#2 “Don’t post, blog, tweet or comment about individual clients or your workplace. ” I had no issue with not using social media to discuss clients but I initially thought it was okay to discuss work. The extent of my posts about work on social media are similar to “I had a hard day or I am exhausted after a hard day”. It wasn’t until I read the “Fasebook Misfire-case study” on the crnbc. ca website, that I reconsidered my position on the subject. The article implies that it is possible to accidently breach patient confidentiality via social media.
The key points of the case study were: 1) Nurse worked on a resident care unit 2) Nurse posted online “so much for being patient and listening-some people apparently just don’t want to hear- maybe dementia is hereditary? ” The discussion about the case study suggests that “dementia” is a clue about a client and can be used to narrow the list of possible clients the nurse was taking about. Also, on a social media sight like facebook, the nurses workplace might be listed, providing another clue to the patient’s identity.
And finally, a co-worker could comment on the nurse’s post, such as, are you taking about (client’s name). I still feel it is inappropriate to post about a client for any reason. Even if you could guarantee confidentiality, I still feel like it is an abuse of power. In a nurse client relationship, the balance of power is with the nurse. If you post about a client, you are exploiting a vulnerable person for your own purposes, even if unknowingly. The case study however, has opened my eyes to how easily confidentiality can be breached by discussing one’s work place.
I never even considered the possibility before that someone could comment on your post and reveal confidential information. I do how think it is still okay to post very general statement about how your day went @ work. #4 “Be Aware of professional implications of seeking client information online”, it could change your nurse client relationship and “create a responsibility for you to act”. #4 suggests to me that by viewing information about a client on line you may find information that you have a responsibility to act on.
For example, if a client posts on line they plan to use drugs while on pass or sell drugs to clients at a particular facility, what do you do? One of the problems related to the previous question is, just because you read it on line, doesn’t mean it is true. You could end up penalizing a client for thoughts and not actions. Also, you could find information that creates a bias towards a client based on negative comments people may have posted on their account.