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ACLS and BLS: Getting recertification wrong

Oct 4, 2011 09:15 EDT


The American Heart Association's approach to recertification for ACLS (advance cardiac life support) and BLS (basic life support) is a frustrating exercise and a misuse of a physician's time.

Do you share the frustration?

See also:

Does board recertification ensure standards of practice? Or is it now an exercise in liability control?








Your comments
ACLS and BLS: Getting recertification wrong
# 1 of 11
October 5, 2011 08:10 (EDT)
Gary Bennett
I have been an American Heart Association instructor for 18 years,  Training center coordinator and also Training center faculty.  I have never had an ACLS renewal course go over 4.5 hours. AHA gives options you can add to the courses to increase the time and learning skills. I feel as an educator and trainer we need to look at the needs of the class. I feel ACLS and BLS can be done efficently, I meet all the AHA objectives and requirements. Lead instructors need to staff and coordinate courses appropriatly. I have many physicians and cardiologest attend my courses.
# 2 of 11
October 7, 2011 02:54 (EDT)
Mark

I agree, Why not get ACLS and BLS over in one day.  We go over BLS when recertifying for ACLS.  Too much redundancy.

# 3 of 11
October 13, 2011 01:10 (EDT)
Faqir Ahmad MD

Hi

I watched the comments of Dr Seth , I completely agree with him. 

No dout AHA might be doing great job.

But 8 hours of ACLS recertifcation, and $ hours of BLS recertification, does not make any sense.

Particulrly doing every 2 years and not much to add to course.

I alos wonder , if a person whose living is resuscitation job, like some body is doing ER job, what he is going to learn, in ACLS and BLS courses , These courses should  be more of customized type, if some body  need more skill and more reading , the should be encourged.

That much time  is definaltely  a wastage ,, and more over  these courses on computer can never be completed in the generally  suggested  time .

And there has to be a way If a person has done ACLS and BLS some many times , and person is working in Resuscitation setting , he should ot go for recertifation every 2yeras , This is absolutely wastage of time.

I am not sure what is validity of  ACS and BLS recertifications offered by other bodies. if some one can comment on this .They are lot more easier.

thanks  

 

# 4 of 11
October 13, 2011 01:36 (EDT)
Jacci

I am a Director of Nursing and within my organization, if someone has taken ACLS, we do not then also require BLS since BLS is part of ACLS.  This is an institutional decision and takes into consideration the extensive amount of education time that is required of our nursing staff for all other types of training. 

I do think working in settings where codes are commonplace makes recertification seem like a waste of time; however how else would we ensure that people trained 10 years ago are following current guidelines and not old practices? 

# 5 of 11
October 13, 2011 01:43 (EDT)
Dr Rollins

We just recertified myself and our office staff - the new online review was awesome - great learning and very efficient - we hired a teacher to come to our office - did BCLS and ACLS in 3 hours, very relaxed thorough pace - it was well worth it and very professional

# 6 of 11
October 13, 2011 02:23 (EDT)
william reichert

If you are not doing codes this certification will lose its effectiveness in 90 days.

Codes need to be run by people who do it often. You also need to have experience

with the teamwork organization to be effective or there can be confusion. in who does what to whom.Nothing wring with

the classes though.   Codes , however, are like any other  skill. Thye need to be practiced    in  a team  setting. 

# 7 of 11
October 13, 2011 03:57 (EDT)
Michael

Right on- AHA has moved to a simple minded cookie cutter glorified first aid course. It is nothing short of a joke as it is now presented with respect to in hospital staff. The DVD videos are insulting. The stations are also nothing real world based. I teach ACLS in Canada (25 + years) and we ignore this structure and deliver content and style that is relivant to in hospital staff requiring flexible critical thinking skills. Thanks for saying it as it is. How does this course flurish in the USA- why are people not complaining in hordes??? 

 

 

Michael  

# 8 of 11
October 17, 2011 01:06 (EDT)
Joanne, RN
I completely, agree with the comments that ACLS recertification should be completed in 4 hours or less.  Just as physicians have time constraints, so do nurses.  I do not appreciate having time taken away from family on a Saturday or having to squeeze my workday into an impossible few hours around an 8 hour course of redundant videos of CPR.  I want to know the nitty gritty of whats new and how to implement it into the code sequence.  I would suggest that staff who do not know rhythms, take rhythm interpretation separately.   Practicing codes needs to be done at the facility level due to the unique layout, equipment, and staff availability.  The ACLS course should be pared down to address new changes, and where these changes affect the code sequence only.  The rest should be up to the facility to practice.     
# 9 of 11
March 21, 2012 10:46 (EDT)
Michael, RN
Good blog here. I took mine BLS and ACLS online at www.aclscertification.com and it took only 2 hours for both. No skills test was required. Our entire clinic did it this way and it was AWESOME. 
# 10 of 11
April 6, 2012 03:20 (EDT)
mark gore RN CEN

AHA justifcation of requiring that only recertification using thier guidlines and only recognizing thier formated material is holding people hostage and manipulating the entire healthcare system and its providers.

# 11 of 11
July 30, 2012 05:32 (EDT)
Nicole, RN

I took mine ACLS online as well from the ACLS Certification Institute course at http://www.aclscertification.com/

 

I completely agree that the AHA course is too long. I really enjoyed the course from aclscertification.com and found it easy, quick and painless. I really suggest writing a blog post on their course because it will help your readers know more about them.


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About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.