I am looking at a position that requires ACLS at hire. I don’t have an ACLS certification. Is it possible to take the course prior to the hire date and use the skills immediately on the job, or is this a skill that requires on the job training?

Years ago, I got my ACLS cert 2 weeks before a job start that required it. I didnt renew thus cert and recently, I applied for a job that required ACLS and they were willing to bring me on board with the idea that I would get the cert in the first 6 months of employment. I think you should ask and find out what is required.

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ACLS is just a piece of paper (or it used to be), no one expects you to be proficient right out of the gate.