PALS (Pediatric Advanced Life Support) is a certification course designed for healthcare providers who respond to emergencies in infants, children, and adolescents. Developed by the American Heart Association (AHA), PALS teaches systematic approaches to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics.
Who Needs PALS Certification?
PALS is required or strongly recommended for any healthcare professional who may encounter pediatric emergencies. This includes:
- Registered Nurses (RNs), especially those in emergency departments, PICUs, and pediatric units
- Paramedics and Emergency Medical Technicians (EMTs)
- Physicians and physician assistants
- Respiratory therapists
- Nurse practitioners
- Dentists and oral surgeons who treat pediatric patients
- Nursing students and medical students preparing for clinical rotations
Many hospitals and healthcare facilities require PALS certification as a condition of employment, particularly for positions that involve pediatric care.
PALS Certification Requirements
To earn PALS certification, you must complete an AHA-approved PALS course and pass the written exam with a score of 84% or higher. The course covers:
Current BLS (Basic Life Support) certification is required before taking PALS.
The full PALS provider course is approximately 14 hours, typically completed over two days.
A 50-question multiple-choice exam with a passing score of 84% (42 out of 50 correct).
Hands-on skills stations including airway management, rhythm recognition, and megacode simulations.
Renewal Cycle and Recertification
PALS certification is valid for two years from the date of completion. To maintain your certification, you must complete a renewal course before your card expires. The renewal course is shorter than the initial provider course, typically taking 6 to 8 hours.
Starting in 2019, the AHA introduced the HeartCode PALS option, which allows you to complete the cognitive portion online at your own pace. You then complete a hands-on skills session with an AHA-approved instructor to finish the certification.
Pro Tip: Do not wait until the last minute to renew. Many facilities require you to have a valid PALS card at all times, and course availability can be limited close to popular expiration dates.
AHA vs Non-AHA PALS Certification
The American Heart Association is the most widely recognized provider of PALS certification. However, other organizations also offer PALS courses:
| Factor | AHA PALS | Non-AHA PALS |
|---|---|---|
| Employer Acceptance | Universally accepted | Varies by employer |
| Cost | $200 - $300 | $150 - $250 |
| Hands-On Component | Required | Sometimes online only |
| Validity Period | 2 years | 2 years (varies) |
| Guidelines | AHA guidelines | May differ |
Before enrolling in a non-AHA course, check with your employer to confirm they accept the certification. Most hospitals and EMS agencies in the United States specifically require AHA PALS.
PALS Certification Cost Breakdown
The total cost of PALS certification varies depending on the format and provider. Here is a typical cost breakdown:
Many employers reimburse PALS certification costs. Check with your HR department or manager about available tuition reimbursement or continuing education benefits.