At my hospital it is required to be ACLS certified within a year of hire, i think even if your hospital does not require it, every tele nurse should take the course. It can only do you more good. We had a pt code the other day and the nurse had not taken her course yet, she did not recognize or know what to do right away for Vfib and the patient didnt make it, even tho she called a code right away. the cardiologists flipped out and ripped our manager a new ******* because they said EVERY NURSE NEEDS TO BE ACLS certified!