I'm having problems being able to smoke cigarettes here at San Francisco General Hospital. They have a no smoking policy that's enforced throughout the entire campus.
I had the same issue at the San Francisco Nursing Center. I even got busted by the administrator once. He asked me to give him my cigarettes and I declined. I continued to smoke outside the facility in one of their courtyards and didn't get caught again.
Now I'm sticking my head out the window here at General. What I do is light a cigarette then take 2 or 3 puffs and blow each puff out the window. I haven't been caught yet. I have only a couple more days here and I think I can get by with a few puffs here and there.