MISSION AACN Certification Corporation drives patient health and safety through comprehensive credentialing of acute and critical care nurses, advancing practice consistent with standards of excellence. VISION All nurses caring for acutely and critically ill patients and their families are certified. VALUES As the Corporation advances its mission and vision to fulfill its purpose and inherent obligation of driving the health and safety of patients experiencing acute and critical illness, we are guided by a set of deeply rooted values. These values are the foundation upon which we build our relentless pursuit of excellence. • Integrity – We demonstrate sound judgment, ethical behavior and accountability in all we do. • Inclusion – We build an equitable culture, inviting the full contribution of all people. • Transformation – We drive change and innovation to positively impact the healthcare system and improve the lives of patients, families and nurses. • Leadership – We advocate and influence to achieve optimal outcomes and healthy work environments. • Relationships – We collaborate and advance partnerships, honoring each individual to strengthen the collective. ETHICS AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice, providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and the profession. AACN Certification Corporation’s mission of public protection supports a standard of excellence where certified nurses have a responsibility to read about, understand and act in a manner congruent with the ANA Code of Ethics for Nurses. The following AACN Certification Corporation programs have been accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC). CCRN® (Adult) CCRN® (Pediatric) CCRN® (Neonatal) CMC® CSC® The following AACN Certification Corporation programs have been accredited by the National Commission for Certifying Agencies (NCCA). PCCN® ACNPC-AG® ACCNS-AG® ACCNS-P® ACCNS-N® Our advanced practice certification programs, ACCNS-AG, ACCNS-P, ACCNS-N and ACNPC-AG, meet the National Council of State Boards of Nursing (NCSBN) criteria for APRN certification programs. Certification Organization for the American Association of Critical-Care Nurses CERTIFICATION EXAM POLICY HANDBOOK As healthcare becomes increasingly complex and challenging, certification has emerged as a mark of excellence showing patients, employers and the public that a nurse possesses a defined body of knowledge and has met the rigorous requirements to achieve specialty and/or subspecialty certification. AACN Certification Corporation programs were created to protect healthcare consumers by validating the knowledge of nurses who care for and/or influence the care delivered to the acutely and critically ill adults, children and neonates. Today, more than 132,000 practicing nurses hold one or more certifications from AACN Certification Corporation. This handbook outlines rules and policies for all AACN certification exam programs and includes such information as testing site and scheduling details, day of exam rules, recognition and use of credentials, obtaining a duplicate score report and name or address changes. A brief description of the various AACN certification programs can be found on pages 1 and 2: CCRN • CCRN-K • CCRN-E • PCCN • PCCN-K • CMC • CSC ACNPC-AG • ACCNS-AG • ACCNS-P • ACCNS-N • ACNPC • CCNS Details about the individual certification programs, along with application forms, honor statements, test plans and sample questions, can be found in the corresponding handbook, available at www.aacn.org/certhandbooks. We continually seek to provide quality certification programs that meet the changing needs of nurses and patients. Please visit www.aacn.org/certification, email [email protected] or call 800-899-2226 for more information. Thank you for your commitment to patients and their families and to becoming certified. Certification Exam Policy Handbook | January 2023 i Contents Certifications Available Through AACN ...................................................................................1-2 AACN Certification Program ...................................................................................................3-5 Application Process ..................................................................................................................6 Exam Application Fees ..............................................................................................................7 Exam Day Information .........................................................................................................8-10 • Verifying Your Identification • Inclement Weather or Emergency • Exam Accommodations • Confidentiality of Exam Scores • Security Standards • Candidate Feedback • Dismissal from the Exam • Misuse/Disclosure of Exam Content • Testing Outside the U.S. • Paper-and-Pencil Testing Testing Options ......................................................................................................................11 Scheduling Your Exam ............................................................................................................12 Your Exam Day Experience • PSI Testing Center ........................................................................................................13-14 • Live Remote Proctoring ................................................................................................15-17 • Paper-and-Pencil .............................................................................................................18 Exam Results ......................................................................................................................19-20 • Passing Scores • Canceled Scores • If You Do Not Pass the Exam • Confidentiality of Exam Scores • Duplicate Score Reports Purpose and Limitations of Renewal Options ..........................................................................21 Certification Renewal .............................................................................................................21 Audits — Initial and Renewal ...................................................................................................22 Recognition of Certification and Use of Credentials .................................................................23 Denial of Certification .............................................................................................................24 Revocation of Certification .....................................................................................................24 Review and Appeal of Certification Eligibility ..........................................................................25 Request for Exam Accommodations ....................................................................................26-27 Please direct inquiries to: AACN Certification Corporation, 27071 Aliso Creek Road, Aliso Viejo, CA 92656 800-899-2226 • Fax: 949-362-2020 • [email protected] Please include your AACN customer number with all correspondence to AACN Certification Corporation. Certification Exam Policy Handbook | January 2023 ii Certifications Available Through AACN Handbooks referred to below are available at www.aacn.org/certhandbooks. Specialty Certification CCRN® The CCRN certification program, introduced in 1976, is for nurses providing direct care to acutely/critically ill adult, pediatric or neonatal patients in areas such as ICU, CCU, trauma units or critical care transport/flight. Details can be found in the CCRN Exam Handbook. CCRN-K™ The CCRN-K certification program, launched in 2014, is for nurses who influence the care delivered to acutely/ critically ill adult, pediatric or neonatal patients, but do not primarily or exclusively provide direct care. Details can be found in the CCRN-K Exam Handbook. CCRN-E™ The CCRN-E certification program was introduced in 2007 as a renewal option and in 2011 as an initial exam option for nurses monitoring/caring for acutely/critically ill adult patients from a remote teleICU location. Details can be found in the CCRN-E Exam Handbook. PCCN® The PCCN certification program, introduced in 2004, is for progressive care nurses providing direct care to acutely ill adult patients. Clinical settings include areas such as intermediate care units, direct observation units, stepdown units, telemetry units, transitional care units, cardiac catheterization labs and emergency departments. Details can be found in the PCCN Exam Handbook. PCCN-K™ The PCCN-K certification program, launched in 2016, is for nurses who influence the care delivered to acutely ill adult patients, but do not primarily or exclusively provide direct care. Details can be found in the PCCN-K Exam Handbook. Subspecialty Certifications CMC® The CMC (cardiac medicine) certification program, launched in 2005, is for nurses who hold a nationally-accredited clinical nursing specialty certification (such as CCRN, CCRN-E, PCCN, ACNPC, ACNPC-AG, CCNS, ACCNS-AG, CMSRN, CEN, etc.) and specialize in the direct care of adult cardiac patients. Clinical settings may include, but are not limited to, CCUs, medical ICUs, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Details can be found in the CMC Exam Handbook. CSC® The CSC (cardiac surgery) certification program, launched in 2005, is for nurses who hold a nationally-accredited clinical nursing specialty certification (such as CCRN, CCRN-E, PCCN, ACNPC, ACNPC-AG, CCNS, ACCNS-AG, CNOR, CRNFA, CPAN, etc.) and specialize in the direct care of adult cardiac surgery patients within the first 48 hours postoperatively. Clinical settings may include, but are not limited to, cardiothoracic surgery, cardiovascular surgery and post-anesthesia care units. Details can be found in the CSC Exam Handbook. Listed on the following page are AACN’s advanced practice certifications. Certification Exam Policy Handbook | January 2023 1 Certifications Available Through AACN (continued) Advanced Practice Consensus Model-Based Certifications ACNPC-AG® The ACNPC-AG certification program, launched in 2013, is an entry-level advanced practice certification for nurses educated at the graduate level as acute care nurse practitioners (ACNPs) to provide continuous and comprehensive advanced nursing care to acutely ill adult-gerontology patients (young adults, older adults and frail elderly) experiencing episodic illness, exacerbation of chronic illness or terminal illness. Details can be found in the ACNPC-AG Exam Handbook. The ACCNS credentials are entry-level advanced practice certifications for nurses educated at the graduate level as clinical nurse specialists (CNSs) to provide advanced nursing care across the continuum of healthcare services, from wellness through acute care: ACCNS-AG® The ACCNS-AG certification program, launched in 2013, meets the specialized needs of the adult-gerontology patient population (young adults, older adults and frail elderly). Details can be found in the ACCNS-AG Exam Handbook. ACCNS-P® The ACCNS-P certification program, launched in 2013, meets the specialized needs of the pediatric patient population. Details can be found in the ACCNS-P Exam Handbook. ACCNS-N® The ACCNS-N certification program, launched in 2014, meets the specialized needs of the neonatal patient population. Details can be found the ACCNS-N Exam Handbook. Advanced Practice Certifications ACNPC® The ACNPC certification program, launched in 2007, is an advanced practice credential for nurses who were educated at the graduate level as adult acute care nurse practitioners to provide advanced nursing care across the continuum of healthcare services to meet the specialized physiologic and psychologic needs of patients with complex acute, critical and/or chronic health conditions. The ACNPC is no longer available for initial exam but remains as a renewal option for current ACNPCs. The Consensus Model-based ACNPC-AG exam is available for those educated as Adult-Gerontology Acute Care NPs. CCNS® The CCNS certification program, launched in 1999, is an advanced practice credential for nurses who were educated at the graduate level as clinical nurse specialists to provide advanced nursing care to acutely and/or critically ill adult, pediatric or neonatal patients. The CCNS is no longer available for initial exam but remains as a renewal option for current CCNSs. The Consensus Model-based ACCNS-AG, ACCNS-P and ACCNS-N exams are available for those educated as clinical nurse specialists across the spectrum of wellness through acute care. Handbooks are available at www.aacn.org/certhandbooks. AACN Certification Corporation is the certifying organization for the American Association of Critical-Care Nurses (AACN). Certification Exam Policy Handbook | January 2023 2 AACN Certification Program Definition Certification is a process by which a nongovernmental agency validates, based upon predetermined standards, an individual nurse’s knowledge for safe and effective practice in a defined functional or clinical area of nursing. Certification validates your knowledge of nursing in your specialty area to hospitals, peers, patients and, most importantly, to yourself. Certification promotes continuing excellence in the nursing profession. Code of Ethics AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice, providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and the profession. AACN Certification Corporation’s mission of public protection supports a standard of excellence that certified nurses have a responsibility to read, understand and act in a manner congruent with the ANA Code of Ethics for Nurses. To access the ANA Code of Ethics visit www.aacn.org/certification > Overview > Learn More. AACN Values Related to Upholding the Value of Certification Exam security is paramount to protecting patients, families and certified nurses. When we compromise the value of certification, we compromise the credentials that validate our knowledge in our specialty. AACN's values of accountability, integrity and stewardship translate directly into upholding the value of certification. Thus, we will: • Be accountable by upholding and consistently acting in concert with ethical values and principles. • Act with integrity by communicating openly and honestly, keeping promises, honoring commitments and promoting loyalty in all relationships. • Demonstrate stewardship through fair and responsible management of resources. For more information, please refer to www.aacn.org/certification > Overview > Value of Certification. Nondiscrimination Policy It is the policy of AACN Certification Corporation, its Board of Directors, committee members and staff to comply with all applicable laws that prohibit discrimination in employment or service provision because of a person’s race, color, religion, gender, age, disability, national origin or any other protected characteristic. AACN strives to ensure equal opportunity for all exam candidates by reviewing exam content for bias and sensitivity. Certification Exam Discount Programs  Certification Group Discount Program: Computer-based testing discounts are available for groups of 10 or more exam candidates who apply together.  Organization Discount Program: Employers may pre-purchase certification exam vouchers at a further discounted rate. For details about the discount programs, visit www.aacn.org/certdiscounts, email [email protected] or call 800-899-2226. continued Certification Exam Policy Handbook | January 2023 3 AACN Certification Program (continued) Exam Preparation AACN Certification Corporation does not approve, endorse, or require for eligibility use of any specific exam preparation products. Test plans are included in each of the individual program handbooks, available at www.aacn.org/certhandbooks. To order AACN exam review products, visit www.aacn.org/store or call 800-899-2226. For information about locating a local AACN Chapter to inquire about review courses in your area, visit www.aacn.org/chapters. Certification and Exam Administration The certification programs are developed and administered by AACN Certification Corporation in partnership with PSI Services. Computer-based exams are administered by PSI throughout the year at more than 300 testing centers across the U.S. and via live remote proctoring with a personal computer in a quiet, private location. Computer experience is not necessary, as candidates will use minimal keystrokes or a mouse and be able to take a tutorial and practice test before the exam begins. During the exam, candidates will be able to move back and forth between items and mark items for later review. Cognitive Levels of Questions The cognitive level of the exam items is based on a condensed version of Bloom’s Taxonomy. The majority of the items are written at the application and analysis levels. Testing at higher cognitive levels provides a better indication of the candidate’s critical thinking abilities when caring for acutely and critically ill patients and their families. Confidentiality of Exam Application Status Information regarding the status of an exam application submitted to AACN Certification Corporation will not be released to anyone without the exam candidate’s written authorization. AACN Membership Not Required Being a member of the American Association of Critical-Care Nurses is not an eligibility requirement for AACN Certification programs. Name and Address Changes You are responsible for notifying AACN Certification Corporation should your name, address and/or email change at any time before or after you become certified. Failure to do so may result in not receiving information necessary for certification renewal. You are responsible for renewing your certification even if you do not receive a renewal notice.  To notify us of any address or email changes, you may update your profile as follows: • Online at www.aacn.org > Sign In • Email [email protected], or • Call AACN Customer Care at 800-899-2226  The following changes must be made by calling AACN Customer Care at 800-899-2226: • Name changes • Address changes for exam candidates during the testing eligibility period continued Certification Exam Policy Handbook | January 2023 4 AACN Certification Program (continued) Exam Eligibility Outside the U.S. Eligible candidates for AACN Certification Corporation exams or certification renewal must hold a current, unencumbered U.S.1 RN or APRN license. Practice hours for exam and renewal must be completed in U.S.-based1 facilities or in facilities determined to be comparable to the U.S. standard of acute/critical care nursing practice as evidenced by Magnet® designation or Joint Commission International accreditation. Practice hours completed in Canada-based facilities are acceptable for CCRN, CCRN-K, CCRN-E, PCCN, PCCN-K, CMC and CSC exam and renewal eligibility. Eligible practice hours for ACNP and CNS certification exam and renewal eligibility are those completed within the U.S. APRNs practicing outside the U.S. should contact AACN at [email protected] regarding eligible practice hours. 1 Includes District of Columbia and U.S. territories of Guam, Virgin Islands, American Samoa and Northern Mariana Islands Certification Exam Policy Handbook | January 2023 5 Application Process AACN Certification Corporation recommends that you be ready to take the exam before submitting your application. Online registration is an option for all AACN exams. • Candidates may register for their certification exam online at www.aacn.org/certification > Get Certified. • To apply with a group or to test outside the U.S., a paper application is required. Refer to page 10 for details. Submit Application  Complete exam application/honor statement and pay application fee • Use your full legal name on the application. This name must match the photo identification (ID) presented for exam check-in and will be the name printed on your certificate. • Advanced Practice exam applications require official, final transcripts for all graduate-level nursing coursework and an Educational Eligibility Form completed and signed by the program director. • AACN will send an email to confirm that you have successfully applied and provide information about next steps. • For verification of receipt of your application, mail your application “return receipt requested” via certified mail or include a self-addressed stamped postcard, which will be mailed when your application is received. Application Review  Waiting period for application processing • Allow 2 to 4 weeks from the date received at AACN for processing a paper application. Applying online shortens this process. • AACN will notify you in writing if your application is incomplete, requires clarification or if you are ineligible.  Receive Confirmation email • After successfully applying for the exam, you will receive an email from AACN with instructions about how to schedule your exam appointment. The email will also include the eligibility period during which you must schedule and take the exam. • If you are an ACNP or CNS exam applicant, you will schedule your exam appointment after all required documentation is received and your application has been approved. • If you do not receive your confirmation email after applying for an exam, please contact AACN Customer Care at 800-899-2226 or [email protected]. The Exam  Schedule and take your exam • Upon receipt of your confirmation email from AACN, you will be able to promptly schedule your exam appointment by clicking the "Schedule Exam" button in your AACN customer dashboard, which will take you to the AACN Scheduling page. Before choosing an exam date, you will be required to select one of two options by which to take your computer-based exam, at a PSI testing center or via Live Remote Proctoring. For details, refer to page 11. • If you are taking a paper-and-pencil exam or testing outside the U.S., AACN and PSI will coordinate with you to schedule your exam appointment. • Exam results will show on-screen, and a score report will be emailed to you within 24 hours after completion of computer-based exams. Results of paper-and-pencil exams are received by mail 6 to 8 weeks following testing. • Successful candidates will be mailed their wall certificate approximately 3 to 4 weeks after testing. • Unsuccessful candidates are eligible for a discounted retest fee. Please refer to page 19 for details. Please ensure that AACN has your current contact information. Updates may be made online at www.aacn.org/myaccount or emailed to [email protected]. For name changes, please call AACN Customer Care at 800-899-2226. Certification Exam Policy Handbook | January 2023 6