I Should Be in Jail

As a pediatric nurse, you see a lot. Human nature at it’s rawest. Most caregivers are decent, but there are those that you encounter that just...just make you wonder why you are not in jail for slapping their face. I mean, some people...you just want to punch them in the face. Nurses General Nursing Article

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This article was written by a member of allnurses. Due to the delicate and emotionally charged nature of the article as well as details, the member wanted the topic posted anonymously. If other readers have articles they would like published anonymously, please contact allnurses.com.

My First Encounter As A Paramedic: Shaken Baby Syndrome

Let's start out with my first encounter with a parent. I was a paramedic (a newbie..a rookie..an innocent) called to a home of a 4 month old that rolled off of a couch. The baby is seizing and the father is talking about how he was making the baby a bottle. He was alone with the kid and the mom was at work. He claimed to put the baby on the couch and the baby rolled off the couch. A short couch...onto carpet. The story didn't add up. The baby seized the entire 30 minutes it took us to get to the nearest hospital, and then later died from massive head trauma. Shaken baby syndrome. That was some fall.

This was my induction into real life. I was out of my protective cocoon and my rose colored glasses cracked in the truth of real life. I have scraped children off of the highway who were unrestrained; I have whisked children out of homes that were besieged with fighting under the protection of cops; and I have taken children to the ED scared to be touched by anyone.

The pressure of being a paramedic became too much, so I chose a new profession...pediatric nursing! (insert snarkiness here).

My Many Encounters As A Pediatric Nurse

Mom Brought 13 Year Old to ED Both Afraid Of Dad

Mom did not have custody, and the dad was not happy the kid was in the ED. Dad, I am sure after meeting him, is in a gang. The cops were brought in, the mom asked to leave, the dad was cursing up a storm and I confronted him. "We will absolutely not tolerate that type of behavior in the hospital, in a CHILDREN'S HOSPITAL. If you don't sit down and be quiet, you will be escorted out." Nicer than a punch, and I kept my job.

I myself was escorted by security to my car after work....fearing what may await me.

15 Year Old On Life Support OD'd To See If Mom Loved Her

She did not want to die, she wrote me in a note when she was intubated, she just wanted to see if her mom cared. The child took a turn for the worst with multi-system organ failure. As we strived to make her comfortable and keep her body in a hypothermic state, the mom was mad at ME because the room was too cold. She tried to fire me from being her daughters nurse. This after she so nonchalantly said, "pull the plug". I stayed at the bedside and held her hand as she passed away, mom went to go eat.

13 Year Old Dying From HIV/AIDS

The dad wanting to be at her side, the step-mom wanting to go do stuff. The dad confided in me once, when he was irritated with his wife, that his daughter was never treated fairly by his wife. He wanted to bring his daughter home to hospice and wanted to redo her room - a makeover - just how she would have loved it. The wife would not hear of it, since the girl was 'gonna die anyway'. And she did, in the hospital room with nursing staff at her side.

18 Month Old Beaten By Mom's Boyfriend

The mother of an 18 month old who was beaten by the mom's boyfriend. The grandmother had unofficial custody since the day the child was born. She had unofficial custody of 3 of the children because the mom was always partying and never had time for the kids. When the family decided to remove the child from life support after the baby was declared to have brain death, the mother banned the grandmother from the room. That was the only time I did not let a parent help me bathe a patient after the patient died....and I gave them a time limit for grieving as well. The fact that the mother was holding her dead child and talking about going to Chili's and a movie later in the day sort of made up my mind, along with her acting like this was a party and yelling at her brother to "go get me a coke, hey, my baby just died and you need to be nice to me", and "hey, you know that **** was going to go get a new car today?" Absolutely no feeling at all about the loss of a child, but enough bitterness in her to block the one true person who cared for the baby from being at his side.

4 Year Old Who Was NPO For Surgery

As usual, the patient did not go to OR before lunch and she became fussy and..hungry...I walked past her room to hear her father yell at her to "Shut up!" as she was crying. I went in right away and she was reaching for his lunch. His McDonald's fries and burger he was munching down on. I absolutely kicked him out of the room (sans roundhouse kick to the face).

Absence Of Grief

I know that people deal with grief in unusual ways. I have seen grief, I have seen the absolute absence of grief, and I have seen those who pretend to have grief. For me, the people who have not one ounce of compassion for the child who most needs their love are the ones who I cannot and will not ever understand. I know that people don't think beyond their own needs, even when a child is crying and does not understand what is happening.

But it doesn't mean I agree with it, or have to like it.

As a nurse, the hardest part of my job is to not say and do what I really think and feel. Or I would have been in jail a LONG time ago.

What have you seen that makes you want to commit an assault?

Specializes in Home Health, Case Management, OR.

My heart hurts for these lil kiddos. I would lose my mind if I lost my one or both of my kids. To witness what the author has....I couldn't recover from that.

Specializes in PACU, presurgical testing.

I remember working many years ago at a hospital where a nurse talked about seeing Xrays for a 4 week old baby with HEALING fractures. The absolute fury in her eyes was unforgettable. I could not work where you do.

Specializes in Emergency/Cath Lab.

The stuff I have seen that makes me the most angry are things I don't like to relive. I can still hear the screams of the father losing his son that day.

People suck. People suck bad.

There are a handful of good people, but the ugliness of the world is hard to ignore.

signed,

a cynic.

Specializes in Mental Health, Gerontology, Palliative.

I work with the elderly.

One recently. A wonderful chap who i shall call George (name and identifying details changed to protect privacy) had a hard fall and possible compression fracture of some of the vetebrae. He was a NFR however we sent him into the hospital for an Xray and to ensure adequate analgesia. While George was away my wonderful CNAs who realising we may need to hoist George swapped Georges non hospital bed over for a hospital bed.

Roll forward the start of the week, our clinical manager packed a nanky because the bed in question had been ear marked for another patient. The other patient was already on a hospital bed with an air mattress, however the CM took George off the hospital bed. Put George back onto the normal bed. When asked about a hospital bed as George was demonstrating early symptoms of puemonia the CMs response was "well that's not a priority right now'. Later that night we received permission to put George back onto another hospital bed due to marked deterioration.

Another common problem that happened with George but also happens with other patients in my facility. Ensuring patients have adequate pain relief. George was in alot of pain and only had paracetamol charted. A couple of weeks ago, I got the after hours doc out to get better pain relief for George. Doc charted codiene, and last week I found that chart had been archived,

Some of the nurses seem unwilling to medicate and I want to smack some skulls when I arrive on shift with patients who are in intense pain, under medicated and have been for days and am left to sort this out on the weekend when none of the normal doctors are around.

Specializes in NICU,PICU, PCICU, and Peds ER.

This article was well written/said. Being a pediatric nurse myself I too have seen and dealt with many of the same situations and to me it is the hardest part of the job not to say anything and to try to be respectful to people who absolutely do not deserve it or that cannot show respect themselves. Its even worse than caring for the sickest sadest patient because as a nurse we are not supposed to "judge", although I don't think it's judging when you are the one directly involved in the care of the patient and family. But all we can do is count our blessings and continue to advocate for these patients and hope that things will one day change.

Specializes in critical care.

Hugs to all of you who have shared these heartbreaking stories. ?

Specializes in Pedi.

In 9 years of being a pediatric nurse, too many to count. Heck, I've had 3 in 2016 already.

One of the main reasons I believe I couldn't be a pediatric nurse. I'm not sure I could contain myself in situations like these especially since I am a mother myself. Thank you for sharing.

Specializes in Geriatrics.

I want to say thank you to the nurses who are strong enough to be a peds nurse. I know that you all have such a big heart and care for these children like your own. I could never do what you do, because I am not strong enough to deal with what you deal with on a daily basis. I can't imagine the heartbreak you feel. Bless you all.

Thank you for sharing your story. I am a new nurse, when I did my rotation in Peds I had a 10 month old who had a subdural hematoma and skull fracture because he " fell on the baby gate". The preschooler who had to have a colostomy because someone molested him repeatedly and caused so much damage to his little body. Caring for those kids and knowing that the injury did not occur from an accident or injury but from abuse of a family member was more than I could handle. I decided Peds was not for me, I knew I would end up in jail if I had to deal with those cases. I have so much respect for the nurses who care for children and handle those situations on a daily basis. Thank God for your strength and the care you give to those children.

In nursing school we did clinicals in a place for children with MRDD. 95% of the children were there because "mommy's boyfriend" either attempted to drown, threw against a wall, beat, etc, the child. When I was working in the hospital near there, a 2-year-old was brought to ER with rectal bleeding, turned out "mommy's boyfriend" attempted anal intercourse with her while mommy was at work. If I worked ER, there would be no trial. That is why I worked with adults (and still do.) I would be in jail with no regrets, and there would be one less scumbag on this earth.