CPR for Nurses: BLS, ACLS, and PALS Requirements
All nurses need BLS. ED, ICU, cath lab, and rapid response nurses also need ACLS. Pediatric, NICU, and PICU nurses need PALS. Schedule renewals 60 days early to avoid hospital scheduling problems.
Quick facts
- BLS — every clinical nurse
- ACLS — adult critical care, ED, cath lab, rapid response
- PALS — pediatrics, NICU, PICU, pediatric ED
- NRP — labor & delivery, NICU
Stacking credentials efficiently
Take BLS first, then ACLS or PALS depending on patient population. Many hospitals offer in-house renewal courses at a discount.
Float pool considerations
Float nurses often need both ACLS and PALS to maintain scheduling flexibility.
Documentation
Upload cards to your hospital credentialing portal the day you receive them; lapses block shift access.
Frequently asked questions
- What's the difference between BLS and ACLS?
- BLS is foundational CPR for healthcare providers. ACLS adds rhythm interpretation, IV/IO pharmacology, and team leadership.
- How often do nurses renew CPR?
- Every 2 years, regardless of which credentials you hold.
- Can new graduate nurses take ACLS?
- Yes — many residency programs require it within the first 6 months.
Related guides
CPR for Healthcare Providers
Healthcare providers need BLS-level CPR with team dynamics, bag-mask ventilation, and 2-year renewal. Here's how to choose and maintain the right course.
Adult CPR
Learn adult CPR step by step: check responsiveness, call 911, push hard and fast at 100–120 BPM, 2 inches deep, and attach an AED as soon as one arrives.
Child CPR (Ages 1 to Puberty)
Child CPR uses about 2 inches of compression depth and 30:2 (single rescuer) or 15:2 (two rescuers). Give 2 minutes of CPR before leaving to call 911 if alone.
Infant CPR (Under 1 Year)
Infant CPR uses two fingers (single rescuer) or two-thumb encircling hands (two rescuers), about 1.5 inches deep, with a 30:2 or 15:2 ratio.