Agree its shocking so many people think the post is ok. It really isn't.
To doubly demonstrate the point:
Here is the RCN policy (dated 2019):
https://www.rcn.org.uk/Professional-Development/PDFs/social-media-policy
Accounts
Whether you have a personal, work or RCN account, this should be managed appropriately, with care taken to ensure the content posted is suitable for the account and complies with applicable policies.
Your privacy
Social networking platforms are in the public domain and while it is advisable to familiarise yourself and appropriately use any privacy settings it is not always possible to be sure what is being viewed, shared or archived, even if material is posted on a closed profile or group. There can be no reasonable expectation that posts will remain private and will not be passed on to other people, intentionally or otherwise. Material published online may have the potential to be available publicly, indefinitely.
Point one. This nurse has stuck it on FB. The OP hasn't identified the person involved, but could have quite easily on here. That in itself is relevant though. This nurse could have been in a LOT more shit.
Conduct
Users have the right to freedom of thought, opinion and expression and can use social media as a means of communicating these but remember that the same standard of behaviour is expected of you online as it is offline.
Consider your use of language and phrasing, and whether you would be happy for the comments, photographs or videos you have posted, commented on or shared to be seen by fellow members, colleagues, your manager, patients or members of the public.
Users should not post messages, status updates or links to material or content, which is deemed to be inappropriate by the RCN or brings your patients, profession, employer or regulator into disrepute. This content includes: pornography, racial or religious slurs, genderspecific comments, information encouraging criminal skills or terrorism or materials relating to cults, gambling or illegal drugs.
Inappropriate content or material also covers any text, images or other media that would reasonably offend someone on the basis of race, age, sex, religion or belief, disability, sexual orientation, gender reassignment, marriage or civil partnership, pregnancy and maternity or any other characteristic protected by law. If your employer has a social media policy you may want to review this to see if it provides any further guidance.
Point two. If seen by anyone who is gender critical in any way (or just is supportive of single sex accomodation for any number of reasons rather than identifies as GC) or is a Tory or has voted Tory, its problematic cos its definitely trying to offend. It is NOT raising a point on policy in any constructive way. Its just an attack and it seeks to be confrontational.
Indeed:
Trolling
Remember to remain appropriate, respectful and polite, even when disagreeing with others. You are bound to come across posts with which you don’t agree and, by the same token, may yourself post things with which others take issue. This is of course never justification for poor conduct. In internet slang terms a "troll" is a person who posts something inflammatory, digressive, extraneous or off-topic online, not to engage you in their point of view, but simply in order to provoke an emotional response.
The nurse's post meets the definition of trolling and is explicitly outlawed as such.
Its outright not acceptable.
The nurse IS in breech of NHS and RCN social media policy.
They really should be reported by someone, but I completely get why they aren't. The nurse doesn't need a disciplinary but does need a refresher in what social media policy is.
It DOES matter because it undermines trust and public confidence in the NHS and ask questions about whether all patients will be treated equally to the best professional standards. This nurse potentially wouldn't.