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On	
  Being	
  a	
  Paediatric	
  Nursing:	
  I	
  Wish	
  I	
  Knew	
  How	
  To	
  Tell	
  You…	
  
By	
  Jacqueline	
  Hanley	
  
	
  
	
  
I've	
  had	
  a	
  few	
  moments	
  at	
  work,	
  recently,	
  that	
  really	
  made	
  me	
  think	
  about	
  what	
  it	
  
means	
  to	
  be	
  a	
  paediatric	
  nurse.	
  I	
  was	
  reflecting	
  on	
  a	
  particular	
  patient,	
  and	
  I	
  
wondered,	
  when	
  I	
  got	
  home,	
  and	
  my	
  husband	
  asked	
  me,	
  "How	
  was	
  your	
  day?",	
  how	
  
could	
  I	
  possibly	
  ever	
  share	
  with	
  him	
  what	
  it	
  was	
  really	
  like?	
  How	
  could	
  I	
  share	
  the	
  
conversation	
  I	
  had	
  that	
  day	
  with	
  a	
  6-­‐year-­‐old,	
  mature	
  beyond	
  her	
  years?	
  Or	
  the	
  
feeling	
  I	
  had	
  when	
  she	
  told	
  me	
  she	
  hates	
  her	
  scars?	
  Or	
  how	
  weary	
  I	
  felt	
  at	
  the	
  end	
  of	
  
the	
  day	
  -­‐	
  a	
  day	
  that	
  wasn't	
  even	
  particularly	
  busy?	
  
	
  
I	
  wish	
  that	
  when	
  asked	
  how	
  my	
  day	
  was,	
  I	
  knew	
  how	
  to	
  give	
  a	
  truthful	
  answer.	
  I	
  
wish	
  I	
  could	
  really	
  express	
  what	
  a	
  shift	
  is	
  like,	
  and	
  know	
  I	
  would	
  be	
  understood.	
  	
  
	
  
If	
  I	
  really	
  answered	
  truthfully,	
  I	
  might	
  start	
  off	
  with	
  how	
  many	
  times	
  I	
  saw	
  a	
  child	
  
smile.	
  I	
  might	
  tell	
  you	
  about	
  the	
  tears	
  I	
  wiped.	
  I	
  could	
  tell	
  stories	
  about	
  the	
  kids	
  I	
  
made	
  laugh.	
  I	
  could	
  tell	
  you	
  about	
  the	
  kids	
  I	
  made	
  cry.	
  
	
  
I	
  might	
  tell	
  you	
  about	
  the	
  parents	
  I	
  consoled,	
  reassured,	
  encouraged.	
  	
  
	
  
I	
  might	
  tell	
  you	
  about	
  the	
  family	
  that	
  thanked	
  me,	
  and	
  the	
  family	
  that	
  pushed	
  me	
  
away.	
  	
  
	
  
I	
  might	
  tell	
  you	
  how	
  many	
  times	
  I	
  grew	
  frustrated.	
  Or	
  how	
  many	
  times	
  I	
  felt	
  
annoyed.	
  I	
  might	
  tell	
  you	
  about	
  how	
  many	
  times	
  I	
  thought	
  my	
  headache	
  couldn't	
  get	
  
any	
  worse.	
  
	
  
I	
  might	
  tell	
  you	
  how	
  I	
  taught	
  a	
  new	
  nurse,	
  and	
  how	
  I	
  learned	
  from	
  an	
  old	
  colleague.	
  	
  
	
  
I	
  might	
  tell	
  you	
  about	
  the	
  stickers	
  I	
  stuck,	
  the	
  pages	
  I	
  coloured,	
  and	
  the	
  teddy	
  bears	
  I	
  
tucked	
  into	
  bed.	
  
	
  
I	
  could	
  tell	
  you	
  about	
  the	
  call	
  bells	
  that	
  rang;	
  the	
  IV	
  pumps	
  that	
  beeped;	
  the	
  
monitors	
  that	
  alarmed.	
  	
  
	
  
I	
  could	
  tell	
  you	
  all	
  about	
  the	
  blood	
  product	
  reactions,	
  the	
  worrisome	
  fluid	
  balances,	
  
or	
  the	
  child	
  who	
  was	
  fine,	
  and	
  then	
  suddenly,	
  wasn't.	
  	
  
	
  
I	
  could	
  tell	
  you	
  how	
  many	
  gloves	
  I	
  put	
  on,	
  basins	
  I	
  emptied,	
  and	
  faces	
  I	
  wiped.	
  
	
  
I	
  could	
  tell	
  you	
  about	
  the	
  tricks	
  I	
  use	
  to	
  sneak	
  in	
  an	
  assessment	
  on	
  a	
  three-­‐year-­‐old;	
  
the	
  games	
  we	
  play	
  so	
  they	
  will	
  take	
  their	
  meds;	
  and	
  how	
  in	
  order	
  to	
  auscultate	
  a	
  
five-­‐year-­‐old's	
  chest,	
  I	
  have	
  to	
  pretend	
  I'm	
  listening	
  for	
  monsters.	
  	
  
	
  
If	
  I	
  were	
  to	
  tell	
  you	
  what	
  my	
  day	
  was	
  like,	
  I	
  might	
  tell	
  you	
  that	
  my	
  hands	
  will	
  always	
  
feel	
  sticky	
  from	
  hand	
  sanitizer,	
  and	
  no	
  matter	
  how	
  much	
  I	
  wash,	
  "that	
  smell"	
  won't	
  
seem	
  to	
  go	
  away.	
  
On	
  Being	
  a	
  Paediatric	
  Nursing:	
  I	
  Wish	
  I	
  Knew	
  How	
  To	
  Tell	
  You…	
  
By	
  Jacqueline	
  Hanley	
  
	
  
	
  
I	
  could	
  tell	
  you	
  how	
  funny	
  it	
  is	
  to	
  hear	
  a	
  two-­‐year-­‐old	
  say	
  "stethoscope,"	
  and	
  how	
  
heart	
  breaking	
  it	
  is	
  to	
  hear	
  a	
  child	
  whisper,	
  "I	
  just	
  want	
  to	
  go	
  home."	
  
	
  
I	
  might	
  tell	
  you	
  that	
  today	
  I	
  heard	
  a	
  child's	
  first	
  word.	
  Or	
  saw	
  his	
  first	
  steps.	
  Or	
  
watched	
  a	
  premie	
  finish	
  her	
  first	
  whole	
  bottle.	
  I	
  might	
  tell	
  you	
  about	
  the	
  father	
  who	
  
fed	
  her,	
  who	
  took	
  this	
  small	
  victory	
  as	
  a	
  sign	
  of	
  hope.	
  	
  	
  
	
  
I	
  might	
  tell	
  you	
  how	
  the	
  bravest	
  person	
  I	
  know	
  is	
  an	
  eight-­‐year-­‐old.	
  Or	
  the	
  happiest	
  
person	
  I	
  know	
  is	
  a	
  two-­‐year-­‐old	
  with	
  a	
  medical	
  history	
  as	
  old	
  as	
  she	
  is.	
  	
  
	
  
I	
  might	
  tell	
  you	
  about	
  a	
  moment	
  of	
  joy,	
  shared	
  with	
  a	
  family,	
  a	
  patient,	
  a	
  colleague.	
  	
  
	
  
I	
  might	
  tell	
  you	
  how	
  many	
  times	
  I	
  felt	
  my	
  heart	
  break.	
  	
  
	
  
I	
  can	
  tell	
  you	
  about	
  the	
  steps	
  I	
  walked;	
  the	
  hands	
  I	
  held;	
  the	
  songs	
  I	
  sang	
  to	
  put	
  them	
  
to	
  sleep.	
  
	
  
If	
  I	
  could	
  really	
  talk	
  about	
  how	
  my	
  day	
  was,	
  I	
  might	
  tell	
  you	
  about	
  the	
  decisions	
  I	
  
made.	
  The	
  priorities	
  I	
  set.	
  Or	
  about	
  my	
  "nurse's	
  intuition"	
  that	
  told	
  me	
  when	
  I	
  
should	
  start	
  being	
  concerned.	
  	
  
	
  
I	
  could	
  tell	
  you	
  about	
  the	
  orders	
  I	
  questioned.	
  The	
  orders	
  I	
  should	
  have	
  questioned.	
  
The	
  split	
  second	
  decision	
  I	
  made.	
  The	
  carefully	
  calculated	
  words	
  I	
  chose.	
  	
  
	
  
I	
  could	
  tell	
  you	
  how	
  I	
  fought	
  for	
  my	
  patient.	
  I	
  could	
  tell	
  you	
  how	
  my	
  patient	
  fought	
  
me.	
  	
  
	
  
I	
  could	
  talk	
  about	
  how	
  I	
  taught	
  a	
  parent	
  to	
  be	
  the	
  nurse	
  to	
  their	
  child	
  that	
  they	
  never	
  
wanted	
  to	
  have	
  to	
  be.	
  	
  
	
  
I	
  could	
  tell	
  you	
  how	
  that	
  parent	
  taught	
  me	
  about	
  hope.	
  	
  
	
  
I	
  could	
  tell	
  you	
  about	
  the	
  moments	
  of	
  panic.	
  The	
  moments	
  of	
  empowered	
  
confidence.	
  How	
  smoothly	
  our	
  team	
  functioned.	
  How	
  resourceful	
  we	
  can	
  be.	
  
	
  
I'd	
  want	
  to	
  tell	
  you	
  about	
  the	
  breaths	
  we	
  gave;	
  the	
  lives	
  we	
  saved;	
  the	
  lives	
  we	
  
couldn't	
  save.	
  	
  
	
  
I	
  might	
  share	
  with	
  you	
  those	
  moments	
  when	
  I	
  just	
  didn't	
  know	
  what	
  to	
  say.	
  Or	
  the	
  
times	
  I	
  realized	
  there	
  was	
  nothing	
  I	
  could	
  say.	
  	
  
	
  
I	
  could	
  tell	
  you	
  how	
  often	
  we	
  see	
  a	
  child	
  and	
  family	
  suffering	
  and	
  think	
  that	
  maybe	
  
enough	
  is	
  enough.	
  I	
  could	
  tell	
  you	
  about	
  all	
  the	
  times	
  we	
  think	
  that	
  everything	
  will	
  
never	
  be	
  enough.	
  	
  I	
  would	
  struggle	
  to	
  tell	
  you	
  how	
  hard	
  it	
  is	
  to	
  say	
  goodbye;	
  I'd	
  have	
  
On	
  Being	
  a	
  Paediatric	
  Nursing:	
  I	
  Wish	
  I	
  Knew	
  How	
  To	
  Tell	
  You…	
  
By	
  Jacqueline	
  Hanley	
  
	
  
a	
  harder	
  time	
  telling	
  you	
  how	
  sometimes	
  saying	
  goodbye	
  can	
  be	
  a	
  relief.	
  	
  
	
  
I	
  might	
  tell	
  you	
  how	
  many	
  times	
  I	
  thought,	
  "This	
  isn't	
  easy."	
  
	
  
I	
  could	
  tell	
  you	
  about	
  the	
  times	
  I	
  feared	
  that	
  when	
  I	
  decide	
  to	
  have	
  children,	
  that	
  
they	
  might	
  not	
  be	
  healthy.	
  I	
  could	
  tell	
  you	
  about	
  how	
  every	
  time	
  I	
  have	
  that	
  thought,	
  
I	
  wonder	
  how	
  my	
  husband	
  and	
  I	
  would	
  cope	
  -­‐	
  would	
  we	
  be	
  like	
  the	
  families	
  I	
  meet	
  
here	
  every	
  day?	
  How	
  would	
  we	
  make	
  it	
  through?	
  
	
  
I	
  could	
  tell	
  you	
  how	
  hard	
  it	
  is	
  to	
  be	
  a	
  paediatric	
  nurse.	
  I	
  could	
  tell	
  you	
  how	
  
rewarding	
  it	
  is.	
  I	
  could	
  tell	
  you	
  how	
  I	
  know	
  I	
  probably	
  won't	
  spend	
  my	
  career	
  at	
  the	
  
bedside,	
  but	
  how	
  much	
  I	
  know	
  I'll	
  miss	
  the	
  bedside	
  when	
  I	
  finally	
  walk	
  away.	
  
	
  
I	
  could	
  talk	
  about	
  these	
  things,	
  if	
  I	
  thought	
  I	
  might	
  be	
  understood.	
  Instead,	
  I'll	
  say,	
  "It	
  
was	
  good,"	
  with	
  a	
  smile;	
  "I'm	
  tired,"	
  with	
  a	
  yawn.	
  	
  
	
  
At	
  the	
  end	
  of	
  the	
  day,	
  being	
  a	
  nurse	
  is	
  one	
  of	
  the	
  hardest	
  things	
  I've	
  ever	
  chosen	
  to	
  
do.	
  It	
  challenges	
  me.	
  It	
  inspires	
  me.	
  It	
  exhausts	
  me.	
  It	
  empowers	
  me.	
  	
  I	
  love	
  it.	
  	
  
	
  
So	
  it	
  may	
  sound	
  cliché,	
  but	
  when	
  I'm	
  tired	
  and	
  worn,	
  I	
  try	
  to	
  remember	
  these	
  things.	
  
And	
  I	
  try	
  to	
  gather	
  the	
  strength	
  and	
  bravery	
  of	
  that	
  eight-­‐year-­‐old,	
  and	
  the	
  
happiness	
  of	
  that	
  two-­‐year-­‐old;	
  and	
  maybe	
  next	
  time,	
  when	
  someone	
  asks,	
  "How	
  
was	
  your	
  day?"	
  -­‐	
  I'll	
  smile,	
  and	
  yawn,	
  and	
  say,	
  "It	
  was...	
  Indescribable.”	
  
	
  

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On being a paediatric nurse - JHanley

  • 1. On  Being  a  Paediatric  Nursing:  I  Wish  I  Knew  How  To  Tell  You…   By  Jacqueline  Hanley       I've  had  a  few  moments  at  work,  recently,  that  really  made  me  think  about  what  it   means  to  be  a  paediatric  nurse.  I  was  reflecting  on  a  particular  patient,  and  I   wondered,  when  I  got  home,  and  my  husband  asked  me,  "How  was  your  day?",  how   could  I  possibly  ever  share  with  him  what  it  was  really  like?  How  could  I  share  the   conversation  I  had  that  day  with  a  6-­‐year-­‐old,  mature  beyond  her  years?  Or  the   feeling  I  had  when  she  told  me  she  hates  her  scars?  Or  how  weary  I  felt  at  the  end  of   the  day  -­‐  a  day  that  wasn't  even  particularly  busy?     I  wish  that  when  asked  how  my  day  was,  I  knew  how  to  give  a  truthful  answer.  I   wish  I  could  really  express  what  a  shift  is  like,  and  know  I  would  be  understood.       If  I  really  answered  truthfully,  I  might  start  off  with  how  many  times  I  saw  a  child   smile.  I  might  tell  you  about  the  tears  I  wiped.  I  could  tell  stories  about  the  kids  I   made  laugh.  I  could  tell  you  about  the  kids  I  made  cry.     I  might  tell  you  about  the  parents  I  consoled,  reassured,  encouraged.       I  might  tell  you  about  the  family  that  thanked  me,  and  the  family  that  pushed  me   away.       I  might  tell  you  how  many  times  I  grew  frustrated.  Or  how  many  times  I  felt   annoyed.  I  might  tell  you  about  how  many  times  I  thought  my  headache  couldn't  get   any  worse.     I  might  tell  you  how  I  taught  a  new  nurse,  and  how  I  learned  from  an  old  colleague.       I  might  tell  you  about  the  stickers  I  stuck,  the  pages  I  coloured,  and  the  teddy  bears  I   tucked  into  bed.     I  could  tell  you  about  the  call  bells  that  rang;  the  IV  pumps  that  beeped;  the   monitors  that  alarmed.       I  could  tell  you  all  about  the  blood  product  reactions,  the  worrisome  fluid  balances,   or  the  child  who  was  fine,  and  then  suddenly,  wasn't.       I  could  tell  you  how  many  gloves  I  put  on,  basins  I  emptied,  and  faces  I  wiped.     I  could  tell  you  about  the  tricks  I  use  to  sneak  in  an  assessment  on  a  three-­‐year-­‐old;   the  games  we  play  so  they  will  take  their  meds;  and  how  in  order  to  auscultate  a   five-­‐year-­‐old's  chest,  I  have  to  pretend  I'm  listening  for  monsters.       If  I  were  to  tell  you  what  my  day  was  like,  I  might  tell  you  that  my  hands  will  always   feel  sticky  from  hand  sanitizer,  and  no  matter  how  much  I  wash,  "that  smell"  won't   seem  to  go  away.  
  • 2. On  Being  a  Paediatric  Nursing:  I  Wish  I  Knew  How  To  Tell  You…   By  Jacqueline  Hanley       I  could  tell  you  how  funny  it  is  to  hear  a  two-­‐year-­‐old  say  "stethoscope,"  and  how   heart  breaking  it  is  to  hear  a  child  whisper,  "I  just  want  to  go  home."     I  might  tell  you  that  today  I  heard  a  child's  first  word.  Or  saw  his  first  steps.  Or   watched  a  premie  finish  her  first  whole  bottle.  I  might  tell  you  about  the  father  who   fed  her,  who  took  this  small  victory  as  a  sign  of  hope.         I  might  tell  you  how  the  bravest  person  I  know  is  an  eight-­‐year-­‐old.  Or  the  happiest   person  I  know  is  a  two-­‐year-­‐old  with  a  medical  history  as  old  as  she  is.       I  might  tell  you  about  a  moment  of  joy,  shared  with  a  family,  a  patient,  a  colleague.       I  might  tell  you  how  many  times  I  felt  my  heart  break.       I  can  tell  you  about  the  steps  I  walked;  the  hands  I  held;  the  songs  I  sang  to  put  them   to  sleep.     If  I  could  really  talk  about  how  my  day  was,  I  might  tell  you  about  the  decisions  I   made.  The  priorities  I  set.  Or  about  my  "nurse's  intuition"  that  told  me  when  I   should  start  being  concerned.       I  could  tell  you  about  the  orders  I  questioned.  The  orders  I  should  have  questioned.   The  split  second  decision  I  made.  The  carefully  calculated  words  I  chose.       I  could  tell  you  how  I  fought  for  my  patient.  I  could  tell  you  how  my  patient  fought   me.       I  could  talk  about  how  I  taught  a  parent  to  be  the  nurse  to  their  child  that  they  never   wanted  to  have  to  be.       I  could  tell  you  how  that  parent  taught  me  about  hope.       I  could  tell  you  about  the  moments  of  panic.  The  moments  of  empowered   confidence.  How  smoothly  our  team  functioned.  How  resourceful  we  can  be.     I'd  want  to  tell  you  about  the  breaths  we  gave;  the  lives  we  saved;  the  lives  we   couldn't  save.       I  might  share  with  you  those  moments  when  I  just  didn't  know  what  to  say.  Or  the   times  I  realized  there  was  nothing  I  could  say.       I  could  tell  you  how  often  we  see  a  child  and  family  suffering  and  think  that  maybe   enough  is  enough.  I  could  tell  you  about  all  the  times  we  think  that  everything  will   never  be  enough.    I  would  struggle  to  tell  you  how  hard  it  is  to  say  goodbye;  I'd  have  
  • 3. On  Being  a  Paediatric  Nursing:  I  Wish  I  Knew  How  To  Tell  You…   By  Jacqueline  Hanley     a  harder  time  telling  you  how  sometimes  saying  goodbye  can  be  a  relief.       I  might  tell  you  how  many  times  I  thought,  "This  isn't  easy."     I  could  tell  you  about  the  times  I  feared  that  when  I  decide  to  have  children,  that   they  might  not  be  healthy.  I  could  tell  you  about  how  every  time  I  have  that  thought,   I  wonder  how  my  husband  and  I  would  cope  -­‐  would  we  be  like  the  families  I  meet   here  every  day?  How  would  we  make  it  through?     I  could  tell  you  how  hard  it  is  to  be  a  paediatric  nurse.  I  could  tell  you  how   rewarding  it  is.  I  could  tell  you  how  I  know  I  probably  won't  spend  my  career  at  the   bedside,  but  how  much  I  know  I'll  miss  the  bedside  when  I  finally  walk  away.     I  could  talk  about  these  things,  if  I  thought  I  might  be  understood.  Instead,  I'll  say,  "It   was  good,"  with  a  smile;  "I'm  tired,"  with  a  yawn.       At  the  end  of  the  day,  being  a  nurse  is  one  of  the  hardest  things  I've  ever  chosen  to   do.  It  challenges  me.  It  inspires  me.  It  exhausts  me.  It  empowers  me.    I  love  it.       So  it  may  sound  cliché,  but  when  I'm  tired  and  worn,  I  try  to  remember  these  things.   And  I  try  to  gather  the  strength  and  bravery  of  that  eight-­‐year-­‐old,  and  the   happiness  of  that  two-­‐year-­‐old;  and  maybe  next  time,  when  someone  asks,  "How   was  your  day?"  -­‐  I'll  smile,  and  yawn,  and  say,  "It  was...  Indescribable.”