Published
A new one came up for me today: a patient needs his wound irrigated in a specific way, so the doctor and the nurse assigned to him that day made a short video showing the technique and uploaded it to a private social media group that includes only unit staff and doctors. I'm usually very down on anything involving social media and patients, but I thought this was a creative way to get the word out to everyone. But one of the doctors objected. I think actually he just didn't agree with the treatment, though it isn't his patient, but he said the staff shouldn't be posting such videos. It's a pretty gruesome video, so that might also bother some people. I'm not sure exactly what his main argument was, but I was curious about what you guys would think.
Obviously, the patient knew they were making the video, and I assume he knew why.
There were some firings at a facility I worked at over something very, very similar. If legal and risk management aren't on board (and I highly doubt they would be) and the patient hasn't signed a waiver, I'd get the heck out of that social media group before something less borderline gets shared and the code brown hits the proverbial fan. In the case where I worked, even people who *viewed* the offending material (and in groups, facebook keeps track of who has "seen" a post, so they knew) got in trouble for failure to report.
I know at one hospital I worked at it took months for legal to approve the use of still wound photographs because they were trying to find a way of securing the cameras/uploading procedures that didn't open the hospital up to liability. "Filming it with a phone and uploading it to facebook" is probably not what they would consider a secure procedure.
My hospital has a secure "share" drive that would work in this situation. I know my MD's use it to store their Robotic/laparoscopic videos. They use them for education purposes. Each department/division is given a folder and you can password protect it. That would be ideal in this type of situation so only those who need access can view it. I would NEVER put it on a Facebook group- no matter how "private" you make it. Not guaranteed.
BonnieSc
1 Article; 776 Posts
This hospital doesn't have any intranet, but even at my hospitals that have, I wouldn't know where or how to upload a video to an internal education resource site. Is this common?