July 22, 2014

Social Media Guidelines for Nurses

Social Media Guidelines for Nurses from NCSBN Interactive on Vimeo.

0:00
♪ [music] ♪
0:02
- [voice over] Emily was a nursing student in a pediatric rotation. She cared for
0:06
Tommy, a five-year old patient who was recently diagnosed with type one diabetes.
0:11
Tommy was going home soon so she took a cellphone picture of him to remember him
0:15
by. That evening, she posted his picture on her Facebook page commenting how brave
0:19
he was when he got his insulin injections. Two days later, Emily was called into her
0:24
dean's office. A nurse from the hospital had seen the photo and caption and
0:28
reported them to hospital officials. Emily was informed that her actions were a
0:32
breach of her patient's confidentiality and a violation of federal privacy laws.
0:37
Even though Emily had an excellent record as a student nurse, and had only had the
0:41
best intentions in her post, she was expelled from her nursing program and the
0:45
program has barred from using the pediatrics unit for their students.
0:49
- Hi. I'm Kelly, a staff nurse here at the hospital. If you use social media
0:54
properly, what happened to Emily will never happen to you. Nurses are
0:59
increasingly utilizing social media not only for personal use but also as a way to
1:04
foster professional connections and timely communications with patients and their
1:08
families. But social media used inappropriately can result in disclosing
1:12
too much patient information and violating their rights to privacy and
1:16
confidentiality of information. This is what happened to Emily. Healthcare
1:21
organizations typically have clear policies governing employee use of
1:24
electronic and social in the workplace. It is out side the workplace however, where
1:29
policies are often less clear and the potential for inappropriate use of social
1:33
media is greatly increased. Effective nurse-patient relationships are built on
1:38
trust. A cornerstone of that trust is patient privacy. Which is a key part of a
1:42
patient's expectation to being treated with dignity and respect. Any patient
1:47
information that a nurse has access to during the course of treatment must be
1:50
safeguarded. With very limited exceptions, such information may only be disclosed to
1:55
other members of the healthcare team for the purpose of providing care for the
1:59
patient. Improper use of social media by nurses may
2:02
violate state and federal laws. Including the health insurance portability and
2:06
accountability act or HIPA. Which was enacted to further protect the patient
2:10
privacy. Additionally, inappropriate uses of electronic and social media maybe
2:15
reported to the Board of Nursing resulting in possible disciplinary action for
2:19
unprofessional or unethical conduct, breach of confidentiality, or other
2:23
infractions. Well, it's true that some intentional or malicious misuses of
2:27
social media do occur, the majority of inappropriate disclosures or postings are
2:32
unintentional. Usually they're the result of the mistaken belief that the
2:37
communication or posting is private and accessible only by the intended recipient.
2:40
That content deleted from the site is no longer accessible, for that it is
2:46
acceptable to discuss or refer to a patient in a posting if they're not
2:48
identified by name. By being cautious and alert to potential or improper uses of
2:53
social media, you can avoid inadvertantly disclosing confidential information
2:57
concerning your patients. Remember, you have an ethical and legal obligation to
3:02
maintain patient privacy at all times. This means that you should never take photos or
3:07
videos of patients using your cellphones or other personal devices. Be sure to
3:11
follow employer policies for taking photos or videos of patients for treatments or
3:16
other permissible purposes by using an employer provided devices. Even
3:21
experienced nurses should be vigilant about avoiding serious violations of
3:24
patient confidentiality as Jason learned.
3:29
- [voice over] Jason has been a nurse for 12 years and is working in hospice care.
3:33
One of his current patients, Maria, maintains a hospital sponsored online page
3:37
to keep her family and friends updated on her battle of cancer. One day, she posted
3:42
something about her depression and the difficulty of finding effective treatments
3:46
for her physical pain. Jason saw the post and responded by writing a comment to
3:50
Maria. He wrote that he understood her last few days have been difficult and he
3:54
was hopeful that the new medication along with the increase dose of morphine will
3:58
provide some needed relief. The next day, Jason ran into a friend who said she saw
4:02
his post. She said Maria was an old family friend, was sad to hear of her condition
4:08
and asked Jason how long he thought Maria had left. Now, fully realizing the
4:12
implications on what he had done, immediately went home and tried to remove
4:15
his post but was unable to do so. Besides, even if he had been successful in
4:20
removing it. It may have already been copied by others and posted elsewhere. At
4:24
his next visit with Maria, Jason told her what had happened and apologized. Jason
4:29
then self-reported his breach of patient confidentiality to his Board of Nursing
4:33
and is awaiting the board's decision concerning any disciplinary action.
4:38
- Jason learned the importance of carefully considering the full
4:41
implications of posting any information about patients on any website, including
4:45
hospital sponsored sites. It may at times be appropriate for nurses to express
4:49
empathy and support for patients on a website but they must be careful not to
4:53
disclose private patient information. Inappropriate use of social media can
4:58
derail someone's dream to be a nurse as it did for Emily.
5:02
But even for experienced nurses like Jason, who have exceptional work
5:06
histories, inappropriate use of social media can and does happen. Remember,
5:11
increased access to communication through social media does not change the
5:14
healthcare professional's responsibility to protect patient information. In fact it
5:19
actually makes it easier to inappropriately share information. By
5:23
carefully following standardized guidelines, healthcare professionals can
5:26
responsibly use social media to improve the coordination of patient care. For more
5:31
information, please visit the website of the National Council of State Boards of
5:35
Nursing.
5:36
♪ [music] ♪

About the Author

Iwebslog Labs

Author & Editor

Has laoreet percipitur ad. Vide interesset in mei, no his legimus verterem. Et nostrum imperdiet appellantur usu, mnesarchum referrentur id vim.

Post a Comment

 
Iwebslog Blog © 2015 - Designed by Templateism.com