Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips).