For some, its an addiction. Walters, who was hired this year, also declined to comment on the outcome of the facilitys internal investigation, saying only that staff had been retrained on the cellphone policy. Your coworkers and boss will have a lack of trust if you show disrespect for the organization. Boards of Nursing (BONs) may also get involved in situations related to inappropriate disclosures on social media such as unprofessional or unethical conduct, moral turpitude, and revealing . Facility:Aberdeen Rehabilitation and Skilled Nursing Center. Sharing information. Nurses are welcome to use social media personally, with many potential benefits for both the individual nurses and the nursing community. Here's a look at three must-follow tips and standards provided by the American Nursing Association for nurses using social media. Read more about this incident. When in doubt, just dont post it. Do not refer to patients in a disparaging manner, even if patients are not identified. Its also worth separating your social media presence by personal and professional use. But its so necessary that they stay focused when lives are on the line so that they dont make a mistake. Italian Nurses' experiences during the COVID-19 pandemic: a qualitative analysis of internet posts. After inspectors intervened, three other staff members were suspended. Description:A nursing assistant posted on Snapchat a potentially embarrassing video of a resident with severe mental impairment. Just because they follow you doesnt mean you need to reciprocate. There are a lot of beneficial information sources and learning opportunities to be had, as long as the comments are kept professional and nonspecific to patient or location. 6. We therefore have thorough policies in place to regulate activity that takes place within our facility. She added that she did not mean any harm by her actions. The facility policy forbids staff from taking or posting pictures of residents. A third photo shows the woman touching her face with her fingers with the brown matter on them. Who would find out? As Ive mentioned, posting protected health information without consent is always unacceptable. Neither the facility nor the Los Angeles Police Department returned calls for comment. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental . When questioned by government inspectors, the assistants denied taking pictures of residents. You might also decide to use an account for your practice instead of specific to yourself as a doctor. Facebook. *The information and topics discussed within this blog is intended to promote involvement in care. As long as nurses follow the guidelines outlined below , they can avoid unpleasant professional consequences and stay clear of risks related to disclosure of protected information. Thank you for your interest in republishing this story. While background checks are an important part of the vetting process of employees, we can never truly know if an individual is going to make an extremely poor and immature decision, the facilitys administrator David Gery wrote. Is this the best you have? before using an explicit word, which was censored in the government inspection report. Inappropriate use of social media necessitates health institutes, academic institutes, nurses and educators to consider occupational ethical principles while creating a policy and guide on the usage of social media. Nursing policymakers, educators, administrators and clinicians need to cooperate in the development of ethical awareness and creation of solutions to violations, the preparation of guidelines for social media use. **Facility:**Arbors at Michigan City The three assistants were immediately suspended and later terminated. As a doctor, you may feel the need to bring this up in their next visit. Bethesda, MD 20894, Web Policies If you notice a colleague or fellow nurse is breaching confidentiality or patient privacy, you should promptly report it to your HIPAA privacy or compliance officer. 235 Wellesley Street, Weston MA 02493 | 781.768.7000 | 2022, Health Policy and Management Concentration, Online Master of Science in Applied Behavior Analysis, Online Master of Science in Nursing Overview, Online Pediatric Nurse Practitioner (PNP), Online Psychiatric Mental Health Nurse Practitioner (PMHNP), Online Womens Health Nurse Practitioner (WHNP), Online Adult Gerontology Primary Care Nurse Practitioner (AGPCNP), Online Adult Gerontology Acute Care Nurse Practitioner (AGACNP), Online Professional Certificate in Nursing Leadership. NCSBN has developed guidelines for nurses and nursing students for using social media responsibly. Description:Police arrested a medical assistant for posting video on Snapchat of two residents having sex. Employees undergo training relative to these policies when they are hired and do so routinely on an annual basis. Epub 2014 Aug 4. Inspectors interviewed the resident, who said facility employees passed gas in his face as often as every month. Both employees involved with taking the video (the one who passed gas and the one who taped it) no longer work at the facility. Nobody in an agency capacity has even seen the picture nor can they see the picture, so how can you write a deficiency let alone a fine when there isnt a picture to substantiate the accusation? Wolf said she was recently informed that CMS was withdrawing the immediate jeopardy designation and cutting the fine in half. Beyond the state licensing board, the U.S. Department of Health and Human Services also investigates HIPAA violations, and the fines can be substantial if you're found to have disclosed PHI on social media. For more information about canonical metadata, You cant edit our material, except to reflect relative changes in time, location and editorial style. The nursing assistant initially denied taking the video but later admitted it. Furthermore, a nurse might face adverse consequences such as fines, job termination, or permanent or temporary revocation of license (Selekman et al., 2019). That way, helpful information can be shared without the worry of negatively impacting the lives of the patients, coworkers, nurse, or organization. The video showed a hand briefly tugging at the residents hair. Most of the people who work in nursing homes are really wonderful people and its a shame that this is what people talk about. There was no resident or family complaint; when the post was discovered by another staff member, we self-reported the incident as a cautionary measure. Online J Issues Nurs. Complete the form to download the brochure. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing. The data were collected confidentially from the nurses working at a university hospital in Turkey, using the Personal Information Form and the Ethic Case Form. But what if someone comes to you with a concern? The residents face was not in the picture but she was identified based on the sweater she was wearing. The nursing home administrator and director of nursing told inspectors that their staff did not follow the employee policy on cellphone use or its policy on timely reporting of possible resident abuse. In this case it was a very minor technicality., How it became public:Government inspection report, news report, Description:A nursing assistant took a photo of a residents inner thighs and genitals while the resident sat on the toilet and shared it via Snapchat with a former employee. How nurses should be using social media. **How it became public:** [*Government inspection report*](https://www.medicare.gov/nursinghomecompare/inspectionreportdetail.aspx?ID=225296&SURVEYDATE=01/14/2016&INSPTYPE=CMPL) Bookshelf Its just such an appalling act, he told the station. . Among the posts that might be considered inappropriate based on the professional standards of nursing include posts . Key points of these guidelines are summarized, along with dramatization of potential scenarios of inappropriate social media use . As social creatures, humans thrive on and intrinsically need social interactions (McFadden, 2020). In fact, they want to connect with their providers through social media. NCSBN has developed guidelines for nurses and nursing students for using social media responsibly. The homes administrator referred a reporter to a corrective-action plan filed with the state. First, its best not to follow your patients. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing. Below are details of 65 incidents since 2012 in which workers at nursing homes and assisted-living centers shared photos or videos of residents on social media networks. According to the Lowell Sun newspaper, one video shows an elderly resident sitting on a commode while dressed and being asked about her sex life and if she smoked marijuana. Both pleaded no contest to misdemeanor counts of disorderly conduct and invasion of privacy through use of a surveillance device. This goes along with stories about clients. Citing privacy, DeAnn Walters, the facilitys administrator, declined comment on whether the housekeeper still workers there. Social Media Post Prompts Firing. The state began investigating Barry Helfmann after a 2015 article by ProPublica and the New York Times about debt collection lawsuits against his patients that included details of their mental health diagnoses and treatments. Particularly charged comments, such as those about alcohol, sex, drugs, or race, could lead to unprofessional behavior charges, according to American Nurse Today. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. If they have done something abusive to another person in the past, they do not come to work for us. Demmings said Friendship Village provides education both at the time of hire and on an ongoing basis on cellphone use; he called this employees actions an isolated event. The aide was suspended. Yes, employers look up prospective employees before hiring them. They were fired, pleaded guilty to a misdemeanor count of battery and were sentenced to probation and community service. Method: Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Nurs Ethics. When Case 3 evaluations of nurses were analysed according to ethics training, statistically significant differences were found. You are are free to republish it so long as you do the following: Copy and paste the following into your page to republish: **Date:** April 2013 Price et al. The home also re-educated staff about its cellphone policy and further restricted their use in resident care areas. A second assistant admitted to taking a photo of another resident who was both cursing and calling people names. And people will still avoid getting care if they know the staff has a bad attitude toward your company and coworkers. No . Nurses can positively use social media to share challenging or emotional experiences, but it is critical that they not mention any identifying patient or location information to avoid negative consequences. The homes interim administrator said she has no knowledge of the incident and declined comment. The resident had no knowledge of a staff member taking his/her picture. But health professionals also have inappropriate use of social media outside of work. Its best to only maintain a professional relationship on social media. Maybe it doesnt seem like an identifier to you, but if someone knows that patient they may recognize who youre referring to. In hospitals specifically, 78.1% of registered nurses use a personal device at work. Social media guidelines for nurses. American Nurses Association, Twitter The photo, posted in February, showed the resident in a wheelchair, smiling, with the caption, Fly away until another day soon soon we will be on are (sic) way. The photo was discovered by the facilitys administration in May, and while the employee had told a nursing home official that the family had given permission to take the photo, government inspectors were unable to verify this. Pillow MT, Hopson L, Bond M, et al; Council . "Usually I reserve public posts about health care to try convincing colleagues to buy my books," says Nick Angelis, author of How to Succeed in Anesthesia School (And RN, PA, or Med . She was sitting up in bed with white sheets and a pillow behind her. Description: A nursing assistant made a video of an incontinent residents bowel movement on the bathroom floor and shared it on Snapchat with two staff members. The aide said the nurse placed the cell phone in the residents face and demanded that he/she say hi on camera to the person with whom the nurse had been talking. It also makes others less likely to trust a practice when they see staff posting stories of someones health. Organisational and individual support for nurses' ethical competence: A cross-sectional survey. Do not use the employer's internet to post on social media sites. The assistant said she took the photo because the assistant director of nursing asked her to do so, in order to show a physician bruising on her body (the assistant director denied doing so.) Another photo shows someone touching the womans nose with a tissue or feather, apparently with the hope that the woman would touch her face with her dirty hand. Both were suspended and later fired. While visiting her grandmother (and not working), she took a photograph and posted it to her personal Facebook page. As explained by EveryNurse, nurses should not use social media to: Complain about or comment on any aspect of their patients Facility: Bethany Woods Nursing and Rehabilitation Center. The Snapchat came from a nursing assistant and allegedly was sent to several people. Social media is a part of our lives now, for better or worse. Maybe you think that posting these in a private group or sending it to just one person is acceptable. The first assistant took photos of one resident sitting on the toilet and another in a bedroom. Social media abuse not only impacts the nurse who posted the content, but also the people or institution they posted about. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Description: A year after she stopped working at the home, a former nurse aide posted a video to Facebook in which an elderly wheelchair-bound resident was harassed. Social Networking Principles. Description:An instructor of nursing assistants reported that students approached her about inappropriate Snapchats taken at the facility. Loss of employment Your patients arent supposed to become your friends. Share educational information that may benefit others, such as safety notices and medical news. But you need to navigate how to reveal these discoveries while remaining sensitive to their feelings and privacy. The resident, who was moderately cognitively impaired but required little regular assistance, told facility administrators that he was aware he was being filmed and was not upset about the incident. Inappropriate behavior might damage the professional image of nurses as well as a health care setting's reputation. The task force has been charged with creating a series of interprofessional staff updates on the following topics: Social media best practices. **How it became public:**[News story](http://www.wndu.com/content/news/Nursing-Asst--369466662.html), criminal charges (For example, yesterday can be changed to last week, and Portland, Ore. to Portland or here.), You cannot republish our photographs or illustrations without specific permission. She was terminated. The resident is now suing the home for damages. Our training has included the prohibition of electronic devices in the work areas as a result. Nurses have been terminated and a few have lost their licenses because lawyers were able to use social media posts as evidence that the nurse wasn't paying enough attention to their patient. Hashtags are a must if you want to reach, attract, and hire nurses on social media on social media. Even though these are unintentional, its still an inappropriate use of social media. Analysis of the data showed that the majority of the nurses had received training in ethics, used WhatsApp social media application most often, spent less than an hour a day on social media platforms and used social media to follow daily posts. National Council of State Boards of Nursing. Witnesses to the video told supervisors they heard [the aides] voice in the recording saying look at this crazy bitch she doesnt like taking showers. When confronted, the aide reportedly told her supervisor she meant to take a photo of just the womans face to show two other employees and accidentally posted it on her public Snapchat feed. Court records noted that the video included a caption She f***ing hates showers. Description: The facility received a tip from an unknown source that an employee had posted live videos in which residents could be seen. 5, 11 The use of social media is prevalent across all ages and professions and is pervasive around the world. When interviewed by inspectors, one resident was unable to respond to questions. Read and follow social media . Katie Duke, a nurse propelled to fame by popular reality show NY Med, was fired for social media. Case After ten years of back pain and difficulty finding properly fitting clothing, Alexis decides to begin researching breast reduction. 5, 11 In the U.S., the proportion of adults using social media has increased from 8% to 72% since 2005. 2021 Jun;68(2):238-247. doi: 10.1111/inr.12669. He was charged with two felonies after admitting that he took a picture of a woman in her 90s, who had fallen asleep on a toilet, with her genitals exposed, according to WXOW. Social media holds many potential benefits for nurses. It isnt unlikely for health professionals to use their devices and social networking while at work. While it can be useful to know what outside experience might be impacting their health, this leads to crossing boundaries. **How it became public:** [Government inspection report](https://www.medicare.gov/nursinghomecompare/inspectionreportdetail.aspx?ID=495253&SURVEYDATE=08/29/2013&INSPTYPE=STD) 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. The housekeeper deleted the photos. At the end of the video, three distinct staff voices could be heard laughing. Researchers asked participants to respond to questions regarding their concentration at work. A nurse at a Texas children's hospital has been fired for violating Health Insurance Portability and Accountability Act (HIPAA) Rules by posting protected health information on a social media website. Related story: Nursing Home Workers Share Explicit Photos of Residents on Snapchat, How it became public: News story, criminal charges, Description: A nursing assistant photographed a residents genitals and sent the picture to a friend, who uploaded it to Facebook. In a statement, David Richey, senior regional director of operations at Senior Lifestyle Corp., said the facility promptly investigated the incident and reported it to state regulators and to police. People recognized him from the hospital and could identify the facility where he was receiving treatment. This was an isolated incident where a temporary agency worker acted indiscreetly around social media. She stated she wanted to capture the goofy side of the resident during care. She also said she now felt bad, adding, I dont always make the best choices. A second assistant who was in the room said she felt stuck between saying something, and her friends. The third assistant said the video shocked her and she should have reported that her colleague had her phone out during resident care. In that plan, the home said residents were assessed for mental disturbance related to the pictures but nothing negative was found. Stephanie Chedid, the facilitys CEO, declined to comment on any changes the facility made to avoid similar incidents in the future, saying such steps were internal information. Chedid said the facility has taken every step to ensure our community can be a safe and private environment for our residents and guests., Description: Three personal care assistants were fired after an employee took a photo of a resident on the toilet and posted it on Snapchat. Eliav Sharvit, general counsel at Legacy Health Services, an affiliated management company to Parkside Villa, said the employee was a close family friend to the daughter of the resident. If an employer found offensive content on the job candidates profile, theyll doubt that this person would be professional in a health setting. Suspension Our guidelines clearly state that an infraction may result in discipline up to, and including, termination., Facility: Nazareth Health and Rehab Center, Description: The facility received a phone call from a community member saying that she had received a Snapchat photo of a resident who was naked, lying in bed, and surrounded by feces. Despite how obvious it seems that you shouldnt take or post images and videos of these vulnerable people, health professionals still do it. A common way nurses use Facebook is to connect with local nursing organizations through Facebook groups. Lippincott Solutions has some great tips in their "Rules of the Road" on what to do and not do to avoid social media pitfalls for nurses, including: Become keenly aware of your employer's social media policies. The homes current administrator said the facility changed owners on Sept. 1 and that she could not speak about prior events. As a result, using social media at work causes distractions. Accessibility The administrator said she was told the pictures included a bathroom, no naked residents and a resident laughing. The bathroom photo showed what looked like a bowel movement on the floor. In addition to promoting their value within the workplace, nurses can also use social media to promote their outside, health-related endeavors and interests. In an interview with inspectors, the assistant revealed she knew it was wrong and abusive towards the resident. We always do everything we can to protect the privacy of our residents, and take the steps we need to make sure they get the treatment they need, she said. Other instances of information sharing should only occur with a patients informed consent. In a statement to ProPublica, parent company Golden Living, said: We conduct full background checks of every new employee in accordance with state and federal requirements. Inspectors declared the nursing homes residents in immediate jeopardy of harm. She pleaded guilty to one count of dependent adult abuse, a misdemeanor. Thanks to a vigilant member of our small community, we were immediately made aware of the inappropriate Snapchat photo that was taken. According to WNDU TV, the video depicted an 85-year-old dementia patient naked in the shower while the staff sprayed her with water. Administrator Julie Newton told ProPublica that the home takes matters like this seriously and implemented a plan to correct the problems identified by regulators. It is not intended to take the place of your physicians treatment plan or orders. Forums run by established medical organizations can be excellent places to find information, ask questions, and learn more about the multifaceted industry of nursing. Only those who have familiarity with the facility would have been able to discern that the resident was sitting on a commode in the photo. FOIA In the video, an employee also said, Betty, your mamas stupid. Two employees told officials at the facility that they believed their actions were funny, the paper said, and they were both fired. Inappropriate posts on social media can get you kicked out of nursing school, fired, or not hired at all. As far as Im concerned, the whole thing is pretty ridiculous. In an interview with inspectors, a regional director of care services revealed he was not certain the incident was abuse because the resident was cognitively impaired, so it was difficult to determine how the resident felt. He added that it was a violation of the residents dignity. Epub 2016 May 10. 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