Necessities for practicing nursing legally
Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Nurses' postnominal letters (abbreviations listed after the name) reflect their credentials—that is, their achievements in nursing education , licensure , certification , and fellowship . The letters usually appear in the following order:
Generally, credentials are listed from most to least permanent. A degree, once earned, cannot, in normal circumstances, be taken away. State licensure is active until retirement and otherwise only revoked in cases of serious professional misconduct. Certifications generally must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs). This is often called maintenance of certification.
Nurses may also hold non-nursing credentials including academic degrees. These are usually omitted unless they are related to the nurse's job. For instance, those with master's degrees usually do not list their bachelor's degrees (only the highest earned degree), and a staff nurse would likely not list an MBA , but a nurse manager might choose to do so.
Some nurses who achieve a master's degree (MSN) leave the patient-care aspect of nursing, and practice in a more managerial role. An example would be earning an MSN in healthcare risk management . Such a nurse, while still fully an accredited nurse, will likely become the risk manager for a hospital, working in health administration rather than direct care and perhaps even becoming the director or manager of the risk-management department. In this role, he or she may never see another patient except while doing hospital inspections, or perhaps talking to a patient or the patient's family about a quality-of-care concern. In this role, the nurse becomes something similar to an auditor and a teacher of patient care quality and risk for the entire hospital staff. This nurse likely will also get the certification CPHQ: Certified Professional in Healthcare Quality.
Nursing credentials are separated from the person's name (and from each other) with commas. Usually, no periods are placed within the credentials (e.g. "BSN" not "B.S.N.")
Nursing certifications [ edit ]
In the United States and Canada , many nurses who choose a specialty become certified in that area, signifying that they possess expert knowledge. Over 200 nursing specialties and subspecialties are available. Studies from the Institute of Medicine have demonstrated that specialty-certified nurses have higher rates of patient satisfaction and lower rates of work-related errors in patient care .
Registered nurses (RNs) are not required to be certified in a certain specialty by law. For example, it is not necessary to be a certified medical-surgical registered nurse (CMSRN) (the Academy of Medical-Surgical Nurses [AMSN] certification, administered by the Medical-Surgical Nursing Certification Board [MSNCB]) to work on a medical-surgical floor, and most medical-surgical nurses are not CMSRNs. Certifications do, however, instill professionalism and make the nurse more attractive to prospective and current employers. Certified nurses may earn a salary differential over their uncertified colleagues, but this is rare.
Some hospitals and other health-care facilities are willing to pay certified nurses extra when they work within their specialties. Also, some hospitals may require certain nurses, such as nursing supervisors or lead nurses, be certified. Certification instills confidence in the nurses. Magnet hospitals advocate certifications.
Throughout the list, the following credentialing organizations are mentioned:
AAS: Associate of Applied Science
AAN: Associate of Arts in Nursing
ABLS: Advanced Burn Life Support (not intended for postnominal use )
ABQAURP: CHCQM - Board Certification in Health Care Quality and Management
ACCNS-AG: Adult-Gerontology Acute Care Clinical Nurse Specialist (Certified by AACN)
ACCNS-N: Neonatal Acute Care Clinical Nurse Specialist (Certified by AACN)
ACCNS-P: Pediatric Acute Care Clinical Nurse Specialist (Certified by AACN)
ACHPN: Advanced Certified Hospice and Palliative Nurse [ 1]
ACHRN: Advanced Certified Hyperbaric Registered Nurse
ACLS: Advanced Cardiac Life Support (not intended for postnominal use )
ACM-RN: Accredited Case Manager-Registered Nurse
ACNP-BC: Acute Care Nurse Practitioner-Board Certified
ACNPC: Acute Care Nurse Practitioner Certification (Certified by AACN)
ACNPC-AG: Adult-Gerontology Acute Care Nurse Practitioner Certification (Certified by AACN)
ACNS-BC: Adult Clinical Nurse Specialist - Board Certified
ACRN: AIDS Certified Registered Nurse
ADLS: Advanced Disaster Life Support
ADN: Associate Degree in Nursing
AFN-BC: Advanced Forensic Nursing–Board Certified (http://nursecredentialing.org/ForensicNursing-Advanced )
AGACNP-BC: Adult-Gerontology Acute Care Nurse Practitioner-Board Certified (certified by ANCC)
AGPCNP-BC: Adult-Gerontology Primary Care Nurse Practitioner-Board Certified (certified by ANCC)
AGNP-C: Adult-Gerontology Primary Care Nurse Practitioner-Certified (certified by AANPBC)
AHN-BC: Advanced Holistic Nurse-Board Certified (certified by AHNCC)
ALNC: Advanced Legal Nurse Consultant
ANEF: Academy of Nursing Education Fellow
ANLC: Advanced Nurse Lactation Consultant
ANP-BC: Adult Nurse Practitioner-Board Certified (certified by ANCC)
ANP-C: Adult Nurse Practitioner-Certified (certified by AANPBC)
ANVP: Advanced Neurovascular Practitioner
AOCN: Advanced Oncology Certified Nurse
AOCNP: Advanced Oncology Certified Nurse Practitioner
AOCNS: Advanced Oncology Certified Clinical Nurse Specialist
APHN-BC: Advanced Public Health Nurse-Board Certified (changed to PHNA-BC)
APHN-BC: Advanced Practice Holistic Nurse-Board Certified (certified by AHNCC)
APN: Advanced Practice Nurse
APNP: Advanced Practice Nurse Prescriber
APP: Advanced Practice Provider
APRN: Advanced Practice Registered Nurse
ARNP: Advanced Registered Nurse Practitioner
ASN: Associate of Science in Nursing
ATCN: Advanced Trauma Care for Nurses course
CANP: Certified Adult Nurse Practitioner
CAPA: Certified Ambulatory Perianesthesia nurse
CARN: Certified Addictions Registered Nurse
CATN-I: Course in Advanced Trauma Nursing -Instructor (not intended for postnominal use )
CATN-P: Course in Advanced Trauma Nursing -Provider (not intended for postnominal use )
CBCN: Certified Breast Care Nurse
CBN: Certified Bariatric Nurse
CCCI: Canadian Certified Clinical Instructor[ 2]
CCCN: Certified Continence Care Nurse
CCDS: Certified Clinical Documentation Specialist
CCE: Certified Childbirth Educator
CCHP: Certified Correctional Health Professional
CCHP-CP: Certified Correctional Health Professional-Clinical Provider
CCM: Certified Case Manager
CCNS: Acute Care Clinical Nurse Specialist
CCRN: Certification in Acute/Critical Care Nursing [1]
CCTC: Certified Clinical Transplant Coordinator
CCTN: Certified Clinical Transplant Nurse
CDAL: Certified Director of Assisted Living
CDDN: Certified Developmental Disabilities Nurse
CDCES: Certified Diabetes Care and Education Specialist
CDMS: Certified Disability Management Specialist
CDN: Certified Dialysis Nurse
CDONA/LTC: Certified Director of Nursing Administration/Long Term Care
C-EFM: Certified in Electronic Fetal Monitoring
CEN: Certified Emergency Nurse
CENP: Certified Executive in Nursing Practice
CETN: Certified Enterostomal Therapy Nurse
CFCN: Certified Foot Care Nurse
CFN: Certified Forensic Nurse
CFNP: Certified Family Nurse Practitioner
CFPN: Certified Foundational Perioperative Nurse
CFRN: Certified Flight Registered Nurse
CGN: Certified Gastroenterology Nurse
CGRN: Certified Gastroenterology Registered Nurse
CHES: Certified Health Education Specialist
CHN: Certified Hemodialysis Nurse
CHPLN: Certified Hospice and Palliative Licensed Nurse [ 3]
CHPN: Certified Hospice and Palliative Nurse [ 4]
CHPNA: Certified Hospice and Palliative Nursing Assistant [ 5]
CHPPN: Certified Hospice and Palliative Pediatric Nurse [ 6]
CHRN: Certified Hyperbaric Registered Nurse
CHSE: Certified Healthcare Simulation Educator
CHSE-A: Certified Healthcare Simulation Educator-Advanced
CHSOS: Certified Healthcare Simulation Operations Specialist
CIC: Certified in Infection Control
CLC: Certified Lactation Counselor
CLNC: Certified Legal Nurse Consultant
CLS: Clinical Laboratory Scientist
CM: Certified Midwife
CMA: Certified Medical Assistant
CMAS: Certified Medical Audit Specialist
CMC: Cardiac Medicine Certification
CMCN: Certified Managed Care Nurse[ 7]
CMDSC: Certified MDS Coordinator
CMSRN: Certified Medical—Surgical Registered Nurse
CNA: Certified Nursing Assistant
CNAMB: Certified Ambulatory Surgery Nurse
CNCC(C): Certified Nurse in Critical Care (Canada)
CNE: Certified Nursing Educator
CNE: Chief Nurse Executive
CNeph(C): Certified in Nephrology Nursing (Canada)
CNL: Clinical Nurse Leader
CNLCP: Certified Nurse Life Care Planner
CNM: Certified Nurse Midwife
CNML: Certified Nurse Manager and Leader
CNN: Certified in Nephrology Nursing
CNO: Chief Nursing Officer
CNOR: Certified Perioperative Nurse
CNP: Certified Nurse Practitioner
C-NPT: Certified in Neonatal Pediatric Transport
CNRN: Certified Neuroscience Registered Nurse
CNS: Clinical Nurse Specialist
CNSC: Certified Nutrition Support Clinician (Formerly CNSN: Certified Nutrition Support Nurse)
COCN: Certified Ostomy Care Nurse
COHC: Certified Occupational Hearing Conservationist
COHN: Certified Occupational Health Nurse
COHN/CM: Certified Occupational Health Nurse/Case Manager
COHN-S: Certified Occupational Health Nurse—Specialist
COHN-S/CM: Certified Occupational Health Nurse—Specialist/Case Manager
CORLN: Certified Otorhinolaryngology Nurse
CPAN: Certified Post Anesthesia Nurse
CPDN: Certified Peritoneal Dialysis Nurse
CPEN: Certified Pediatric Emergency Nurse
CPHON: Certified Pediatric Hematology Oncology Nurse
CPHQ: Certified Professional in Healthcare Quality
CPLC: Certified in Perinatal Loss Care [ 8]
CPN: Certified Pediatric Nurse or Community Psychiatric Nurse (United Kingdom)
CPNA: Certified Pediatric Nurse Associate
CPNL: Certified Practical Nurse, Long-term care
CPNP: Certified Pediatric Nurse Practitioner
CPON: Certified Pediatric Oncology Nurse
CPSN: Certified Plastic Surgical Nurse
CRN: Certified Radiologic Nurse
CRNA: Certified Registered Nurse Anesthetist
CRNFA: Certified Registered Nurse First Assistant
CRNI: Certified Registered Nurse Infusion
CRNL: Certified Registered Nurse, Long-term care
CRNO: Certified Registered Nurse in Ophthalmology
CRNP: Certified Registered Nurse Practitioner
CRRN: Certified Rehabilitation Registered Nurse
CRRN-A: Certified Rehabilitation Registered Nurse—Advanced
CS: Clinical Specialist
CSC: Cardiac Surgery Certification
CSHA: Certified Specialist in Hospital Accreditation
CSN: Certified School Nurse
C-SPI: Certified Specialist in Poison Information
CT: Certified in Thanatology (dying, death and bereavement)
CTN: Certified Transcultural Nurse
CTRN: Certified Transport Registered Nurse
CTRS: Certified Therapeutic Recreational Specialist
CUA: Certified Urologic Associate
CUCNS: Certified Urologic Clinical Nurse Specialist
CUNP: Certified Urologic Nurse Practitioner
CURN: Certified Urologic Registered Nurse
CVICU: Cardiovascular Intensive Care Unit
CVN: Certified Vascular Nurse
CVOR: Cardiovascular Operating Room
CVRN-BC: Cardiovascular Nurse-Board Certified.
CWCN: Certified Wound Care Nurse
CWOCN: Certified Wound, Ostomy, Continence Nurse
CWS: Certified Wound Specialist
ECRN: Emergency Communications Registered Nurse (not intended for postnominal use )
ED: Emergency Department
EdD: Doctor of Education
EN: Enrolled Nurse
ENC(C): Emergency Nurse Certified (Canada)
ENP-BC: Emergency Nurse Practitioner-Board Certified (certified by ANCC)
ENP-C: Emergency Nurse Practitioner- Certified (certified by AANPBC)
ENPC: Emergency Nursing Pediatric Course (not intended for postnominal use )
ENPC-I: Emergency Nursing Pediatric Course Instructor (not intended for postnominal use )
ENPC-P: Emergency Nursing Pediatric Course Provider (not intended for postnominal use )
ET: Enterostomal Therapist
FAADN: Fellow, Academy of Associate Degree Nursing [2]
FAAN: Fellow, American Academy of Nursing
FAANA: Fellow, American Association of Nurse Anesthesiology
FAANP: Fellow, American Association of Nurse Practitioners
FAAOHN: Fellow, American Association of Occupational Health Nurses [3]
FAAPM: Fellow, American Academy of Pain Management
FACCWS: Fellow, American College of Certified Wound Specialists[ 9]
FACHE: Fellow, American College of Healthcare Executives
FAEN: Fellow, Academy of Emergency Nursing
FAHA: Fellow, American Heart Association
FNC: Family Nurse Clinician
FNP-C: Family Nurse Practitioner - Certified (Certified by AANPBC)
FNP-BC: Family Nurse Practitioner - Board Certified (Certified by ANCC)
FPNP: Family Planning Nurse Practitioner
FRCN: Fellow, Royal College of Nursing
FRCNA: Fellow, Royal College of Nursing, Australia
FT: Fellow in Thanatology, Association of Death Educators and Counselors
GN: Graduate Nurse (awaiting RN licensure)
GNP: Gerontological Nurse Practitioner
GPN: General Pediatric Nurse
GPN: Graduate Practical Nurse
GRN: Graduate Registered Nurse
HACP: Hospital Accreditation Certified Professional
HNB-BC: Holistic Nurse Baccalaureate-Board Certified (certified by AHNCC)
HNC: Holistic Nurse, Certified (changed to HN-BC)
HN-BC: Holistic Nurse-Board Certified (certified by AHNCC)
HWNC-BC: Health and Wellness Nurse Coach-Board Certified (certified by AHNCC)
LCCE: Lamaze Certified Childbirth Educator
LGN: Licensed Graduate Nurse[ 10] (British Columbia, Canada)
LGN(P): Licensed Graduate Nurse, Provisional[ 10] (British Columbia, Canada)
LNC: Legal Nurse Consultant
LNCC: Legal Nurse Consultant, Certified
LNP: Licensed Nurse Practitioner—Used by the Commonwealth of Virginia, Board of Nursing, as a license status[ 11]
LPN: Licensed Practical Nurse
LPT: Licensed Psychiatric Technician
LSN: Licensed School Nurse
LTAC: Long Term Acute Care
LTC: Long Term Care (LPN Specific)
LVN: Licensed Vocational Nurse
NC-BC: Nurse Coach-Board Certified (certified by AHNCC)
NCMP: Certified Menopause Practitioner
NCSN: National Certified School Nurse
NE-BC: Nurse Executive-Board Certified
NEA-BC: Nurse Executive Advanced-Board Certified
NHDP-BC: National Healthcare Disaster Professional-Board Certified
NICU: Neonatal Intensive Care Unit
NNP-BC: Neonatal Nurse Practitioner
NP(A): Nurse Practitioner, Adult[ 10] (British Columbia, Canada)
NP(F): Nurse Practitioner, Family[ 10] (British Columbia, Canada)
NP(P): Nurse Practitioner, Pediatrics[ 10] (British Columbia, Canada)
NP-C: Nurse Practitioner, Certified (certified by AANPBC)
NPP: Nurse Practitioner, Psychiatric
NSE: Nursing Student Extern
NSWOC: Nurses Specialized in Wound, Ostomy and Continence
NRP: Neonatal Resuscitation Program (not intended for postnominal use )
NVRN: Neurovascular Registered Nurse
NZCFN: New Zealand Certified Flight Nurse
NPS: Neonatal / Pediatric Specialty
PACU: Post-anesthesia care unit
PALS: Pediatric Advanced Life Support (not intended for postnominal use )
PCCN: Progressive Care Certified Nurse
PCNS: Pediatric Clinical Nurse Specialist
PhD: Doctor of Philosophy
PHN: Public Health Nurse
PHNA-BC: Advanced Public Health Nurse
PHRN: Pre-Hospital Registered Nurse
PICU: Pediatric Intensive Care Unit
PMH-BC: Psychiatric Mental Health Nurse
PMHNP-BC: Psychiatric Mental Health Nurse Practitioner
PMHCNS-BC: Psychiatric Mental Health Clinical Nurse Specialist
PNP-BC: Pediatric Nurse Practitioner - Board Certified
PNP-AC: Pediatric Nurse Practitioner - Acute Care
PNP-PC: Pediatric Nurse Practitioner - Primary Care
SANE: Sexual Assault Nurse Examiner
SANE-A: Certified Sexual Assault Nurse Examiner-Adult/Adolescent
SANE-P: Certified Sexual Assault Nurse Examiner-Pediatric
SCN: Supervisory Clinical Nurse
SCRN: Stroke Certified Registered Nurse
SEN: State Enrolled Nurse
SHN: Sexual and Reproductive Health endorsed RN—Queensland Australia
SN: Student Nurse (RN preparation)
SNSC: School Nurse Services Credential (California CTC)
SPN: Student Nurse (LPN preparation)
SRNA: Student Registered Nurse Anesthetist(CRNA preparation)
SVN: Student Nurse (LVN preparation)
TCAR: Trauma Care After Resuscitation course
TCRN: Trauma Certified Registered Nurse
TNCC: Trauma Nursing Core Course (not intended for postnominal use )
TNCC-I: Trauma Nursing Core Course Instructor (not intended for postnominal use )
TNCC-P: Trauma Nursing Core Course Provider (not intended for postnominal use )
TNP: Telephone Nursing Practitioner
TNS: Trauma Nurse Specialist
VA-BC: Vascular Access Board Certified