Our renewal classes have nurses from clinics, wards, heme/onc, EDs and PICU at the same time because we are a tertiary center.
For our scenarios, my group consisted of floor and clinic nurses, some doing their first renewal and some doing the last of their career (one nurse actually stated that).
Now, I wasn't expecting them to come out of the gate swinging and run a flawless megacode but some of them couldn't so much as identify a shockable rhythm!
And the PICU instructor allowed all of these f-ups to happen and even gently guided a discussion about the correct approaches afterward rather than prolonging the scenario or pulling anyone aside.
And when it was finally my turn I got sacked with some kind of spontaneous cardiogenic shock nonsense that I had to start on nitro and inodilators before she'd let me quit talking/guessing.
I understand that lower acuity areas don't get the benefit of frequent exposure to critical illness and fulminant deterioration, but A) that is the point of ACLS and PALS and B) this was downright painful and negligent. Hell, I recognized one the nurses as having cared for my daughter during an admission. Now all I'm gonna worry about is whether she's itching to push amio for my kid's SVT or some other made-up treatment.