TNCC Certification: Overview and FAQ

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Written by Ann Real, BSN, RN Content Writer, IntelyCare
A nurse uses their TNCC certification skills to respond to an emergency nursing situation.

The Trauma Nursing Core Course (TNCC) is a specialized training program aimed at equipping nurses with the knowledge and skills needed to effectively care for trauma patients, including those who have endured accidents, violence, or natural disasters. Nurses who complete the program receive TNCC certification.

Want to know more about the TNCC credential and why it’s important? You’re in the right place. This article will explain what it is, walk you through how to get it, and show you why it’s worth having.

What Is a TNCC Certification?

The TNCC nursing certification is awarded to nurses who finish specialized training in trauma care. It shows you’ve learned how to assess, manage, and care for patients with traumatic injuries. With this certification, you can deliver timely and effective care, resulting in improved outcomes and higher chances of survival for patients.

The TNCC programs cover essential topics, such as:

Wondering who needs this certification? It may be applicable to any nurse working in acute care settings, including:

How to Get TNCC Certification

Getting certified may be simpler than you think. Let’s explore the key steps to start your journey as a TNCC-certified nurse:

1. Meet Eligibility Criteria

Ensure you meet the eligibility requirements set by the Emergency Nurses Association (ENA) to take the TNCC course, which typically involves having an active nursing license. If you’re a licensed practical nurse (LPN) or first responder, you can attend all parts of the course and earn continuing education hours, but you won’t be eligible for provider status verification.

2. Complete a TNCC Provider Course

Nurses must attend and successfully complete an accredited TNCC course, which is typically offered by authorized training centers and healthcare institutions. The course includes different types of learning activities:

  • Provider manual: You’ll read a provider manual with expert-designed, evidence-based trauma care information.
  • Online modules: You’ll complete interactive online modules that simulate clinical scenarios for hands-on practice.
  • Live simulations: You’ll have a chance to practice trauma care interventions at skills stations.
  • Instructor-led classroom discussions: You’ll listen to lectures and participate in group discussions.

3. Pass the TNCC Exam

At the end of the course, you’re required to pass a written examination to demonstrate your understanding of the material. Additionally, you’ll need to pass a practical assessment of essential trauma nursing skills, such as patient assessment, airway management, and hemorrhage control.

The course has two exams: a skills test with a passing score of 70% or higher, and an online written exam with a passing score of 80% or higher. Usually, the written exam must be completed within seven days of the course and consists of 50 questions with a two-hour time limit. Upon successful completion, you’ll be awarded a TNCC credential.

4. Maintain the Certification

Don’t forget to check your TNCC certification renewal date and complete a fast-track renewal course before it expires. You’re required to renew it every four years. This helps you to refresh your knowledge and skills in trauma care, ensuring you provide the best possible care to patients.

TNCC Certification Cost

The cost of TNCC certification can vary depending on several factors, including the location and provider of the course, as well as any additional materials or resources included. On average, it’s about $400. You’ll also need to buy a manual, but the price depends on whether you choose the printed or electronic version.

Frequently Asked Questions: TNCC Certificate

Is the TNCC exam difficult?

The difficulty level of the TNCC exam can vary depending on individual preparation and experience. Typically, the exam is conducted through electronic open-book testing, allowing you to take it in a comfortable environment that suits you best. For a glimpse of what the exam is like, try these practice questions to get a feel for its difficulty.

How long does the TNCC course take to complete?

TNCC courses usually span one or two days and can be taken either in person or virtually. Depending on whether you’re a first-time taker or renewing your credential, your course length may look like this:

Option 1: TNCC Full Course

  • Length: 1 to 2 days
  • Designed for first-time participants or those with expired certifications.

Option 2: TNCC Renewal Track

  • Length: 1 day
  • Designed for those with a valid TNCC certification who just need to renew it.

Option 3: TNCC Challenge Course

  • Length: Up to 4 hours
  • Designed for TNCC-certified providers who want to renew their credential. It’s a quick pass/fail test, so come ready to take the exam when you show up.

Keep in mind, you’ll likely need to complete online modules before the course, which could take a few extra hours.

After you complete all the learning activities, you’ll take a skills test and an online exam. You’ll usually have two hours to complete the test, but it may differ based on your chosen provider. Once you pass both, you’ll get your four-year TNCC certification.

What happens if I fail the TNCC exam?

If you fail the TNCC exam, you may have the opportunity to retake it, but failing twice typically requires re-enrollment in the course. Contact your TNCC course provider or the accrediting organization for specific details on retake policies and procedures.

Can I get a TNCC certification as an LPN?

While LPNs can attend all portions of the TNCC course and earn continuing nursing education hours, they are not eligible for TNCC credentials. To qualify for TNCC certification, you’ll need to complete an accredited nursing program and become a registered nurse (RN).

CEN vs. TNCC: Which one is better?

Choosing between CEN and TNCC depends on your career goals and nursing specialty. The Certified Emergency Nurse (CEN) certification is tailored for emergency nurses, while TNCC focuses specifically on trauma nursing.

Can I complete my TNCC certification online?

Yes, TNCC certification provides a range of learning approaches suited to different learning preferences, including online modules, classroom discussions, skill stations, virtual courses, and provider manuals.

How do I prepare for the TNCC exam?

To prepare for the TNCC exam, set SMART study goals (i.e., specific, measurable, achievable, relevant, and time-bound) and consider the following steps:

  • Review the TNCC provider manual.
  • Actively participate in all activities and discussions during your course.
  • Take advantage of any online modules or additional study materials provided.
  • Practice trauma nursing skills regularly.
  • Create a virtual study group, using online platforms, such as Study Together.
  • Create practice tests using platforms like Quizlet.
  • Ensure a consistent sleep schedule, as adequate rest is crucial for memory consolidation and cognitive function.
  • Make sure you prioritize self-care to prepare for the exam day.
  • Use effective stress-relieving techniques, as stress affects thinking, attention, and memory, making it hard to concentrate.

Is TNCC certification recognized nationally or internationally?

TNCC certification is widely recognized both nationally and internationally within the field of emergency and trauma nursing. If you plan to work internationally, this certification can be handy.

How many continuing education hours will I receive upon completion?

Upon completion of TNCC, nurses typically receive around 19 continuing education hours. However, the exact number may vary slightly depending on the specific provider.

How much does a trauma nurse make?

The average annual salary for an RN, including those specializing in trauma care, is about $94,480. Your pay can change significantly based on education, experience, and work setting. Location is another key factor — here are the highest paying states for nurses:

Why is a TNCC certificate important?

Every year, trauma claims 4.4 million lives globally, making up nearly 8% of all deaths. Countless other patients endure nonfatal injuries, often leading to hospital visits and long-term care needs. TNCC courses keep nurses informed about the latest evidence-based practices on how to save lives in trauma centers and emergency rooms.

What are the related certifications?

Looking to level up your career with more certifications? These additional credentials may be useful in trauma care settings:

  • Advanced Cardiac Life Support (ACLS)
  • Basic Life Support (BLS)
  • Certified Emergency Nurse (CEN)
  • Certified Flight Registered Nurse (CFRN)
  • Emergency Nursing Pediatric Course (ENPC)
  • Neonatal Resuscitation Program (NRP)
  • Pediatric Advanced Life Support (PALS)
  • Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS)
  • Trauma Certified Registered Nurse (TCRN)

Need Help Finding a Job You Love?

Ready to put your TNCC certification to work in a new position? IntelyCare has a wealth of opportunities. Find out how we can match you with great nursing roles in your specialty.