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CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
CAP Booklet
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CAP Booklet

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  • 1. ` Department of Clinical Education linical dvancement rogram January 2007 Final
  • 2. UNMHSC Clinical Operations Clinical Advancement Program (CAP) Purpose: 1. To recognize and reward individual excellence. 2. To assist in recruitment and retention of quality nurses. 3. To encourage those with clinical expertise in advancing a programmed practice model of nursing. 4. To improve employee morale and job satisfaction. 5. To provide opportunities for professional growth. 6. To promote collaboration among nurses and multi-disciplinary health care teams. Getting Started in CAP: 1. Entry into CAP requires initiation of a CBO (completion by the anniversary), see section I professional Growth, Items 1 & 2. 2. CAP is subdivided into three categories of criteria: • Professional Growth • Research and Education • Clinical Expertise 3. The CAP book offers specific descriptions of each category. These allow the participant multiple areas from which to choose for demonstration of professional achievements. 4. The Unit Director will verify CAP eligibility and advancement for departmental employees. Policy and Application: 1. The Clinical Advancement Program is voluntary. 2. The program is available to Registered Nurses (RNs) who are employed as 0.5 FTE, or greater, regular status and deliver patient care or are immediately responsible for patient care. The program is available from the date an employee becomes regular staff, if he or she meets all requirements. 3. All RNs entering the CAP program must have a performance appraisal rating that is satisfactory or above on his or her most recent evaluation. If a nurse disagrees with the performance appraisal s/he has received, s/he may appeal through the Human Resources Department. - 1 -
  • 3. 4. CAP Level Criteria: Points Requ ired Level Requirements Compensation Level I 60 Total of 60 points Professional Growth, # 1 & 2. $1.50/hr over base pay Level II 90 Additional 30 Points for a total of 90 points. The 30 additional points may come from any category. $3.00/hr over base pay Level III 120 Additional 30 points for a total of 120 points. The additional 30 points must include one of the following: a national nursing certification a Master's Degree in Nursing an ADN in school for a BSN, a BSN in school for an MSN, (Three-year time limit on each). $5.00/hr over base pay 5. The Unit Director maintains CAP records for their employees. 6. The Unit Director must sign all CAP application forms. 7. Unit Directors will indicate at the bottom of the CAP verification form that the employees received a satisfactory or above performance appraisal rating on the most recent evaluation. If at any time the CAP participant’s performance appraisal falls below satisfactory, the employee will be removed from CAP via a personnel action, until such time as the performance has improved via documentation in the form of a participant’s performance appraisal. Verification: 1. The verification form is used to confirm that all activities have been completed or maintained within the last 12 months. Evidence of completion may include verification of necessary documents by the Unit Director. 2. Notification of CAP status will occur via the Unit Director. If all requested documentation for verification was not included, points will not be approved. The employee may resubmit documentation to the Unit Director. 3. Pay increases will become effective at the start of the first pay period following verification of CAP enrollment. CAP status will be in effect for the next 12 months. Maintaining CAP: - 2 -
  • 4. 1. To maintain current CAP status, the employee must complete requirements, accumulate the appropriate number of points, and successfully carry out goal development/achievement (performance appraisals). 2. The Unit Director will note the appropriate CAP level on the employee's performance appraisal cover sheet. Upgrading CAP: 1. An employee may upgrade CAP status at any time. S/he must submit an application to the Unit Director, for only the additional points required. Management Responsibilities: 1. The Unit Director or designee will complete a personnel action to change the status of the employee entering, changing, or leaving CAP status via the appropriate HR system. The personnel action will be effective at the start of the first pay period following verification of CAP enrollment or disenrollment. 2. Employees wanting point allocation for an activity not listed in the CAP booklets must submit a proposal to the Unit Director to be forwarded to the Education Council. If the activity is approved, points will be assigned as deemed appropriate for the level of activity, with the information disseminated to the Unit Directors and the CAP book will be updated. Program Administration Policies: 1. The Education Council has the responsibility for evaluating CAP annually. 2. The Executive Director of Education with input from educators, staff, managers and executive directors is charged with the administration of CAP. 3. The established standards of CAP shall not be part of the collective bargaining agreement. 4. It is the responsibility of the Education Council to establish or modify, as needed, the standards of performance for attaining, progressing and maintaining positions in the various levels of the program. 5. The Education Council shall be consulted for its input concerning the adoption or modifications of standards prior to any changes being implemented. This council shall also have the sole authority, under the direction of the Executive Director of Education, to administer and interpret the standards of this program as well as any disputes that may arise concerning its application. The final responsibility and ultimate approval for standards and modifications rests with the hospital. NOTE: Employees entering the program in no way relinquish their rights to representation, grievance and arbitration as provided in the collective bargaining unit in other matters. - 3 -
  • 5. This page is blank intentionally. - 4 -
  • 6. A. Professional Growth Achievement Minimum Requirements Points Employee demonstrates the ability and willingness to promote his/her own professional practice through personal accountability for the learning and demonstration of essential elements to advance skills and knowledge level. 1. Competency-based Orientation Requirements for New Employees • On-line competencies completed • CBO/Equivalent Initiated • Basic Life Support completed. • Demonstrates accountability for receiving Unit/Department communication of Policies, Procedures and/or Guidelines. 1. Cap I Category: 60 points Employee demonstrates the ability and willingness to promote his/her own professional practice through personal accountability for the learning and demonstration of essential elements to advance skills and knowledge level. 2. Maintenance of Annual Competencies • On-line competencies completed • Annual skills competencies completed -Skills verified by UBE/CNS/Educator consistent with Patient Care Plan • Highest level of age-appropriate Life Support based on Patient Care Plan for Unit/ Department completed. (2nd certification is worth additional 15 points). • Demonstrates accountability for Unit/Department communication of Policies, Procedures and/or Guidelines 2. Cap I Category: 60 points - 5 - Revised: November 2005
  • 7. Employee demonstrates the ability and willingness to promote his/her own professional practice through personal educational achievements in the field of nursing and participates for the advancement of nursing. NOTE #1: Courses must be applicable to the RN’s current position for CAP points. 3. Completes instructor or Provider requirements for: • ACLS • TNATC • ILS • ALSO (Obstetrics) • CPR (Instructor Only) • First Aid (Instructor Only) • TNCC • PALS • Neonatal Resuscitation (NRP) • S.T.A..B.L.E. • Emergency Nurse Pediatric Course (ENPC) • RALeS Provider • RALeS Enhanced Provider • Fundamentals of Critical Care Support • Advanced HAZMAT Life Support • Advanced Disaster Life Support • Psychiatric Nurse specific from CON: • Advanced Physical Assessment • Psychopharmacology 3. Instructor (Completed instructor course and taught a minimum number of courses for UNM Hospitals Clinical Operations to maintain instructor status): 20 pts. No maximum. Community Training Center (CTC) will provide CAP verification to instructor. 1st Provider certification applies to 60 points in CAP I. 2nd Provider certification applies to CAPII at 15 points on year of certification. 4. Instructors only: Acts as a skill validator at UNM Hospitals Clinical Operations for above stated courses beyond instructor maintenance requirements on his or her own time. 4. 1 pt. per hour of Instruction. Max 30 pts. per course. - 6 - Revised: November 2005
  • 8. NOTE #2: Tuition reimbursement is available for successfully obtaining a national nursing specialty certification. See UNMHSC Personnel Policy Tuition Reimbursement for the guideline. 5. Successfully completes one of the following single day courses (one time only): • Moderate Conscious Sedation Course • First Aid provider • Rapid Sequence Intubation Course • Difficult Airway Management Course • Advanced Procedural Sedation Course • Mechanical Ventilation Curriculum (3 courses – 5 pts each, cannot be combined with RALES EP) • Diabetes Management Curriculum (2 courses-5points each) • Asthma Management Course • Spirituality Course • Cardiac Surgery Course • Citywide Chemotherapy Course • Psychiatric Specialties Course • Care of the Post-operative Patient Course • Care of the Patient needing Pain Management Course • Care of the Geriatric Patient Course • Hemodynamics Course • Diabetes during Pregnancy • Intermediate 12-lead EKG • Cardiac Pacing • Pediatric Oncology Fundamentals • States Of the Heart I or II • Triage in the Emergency Department • When You Don’t Speak Pediatrics • Ambulatory Adult and Pediatric Physical Assessment • Telephone Triage for Ambulatory • Tracer Training and Continuous Readiness for Staff • Quality In Ambulatory Care • Ambulatory Core Curriculum • Other new courses as they are developed: 5 points per 4-hour class. 5. 5 pts. 6. Successfully completes one of the following multi-day courses (one time only): • Essentials of Critical Care Orientation Course • Critical Care/Sub-acute Care Course • Pediatric Critical Care Course • Perinatal Nursing Management Course • Continuum of Neonatal Care Course • Basic Arrhythmia Course • Trauma Nurse Qualification Course • Neurosciences Qualification Course • Psychiatric Emergencies Series 6. 15 pts - 7 - Revised: November 2005
  • 9. 7. Completion of any of the jointly sponsored College of Nursing Institutes not listed above: e.g. End of Life Care. 7. 15 pts 8. Possesses and maintains a national nursing specialty certification. NOTE#3: Effective 2005 and onward, some certification requirements include a BSN. While Clinical Education makes every effort to keep the CAP book updated, the sheer number of certifications makes this difficult. It is advised that the nurse contact the company prior to the application to assess for current requirements and those upcoming in the near future. 8. CAP III category: 30 pts. 9. Possesses and maintains one of the following specialty certifications: • Healing Touch practitioner • Treatment Guardian • Forensic Specialty • Specific Therapeutic approaches: EMDR, LMFT, CISM, CADAC, Art Therapy, Experiential Therapy 9. 15 pts. Renewal with demonstration of patient- centered activities such as treatment sessions or cases: 15 per year. 10. Enrolled in an academic program towards a degree. (CLEP work excluded.) 10. 1 pt. per completed credit hour. Max 20 pts. per year All points are not additive: Unit Points-all employees of the unit can take points whether directly involved or not. They assist the unit in sending representation. These may not be added to points below. Employee specific points for active member participation on a unit committee. These may be added to hospital wide committee points below. Employee specific points for unit representation on a hospital wide committee. 11. Shared Governance activities: • Department or Unit actively and consistently has representation and participation in Shared Governance Committees (Conferred by Hospital Shared Government Council Chair). Unit/department attends >90% of the time at meetings and on projects. • Department or Unit actively and consistently has representation and participation on Magnet Committees (Conferred by Hospital Magnet Committee Chair). Unit/department attends >90% of the time at meetings and on projects. • Department or Unit actively has a Retention and Recruitment Committee (Conferred by Unit Shared Governance Committee). Unit/department attends > 90% of the time at meetings and on projects. • Employee actively and consistently participates in Department/Unit Shared Governance Committee. (Conferred by Executive Director) Employee attends monthly meetings > 90% of the time and participates in >90% of the projects. Paid time is permitted, though neither OT/DT. • Employee actively and consistently participates in Department/Unit Magnet Committee. (Conferred by Executive Director). Employee attends monthly meetings > 90% of the time and participates in >90% of the projects. Paid time is permitted, though neither OT/DT. • Employee actively and consistently participates in Department/Unit Retention & Recruitment Committee. (Conferred by Executive Director). Employee attends monthly meetings > 90% of the time and participates in >90% of the projects-at least 4 per year. Paid time is permitted, though neither OT/DT. • Employee actively and consistently represents Department/Unit in Hospital-wide Shared Governance Committees. (Conferred by Shared Government Council ED) Employee attends meetings > 90% of the time and participates in >90% of the projects. Paid time is permitted, though neither OT/DT. 11. 2 points 2 points 2 points 5 points 5 points 5 points 15 points 15 points - 8 - Revised: November 2005
  • 10. • Employee actively and consistently represents Department/Unit in Hospital-Wide Magnet Committees. (Conferred by Magnet Council ED). Employee attends meetings > 90% of the time and participates in >90% of the projects. Paid time is permitted, though neither OT/DT. • Employee actively and consistently represents Department/Unit in Hospital-wide Retention & Recruitment Committees. (Conferred by R&R Committee Chair). Employee attends meetings > 90% of the time and participates in >90% of the projects. Paid time is permitted, though neither OT/DT. 15 points - 9 - Revised: November 2005
  • 11. A. Professional Growth (cont.) Achievement Minimum Requirements Points (continued…) 12. Possesses a Bachelor’s Degree in a health-related field. 12. 15 pts. NOTE: CAP Points may not be earned for credit hours or research projects and attainment of a degree if the degree is awarded in the same year. 13. Possesses a BSN Degree. 13. 30 pts. 14. ADN actively enrolled in a BSN program for a maximum of three years. (Not combined with #9.) 14. CAP III Category 30 Points 15. Possesses a Master’s Degree in a health-related field. 15. 20 pts. 16. Possesses a MSN Degree. 16. CAP III Category 30 pts. 17. BSN actively enrolled in an MSN program for a maximum of three years. (Not combined with #9.) 17. CAP III Category 30 pts. 18. Possesses a Ph.D. in a health care related field. 18. 50 pts. 19. Possesses a Ph.D. in Nursing. 19. 60 pts. 20. Receives an Outstanding Nurse Award at UNMHSC within the current evaluation year. 20. 15 pts. 21. Receives an award from a professional nurses association (i.e., Sigma Theta Tau, AACN). 21. 20 pts. 22. Member of a local or national nursing professional association. Must show proof of active participation, such as attending a minimum of two meetings or seminars per year, participating in committee work for the organization, or disseminating information back to the unit via a staff meeting or in-service. NOTE: If the parent and local sections are considered one organization, 5 points are allotted total. If the parent and local sections are considered separate organizations, 5 points are allotted for each membership. 22. 5 pts. per organization (see NOTE). Max 15 pts. 23. Participates in a UNMHSC committee on his or her own time. Documents a minimum of 5 hours per year of active participation. This requires documentation by a chairperson of the participant’s attendance and the total number of hours of participation for the year. 23. 5 pts. for the first 5 hours of participation, 1 pt. per hour thereafter. 24. Serves as a member of the Planning Committee for a City, Regional or Statewide educational nursing program (i.e. Critical Care Course) on his or her own time. 24. 1 point per hour. Max 30 pts. 25. Serves on the Board of Directors or holds an office in a professional nursing association. 24. 10 points per year - 10 - Revised: November 2005
  • 12. B. Research and Education Achievement Minimum Requirements Points Promotes the professional practice of others by planning and providing educational opportunities using adult learning principles. 1. Develops one new patient education tool guide on his or her own time. Introduces the new tool to staff via a brief presentation and coordinates this activity with the Patient Education Department. Documentation is to include approval from the PFEC (Patient and Family Education Committee). 1. 10 pts. No maximum. 2. Significantly revises or updates an existing patient education tool for UNMHSC Clinical Operations on his or her own time. Presents the tool to staff via a brief presentation and coordinates this activity with the Patient Education Department. Documentation is to include approval from the PFEC Patient Education Committee. 2. 5 pts. No maximum. NOTE: CAP points may not be earned for attending a conference or receiving CEUs. However, CAP participants may earn points by preparing and conducting an in-service on a topic from the conference. 3. Prepares, conducts, evaluates and documents on his or her own time the following, based on needs assessment: a. A 30+ minute in-service given to all shifts with prior approval from the Unit Director, Clinical Nurse Specialist (CNS), or area Clinical Educator. Documentation is to include an outline of the in-service. b. An existing in-service, lecture or presentation. 1. Without revision, within 6 months of the original presentation. 2. With revision, within 6 months of the original presentation c. A poster session, which must include pre- and post-tests. d. An application for and obtainment of CEU credit for a given in-service. 3. a. 10 pts. b1. 2 pts. per repetition. b2. 5 pts. per repetition. c. 5 pts. d. 10 pts. 4. Self-learning Modules: a. Develops an original self-learning module on his or her own time. Must coordinate with Clinical Education or a Clinical Nurse Specialist (CNS) in conjunction with Clinical Education before starting a project. b. Reviews/evaluates a computer assisted instruction (CAI) module on his or her own time. c. Develops a computer assisted instruction (CAI) module on his or her own time. d. Significantly revises an existing self-learning module on his or her own time. S/he must coordinate with Clinical Education or a Clinical Nurse Specialist (CNS) in conjunction with Clinical Education before starting a project. 4. a. 20 pts. 6 b. 5 pts. 7 c. 20 pts. 8 d. 10 pts. 5. Functions as a skill evaluator on his or her own time at a skills lab held for nurses or allied health professionals. Minimum of 5 hours of skills labs must be done within UNMHSC Clinical Operations. 5. 1 pt. per hour. Max 30 pts. per year. - 11 - Revised: November 2005
  • 13. B. Research and Education (cont.) Achievement Minimum Requirements Points (continued…) 6. Speaks publicly on health-related issues in a 30+ minute presentation. “Public speaking” is defined as speaking outside UNMHSC on his or her own time. Documentation is to include an outline of the presentation and a letter from the sponsoring organization on letterhead. 6. 10 pts.; 2 pts. if someone else creates the presentation. 7. Repeats an existing public speaking lecture on his or her own time. a. Without revision, within 6 months of original presentation. b. With revision, within 6 months of original presentation. 7. a. 2 pts. per repetition. b. 5 pts. per repetition. 8. Performs as a preceptor, with documentation of attending the UNMHSC Preceptor Course after 1993. This includes being a preceptor for RN/ LPN employees, RN residents, TVI or UNM nursing students, Paramedic Students or students from other licensure programs. 8. 40 pts. per 120 hours of precepting. Not prorated for more or less than 120 hours. No maximum. NOTE: CAP Points may not be earned for credit hours or research projects and the attainment of a degree if the degree is awarded in the same year. 9. Implements/completes a nursing research project. This includes generating a proposal, collecting data, analyzing data, implementing the proposal and implementing the findings. Examples: a. Implements a research-based project on the unit. b. Implements a research-based utilization project on the unit and provides evaluations of implementation. c. Participates in a research project headed up by another principal investigator. d. Implements/completes a nursing research project. This includes generating a proposal, collecting data, analyzing data, implementing the proposal and implementing findings. e. Presents research findings for the Clinical Operations program. f. Presents research findings at a conference outside of the UNMHSC Clinical Operation. g. Writes and publishes research findings of his or her own research or research utilization project. h. Writes and publishes clinical findings in a peer-reviewed professional journal. 9. a. 10 pts. b. 30 pts. c. 15 pts. d. 40 pts. e. 15 pts. f. 25 pts. g. 40 pts. h. 25 pts. 10. Volunteers as a UNMHSC Clinical Operations representative on his or her own time, performing hands-on nursing care and utilizing any component of the nursing process. 10. 1 pt. per hour. Max 30 pts. 11. Writes an article for a clinically based, professional newsletter (i.e. Health Smart) on his or her own time. 11. 5 pts. per article. 12. Editor for a unit/area based informational newsletter on his or her own time, pre-approved by the Unit Director and Executive Director, publishing a minimum of six per year. 12. 10 points/yr. 13. Editor for a unit/area based clinically oriented newsletter on his or her own time, pre-approved by the Unit Director and Executive Director, publishing at least quarterly. 13. 20 points/yr. 14. CHACE Nurse: One Charge Nurse per clinic. 14. 15 points per year. - 12 - Revised: November 2005
  • 14. C. Clinical Expertise Achievement Minimum Requirements Points Demonstrates clinical expert skills in the RN’s area of specialty. 1. Develops a new unit/area policy/guideline in proper format on his or her own time. Obtains staff, physician and nursing administrative input and approval. Must present changes to staff via an in-service. 1. 5 pts per policy/guideline 2. Revises a unit/area policy/guideline in proper format on his or her own time. Obtains staff, physician and nursing administrative input and approval. Must present changes to staff via an in-service. 2. 5 pts. for 80% or more revision. 3 pts. for 40% or more revision. 1 pt. for review with no revision. 3. Revises or develops a patient care policy in proper format on his or her own time. Obtains staff and nursing administrative input and approval. Must present changes to staff via an in-service. 3. 5 pts. for 80% or more revision. 3 pts. for 40% or more revision. 1 pt. for review with no revision. 4. Coordinates a multi-disciplinary care conference to meet the needs of patients requiring complex care. Documents the conference, generates appropriate patient care plans and communicates the information to staff. For psychiatric nurses: presentation of multidisciplinary care conference at Grand Rounds. 4. 10 pts. No maximum. 5. Completes self-learning modules (excluding IV Therapy modules) on his or her own time. 5. 2 pts. per module. 6. Completes the Perinatal Grief: Guideline to Helping Families Class, the Loss and Grieving in Pregnancy and the First Year of Life self-study module. Precepts with a perinatal loss support person on the unit and follows a minimum four families per year. Submits appropriate documentation. 6. 10 pts for the self-study module and 5 points per family with a minimum of 2 families. 5 pts. for each additional family. 7. Acts as an OR service coordinator. Attends weekly OR in-services for technical or procedural teambuilding and demonstrated competence. 7. 10 pts per in-service. 1 pt per every 2 in-services attended. 8. Participates on his or her own time in an approved unit/clinic patient information program or follow-up program. Documents patient education and demonstrates appropriate follow-up intervention. 8. 1 pt. per hour. Max 20 pts. 9. Completes initial requirements for: • CAVH/CVVH • Intra-aortic Balloon Pump (IAPB) (requires refresher drills quarterly the first year) • ECMO Specialist • Basic Fetal Heart (FH) Monitoring 9. 10 pts. 10. Maintains requirements for the above courses. • For CAVH/CVVH and IAPB: must either provide direct care for a patient on CAVH/CVVH/IAPB quarterly or attend quarterly refresher drills. • For ECMO Specialist: fulfills the requirements for maintenance per the ECMO coordinator. • For FH monitoring: documentation of a minimum of eight (8) FH strip reviews per year or attendance at 10. 5 pts. - 13 - Revised: November 2005
  • 15. AWHONN Fetal Heart Monitoring Principles and Practices workshop. 11. Completes requirements to be a relief ECMO coordinator (includes ECMO specialist points). 11. 15 pts. - 14 - Revised: November 2005
  • 16. C. Clinical Expertise (cont.) Achievement Minimum Requirements Points (continued…) 12. Completes requirements for PICC/VART: a. Attend PICC class and become certified by successfully completing 5 PICC placements. b. Re-verify PICC by performing 6 PICC placements. c. Upon meeting the requirements for PICC verification, the CAP participant can continue PICC placement completion of either (a) or (b) above. d. Attend VART class and actively participate on the team. e. Be a preceptor for PICC/VART activities (ports/assessments), and troubleshooting (declots/removal). f. In-services will be awarded points as outlined in the CAP book. 12. a. 15 pts. One time only. b. 10 pts. c. 1 pt. per completion. No maximum. d. 5 pts. e. 1 pt. each. No maximum. f. See Research & Education, Sect. 3. 13. Acts as the Pediatric Trauma liaison RN for University Hospital Trauma Services. 13. 5 pts. 14. Attends a 30+ minute UNMHSC Clinical Operations in-service program, outside of regular working hours on his or her own time. This includes grand rounds. Compensated in-services are not included. 14. 1 pt. per in-service 15. Completes requirements for Telemedicine Fellowship. 15. 5 pts. 16. Facilitates telemedicine conference for a UNM Hospital patient/family with documentation of patient/family initial and date of facilitation. 16. 1 point/facilitation. 17. Administration and reading of staff annual PPDs, flu shots, and /or N-95 fit testing. 17. 2 points: 0 to 19 staff 4 points: 20 to 39 staff 6 points: 40-59 staff 8 points: 60-79 staff 10 points: 80 to 99 staff 15 points: 100+ staff 18. Unit/Department specific Press-Ganey patient satisfaction score meets or exceeds benchmark for the 6 month period prior to CAP renewal. If Unit/Department does not have a specific patient satisfaction score use the Overall Hospital score for that category: I. Inpatient II. Medical Practice (Ambulatory) III. Tests and Treatments IV. Ambulatory Surgery V. Inpatient Mental Health VI. Outpatient Mental Health VII. Emergency Department 18. 15 points - 15 - Revised: November 2005
  • 17. 19. Unit/Department specific Quality Indicators meets or exceeds benchmark for the 6 month period prior to CAP renewal. . If Unit/Department does not have a specific patient satisfaction score use the Overall Hospital score for that category: I. Ambulatory Indicators: a. Achieve “First Class” access in ambulatory settings of 5 days for specialty clinics. b. Achieve “First Class” access in ambulatory settings of 1 day in primary care clinics. c. Ensure telephone abandonment rate is no greater than 5%. d. Ensure quality of APC documentation is at 95%. e. Registration audit database accuracy >95%. f. 90% of hanging visits billed within 5 days. g. 95% compliance with National Patient Safety Goals as measured by JCAHO “accreditation manager” tool and/or tracer scores. h. Follow national guidelines for immunizations at 80% (influenza, pediatric, pneumovax, etc). i. Smoking Cessation education documented 90% within the last 12 months. j. Two forms of ID checked 100% with medications and blood draws. k. Observed hand washing audit at 100% before and after caring for patient. l. Mislabeled specimens by nursing to zero. II. Inpatient Indicators: a. 95% compliance with National Patient Safety Goals as measured by JCAHO “accreditation manager” tool and/or tracer scores b. Plan of care elements at 95% (e.g. nutrition, pain management, spirituality, education, etc.) Ensure all magnet nursing indicators are within national guidelines: c. Patients will be assessed for risk of falls 90%, with implementation of fall protocol as applicable. d. Skin assessment/Braden scores at 90%, with implementation of pressure reduction protocol as applicable. e. 100% compliance with nursing restraint documentation. f. Follow national guidelines for immunizations at 80% (influenza, pneumovax, pediatric etc). g. Discharge summary documented 90% for smoking cessation education for patients or parents. h. No avoidable medication errors with a harm score of “G” or higher/worse within the Nursing Division. i. Ensure no more than an average of 6 admitted patients waiting in the ED per day. j. Decrease LOS in the main ED from 8.3 hours to 6 hours in main ED. k. Referral of deaths reported to Organ Procurement Agency >95%. l. All CMS indicators >90% (1 point each): -AMI 2: aspirin prescribed at discharge -AMI 3: ACE-I or ARB for Left Ventricular Systolic Dysfunction -AMI 4: Smoking cessation advised and documented at discharge -AMI 5: Beta-blocker prescribed at discharge -AMI 8a: PCI within 120 minutes of arrival -HF 1: discharge instructions: 6 topics (see specific form) -HF 2: left ventricular function assessment -HF 3: ACE-I for Left Ventricular Systolic Dysfunction -HF 4: Smoking cessation advised and documented at discharge -PN 2: Pneumococcal Vaccination, Eligible Patients 19. 2 points each Quality Indicator - 16 - Revised: November 2005
  • 18. -PN 4: Smoking cessation advised and documented at discharge -PN 5b: Initial antibiotic within 4 hours -PN 6b: Initial antibiotic selection, Non-ICU, appropriate -PN 7: Influenza vaccination (September-March) m. Two forms of ID checked 100% with medications and blood draws. n. Time out checklist will be utilized and documented in 100% procedure and moderate sedation cases o. Reduce missing armbands to zero within the Nursing Division. p. Observed hand washing audit at 100% before and after caring for patient. q. Mislabeled specimens by nursing to zero. r. No delays in discharges on the unit due to PICC need. III. ED Indicators: a. LOS < 6 hours average per patient b. All CMS indicators at > 90% (1 points each): -AMI 1: aspirin on arrival -AMI 6: beta blocker on arrival -AMI-8a: PCI within 120 minutes of arrival -PN 1: oxygen assessment -PN 5b: Initial antibiotic within 4 hours c. APC accuracy at >95% d. Pain Documentation at >95% e. Medical Supplies by Action OI at < 25th Percentile of UHC peers f. Patient Satisfaction at raw score of >/= 80 g. Physical restraint documentation at 100% compliance h. Referral of deaths reported to Organ Procurement Agency >95%. i. Time out checklist will be utilized and documented in 100% procedure and moderate sedation cases k. Reduce missing armbands to zero within the Nursing Division. l. Observed hand washing audit at 100% before and after caring for patient. m. Mislabeled specimens by nursing to zero. IV. ICU specific Indicators: a. Bacteremia rates (line sepsis) in the +/++ range or equivalent. b. Ventilator related pneumonias in the +/++ range or equivalent. V. Surgical Indicators: a. Decrease total cancellation cases from 20% to 15% b. Ensure OR start times at the 15-minute mark will be 85%. c. Ensure OR start times in room at the one-minute mark will be at 65%. d. Room turnover measured as time out of room to time in room for next patient. Should not exceed 35 minutes average in the Main OR and 28 minutes average in the OSIS. e. Time out checklist will be utilized and documented in 100% procedure and moderate sedation cases. f. No unintended retained objects per PSN. g. PACU patients receive care from Nursing within 2 minutes of arrival >95% of the time. h. Reduce missing armbands to zero within the Nursing Division. i. Observed hand washing audit at 100% before and after caring for patient. j. Mislabeled specimens by nursing to zero. - 17 - Revised: November 2005
  • 19. VI. Lifeguard Indicators: a. Missed flights at <25% (for reasons other than airframe already engaged) b. Delayed flights at <5% over 20 minutes from notification to lift off (for reasons other than airframe already engaged) c. Reportable issues utilizing Safety Net < 1% of total flights VII. Trauma Indicators: a. Complete all data as required by the Governor’s Task Force. b. Continue to audit trauma charge postings for accuracy. c. Complete all outstanding charts within 90 days of discharge. VIII. Behavioral Health Indicators: a. Pain, spiritual and cultural assessments are completed 100% of the time b. Seclusion/restraint documentation completion is 100% c. No avoidable Type G or higher/worse medication errors d. Two forms of ID checked 100% with medications and blood draws e. MARS two signatures before giving medication 100% of the time f. Participate in monthly behavioral health tracers. g. Observed hand washing audit at 100% before and after caring for patient. h. Mislabeled specimens by nursing to zero. IX. Care Management Indicators: a. Observed hand washing before and after seeing patient is 100% b. MPOC specific documentation at 100% for Inpatient. c. Power Chart Office note audit is at 98%. For INPATIENT: note in chart within 24 hours of initial patient contact. For AMBULATORY: note in chart within 48 hours. d. AVED/PAD audit database is at 95%. e. Freedom of choice offered at 100%. f. Follow-up calls within 2 days for AVED and for discharges. g. Zero discharges delayed due to equipment or transportation needs. h. Follow national guidelines for immunizations at 80% (influenza, pneumovax, pediatric etc). i. Discharge summary documented 90% for smoking cessation education. X. Dialysis Indicators: a. Daily Main and Portable RO checks at100% every month reported in QA b. Daily Rinsing of all Dialysis machines at 100% every month reported in QA c. Pain assessment at100% every month reported in QA d. Water testing (cultures) one monthly at100% every month reported in QA e. Reduce missing armbands to zero within the Nursing Division. f. Mislabeled specimens by nursing to zero g. No avoidable Type III medication errors within the Nursing Division. h. Two forms of ID checked 100% with medications and blood draws - 18 - Revised: November 2005
  • 20. i. Observed hand washing audit at 100% before and after caring for patient. j. Follow national guidelines for immunizations at 80% (influenza, pneumovax, pediatric etc). k. 100% of patients who smoke offered referral for smoking cessation education. - 19 - Revised: November 2005
  • 21. Clinical Advancement Program Verification Record SS#: Date: Name: Home Phone Number: Anniversary Month: Current Step: Proposed Step: Points Total: Is this upgrade in status occurring prior to anniversary date? Yes No Category/Criteria Points I. Professional Growth II. Research & Education III. Clinical Expertise IV. Other Total Points NOTE: Must attach photocopy of documents, outline of presentation & in-service documents. Employee's last evaluation was average or above. _____________________________________________ Signature of Unit Director - 21 - Revised: June 2002
  • 22. National Nursing Certifications 2004
  • 23. Your Guide to CERTIFICATION 2004 Earning extra credentials can enhance your career. Here's what you need to know to pursue them. The information above was approved by each certifying organization, When we receive no response to a request for updated information, we publish the previous year’s data. If you would like us to include your certifying organization in the next annual Career Guide, please send the name of the certifying board, title of certification conferred, and requirements to The American Journal of Nursing Career Guide, Lippincott Williams & Wilkins, 345 Hudson Street, New York, NY 10014.
  • 24. SPECIALTY CERTIFICATION BOARD TITLE REQUIREMENTS ADDICTIONS NURSING CARN Certification Center for Nursing Education and Testing 601 Pavonia Avenue, Suite 201 www.intnsa.org Jersey City, NJ 07306 (n = 963) CARN Must hold a current full and unrestricted RN license in the U.S., its territories, or Canada. If licensed in more than one jurisdiction, the candidate must hold full and unrestricted licenses in all jurisdictions. Must have 3 years of experience practicing as an RN and 4,000 hours of addictions nursing practice as an RN within the past 5 years. Experience may be as a staff nurse, administrator, educator, consultant, counselor, private practitioner, or researcher. Fees: IntNSA members, $175; nonmembers, $275. Valid for 4 years; may retake exam or document continuing education. CHILDBIRTH EDUCATORS Lamaze International 2025 M Street, NW, Suite 800 Washington, DC 20036 www.lamaze.org (n = 3,600) LCCE (formerly ACCE) Must be a graduate of a Lamaze-accredited childbirth educator program; or currently licensed RN, CNM, RPT, MD; or awarded a bachelor's degree higher by a recognized institute of higher education; or be a graduate of another childbirth educator program (such as ICEA, Bradley, Best). Candidates also need documentation of at least 144 instructional hours within the past 5 years; and documentation of 30 CE contact hours applicable to childbirth education within the past 3 years. Fees: Lamaze International members, $225; nonmembers, $350. CRITICAL CARE NURSING AACN Certification Corporation 101 Columbia Aliso Viejo, CA 92656-4109 (800) 899-2226; (949) 362-2000 certcorp@aacn.org www.certcorp.org Fees: AACN members, CCRN, $220; CCNS, $325; nonmembers, CCRN, $300 (valid for 3 years), CCNS, $425 (valid for 4 years); may retake exam or documentCE. Adult Critical-Care Nurse (n = 37,000) CCRN Must have been actively involved in direct bedside care of critically ill adult patients. Must have a minimum of 1,750 hours within the 2 years preceding application, with 875 hours in the year previous to application. Current unrestricted RN license in the U.S. Clinical Nurse Specialist in Acute and Critical Care; Adult, Neonatal, or Pediatric (n = 320) CCNS Must hold a current unrestricted RN license in the U.S.; a master's degree in nursing with evidence of CNS theory and clinical concentration in the care of the acutely or critically ill patient; and 500 hours in direct clinical practice (within the master's program or as a CNS). Recertify by exam or by completing a personal portfolio based on a self-assessment of learning needs. Neonatal Critical-Care Nurse (n = 550) CCRN Must have been actively involved in direct bedside care of critically ill neonatal patients. Must have a minimum of 1,750 hours within the 2 years preceding application, with 875 hours in the year previous to application. Current unrestricted RN license in the U.S. Pediatric Critical-Care Nurse (n = 1,250) CCRN Must have been actively involved in direct bedside care of critically ill pediatric patients. Must have a minimum of 1,750 hours within the 2 years preceding application, with 875 hours in the year previous to application. Current unrestricted RN license in the U.S. DIABETES EDUCATORS National Certification Board for Diabetes Educators 330 East Algonquin Road, Suite 4 Arlington Heights, IL 60005 info@ncbde.org www.ncbde.org (n = 13,054) CDE Must hold current unrestricted U.S. license or registration as an RN, RD, physician, phar- macist, podiatrist, optometrist, PA, PT, OT, or be a health care professional with a minimum of a master's degree from an accredited U.S. college or university in: nutrition, social work, clinical psychology, exercise physiology, health education, or specified concentrations in public health. Must be currently practicing in diabetes self-management education within the U.S. or its territories. Must have a minimum of 2 years (24 months) experience as a diabetes educator and a minimum of 1,000 hours of professional practice experience in diabetes self-management education within the U.S. or its territories over a period of no less than 2 years and no more than 5 years after meeting education requirements, and before applying for the certification exam. Fees: $250. Valid for 5 years; must retake the exam. 25
  • 25. EMERGENCY NURSING Board of Certification for Emergency Nursing 915 Lee Street Des Plaines, IL 60016 bcen@ena.org www.ena.org/bcen Emergency Nurse (n = 20,000) CEN Must hold current unrestricted RN license. Recommended: 2 years experience in emer- gency nursing practice. Fees: ENA member, $220; nonmembers, $360. Valid for 4 years; recertify by retaking exam, CEUs (100 contact hours), or take-home exam. FLIGHT NURSING Board of Certification for Emergency Nursing 915 Lee Street Des Plaines, IL 60016 bcen@ena.org www.ena.org/bcen (n = 1,200) CFRN Must hold current unrestricted RN license. Recommended: 2 years experience in flight nursing practice. It is not required to have a BSN to take the certification exam. Fees: ENA or ASTNA members $230; nonmembers, $370. Valid 4 years; recertify by computer exam or CEUs (100 contact hours). FORENSIC NURSING Forensic Nursing Certification Board East Holly Ave., Box 56 Pitman, NJ 08071-0056 iafn@ajj.com www.forensicnurse.org SANE-A Must hold current, full, and unrestricted RN license in the U.S. or its territories or a license as a first-level general nurse in the country/jurisdiction of current practice with a minimum of 2 years of practice in the country providing the license. Must have completed an adult/adolescent Sexual Assault Nurse Examiner (SANE) education program that includes a minimum of 40 CE contact hours of classroom instruction or 3 semester hours of academic credit in an accredited school of nursing. Must have had supervised clinical practice until determined competent in SANE practice, which must be validated by an appropriate clinical authority as outlined in the adult section of the IAFN's SANE education guidelines (1998). Fees: IAFN members, $225; nonmembers, $350. Valid 3 years; recertify by taking the exam, or CEUs. GASTROENTEROLOGY Certifying Board of Gastroenterology Nurses and Associates 3525 Ellicott Mills Drive, Suite N Ellicott City, MD 21043 www.cbgna.org (n = 3,000) CGN CGRN Must have worked in gastroenterology for 2 years full time or the part-time equivalent of 4,000 hours within the past 5 years. Fees: SGNA members, $300; nonmembers, $385. Valid for 5 years; must retake the exam or recertify with 100 contact hours. GENETIC NURSING Credentialing Commission, Inc. (GNCC) Keuka College PO Box 67 Keuka Park, NY 14478 EM: gncc@geneticnurse.org Web: www.geneticnurse.org Advanced Practice Nurse in Genetics APNG Credentialing is obtained through successful completion of a professional portfolio review process. Proof of RN license in good standing; 300 hours of genetic practicum experiences as a clinical genetic nurse with greater than 50% genetic practice component; completion of log of 50 cases within five years of the application; four written case studies reflecting ISONG standards of clinical genetics nursing practice; graduation from an accredited graduate program in nursing; 50 hours of genetic content in the past five years through academic courses or continuing education; evidence of patient/family and/or client teaching absolutely required for credential award; evidence of education of other pro- fessionals, consumers, and other community groups is valuable; performance verification from employer-supervisor or professional colleague with whom the applicant has practiced in the past two years. Other achievements: abstracts, abbreviated reports, listing of publications and related materials will be recognized as evidence. Valid for five years. Fees: ISONG member, $400; nonmembers, $550. 26
  • 26. Genetics Clinical Nurse GCN Credentialing is obtained through successful completion of a professional portfolio review process. Proof of RN license in good standing; five years experience as a clinical genetic nurse with greater than 50% genetic practice component; log of 50 cases within five years of the application; four written case studies reflecting ISONG standards; graduation from an accredited baccalaureate program in nursing; 45 contact hours of genetic content within three calendar years of application through academic courses or continuing education; Evidence of patient or family and client teaching; evidence of genetics-related inservice education; performance verification from employer-supervisor-professional colleague with whom the applicant has practiced in the past two years. Other achieve- ments: abstracts, abbreviated reports, listing of publications and related materials will be recognized as evidence. Fees: ISONG member, $400; nonmembers, $550. HEALTHCARE QUALITY Healthcare Quality Certification Board PO Box 1880 San Gabriel, CA 91778 info@cphq.org www.cphq.org (n = 7,600) CPHQ Interdisciplinary for RNs, medical records technologists, physicians, other clinicians and managers. Must have a minimum of an associate's degree. Alternate eligibility preappli- cation review is available. Must have practiced 2 years in health care quality, case, uti- lization and/or risk-management activities within the last 5 years by date of application. Fees: NAHQ members, $370; nonmembers, $440. Valid for 2 years; recertify with 30 CE hours every 2 years. HIV/AIDS NURSING HIV/AIDS Nursing Certification Board 500 Courtyard Square 80 South Summit St. Akron, OH 44308 www.anacnet.org/certification/hancb ACRN Must hold current RN license in the U.S., or international equivalent, and have 2 years of experience in clinical practice, education, management, or research in HIV/AIDS nursing. Fees: ANAC members, $260; nonmembers, $400. Valid for 4 years; recertify by retaking the exam or acquiring 70 CNEs. HOLISTIC NURSING American Holistic Nurses' Certification Corp. 5102 Ganymede Dr. Austin, TX 78727 AHNCC@flash.net ahna.org/edu/certification.html HNC Must hold current unrestricted RN license and a minimum of a bachelor's degree. Minimum of 1 year full-time practice as a holistic nurse or part-time for a minimum of 2,000 hours within last 5 years. Minimum of 48 contact hours of CE in areas of holistic nursing. Must meet criteria for qualitative assessment and pass the national exam. Call (877) 284- 0998, toll-free, for additional information. Fees: $25 application; $150 qualitative assessment; $250 quantitative test. Valid for 5 years; recertification with 100 CE hours of which 20 must be directly focused on holistic nursing theories or theorists. The remaining 80 hours can be related to holistic modalities, methods of practice, and studies that facilitate self-care, growth, and transformation within a holistic context. HOSPICE AND PALLIATIVE NURSING National Board for Certification of Hospice and Palliative Nurses Penn Center West One, Suite 229 Pittsburgh, PA 15276 nbchpn@hpna.org www.hpna.org/nbchpn/index.asp (n = 8,200) CHPN CHPNA Must hold current RN license in the U.S. or the equivalent in Canada; at least 2 years of experience in hospice and palliative nursing practice recommended. Fees: HPNA members, $245; nonmembers, $345. Renewal: members, $210; nonmem- bers, $310. Must complete documentation to prove achievement of 2,000 practice hours under the supervision of RN in the past 2 years. Fees: HPNA members, $95; nonmembers, $145. INFECTION CONTROL Certification Board of Infection Control and Epidemiology, Inc. 1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 info@cbic.org www.cbic.org (n = 5,000) CIC Must hold current RN license or registration as an RN, medical technologist, or physician. Must have a minimum of a bachelor's degree in a health care-related field. Waiver process is available for candidates who do not meet the education requirements. Must have practiced infection control for a minimum of 2 years. Fees: $295. Valid for 5 years; may retake exam ($260) or the Self-Assessment Recertification Examination (SARE) ($325). 27
  • 27. INFUSION NURSING Infusion Nurses Certification Corporation 220 Norwood Park S. Norwood, MA 02062 julie.smiley@ins1.org www.ins1.org (n = 3,600) CRNI Must have a minimum of 1,600 hours of experience as an RN in infusion therapy within the last 2 years prior to date of application, a current RN license in the U.S. or Canada, and must complete the CRNI examination registration form. Fees: INS members, $225; nonmembers, $400. Recertify every 3 years by exam or by CE. LACTATION CONSULTANTS International Board of Lactation Consultant Examiners 7309 Arlington Boulevard, Suite 300 Falls Church, VA 22042-3215 iblce@iblce.org www.iblce.org (n = 8,000) IBCLC Must have 45 hours of education specific to breastfeeding within 3 years prior to taking the exam. Those holding a bachelor's degree or higher must have 2,500 practice hours; those with 60 academic credits (associate degree or RN diploma) must have 4,000 hours of practice. Alternate pathways are available. Fees: $395. Valid for 5 years; recertify by exam or by CE; every 10 years by exam only. LEGAL NURSE CONSULTING American Legal Nurse Consultant Certification Board* 401 N. Michigan Ave., Suite 2200 Chicago, IL 60611-4267 aalnc@sba.com www.aalnc.org (n = 4,000) LNCC Must hold full and unrestricted RN license in the U.S. or its territories; have practiced 5 years as an RN; have evidence of 2,000 hours of legal nurse consulting experience within the 3 years prior to the application. Fees: AALNC members, $275; nonmembers, $375. Valid for 5 years; renew by exam or CE credits. MANAGED CARE NURSING American Board of Managed Care Nursing 4435 Waterfront Drive, Suite 101 Glen Allen, VA 23060 amason@abmcn.org www.abmcn.org (n=2,000) CMCN Must hold current RN or LPN license in the U.S., its territories, or protectorates. Must have 1 year full-time employment as RN/LPN in areas of managed care; or 2 years as RN/LPN providing direct or indirect care in an acute care, outpatient, skilled nursing, or mental health facility or other health care organization, or as an educator or consultant; or 1 year acceptable case management employment experience. Fees: $225 for exam (home study: $295 members, $395 nonmembers). Recertify ($55) every 3 years, requires 25 CEUs, verification of current RN/LPN license. MEDICAL-SURGICAL NURSING Medical-Surgical Nursing Certification Board AMSN National Office East Holly Ave., P.O. Box 56 Pitman, NJ 08071-0056 amsn@ajj.com www.medsurgnurse.org CMSRN Must hold current full and unrestricted license as a nurse in the U.S. or its territories, or in the country where the nursing education was completed, and met the eligibility for U.S. RN licensure in accordance with the requirements of the Commission on Graduates of Foreign Nursing Schools (CGFNS). Must have a minimum of 2 full years, during the past 5 years, of experience practicing as an RN in an adult medical-surgical clinical setting. Must have a minimum of 3,000 hours of clinical practice in an adult medical-surgical clinical setting as a staff nurse, clinical nurse, specialist, or clinical educator, faculty, manager, or supervisor. Fees: AMSN members, $225; nonmembers, $350. Valid for 5 years; recertify by retaking exam or CEUs (90 contact hours). NEPHROLOGY NURSING Board of Nephrology Examiners Nursing and Technology (BONENT) PO Box 15945-282 Lenexa, KS 66285 bonnet-info@goAMP.com www.medi-smart.com/cert-nef.htm CHN CPDN CHT HDT Must have current U.S. license; technologists must have high school diploma or equivalent; both must have 2 year experience in caring for patients with end-stage renal disease. One year in nephrology experience and a high school diploma or equivalent. Fees: Exam, $195; annual fee, $50. Recertify every 4 years, must submit documentation of 45 CEUs (30 nephrology-related) every 4 years or retake exam. 28
  • 28. Nephrology Nursing Certification Commission East Holly Avenue, PO Box 56 Pitman, NJ 08071-0056 nncc@ajj.com www.nncc-exam.org CNN CDN CCHT Must hold full, unrestricted RN license in U.S. or its territories and hold a BSN. Three years prior to application must have minimum 2 years nephrology nursing experience as RN in general staff, administrative, teaching, or research (at least 50% of employment hours in nephrology nursing); and have completed 30 CE credits in nephrology nursing. Fees: ANNA members, $175; nonmembers, $225. Valid for 3 years; recertify by accruing 60 CE contact hours or retake the exam. Must hold current, full, unrestricted RN license in U.S. or its territories; complete a minimum of 2,000 hours as an RN in nephrology nursing during the last 2 years; complete 15 hours of approved CE in nephrology nursing within 2 years prior to submission of application. Fees: ANNA members, $175; nonmembers, $225 (includes $50 nonrefundable application processing fee). Valid for 3 years; recertify with exam or CE credits. Must hold minimum of a high school diploma or GED; have successfully completed a training program for hemodialysis patient care technicians that included classroom instruction and supervised clinical experience; obtain the signature of a preceptor/super- visor to verify training and clinical experience (minimum 6 months or 1,000 hours clinical experience recommended prior to taking exam); and be in compliance with state regulations. Fees: exam, $125 (includes $25 nonrefundable application processing fee). Valid 2 years; recertify with exam or CE credits. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. NEUROSCIENCE NURSING American Board of Neuroscience Nursing 4700 W. Lake Avenue Glenview, IL 60025 info@aann.org www.aann.org (n = 1,500) CNRN Must have 2 years of experience in neuroscience nursing. Must be engaged in clinical practice or as a consultant, researcher, administrator, or educator in neuroscience nursing. Fees: AANN members, $215; nonmembers, $300. Valid for 5 years; may recertify through CE units or retake the exam. ` NURSE ADMINISTRATION— LONG-TERM CARE NADONA/LTC Certification Registrar 10101 Alliance Drive #140 Cincinnati, OH 45242 info@nadona.org www.nadona.org (n = 4,000) CDONA/ LTC Must have been a director of nursing (DON) or assistant DON administration in a long- term care setting for at least 12 months in the previous 5 years. Former DONs and assistant DONs are eligible to take the exam. Fees: NADONA/LTC members, $150; nonmembers, $225 (online registration fee of $195 for both at www.nadona.org). Valid for 5 years; recertify with a $60 fee and validation of 75 hours of CE every 5 years. NURSE ANESTHETISTS Council on Recertification of Nurse Anesthetists* 222 South Prospect Avenue Park Ridge, IL 60068-5790 recertification@aana.com www.aana.com/council/default.asp (n = 28,000) CRNA Must be a graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and maintain current unre- stricted RN license in the U.S. and its territories. Must certify that RN license is not currently and has not been previously, subject to investigation or legal action, and that applicant has no mental, physical, or other problems that could interfere with the practice of anesthesia. Fees: $600. Recertify every 2 years; document 40 hours of approved CE; document substantial engagement in nurse anesthesia practice; maintain current unrestricted RN licensure; certify that RN license is not currently and has not been subject to investigation or legal action. 29
  • 29. NURSE MIDWIFERY AND MIDWIFERY American College of Nurse-Midwives Certification Council 8201 Corporate Drive, Suite 550 Landover, MD 20785 ACNMCertCn@ACCmidwife.org www.accmidwife.org (n = 8,400) CNM CM Must be an RN in the U.S., territories, or District of Columbia, have completed a nurse- midwifery program accredited (or preaccredited) by the Division of Accreditation of the American College of Nurse-Midwives (with the signature of the director of the program on the test application). Candidates expecting to complete course work between the application deadline and exam date may apply for exam (confirmation of completed course work must be submitted to ACC at least 3 days prior to the exam date). After initial certification as a CNM/CM, a Certificate Maintenance Program (CMP) application (mailed out in January) must be returned prior to the deadline to avoid a late fee. Beginning the second year of CMP, CNMs/CMs need to send annual CMP Activity Report form. Notify ACC directly of any address, telephone number, and name changes. Fees: first year of certification, no fee. The CMP late fee: $50.00. Annual activity fee for the CMP: $00.00. 8-year fee the first year: $567.00. NUTRITION SUPPORT NURSING National Board of Nutrition Support Certification American Society for Parenteral and Enteral Nutrition 8630 Fenton Street, Suite 412 Silver Spring, MD 20910-3805 nbnsc@nutr.org www.nutritioncertify.org aspen@nutr.org www.nutritioncare.org (n = 161) CNSN Must hold current RN license in the U.S. or its equivalent in other countries. Candidates must have a bachelor's degree or higher and should have at least 2 years experience in specialized nutrition support. Fees: ASPEN members, $200; nonmembers, $275. Valid for 5 years; recertify be retaking exam. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. OCCUPATIONAL HEALTH NURSING American Board for Occupational Health Nurses, Inc. 201 East Ogden, Suite 114 Hinsdale, IL 60521-3652 info@ABOHN.org www.abohn.org (n = 10,890) COHN COHN-S* Must have 50 course contact hours in occupational health, or in courses related to occupational health, taken within the preceding 5 years; have 2 years (4,000 hours) of experience in occupational health nursing; have valid nursing license; be employed a minimum of 8 hours a week in occupational health nursing. Individual consideration is given to occupational health nurses who meet the experience criteria but are currently enrolled full time in a graduate program in occu- pational health nursing or in a related field. For COHN-S, a baccalaureate in nursing is required. Fees: application, $50; exam, $300; recertification, $250. Valid for 5 years; recertify with 75 CE hours in occupational health and 4,000 hours of work experience, or 100 CE hours and 3,000 hours of work experience. Occupational Health Nurse Case Manager COHN/CM COHN-S/CM Must have current COHN or COHN-S, current nursing license, and 10 CE hours in case management in past 5 years. Fees: application, $50; exam, $150; recertification, $100. Valid for 5 years; recertify with 10 CE hours in occupational health, case management, and continued base certification. ONCOLOGY NURSING Oncology Nursing Certification Corporation* 125 Enterprise Dr Pittsburgh, PA 15275-1214 oncc@ons.org www.oncc.org (n = 19,045 OCNs, 1,276 AOCNs) OCN AOCN Must have minimum of 12 months of experience as an RN within the last 3 years, 1,000 hours of oncology nursing practice within the last 30 months, and current RN license. Fees: ONS members, $220; nonmembers, $320. Valid for 4 years; may renew by ONC-PRO, or retest. Recertification: ONS members, $170; nonmembers, $270. Must have minimum of 30 months of experience as an RN within the 5 years prior to application, 2,000 hours of oncology nursing practice within the past 5 years, current RN license, and master's or higher degree in nursing. Fees: ONS members, $250; nonmembers, $350. Valid for 4 years; may renew by ONC-PRO, or retest. Recertification: ONS members, $200; nonmembers, $300. OPHTHALMIC NURSING National Certifying Board for Ophthalmic Registered Nurses PO Box 193030 San Francisco, CA 94119 asorn@aao.org www.asorn.org (n = 250) CRNO Must have at least 2 years of full-time (4,000 hours) experience in ophthalmic nursing practice. Fees: ASORN members, $275; nonmembers, $350. Valid for 5 years; must retake exam or document 75 CE hours. 30
  • 30. ORTHOPAEDIC NURSING Orthopaedic Nurses Certification Board* 401 North Michigan Ave., Suite 2200 Chicago, IL 60611 ONCB@sba.com Pitman, NJ 08071 (n = 3,000) ONC Must hold current and unrestricted RN license with 2 years of experience, and 1,000 hours of work experience in orthopaedic nursing practice within past 3 years. Fees: NAON members, $205; nonmembers, $285. Valid for 5 years; may retake the exam or document 100 CE hours. OTORHINOLARYNGOLOGY AND HEAD-NECK NURSES The National Certifying Board of Otorhino- laryngology and Head-Neck Nurses 116 Canal Street, Suite A New Smyrna Beach, FL 32168 info@sohnnurse.com www.sohnnurse.com (n = 300) CORLN Must hold current RN license in the U.S. or the equivalent in other countries (proof of license required). At least 3 years of experience in otorhinolaryngology and/or head-neck nursing practice is recommended. Fees: SOHN members, $275; nonmembers, $375. Valid for 5 years; must retake the exam or recertify with 100 contact hours. PAIN MANAGEMENT American Academy of Pain Management 13947 Mono Way #A Sonora, CA 95370 aapm@aapainmanage.org www.aapainmanage.org FAAPM Interdisciplinary with 3 levels of credentialing: diplomate certificate is awarded to those who have earned a doctorate in a related health care field and have a minimum of 2 years experience working with patients in pain; fellow certificate is awarded to those who have earned a master’s degree in a related health care field and have a minimum of 2 years working with patients in pain; and clinical associate certificate is awarded to those who have earned a bachelor’s degree or its equivalent in a related health care field and have a minimum of 5 years experience working with patients in pain. All must submit 3 professional letters of reference, official academic transcripts, curriculum vitae, license, application, and fees. Must also pass the credentialing exam. Fees: $250 (general membership, $150; application, $100); exam, $175; annual renewal, $150. Valid for 4 years; recertify by documenting 100 contact hours of continuing education. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. PEDIATRIC NURSING National Certification Board of Pediatric Nurse Practitioners & Nurses, Inc. 800 South Frederick Avenue, Suite 104 Gaithersburg, Ma 20877-4151 info@pnpcert.org www.pnpcert.org General Pediatric Nurse (n = 5,000) CPN Must provide documentation of current RN licensure in the U.S. and completion of basic RN education (diploma, associate, bachelors, or master's degree). Must document 2 years of full-time or equivalent experience (3,600 hours, minimum) as an RN in a pediatric nursing specialty in a U.S. facility within the past 4 years, including direct patient care, teaching, administration, clinical research, or consultation in pediatric nursing. Fees: $280. Certification is renewed annually by documentation of 10 contact hours, 5 contacts hours/200 hour’s clinical practice or 1 academic credit in pediatric nursing. Exams are computer-based, given year-round through Prometric/Sylvan Technology Testing Centers. On-site testing is offered at selected hospitals and conferences (paper-and-pencil exam). Check the NCBPNP/N website for locations. Pediatric Nurse Practitioner (n = 9,000) CPNP Must be a graduate of a PNP master's, post-master or doctoral program recognized by NCBPNP/N, and submit documentation including transcripts showing degrees con- ferred. Special exam pathways and certification by endorsement are also offered. Fees: $375. All exams are computer-based, given year-round through Prometric/Sylvan Technology Testing Centers. Annual certification maintenance through a variety of options including primary care self-assessment exercise, pediatric pharmacology self- assessment exercise, 10 contact hours, or 5 contact hours/200 hours primary care practice/year. New Acute Care PNP Certification Exam to be released in 2004. PEDIATRIC ONCOLOGY Oncology Nursing Certification Corporation 125 Enterprise Dr. Pittsburgh, PA 15275-1214 oncc@ons.org www.oncc.org (n = 802) CPON Must have minimum of 12 months' experience as an RN within last 3 years, 1,000 hours in pediatric oncology nursing practice within past 30 months, and current RN license. Fees: ONS or APON members, $250; nonmembers, $350. Valid for 4 years; recertifi- cation: members, $200; nonmembers, $300. May renew by ONC-PRO or retest. 31
  • 31. PERIANESTHESIA NURSING The American Board of Perianesthesia Nursing Certification, Inc 475 Riverside Drive, 6th Floor New York, NY 10115-0089 abpanc@proexam.org www.cpancapa.org Candidates applying for CPAN or CAPA certification must hold a current unrestricted RN license and have a minimum of 1,800 hours of direct perianesthesia practice expe- rience as an RN during the past 2 consecutive years prior to application. Nurses working as direct caregiver, manager, teacher, or researcher in perianesthesia are eligible for certification. Candidates may contact ABPANC's national office to inquire which certification exam would be appropriate for them. Fees: ASPAN member, $235; nonmember, $335. Valid for 3 years; recertification by CE (member, $150; nonmember, $280) or by exam (same as first-time exam fees). Certified Post Anesthesia Nurse (n = 5,439) CPAN Certified Ambulatory Perianesthesia Nurse (n = 1,506) CAPA PERIOPERATIVE NURSING Certification Board of Perioperative Nursing 2170 South Parker Road Suite 295 Denver CO 80231-5710 www.certboard.org (n = 28,700) CNOR Must have a minimum of 2 full years and 2,400 hours of operating room practice as an RN; been employed within the previous 2 years, either full-time or part-time as an RN in an administrative, teaching, research, or general staff capacity in perioperative nursing. Fees: AORN members, $250; nonmembers, $350. Valid for 5 years; may retake the exam or document 125 contact hours of approved CE. RN First Assistant (n = 1,650) CRNFA Must be certified as a CNOR; must document 2,000 hours of practice in the RN first assistant role, with at least 500 hours in the past 2 years; must have attended a formal RNFA program; must be BSN prepared. Fees: AORN members, $425; nonmembers, $550. Valid for 5 years; may retest or submit CE to recertify. PLASTIC AND RECONSTRUCTIVE SURGICAL NURSING Plastic Surgical Nursing of Certification Board East Holly Avenue, PO Box 56 Pitman, NJ 08071 aspsn@ajj.com www.aspsn.org (n = 425) CPSN Must have a minimum of 2 years of experience in plastic surgical nursing as an RN in a general staff, administrative, teaching, or research capacity within 5 years prior to appli- cation, and have spent at least 50% of practice hours in plastic surgical nursing during 2 of the preceding 5 years. Fees: ASPRSN members, $195; nonmembers, $295. Valid for 3 years; recertification: members, $135; nonmembers, $185. May retake the exam or obtain 45 contact hours of CE with a minimum of 30 in plastic surgical nursing. REHABILITATION NURSING Rehabilitation Nursing Certification Board* 4700 West Lake Avenue Glenview, IL 60025-1485 info@rehabnurse.org www.rehabnurse.org (n = 11,000) CRRN CRRN-A Must have current, unrestricted RN license; minimum of 2 years of practice as an RN in rehabilitation nursing in the last 5 years. Fees. ARN members, $195; nonmembers, $285. Valid for 5 years; retake the exam or recertify by 60 points of credit with a combination of CE, presentations, professional publications, formal course work, and/or submitting test items. Must be CRRN with an unrestricted nursing license and master's degree in nursing or doctorate in nursing. Fees: ARN members, $240; nonmembers, $320. Valid for 5 years; recertify by exam or professional portfolio. SCHOOL NURSING National Board for Certification of School Nurses c/o National Association of School Nurses 1416 Park St., Suite A Castle Rock, CO 80109 nasn@nasn.org www.nbcsn.com (n = 1,800) NCSN Must be currently licensed as an RN with a 4-year degree. Three years of experience as a school nurse is recommended. Fees: NASN members, $200; nonmembers, $275. 32
  • 32. UROLOGY NURSING Certification Board for Urologic Nurses and Associates East Holly Avenue, PO Box 56 Pitman, NJ 08071-0056 cbuna@ajj.com www.suna.org (n = 519) CURN CUA CUNP CUCNS CUPA RN, LPN, LVN, and PA: current licensure and 1 year's experience in urology nursing practice. Other associates: 3 years' in-service training under supervision of a practicing urologist. Advanced practice: same as RN, but with current recognition by state board of nursing as nurse practitioner and/or clinical nurse specialist, and an earned master's degree in nursing. Certification for physician assistant also offered. The requirements are current licensure as a physician assistant and 1 year of experience in the field of urology. (PA fees are the same as those for advanced practice.) Fees: SUNA members, $195; nonmembers, $255; advanced practice SUNA members, $225; nonmembers, $285. Valid for 3 years; may retest or provide proof of 50 contact hours to be earned within the last 3 years, with a minimum of 36 contact hours in urology nursing practice. To renew through CE, fees are $125 for SUNA members and $185 for nonmembers. WOMEN'S HEALTH/PRIMARY CARE NURSING National Certification Corporation PO Box 11082 Chicago, IL 60611-0082 www.nccnet.org For all categories, practice/experience/employment is defined as direct patient care, education, administration, and/or research. The written exam is given once a year; computer-based exam is available year-round. Valid for 3 years. Certification Maintenance Program requires 45 contact hours of approved CE or reexamination for RNC, and 15 hours approved CE or reexamination for subspecialty. Breastfeeding (n = 121) BF Must pass subspecialty exam; hold RN license in the U.S. or Canada; be employed in a practice setting where breastfeeding competencies are expected. Written validation of current employer is required. Pathway 1: Must be certified by NCC, ACNM, or ANCC. Pathway 2: Must have 24 months of practice in the specialty. Fees: Written exam: NCC RNCs, $100; all others, $135; computer-based exam: NCC RNCs, $150; all others, $185. Electronic Fetal Monitoring (n = 1,074) EFM Must pass subspecialty exam; be licensed RN, MD, nurse midwife, or physician's assistant in the U.S. or Canada. Fees: Written exam: NCC RNCs, $100; all others, $135; computer-based exam: NCC RNCs, $150; all others, $185. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. Inpatient Obstetric Nurse (n = 28,763) RNC, INPT For the following specialties: must be a licensed RN in the U.S. or Canada and have 24 months of experience in the specialty, including a minimum of 2,000 hours as an RN. Employment within the last 24 months is required. Fees: Written exam, $250; computer-based exam, $300. Low Risk Neonatal Nurse (n = 3,779) RNC, LRN Fees: Written exam, $250; computer-based exam, $300. Maternal Newborn Nurse (n = 1,919) RNC, MN Fees: Written exam, $250; computer-based exam, $300. Advanced Practice Palliative Care APRN BC-PCM Must hold a currently active RN (licensed registered nurse), must have graduated from a accredited institution granting graduate-level academic credit for all course work including both didactic and clinical components, must hold either a master’s or higher degree in nursing from an Advanced Practice, Palliative Care master’s or post master’s certificate program with a minimum of 500 hours of supervised clinical practice in palliative care or a master’s, postmaster’s or higher degree in nursing from an advanced practice program (APRN) as a Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) with 500 hours of post-master’s practice in providing Palliative care in the year prior to applying to take the examination. 33
  • 33. Neonatal Intensive Care Nurse (n = 10,158) RNC, NIC Fees: Written exam, $250; computer-based exam, $300. Menopause Clinician (n = 469) MC Must pass subspecialty exam: be licensed as a nurse practitioner, nurse midwife, physician, physician assistant, or naturopathic doctor. Current employment required. Fees: Written exam: NCC RNCs, $100; all others, $135; computer-based exam: NCC RNCs, $150; all others, $185. Menopause Educator (n = 469) RNC, ME Must pass subspecialty exam: be licensed as an RN, LPN/LVN, pharmacist, psychologist, social worker, nutritionist, or naturopath. Current employment required. Fees: Written exam: NCC RNCs, $100; all others, $135; computer-based exam: NCC RNCs, $150; all others, $185. Neonatal Nurse Practitioner (n = 3,143) RNC Must hold RN license in the U.S. or Canada; must be a graduate from a master's or post- master's degree neonatal nurse practitioner program at least 1 academic year in length and acceptable to NCC and the neonatal content of the program must include 200 didactic hours and 600 clinical hours. Fees: Written exam, $250; computer-based exam, $300. Gynecology/Reproductive Health Care for the Primary Care Nurse Practitioner and Nurse Midwife (n = 67) GR Must hold RN license in the U.S. or Canada; be certified by ANCC, AANP, AAC, or NCBPNP. Current employment required. Fees: Written exam: NCC RNCs, $100; all others, $135; computer-based exam: NCC RNCs, $150; all others, $185. Telephone Nursing Practice (n = 301) RNC, TNP Fees: Written exam, $250; computer-based exam, $300. Women's Health Care Nurse Practitioner (n = 10,707) RNC Must hold RN license in the U.S. or Canada; have graduated from a women's health care nurse practitioner program that is at least 1 academic year in length and is acceptable to NCC, and the women's health content of the program must include 200 didactic hours and 600 clinical hours. Effective January 1, 2007, a graduate degree will be required. Fees: Written exam, $250; computer-based exam, $300. AMERICAN NURSES CREDENTIALING CENTER 600 Maryland Avenue SW, Suite 100 West Washington, DC 20024-2571 ancc@ana.org www.nursingworld.org/ancc Fees: Written exam; given twice a year: ANA members, $180; discount (members of ANCC collaborating organization pertinent to the exam), $250; nonmembers, $320. Computer-based exam: ANA members, $230; discount, $300; nonmembers, $370. Note: All foreign graduates must have transcripts evaluated to determine eligibility. ANCC no longer offers certification for school nurse, school nurse practitioner, cardiac rehabilitation nurse or general nursing practice. Recertification for these specialties through CE is available; however, there is not an exam option. ADVANCED PRACTICE NURSE PRACTITIONERS All nurse practitioner candidates must meet all of the following basic eligibility require- ments; hold an active professional license in the U.S. or its territories; hold a master’s or higher degree in nursing; have been prepared in the specialty area of practice appropriate for the application for certification, through a master’s program or a formal postgraduate master’s program; have graduated from a program offered by an accredited institution granting graduate-level academic credit for all course work, includes both didactic and clinical components, and includes a minimum of 500 hours of supervised clinical practice in the specialty area and role. ANCC reviews nurse practitioner programs for core content in advanced health assessment, pharmacology, pathophysiology, health promotion and disease prevention, and differential diagnosis and disease management. 34
  • 34. Acute Care Nurse Practitioner* (n = 2,945) APRN, BC Adult Nurse Practitioner* (n = 13,524) APRN, BC Family Nurse Practitioner* (n = 28,815) APRN, BC Gerontological Nurse Practitioner* (n = 3,461) APRN, BC Pediatric Nurse Practitioner* (n = 3,227) APRN, BC Psychiatric and Mental Health Nurse Practitioner (pending ABNS approval) (Adult, n = 450) (Family, n = 98) APRN, BC In addition to meeting the above requirements, must have graduated from an accredited master’s or post-master’s program that prepared you as either an adult or family psychi- atric and mental health nurse practitioner, which includes: advanced health assessment (including both physical and mental health; pediatric and adolescent physical and mental health assessment is required for the PMHNP-Family Exam), pathophysiology (or neuro- physiology/biophysiology), pharmacology or psychopharmacoogy, diagnosis and medica- tion management of psychiatric illness (clinical practicum), and have supervised clinical training at the graduate or postgraduate level in 2 psychotherapeutic treatment modalities. CLINICAL NURSE SPECIALIST Must hold an active professional license in the U.S. or its territories; hold a master’s or higher degree in nursing (see specific eligibility criteria for clinical nurse specialists in community health); have formal preparation in the specific area of practice for which you have applied for certification through a master’s program or a format postgraduate master’s program; have graduated from a program offered by an accredited institution granting graduate-level academic credit for all of the course work, offering both didactic and clinical components, and offering a minimum of 500 hours of supervised clinical practice in the specialty area and role. Nurses whose programs had less than 500 clinical hours may make up the difference using work hours (completed after the graduation date) through 2005. Beginning in 2006 all clinical nurse specialist candidates must have graduated from programs that included at least 500 clinical hours. Clinical Nurse Specialist in Community Health Nursing* (n = 418) APRN, BC In addition to the basic eligibility requirements, must have a master’s or higher degree in community health nursing or a bachelor's degree in nursing and a master’s degree or higher degree in public health with a specialization in community/public heath nursing. Clinical Nursing Specialist in Gerontological Nursing” (n = 770) APRN, BC * Has met the standards of the American Board of Nursing Specialties, a national peer review program. Clinical Nursing Specialist in Home Health Nursing” (n = 60) APRN, BC Clinical Nursing Specialist in Medical-Surgical Nursing” (n = 2,400) APRN, BC 35
  • 35. Clinical Nursing Specialist in Pediatric Nursing (pending ABNS approval) (n = 25) APRN, BC In addition to the basic eligibility requirements, must have graduated from a program that provides course work that addresses children’s unique physiologic, psychologic, and developmental needs from birth through age 21. If graduated 3 or more year’s prior, candidate must have worked 2,000 hours in a pediatric clinical position in the immediate 3 years prior to applying for certification as a clinical specialist in pediatric nursing. Verification of current clinical practice must be submitted with application. Clinical Specialist in Adult Psychiatric and Mental Health Nursing* (n = 7,522) APRN, BC In addition to the basic eligibility requirements, the following are required. If master’s degree is not in psychiatric and mental health nursing; candidate must hold a master’s degree or higher in nursing and have a minimum of 18 graduate or postgraduate academic credits in psychiatric and mental health theory. A minimum of 9 of these credits must contain didactic and clinical experience specific to psychiatric and mental health nursing theory (core courses in nursing theory, nursing research, and thesis will not be accepted as part of this 9-credit requirement). A maximum of 9 credits may be in courses containing didactic and clinical experiences specific to psychiatric and mental health theory (e.g., courses in counseling and psychology); and have supervised clinical training at the graduate or postgraduate level in 2 psychotherapeutic treatment modalities. Clinical Nurse Specialist in Child and Adolescent Psychiatric and Mental Health Nursing* (n = 1,025) APRN, BC Same as above with education focus on Child and Adolescent PMH Nursing. ADVANCED DIABETES MANAGEMENT Must hold an active professional license in the U.S. or its territories (e.g., RD, registration by the Commission on Dietetic Registration; RPh, licensed pharmacist; RN, licensed registered nurse); and either a master’s degree or higher in one or more of the following areas of study: RN, master's degree or higher in nursing; RD, master’s degree or higher in clinically relevant area of study (e.g., nutrition, public health, education, sports nutrition, counseling, gerontology); or RPh, master’s degree or higher in pharmacy or currently practicing in a state recognizing collaborative diabetes clinical practice. NOTE: State board requirements differ state to state. If a state requires a specific type of advanced degree for advanced practice status and prescriptive privileges, this certification does not supersede the state statute. All candidates for the advanced diabetes management exams must have a minimum of 500 hours of clinical diabetes experience within 48 months prior to applying for certification. Verification of practice hours must accompany application. Clinical Nurse Specialist (n = 88) APRN, BC-ADM Nurse Practitioner (n = 102) APRN, BC-ADM Registered Dietitian (n = 44) APRN, BC-ADM Registered Pharmacist (n = 15) APRN, BC-ADM ADVANCED PRACTICE PALLIATIVE CARE APRN, BC-ADM Must hold a currently active RN (licensed registered nurse), must have graduated from an accredited institution granting graduate-level academic credit for all course work including both didactic and clinical components, must hold either a master’s or higher degree in nursing from an Advanced Practice, Palliative Care master’s or post master’s certificate program with a minimum of 500 hours of supervised clinical practice in palliative care or a master’s, post-master’s or higher degree in nursing from an advanced practice program (APRN) as a Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) with 500 hours of post-master’s practice in providing palliative care in the year prior to applying to take the examination. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. 36
  • 36. INFORMATICS Must hold a bachelor's degree or higher in nursing or a bachelor's degree in a relevant field such as: science (biology, anatomy, physiology, etc.), professional disciplines (engineering, computer science, psychology, physical therapy, etc.) or academic liberal arts, (mathematics, English, philosophy, history, etc.); hold an active RN license in the U.S. or its territories; have practiced as a licensed RN for a minimum of 2 years; have practiced at least 2,000 hours in the field of infor- matics nursing within the last 3 years or have completed at least 12 semester hours of academic credits in a graduate program in informatics nursing courses (e.g., computer programming, infor- mation science, systems analysis and design, management of information systems); and have practiced a minimum of 1,000 hours in informatics nursing within the last 3 years or have com- pleted a graduate program in nursing informatics that includes at least 200 hours of clinical practicum and have had 30 contact hours of CE applicable to the specialty area within the last 3 years (candidates who meet clinical practicum requirement can disregard the 30 CE contact hours). Author/presenter credits are acceptable but can account for no more than half of the contact hour requirement. Published work must be in a referred publication. A combination of CE and academic credit hours is also acceptable. Contact hour credit will be accepted for attendance at professional meetings that include content appropriate to informatics nursing practice. Independent study that has been approved for CE or academic credit is also acceptable. Informatics Nurse—bachelor's degree in nursing* (n = 450) RN, BC Informatics Nurse— bachelor's degree in other relevant field* (n = 7) RN, C NURSING ADMINISTRATION Nursing Administration * (n = 3,520) RN, CNA, BC Must have an active RN license in the U.S. or its territories and a bachelor's degree or higher in nursing, and have held an administrative position at nurse manager or nurse executive level for at least the equivalent of 24 months of full-time practice in the past 5 years. The position must include at least 7 of the activities and responsibilities in the Nursing Practice Questionnaire (see catalog for details). This requirement may be met if you have been engaged in education and supervision of graduate students in mid- or executive-level nursing administration tracks or programs for at least the equivalent of 24 months of full-time practice in the past 5 years. Must have had 30 contact hours of CE with 20 hours applicable to nursing administration within the past 2 years, or hold a master’s degree in nursing administration. A combination of CE and academic credit hours, as well as presenter/lecturer credit, is applicable. Contact hour credit will be allowed for attendance at professional meetings that included content appropriate to nursing administration. Independent study that has been approved for CE or academic credit is also acceptable. Nursing Administration—Advanced* (n = 1,763) RN, CNAA, BC Must have an active RN license in the U.S. or its territories and a master’s degree or higher in nursing. For nurses first licensed in 1990 and thereafter, if the master’s degree is not in nursing, a bachelor's degree in nursing is required; must have held an administrative position at the nurse executive level for at least the equivalent of 24 months of full-time practice in the past 5 years. The position must include a majority of the activities and responsibilities listed in the nursing practice questionnaire (see catalog for details). This requirement may be met if you are engaged in education and supervision of graduate students in executive-level nursing administration tracks or programs for at least the equivalent of 24 months of full-time practice in the past 5 years; have had 30 contact hours of CE applicable to nursing administration within the past 2 years, or hold a master’s degree in nursing administration. A combination of CE and academic credit hours, as well as presenter/lecturer credit, is applicable. Documentation of CE must be submitted. Contact hour credit will be allowed for attendance at professional meetings that included content appropriate to nursing administration. Independent study that has been approved for CE or academic credit is also acceptable. SPECIALTY NURSING Must have an active RN license in the U.S. or its territories; have practiced the equivalent of 2 years full-time as an RN in the U.S. or its territories; hold a bachelor's degree or higher in nursing for RN, BC or an associate degree/diploma in nursing for RN, C; have a minimum of 2,000 hours of clinical practice in the specialty within the last 3 years, unless specified in criteria specific to the specialty areas; have had 30 contact hours within the last 3 years. Ambulatory Care Nursing (n = 88) RN, C Hold an active RN license in the U.S. or its territories and have functioned as an RN for 4,000 hours, with at least 2,000 of those hours within the specialty scope of practice, within the last 2 years. 37
  • 37. Cardiac and Vascular Nurse* (n = 32) (n = 17) RN, BC RN, C * Has met the standards of the American Board of Nursing Specialties, a national peer review program. College Health Nurse* (n = 631) RN, BC Community Health Nurse* (n = 1,235) RN, BC Gerontological Nurse* (n = 543) (n = 14,672) RN, BC RN, C Home Health Nurse* (n = 811) RN,BC Medical-Surgical Nurse* (n = 1,624) (n = 25,708) RN, BC RN, C Nursing Case Management RN, C Hold an active RN license in the U.S. or its territories and have functioned as an RN for 4,000 hours, with at least 2,000 of those hours within the specialty scope of practice, within the last 2 years. Nursing Professional Development* (n = 1,633) RN, BC Pediatric Nurse* (n = 256) (n = 3,590) RN, BC RN, C Perinatal Nurse* (n = 60) (n = 913) RN, BC RN, C Psychiatric and Mental Health Nurse* (n = 963) (n = 18,361) RN, BC RN, C In addition to the basic requirements, must have current access to clinical consulta- tion/supervision and provide a statement/endorsement of clinical consultation or supervision from a nurse colleague. If colleague is not from the place of employment, provide an additional statement/endorsement from a non-nurse mental health colleague from place of employment. * Has met the standards of the American Board of Nursing Specialties, a national peer review program. 38
  • 38. 39
  • 39. NURSING SPECIALTY ORGANIZATIONS 2004 40
  • 40. NAME ADDRESS PHONE WEBSITE Academy of Medical-Surgical Nurses East Holly Avenue Box 56 Pitman, NJ 08071-0056 (856) 256-2323 www.medsurgnurse.org Aerospace Nursing Association North Carolina Central University Department of Nursing PO. Box 19798 Durham, NC 27705 (919) 530-6431 Air and Surface Transport Nurses Association 9101 East Kenyon Avenue, Suite 3000 Denver, CO 80237 (800) 897-6362; (720) 488-0492 www.astna.org American Academy of Ambulatory Care Nursing East Holly Avenue, Box 56 Pitman, NJ 08071-0056 (800) AMB-NURS (262-6877) (856) 256-2350 www.aaacn.org American Academy of Nurse Practitioners PO. Box 12846 Austin, TX 78711 (512) 442-4262 www.aanp.org American Assembly for Men in Nursing 11 Cornell Rd. Latham, NY 12110-1499 (518) 782-9400 ext. 346 people.delphiforums.com/brucewilson American Assisted Living Nurses Association 751 Rancheros Dr., Suite 5 San Marcos, CA 92069 (760) 510-6624 www.alnursing.org American Association for Continuity of Care P.O. Box 532 Dunedin, FL 34697 (800) 816-1575 www.continuityofcare.com American Association for the History of Nursing, Inc. P.O. Box 175 Lanoka Harbor, NJ 08734 (609) 693-7250 www.aahn.org American Association of Critical-Care Nurses 101 Columbia Aliso Viejo, CA 92656-4109 (800) 899-2226; (949) 362-2000 www.aacn.org American Association of Diabetes Educators 100 W. Monroe St., Suite 400 Chicago, IL 60603 (800) 338-3633 www.aadenet.org American Association of Legal Nurse Consultants 401 N. Michigan Ave., Suite 2200 Chicago, IL 60611 (877) 402-2562 www.aalnc.org American Association of Managed Care Nurses 4435 Waterfront Drive, Suite 101 Glen Allen, VA 23060 (804) 747-9698 www.aamcn.org American Association of Neuroscience Nurses 4700 West Lake Avenue Glenview, IL 60025 (888) 557-2256; (847) 375-4733 www.aann.org American Association of Nurse Anesthetists 222 South Prospect Avenue Park Ridge, IL 60068-4001 (847) 692-7050 www.aana.com American Association of Nurse Attorneys 7794 Grow Drive Pensacola, FL 32514 (877) 538-2262; (850) 474-3646 www.taana.org American Association of Occupational Health Nurses 2920 Brandywine Road, Suite 100 Atlanta, GA 30341 (770) 455-7757 www.aaohn.org American Association of Spinal Cord Injury Nurses 75-20 Astoria Boulevard Jackson Heights, NY 11370-1177 (718) 803-3782 www.aascin.org American Board of Neuroscience Nursing 4700 West Lake Avenue Glenview, IL 60025-1485 (888) 557-2266; (847) 375-4733 www.aann.org/credential 41
  • 41. NAME ADDRESS PHONE WEBSITE American College of Nurse Practitioners 1111 19th Street, NW, Suite 404 Washington, DC 20036 (202) 659-2190 www.acnpweb.org American College of Nurse-Midwives 818 Connecticut Ave. NW, Suite 900 Washington, DC 20006 (202) 728-9860 www.acnm.org www.midwife.org American Forensic Nurses 255 North El Cielo, Suite 195 Palm Springs, CA 92262 (760) 322-9925 www.amrn.com www.forensictrack.com American Holistic Nurses' Association PO. Box 2130 Flagstaff, AZ 86003-2130 (800) 278-AHNA; (2462) ww.ahna.org American Nephrology Nurses' Association East Holly Avenue, Box 56 Pitman, NJ 08071-0056 (888) 600-2662; (856) 256-2320 www.annanurse.org American Nurses Foundation 600 Maryland Ave. SW, Suite 100W Washington, DC 20024 (202) 651-7277 www.nursingworld.org/anf American Nursing Informatics Association PMB 105 10808 Foothill Boulevard, Suite 160 Rancho Cucamonga, CA 91730 www.ania.org American Psychiatric Nurses Association 1555 Wilson Blvd. Suite 515 Arlington, VA 22209 (703) 243-2443 www.apna.org American Public Health Association 800 I Street, NW Washington, DC 20001 (202) 777-APHA (2742) www.apha.org American Radiological Nurses Association 7794 Grow Drive Pensacola, FL 32514 (866) 486-2762; (850) 474-7292 www.arna.net American Society for Parenteral and Enteral Nutrition 8630 Fenton St., Suite 412 Silver Spring, MD 20910 (800) 727-4567 www.nutritioncare.org American Society of Ophthalmic Registered Nurses PO. Box 193030 San Francisco, CA 94119 (415) 561-8513 www.asorn.org American Society of Pain Management Nurses 7794 Grow Drive Pensacola, FL 32514-7072 (888) 342-7766; (850) 473-0233 www.aspmn.org American Society of PeriAnesthesia Nurses 10 Melrose Avenue, Suite 110 Cherry Hill, NJ 08003-3696 (877) 737-9696 www.aspan.org American Society of Plastic Surgical Nurses Box 56 Pitman, NJ 08071 (856) 256-2340 www.aspsn.org Association for Professionals in Infection Control and Epidemiology, Inc. 1275 K St., NW, Suite 1000 Washington, DC 20005 (202) 789-1890 www.apic.org Association of Acute Care Nurse Practitioners P.O. Box 153 Wynnewood, PA 19096 ACNPAssoc@aol.com Association of Camp Nurses 8630 Thorsonveien NE Bemidji, MN 56601 (218) 586-2633 www.campnurse.org Association of Community Health Nursing Educators c/o NYSNA 11 Cornell Road Latham, NY 12110-1499 (518) 782-9400 x289 www.uncc.edu/achne 42
  • 42. NAME ADDRESS PHONE WEBSITE Association of Nurses in AIDS Care 3538 Ridgewood Rd. Akron, OH 44333 (800) 260-6780 www.anacnet.org Association of Pediatric Oncology Nurses 4700 West Lake Avenue Glenview, IL 60025-1485 (847) 375-4724 www.apon.org Association of Perioperetive Registered Nurses 2170 South Parker Road, Suite 300 Denver, CO 80231-5711 (800) 755-2676; (303) 755-6300 www.aorn.org Association of Rehabilitation Nurses 4700 West Lake Avenue Glenview, IL 60025-1485 (800) 229-7530; (847) 375-4710 www.rehabnurse.org Association of Women's Health, Obstetric & Neonatal Nurses 2000 L. Street, NW, Suite 740 Washington, DC 20036-4912 (800) 673-8499 www.awhonn org Baromedical Nurses Association P.O. Box 18994 Denver, CO 80218-0994 (303) 918-9686 www.hyperbaricnurses.org Consortium of Behavioral Health Nurses and Associates 1733 H St., Suite 330 PMB 1214 Blaine, WA 98230 (800) 876-2236 www.cbhna.org Dermatology Nurses Association East Holly Avenue, Box 56 Pitman, NJ 08071-0056 (800) 454-4362; (856) 256-2330 wwwdnanurse.org Developmental Disabilities Nurses Association 1733 H Street, Suite 330 PMB 1214 Blaine, WA 98230 (800) 888-6733 www.ddna.org Emergency Nurses Association 915 Lee Street Des Plaines, IL 60016-6569 (800) 900-9659 wvvw.ena.org Endocrine Nurses Society 8401 Connecticut Ave., Suite 900 Chevy Chase, MD 20815 (301) 941-0249 www.endo-nurses.org Home Healthcare Nurses Association 228 7th Street, SE Washington DC, 20003 (800) 558-HHNA (4462) www.hhna.org Hospice and Palliative Nurses Association Penn Center West One, Suite 229 Pittsburgh, PA 15276 (412) 787-9301 www.hpna.org Infusion Nurses Society 220 Norwood Park South Norwood, MA 02062 (781) 440-9408 www.ins1.org International Organization of Multiple Sclerosis Nurses PO. Box 450 Teaneck, NJ 07666 (201) 384-2752 www.iomsn.org International Society of Psychiatric-Mental Health Nurses 1211 Locust Street Philadelphia, PA 19107 (800) 826-2950; (215) 545-2843 www.ispn-psych.org International TeleNurses Association 10711 Bexley Houston, TX 77099 (713) 568-1911 National Association for Home Care & Hospice 228 Seventh St., SE Washington, DC 20003 (202) 547-7242 www.nahc.org National Association of Clinical Nurse Specialists 3969 Green Street Harrisburg, PA 17110 (717) 234-6799 www.nacns.org 43
  • 43. NAME ADDRESS PHONE WEBSITE National Association of Directors of Nursing Administration in Long-Term Care 10101 Alliance Road, #140 Cincinnati, OH 45242 (800) 222-0539; (513) 791-3679 www.nadona.org National Association of Hispanic Nurses 1501 16th St. NW Washington, DC 20036 (202) 387-2477 www.thehispanicnurses.org National Association of Neonatal Nurses 4700 West Lake Avenue Glenview, IL 60025-1485 (800) 451-3795; (847) 375-3660 www.nann.org National Association of Nurse Massage Therapists P.O. Box 24004 Huber Heights, OH 45424 (800) 262-4017 www.nanmt.org National Association of Nurse Practitioners in Women's Health 503 Capitol Court, NE, Suite 300 Washington, DC 20002 (202) 543-9693 www.npwh.org National Association of Occupational Health Professionals 1525 State St., Suite 204 Santa Barbara, CA 93101 (800) 666-7926 www.naohp.com National Association of Orthopaedic Nurses 401 North Michigan Ave, suite 2200 Chicago, IL 60611 (800) 289-NOAN (6266) www.orthonurse.org National Association of Pediatric Nurse Practitioners 20 Brace Road, Suite 200 Cherry Hill, NJ 08034-2633 (877) 662-7627 (members only); (856) 857-9700 www.napnap.org National Association of School Nurses Eastern: PO. Box 1300 Scarborough, ME 04070-1300 Western: 1416 Park Street, Suite A Castle Rock, CO 80109 (877) 627-6476; (207) 883-2117 (866) 627-6767; (303) 663-2329 www.nasn.org National Black Nurses Association 8630 Fenton St., Suite 330 Silver Spring, MD 20910 (301) 589-3200 www.nbna.org National Gerontological Nursing Association 7794 Grow Drive Pensacola, FL 32514-7072 (800) 723-0560; (850) 473-1174 www.ngna.org National Nursing Staff Development Organization 7794 Grow Dr. Pensacola, FL 32514 (800) 489-1995 www.nnsdo.org National Organization of Nurse Practitioner Faculties 1522 K Street, NW, Suite 702 Washington, DC 20005 (202) 289-8044 www.nonpf.com National Rural Health Association 1 West Armour Blvd., Suite 203 Kansas City, MO 64111 (816) 756-3140 www.nrharural.org National Student Nurses' Association 45 Main St., Suite 606 Brooklyn, NY 11201 (718) 210-0705 www.nsna.org North American Nursing Diagnosis Association 1211 Locust Street Philadelphia. PA 19107 (215) 545-8105 www.nanda.org Nurse Healers-Professional Associates International 3760 South Highland Drive, Suite 429 Salt Lake City, UT 84106 (801) 273-3399 www.therapeutic-touch.org Nurses Organization of Veterans Affairs 1726 M St., NW, Suite 1101 Washington, DC 20036 (202) 296-0888 www.vanurse.org Nursing Organizations Alliance 7600 Terrace Ave., Suite 203 Middletown, WI 53562 (608) 831-1610 www.nursing-alliance.org 44
  • 44. NAME ADDRESS PHONE WEBSITE Oncology Nursing Society 125 Enterprise Drive Pittsburgh, PA 15275-1214 (866) 257-4ONS; (412) 859-6100 www.ons.org Pediatric Endocrinology Nursing Society PO Box 2933 Gaithersburg, MD 20886-2933 (314) 577-5648 www.pens.org Philippine Nurses Association of America 60 Kingsbridge Dr. Lumberton, NJ 08048 (201) 344-5071 www.pnaa03.org Respiratory Nursing Society c/o NYSNA 11 Cornell Road Latham, NY 12110 (518) 782-9400, ext. 286 www.respiratorynursingsociety.org Society for Vascular Nursing 7794 Grow Drive Pensacola, FL 32514 (888) 536-4786; (850) 474-6963 www.svnnet.org Society of Gastroenterology Nurses and Associates, Inc. 401 North Michigan Avenue Chicago, IL 60611-4267 (800) 245-7462; (312) 321-5165 www.sgna.org Society of Gynecologic Nurse Oncologists 6024 Welch Avenue Ft. Worth, TX 76133 (321) 434-8639 www.sgno.org Society of Otorhinolaryngology and Head-Neck Nurses, Inc. 116 Canal Street, Suite A New Smyrna Beach. FL 32168 (386) 428-1695 www.sohnnurse.com Society of Pediatric Nurses 7794 Grow Drive Pensacola, FL 32514 (800) 723-2902 www.pedsnurses.org Society of Trauma Nurses PMB 300 223 North Guadalupe Santa Fe, NM 87501 (505) 983-4923 www.traumanursesoc.org Society of Urologic Nurses and Associates East Holly Avenue, Box 56 Pitman, NJ 08071-0056 (888) 827-7862; (856) 256-2335 www.suna.org Space Nursing Society 3053 Rancho Vista Boulevard, #H377 Palmdale, CA 93551 geocities.com/spacenursingsociety Wound, Ostomy & Continence Nurses Society 4700 West Lake Avenue Glenview, IL 60025 (888) 224-WOCN (9626) www.wocn.org 45

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