Types of Pediatric Nurses

January 11, 2025
Janelle Thomas MSN, RN
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You know you want to be a pediatric nurse, but you still have questions about what specialty is right for you.

When it comes to pediatric nursing, there’s no one-size-fits-all career path. Pediatric nurses play a vital role in shaping the health and happiness of young people, providing care that’s equal parts medical expertise and a warm, compassionate touch. If you’re considering a career working with children or are already a nurse exploring new opportunities, it’s helpful to know the different types of pediatric nurses and what goes with each role.

In this post, we’ll break down the diverse career options in pediatric nursing, including their pros, cons, and required certifications. Let’s help you discover the perfect match for your skills, interests, and passion for helping children.

What Is Pediatric Nursing?

Pediatric nursing focuses on the health needs of infants, children, and adolescents. These nurses are trained to provide specialized care tailored to the developmental stages of young people, often working closely with families to ensure the best outcomes. Pediatric nurses can work in various settings, from bustling hospitals to cozy homes, and they handle a wide range of responsibilities, including routine care, emergency interventions, and long-term health management.

No matter the type of pediatric nurse you aspire to be, one thing is clear: this field is both challenging and rewarding. But if you stay with it, there are endless opportunities to make a lasting impact on young lives.

Types of Pediatric Nurses

Pediatric nursing is a diverse and dynamic field with a wide range of specialties tailored to the unique needs of children, from infancy through adolescence. The day in the life of a pediatric nurse can vary widely depending on the specialty. Whether you prefer the fast-paced environment of a hospital, the one-on-one care of home health, or the academic setting of a school, there’s a type of pediatric nurse role that matches your passion and career goals. Each specialty comes with its own set of responsibilities, challenges, and rewards, making it important to understand what aligns best with your skills and interests. Let’s explore the many types of pediatric nurses, their day-to-day roles, and the certifications needed to succeed in each.

1. Pediatric Registered Nurse (RN)

Overview: Pediatric RNs are the backbone of child health care. They work in various settings, including hospitals, outpatient clinics, and private practices, providing everything from routine wellness checks to emergency care.

Pros:

  • Broad career opportunities across multiple specialties
  • Strong salary potential
  • Opportunities for professional growth and specialization

Cons:

  • Often fast-paced and emotionally demanding
  • Shifts may include nights, weekends, or holidays

Certifications Needed:

  • RN license (requires passing the NCLEX-RN)
  • Optional: Certified Pediatric Nurse (CPN) for additional credentials

2. Pediatric Licensed Practical Nurse (LPN)

Overview: Pediatric LPNs provide basic nursing care under the supervision of RNs and doctors. They often work in long-term care facilities, outpatient clinics, or home health care.

Pros:

  • Shorter educational pathway compared to an RN
  • Hands-on experience with direct care
  • Consistent and predictable work environments

Cons:

  • Limited career advancement opportunities compared to RNs
  • Lower earning potential

Certifications Needed:

  • LPN license (requires passing the NCLEX-PN)
  • Basic Life Support (BLS) certification

3. Pediatric Home Health Nurse

Overview: Home health nurses, including private duty skilled nurses, care for children in the comfort of their homes, managing conditions like congenital disorders, respiratory issues, or post-surgical recovery.

Pros:

  • Flexible work schedules
  • Strong one-on-one relationships with clients and families
  • The ability to see the tangible impact of your care in a family setting

Cons:

  • Work can be isolating compared to hospital environments
  • Travel between homes may be required

Certifications Needed:

  • RN or LPN license
  • Pediatric Advanced Life Support (PALS) certification is often recommended

Do you like the sound of this? Join our team and start your dream pediatric home health career!

4. School Nurse

Overview: School nurses provide health care and support to students in educational settings, handling everything from minor injuries to managing chronic conditions like asthma or diabetes.

Pros:

  • Regular work hours that align with the school calendar
  • Building long-term relationships with students
  • Opportunities for health education and advocacy

Cons:

  • Limited medical resources and facilities on-site
  • Lower salary potential compared to hospital roles

Certifications Needed:

  • RN or LPN license
  • Optional: Certified School Nurse (CSN) credential

5. Pediatric Clinical Nurse Specialist (CNS)

Overview: Clinical Nurse Specialists are advanced practice nurses who focus on improving care outcomes through research, education, and clinical expertise. They often mentor other nurses and lead quality improvement initiatives in pediatric care.

Pros:

  • High earning potential and leadership opportunities
  • Significant influence on care and nursing practices
  • A perfect blend of hands-on care and behind-the-scenes strategy

Cons:

  • Extensive education and certification requirements.
  • Less direct care compared to other roles.

Certifications Needed:

  • Master’s or Doctoral degree in nursing
  • Pediatric CNS certification through organizations like the ANCC

6. Pediatric Emergency Nurse

Overview: These nurses thrive in high-pressure environments, providing urgent care to children experiencing severe injuries, illnesses, or trauma in emergency rooms.

Pros:

  • Adrenaline-filled, fast-paced work
  • Opportunity to make life-saving interventions
  • High demand for skilled pediatric emergency nurses

Cons:

  • Emotionally and physically draining
  • Irregular hours and unpredictable shifts

Certifications Needed:

  • RN license
  • Pediatric Advanced Life Support (PALS)
  • Certified Pediatric Emergency Nurse (CPEN)

7. Pediatric Intensive Care Unit (PICU) Nurse

Overview: PICU nurses care for critically ill children who require advanced medical attention and monitoring.

Pros:

  • Opportunity to work with state-of-the-art medical technology
  • High level of professional fulfillment from helping the most vulnerable patients

Cons:

  • Requires significant emotional resilience
  • Intense workload and high-stakes decision-making

Certifications Needed:

  • RN license
  • Pediatric Critical Care Nursing (CCRN) certification is highly recommended

8. Pediatric Oncology Nurse

Overview: Pediatric oncology nurses provide care and support for children battling cancer, administering treatments like chemotherapy and offering emotional support to families.

Pros:

  • Deeply meaningful work that makes a difference
  • Opportunity to form long-term relationships with special young people

Cons:

  • Emotionally demanding, especially when facing terminal cases
  • Requires specialized knowledge of oncology care

Certifications Needed:

  • RN license
  • Oncology Certified Nurse (OCN) or Certified Pediatric Hematology Oncology Nurse (CPHON)

9. Hospital-Based Pediatric Nurse

Overview: Many pediatric nurses work in hospitals, providing a range of care from routine procedures to assisting in surgeries or managing chronic conditions.

Pros:

  • Broad exposure to various pediatric conditions and treatments
  • Opportunities to specialize in areas like cardiology, neurology, or surgery

Cons:

  • Long, unpredictable hours, including weekends and holidays
  • Can be physically and emotionally exhausting

Certifications Needed:

  • RN license
  • Specialty certifications depending on the hospital unit

10. Neonatal Nurse

Overview: Neonatal nurses care for newborns, particularly those who are premature or have health complications such as respiratory distress, infections, or congenital disorders. They typically work in neonatal intensive care units (NICUs) or maternity wards.

Pros:

  • Deeply rewarding work with a focus on helping the tiniest, most vulnerable patients
  • Opportunities to work with advanced medical technology

Cons:

  • High-stress environment requiring precise attention to detail
  • Irregular hours, including night shifts

Certifications Needed:

  • RN license
  • Neonatal Resuscitation Program (NRP) certification
  • Optional: RNC-NIC (Neonatal Intensive Care Nursing) certification

11. Pediatric Mental Health Nurse

Overview: Pediatric mental health nurses specialize in addressing children and adolescents' emotional and psychological needs. They work in hospitals, schools, outpatient clinics, or community health programs, helping young people manage conditions like anxiety, depression, ADHD, or trauma.

Pros:

  • Vital role in addressing growing mental health challenges in children
  • Opportunity to form meaningful, therapeutic relationships

Cons:

  • Emotionally taxing, particularly when dealing with severe cases
  • May require navigating complex family dynamics

Certifications Needed:

  • RN license
  • Optional: Psychiatric-Mental Health Nursing Certification (PMH-BC)

12. Pediatric Rehabilitation Nurse

Overview: These nurses focus on helping children recover from injuries, surgeries, or illnesses, supporting their physical, emotional, and developmental rehabilitation. They work in hospitals, rehabilitation centers, or outpatient facilities.

Pros:

  • Highly fulfilling as you witness people make tangible progress
  • Involves collaborative teamwork with physical therapists, occupational therapists, and other specialists

Cons:

  • Requires patience and long-term commitment to see results
  • Can involve physically demanding tasks like assisting with mobility exercises

Certifications Needed:

  • RN or LPN license
  • Optional: Certified Rehabilitation Registered Nurse (CRRN)

Choosing the Right Type of Pediatric Nurse for Your Career

With so many types of pediatric nurses, the possibilities are as varied as the children you’ll care for. Think about what excites you most — whether it’s the fast pace of emergency care, the comforting consistency of home health nursing, or the leadership opportunities in clinical roles. Each path offers its own challenges and rewards, but all lead to a fulfilling career making a difference in children’s lives.

Pediatric nursing is a diverse and rewarding field, offering countless opportunities to specialize and grow. As you explore the different types of pediatric nurses, remember that every role shares a common goal: to provide compassionate, high-quality care to young people. Whether you’re drawn to the quiet intimacy of home health care or the dynamic environment of a hospital, there’s a place for you in pediatric nursing where you can truly make a difference.

At Care Options for Kids, we enable nurses who choose the rewarding path of pediatric home health to make meaningful connections every day. We’re committed to providing a supportive working environment, including continuous training, support, and professional development. To ensure the highest level of care, we also help our nurses stay ahead of the curve, using training and technology that makes their days and nights easier.

So, which type of pediatric nurse will you be?

Join the Care Options For Kids Team!

Are you ready for meaningful work that comes with benefits and not burnout? Join the compassionate care team that helps children and families live their best lives. Our clinicians provide best-in-class pediatric nursing, therapy, and school-based services. We bring individualized care to children where they live, work, and play. We have opportunities in homes, schools, and clinics across the country.

Apply at Care Options for Kids now. We make it easy to start so you can make a difference as soon as possible.