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

  1. 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:
    No RRT
    No hospitalist
    MDs who WON'T come to the hospital for pts YOU'RE sweating bullets over.
    No pharmacy.
    No cafeteria/Dietary
    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
  2. by   imintrouble
    I apologize for my over dramatization. DookieMeister please accept my apology for my angry post.
    I tried to edit but was too late.
    I'm always in trouble.
  3. by   DookieMeisterRN
    No 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.
  4. by   That Guy
    Im on a code team. I wish more people were ACLS trained. Walking in to a room by the time you respond and seeing nothing done is painful to see. If you get the chance people, please please get ACLS.
  5. by   RN/WI
    It's another crap control technique, yet once again like the b s n we so needed! We must all have more credentials then our administrators again and they're trying to hold us down.
    Last edit by RN/WI on Dec 16, '16 : Reason: Edit
  6. by   EllaBella1
    Quote from RN/WI
    It's another crap control technique, yet once again like the b s n we so needed! We must all have more credentials then our administrators again and they're trying to hold us down.
    #1- This post is almost 5 years old.
    #2- How is a class that you can take in one day another "crap control credential" when it is absolutely relevant to practice? I didn't read this whole thread, but I 100% agree with the (5 year old) post right above yours. The number of times that I have walked into floor codes with the nurses frantically standing around the bedside unsure of what to do is ridiculous. Knowing ACLS, whether or not you actually push ACLS meds/deal with this routinely in your job role, can save lives.
  7. by   RN/WI
    I have my msn and have completed acts in the past. It's all about the money, just because you have an active ac ls doesn't make you a better nurse and it isn't needed on a med surgical floor is the point!!!
  8. by   sallyrnrrt
    Quote from RNDreamer
    It's not required for us, but I plan to take it anyway since it's free, and I think it will help me to feel more confident if there were a situation on my floor.
    Your avitar, just got me, I tried squishing the little bug running around
  9. by   RN/WI
    Well if it's a free class for you then why not? my point is no medical surgical floor should require it for their staff or job applicants. If they want to teach free classes of acls I'm all in. If they want every Med surg nurse to stay active in acls and end up paying for it like all the other nonsense useless certifications they come up with, I think it is a useless waste of money. It's enough paying to keep up licenses and ceus.
  10. by   Cowboyardee
    Quote from RN/WI
    It's another crap control technique, yet once again like the b s n we so needed! We must all have more credentials then our administrators again and they're trying to hold us down.
    Please don't compare ACLS class to the push for BSNs.

    - BSNs cost tens of thousands of dollars and most of that money comes out of the pockets of RNs, with a conspicuous lack of the grandfathering that happens in most professions in similar scenarios.
    - The benefits of a BSN over an ADN or (especially) diploma education are dubious at best, and the studies demonstrating said benefits have been so flawed as to appear deliberately misleading at times.
    - An RN to BSN program is chock full of classes that have zero clinical benefit but requires thousands of hours of busywork nonetheless. Want to substitute useful classes (e.g. advanced patho or pharm) for the established courseload? Nope - back to making powerpoints and dioramas.

    Meanwhile...
    - ACLS is most typically paid for by the hospital requiring it. It takes literally a few hours every two years, also typically paid for by the hospital.
    - ACLS demonstrably saves lives.
    - Ask any responder (I am one), and they will have countless stories of situations in which they were delayed and/or situations where med-surg staff performed ACLS incorrectly enough to impact patient outcomes. The American Heart Association has increasingly been emphasizing the importance of early defibrillation when indicated. Many times, this could be done before the response team gets there, but more often than not nurses are standing around, no pads are on the coding patient, etc.

    The point is a few hours every two years to improve patient outcomes in emergency situations is not remotely comparable to thousands of hours and dollars sunk to accomplish nothing much more than lining other peoples' pockets.
  11. by   RN/WI
    You don't have to preach to me I'm still paying for my masters degree! I was making the same amount of money when I graduated with my associates , ha! What my point is I had acls once, do not use it, nurses on a med surg floor should not have to have an active certification for acls. Acls is a petty certification.

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