\":\"What steps are included in the rapid admission checklist?\",\"answer\":\"Identify current tobacco and vape use, measure and record carbon monoxide, provide brief advice on the smokefree policy and available treatment/support, initiate rapid nicotine vape or combination NRT with risk assessment, refer to the in-house Tobacco Dependence Team, and record tobacco dependence in the admission diagnosis and care plan.\"},{\"question\":\"How are nicotine vape or NRT doses selected based on tobacco dependence?\",\"answer\":\"Dosing guidance is stratified by cigarettes per day (low, moderate, high, very high), with corresponding vape strength/frequency or NRT patch strength plus fast-acting NRT where appropriate.\"}]","The Point of Admission Care Bundle - Brief advice and acute management of nicotine withdrawal | PDF",1789634579,25]