Quote from JustBeachyNurse
However if your employer has a policy against social media that could be the bigger issue. NCSBN just released a social media policy for nurses as a guideline
That's true. Even if you follow the NCSBN guidelines, you may still be running afoul of your employer's social media policy and could lose your job.
Some people know that it's acceptable to post under their employer's guidelines so they blog away. Some people aren't allowed to but don't care...and these are the ones that risk running into trouble.
And even if you're very careful with changing details, being vague, etc., there's always a risk that your identity will be figured out and what you write used against you. Not too long ago, a popular nursing blog was shut down because someone figured out who the person was and where they work, and reported him to management. Management called the blogger on the carpet and thus the blog ended (blogger himself shut it down). On the web, you are not as anonymous as you think.
So if you want to blog, look up your employer's social media guidelines first to know what you can and can't do. Then use those NCSBN guidelines to guide you. Definitely change names, dates and details. Watch what you write because even though you may not have patient PHI on the post, specific incidents/surgeries/procedures could be enough identifying information in themselves.
IMO, the safest rule of thumb is don't write anything you're not prepared to say directly to the person you are writing about, or that you wouldn't mind your friends, family, and especially your employers knowing.