In fact, they want to connect with their providers through social media. While visiting her grandmother (and not working), she took a photograph and posted it to her personal Facebook page. Administrator Julie Newton told ProPublica that the home takes matters like this seriously and implemented a plan to correct the problems identified by regulators. Description: A nursing assistant recorded a video showing a residents genitals. 2020 Aug;29(1):104-114. doi: 10.1055/s-0040-1701996. Description: A video of a resident identified as having dementia was posted on an employees social media website without the permission of the resident or family. But you need to navigate how to reveal these discoveries while remaining sensitive to their feelings and privacy. She pleaded not guilty. Chen XL, Fei Huang F, Zhang J, Li J, Ye BY, Chen YX, Zhang YH, Li F, Yu CF, Zhang JP. This allows nursing professionals in certain areas to come together and share insights or discuss local changes, as long as everything is kept professional and confidential. The nursing assistant was immediately fired, and the director of nursing re-educated staff on the facilitys policy banning staff from taking pictures or videos of residents, and on the requirement that all violations of the policy be reported the same day. Nurses are encouraged to use journaling and reflective practice for professional . The three assistants were immediately suspended and later terminated. 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. Accessibility After inspectors intervened, three other staff members were suspended. Review your profile, pictures and posts. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field . Our systems of oversight in our LivingCenters offer reasonable protection against the possibility that an employee will misbehave, but there is always a risk that anti-social conduct will go undetected for a short period of time. The womans family has filed a lawsuit against the home. Blogging. Complaining. Even seemingly harmless posts can violate a patient's right to privacy and confidentiality, with severe consequences. This includes any content that could harm a patient . He said he captioned the video The Daily Life of a CNA and used poor judgment in making it. PMC The video was posted on Facebook by a user the facility could not identify. 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. The assistant was fired. She stated the family member knew and was OK with it. She said she was off duty at the time and did not realize the homes social media policy applied to her when she took the photos. 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. Gulhane Medical Journal, 52 (2), 76-81. The director of nursing services said it was brought to my attention by (staff) that on (another staffs social media website) posted something that said this is why I love my job and then there were peoples feet but no faces and (Resident #3) was singing. Description:A community member notified the facility administrator that an employee sent a photo over Snapchat of a residents buttocks and a staff member holding a bowel movement in the palm of a gloved hand. As far as Im concerned, the whole thing is pretty ridiculous. In a statement to ProPublica, Anthony Cooper, the homes administrator, said: We have implemented a specific set of policies and procedures so as to capitalize on the benefits of social media while continuing to protect the privacy of our residents. In hospitals specifically, 78.1% of registered nurses use a personal device at work. Description: A nursing assistant was accused of taking a photo of a female resident with Alzheimers disease on the toilet with her private parts exposed, drawing on a picture of a penis with the caption limp dick and sharing it on Snapchat. Description: Two licensed vocational nurses posted a picture of themselves on a social media site; a health chart with a residents name was visible. The homes administrator did not return phone calls seeking comment. 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. It provided written reminders to all staff about its policies and procedures. Keith Ensey, regional director of operations for Carillon Assisted Living told WBTV, We substantiated abuse for the three team membersthe person taking the picture and the two team members seen in the picture. While the focus is on the two doctors in the front, theres still a patient behind them. Consequences of social media and nursing misuse vary depending, in part, on the particular nature of the nurses conduct, according to NCSBN. This causes harm to patients, the practice, and the employee who caused the violation. In a statement, the home said, These behaviors by staff are against Valley View Villages privacy and dignity training and direction for its staff from their hire and throughout their employment. The staff range from licensed vocational nurses, contracted staff, youth volunteers, nursing home assistants, or home health aides. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental . The staffer who posted the material told home officials she thought it was funny and thats why she posted the pictures. She asked who had turned her in and seemed unremorseful of her actions, the inspection report said. When Case 3 evaluations of nurses were analysed according to ethics training, statistically significant differences were found. A survey of recruiters found that 55 percent had reconsidered a job candidate based on their social media profiles, and while 61 percent of those reconsiderations were unfavorable, the remaining 39 percent were positive. Below are details of 47 incidents since 2012 in which workers at nursing homes and assisted-living centers shared photos or . She was terminated. Inappropriate social media postseven if they don't name a patientcan also violate the Health Insurance Portability and Accountability Act (HIPAA). Nurse Educator, 43 (1), 28-31. Barnable, A., Cunning, G. & Parcon, M. (2018) Nursing students perceptions of confidentially, accountability and e-professionalism in relation to Facebook. Policies and laws governing social media and privacy may have changed since this article's posting in 2017.) No . HHS Vulnerability Disclosure, Help Also, our guidelines clearly state that an infraction may result in discipline up to, and including, termination., Facility: Great Barrington Rehabilitation and Nursing Center, Description: A photo of a residents face and a video of the resident telling a joke was found on a nursing assistants Instagram site, which was viewed by other nursing assistants and a nursing supervisor. Anything that refers to someone in a degrading or demeaning manner is inappropriate. Online content and behavior have the potential to either enhance or undermine not only the individual nurses career but also the nursing profession.. A spokeswoman said it provides extensive, on-going training, support and oversight to insure that we provide patient centered care.. She was sitting up in bed with white sheets and a pillow behind her. Well, you never know who others will send it to. It's meant as a public forum, and it needs . Social media is a great outlet for nurses to express their feelings and seek support from friends, family, and colleagues. The assistants were fired immediately and the home provided education to staff about its cellphone policy and about patient privacy. . 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. 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. If a practice posted this on their page and it was a real image, they could end up getting sued. Posting unprofessional behavior. Hashtags are a must if you want to reach, attract, and hire nurses on social media on social media. But you also need to be careful about any subtle details that end up in visual content. Login to all social media sites in which you engage. One final inappropriate use of social media is investigating patient choices. And when interacting with people online, its important to maintain a professional relationship. Crossing these boundaries threatens patient trust. Honestly, how can anyone do this to another human being? the womans son told KVUE. 6. Its executive director did not return multiple calls. It looks like the x-ray was possibly meant to cover her identity, but half of her face is visible. 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.) The aide was charged with a misdemeanor for photographing the resident. How to Get HIPAA Certification: Declassified, Etactics, Inc., 300 Executive Parkway West, Hudson, OH, 44236, United States, One-quarter of physicians use social media. What degree program are you most interested in? 38.5% said that they would use it for calling or checking/sending emails and texts. And it also includes an x-ray which is the individual's protected health information. The home did not respond to multiple requests for comment. Both were charged with invasion of privacy and conspiracy. The facility did not report the incident to state authorities, who learned of the matter through a tip months later. The aide was suspended. Sharing photographs. Social media abuse not only impacts the nurse who posted the content, but also the people or institution they posted about. Use derogatory language Social Networking Principles. Social media use is ubiquitous, but inappropriate posts by nurses have resulted in licensure and legal repercussions. J Adv Nurs. Twitter. Suspension Clinical Information Systems - Seen through the Ethics Lens. Nurse suspended over Facebook posts | Nursing Times. It doesn't all have to be negative, though. This should be a no-brainer, but somehow it still happens. Government inspectors revealed the facility had not conducted and routinely did not conduct background checks on volunteers or monitor, in any way, their presence in the facility. The facilitys director of nursing also told police she was unaware of when the volunteer in question was in the facility because she never kept track of the volunteers. The volunteer reported to a police station in December 2015, telling police shed taken the photo because she thought it was funny. Brittny Lewton, district attorney for Colorados 13^th^ Judicial District, said the volunteer faces charges of invasion of privacy and will appear in court for a hearing on July 11. **Facility:** Quabbin Valley Healthcare Clipboard, Search History, and several other advanced features are temporarily unavailable. In an interview with government inspectors, the nursing assistant who took the video said the evening of the incident had been stressful and the home was short two staffers. sharing sensitive information, make sure youre on a federal The aide told inspectors that he or she did not know that residents were within view of the camera. Most nurses use social media to follow healthcare issues and topics just not at work, according to a new survey from Lippincott Solutions. Inappropriate Use of Social Media in Healthcare. An official website of the United States government. 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. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. My mother has dementia and would have felt mortified if she understood. The homes administrator did not return phone calls seeking comment. Staff members were eating dinner and residents could be seen in the background. We immediately took action in accordance with our policies and procedures, which included contacting the police and the State Department of Health Services Division of Quality Assurance, as well as the residents guardian to report the incident. The nursing assistant said she was not aware the photos were uploaded on her account. Morgan B, Padget C, Collins S. Social media in nurse anesthesia: A model of a reproducible educational podcast. **Type of facility:** Nursing home, Nursing Home Workers Share Explicit Photos of Residents on Snapchat, New Jersey to Suspend Prominent Psychologist for Failing to Protect Patient Privacy, COVID-19 Origins: Investigating a Complex and Grave Situation Inside a Wuhan Lab. **Type of facility:** Nursing home Never talk about patients or identifiable coworkers. It is an excellent vehicle for families to keep connected and can serve as an effective marketing tool. Other boards (Cronquist & Spector, 2011) may use existing laws and will investigate complaints on the grounds of: . Social media is a part of our lives now, for better or worse. The home did not return multiple calls seeking comment. While neither employee self-reported their involvement, the sites administration promptly reported the issue to CMS after becoming aware of the situation. One of the employees was charged this month with misdemeanor counts of elder abuse and unauthorized invasion of privacy. A nursing assistant, who was alleged to have sent the picture, denied it, but days later, admitted to taking Snapchat pictures of residents of the facility. 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. Inspectors said the home did not report the incident as required to the state and did not thoroughly investigate it. 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. The facility found that a dietary aide had posted four livestream videos on her personal Facebook page of her and a co-worker talking with friends; in some, two residents could be seen seated at a dining room table in the background. Description:A nursing assistant was charged with felony and misdemeanor counts for posting a video of a patient in the shower. Complaining and making negative comments about your company is just as unprofessional. A second employee is standing behind the resident laughing. Inappropriate use of social media can result in harm to patients and the profession, particularly given the changing nature of privacy and the capacity for material to be posted by others. The .gov means its official. By: Diane M. Goodman, RN, MSN-C, CCRN, CNRN Diane Goodman, RN, MSN-C, CCRN, CNRN, is a semi-retired Acute Care Nurse Practitioner, with over 40 years of fulltime nursing experience. https://doi.org/10.1097/NNE.0000000000000441. Actions such as this will never be tolerated at our community. Description: A nursing assistant posted a picture of a residents hand on Facebook, with a caption akin to I am holding her hand til she falls asleep. A comment posted below the photo by a second nursing assistant had a question that included the residents first name. For example, Women's Health Nurse Practitioners (WHNPs) are likely to find . For nurses, social media allows them to connect their personal and professional lives, facilitating conversations with colleagues about health care advances, current best practices, and more. Inspectors determined that the director of nursing did not conduct a thorough investigation to ensure no other residents were involved. Remember earlier when I mentioned that your account could get hacked and information in private messages leaked? November 2011. One video showed the resident kicking his legs in the air, yelling, and on the video it stated his name and said it was after his happy medications. In the othervideo, he was just lying there while the aide asked him whats wrong. 20.8% said they used it for checking or posting on social networks. Thanks to a vigilant member of our small community, we were immediately made aware of the inappropriate Snapchat photo that was taken. The facilitys staff was reeducated on the use of technology. **State:** IN Even though these are unintentional, its still an inappropriate use of social media. All employees were retrained about patient privacy, abuse and dignity. Don't post anything when angry, sleep deprived, or otherwise impaired. They must be permitting you to discuss their condition with them if theyre asking you a question. By adhering to the rules, nursing professionals can bring their own ideas to the discussion and use social media as a force for good in the nursing and health care communities. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Pandemic, A Look at Occupational Licensing: Insights from the Healthcare Regulatory CEO Collaborative. To help gain a better understanding of the difference between acceptable and unacceptable use, some of the ways nurses utilize social media are outlined below. You should never rant about someone online. Following a thorough investigation, all employees were retrained on the existing social media and HIPAA privacy policies and practices. The two employees involved no longer work at the home. Who would find out? If health workers dont use it correctly, it can cause more harm than good. Using relevant and timely hashtags effectively inserts your posts into the ongoing conversation around a specific topic or event. via KOB. Sure, it doesnt violate a clients privacy so it isnt illegal. Description: A housekeeper posted a picture of a vision- and hearing-impaired resident on her social networking webpage, with the caption This is my friend, along with the residents first name. In addition to promoting their value within the workplace, nurses can also use social media to promote their outside, health-related endeavors and interests. This might mean two separate accounts with a private personal page. But what if someone comes to you with a concern? Healthcare is such a sensitive industry with all of the confidential information and unwell patients. A nursing assistant who shared a video of a patient in underwear on Snapchat was fired and served 30 days in jail. 2022 Feb;29(1):104-113. doi: 10.1177/09697330211005103. Inspectors declared that patients were in immediate jeopardy of harm. She stated it was not a bad picture. The administrator and assistant administrator both told inspectors that they were unaware ofthe residents picture being posted on the nursing assistants social media page. 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. When we learned about this issue last year, we took immediate steps to notify the police, along with other state authorities. A Microsoft survey found that 79% view online information regarding candidates. For some, its an addiction. The Medical Journal of Australia, 203 (11), 439-439. To view this video please enable JavaScript, and consider upgrading to a web browser Facebook. That staffer said the video had the caption A resident had a blowout. A second employee who received the video shared it with at least two additional employees. The caption below the picture said A picture is worth a thousand words; and worth a million memories. The residents first name was printed on the text under the picture three times. Text Size. Maintain a record of social media posts using your organization's official accounts that preserves posts, edits, and the format of social media messages . The photo showed the resident asleep in her room with the fingers of one hand in the side of her pants, like where a pocket would be located. According to a government inspection report, the resident had severely impaired cognitive skills, impaired decision making and was totally dependent on staff for personal hygiene, including oral care. The residents great-granddaughter called the facility to complain after seeing the photo, and the staff member was immediately suspended and later fired. Forums, blogs, and networking sites are places where nurses can discuss difficult or emotional events with peers. Although it's a fun activity, it increases the risk of data breaches. Many students going through nursing programs or already established as nurses may want to share what they have experienced or learned. Nurs Ethics. The New Jersey Attorney Generals office said the worker was given probation; her friend pre-trial intervention. Ivy Gleeson, the nursing home administrator, told the Chicago Tribune in 2014 that the two women were fired. The pediatric ICU/ER nurse worked at Texas Children's Hospital and posted a series of comments on . The way you act within personal conversations on social media can reflect how you would act in a professional setting. Social media risks to patient information. **Facility:** Autumn Care of Norfolk Description: The facility received a tip from an unknown source that an employee had posted live videos in which residents could be seen. The worker no longer provides care at our facility and all of our staff have received social media, confidentiality and privacy retraining. And cant sit still. A second picture showed the same residents face clearly with a laughing emoji with tears across the body. They can vent and receive helpful advice and support from colleagues, friends, and others. Rant about place of employment The caption on the photo said, Crusty a** s**t on her hands bro this hoe nasty af (as f**k) with an emoticon of a face with a medical mask. Epub 2020 Aug 21. Once youre away from work, you might want to share a crazy story about your day with your followers (like if a celebrity checked in). Employees were trained about the homes policies forbidding the posting of photos of residents by staff on social media. They wont want to risk hiring someone that might offend and drive away clients. Bad Blood: Can a Family Member Violate HIPAA? On a professional level, it has many significant benefits: from the collaborative exchanging of ideas or discussion of health issues; to the invaluable promotion of nursing and better health and health care for all. While it can be useful to know what outside experience might be impacting their health, this leads to crossing boundaries. Social media use is ubiquitous, but inappropriate posts by nurses have resulted in licensure and legal repercussions. She was fired and pleaded no contest to a felony charge of using a computer to commit a crime but denied wrongdoing in an interview. However, nurses have a responsibility first and foremost to their patients. During interviews with inspectors, the two residents did not voice concerns about the incident. Epub 2021 Jul 23. In its plan of correction, the home said the photo was removed from Instagram and no other residents were affected. Participation in social media by the general public has increased sharply over the past nine years. Social Media Post Prompts Firing. The analyses of the Case 4 and Case 5 evaluations showed that no statistically significant differences were found according to nurses' descriptive characteristics. When interviewed by inspectors, one resident was unable to respond to questions. Inappropriate social media postseven if they don't name a patientcan also violate the Health Insurance Portability and Accountability Act (HIPAA). You might also decide to use an account for your practice instead of specific to yourself as a doctor. What not to do: Social media. The housekeeper deleted the photos. A post you see on their page may depict unhealthy behavior or reckless decisions. The other assistant took a photograph of a resident in a common area. The sons wife said, She is the most God-loving woman who wouldnt hurt a flea. EveryNurse, How Nurses Should Be Using Social Media Both employees were counseled for not maintaining confidentiality. It is permissible to refer to doctors, specialists and healthcare practices. The resident had her arms crossed over her breasts and her legs drawn upward. 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 Bookshelf Citing privacy, DeAnn Walters, the facilitys administrator, declined comment on whether the housekeeper still workers there. Description: A nursing assistant posted a video on Facebook of a resident sitting in the shower room, with smiley face emojis obscuring her face. However, inappropriate use of social media can harm a nurse's professional career. Other employees knew of the video but did not report it to administration in a timely manner, the inspection report said. And now it had to deal with a violation of one of its clients privacy. Twitter offers a place for nurses to share small tidbits about their profession, with nursing accounts already existing for male nurses, health breakthroughs, problems facing the industry, the history of nursing, and so on. How could people do this? You cant republish our material wholesale, or automatically; you need to select stories to be republished individually. The nursing assistant told inspectors that it was a known violation of residents privacy to photograph them and said the picture was accidentally taken and posted. Even if such photos are deleted, they can still be brought back from the server. 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. Inspectors declared the nursing homes residents in immediate jeopardy of harm. You can still be liable if your account gets compromised and their details leak. Social media is just that: social. There is no staff teasing a resident. Wolf said the employees were disciplined and the home changed its policies to prohibit cellphones in the building. The home also re-educated staff about its cellphone policy and further restricted their use in resident care areas. During the investigation, the home learned of other pictures taken of the resident by different staff members using Snapchat. The assistant was suspended and later terminated. Our training has included the prohibition of electronic devices in the work areas as a result. The director of nursing said she did not send her home because she didnt know the identity of the residents on the video and didnt feel it was abuse. The nursing assistant subsequently resigned. Tertiary hospital nurses' ethical sensitivity and its influencing factors: A cross-sectional study. Your coworkers and boss will have a lack of trust if you show disrespect for the organization. Just because social media has positives in healthcare doesnt mean its always beneficial. Forums run by established medical organizations can be excellent places to find information, ask questions, and learn more about the multifaceted industry of nursing. (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. At the time of the incident, an aide was washing the resident in bed following an incontinence episode. 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