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 Cath Lab, ICU's, Pediatric Critical Care.

Love the posts! I was a Pediatric Nurse for many of my years in nursing! I started in Peds as a new grad, and I was lucky to have two very experienced Peds nurses from nearby Peds hospitals to help me get on my feet. I returned to Peds again in the early 80's....in a Peds Level 1 Trauma ER....and this I did for 10 years, in 2 different hospitals...then I finally went to a Peds Cardiac Surgical ICU...I've had some wonderful and some unusual Peds critical care experiences as many of you have had....and it will always be my favorite place to work.....unfortunately many times working in such areas, I also experienced lack of breaks, meals, and extra long hours....esp. the ICU...

To those who are afraid to work in such areas, try it with a strong preceptor for a few weeks! I loved it, and wish it was an area I could go back into now!

Sorry to be such a downer

Apology accepted.

Missing lunch and feeling like a ninja for squeezing in a pee break hasn't been the norm for me, but it has certainly happened to me enough to consider that an experience I share with many other nurses. But as the OP posted, this thread is about the things that make us specifically as peds nurses. With 4 years of peds experience, you must have something to contribute to the thread, no?

Specializes in Acute Care Pediatrics.

Loved this! :) I'm a peds nurse and it's definitely where my passion lies... but I do think that sometimes we tend to forget the older kiddos that don't care about the firetrucks or the bears growling in their tummy. I love my teenagers... they are a special population, and still a part of the peds world. :) People forget about them sometimes, I think! I love the light hearted arguments about music and movies, the in depth dialogues about this week's Walking Dead episode, and the quick games of Mario Kart after rounds.... "exercise" in the form of wheelchair laps in the hallway after midnight, and the saline flush fights that always end up making me look like I've peed myself. LOL!

I love my teens.

Specializes in NICU, ICU, PICU, Academia.
Loved this! :) I'm a peds nurse and it's definitely where my passion lies... but I do think that sometimes we tend to forget the older kiddos that don't care about the firetrucks or the bears growling in their tummy. I love my teenagers... they are a special population, and still a part of the peds world. :) People forget about them sometimes, I think! I love the light hearted arguments about music and movies, the in depth dialogues about this week's Walking Dead episode, and the quick games of Mario Kart after rounds.... "exercise" in the form of wheelchair laps in the hallway after midnight, and the saline flush fights that always end up making me look like I've peed myself. LOL!

I love my teens.

I love that age group, too. It is nice to be able to talk to your patient and get a logical response. Not having to 'guess' about pain? Priceless! :)

Specializes in Med-Surg.

See, I read this and think, 'This is what I am meant to do.' Then I look at my daughter and feel the panic rise because thinking of sick/injured kids reminds me how fragile she is.

How do you do it?!

Specializes in Acute Care Pediatrics.
See, I read this and think, 'This is what I am meant to do.' Then I look at my daughter and feel the panic rise because thinking of sick/injured kids reminds me how fragile she is.

How do you do it?!

Working in peds will astonish you.... kids are so resilient and can deal with 150% more than an adult ever could. They recover faster from surgery, they have a better outlook on their illness.... they are just REFRESHING patients, imo. :) I work with a group of chronically ill patients and honestly, they are my favorite... they an outstanding outlook on life and they are simply a joy to be around.

These kids make me a better person.

Specializes in Pediatrics, Emergency, Trauma.

Working in peds will astonish you.... kids are so resilient and can deal with 150% more than an adult ever could. They recover faster from surgery, they have a better outlook on their illness.... they are just REFRESHING patients, imo. :) I work with a group of chronically ill patients and honestly, they are my favorite... they an outstanding outlook on life and they are simply a joy to be around.

These kids make me a better person.

^^^Agreed...made me be able to stay in this profession and will keep me young :)

Specializes in Pedi.
Working in peds will astonish you.... kids are so resilient and can deal with 150% more than an adult ever could. They recover faster from surgery, they have a better outlook on their illness.... they are just REFRESHING patients, imo. :) I work with a group of chronically ill patients and honestly, they are my favorite... they an outstanding outlook on life and they are simply a joy to be around.

These kids make me a better person.

Isn't that the truth. I remember one time taking a toddler from the PACU. He came out eating and drinking and his mom didn't want him to be confined to the bed, so we heplocked his IV. About an hour or so later the resident came up looking for him and found his empty room. He asked me where he was and I said "he's driving a car around the floor." (This kid had a very minor procedure and could have probably gone home that same day if his older brother- who had a history of cancer- hadn't had a history of problems with anesthesia.)

I briefly worked in med-surg as an aide while in nursing school... I saw grown men who would whine and practically cry for a finger stick. Now I have six year olds who cooperate and just lay down while I draw blood from them or access their ports. My two year olds go running in the other direction when they see me because they think they're getting a shot and, though they fight, two seconds later they're running around the house or jumping on the bed. I have a 7 year old newly diagnosed type I diabetic who is already pricking his fingers himself with a little help from mom.

Specializes in Acute Care Pediatrics.
Isn't that the truth. I remember one time taking a toddler from the PACU. He came out eating and drinking and his mom didn't want him to be confined to the bed, so we heplocked his IV. About an hour or so later the resident came up looking for him and found his empty room. He asked me where he was and I said "he's driving a car around the floor." (This kid had a very minor procedure and could have probably gone home that same day if his older brother- who had a history of cancer- hadn't had a history of problems with anesthesia.)

I briefly worked in med-surg as an aide while in nursing school... I saw grown men who would whine and practically cry for a finger stick. Now I have six year olds who cooperate and just lay down while I draw blood from them or access their ports. My two year olds go running in the other direction when they see me because they think they're getting a shot and, though they fight, two seconds later they're running around the house or jumping on the bed. I have a 7 year old newly diagnosed type I diabetic who is already pricking his fingers himself with a little help from mom.

Right?! I love watching them astonish their doctors and their parents. I work on an ortho trauma floor so we have a lot of really nasty operative femur fixations come and go - and the night leading up to their surgery where they are spasming and in SO much pain and in traction... and their parents always freak out that they will be in this place forever. Then they go down the next morning, get fixed, and are up walking to the bathroom with crutches by dinner.

And when I get them back that second night, I always smile at the parents and wink and say "I told you so!" LOL!

kewl-ly written :p

keep young :p

^^^Agreed...made me be able to stay in this profession and will keep me young :)

keep young :p :-)