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Secondary Care

Nurse receives heavy criticism for discussing patients case on Facebook

Sarah J

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Image Courtesy of Dr Graff

A Nurse, in a final act of desperation, reached out to fellow healthcare professionals online in a bid to assist in the healing of a chronic wound.

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The Nursing and Midwifery Council (NMC) offer nurses extensive guidance on their conduct online but it seems this case has delivered somewhat of an ethical dilemma for many.

The Nurse involved claimed to have exhausted all other available options including tissue viability and a multitude of second opinions and only turned to a Facebook group for Nurses as a last resort.

The patient, who remains unidentified, was struggling with a leg wound that despite a multitude of treatments had failed to heal. Her Nurse reached out to colleagues online for help but was met with a mixture of comments with some saying she was “thinking outside the box” and others calling it “inappropriate”, a “breach of confidentiality” and “unprofessional”.

According to the Nurse involved the patient provided full, informed, consent for the discussion and the post contained no identifiable information simply an image of the wound, a short description of the issue and a call for help.

The post was later deleted by the community moderators.

Apps like Figure1 (iOS / Android) can provide a forum for healthcare professionals to seek help from the wider community.

What do you think? Was the nurse thinking “outside of the box”, providing holistic care and simply utilising the resources available to her or did she overstep her boundaries as a healthcare professional?

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4 Comments

4 Comments

  1. barry andrews

    8th May 2017 at 7:01 pm

    i think although asking the community of nursing students for opinion in cares i rarely a bad thing. The original post inquisition however had no clear statement that content had been gained for either the photo or for their specific case to be openly discussed. i think that this alone was the initial concern of the community

  2. barry andrews

    8th May 2017 at 7:01 pm

    i think although asking the community of nursing students for opinion in cares i rarely a bad thing. The original post inquisition however had no clear statement that content had been gained for either the photo or for their specific case to be openly discussed. i think that this alone was the initial concern of the community

  3. L

    16th May 2017 at 9:32 pm

    I am not in favour of posting pictures of patients in any form on social media, nor should social media be used to discuss specific patients due to its lack of moderation or validation. The nurse im
    sure believed they were acting in the best interest of the patient but the nmc social media guidance does state that it is unnacceptable to discuss matters outside of the clinical area. The matter of consent could not be proven due to confidentiality, it shouldnt have been posted. I dont understand why a registered nurse is on a student page in the first place. The matter should be reported to the nmc, the nurse argues she has done nothing wrong, so she would not have any issues in a formal hearing? She is very honest.

  4. L

    16th May 2017 at 9:32 pm

    I am not in favour of posting pictures of patients in any form on social media, nor should social media be used to discuss specific patients due to its lack of moderation or validation. The nurse im
    sure believed they were acting in the best interest of the patient but the nmc social media guidance does state that it is unnacceptable to discuss matters outside of the clinical area. The matter of consent could not be proven due to confidentiality, it shouldnt have been posted. I dont understand why a registered nurse is on a student page in the first place. The matter should be reported to the nmc, the nurse argues she has done nothing wrong, so she would not have any issues in a formal hearing? She is very honest.

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Primary Care

NHS trusts pressuring staff to help meet vaccination targets

Sarah J

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Front-line staff are reporting that NHS trusts are pressuring staff into receiving the influenza vaccine in order to achieve governmental targets.

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Front-line NHS staff claim they are getting ever-increasing pressure to receive the seasonal influenza vaccine as cash-strapped NHS trusts strive to hit the ‘Flu Fighter’ CQUIN, which provides significant financial incentives for trusts who vaccinate a proportion of their staff.

This news follows last weeks announcement that NHS England will write to all healthcare workers reminding them of their “professional duty” to receive the seasonal influenza vaccine.

One member of staff, who wishes to remain anonymous, claims she was forced to sign a ‘Declination of Influenza Vaccine‘ document by their NHS Trust which states refusal of the vaccine may have ‘life-threatening’ consequences and asks for the reason for refusal.

A spokesperson for NursingNotes said;

“While receiving the vaccine is an important part of infection control, like any patient, staff must provide informed consent and have a right to refuse the vaccination”.

A spokesperson for the RCN said:

“We encourage all nursing staff to have the vaccine. It plays an important part in infection control and preventing sickness absence”.

The NHS Employers ‘Flu Fighter’ campaign is part of an initiative to improve the health and wellbeing of NHS employees.

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Snacks sold in hospital shops should be under 250 calories

James M

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Image: Barnsley Hospital NHS Foundation Trust

NHS England says snacks sold in hospitals canteens or shops should all be under 250 calories.

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NHS Hospitals will be given cash incentives to comply with a new ‘healthy eating’ campaign which will see a significant reduction in the number of sugary snacks, drinks and confectionary inside hospital shops and canteens.

The proposals will also extend to sandwiches, which must be under 400 calories, and all other pre-packed savoury meals, which should contain no more than 5g of saturated fat per 100g. Cans and bottles of sugary soft drinks are also covered by the ban, as well as sugary drinks made in cafes and canteens such as coffees with sugar syrup.

Hospital chiefs will need to ensure that 80% of items sold do not exceed the 250-calorie limit in order to receive the cash bonus.

It is unknown if this ban will extend to third-party organisations such as Costa Coffee and Starbucks.

Research has suggested that almost 700,000 of 1.3 million NHS employees are overweight or obese.

Last year, controversial expert hypnotist Steve Miller said healthcare professionals should lead the fight against the fat and wants overweight NHS staff to carry ‘I’m fat, but I’m losing it’ badges to inspire patients and colleagues.

Simon Stevens, Chief Executive of NHS England, said:

“The NHS is now stepping up action to combat the super-size snack culture which is causing an epidemic of obesity, preventable diabetes, tooth decay, heart disease and cancer. “In place of calorie-laden, sugary snacks we want to make healthier food an easy option for hospital staff, patients and visitors.”

NHS England has pledged to boost the sale of healthy foods and end promotions of sugary and fatty or salty foods at checkouts.

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