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Ask
Ask every patient at every visit "Do you smoke?" Document tobacco use status along with vital signs.
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Expanding the vital signs to include tobacco use status, or the use of other reminder systems such as chart stickers or computer prompts, significantly increases clinical intervention. Below is a sample.
Vital Signs
Blood Pressure: ___________
Pulse: _____ Weight: ______
Temperature: ______________
Respiratory Rate: _________
Tobacco Use:
Current | Former | Never
(circle one)
*This information is drawn directly from the U.S. DHHS Public Health Guideline for Treating Tobacco Use and Dependence, May 2008.







