Nurses understand that mistakes or misconduct at work can threaten both their employment and their professional licenses. What may be less obvious is that something they do online and well away from work can also lead to serious professional consequences.
A nurse does not surrender the right to a private life. However, nursing boards and employers may take an interest in off-duty conduct – including what they post online – when they believe it raises concerns about a nurse’s judgment, honesty, professionalism or ability to provide safe care to their patients.
The line between public and private behavior can get blurry
A nurse was recently fired by her employer after posting a mean comment on social media about the White House Press Secretary that reflected poorly on her vocation as a labor and delivery nurse. Yet this case went further – the state’s nursing board actually suspended her license — something the nurse in question is appealing.
The incident mentioned above shows how fast social media posts can quickly create professional issues. Potentially damaging online behavior can include:
- Posting confidential information about a patient
- Sharing photographs or videos taken in a health care setting
- Making discriminatory or threatening comments
- Discussing drug or alcohol use in a way that raises concerns about impairment
- Identifying oneself as a nurse while posting content considered unprofessional
- Attacking patients, colleagues or employers online
It’s also wise to remember that privacy settings offer thin protection. Screenshots can be posted by someone else, and copied, forwarded or reported to employers and licensing boards.
Nursing licenses hold the key to your career, and you cannot practice if you lose it. Challenges to them can come from all sorts of angles, including honest mistakes. Those facing a possible suspension should seek legal guidance to explore their options.

