ACLS requires a doctor's order? - page 3

My facility is telling us that we must have a physician's order to start pushing ACLS drugs. They are telling us that it is a violation of the Nurse Practice Act to start ACLS without an order and that we are operating outside of... Read More

  1. 0
    Wow, I am taking ACLS this week, and will bring this up? Its at my PRN job, I want to know the policy and orders. Good timing for me.

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  2. 0
    That is not true. You do need an official code status established by the patient & signed within 24 hours of admission. That is a joint commission standard. Its gross negligence not to start ACLS if your certified of course. There should be one RN on the floor that is ACLS & of course there is a code team who responds even in rural hospitals there has to be a MD usually the ER doc who can manage the patient.
  3. 0
    I have never heard of anything like that before! Start checking with some outside sources, Nursing board, Joint Commission, American Heart Association, ACLS instructors.

    Have you talked to your director about this, or is it a rumor on the grapevine?
    Last edit by BlueBug on Feb 10, '12 : Reason: format
  4. 0
    Wow, it is amazing that there are so many diverse responses to what should be a straight forward answer. I have learned over the years that there are several things that provide opportunities for discussion like this.

    I work for an organization that runs several hospitals. Our docs have the option to use caresets for admission orders. These caresets include orders for rapid response and emergency response activities. Basically standing orders for ACLS. Most docs automatically order both of these on admission.

    That being said, I am the only RN on my M/S unit that is ACLS certified. There is no requirement in my facility that there be an ACLS certified nurse on M/S floors. When I interviewed for my position, no one cared a bit that I was certified. I pursued the certification because in my previous positon, rapids and codes were pretty regular in M/S, and because I hope to move into a higher acuity area in the near future.

    If I did not have the emergency response orders, the only thing I can do is BLS. Without orders, even following the algorithms is outside of my scope.
  5. 0
    I think a any nurse should initiate ALS if aware of algorithms and situation. I think saving a life is more important than not doing anything and worrying about legal situations. Should be a good Samaritan law regarding proper ACLS attempts.
  6. 0
    That is the whole point of being ACLS certified, to begin ACLS treatment if you are the first to respond. Paramedics aren't Doctors, but they can administer medications without a doctors order.
  7. 0
    its bull.. your covered by your hospital policy and your advance cardiac standing... your certified.. and you can push the drugs
  8. 0
    its bull.. your covered by your hospital policy and  your advance cardiac standing... your certified.. and you can push the drugs
  9. 1
    I just can't help myself on this... ::sorry people::

    ACLS has successfully recovered this post... Granted, pupils are F&D, no gag, no blink, maxed pressors, and just started epi... "just because".. OH, and the floor just called... the found the missing DNR paperwork..
    whichone'spink likes this.
  10. 0
    I'd refuse to work in a hospital that didn't have a policy concerning ACLS protocols. That's a dangerous situation for a nurse. If you have a code and start pushing drugs per ACLS protocol without a physician present, you're in trouble. If you have a code and you don't do ACLS protocols, you're in trouble.


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