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?

I totally understand, been in a few of these situations myself as a Hospice Nurse. People appear to not care that their loved one is dying, they are so self involved . It is a crying shame.

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"You know, Mrs. buckman, you need a license to buy a dog. You need a license to drive a car. Hell, you even need a license to catch a fish. But they'll let any bu##-reaming a-hole to be a father." (From the movie Parenthood)

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Specializes in NICU, ER, OR.

I had an infant patient, who suffered head injuries to the head, from... a barbell... the father claimed the baby " fell" a short distance, as well...

After the craniotomy was done, and the baby pronounced dead, the surgeon took off his sterile gown/ gloves, as calm and quiet as could be, left the operating room and proceded to beat that father down to the ground with his bare hands....yes, he willingly took the charges, but they were ultimately dismissed.

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Specializes in MICU/CCU, SD, home health, neo, travel.

I started out in peds, but after about 8 months, found I couldn't stand it. The kids were fine, but they had PARENTS....like the ones who brought their baby in with badly burned hands. She supposedly "put her hands on the oven door"...yeah, right. And after she was settled into her room they both went home "to get some sleep". This baby was 18 months old and alone in the hospital, in pain. Or the 1 -year-old whose daddy beat the snot out of her because she pulled the Bible off the coffee table. Like she KNEW what that book was?

I ran into a few lulus in home care too. One does. Elder abuse is just as bad as child abuse, and just as endemic, neglect probably more so. But we had the son who was sticking a needle into the tubing of dad's morphine PCA to get some for himself; that was pretty high on the list. There was family abuse, too. I had one home care patient whose main caregiver was a granddaughter. She kind of scared me at first until I got used to her; she was a big, gruff woman who dressed like a man and had a vocabulary that you wouldn't exactly hear in church. As I got to know her, I realized that gruff exterior hid a tender heart. One day she showed me the things she made to earn extra money for herself, padded photo albums decorated with lace and pearls (you may remember those from the 80s and 90s), lovely and delicate. She couldn't work on them around her mother, she said. One day I happened to be there when her mother got home from work and saw the interaction between her and the rest of the family. Mom made this woman and her daughter the target of all kinds of verbal abuse, and I later observed there was a lot of emotional abuse of the granddaughter and probably had always been of the daughter also. It was painful. The daughter had been forced to be not only the caregiver of her bedridden grandfather, but the housekeeper and general maid of all work for the family since she got pregnant out of wedlock with her daughter 13 years previously. I suspect, though I couldn't ever prove it, that she was always her mother's target, the way one child often is in an abusive family.

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Specializes in ICU, ER, NURSING EDUCATION.

Powerful article. There are some really cruel people in this world. It's one of the many reasons that kind and compassionate nurses are so important.

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Specializes in Peds Urology,primary care, hem/onc.

I have been a pediatric nurse for 19 years. I have seen some truly sad cases....

There was a toddler little girl where Mom's boyfriend had kicked her abdomen so hard, she had pancreatitis and he had put her hands on a hot stove and burned her hands.

There was a 5 year old little girl, I did not know her history but was assisting when she was having a foley put in. First time I ever saw evidence of sexual abuse on a child.

There was a little baby who was brought in for what initially they thought was an ALTE. Once in the ER, Mom (who was morbidly obese) stated she had her in the bed with her and rolled on top of her when she was sleeping. Seemed feasible due to Mom's size. That was until they did an eye exam and saw retinal hemorrhages. It was shaken baby syndrome. I remember one of our pediatric residents sitting at the nurse's station crying with that one.

There was a family (Mom, several children of all ages and an Aunt) that were living in one house. Dad was estranged from the family and lived in an adjacent state. One night, he broke into the house and stabbed all of them. There was one survivor (she was around 9) who he cut her throat from ear to ear. She was the only survivor and played dead while he killed the rest of her family. He then got in his car and drove back to his home state and went to work. He was prosecuted because the brave little girl was able to give a description of what happened.

When I was in grad school to become a PNP, one of my clinical rotations was in a pediatric ER. I got into a room to do my H&P on a cute little 7 month old baby. He was adorable. Sitting in dad's lap, smiling and a huge afro. Dad was stoned and told me he had fallen out of a chair a few days a go and "had a little bump on his head". I got to palpate his head (because of all of his hair, you could not see any physical deformity) and it was the first time if felt what step off is. The entire side of his head felt like broken egg shells with obvious skull fractures. I remember being so afraid to show any emotion on my face in fear the father would bolt with the child. I calmly stepped out of the room, ran and grabbed my attending and told him my exam. They brought the cops in right away and removed the father from the room and started an abuse work up. I never knew the outcome but I will always remember him.

It is so hard to see. It has not deterred me from working with children because it is the only area I ever wanted to work. I try to focus on all of the good outcomes.

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Specializes in pediatric neurology and neurosurgery.

Yeah. All of this and so much more.

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My entire clinical group felt this way during one of our last L&D clinicals. We were waiting outside the unit to get assignment since there was low census even in postpartum that day when we noticed a women being brought directly to the floor by paramedics (the ED does not do L&D). The women was screaming profanity at the paramedics about how she needed her fix and they were kidnapping her. Yet as she lay there the pool of blood on the stretcher was growing.

Our instructor went to see what was happening and to let them into the L&D since she delivers a lot of babies there. We students were already agitated because she was clearly high and you could smell the alcohol from across the waiting area. Then our instructor came back out and said they delivered her baby because of the bleeding but the baby was only 24 weeks gestation so there wasn't much chance for it. The mom was three times the legal limit for alcohol and high as a kite. When they tried to show her the baby she said to get rid of it.

The following week when we returned for clinical we found out the mom had walked out as soon as she could walk and the county had gotten POA for the baby and were going to discontinue life support that day. We spent an hour of clinical venting to our teacher who was just as livid as we were about the situation. We got to go into the NICU and see the baby as well and he was tiny and looked horrible. We agreed that he was going to a better place instead of trying to forcibly keep him alive.

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Specializes in Hospice.

Years ago I worked as a CNA on a pediatric unit for only 4 months. In that 4 months I experienced a 4 y/o little girl sexually molested by "Grandpa". A 4 month old that we had to send to a pediatric hospital because her father assaulted her with a heated curling iron and ripped her from her lady parts to her orifice. 2 failure to thrives because neither mother would feed them, one of the babies had been born addicted to crack. And a Munchhaussen by proxy case. Too much in 4 months!

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Specializes in Med/Surge, Psych, LTC, Home Health.

Very hard article to read. Very eye opening. :(

Terrible.

I think about the horrible amount of pain I was in the night I had to rush my little boy to the hospital because he was unresponsive. About how scared I was that I might lose him. I will never forget that night... I have never been so scared. Fortunately he did end up being OK but was diagnosed with epilepsy.

I can't imagine... after your child has DIED, worrying about going to Chili's that day? It boils down to two things.. 1) Drugs and alcohol, and what addiction does to people. 2) The de-valuing of human life in some parts of our society.

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I just can't get the sound of that father guffawing at his dead daughter's bedside out of my head.

Dad and baby had been there before; she had had an "accident" that resulted in a strange injury to her mouth. We all kind of knew he did something wrong, but we couldn't prove it, so we had to let her go home with him. I guess we also knew that she would be back.

It took about two months. This time she coded in the ER and had the tell-tale retinal hemorrhages of a shaken baby. Long story short, she didn't make it. We had her on multiple drips and an oscillator vent--we had to keep her going so her organs could be donated.

So we were letting the family and friends in two at a time to visit. Of course, mom was just destroyed, she could barely function. Dad came in to visit with some other man. I don't know who he was and I don't care. Dad barely glances at the baby and spends his time talking to this guy. At one point he must have found something (what, I can't possibly imagine) funny, because he started laughing. I don't mean a few chuckles--the man was positively roaring with laughter. His buddy clearly didn't know how to take it, because the most he could manage was a pained little smile. But Dad was having a real ball, the jerk.

I'm not a violent person. But I've never wanted to beat the holy living $#*& out of anyone so badly in my life. I still occasionally find myself hoping his fellow inmates (oh, yeah, he's still in prison) do horrible things to him on a regular basis. I feel bad about these thoughts, but I just can't help it. I so feel you, Anonymous. Wonderful article, and I don't think anyone blames you for your anger at such awful acts.

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Support abortion? What makes you think the ones who should not have children will have abortions? The rest of your statement I can agree with but the support abortion... just can't. Sorry.

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