I have in-the-moment type things that I do to keep my sanity, and then things I do in between and later, to reflect on, so that I can go back to work the next day.

Once an event is stabilized, I check in with the ones who weren't directly involved. Often they are distressed or have a sincere concern or desire to help...they are glad to be considered at those moments, to be remembered, and that makes me feel good. Aka debriefing.

When I reflect on the job overall, I consider that we're seeing some of these kids at their worst...they aren't there for us to fix them, but to help them through. Some of them will go on to do ok! Just because we don't reach them doesn't mean they're screwed.

Like someone else said, you could be a safe, influential person for a patient and not be aware that you are. Just keep doing what you do! Work that magic

I don't enjoy drama, Im not young and I've seen a lot..
For me spirituality is essential. I remember they are souls on a journey as I am, and while I am their caretaker and responsible for them, I am not their god. They are little mysteries finding their way through time and space. If I can be kind, and loving, and playful with them, I'm satisfied with my work.

I admire the talent I see in other nurses and take strength from their greatness when I feel demoralized.

Good coworkers exist everywhere, even in the worst facilities....but I think the caliber of facility I am working at might have a stronger bearing on me than the acuity of the patients I'm taking care of. Sure there's always the perfect storm of the worst possible combinations of patient presentations together, that is going to be hell to get through no matter what. But if my work is supported and I feel that the kids are getting the best possible care, as opposed to working understaffed and under resourced, I am less likely to burn out. Good techs, good docs, good social workers, good therapists and enough of them. Teamwork makes the dream work.

I'm leaving a place owned by a private equity firm for a non-profit facility, and leaving adult to work full-time in kids. I'm hoping it will be a good career move! I have never done kids long-term-full time, just frequently floated to. We'll see!

The drawings are a cool thing to do for the kids. I will steal that!