The blurred line, patients, social media, and safety

Nurses HIPAA

Published

Social media, it's use, as common as a telephone. Nurses everywhere have cared for a patient that, well, could act inappropriately. After 12 years, I have had my share, remained caring and ethical. I was recently thrown into a very uncomfortable situation and social media was the vehicle. Let me set the table...

A male vascular surgery patient had a successful outcome after a five week stay and was discharged. During treatment he would specifically ask if so and so was working, these were 3 specifuc nursing assistants. He would ask when they were working next, I deferred the question properly, but found it a bit odd, as it happened a handful of times. The patient was discharged after his AKA.

Approximately 3 weeks later, one of these LNAs he consistently inquired about, shows me pictures of our former patient, and she friended him on facebook. She informs me he broke up with his girlfriend, is doing well, and needs rides to get errands done, and her boyfriend will be with her.

I couldn't breathe. I was instantly worried about her safety first, ethics a close second. She is a 19 year old girl, newly licensed. My gut told me this former patient 30 years her senior, had alternate thoughts...

I was an emotional wreck during my days off. I thought I had seen and heard it all, but this...My girl radar was telling me a former patient had my co worker in his sights, and using Facebook as his platform. I anonymously contacted HR, then my nurse manager.

As nurses, patient safety, advocacy, and ethics are the trifecta of this journey we are on, in a million years, I never thought I would have to defend the safety of a co worker from a patient via social media.

See something say something.

If she had showed it to me, I would've explained that this is more than just frowned upon; it may be dangerous and also various hospital departments/authorities would probably have a field day. I would suggest she unfriend and never do anything like this again.

But I probably wouldn't know about it because I leave the area when people are doing anything with personal cell phones at work. I don't want to be associated with that behavior and also I couldn't care less about dogs that say 'I love you' or any other stupidity including FB.

Specializes in NICU.
The responses here are alarming. HR refesher courses are needed. Code of Conduct ring a bell?? No one has a right to make bad choices

Our licensure expectations of behavior do not stop when we punch in or out, including social media.

Sounds to me now you did not approve of her "conduct","choice", "behavior" and under the guise of "concern" you went to HR,your manager.

While you can choose to worry about your co worker and social media ,it is no different than her going clubbing ,getting wasted with strangers,you are not her keeper.

You should have reported him to the police.

Specializes in Infusion Nursing, Home Health Infusion.

If you were concerned why didn't you go directly to the aide or LVN and tell her the error she is making judgement and why.Why go to HR at all of it can be made better with one on one.Though frowned upon it is not legal to befriend a former patient.My cousin who is a physical therapist nurseed one back to health and then married him.I know of many cases like this because it is our nature to connect with others and very difficult to turn it off and have limits.Once the caregiver/patient relationship has ceased to exist there is nothing that forbids one to establish a relationship. Do I think this guy was looking for young flesh ...yes...I would be very suspicious of him and she is young and wants to rescue.....It probably makes her feel good....but she needs to run far away from this guy...he was looking to get his hooks in someone and is using a "poor me as his hook.

As a patient this is one of the things that concerns. I have seen nurses with personal cell phones on the floor that could lead to possible pictures, statements etc being posted about their day to day life in the hospital or nursing home that would or could possibly a violation. How are the patients assured that someone is not snapping pics and keeping on their personal cell phone? When you have people in a vulnerable situation they should be safe but in today's society is seems to be let's just post it! But that is off topic of this post.

Your protection is HIPAA

She informs me he broke up with his girlfriend, is doing well, and needs rides to get errands done, and her boyfriend will be with her.

I couldn't breathe. I was instantly worried about her safety first, ethics a close second. She is a 19 year old girl, newly licensed. My gut told me this former patient 30 years her senior, had alternate thoughts...

.

No doubt he is paying her for the help...unfortunately the temptation to earn a few extra dollars can lead a naive young person to putting oneself in a dangerous situation.

I agree with previous posters that speaking to her directly is more helpful than going to HR.

Not that she will listen...

I must respectfully disagree with this. Ethics and Boundaries are taught as part of our requirement for holding a license. She has an obligation to use good judgment and protect her license. You don't stop being a nurse when you go home at the end of the day.

I do.

At home and on any personal time? I am a wife, mom, friend ; whatever else. I'm a nurse for pay , and while on the clock. That's it

Specializes in critical care, ER,ICU, CVSURG, CCU.

I do not acknowledge a patient is or forme patient....

When I get to respond to said patient, I explain private medical knowledge and even acknowledging that she / he was a patient is against federally patient history, and explain I can not acknowledge they were even a patient, or give advice.... they must personally seek advive from facility.......

I have seen too many health care employees ruined by social media responses

Sometimes I wonder if I'm missing anything by not being on FB. I'm comforted by stories like these.

Specializes in MICU, Burn ICU.

Who uses Facebook anymore? :sarcastic:

On ‎8‎/‎25‎/‎2018 at 2:31 AM, trytounderstand said:

As a patient this is one of the things that concerns. I have seen nurses with personal cell phones on the floor that could lead to possible pictures, statements etc being posted about their day to day life in the hospital or nursing home that would or could possibly a violation. How are the patients assured that someone is not snapping pics and keeping on their personal cell phone? When you have people in a vulnerable situation they should be safe but in today's society is seems to be let's just post it! But that is off topic of this post.

Taking pictures of what though, our patients? I don't know how to assure you other than... 1. we actually aren't that interested in seeing photos of you every day! and 2. we really don't want to run the risk of our registration being terminated. If we got caught, do you know how much trouble we would be in? Honestly it's hardly worth it.
We mostly have our phones in the unit so that we can fill in boredom time/our breaks with checking facebook and Instagram.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
On 8/24/2018 at 9:31 AM, trytounderstand said:

As a patient this is one of the things that concerns. I have seen nurses with personal cell phones on the floor that could lead to possible pictures, statements etc being posted about their day to day life in the hospital or nursing home that would or could possibly a violation. How are the patients assured that someone is not snapping pics and keeping on their personal cell phone? When you have people in a vulnerable situation they should be safe but in today's society is seems to be let's just post it! But that is off topic of this post.

It's not the patients that have to worry about pictures and statements being posted. Most of us are quite aware that we can lose our jobs over social media posts. We were informed by our manager that the hospital system has a whole department of IT folks combing over social media looking for posts about our facility by employees, looking for inappropriate posts and HIPAA violations.

Sadly, the nursing staff have to worry about patients and visitors taking photos of US and posting them on social media along with a rant about how we wouldn't let them play with their gun in the ICU (a real complaint) or wouldn't get them a cheeseburger and a shake when they were NPO (also a real complaint.) I really worry about that sort of thing. I moved three thousand miles and changed my first and last names so my abusive ex-husband who tried to kill me wouldn't be able to find me. And some patient's family member posted a picture of me. The post didn't say anything except "This is my nurse," and my name, but I had no recourse. All I could do was ask them politely to take it down. I asked, and they took it down, but my ex's family had already seen it.

1 hour ago, Ruby Vee said:

It's not the patients that have to worry about pictures and statements being posted. Most of us are quite aware that we can lose our jobs over social media posts. We were informed by our manager that the hospital system has a whole department of IT folks combing over social media looking for posts about our facility by employees, looking for inappropriate posts and HIPAA violations.

Sadly, the nursing staff have to worry about patients and visitors taking photos of US and posting them on social media along with a rant about how we wouldn't let them play with their gun in the ICU (a real complaint) or wouldn't get them a cheeseburger and a shake when they were NPO (also a real complaint.) I really worry about that sort of thing. I moved three thousand miles and changed my first and last names so my abusive ex-husband who tried to kill me wouldn't be able to find me. And some patient's family member posted a picture of me. The post didn't say anything except "This is my nurse," and my name, but I had no recourse. All I could do was ask them politely to take it down. I asked, and they took it down, but my ex's family had already seen it.

I am truly sorry that this happened to you. Social media users do not understand how much damage can be done with sharing too much information to the world.

+ Add a Comment