PALS is not my pal…

I took PALS this week. If you aren’t familiar with that acronym it stands for Pediatric Advanced Life Support. It’s ACLS for kids.

I don’t like kids.

I don’t want to work with kids.

Thanks to my new job, I occasionally work with kids.

I’m in MRI now and I have contact with individuals of all ages from one week old to 99 year olds. This is new to me. I’ve worked with adults my entire career. That’s been on purpose. I don’t like kids and I don’t know what to do with them. Everything dealing with pediatrics is intimidating to me and I commend all of you pediatric nurses.

Honestly, it’s the math. I SUCK AT MATH!

EVERYTHING with kids is weight based and that just throws me off. Everything I’ve learned in PALS involves the weight of the child as a basis for how to treat. With adults it’s typically a general dose. Don’t get me wrong, there are some weight based meds for adults but typically a miscalculation isn’t going to kill them quite as quickly as it could a child. Children are so much more fragile and I’m afraid I’m going to do far more damage to a sick child. I couldn’t live with myself if my poor math skills resulted in the death of a child. I’m just going to keep my hands off.

So why was I sitting in a PALS class?

It’s mandatory for me. Radiology nursing is considered “progressive care” and we are required to have PALS and ACLS since I come in contact with all ages. We do sedation on our claustrophobic patients and recover them afterwards so the potential for an emergency is absolutely there. I mean, I needed the class. I learned quite a bit. I had no idea just how different it is caring for a child when compared to adults. I now feel a little more prepared to handle a pediatric emergency. I will probably still freak out completely but at least I will know what to do if someone can calm me down.

PALS made me realize I will never be a pediatric nurse. Rock on pediatric nurses, rock on!