How to move to pediatric ED and/or NICU from community health/outpatient peds? I’ve been working in a very busy pediatric primary care office for 6 months as a new grad, but not getting enough procedural/hands on nursing experience.

Being less than a year out from graduation, I would look into "new grad/nurse residency programs". Often times they will take people looking to learn a new specialty. You get classroom instruction with peers, as well as hands-on experiences while learning. It is a way to learn more slowly and have the ability to take the time you need to make sure you are comfortable when you end up going solo.

You would need to work on a pediatric floor for at least a year just to apply.

You would need to work on a pediatric floor in a hospital for at least a year to be considered.