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  • 1.  ALSPALS Requirements in Ambulatory Clinics

    Posted 05-16-2024 16:13

    Do you require any of the staff who work in your clinics to be ALS or PALS certified? 

    If you do, which clinics do you require it in and why?

    If the clinics have a crash cart is that a deciding factor for ALS or PALS certification?

    What about Oncology Infusion Units?

    Thank you in advance for your responses?



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    Ceresa Ward, MSN, RN
    Director of Nursing, Ambulatory Patient Care Services
    University of Missouri Health Care
    Columbia, MO 65212
    573-268-6879
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  • 2.  RE: ALSPALS Requirements in Ambulatory Clinics

    Posted 05-17-2024 11:43

    Ceresa,

    Hello, my name is Veronica, I am a nurse manager for an outpatient ambulatory clinic. Our facility requires only a BLS for the ambulatory clinic, I have repeatedly asked if the ambulatory RN staff should be ACLS/PALS certified due to the RNs triaging our Walkin patients and that we have a crash cart on our unit. Luckily most of the RNs have obtained their certifications which makes me feel at ease. I would also like to know what the requirements are of other facilities.

    Veronica Fuson, MSN, RN

    Ambulatory Care Nurse Manager

    Dilkon Medical Center 

    SWC of Navajo Route 15 &16

    Dilkon Arizona 86047

    (928) 657-1339



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    Veronica Fuson MSN
    Ambulatory Care Nurse Manager
    Winslow Indian Health Care Center
    Winslow AZ
    (928)657-1339 (21339)
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  • 3.  RE: ALSPALS Requirements in Ambulatory Clinics

    Posted 05-18-2024 11:39
    Funny you should bring this up.  I was just asking about this yesterday as we don't have anyone ACLS certified.  They states "it's only required to have BLS".  The clinic is mostly made up of MAs and 4 RNs.  I'm the walk-in nurse and I was ACLS certified in the past, but I had let it lapse, so I would have to pay to get the certification.  I do believe we need this certification.



    Original Message


  • 4.  RE: ALSPALS Requirements in Ambulatory Clinics

    Posted 05-20-2024 03:04

    ACLS AND PALS both require providers to be able to lead an ACLS or PALS emergent situation. RN's may not initiate either independently. Given the infrequency of such events in ambulatory care, having strong BLS/AED proficient Nursing staff is best practice. 



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    Ali Tayyeb PhD RN NPD-BC PHN FAAN
    Director, Center for Nursing Excellence
    AltaMed
    Woodland Hls CA
    (818)636-8318
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  • 5.  RE: ALSPALS Requirements in Ambulatory Clinics

    Posted 05-22-2024 14:31

    Nurses who work in procedures are required to obtain ACLS. PALS is not generally needed, but PEARS might be a more appropriate course for areas that see pediatric patients. As of now a majority of our staff have BLS, including phlebotomists, RNs in community clinics, MAs, LVNs. Clinics are also expected to complete 2 mock codes in the clinic with all staff, each year. 



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    Eleanor Sanders-Estes
    Clinical Nurse Educator
    UC Davis
    Rancho Cordova CA
    (916)946-1237
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