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  • - [voice over] Emily was a nursing student in a pediatric rotation. She cared for

  • Tommy, a five-year old patient who was recently diagnosed with type one diabetes.

  • Tommy was going home soon so she took a cellphone picture of him to remember him

  • by. That evening, she posted his picture on her Facebook page commenting how brave

  • he was when he got his insulin injections. Two days later, Emily was called into her

  • dean's office. A nurse from the hospital had seen the photo and caption and

  • reported them to hospital officials. Emily was informed that her actions were a

  • breach of her patient's confidentiality and a violation of federal privacy laws.

  • Even though Emily had an excellent record as a student nurse, and had only had the

  • best intentions in her post, she was expelled from her nursing program and the

  • program has barred from using the pediatrics unit for their students.

  • - Hi. I'm Kelly, a staff nurse here at the hospital. If you use social media

  • properly, what happened to Emily will never happen to you. Nurses are

  • increasingly utilizing social media not only for personal use but also as a way to

  • foster professional connections and timely communications with patients and their

  • families. But social media used inappropriately can result in disclosing

  • too much patient information and violating their rights to privacy and

  • confidentiality of information. This is what happened to Emily. Healthcare

  • organizations typically have clear policies governing employee use of

  • electronic and social in the workplace. It is out side the workplace however, where

  • policies are often less clear and the potential for inappropriate use of social

  • media is greatly increased. Effective nurse-patient relationships are built on

  • trust. A cornerstone of that trust is patient privacy. Which is a key part of a

  • patient's expectation to being treated with dignity and respect. Any patient

  • information that a nurse has access to during the course of treatment must be

  • safeguarded. With very limited exceptions, such information may only be disclosed to

  • other members of the healthcare team for the purpose of providing care for the

  • patient. Improper use of social media by nurses may

  • violate state and federal laws. Including the health insurance portability and

  • accountability act or HIPA. Which was enacted to further protect the patient

  • privacy. Additionally, inappropriate uses of electronic and social media maybe

  • reported to the Board of Nursing resulting in possible disciplinary action for

  • unprofessional or unethical conduct, breach of confidentiality, or other

  • infractions. Well, it's true that some intentional or malicious misuses of

  • social media do occur, the majority of inappropriate disclosures or postings are

  • unintentional. Usually they're the result of the mistaken belief that the

  • communication or posting is private and accessible only by the intended recipient.

  • That content deleted from the site is no longer accessible, for that it is

  • acceptable to discuss or refer to a patient in a posting if they're not

  • identified by name. By being cautious and alert to potential or improper uses of

  • social media, you can avoid inadvertantly disclosing confidential information

  • concerning your patients. Remember, you have an ethical and legal obligation to

  • maintain patient privacy at all times. This means that you should never take photos or

  • videos of patients using your cellphones or other personal devices. Be sure to

  • follow employer policies for taking photos or videos of patients for treatments or

  • other permissible purposes by using an employer provided devices. Even

  • experienced nurses should be vigilant about avoiding serious violations of

  • patient confidentiality as Jason learned.

  • - [voice over] Jason has been a nurse for 12 years and is working in hospice care.

  • One of his current patients, Maria, maintains a hospital sponsored online page

  • to keep her family and friends updated on her battle of cancer. One day, she posted

  • something about her depression and the difficulty of finding effective treatments

  • for her physical pain. Jason saw the post and responded by writing a comment to

  • Maria. He wrote that he understood her last few days have been difficult and he

  • was hopeful that the new medication along with the increase dose of morphine will

  • provide some needed relief. The next day, Jason ran into a friend who said she saw

  • his post. She said Maria was an old family friend, was sad to hear of her condition

  • and asked Jason how long he thought Maria had left. Now, fully realizing the

  • implications on what he had done, immediately went home and tried to remove

  • his post but was unable to do so. Besides, even if he had been successful in

  • removing it. It may have already been copied by others and posted elsewhere. At

  • his next visit with Maria, Jason told her what had happened and apologized. Jason

  • then self-reported his breach of patient confidentiality to his Board of Nursing

  • and is awaiting the board's decision concerning any disciplinary action.

  • - Jason learned the importance of carefully considering the full

  • implications of posting any information about patients on any website, including

  • hospital sponsored sites. It may at times be appropriate for nurses to express

  • empathy and support for patients on a website but they must be careful not to

  • disclose private patient information. Inappropriate use of social media can

  • derail someone's dream to be a nurse as it did for Emily.

  • But even for experienced nurses like Jason, who have exceptional work

  • histories, inappropriate use of social media can and does happen. Remember,

  • increased access to communication through social media does not change the

  • healthcare professional's responsibility to protect patient information. In fact it

  • actually makes it easier to inappropriately share information. By

  • carefully following standardized guidelines, healthcare professionals can

  • responsibly use social media to improve the coordination of patient care. For more

  • information, please visit the website of the National Council of State Boards of

  • Nursing.

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B1 中級

護士社交媒體指南 (Social Media Guidelines for Nurses)

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    Hhart Budha 發佈於 2021 年 01 月 14 日
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