How does your facility recertify in IABP? MY facility changed it's method because we have had such a turn-over of staff,50% of the IABP certified nurses are new. We went to a all day refresher course instead of a 2-4 hour self-review. we recertify every year. Even with this change some of the new nurses refused to recertify. Do you think they should be able to refuse to recertify?