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Carllene MacMillan, DNP, R.N., NEA-BC. A Day in the Life of Social Media. http ://youtu.be/iReY3W9ZkLU. The public…. does not “care if the” person “sitting next to us on the bus” posts silly things, but for the person responsible for “making life/death decisions” - PowerPoint PPT Presentation
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Carllene MacMillan, DNP, R.N., NEA-BC
A Day in the Life of Social Media
• http://youtu.be/iReY3W9ZkLU
The public…. does not “care if the” person“sitting next to us on the bus”
posts silly things, but for the person responsible
for “making life/death decisions”the public expects competency
in “decision-making ability” with online info”
(Thomas, 2012)
How you can protect yourself from social
media misuse?
Knowledge
Chapter 39 Legal Standards
§3915. Standard Number 7: Professional Performance
A. The registered nurse demonstrates the following professional nursing practice behaviors.
1. Evaluates own nursing practice in relation to professional practice standards, relevant state and federal statutes, and relevant administrative rules.
2. Acquires and maintains current knowledge in nursing practice.
Chapter 39 Legal Standards
4. Nursing decisions and actions are determined in an ethical manner.
8. Reports to the board any unsafe nursing practice when there is reasonable cause to suspect actual harm or risk of harm to patients.
Principles of Social Networking
o Nurses must not transmit or place online individually identifiable patient information
o Nurses must observe ethically prescribed professional patient-nurse boundaries
o Nurses should understand that patients, colleagues, institutions, and employers may view postings
Principles of Social Networking cont.
o Nurses should take advantage of privacy setting and seek to separate personal and professional information online
o Nurses should bring content that could harm a patient’s privacy, rights or welfare to the attention of appropriate authorities
o Nurses should participate in developing institutional policies governing online conduct
Organizations (schools/employers) do not have social media policies
70% of electronic applications are deleted
due to information available on social media about
applicants (Cross-Tab, 2010)
Boundaries
The space between the nurse’s power and the patient’s vulnerability
(NCSBN)
Is anything confidential anymore?
Consequences
Personal
• EmploymentoCA
• Licensing BoardoRI
• Criminalo State/Federal
Provider
• Financialo Fines
• RegulatoryoCIA
• Image
Strategies for Safe Use
• Educate yourself
• Awareness
• Set limits
da GOOD• Connections
o Personalo Professional
• Informationo Educationalo Business
da Bad• Loss of human interactions
• Distraction
• Addiction
Loss of Human Interactions
• HCAPS – Perceptions
• Canadian StudyHospital issued smart phones to enhance communication…
• Increased efficency – no missed calls• Decreased personal interactions between MD & RN• Patients perceived staff nursing the electronics
• Tween or Teen in your life?
Distractions
Role Age Chief Perfusionist 31% 20-30 14%Staff Perfusionist 62% 3-40 27%Other 8% 40—50 27% 50-60 27% >60 6%
October, 2010439 Participants in Study
Used Phone on Pump 55.6%Sent Text on Pump 49%Accessed Email on Pump 21Surfed Intenet 15Posted on FaceBook 3 Call is “always unsafe” 42%Text is “always unsafe” 52%Aware of Adverse Event 7%Observed colleague Distracted
34%
Addictions• American Academy of Pediatrics
Limited capacity for self-regulation & susceptibility to peer pressure• Cyberbullying/Cyberbullying/Facebook Depression• Digital Footprint
• Harvard StudyDisclosure of Information stimulates the same part of brain as pleasure/reward
• Chocolate & Wine, Lottery or Sex
da UGLYUnintended Consequences
o Near miss
o Adverse outcome
o Death
Near Miss• Personal
• Witnessed
• Media
Adverse Outcome• Agency for Healthcare Research & Quality (AHRQ)
aka CMS aka Big Brothero Orders from smartphones
• Interruptions during tasks• Urology Study (Cysto)
o Distracted took longer to complete procedureo Missed lesionso 10% Unaware of time or error variance
Death• Train Wreck California
• Ferry Wreck
• Car Wreck
• NonMedical Use of Prescription Drugs (NUPD)
