Two different topics but I have questions about them.
First off, can anyone take ACLS? I was under the impression that AHA does not make rules on who can take it as it's a certification showing you took/passed a class and not giving you power to push drugs or act outside of your scope. I think the initial video has a disclaimer on it, but it's been awhile.
We had an argument where people insisted that only paramedics and nurses could take ACLS. I argued that I've seen respiratory therapists take it and they say that's because they are licensed. I argued that it's probably our hospital policy to not let everyone take it to cut down on costs or time spent teaching people who will not use it, may be tempted to over step their roles, or who may not understand it.
Then they argued why would a PCT need ACLS. I told them they wouldn't but they could take if they really wanted to shell out the 250 for the class at another provider. Another nurse who has been all over also said that ACLS does not require people to be "licensed."
2nd one. Do you know those philip EKG machines? Not the monitors. Those tabs. I've been told that it does not matter which way the tabs face so I usually always do it in the same direction. The old hospital I did also did it this way. A nurse insists it affects the reading negatively because it should be facing towards the heart, but I've never had an incorrect or altered reading this way. The pictures on the machine show circles and not dots.
Also, one tech flipped out when I put the limb leads on the limbs and not on the torso. She didn't believe me that is where you are actually supposed to put them (and went and asked a doctor about it who said the EKG was fine that way).
The policy in our healthcare system is kind of crazy, but they are supposed to go on the deltoids or wrist and then on the back of the knees for limb leads. It does not state have the sticker tabs face up or down.