Quote from fergus51
I've got my pals as well and think it is completely useless for a NICU nurse (I took it because I float to PICUs). I didn't find the mock code scenarios or the ECG interpretation useful. Frankly, I don't believe you can stay competent in that sort of thing unless you actually use it and you really don't in a NICU.
Don't you ever have codes in your NICU? I found the PALS code scenarios very useful. Even though we do not usually shock a baby, we do use Epinephrine, intubate, give boluses, do CPR, etc. The NRP doesn't really go into a lot of code situations and what you would do in them. PALS gets you to think quickly about what to do if your baby/kid is crashing. Maybe it was my NRP teacher, but I found PALS to be much more helpful as far as what to do in a code. Even though codes are stressful, I think nurses should feel more comfortable about what we're doing in one, and to anticipate what to do next, which is what PALS teaches.
I know the dysrythmia scenarios aren't too useful for NICU, but we do sometimes have babies with SVT. Now if I have a baby with some kind of weird ECG, I might notice it...whereas most NICU nurses without PALS may not. (Unless you learned it in nursing school) We didn't go over ECG's much at all in school.
I took PALS to float to the PICU, too. I think it will benefit me in the long run.