Ask, Advise, Assist, Arrange Protocol

ASK
"Have you used tobacco in the past 6 months?" Non–Smoker Smoker Ex–Smoker (greater than 6 months) Quit Date _________

ADVISE
"As your nurse, the most important advice I can give you is to quit smoking."

ASSIST
Minimal Intervention Referral to community resources. Self-help material. Referral to other healthcare provider. Smokers´ Helpline (1-877-513-5333).
or
Intensive Intervention Determine & discuss the stage of change. Reasons for smoking (WHY test). Nicotine Dependence (Fagerstrom Test). Offer information re: pharmacotherapy options. Set a quit date. Review quitting history. Review potential challenges and triggers. Encourage support of family and friends.

ARRANGE
Follow-up or refer to smoking cessation program.