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Do even pediatric nurses get jaded?



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May 17, 2009 09:01 PM

Do even pediatric nurses get jaded?

by ACRN06

So I'm working fastrack in an adult ER, I have about 4 Cough/Cold/Achy patients at any given time. These people DON'T need to be in the ER. Theres NOTHING we can do for their cold that OTC meds don't also do! A good dose of emotional suppression keeps me still able to smile at these patients, but thats only on a good day. For the most part my compassion tank is empty after the first one who is demanding more attention than my REAL sick patients.

When I think about pediatrics, I don't think I would ever feel this way no matter how many times a little kid came in feeling ill. Kids are different, they can't care for themselves, I don't expect them to know how, and I can be sympathetic to new parents who are scared. Even if I saw 100 minor colds in a day, I don't think it would affect me the way adults do.

Does it?


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12 Comments
No. 1
Old May 17, 2009, 09:28 PM

Default Re: Do even pediatric nurses get jaded?
I don't work in an ED but I can say it can get tedious, especially in RSV/Flu season. Sometimes it is almost like "If I have to put on one more isolation gown or suck the snot out of one more nose...". I am sure there are different levels of burnout too. I know some peds nurses who have said that they have been burned out from our oncology popuation. I guess you can only see so many kids die before it gets to you. We just recently had about 5 deaths in a week.

I guess to me, everyone has the potential to be burned out after a while, even when you get to work with the coolest population ever!
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No. 2
from llg
Old May 17, 2009, 09:32 PM

Default Re: Do even pediatric nurses get jaded?
Working in pediatrics is no sure fix to burnout. Peds nurses can get just as burned out and jaded as other nurses. It may manifest itself a little differently (less directed at the smaller children), but it happens.

Parents can be difficult to work with ... chronically ill children can learn to be very manipulative ... family disputes over control can be horrendous ... adolescents can be, well, adolecents ... etc. A children's hospital is not a perfect world
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No. 3
Old May 17, 2009, 09:40 PM

Default Re: Do even pediatric nurses get jaded?
Unfortunately, I think you can set yourself up for disappointment if you think peds nursing is always clowns and balloons and games and happiness and laughing. Sometimes you have to do some pretty horendous-seeming things to kids, like when you have to hold down a 3 day old baby with a fever while they attempt an LP and it takes multiple attempts to get fluid. Or when it takes 4 nurses to hold down a 5 year old to restart an IV. All the Synera in the world won't take away the scarinesss to that kid. Or when you hve to code a 3 month old b/c he pulled out his NG AGAIN and is aspirating on his feeds. It can be stressful. Not all the kids will love you. Some will say they hate you.
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No. 4
Old May 17, 2009, 11:49 PM

Default Re: Do even pediatric nurses get jaded?
Also remember that these cute little people sometimes come attached to those some kind of people that burn you out....they're called parents.
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No. 5
Old May 18, 2009, 12:33 AM

Default Re: Do even pediatric nurses get jaded?
Amen!!
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No. 6
from PICNICRN
Old May 21, 2009, 02:16 AM

Default Re: Do even pediatric nurses get jaded?
I've been working with only kids for almost 15 years now, I can say that -trying as the parents may be, I could not imagine working with adults EVER! I can say that I would never have the patience for adults and their whining! "get me some water", "I need a warm blanket" Move my tissues closer"..... these are things that are much less annoying coming from a child that is afraid or cannot do things for themselves.
That being said.... I have worked Peds ED and have seen many parents bring in their kid for the most rediculous things- "cough", "fever", and my favorite "did not have any tylenol at home". Sometimes they are not just "young parents who are scared or don't know any better"- they are just playing the system. But, I still think that game is easier with a kid than an adult.
To answer your question... I think 100 common Pediatric colds is much less annoying than 100 adult colds!
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No. 7
from NurseKayla
Old May 23, 2009, 03:20 AM

Default Re: Do even pediatric nurses get jaded?
For me the burn out rest with the parents, who allow their children to bite, spit, kick, and scream bad things directly to me--without any discipline.
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No. 8
from sunflrz321
Old May 24, 2009, 08:54 PM

Default Re: Do even pediatric nurses get jaded?
Yes, you still do get jaded as a pediatrics nurse. But I have worked in many different areas of peds- peds psych, peds ICU, peds pulmonary, and general peds, and I can tell you that across the board, there is more hope when you work with peds, and that is what keeps us going.

As some of the other posters mentioned, parents and RSV season and family dynamics are some of the frustrations. Another frustration is that typically around 50-75% of the families are spanish-speaking-only, and these families very often take advantage of the system- always asking for extra formula and diapers and free meal tickets. And it can be tiring basically being the professional meanie.

Pediatricians who don't know what they are doing are another frustration. There are many spanish-speaking pediatricians who are absolutely horrible doctors, but they set up practices in a predominantly hispanic town several towns away from our hospital, because they know that SSO parents will choose a bad spanish speaking pediatrician over a good pediatrician who does not speak any spanish. These doctors take medicaid, etc and nearly all of their patients are on it, so they have to see more patients in a day to survive, & don't have time to spend proper time on each patient, even if they could deliver good care in that time. The hospital in that town does not have a peds ICU, so all of their sick kids are sent to us. What is interesting is that of the good pediatricians in the area, they manage their patients so well on an outpatient basis that we almost never see their patients inpatient, and only once in a blue moon in the peds ICU. But the bad pediatricians who don't know how to manage something as simple as asthma or pneumonia- well, we see their kids in the PICU all the time.
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No. 9
from Moss1222
Old May 27, 2009, 12:17 AM

Default Re: Do even pediatric nurses get jaded?
I worked many years in a wonderful children's hospital and loved it. I must say that I never really got tired of the children, but the parents were another story. When they came to the ED for a diaper rash at 3am, when their child couldn't sleep, and the child had the rash for a week already, it was very difficult to not be annoyed. But I tried to never show it. I had never walked in their shoes.
My answer is: burn out is much less of a problem in peds than adults. Most of the children were scared or miserable (ie in pain or very sick) at first, bounced back quickly, and were adorable before they went home. It was very rewarding and some of the best memories of my lifetime. I wouldn't give up that career path for the world. It also prepared me for parenting-a huge plus.
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