So, every single ACLS class I've been to always does advanced airways - oral, nasal, LMA and intubations, and you have to do a dummy intubation. A friend of mine recently went to an ACLS class - mind you, new grad, never worked in a hospital, was given an ACLS card from someone who sat with her while she did some computer questions (ACLS and BLS in under a few hours...). Seems HIGHLY suspect to me. She said that advanced airways were not discussed (neither was mono/biphasic machines, voltage, etc...) and when I asked her about it, she called the guy back was told that she doesnt need to learn the aiways because its "not her job". She was also told that "you don't need to learn voltage for defibbing, mono/biphasic stuff because its "written on the machines." .... EEKKK! This freaks me out for a few reasons - #1, in what world is a beginner ACLS class a simple computer program discussed over a couple hours?? ESPECIALLY for someone who has *zero* experience in anything acute. and #2, has anyone ever heard of an ACLS class NOT covering advanced airways and defibrillator settings?? She is much more cavalier about it because she is working doing 1:1 hospice home care for patients who need tube feeds, etc... and says she isnt worried about it because she isn't going to use it.... but to me, (and maybe i'm off-base, I don't know), if you are going to be ACLS certified, you should be ACLS capable... It almost feels like an affront to me. I worked *HARD* to be competent, and I KNOW my ACLS protocols, airways, defib settings... I say I am ACLS certified and I know if you hand me a crashing patient, I can handle it. Having someone hold the same certification as I do, who doesn't "need to know" it - drives me INSANE. I feel like its not safe, and I also slightly feel like she didn't work hard enough to have EARNED it. How you can be "certified" in ACLS and NOT be on top of it??? She couldn't even pronounce Amiodorone when we talked about her class the next day... Frankly, its scary to me!Ideas? Comments?