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?

WondeRNurse, animals do not abuse their young. Animals care for their young, and much better than many "supposedly" evolved humans! And yes, I wanted to commit violence, the only reason I didn't was because I have self-control, apparently much better than many of the below contempt people who would abuse children (and the elderly, and other helpless ones in our world.) As my father used to say, "pick on someone your own size" - in other words, don't pick on those who can't defend themselves, make it a "fair fight." And these abusers DON'T do that! Below contempt!

Any of us who have been in nursing for any length of time share your feelings. I do want to add that along with the bad are the times when we cry with loving families, help families make end of life decisions, and see grieving families come together at that time. I try hard to focus on those moments, so the other ones don't seem so overwhelming. I have been a RN for 39 years. I think I have seen just about everything. I am still working and still love my profession, even with the ugly. Believe me, I have seen ugly working Emergency at Alameda County Hospital.

All I can say is, wow.

I'm glad that I am taking on this job so that I can experience this and provide care for the patients in this situation.

Yes, child abuse is horrific. How to prevent it? Why do parents resort to the unspeakable? We all have a some thoughts about this. Here are my thoughts in random order about how to do something. Pay attention to initiatives in your community & state around early childhood education & support them. Make sure your school system offers sexual reproduction education. Support abortion. Volunteer for organizations such as CASA (Court Appointed Special Advocates), make friends with young parents in your community, if there are none, seek them out in parks or other places they hang out, volunteer and give money to homeless shelters & food pantries, soup kitchens who serve families. Be a foster family. Find out if your state or county's system of division of youth (whatever the agency one reports suspected abuse to) is adequately funded & if not, fight for it. I could go on. It takes a village to raise a child the stories of injury to children are not just signs of one parent gone wrong, in many cases, but of systems that need fixing.

Specializes in Med-surg, telemetry, critical care..

Nurses who refuse to give pain meds, ESPECIALLY CHILDREN, need to live through those people's pain. I think it is horrible and cruel not to give basic pain relief.

Specializes in Pediatrics Telemetry CCU ICU.

Yes I have stepped over half dead crack addicts to get to Pediatric Home Care cases. With mom upstairs with her "boys" smoking crack while baby is downstairs on a ventilator, almost dead. Not suctioned in perhaps hours, pulse ox in the 60's. Lifted the phone receiver to call 911 and someone upstairs started yelling at me to get the f**k off the phone and no they didn't care about no emergency. I had run next door and hope they had a phone..(thank god they did). This was my Christmas Eve in 1994 so things have not changed and I doubt they ever will. The last 17 years of my nursing career had been spend in a Pediatric Vent Facility. 98% of kids were wards of the state and had no parental advocacy (abuse, neglect or the parents just gave up parental rights). Yes It is sad. But you know, we are all that they got.

40 years in nursing. This article brings to the surface some of those situations I have worked hard to push deep into my brain. I had a 3 month old little girl who "crawled into the fireplace." The surgeon took my bandage scissors and snipped off her fingers in the ICU. I have never forgotten that. There are people who should have been born sterile or better yet never born.

Specializes in prior auth.

Wow. One of the main reasons I never went into pediatric nursing. I was able to detach myself when caring for adults. I don't mean detach as in cold and unfeeling, but able to pull myself together to continue to care for the next patient. I don't think I could do what you do.

I read this story aloud to my husband who is a physician and used to work in the ER many years ago. After I read this to him, he shared with me some horrible, horrible stories of what he'd seen and treated. Stories I don't even want to post because they are just too horrible.. And he started to sob while telling me these stories and they happened over 15 years ago.

Thank God for nurses and others like you. It's not an easy job, but somebody needs to care for this children and look out for them. You are truly a blessing to the profession. I haven't done bedside nursing in over 12 years (I do prior auth) and I've really been feeling some kind of way lately about the profession I've chosen. But reading this, this changed me just now. This made me see why I chose this profession and has actually made me wonder if I am in the wrong specialty.

Again, thank you so much for all that you do.

Thank you for your story. In my 37 years of nursing, I have had my share of opportunities to be put in jail also. I have bit my tongue and held my hands more times than I care to count. I think the elderly are abused about as much as kids. Several of my friends that work in different professions have told me "You have the hardest job in the world". Some days I believe them.

I recall my Peds rotation being the one l got my best feedback in way back in nursing school. Stories like this are why l chose to work with the elderly.

I have worked in a psychiatric resident facility (Level 4) For children with Behavioral problems, very few were truly psychotic. I watched my coworkers get TKO'd, rushed out the facility in ambulances, few having rotator cuff surgeries, several with broken noses, a few with torn ligaments from bites, etc. All at the hands of these teens because they knew that they could get away with it without having charges pressed because they were in a psychiatric facility.

Thank God that I made it out of that job with my life and my license!!!!

Specializes in SICU, trauma, neuro.

I am...nearly without words. I don't know how you and fellow peds nurses who commented do it. I am having a hard time squelching my anger just reading these stories. Hugs to all of you.