Know Your Regulator: The Podcast that Inspires You to Engage

Nursing License on the Line: The Dangers of Social Media

• Team Bertolino • Season 1 • Episode 46

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The digital age has created a dangerous crossroad where social media culture meets healthcare licensure, and the consequences can be devastating. Our conversation with Maggie Ortiz, CEO of Advocates for Nurses and a former Texas Board of Nursing investigator, pulls back the curtain on what actually happens when nurses go live on social media while at work.

"It's the epitome of unprofessional conduct," Ortiz explains, detailing how a single video can trigger a cascading series of investigations. What many practitioners don't realize is that livestreaming while wearing your badge constitutes multiple violations simultaneously – from HIPAA breaches and privacy concerns to policy violations and theft of time. Even more alarming is how seemingly anonymous patient information can be pieced together by viewers, creating serious legal liability.

The regulatory aftermath is where things truly become nightmarish. Board investigations can stretch 2-3 years, formal charges arrive via certified mail, and the financial burden of defending yourself can be overwhelming. One violation in Texas can trigger investigations in every state where you hold a license, creating a professional crisis that spans borders. Ortiz shares actual examples of formal charges documents, walking through how allegations transform into potential license suspension or revocation.

Yet amid these sobering realities, there's practical guidance. Ortiz outlines essential tools for nurses to protect themselves, including understanding your state's practice act, properly documenting unsafe assignments, and using the decision-making framework from the National Council of State Boards of Nursing. Perhaps most eye-opening is her reminder that nursing boards exist to protect the public, not to advocate for the practitioner.

Whether you're a new graduate or seasoned healthcare professional, this conversation provides crucial insight into navigating the intersection of social media and professional licensure. Your career depends on understanding where the boundaries lie before crossing them inadvertently.

Get more information, details and resources on Know Your Regulator - https://www.belolaw.com/know-your-regulator




Speaker 2:

This podcast is for educational purposes only does not constitute legal advice and does not create an attorney-client relationship. If you need legal assistance about a legal problem, contact an attorney.

Speaker 1:

You're listening to Know your Regulator, the podcast that inspires you to engage. I am your host, simone Murphy, and today this is a special episode. We're featuring the latest insights from our Healthcare Pros Charting Texas series. That's a collection of focused conversations just for medical professionals, so we're going to be talking about something that's as modern as it is dangerous going live on social media while holding a nursing license. To walk us through it. We are joined by Maggie Ortiz, a nurse advocate and former Texas Board of Nursing investigator. She's been on both sides, conducting investigations and now educating nurses on how to stay protected, compliant and proud of their practice. Thanks for joining us, maggie. Hey, good morning, it's good to have you. This has been a pretty hot topic right now, especially, you've got a pretty unique background as a former you know nursing board investigator. What is the first thing that would trigger you know the board of nursing's interest in a case like this?

Speaker 2:

More likely than not, it's going to be someone sending in this video, so it would roll onto the investigator's desk in some form of a link to a video and email or because traditionally I would get a folder and have to open up the folder. But, like you said, in the evolving day and age, for the investigator as well, that would more likely than not be a link to a video. Whatever platform, it doesn't matter whether it's LinkedIn or TikTok or Instagram, or it doesn't matter where this is generating from. You're just video on your own phone. It's just not appropriate at all. It's it's the epitome of unprofessional conduct.

Speaker 2:

Yeah, For so many reasons, I think that I would hold that, not not just the nurses, but anyone who holds a professional license and unfortunately seems to be prevalent in the last few years amongst the nursing population. But this is a cultural poor practice and we we never do that. So the board of nursing most certainly would be looking at that. The HIPAA, the privacy violations, the policy violations, because it's considered a theft of time as well. If you're going live on any of these platforms, more likely than not you're making some money as well. So now you're double dipping while you also have a badge on hold a professional professional license recording at your job while you're doing your job.

Speaker 2:

And it may be. People take for granted that it will be a verbal name. That is possibly said, we write names or there could be abbreviations of names, and people like that's not a big deal, but it is, because people can place you at your job and sally sue, your neighbor at the job the same time that you were there and all of a sudden their name is on a board. And then there's because people can place you at your job and Sally Sue, your neighbor, at the job the same time that you were there and all of a sudden their name is on a board and then there's a diagnosis in the background and they can put those two letters together with when you were working. And then, when they do see what I mean, go down a bad rabbit hole.

Speaker 1:

A separate kind of trend going on is when someone feels wronged or, you know, consumer feels wrong, they kind of post it and they've got these. You know people who are able to dig up all this information. I think it's incredibly naive to think that they that you know people who are watching this video or are on the internet, who see this type of content, wouldn't be able to do that same type of research. It can happen, and to think that it wouldn't or that it won't happen is just, you know, like I said, naive. And you know better than that. You can do better than that. You know. Come on.

Speaker 2:

That's where I was going to chime in as well is that I also have to say as someone who's been practicing for 25 years. I'm very proud of my profession and that is not upholding the integrity of our profession. And what's the message we're giving to patients as well when we do stuff like that? No we don't need that light on us, especially now. It's the epitome of unprofessional conduct, because I also like to remind nurses swing that door the other way, take your badge off and lay in the bed.

Speaker 1:

Would you be?

Speaker 2:

okay with them TikTok-ing you out or Instagram-ing or Facebook-ing. Live out while you're just at your job and all of a sudden you're plastered all over. Remember, it's a privilege to hold a license and that's the board's words, not mine, and that can be taken away from you. That privilege has far-reaching ramifications if that lands on a desk at the board of nursing. You and I both know that very well.

Speaker 1:

Yeah, absolutely so. It's, you know, really clear. The public kind of plays a big role in how this can get escalated. Let's kind of dig into exactly what's going on here and how it crosses that line. We're talking about, you said, you know they're live at work. We're talking about theft of time You're filming while you're providing patient care. There's absolutely just a number of HIPAA violations that can occur. You know I'm sure they're picking apart these videos when they see them. What should nurses really be aware of and and very conscious of?

Speaker 2:

So you and I are in the line of work in the law firm that you work for represents anyone who would hold a professional license, but a lot of times it's nurses and physicians. I do understand. Is that correct, right? So that's your perspective. So you there see the provider coming to you. I was within a board of nursing and then I was also. I've been a legal expert, and then on the civil side as well as on the administrative side. So I say all that to say a lot.

Speaker 2:

We have inside knowledge that a lot of nurses don't know they. We don't. When we go to school, when we learn stuff about the rules and regulations, we're drowning in medical terminology and care plans. We memorize what we need to know for the test as it pertains to those rules and regulations. But we're not criminals. I need to know where the bones in the ear, I need to know the muscles when I'm drowning in these acronyms. But I'm not. I'm not a criminal, I'm not going to do anything unethically. So therefore, they don't understand the rules and regulations. And what should nurses know?

Speaker 2:

And I'm going to broaden it out a little bit, not just Texas, but I'm going to talk about every nurse in the United States or anyone who holds a professional license. There was going to be roughly three sections that every entity that gives someone the privilege to practice is going to have in their basic rules and regulations. Standards of practice. That's pretty obvious, right. That will give you the guidance, whether you're an RN, an LP, an MD, an NP, pt, insert whatever letters you are the guidance right Under your standards of practice. Unprofessional conduct it's going to list out what is some things that unprofessional conduct. You're going to look at that as well. That should be a basic guide and then grounds for discipline. Those are three sections that anyone who holds a professional license, even if you're a real estate agent or whatever you are every entity is going to list those things out and those are pages long, not 300 pages. You care about those three sections and then use AI, use a tool.

Speaker 2:

I go to Cornell Law which dumbs it down for me and I say I'm helping a nurse in a lawyer in Florida. Bring me up the rules and regulations as it pertains. No one's asking anyone to reinvent the wheel, but re introduce yourself to your modality. That's like number one is just understanding the rules and regulations. Then you hit on another thing policy, and let's just talk about that.

Speaker 2:

Now, Texas does, I believe, have a good structure as it pertains to the rules and regulations and we do have a traditional board of nursing People who have a compact license or don't practice necessarily here. They don't have a traditional board of nursing. They fall under, let's just say, the california, under the alj. You know, miss michigan, maybe hhs or dhs, but someone is housing the rules and regulations that dictate your professional license, um. So you just need to make sure that you're um introducing um yourself to that. But use ai or some of these tools to dumb it down for you and just say hey, I'm in Texas, I'm going to be coming to Texas, I'm taking an assignment there. Dumb it down for me under these three sections and then give me some guidance. I'm an LPN, can I administer blood? Can I do some of these things I may be able to do in Alabama state over, but now I'm coming to Texas, can I do that? So you utilize these tools.

Speaker 1:

It can get really ugly when you have a lack of understanding of what you've done or what violations may have occurred. You can get the ombudsman involved, and I mean we're talking. There could be criminal charges If you're, you know, messing with insurance. If insurance catches wind, you better bet they want to save money. They'll come after you. You know there's just a lot of different ways that things could go and they'll all be happening at the same time. Don't think it'll be one right after another. You'll be out money. You'll be searching for lawyers. You'll be calling Maggie saying, hey, what can I do?

Speaker 2:

You know how did all these four letter agencies get into my life? Because all of a sudden you're getting letters, and it's not just from the board of nursing and I'm just using the board of nursing loosely because we're talking about our state, but insert any state. If you come to this state and let's just say that you have five other licenses, you and I know what that looks like. You come to this state and something happens here. You get reported to this board of nursing. Those other boards could come after you.

Speaker 1:

In fact I've got some formal charges that I'll throw up here in a moment. And they had changed the board of nursing. They had a notice that came from the Board of Nursing. They changed it and then submitted it and posted it out to news outlets and for people to see and I mean, wow, to your nursing license. You really just ticked off the board of nursing and they're definitely going to be, you know, not happy with that, but we're talking about that is now a. That's a, I believe, federal document.

Speaker 2:

I was about to say, is that not? And again, now we're leaving my lane a little bit. You altered a state document that might be a federal, I don't know, right, yeah, exactly it's.

Speaker 1:

I think it's absolutely up there with the large heavy offenses. So I mean, that's one one way that you know you could get some criminal charges, civil charges. I mean people have the ability to sue you civilly if they feel like you know you videotape them, chat filter on a patient. You know, yeah, they can absolutely turn around and sue you. Not only then will you be battling the board of nursing, but you'll be trying to duke it out in civil court as well, and I know that that's just going to drain tons of resources not definitely not a position you want to find yourself in at all, and that's why it's so crucial to understand and, if you don't know, get help from someone like mackie or an attorney or you know the number one thing is that you have to get a lawyer.

Speaker 2:

Bottom line is if you're involved in any litigation, I don't care if it's criminal, civil, you get arrested. It's for you're in new orleans, it's your 21st birthday, you are getting crazy on, you know bourbon and you are arrested. And you are for you know public intoxication. Unfortunately, I'm not telling you it's right, but you and I both know the board of nursing will be involved, because you do. You will also have to report that when you go to renew your license and or you will have to look at the rules and regulations in your state. When does it say you're supposed to report an arrest? Then we're going to go back to that policy. I promise you and I've seen it because I've had nurses reach out to me who've gotten DUIs, who unfortunately, were in leadership, and they reached out to me and said what do I do? I said, well, we got a couple of things you need to look at and I just provide education. Number one you do need a lawyer. Number two well, number one, you better have professional liability insurance. Number two with that professional liability insurance, you're going to call that lawyer and you're going to start talking to them. Number three you know what the policy says at that organization More likely than not as well, especially as a leader. It's going to say that if you get a DUI or PI, you are arrested. You will have to let your employer know, and then your employer can leverage that against you as well. So you do have to understand, because if you show up to your job, whether you're in leadership or not, and the policy does say that you're supposed to report, and let's just say, for example, you're on busted and you and I both know this is a thing and your picture gets sent to oh I don't know the CNO, and I would love to tell you that it's never been a thing You're more likely than not going to get terminated instead of you responsibly going to your leadership. And maybe just now because in some states if you're terminated that's automatic retelling you have to tell the board of nursing because they want to know if you're terminated.

Speaker 2:

And not only that, now, that's on your application or your resume that you can never lie about you, and I know that a lawyer is not cheap, that an investigation could go on to two to three years. You have more than one type of litigation. The financial burden could be so profound. But all these things, one event, I think we're all we're trying to point out here, where one event whether you let culture, whether and culture is having your phone on you all the time, using it appropriately, going live, texting, talking about patients on your first personal phone because I'm going to even extend that a little more you and I both know that is a huge no-no employer phone.

Speaker 2:

I'm allowed to use my employer phone that they've given me to not TikTok out or live stream out, but to communicate. The physicians can call me on my personal phone on tiger text and don't even get me started with that. No, because am I following the policy as it pertains to tiger texts? I'm not, and only that. Am I willing to hand over my phone for discovery, and only that? Am I willing to hand over my phone for discovery?

Speaker 1:

Not for my organization.

Speaker 2:

Stop it, right, right oh not a chance, no, exactly.

Speaker 1:

Well, let's take a look at these formal charges. We'll kind of just I want to just showcase what they look like for everyone and then we'll talk about. You know, we've we've really outlined the risks. We'll kind of talk about some tools and some rules to be very mindful of.

Speaker 2:

So formal charges are beyond what the allegations would be. So the complaint would come and the investigator could send out an allegation. Some states will just send out a complaint we were talking about earlier. Texas will send out a full on allegation. If there's solid evidence we'll go back to the live streaming. There is actual evidence of the conduct. It's just non-negotiable. There's no way to get around it. More likely than not, you're going to be sent formal charges, like she has presented here.

Speaker 2:

The first piece of it is the nurse's basic information. This is a formal document that's generated. This is what I would have been creating, created. It was just a basic template that I was bleeding in the nurse's name, the violations it was word perfect folks and I did say word perfect and it would be stopped so it wouldn't be an allegation. You see, here is charge one, so moved from the allegation to the actual formal charge, always listed out as honor about this date. This time it's very basic. This one just happens to be a family nurse practitioner. It would be licensed practitioner, it would be whatever your credentialing was RN and then would move on to. You are the respondent and the Texas Board of Nursing are alleging this against you on or about this date. This time We'll list out some violations, like we referenced in the very beginning, under unprofessional conduct, grounds for discipline and standards of practice. That's why I said it was important to know that, because that's where these violations would have been pulled from. So they'll reference those.

Speaker 2:

You get a notice. This is basic, just kind of language, legally language. That's put it there. You are being noticed. The notice is this formal charge that would be sent to the nurse via certified mail. That's why it is required for you to keep your address up to date. If you do not respond to the board of nursing or if they send this to you more than three times, that can lead to the revocation of your license. When you involve your lawyer, which you should absolutely do, so that's a layer of relief, I feel like, for the nurse as well. You're not getting that certified letter. That can be very stressful for the nurse. Your legal team will keep you up to speed, but your lawyer will receiving that letter, that any other communication from the board of nursing. So it is a level of comfort for you and protection.

Speaker 2:

All of this even if you get a formal charge. I want you to know as well. It is not hopeless. It is absolutely not hopeless. You have legal representation. You understand the process, even if this I know this is just a little bit of a rabbit hole, but one of the little trigger warning number one reasons why a nurse will take their life or attempt suicide is a border nurse and complaint or formal charges. Nurse will take their life or attempt suicide as a border nurse and complaint or formal charges. So it is not hopeless. You get legal representation. You work through the process. All of this stuff, to a certain point, is negotiable. That's why you have your law firm. The violations can be looked at. The different violations could be offered up. The allegation can be rewritten if it's not written appropriately. When I was the investigator, I would have something very basic that I was writing up the allegation um up and it may not be the full and complete story.

Speaker 1:

Therefore, your legal team can come back and negotiate stuff with the board, even if it's sent in uh, the formal charges yeah, no, and I'd actually like to really piggyback off that We've handled a case where social media was presented as evidence, right. So we're talking about, I mean, this is the board of nursing is saying here, here it is, we've got it. Our firm love this. Our firm argued that that evidence was insufficient, unauthenticated, that those witnesses were unreliable, they weren't credible, and this person ended up getting a disciplinary order, but with CE credits and with an attorney. This really just speaks to how, how Essential, essential use the right word Essential. Yes, they modified the findings to include a statement that the accused had completely denied.

Speaker 1:

All of these allegations, right, all of these allegations, right. So there are things that your attorney can do to negotiate, or there's just a plethora of options that your attorney knows because they studied the law and they understand this process that you aren't aware of, that happens behind closed doors, that people aren't running around going hey, guess what my attorney got me? You know, two weeks instead of 16. It's not something people are running around saying. So, absolutely, explore what an attorney can do for you and your case.

Speaker 2:

It's essential and, like you said, I say that every day, all day. That's the number one thing that I say, because we don't learn the nursing law Again. I'm not here to tell you that a nurse is not going to make a mistake. Our nurse doesn't do something wrong, but that doesn't mean that you should be punished, or for the rest of your life, or again.

Speaker 2:

I'm not talking about someone who's intentionally harming someone. I'm talking about an nurse in their everyday life. Sure, this is a social media thing. Is this, you know? Should any nurse be going live? No, but they're going to do the restitution, they're going to do time and should they be able to go on with their life? Yes, and that's why you have your legal representation to help you mitigate and that's what she's saying mitigate the outcome, because I'm here to tell you, the nurses reached out to me once they're done with the law firm, and now it's a year, it's two years from now.

Speaker 2:

They're like now I'm on these lists, now I'm on these, or they do without the lawyer. They are on these lists, but their lawyer and myself were thinking about no, no, no, no, no, so we don't agree to this. So what we can agree to and where the lawyer, or even I mean I've worked with your law firm, that's how we've crossed paths Right, and I'm like hey, you know, maybe this one, or you know, I could see where a nurse could do this, because I am the subject matter expert, I worked in that modality, right there, I could speak to it a little bit more and you're like that's a, that's a great idea. Or the lawyers like that's, that's, yep, we're going to do this. You know what I mean. Those are all things that are very much negotiable.

Speaker 1:

What can license holders do nurses specifically, to avoid this regulatory pitfall? I know that we've touched on it a few times. You know already this episode. Obviously don't go live at work, but what are some other, maybe not so obvious things that nurses should be aware of? Not so obvious things that nurses should be aware of?

Speaker 2:

So I'm going to plug myself just for a minute. I do offer a charting course. Oftentimes you and I both know when we're looking at. Now this is a little bit different because we're referencing primarily like a video or something that's out there, but oftentimes it is around a practice and so what you do or do not document is a big deal, and if you don't document it, you know that it gets harder to validate.

Speaker 2:

You know what was done now, obviously, with the growing, you know, staffing ratio issues, with us pushed to, you know taking on more unsafe assignments, of course we do the care first. No one's asking you to chart in real time. That's not a reality. What I'm saying is making sure that you're advocating for yourself and you're not taking on an unsafe assignment. What does that look like in Texas? I'm going to say 217.11.1S is the person making that assignment, which I don't feel is safe, and then T me accepting that assignment. Are you asking me to violate the nurse practice act? There's a tool I just gave you knowing the nurse practice act, our state is very specific. But then you say are you asking me to violate that? And then they pause. Then you're going to double down and say you're going to deviate. Now you know a different type type of law. Medical malpractice is knowingly and willingly taking on an unsafe assignment. Are you asking us you and I and all the leadership for me to take on an unsafe assignment? Because the definition of medical malpractice is knowingly and willingly taking on an unsafe assignment in a professional, respectful manner? You could have in a manila folder I I like to say print it out. This was two, 17, 11 on your badge. We all have these little badge buddies. You know what I mean. Pin that on the back of your badge and you're just going to read from that. It's not you, it's the board of nursing, in a professional, non-heated tone.

Speaker 2:

Number three in Texas we do have safe Harbor. Now number four is ADL accept despite objection. Let me be really clear, and you know this as well ADO accept despite objection is a tool used by unions. I know that can be considered a cuss word. I don't have any problems with that tool, whatever that is. But let me just be real clear. That is not safe harbor and I don't know what that looks like. If the board of nursing does not approve that piece of documentation and you accept despite objection, that will be produced in civil, criminal and possibly Board of Nursing litigation. That is not the same thing as safe harbor, which enacts the peer review process to have your assignment looked at for you. Ideally then you would leverage the 217, 11, 1, s and t I just named two, but there could be other things. If you don't have the education, training and knowledge, that's another under those three sections. That I said is a 10 minute read that you could now leverage.

Speaker 2:

Do not take for granted your orientation. Do not take for granted your orientation. Do not take for granted your orientation. It is owed to you. Do not let them make you think that it is not your right to have that. It is.

Speaker 2:

And then I'm going to lean back in on how do I have the education, training and knowledge that I am quoting the Board of Nursing. If you're not affording me an orientation, then you would quote that. If you're saying that I don't get six, uh, 12 weeks, you're going to go to evidence-based science, research to pull that in. And then you're going to lean in on the board of nursing, where it does say that I am touching on something.

Speaker 2:

I'm not sure if you're aware of this happening in my, in the nursing environment, where they're not extending the new nurses a full 12 weeks, and I'm not even tied to 12 weeks because if I'm working in the nursing environment where they're not extending the new nurses a full 12 weeks, and I'm not even tied to 12 weeks because if I'm working in the ICU, how do you know in 12 weeks that I'm going to be ready to manage someone who's critically ill on my own?

Speaker 2:

You don't. So come back to the table, reevaluate that and then you work out a plan, but you lean in on the board of nurses saying that I have the education, training and knowledge to take care of this person on my own. But you see what I mean In all, even tone, even tone. I did not change my tone and and a respectful and I'm not going to tell you you're not going to get harassment. But if you all stand together and you all have the same knowledge, if you all stand united to charge nurses and taking patients, but you use these tools and you stand united, and all I did was quote the rules and regulations. I didn't quote anything else. That was it.

Speaker 1:

That was it. Yeah, I mean, I think it's something that nurses have been dealing with for a long time, so those are fantastic tools for people to feel empowered and be able to put their foot down when they know that things aren't right.

Speaker 2:

I have free resources on my website charting tips and then just some basic stuff about board of nursing investigations, cause I do think that all nurses I I'm about a little bit scared straight because you and I know if, if they're coming to either one of us, the process has already started, exactly.

Speaker 1:

Yeah, something's already happened.

Speaker 2:

Two to three years more likely of your life. The financial burden, the unknowing, the when is the next? It's all these things that you and I hear every day that I don't want for you, I don't want for any nurse. So the more that you understand that, that the board of nursing and just as we wrap it up, because the thing that's not beaten to us enough and maybe a little mind blowing to you but we're not really taught that the board of nursing is not there for us.

Speaker 1:

Yeah, no, it was. I think that is mind blowing. And there's a yeah, you would think that the board who granted you the license would kind of keep you in their corner, right, but no, they're there to protect the public and that's, that's really big. They regulate your license and you know they don't.

Speaker 1:

Say that again we're on the regulator Right, you got to know your regulator and that's why it's it is. This is we've created this to help kind of bridge that gap between I don't understand this or even if you're you're reading it, you don't really understand what you're reading and you've, you have to, you just have to. You've got to figure it out.

Speaker 2:

This is where you leverage the tools that we're talking about Cornell law, ai, whatever you're using, plug it into to to AI. You're coming to Texas, you practice here, you're a new nurse and you're trying to figure out what exactly is my scope of practice in an ICU, in a surgery center, in a home health setting and leverage these tools that we already have in our environment to help you. If nothing else, it'll get you the link to the Texas Board of Nursing or the National Council of State Boards of Nursing. And the last tool that I'm going to leave everyone with as we wrap it up, that I talk about in my charting class and anywhere that I speak or I do anything across the nation, is the decision-making framework. It is eight questions that you are asked and please bring up the visual folks, you need to look it up.

Speaker 2:

It comes from the National Counselor, state Boards of Nursing, who gives guidance to every state to put the rules and regulations in, and one of those is the decision-making framework. It goes one through. Eight says what yes or no. It's either yes, you move on, or no, it's a stop. And the last one is number eight Are you willing to accept the responsibility of your actions. The big one. It's huge when you make that final decision, whether it's you're going live on social media, you're, you know, doing something, you're copying, you're pasting, you're deleting, you're doing something in your workplace and your little nursing guts telling you folks don't do it.

Speaker 1:

Don't do it, you better be willing to accept the responsibilities, those actions and all those consequences that come with it.

Speaker 2:

Yes, and the reporting to a board of nursing the mirror, because one of the questions that people don't realize if you're arrested or if you're, in salt, involved in civil litigation or you're found negligent in civil litigation. Early on in my career, one of my very good friends and I did help for her to get her license back after she got her revoked because she was involved in civil litigation where they found her civilly negligent for a pressure ulcer. Her husband was active duty, she moved, didn't update her address something that could have easily probably been handled but because she didn't get those three letters that led to the revocation of her license, not just one, but all her license fell. So one act you and I both know can lead to so many other things. So, yes, are you willing to take responsibility for your actions?

Speaker 1:

Thank you very much, maggie, for pulling this curtain back on. You know what really happens when social media collides with the Nurse Practice Act. Texas Board of Nursing gets involved, and that's obviously not something you want to happen. So here's your big takeaway Social media is never personal. When you're a licensed professional, what you post can follow you straight into a board investigation. Make sure you're protecting your patients, your professionalism, most of all, your license. Check out our links below to visit Maggie's advocacy resources. Read the Texas Board of Nursing social media guidance, huge one and more. Be sure to subscribe, share and join us next month as we continue charting the issues that matter to Texas medical professionals. Until next time, know your rules, guard your license and keep charting Texas.

Speaker 2:

Know your Regulator. The podcast that inspires you to engage.