Dear moonshadeau, Thank's for your reply. I talking about patients with a Pacemaker implanted for a while, and I'm glad RN can do all that. Are any nurse fully commited to pacemaker patients only, or in general all RN do care of these patients? Which resposibilities? Is it Pacing an attractive area for nurses? Because in Portugal is dificult to find nurses with knowledge in pacing, and with skills, and just a few would like to invest in this area. I have experience in Pacing ( both taqui and brady, also experience in Bi-ventricular implants and follow up), and I´m looking for reasons why portuguese nurses do not care about pacing.