My opinion differs from most here (and I don't need you to convince me I am wrong...I am perfectly fine with my use of social media where patient families are concerned), but I work in the NICU, and I accept friend requests from my patients' families after their babies are discharged. Our families sometimes become very close to their nurses while we are caring for them and their babies, and it's a great way to see the babies grow and change. I don't put anything on Facebook that I would not want them to read, and if they try to overstep by asking for medical advice, I put a stop to it. My organization does have a social media policy, but it does not forbid Facebook friendship, as long as we are representing ourselves, our profession, and our organization in a positive and professional manner. Seeing babies who I have taken care of grow up is such a highlight of my Facebook experience, and I am so glad to have the opportunity. Of course, if I worked for a network that forbid it, I would follow those rules.