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CCRN-E is an extension of the CCRN certification program designed for nurses working exclusively or primarily in a tele-ICU (such as a virtual ICU or e-ICU®) behind the camera observing live patients from a remote location.
Nurses working in education or in a simulation lab would not be eligible for CCRN-E. The CCRN-E credential may be obtained through successful completion of the CCRN-E initial exam or as a renewal option for CCRNs who have moved into the tele-ICU. The CCRN-E certification period is three years.
AACN has adopted the term of "tele-ICU" to describe the delivery of remote intensive care services where monitoring systems are used to:
Nurses in tele-ICUs:
Tele-ICUs are emerging, technologically enabled networks that may be utilized for:
Yes, the CCRN-E credential may be obtained through successful completion of the CCRN-E initial exam.
CCRN-E exam eligibility requirements include:
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The CCRN-E exam is offered via computer-based testing year-round, Monday through Saturday, at more than 175 testing sites across the U.S. A paper and pencil version of the CCRN-E exam is offered each year at the National Teaching Institute & Critical Care Exposition (NTI® and at TRENDS educational conferences).
CCRN-E renewal eligibility requirements include:
The program selected is based on eligibility. If you renew as a CCRN-E, refer to the eligibility and renewal options in the online CCRN-E Renewal Handbook. Renewal by Synergy CERPs requires that you complete 100 CERPs in specified categories during the 3-year certification period. The breakdown of CERPs for CCRN-E is based on the results of AACN Certification Corporation’s 2006 Virtual ICU Study of Practice, which showed greater emphasis on clinical judgment, clinical inquiry, collaboration and systems thinking skills in the tele-ICU. If you renew as a CCRN, refer to the CCRN eligibility and renewal options in the CCRN/PCCN Renewal Handbook.
You may not renew as both a CCRN and CCRN-E; however, you may change your renewal category depending on your practice within the three years prior to your renewal. So, a CCRN-E may renew as a CCRN-E or CCRN; a CCRN may renew as a CCRN or CCRN-E, depending on your practice. If you qualify for both credentials, you may choose which you prefer.
Yes, if you have the required CCRN direct bedside clinical hours and have completed the Synergy CERP requirements of 100 CERPs in Categories A, B and C, it is possible to move from CCRN-E to CCRN status. The option selected is based on your individual practice and which eligibility requirements were met during the 3-year period prior to your scheduled renewal date. Both CCRN-Es and CCRNs have the renewal options of Renewal by Synergy CERPs (CCRN or CCRN-E), Renewal by Exam or Inactive status.
Once you meet the CCRN-E initial exam eligibility requirements, you may apply for the CCRN-E exam online, or use the paper application found in the CCRN-E Exam Handbook. Current CCRNs who have moved to the tele-ICU may renew as a CCRN-E at their scheduled renewal time. Only nurses who hold Inactive status and now meet CCRN-E renewal requirements may apply for CCRN-E at a time other than their scheduled renewal date.
If you meet the eligibility requirements for CCRN-E, you may renew via the CCRN-E Renewal by Synergy CERPs program. If you are moving from CCRN to CCRN-E (or from CCRN-E back to CCRN), you may complete the Synergy CERP requirements (Categories A, B and C) for either CCRN or CCRN-E.
The CCRN-E Renewal by Synergy CERPs program requires:
The CCRN Renewal by Synergy CERPs program requires:
If you do not have the required hours or CERPs to renew as a CCRN–E or a CCRN at your scheduled renewal time, you may opt for Inactive status for a period of up to three years to allow you time to meet the eligibility requirements for CCRN or CCRN-E. If you are moving from CCRN-E to CCRN status, you may choose to renew by either Synergy CERPs program (CCRN or CCRN-E), both of which require 100 CERPs with specified requirements in Categories A, B and C.
If you are a CCRN or CCRN-E who returns to direct bedside care, but do not have the required bedside practice hours during the renewal period to renew as a CCRN, you could apply for Inactive status or renew as a CCRN-E.
If you go Inactive, once you have met the eligibility requirements to renew as a CCRN (432 hours in direct bedside care of acutely and/or critically ill patients, with 144 of those hours in the 12-month period prior to your scheduled renewal date) and have met the Renewal by Synergy CERPs requirements, you may renew as a CCRN.
If during the last 12 months of the 3-year certification period you completed at least 432 hours of direct bedside care of acutely and/or critically ill patients, you may renew as a CCRN. During that time you must have also met the CCRN Synergy CERP requirements (60 in Category A, 10 each in Categories B and C, plus 20 in the category of your choice).
If, however, you are moving from CCRN-E to CCRN status, you may choose to renew by either Synergy CERPs program (CCRN or CCRN-E), both of which require 100 CERPs with specified requirements in Categories A, B and C. For more details, refer to the CCRN/PCCN Renewal Handbook or the CCRN-E Renewal Handbook.
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