Bold Voices - December 2017 - 16

AT THE BEDSIDE

Social Media: Legal and Ethical Issues
Nurses must maintain patients' privacy
and confidentiality at all times.

N

urses need to assess the appropriateness of their
social media posts and consider the potential legal
problems.
"Lessons Learned From Litigation: Legal and Ethical
Consequences of Social Media," in American Journal
of Nursing, examines the case of a Canadian nurse who
complained on Facebook about the medical care her grandfather received. Although the decision is being appealed,
her post may result in disciplinary action by a licensing board
and costly fees.
Nurses should understand the legal consequences of
their actions, the article explains, as social media posts can
have legal repercussions. In fact, nursing boards "will impose
discipline when a nurse engages in social media activity that
violates nursing law or professional standards."
Social media guidelines from the American Nurses
Association (ANA), National Council of State Boards of
Nursing (NCSBN), professional organizations and state
nursing boards are included in the article. ANA advises,

"Social media is also a place where nurses need to remember
their ethical duties to respect patient-nurse boundaries and
their duties to co-workers." NCSBN adds, "Nurses must
recognize that they have an ethical and legal obligation to
maintain patient privacy and confidentiality at all times."
Additional guidelines specify:
* Not posting information or photos obtained through
nurse-patient relationships
* Not making negative remarks about patients, employers
or co-workers, even if they are not identified in the post
* Not taking photos or videos of patients on personal
devices, such as cellphones
* Promptly reporting any breach of confidentiality or
privacy
* Remembering that "standards of professionalism are
the same online as in any other circumstance"
How do you protect patients and colleagues who use
social media? Tell us at aacnboldvoices@aacn.org, click on
the blue auto-reply button in the digital edition or post a wall
comment at facebook.com/aacnface.
REFERENCE: Brous E, Olsen DP. Lessons learned from litigation: legal and ethical
consequences of social media. Am J Nurs. 2017;117(9):50-54.

www.aacnboldvoicesonline.org

16

Cardiologist-Intensivist Model Improves Outcomes
Endotracheal tubes
were removed
faster, patients
were discharged
an average of two
days sooner and the
hospital saved $4
million in one year.

A

dding an intensivist to a cardiac intensive care unit (CICU) reduced length of stay, shortened time with endotracheal tubes and lowered costs.
"A Collaborative Cardiologist-Intensivist Management Model Improves Cardiac
Intensive Care Unit Outcomes," in JACC: Journal of the American College of Cardiology, explains
that noncardiac intensivists helped the University of Maryland (UM) Medical Center's 15-bed
CICU increase its discharge rate from 27 percent to 42 percent. The unit treats about 2,000
patients annually.
"The take-home message: there is a role for a collaborative model between critical care and
cardiac care," study co-author Gautam Ramani, assistant professor of medicine at UM School of
Medicine (SOM), says in a related news release.
Study co-author Michael McCurdy, associate professor at UM SOM, adds that endotracheal
tubes were removed faster, patients were discharged an average of two days sooner and the
hospital saved $4 million in one year.
The study reviewed data a year before and after the intensivists were involved. "A total of 363 patients receiving
mechanical ventilation in the CICU were included: 162 in the pre-implementation group and 201 in the post-implementation group," the release explains.
"The improvements in patient care alone warrant further study of this collaborative staffing model," E. Albert
Reece, dean of UM SOM, notes in the release. "Likewise, at a time when we are all striving for prudent and efficient
stewardship of scarce medical care resources, expanded application of this model and a review of efforts to crosstrain intensive care physicians are worthwhile pursuits."
REFERENCE: Kapoor K, Verceles AC, Netzer G, et al. A collaborative cardiologist-intensivist management model improves cardiac intensive care unit outcomes. J Am Coll Cardiol.
2017;70(11):1422-1423.


http://journals.lww.com/ajnonline/Fulltext/2017/09000/Lessons_Learned_from_Litigation___Legal_and.30.aspx http://journals.lww.com/ajnonline/Fulltext/2017/09000/Lessons_Learned_from_Litigation___Legal_and.30.aspx http://www.facebook.com/aacnface http://www.aacnboldvoicesonline.org http://www.onlinejacc.org/content/70/11/1422 http://www.onlinejacc.org/content/70/11/1422 http://www.umm.edu/news-and-events/news-releases/2017/cicu-intensivist-collaborative-treatment-model

Table of Contents for the Digital Edition of Bold Voices - December 2017

Another Angle
Pres Note Front Teaser
Masthead
AACN Updates Scope and Standards for Acute Care Nurse Practitioners
NTI 2018: Make Your Case for Attending and Register by December
Certification Holiday Reflections
Certified Nurses Day 2018
The Spirit of Giving: One Certified Nurse’s Contributions
Improving Joy in Work
Invest in Yourself With an AACN Scholarship
Disinfectant Use Associated With COPD in Nurses
The Joint Commission Revises NPSG 7 Requirements
Guidelines: Noninvasive Ventilation for Acute Respiratory Failure
High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
FDA Clears MRI System for Premature Babies
New Assay Can Distinguish Bacterial From Viral Infections
Missions of Mercy
How Hospitals Can Save Without Sacrificing Care
DNA Cancer Screening Shows Potential
Smartphone App May Help Screen for Pancreatic Cancer
Cardiologist-Intensivist Model Improves Outcomes
Social Media: Legal and Ethical Issues
Unused Opioids May Pose Health Hazard
AACN’s Facebook Community Weighs In
Conscientious ‘Nudges’ Can Help Patients and Families
Helping ICU Patients With Spiritual Needs
In Our Journals
Transitions
President’s Note
Bold Voices - December 2017 - Cover1
Bold Voices - December 2017 - Cover2
Bold Voices - December 2017 - Pres Note Front Teaser
Bold Voices - December 2017 - Masthead
Bold Voices - December 2017 - NTI 2018: Make Your Case for Attending and Register by December
Bold Voices - December 2017 - Certified Nurses Day 2018
Bold Voices - December 2017 - The Spirit of Giving: One Certified Nurse’s Contributions
Bold Voices - December 2017 - Invest in Yourself With an AACN Scholarship
Bold Voices - December 2017 - The Joint Commission Revises NPSG 7 Requirements
Bold Voices - December 2017 - High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
Bold Voices - December 2017 - New Assay Can Distinguish Bacterial From Viral Infections
Bold Voices - December 2017 - 12
Bold Voices - December 2017 - 13
Bold Voices - December 2017 - How Hospitals Can Save Without Sacrificing Care
Bold Voices - December 2017 - Smartphone App May Help Screen for Pancreatic Cancer
Bold Voices - December 2017 - Social Media: Legal and Ethical Issues
Bold Voices - December 2017 - Unused Opioids May Pose Health Hazard
Bold Voices - December 2017 - 18
Bold Voices - December 2017 - 19
Bold Voices - December 2017 - Transitions
Bold Voices - December 2017 - 21
Bold Voices - December 2017 - President’s Note
Bold Voices - December 2017 - Cover3
Bold Voices - December 2017 - Cover4
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