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'Friending' Your Patients

Smart Use of Social Media

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Vol. 18 • Issue 4 • Page 48

Facebook. Twitter. LinkedIn. MySpace. You probably use at least one of these social networking sites to connect with family members and friends. You share photos, play games, recount adventures.

But social media can also be a tool to help you grow professionally. You can market yourself as a nurse practitioner and market the profession. You can network with other professionals. You can educate your patients by sharing credible health information. And you can, to a small degree, manage your patients.

Market Yourself

Social media is a great place to look for employment - recruiters are everywhere. But beware: Employers look at your social media activities. Avoid posting content that may be embarrassing.

Whether you work in someone else's practice or own your own, social media is a great tool for promoting yourself professionally. People want to do business with those they know, like and trust. You can easily set yourself up as the expert you are.

Patient Contact

Healthcare consumers have expressed an interest in communicating with their providers online. They want to be able to ask a quick question and find out if they should come into the office, visit the ED or just watch and wait. Social networking, e-mail and text messaging can let you get and give immediate feedback.

I recently spoke with Chad Priest, an attorney, clinical nurse specialist and faculty member at the Indiana University School of Nursing, about the implications of "friending" patients. Priest advises caution - especially where privacy and liability are implicated.

Rules of Engagement

Although no federal or case law about social media sites exists right now, it's only a matter of time, according to Priest. So with no official rules for social networking with patients, here are some suggestions.

Do not practice medicine through social media. If you share health information online, be sure it comes from credible sources. It needs to be generic and meant for many, not just one person.

Have your patients sign a disclaimer if you will be connecting with them online. Your form should discuss security and proper use as defined by your practice (e.g., emergent health issues).

If you post anything about yourself, make it squeaky clean. If you think it could be used against you by a prosecuting attorney or employer, don't post it.

Avoid any identifying information. Priest even cautions against using the statement, "I saw an interesting patient this morning," because it can potentially be used against you.

Think before tweeting or using video during a procedure. Determine what you'll do if there is a problem. Consider implications for billing, especially with Medicare.

Proceed With Caution

In a recent small survey I took of my NP colleagues, nearly 80% said they do not friend their patients on Facebook, and 57% said they did not believe providers should engage with their patients through social media.

I personally have chosen, at least for now, not to connect with patients this way. When I'm contacted by my patients, I just explain my policy. So far, they all understand. After all, I am available to them via telephone.

Use your own judgment in deciding your policies and strategies. Remember, once it's out there, you can't take it back.

Barbara C. Phillips is a family and gerontologic nurse practitioner. She is the founder and CEO of Nurse Practitioner Business Owner. To learn more about business development, marketing and social media, visit www.barbaracphillips.com.


 

I do not accept friend requests from current or former patients. I work in an outpatient mental health setting and when I left my last job, many patients began sending me friend requests over Facebook. These were all patients I liked a great deal, but I felt it was a basic boundary issue: I do not use social networking sites professionally but purely to communicate with friends and family.

I also felt there were additional possible complications. For example, these were people who were used to seeing me as a mental health professional, and I felt there would be a significant risk of asking me to second guess their current provider, or of asking me for health advice, etc.

One of the keys to functioning professionally, in my opinion, is to maintain clear boundaries. If you are using a social networking site for personal purposes, you should not communicate with patients over it anymore than you would invite them out to after work drinks on Friday.

John August 13, 2010



I would be cautious about "friending" patients and certainly about giving any advice. While your heart may be in the right place it is ill advised to do so and in many cases can cause problems for the practitioner. Recently someone reported an NP to the board for a HIPPA violation for merely appearing in a photo with a patient and while she did not post it (she was tagged) there she was and the caption was one of my favorite patients. If you want to communicate with patients use your work email and again, no advice over the airways or email. Most of it is not secure and may be misinterpreted by the reciever or others who view it.

linda August 12, 2010



I do have a couple of patients who have sent me a request for friend on Facebook. I have only allowed one to be befriended and that was only after his wife died. I do have a few to whom I have given my e-mail address to and it has proven beneficial as they are able to put down exactly what their problem is in their own words and I am then able to send a response to them. I make sure that I print out the conversation with the patient and then have it scanned into the chart.

I do like the idea of being able to communicate with my patients via electronic media and do believe however that there is a fine line of where does the provider role end and the friend role begins. After all most of us probably went this route because friends would ask our advise on a medical question so that they could get "FREE" advise. We need to make sure that we are not giving our skills away.

Gail Giltner,  CNPAugust 12, 2010
Grants Pass, OR



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