Dear CNO

I’m a nurse in the emergency department and sometimes I like to post content about my work life and share nursing-related posts on my public social media accounts. I’m careful to maintain patient confidentiality and always try to stay professional. Is this OK? Am I following the standards when I post about these things? 

Thank you for your thoughtful approach to using social media. It’s encouraging to hear that you prioritize patient confidentiality and professionalism. Nurses have a unique voice and a lot to offer, so sharing your perspective can be a positive thing—if you do it carefully.

Here are some things to consider before posting nursing content online:

• Professionalism: When you identify yourself as a nurse, remember that you’re representing all nurses, not just yourself. Show respect for your patients, colleagues and workplace in everything you share. Avoid jokes or stories that could be misunderstood or seem unprofessional.
• Privacy/confidentiality: Even if you don’t mention names or show faces, details can add up. Sometimes a combination of facts, places or images in the background can accidentally identify a patient or a case. Make sure nothing in your post—even something in the background—gives away private information.
• Employer policies: Every employer has their own policies about social media. Some don’t want staff sharing anything about the workplace, while others have specific rules about what’s okay. Check before you post, and if you’re unsure, ask a supervisor or look up your organization’s guidelines.
• Evidence-informed information: If you’re sharing educational content or tips, make sure it’s based on solid evidence and current best practices. Avoid spreading myths or personal opinions that could be mistaken for professional advice.
• Boundaries: Social media can blur the lines between your personal and work life. Be cautious about interacting with patients (past or present) online. Don’t give personal advice publicly, as this can cross professional boundaries and create expectations you don’t mean to set.

Before hitting “post,” it can be helpful to ask yourself the following: 

1. Why am I posting this information and who is benefiting from it?
2. Could the content I’m making reflect negatively on the profession or on me as a health care professional?
3. Is the information I’m sharing evidence-based?
4. Could posting this information portray my workplace in a negative light or impact on my employer’s reputation or credibility?
5. Am I following my employer’s social media policies?
6. Could this post be seen as breaching confidentiality, even unintentionally?

Check out the additional resources below if you need more guidance or details on your accountabilities on social media as a nurse. Social media is a powerful tool for connection and education, and nurses have a valuable perspective to share. By staying mindful of your professional obligations, up to date on evolving technologies, and using a thoughtful, cautious approach, you can continue to positively contribute to the online nursing community. 

I hope this helps!

Allison Turner, RN, MN PNC (C)
Advanced Practice Consultant, Practice Quality

Additional resources:

• Code of Conduct
• INCR Social Media Use: Common Expectations for Nurses
• Social Media: Reflect Before You Post
• NCSBN: Social Media Guidelines for Nurses
• Ask Practice FAQ: Professional versus social relationships.

As a nurse, you are expected to practice in compliance with relevant legislation, the Code of Conduct, all other standards of practice of the profession and applicable employer and organizational policies.