Contextual, personal, theoretical, and institutional forces intersect in the development of an intentional and ethical applied drama practice. This document charts several ethical signposts marking the development process of an applied drama project, Child-centered Improvisation, in a pediatric dialysis clinic. It argues for a deep understanding of the fields and contexts in which drama is applied and an awareness of the multiplicity of voices therein. The resulting discussion claims bewilderment as a productive space and privileges a narration of the complementary practices of an applied drama practice in a pediatric healthcare setting. The document concludes with recommendations specific to developing applied drama practices in such settings. / text