How to Become a Pediatric Nurse: A Guide to Getting into Child Health Nursing

What Does a Pediatric Nurse Do?

Caring for infants, children, and adolescents has unique challenges. Their bodies and development stages impact everything from how a nurse communicates with a patient to which treatments are available. While there’s no such thing as a typical day in pediatric nursing, a pediatric nurse might do any or all of the following.

When a child is brought into a room, the nurse conducts a thorough physical assessment, including vital signs, growth measurements, and developmental milestones. If necessary, they’ll administer medications, ensuring accurate dosages and addressing any concerns about medication administration. During routine check-ups, they might give vaccines and immunizations and educate parents about vaccine benefits and risks.

Parents and caregivers will have questions or might need to learn the questions to ask, about how to care for their children properly. Pediatric nurses answer questions about pediatric health, nutrition, growth, and development, putting complex medical terminology in layman’s terms. Whether in a clinic or a hospital ward, they support age-appropriate activities and developmental needs, foster a child-friendly environment, and provide play therapy.

In more emergency or critical situations, a pediatric nurse provides wound care and changes the dressings for injuries or surgical sites, preventing infection and speeding healing. For patients with IVs, they’ll administer intravenous fluids and medications and monitor the IV site for complications. While caring for patients in more critical conditions, they’ll assess and manage their pain, using age-appropriate pain relief techniques and medications.

Depending on their department, a pediatric nurse could provide education and assist with treatment plans for patients with chronic conditions such as diabetes, asthma, and epilepsy. They often collaborate with interdisciplinary teams, pediatricians, specialists, and therapists to ensure comprehensive care plans are implemented, all while keeping themselves calm during stressful situations. 

Working in pediatric wards and clinics requires healthcare professionals to have a deep understanding of pediatric care, effective communication skills, empathy, and the ability to address the unique challenges of caring for children and adolescents.

Pathway to Becoming a Pediatric Nurse

Becoming a pediatric nurse requires completing specific educational prerequisites that build a foundation of the knowledge and skills to care for infants, children, and adolescents. After graduating high school, here’s the path to take.

Bachelor of science in nursing (BSN) degree

• While an associate degree in nursing (ADN) might be enough to become a pediatric nurse in some clinics and hospitals, a BSN degree is becoming increasingly preferred for nursing positions.
• A BSN program takes around four years to complete and offers a comprehensive nursing theory, clinical skills, and healthcare ethics education.

Licensure as a registered nurse (RN)

• Upon completing a degree, aspiring nurses must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become licensed registered nurses.
• RN licensure is a mandatory requirement for working as a pediatric nurse.

Clinical experience

• Clinical experience develops general nursing skills and an understanding of healthcare practices. Practical experience helps many nurses identify where they want to specialize.

Pediatric nursing experience

• Work in pediatric units, clinics, hospitals, or healthcare facilities to gain exposure to pediatric patients and their unique care needs.

Specialized pediatric courses

• Some nursing schools offer specialized pediatric nursing courses that provide in-depth knowledge about pediatric growth and development, common pediatric health issues, and pediatric nursing practices.

Certification

• While not a strict requirement, a certificate in pediatric nursing demonstrates that a nurse has the specialized expertise and commitment to the field to perform well as a pediatric nurse. Certifications like the Certified Pediatric Nurse (CPN) offered by the Pediatric Nursing Certification Board (PNCB) can enhance a nurse’s credentials.

Before enrolling in any program or certification course, research the specific requirements of the nursing roles set by the healthcare facilities in the area. Then, investigate which pediatric nurse programs are best suited for preparing nurses for this role.

Diving Deeper: Pediatric Nurse Certification Requirements

After becoming a licensed registered nurse—one of the pediatric nurse certification requirements—aspiring pediatric nurses can begin the certification path. Because pediatric nurses work with a unique population of patients, certification is crucial for child healthcare. It demonstrates that the certificate holder has the knowledge and skills to work as a pediatric nurse.

Each of these certifications demonstrates expertise in a specific area of pediatric care, prepares nurses for the challenges of pediatric nursing, and enhances a nurse’s earnings potential.

Certifications offered by the Pediatric Nursing Certification Board (PNCB) and the American Nurses Credentialing Center (ANCC) include:

• Certified pediatric nurse (CPN): Tests for proficiency in pediatric nursing across various settings, including hospitals, clinics, and schools.
• Certified pediatric nurse practitioner (CPNP): Focuses on advanced practice nursing in pediatric primary care or acute care.
• Pediatric Nursing Certification (PED-BC): Provides a valid and reliable assessment of registered nurses’ entry-level clinical knowledge and skills in the pediatric specialty after initial RN licensure.

The Board of Certification for Emergency Nursing (BCEN) offers a certificate for pediatric nurses who expect to handle emergencies:

• Certified pediatric emergency nurse (CPEN): Validates expertise in pediatric emergency care and the ability to provide safe and effective care in emergencies.

Pediatric patients might need to travel between hospitals, which is why there is the following certification:

• Certified neonatal pediatric transport (C-NPT): Focuses on safely transporting critically ill pediatric and neonatal patients.

The Oncology Nursing Certification Corporation (ONCC) has two certifications:

• Certified pediatric oncology nurse (CPON): Validates expertise in caring for children and adolescents with cancer and supports quality care for pediatric cancer patients.
• Certified pediatric hematology oncology nurse (CPHON): Focuses on the care of pediatric patients with hematologic and oncologic disorders.

These certifications demonstrate a commitment to excellence in pediatric health. Additionally, due to their specialized expertise, certified professionals often receive increased recognition, better job prospects, and the potential for higher compensation.

To obtain certification in pediatric nursing, you must become a licensed registered nurse, gain practical experience, study for the certification exam, and sit for the exam.

What Makes a Good Pediatric Nurse?

Working with young patients requires medical expertise and a deep understanding of their developmental, emotional, and psychological needs.

Pediatric patients are often scared, anxious, or in pain. Young children don’t understand pain and can’t consistently articulate what hurts them. A good pediatric nurse shows genuine empathy and kindness when dealing with patients. They create a supportive and comforting environment, actively listen and engage with patients and parents, and take the time to explain medical concepts in simple terms.

Pediatric nurses use patience and adaptability to respond to children’s unpredictable nature. Kids may react differently to treatments or procedures, and a nurse might have to adjust their approach quickly based on the child’s response. A good pediatric nurse has a friendly and approachable demeanor, uses distraction techniques, and employs play therapy to create a child-friendly atmosphere that alleviates fear and anxiety.

Pediatric nurses must have a strong foundation in pediatric nursing, including knowledge of growth and development, common childhood illnesses, and specialized treatment modalities. They’ll apply this knowledge and critical thinking skills when working with patients who cannot describe their symptoms clearly. Critical thinking helps pediatric nurses assess signs and symptoms and detect changes in condition to make timely decisions.

Advocating for the rights and best interests of pediatric patients, who sometimes can’t speak up for themselves, is part of being a good pediatric nurse. To do so effectively, they must understand and respect diverse cultural backgrounds and beliefs. Families and patients appreciate a more collaborative approach to decision-making, and giving a scared child a say in their care can empower them.

Pediatric care often involves collaboration with multidisciplinary teams. To succeed as a pediatric nurse, one must have effective communication skills and coordinate care with others to achieve optimal outcomes. A positive attitude and can-do spirit are also essential.

The field of pediatric care is constantly evolving. To stay on top of recent professional developments, nurses should commit to ongoing learning and stay updated on the latest research, practices, and advancements.

While the focus when becoming a pediatric nurse is often on gaining clinical skills and developing a bedside manner, pediatric nurses shouldn’t forget to take care of themselves and their patients. Working in pediatric healthcare is emotionally demanding work, and experienced pediatric nurses learn how to manage their emotions, recognize burnout, and seek support when needed.

The Realities: How Hard Is It to Be a Pediatric Nurse?

It’s not easy to be a pediatric nurse. While working with children can be both fun and deeply rewarding, it has its challenges.

Not everyone finds it easy to communicate with children. Young patients may have limited verbal skills, be fearful of medical professionals and procedures, and not know how to describe their symptoms. While trying to coax information out of them, a pediatric nurse must also help allay their fear and anxiety about hospital stays, shots, and more.

Because of these communication challenges, diagnosing certain pediatric conditions can take some creativity. Variations in symptoms and possibly non-verbal patients, combined with parents who unfortunately may be hiding situations like abuse, will test a pediatric nurse’s ability to read between the lines.

Parental involvement in care and family dynamics add more complexity to pediatric care. Pediatric nurses must learn to balance the need to involve parents and caregivers in decision-making with respect for the child’s autonomy, especially in adolescent cases. Communication with separated or divorced parents could have tense undertones and require tact and delicacy.

Caring for vulnerable populations can be emotionally challenging. Caring for medically fragile infants, children with complex medical needs, and those with disabilities requires specialized expertise and patience, which will draw upon a nurse’s patience and emotional strength. Pediatric nurses can expect to lose some patients when dealing with emotional and sensitive situations, such as pediatric oncology, palliative care, and end-of-life support.

Whether trying to get a three-year-old to describe where they feel itchy or handling a trauma case in the emergency room, pediatric nurses have unique challenges in their daily work.

Compensation: How Much Do Pediatric Nurses Make?

The average pediatric nurse in the United States makes $72,945 a year. Pediatric nurse salaries typically range between $45,000 and $117,000 yearly. In more detailed terms, here is a breakdown of the salary percentiles among all pediatric nurses in the country (Zippia.com 2024).

	United States
Number of Pediatric Nurses Employed	1,934,452
Annual Mean Wage	$72,945
10th percentile	$45,000
25th percentile	$56,000
50th percentile	$72,945
75th percentile	$93,000
90th percentile	$117,000

According to career and job website Indeed.com (2024), among the 13,400 registered nurses (pediatrics) reporting their annual salaries, it found these percentiles for the US:

• 10th percentile: $50,920
• 50th percentile (median): $85,259
• 90th percentile: $142,755

Pediatric nurses typically receive benefits such as healthcare, dental, retirement, and continuing education reimbursement. As they advance in their careers and obtain more education and certifications, they can increase their earnings.

Pediatric Nurses Fill an Important Role in the Healthcare System

Pediatric nurses play a crucial role in the healthcare system. They set young patients on the path to good health and build their trust in the medical system. While aspiring pediatric nurses can count on challenges, they can also count on gap-toothed smiles and the reward of making a difference in a child’s life.