Anything You Say Can and Will Be Used Against You: A Nurse’s Perspective

It’s an unsettling thought, isn’t it? To consider that in the act of simply doing our job—communicating with patients, families, and colleagues—we might unintentionally put ourselves at risk. A casual comment can be perceived as a definitive medical opinion. A shared moment of empathy can be construed as overstepping professional boundaries. And when things go wrong, the words we spoke in the spirit of care can be dissected in courtrooms, disciplinary hearings, or even by our employers and board investigators.

So, how do we navigate this reality? How do we continue to communicate with the authenticity that makes nursing so powerful while protecting ourselves from misinterpretation?

Mindful Communication: Each word matters. Pause before you speak, especially in emotionally charged situations. Ask yourself, “How could this be perceived?” Document what you say and why you said it—your charting is your safeguard. Remember, even conversations with employers or board investigators can be scrutinized later and your words can be used against you.

Empathy with Boundaries: We can be compassionate and professional at the same time. Reflecting back feelings—“I can see this is really hard for you”—shows care without committing to promises or definitive statements.

Education and Advocacy: Understanding the legal landscape of our profession helps us protect ourselves. Join conversations about nursing practice standards. Seek guidance from mentors or legal counsel when situations feel unclear, especially when dealing with board investigations or disputes with employers. Read your state’s nurse practice act and know your policies and procedures.

Support Each Other: We’re not alone in this. Share experiences with your colleagues, learn from each other’s stories, and foster a culture where we lift each other up. Create spaces where concerns can be voiced and explored safely.

Nurses, let’s remember that our words are powerful. They can heal, but if we’re not careful, they can also harm—ourselves included. Let’s use our voices wisely, with both courage and caution, and continue to be the advocates, healers, and pillars of strength that our patients need. Together, let’s find the balance between being human and being professional. We owe it to our patients—and to ourselves.