CCRN-E (Adult) - TeleICU Acute/Critical Care Nursing

Acute/Critical Care Nursing (CCRN-E) is a specialty certification from the American Association of Critical-Care Nurses (AACN) for RNs or APRNs primarily working with acutely or critically ill adult patients in centralized or remotely-based teleICU networked via a computer and an audiovisual communication system.

Exam Format

The CCRN-E (Adult) exam is a computer-based test with 150 multiple-choice questions. The exam consists of 125 scored questions and 25 unscored questions used to gather statistical data. The CCRN-E test plan includes the following domains:

• Clinical Judgment: 80%

  • Cardiovascular (17%)

  • Respiratory (15%)

  • Endocrine, hematology, gastrointestinal, renal, integumentary (20%)

  • Musculoskeletal, neurological, psychosocial (14%)

  • Multisystem (14%)

• Professional Caring and Ethical Practice (20%)

  • Advocacy/Moral Agency

  • Caring Practices

  • Responses to Diversity

  • Facilitation of Learning

  • Collaboration

  • Systems Thinking

  • Clinical Inquiry

Completion Time: Candidates have 3 hours to complete the CCRN-E exam

Cost: $250 for AACN members and $365 for non-members / Retest $175 for AACN members or $280 for non-members

Candidates may take the exam in person at PSI Testing Centers where proctors administer the exam via on-site computers. They may also opt for Live Remote Proctoring (LRP) to take the exam at home or elsewhere using a computer in an area free from people or distractions.

Whichever route candidates’ choose, their exam results appear on-screen after completing the exam. A detailed score report arrives via email within 24 hours. Those who pass receive their wall certificate via postal mail approximately 3 to 4 weeks after receiving exam results.

The certification is also available in the online Certification Verification system the day after the exam. Candidates may request a letter verifying their certificate be emailed to them, their employer, or their state board of nursing.

Candidates who are unsuccessful may reapply to the ACCN for a retest. Those who took the exam within their most recent eligibility period may receive a discounted retest fee. Candidates may retake the CCRN-E up to 4 times within a 12-month period. After 12 months, they must sign a new honor statement.

Rescheduling, Cancellations, and Extensions

A candidate may reschedule or cancel their exam up to 48 hours before their scheduled testing date. Refunds or extensions aren’t given for missed appointments. To cancel or reschedule their appointment, candidates must:

• Log into the AACN customer dashboard

• Click Certification to reschedule the exam

• Select “Manage Appointment” under “My Certifications”

• Receive a rescheduling confirmation email from PSI with the new date and time

• Pay a $100 exam extension fee

Eligibility

Applicants must hold a current, valid, unrestricted, and unencumbered RN or APRN license. They also must complete one of two clinical practice hour requirements:

• Two-Year Option: Acquired at least 1,750 practice hours as an RN or APRN, providing direct care to acutely or critically ill adult patients in teleICU or a combination of teleICU and direct patient care over the past two years

  • 875 hours within the 12 months immediately before applying

• Five-Year Option: Acquired at least 2,000 practice hours as an RN or APRN, providing direct care to acutely or critically ill adult patients in a teleICU or a combination of teleICU and direct patient care within the past five years

  • 144 hours within the 12 months immediately before applying

Practice hours must:

• Occur in a facility that provides acute/critical nursing care

• Be spent actively providing care or supervising students or nurses providing care to acutely or critically ill adult patients in a teleICU setting

  • Can include some direct bedside care

• Focus primarily on critically ill patients

• Be verifiable by a clinical supervisor or professional colleague (RN or physician)

  • Must provide contact information of person verifying clinical hours for potential audits

Application Process

• Apply online or submit a paper application

  • Online application has same-day processing

  • Paper applications may take 2 to 4 weeks to process

• Provide RN or APRN license and expiration date

• Provide name, address, phone number, and email address of the clinical supervisor or professional colleagues verifying practice hours

• Receive confirmation email with instructions on scheduling the exam and the eligibility period for taking the exam

• Contact AACN Customer Care at 1-800-899-2226 or [email protected] if email doesn’t arrive

• Determine preferred testing method, either PSI Testing Center or Live Remote Proctoring

• Schedule exam clicking the "Schedule Exam" button in the AACN customer dashboard

• Review the CCRN-E Exam Handbook and the Certification Exam Policy Handbook

The CCRN-E (Adult) certification is valid for three years. Certification begins the first day of the month the candidate passed the exam and expires three years later. AACn sends renewal notifications 4 months before the scheduled renewal date. Renewal applicants may renew online up to 4 months before their renewal date. They may also mail a paper renewal application, which must be postmarked or faxed on or before the renewal date. Certificants who renew online receive their new CCRN-E certificate within 2 to 4 weeks.

Renewal Requirements

• Maintain a current, valid, unrestricted, and unencumbered RN or APRN license

• Passed the CCRN-E certification exam for adults

• Complete 432 RN or APRN practice hours within the three-year renewal period

  • With 144 hours practiced within the 12 months immediately  before the scheduled renewal date

  • Must primarily focus on critically ill adult patients

  • Can be a combination of teleICU and direct patient care

  • Must be verifiable by a supervisor or colleague (RN or physician) in writing

• Complete required CERPs or pass the CCRN-E exam again

Renewal Options

CCRN-E (Adult) certification renewal options include renewal by Synergy Continuing Education Recognition Points (CERPs) or by exam. Certification status options include inactive, retired, or alumnus.

Renewal by CERPs

• Meet renewal eligibility requirements for CCRN-E (Adult)

• Complete 100 CERPs during the three-year certification period

Renewal by Exam

• Meet renewal eligibility requirements for CCRN-E (Adult)

• Pass the CCRN-E (Adult) exam before the certification renewal date

  • Candidates may not retest early, then attempt to renew by CERPs if they don’t pass the exam

Renewal by Inactive Status

CCRN-E credential holders may choose to renew under inactive status if they don’t meet renewal eligibility requirements and don’t want to lose their certification status. Inactive status provides nurses additional time, up to three years, to meet renewal eligibility requirements and accrue 144 practice hours within the most recent year. However, nurses may not use the CCRN-E credential during the inactive status. Nurses can’t use inactive status for two consecutive renewals but can use it multiple times.

Submit a renewal application and pay the required fees.

Cost:

• $175 renewal by exam for AACN members or $280 for non-members

• $150 renewal by CERPs for AACN members or $230 for non-members

• $95 inactive status renewal for for AACN members or $175 for non-members

Alternate Renewal Status

The alumnus status is available for nurses who no longer work in acute/critical care but are still in the nursing field. It’s valid for three years. The Alumnus CCRN-K isn’t eligible to renew an active certification. Certificants must retake the exam as an initial applicant.

Candidates for retired status are eligible when they’re no longer working in a position requiring an RN license and have no plans to return. A retired status renewal is valid for three years.

Renewal by CERPs requires 100 Synergy CERPs continuing education points. One hour of education time equals one point. Therefore qualifying activities that award 1 contact hour, 1 continued education hour, or 1 continuing medical education hour would all count as one CERP. However, one academic credit equals 15 CERPs.

CCRN-E certification renewal requires 100 CERPs during the three-year certification period. CERPs must include:

• 70 CERPs in Category A

•   5 CERPs in Category B

• 25 CERPs in Category C

CCRN-Es should maintain a logbook of completed CERPs for at least three years in the event of an audit. A CERP log is available in the CCRN-K Renewal Handbook.

CERPs may include activities, such as acute and critical care publications, presentations, leadership responsibilities, quality assurance activities, and professional nursing or healthcare organizations and volunteer activities.

• The AACN provides comprehensive information about the application process, exam information, resources, and sample practice questions to help study for the exam in the CCRN-E Exam Handbook.

• AACN CCRN-K (Neonatal) Certification Practice Exam Subscriptions:

  • Basic subscriptions provide a 30-day access to 150 multiple-choice questions and answers. Cost: $25 for AACN members or $30 for non-members

  • Premium subscriptions include 180-day access to 100s of multiple-choice questions and answers. Cost: $65 for AACN members or $75 for non-members

  • Free trial subscriptions offer 7-day access to 30 practice questions and answers.

• The AACN Store offers numerous textbooks, resources, and practice exams for purchase.

• Adult CCRN-E Certification Online Review Course or in-depth exam preparation and certification review by national experts. Cost: $159 for AACN members or $199 for non-members, with a 50% discount if purchased while applying for the CCRN-E exam. The course also qualifies for 15.5 contact hours of continuing education or CERPs Category A.

A candidate must have an RN or APRN license to be eligible for CCRN-E accreditation.

• The CCRN certification accredits nurses who provide direct care to directly/critically ill adults (CCRN Adult), pediatrics (CCRN Pediatric), or neonatal (CCRN Neonatal) patients.

• CCRN-K certifies nurses influencing the care delivered to acutely/critically ill adults (CCRN-K Adult), pediatrics (CCRN-K Pediatric), or neonatal (CCRN-K Neonatal) patients but doesn’t provide direct patient care. 

• The PCCN accredits nurses who provide direct care to acutely ill adult patients.

• The PCCN-K certification accredits nurses who influence care delivery to acutely ill adult patients but don’t provide direct primary care.