dcsimg

Career Story: Pediatric Home Care Nurse

Pediatric Home Care Nurse

Job Title: Pediatric Home Care Nurse

Type of Company: Health maintenance for children with complex medical issues needing skilled nursing care to remain safely in their homes.

Education: BSN University of Massachusetts

Previous Experience: I worked as a staff nurse on the bone marrow transplant unit after college in a major children's' hospital for 2 years. I also worked as a clinical research nurse at the same hospital for an additional year.

Job Tasks: Assist the family with the complex medical care of their child, I am contracted to fill skilled nursing hours for one child at at time in their home. The child will have complex, ongoing, medical needs. I communicate with the child's doctor for the medical orders, and carry out the plan of care with the help of the family and other nurses. I may develop the plan of care too.

For example: A child leaves the hospital with a gastrostomy tube for feeding and a J-tube for medications. The family has been allotted 24 hours of nursing care per week. I fill the hours that work into my schedule. I meet with the family, review medical orders, develop a care plan for treatments and medications in an easy to read format. I will get a report to begin. How long ago was the last gastrostomy feed? How did they tolerate the last medication by J tube? After report- I assess the child- taking the vital signs (temp/ blood pressure/ heart rate/ respiration's) look at the skin for signs of infection at J tube and G tube, I fit into the plan of care developed previously - caregiving and providing skilled interventions as needed. I document my findings. I continue to provide care, assess, and document my finding during my hours of work. I play in developmentally appropriate ways with my client. Then I report to the next nurse (or family). Periodically, I update the plan of care and contact the doctor for new orders.

Best and Worst Parts of the Job: Best: It's rewarding to get to know children and their families on on intimate level (while in their home environment). There's ample time to spend between skilled duties "playing" with the child to foster their development. In previous hospital setting, nurses did not have time due to the juggling of multiple patients and they even had separate jobs: Child life specialists. There's an pportunity to treat the whole child, more holistically. Also, you can pick your hours making for great flexibility!

Worst: It can be lonely if you work nights while the child is sleeping. No colleagues to get second opinions, etc. if I'm feeling unsure about what action to take.

Job Tips:
1. Get a BSN degree and become an RN - you will earn more money and have more job opportunities

2. Get at least one year of hospital experience first, two is better- so you have experience to draw from. You will need to know the basics before you are without colleagues to bounce ideas off.

3. Take child development classes - they will prove invaluable.

Popular Schools offering Rn Registered Nursing Programs

quickinfoThese schools offer particularly quick info upon request, and we have written detailed profiles for each (click school names to see the profiles).

Request info from multiple schools, by clicking the Request Info links.

Matching School Ads

Nursing@Simmons, the innovative, online nursing degree program from Simmons School of Nursing and Health Sciences prepares Registered Nurses for the next stage of their careers.

You need to have a Bachelor’s degree and RN license to be qualified for this school.

  • Programs: MSN - Family Nurse Practitioner
  • Degrees: Master

Earn your graduate degree online with Northcentral University.

  • Programs: Doctor of Education - Nursing Education
  • Degrees: Doctorate

Earn your Master's degree online from Norwich University.

  • Programs: Master of Science in Nursing Online
  • Degrees: Master
Brightwood College
Sacramento, Vista

About Brightwood College

Brightwood College offers accelerated programs that combine flexible schedules and professional instruction to create a rewarding learning experience for individuals focused on gaining the skills for specific careers. Brightwood College is owned and operated by Education Corporation of America.

  • Programs: Vocational Nursing
  • Degrees: Diploma

Wilkes University’s School of Nursing offers CCNE-accredited online degrees and certificate programs ideal for working health care professionals, instructed by experienced, respected faculty dedicated to mentoring and personalized support for every student.

  • Programs: M.S. with Major in Nursing - Nursing Informatics, RN to BS, RN to MS - Nursing Informatics, more...
  • Degrees: Master, Bachelor, Doctorate
Unitek College
Concord

Unitek College™ is a privately held vocational school dedicated to helping you gain the skills needed to advance your career or begin a brand new career. 

  • Programs: Vocational Nursing
  • Degrees: Certificate

Get the hands-on training you need to succeed at Blake Austin College.

  • Programs: Vocational Nursing
  • Degrees: Certificate

Study online with California University of Pennsylvania.

  • Programs: MSN Nursing Administration & Leadership (Master of Science) - Online
  • Degrees: Master
Matching School Ads

Additional Career Stories for Registered Nurses

The inside stories from people actually working in the field.
Click a story title to show the story, and click the title again to hide it.

All Types

You are visiting:

Find a school near you

What are Career Stories?

Career Stories are concise, real-world career overviews written by people relating their personal career experiences and wisdom. They provide invaluable insights and mentoring advice to students and career changers.

Most stories include:

  • a typical day or project
  • tips and advice
  • best and worst parts
  • educational background
  • previous experience

Browse hundreds of Career Stories

More Details On This Career

Please also see our detailed information about Registered Nurses, including: