08/26/2025
Evans EMS . Why we dont post on Facebook as much as other public services.
While it may seem that EMS agencies don't post on Facebook, many actually do, but within strict regulations to protect patient privacy. A single improper post can result in lawsuits, loss of employment, and damage to the agency's reputation. To avoid these severe consequences, EMS agencies typically limit posts to general, non-sensitive content and rely on formal, official communication channels.
Legal and ethical obligations
EMS personnel must strictly adhere to the Health Insurance Portability and Accountability Act (HIPAA), even when off-duty. HIPAA protects individually identifiable health information (PHI) and carries serious consequences for breaches.
HIPAA violations on social media
Case details: Posting any information that could be used to identify a patient, even if the name is not used, is a violation.
Photos: Taking and sharing unauthorized photos or videos of patients or emergency scenes is a serious breach of privacy.
Private communication: Messaging a patient on social media after an ambulance ride is an ethical and potentially legal violation.
Erosion of patient trust
Any perception that EMS personnel are sharing confidential information can damage the public's trust in the organization and all medical professionals. Since social media posts can be copied and shared widely, the risk of a breach is high, even with private accounts.
Agency policies and employment risks
Most EMS agencies have strict social media policies to protect themselves and their staff from the risks of online posting.
Agency monitoring
Many agencies explicitly state that they will monitor employee social media use for any violations of policy.
Public employees, including EMTs, are cautioned that off-duty social media posts are not always protected by free speech and can still be used as grounds for disciplinary action or termination.
Disciplinary consequences
Violations of social media policies often result in suspension, termination, and potential legal action.
EMS and fire personnel have been terminated for controversial posts, even if they did not explicitly mention their agency.
Communication strategy
While many agencies use social media for community outreach, their public posts are carefully managed and vetted.
What agencies post
General information: Postings often include recruitment efforts, announcements of new equipment, or employee recognition.
Emergency alerts: In some cases, agencies use social media to share public safety information during a disaster, but they must be mindful of the risks of misinformation.
What they avoid
Sensitive details: They will not provide information about specific incidents, patient status, or details that could allow a patient to be identified.
Unprofessional content: Posts containing complaints about the job, colleagues, or the public are strictly forbidden.