You Know You're A *Pediatric* Nurse When

For the past five years, I have had the opportunity to have a profession in Pediatric Nursing. People often say, "How can you work with sick little kids?" in response to me telling them I work in the Pediatric and Pediatric ICU settings as an RN. I often think that people assume Pediatric nursing is "just nursing" but on people of a smaller scale. I'll never forget the day a Peds Surgeon told us, a group of Peds nurses, at an informational meeting, that "children are NOT just small adults." They are not small adults, not anatomically, not physically, and most definitely not developmentally! Specialties Pediatric Article

So, how do you know you're a Pediatric Nurse? Well, other than the typical instances of "knowing you're a nurse"... such as, considering a 5 minute bathroom escape your morning break, excelling at getting and eating your lunch (often while on the phone) in only 15 minutes, wishing you could take just one sip of the nice cold ice water you're bringing to your patient, considering yourself lucky if your shift stays under the 13 hour mark, etc...

There are some very different, and rewarding, ways that you know you're a *Pediatric* Nurse.

You know you're a Pediatric Nurse when you obsess about your patient's urine and stool. Yes, as Peds nurses, we count urine output in increments of 0.5ccs at times, and we pray for poop! I don't know any profession who is more obsessive about stools, their color, amount, consistency, etc... than Pediatric Nursing.

You know you're a Pediatric Nurse when you don't take blood pressures on your patients, but instead you "measure their muscles" with "hugging machines." Don't get me wrong, there are still times where it can take multiple attempts or sneaking a BP cuff onto a sleeping child to get an acceptable reading, but often the "let's see how big your muscles are today" ploy proves to be helpful.

You know you're a Pediatric Nurse when you look forward to giving stickers and prizes as much, if not more, than your patients look forward to getting them. I've been known to empty out not only pens, alcohol wipes, saline flushes, etc... out of my pockets at the end of my shifts, but also Dora, Diego, Spider Man, and Princess stickers and tattoos!

You know you're a Pediatric Nurse when, seeing a giant fire-truck looking machine coming down the hallway means its time for your patient's morning chest x-ray. Yes, our portable x-ray machine is a giant fire truck known for taking amazing pictures of precious smiles... oh yeah, and lung fields, tummies, etc...

You know you're a Pediatric Nurse you can easily go through an entire roll of tape in your 2 year old patient's room in one shift only as an attempt to keep O2 sat probes, Oxygen tubing, EKG patches, etc... on your patient! Again, this is usually only an attempt at success, because those toddler age patient's often win many battles!

You know you're a Pediatric Nurse when you go into the Procedure Room with an army of 5 of more people to start an IV on a patient who weighs a measly 8kg! The procedure room often looks like a party prior to the IV start, with child life specialists, nurses, parents, toys, etc... and not uncommonly looks like a massacre after an IV start.

You know you're a Pediatric nurse when you listen for "bears and drums" instead of abdominal and heart sounds, often only after, as a Peds RN, letting your patient first listen for those same bears and drums in your heart and chest.

Most importantly, you know you're a Pediatric Nurse when you believe in magic and miracles. Children are so resilient and forgiving, their innocence and strength is enough to bring a smile to almost anyone's face, their hugs make your heart feel as though it's melting, and their desire to "get better and go home" is something to be learned by all of us. My passion for nursing is in Pediatrics, and I don't see that changing anytime soon!

Specializes in Adult/Ped Emergency and Trauma.

Having Phenergan Coughed back into my face and burning like Pepper Spray- yet having to act calm and smile wiping it away heading for sink- that's a fond memory, and a cute little booger too!:)

Yes, it helps to have the Spongebob and Dora Stickers! But, I have to say I was much more shocked by the maturity of the terminal and critical kids I worked with. The few that make my nerves bath in adrenaline are the minority(however I can't think of a scarier place to be for a child than an ER or any other part of the Hospital. Love my Pediatric Wards, just don't get to go there as much anymore since the Pediatric ER went away to a now General ED. Now mainly in the Clinic- but I would have to say 90% of the stress is not the kids- but that's another thread:)

nicely written

Specializes in Critical Care.

i remember a peds nurse helping my parents and i brainstorm "code words" to use for catheters after my vesicostomy/urinary diversion in first grade. she came up with "straws" and somehow weasled my parents into getting me my first purse (pink tie-dyed jean material with glitter and flowers....w/e it was '94 and fashion was odd) b/c i "surely needed something to hold them in while at school". she gave me a wink as if to say, don't worry kid, i'll help you get that purse!!

I've never done any pediatric nursing, so this was great to read. Thanks for writing it up :)

"When you believe in magic and miracles...."

I have recently decided I want to go back to school to become a pediatric nurse and this post reminds me why I am dropping everything in my life to pursue that goal. Thank you for your passion and insight into the profession.

Specializes in inerested in school nursing, peds, OR.

I can't wait to be a peds nurse!! Thank you for posting this!!!

Specializes in SICU.

Just beautiful!!made me smile and my heart swell.... and im terrible with kids

Specializes in NICU, PICU, PCVICU and peds oncology.
This is really sweet. I always thought I might like PICU in nursing school and ended up in NICU as my one true love. However, I was excited when I first got to float to PICU initially and then knew that I could never do it.

I'm curious: How do you deal with the fact that most of the PICU patients are fresh traumas, chronics (comatose) that live there until they're 21 and go to an adult facility, or their parents abuse them?

I realize that some of our ex-preemies graduate to the PICU, but the majority of them turn out just fine. I just don't know how you guys do it!

Actually, *most* PICU patients are small children with respiratory issues who recover fairly quickly and go home. Many of our chronics are actually very interactive and have families that love them to pieces. And those fresh traumas come back to visit us months later walking, talking and ready to go back to school. Our cardiacs may have been so sick the ECMO fairy flitted around their beds for days, but most of them do well in the end.

Specializes in NICU, ICU, PICU, Academia.
Actually, *most* PICU patients are small children with respiratory issues who recover fairly quickly and go home. Many of our chronics are actually very interactive and have families that love them to pieces. And those fresh traumas come back to visit us months later walking, talking and ready to go back to school. Our cardiacs may have been so sick the ECMO fairy flitted around their beds for days, but most of them do well in the end.

I agree! Most of out PICU patients have respiratory problems or congenital heart defects.

My favorite part of peds ICU nursing is discharging a formerly critically ill patient - and knowing they have another 60-70 YEARS ahead of them. It's a beautiful thing!

Thank you for this!! I am a new grad and I can't wait to be a pediatric nurse!! I feel like a racing horse waiting for the gate to open.

What a wonderful read! Thank you for putting a smile on my face today. I used to work in special education and just loved it there in the classroom... Maybe Peds is my future? Thanks again!

Specializes in LTC and School Health.

Thanks for sharing. I thoroughly enjoyed reading this and it made me giggle.