Published
Technically or real-world?
Technically:
"Individually identifiable health information” is information, including demographic data [...] and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual."
Real-world:
Posting pictures = termination. Don't do it, unless you're up for a drawn-out legal battle.
I do know of some MD bloggers who do post intraop films. They do so more of showing an interesting case. The patient is never mentioned. But they do pretty fully present the case particulars. I study these cases!!! Love it.
I know a student nurse who took pics of terrible injuries in the er with pt permission with her phone. She wanted to show her instructor and the rest of us. The hospital didn't seem to care. I was a little concerned for her... as far as I know she never posted them.
However I am not on facebook, and refuse friendship offers routinely so I wouldn't know if she did.
I also was told by a classmate that someone she works with complains about her job on her facebook, and has coworkers as friends on that page.
I do know of some MD bloggers who do post intraop films. They do so more of showing an interesting case. The patient is never mentioned. But they do pretty fully present the case particulars. I study these cases!!! Love it.I know a student nurse who took pics of terrible injuries in the er with pt permission with her phone. She wanted to show her instructor and the rest of us. The hospital didn't seem to care. I was a little concerned for her...
as far as I know she never posted them.
However I am not on facebook, and refuse friendship offers routinely so I wouldn't know if she did.
I also was told by a classmate that someone she works with complains about her job on her facebook, and has coworkers as friends on that page.
You have to be really careful what you post on Facebook. One of my coworkers was reprimanded, simply because she posted a picture of herself at work. No patients in the background, nothing that would violate anyone's right to confidentiality---but she was told, in no uncertain terms, to change it. (Which she did.) At about the same time, we discovered that one person who was asking to be "friended" (she had one of those common names that sounds vaguely familiar to most people)was actually an HR person in disguise, monitoring staff remarks on Facebook for HIPAA violations.
I just play it safe, and avoid discussing specific patients at all there. But I've had patients with nasty looking injuries, who asked friends and family members to take pictures for Facebook before suturing, splinting or cleaning them up. Strange world we live in.
So I work in pediatric home health. It's very common for nurses to pull out their phone to show me pix of their other "kids". Most tell me the parents wouldn't mind. Makes me wonder-- were the parents even asked?
I don't have any idea if they post them online anywhere. I've always wondered if it's a disregard for HIPAA or ignorance.
Spritenurse1210, BSN, RN
777 Posts
Has anyone known nurses who put pictures of patients to their facebook accounts? Is this even legal?