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FranEMTnurse, LPN, EMT-I Pro 45,101 Views

Joined Jun 7, '02. Posts: 14,308 (24% Liked) Likes: 7,590

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  • Aug 13

    Social media

    The use of social media and other electronic communication is expanding exponentially; today’s generation of nurses grew up in a social media milieu.

    Social media provides wonderful online communities for nurses to post and interact. I myself have met amazing colleagues on Twitter I would not have otherwise met. I’ve been on Twitter as @bhawkesrn since 2009 and thankfully never violated HIPAA or posted an over-the-top rant.

    Thankfully because social media is far reaching and nothing can be easily and permanently deleted once posted.

    Poor Judgement

    Lindsay posted a picture of herself on Facebook at a party showing a lot of side boobage.
    It was shocking and hard to reconcile the image of her as a responsible nurse in scrubs with a blatantly sexy picture. Of all the hundreds of images she posted, this may have been most memorable. She took it down, it stayed up only 24 hours, but the damage was done. It’s not that it wasn’t attractive, it’s poor judgment.

    Sheila posted in a large Facebook group that she was looking for a job… because her nurse manager played favorites...unfortunately her nurse manager was tipped off by someone in the same group. It can blur the lines and pose a risk when you friend your boss on Facebook.

    I’ll never forget an ED nurse I knew personally who took a picture of a tattoo located on a patient’s genitalia- what was she thinking? “I’ll never see something like this again, I have to get a picture and show my friends”? To make it even worse, there were four other employees in the group and no one said anything. Until later, when one nurse was bothered by the incident and spoke up. She reported it to the manager, and of course, the nurse was fired.

    My heart goes out to this patient who trusted himself in our care and was taken advantage of.

    Katie Duke, a popular nurselebrity, starred in a medical reality TV show a few years back, ABC’s New York Med. As a nurse in the ED, she dealt with trauma and death every day.

    One day she posted an image on Instagram of a room after a code in a trauma room. A man had been hit by a train and had been treated in this room. If you’ve ever been in a code, you can picture the scene.

    The gurney is gone, leaving a clean floor space in the center of the chaos. The room looks as if a bomb went off, with paper wrappings thrown on the floor, discarded supplies, maybe a bloody get the idea.

    It was an evocative picture but did not reveal any patient information of any sort. Even though she did not violate any HIPAA laws, she was fired that same day from New York Presbyterian Hospital, where she had worked for seven years, being insensitive. Katie claims that the image was taken by a doctor, although shared by her, but that the doctor was not reprimanded.

    I’m sure she suffered a lot afterwards and regretted her choice.

    Other examples include nurses posting X-rays on Facebook, employees taking shots of residents in nursing homes, and posting without consent. Sometimes an employee will only receive a warning at work but typically these violations are not taken lightly, and the current trend is to be terminated.

    Impulse and Anonymous Posts

    Impulsive posts, venting, inappropriate humor...we see it all the time on social media. Remember humor doesn’t always translate well in text and can backfire.

    I have been on social media for many years, but never as anonymous. It was a boundary that kept me in check especially when I wanted to vent, and it prevented me from using bad language or making other poor choices.

    My rule is to only post whatever I’d be OK with my mother reading and seeing. If I hadn’t done that, I could easily have sabotaged my own career down the road. I would not have been able to become a nurse author and write a book, I’m sure.


    As professionals, we must never breach hospital policy or violate the Health Insurance Portability and Accountability Act, a law known as HIPAA, that protects patient privacy.
    Most facilities have social media and patient privacy policies in place- be sure and read yours.


    The American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN®) posted a joint statement on professional responsibility in social media. have mutually endorsed each organization’s guidelines for upholding professional boundaries in a social networking environment.

    According to NCSBN Board of Directors President Myra A. Broadway, JD, MS, RN:
    “Nurses must recognize that it is paramount that they maintain patient privacy and confidentiality at all times, regardless of the mechanism that is being used to transmit the message, be it social networking or a simple conversation. As licensed professionals, they are legally bound to maintain the appropriate boundaries and treat patients with dignity and respect,”


    Inappropriate posts on social media can get you kicked out of nursing school, fired, or not hired at all.

    If you think only your “friends” see your postings, remember that curious hiring managers can simply google your name and check your online presence and postings with little effort.

    Protect your online presence and if you question whether you should post something- you probably shouldn’t.

  • Aug 13

    Quote from sideshowstarlet
    What makes him tick?
    Attachment 24771

  • Aug 13

    Quote from JerseyTomatoMDCrab
    Speaking of leeches,
    Oops! Typo: "parasitical"

  • Aug 13

    Quote from OldDude
    "No wedgies-no worries!" That could be a good topic for a corporate team building seminar.
    Attachment 24761

  • Aug 13
  • Aug 13
  • Aug 13

    Quote from OldDude
    You'll need intensive counseling and monitoring for WMNPTSD after such emotional violations.
    Attachment 24750

  • Aug 11

    This is gross and weird...

    Years ago, I was assigned to a male psyche pt in the locked "quiet room" of our ED.
    I placed him in a yellow paper gown which he then proceeded to tear up and make into some sort of grass skirt looking ensemble.
    Next thing I know, he's knocking on the glass window and grinning like a banshee as he points to his exposed genitals!
    After a while he again taps on the glass and proceeds to casually drink his own urine out of the plastic urinal.
    Incredulous, I asked him, "What the hell are you doing???". His cheerful reply, "I'M RECYCLING!"

  • Aug 9

    I said get the GURNEY, not the ATTORNEY!

  • Aug 8

    Quote from Dayray
    Yeah I was quite shocked myself. Being brand new I thought of old people as sweet and harmless. I guess I can be thankful I was shown the truth early. mabey thats why I work in OB too =}
    Hahaha... I thought the same thing 17 years ago when I became an STNA! I was an STNA for 7 years and been an LPN for 10 years now... But I thought "they're old and sweet, like my grandma, it'll be easy"! Ha! I learned that was wrong my first week! But, I wouldn't trade my career choice for any other job!

  • Jul 31

    Thank you Ashley! You got me with that fresh flowers and fruit bit!

  • Jul 26

    According to Oxford Dictionaries, prayer is defined as a solemn request for help or expression of thanks addressed to God or another deity. Although people usually associate praying with organized religion, prayers can incorporate spirituality without necessarily being religious. Prayer is also rather versatile because an individual can pray aloud, silently, alone, with a group, at a place of worship, or in the privacy of one's home.

    In recent years, research has indicated that prayer might result in a multitude of beneficial outcomes for patients in healthcare facilities and in the community. According to Schiffman (2012), regular prayer and meditation has been shown in numerous scientific studies to be an important factor in living longer and staying healthy. Growing evidence suggests that prayer might positively impact pain levels, stress and anxiety, severity of symptoms, recovery time, emotional well-being, interpersonal relationships, longevity, and other important aspects of patient's lives.

    Studies have actually shown that those who pray are physically and emotionally healthier than those who do not (Miller, 2008). Praying might very well be the driving force that helps some patients live longer and with enhanced quality of life. A recent survey reported in the Journal of Gerontology of 4,000 senior citizens in Durham, NC, found that people who prayed or meditated coped better with illness and lived longer than those who did not (Schiffman, 2012). Moreover, praying can sometimes ward off illnesses associated with stress or unhealthy living. In one National Institutes of Health funded study, individuals who prayed daily were shown to be 40 percent less likely to have high blood pressure than those without a regular prayer practice (Schiffman, 2012).

    Prayer can be utilized as a powerful technique for drug-free stress reduction. According to Schiffman (2012), a wide variety of spiritual practices have been shown to help alleviate the stress levels, which are one of the major risk factors for disease. In general, patients are in relaxed states during times of prayer and meditation. Perhaps it is this meditative process that gives prayer one of its most outstanding benefits (Miller, 2008).

    Furthermore, prayer may have an effect on patients' responses to disease processes. A 2011 study of inner city youth with asthma by researchers at the University of Cincinnati indicates that those who practiced prayer and meditation experienced fewer and less severe symptoms than those who had not (Schiffman, 2012). Also, research suggests that patients who are religious have speedier recovery times after major medical procedures. Research at Dartmouth Medical School found that patients with strong religious beliefs who underwent elective heart surgery were three times more likely to recover than those who were less religious (Schiffman, 2012).

    Another positive aspect regarding the power of prayer is that it helps patients' social and interpersonal bonds with people become stronger. When we pray for those we know and love, it helps us to understand that person a little bit better (Miller, 2008). Prayer can be the glue that forges that intangible connection with people.

    Science strongly indicates that patients who engage in prayer and meditation experience health benefits. Some of the benefits of the power of prayer are measurable, while others cannot directly be measured or observed. These findings are exciting and certainly warrant further study. In summary, if our patients feel spiritually and emotionally at peace while praying, who are we to stop them?

  • Jul 13

    Quote from missmollie
    You call a doctor and they dismiss your concern. You bet your bottom dollar I'm charting that, with quotes, and verbatim what the doctor said to me. Clicks or not, I will not be thrown under a bus because we should just choose boxes.

    Legally, the place you work for cannot change your nursing notes, so you protect you.

    Nailed it. You bet I am charting that "Dr. ABC was notified of XYZ. No new orders at this time." I am covering my hiney!

  • Jul 10

    Quote from Ruby Vee
    Years and years ago, I worked for a state hospital that was doing one of the original studies on penile implants. In order to get on the list to get an implant, you first had to prove that you were impotent. The "proof" involved a hospital stay with a "monitor" (a paper band) on the penis. If you got an nocturnal erection, you weren't really considered impotent, and wouldn't get the implant. I was a brand new nurse when I got my first "study" patient. If the patient had an erection, we were supposed to wake them up and show it to them.

    So here I am, straight off the farm and brand new at nursing, hoping against hope that my patient didn't have an erection. Sure enough, he did. So I dutifully went into his room to wake him up and show it to him . . . whereupon he whipped aside the covers and said something like "So hop in here, Honey and we'll put it to use." EWWWWWWW!
    "Good morning, sir. It is my duty to inform you that your soldier appears to be standing at attention."

  • Jul 10

    Ok, seriously, how many of these most embarrassing stories involve patient genitals lol?!

    My most embarrassing I described in another thread recently (gel disinfectant, in my eye, first day of my first nursing job).
    To follow with others and their genital stories, and describe my most RECENT embarrassing story, I recently was doing a skin check on a new patient. Pt was a young male. You guessed it, under his underwear, clear as day, you could make out his very obvious erection. He just has this look on his face that begged not to pull away his underwear. Normally I couldn't care less about that kind of thing, but his embarrassment made me embarrassed. I checked everything except what was under his underwear, asked if his skin was intact there too, and walked out. I don't know who was more relieved not to continue that awkward encounter.

    ETA. To clarify, I don't care about pts having weird physical um, reactions. Doesn't phase me. I do care about patients feeling bad or embarrassed about something.