This article provides firsthand insight into advanced practice pediatric nursing in the home health care setting. In the past few years, the role of the advanced practice registered nurse in pediatric care has expanded to include such practice areas as school-based health clinics, child protective agencies, and home care. Nurse practitioners’ job descriptions often differ based on where they work, although hospitals and clinics tend to have fairly standard roles for the nurse practitioner. Advance practice roles within major metropolitan hospitals may differ from department to department and from clinic to clinic.