Why does everyone need to be ACLS cert? - page 9
There has been a push at hospitals in my area for ALL nurses to be ACLS certified. There are repercussions for those who choose not to do the training. Fewer hours, more w/e, and generally not... Read More
0Feb 2, '12 by imintrouble[QUOTE=DookieMeisterRN;6111931]In my hospital ACLS certification does not = ICU experience. A med/surg nurse would never be floated to critical care. Most of our units are tele equipped so we are expected to be tele/ACLS certified within our first year. No one is expected (in my hospital) to lead a code just because they've been thru ACLS. A code is a team effort, we have a rapid response and code team plus there is always hospitalists, residents, RT's, anesthiologists, surgeons, teaching service in the house. Why a floor nurse would be expected to lead a code is really stretching what in reality would never happen. A nurse should be pro-active and take responsibility for their practice. There is always something to learn. I don't care if you've been a nurse for 5 or 50 years, you couldn't and don't know it all, and not above keeping your practice current and up to date with the times. This is 2012 not the 1980's and things are always changing. If your unwilling to keep up your education as your employer asks I don't blame them for cutting your hours. There are plenty of qualified nurses willing to take your place.[/QUOTE
Hospitalists? Anesthesiologists? Not everyone is so lucky as to work in a large hospital. The majority of hospitals where I live are critical access/25 bed facilities. We don't even have an ER doc on staff full time. Imagine what I've just described. Just TRY to imagine. After 9P:
MDs who WON'T come to the hospital for pts YOU'RE sweating bullets over.
No full time ER MD.
Then imagine that magical ACLS behind your name. Imagine what is expected of you. Mr DM, your post made me angrier than I've been in a long time.
You CANNOT imagine the conditions some of us are expected to work in.
Last week I had 9 (NINE) pts. Three on tele. I did serial EKGs on each of those pts. I drew their blood for serial cardiac enzymes. I mixed ATB for 4 pts. I gave neb tx to 5 of them Q 4 hrs.
The nurse watching tele was responsible for 5 med/surg pts of her own. She was fresh off her ACLS class and absolutely terrified. I had to rely on HER cardiac rhythm expertise, which terrified me.
Do you want to take my place? In an economy where most nurses can't find a job, we can't keep them.
Before you dismiss my concerns, spend a night in a facility with absolutely NO ancillary staff, DookieMeisterRN ACLS.Last edit by imintrouble on Feb 2, '12
0Feb 2, '12 by DookieMeisterRNNo worries....I feel very grateful for working where I do and that's why I love my job. If I had to work under the conditions you've described above, I'm sorry, but I'd be looking for a new career. I know it's not that easy but dang you all need a union to start with.