Peds is NOT easy! - page 4

I just had to post this in response to the dozens of posts I see from nursing students or new graduates that want to work in peds because "kids are so cute," and "I want to take care of babies," and... Read More

  1. by   pnut8377
    Quote from hiddencatRN
    Also, the sad stuff is really sad. Death, terminal illness, bad home situations, violence, trauma....when you have a bad outcome not only did you lose a patient, but a kid fricking just died.

    I'll admit that when I was in school I thought of peds as a "soft" and "fluffy" option for nurses that just wanted to play mommy instead of doing "tough stuff." Boy was I wrong.
    I spoke to an RN yesterday who said she did her clinicals while in school at a PEDS burn ward, 34 years ago. She said that to this day she still remembers the screams of a little girl when they went in to debride her, that's exactly why she isn't in Peds. She said after 34 years the memory still haunts her to this day.
  2. by   phillycpnp-pc
    Well said!!! I have been a peds nurse for 6 years. You hit everything. Also nursing students that don't want to deal with adults and want to go into peds....even in a pedi hospital you will end up having an adult as a patient at some point...i had patients in their 30s, 40s, ,mid 50's! And some parents can be very overbearing and yell and curse at you. I've had a father spit in my face and a mom try to fight me. Its crazy sometimes but i love caring for children and their families i keep coming back for more LOL.
  3. by   umcRN
    Quote from PedsNP2013
    Well said!!! I have been a peds nurse for 6 years. You hit everything. Also nursing students that don't want to deal with adults and want to go into peds....even in a pedi hospital you will end up having an adult as a patient at some point...i had patients in their 30s, 40s, ,mid 50's! And some parents can be very overbearing and yell and curse at you. I've had a father spit in my face and a mom try to fight me. Its crazy sometimes but i love caring for children and their families i keep coming back for more LOL.
    Well said!
    After almost 3 years in nicu/peds I had my first parent yell at me the other day, have never had that experience before but I think I handled it well at least. Then her 12 year old proceeded to throw his incentive spirometer at me! She didn't even say anything to him! Goodness, it was a go home and drink wine kind of night
  4. by   phillycpnp-pc
    Quote from umcRN
    Well said!
    After almost 3 years in nicu/peds I had my first parent yell at me the other day, have never had that experience before but I think I handled it well at least. Then her 12 year old proceeded to throw his incentive spirometer at me! She didn't even say anything to him! Goodness, it was a go home and drink wine kind of night

    hahaha...i have had many wine nights after a long shift. I cant believe he threw that at you. Kids will always crack me up.
  5. by   CosmicHymns
    phillycpnp-pc,

    How in the world did you deal with the father who spit at you and the mother who wanted to fight you?!

    ps- I know this is an old post and I'm sorry for bumping it but that's too good of a possible story there!
  6. by   Mommy_RN1211
    Quote from osdbmom
    Interesting thread.
    Im not on your side of the fence yet, but let me say from the other side of the fence, that having a sick kid is really scary. Having a sick kid who isnt going to get better (ever) is horrifying.
    Knowing that a nurse can kill your kid with "one little decimal point" but having to trust them anyway, is hard.
    Having to ask for help from nurses you don't know when you want, as mom, to be able to fix it and make it all better, but knowing you can't....its tough to swallow.
    Being alone in a hospital (esp if its far from home) room with a small, sick child who does nothing but cry, and having no other adult to talk to but the nurse who comes in to check sometimes (bc you'd feel guilty if you rang her just bc you were so incredibly lonely, and you miss your spouse, and you havent seen your other children for days on end, and you don't want to ask for charity/food voucher but you havent got any money on you bc when you came in to ER the other night, you didnt expect to have to stay so long, and you havent gotten to go home).......its HARD. Really, really, really hard.

    So for those peds nurses who take care of that kid (and the kids family), thank you. Thank you for knowing that YOU know what meds the kid is allergic to, but listening to a nervous mom repeat, "Did you know he's allergic to PCN? And sulfas?"......thanks for not getting irritated.
    Thanks for noticing when mom/dad hasn't gone home, changed their clothes or eaten in two (or more) days.....and thanks for asking if they need something to eat, or showing them where the apple juice is.
    Thanks for knowing that parent is scared to leave the room, bc they know if they do, something bad might happen....thanks for patting the shoulder, and promising to watch the baby until mom comes back.
    Thanks.
    Thanks for being respectful and listening when that mom/dad needs to talk, or cry, at 2 a.m. when they are looking at their child all hooked up to wires, and monitors they don't understand.
    Thanks for listening to the experience that brought them to this point.

    I'm sure it can be irritating. I know it is hard. I know sometimes you probably have to bite your tongue, and that you are tired, and that sometimes, you might even joke about it with other nurses after work.


    But the fact that you do it, and you are kind, and you listen when that parent is worried, and double check everything anyway, even though you know you are already right....you do it anyway, bc you care. I know there is vomit, and diarrhea, and screaming toddlers, and spit out meds; I know you are tired, beyond tired, sometimes; I know you have your own families to think about and you wish you were home with them.

    You may not know it; you may not hear it often, but you mean the world to the parents of those kids you are caring for. You make a difference to that mom or dad; you are the difference between a night spent alone and scared, and a night knowing your child is being cared for by someone who is kind and empathetic. Thank you.
    Extremely powerful and well said! You go Mom!
  7. by   WanderingNurse45
    I hate Peds but here I am now..LOL. If only people knew how hard to insert cannula to 1 month to 9 months? I mean inserting to newborns is much easier because their veins are visible.
  8. by   kgive75
    When I was in Nursing school, Peds was never on my radar. There was one classmate who was very nervous and needed at least one classmate there with her to make her feel confident in working with her patient. She always said she wanted to work in Peds. I always wondered why, and I just assumed she thought she could communicate better with a toddler then an adult. I often wonder what route she took...

    I work in Peds, but in a clinic, so I don't have all the horror stories must of you had. But I can relate to a lot of it. Peds is a place where you need to be very confident and communication skills have to be on point when dealing with the family and being able to give meds orally or injectables, not to mention doing a Cath and the parents are too comfortable with it. Like I said before, I never even once thought about working in peds when I was in school, but I'm glad I did because I truly love it. Though I do want to advance my career, and the thought of possibly having to leave peds bothers me. I was a new grad in peds, but again, I'm in a clinic vs. working in a hospital. Much respect to those Peds nurses in the hospital!!!
  9. by   kritlyn
    That was a wonderful post. Thank you.
  10. by   audreysmagic
    Quote from Kuniklo
    Let's not forget having to deal with child abuse cases or shaken babies. I would get so depressed. Pedi nurses must be tough as old leather.
    One of my first homecare cases was a formerly shaken badly...school-aged at the time in body, but still a three month old developmentally. She would scream for HOURS due to her brain damage, and all I could do at the time was offer as much comfort as possible, but it wasn't enough to get her to stop until she wore herself out and fell asleep. I love peds nursing, but...definitely agreed, it's not easy! And dealing with the parents is ALWAYS an adventure. There are some awesome ones, and others you just have to find ways to deal with.

    I also find a lot of people who want to go into peds assume that because you're an adult, the little ones will do as you say...NOT TRUE. In fact, some of the worst issues I've had with co-workers (whether floats from another discipline or simply someone who shouldn't have gone into peds) were power struggles with them trying to enforce their will on the child. Some things, of course, related to safety, are non-negotiable, but much of pediatrics is the art of compromise.

    I still love the little buggers, though...at least most of the time, even in peds psych. I always say to people who ask me why I have no desire to work with adults, "If you're whining, it had better be developmentally appropriate!"

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