Cardiac Medicine & Cardiac Surgery Subspecialty Certifications

We are delighted you are interested in pursuing CMC or CSC certification. You have already demonstrated your knowledge, abilities and skills by achieving certification in your specialty area. Achieving either of these subspecialty certifications will further exemplify your commitment to your patients and their families.

Introduction to the CMC and CSC Credentials

AACN Certification Corporation now offers two subspecialty nursing certifications. The CMC and CSC subspecialty certification programs were launched in January, 2005. CMC and CSC are trademarks and denote subspecialty nursing certification in Cardiac Medicine (CMC) and Cardiac Surgery (CSC) as granted by the AACN Certification Corporation. Registered nurses who have not achieved CMC or CSC subspecialty certification status or whose CMC or CSC status has lapsed are not authorized to use the CMC or CSC credential. For a definition of certification, click here

The CMC credential is for certified nurses practicing in areas such as CCU; Combined ICU/CCU; Medical ICU; Telemetry; Progressive Care; Heart Failure Clinics, Home Care; Interventional Cardiology; Cardiac Catheterization Labs, or Electrophysiology Units. The CSC credential is for certified nurses working in areas such as Cardiovascular Surgery, Cardiothoracic Surgery, or Post-Anesthesia Care Units (PACUs), providing care to cardiac surgery patients in the first 48 hours post-operatively.

These three-letter credentials may only be displayed with a clinical nursing specialty certification, attached by a dash, i.e., CCRN-CMC; or CCNS-CSC. If a person were to obtain both subspecialty credentials they could attach credentials to the same clinical nursing specialty certification, such as CCRN-CMC-CSC.

The CMC and CSC examinations are 2-hour tests consisting of 90 multiple-choice items. The CMC and CSC credentials have been approved for those nurses who have successfully completed the CMC or CSC certification program.

The exams are given via Computer-Based Testing and are offered year-round five days a week at the more than 170 Applied Measurement Professionals, Inc. (AMP) assessment centers nationwide. Paper and pencil versions of the exams are offered at the National Teaching Institute (NTI). The NTI exam is offered at a discounted price for both members and nonmembers, and you do not have to be attending the NTI to sit for the exam. Paper and pencil versions of the exams are also offered twice yearly at the SEPA Chapter Trends conference in Philadelphia, PA; visit the Certification News area of this web site for more information.

To access the 88-page Certification Exam Handbook, which contains the 3-page CMC and CSC exam applications, please click here.

The above document may be viewed and printed out using Acrobat Reader, available below. This handbook can also be e-mailed to you as a Word 2000 or Rich Text Format (.rtf) attachment; click on Contact Us above and specify which handbook and format you would like. However, all of the information contained in the handbook, as well as the application, may be found on this Web site.

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CMC and CSC Job Analysis

Each CMC and CSC certification examination is based on a job analysis. The most recent study, completed in 2004, defines the dimensions of acute and critical care practice, identifying the knowledge, skills and abilities required of a registered nurse practicing in acute and critical care caring for cardiac patients.

In the study, acute and critical care nurses across the United States were surveyed to ascertain the frequency and significance of the various elements of their practice. Through an extensive review and evaluation process, the knowledge, skills and abilities crucial to cardiac nursing were defined using Synergy Model for Patient Care as an organizing framework, focusing on the clinical judgment component exclusively. CMC and CSC examinations are based on these skills and abilities and the knowledge required to perform them. Click here for the Executive Summary of the 2004 CMC Job Analysis. Click here for the Executive Summary of the CSC Job Analysis.

The above document may be viewed and printed using Acrobat Reader, available below. The document may also be obtained via e-mail as Word 2000 or Rich Text Format (.rtf) attachments; click on Contact Us above and specify the document and format you would like to receive.

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CMC and CSC subspecialty certification is achieved by those acute and critical care nurses who pass a CMC or CSC examination in adult acute and critical care cardiac nursing. CMC and CSC certification denotes to the public those practitioners who possess a distinct and clearly defined body of knowledge in acute and critical care cardiac nursing.

CMC & CSC Test Plans

Both 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment.

To access the CMC Test Plan, click here.

To access the CSC Test Plan, click here.

Documents may be viewed and printed using Acrobat Reader, available below. The documents may also be obtained via e-mail as Word 2000 or Rich Text Format (.rtf) attachments; click on Contact Us above and specify the document and format you would like to receive to receive.

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CMC & CSC Exam Eligibility Requirements

  • Current unencumbered RN or APRN license in the United States
  • Current nationally accredited (NCCA or ABNS) clinical nursing specialty certification, such as CCRN, PCCN, CCNS, ACNPC, CEN, ACNP, FNP, CPAN, CRNA, CNOR, CRNFA, APRN,BC
  • 1,750 hours in care of acutely/critically ill patients within the last 2 years preceding date of application, with 875 of those hours accrued in the most recent year preceding application; 875 of the 1,750 hours need to be in the care of:
    • acutely/critically ill cardiac patients - for CMC
    • cardiac surgery patients within the first 48 hours post-operatively - for CSC

Eligible clinical practice hours for AACN Certification Corporation examinations or certification renewal are those completed in U.S.-based or Canada-based facilities or in facilities determined to be comparable to the U.S. standard of acute/critical care nursing practice, as evidenced by ANCC Magnet Status or Joint Commission International accreditation.

CMC and CSC Exam Fees

CMC or CSC Examination
AACN Members $135
Nonmembers $180
CMC or CSC Exam Retest or Renewal by Exam
AACN Members $110
Nonmembers $155

Payable in U.S. Funds. Fees are subject to change without notice.

CMC & CSC Renewal Requirements

Candidates for CMC or CSC Renewal must meet the following eligibility requirements:

  • Hold a current unencumbered RN or APRN license in the U.S.
  • Hold a current nationally accredited (NCCA or ABNS) clinical nursing specialty certification, such as CCRN, PCCN, CCNS, ACNPC, CEN, ACNP, FNP, CPAN, CRNA, CNOR, CRNFA, APRN,BC
  • Completion of twenty-five (25) Category A Clinical Judgment CERPs during the three-year certification renewal period
    • for CMC, CERPs must pertain to cardiology
    • for CSC, CERPs must pertain to cardiac surgery
  • Completion of 432 hours of direct bedside care of acutely or critically ill cardiac patients during the 3-year certification renewal period, with 144 of those hours accrued in the last year of the 3-year certification renewal period
    • for CMC, hours must be in care of acutely/critically ill cardiac patients
    • for CSC, hours must be in care of cardiac surgery patients within the first 48 hours post-operatively

Eligible clinical practice hours for AACN Certification Corporation examinations or certification renewal are those completed in U.S.-based or Canada-based facilities or in facilities determined to be comparable to the U.S. standard of acute/critical care nursing practice, as evidenced by ANCC Magnet Status or Joint Commission International accreditation.

For more details and an application please refer to the 14-page CMC/CSC Renewal Handbook, available only online.

The above document may be viewed and printed using Acrobat Reader, below. This document may also be obtained as an e-mail attachment; click on Contact Us above and specify the document you would like to receive. For questions please e-mail certcorp@aacn.org or call AACN Customer Care at (800) 899-2226.

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Online renewal for CMCs and CSCs is now available.

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