Carllene MacMillan, DNP, R.N., NEA-BC

1. Carllene MacMillan, DNP, R.N., NEA-BC

3. A Day in the Life of Social Media • http://youtu.be/iReY3W9ZkLU

4. 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)

6. How you can protect yourself from social media misuse?

7. Knowledge

8. 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.

9. 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.

10. Principles of Social Networking • Nurses must not transmit or place online individually identifiable patient information • Nurses must observe ethically prescribed professional patient-nurse boundaries • Nurses should understand that patients, colleagues, institutions, and employers may view postings

11. Principles of Social Networking cont. • Nurses should take advantage of privacy setting and seek to separate personal and professional information online • Nurses should bring content that could harm a patient’s privacy, rights or welfare to the attention of appropriate authorities • Nurses should participate in developing institutional policies governing online conduct

12. Organizations (schools/employers) do not have social media policies

13. 70% of electronic applications are deleted due to information available on social media about applicants(Cross-Tab, 2010)

14. Boundaries The space between the nurse’s power and the patient’s vulnerability (NCSBN)

15. Is anything confidential anymore?

16. Consequences

17. Personal • Employment • CA • Licensing Board • RI • Criminal • State/Federal

18. Provider • Financial • Fines • Regulatory • CIA • Image

19. Strategies for Safe Use • Educate yourself • Awareness • Set limits

20. da GOOD • Connections • Personal • Professional • Information • Educational • Business

21. da Bad • Loss of human interactions • Distraction • Addiction

22. Loss of Human Interactions • HCAPS – Perceptions • Canadian Study Hospital 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?

23. Distractions October, 2010 439 Participants in Study

24. Addictions • American Academy of Pediatrics Limited capacity for self-regulation & susceptibility to peer pressure • Cyberbullying/Cyberbullying/Facebook Depression • Digital Footprint • Harvard Study Disclosure of Information stimulates the same part of brain as pleasure/reward • Chocolate & Wine, Lottery or Sex

25. da UGLY Unintended Consequences • Near miss • Adverse outcome • Death

26. Near Miss • Personal • Witnessed • Media

27. Adverse Outcome • Agency for Healthcare Research & Quality (AHRQ) aka CMS aka Big Brother • Orders from smartphones • Interruptions during tasks • Urology Study (Cysto) • Distracted took longer to complete procedure • Missed lesions • 10% Unaware of time or error variance

28. Death • Train Wreck California • Ferry Wreck • Car Wreck • NonMedical Use of Prescription Drugs (NUPD)

30. THANK YOU! References available upon request Contact Information: carllene@bellsouth.net 337-501-5737