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CCRN is the American Association of Critical-Care Nurses' certification for bedside care of acutely and critically ill patients, and its exam follows those patients through intensive care, cardiac and trauma units and critical care transport.

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What the dash in CCRN-CMC costs

Cardiac medicine and cardiac surgery are subspecialty exams that can't stand alone, written CCRN-CMC and CCRN-CSC. Under the dash AACN wants a current, unencumbered US RN or APRN license, a clinical nursing specialty certification that covers direct care of adults, carries ABSNC or NCCA accreditation and tests the nursing competencies of professional caring and ethical practice alongside clinical judgment, and counted hours. The hours run 2 ways: 1,750 in acutely or critically ill adult care across 2 years with 875 of them in the most recent year, or 2,000 across 5 years with 144 in the most recent year. Half of either total has to be cardiac, and for cardiac surgery those hours have to fall inside the first 48 hours after the operation, a narrower window than the letters suggest. CCRN and PCCN are 2 of the certifications AACN names as examples, CCRN counting only when earned by direct care or tele-critical care, PCCN only by direct care.

Your questions about CCRN certified jobs, answered

What happened to CCRN-E and CCRN-K?

The AACN retired those letters on November 14, 2023 and put everyone under plain CCRN. You still qualify through a pathway, and the adult certification has 3 of them: direct care, tele-critical care and knowledge professional. The credential itself stopped saying which one you used. Start and end dates carried over untouched, so an older badge reading CCRN-E is the CCRN a posting is asking for.

Adult, pediatric or neonatal?

The AACN certifies the 3 populations separately, with an exam each, and it counts your hours in the population you're certifying in. A pediatric intensive care posting means the pediatric CCRN and a newborn unit the neonatal one, so moving between them means sitting the other exam. The pathways differ as well: tele-critical care is written for adult patients, which leaves direct care and knowledge professional for the pediatric and neonatal versions.

Does the CCRN survive a move off the unit?

It survives, on a different pathway. Renewing a CCRN by direct care asks for 432 practice hours across the 3-year cycle, all in the population you're certified in and mostly with critically ill patients, 144 of them in the last 12 months, alongside either 100 CERPs, at least 60 in category A and at least 10 in each of B and C, or a repeat of the exam. A nurse who moves into education, management or another role that shapes critical care without delivering it renews as a knowledge professional, and an adult certificant who moves to remote monitoring renews through tele-critical care.