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OBJECTIVES: To assess the knowledge, perception, and comfortableness of hospital TCP policy among staff in a children’s hospital. METHODS: The study included 2340 staff members who completed a cross-sectional anonymous online survey in a children’s hospital. The survey examined employee’s knowledge of the effect of tobacco smoking, awareness of hospital TCP policy, and comfortableness of discussing TCP. We compared the responses by respondents’ age (18-35, 36-45, and older than 45 years), sex, job types (nurses, social workers, logistical staff, clinicians, and administrative staff), and smoking status using Chi-square tests. P-value < 0.0006 was considered statistically significant after correcting for multiple testing. RESULTS: The response rate of the survey is about 41%. A majority (84%) of the respondents were women and 41% aged between 18 and 35 years. The prevalence of ever-smokers and current smokers were 16% and 1.4%, respectively. Nurses represented 47% of the participants, followed by administrative staff (34%). Compared to current smokers, non-current smokers were more supportive of a strict hospital-wide smoke-free policy (85% vs 33%, p<0.0001) and more comfortable in talking to coworkers about the health effects associated with smoking (50% vs 30%, p=0.0004). About 30%-40% of nurses felt comfortable in talking to and educate parents about quitting smoking, compared to less than 20% in other job groups (p<0.0001). Nurses were also more likely to agree or strongly agree than other professionals that the hospital should provide tobacco cessation program for parents (≥32% vs <16%, p<0.0001). With increasing age, the comfortableness of talking (31%, 22%, and 21%) and educating (23%, 19%, and 18%) parents about quitting smoking decreased (p<0.0001). CONCLUSIONS: Employee’s perception of the hospital’s TCP policy varied across subgroups by their demographic and job characteristics. The results may help the hospital to improve tailored TCP training among employees.