How long should I work before taking ACLS?

Nurses General Nursing

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I have been working on a med-surg/telemetry/ICU stepdown floor since January 2009, and I have been off orientation since May. I would like to go for ACLS as I think it is important and would help increase my confidence at work. I'm just nervous that I do not know enough yet, and I don't want to look foolish. Any advice would be greatly appreciated!

Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

i am getting acls certified next month and i graduated last december. most experienced nurses i know informed me that acls is hard for anyone who takes it the first time. however, the more you see the information, the easier it gets. so take it now. you will feel less "foolish" as you gain more experience from certification. at least that is what i am told....:D

Specializes in Ortho/Neuro/MedSurg.

Well, I have limited work experience, but opted to take an ACLS class to increase my marketability. All you really have to do is read the book carefully and know all the algorithms. It does help to know basic ECG rhythms, but I'm sure with working on a telemetry/step down unit you are fairly familiar. However, if you still don't feel ready, you can always take an EKG course which is usually recommended before taking an ACLS course. Basically ACLS courses have 2 session. The 1st session is basically an intro where you will mainly watch videos and practice a mock megacode and other basic stuff. The 2nd session is usually where you take the written exam and preform a real megacode.

november17, ASN, RN

1 Article; 980 Posts

Specializes in Ortho, Case Management, blabla.

How long should you work? Well, if you're proficient at reading telemetry then there's no time limit. I got ACLS certified 1 year after I graduated. I'd recommend ACLS for everybody, not just to run a code but also to familiarize yourself with the whole process, the drugs, etc.

ruralgirl08

274 Posts

Specializes in med-surg, OR.

Hi, I agree with the above poster. If you are familiar with basic ECG rhythms, you should have no problem with ACLS, just study your book very well. I took mine 6 mos. after graduating, I was working general surgery at the time, but I had ICU experience from school and was taking a basic ECG course concurrently. You should do fine.

Reno1978, BSN, RN

1,133 Posts

Specializes in SRNA.

Get the book first, read it, and take the class. If you're comfortable with your ECG interpretation, you'll do fine. Success at the megacode is simple if you can memorize the algorithms that are provided for each scenario.

RNperdiem, RN

4,592 Posts

When you are no longer feeling quite so overwhelmed by all you have to learn as a new grad and are looking for the next step, then you are ready for ACLS.

Specializes in rehab.

(to the above poster)

Excellent answer!

diane227, LPN, RN

1,941 Posts

Specializes in Management, Emergency, Psych, Med Surg.

If you can take a basic EKG class first, I would do that. It will really help you. Then take an ACLs course. Basic EKG should be required for all RN's.

prinsessa

615 Posts

Specializes in LTC/Skilled Care/Rehab.

Some of my classmates have taken ACLS before getting a job. This is probably because the job market is really tight right now and they wanted something to give them an extra advantage over other applicants. I'm not sure if they passed the test or not.

mich321

52 Posts

Thanks for all your replies! I have taken a basic EKG class, so I think I'll get the ACLS book and start working on it!

OldPhatMC

88 Posts

Specializes in Hospice, Rehab.

I entered nursing school with ACLS and PALS as it is required for EMT Intermediates in my jurisdiction. And that's my key point. It's more a matter of willingness to master the material than a level of experience as a nurse. The ACLS course materials are also chock full of good information on stroke. I really do believe that every nurse should at least take the course once with a "go for it" attitude and good preparation. It helps you realize the value of teamwork, knowledge, and preparation, and how they add up to an immediate payoff for the patient in distress. Even if you fail miserably, you'll still have picked up information and gotten familiar with the kind of situations for which you weren't prepared in school.

Having said that, check with your ACLS educators for any preparatory work they feel you should have. Lots of hospitals have little prep courses tucked away that help you understand the sticking points better. Rhythm recognition is usually the hardest. Some folks get snagged by the drugs. The ACLS course works to build your knowledge of the algorithms and important background stuff. You'll be (un) surprised to find that what you don't know "could fill a book".

Do give it a try.

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