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 worked in Peds for 29 years and have been working in an in-patient behavioral health unit for the last six years. Unfortunately, I have also witnessed too many incidents as the writer describes, so I can understand the feelings of anger and frustration. Processing feelings with co-workers and supervisors is one way to cope when faced with adversity; however, the nurse must remember to treat the child in the context of the child's whole world. Our judgment can become impaired during stressful situations, which can mean more trauma to the child and/or family. For example, the parent who is acting out may be living with a mental illness or chemical dependency, experienced abuse as a child, or has an attachment disorder. Those parents need referrals for treatment. As nurses, we have to consider the whole family, even when our hearts are breaking for our patient.

I had a man in his 80's who was refusing dialysis. He was old and tired and just wanted to go home. His daughter and son-in-law loudly told him that if he didn't allow us to put his needles in for dialysis that they would leave and never come back and he would not be allowed to ever come home. I was so angry and heartbroken. I reported what I considered verbal and emotional abuse to the appropriate people, but I doubt there was any investigation. As my husband says "Some people just need a punch in the nose"

Specializes in Med-Surge; Forensic Nurse.

In the words of Dr. Laura, "What adults do to themselves does not keep me up at night. What adults do to children keeps me up at night."

What I say: What adults do to themselves causes me to roll over to the other side of the bed, in a new sleeping position. What adults do to children causes me lose sleep, have swollen eyes, and want to hire an assassin."

Specializes in ICU/CCU; ER; Med/Surg; Hospice.

I do not have children. I am not a pediatric nurse. I am a Hospice nurse. I know about grief & guilt.

....The kids who have been out of the picture for decades, now come home and want control when Mom is dying.

...the family who want the morphine infusion turned off so that Dad will wake up and talk to them.

....the husband who refuses to allow us to give morphine because "she really is not in pain", or "her breathing is fine" despite the fact that she is screaming whenever touched, or her respiratory rate is 46.

Many times, no matter how much education we do, the patient still dies in pain or gasping for air. Unfortunately, we must abide by the wishes of the HCS, if they have been activated. Standing by and watching the torment just drives me crazy. Would I like to punch someone? Oh, yes.

I know these situations are most definitely different than the ones presented in this article. I want to take these people and "smack some sense into them". I cannot understand how they cannot see the pain and agony that thier loved one is going thru. I imagine reality is clouded by grief and/or guilt. I'm sure if it was them, in the situation, they would feel differently.

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

Abortion is a good deterrent for abuse, as is education and contraception. The latter two are preferred by basically everyone, and the most practical and least expensive, and causes FEWER abortions.

HOWEVER, those choices are being taKen away from most women if the current trend of defundinng and outlawing choice continues. Don't forget, though, child abuse, just like domestic abuse spans all incomes, not just the poor. ANY abuse is heartbreaking, and it is necessary to be an advocate for the kids.

Learning tact, diplomacy and having a backbone to be an advocate for your patients will keep you out of jail and in good standing with your employer. Stay current on the policies and procedures of your facilities, even if you have to keep a copy on your clipboard.

For my clinical, I went to Children's hospital to get an experience. I don't think I can work with sick kids...I can't handle it emotionally. Thanks for sharing.

I went to Palliative Care Unit for my Preceptorship. Your statement, "Prayer helps a lot. It also helps to realize and accept that God is in charge ultimately." rings true to my heart. My patient at that time had GBM, Diabetes and DVT. She was screaming in pain, sometimes in state of delirium. One time, she held my hand and said, please help me. (I just administered morphine subq) So, I asked her, are you a Christian? and she said, yes. We both prayed together. I didn't know that her daughter's watching us in the washroom. She was crying when I left the room.

Kooky Korky said:
Prayer helps a lot. It also helps to realize and accept that God is in charge ultimately. That has made it easier to let all people live their

roles - police, prosecutors, defenders, us nurses, docs, even the innocent victims. Doesn't mean I don't share your pain and anger, only that I have learned that there isn't always something I can do to change it, so I pray for the victims and the perpetrators and do my level best to give tender, loving, expert care.

With a lot of people I just have to figure they live what they were shown by whoever brought them up. They might very well have been maltreated themselves. And take the example you gave, OP, of the mother whose child just died and she was yelling and cursing at another child, I think you said, to be nice to her because her baby had just died. Imagine the lack of true love and value she must feel in her own existence. God alone knows why.

It helps to believe in Heaven and that these innocents, these precious, defenseless angels will be so happy up there. Why do we have to pass through this earthly existence first? I don't know but have learned to accept that we just don't get all of the answers in this realm.

Don't judge a book by its cover. Try to accept that each of us is going to show pain, grief, fear, and other emotions differently. We aren't all going to cry or scream or tear our hair out or be grateful to staff. That doesn't mean each person isn't dying a thousand deaths inside, punishing ourselves for not doing more or better, etc.

You don't have to avenge wrongs. Leave that to God, who promises that He will repay. His timing and His ways are just different than ours. Give excellent care while you can. That is, apparently, your calling, at least for now. Perhaps you are being led to a career in law enforcement, law, or social work. Whatever the case, I wish you all the best. Thank you for being one of the good guys.

Another thought - try journaling, keep coming back here to vent. Look into volunteering with CASA (Court Appointed Special Advocate for kids in foster care). As others have suggested, learn to compartmentalize. God bless you.

These children need nurses that care and can show them the only love they may ever know. I am a pediatric home care nurse and see people at their worst when they are in the "privacy" of their homes. I've seen cases where CPS continues to leave children in unsafe, neglectful, filthy homes, infested with everything you could imagine. I've seen a beautiful 1 year-old whom I advocated for more nursing hours for because I feared the child would open her central line and bleed out while her parents slept off the previous all night drinking and drug binge. The nursing hours were increased to 16 hrs a day during which time the child never saw it's mother. The child called the nurses "mommy". I've seen a teenager who was nothing more than a check (not the mother's exact words but yeah) Now the child is older and is being institutionalized. Often, other children in the home like to hang around the nurse because they just want somebody to care about them. It's hard yes. You will be angry, yes. Do you want to hurt people? I can't count the times! BUT YOU make a difference. Through you these children know that they can be loved, that someone cares, and that there are good people in this world.

Specializes in Emergency Room, Med/Surg, L&D.

Wow....I totally feel your anger, pain and frustration! Thank you for what you do; you are an *EXTREMELY* strong person.....

Specializes in as above.

Some humans should not have children. Animals take care of their offspring better than we do.

Unfortunately, dont yet yourself caught up in the emotions..you need to develop a tough skin.

Like Doctors, emotionally detach yourself.

A lot of my patients are looking at jail time or are from jail, after they abused those children, women, others - & then made suicide attempt (real or half hearted). The ones you all have worked so hard for, pulled back from the brink of death, back to life & sent to my unit for eval. And sometimes it is hard to be that patient advocate - when you have patients act like the world owes them - there should be a mint on their pillow, they are inconvenienced because there are actual rules on a Psych unit..(who woulda thunk?). We don't wake them up to take their Valium to calm down...(seriously I have been chewed out for this by several pts.!). And after too many extra shifts, being yelled at, cursed at, being called the B or C word all weekend --- when one that is blatantly avoiding jail - there is NOTHING wrong with her other than not wanting to go to jail, draws back a fist at me for telling her she cannot have cover over her head & then threatens to kill me "because I've been to jail before, I'll beat you up" ???? Oh lord, I almost dropped her right there. I walked away. I took the next day off --- and I realized there are some times my patience can be worn too thin & that my license is not worth risking over jerks like that & I don't look good in Jailhouse orange. Never a dull moment on a Psych Unit........

Specializes in ICU, CARDIOLOGY.

How awful. I never worked in Pedi because I'd be awful at it and I could never keep appropriately emotionally detached. Well, young nurse, get ready for many, many terrible morale dilemmas in your nursing career. After 36 years, I see them on a regular basis. You just learn to manage your feelings.