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Key Responsibilities and Required Skills for a Pediatric Nurse

💰 $65,000 - $110,000 Annually

HealthcareNursingPediatrics

🎯 Role Definition

A Pediatric Nurse is a registered nurse who possesses specialized skills and knowledge to provide comprehensive medical care for infants, children, and adolescents. This role is a unique blend of a compassionate caregiver and a highly skilled clinician, focusing on the distinct physiological, psychological, and developmental needs of young patients. More than just treating illness, a Pediatric Nurse is a trusted advocate for the child, a supportive resource for the family, and a vital member of a collaborative healthcare team. They excel in creating a safe, comforting, and healing environment, understanding that their patients require a special approach to communication, assessment, and treatment.


📈 Career Progression

Typical Career Path

Entry Point From:

  • Registered Nurse (RN) with experience in a general or acute care setting.
  • Recent Nursing Graduate with a preceptorship or clinical rotation in pediatrics.
  • Licensed Practical Nurse (LPN) who has completed an RN program.

Advancement To:

  • Pediatric Nurse Practitioner (PNP)
  • Clinical Nurse Specialist (CNS) in Pediatrics
  • Nurse Manager or Director of a Pediatric Unit
  • Certified Registered Nurse Anesthetist (CRNA) with a pediatric focus

Lateral Moves:

  • School Nurse
  • Public Health Nurse (focusing on maternal and child health)
  • Lactation Consultant
  • Pediatric Home Health Nurse

Core Responsibilities

Primary Functions

  • Conduct comprehensive and ongoing health assessments of infants, children, and adolescents, including physical, developmental, and psychosocial evaluations, to establish a baseline and monitor progress.
  • Develop, implement, and continuously evaluate individualized nursing care plans in collaboration with the patient, family, and interdisciplinary healthcare team.
  • Administer medications, including oral, intravenous, and intramuscular injections, while adhering to the "five rights" of medication administration and performing precise dosage calculations based on weight and age.
  • Perform a variety of medical treatments and procedures as ordered, such as wound care, catheterization, respiratory treatments, and tracheostomy care, using age-appropriate techniques.
  • Initiate and maintain intravenous (IV) lines for fluid and medication administration, demonstrating expertise in locating veins in patients of all pediatric age groups.
  • Monitor patient vital signs, fluid intake and output, and telemetry readings, interpreting the data to detect changes in patient status and intervening promptly.
  • Provide critical care and emergency interventions, including participation in resuscitation efforts, and maintain certification in Pediatric Advanced Life Support (PALS).
  • Educate patients and their families on diagnoses, treatment plans, medication management, and preventive health measures in a clear, understandable, and empathetic manner.
  • Offer emotional support and guidance to anxious parents and family members, helping them navigate the stresses of their child's illness and hospitalization.
  • Collaborate effectively with physicians, surgeons, therapists (physical, occupational, speech), and social workers to coordinate and optimize patient care.
  • Document all aspects of patient care accurately, thoroughly, and in a timely fashion within the Electronic Health Record (EHR) system.
  • Ensure a safe and child-friendly patient environment by adhering to infection control protocols, identifying and mitigating safety risks, and using age-appropriate equipment.
  • Manage pain and provide comfort to pediatric patients using both pharmacological and non-pharmacological methods, such as distraction, positioning, and family presence.
  • Assist physicians during examinations, diagnostic tests, and minor surgical procedures, preparing the child and family for what to expect.
  • Advocate for the rights and needs of the patient and family, ensuring their voices are heard and they are active participants in care decisions.

Secondary Functions

  • Participate in unit-based or hospital-wide quality improvement projects and evidence-based practice initiatives to enhance patient outcomes.
  • Contribute to the professional development of the nursing team by mentoring new graduates, student nurses, and newly hired colleagues.
  • Maintain adequate stock levels of medical supplies and age-appropriate patient comfort items in patient care areas.
  • Actively engage in continuing education and professional organizations to stay current with the latest advancements in pediatric nursing and healthcare.

Required Skills & Competencies

Hard Skills (Technical)

  • Pediatric Advanced Life Support (PALS): Current certification and proficiency in pediatric emergency response.
  • Medication Administration & Dosage Calculation: Expertise in safely calculating and administering medications to a pediatric population.
  • Venipuncture & IV Therapy: Skill in successfully initiating and maintaining intravenous access in infants and children.
  • Electronic Health Record (EHR) Charting: Proficiency in using EHR systems for accurate and timely documentation.
    ->- Developmental Assessment: Ability to use standardized screening tools (e.g., Denver II, ASQ) to assess developmental milestones.
  • Vital Signs Monitoring: Competency in accurately measuring and interpreting vital signs across different pediatric age groups.
  • Wound & Ostomy Care: Knowledge of asepctic technique and best practices for managing surgical and non-surgical wounds in children.

Soft Skills

  • Empathy & Compassion: A genuine ability to connect with children and their families, providing comfort and emotional support during stressful times.
  • Communication: Exceptional skill in communicating complex medical information to parents and using age-appropriate language and techniques with children.
  • Patience & Emotional Resilience: The capacity to remain calm, patient, and effective under pressure and in emotionally charged situations.
  • Critical Thinking & Problem-Solving: The ability to rapidly assess a situation, identify potential problems, and implement effective solutions.
  • Attention to Detail: Meticulousness in carrying out physician orders, administering medication, and documenting care.
  • Teamwork & Collaboration: A collaborative spirit and the ability to work seamlessly with a diverse team of healthcare professionals.

Education & Experience

Educational Background

Minimum Education:

  • Associate’s Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) from an accredited institution.
  • An active, unencumbered Registered Nurse (RN) license in the state of practice.

Preferred Education:

  • Bachelor of Science in Nursing (BSN).
  • Certification in Pediatric Nursing (CPN) is highly desirable.

Relevant Fields of Study:

  • Nursing
  • Child Health & Development

Experience Requirements

Typical Experience Range: 1-3 years of clinical experience as a Registered Nurse.

Preferred: At least 1-2 years of direct clinical experience in a pediatric setting, such as a pediatric floor, pediatric intensive care unit (PICU), or a children's hospital.