Not ACLS certified pulled to Tele floor... - page 2

I'm just curious about an issue that to me seems important. I work a med-surg floor and on occasion I'm pulled to a med-surg Tele floor to which the regular Tele floor staff are ACLS certified. I... Read More

  1. Visit  PMFB-RN profile page
    0
    Quote from LilBoo
    At My Hospital you have to be acls certified to work in IMC (Tele) if Your not You will be by the time your off orientation. They have tried to float people down there and they tell them "it's ok somebody will be watching your monitors." Ummm No I don't think so! How can someone watch their monitors and yours?! That's 10 monitors! And how can You trust a nurse you don't even work w/ regularly to do that? You can't! And god forbid something happens and You get pulled into court what are you going to say? "Umm someone else was watching my monitors, because I don't know how to read them." I mean come on, You need to protect your patients, your self and your license!
    *** Uh, what does having ACLS have to do with compentcy to wach monitors? Neither I nor my hospital considers a ACLS trained nurse to be qualified to monitor tele patients if they have not also passed the basic EKG class. ACLS does not teach rhythem identification. Only those nurses who have been to basic EKG class are qualified to monitor tele patients. ACLS is different and more or less unrelated. I don't see how having ACLS certification is going to protect an nurse in court if s/he hasn't also been trained in EKG. There could be lots of changes in a tele patient that a nurse who has been trained only in ACLS would not be able to indentify. ST segment elivation for example.
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  3. Visit  akulahawkRN profile page
    0
    Quote from PMFB-RN
    *** Uh, what does having ACLS have to do with compentcy to wach monitors? Neither I nor my hospital considers a ACLS trained nurse to be qualified to monitor tele patients if they have not also passed the basic EKG class. ACLS does not teach rhythem identification. Only those nurses who have been to basic EKG class are qualified to monitor tele patients. ACLS is different and more or less unrelated. I don't see how having ACLS certification is going to protect an nurse in court if s/he hasn't also been trained in EKG. There could be lots of changes in a tele patient that a nurse who has been trained only in ACLS would not be able to indentify. ST segment elivation for example.
    ACLS does teach some recognition of ST elevation. ACLS is not, however, a comprehensive course in reading all of the subtleties of the EKG. ACLS is also not a course that teaches anyone how to prevent a code, rather it teaches a systematic way to deal with a code. Nothing more, nothing less.
  4. Visit  ChaseZ profile page
    0
    On my floor they will usually assign a nurse to cover/watch a pulled nurse's patients on monitor. Also I am sure most hospitals have Monitor Techs (my current job ) that will call you about any changes in condition or arrhythmias.

    Also consider buying an EKG pocket reference book. It will help you on any floor you work even if just to look up the definitions and acronyms. It gets old having to constantly explain what a PAC/PVC is.
    Last edit by ChaseZ on Jan 16, '12
  5. Visit  PMFB-RN profile page
    1
    ACLS does teach some recognition of ST elevation. ACLS is not, however, a comprehensive course in reading all of the subtleties of the EKG.

    *** I am an ACLS instructor and we do not teach people to recognize ST elivation or relly much of anything else. We expect them to have passed a basic EKG course prior to attending ACLS. Doesn't alwasy happen though.

    ACLS is also not a course that teaches anyone how to prevent a code, rather it teaches a systematic way to deal with a code. Nothing more, nothing less.

    *** Good point.
    wooh likes this.
  6. Visit  MomRN0913 profile page
    2
    Not all nurses need to be ACLS certified. New Grads starting out in ICU don't even need to be ACLS certified. They typically have a year to obtain their ACLS. As long as there is ACLS certified nurses in the hospital, I.E., code team, ICU nurses, your fine. You can initiate CPR with BLS if needed.
    HazelLPN and wooh like this.
  7. Visit  PMFB-RN profile page
    0
    Quote from MomRN0913
    Not all nurses need to be ACLS certified. New Grads starting out in ICU don't even need to be ACLS certified. They typically have a year to obtain their ACLS. As long as there is ACLS certified nurses in the hospital, I.E., code team, ICU nurses, your fine. You can initiate CPR with BLS if needed.
    *** In our hospital's Critical Care Nurse Residency program the (nurse) residents are put through ACLS during the first month of class room instruction. After that each one takes turns carrying the code pager and responds to all codes that day. They are usually used to do compressions or maybe run the defib. By the time the 7 month program is over each resident has been to 3-10 codes and will (hopefully) have rotated between all the code jobs except code team leader. Their behavior during the codes is noted and is counted when the decision is made wether they graduate and go to SICU, MICU, PICU, ER, or PACU or if it is discovered they panic or act inappropiate during codes they may be offered a job on med-surg instead of one of the critical care areas.


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